Internal medicine review

09/06/2025

A 45-year-old women presents to the emergency department complaining of a high fever and pain around the flank area. She also mentions that she has had mild stinging while passing urine for the last 5 days, but she hasn't passed much urine since she developed a fever yesterday. She has a history of diabetes mellitus type II which has been poorly controlled.

Given the most likely diagnosis, which of the following structures is most at risk of co-infection?

1) Liver

2) Spleen

3) Transverse colon

4) Peritoneum

5) Psoas muscle

07/05/2025

A 64-year-old woman presents to the outpatient department with complaints of facial flushing, chronic diarrhoea and difficulty breathing for the last 2 months. You review her previous workup, which includes her biopsy reports that reveal a neuroendocrine tumour. Due to her frail condition, the multidisciplinary team decided that surgery would not be possible. Instead, treatment with octreotide, which is a synthetic version of the hormone somatostatin, is advised.

What cells produce this hormone in normal physiology?

A)D cells of the pancreas and stomach
B)G cells of the stomach
C)I cells of the upper small intestine
D)Parietal cells of the stomach
E)S cells of the upper small intestine

08/06/2024

This page supporting the
Pals.tinian..Gaz.aaah
People agains the genocide of Israe👹eel
We would back to medicine after the End of this terror..ism

18/04/2024

18/04/2024

13/04/2024

Laboratory finding in microangiopathic hymolytic anemia include
Elevated bilirubin & LDH
low Hb & haptoglubin
Schistocyte and reticulocyte on blood smear
Possibly thrombocytopenia
Other abnormalities directly related
to the underlying cause

13/04/2024

Corrected calcium should be calculated from the equation below in cases of hypoabluminemia.

Remember that always check s.albumin during assessment of calcium status.

13/04/2024

13/03/2024

You are looking after an 82-year-old woman who develops profuse diarrhoea. She recently completed a course of ciprofloxacin for a urinary tract infection. Two other patients in her bay also develop diarrhoea.

A stool culture is awaited.

What is the mechanism of transmission of the likely infectious agent?

Aerosol

Droplet

Faecal-oral route by ingestion of bacteria

Faecal-oral route by ingestion of spores

Waterborne

13/03/2024

Which one of the following conditions is NOT a common cause of vitamin B12 deficiency?

A- Diet deficiency of vitamin B12

B- Gastric bypass

C- Intrinsic factor deficiency

D- Malabsorption syndromes