classic history

Question 1

22-year-old male presents to his general practitioner with a 4-month history of headaches, palpitations, and heavy sweating. He also reports some non-intentional weight loss. On examination, the patient is sweating heavily and is tachycardic.

Answer 1

phaeochromocytoma in adrenal medulla

Question 2

69 year old has 6 month history of back pain extending to butt and back of thighs
pain is worse on standing and walking
relieved by sitting and leaning forward
weakness on hip flexion bilaterally

Answer 2

neurogenic claudication coming on with walking or standing

lumbar spinal stenosis

Question 3

68 year old male presents with progressively deteriorating flexion of his little finger
patient complains on mild discomfort over left 5th metacarpophalangeal joint
flexor deformity is not correctable

Answer 3

dupuytren’s disease

Question 4

night pain in her right dominant hand for the last 6 months
numbness of the thumb and index finger
slight thenar wasting and sensation is moderately reduced
diminshed grip and pinch stregnth
positive phalens test

Answer 4

carpal tunnel

Question 5

increasing pain, swelling and sensation of hear over right dominant wrist
NSAIDs help
obvious demarcated swelling over anatomical snuffbox
dorsal aspect of the thumb has reduced sensation
positive finklestein’s test

Answer 5

de quervain tensoynovitis