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30F with SLE presents with neuropsychiatric symptoms. He has antineural antibodies. Which of the following is the most appropriate initial management for this patient?
patient presents with SOB and a productive cough that initially contained whitish sputum, which then turned greenish. CXR shows right-sided consolidation. What is the most likely diagnosis ?
Which autoantibody in autoimmune hepatitis is associated with increase disease severity and relapse following drug withdrawal?
🎙️ Positive serologic markers in patient with autoimmune hepatitis:
- Anti-liver/kidney microsomal antibody (LKM-1)
- Liver cytosol antibody (LC-1)
- Anti-nuclear antibody (ANA)
- Anti-smooth muscle antibody (ASMA)
- Anti-soluble liver/liver pancreas [anti-SLA/LP] antibodies
Female came for evaluation of elevated LFT. She is Asx, smoker and drinks alcohol. ANA +ve. Ferritin very high. TIBC high. HCV & HBsAg -ve. US Enlarged liver with no focal lesion. most likely cause is
What is the drug that has the greatest impact on increasing prolactin levels?
Female presents with galactorrhea, fatigue, irregular menses & headache for the last 5 months. pregnancy test -ve
TSH 16 , T4 9.2 , Prolactin 1000
Which is the most appropriate management?
National Heart Center/Saudi Heart Association 2023 Guidelines on the Management of Hypertension, recommendation summary
56F with incidental finding of high lipase 140, H&E unremarkable, what is the next step?
الشهر هذا عندي ER rotation
حاليا عندي مريضه كالتالي:
56 Y/O female, known case of
- DM
- IHD
- history of right femoral Fx 6m ago
Presented with 1 months history of lower back pain, radiated to right lower knee without alarm feature
Denied abdominal pain, GB stone or vomit
Lumber XR: no fracture
Labs unremarkable except for lipase which is 140
What should I do 🤔?
23M presented to clinic complaining of abdominal pain, tenesmus, diarrhea and bloody stool last 2 weeks with abdominal distension and mild tenderness. high ESR and WBC. What is the next step?
🔎 Tips:
Electrolyte imbalances cause long QT interval:
1- hypo-kalemia
2- hypo-magnesemia
3- hypo-calcemia
Medication cause long QT interval:
1- Antibiotics: macrolide & FQs
3- antiemetics: ondansetron
4- tricyclic antidepressants
5- Antiarrhythmics: class Ia & III
female presented to the ER with twitching and spasm in her right arm.
ECG shows a wide QT interval. What is the initial management?
📊 Test your self:
If you’re working in a hospital where vancomycin is out of stock, and the ER refers a patient with suspected pneumonia, highly suspecting MRSA pneumonia, which antibiotic would you initiate? A - Daptomycin B - Linezolid
Please explain your reasoning 😒
17-year-old developed febrile neutropenia and shock post chemotherapy for lymphoma. What is the most appropriate initial antibiotic?
📊 Test your self:
- What is the side effect of IV iron?
- is there is any specific measures can be carried to decrease these or one of the SE?
