Spring Blossoms 🌸🌺 Clinical Channel 😷🏥🏅

A 50-year-old woman presents to your clinic with multiple lumps. She has had these lumps for 20 years. The only complaint, apart from her concerns about the look of the lumps, is that they become painful at times. On examination, about 30 mobile subcutaneous lumps feel soft, rubbery, and lobulated when palpated. They are distributed bilaterally in her upper and lower extremities, chest, and back. She mentions that her mother has the same problem. She is otherwise healthy. Which one of the following is the most likely diagnosis?

Henry is 4 years old and has a 3 day history of fever. He presents to the Accident and Emergency department with a headache. A lumbar puncture is performed. You receive the following result from the laboratory: • Cerebrospinal fluid (CSF) microscopy: • 250 red blood cells/mm3 • 1200 neutrophils/mm3 • 250 lymphocytes/mm3 • CSF protein: 0.6 g/L • CSF glucose: 2.1 mmol/L • blood glucose: 7.2 mmol/L

rule of 10s for insulinomas 10% solitary 10% malignant 10% associated with MEN 10% ectopic

🌻Complications of Sjögren's syndrome: *Vision problems*: Dry eyes can damage the cornea, which is the clear outer layer of the eye. This can lead to blurred vision, corneal ulcers, and even vision loss. *Dental problems*: Dry mouth can increase your risk of cavities, gum disease, and tooth loss. *Lung problems*: Dryness can also affect the lungs, making you more susceptible to infections. *Kidney problems*: In some cases, Sjögren's can damage the kidneys. *Lymphoma*: People with Sjögren's have a slightly increased risk of developing lymphoma, a type of cancer that affects the white blood cells.

🌻Complications of Sjögren's syndrome: *Vision problems*: Dry eyes can damage the cornea, which is the clear outer layer of the eye. This can lead to blurred vision, corneal ulcers, and even vision loss. *Dental problems*: Dry mouth can increase your risk of cavities, gum disease, and tooth loss. *Lung problems*: Dryness can also affect the lungs, making you more susceptible to infections. *Kidney problems*: In some cases, Sjögren's can damage the kidneys. *Lymphoma*: People with Sjögren's have a slightly increased risk of developing lymphoma, a type of cancer that affects the white blood cells.

📌 توصي منظمة الصحة العالمية لجميع مرضى الأطفال مع الحصبة بأخذ vitamin A 🔻وجد أن أخذ vitamin A يقلل الوفيات ونسبة تفاقم المرض أيضاً 🔻يكون العلاج مرة واحدة باليوم لمدة يومان 🔻يعطى عن طريق للفم ويمكن أن يؤخذ مع الطعام أو الحليب 🔻بالنسبة للأطفال تحت عمر 24 شهر يمكن أن يؤخذ بفتح الكبسولة ونشر محتوياتها داخل الفم References : ♦️ Lexicomp 📕 Red book atlas of pediatric infectious disease , chapter 85

#معلومه_عالماشي *️⃣ أدوية تؤخذ على معدة ممتلئة ⬅️  المسكنات ♦️ (NSAIDS) *️⃣ أدوية تؤخذ على معدة فارغة ⬅️  أدوية القرحة ♦️ (PPIs) *️⃣ أدوية تؤخذ ليلاً في المساء ⬅️  أدوية الدهون ♦️(Statin) *️⃣ أدوية تؤخذ صباحاً  ⬅️  المدرات ♦️ (Diuretics) https://t.me/Dr_haron

🌻Indications for termination of pregnancy in Hyperemesis Gravidarum🌻 🍂Persistent severe vomiting after one week of treatment. 🍂Pulse is persistently above 100/min, temperature persistently above 38°C or the systolic blood pressure is persistently below 100 mmHg. 🍂Jaundice or bile in urine. 🍂Anuria, absence of chloride in urine, persistent albuminuria or high blood urea. 🍂Retinal haemorrhage or Werniche’s encephalopathy . Reference : Prof Khaled Soliman #Obs_Gyne

🍂Benefits of induction between 41-42 weeks • Fewer perinatal death • Lower risk of meconium aspiration syndrome (after 41 weeks) • However there was no change in assisted vaginal delivery rates or caesarean section rate Reference : ELBOHOTY #Obs_Gyne

🤔 Cystinosis: A lysosomal storage disease ☝️ Abnormal accumulation of cystine. 🧬 AR inheritance pattern 🔬 Free cystine in lysosomes ➡️ intracellular crystal formation . 👇👇❤️ 🔬 @LabMed2016