By Irfan Syed
A assessment for the forums in medical medication. The publication is split via structures after which medical difficulties. First the indications and indicators of assorted illnesses/ stipulations are coated through investigations and pharmacology. The pharmacology questions usually are not restricted to at least one part, yet look all through, actual to the instructing equipment universal in so much clinical faculties now. The constitution of the booklet is key to its use and the structure is apparent and ordinary. drugs.
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Additional info for EMQs in Clinical Medicine
3 A 40-year-old builder presents with a severe community-acquired pneumonia. Atypical pathogens are suspected. 4 A 22-year-old HIV-positive individual on anti-retroviral therapy presents with Pneumocystis carinii pneumonia. 5 A 19-year-old man contracts pneumonia with symptoms of headache, fever and dry cough. Serology shows evidence of chlamydia infection. Answers: see page 47. Shortness of breath – answers 37 ANSWERS 11 Shortness of breath Answers: L E B F H A 21-year-old man has a productive cough, wheeze and steatorrhoea.
30 Respiratory medicine 13 Haemoptysis A B C D E F tuberculosis (TB) haemothorax bronchogenic carcinoma polyarteritis nodosa Wegener’s granulomatosis bronchiectasis G H I J K L Goodpasture’s syndrome haemophilia pulmonary oedema pneumonia pulmonary embolus Churg–Strauss syndrome For each clinical scenario below, give the most likely cause for the clinical findings. Each option may be used only once. 1 A 65-year-old smoker presents with shortness of breath, gallop rhythm and production of pink frothy sputum.
J Caplan’s syndrome is a pulmonary manifestation of rheumatoid arthritis (RA) which is characterized by the presence of pulmonary nodules. g. silicosis and asbestos. Symptoms include cough, shortness of breath and haemoptysis. RA has several other respiratory manifestations/associations including fibrosing alveolitis, pleural effusions and, very rarely, obliterative bronchiolitis. RA can also affect the cricoarytenoid joints leading to upper respiratory tract obstruction. Kerley B lines, bat-wing shadowing, prominent upper lobe vessels, cardiomegaly.