Title Clinical tables.pdf ✅

PATHOLOGYCLINICALTABLEQUESTIONS (Total:4Marks) 1)A20yearoldfemalepresentswithnausea,vomitingandpaininthelowerabdomen(RIF) forthelast2daysalongwithfeverandleukocytosis. a)Whatistheprobablediagnosis? b)Drawalabelleddiagramofthebiopsyoftheaffectedorgan. 2)A70yearoldmalepresentswithPruritisanddeepyellowdiscolourationofurine.USG showedmassinthepancreas. a)Giveyourdiagnosis. b)Suggestnecessaryinvestigation. 3)A5yearmalechildpresentswithspleenomegalyandmalarprominence. a)Whatisyourprobablediagnosis? b)Importantfindingsintheperipheralsmear? c)Whataboutmarrowironstain? 4)A70yearoldmalecomeswithseverebackacheandmultiplesmallosteocyticlesionsin skullandhighESR. a)Whatisthediagnosis? b)Urinaryfinings? c)Bonemarrowpictureofthiscase. 5)An18yearoldmalepresentswithmultipleenlargedlymphnodeswithonedischarging sinusintheneck. a)Whatistheprobablediagnosis? b)Apartfromthebiopsy,whatinvestigationcanbedoneinthiscase? c)Nametwoneoplasticlesionsofthelymphnode? 6)MissRita,a7yearfemalechild’surineexaminationreportrevealedthefollowingdetails: Colour-Smoky
SpecificGravity-1.028 Protein-present Sugar/Ketonebodies-NIL Microscopicexamination-manyRBCs,Puscells,EpithelialcellsandRBCcasts. a)Whatisthemostprobablediagnosis? b)Explainthereasonforchangesofdifferentparameters. 7)A56yearoldfemalepresentswithpost-menopausalbleeding.Onexamination,her cervixwasfoundtobeunhealthy. a)Whatisthelikelydiagnosis? b)Whatfactorsareimportanttocausethedisorder? c)Drawalabelleddiagramofthebiopsy. 8)A46yearoldfemalesufferingfromrecurrentattacksofurinarytractinfectionforthe last15years.Herbloodureaandcreatininelevelsarehighandcomplainingofgross weakness. a)Whatistheprobablediagnosis? b)Explaintheexpectedphysicalfindingsinherurine. c)Writethegrossfeatureoftheaffectedkidney. 9)A5yearoldbabypresentswithOliguriaanswellingofherfacefor4days. a)Whatistheprobablediagnosis? b)Whataretheexpectedphysical,chemicalandmicroscopicfindingsofurineofthis patient? 10)A50yearmalepresentswithdraggingsensationintheabdomenwithhuge spleenomegaly,progressiveanemia. a)Whatistheprobablediagnosis? b)Writethechromosomalabnormalities. c)Writetheperipheralbloodpictureofthiscase. 11)A3yearchildpresentswithpalor,hepatospleenomegalyandtheperipheralsmear shows:
Hb-5gm% TLC-14,500 DC:N-20,L-75,E-02,M-03 TPC-1.5lakhs RBC-hypochromicwithmarkedanisopoikilocytosis Targetcells+ Normoblasts-12/100WBC a)Whatisyourprovisionaldiagnosis? b)Whatfurtherteststoperformadefinitediagnosis? 12)WritetheX-linkedrecessivedisorders(any4).Wherearetheabnormalities? 13)A25yearoldpresentedwithfever,yellowdiscolourationofskinandurine,forthelast10 days.Liverwasenlargedandtender.TestsforHepatitisAwaspositive. a)FindingsofLFT b)Chemicalexaminationofurine ANSWERS 1.a)Probablediagnosis:Acuteappendicitis 1.b)Seehistologydiagram 2.a)Obstructivejaundiceduetocarcinomaofheadofpancreas 2.b)Investigations: i. ALT ii. AST iii. GGT iv. ALP:HighlyelevatedinObstructiveJaundice 3.a)Thalassemia