Clinical Medicine

25 сентября 2023 16:18

Experience is simply the name we give our mistakes

Clinical Medicine

25 сентября 2023 16:11

Trigeminal neuralgia, or tic douloureux, is a condition characterized by attacks of facial pain in the area of one or more branches of the trigeminal nerve.

Clinical Medicine

20 сентября 2023 23:50

Answer of the above case :
a. Pseudohypoxemia due to oxygen consumption by high TLC.
b. Analyze sample immediately after drawing or send the sample on ice

Clinical Medicine

20 сентября 2023 15:55

A 5-year-old male child is recently diagnosed as a case of acute myeloid leukemia. He is clinically stable with a RR of 20/min, normal
blood pressure and SpO2 of 95% in room air. His blood gas is as follows:
pH–7.43; PaCO2–34 mmHg; PaO2–47.6 mmHg; HCO3
-–24 mEq/L.Further investigations show leucocytosis (TLC—60,000/cu mm) and anormal chest X-ray.
a. Analyze the blood gas report.
b. What step will you take to improve PaO2 in this patient?

Clinical Medicine

20 сентября 2023 13:59

If you want us to continue write cases , questions, discussion ?
React to know you understand or not

Clinical Medicine

19 сентября 2023 18:12

Which other diseases can mimic enteric fever?

Clinical Medicine

18 сентября 2023 18:58

10 year old child has presented with moderate to high-gradefever of 14 days duration. To begin with he had pain abdomen and
dry cough to be followed by gradually increasing fever. Examination reveals dehydration, herpes labialis, relative bradycardia and hepatosplenomegaly.
What is the most likely diagnosis ?

Clinical Medicine

17 сентября 2023 12:38

💧How do I clean my hands properly?

Clinical Medicine

15 сентября 2023 13:43

👉Any Patient came to you with lower limb pain please don't forget to palpate pulse

Clinical Medicine

14 сентября 2023 19:02

@Yaqob_Alsomai
This is my channel , subscribe if you want

Clinical Medicine

14 сентября 2023 13:07

Uses of insulin for non Diabetic patient ?" Question for smart students "

Clinical Medicine

11 сентября 2023 16:26

Mnemonic for postoperative fever
5 Ws

Clinical Medicine

07 сентября 2023 18:01

What is uses of Metformin in non diabetic patients ?

Clinical Medicine

06 сентября 2023 14:44

First step in management of acute limb ischemia
IV heparin

Clinical Medicine

05 сентября 2023 17:53

Clinical picture of acute ischemia
The 6 Ps distal to the site of obstruction :
Pain
Pallor
Pulselessness
Paralysis
Paresthesia
Poikilothermia

Clinical Medicine

25 сентября 2023 16:15

If you try to answer any questione or case it is a good thing , so if your answer is false it's not a problem , don't delete or Do not be ashamed
Learn from your false answer its better than your silent

Clinical Medicine

25 сентября 2023 15:45

35-year-old woman comes to the emergency department because of a 3-day history of pain in the left cheek. The pain occurs every few hours, lasts 30–60 seconds, and is aggravated by chewing and brushing. She has a history of pain with a vesicular rash in the right axillary area 1 year ago. She had an upper respiratory infection 2 weeks ago. Physical examination shows no abnormalities. What's the most likely diagnosis ?

Clinical Medicine

20 сентября 2023 19:37

It's Very interested case , When I read it on the first time , its answer was surprise

Clinical Medicine

20 сентября 2023 15:49

chocolate-colored blood

Clinical Medicine

20 сентября 2023 13:56

Why quinolones are not given to children?

Clinical Medicine

19 сентября 2023 18:11

What is Complications of enteric fever ?

Clinical Medicine

17 сентября 2023 19:10

Non-malarious use of chloroquine?

Clinical Medicine

15 сентября 2023 13:53

Where's paradox in medicine ?

Clinical Medicine

14 сентября 2023 19:25

When you see cyanosis with anemia ?? For smart students

Clinical Medicine

14 сентября 2023 18:58

What are tumers presented as inflammation ?

Clinical Medicine

13 сентября 2023 01:00

✍ The coexistence of intestinal colic and borborygmi, establishes the diagnosis of obstruction of the small intestine in more than 9 out of 10 cases.

Clinical Medicine

07 сентября 2023 19:04

Glasgow coma scale below eight , intubate

Clinical Medicine

06 сентября 2023 14:47

Further management depends on the severity of acute limb ischemia.
👉Viable, non-threatened limb
Urgent angiography to localize the site of the occlusion
Revascularization procedure

👉Threatened limb: emergent revascularization procedure within 6 hours
First-line: catheter-directed thrombolysis and/or percutaneous mechanical thromboembolectomy (e.g., balloon catheter embolectomy)
Second-line: open thromboembolectomy

👉Non-viable limb: limb amputation


👉Acute limb ischemia due to compartment syndrome: fasciotomy

👉Acute limb ischemia due to a dissecting aneurysm: stenting and/or surgical repair

Clinical Medicine

05 сентября 2023 18:13

Viable : in Doppler " Audible flow in arterial and venous "
Threatened : in Doppler " no flow in arterial , but audible flow in venous"
Non viable : in Doppler: in Doppler " no flow in arterial and venous "

Clinical Medicine

05 сентября 2023 17:50

The Buerger test (or Buerger sign) is a maneuver used to evaluate peripheral arterial disease of the lower limbs.
With the patient in the supine position, elevate the lower limbs to a 45° angle at the hip and evaluate for pallor of the feet. If no pallor occurs, ask the patient to plantarflex and dorsiflex, or circle their feet a few times and look for exercise-induced pallor.
Then, ask the patient to sit up with their legs off of the examination table in the dependent position and evaluate the time taken for the color to return to the feet and for the veins to become distended.
Pallor of the feet upon elevation of the lower limbs as well as reactive hyperemia of the feet and prolonged time to venous refilling on limb dependency indicate arterial insufficiency. Additionally, a venous filling time of > 20 seconds may indicate advanced ischemia.