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Questions and Answers
What is the most appropriate next step for the 65yo man with painless hematuria and mildly enlarged prostate?
What is the most appropriate next step for the 65yo man with painless hematuria and mildly enlarged prostate?
- Flexible cystoscopy (correct)
- Nuclear imaging
- MRI
- US Abdomen
What is the most probable diagnosis for the 74yo smoker with cough, SOB, pigmentation of oral mucosa, and hypokalemia?
What is the most probable diagnosis for the 74yo smoker with cough, SOB, pigmentation of oral mucosa, and hypokalemia?
- Ectopic ACTH (correct)
- Cushings disease
- Pseudocushing syndrome
- Conns disease
What is the most appropriate investigation for the 44yo woman with weight loss, rapid heartbeats, and a regular pulse rate of 90bpm?
What is the most appropriate investigation for the 44yo woman with weight loss, rapid heartbeats, and a regular pulse rate of 90bpm?
- Echocardiogram
- ECG
- Thyroid antibodies
- TFT (correct)
What is the most likely diagnosis for the 79yo anorexic male with symptoms of frequency, urgency, and terminal dribbling?
What is the most likely diagnosis for the 79yo anorexic male with symptoms of frequency, urgency, and terminal dribbling?
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Study Notes
Medical Case Studies
Case 1: Painless Hematuria
- 65-year-old male patient presents with painless hematuria and mildly enlarged prostate
- Next step: Further evaluation and investigation to determine the cause of hematuria
Case 2: Respiratory Symptoms
- 74-year-old smoker presents with cough, shortness of breath (SOB), and pigmentation of oral mucosa
- Also, hypokalemia (low potassium levels) is present
- Most probable diagnosis: Lung cancer with possible metastasis to adrenal glands (causing hypokalemia)
Case 3: Thyrotoxicosis
- 44-year-old female patient presents with weight loss, rapid heartbeats, and a regular pulse rate of 90bpm
- Most appropriate investigation: Thyroid function tests (TFTs) to diagnose hyperthyroidism
Case 4: Lower Urinary Tract Symptoms
- 79-year-old anorexic male presents with symptoms of frequency, urgency, and terminal dribbling
- Most likely diagnosis: Benign prostatic hyperplasia (BPH) or possible prostate cancer
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