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Published  09/03/2009 Title: Structured Oral Examinations in Internal Medicine - Case H Resource Type: Standardized Patient Case Primary Author: Hani Almoallim, MD Institution: Umm Al-Qura University Description: Case H Summary (Systemic Lupus Erythematosus (SLE)): A 21-year old female, college student, presents to you with 8 weeks history of joints pains. She is not married and her menstrual period is regular. She does not smoke. She takes ibuprofen with temporary relief. She has pericardial chest pain, hair loss photosensitive rash, malar rash and mouth ulcers. She has polyarthritis and lymphadenopathy by physical exam. She has hemolytic anemia, pericarditis and glomerulonephritis. She has a positive .... Publication Associated with the Following Collections: Restricted Materials Submit A Comment Published  09/03/2009 Title: Structured Oral Examinations in Internal Medicine - Case I Resource Type: Standardized Patient Case Primary Author: Hani Almoallim, MD Institution: Umm Al-Qura University Description: Case I Summary (Brain Abscess): A-50 year old female brought to emergency room with complaints of fever, headache and projectile vomiting for 5 days duration. She had a right ear surgery two weeks ago for chronic otitis media. She is hypertensive on ACE inhibitors. She works as a tailor. She is febrile with no meningeal signs. There is papilledema and left upper limb weakness. She has leukocytosis with space occupying lesion on CT-scan brain. Publication Associated with the Following Collections: Restricted Materials Submit A Comment Published  09/02/2009 Title: Structured Oral Examinations in Internal Medicine - Case G Resource Type: Standardized Patient Case Primary Author: Hani Almoallim, MD Institution: Umm Al-Qura University Description: Case G Summary (Asthma): A 45-year old Saudi female teacher complains of recurrent breathlessness for the last 2 years, increasing to 2-3 times per week recently. She complains of wheezing and dry cough as well. She is allergic to penicillin, dust and perfumes. She is known to have hypertension. She has a history of nasal polyps¿ removal. Her physical exam demonstrates expiratory wheezes. Chest X-ray is hyperinflated and spirometry confirms the presence of reversible airway obstruction. Publication Associated with the Following Collections: Restricted Materials Submit A Comment Published  09/01/2009 Title: Structured Oral Examinations in Internal Medicine - Case F Resource Type: Standardized Patient Case Primary Author: Hani Almoallim, MD Institution: Umm Al-Qura University Description: Case F Summary (Upper Gastrointestinal Bleeding): A 68-year old male not known to have any medical illness, complains of passing black stool for 1 week and vomiting blood for a day. He has a prior history of a gastric ulcer. There are signs of volume depletion, lymphadenopathy and gastric mass. Complete blood count demonstrates microcytic hypochromic anemia. There are ischemic changes in ECG from severe anemia. The endoscopic biopsy confirms the presence of gastric adenocarcinoma. Publication Associated with the Following Collections: Restricted Materials Submit A Comment Published  08/31/2009 Title: Structured Oral Examinations in Internal Medicine - Case C Resource Type: Standardized Patient Case Primary Author: Hani Almoallim, MD Institution: Umm Al-Qura University Description: Case C Summary (Congestive Heart Failure (CHF)): A 65-year old male patient referred to your clinic complaining of progressive shortness of breath and lower limb edema for 2 months duration. He is a retired teacher. He does not take any medications and has no allergies. He is tachycardic with irregularly irregular pulse, hypoxemic, hypertensive and has signs of volume overload. ECG shows atrial fibrillation. Chest x-ray demonstrates pulmonary edema with cardiomegaly. Echocardiogram shows low EF. Publication Associated with the Following Collections: Restricted Materials Submit A Comment

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