FINAL DIAGNOSIS

The list is a work in progress, kindly feel free to make corrections / additions but ensure that
your entire batch follows the same prescribed format in the exams
Dr. Parathan

CARDIOLOGY
Rheumatic heart diseases:
Rheumatic heart disease - Severe mitral stenosis, mild mitral regurgitation
with features of mild PAH , normal sinus rhythm, NYHA Class III,
no e/o infective endocarditis, CCF or rheumatic activity.
Cyanotic Congenital heart diseases:
1.Cyanotic Congenital heart diseases: TOF physiology probably TOF
NSR,NYHA II, no e/o CCF, IE
2.Cyanotic Congenital heart diseases: Eisenmenger physiology, probably ASD( S2 split)/VSD
(single S2)/PDA ( diff cyanosis)
NSR,NYHA II, no e/o CCF, IE
Acyanotic congenital heart disease:
Acyanotic congenital heart disease - L to R shunt VSD,
No e/o PAH, NSR, NYHA II with no e/o IE or CCF
Takayasu arteritis:
Takayasu arteritis with secondary hypertension with hypertensive retinopathy IV.
With AR
No e/o CCF
CCP
Restrictive physiology - CCP: Possibilities- tubercular, malignancy
NSR, NYHA II
No e/o CCF

PULMONOLOGY
ILD:
ILD- idiopathic / etiology
a/w PAH/ cor pulmonale
MRC grade III without respiratory failure
SVC syndrome;
Mediastinal mass with SVC syndrome- pre/post azygos :
etio Ca lung stage IV ECOG Grade 3
mMRC

No resp failure
Superior sulcus tumor:
Rt UL mass with Secondary horners syndrome with C8 T1 radiculopathy,
Probably Ca lung stage III ECOG Gr
mMRC No resp failure
COPD;
COPD not in exacerbation,
mMRC
Not in resp failure, No e/o PAH/cor pulmonale
Pleural effusion:
Right sided pleural effusion.etiomMRC
Not in resp failure
Bronchiectasis:
Suppurative lung disease- bronchiectasis/ lung abscess
R side/bilateral
EtiomMRC
not in resp failure
Fibrocavity:
R UL fibrocavitary disease. Etio- TB
mMRC, not in resp failure
Hydropneumothorax:
Rt hydropneumothorax. EtiomMRC, not in resp failure
Fibrothorax:
R fibrothorax
mMRC, not in resp failure
Collapse
R UL collapse. Etio- Endobronchial
mMRC, not in resp failure

GASTROENTEROLOGY
EHBO
Extrahepatic biliary obstruction- probably malignant

Possibilities- ca gall bladder +/- liver mets

Ca head of pancreas
Malnutrition
ECOG stage II
CLD:
Chronic liver disease with cirrhosis with PHTN - alcohol related
With decompensation- ascites
Jaundice
UGI bleed
Encephalopathy
Etio of decompensationAlcohol abuse / dependence
Malnutrition
Alcoholic hepatitis
Alcoholic liver disease alcoholic hepatitis with portal hypertension with decompensation
HCC
Chronic liver disease with cirrhosis with PHTN
With decompensation- ascites
Jaundice
UGI bleed
Encephalopathy
Etio of decompensation- ?HCC ECOG stage
Malnutrition
Chronic Budd Chiari Syndrome:
Chronic liver disease with cirrhosis with PHTN Etio- BCS
With decompensation- ascites
Jaundice
UGI bleed
Encephalopathy
Malnutrition
NCPF:
Non cirrhotic portal hypertension probably EHPVO/NCPF
Hepatosplenomegaly
1.Hepatosplenomegaly with anemia:
Possibilities
2.Hepatosplenomegaly with generalized lymphadenopathy
Lymphoreticular malignancy- NHL/CML
Anemia
ECOG stage

RIF mass;
Intraperitoneal/retroperitoneal RIF mass- possibilities
Liver cyst
Right hypochondrial intraperitoneal mass
Possiblities Hyadatid / ALA / Pyogenic abscess / Solitary HCC / Cystadenoma

NEUROLOGY
Neuropathy:
Chronic symmetrical (sensory predominant or sensorimotor) painful/ painless polyneuropathy
Complications- respiratory m involvement
Decubitus ulcers
CP Angle tumor:
Multiple extra axial contiguous cranial nerve palsies involving Rt VIII,VII, V1 with addl
cerebellar involvement probably Rt CP angle tumor
PSP:
Chronic progressive extrapyramidal syndrome with pyramidal/cognitive/supranuclear gaze palsy
MND:
Chronic asymmetrical onset progressive quadriparesis both UMN & LMN features
With bulbar/ facial/bladder involvement- ALS
CIDP:
Chronic progressive symmetrical areflexic quadriparesis LMN with/without resp involvement /
bifacial/ bulbar involvement
CIDP-etio
GBS:
Acute onset symmetric flaccid quadriparesis LMN type - progressive/static
+/- cranial, resp muscle , bladder/bowel
Etio- ?AIDP / ?porphyria / ???arsenic
MYELOPATHY:
Chronic spastic/flaccid quadri/paraplegia with spinothalamic/posterior column involvement level above C5 below foramen magnum
with involvement of neck, trunk bladder/bowel,
Compressive myelopathy-extramedullary/extradural
Etio-

CVJ:
Chronic spastic quadriparesis with spinothalamic / posterior column cords involvement with
lower cranial involvement, with cerebellum with bladder/bowel,
Possibility of a CVJ anomaly
no f/s/o increased ICT
SCA;
Chronic progressive symmetrical pancerebellar involvement
With other system involvement pyramidal/extrapyramidal/cognitive
Possibilities- SCA
MYOPATHY:
Chronic pure motor progressive symmetrical quadriparesis involving proximal m of both UL and
LL With facial / bulbar / EOM involvement with retained reflexes suggestive of LMN
involvement myopathy possibilities are

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