CLINICAL CASES, 
CHARTS. PART-1.
 
 Period of abstinence: 3 days 
 Amount : 3 ml 
 Appearance : Grey white 
 Liquefaction : 15 minutes 
 pH : 8.0 
 ...
 Answer the following questions: 
 What is the diagnosis? 
 Mention the indications for semen 
analysis.
2. 
A 5 year old child was brought to the hospital 
with a history of fever on and off, with 
evening rise of temperature ...
 Physical examination: 
 
 Volume : 2ml 
 Colour/Appearance: Turbid 
 
 Chemical examination: 
 
 Protein : 60 mg/...
 Microscopy: 
 
 Total cell count : 1200 cells/ cumm 
 Differential count : Lymphocytes: 90%, 
Neutrophils: 10% 
 
 ...
3. 
 3 year old child was brought to the hospital 
with a history of fever, vomiting, convulsions 
and altered sensorium ...
 Physical examination: 
 
 Volume : 2ml 
 Colour/Appearance: Turbid 
 
 Chemical examination: 
 
 Protein : 300 mg...
 Microscopy: 
 
 Total cell count : 1200 cells/ cumm 
 Differential count : Neutrophils: 90%, 
Lymphocytes: 10% 
 
 ...
4 A female aged 40 years was admitted 
to the hospital with history of recurrent 
fever, loin pain since one week. Urine 
...
 Physical examination: 
 Quantity : 2000ml/day 
 Colour : Yellow 
 Appearance : Turbid 
 Specific gravity : 1.030 
 ...
 Microscopy: 
 Pus cells : 30-40/hpf 
 Epithelial cells : 4-6/hpf 
 RBCs : 2-4/hpf 
 Casts and crystals : Pus cell ca...
5 
A 8 yr old child presented with history of 
generalized edema of 12 days duration. 
 Urine examination showed the foll...
Physical examination: 
Quantity : 1400ml/day 
 Colour : Yellow 
Appearance : Turbid 
Specific gravity : 1.036 
 
Ch...
 Microscopy: 
 Pus cells : 0-1/hpf 
 Epithelial cells : 0-1/hpf 
 RBCs : Absent 
 Casts and crystals : Absent 
 
 A...
6 
 Patient presented with anaemia. 
 Reticulocytes, stain
 Answer the following question: 
 
 Identify abnormalities? 
 What is your observation? 
 List the conditions in whic...
7 
. A 45 year old male presented with weakness 
and giddiness of 1 month duration. 
 
 Investigations: 
 HB : 6.8gm% 
...
 Answer the following question: 
 
 Identify abnormalities? 
 What is your diagnosis? 
 Mention the causes for this b...
8 
A 3 year old child with splenomegaly and 
mild jaundice. 
 
 Investigations: 
 HB : 8gm% 
 
 Peripheral smear:
 Answer the following question: 
 
 Identify abnormalities? 
 What is your diagnosis? 
 List the investigations you w...
9 
 . A 4 year old child presented with repeated 
respiratory tract infection, mild growth 
retardation, splenomegaly & s...
 Answer the following question: 
 
 Identify the abnormality? 
 What is your diagnosis? 
 List the investigations you...
10 
 . A 30 year old female presented with a 
history of generalized weakness and 
fatigue since 3 weeks. 
 
 Investiga...
 Answer the following question: 
 
 Identify abnormalities? 
 What is your diagnosis? 
 Mention the causes for this b...
11 
 A 22 year old male presented with fever 
and chills. 
 Peripheral smear: 

 Answer the following question: 
 
 Identify abnormalities? 
 What is your diagnosis? 
 Mention the other Haemoparast...
CASE NO.12. 
 A 42 year old male with diffuse swelling 
of the left lower limb since 10 years. 
 Peripheral smear:
 Answer the following questions: 
 Identify abnormalities? 
 What is your diagnosis? 
 Mention other Haemoparasites.
CASE.NO.13. 
 A 30 years old male, ileac resection done 2 
years back, presented with anemia
CASE.NO.14 
 A 30 year old female patient presented 
with a mobile lump in the right breast of 
6 months duration. Fine n...
 Answer the following question: 
 Identify abnormalities? 
 What is your diagnosis?
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
Final charts part 1. 21 04-2014
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Final charts part 1. 21 04-2014

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Final charts part 1. 21 04-2014

