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post ccs - topgun
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11-01-2007, 02:15 PM
usmle bye bye
#238075 docydocy - 11/01/07 02:28 finished step 3 2day thanx everyone to help postin ccs cases mine was dka elderly abuse uti aortic disection itp panic attack hiv
11-03-2007, 04:15 PM
Re:TODAY STEP 3 exam over
ksagar - 11/02/07 11:51 ya man' intussecpotion constipatn aortic aneurysm eclampsia pid panic ................
11-09-2007, 10:06 AM
1)Elderly abuse....has swelling over lt. cheek, lt elbow, physical exam shows a blue green burise over the rt buttock, she has a young jobless son (or grandson) living with her who takes money from her for beer, drugs.
2)Eclampsia 3)PE 4)A 59 yr old obese man with DM epigastric discomfort, diaphoresis. Finger stick shows a reading of 400mg/dl. EKG shows ST eleveation in leads II, III, avF. 5)Urosepsis in 70 yr old post turp. 6)Urethritis in 23yr old male. 7)Intussusception in 18 mth old 8)6 yr old Asian girl with iron def 9)A young female with non-productive cough, has oral and vaginal candidiasis. Work out reveals HIV+
11-09-2007, 10:19 AM
sigmoid ca
pyloric stenosis incomplete miscarriage metobolic syn sicke cell with cholelithissi anuerysm dissetion g6pd in crisis
11-09-2007, 06:38 PM
1) UTI with Diabetes mellitus in a 16 y/o girl
2) Diverticulitis 3) Coarctation of the aorta 4) Pyloric stenosis in a 3 weeks old 5) Iron deficiency anemia in 18 month old on cow's milk 6) Comatose patient/TCA overdose 7) Anaphylaxis 8) Upper GI bleeds 9) Endometrial carcinoma 10) Child abuse Acute pericarditis Testicular torsion DKA (young man) Peripheral vascular disease in the office CIN III Stomach ulcer in NSAIDS user with Iron def.anemia Severely dehydrated elderly man Foreign body in 2 yo without Hx, just attended a party Elderly abuse, lady with STD Intussusceptions Acute diverticulosis ITP--35y F PE Type1 DM--5y Type2 DM/acute MI Septicemia post TURP (IV CTX: followed by Drug after C/S.. mostly Ciprofloxacin or Bactim) PID Retroperitoneal hemorrhage Ascitis Panic attack ( SSRI- Paroxetine) Preeclampsia 1. 3 yo boy with jaundice : G6PD Deficiency 3. 54 yo male : CHRONIC FATIGUE SYNDROME 4. AF 5. ALCOHOL + DRUG OVERDOSE [SUICIDE ATTEMPT] 7. ACUTE TORSION OF RIGHT OVARIAN CYST- sx emergency so consult gyne but stabilize first 9. COLON CANCER [ADENOCARCINOMA] with small bowel obstruction. Trauma chest Congestive heart failure Sarcoidosis DKA Prostatic CA Retained Placenta MVA, splenic laceration Eclampsia; 10cm AAA : Hypothyroidism ( fatigue, constipation) Lead Poisoning ( child with anemia ) Renal CA Acute Hepa A Duodenal Ulcer with IV site infection Ovarian CA Spouse abuse with Colle's Fx Hemoptysis SAH SLE ( female with SOB and joint pains ) Meningitis ( in a child ) Neonatal jaundice SABE ( in a drug user) DT( t/t : Lorazepam initially and later treat with Librium i.e. Chlordiazepoxide- gradually decrease dose from 50mg every 4 hrs to every 6 hrs to 25 mg 4hrs to 6hrs daily.. IM Thiamine stat and oral for 3-5 days initially.. Glucose stat after thiamine..Tab Folic acid and multivitamins ) Depression Trichomonas ( vaginal Discharge)[ Metronidazole or clindamycin ointment during 1st trimester] Duodenal Atresia Bronchogenic CA ( in a woman who quit smoking 2 years ago ) HbsAg (+) with multisystemic dse., footdrop-PAN, tx w steroids Lyme Patient w new sexual partner who is Hep C + Turner's Syndrome[ age <9: GH, 9-12: GH + anabolic steroid, after 13: hormones Estrogen and progesterone Echo 2 yrly.. USG abdomen.. Gynae consult and psychiatry consult] Pulm edema[Lasix IV, KCLIV and oral, Antibiotics,ECHO, Aspirin, Beta