Wednesday, May 27, 2009

Internal Medicine EOP for Fourth Year.

Case:
A 60 year old male patient presented to the clinic with a history of cough, haemoptysis and weight loss that started 12 days ago. He has been a heavy smoker for the last 40 years, 2o cigarettes a day. He was found to be cachectic, his fingers displayed clubbing. consolidation was found in the middle lobe of the right lung.

- what is your diagnosis?
- what are the signs and symptoms (from the case) to back up your diagnosis?
- list other differential diagnoses.

Help me.

4 comments:

  1. I think the most appropriate diagnosis is Lung Cancer.

    The signs and symptoms that suggest lung cancer more is:
    1. Smoker for more than 25 years
    2. Hemoptysis (the most common cause of hemoptysis is bronchitis & lung cancer)
    3. Weight loss
    4. Cough
    5. Clubbing (mostly seen in patients with lung cancer or chronic septic conditions)

    My other D.D is:
    Bronchitis
    Tuberculosis
    COPD
    Pulmonary Embolism

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  2. my guess would be that he has a bad hard drive. please replace hard drive and reinstall operating system. make sure the firmware of the motherboard is up to date

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  3. Thanx doc, thats exactly what wrote.. gets confusing after reading the question a couple million times...

    and Abdullah, i'll make sure i let him know :oD

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  4. i was going to comment on this entry, but, sigh, i'm too tired tonight.. the caffeine.. it wares off :(

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A halala for your thoughts?