Oppurtunistic fungal infection

1) Describe the abnormality in picture A (1m)

2) What is the name of procedure B (1m)

3) Name the culture C and organism isolated (2m)

4) What is your provisional diagnosis (1m)

5) Give three predisposing factor for (4) to occur (3m)

6) Give two drugs to give to this patient (2m)

** Answer is provided below.. as usual, please do it on your own first.. And once again, MAWARDI and AZIZI jgn jeles.. dah jadi trademark ku dah lepas ni akan taruk picture after post.. hohohoho Merry Study!

(hehehe walaupun warna kulit hamper2 same tp kitorang bukan adik beradik.. Mungkin jadi sedare nanti bila die masuk Islam..hihihi doakan dia agar masuk Islam ek!Ameen!)

Answer

1) Thick, white-cream, raised and velvety lesion on tongue (oral thrust)

2) Esophagogastroduodenoscopy. (jangan tulis endoscopy.. Kena spesifik nama)

3) Blood culture, Candida albicans

4) Candidosis

5)

a) Immunodeficency (AIDS)

b) Prolong use of corticosteroid

c) Uncontrolled diabetes

d) Pregnancy

6)

a) Anti fungal (Nystatin, fluconazole,amphotericin B)

Vulvular Heart Disease

1) Name the abnormality seen in picture A, B and C (3m)

2) What is your provisional diagnosis (1m)

3) Name one causative agent (1m)

4) What other signs that you would like to look for (1m)

5) Name two investigation you would like to perform (2m)

6) Name two complication of the disease in organ other than hearts.

** answer is provided below.. huhu mawardi jangan jeles. aku upload gambo lagi kat bawah..huhu

** Sape2 yang ade mood leh tolong postkan note tak psl IE kat komen.. malas sgt2 nak bace...

1)

a) Splinter hemorrhage

b) Osler node

c) Janeway lesion

2) Infective endocarditis

3) Streptococcus viridians (gram +ve cocci is 90% out of other bacteria)

4) Roth spot in the retina, conjunctiva petichae, murmur on auscultation (vulvular regurgitation).

5) Blood culture, echocardiography

6)

a) kindney-glomerulonephritis

b) Lung- Pulmonary embolism

c) Brain- Middle cerebral artery infarction