A 60 year old diabetic complains of pain in thigh and gluteal region on walking up the stairs for
the last 6 months. She is a heavy smoker and has ischemic heart disease. What is the most
appropriate diagnosis?
- a. Thromboangitis Obliterans
- b. Sciatica
- c. DVT
- d. Atherosclerosis
- e. Embolus
0 voters
Ans. The key is D. Atherosclerosis. [i) It is not sciatica as sciatica pain is worse when sitting. There may be weakness, numbness, difficulty moving the leg or foot. A constant pain on one side of the rear. A shooting pain that makes it difficult to stand up. ii) It is not DVT as no swelling, warmth or redness of skin are there iii) It is not thromboangitis obliterans as pulses are ok, no colour change or reduced hair growth, no ulceration or gangrene iv) not embolism as no pain (rest pain), no numbness, not pale or blue, no rash, no ulceration of skin].
A 50 year old man has a stab wound to his left anterior chest at the level of the 4th ICS. He has a
BP 80mmHg, pulse=130bpm. His neck veins are dilated and his heart sounds are faint. His
trachea is central. What is the most appropriate diagnosis?
- a. Cardiac tamponade
- b. Diaphragmatic rupture
- c. Fractured ribs
- d. Tension pneumothorax
- e. Traumatic rupture of aorta
0 voters
Ans. The key is A. Cardiac tamponade. [Beck’s triad is a collection of three medical signs associated with
acute cardiac tamponade, an emergency condition wherein fluid accumulates around the heart and
impairs its ability to pump blood. The signs are low arterial blood pressure, distended neck veins, and
distant, muffled heart sounds].