EMQ: 22
a)
Sarcoidosis
b)
Malaria
c)
Dressler’s syndrome
d)
Whipple’s disease
e)
Lymphoma
f)
Polymyalgia rheumatica
g)
Infective endocarditis
h) Retroperitoneal
fibrosis
i)
Typhoid fever
j)
Tuberculosis
1) A 45-year-old homeless male, who drinks 50 units of
alcohol a week and smokes heavily, is admitted with a history of fever, cough
and loss of weight.
On examination he looks emaciated, his trachea is
deviated to the left, there is flattening of the upper part of his chest on
the left hand side, chest movements are decreased on the left hand side, upper
zone, breath sounds are vesicular and there are fine crepitations in the left
upper zone
2) A 26-year-old male who has been on a holiday to Kenya
presents with fever accompanied by chills and rigors. On examination of his
abdomen his spleen is just palpable below the left costal margin
3) A 32-year-old male presents with a history of fever
with night sweats and loss of weight. On examination he has cervical, axillary
and inguinal lymphadenopathy and hepatosplenomegaly.
4) A 40-year-old businessman presents with fever and loss
of weight of a few weeks duration. He gives a history of having had a dental
extraction 2 months prior to presentation.
On examination he is febrile, there is clubbing and
erythematous macules on his palms. His pulse rate is 110 beats per minute;
regular, jugular venous pressure is not raised. The apex beat is at the 5th
left intercostal space in the mid-clavicular line and there is a pan systolic
murmur at the apex and this radiates to his axilla.
5) A 26-year-old male presents with a history of fever.
He has been on a backpacking holiday in India. On examination he is febrile,
there is an erythematous rash on his trunk, his spleen is palpable. His pulse
rate is 60 beats per minute.
