Doctoremia
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A doctor remains a student until his last breath. The moment he stops learning, he truly begins to die
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Channel Posts
| 2 | āĻāĻāĻāĻ¨ āĻĒā§āĻļā§āĻ¨ā§āĻāĻā§ āĻā§āĻžāĻ°ā§āĻĄā§ āĻ¨āĻŋā§ā§ āĻāĻ¸āĻ˛ā§āĻ¨ āĻāĻ¨āĻžāĻ° āĻŦāĻ¨ā§āĻ§ā§āĻ°āĻžāĨ¤
āĻ°āĻžāĻ¤ āĻ¤āĻāĻ¨ āĻŦāĻžāĻā§ ā§§ āĻāĻžāĨ¤
āĻŽā§āĻĄāĻŋāĻ¸āĻŋāĻ¨ āĻā§āĻžāĻ°ā§āĻĄā§ āĻŦāĻ¸ā§ āĻāĻĒāĻ¨āĻŋ āĻŽāĻļāĻž āĻŽāĻžāĻ°āĻā§āĻ¨āĨ¤
āĻ
āĻ¨ā§āĻāĻā§āĻ˛ā§ āĻāĻˇāĻ§ āĻā§ā§ā§ āĻĢā§āĻ˛āĻā§āĨ¤āĻā§ā§ā§ āĻā§āĻ˛ā§āĻā§ āĻĒāĻžāĻ¤āĻž āĻĢā§āĻ˛ā§ āĻĻāĻŋāĻā§āĨ¤
āĻā§āĻ āĻāĻžāĻ¨ā§āĻ¨āĻž āĻā§ āĻā§ā§ā§āĻā§āĨ¤
āĻ°ā§āĻā§āĻ° pupil dilated.. agitated... pulse āĻĻā§āĻāĻ˛ā§āĻ¨ tachycardia āĻšāĻā§āĻā§ āĻ
āĻ¨ā§āĻ,āĻāĻāĻŦāĻžāĻ° seizure āĻ āĻšā§ā§āĻā§āĨ¤
āĻ¸āĻžāĻĨā§ āĻ¸āĻžāĻĨā§ āĻāĻāĻāĻž āĻāĻ¸āĻŋāĻāĻŋ āĻāĻ°āĻ˛ā§āĻ¨
āĻāĻ¸āĻ˛ā§ widened QRS with QT prolongation...
AbG āĻ¤ā§ metabolic acidosis..
diagnosis āĻā§?
āĻā§ rx āĻĻāĻŋāĻŦā§āĻ¨? | 207 |
| 3 | A raised PaCO2 in acute asthma is an important sign that the patient is deteriorating and intubation may
be required. | 198 |
| 4 |  No text... | 750 |
| 5 | āĻāĻĒāĻ¨āĻŋ icu ,hdu doctor āĻšāĻŋāĻ¸āĻžāĻŦā§ āĻāĻā§āĻ¨!!
āĻāĻāĻāĻ¨ āĻ°ā§āĻā§ āĻ
āĻ¨ā§āĻ violent behaviour āĻāĻ°āĻā§āĻ¨āĨ¤
according to davidson āĻ¤āĻžāĻā§ āĻāĻĒāĻ¨āĻŋ
first line :Haloperidol 0.5mg āĻĻāĻŋāĻ¤ā§ āĻĒāĻžāĻ°āĻŦā§āĻ¨āĨ¤
second line:benzodiazepnine group āĻāĻ° āĻĄā§āĻ°āĻžāĻ āĻāĻŽāĻ°āĻž āĻĻā§āĻāĨ¤
(diazepam or lorazepam)
davidson āĻ āĻāĻ˛ā§āĻ˛ā§āĻ āĻ¨āĻž āĻĨāĻžāĻāĻ˛ā§ āĻāĻŽāĻ¨ āĻāĻāĻāĻž āĻĒā§āĻ°āĻžāĻāĻāĻŋāĻ¸ āĻšāĻā§āĻā§ :midazolam āĻĻā§ā§āĻžāĨ¤āĻāĻāĻžāĻ āĻāĻžāĻ āĻāĻ°ā§ āĻā§āĻŦāĨ¤
āĻāĻĒāĻ¨āĻŋ āĻāĻŋāĻāĻžāĻŦā§ āĻāĻāĻžāĻŦā§āĻ¨:
ā§§.āĻ§āĻ°ā§āĻ¨ āĻĒā§āĻļā§āĻ¨ā§āĻ old age..Oxygen saturation āĻŦāĻžā§ā§ āĻāĻŽā§āĨ¤āĻ¸āĻžāĻĨā§ āĻā§āĻŦāĻ violent...āĻ¸āĻžāĻ°āĻžāĻ°āĻžāĻ¤ āĻā§āĻŽāĻžāĻā§āĻā§āĻ¨ āĻ¨āĻžāĨ¤
copd āĻāĻā§ āĻāĻŋāĻāĻŦāĻž emphysema..or RTI...
