USMLE Step 2 CK - what is the diagnosis
what is the diagnosis
kingofhearts - 11-19-08 09:41
18 year old boy got admitted after developing abcess in the
left flank which was drained by a surgeon.patient was emaciated with swinging temperature.
after 6 days of admission ,fecal discharge started from the left flank area(1. what is suspected at this momemt).
an emergency right tansverse colostomy was with necrostomy done ,fever persisted,,,,
one day the patient complained of breathlessness(2. what could be the cause for breathlessness).
aspiration of pleural cavity revealed bloodstained dirty fluid rich amylase.
.few days later he developed severe convulsions and coma,,blood sugar was 20 mg% following injection insulin
because patient had developed diabetes..........
kingofhearts - 11-19-08 09:41
18 year old boy got admitted after developing abcess in the
left flank which was drained by a surgeon.patient was emaciated with swinging temperature.
after 6 days of admission ,fecal discharge started from the left flank area(1. what is suspected at this momemt).
an emergency right tansverse colostomy was with necrostomy done ,fever persisted,,,,
one day the patient complained of breathlessness(2. what could be the cause for breathlessness).
aspiration of pleural cavity revealed bloodstained dirty fluid rich amylase.
.few days later he developed severe convulsions and coma,,blood sugar was 20 mg% following injection insulin
because patient had developed diabetes..........
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#1
Re: what is the diagnosis
bingousmle - 11-19-08 09:56 1. fistula between the descending colon and abscess cavity
i think the primary pathology was a abscess in the tail of pancreas
2. destruction of the surfactant by amylase, resulting in breathlessness,
ARDS
the diabetes must be d/tpancreatic insufficiency
#2
Re: what is the diagnosis
kingofhearts - 11-19-08 10:03 necrosis of colon,pleural effusion,pancreatitis......
#3
Re: what is the diagnosis bingousmle - 11-19-08 10:09 i did not get the first part , where was the abscess, in colon?
and what is the reason this poor guy developed pancreatitis?
was this guy suffering from ulcerative colitis?
#4
Re: what is the diagnosis kingofhearts - 11-19-08 10:21 well i too am looking for the reason why he developed pancreatitis ...any logical guess work ...
#5
Re: what is the diagnosis bingousmle - 11-19-08 10:34 it would be best if we wait for the EXPERTS to give their expert opinion on this question.... all of them seem to be busy with the MATCH
#6
Re: what is the diagnosis kingofhearts - 11-19-08 10:39 ya nobody seems to be around from quite some time .....when will they be back...so anyother interesting questions to be discussed..
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