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This page provides a simple browsing interface for finding entities described by a property and a named value. Other available search interfaces include the page property search, and the ask query builder.

List of results

• WBR1036  + ('''Correct'''-Reassurance and follow up is the best approach for HPA disorder.)
• WBR0566  + ('''Correct'''-Seventy to eighty percent of … '''Correct'''-Seventy to eighty percent of patients with blunt renal trauma are successfully treated nonsurgically. Bed rest may reduce the likelihood of secondary hemorrhage; antibiotics may reduce the chance of development of infection in a perirenal hematoma. Monitoring of blood count and vital signs will be essential in case of secondary bleeding.e essential in case of secondary bleeding.)
• WBR0911  + ('''Correct'''-Since the blood glucose has … '''Correct'''-Since the blood glucose has fallen below 200 mg/dL, diabetic ketoacidosis patients on treatment are switched over to half the dosage of regular insulin that they were receiving and the isotonic saline is replaced by hypertonic D5 normal saline to prevent the complication of development of cerebral edema.lication of development of cerebral edema.)
• WBR0262  + ('''Correct'''-The most frequent cause of i … '''Correct'''-The most frequent cause of iron overload is a common genetic disorder (C282Y mutation of HFE gene) known as (idiopathic) hemochromatosis. Secondary iron storage problems can occur in a variety of anemias. The most practical screening test is the determination of serum iron, transferrin saturation, and plasma ferritin. Serum iron will be elevated and so will the plasma ferritin level. But increased ferritin value is less sensitive than increased transferrin saturation value, since they require greater degree of iron overload to increase the iron stores. So transferrin saturation >45% along with increased serum iron will be the most sensitive screening test.on will be the most sensitive screening test.)
• WBR0215  + ('''Correct'''-The patient has features sug … '''Correct'''-The patient has features suggestive of MEN IIa, which is characterized by medullary thyroid carcinoma, pheochromocytoma as well as parathyroid hyperplasia. It is an autosomal dominant disorder arising from mutation in RET proto-oncogene localized in chromosome 10. Genetic testing can be easily carried out in peripheral blood sample by a sensitive PCR method that will identify the mutations. More than 95% have RET proto-oncogene mutation.than 95% have RET proto-oncogene mutation.)
• WBR0216  + ('''Correct'''-The patient has hypertension … '''Correct'''-The patient has hypertension associated with hypokalemia that manifests as muscle weakness and abdominal cramps. Along with worsening symptoms of diabetes like polyuria, primary hyperaldosteronism should be suspected in 30 to 50 year age group individuals in the absence of secondary causes like CHF. Excessive aldosterone production increases distal tubular exchange of sodium for potassium, leading to hypertension following increased sodium absorption and hypokalemia following progressive depletion of body potassium. Following increased plasma sodium, plasma renin levels fall low and fail to increase even with appropriate stimulus such as volume depletion. Along with elevated aldosterone levels due to hypersecretion, the diagnosis of primary hyperaldosteronism can be made. Suppressed renin activity alone can even occur in about 25% of hypertensive patients with essential hypertension. But lack of suppression of aldosterone is also necessary to diagnose primary hyperaldosteronism. High aldosterone levels that are not suppressed by salt loading will prove that there is a primary inappropriate secretion of aldosterone. Adrenal adenoma is the commonest cause, followed by bilateral adrenal hyperplasia and unilateral adrenal hyperplasia for primary hyperaldosteronism.yperplasia for primary hyperaldosteronism.)
• WBR0268  + ('''Correct'''-The patient is presenting wi … '''Correct'''-The patient is presenting with asymptomatic primary hyperparathyroidism. The laboratory diagnosis of hypercalcemia, hypophosphatemia and elevated serum PTH hormones, suggest primary hyperparathyroidism. Asymptomatic primary hyperparathyroidism is a common disorder particularly in females above 60 years of age who are usually diagnosed during a routine chemistry screening. While patients with symptomatic primary hyperparathyroidism require surgical intervention, not all patients with asymptomatic primary hyperparathyroidism except those with at least one of the following features would require a surgical intervention.<br></br><br></br>1.Age less than 50 years<br></br>2.Serum calcium at least 1 mg/dL above the upper limit of normal<br></br>3.Bone mineral density (BMD) lower than T-2.5 at lumbar spine, femoral neck, total hip, or 33% (one third) radius<br></br><br></br>This patient has two of the above features i.e. serum calcium 1 mg/dL above the upper limit of normal and DEXA scan showing BMD lower than T-2.5 at lumbar spine and femoral neck. Thus surgical intervention is indicated in this patient.ne and femoral neck. Thus surgical intervention is indicated in this patient.)
• WBR0917  + ('''Correct'''-Worsening uncomplicated and … '''Correct'''-Worsening uncomplicated and complicated acute cholecystitis patients who are not surgical candidates with advanced pulmonary and cardiac diseases may benefit from percutaneous gallbladder drainage and placement of a cholecystostomy or T-tube if common bile duct stones are suspected. The alternative is ERCP to attempt endoscopic opening of the common bile duct or cystic duct.ng of the common bile duct or cystic duct.)
• WBR1095  + ('''Correct''': The best next step in the management of fever and seizures is doing a lumbar puncture to rule out meningitis from encephalitis.)
• WBR1151  + ('''Incorrect''' -)
• WBR0184  + ('''Incorrect''' - Muscle biopsy is performed when symptoms persist even after starting appropriate treatment.)
• WBR1150  + ('''Incorrect''' - Thyroglobulin measurements are useful only after several weeks following total thyroidectomy to detect any recurrence and not immediately after the surgery.)

