BIOSUP 2026

ETUDE DE CAS CLINIQUES

BIOSUP 2026

CONSIGNE :

En tant qu'internes du service, vous devez résoudre un cas clinique : - Analysez les symptômes et les différents résultats pour identifier éventuellement des anomalies.- Nommez la pathologie ou le syndrome en expliquant les résultats. - Précisez si des examens complémentaires sont nécessaires pour confirmer votre choix. - Traitement : Proposez une solution médicale et/ou des mesures de prévention adaptées.

CONSIGNE :

En tant qu'internes du service, vous devez résoudre un cas clinique : - Analysez les symptômes et les différents résultats pour identifier éventuellement des anomalies.- Nommez la pathologie ou le syndrome en expliquant les résultats. - Précisez si des examens complémentaires sont nécessaires pour confirmer votre choix. - Traitement : Proposez une solution médicale et/ou des mesures de prévention adaptées.

Sommaire

CAS 1 : M. JEAN

CAS 2 : M. DUVAL

CAS 3 : M. MARTIN

CAS 4 : Mme BERNIER

CAS 5 : Mme BLANC

CAS 6 : M. VIOLET

M. JEAN, 58 ans

Symptômes

Antécédents

Tension

Compte rendu de l'électrocardiogramme

Biologie et biochimie du sang

Echographie cardiaque

Compare les vidéo 1 et 2 (arrivée aux urgences) aux vidéo 3 et 4 (4 semaines après traitement)

Coronographie cardiaque

Un QCM pour t'aider

M. DUVAL, 62 ans

Symptômes

Antécédents

Tension artérielle

Biologie et biochimie du sang

Analyse d'urine

Un QCM pour t'aider

Mme BLANC, 62 ans

Symptômes

Antécédents

Constantes cliniques

Echographie cardiaque

Biologie et biochimie du sang

Electrocardiogramme

Un QCM pour t'aider

M. VIOLET, 32 ans

Consultation pour bilan de routine annuel pour renouvellement de licence de compétition de cycliste.

Symptômes

Antécédents

Constantes cliniques

Echographie cardiaque

Biologie et biochimie du sang

Electrocardiogramme

Un QCM pour t'aider

Valve aortique de Mme Blanc

Comparaison de valves tricuspides normales et calcifiées avec réduction d'ouverture

M. MARTIN, 58 ans

Symptômes

Antécédents

Echographie cardiaque

Biologie et biochimie du sang

Echographie-doppler de l'artère carotide

Un QCM pour t'aider

Mme BERNIER, 17 ans

Symptômes

Antécédents

Biologie et biochimie du sang

Echographie cardiaque

Echographie de contraste "épreuve aux bulles"

Un QCM pour t'aider

COMPTE-RENDU D'EXAMEN : ÉCHOCARDIOGRAPHIE TRANSTHORACIQUE (ETT) PATIENT : Mademoiselle BERNIER Chloé DATE : 20/01/2026 MÉDECIN : Dr. MOREAU, Cardiologue INDICATION : Bilan de malaises à l’effort et suspicion de cyanose d'effort chez une patiente de 17 ans.

DESCRIPTION : • Situs et connexions : Cœur en place, connexions auriculo-ventriculaires et ventriculo-artérielles normales. • Cavités gauches : Le ventricule gauche présente un diamètre diastolique normal (46 mm). Pas d'hypertrophie des parois. La fraction d'éjection (FEVG) est excellente, évaluée à 68 %. L'oreillette gauche n'est pas dilatée. • Cavités droites : Le ventricule droit est de taille normale, avec une bonne contractilité. L'oreillette droite présente une morphologie normale au repos. • Appareil valvulaire : Valves mitrale, aortique et tricuspide fines et mobiles. Absence de fuite ou de sténose significative. • Cloison inter-auriculaire (CIA) : La cloison semble intacte en mode B (noir et blanc). Aucun flux de passage n'est visualisé au Doppler couleur dans les conditions de repos. • Péricarde : Absence d'épanchement péricardique. CONCLUSION : Examen strictement normal au repos. Aucune anomalie structurelle ou fonctionnelle n'explique les symptômes rapportés. La continuité de la cloison inter-auriculaire paraît respectée. Note : Compte tenu de la symptomatologie clinique (cyanose à l'effort), une épreuve de contraste (test aux microbulles) est préconisée pour rechercher un Foramen Ovale Perméable (FOP) non visible au repos.