  1. 1. CLINICAL CASES, CHARTS. PART-1.
  2. 2.   Period of abstinence: 3 days  Amount : 3 ml  Appearance : Grey white  Liquefaction : 15 minutes  pH : 8.0  Sperm count : 10 millions/ml  Motility : >60% of sperms are actively motile.  Morphology : >65% of sperms are of normal  morphology.
  3. 3.  Answer the following questions:  What is the diagnosis?  Mention the indications for semen analysis.
  4. 4. 2. A 5 year old child was brought to the hospital with a history of fever on and off, with evening rise of temperature since 1 month. The CSF analysis showed the following features.
  5. 5.  Physical examination:   Volume : 2ml  Colour/Appearance: Turbid   Chemical examination:   Protein : 60 mg/dl  Glucose : 45 mg/dl  Chloride : 70mEq/L 
  6. 6.  Microscopy:   Total cell count : 1200 cells/ cumm  Differential count : Lymphocytes: 90%, Neutrophils: 10%   Answer the following question:  What is the diagnosis?  Mention other investigations you would do?
  7. 7. 3.  3 year old child was brought to the hospital with a history of fever, vomiting, convulsions and altered sensorium of 2 days duration. The CSF analysis showed the following features.
  8. 8.  Physical examination:   Volume : 2ml  Colour/Appearance: Turbid   Chemical examination:   Protein : 300 mg/dl  Glucose : 10mg/dl  Chloride : 118mEq/L 
  9. 9.  Microscopy:   Total cell count : 1200 cells/ cumm  Differential count : Neutrophils: 90%, Lymphocytes: 10%   Answer the following question:  What is the diagnosis?  Mention other investigations you would do?
  10. 10. 4 A female aged 40 years was admitted to the hospital with history of recurrent fever, loin pain since one week. Urine examination showed the following features
  11. 11.  Physical examination:  Quantity : 2000ml/day  Colour : Yellow  Appearance : Turbid  Specific gravity : 1.030   Chemical examination:  Ph : 6.8  Albumin : ++  Blood : Present (+)  Sugar : Absent  Ketone bodies : Absent 
  12. 12.  Microscopy:  Pus cells : 30-40/hpf  Epithelial cells : 4-6/hpf  RBCs : 2-4/hpf  Casts and crystals : Pus cell casts seen.   Answer the following question:  What is your diagnosis? What other investigations would you like to do? 
  13. 13. 5 A 8 yr old child presented with history of generalized edema of 12 days duration.  Urine examination showed the following features.
  14. 14. Physical examination: Quantity : 1400ml/day  Colour : Yellow Appearance : Turbid Specific gravity : 1.036  Chemical examination: Ph : 7.2  Albumin : ++++ Blood : Absent Sugar : Absent Ketone bodies : Absent 
  15. 15.  Microscopy:  Pus cells : 0-1/hpf  Epithelial cells : 0-1/hpf  RBCs : Absent  Casts and crystals : Absent   Answer the following question:   What is your diagnosis?  Define the condition and enumerate the causes?  Mention any other investigations you would like to do?  How is the specific gravity corrected for altered protein levels? 
  16. 16. 6  Patient presented with anaemia.  Reticulocytes, stain
  17. 17.  Answer the following question:   Identify abnormalities?  What is your observation?  List the conditions in which it is increased? 
  18. 18. 7 . A 45 year old male presented with weakness and giddiness of 1 month duration.   Investigations:  HB : 6.8gm%   Peripheral smear:
  19. 19.  Answer the following question:   Identify abnormalities?  What is your diagnosis?  Mention the causes for this blood picture?  List other investigations you would like to do?  What change would you expect in the bone marrow?  
  20. 20. 8 A 3 year old child with splenomegaly and mild jaundice.   Investigations:  HB : 8gm%   Peripheral smear:
  21. 21.  Answer the following question:   Identify abnormalities?  What is your diagnosis?  List the investigations you would like to do? 
  22. 22. 9  . A 4 year old child presented with repeated respiratory tract infection, mild growth retardation, splenomegaly & significant pallor.   Investigations:  HB : 6gm%   Peripheral smear:
  23. 23.  Answer the following question:   Identify the abnormality?  What is your diagnosis?  List the investigations you would like to do?  Name the complications? 
  24. 24. 10  . A 30 year old female presented with a history of generalized weakness and fatigue since 3 weeks.   Investigations:  HB : 4gm%   Peripheral smear:
  25. 25.  Answer the following question:   Identify abnormalities?  What is your diagnosis?  Mention the causes for this blood picture?  List other investigations you would like to do?  What change would you expect in the bone marrow?  
  26. 26. 11  A 22 year old male presented with fever and chills.  Peripheral smear: 
  27. 27.  Answer the following question:   Identify abnormalities?  What is your diagnosis?  Mention the other Haemoparastites. 
  28. 28. CASE NO.12.  A 42 year old male with diffuse swelling of the left lower limb since 10 years.  Peripheral smear:
  29. 29.  Answer the following questions:  Identify abnormalities?  What is your diagnosis?  Mention other Haemoparasites.
  30. 30. CASE.NO.13.  A 30 years old male, ileac resection done 2 years back, presented with anemia
  31. 31. CASE.NO.14  A 30 year old female patient presented with a mobile lump in the right breast of 6 months duration. Fine needle aspiration from the breast lump was performed.  Cytological smear:
  32. 32.  Answer the following question:  Identify abnormalities?  What is your diagnosis?

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