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Chapter: 5 / Q: 71
A 42-year-old haemophiliac presents to hospital with pain in the right upper quadrant and a mild yellow tinge to the skin. He complains of feeling nauseated with poor appetite and feeling very tired at work. Examination reveals a smoothly enlarged tender liver edge 4cm from the right costal
Chapter: 5 / Q: 72
A 63-year-old nursing home resident is brought in by ambulance to hospital as the nursing staff are worried that she has become increasingly confused and unsteady on her feet. The accompanying letter from the nursing home states that she suffered a stroke 3 years ago with persistent dysphagia
Chapter: 5 / Q: 73
A 25-year-old man presents to accident and emergency with severe upper abdominal pain. He is sweating and breathing heavily on arrival with a respiratory rate of 34 breaths per minute. Focused history taking reveals he has recently suffered ‘a bad cold’ and has not been able to take his regular
Chapter: 5 / Q: 74
A 43-year-old woman is seen in the general surgery clinic and admitted to hospital with abdominal pain associated with vomiting and nausea. On examination she is an obese woman with tenderness over the right upper quadrant. An ultrasound of the abdomen was requested and during the investigation
Chapter: 5 / Q: 75
A 64-year-old woman is 6 days post-laparoscopic liver cyst fenestration. You are called to assess her on the wards one night as she is complaining of pain over the right upper quadrant and has been spiking fevers throughout the night. At the bedside you examine her and she looks sweaty,
Chapter: 5 / Q: 76
A 26-year-old woman presents to accident and emergency with increased frequency of stool, passing up to six motions a day. She feels very weak and states that she has been passing blood mixed with the stool, mucous and loose stools since yesterday evening. She denies any recent foreign travel
Chapter: 5 / Q: 77
A 64-year-old man has been recently admitted to hospital with a chest infection and treated on intravenous clarithromycin and amoxicillin for suspected community-acquired pneumonia. A week into his course of antibiotics he started complaining to the nursing staff of an inability to hold
Chapter: 5 / Q: 78
A 32-year-old known diabetic presents to hospital complaining of polyuria, polydipsia, diarrhoea and fatigue. He had recently come back from a backpacking holiday in Europe and thinks he may have caught something there as he has been exhibiting coryzal features and a productive cough of green
Chapter: 5 / Q: 79
A 45-year-old man presents to his GP complaining of recent changes in his weight, mood and bowel habit. He has noticed that over the past few months he has become increasingly heat intolerant such that taking his son sledging in the snow caused him to sweat profusely and he could wear
Chapter: 5 / Q: 80
A 16-year-old girl is brought to hospital by her mother with diarrhoea and recent rapid loss of weight. Her mother tells you that she has noticed that her daughter has become more withdrawn at school and has been spending more time in her room these days. When enquiring about eating habits
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