Résultats : Au repos : Les microbulles remplissent massivement l'oreillette droite (OD). Aucune bulle n'est observée dans l'oreillette gauche (OG) sur 10 cycles cardiaques. À l'effort (Manœuvre de Valsalva) : Suite à la levée de la pression (on demande à Chloé de bloquer sa respiration (effort), ce qui augmente la pression à droite), on observe un passage massif de microbulles (> 20 bulles) de l'OD vers l'OG en moins de 3 cycles.

Examen : Échocardiographie transthoracique (ETT). Observations : • Cavités cardiaques : Les dimensions des ventricules et des oreillettes sont dans les normes. Pas de dilatation constatée. • Myocarde : L'épaisseur du muscle cardiaque est normale. La contractilité est conservée (Fraction d'Éjection du Ventricule Gauche - FEGV > 60%). • Valves : Les valves (mitrale, tricuspide, aortique) présentent une ouverture et une fermeture normales, sans fuite ni rétrécissement. • Péricarde : Absence d'épanchement.

LABORATOIRE D'ANALYSES MÉDICALES "SANTÉ OCCITANIE" Dossier n° : 2026-01-18-042 Patient : M. Jean-Claude Duval. (62 ans) Médecin prescripteur : Dr. Martin Date du prélèvement : 18/01/2026

LABORATOIRE D'ANALYSES DE BIOLOGIE MÉDICALE (LABOSUD) 12, Avenue de la République, 75011 Paris Tel : 01.44.55.66.77 ________________________________________ PATIENT : Monsieur MARTIN Jean-Pierre Né le : 12/05/1968 Prescripteur : Dr. LECLERC Date du prélèvement : 15/11/2025 à 08h15 (à jeun)

1. L'image en noir et blanc (Mode B) : Permet de voir la structure de la paroi.On y distingue une zone plus sombre ou grisâtre qui "fait saillie" à l'intérieur du vaisseau : c'est la plaque d'athérome. 2. La couleur (Doppler) : Elle représente le flux sanguin. Là où la plaque est présente, le passage du sang est rétréci (sténose), ce qui modifie la vitesse et la couleur du flux sur l'écran.

Index

• Audio

• Text + image

• Quote

• Embedded content

• Section

• Interactive question

• Section break

• Conclusions

• Timeline

• Closure

• Graph + text

• Table + text

• List / process

• Video

• Text + icons

Use an image

Here you can include a relevant data point to highlight

Here you can include a relevant data point to highlight

Here you can include a relevant data point to highlight

Do you need more reasons to create dynamic content? Well: 90% of the information we absorb comes through sight, and we retain 42% more information when the contentis moving.

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Use an image

Did you know that Genially allows you to share your creation directly, without needing downloads? Ready for your audience to view it on any device and share it anywhere.

Résultats analyse de sang

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Examen clinique à l'hopitalisation

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M. JEAN

Admis aux urgences pour une douleur thoracique oppressante irradiant dans le bras gauche depuis 2 heures.

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Use an image

Did you know that Genially allows you to share your creation directly, without needing downloads? Ready for your audience to view it on any device and share it anywhere.

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Use an image

Did you know that Genially allows you to share your creation directly, without needing downloads? Ready for your audience to view it on any device and share it anywhere.

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Use an image

Did you know that Genially allows you to share your creation directly, without needing downloads? Ready for your audience to view it on any device and share it anywhere.

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Use an image

Did you know that Genially allows you to share your creation directly, without needing downloads? Ready for your audience to view it on any device and share it anywhere.

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Here you can include a relevant piece of information to highlight

Use an image

Did you know that Genially allows you to share your creation directly, without needing downloads? Ready for your audience to view it on any device and share it anywhere.

Gallery

Do you feel like your text is still missing something? Add animation to captivate your audience.

