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patient who is a heavy smoker presented to the ER with shortness of breath and wheezing. What immediate inhaler is recommended?
๐ฏ 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?
๐ก Today tips:
In a patient with known Adult-onset Stillโs disease who presents with leukopenia, hemophagocytic lymphohistiocytosis (HLH) must be ruled out.
A patient with Adult-onset Stillโs disease is at increased risk of developing which of the following complications?
๐ก answer:
Calcium and Vitamin D Supplementation Recommended for patients starting prednisone โฅ7.5 mg/day and continuing for >3 months
๐ Test your self:
Under what duration and dosage of steroid therapy should calcium and vitamin D supplementation be considered?
Patient presenting with numbness of legs, who is known Type-2 DM2 and is well controlled.
Past history is significant for TB 4 months ago on anti-TB.
What is the best treatment?
A 67-year-old lady known case of CHF on ACEI, metoprolol and 2 diuretics, has no symptoms of heart failure, EF: 28%, what should you do next:
ุงูููุช ู
ุง ุงุณุนููู ุงูุฒู ุจุงูู ุงูุณููุงุชุ ุจุณ ุงุฐุง ุนูุฏูู
ุงู ุณุคุงู ู
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ูู ุชุฑุณูููู ููุญุงูู ูุญูู ุณูู ๐๐ป
๐ก Today tips
ESR can falsely increase with:
- Increase age
- Pregnancy
- Anemia
- Obesity
- ESRD
56-year-old male, 10-pack-year smoker, known case of a rheumatologic disease
on prednisone, had a normal colonoscopy 8 years ago. What is the most appropriate next step as screening?
patient is diagnosed with infective endocarditis, and blood cultures grow Streptococcus bovis (Streptococcus gallolyticus). What is the most appropriate next step in management?
๐ก REMEMBER:
Most common ECG findings if patient with PE is: sinus tachycardia
