اکنون در دسترس! پژوهش تلگرام ۲۰۲۵ — مهمترین بینشهای سال 
Internal medicine hub
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💡 Today tips
Causes of bilateral fascial palsy:
- Lyme disease
- GBS
- Sarcoidosis
Pneumonia approach:
- use CURB-65 and/or PSI to decide inpatient vs outpatient management
CURB-65:
0–1 points “Low risk” → Outpatient treatment
2 points “Moderate risk” → Consider hospitalization
≥3 points “High risk” → Hospitalization (consider ICU for 4–5 points)
PSI:
Classes I–III “Low risk” → Consider outpatient treatment
Class IV–V “High risk” → Hospitalization recommended
45, known T2DM, presents with all the signs and symptoms of pneumonia. CXR shows right lobar pneumonia. All his vitals are stable. What is the most appropriate management?
🦴 Indications of surgery in OM:
- Acute osteomyelitis that fails to respond to medical therapy
- Chronic osteomyelitis
- Neurologic compromise
- Spinal instability
- Epidural abscess
- Infected prosthesis
Which of the following is NOT an indication for surgical intervention in osteomyelitis?
🦴 Indications of surgery in OM:
- Acute osteomyelitis that fails to respond to medical therapy
- Chronic osteomyelitis
- Neurologic compromise
- Spinal instability
- Epidural abscess
- Infected prosthesis
Which of the following is NOT an indication for surgical intervention in osteomyelitis?
Male presented with fever, hypotension, diffuse macular erythema, desquamation of the palms and soles, and multi-organ involvement, but with negative blood culture, What is the most likely diagnosis
26-year-old man with type I diabetes mellitus on insulin presents for regular follow-up and labs showed proteinuria. Which of the following is the most appropriate treatment?
What is the leading cause of death in an HIV-positive patient who is also a smoker?
patient with a history of gastroenteritis who recently took medication now presents with abnormal movements in the head and eyes. What is the most likely causative drug?
pregnant woman was recently exposed to a close contact diagnosed with N.meningitidis meningitis. Which of the following is the most appropriate prophylactic antibiotic for her?
25-year-old man presents with fever, headache, neck stiffness, and photophobia. Which of the following signs is most specific for meningitis?
👩🏻🌾 Heyde syndrome: “3As triads”
- Aortic stenosis
- Angiodysplesia
- Acquired von Willebrand syndrome.
📊 Test your self:
What syndrome affects the heart AND the Gastrointestinal system?
💊 Aortic aneurysm & antihypertensive:
- ACE inhibitors: reduced risk of aortic aneurysm rupture (AAA > TAA).
- beta-blockers: slow the growth of aneurysms.
- ARBs: decrease the rate of aortic root dilation in Marfan syndrome.
Which of the following medications is associated with a reduced risk of aortic aneurysm rupture?
