Med Student Finals Category: Emergency Medicine

MSFinals-0836

A 29-year-old female presents to the surgical intake with abdominal pain and a five day history of vomiting.

Over the last three months she has also been aware of a 6 kg weight loss.

On examination, she is pale, has a temperature of 38.5°C, blood pressure of 90/60 mmHg and pulse rate of 130 in sinus rhythm. The chest is clear on auscultation but she has a diffusely tender abdomen without guarding. Her BM reading is 2.5.

Initial biochemistry is as follows:

Sodium 124 mmol/L (137-144)

Potassium 6.0 mmol/L (3.5-4.9)

Urea 7.5 mmol/L (2.5-7.5)

Creatinine 78 µmol/L (60-110)

Glucose 2.0 mmol/L (3.0-6.0)

What is the likely diagnosis?

MSFinals-0837

A 16-year-old girl and her mother rush to the Emergency department due to the girl’s sudden onset of breathlessness and facial puffiness. The girl has a history of eczema and is currently taking oral contraceptives. Despite being well prior to this incident, she is now visibly distressed and experiencing laboured breathing with stridor but no wheezing. What is the most probable reason for her breathlessness?

MSFinals-0838

A 57-year-old man who has been physically active throughout his life experiences a sudden onset of severe chest pain that spreads to his back, causing him to lose consciousness within minutes. He has a medical history of hypertension, but a recent treadmill test showed no signs of cardiac disease. What is the most probable diagnosis?