hi guys and gals i appeared in the Adelaide exam and passed it. This exam was a mix of cases , some easy and some difficult but as usual all the clinical scenarios has direct bearing with Murtagh. so read murtagh well along with your AMC clinical handbook. the clinicAL scenarios are as follows: case 1: a 6 months old child recently came from overseas trip has low haemoglobin and 6 weeks history of diarrhoea. take history , ask for examination findings and counsel mother. buddies whenever dealing with a paediatric case always remember three things to ask : immunization, growth chart and diet history. the child had anemia with falling off the weight for age. fully immunized. very fussy in eating. diarrhoea started 6 weeks ago and is continuing. stools semiformed in nature with no blood. stools not bulky. no history of any recurrent infection, genetic disorder in the family. examination findings : pallor ++, no organomegaly, protuberant abdomen with muscle wasting. no findings in urine. choice of investigation: CBE, sweat chloride test, Hb electrophoresis to rule out thal., stool microscopy and culture to rule out any parasitic infection. Differential diagnosis: 1. dietary anemia secondary to poor oral iron intake. 2. protein energy malnutrition( unlikely) 3. parasitic infestation (recent oversease trip to tropics). 4. cystic fibrosis 5 malabsorption syndrome ( unlikely as it doesnt give anemia). guys i will post details of all the cases over time as i gotta work now. i have a off on monday so will post more details. anyways i am posting all the cases which came. case 2 : examination of a swelling on the face , just anterior to right ear , dermoid. case 3: 23 year old girl with RIF pain, beta HCG positive, simple cyst 5.5cm on right ovary. case 4: postnatal depression (typical from AMC book). case 5: 6 weeks old child with 1 day history of diarrhoea, counsel father. case 6: 24 year old female, LMP 20 weeks back, uterine size 30cm, was on overseas trip, no investigations done. counsel and manage. case 7: caeliac disease. case 8: bitemporal hemianopia, eye examination. case 9: anorexia nervosa case 10: 59 year old man with prostatism , undergoing TURP, counsel. case11: 6 year old child with limping , perthe's disease vs transient synovitis of hip. case12: pneumothorax (typical from AMC book). case13: 60 year old lady with lethargy, history and examination findings, investigate ( wait till monday as this one was tricky and it was not hypothyroidism). case14: 60 year old recently diagnosed with rheumatic arthritis , violin player, counsel. case 15: 22year man, fell off from motor bike, 15 mins unconcious, perform primary survery and counsel the patient and organize relevant investigation. case 16: 62 year old lady, profuse vaginal discharge , brownish yellow( case of atrophic vaginitis but rule out malignancy by hysteroscopy). i hope this is enough of a scholarly diet for 2 days. i promise i will give all the details of each and every case. if any queries just ask and i shall answer to best of my abilities. kind regards.