• WBR0207  + ('''Incorrect''' :)

• WBR0236  + ('''Incorrect''' : Blood pressure rapidly decreases when labetolol is administered.)
• WBR0221  + ('''Incorrect''' : Changing to insulin drip and infusion is best way to prevent perioperative diabetic complications.)
• WBR0208  + ('''Incorrect''' : Chemistry studies of the … '''Incorrect''' : Chemistry studies of the joint fluid, such as the concentrations of glucose, lactate dehydrogenase, or protein have only limited value; a reduction in glucose concentration and elevation of LDH are consistent with a bacterial infection, but are not diagnostic or particularly sensitive. not diagnostic or particularly sensitive.)
• WBR0523  + ('''Incorrect''' : Haematocrit fall > 10% is an indicator of severity but this patient dint have > 10% fall.)
• WBR0241  + ('''Incorrect''' : Imaging studies are not routinely employed in the evaluation for possible CTS.)
• WBR0224  + ('''Incorrect''' : Inferior petrosal sampling is required to differentiate ectopic ACTH from pituitary ACTH Cushing’s syndrome.)
• WBR0407  + ('''Incorrect''' : Many patients with AS have restrictions in chest expansion due to costovertebral rigidity. Due to lung fibrosis, chest X-rays may show apical fibrosis while pulmonary function testing may reveal a restrictive lung defect.)
• WBR0228  + ('''Incorrect''' : Patient has elevated ionized and total calcium. Hence lab error is unlikely in this patient.)
• WBR0410  + ('''Incorrect''' : Since silicosis can mask the radiographic changes of active TB, chest X-ray is not used as a screening tool for tuberculosis.)
• WBR0242  + ('''Incorrect''' : Surgical treatment of CTS appears to be more effective than splinting. It is usually indicated when conservative measures fail.)
• WBR0181  + ('''Incorrect''' : There is no requirement for a diagnostic tool in a clinically diagnosed patient.)
• WBR0222  + ('''Incorrect''' : Thyroid ultrasound would be useful if there is thyroid enlargement is present in order to monitor any change in size and look for dominant nodule(>1cm). Patient examination is normal and hence won’t be appropriate next step.)
• WBR0229  + ('''Incorrect''' : Treatment is started after biochemical confirmation is made, because the drugs may interfere with interpretation of results.)
• WBR0526  + ('''Incorrect''' : White blood cell count > 18000 cells/mm3 is a prognostic indicator at the admission time and this patient has lower WBC count .)
• WBR0351  + ('''Incorrect''' Acute pericarditis presents with diffuse ST segment elevation and chest pain that changes with position and respiration. Pericarditis would not show ballooning of the apex of the left ventricle on echocardiography.)
• WBR0355  + ('''Incorrect''' Cardiac enzymes start rising after an hour of Infarction , so not the best next step here. On the base of electrocardiogram findings and patient history there is enough evidence to begin therapy for MI, starting with an antiplatelet agent.)
• WBR0357  + ('''Incorrect''' Cardiac enzymes start to rise one hour after pain onset. They should be measured but starting tPA is the best next step here)
• WBR0358  + ('''Incorrect''' Cardiac enzymes start to rise one hour after pain onset. They should be measured but arranging for angioplasty is the best next step here)
• WBR0353  + ('''Incorrect''' Clopidogrel is used in patients with contraindications to Aspirin use such as rare instances of aspirin allergy)
• WBR0360  + ('''Incorrect''' Digoxin has no use in Ventricular tachycardia.)
• WBR0454  + ('''Incorrect''' Dobutamine is used when the patient does not respond to preload reduction, it is not the best immediate step here)
• WBR0653  + ('''Incorrect''' Ejection fraction <60%, left ventricular end systolic diameter more than 55mm is the operative criteria for mitral regurgitation, not aortic regurgitation)
• WBR0835  + ('''Incorrect''' Electrocardiogram findings and chest pain changing with position suggests Pericarditis more than myocardial Infarction.)
• WBR0652  + ('''Incorrect''' Endocarditis is often acco … '''Incorrect''' Endocarditis is often accompanied by fever , and presents as a new murmur or change in an existing murmur. It is diagnosed by blood cultures and vegetations on cardiac valves on echocardiography. The patient in this vignette does not display fever or other acute infective symptoms.y fever or other acute infective symptoms.)
• WBR0833  + ('''Incorrect''' Entamoeba is an anaerobic protozoan parasite that causes amebiasis.)