A 24-year-old man with a history of recurrent otitis media, two bouts of pneumonia, and a recent Giardia infection suffered a severe allergic reaction to a blood transfusion after a road traffic accident. His investigations showed slightly decreased immunoglobulins, a mild obstructive pattern on spirometry, and normal values for haemoglobin, white cell count, and platelets. What is the most likely diagnosis for this patient?
A 14-month-old baby is presented by his mother who is worried about his persistent eczematous rashes, pruritus, loose stools and colic symptoms for a few weeks. The mother is uncertain about the frequency of occurrence but reports that it is happening daily. Despite using emollients, there has been no improvement. What is the probable diagnosis?
A newly qualified nurse in her 50s at the local hospital undergoes vaccination against hepatitis B. The following results are obtained three months after completion of the primary course:
Result Anti-HBs: 10 – 100 mIU/ml
Reference An antibody level of >100 mIU/ml indicates a good immune response with protective immunity
What should be done next?
A 20-year-old woman is enjoying a shrimp stir-fry at a restaurant when she suddenly experiences tongue swelling and tightness in her chest. Her partner notices her wheezing and calls for an ambulance. The woman is admitted to the hospital and undergoes necessary tests. She receives treatment for anaphylaxis, and her symptoms improve. After being monitored overnight on the ward, what crucial factor must be taken into account when determining if it is safe to discharge her the following morning?
A 26-year-old female with a past medical history of asthma presents to the Emergency Department with acute dyspnea, accompanied by a tingling sensation in her tongue and a rash after consuming a meal containing shellfish. Her symptoms improve with intramuscular epinephrine and nebulized salbutamol. What is the most effective diagnostic test to confirm if this event was caused by anaphylaxis?
After being stung by a bee, a 20-year-old man visits his General Practitioner with swollen face and lips, along with wheezing. He is experiencing breathing difficulties and his blood pressure is 83/45 mmHg as per manual reading.
What would be the most suitable course of action to manage this situation?
A 32-year-old woman presents to her General Practitioner with a 4-week history of diarrhoea, opening her bowels up to 2–3 times per day. She also complains of intermittent bloating and abdominal pain mostly prior to opening her bowels. There is no history of fever or vomiting and she has no past medical history of note. She returned from Thailand two weeks ago.
Stool microscopy: trophozoites and cysts are seen.
Given the likely diagnosis, what is the recommended management for this patient?
Select the SINGLE most appropriate management from the list below.
A 22-year-old man comes to his General Practitioner complaining of frequent watery diarrhoea, abdominal pain, flatulence and nausea. Upon stool analysis, an elevated osmotic gap is detected with a pH < 6. The hydrogen breath test is positive.
What is the most probable diagnosis?
A new father is curious as to when his toddler will be receiving her vaccines. He is particularly interested in the six-in-one vaccine which he has heard about from some friends at playgroup. When is the six-in-one vaccine given to toddlers?
A 27-year-old man presents to the Genitourinary Medicine Clinic with an 8-day history of dysuria and creamy urethral discharge. He has never had urethral discharge before and is very concerned. His past medical history includes childhood asthma and he is otherwise well with no allergies. During the consultation, he discloses that he had unprotected sexual intercourse two weeks ago.
On examination, his observations are within normal limits. His abdomen is soft and nontender with no palpable lymphadenopathy. There are no visible rashes. High urethral swabs are taken which show the presence of Gram-negative diplococci.
Given the likely diagnosis, what is the most appropriate management for this patient?
Select the SINGLE most appropriate management from the list below.
Select ONE option only.