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OPSE 3 April 2013-Question

OPSE 3 April 2013-Question . Prepared by: Dr. HK Ngan PMH AED. Case 1. M/65 PH:DM, HT Attended AED because of abdominal distension and constipation for two days. Case 1. Case 1. 1) Describe the x-ray findings? 2) What is the diagnosis?

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OPSE 3 April 2013-Question

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  1. OPSE 3 April 2013-Question Prepared by: Dr. HK Ngan PMH AED

  2. Case 1 • M/65 • PH:DM, HT • Attended AED because of abdominal distension and constipation for two days

  3. Case 1

  4. Case 1 • 1) Describe the x-ray findings? • 2) What is the diagnosis? • 3) What are the main complications of this condition? • 4) Name three predisposing factors for this condition? • 5) What is the treatment?

  5. Case 2 • Nigerian tourist • F/42 • Brought in by police from airport for abdominal pain

  6. Case 2

  7. Case 2 • 1) Describe the x-ray findings? • 2) What is the diagnosis? • 3) What will be the complication of this condition? • 4) What is your management?

  8. Case 3 • PH: Good • M/50 • Presented to AED for chest pain on and off for 3 weeks. Now symptoms free. • Serial Troponin I<0.03 (not rasied)

  9. Case 3

  10. Case 3 • 1) What is the ECG findings • 2) What is the diagnosis? • 3) What is the significance of this condition and what will be the complication? • 4) What is the best treatment for this condition and why?

  11. Case 4 • F/40 • Brought in by mother with abnormal behavior and delusional idea for one month. No history of head injury.

  12. Case 4

  13. Case 4 A B C D

  14. Case 4 • 1) What is the CT findings? • 2) Give 3 differential diagnosis from the CT finding? • 3) Give the cistern/fissure name of A,B, C, D • 4) What bedside clinical examination you would emphasis with this CT image? • 5) What other investigation you would like to do to confirm your suspicion?

  15. Case 5 • 63/M • Construction site worker • Right eye being splashed by liquid concrete(cement) • Used tap water to rinse it briefly • C/O pain, tearing, blurring of vision

  16. Case 5

  17. Case 5 • Describe the clinical findings from the photo. • What is the likely culprit chemical causing such injury? • Name one essential bedside test. • Which will have more serious injury, acid or alkali? Give your explanation • How would you grade the severity of this injury?

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