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A 61-year-old man presented to the emergency department with a week of hemorrhagic bullae involving his right chest, arm and back associated with “shock-like” pain.
@BrownJHM
1. What is the likely diagnosis?
2. Management?
#MedTwitter
#MedEd
@IhabFathiSulima
Opisthotonus Position - Tetanus
Tetanus is a bacterial infection caused by the bacterium Clostridium tetani.
The bacteria release a toxin called tetanospasmin, which affects the nervous system and leads to muscle stiffness and spasms.
Pathogenesis:
Tetanus occurs when the
@FadeHubb
Explanation:
Prichard Colon is a Puerto Rican professional boxer who suffered a life-changing brain injury during a boxing match in 2015.
On October 17, 2015, Colon was competing against Terrel Williams in a nationally televised Premier Boxing Champions event.
In the ninth
This 42 y/o man presented to the emergency department with a 2-day history of palpitations and dizziness.
1. What is the likely diagnosis?
2. What is this finding?
3. Cause?
#FOAMed
#MedEd
A 28-year-old female presents with 2 weeks of progressive gingival swelling and tenderness. On exam, there is localized gingival infiltration and whitening. She also has pancytopenia on CBC. What is the most likely diagnosis? Treatment?
#MedTwitter
@EM_RESUS
Echo Finding: Thrombus in Left Atria
Explanation:
A thrombus refers to a blood clot formed within a blood vessel or the heart.
In this case, the echo has revealed the presence of a thrombus specifically within the left atria of the heart.
The left atrium is one of the
A 27-year-old male basketball player sustained an abrasion on his left hand during a game yesterday. Today he presents with a painful red streak that starts at the abrasion site and extends proximally up his forearm.
What is the likely diagnosis?
#MedTwitter
@EM_RESUS
Flail chest
It is a serious condition that occurs when multiple ribs are fractured in two or more places, causing a segment of the chest wall to become detached from the rest of the chest.
This leads to paradoxical movement of the affected segment during breathing.
Etiology:
@EM_RESUS
The ECHO video shows a left ventricular clot that has dislodged and entered the systemic circulation.
This is a serious condition known as systemic embolism.
Echocardiography Findings:
Echocardiography is a diagnostic test that uses ultrasound waves to create images of the
@PicturesFoIder
Explanation:
His name is Amar Bharati, a sadhu or Hindu ascetic in India who has kept one arm raised overhead for over 40 years.
The prolonged holding of his arm up has led to a fixed deformity known as Volkmann's contracture.
In this condition, the muscles, tendons, and soft
A 1.5 y/o boy presents with a diffuse red rash as shown in the image. The rash has developed over the last 2 days. It is not itchy or painful and he has no other symptoms.
1. What is the likely condition?
2. What causes it?
#MedTwitter
#MedEd
@BrownJHM
Fitz-Hugh-Curtis Syndrome
Fitz-Hugh-Curtis syndrome is a rare condition characterized by inflammation of the liver capsule and adjacent peritoneal surfaces.
Etiology:
It is usually caused by a bacterial infection, most commonly Chlamydia trachomatis or Neisseria gonorrhoeae,
A 19 y/o F with no comorbidities presented with numbness and paraesthesia of the fingers along with this characteristic finding.
Diagnosis?
#MedTwitter
#MedEd
𝐀𝐝𝐫𝐞𝐧𝐚𝐥𝐢𝐧𝐞 (𝐄𝐩𝐢𝐧𝐞𝐩𝐡𝐫𝐢𝐧𝐞):
𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬:
1. Anaphylaxis:
Adrenaline is the 𝐟𝐢𝐫𝐬𝐭-𝐥𝐢𝐧𝐞 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 for anaphylaxis, a severe allergic reaction that can cause difficulty breathing, low blood pressure, and shock.
2. Cardiac
An HIV-positive man with a CD4 count <100/uL presents with a high-grade fever. Examination reveals the following finding.
1. What is the likely diagnosis?
2. Which sign is this?
#MedTwitter
#FOAMed
H/t - marrowmed
A 24-year-old man who works on a dairy farm presents with fever, chills, nausea, vomiting, and diarrhea of 5 days duration.
@NEJM
1. What is the most likely diagnosis?
2. Pathogenesis?
3. Management?
#MedTwitter
#FOAMed
@BrownJHM
Apthous Stomatitis aka Canker Sores
Etiology:
It is a common inflammatory condition of the oral mucosa.
The exact cause is unknown, but it is believed to be multifactorial, involving genetic predisposition, immune system dysregulation, and environmental factors.
𝐀𝐝𝐫𝐞𝐧𝐚𝐥𝐢𝐧𝐞 (𝐄𝐩𝐢𝐧𝐞𝐩𝐡𝐫𝐢𝐧𝐞):
𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬:
1. Anaphylaxis:
Adrenaline is the 𝐟𝐢𝐫𝐬𝐭-𝐥𝐢𝐧𝐞 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 for anaphylaxis, a severe allergic reaction that can cause difficulty breathing, low blood pressure, and shock.
2. Cardiac
𝐒𝐞𝐦𝐚𝐠𝐥𝐮𝐭𝐢𝐝𝐞 Shines for CV Protection in 𝐍𝐨𝐧-𝐃𝐢𝐚𝐛𝐞𝐭𝐢𝐜𝐬 :
#SELECT
Trial
Results from the SELECT trial presented at the
#AHA23
suggest 𝐬𝐞𝐦𝐚𝐠𝐥𝐮𝐭𝐢𝐝𝐞 can reduce 𝐜𝐚𝐫𝐝𝐢𝐨𝐯𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐞𝐯𝐞𝐧𝐭𝐬 and 𝐦𝐨𝐫𝐭𝐚𝐥𝐢𝐭𝐲.
The trial included
@FirstDoctor
Pityriasis Versicolor
Pityriasis Versicolor, aka Tinea Versicolor, is a common fungal infection of the skin caused by the yeast Malassezia furfur.
It usually affects the upper trunk, shoulders, and back.
The infection appears as small, scaly patches that may be lighter or
@DrPharmDMDTh
Atropine
Indications:
Atropine is used for various medical purposes, including:
- Treating bradycardia (slow heart rate) by increasing heart rate.
- Managing types of poisoning, such as organophosphate or nerve agent poisoning.
- Dilating the pupils for ophthalmic
A 7-month-old baby has assumed this posture when his head is turned to the left.
1. What could be the possible cause?
2. Is this normal for his age?
3. Until what age is it normal?
#MedEd
#FOAMed
This is worth your attention, give it a shot.
Match the cancer type to the first line standard chemotherapy regimen:
𝗖𝗮𝗻𝗰𝗲𝗿:
A. Lung cancer
B. Hodgkin's lymphoma
C. Testicular cancer
D. Ovarian Cancer
𝗖𝗵𝗲𝗺𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆
A 30 y/o G2P1 with a history of Wilson's disease, treated with medication throughout pregnancy, presented at delivery. The newborn was noted to have this.
1. What is the diagnosis?
2 Likely cause?
#MedTwitter
#MedEd
@EM_RESUS
The ECHO video shows a left ventricular clot that has dislodged and entered the systemic circulation.
This is a serious condition known as systemic embolism.
Echocardiography Findings:
Echocardiography is a diagnostic test that uses ultrasound waves to create images of the
@yabaleftonline
Explanation:
The preliminary laboratory investigations have revealed that Enterotoxigenic E. coli and Salmonella typhi are the causes of the illness in the students.
Severe diarrhea resulting from these infections led to electrolyte imbalances, which, in turn, caused