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3658 Medicine

32Y/F presents to medicine opd with stridor and dry cough from last few weeks. she complains of difficulty in breathing on exeion and in resting condition as well . O/E she had Erythema Nodosum on lower limbs along with painful ahritis.B/L hilar lymphadenopathy Lab investigations had shown raised levels of Angiotensin conveing enzymes (ACE). Her chest radiograph is shown below.The probable diagnosis in this case is?

APneumonia
BSarcoidosis
CTuberculosis
DHistoplasmosis
Medicine
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3659 Medicine

A 30 year old presented with a skin lesion in his right axilla. A presumptive diagnosis of staphylococcal skin carbuncle is made & patient is treated with empiric trimethoprim/ sulfamethoxazole. After 2 days, the patient came to emergency with excessive weakness, abdominal pain & dark coloured urine. O/E- vitals are normal & jaundice is present. Lab studies show a drop in Hb from 14 g/dl to 8 g/dl & rise in bilirubin levels. Urine dipstick is positive for bilirubin. Peripheral blood smear is shown below. What could be the possible diagnosis of the patient?

AGlucose 6-phosphate dehydrogenase (G6PD) deficiency
BHemolytic-uremic syndrome
CHereditary spherocytosis
DIron deficiency anaemia
Medicine
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