Clinical Case Study
(1) From your research of the history and examination (not the investigation results), produce a differential diagnosis (list of possible causes) of at least two diseases. Explain how you reached your differential diagnosis. (300 words, 20 marks)
(2) Complete the table of the biochemistry results (100 words, 5 marks)
Give the normal ranges for the biochemistry results. Indicate whether Alfred’s results were high (↑), normal (→) or low (↓). Provide explanations for these results. Do not add cells to the table.
(3) Choose and describe ONE pathology test which has been performed (300 words, 20 marks)
Make clear reference to the pre-analytical, analytical and post-analytical stages of processing. Make sure that this is a PATHOLOGY test i.e. would be performed by one of the clinical disciplines in the pathology service.
(4) Interpretation of data (400 words, 25 marks)
Identify and explain the diagnosis of the patient with reference to the results of the investigations provided.
(5) Answer the following questions (400 words, 25 marks)
(a) Describe the lesion (abnormality) in the chest X-ray.
(b) Why did the urologist request the submission of three specimens?
(c) Why did the urologist specify early morning specimens?
(d) List which antibiotics might be used as treatments.
(e) Discuss the following issues regarding Alfred’s antibiotic treatment: route; combination therapy; drug resistance and length of therapy.
(f) Name and justify three further investigations you would order to determine the spread of the disease within the patient (i.e. not geographical spread).
(g) Describe the progress of the disease and the prognosis for the patient.