āĻ¤āĻāĻ¨ āĻāĻĒāĻ¨āĻŋ Haloperidol choose āĻāĻ°āĻŦā§āĻ¨āĨ¤
āĻāĻžāĻ°āĻŖ respiratory issue āĻāĻā§ āĻāĻ°āĻāĻŽ āĻĒā§āĻļā§āĻ¨ā§āĻāĻā§ benzodiazepines āĻĻā§ā§āĻž āĻ°āĻŋāĻ¸ā§āĻāĻŋāĨ¤respiratory depression āĻāĻ°ā§āĨ¤ āĻ¸ā§āĻĒā§āĻļāĻžāĻ˛āĻŋ midazolam -severe respiratory depression āĻāĻ°ā§āĨ¤
āĻ¤āĻŦā§ ,haloperidol āĻāĻ° āĻ¸āĻŋāĻ°āĻŋā§āĻžāĻ¸ āĻ¸āĻžāĻāĻĄ āĻāĻĢā§āĻā§āĻ āĻšāĻā§āĻā§ dystonia āĻāĻ°ā§āĨ¤āĨ¤
āĻāĻāĻ¨ā§āĻ¯ āĻāĻŽāĻ°āĻž āĻ¸āĻžāĻĨā§ āĻāĻŽāĻžāĻĻā§āĻ° āĻŦāĻšā§āĻ˛ āĻĒāĻ°āĻŋāĻāĻŋāĻ¤ perkinil drug āĻāĻž āĻĻā§āĻāĨ¤āĻāĻāĻžāĻ° āĻā§āĻ¨ā§āĻ°āĻŋāĻ āĻ¨āĻžāĻŽ : procyclidine... āĻāĻāĻž extrapyramidal effect āĻĨā§āĻā§ āĻŦāĻžāĻāĻŋā§ā§ āĻ°āĻžāĻā§āĨ¤
halop perkinil combo āĻāĻāĻ¨ā§āĻ¯āĻ āĻā§āĻ¯ā§āĻ āĻāĻ°āĻž āĻšā§āĨ¤
āĻāĻŦāĻžāĻ° āĻ¯āĻžāĻĻā§āĻ° MI,previous arrhythmia history..SVT āĻāĻā§āĻ˛ā§ āĻāĻā§ āĻ¤āĻžāĻĻā§āĻ°āĻ Haloperidol āĻ¨āĻž āĻĻāĻŋā§ā§ benzodiazepines āĻĻā§ā§āĻžāĻ° āĻā§āĻˇā§āĻāĻž āĻāĻ°āĻŦā§āĻ¨,āĻāĻžāĻ°āĻŖ Haloperidol arrhythmia āĻāĻ°ā§āĨ¤
āĻĻāĻŋāĻ¨āĻļā§āĻˇā§ āĻ¯āĻ¤āĻ āĻĒā§āĻĨāĻŋāĻāĻ¤ āĻŦāĻŋāĻĻā§āĻ¯āĻž āĻĒā§āĻž āĻĨāĻžāĻā§āĻ,experience does matter..attending physician experienced āĻšāĻ˛ā§ āĻ¨āĻŋāĻā§āĻ āĻ
āĻ¨ā§āĻ āĻāĻŋāĻā§ āĻŽā§āĻ¯āĻžāĻ¨ā§āĻ āĻāĻ°ā§ āĻĢā§āĻ˛āĻ¤ā§ āĻĒāĻžāĻ°ā§āĻ¨āĨ¤āĻ¤āĻŦā§ āĻ
āĻŦāĻļā§āĻ¯āĻ what mind doesnât know..eyes cant see...!!
Dr Adnan Tamim | 751 |
| 6 | Histological findings associated with diabetic nephropathy include Kimmelstiel-Wilson lesions and nodular glomerulosclerosis. | 358 |
| 7 | đ§¨Narcolepsy is associated with low orexin (hypocretn) levels | 361 |
| 8 | Always replace vitamin B12 before folate - giving folate to a patient defcient in B12 can
precipitate subacute combined degeneraton of the cord | 369 |
| 9 |  No text... | 453 |
| 10 |  Atypical info of Cardiology series 1 | 1 118 |
| 11 | obesity can cause decreased BNP level
leading to a false negative for heart failure screening..
