Case-based MCQ

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⏳ Case-based MCQ | #Case_465 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 14-year-old girl is brought into the ED by her mother as she is worried about her daughter's weight. On history, she has lost 13.5 kg in the last six months and admits to fatigue, dry skin, hair loss, constipation, and poor concentration at school. Upon hospital admission, the patient is started on nasogastric feeds to meet minimum caloric requirements. A few days after being admitted, the patient starts complaining of nausea, "stabbing" abdominal pain as well as vomiting without diarrhea. An abdominal radiograph shows a distended stomach but is otherwise normal.

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🧩 Medical Mnemonics Learn Saccular Aneurysm Characters remembering the name of MASHA; A 22-year-old Iranian woman has died after being arrested by Iran's morality police earlier. May Mahsa Amini rest in peace.🥀🖤 ✌We stand for #Woman_Life_Freedom. 💻 Join us on the official Instagram page: Online Medical School #neurology 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

⚠ 🔔 𝐒𝐀𝐕𝐄 𝐓𝐇𝐈𝐒 𝐋𝐈𝐒𝐓 𝐅𝐎𝐑 𝐀 𝐑𝐀𝐈𝐍𝐘 𝐃𝐀𝐘 ! ⤵ 1. 🧩 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗠𝗡𝗘𝗠𝗢𝗡𝗜𝗖𝗦 (𝗟𝗘𝗔𝗥𝗡 𝗘𝗔𝗦𝗜𝗟𝗬) 2. 𝗖𝗔𝗦𝗘 - 𝗕𝗔𝗦𝗘𝗗 𝗠𝗖𝗤𝗦 💯 3. 🇨🇦 𝗠𝗖𝗖𝗤𝗘 𝗣𝗥𝗘𝗣𝗔𝗥𝗔𝗧𝗜𝗢𝗡 4. 🩺 𝗘𝗗𝗟 𝗠𝗘𝗗𝗜𝗖𝗢𝗦 (𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗢𝗢𝗞𝗦 𝗔𝗡𝗗 𝗟𝗜𝗡𝗞𝗦) 5. 📚 𝗘𝗗𝗟 𝗣𝗛𝗔𝗥𝗠 6. 🏛 𝗢𝗡𝗟𝗜𝗡𝗘 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗦𝗖𝗛𝗢𝗢𝗟 7. 𝗥𝗘𝗦𝗜𝗗𝗘𝗡𝗖𝗬 𝗜𝗡 𝗚𝗘𝗥𝗠𝗔𝗡𝗬 🇩🇪 8. 𝗣𝗥𝗔𝗖𝗧𝗜𝗖𝗘 𝗜𝗡 𝗔𝗨𝗦𝗧𝗥𝗔𝗟𝗜𝗔 🇦🇺 9. 𝗠𝗕𝗕𝗦 & 𝗥𝗘𝗦𝗜𝗗𝗘𝗡𝗖𝗬 𝗜𝗡 𝗜𝗧𝗔𝗟𝗬 🇮🇹 10. 𝗥𝗘𝗦𝗜𝗗𝗘𝗡𝗖𝗬 𝗜𝗡 𝗨𝗞 🇬🇧 11. 𝗥𝗘𝗦𝗜𝗗𝗘𝗡𝗖𝗬 𝗜𝗡 𝗨𝗦 🇺🇸 12. 𝗥𝗘𝗦𝗜𝗗𝗘𝗡𝗖𝗬 𝗜𝗡 𝗖𝗔𝗡𝗔𝗗𝗔 🇨🇦 13. 𝗙𝗥𝗘𝗡𝗖𝗛 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗢𝗢𝗞𝗦 🇫🇷 14. 𝗚𝗘𝗥𝗠𝗔𝗡 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗢𝗢𝗞𝗦 🇩🇪 15. 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗥𝗘𝗦𝗘𝗔𝗥𝗖𝗛 🎓 16. 📸 𝗗𝗘𝗥𝗠𝗔𝗧𝗢𝗟𝗢𝗚𝗬 𝗔𝗧𝗟𝗔𝗦 17. 𝗢𝗘𝗧 𝗣𝗥𝗘𝗣𝗔𝗥𝗔𝗧𝗜𝗢𝗡 🔡 18. 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗔𝗠𝗔𝗭𝗢𝗡 🌐 19. 𝗠𝗘𝗗𝗜𝗖𝗖𝗢𝗨𝗡𝗧 - 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗔𝗖𝗖𝗢𝗨𝗡𝗧

