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Path block 3

CNS- 8
FGT- 10
MGT- 8
BONE-12
PANCREASS/LIVER- 15
ENDOCRINE- 15
RENAL- 12
GIT- 12
RESPIRATORY 8
8. woman not pleased with appearance has increased appetite BMI 38
and taking weight loss medication increase t3 low tsh negative thyroid
antibodies
-fascitous thyrotoxicosis
9. 56 woman cold hyperthyroidism causes of hypothyroidism in
america
autoimmune
10. ER with painful thyroid swelling no past medical history high 3 low
tsh had cold before
- multinucleated giant swells
11. radio active iodine uptake in 26 year old Caucasian thyroid
swelling increased uptake iodine
-> benign
56 year old painless neck mass normal thyroid levels
a. previous radiation exposure
12. increasec calcium low phosphate increase PTH primay
hyperparathyroidism
13. abdominal pain vomiting and weight loss- parathyroid
carcinomametasis to confirm diagnosis
14. 27 year old with graves with fever and high heart rate treat to
sympathetic excess
15. two week fever and visual disturbance, prominent eyeballs
discoloration of skin TSI antibodies

16. neck swelling increase t3 and t4 low tsh- graves disease (the
image)
17. 40 year old truck diver with head ache mass in sella turcica
2.5cm and has infertiligty
prolactinoma
18. gradual thickness in finger- acroemegaly
confirm diagnosis with glucose suppression test
19. thyroid gland histology with weight gain and low thyroid
hormones which complications associated
- b cell lymphoma
hyperthyroidism features, tsh t3 t4 elevated- patient has early
morning headache and vomiting rare case of hyperthyroidism
pituitary adenoma
20. women at ER with sudden onset of loss of consciousness after
fasting and increased C peptide
-

pancreatic tumour

21. diabetes at 17- testing with insulin and dietary control HA1bc
test
non-enzymatic glycozation
22. brain MR1 scan shows multiple tumours in grey white boundary
metastic brain tumour
23. 65 with squamous carcinoma of penis which has malignant
transformation
erythplasia of Querat
increased urination diluted urine and improvement of vasopression
meningitis
man with multiple brown plaques on peniss haft and goes away hes
sxually active
1. Bowenoid papulosis
Increasing forgetfulness he has huntingon damage to cadate and
putamen

29. history og iv drug abuse with mronign headache and comiting CNS
lymphoma
CD4 count HIV antibody screening
30. 56 alcoholic with subdural hemmorage- cerebral atrophy
31. waxing and waving episodes blinding in right eye MRI show plaques
in white matter- multiple sclerosis
seizures with brain enhancing lesion, pseudo palisading nucleigloblastoma
33. sudden fativue and skin bronzing low bp an d low sodium
increase potassium- primary adrenal insufncy- addisions
34. htn truncal obesity and moon face- 24 hour urine cortisol increased
high dose dexamethasone suprresion present- cushing
multiple skin burises and round face abdominal fat increased bp and
increased vanyl medylic acid
medullary thyroid carcinoma
head injury with loc and nauseas after with visual disturbance
papilledema and + IC pressure epidural middle meningeal artery
autosomal dominap PCKD berry aneurysm- loss of media
watershed infarction
39. early secondary sexul characteristics and fatigue and vomiting- low
cortisol and increase ACTH and androgens
- bilaterial hyperplasia of adrenal hyperplasia- congenital adrenal
hyperplasia
40. penile pain with urination,e dema and congestion- paraphimosis

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