A 26-year-old woman presents with right iliac fossa pain and history of some bloodstained vaginal discharge. On examination, she has diffuse lower abdominal tenderness and is afebrile with a heart rate of 97 bpm and blood pressure of 120/70 mmHg. Considering these signs and symptoms, what should be the most appropriate course of action?
A 30-year-old man presents to the A&E department after being shot in the back, in the lumbar region. On examination, he has increased tone and hyperreflexia of his right leg and hemianaesthesia of his left leg. What is the most likely diagnosis?
A 19-year-old female presents to the oncology clinic after noticing a painless neck lump. On examination, she is noted to have bilateral thyroid masses and multicentric nodules near the base of the thyroid. Her corrected calcium level is 2.18 mg/dL. Which of the following is the most likely diagnosis?
A 25-year-old intravenous drug user is found to have a femoral abscess. He is also febrile with a temperature of 39°C and has a pansystolic murmur loudest at the left sternal edge in the 4th intercostal space. Which of the following is the most likely underlying lesion?
A 32-year-old woman presents with a long history of severe perianal Crohn’s disease involving multiple fistulae. Her disease is progressive with multiple episodes of rectal bleeding. However, she wants to avoid a stoma.Colonoscopy and small bowel study reveals that the disease does not extend beyond the rectum.What should be the best operative strategy?
A 45-year-old man has a long history of ulcerative colitis. His symptoms are well-controlled with steroids. However, attempts at steroid weaning and use of steroid-sparing drugs have repeatedly failed. He wishes to avoid a permanent stoma. Which of the following should be the best operative strategy?
A 50-year-old man presents with unilateral facial paralysis after being hit on the head. On examination, he has a right-sided facial nerve palsy and watery discharge from the nose. What is the most likely underlying cause?
A 23-year-old man presents to the hospital with complaints of pain in the lower limbs after walking for five minutes, which improves after three minutes of stopping. On examination, he is found to have reduced hair growth on the lower limbs, and his calf muscles appear atrophied. There is a weak popliteal pulse and it remains intact when the knee is fully extended. What could be the most likely diagnosis?
A 20-year-old female presents with a nodule on the posterior aspect of her right calf. It has been present for the past six months and was initially formed at the site of an insect bite. On examination, the overlying skin is faintly pigmented, and the nodule appears small in size. However, on palpation, it appears to be nearly twice the size. What is the most likely diagnosis?
An 18-year-old male is admitted with a three-month history of intermittent pain in the right iliac fossa. He suffers from episodic diarrhoea and has lost two kilograms of weight. On examination, he is febrile and has right iliac fossa tenderness.What is the most likely diagnosis?