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.
Kenangan bersama Medical Student Facilitator Team (Muhamad Na'im B Ab Razak; Timbalan Pengarah 2007/2008-2008/2009)
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
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