¡Ya disponible! Investigación de Telegram 2025 — los principales insights del año 
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75. A 40-year-old female presents with left lower quadrant pain, fever, and leukocytosis. CT scan shows colonic wall thickening with pericolic fat stranding. The most likely diagnosis is:
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Hallmark of perforated peptic ulcer = sudden severe pain with board-like rigidity
Mnemonic: Ulcer burst → Rigid gut like a board.
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Sudden severe abdominal pain in afib patient → mesenteric ischemia
Mnemonic: Afib clot, gut rot = mesenteric crisis.
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73. A 60-year-old female with a history of atrial fibrillation presents with sudden severe abdominal pain, vomiting, and bloody diarrhea. On examination, she has abdominal distension and absent bowel sounds. The most likely diagnosis is:
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Bloody nipple discharge → intraductal papilloma
Mnemonic: Papilloma pops blood, not fibrous or ovaries.
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72. A 50-year-old woman presents with bloody nipple discharge. The most likely diagnosis is:
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Small bowel obstruction → colicky pain + air-fluid levels
Mnemonic:
Small bowel stuck = Air-water circus.
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71. A patient presents with colicky abdominal pain, distension, vomiting, and constipation. Abdominal X-ray shows multiple air-fluid levels. The most likely diagnosis is:
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Free air under diaphragm → perforated peptic ulcer
Mnemonic: Ulcer pops = Air hops under diaphragm.
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70. A patient with acute abdomen shows free air under the diaphragm on erect chest X-ray. The most likely diagnosis is:
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Late signs of acute appendicitis = Rovsing, Psoas, Obturator
Mnemonic: RPO = Really Painful Ouch.
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Mandatory vaccines after splenectomy → pneumococcal & meningococcal
Mnemonic: No spleen, clean scene: Pneumo & Meningo must go in.
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68. Which of the following vaccinations is mandatory after a splenectomy?
