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SLE patient on steroid, azathioprine hydroxychloroquine Present with 3 week history of right hip pain with walking. O/E pain with internal rotation of right leg. XR unremarkable. Likely diagnosis ?
💡 Remember:
ECG in uremic pericarditis does not show typical diffuse ST and T wave elevation
Elderly patients known case of CKD, presented with low grade fever and pleuritic chest pain. ECG and Troponin unremarkable. What is the best next step?
Post-kidney transplant patient with a history of severe allergic reaction to sulfonamides requires PCP prophylaxis. Which drug should be prescribed?
💡 Remember:
Do not give antiplatelet therapy in place of anticoagulation, or in addition to anticoagulation for the purpose of preventing ischemic stroke and thromboembolism in patients with AF
64-year-old man is diagnosed with persistent atrial fibrillation. His past medical history includes hypertension and type 2 diabetes. What is next?
soldier is being deployed to the southern region of Saudi Arabia. Which of the following is the most appropriate option for malaria prophylaxis?
CKD patient presents with knee swelling since 2 days. On examination, joint is swollen and painful. There is no
evidence of infection or trauma. Which of the following is the best initial treatment?
Elderly female known case of CKD stage-4 present with pruritus for 3 days. Patient is vitality, clinically and lab wise unremarkable. What is the best next action?
🫁 Cornerstone in asthma management:
- Acute exacerbation (ER setting): Salbutamol (SABA)
- Chronic management (at home): Budesonide (steroid inhaler)
patient who is a heavy smoker presented to the ER with shortness of breath and wheezing. What immediate inhaler is recommended?
🎯 Causes of Thrombotic Microangiopathy (Hemolytic Anemia + schistocytes + Thrombocytopenia + organ dysfunction):
- TTP
- HUS
- DIC
- Preeclampsia
- Antiphospholipid syndrome
- Malignant HTN
- Scleroderma renal crisis
22-year-old woman presents with sharp right upper quadrant pain, fever, vaginal discharge, and cervical motion tenderness. LFTs are normal. What is the most likely diagnosis?
patient presents with pain in
ankles along with a vesicular rash on the palms. What is the most likely cause?
💡 Today tips:
In a patient with known Adult-onset Still’s disease who presents with:
- Normal or decrease WBC
- Falling ESR
- Elevated TGs
hemophagocytic lymphohistiocytosis (HLH) must be ruled out.
💡 Today tips:
In a patient with known Adult-onset Still’s disease who presents with:
- Normal or decrease WBC
- Falling ESR
- Elevated TGs
hemophagocytic lymphohistiocytosis (HLH) must be ruled out.
