نصيحة لأي قروب من قروبات الدفعة 48
انت في الوقت الحالي في سباق مع الوقت
الوقت يجري منك، حاول تلحق نفسك وتدرك الوقت......
انت في الوقت الحالي في سباق مع الوقت
الوقت يجري منك، حاول تلحق نفسك وتدرك الوقت......
❤18
A 19-year-old woman presents with fever, anemia, a new pansystolic murmur and sudden painless loss of vision in one eye. Examination suggests an embolic retinal artery occlusion secondary to infective endocarditis.
Which investigation is most important for identifying the underlying cause?
Which investigation is most important for identifying the underlying cause?
👍1
Case
A 6-day-old neonate presented with:
Reluctance to feed for 1 day
Drowsiness
Two episodes of staring gaze
Pedalling movements noticed today
On Examination
Drowsy
Poor suck
Poor response to stimuli
Hypothermic
Chest examination: normal
Cardiovascular examination: normal
Per-abdominal examination: normal
Poor peripheral pulses
Laboratory Investigations
TLC: 15,000/mm³ ↑
CRP: 25 mg/L ↑
pH: 7.25 ↓
HCO₃⁻: 15 mmol/L ↓
Lactate: elevated
Random blood sugar: 35 mg/dL
LFTs, RFTs and serum electrolytes: normal
Questions
1. What is your most likely diagnosis?
2. What differential diagnoses must be kept in mind?
3. How would you investigate this patient?
A 6-day-old neonate presented with:
Reluctance to feed for 1 day
Drowsiness
Two episodes of staring gaze
Pedalling movements noticed today
On Examination
Drowsy
Poor suck
Poor response to stimuli
Hypothermic
Chest examination: normal
Cardiovascular examination: normal
Per-abdominal examination: normal
Poor peripheral pulses
Laboratory Investigations
TLC: 15,000/mm³ ↑
CRP: 25 mg/L ↑
pH: 7.25 ↓
HCO₃⁻: 15 mmol/L ↓
Lactate: elevated
Random blood sugar: 35 mg/dL
LFTs, RFTs and serum electrolytes: normal
Questions
1. What is your most likely diagnosis?
2. What differential diagnoses must be kept in mind?
3. How would you investigate this patient?
❤1