MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The patient was concerned about the attacks of fever that repeated periodically every third day. There is jaundice of scleras and skin, hepatosplenomegaly. What is the most probable diagnosis?
A
Yersiniosis
B
Sepsis
C
Hepatitis
D
Malaria
E
Leptospirosis
Explanation: 

Detailed explanation-1: -A diagnosis of typhoid fever can usually be confirmed by analysing samples of blood, poo, or pee. These will be examined under a microscope for the Salmonella typhi bacteria that cause the condition. The bacteria aren’t always detected the first time, so you may need to have a series of tests.

Detailed explanation-2: -The most common symptoms of paratyphoid infection include high fever, headaches, weakness, loss of appetite, and diarrhea or constipation. Some people get “rose-colored spots” on the front of the chest during the first week of illness.

Detailed explanation-3: -Fever follows a “step-ladder” pattern (i.e., fever rises one day, falls the subsequent morning, and continues to form peaks and troughs with insidious onset). Abdominal distress is frequently seen in typhoid fever.

Detailed explanation-4: -Fever that starts low and increases throughout the day, possibly reaching as high as 104 degrees Fahrenheit (40 degrees Celsius). Chills. Headache. Weakness and fatigue. Muscle aches. Stomach pain. Diarrhea or constipation. Rash. 28-Jan-2023

There is 1 question to complete.