Text

With Genially templates, you can include visual resources to leave your audience amazed. You can also highlight a specific phrase or fact that will be etched in your audience's memory and even embed surprising external content: videos, photos, audios... Whatever you want!Do you need more reasons to create dynamic content? Here’s one: 90% of the information we assimilate comes to us through sight, and we retain 42% more information when the content is animated. What you read: interactivity and animation can turn the dullest content into something fun. At Genially, we use AI (Awesome Interactivity) in all our designs so you can level up with interactivity and turn your content into something that adds value and engages.

Text

What you read: interactivity and animation can turn the most boring content into something fun. At Genially, we use AI (Awesome Interactivity) in all our designs, so you can level up with interactivity and turn your content into something that adds value and engages.

When giving a presentation, you should pursue two objectives: convey information and avoid yawns. To achieve this, it may be good practice to create an outline and use words that stick in your audience's mind.If you want to provide additional information or develop the content in more detail, you can do so through your oral presentation. We recommend that you train your voice and practice: the best improvisation is always the most rehearsed!

'Your content is liked, but it engages much more if it is interactive'

Including quotes always strengthens our presentation.Breaks the monotony

- Always cite the author

Structureyour content

Sections like this will help you organize

Relevant data

+45k

+190

+85k

...Even if you laterexplain it orally

You can presentfigures this way

This way you will keep theattention of your audience

Show enthusiasm, flash a smile, and maintain eye contact with your audience: 'The eyes, chico. They never lie'.

If you are going to present live, we recommend that you train your voice and practice: the best improvisation is always the one that is well-prepared!

You can create a diagram to synthesize the content and use words that will stick in your audience's mind.

Relevant Data

50%

of our brain is involved in the processing of visual stimuli.

80%

of what we do and see,we remember

85%

purchases are emotional

Timeline

20xx

20xx

Communicate

Structure

20xx

20xx

20xx

Design

Plan

Surprise

Graph + text

Graphs are highly shareable, making them ideal for social media, and, as if that weren't enough: they tend to generate quality traffic for the content we create.

+190

+190

+190

You can displaynumbers this way

You can displaynumbers this way

You can displaynumbers this way

Graph + text

14.2k

Use this space to briefly describe your graph and its evolution.

60%

Graphics are highly shareable, making them ideal for social media, and to top it off: they tend to generate quality traffic in the content we create.

'Your content is liked, but it engages much more when it is interactive'

Here you can include arelevant highlight

80%

Table + text

Demonstrating enthusiasm, flashing a smile, and maintaining eye contact with your audience can be your best allies when telling stories that excite and spark the audience's interest: 'The eyes, chico. They never lie.' This will help you make a 'match' with your audience. Leave them speechless!

List / Process

Social beings

Visual beings

Narrative beings

We are capable of understanding images from millions of years ago, even from other cultures.

We need to interact with each other. We learn collaboratively.

We tell thousands and thousands of stories. ⅔ of our conversations are stories.

List / Process

A great presentation…

• It is clear and structured
• It tells stories hierarchically.
• It matches your audience.
• It adapts the fonts and colors to the theme.
• It includes images and entertains.
• It represents data with charts.
• It uses timelines.
• It is animated and interactive.
• It excites the brain through multimedia elements.
• It does not overdo the bullet points 🙃​.

Here you can includea relevant pieceof informationto highlight

Here you can includea relevant pieceof informationto highlight

Insert a video

Multimedia content is essential in a presentation, to leave everyone in awe. Furthermore, this way you will synthesize the content and keep your audience entertained.

Here you can include a relevant pieceof informationto highlight

Write a great text by clicking on Text in the left sidebar.Note: fonts, size, and color should match the theme youare addressing.

Text + icons

Although you shouldn't overuse bullet points, icons and diagrams can be great allies when telling stories.

A great title

Generate experiences with your content

A great title

Engage and surprise your audience

A great title

Measure results and experiment

A great title

Make your audience remember the message

Audio

This is a paragraph ready to contain creativity, experiences, and awesome stories.

The tone is usually formal and the vocabulary technical, so keep that in mind when writing.

It is essential to make the necessary checks. There should not be a single typo!

This is a paragraph ready to contain creativity, experiences, and awesome stories.

