Tropical Medicine Clinical Cases and MCQs

Flashcards based on clinical case scenarios and tropical medicine MCQs involving Visceral leishmaniasis, Yellow fever, and Schistosomiasis.

A 25-year-old gentleman presented with a seven-month history of low-grade fever, dry cough, and diarrhea (3-4 motions per day, watery and lately blood-stained). Examination revealed cervical lymph nodes (firm, discrete, not tender) and a spleen of $8\,cm$ below the left subcostal margin. What is the most probable diagnosis?

Visceral leishmaniasis

A 30-year-old lady presented with fever, frontal headache, joint pains, and reddish urine. Examination showed a lemon tinge yellowish discoloration of the sclera. Laboratory results showed a total WBC count of $3.5 \times 10^3/\mu\text{L}$ and a platelet count of $75 \times 10^3/\mu\text{L}$. According to the provided files, what are the potential diagnoses for this patient?

Malaria (according to the exams file) or Yellow fever (according to Dawasir’s file)

In the case of the 25-year-old gentleman diagnosed with Visceral leishmaniasis, what were the specific findings regarding the spleen and cervical lymph nodes during the physical examination?

The patient had cervical lymph nodes that were firm, discrete, and not tender, and a firm non-tender spleen that was $8\,cm$ below the left subcostal margin.

For the 30-year-old lady presenting with lemon tinge jaundice and reddish urine, what specific finding was noted in the urine analysis?

Increased uroblinogen

A 28-year-old irrigation canal cleaner was treated with Praziquantel tablets for intestinal schistosomiasis. What criteria are listed for the assessment for achievement of cure?

Assessment is based on negative stool analysis for schistosoma ova, a negative ELISA test, or No demonstrable antibodies to adult gut antigen.

What were the laboratory reference ranges and the patient's specific values for WBCs and platelets in the case involving the 30-year-old lady?

The patient's total WBCs count was $3.5 \times 10^3/\mu\text{L}$ (reference range $3.6-11 \times 10^3/\mu\text{L}$) and the platelet count was $75 \times 10^3/\mu\text{L}$ (reference range $150-350 \times 10^3/\mu\text{L}$).