Practice Lab
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A 55-year-old man has recurrent episodes of impaired awareness preceded by epigastric rising sensation and lip smacking. EEG: temporal spike-wave.
A 30-year-old woman has progressive hand weakness, fasciculations in upper limbs, and brisk reflexes in lower limbs. Sensation intact.
A 58-year-old man has tachycardia, dilated pupils, dry mouth, urinary retention, and confusion.
A screening programme detects cancer earlier but overall mortality is unchanged. Patients appear to survive longer.
A 38-year-old man is admitted with dehydration. Creatinine rises from 80 to 210 over 48 hours. Urine output 15 mL/hr.
A 25-year-old man has temporal headache, scalp tenderness, jaw claudication. ESR 95. Sudden painless vision loss in left eye.
A 68-year-old woman with small cell lung cancer develops facial swelling, distended neck veins, and dyspnoea worse on bending forward.
A 50-year-old woman has WCC 120 with mature granulocytes at all stages and basophilia.
A 32-year-old man returns from West Africa with cyclical fevers and rigors. Blood film: ring-form trophozoites. Parasitaemia 5%.
A 35-year-old man has a well-demarcated, erythematous, warm, swollen area on the lower leg with a sharp raised border. Febrile.