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This page is for all important and common questions in exam

18/10/2024

46-year-old woman presented with these lesions.

No response to antibiotic agents.

Increased in size, and painful.

Likely diagnosis?

Acute Febrile Neutrophilic Dermatosis

A biopsy was performed, and a diagnosis of acute febrile neutrophilic dermatosis was made.

26/08/2024

Cardiogenic shock reminder -
A management approach:

03/06/2024

American Heart Association proposes to omit the following terminologies in it's latest scientific statement (May 2014)

❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙪𝙧𝙜𝙚𝙣𝙘𝙮

❌️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙘𝙧𝙞𝙨𝙞𝙨

Use of subjective emotive language such as 𝙘𝙧𝙞𝙨𝙞𝙨 and 𝙪𝙧𝙜𝙚𝙣𝙘𝙮 fail to acknowledge the nuances of treatment decisions and may encourage unnecessary antihypertensive treatment.

Therefore in a statement paper from AHA in May 2024, it is proposed the following objective terminology:

✅️ 𝙃𝙮𝙥𝙚𝙧𝙩𝙚𝙣𝙨𝙞𝙫𝙚 𝙚𝙢𝙚𝙧𝙜𝙚𝙣𝙘𝙮
🔸️SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage

✅️ 𝘼𝙨𝙮𝙢𝙥𝙩𝙤𝙢𝙖𝙩𝙞𝙘 𝙢𝙖𝙧𝙠𝙚𝙙𝙡𝙮 𝙚𝙡𝙚𝙫𝙖𝙩𝙚𝙙 𝙞𝙣𝙥𝙖𝙩𝙞𝙚𝙣𝙩 𝘽𝙋
🔸️SBP/ DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage

✅️ 𝘼𝙨𝙮𝙢𝙥𝙩𝙤𝙢𝙖𝙩𝙞𝙘 𝙚𝙡𝙚𝙫𝙖𝙩𝙚𝙙 𝙞𝙣𝙥𝙖𝙩𝙞𝙚𝙣𝙩 𝘽𝙋
🔸️SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage.

Source : The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association

https://www.ahajournals.org/doi/10.1161/HYP.0000000000000238?utm_campaign=sciencenews23-24&utm_source=science-news&utm_medium=phd-link&utm_content=phd-05-28-24 #

31/05/2024

Medicine residents!!!! Patient came with platelet counts of 30,000, with no history of bleed. You ordered a peripheral film morphology review? Here what you see. What is this?

Image: The blood project
Basically a lot of times due to the EDTA anticoagulant in the blood tube, phenomenon of platelet clumping is seen. This happens due to naturally occurring autoantibody against an epitope on GPIIbIIIa thats exposed by the EDTA. This causes, in vitro ( only in the tube and not in your body) clumping of platelets.
The counting machine has a specific size to measure a platelet as a platelet and so these clumps are missed and a falsely low count is reported by the automated analyzer. Which in actual is normal or atleast far higher than what reported.

31/05/2024

Dandy walker syndrome :
absent of cerebellum

28/05/2024

Intervertebral disc diseases.

25/05/2024

Tomahawk intubation.
Also known as "face-to-face", "inverse", or "pickaxe" intubation, is a technique for intubating patients who cannot be safely placed in a supine position.

https://youtu.be/HIrf4OxMbeQ?si=SDsyTIDQKEzWmmWu

19/05/2024

The clamshell incision for bilateral lung transplantation.

13/01/2024

❓How to Assess Mature Fistula ?
👁️LOOK
👂LISTEN
👉FEEL
🙋ARM RAISE

13/01/2024

💊Antibiotic choice for cyst infection/UTI in ADPKD

✅Lipid soluble antibiotics preferentially with high cyst pe*******on

👍Fluoroquinolones

Or

👍Trimethoprim/sulphamethoxazole

13/10/2023

‏ماهو سر وجود شعار الحصان 🐎 على غلاف دواء ‎ 🧐
دواء ‎ يعتبر فريد من نوعة حيث ان يتبع لمجموعة Cephalosporins ولكن لم يتم تصنيفة لاي جيل تابع لها لان تركيبه يشابة ل cefipime من الجيل 4 و ceftazidime من الجيل 3. يتميز بوجود مجموعة chlorocatchol في تركيبته والتي اعطته ميزة الارتباط بFe إذ يستغل حاجة البكتيريا لعنصر Fe فيرتبط هذا الدواء بذرات الحديد الموجودة حول الخلية البكتيرية وعندما تفتح البكتيريا أبوابها لدخول عنصر الحديد .. يقوم الدواء بالدخول دون أن تلاحظه البكتيريا !!
ولذلك قامت الشركة المصنعة لل(Cefiderocol) بالتسويق له باعتباره "حصان طروادة Trojan" .. وهذا هو سر وجود شعار الحصان 🐎 على غلاف الدواء

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VIQ in Medicine

18/10/2024

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