A 39-year-old man is admitted with a tender mass in the right groin, fever, and sweating. He is on multi-drug therapy for HIV infection. On examination, a tender swelling is noted in his right groin. The pain is exacerbated by hip extension. What is the most likely diagnosis?
A 22-year-old woman is involved in a road traffic accident. After a transient period of concussion, she is found to have a GCS of 15, by the paramedics. She is next observed on her arrival at the A&E department of the hospital and is found to have a GCS of 3 and a blown right pupil. Out of the following, which condition best accounts for this deterioration?
A 34-year-old man presents with a five-week history of painful, bright red bleeding that typically occurs after defecation and is noted on the toilet paper. External inspection of the anal canal shows a small skin tag at six o’clock position. The patient does not give consent for internal palpation. What is the most likely underlying diagnosis?
A 56-year-old woman trips over a step, injuring her right ankle. Examination reveals tenderness over the lateral malleolus and X-ray demonstrates an undisplaced fracture distal to the syndesmosis. What should be the best course of action?
A 26-year-old right-handed tennis player presents to the A&E department with a painful, swollen right arm. On examination, his upper limb pulses are present, but he has dusky fingers. A diagnosis of axillary vein thrombosis is made and confirmed. He is immediately started on low-molecular-weight heparin (LMWH).What should be the next best step of management to achieve venous patency?
A 35-year-old female notices bloody discharge from her left nipple. She is, otherwise, asymptomatic. On examination, there are no discrete lesions to feel, and mammography shows dense breast tissue but no mass lesion.What is the most likely cause?
A 29-year-old female presents with a history of increasingly severe ano-rectal pain for the past 24 hours. On examination, she has a low-grade fever, and the skin surrounding the anus appears normal. She has not, however, tolerated an attempted digital rectal examination (DRE). What is the most likely diagnosis?
A 32-year-old lady presents with a six-month history of an offensive discharge from the anus. She is otherwise well but is annoyed at the need to wear pads. On examination, she has a small epithelial defect in the five o’clock position, approximately three centimetres from the anal verge. Out of the following, which is the most likely cause?
A 3 year old boy is taken to the doctor by his mother who has noticed that he has been having rectal bleeding for a few months and a cherry red lesion appeared at the anal verge after defecation. Which of the following is most likely the diagnosis?
A 19 year old female presents with a firm mobile mass in the upper outer quadrant of her left breast. Which of the following could be the underlying disease process?