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IN THIS TOGETHER | Let's join our forces in strong unity and spread encouragement through these hard time
India
Joined June 2020
RT @AlishaAkhani: People in India have no idea how lucky they are to have the Indian healthcare system function the way it does.
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RT @deepti_bahl: The tragic incident involving a fellow medical professional is a profound violation of human dignity. We are deeply dist….
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RT @DrSaurav5: Kudos to our faculties, to best of my knowledge this is the first time that faculty association of AIIMS will be joining th….
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Spironolactone induced Gynecomastia . It is an adverse effect of Spironolactone. Mechanism:. 1. decreases testosterone production. 2. increases peripheral conversion of testosterone to estradiol. 3. displaces estradiol from their plasma-protein-binding sites.
Male patient receiving multiple antihypertensives, including a diuretic, presented with this. What’s the cause?
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RT @docxusofficial: Male patient receiving multiple antihypertensives, including a diuretic, presented with this. What’s the cause? https:/….
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RT @docxusofficial: Patient presents to an Eastern medicine practitioner with pain and numbness in the arm. What procedure is being perform….
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Scarlet Fever. Cause . → Streptococcus pyogenes (Group A Streptococcus). C/F:. → Sore throat.→ Bright red tongue with a “strawberry” appearance.→ Fine sandpaper-like rash. Tx:. → Antibiotics (Penicillin).
Patient presents with fever, rash, and an abnormally looking tongue. What is the diagnosis?
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Work up. - Blood glucose.- gonadal hormone levels.- pelvic ultrasound.- thyroid hormone levels.- cortisol levels.- imaging.
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Acanthosis Nigricans. Skin condition with dark patches, often in body folds like neck, armpits, & groin. Possible Causes:. Benign:. - Insulin resistance.- diabetes mellitus.- pcos.- thyroid disorder, adrenal gland disorders. Malignant: Stomach cancer. 1/2.
Patient presented with a 2-year history of hirsutism, and amenorrhea. What’s this finding?. How to work up this patient ?
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VIRAL Entry . ↓. virus infects cells of mouth, nose, throat . ↓. spread to lymphatics . ↓. primary replication in tissue of GI tract and oropharynx . ↓. primary (minor) viremia . ↓. invasion of the CNS & replication in motor neurons (MN). ↓. destruction of MN. ↓. paralysis.
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POLIOMYELITIS. It is an infectious disease characterized by (rare but devastating) cases of muscle weakness, permanent.paralysis. - Spread by fecal-oral route. RISK FACTORS. - Unvaccinated status.- Travel to countries endemic for poliovirus.
An unvaccinated patient from Pakistan presents with lower limb weakness and deformity in right leg as shown. Likely diagnosis?
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Zenker Diverticulum aka Pharyngeal Pouch. A posterior outpouching of the hypopharynx, just proximal to upper esophageal sphincter through a weakness in the muscle layer called Killian dehiscence. Barium Swallow shows the pouch during swallowing on the lateral view, at C5-6 level.
Barium swallow finding of a patient with dysphagia and regurgitation . Diagnosis?
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Cannon A Wave - AVNRT. Right atrium contracts -> Tricuspid valve closed -> Increased pressure in right atrium -> Cannon A waves occur -> Seen in atrioventricular nodal reentrant tachycardia. Treatment:. Adenosine, BB, CCBs, for acute management -> RFA for long-term treatment.
Patient presented with abrupt onset of heart palpitations and dyspnea. Likely diagnosis?
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This sign is false-positive in massive splenomegaly and distended bladder. (4/4).
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Previously resonant areas become dull if minimal fluid is present. Next, place a stethoscope over the umbilical region and scratch the abdominal wall from the periphery towards the umbilicus. A change in the quality of sound is perceived while crossing the fluid column. (3/4).
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The patient is instructed to lie in the prone position for 5 minutes and assume the all-fours position (arm-knee position) so that the middle portion of the abdomen is dependent and the back is horizontal. Now, percuss around the umbilicus and elicit dullness. (2/4).
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Puddle's Sign. This sign is used to detect the presence of minimal fluid when the flanks are resonant. It can be elicited either by percussion or by ausculto percussion. It can detect as little as 120 mL of ascitic fluid. (1/4).
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