michael wong 03cm医学part 3 recall may from 3 persons3部分召回.pdfVIP

A.MichaelWong03CM

Medicineonly(东区医院）

Longcase-ulcerativecolitis,55yoman,educated,willingtoprovidediagnosisrightafter

thehistorytakingstarts.

Questions:

1.steroidsideeffects

2.Someimmunosuppressantsideeffects

3.DdxUC,CD

4.Definetoxicmegacolon

5.Definesevereexacerbation

6.Asmedicalofficer,howtomanagesevereexacerbatedpatient?

7.后期pt有hypertensionandhyperlipidemia,why?

8.Howtoscreenmalignantcolon?

9.WhyfirsttimeUCneedtocheckstool?Checkwhat?

10.UCmanagement

11.UCcomplication

Shortcases

1.Ecg:anteriorAMI

CTbrain:ACUTEhaemorrhagicstrokeofleftbasalganglia(imageverytypical)

2.Neuro:ulnarnpalsy(bytrauma)(stem:plamineupperlimb)

Ulnargroovehassurgicalscar,palsyonlyinvolveshand.

Questions:1.Causes(anatomy)

2.Ix

3.Abd:PKD,CRF,renalreplacementtherapy(HD)

S/s:infraclavicularpuncturescar,leftupperarmhasAVF,bilaterallargemassesat

flank(about15x15,very偏flank)

Questions:1.wastherehepatomegaly?No(examinerfrowned)

2.Werethereanemia,pallor?

3.Ix

4.Resp:pulmonaryfibrosis

Stem:pthasSOB(noage,verythin)

S/s:3rddegreeclubbing,widespreadbronchialBS,(whensaidnofinecrackles,

examinershocked)

Question:Ix

5.CVS:AS+MR

Stem:pthasSOB

S/s:bigYshapedchestscar.WidespreadASmurmur,identifiableMRmurmur,might

havewaterhammerpulsebutdidntventuresaidso.Hassacraledemabutnoankleedema

Questions:Ix

6.General:acromegaly(realpt,verybighands)

Stem:pthasheadache

P/e:offermusculoskeletalPE(sortoflikecheckingforRA),visualfield(stoppedby

examinerwhenoffertocheckvisualfield)

Questions:1.Whycheckvisualfield?