A 64 years male patient having loss of weight, increased frequency of urination

and increased thirst and appetite came in OPD. Clinical biochemistry tests

show:

FBS: 194mg/dl
PPBS: 287mg/dl
.HbA1C:8.2%
.Urine: Benedict's Test -positive.

What is your interpretation?

Following are the laboratory findings of a patient: llowing are the laboratory findings of a patieni
Blood Biood:
pH:7.59
pH:7.21
HCO 25meq/L HGO;16meq/L
pCO 2Omm of H9 pCO 35mm of Hg
Urine:
Urine':
pH:7.8
NH decreased pH:5.6
Nri raised
What is your provisional diagnosis? What is your provisional diagnosis?
Following are the laboratory findings of a
patierni foliowing are the laboratory findings of
.

a
patien
Blood Blond
pH:7.58 pH:7.22
HCO,:37meq/L HCO :26meq/L
pCO 39mm of Hg pCO 82mm of Hg
Urine: Urine:
pH 8.1 pH 5.2
NH: decreased NH": raised
What is your provisional, diagnosis? What is your
provisional diagnosis?

A 37 year old male

patient, addicted to alcohol presents with severe
abdominal pain radiating to the back which reduces in
Clinical biochemistry tests show: stooping posture.

Serum amylase: 659U/L

Serum lipase: 798 U/L
CRP:63mg/L
Serum calcium: 6.3 mg/dl
What is your
interpretation?
A Six year old
Maldg boy was referred to Hospital with the problen1 of
aggressive behaviour and developmental delay.

At about one year old the mother noticed that his normal black liair
gradually changed to light brown. He was very destructive and
aggressive towards other children.

Urine:
Odour: Mousy

Ferric chloride test: Positive

(blue-green).
Dinitro-phenyl hydrazine test: Positive.
Cyanide nitroprusside test: Negative.
Urine amino-acid thin layer chromatography: band of increased
staining intensity; Rr matches with phenylalanine.

A 60 year old man came in hospital with severe chest

pain radiating to left
hand, nausea, sweating. Clinical biochemistry tests show:

Trop-I positive
(immunochromatography card)
CPK-MB: 106IU/L
CPK;396 IU/L
AST:210U/L
What is your interpretation?

i.e0oratory findings of Blood and Urine examinations in a 36 yuär old jaundiced

patient were as follows:
Blood:
Serum Bilirubin: Total... 14.0mg/dL
Conjugated.. 7.6mg/dL
Unconjugated.. 6.4mg/dl
Serum ALT: 580 IU/L
Serum AST: 478 IU/L
Serum ALP : 100 IU/L

Urine:
6ile salt: positive
Bile pigment: positive
Urobilinogen: present
What is your provisional Diagnosis?

A5 year old girl was brought to the hospital with the complaints of slow groeth
and bone pains. Investigations revealed the following:

Blood Glucose: 88mg/dL

Serum urea: 25mg/dL
Serum creatinine : 0.9 mg/dL
2
Serum Calcium: 7.5mg/dL
Serum inorganic Phosphorous 2.0mg/dL
Serum alkaline phophstase: 7001U/L ( Reference range in 4-15 year: 54-369 IU/L)

What is your provisional diagnosis?

 Laboratory findings of Blood and Urine examinalions in a 18 yoat olet jaounediee
patient were as follows:
Blood:
Serum Bilirubin: Total... 12.1mg/dL
Conjugated... 0.6mg/d
Unconjugated.. 11.5nmg/dL
Serum ALT: 28 IU/L
Serum AST: 23 IUU/L
Serum ALP 70 IU/L

Urine:
Bile salt: Absent
Bile pigment: Absent
Urobilinogen : Increased

What is your provisional Diagnosis?

A 60 year old male patient came to the emergency with connplains of severe
chest pain. Blood examinations revealed the followin1g:

AST: 210 UIL

ALT 35U/L
1
CPK: 300IU/L
CPK MB 1001U/L

What is your interpretation?

Laboratory findings of Blood and Urine exaninations in a 41 year old jaundiced
patient were as follows:
Blood:
Serum Bilirubin: Total...17.3mg/dL
Conjugated.. 15.6 mg/dL
Unconjugated.. 1.7mg/dL
(
Serum ALT: 38 IU/L
Serum AST: 35 IU/L
Serum ALP: 358 IU/L

Urine:
Bile salt: positive
Bile pigment: positive
Urobilinogen absent

What is your provisional Diagnosis?

Laboratory findings of Blood and Urine examinations in a 36 year old jaundiced

patient were as follows:
Blood:
Serum Bilirubin: Total...
14.0mg/dL
Conjugated... 7.6mg/d
Unconjugated... 6.4mgldL
Serum ALT: 580 IUIL
Serum AST: 478 IU/L
Serum ALP 100 IU/L

Urine
Bile salt: positive
Bile pigment: positive
Urobilinogen: present
What is your provisional Diagnosis?
 Laboratoryfindings of Blood and Urine examinations in a 41 year old jaundiced
patient were as follows:
Blood
Serum Bilirubin 17
Total.. 3mg/dL
Conjugated... 15.6 mgilt
Unconjugated... 1.7mgldl
Serum ALT: 38 IU/L
Serum AST: 35 IU/L
Serum ALP: 358IUL
Urine:
Bile salt: positive
Bile pigment: positive
Urobilinogen: absent
Whal is your provisional Diagnos:?
.. shild of stunted growth came to the hospital with large abdomen, difficuBty in
vision. Investigations revealed the following:

Blood Glucose: 50mg/dl

Urine:
Benedict's test: Orange ppt
Glucose oxidase test: negative

On examination the patient was fund to have cataract in both the lens.

What is your provisional diagnosis?

in unconscious statu.
A non-ambulatory beggar was brought to the hospital
Laboratory findings were as follows.

Blood Glucose:45mgldL
Blood pH:7.26
Blood HcO: 16meq/L
Urine:
Rothera's test: positive

What is your provisional diagnosis?

A 68 year old hypertensive male patient was admitted in the hospital with left
sided paralysis. Blood examinations revealed:

Blood Glucose: 115mg/dL

Serum Urea: 28mgldL
Serum Cholesterol: 325mgldL
Serum Triglyceride : 278mgldL
Serum HDL Cholesterol: 27mg/dL
Serum LDL Cholesterol: 210mg/dl

What is your interpretation??

 3
A six month old Nepalese boy was referred to Hospital with the problem of
aggressive behaviour and developmental delay.

Urine:
Colour: Dark on long standing, darkening from top to bottonm.

Benedict's test: Positive.

Redness in tip of the nose and ear lobule

Joint Pain: Mild present.