A 50-year-old male is being reviewed after being admitted six weeks ago with an inferior myocardial infarction (MI) and treated with thrombolysis. He has been prescribed atenolol 50 mg daily, aspirin, and rosuvastatin 10 mg daily upon discharge. He has quit smoking after his MI and is now asking which foods he should avoid.
A 72-year-old woman with a history of ischaemic heart disease visits her General Practitioner, reporting light-headedness and difficulty breathing. The doctor observes a slow heart rate and orders an electrocardiogram (ECG) to investigate further. The ECG reveals no correlation between P waves and the QRS complex, with QRS complexes appearing at a rate of 40 bpm.
What is the most probable underlying diagnosis?
A 45-year-old woman with no significant medical history presents with a persistent cough and difficulty breathing for the past few weeks after returning from a trip to Italy. Initially, she thought it was just a cold, but now she has noticed swelling in her feet. Upon examination, she has crackling sounds in both lungs, a third heart sound, and a displaced point of maximum impulse.
What is the most probable diagnosis?
A 55-year-old woman has started to experience episodes of pallor in the distal parts of the middle three digits of her hands. A feeling of pain and numbness and cyanosis follows this. Finally, the digits become red and feel warm. This first occurred around six months ago.
Which of the following features is most suggestive that these symptoms occur secondary to an underlying disorder, rather than occurring in isolation?
A 58-year-old man with a history of hypertension experiences sudden onset of severe chest pain, radiating to the back and left shoulder. On examination, he is hemiplegic, with pallor and sweating. His heart rate is 120 bpm and his blood pressure is 174/89 mmHg, but 153/72 mmHg when measured on the opposite arm.
What is the most probable diagnosis?
A 28-year-old man comes to the clinic complaining of pain in both lower legs while running. The pain gradually intensifies after a brief period of running, causing him to stop. However, the pain quickly subsides when he is at rest. Upon examination, there are no abnormal findings, and his peripheral pulses are all palpable. What is the probable diagnosis?
A 56-year-old man presents with a racing heart. He states that this started while he was mowing the lawn but subsided after he drank a glass of cold lemonade. However, his symptoms have returned. On physical examination, his pulse is regular and measures 150 bpm. An ECG reveals a narrow complex tachycardia with P waves linked to each QRS complex.
What is the probable diagnosis? Choose ONE answer only.
A 44-year-old man has an irregular tachycardia with a ventricular rate of 130. He played in a football match the previous day and consumed 28 units of alcohol on the evening of the match. On examination his blood pressure is 95/50 mmHg.
Select from the list the single most likely diagnosis.
A 50-year-old woman has a diastolic murmur best heard in the upper-left 2nd intercostal space.
What single condition would be part of the differential diagnosis?
A 30-year-old woman complains of intermittent attacks of severe pain in her hands. These symptoms occur on exposure to cold. She describes her fingers becoming white and numb. Episodes last for 1-2 hours after which her fingers become blue, then red and painful. The examination is normal.
What is the single most likely diagnosis?