A 13 year old boy is admitted to the surgical ward with appendicitis. Medical history shows that he has been taking Metoclopramide. He is normally fit and well. However, he is reported to be acting strange and on examination, he is agitated with a clenched jaw and eyes are deviated upwards. What is his diagnosis?
A 14 year old boy is suspected of having CSF rhinorrhoea after sustaining a basal skull fracture. Which laboratory test would be able to accurately detect the presence of CSF?
A 15-day old baby was brought to the emergency department with constipation for 4 days. On examination, the abdomen of the baby was found to be distended and tender all over. No bowel sounds were heard. A sigmoid colon biopsy was carried out, which showed absent ganglion cells. What is the diagnosis?
A 15-year-old girl was diagnosed with bacterial meningitis. Gram staining of the spinal fluid shows numerous polymorphonuclear neutrophils and Gram-positive cocci. Which is the empiric drug of choice to be given to the patient until the antibiotic sensitivity report is available?
A 16-year old boy was brought in an unconscious state to the emergency department. Clinical evaluation pointed in favour of acute adrenal insufficiency. On enquiry, it was revealed that he was suffering from a high grade fever 24 hours prior. On examination, extensive purpura were noted on his skin. The likely diagnosis is:
A 15-year-old boy was brought to the emergency department following a boiling water scalding injury to his hand. On examination, his hand appears to be white but he does not complain of any pain. What is the explanation for the absence of pain in this patient?
A 17-year-old female presents to the clinic with acne, hirsutism and oligomenorrhoea. Which of the following hormonal changes will hint towards the diagnosis of polycystic ovarian syndrome (PCOS)?
Intussusception is characterized by which of the following statements?
A 2 year old male was brought to the A&E following an car accident. On examination bowel sounds were heard in the chest. A nasogastric tube was inserted and a chest x-ray showed a curved NG tube. Which of the following is the most probable reason for it?
A 2-year-old boy was admitted in the A&E with a history of a 38.4°C fever and 15 minute tonic clonic seizure episode at home. However, he is conscious now, his temperature is normal and the fit has stopped. What is the most likely diagnosis?