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1. Basilar skull fracture Characterized by 'Raccoon eyes'
(periorbital ecchymosis), CSF ot-
orrhea, and Battle's sign.
2. G6PD deficiency Identified by bite cells and Heinz
bodies on blood smear, hemolytic
anemia after fava bean ingestion.
3. Thyroid storm Occurs in a patient with hyperthy-
roidism who develops fever, tachy-
cardia, confusion, and vomiting
after surgery.
4. Neural tube defect Main concern with elevated AFP in
a pregnant woman's amniotic fluid
(e.g., spina bifida).
5. Hereditary spherocytosis Diagnosed with spherocytes, in-
creased osmotic fragility, and neg-
ative Coombs test.
6. Ankylosing spondylitis Associated with HLA-B27 positivity,
low back pain, and uveitis.
7. Ulnar nerve Attected in a patient with 'claw
hand' deformity and loss of sensa-
tion in the medial hand.
8. Left middle cerebral artery stroke Causes sudden onset unilateral
weakness, face droop, and ex-
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pressive aphasia attecting Broca's
area.
9. Pyruvate kinase deficiency Leads to impaired glycolysis and
nonspherocytic hemolytic anemia.
10. Granulosa cell tumor Identified by 'soap bubble' ap-
pearance on ovarian tumor histol-
ogy.
11. Streptococcus pneumoniae Most likely pathogen in a patient
with fever, cough with rusty spu-
tum, and lobar consolidation on
CXR.
12. Pheochromocytoma Diagnosed in a young patient with
episodic palpitations, diaphoresis,
hypertension, and elevated cate-
cholamines.
13. Portal hypertension Cause of ascites with SAAG >1.1,
low protein, and history of liver
disease.
14. Epiglottitis Characterized by 'thumb sign' on
lateral neck X-ray and patient
drooling with stridor.
15. Acute respiratory distress syndrome (ARDS) Identified by 'ground-glass' ap-
pearance on chest CT in a patient
with dittuse alveolar damage.
16. Primary hyperaldosteronism (Conn's syndrome)
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Likely diagnosis in a patient with
hypokalemia, metabolic alkalosis,
and hypertension.
17. Erythema nodosum Characterized by painful, raised,
erythematous nodules on anterior
shins.
18. Toxoplasma gondii encephalitis Most likely diagnosis for a
'ring-enhancing lesion' on brain
MRI in an HIV patient.
19. Retinal detachment Described as sudden painless loss
of vision like a 'curtain coming
down'.
20. Hodgkin lymphoma Diagnosed in a young adult
with fever, night sweats, and
painless cervical lymphadenopa-
thy (Reed-Sternberg cells).
21. Duchenne muscular dystrophy Characterized by diflculty climb-
ing stairs, Gower's sign, and calf
pseudohypertrophy.
22. Adrenal insufficiency Characterized by hyperpigmenta-
tion, hypotension, hyponatremia,
and hyperkalemia.
23. Hyperpigmentation, hypotension, hyponatremia, Addison's disease (primary adren-
and hyperkalemia — diagnosis? al insuflciency).
24. "Apple core" lesion seen on barium enema — Colorectal adenocarcinoma.
diagnosis?
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