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Finkelstein Test Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #neetpg2024

@zimt28 Check your DMs! Thanks for reaching out

RT @Alqasimi234: @neuralconsult De Quervain's tenosynovitis affects abductor pollcis longus(APL) & extensor pollcis brevis(EPB). Symptoms:…

@PaulGicher99193 Close! What is the physical maneuver shown?

RT @scottisaacsmd: Intermittent fasting at any time of day is effective for weight loss but no additional benefit over a Mediterranean diet…

@PeterJohns84 🎯

@nihardesai89 @DrAkhilX Glossitis and Hypersegmented Neutrophils Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #neetpg2025

Acute Period: Hyperglycemia vs. Hypoglycemia Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

Vagal Maneuvers Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

Ogilvie's Syndrome Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

A 68-year-old male with a history of hypertension and recent hip surgery presents to the emergency department with progressive abdominal distension and discomfort over the past three days. exhibits marked abdominal distension with tympanic percussion and decreased bowel sounds. Coronal CT is shown below. Diagnosis? Turn on notifications for tomorrow’s explanation! Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

High-Grade Astrocytoma in the Left Frontal Lobe Turn on notifications for tomorrow’s explanation! Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

A 59-year-old male presents with progressive personality changes and difficulty in executive functions over the past three months. MRI of the brain reveals a large, irregularly enhancing mass in the left frontal lobe, shown below. Diagnosis? Turn on notifications for tomorrow’s explanation! Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

@AOnyeogulu @PrecisionClinMe Probably! Good point

RT @Chege_jrn: @neuralconsult Digital Erythematosus lesions/also on other parts . ➡️ also a question we're the lesion since birth ? Charac…

Port-Wine Stain on the Hand Turn on notifications for tomorrow’s explanation! Check out medicine's best AI learning tool at 🧠 🎯 #MedX #MedTwitter #FOAMed #MedEd #USMLE #step1 #Step2CK #NEETPG

✅ C: Correct Answer: C. Osteoarthritis (OA) is the most likely diagnosis for this patient based on the clinical presentation and radiographic findings. OA is a degenerative joint disease characterized by the breakdown of cartilage and subsequent changes in the bone. Key clinical findings supporting this diagnosis include: 1) Joint pain that worsens with activity and improves with rest, typical of OA. 2) Morning stiffness lasting less than 30 minutes, distinguishing it from inflammatory arthritides like rheumatoid arthritis (RA), which typically have prolonged morning stiffness. 3) Bony enlargements of the distal interphalangeal joints (Heberden's nodes), common in OA. 4) Radiographic evidence of joint space narrowing and osteophyte formation, classic signs of OA. 5) Normal inflammatory markers (ESR and CRP) further support a non-inflammatory etiology. Treatment typically involves lifestyle modifications, physical therapy, pain management with acetaminophen or NSAIDs, and in advanced cases, surgical interventions such as joint replacement. ❌ A: Rheumatoid arthritis (Answer A) is an autoimmune inflammatory arthritis that primarily affects the small joints of the hands and feet. It is characterized by symmetric joint involvement, prolonged morning stiffness (>1 hour), and systemic symptoms such as fatigue. In RA, joints are often warm, swollen, and tender due to synovitis, which is not present in this case. The absence of significant synovitis, normal ESR and CRP, and the presence of bony enlargements and osteophytes make OA more likely than RA. RA would usually show erosions and periarticular osteopenia on radiographs rather than osteophytes. RA is also less common in the distal interphalangeal joints, which are affected in this patient. ❌ B: Gout (Answer B) is a form of inflammatory arthritis caused by the deposition of monosodium urate crystals within joints, leading to acute attacks of severe pain, redness, and swelling. It most commonly affects the first metatarsophalangeal joint (big toe) but can affect other joints. This patient's chronic, dull joint pain without acute flares, lack of significant swelling or redness, and normal inflammatory markers make gout unlikely. Gout is typically diagnosed by identifying urate crystals in synovial fluid during an acute attack, which is not applicable here. ❌ D: Psoriatic arthritis (Answer D) is an inflammatory arthritis associated with psoriasis, characterized by joint pain, stiffness, and swelling. It can affect any joint but often involves the distal interphalangeal joints and may present with dactylitis (sausage digits) and nail changes. However, psoriatic arthritis is typically associated with elevated inflammatory markers, which are normal in this patient. Additionally, there is no mention of psoriasis or nail changes, and the radiographic findings are more consistent with OA. Psoriatic arthritis would also typically show erosive changes rather than the osteophyte formation seen here.

@ross_prager Amazing!!