₦airaland Forum

Lagusta: do you know that, in our final year class, we were served this question, only 8 of us (myself inclusive) got the diagnosis correctly... others were saying severe malaria, leptospirosis, etc.....

in fact, you are a genius!!!

Haha...I'm getting there.

1) High fever is most typically indicative of a viral infection.
2) Lethargy, Malaise and Fever are prodromes of viral infection.
3) Coffee-brown vomit indicates a haemorrhagic aetiology.
4) This person is a traveller to a Tropical region and probably lacks immunity to it. This viral infection should be common here.
5) What's the commonest tropical haemorrhagic viral disease? Yellow fever.

Sir pc: ok, but he does not have difficulty in breathing. As it is a core asthma symptom

His airways are not narrow enough to cause a noticeable difficulty in breathing. But narrow enough to cause a wheeze. The same wheeze he hears after a serious laughter episode.

Lagusta: only a genius will get this.....

a middle-aged white lady came into the country. two weeks later, She developed fever and malaise, later progressed to abdominal pains, headache, high fever and vomiting with 'coffee-grrounds' colour. on examination, She was pale, lethargic, pulse: 121 bpm, RR: 45 cpm.....

what is your diagnosis??

what should the patient have done before travelling

1- Yellow fever.

2- She should have been vaccinated beforre travelling.

Lagusta: m.esther96 is okay for me......

Bless you bro. Bless you.

Tenison96: More like mission impossible

I won't be the first to be curved.

Certainly not the last

Nomski0: Happy new year guys. I had no idea this thread existed.

100level.
Medicine.
University of Benin.

Welcome to the thread.

Dr Lagusta keep your eyes off this one

Tenison96: 16 bottles a week?

Sir pc: No he is not. Or less it is now developing

He should see a doctor.

When he does, he should mention the laughter-provoking cough+chest tightness/pain+heart racing feeling+wheezing. The doctor may either do some tests or place him on a bronchodilator and if he responds well- he makes his diagnosis.

Also, managing the condition involves avoiding triggers. Off the record, I used to have childhood asthma. Back then- crying almost always triggered an episode- just as you described. So I was almost never spanked

seriko: i get the feeling d pain is linked 2 my scrotum. from my investigations online d symptoms 2 varicocele. what do u think?

There are many causes of scrotal pain. A varicocele is one of the many. You need to see a doctor to do a scrotal/groin examination and decipher the cause.

A varicocele would almost always occur on your left groin. You'd feel it as a dull dragging ache. A varicocele will be obvious when you cough or increase intra-abdominal pressure(what we call Valsalva maneuver). Your sac would feel like a "bag of worms".

Book an appointment with your doctor.

Madam speaker: i experience loss of appetitie (or mayb fear of eating so dat i wnt go to d toilet),no fever e.t.c....i stool as many times as i eat..after a meal,some minutes after...my stomach will start singing,den i know its tym.

Right. Follow the advise in my initial post. Sorry.

Sir pc: (1) For about 2 years + now
(2) little chest pain some times
(3) small thing like that, saliva colour with little or no cough inside, have not smelt it
(4) some time ago, he had headache (malaria). Although, he had treated it;No, but after that heavy cough + heating-up of heart, as he breathes; one can hear a small whistling sound
(5) for now, laugh is the only activator
(6) No
(7) No, he has not even test smoking since birth
In addition, when he coughs initially, there is this sensasional moment he feels from the lung (i gues) up the throat. And since late last year, he has been having cattaar and soar throat more often than usual. Thanks for ur concern.

Is he asthmatic? You've just described a classical asthmatic patient for me.

Sir pc: (1) For about 2 years + now
(2) little chest pain some times
(3) small thing like that, saliva colour with little or no cough inside, have not smelt it
(4) some time ago, he had headache (malaria). Although, he had treated it;No, but after that heavy cough + heating-up of heart, as he breathes; one can hear a small whistling sound
(5) for now, laugh is the only activator
(6) No
(7) No, he has not even test smoking since birth
In addition, when he coughs initially, there is this sensasional moment he feels from the lung (i gues) up the throat. And since late last year, he has been having cattaar and soar throat more often than usual. Thanks for ur concern.

Is he asthmatic?

[quote author=ikemeneke][/quote]You might want to see this thread

www.nairaland.com/1025062/quantum-magnetic-resonance-analyser-more

seriko: hi doc, I ve been experiencing this dull ache around my left thigh/groin region occasionally while standing and mostly standing up. my research points at varicoceles, what do you think and what's the way forward, if possible could u recommend a competent urologist in Lagos.

Why do you think it's a varicocele? Can you share what you found out?

vicksbaba: Dr.lomaxx.....when I grow up, I want to be like you.... seriously!....... joeprince the second (can you feel the royalty in his name! ) wished you compliments of the season......

Compliments of the season bro. We will get there

damo53: ave being following dis trend from day 1...thinking I would join when I fall into d field of d great medics...buh here I am today reping dentistry/dental surgery ...unilag.......happy new year... docs...love ya all...so happy mehn...hope am welkomed

Welcome bro. Welcome

Johnfavour: Hello Medics. Compliments of d season. Please am a 300level biochemistry students of a university n I v been doing jamb to study medicine since i got admitted with my 1st jamb but i wasnt admitted for 2nd choice n indigene reasons, now i want to take jamb again coz i really love the profession. Am I welcomed?

You're more than welcome.

Why don't you sit for a while why I fetch you our popular drink around here

Babalola1990: A1: Acute Pancreatitis. A2 : Pleural effusion from exudate leakage of the excess amylase and lipase

You nailed it bro.

