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Ahmed - 48 years old - presented with suprapubic pain, dysuria, fever, confusion, delirium, frequency and urgency. 2 days ago, His friend is dead because of infection.

1. What's the diagnosis (Dx)

2. What's investigation you will do to patient (Ix).and what you will found

3.what's the treatment
H.S - 53 years old - presented to ED with abdominal distension, pain and vomiting. The patien observe that there's no faeces of flatus for a long time. The doctor do examination to patient after exposure, he found a scar in his abdomain.

1. What's the steps of examination? And what you will found.

2. What's you will found in Auscultation?

3. If the patint have strangulation, what's the investigation.

4. What's the investigations

5. What's the diagnosis (Dx).

6. What's the treatment (Tx)
The case begin at 6 weeks ago when Aqeel muhsin - 37 yr and 75kg - notes that mucus in his faeces and problems in GIT. His condition is worsening ans presented to ED with Central or lower abdominal pain relieved by defecation, abdominal bloating, Constipation alternating with diarrhea , tenesmus , passage of mucus.

The GP detect that the patient have no fever, no anemia. And weight is 53kg ( his length 184).

The GP asked the patient for bloody stools and patient answers by no.


1. Calculate BMI and what it reffer?

2. What's the diagnosis of disorder?

3. What's the ex
كونتامنيشن. و علاقته ب تركيز بكتريوريا
19-year-old woman in MAU who is complaining of a 2-day history of frequency, dysuria and urgency. She has a temperature of 39.8°C with some right loin pain. Yesterday she had a rigor. in view of her high fever and right loin tenderness.
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