A patient describes a history of intermittent and uncontrollable twitching of his right hand that spreads to involve the entire arm after a few minutes. Afterward, the arm is extremely weak. There are no other areas of involvement, sensory deficits or altered consciousness. What is the most likely seizure diagnosis?
A 15 yo male presents with acute onset of nausea, severe pain and swelling of the right testis. He has no fever or irritative voiding symptoms. On exam, the right testis is tender and high-lying. What is the most likely diagnosis?
An asymptomatic otherwise healthy 60 yo female with a 30 pack year history of smoking presents demanding a chest X-ray to check for lung cancer. As her medical provider, what would you do?
A newborn presents with a pulse discrepancy between the upper and lower extremities? What is the most likely diagnosis?
A 54 yo male presents to the ED because he was awoken suddenly from sleep with severe left flank pain radiating to his left testicle with associated nausea and vomiting. He is afebrile and vital signs are normal. He is constantly moving to find a comfortable position. On exam, left flank tenderness is noted with no direct testicular tenderness. UA reveals microscopic hematuria. What is the most likely diagnosis?Nephrolithiasis
An 18 yo female presents with fever, fatigue, and sore throat. On exam, there is an erythematous pharynx, cervical lymphadenopathy, and splenomegaly. CBC reveals an elevated WBC count with atypical lymphocytes. What is your diagnosis and what diagnostic test would you order to confirm your diagnosis?
A 30 yo male presents with sudden onset of chills, fever, chest pain, and productive cough of greenish-brown sputum. On exam, his temperature is 102 F. He appears acutely ill and his respirations are shallow. Chest X-ray demonstrates left lower lobe consolidation. What is your diagnosis and what physical exam maneuver involving palpation would confirm your diagnosis?
1. Simple partial seizure
The absence of counisiousness and focal motar effects are firmly demonstrative of this kind of seizure.
2.diagnosis is testicular torsion
Testicular torsion happens in the 10 - 20 year age gathering, and is portrayed by intense beginning of serious torment and swelling of the testis. Physical examination will uncover a delicate high-riding testis.
3. As a care taker I would suggest
No testing and referral for smoking stopping
No major advisory organisation prescribes screening for lung
cancer.
A low-portion helical figured tomography is delicate yet is costly, has increment false-positive tests and increments over-analysis. Mortality advantage stays to be demonstrated so it cannot be prescribed
CEA needs clinical approval as a screening for lung cancer growth
4.the diagnosis is coaraction of aorta
Coarctation of the aorta is related with a heartbeat disparity
between the upper and lower furthest points.
Hope you find this helpful thank you ☺️
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