What is the most probable diagnosis?

2. 25 y old patient presented with history of heart burn & regurgitation ( especially on bending ) >2 times/week for the last 6 months. • Examination was unremarkable

3. What is the most probable diagnosis? What are the investigations you have to do for this patient to reach to the diagnosis? How you will treat this patient?

5. 50 year old male patient presented with history of dysphagia for solid relieved by drinking fluid & walking or changing position after meal for the last 10 years . Patient also had nocturnal cough & some times chest pain . He is neither smoker nor alcohol drinker.

6. What is your provisional diagnosis? How you investigate this patient? What is the treatment?

8. 50 year old male patient presented with history of dysphagia for solid increasing in severity to be even to liquid for the last 3 months associated with history of loss of about 15 kg of his weight. The patient is chronic heavy smoker & also alcohol drinker. Q1-What is your Provisional diagnosis: Q2-How you investigate this patient?

10. 25 year old patient presented with history of dyspepsia for the last month. Examination was normal . Q1: How you will investigate this patient to diagnose H-Pylori ? Q2:What are the diseases caused by H-Pylori? Q3:What is the regimen for H-Pylori eradication?

13. 60 year old patient presented with history of dyspepsia for the last 3 months associated with loss of about 15 Kg of patient weight. O/E: Patient was pale ,emaciated with palpable left supraclavicular lymph nodes. Abdominal examination: Palpable mass in the epigastric area. Q1: What is the provisional diagnosis? Q2: What are the risk factors for this condition? Q3:What is the management?

15. 35 year old patient presented with history of sudden severe abdominal pain of few hours duration. His plain abdominal X-ray is shown below. Q1-What is the diagnosis? Q2-What are the causes?

17. 17 year old female brought by her mother because of short stature & delayed puberty with past history of diarrhea. Examination: revealed anemia with angular stomatitis & absence of secondary sexual characters. Q1: What is the diagnosis? Q2:How you investigate this patient?

21. 30 year old male patient presented with H/O frequent attacks of bloody diarrhea for the last 2 years. O/E: Patient looked anemic ,emaciated with tender abdomen. Q1-What is the most probable diagnosis: Q2-How you assess the severity of his condition? Q3-What are the lines of management for this patient?

24. 65 year old patient admitted to the casaulity because of history of haematamesis & malena of one day duration.

25. A-How clinical examination may help you to know the cause of patients GI bleeding? B-list the risks of death in this patient? C-what are the lines of management?

26. 60 year old male patient presented with history of altered bowel habit , abdominal discomfort with bleeding per rectum & weight loss of few months duration. O/E: Patient is pale & emaciated with palpable abdominal mass . Q1- What is the most probable diagnosis? Q2-What are the risk factors? Q3-How you investigate this patient?

28. 70 year old male patient presented with history of abdominal pain , fever & bloody diarrhea of few days duration he gives history of urinary tract infection 6 weeks ago for which he received antibiotics. On examination: Patient is toxic feverish & dehydrated Abdominal examination revealed tenderness of left abdomen Q1-What is differential diagnosis . Q2-What is the management?

30. 60 year old patient presented with history of anaroxia ,abdominal discomfort & weight loss for the last 6 months. On examination: Patient looks pale ,emaciated Abdominal examination revealed hepatomegaly ( liver span of 18cm) the liver is hard in consistency with irregular surface. Q1- What is the most probable diagnosis? Q2- How you investigate this patient?

32. What are the causes of the following deformity?

34. 55 year old male patient presented with history of jaundice of few months duration , recently he is discovered to have diabetes mellitus. also he complains of shortness of breath & joint pain with darkening of his skin. On examination: He is jaundiced ,His JVP was 6 cm above the sternal angle with spider telengectasia & bilateral leg oedema. Abdominal examination revealed : hepatosplenomegaly & positive shifting dullness . Q1-What is the most probable diagnosis? Q2-How you investigate this patient? Q3- What is the treatment?

38. 55 year old female patient presented with history of generalized fatigue with progressive itching of 5 years duration recently patient developed jaundice, with bone pain & diarrhea . On examination: The patient is jaundiced with periorbital xanthoma. Abdominal examination revealed hepatosplenomegaly . Q1-what is the most probable diagnosis? Q2-How you investigate this patient? Q3-What is the treatment?

46. 17 year old patient presented with history of recurrent jaundice with abnormal involuntary movement of 2 years duration. On examination: He was jaundiced with brownish pigmented ring at the periphery his iris , with choreoathetotic movement . Examination of his abdomen revealed hepatosplenomegaly. A-What is the most probable diagnosis? B-what are the investigations you have to do for this patient? C-What is the treatment?

49. 55 year old male patient known case of ulcerative colitis presented with history of recurrent right upper abdominal pain ,fever & jaundice for the last 3 years. On examination : The patient was jaundiced , his temp. was 39C , abdominal examination revealed liver span of about 11cm with palpable spleen & shifting dullness was +ve. A-What is the most probable diagnosis? B How you investigate this patient? C- What is the treatment?