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Dr.Haitham Hamoud | د.هيثم
@hemo_shk
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Physician, Medical Doctor 👨⚕️ #MEDHM #MedX #MedTwitter #Health #Medical #Education #ContinuingMedicalEducation #التعليم_الطبي_المستمر
Joined December 2015
Ans: Dx: 👉Sweet Syndrome: •It is a prototype of Neutrophilic Dermatoses characterized by sterile diffuse dense Neutrophilic infiltration of papillary dermis •Also known as "Acute Febrile Neutrophilic Dermatosis" Ddx: allergic reaction to an insect bite or sting? #MEDHM
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First-Ever Uterus Transplant in History The first-ever uterus transplant in the world was performed in Saudi Arabia in 2000. However, the transplant had complications, leading to the removal of the uterus after 99 days. First Successful Uterus Transplant (Resulting in Birth) The first successful uterus transplant, which resulted in a live birth, was performed in Sweden in 2014. A team led by Dr. Mats Brännström at the University of Gothenburg carried out the procedure, and the recipient gave birth to a healthy baby. Who Benefits from Uterus Transplants? The procedure primarily benefits women with Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome—a condition where women are born without a uterus or with an underdeveloped one. It can also help women who have lost their uterus due to medical conditions such as cancer or severe complications during childbirth.
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#Middle_Ear_Effusion Otitis media with effusion (OME), also known as serous otitis media or “glue ear,” is characterized by the presence of fluid in the middle ear without signs of acute infection. OME often follows an episode of acute otitis media (AOM) but can also result from Eustachian tube dysfunction in children, even without a prior AOM. Management of OME: •Observation: Many cases of OME resolve spontaneously within three months. Active observation is recommended during this period, especially if the child is not at risk for speech, language, or learning problems. •Hearing Evaluation: If OME persists for three months or longer, a hearing test is advised to assess the impact on hearing and determine the need for intervention. •Medical Therapies: Antihistamines, decongestants, antibiotics, and corticosteroids have not been proven effective for OME and are generally not recommended. •Surgical Intervention: For children with persistent OME lasting more than three months and associated hearing loss or other significant symptoms, surgical options may be considered. The primary surgical treatment is the insertion of tympanostomy tubes (grommets) to ventilate the middle ear and prevent fluid accumulation. Adenoidectomy may be considered, especially if there is nasal obstruction or a history of recurrent AOM. Regular follow-up is essential to monitor the resolution of OME, hearing status, and speech and language development. #MEDHM #MedX @IhabFathiSulima
12 years old boy with this tympanometry, see the video and tell us the diagnosis? @IhabFathiSulima #MEDHTM @hemo_shk @Jkbjb1 #TooCloseToDiagnose @MoarSahitoPTI
@MRCEMPREP
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Answer: Middle Ear Effusion Middle ear effusion (MEE) is the presence of fluid in the middle ear without signs of an active infection. It’s often linked to otitis media with effusion (OME) and is common in children but can also affect adults. Causes: •Eustachian tube dysfunction (due to colds, allergies, or sinus infections) •Residual fluid after an ear infection •Chronic inflammation (from allergies, pollution, or irritants like smoke) •Adenoid enlargement blocking the Eustachian tube Symptoms: •Muffled hearing or mild hearing loss •Ear fullness or pressure •Balance issues (in some cases) •No significant pain or fever (unlike acute ear infections) Diagnosis: •Otoscopy: Exam of the eardrum for fluid buildup •Tympanometry: Measures eardrum movement •Audiometry: Assesses hearing loss Treatment Options: ✅ Observation: Many cases resolve on their own within weeks ✅ Decongestants & antihistamines: If allergies contribute ✅ Autoinflation techniques: (Valsalva maneuver) to help drain fluid ✅ Myringotomy with tubes: If persistent for >3 months with hearing loss ✅ Adenoidectomy: If enlarged adenoids cause obstruction #MiddleEarEffusion #EarHealth #HearingCare
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Mongolian Spot (Slate Gray Nevus) A Mongolian spot is a benign, congenital birthmark that appears as a blue-gray patch, usually on a newborn’s lower back or buttocks. It occurs due to melanocytes trapped in the deeper skin layers and is more common in Asian, African, and Native American infants. These spots typically fade by age 3-5 and require no treatment. #MEDHM #MedX
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Patient presents with severe epigastric pain radiating into the back, What is the diagnosis? #MEDHM #MedX @IhabFathiSulima
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Polycyclic urticarial plaques with purpuric on her anterior thighs. #Urticarial_vasculitis is a condition characterized by urticarial lesions lasting longer than 24 hours, often resolving with purpura or hyperpigmentation. It involves small vessel inflammation (leukocytoclastic vasculitis) and may present with systemic symptoms like fever, arthralgia, or malaise. Diagnosis is confirmed with a skin biopsy showing vessel inflammation and laboratory evaluation for autoimmune or infectious causes. Mild cases are treated with antihistamines, while severe or systemic forms may require corticosteroids or immunosuppressants. #MedX #MEDHM @IhabFathiSulima
Spot the diagnosis? @IhabFathiSulima #MEDHTM @hemo_shk @Jkbjb1 #TooCloseToDiagnose @MoarSahitoPTI
@MRCEMPREP
@neoskinhealer
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