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Diagnosis case diary
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Provisional Diagnosis - Painless-hematuria/rec. tonsillitis/hypercalcemia ASO neg
Final Diagnosis - ? IgA nephropathy. PTH ? PTH 106.9/ corrected ca. 11.2 mg. Waiting for parathyroid scan
History and Findings -
Investigation -
Treatment -
Follow Up -
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Provisional Diagnosis - ? cervical cord compression ? syringomyelia
Final Diagnosis - MRI spine:- cervical discs deg. With severe myelo malacia C5-6, C6-7. Ref. neuro +neuro surgery adv. Decompression
History and Findings - Small muscles left hand wasting/bipyramidal signs lower limbs/babinsky’s sign +ve b/l
Investigation -
Treatment -
Follow Up -
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Provisional Diagnosis - T2DM/EA persisting CAG outside single vessel disease
Final Diagnosis - Ref. Cardio waiting for rpt. CAG
History and Findings -
Investigation -
Treatment -
Follow Up -
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Provisional Diagnosis - PUO/Polyarthritis/C. Iym. Adenopathy/biopsy outside Kikuchi’s LO. Adenitis/ Fever persisting
Final Diagnosis - ?ESR/brucella IgM, IM-Latex, Widal all neg. P.smear N. Tox IgM +ve border line. ?Toxoplasmosis all symptoms and L. nodes subsided with T. Rovamycin forte x 6 wks
History and Findings -
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Provisional Diagnosis - On Rx. OA Knee Central chest pain from after noon this day. ECG :-
Final Diagnosis - Evolving IWMA/CKMB/trop I all ? Ref Cardio. CCU adm./CAG/PTCA same date
History and Findings -
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Provisional Diagnosis - Ortho + Neuro consult earlier. C.spondyloss/Lhermitte’s +ve Megalo blastic RBCS
Final Diagnosis - Serum B12? 75 pg (N189-883) Pernicious anemia
History and Findings -
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Provisional Diagnosis - HTN/DLP/TMT +ve Strong family h/o CAD
Final Diagnosis - MDCT Cardio-Normal Coronaries
History and Findings -
Investigation -
Treatment -
Follow Up -
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Provisional Diagnosis - CLD/Glomerulo Nephritis Family history h/o CLD x 2 members
Final Diagnosis - Chr. Steato-hepatitis + fibrosis Work up-Wilson’s neg. LKM antibodies neg
History and Findings -
Investigation -
Treatment -
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Provisional Diagnosis - T2DM/PUO? ESR/Mx-ve/ B/L Hilar adenopathy/ACE border line/Hyperpigmented skin lesions
Final Diagnosis - Sarcoidosis Skin biopsy diagnostic HRCT chest
History and Findings -
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Provisional Diagnosis - Obesity/HTN/DOE CI.II/DLP Ref. Cardio
Final Diagnosis - HCM/prox.LAD Plaque Echo + MDCT Cardio On same day
History and Findings -
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