đĢĩāĻāĻŦāĻžāĻ° āĻāĻžāĻ°ā§ eGFR <60 āĻšāĻ˛ā§āĻ serum natriuretic peptide āĻŦāĻžā§āĻ¤ā§ āĻĒāĻžāĻ°ā§āĨ¤ | 442 |
| 12 | Ecg changes of ACUTE PERICARDITIS? | 453 |
| 13 | epsilon wave found in? | 467 |
| 14 | A 42-year-old man develops renal infarction, pulmonary embolism and cerebral ischemia over several days. He has known APS and rapidly develops multiorgan failure. What is the most likely diagnosis?
A. TTP
B. HUS
C. Catastrophic APS
D. DIC
E. HIT | 503 |
| 15 | Atrial Fibrillation āĻ Rhythm control āĻāĻ° āĻā§āĻˇā§āĻ¤ā§āĻ°ā§ :
đĢĩDavidsons principles and practice of medicine 25th edition : āĻĒā§āĻļā§āĻ¨ā§āĻ ā§¨ā§Ē āĻāĻ¨ā§āĻāĻžāĻ° āĻŽāĻ§ā§āĻ¯ā§ āĻāĻ¸āĻ˛ā§ rhythm control āĻāĻ°āĻ¤ā§ āĻŦāĻ˛ā§āĻā§āĨ¤
āĻ¯āĻĻāĻŋ ā§¨ā§Ē āĻāĻ¨ā§āĻāĻžāĻ° āĻĒāĻ° āĻāĻ¸ā§ āĻāĻŋāĻāĻŦāĻž duration uncertain āĻšā§,āĻ¤āĻžāĻšāĻ˛ā§ ā§Š āĻ¸āĻĒā§āĻ¤āĻžāĻš anticoagulant āĻ¨āĻŋāĻŦā§,āĻ¤āĻžāĻ°āĻĒāĻ° cardioversion āĻāĻ°āĻž āĻšāĻŦā§āĨ¤
cardioversion āĻāĻ°āĻžāĻ° āĻĒāĻ° āĻŽāĻŋāĻ¨āĻŋāĻŽāĻžāĻŽ ā§Ē āĻ¸āĻĒā§āĻ¤āĻžāĻš āĻĒāĻ°ā§āĻ¯āĻ¨ā§āĻ¤ anticoagulant maintain āĻāĻ°āĻŦā§āĨ¤
āĻ¤āĻžāĻšāĻ˛ā§,AF >24 h â delay cardioversion â âĨ3 weeks OAC OR imaging-guided cardioversion â cardioversion â âĨ4 weeks OAC â thereafter according to stroke risk.
(24th edition āĻĨā§āĻā§ āĻāĻ āĻā§āĻ¨ā§āĻāĻāĻž āĻ
āĻ¨ā§āĻ āĻāĻĒāĻĄā§āĻ āĻšā§ā§āĻā§āĨ¤) | 619 |
| 16 |  No text... | 658 |
| 17 | â Current Treatment of choice for primary prevention for variceal bleeding: Carvedilol (Davidson 25th) | 668 |
| 18 | * DIP + psoriasis â Psoriatic arthritis
* 1st MTP + needle/negative â Gout
* Knee + rhomboid/positive â CPPD
* Back pain + sacroiliitis â AS
* Dry eyes + dry mouth â SjÃļgren
* Malar + kidney â SLE
* CREST â limited scleroderma
* Renal crisis â diffuse scleroderma
* Gottron + heliotrope â Dermatomyositis
* Asthma + eosinophilia â EGPA
* Sinus + lung + kidney â GPA
* Pulseless young woman â Takayasu
* Old + headache + jaw claudication â GCA
* Shoulder/hip stiffness >50 â PMR
* Microaneurysms + HBV â PAN
* Purpura + abdominal pain + hematuria â IgA vasculitis
* Oral + genital ulcers + uveitis â Behçet
dr ali | 851 |
| 19 | Rheumatology: Buzzword Questions đĨ
1. Young woman with malar rash, photosensitivity, painless oral ulcers, and proteinuria. Anti-dsDNA is positive.
â SLE
2. Woman with symmetric MCP/PIP pain and morning stiffness lasting >1 hour. Anti-CCP is positive.
â Rheumatoid arthritis
3. Older woman with Heberden nodes and knee pain that worsens with activity; morning stiffness lasts 10 minutes.
â Osteoarthritis
4. Young man with chronic low back pain that improves with exercise and bilateral sacroiliitis.
â Ankylosing spondylitis
5. Patient with psoriasis develops DIP arthritis, nail pitting, and sausage-like fingers.
â Psoriatic arthritis
6. Man develops acute, exquisitely painful first MTP swelling. Synovial fluid shows needle-shaped, negatively birefringent crystals.
