A lady brought in her 3 yr old child to your clinic. She claimed that her child look shorter than other kids.
She showed you the xray on her child when she was an infant.
Then she shows you her family photo.
What is the diagnosis?
How will you manage this visit?
SIADH may cause hyponatraemia in depressed patients on SSRI.
You can change to mirtazepine.
What is the problem (hint by arrows) ?
What is the endocrine disease?
What investigation will you order?
Who is this man?
What genetic disorder did he have?
What kind of heart problems is associated with this disease?
What kind of eye problems is associated with this disease
For those who have problems the type of diet doctors can order, here is a good way from my friend:
Full diet: that is what we eat
Chopped diet: that is after we chop the foot, der!
Blended diet: that looks like the stuff after we leave it chopped diet overnight.
Remember, there is also the fluid part.
Thin : what normal people drink
Nectar thickened: like milkshake
Honey thickened consistency: stick to glass, pours really slowly
An elderly man with past hx of stroke is admitted for falls.
The reversible causes of falls were addressed. Now he still has falls. He has no relatives or carers. He wants to go home and not to a sheltered home.
He has no cognitive impairment.
What do you do? Allow him to go home with risk of falling or “force” him to go to a sheltered home/ nursing home against his will?
This man is seen walking beside the beach.
Name 3 possible conditions that can cause him to have problems walking.
What is limiting his ADLs?
As you can see after going through a resp short case, it is not so easy even for the better students.
A complete resp examination takes almost 8 – 9 mins, which leaves little time to present your case. Have a look at the following xray and practice presenting them like you have examined them. It will be useful before a clinical short case exam / test.
Someone asked me this today. Besides the TRAP you all remember, swallowing is also affected in some cases.
Third nerve palsy, INO, Bells’ palsy, ptosis (MG or horner’s syndrome) have been appearing in short cases. Best to look at Baliga to train your approach to ptosis.