Diagnostic Picture Test in Geriatric Medicine 1 Flashcards
(1) Give a likely diagnosis?
(2) What complications may occur in this case?
(1) DVT
(2) Pulmonary embolism
(3) Risk of bedsores, incontinence, depression, loss of mobility, and pneumonia.
(1) Give four causes of this condition?
(2) What investigations are indicated?
Patient has purpura:
(1) Caused by senile purpura:
(2) Steroid induced purpura:
(3) Uraemia:
(4) Hypothermia:
(5) Idiopathic or secondary thrombocytopenic purpura:
Investigations:
(1) Haemoglobin estimation, platelet count, plasma viscosity, U&Es,
(2) Clotting screen, leucocyte ascorbic acid level.
(1) What is the diagnosis?
(2) What may be the underlying condition?
(1) Glossitis caused by Candida infection:
(2) Poor oral hygiene:
(3) Frequent use of ABs:
(4) Stomatitis;
(4) Advanced debilitating states:
(5) leukaemias.
(1) This person was admitted with a Hx of headaches and hypertension.
(2) What are the diagnosis and causes of this syndrome?
Cushing’s Syndrome - Causes?
(1) ACTH- dependant/NOn ACTH dependant:
(1) What is this condition?
(2) What are some complications?
(1) Haemorrhoids:
(2) Blood loss leading to anaemia or even shock:
(1) What is this skin condition?
(2) What are the clinical features of Stevens-Johnson syndrome?
(1) Erythema multiforme:
(2) Stevens-Johnson - Bullous erythema multiform with high fever, oral bullae and stomatitis. Conjunctivitis, uveitis, corneal ulcers, urethritis, balanitis, vulvovaginitis, chest infection and polyarthritis.
Chest X-Ray of a 70-year old that complains of dyspnoea on exertion and has suffered a minor stroke:
(1) What are the typical auscultatory findings?
(2) Name the complications?
(1) X-ray shows typical features of mitral stenosis 0 auscultatory - loud tapping apex beat and opening snap, characteristic diastolic murmur often with a thrill. Regurgitation may cause a pansystolic murmur
(2) Cardiac failure. arial fibrillation, pulmonary hypertension, cerebral embolism.