Very correct.

Sir pc: Happy new year @ all, my good friend is in unhealthy condition. According to him, when he laughs immersely, it will make him start coughing and as he coughs, his chest (heart) will be heating up so hard / painful but he does not cough out any tangible stuff. Doctors in the house / experienced minds, pls, what could be the cause of this problem and possibly it's solution/ remedy. Thanks in advance.

How long has he noticed this?

Does he have episodes of cough with chest pain independent of laughing?

When he coughs, what does he bring out? What's the colour? How plenty? Does it have any awful smell?

Does he have fever? Does he feel breathless?

Apart from laughing, what else makes his cough and/or chest pain severe?

If he takes in a deep breath, would he feel the chest pain?


Does he smoke? If yes, how often and how long? (Very important)

Madam speaker: abt 4 days now...tnx a lot...but wat is d meaning of OTC?...sm1 also told me dat my stomach is dirty...can dat b true?

OTC= over the counter (just like panadol for headache).

How many times do you pass the watery stool in a day?
Do you have nausea or vomitting, fever or loss of appetite? Any abdominal pain?

A 39-year old man has been taking 16 bottles of beer weekly for the past 9 months. Last week, he begins to feel a sharp pain in his epigastric region that radiates to the middle of his back and is relieved when he sits up and leans forward.

This pain has increasingly become severe on coughing, vigorous movement and deep breathing. He also has occasional episodes of nausea and vomitting. His serum amylase and lipase levels are abnormally high.

Q1- what is your most likely diagnosis ?

Q2- why would this patient come down with life-threatening respiratory insufficiency as a complication?

TemitopeOluseye: Hello Doc, am 24weeks pregnant and av been having discharge which is like a cottage cheese, itching but not smelling. What could be d solution pls?[/color][color=#000099]

Cottage cheese, itchy, non-smelly vag-inal discharge in a 24 week pregnant woman is clinically diagnostic of vag-inal candidiasis.

You need to see your doctor. While preparing to do so, on no account should you take oral anti-fungal drugs. It could be potentially harmful for your condition. You could give shots at the intra-vag.inal or topical regimen( I'm sure this is what your doctor will do).

But you still need to see your doctor.

Madam speaker: Doctor...pls,i av been having some problems with my stomach recently...anything i eat doznt stay in my body....after eating,i will go to d toilet...if i eat 3 times,i will go to d toilet 3 times...nd my stool is usually very watery....pls help me

How recently?.

Make sure you stay hydrated. Drink plenty water.
There's this drug "Lomotil". You can get it OTC and save your life. It saved mine few days ago (I was in your shoes )

diran18: Pls my baby is coughing for a while now and I have try some cough syrup but not so effective. She is just 7month old. So what best cough syrup can you pls
recommend. Tanks

Cough is a 'protective' symptom that means something is wrong with the respiratory tract. So far as the cause of the cough is not eradicated, no cough medicine will remove the cough.

The best approach to managing cough is not to take cough medicine. It is to find out: what's causing the cough?. And then tackle the cough from the roots .

Which is why you need to see a doctor.

spicyberry: Thankz a lot doctor, abt the postinor 2, I took the two tablets at once, and dats the way I have been taking it since I started using it

That's not how to take the drug. You have a couple of hormones messing with your menstrual cycle due to "overzealous" contraceptive usage.

Bbeyond: thanks so much doc. Pls doc, i'm jst 25 n i'm having shaky/jittering hands n legs mostly wen i'm tired or hungry. Every little thing i do dat requires effort such as (exercise, long run, dance, even singing) makes me very weak n dizzy dat I even lose balance. Secondly, I hardly keep tempo or sing to any beat without getting confused and weak n i would go off d tempo, even to dance or snap fingers to a beat is a problem. Pls is there any how I can get rid of these embarrassing problem? Thanks.

Have you checked your blood glucose level recently?

enyraver: pls my right eye do seem like wat am seeing is shaking,pls wat can i do to correct it?

johnstar: pls help, hvn lng sight problem, cn u treat my eyes

See an ophthalmologist.

spicyberry: Hello doctor, I have a problem, I had sex like 3 months agoo,the sperm did not enter my body, but just to be on a safer side, I took salt and water immediately, later that nite I had running stomach, the next morning I still took postinor 2 and andrew liver salt.Now the problem is dat since then I have not seen my period, have, done several home PT test which was negative , I also had a blood test, which was also negative, Pls help, what could be wrong

If the PT was negative, then a pregnancy should be the least of your worries. How did you take the postinor 2?

Besides, you should use only medically proven contraceptive techniques to avoid unnecessary systemic side effects.

Daft post!

2sexy.us:
Besides, if my GF should give me cash just help me out with some things. Bet it that I would refund it when it's due. That's just me.

So that tomorrow, when water pass garri, person pikin no go talk say na her money bin carry you go where you dey.

rill: Happy new year guys.
School resumes on 6th.
Just before the ASUU ish, we were already about 5 wks into our path/pharm posting, which was supposed to last for 8 weeks. But now, new time table says we are gonna have to start all over from week 1.
I sha sabi say one day, i go graduate...notin does Me

Wow! What school are you?

Emzybrown: Dr lomaxx auramine-rhodamine stain is an exogenous fluorescent dye. It stains mycobacterium tuberculosis, an allows for detection using fluorescent microscopy. It is a very sensitive and specific assay. I dont think nigerian laboratories can afford such a costly fluorescent microscope now. Happy new year.

We will get there.

Happy New Year.