Glory Group- 17th of November
Medicine 17th November:
Pt had IBD flare , had been managed with IV fluid, what to do:
73 years old male with high BP recorded at home for 1 week and in
hospital before his surgery 200/190 . He is on 3 antihypertensive
medication what is the cause of his high BP
Young female came to the clinic complaining of episodes of SOB,
wheeze and cough for the last 6 months not related to certain provoker.
She says that these episodes comes suddenly and resolve suddenly.
She used ventolin but improved slightly. Upon physical exam she has
equal air entry with no wheezing. She is not allergic to anything and no
one in her family has the same problem.All test were normal and
spirometry is normal. What is the dx ?
Tuberous sclerosis :
Answer is: multiple genetic screening
Patient 40 yo, complaining of sudden loss of consciousness at rest and
activity in the gym. P/E shows left para sternal ejection systolic murmur
that increase on standing and bearing forward with no radiation. ECG
shows st and t wave changes. What is the dx?