Medical
Browse, search and filter 3,531 questions.
3,531 questions
A 38-year-old runner complains of increasing pain in her right big toe that she fractured many years ago. The first metatarsophalangeal joint is red dorsally and has a very limited range of painful movement. The patient wants to be able to continue running. What is the most likely diagnosis?
A 62-year-old gentleman taking warfarin for atrial fibrillation presents with a two-week history of headaches and clumsiness of the dominant hand. He cannot recall any impact to the head. What is the most likely diagnosis of this patient?
A patient l1as a hyperflexion injury combined with axial loading. X-ray shows C3 subluxed forward on C4. What is the most likely diagnosis of this patient?
A 35-year-old woman is due for a bilateral mastectomy. She has requested a bilateral breast reconstruction at the same time. However, she is a strict Jehovah's Witness and would under no circumstances have a heterologous blood transfusion. The diagnostic of this patient is?
A 46-year-old woman re-presents to the emergency department 48 hours following an 'uncomplicated' laparoscopic cholecystectomy and on-table cholangiogram. She describes a history of progressive, constant, right upper quadrant pain radiating to the shoulder tip since the surgery. The pain is worse on coughing and moving. On direct questioning, she describes a 24-hour history of nausea and vomiting. The abdomen is rigid. Her liver function tests are abnormal as follows: bilirubin 60µmol/L, alkaline phosphatase 550 IU/L and alanine aminotransferase 220 IU/L. Her international normalized ratio is <1.5. Which single investigation is more likely to be diagnostic?
ne dérivent que du seul feuillet mésoblastique de l'embryon.
A 16-year-old rugby player is tackled and feels severe pain in the knee. He notices something out of place in this knee. However, as he rolls over to try to stand up, whatever it was clicks back into place. What is the most likely diagnosis?
A rugby player sustains a twisting injury to his left knee during a game and subsequently complains of the knee giving way under him (instability) with episodes of locking. The knee had a significant effusion at the time or injury. X-ray is normal. What is the best next step in management of this patient?
A patient is admitted following a car accident where she was a restrained passenger. The patient is 32 weeks pregnant. She is shocked with a rigid and tender abdomen. An abdominal radiograph is performed which shows air under the diaphragm and the fetus's left leg appears extended. The most appropriate next course of action is?
A patient sustains a flexion distraction injury at the thoracolumbar junction following a highspeed road-traffic accident where he was wearing a seat belt. What is the most likely diagnosis of this patient?
A 19-year-old woman fell from her bicycle onto a tarmac road surface. She had abrasions to her left cheek and forehead. The wounds were irrigated with normal saline and she was discharged. She returned 2 months later with several dark patches on her facial skin. What is the most likely diagnosis of this patient?
A 57-year-old man presents with acute colicky pain in the suprapubic area. He has been constipated over the last 2 days and has been feeling bloated. He feels nauseous, but he has not vomited. On examination of the abdomen you notice marked abdominal distension, and increased bowel sounds. What is the most likely diagnosis?
A 62-year-old woman underwent a transperitoneal right nephrectomy for carcinoma through a transverse incision 5 days ago. She has not had a bowel action since her operation. Examination reveals a slightly tense distended abdomen with no bowel sounds. Her serum potassium is 2.4mEq/L. What is the d.iagnosis for this patient?
A 6-week-old boy presents with his parents to the specialist paediatric urology outpatients department. The families are Jewish and at the time of the boy's circ11mcision were told by their rabbi that the urethral meatus was not in the normal position. On examination, the meatus is on the ventral surface just below the glans penis. What is the most likely diagnosis?
A 12-year-old boy is hit in his left eye with a ball. There is minimal soft tissue injury and no palpable deformity. Eye movement is painful and restricted on upward gaze. What is the most likely diagnosis of this patient?
During a ward round, you are asked by your surgical registrar about the management of a phaeochromocytoma. Select from the list below the most appropriate management plan for a phaeochromocytoma?
A 68-year-old woman presents with a painless but progressively weak shoulder. She can only abduct it with a trick movement hunching her shoulder. Otherwise, there seems to be very little power of abduction. What is the most likely diagnosis?
best statement egarding perioperative management consideration?
You are asked to see a 48-year-old woman who has been admitted to the emergency department with sudden onset of right upper quadrant pain. Your registrar liaises with you, after having seen this patient, and tells you that the patient has 'Charcot's triad'. From the information conveyed to you, what is the most likely diagnosis that you should be thinking of?
A patient is admitted from the emergency department with new and suddenonset urinary incontinence. The patient has previously been seen in the back pain clinic by the orthopaedic team. On examination you note a large palpable bladder. Neurological examination reveals weakness of knee flexion on the right, plantar flexion of the left and reduced ankle jerks bilaterally. Plantars are downgoing on both sides. You also note patchy mixed sensory loss bilaterally. The diagnosis is?