Available now! Telegram Research 2025 β the year's key insights 
Internal medicine hub
Open in Telegram
IM tips & Q-bank for SMLE and part https://tellonym.me/user.IMhub/nhie Ask me here: @llqkq
Show more1 130
Subscribers
-124 hours
-27 days
+1030 days
Posts Archive
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?
ποΈ 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?
Ψ§ΩΨ΄ΩΨ± ΩΨ°Ψ§ ΨΉΩΨ―Ω ER rotation
ΨΨ§ΩΩΨ§ ΨΉΩΨ―Ω Ω
Ψ±ΩΨΆΩ ΩΨ§ΩΨͺΨ§ΩΩ:
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 π€?
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?
π 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?
π Test your self:
If youβre 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 π
17-year-old developed febrile neutropenia and shock post chemotherapy for lymphoma. What is the most appropriate initial antibiotic?
π 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?
