Stagiaire medicine (6S-group A-B)

Causes of greasy stool: 1-Intestine: (coeliac IBD) 2-Pancreas: (Chronic pancreatitis CF) 3-Liver: (Primary biliary cholangitis , Primary sclerosing cholangitis , biliary atresia) 4-Drugs: cholysteramine 5-Infection: giardiasis

What are the causes of greasy oily stool? #hints #medicine

This patient's complaint is SOB because he's a case of COPD This is the tripod position of COPD px in order to reduce the work of breathing and the activity of scalenes and sternocleidomastoid muscles 3-BODE index is an assessment for prognosis which you should know idea about when encountering px with COPD 4-Long Term O2 Therapy is the only factor shown to improve prognosis

1-What do you think the complaint of this patient? 2-What is his possible disease? 3-Are there any prognostic factors for his disease? 4-What is the treatment line that improves his prognosis? #spot_diagnosis #medicine

Causes of dactylitis (sausage digit): 1-Sero negative spondylo-arthropathy 2-TB 3-Sickle cell anemia 4-Sarcoidosis 5-Gout

This patient has typical psoriatic arthritis(DIP involvement, subungual hyperkeratosis and nail pitting) And if you focus you will see differences in the size of the digits(called dactylitis or sausage digits) Finally, what are possible causes of sausage digits?

A 73-year-old man with uncontrolled hypertension is experiencing typical angina pain that is relieved with rest and sublingual nitroglycerin. He has a high blood pressure (181/93 mm Hg) and a low heart rate (53 bpm). Which is the most appropriate therapy for his angina at this time? A. Ranolazine B. Verapamil C. Metoprolol D. Amlodipine Explain your answer please?

Give the findings in this middle age patient with the possible Dx #spot_diagnosis #medicine

Q/What are non cardiac uses of CCB?

1-This patient has telangiectasia and dilated vein with microstomia, radial furrowing of lips and beaked nose The Dx is systemic sclerosis 2-Causes of telangiectasia : 1- systemic sclerosis 2- cirrhosis 3- dermatomyositis 4-SLE 5-steroid intake 6-hereditary hemorrhagic telangiectasia 7- atxia-telangiectasia 8- carcinoid 9- systemic mastocytosis

Spot diagnosis 1-Give the finding and the possible Dx 2- What are the DDx for this specific finding? #Medicine #hints

Causes of Erythema Nodosum: 1-infections: TB, Streptococcal, Mycoplasma 2-drugs: sulphonamides, halogens, penicillin 3-pregnancy, OCP 4-autoimmune: IBD, sarcoidosis, Behçet's disease 5-malignancies: lymphoma, carcinoid #medicine #hints

#session(Dr-waseem,haematology)Thanks naba

عاشت ايدكم شباب The differential diagnosis is broad but at least we should be familiar with some causes Although there might be overlap with other diseases according to the comorbid state of the patient, our DDX should be: 1-Coeliac disease (dermatitis herpeteformis) 2-IBD (erythema nodusum and pyoderma gangrenosum) 3-Addison's disease( usually present as GI complaints and hyperpigmentation) 4-Viral infections in pediatrics( measles, roseola) 5-Acrodermatitis enteropathica in children (zinc deficiency) 6-Pellagra (vitamin B3 deficiency with its famous 3Ds) 7-Carcinoid syndrome 8-Henoch-schonlein purpura in children 9-Systemic mastocytosis

What are the causes of diarrhea associated with skin manifestations? #medicine #hints

Constructional apraxia in patient with hepatic encephalopathy #medicine #hints Thanks to @Taqwa307 for sharing this photo

Viral hepatitis scenarios: 1-Viral hepatitis then present as sore throat petechial spots and easy fatigability= aplastic anemia(AA) as HB<10, platelets <100 and neutrophils<1500 2- 40 yrs old male diagnosed case of hepatitis B presented with fever night sweats weight loss, bilateral knee pain and swelling,palpable purpura and red color urine= polyarteritis nodosa causing systems symptoms, vasculitic rash and glomerulonephritis 3- patient has long standing hepatitis C recently started developing night sweats and palpable purpura on his legs with bilateral knee swelling and pain= Essential cryoglubulinemia Note: PAN=MAN always in men in association with hepatitis B 4- patient has chronic hepatitis then started to develop petechial rash, episodes of epitaxis and prolonged bleeding from any simple scratch= secondary immune thrombocytopenic purpura (ITP) 5- patient with long standing hepatitis C started to notice multiple lumps in his neck and axilla= lymphoma secondary to hepatitis C #medicine #hints

*Refractory ascites in cirrhotic patients: ascites not responding to max dose of diuretics (Spironolactone 400 mg and furosemide 160 mg) Or development of azotemia despite submaximal dose of diuretics Causes of refractory ascites: spontaneous bacterial peritonitis, portal vein thrombosis, hepatocellular carcinoma Mx: paracentesis or doing TIPS procedure (transjugular intrahepatic portosystemic shunt) Caution: TIPS is one of precipitating factors of hepatic encephalopathy #medicine #hints

صور ماكلاود بالاضافة الى السلايدات بهذني القنوات الدزوهن محمد وجعفر 👆