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Talisuna Yosem
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Acute pancreatitis?
36. A 40-year-old alcoholic male is admitted with severe epigastric pain radiating to the back. Serum amylase level is reported as normal (fluoroscopic method), but serum lipase is elevated. The serum is noted to be milky in appearance. A diagnosis of pancreatitis is made. The serum amylase is normal because: A. The patient has chronic renal failure B. The patient has hyperlipidemia C. The patient has alcoholic cirrhosis D. The patient has alcoholic hepatitis E. The diagnosis of pancreatitis is incorrect
Talisuna Yosem
Abdominal pain?
A 27-year-old man presents to the emergency department with a 2-hour history of severe left-sided loin pain which woke him from sleep. The pain is constant but occasionally dulls. He has been feeling sick with the pain and vomited twice. On examination, the patient is writhing in agony and has mild tenderness in the left loin only. His temperature is 36.9°C. Urine dipstick shows 2+ of blood. What is the most likely diagnosis? A. Biliary colic B. Dissecting aortic aneurysm C. Pyelonephritis D. Renal cell carcinoma E. Renal colic
Talisuna Yosem
Surgery ?
A 41-year-old woman presents to the GP with a 1-week history of feeling tired, muscle aches, neck pain and restlessness. On examination, she has a smooth enlarged thyroid. Her heart rate is 120/min and blood pressure 128/88 mmHg, with a temperature of 37.3°C. What is the most likely diagnosis? A. Hashimoto thyroiditis B. Pharyngitis C. Riedel thyroiditis D. Thyroglossal cyst E. De Quervain thyroiditis ??? ?
