Clinical Case Scenario of Respiratory Medicine
Case scenario 1:
A 62 old man, present with cough,hemoptysis and fever from 10days.
1. What is Your deferential Diagnosis?
My DDx are-
- Pneumonia
- P. Tuberculosis
- Lung abcess
- P. Infarction
2. How manage this patients?
3. What are the Management of pneumonia?
Case Scenario 2:
A 55 year old man with recurrent pleural effusion.
- What is the deferential Diagnosis?
- What are the Management of this patients?
Case scenario 3:
A 55 years old man with haemoptysis and breathlessness.
1.What is the deferential diagnosis?
- Pulmonary Tuberculosis
- Lung cancer
- Lung abscess
- Pneumonia etc
2.What is the Laboratory investigation of the patients?
- CBC
- Sputum for AFB
- Sputum for Gene expert
- Sputum for C/S
- Chest X-ray
Case scenario 4:
A 55 years old man presented with breathlessness, clubbing with lymphadenopathy
1. What is the deferential diagnosis?
- Lung cancer
- Advanced stage of Pulmonary Tuberculosis
2. What is the Laboratory investigation of the patient
- CBC with ESR
- Sputum for AFB
- Sputum for Gene expert
- Sputum for C/S
- Chest X-ray
- CT maybe helpful
Case scenario 5:
A patient having COPD(Chronic Obstructive Pulmonary Disease) suddenly develops severe respiratory distress.
1. What are the D/D?
- Tension Pneumothorax
- Pulmonary embolism
- myocardial Infraction
2. Auscultatory findings of Tension pneumothorax?
3. What will you do to differentiate Pleural effusion from Tension pneumothorax other than auscultation?
- We have to do Percussion
Case scenario 5:
All finding of Tuberculosis positive with
acites and cervical lymphadenopathy?
1. What is Diagnosis?
- My diagnosis is extrapulmonary Tuberculosis involving peritonium & lymph node.
Case scenario 6:
Known case of Bronchial Carcinoma with clubbing,pedal odema,gynaecomastia, and urinary protein Positive (++).
1. What is your diagnosis?
- My Dx is paraneoplastic syndrome( B.ca with NS)
Doctors Gang
