FIFTH YEAR 2021 MAGDI SASI

1. LABORATORY DATA IN
EXAMES

2. Patient normal
WBC 1.4 x10°/L 4-11 x10°/L
RBC 3 x10¹²/L 4.5-6.5 x10¹²/L
HB 5 gm/100mL 11-15 gm/100mL
MCH 27 pg 27-32 pg
MCV 80 FL 80 –100 FL
PLATELETS 40 x10°/L 150-400 x10°/L
1-What is the diagnosis?
2- what are the possible underlying causes?
3-what are the main complications?

3. Patient Normal
Urea 96 mg /100mL 20 - 40 mg /100mL
Creatinine 3.5 mg /100mL 0.6 – 1.5 mg /100mL
Hemoglobin 9 g/dl 13-15 g/dl
Sodium 135 mmol/L 135 -145 mmol/L
Potassium 7.5 mmol/L 3.0 -5.5 mmol/L
1. Interpret data, what is the diagnosis?
2. What it is important immediate investigations?
3. Outline steps of management?

4. Ascitic fluid
Apperenance
Protein
gm /dl
Glucose
mg / dl
WBC
/µL
Normal Clear < 3.O 70 - 120 < 250
Patient ascitic
fluid
Clear 4.5 gm /dL 40 mg /dL
560
Mainly
lymphocytes
1-What is the type of the fluid?
2- What is the diagnosis?
3- Mention 2 investigations to confirm diagnosis?

5. Patient Normal
Glucose 500 mg /100mL 65 – 110 mg /100mL
Urea 50 mg /100mL 20 - 40 mg /100mL
Creatinine 1.2 mg /100mL 0.6 – 1.5 mg /100mL
Sodium 122 mmol/L 135 -145 mmol/L
Potassium 3 mmol/L 3.0 -5.5 mmol/L
urine sugar +++ negative
Urine acetone +++ negative
PH 7.10 7.35-7.45
HCO3 12 22-26 mmol/L
PCO2 25 mmHg 38-42 mmHg
PO2 100 mmHg 92-100 mmHg
1-What is the diagnosis?
2-What are the precipitating factors?
3- outline the management?

6. Normal value
Patient
-
90 mg/dl
Fasting blood
glucose
135- 145 meq/l
136
Serum sodium
3.5- 4.5 meq/l
7
Serum potassium
1- Interpret this lab result. What is the diagnosis?
2- What is the most appropriate next investigation, mention
2 causes of this condition.
3- Outline steps of management

7. Normal value
Patient
12- 15
6
Hemoglobin (g/dl)
4- 11 x 103/ml
5 x 103/ml
WBC
150- 450 x 103/ml
250 x 103/ml
Platelets
80- 96 fl
64
MCV
33- 36 g/dl
24
MCHC
40- 155 mcg/dl
6
Serum Iron
12- 150 ng/ml
7
Serum ferritin
1- Interpret this lab result. What is the diagnosis?
2- What are the 2 common causes?
3- Mention 2 investigations to diagnose the underlying cause?

8. Patient normal
WBC 1.4 x10°/L 4-11 x10°/L
RBC 3 x10¹²/L 4.5-6.5 x10¹²/L
HB 5 gm/100mL 11-15 gm/100mL
MCH 27 pg 27-32 pg
MCV 80 FL 80 –100 FL
PLATELETS 40 x10°/L 150-400 x10°/L
1-What is the diagnosis?
2- what are the possible underlying causes?
3-what are the main complications?

9. Cerebrospinal fluid
Appearance RBC//µL WBC/µL Glucose
mg/dL
Protein
mg/dL
Normal - 0 < 5 Lymph
0 PMN
45-85 15-45
Patient Cloudy 0 100
Lymphocyte
40 60
1) What is the diagnosis? How to confirm it?
2) Outline treatment?
3) What are the possible complications?

10. Normal value
Patient
7.35- 7.45
6.9
PH
22- 28 meq/l
8
Bicarbonate
80- 100 mmHg
100
PaO2
35-45 mmHg
55
PCO2
1-What is the diagnosis?
2-Mention 4 underlying causes?
3- Mention 4 clinical features?
ABG

11. Normal value
Patient
Thyroid function test
12- 15
0.001
TSH
1 -2.6 nmol /L
9
Free T3
10-27 pmol/L
55
Free T4
1- Interpret this lab result. What is the diagnosis?
2- Mention 4 causes?
3- Mention 4 clinical features of the condition.

12. THYROID FUNCTION TEST
FREE T4 T3 TSH
Normal 10-27 pmol/L 1 -2.6 nmol /L 0.15-3.5 mU/L
Patient 5 pmol /L 0.8 nmol/L 15 mU/L
1-What is the diagnosis? List four causes?
2-list four important clinical manifestations?
3- order two further relevant tests and indicate reason?

13. patient normal
Conjugated bilirubin 2 mg/dL 0.1-0.3 mg/dL
Unconjugated bilirubin 5 mg/dL 0.2-o.7 mg/dL
SGOT (AST) 500 IU/L 5-30 IU/L
SGPT (ALT) 450 IU/L 5-30 IU/L
ALKALINE PHOSPHATASE 100 IU/L 30-115 IU/L
SERUM ALBUMIN 3 g/100mL 3.4-4.7 g/100mL
URINE BILIRUBIN ++ NEGATIVE
1) What is the type of jaundice?
2) List causes?
3) List complications of viral hepatitis?