Inserted content

Map

Social network

Music

Interactive question

Interactive Question

Interactive question

Interactive Question

Conclusions

Tips to level up:

Describe the problem you solve and, above all, the reason why your idea is interesting

• Plan your strategy and set achievable goals.
• Prioritize the information to capture attention.
• Use interactivity and animation. They are your best allies to make the content engaging.
• Measure the results through Activity and analyze how they interact with your content with a premium plan.

'Your content is liked, but it engages much more if it is interactive'- Genially

Remember to publish!

• Une cyanose légère (lèvres et ongles bleutés) après l'effort. • Un essoufflement disproportionné par rapport à l'intensité de l'exercice. • Des maux de tête (migraines) fréquents après ses entraînements.

CONSTANTES CLINIQUES

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Our brain is biologically prepared to process visual content. Almost 50% of our brain is involved in processing visual stimuli.

Visual content is a cross-cutting, universal language, like music. We are capable of understanding images from millions of years ago, even from other cultures.

Disciplines such as Visual Thinking facilitate visually rich note-taking through the use of images, graphics, infographics, and simple drawings. Go for it!

-Le patient consulte pour des douleurs thoraciques survenant lors d'efforts physiques (monter des escaliers, marche rapide), disparaissant au repos Il décrit une sensation d'"oppression" au niveau de la poitrine. Il note également une fatigue accrue et parfois des essoufflements inhabituels.

Disciplines such as Visual Thinking facilitate the creation of visually rich notes through the use of images, graphics, infographics, and simple drawings. Go for it!

- Alimentation riche en sel- Peu d’activités physiques - Surpoids - Pas de traitements

• Compte - rendu : électrocardiogramme

Onde P : Normale (excitation des oreillettes). Complexe QRS : Normal (excitation des ventricules) Segment ST : Anormal - Au lieu de revenir à la ligne de base (ligne isoélectrique) après le QRS, le tracé reste "en haut".

Electrocardiogramme normal

Visual content is a universal, cross-cutting language, like music. We are able to understand images from millions of years ago, even from other cultures.

Electrocardiogramme

L'électrocardiogramme révèle une bradycardie

Repolarisation précoce avec un sus décalage du segment ST, très fréquent chez les sportifs. Signes d'hypertrophie ventriculaire : Les ondes sont de grande amplitude, reflétant l'augmentation de la masse musculaire du cœur.

Electrocardiogramme normal

Electrocardiogramme

Electrocardiogramme normal

Do you feel like your text is still missing something?Add animation to capture your audience.

• Activité : Sportive (pratique la natation en club).• Antécédents : Aucun, mais rapporte une fatigue inhabituelle lors des compétitions récentes.

• Profession : Cadre commercial (stress important, déplacements fréquents). • Antécédents : Tabagisme (1 paquet par jour depuis 20 ans), sédentarité.

Disciplines like Visual Thinking facilitate the creation of visually rich notes through the use of images, graphs, infographics, and simple drawings. Go for it!

Visual content is a cross-cutting, universal language, like music. We are capable of understanding images from millions of years ago, even from other cultures.

BIOLOGIE ET BIOCHIMIE du SANG

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- Fatigue- Oedèmes : Gonflements visibles au niveau des chevilles, des pieds et parfois des paupières le matin au réveil. - Essoufflement : Surtout à l'effort ou allongé - Nocturie : besoin d'aller uriner plusieurs fois par nuit - Des urines mousseuses : Cela indique la présence de protéines (albumine) dans l'urine

Bring your creation elements to life with animation. It's impossible not to pay attention to moving content!

.Coronographie de M. Jean présentant une occlusion de l'artère coronaire gauche

Bring your creation elements to life with animation. It's impossible not to payattention to content that moves!

Résultats - Analyse de sang -prélèvement + 3 heures

Write a great text by clicking on Text in the left sidebar.Note: fonts, size, and color should match the theme youare addressing.

CONSTANTES CLINIQUES

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ECHOGRAPHIE CARDIAQUE

When giving a presentation, there are two goals to pursue: to convey information and to avoid yawns. To achieve this, it can be a good practice to create an outline and use words that will be etched in the minds of your audience.

Write a great text by clicking on Text in the left sidebar. Note: the fonts, size, and color should match the theme you are working on.