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3,531 questions
A 58-year-old man with insulin dependent diabetes presents with chronic erythema and discharge over an ulcerated area located over the first MTPJ of his left foot. CRP is 60 and ESR is 75. Radiographs reveal a destruction of the head of the first metatarsal. What is the most likely diagnosis?
: La sécrétion mérocrine suppose un renouvellement cellulaire pour maintenir l’intégrité de la glande. E : Les glandes séreuses sont les glandes qui synthétisent un produit très épais et qui nécessitent la présence d’une vaste lumière.
: L’Histologie a pour objectif d’établir une relation entre une structure normale et un rôle ou une maladie.
interferes with steroid hormone receptor interaction with DNA, thus preventing the growth induction by this class of hormone
A 6-year-old child with cerebral palsy is toe-walking and is referred for assessment and management to aid her to walk on the soles of her feet (plantigrade). What is the most likely diagnosis?
A 48-year-old man complains of being intermittently unable to extend his right ring finger, with a clicking sensation sometimes felt. There is a tender swollen nodule over the palmar aspect of the affected finger. What is the most likely diagnosis?
A 35-year-old woman has been admitted as an emergency with right upper quadrant pain, pyrexia and vomiting. On examination she is toxic, with a positive Murphy's sign. What should be the first investigation?
Yoar colleague consults you with regard to a 56-year-old patient who has suffered an episode of amaurosis fugax. From the list below, choose the most likely site of pathology which may give rise to amaurosis fugax?
A patient has a hyperextension injury. X-ray shows a small chip of bone off the front of a vertebral body next to the disc space. What is the most likely diagnosis of this patient?
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 9-year-old boy with a family history of a progressive neurological disorder affecting the lower limbs presents with problems in his feet. The arches are very high and the toes bent up so that they rub on his shoes. What is the most likely diagnosis?
A previously well 35-year-old woman presents with sudden onset severe headache and loss of vision. Her acuity is 6/24 bilaterally on assessment in the emergency department. What is the most likely diagnosis of this patient?
A 48-year-old perimenopausal woman presents with a 2-month history of a painful lump in her right breast. On examination you find a 2.5 cm tense, fluctuant, mobile lump in the outer lower quadrant of the right breast. The most appropriate next course of action is?
A 58-year-old man with a history of chronic liver disease attends with a bilateral fixed Oexion deformity of the ring and little fingers, left worse than right. What is the most likely diagnosis?
A child spontaneously develops a wry neck with a cock robin appearance. What is the most likely diagnosis of this patient?
: La présence de bandes claires au niveau des fibrilles élémentaires de collagène est due à la présence d'intervalles libres entre les molécules unitaires de collagène qui laissent diffuser plus facilement les électrons.
A 43-year-old man presents with su.dden right arm and leg weakness. He is normotensive. CT demonstrates a substantial haematoma in the left frontoparietal region. What is the most likely diagnosis of this patient?
the most likely diagnosis?
A 57-year-old woman is kicked by her horse. She has a large central forehead haematoma and CSF rhinorrhea. What is the most likely diagnosis of this patient?
A 55-year-old woman presented with a lymph nodal lump over her right supraclavicular area. Excision biopsy showed a non-Hodgkin's lymphoma. What should be the first investigation?