â Gout
7. Elderly patient with acute knee arthritis. Synovial fluid shows rhomboid-shaped, weakly positively birefringent crystals.
â CPPD/pseudogout
8. Woman with dry eyes, dry mouth, dental caries, and bilateral parotid enlargement. Anti-Ro is positive.
â SjÃļgren syndrome
9. Woman has Raynaud phenomenon, sclerodactyly, telangiectasias, esophageal dysmotility, and calcinosis.
â Limited systemic sclerosis (CREST)
10. Patient with diffuse skin thickening develops
sudden severe hypertension and acute kidney injury.
â Scleroderma renal crisis
11. Young woman with proximal muscle weakness, heliotrope rash, and Gottron papules. CK is elevated.
â Dermatomyositis
12. Patient has proximal muscle weakness and elevated CK but no characteristic skin findings. Muscle biopsy shows endomysial inflammation.
â Polymyositis
13. Patient with asthma, eosinophilia, sinusitis, pulmonary infiltrates, and peripheral neuropathy develops vasculitis.
â EGPA
14. Patient has chronic sinusitis, hemoptysis, cavitary lung lesions, and rapidly progressive glomerulonephritis. c-ANCA is positive.
â GPA
15. Patient has pulmonary hemorrhage and rapidly progressive glomerulonephritis. p-ANCA/MPO is positive, without granulomas.
â Microscopic polyangiitis
16. Young woman has arm claudication, absent radial pulses, carotid bruits, and unequal blood pressures between arms.
â Takayasu arteritis
17. 70-year-old woman develops new temporal headache, jaw claudication, elevated ESR, and transient visual loss.
â Giant cell arteritis
18. 70-year-old patient has bilateral shoulder and hip stiffness with markedly elevated ESR and normal CK.
â Polymyalgia rheumatica
19. Patient has abdominal pain, mononeuritis multiplex, hypertension, and renal ischemia. Angiography shows microaneurysms.
â Polyarteritis nodosa
20. Child develops palpable purpura on the legs, abdominal pain, arthralgia, and hematuria after an upper respiratory infection.
â IgA vasculitis
21. Young adult has recurrent oral and genital ulcers with uveitis and a positive pathergy test.
â Behçet disease
22. Patient develops arthritis, conjunctivitis, and urethritis several weeks after a genitourinary infection.
â Reactive arthritis
23. Young woman has recurrent miscarriages and DVTs. PTT is prolonged despite a hypercoagulable state.
â Antiphospholipid syndrome
24. Woman with SLE has recurrent fetal loss and positive anticardiolipin antibodies.
â Antiphospholipid syndrome
25. Patient has bilateral hilar lymphadenopathy, erythema nodosum, uveitis, and noncaseating granulomas.
â Sarcoidosis
26. Patient has chronic widespread pain, fatigue, and poor sleep but normal ESR, CK, and physical examination.
â Fibromyalgia
27. Patient develops migratory polyarthritis and carditis several weeks after untreated pharyngitis.
â Acute rheumatic fever
28. Young patient has urethritis followed by asymmetric oligoarthritis and heel pain.
â Reactive arthritis
29. RA patient develops splenomegaly and neutropenia.
â Felty syndrome
30. RA patient who works in coal mining develops pulmonary nodules.
â Caplan syndrome
The shortest possible recognition rules
* MCP/PIP + prolonged morning stiffness â RA | 728 |
| 20 | A 66-year-old woman came with a history of bilateral wrist and hand pain, which is worse in the mornings. You make a diagnosis of rheumatoid arthritis. Following unsuccessful treatment with a number of different medications, she is commenced on a trial of anakinra.
Which cell type is the main source of the cytokine that this drug blocks?
Options:
A. B cells
B. Macrophages
C. Natural killer cells
D. T helper cells
E. T killer cells | 573 |
