Medical OSCES

Medical OSCES for medical students and PG Doctors

Menu
  • Home
  • Static Page
  • Radiology Cases
    • Neurology
    • Peadiactric
    • Chest
    • GIT
    • GUT
  • Radiology Notes
    • Neurology
    • Peadiactric
    • Chest
    • GIT
    • GUT
  • Lectures
    • Radiology
    • Anatomy
    • Physics
    • Radiography
  • Videos
  • Books
  • Surprise Me
Uncategories Baby with puffy eyes

Baby with puffy eyes

image

History
Freddie is a 3-year-old boy who presents to the paediatric clinic with a 2-day history of puffy eyes. His GP initially prescribed antihistamines but these have not helped. He is otherwise well. He has asthma, which is treated with budesonide 100  µg b.d. and salbutamol two to six puffs 4-hourly as necessary. He is on no other medication. His mother suffers from asthma and hay fever.


Examination
He looks well and is apyrexial. He has puffy eyes and pitting pedal oedema. Pulse is 112 beats/min, blood pressure is 103/70 mmHg and capillary refill is 2 s. There is no abdominal distension, tenderness or organomegaly. However, his scrotum appears oedematous. Respiratory rate is 28 breaths/min and there are no respiratory signs.

image

Questions


• What is the diagnosis?
• What other investigations should to be performed at presentation?
• What is the treatment?
• What are the complications of this condition?

Add Comment
  • Tweet
  • Share
  • Share
  • Share
  • Share

Related Posts

Post a Comment

Total Tayangan Laman

  • …

  • …

Weekly Posts

  • A old man presented with frontal headache
    A old man presented with frontal headache
    A 63-year-old man presented with a long-standing history of sinusitis and 3 weeks of frontal headache. The physical examination was unremark...
  • What is the diagnosis?
    What is the diagnosis?
    Question What is the diagnosis? Bowel infarction Crohn's disease Cystic fibrosis Echinococcosis Lead poisoning
  • A 23-year-old man after  motor vehicle accident
    A 23-year-old man after motor vehicle accident
    This 23-year-old man was involved in a motor vehicle accident. What is the diagnosis? Aortic dissection Cardiac rupture Diaphragmatic rup...
  • This patient presented with cough
    This patient presented with cough
    This patient presented with cough. What diagnosis accounts for the combination of findings on the bone scan? Adverse effect of chronic gl...

Label

  • Cardiology (12)
  • Chest x-ray (9)
  • CT Scans (6)
  • Dermatology (56)
  • ECG (2)
  • Endocrinology (10)
  • ENT (2)
  • Gastroenterology (15)
  • Genetics (6)
  • Gyn and Obs (5)
  • gynaecology (4)
  • Haematology (17)
  • Image Challenge (214)
  • Immunology (3)
  • infectious and parasitic disease (3)
  • Infectious disease (5)
  • Instruments (1)
  • Microbiology (2)
  • Musculoskeletal (3)
  • NEJ Cases (9)
  • Nephrology (2)
  • Neurology (15)
  • oncology (3)
  • Ophthalmology (13)
  • Orthopaedic (8)
  • Parasitology (4)
  • Peadiactrics (12)
  • Pediatric EMCQ (1)
  • Pediatric EMCQs (5)
  • Pharmacology (4)
  • Pulmonology (9)
  • Radiology (30)
  • Real Cases (5)
  • Rheumatology (7)
  • Skull X-ray (2)
  • Surgery (4)
  • Vascular surgery (1)
  • x-ray (6)

Contact

Name

Email *

Message *

Copyright © 2014 Medical OSCES All Right Reserved
Blogger Templates Created by Arlina Design