Transcript OPSE - HKCEM

OPSE 3 April 2013-Question
Prepared by:
Dr. HK Ngan
PMH AED
Case 1
• M/65
• PH:DM, HT
• Attended AED because of abdominal
distension and constipation for two days
Case 1
Case 1
• 1) Describe the x-ray findings?
• 2) What is the diagnosis?
• 3) What are the main complications of this
condition?
• 4) Name three predisposing factors for this
condition?
• 5) What is the treatment?
Case 2
• Nigerian tourist
• F/42
• Brought in by police from airport for
abdominal pain
Case 2
Case 2
• 1) Describe the x-ray findings?
• 2) What is the diagnosis?
• 3) What will be the complication of this
condition?
• 4) What is your management?
Case 3
• PH: Good
• M/50
• Presented to AED for chest pain on and off for
3 weeks. Now symptoms free.
• Serial Troponin I<0.03 (not rasied)
Case 3
Case 3
• 1) What is the ECG findings
• 2) What is the diagnosis?
• 3) What is the significance of this condition
and what will be the complication?
• 4) What is the best treatment for this
condition and why?
Case 4
• F/40
• Brought in by mother with abnormal behavior
and delusional idea for one month. No history
of head injury.
Case 4
Case 4
Case 4
• 1) What is the CT findings?
• 2) Give 3 differential diagnosis from the CT
finding?
• 3) Give the cistern/fissure name of A,B, C, D
• 4) What bedside clinical examination you
would emphasis with this CT image?
• 5) What other investigation you would like to
do to confirm your suspicion?
Case 5
• 63/M
• Construction site worker
• Right eye being splashed by liquid
concrete(cement)
• Used tap water to rinse it briefly
• C/O pain, tearing, blurring of vision
Case 5
Case 5
1. Describe the clinical findings from the photo.
2. What is the likely culprit chemical causing
such injury?
3. Name one essential bedside test.
4. Which will have more serious injury, acid or
alkali? Give your explanation
5. How would you grade the severity of this
injury?