USMLE Forum - Largest USMLE Community

1 - child abuse

2 - jaundice in newborn

3 - Ca colon

4 - Peptic Ulcer Disease

5 - endometrial carcinoma

6 - MI

7 - Pulmonary Embolism

8 - MDP

9 - back pain

1Old man with back pain: Did not know what he had, pain did not improve despite of what I did.

2- Old woman with Type 2 DM with flare: Very easy, brought sugar levels back and did all the diabetes conuseling.

3- Baby with intussusception: As soon as it was detected, got a surgical consult and pt was accepted for surgery.

4- Old man with lung Cancer: Presented with hemoptysis, cxr showed a lesion, CT confirmed dx. Referral for surgery and metastatic work up was done.

5- Young man with Meningitis: Gave IV antibiotics BEFORE geting LP results and cultures back. Improved after giving antibiotics and culture tested + for Neisseria.

6- Adult man with GERD: Very straight forward. Endoscopy revealed erosiosn. And also ruled out PUD. Improved after PPIs.

7- Eclampsia: 37 week old lady presented to ER with seizures. Gave MgSo4 and got a OBGYN consult for delivery. Brought BP to a lower level and did pre ops and fetal monitoring

8- Child abuse: Mother brings baby to ER with seizures, CT reveals hemorraghes, and xrays reveals many healed fractures. Stabilized baby and notified authorities.

9- Cannot remember.

1.Febrile Neutropenia

2.HNDK

3.Menorrhagia in 14 yr old( DUB)

4.bleeding after abortion ( Retained POC)

5.Ruptured aortic aneurysm.. and the case came to the clinic!!!

6.Esophagitis

7.duodenal ulcer

8.CA Prostate

9.Domestic Voilence( spouse abuse)

3 -I don't get my score yet, but here I post some of my CCS cases:

4 1. Kid with acute unilateral testicular pain in the ER.

5 2. Obese male with high blood pressure in a general check-up in the office.

6 3. Male with debut of DM (polydipsia, weight loss) in the office.

7 4. Woman asking for general chech-up in the office. Had sexual risk factors.

8 5. Elderly woman with dementia, presenting in the ER with vaginal discharge, and
trichomonas in the vaginal smear.

6. Post-operated male in ward, having acute dyspnea and signs of pulmonary edema (got
better with diuretics).
9
10 -young woman HTN.....adrenal mass

11 -neonate vomiting...Down- duodenal atresia

12 -fatigue, alcoholic, anemia acid folic deficit

13 -promiscuous young man, jaundice, hep A

14 -PE

15 -patient in hosp in treatment for pneumonia and day of dischrge had chills and fever, pain
in the IV line

-68 yo vaginal bleeding....endometrial adenocarcinoma

-polytrauma, rib fracture, stable patient

16 Case 1: abdominal aortic aneurysm with retroperitoneal hemorrhage.. took a full 25 mins!
Case 2: erosive esophagitis.. again 25 mins!
Case 3: 16 y/o AA male coming for pre-employment check up.. found to be obese and hypertensive.. I did everything I could for him but the case never ended.. full 25 mins..
Case 4: Patient presenting with uncontrolled Diabetes.. full 25 mins..
Case 5: Patient with squamous cell Ca of the lung.. ended before 20mins..
Case 6: Patient with meningitis.. very short case..
Case 7: 32 y/o caucasian male presenting with "chest pain".. Panic Attack.. before 20mins
Case 8: 18 month old child with intussusuption... before 20mins..
Case 9: just cant remember... but, I think it went alright..

17 1- pt. with fatigue diagnosed with depression.
2-Child glucose phosphate dehydrogenase deficiency anemia
3-chronic PID
4-Nullipara with acute PID
5-Women with pulmonary TB
6-Gastric outlet obstruction by Adenocarcinoma
7-Alcohol Intoxication
8-PCP pneumonia in HIV patiant
9-I will post last one as soon as I remember.
18 58 yr male with fatigue
incomplete abortion,
19 cystitis,
20 chf,
21 50 yr M with HTN/DM for routine health visit
iron def. anaemia in 18 m child,
22 AFib,
23 splenic rupture
24 1.pcp pneumonia
2.pulmonary tuberculosis(sputum AFB: -ve, PCR: +ve)
3.pelvic inflamatory disease
4.complex ovarian tumor(5cms cyst)
5.Alcholic intoxication(E/R- unconcious, blood alchol level-high
6.G-6PD deficiency(child brought with jaundice- h/o bactrim)
7.Essential Hypertension
8.Atrial fibrillation with TIA (Carotid doppler-normal)
9.Gastric cancer with Gastric oulet obstruction

1. high blood pressure - well check presentation
2.HIV with Pneumocystic carinii - cough presentation

3.TB - COPD presentation

4.spleenic laceration - drunk lady was beating at the bar with base ball bat---raccoon eyes, was seen and treat at the ED. returned with "pluritic-like" left chest pain

5. ovarian torsion ....with "appendicitis kind" of presentation D&V, nausea------ labs normal, pelvic sono will confirm result

25 6.PID................straight forward scenario, cervical - gonococci+chlamydia positive

26 7. G6PD.........hemolytic amenia, jaundice after TMSX

27 8.antral gastric cancer...............Arthritis, Ibuprofen use x 6 months.....on omeprazole,melena.........presntation was Gastric obstruction

28 9.left ULUng small cell carcinoma--------presentated with electrolyte imbalance, Diarrhea, weakness..........weight loss

1.hypothyroidism(constipation&fatigue)
2.uti
3.hemoptysis
4.urethritis
5.eclampsia
6.iron defeciency anemia
7.panic attack
8.intususception
29 downs syndrome,
30 hepatitis,
31 endometrial ca,
32 alcolholics w folic acid def ,
33 htn,
34 tia,
35 pe
36 atrial fibrilation,
new born 10 days old with conjugated hyperbilirubinaemia fever lethergy &was born with hydrocephalus ,
spontaneous abortion
depression,
hypothyroidism
lead poisoning,
cholangio carcinoma,
caediogenic shock,
primary hyperparathyroidism .

Hi doctorkool,
I understand that you are trying to help people out here.
But pls dont get into trouble posting exam cases as this could be a violation of rules and might affect your future.
Just my 2 cents.Hope you take it in the right sense.
GoodLuck!