Hello mates 🤗 A new Project from Medical Channels Union 🔬 MCU Research Collaboration We are so excited to announce that MCU welcomes the researchers with qualified resumes and those who are familiar with different types of medical research, scientific writing, and research methodology. They are invited to participate in our upcoming papers. Please send your CV to the following ID: 📲 @Mohamm_Ads

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🧩 Medical Mnemonics Ranson's criteria for prognostic indicator of mortality in #pancreatitis during first 48 hours 🦧 C - HOBBS ➕ Serum Calcium < 2 mmol/L ➕ Hct drop > 10% ➕ Arterial PO2 < 60 mmHg ➕ Base deficit > 4 mmol/L ➕ BUN rise > 1.8 mmol/L ➕ Estimated fluid Sequestration > 6L #gastroenterology #surgery 〰〰〰〰〰〰〰〰〰〰〰 ©Medical Mnemonics

Hi Doctors! This channel will help you remember things visually Notes with visuals are easy to remember and learn Join @AssumeNow

- Do you want to publish your paper in the High Impact journal? - Would you like your work to be seen in the best journals? 🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION 🔻 Feel Free to contact admin 👉 @Mohamm_ADs

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Mediccount is a Provider of Medical Accounts at a reasonable price to help you to be up-to-date! Genuine Medical Accounts are provided at unbelievable prices 🤩 - Basic Online 15$ - Basic Online+Offline 30$ - Advanced Online 20$ - Advanced Online+Offline 40$ - BMJ 15$ - NEJM Journal Watch 1-year Subscription account (Shared Account) 15$ - NEJM 15$ - Grammarly Premium - Subscription (1-year Subscription) 15$ - BoardVitals Medical Exam Prep Type 1 25$ / 6 months - BoardVitals Medical Exam Prep Type 2 80$ / 6 months - Epocrates Plus (1-year Subscription) 40$ - Clinicalkey 25$ - JAMA 15$ - Sanford Guide 15$ - Visual Dx 15$ 🎗 Contact admin to order: @mediccounts

- Do you want to publish your paper in the High Impact journal? - Would you like your work to be seen in the best journals? 🔷 We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION 🔻 Feel Free to contact admin 👉 @Mohamm_ADs

✔ D A perilymphatic fistula (choice D) between the middle and inner ear may be caused by barotrauma from scuba diving, as well as by direct blows, heavy weight-bearing, and excessive straining (e.g., with sneezing or bowel movements.) This patient's recent trip involved two of these potential factors. Most patients with fistulas find that their symptoms get worse with changes in altitude (elevators, airplanes, travel over mountain passes) or air pressure (weather changes). ⚠ Vestibular neuronitis (choice A) is a more sudden, unremitting syndrome. ⚠ Meniere's disease (choice B) is manifested by episodes of vertigo, associated with hearing loss and often with nausea and vomiting. ⚠ Benign paroxysmal positional vertigo (choice C) is more likely in older individuals and is associated with postural change. ⚠ Multiple sclerosis (choice E) requires symptoms in multiple areas and is not thought to be provoked by climate change. 🔖 Key point: A perilymphatic fistula between the middle and inner ear may be caused by barotrauma from scuba diving, as well as by direct blows, heavy weight-bearing, and excessive straining. Most patients with fistulas find that their symptoms get worse with changes in altitude (e.g., elevators, airplanes, travel over mountain passes) or air pressure.