Clinical Flashcards
Patient presented with dysentry
Stool examination shows binucleated(kidney shaped) trophozoites
Balantidium coli
A patient presents with fever and black urine
Lab diagnosis shows hemoglobinuria due to intravascular hemolysis
Past history of malaria and use of inadequate quinine
Probable diagnosis?
Black water fever due to P.falciparum
A patient with cerebral anoxia,fever,
Lab diagnosis =ring forms,cresent shaped spotted in RBC
Immuno chromatography =T1 line only
Probable diagnosis?
Malignant tertiary malaria due to P.falciparum
A HIV patient presents with altered mental status,seizures,sensory abnormalities,motor abnormalities
Lab diagnosis shows =comma shaped tachyzoites,PAS positive bradyzoites
Sabine Feldman dye test positive
Probable diagnosis ?
Toxoplasmosis
A person presents with hypopigmentation macules in trunk,erythematous patches in face ,non ulcerating nodules in face
Past history of visceral leishmaniasis
Positive leishman test
Probable diagnosis?
Post Kala Azar dermal leishmaniasis
A patient presents with pyrexia,hepatomegaly,splenomegaly,lymphadenopathy,rashes in face
Blood picture =pancytopenia,albumin globulin ratio reversed
rK39 positive ,WKK antigen positive
NNN culture shows promastigotes
Probable diagnosis?
Visceral leishmaniasis or Kala azar
A patient presents with loose pale or clay coloured stools,abdominal pain
Stool examination shows badminton racket shaped trophozoites
Probable diagnosis?
Giardiasis
A female patient presents with vaginitis with offensive yellow discharge
Patient is a sex worker or slut
On examination pear shaped trophozoites with jerky motility found
Probable diagnosis?
Trichomoniasis by trichomonas vaginalis
A patient presents with papules ,erythema on skin
Positive Montengero test
NNN culture shows promastigote
No previous Kala azar infection
Cutaneous leishmaniasis
A patient comes with upper abdominal pain,dysentry,
Stool examination shows quadrinucleate cyst
Pus from liver shows anchovy sauce appearance
Probable diagnosis?
Amoebic liver abscess
A patient presents with seizures,mental confusion,sensory function altered,
Wet mount CSF shows motile trophozoites with spine like pseudopodia
Probable diagnosis?
Granulomatous amoebic encephalitis
Acanthomoeba
A patient comes with seizures,mental confusion,
CSF test showed branching shaped with sluggish motility trophozoites
Probable diagnosis?
Granulomatous amoebic encephalitis by
Balamuthia mandrillaris
A patient comes with keratitis
He is a contact lens user for about 5 years
Corneal scrapping shows motile trophozoites with spinous pseudopodia
Probable diagnosis?
Keratitis by acanthomoeba
A patient presents with headache,fever,seizures,confusion,visual disturbances
CSF finding shows motile amoebic trophozoites
Probable diagnosis?
Primary amoebic meningoencephalitis by
Naegleria fowleri