blocker, Digoxin, ACE inhibitor and Diurectics. pneumovac, influenza vacc] Cocaine Abuse [don™t use thrombolytics even if ST segment elevation treatment of htn with IV Phentolamine] AS Hip Replacement with UTI on 3rd post-op day Thrombophlebitis PCP Pneumonia PTB AF w TIA Complex Ovarian Tumor Gastric CA Alcohol Intoxication Abdominal Distention ( no pain in 40 y/o F, adnexal mass, UZ-Ovarian Mass) Acute Cholecystitis ( ER ) Hyperthyroid ( subacute thyroiditis, with URI 6 wks earlier ) Renal Mass ( 50 y/o painless hematuria, UZ- right renal mass) Abdominal Abscess ( 40 y/o in ward, fever chill x 3d, post-op open chole: Bld, UA, wound, CXR -all negative, CT Abdomen-abscess) Severe Asthma HTN in a 15 y/o boy H. Mole [Hydatidiform moles should be treated by evacuating the uterus by uterine suction or by surgical curettage as soon as possible after diagnosis. Patients are followed up until their serum human chorionic gonadotrophin (hCG) titre has fallen to an undetectable level. Invasive or metastatic moles often respond well to methotrexate. The response to treatment is nearly 100%. Patients are advised not to conceive for one year after a molar pregnancy. The chances of having another molar pregnancy are approximately 1%.] Hypothyroidism, presenting as depression Lung CA ( CXR- neg , sputum cytology-positive) Atrophic vaginitis Forgetfulness Colon cancer presented in office 1. NORMAL INTRAUTERINE PREGNANCY in a 38y/o female. 2. INFECTIVE ENDOCARDITIS [staph.aureus sensitive to vancomycin] in an IV drug abuser. 3. DUB WITH FE DEF ANEMIA IN A 13Y/O WHITE FEMALE 4. MVA WITH 3RD DEGREE HEART BLOCK IN A 37 Y/O FEMALE. 5. NEW ONSET DIABETES MELLITUS. 6. SMALL BOWEL OBSTRUCTION. 7. PYELONEPHRITIS 8. RENAL AZOTEMIA IN A POST OP PATIENT ON 2ND DAY. 9. PROSTATE CANCER WITH LUNG AND BRAIN METASTASIS IN A 68 Y/O MALE 1. PE 2. PCP 3. Pre-Eclampsia 4. Child Abuse 5. PID 6. Intususseption 7. AMI 8. Sepsis 9. Ascites multiple trauma with hemothorax and liver laceration type 2 diabetes MVA with 3rd degree Heart block acute uti in office required hospitalization inpatient patient became hypoxic due to fluid overload DUB 1. AAA in a 70 y/o 2. 2 y/o baby w fever, AOM, & dehydration 3. Subdural hematoma 4. Suicide , EtOH and Drug OD 5. retained placenta ( ER, 3 post-op D, w fever and abd. tenderness ) 6. Neutropenic fever 7. GERD 8. Hyperosmolar coma 9. Cardiac tamponade 10. Pancreatitis 11. st MI 12. SAH 13. sinusitis 14. meningitis 15. Intestinal obs. 16. Hemothorax w liver laceration 17. DKA in a 5 y/o 18. Intussusception in a 1 y/o 19. TSS in a 20 y/o female ( IV : Clindamycin DOC ) 20. ITP in a 40 y/o 21. PE in an 80 y/o 22. Sarcoidosis 23. Hypothy ( cc: fatigue ) 24. AAA ( OFF: visit with back pain ) 25. Sickle cell crises 26. MVA w cardiac tamponade 27. COPD exac 28. DUB in a 13 y/o 29. Pancreatic CA 30. 4 month old w meningitis 31. 32 y/o w hx of heroin use 32. Tibia/ fibula fx ( 2nd post-op D, dec. uo, hyperk, ekg changes) 33. Vaginal d/c- tricho 34. 65 y/o lady w fatigue, weakness ( severe hyponat, CXR-lung nodule ) 35. 82 y/o MVA ( confused, brady, complete heart block) 36. SBO w hx of surg. 37. 25 y/o at ER ( blood all over body, gunshot wound at R thorax ) 38. 45 y/o lady w weakness, insomnia, high blood sugar 39. Alcoholic cirrhosis w ascites 40. UTI in office requiring hospitalization 41. Inpatient, hypoxia- fluid overload 42. DUB w IDA in a 13 y/o 43. Altered mental status with urgent HTN 44. N/V in an adolescent 45. Renal stone colic 46. R eye pain
11-14-2007, 08:29 PM
Recent exam takers please post your CCS, thanks in advance.
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