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آرشیو پست ها
A first year intern is on call overnight for his internal medicine rotation. It's a
particularly slow night, so after doing a few admissions and playing a game
of table tennis with the other interns on call, he finally finds some time to
take a nap. He is awakened by his pager at 3am, and it's a nurse on one ofthe
floors calling to inform him that one of the patient's he is on coverage for is
complaining of chest pain. He asks the nurse to give the patient a dose of
morphine and to call him back if the pain is unrelieved. The next morning an
EKG is done by one of the nurses and the patient is found to have an ST
segment elevation myocardial infarction (STEMI)
[8/22] a 35 years old patient presented with blurring of vision and headache. report from an ophthalmologist includes macular star exudates and silver wiring of retinal vessels in both eyes.What is the best initial
evaluation recommended for this patient?
[6/51] Bilateral affection of spinal cord at the cervical level may produce the following syndrome:
🏁 The quiz 'surgery' has finished!
12 questions answered
🥇 @zegunna – 10 (9 min 37 sec)
🥈 Chachu Wako – 9 (5 min 42 sec)
🥉 Tesfaye Bayh – 9 (8 min 8 sec)
4. @Gobezass – 9 (10 min 26 sec)
5. @Yetigistfire – 8 (6 min 15 sec)
6. ሞgeስ – 8 (9 min 15 sec)
7. @aduyeyalem – 8 (12 min 10 sec)
8. @hussenhassa – 8 (12 min 42 sec)
9. Mati – 8 (13 min 9 sec)
10. @GMEDCR – 8 (14 min 16 sec)
11. @Ge219 – 7 (7 min 31 sec)
12. Elham Hussen – 7 (8 min 32 sec)
13. Mutoyyib Abdu – 7 (9 min 12 sec)
14. @NAttyGTM – 7 (9 min 40 sec)
15. ነኸምያ – 7 (9 min 43 sec)
16. @Birhanzel – 7 (10 min 8 sec)
17. ነአምን በ፩ዱ አምላክ – 7 (10 min 24 sec)
18. @Melisewabebe – 7 (10 min 34 sec)
19. @habtemusol – 7 (11 min 5 sec)
20. @Yotyor – 7 (11 min 15 sec)
🏆 Congratulations to the winners!
A Gravida III Para II at gestational age of 37 weeks comes with labor. Her first delivery
was uncomplicated vaginal delivery and the second was via C section for failed induction.
The current estimated fetal weight is 3000gm.
disseminated gonococcal infection
have all this features.
The clinical presentation of disseminated gonococcal infection (DGI) is typically divided into a
1. bacteremic form and
2. septic arthritis form.
bacteremic form
Approximately 60% of patients with DGI present with symptoms consistent with the bacteremic form, and the remaining 40% present with symptoms of more localized infection. Although each form has its own symptom complex, the overlap can be considerable. The time from initial infection to initial manifestations of disease ranges from 1 day to 3 months.[1]
In the bacteremic form (arthritis-dermatitis syndrome), symptoms are typically present 3-5 days before diagnosis
Migratory arthralgias are the most common presenting symptom in persons with DGI and are usually polyarticular. The arthralgias are typically asymmetric and tend to involve the upper extremities more than the lower extremities. The wrist, elbows, ankles, and knees are most commonly affected. Symptoms resolve spontaneously in 30-40% of cases or evolve into a septic arthritis in 1 or several joints.
Pain may also be due to tenosynovitis. The tenosynovitis of DGI is asymmetric and most commonly occurs over the dorsum of the wrist and hand, as well as over the metacarpophalangeal joints, ankles, and knees.
Diffuse involvement of fingers can result in dactylitis.[1]
The rash associated with the bacteremic form of DGI may be overlooked by patients because it is painless and nonpruritic and consists of small papular, pustular, or vesicular lesions. Other cutaneous lesions of DGI that have been reported are abscesses, cellulitis, petechiae, purpuric macules, necrotizing fasciitis, and vasculitis.[11]
Septic arthritis form
Joint signs and symptoms begin within days to weeks of gonococcal infection.[10]Patients may experience pain, redness, and swelling in 1 joint (or sometimes multiple joints), most commonly in a knee, wrist, ankle, or elbow.[1]
Medscape for more details
there may be subclinical thyrotoxicosis initially in subacute thyroiditis and hashimotothyroditis.so the correct answer may be subclinical thyrotoxicosis 2o to subacute thyrotoxicosis
I don't think surgery is the option for a pt on vena cava l syndrome
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. A 32-week-gestational age preterm male infant was diagnosed with a necrotizing enterocolitis and intestinal
perforation. About 55 cm of the small intestinal (ileum) was removed. He developed short gut syndrome. Total
parenteral nutrition (TPN) was started. He developed dry, thickened, and desquamated skin all over the body
