A 25-year-old healthy male undergoes an emergency appendectomy and is administered suxamethonium. Following the removal of an inflamed appendix, the patient is taken to recovery. However, one hour later, the patient experiences a temperature of 40 ºC, a tachycardia of 120 bpm, and widespread muscular rigidity. What is the probable diagnosis?
A 45-year-old obese woman presents to the emergency department with a 5-day history of colicky pain in her right hypochondrium. An ultrasound scan reveals multiple stones in her gallbladder, but her common bile duct and gallbladder wall appear normal. Her blood tests show a hemoglobin level of 118 g/L (normal range for females: 115-160 g/L), platelet count of 350 * 109/L (normal range: 150-400 * 109/L), white blood cell count of 8.5 * 109/L (normal range: 4.0-11.0 * 109/L), and CRP level of 6 mg/L (normal range: < 5 mg/L). What is the best management option for this patient?
A 42-year-old female, 28 weeks pregnant, is referred to a nephrology consultant by her general practitioner for suspected renal stones. She has a medical history of hypertension and ischemic heart disease. A CT-KUB report reveals a 1.5 cm renal stone. What is the recommended definitive management for this patient?
A 38-year-old man comes to see his GP with concerns about his fertility. He and his partner have been trying to conceive for the past year without success. The patient has a history of diabetes mellitus and is a heavy smoker, consuming 30 cigarettes per day, and drinks 12 units of alcohol per week.
During the examination, the patient is found to be obese and has slight gynaecomastia. Upon testicular examination, a lump is detected on the right side that feels similar to a bag of worms. The lump does not disappear when the patient lies down, and he denies experiencing any pain or haematuria.
What is the most appropriate course of action for the patient’s management?
A 30-year-old man comes to you complaining of severe anal pain that has been bothering him for a day, especially during defecation. Upon further inquiry, he reveals that he has been experiencing constipation more frequently lately and had a minor incident of fresh red blood on the toilet paper a week ago. During the examination, you observe a tender, bulging nodule just outside the anal opening. What is the probable diagnosis?
A 50-year-old man comes in with an episode of alcoholic pancreatitis. He shows gradual improvement and is assessed at his 6-week follow-up. He has a bloated feeling in his upper abdomen and a fluid collection is discovered behind his stomach on imaging. His serum amylase levels are slightly elevated. What is the most probable cause?
You encounter a 50-year-old man who confides in you about his personal issue. He has been experiencing difficulties with achieving and maintaining erections for the past year, and it has been progressively worsening. This patient seldom visits healthcare providers and has no prior medical conditions.
What is the predominant organic etiology for this symptom?
A 65-year-old woman undergoes a right hemicolectomy for colon cancer and four days later presents with vomiting, a distended abdomen, and absent bowel sounds. Her blood results show a CRP of 124 mg/l and a WBC count of 5.2 * 109/l. Nursing notes reveal no bowel movements since surgery. What is the probable cause of her clinical presentation?
A 50-year-old male construction worker presents to the Emergency Department with new onset frank haematuria. He has been passing blood and clots during urination for the past three days. He denies any dysuria or abdominal pain. His vital signs are stable with a heart rate of 80 bpm and blood pressure of 130/80 mmHg. Upon examination, his abdomen is soft without tenderness or palpable masses in the abdomen or renal angles. He has a 30 pack-year history of smoking. What is the most appropriate initial investigation to determine the cause of his haematuria?
You are summoned to the ward by nursing staff to assess a 79-year-old man who has been admitted with acute urinary retention. Despite a well-functioning catheter, he is experiencing pain in his penis. Upon examination, his abdomen appears normal, but his penis is swollen with a tight constricting band located just proximal to the glans penis. What is the probable diagnosis?