@OGdukeneurosurg
#MedEd
@IhabFathiSulima
In EDH, middle meningeal artery is ruptured, requires urgent surgical evacuation to prevent irreversible neurological injury & death due to hematoma expansion & herniation
SDH deterioration is slow as dural sinus/bridging cortical veins pressure is less
@OGdukeneurosurg
#MedTwitter
#MedX
#MedEd
Person with Tattoes must be on an awareness campaign for Cardiovascular Diseases. as he have ideally tattoed at ECG Chest lead sites The six chest leads (V1 to V6) “view” the heart in the horizontal plane. The information from the limb electrodes is
@IhabFathiSulima
#Medtwitter
#MedEd
#MedX
BAT WING APPEARANCE IN MASSIVE PULMONARY OEDEMA - With cephalization of pulmonary vessels with visible vessel shadow up to lateral 1/3rd of chest X - ray
Bat wing appearance is a radiologic sign referring to bilateral perihilar lung shadowing seen in
@IhabFathiSulima
KETO RASH also called PRURIGO PIGMENTOSA
Rare, inflammatory condition of skin characterized by a red, itchy rash ,papules on neck,chest,upper back in a net or web-like pattern,associated with ketogenic diet.Keto rash usually forms a symmetrical pattern on each side of the
@IhabFathiSulima
#MedTwitter
@drkeithsiau
Sirenomelia is classified by the skeletal structure of the lower limb, ranging from class I, where all bones are present and only the soft tissues are fused, to class VII where the only bone present is a fused femur
@narendramodi
Anjalai joined Rani of Jhansi Regiment, women's regiment of INA, in 1943.
She was trained in combat operations & had experience of following troops up to Burma-India Border in effort to liberate India
She was also awarded with title "Veera Thaai" (Valiant Mother) 🙏🙏
@IhabFathiSulima
#MedX
#MedEd
#Medtwitter
LERICHE SYNDROME
Aortoiliac occlusive disease (AIOD)- Atherosclerosis affecting distal abdominal aorta, iliac arteries & femoropopliteal vessels.1st described in 1914 by Robert Grahman, but it was not until later that trio of symptoms was documented as
@IhabFathiSulima
#MedTwitter
#MedEd
#MedEd
ASCENDING UPPER LIMB
LYMPHANGITIS - inflammation of the lymphatic channels that occur as a result of infection at a site distal to the channel and may spread within hours. Group A beta-haemolytic streptococci are the most common causes of bacterial
@OGdukeneurosurg
#Medtwiter
,
#MedEd
#MedX
MIGRAINE HEADACHE with anisocoria,vomiting & light sensitivity
In her case - shift her to a dark room to prevent trigger of light then pursue as follows if facilities are available
Before diagnosing migraine, serious intracranial pathology must be ruled
@drkeithsiau
D/D for X - Ray Spine
1.Vertebral Compression Fracture L3 but L4-L5 also involved as part of injury/ severe osteoporosis
2.Pott's Spine/ Spinal Tuberculosis
Blood in vomiting- Hematemesis -
1.NSAID induced ulceration after NSAID used for severe backache
2.Can it be
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
LITTLE'S AREA (also known as KIESSELBACH'S PLEXUS) is found on anterior nasal septum, is an anastomosis of 5 arteries: anterior ethmoidal artery, posterior ethmoidal artery, sphenopalatine artery, greater palatine artery & septal branch of superior
CONGRATULATIONS TO HEALTH DEPARTMENT - NITI AAYOG report also indicated a positive change towards the girl child in Jammu & Kashmir and recorded improvement in Sex Ratio at birth from 923 to 976 females per1000 males - A GOOD ACHIEVEMENT
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
KETO RASH
Ketogenic diet can cause a red, itchy skin rash called keto rash or prurigo pigmentosa,is distinctive as it forms network-like patterns across skin, usually affects upper body.
Rash may have a link with ketosis. Several different treatments *
J&K has recorded 22 points decrease in Neonatal Mortality Rate (NNMR) from 23.1 to 9.8, 16 points decrease in Infant Mortality Rate (IMR) from 32.4 to 16.3 and 19 points decrease in Under Five Mortality Rate (U5MR) from 37.6 to 18.5, which is unprecedented
@OGdukeneurosurg
#MedTwitter
#MedEd
#MedX
@IhabFathiSulima
SUSPECTED ACUTE MI
Should immediately receive (1) oxygen by nasal prongs; (2) sublingual nitroglycerin (unless BP is < 90 mm Hg or heart rate is < 50 or > 100 /minute (3) adequate analgesia (with morphine sulfate or meperidine); (4)
@IhabFathiSulima
ASTEREXIS OR FLAPPING HANHD TREMOR
#Medtwitter
#MedEd
Disorder in which a person loses motor control of some parts of body- Particularly muscles in fingers & wrists are typically affected. A person with asterixis loses muscle control & experiences irregular jerking movements
@IhabFathiSulima
#MedTwitter
NEVUS COMEDONICUS- A type of Epidermal nevus.
Mutation of Fibroblast Growth Factor Receptor 2 (FGFR2) along with increased expression of interleukin-1-alpha is considered an important factor in pathogenesis. Other possible factors include gamma-secretase & filaggrin.
@ali_jadoon93
@IhabFathiSulima
@Janetbirdope
B) - GLUCAGONOMA
#MedTwitter
@Sthanu5
Glucagonoma syndrome-5D syndrome-Dermatosis, diabetes, deep vein thrombosis,depression & Diarrhea
DERMATOSIS-Necrolytic migratory erythema,1st described by Wilkinson, in up to 90% patients,widespread, with main areas being perioral,
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
ZEBRA LINES
Metaphyseal bands of increased density observed near the ends of long bones during cyclic bisphosphonate therapy in OSTEOGENESIS IMPERFECTA. They are most prominently seen around knee and elbow joints. They serve as a marker of the course of
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
KETO RASH
Ketogenic diet can cause a red, itchy skin rash called keto rash or prurigo pigmentosa,is distinctive as it forms network-like patterns across skin, usually affects upper body.
Rash may have a link with ketosis. Several different treatments *
@OGdukeneurosurg
#MedTwitter
#MedEd
#MedX
FINKELSTEIN TEST in diagnosis of DE QUERVAIN'S SYNDROME. This fact implies a tenovaginitis & tenosynovitis of M. extensor pollicis brevis and M. abductor pollicis longus. Finkelstein maneuver is a helpful test to diagnose De Quervain's Tendonitis or
@BrownJHM
#MedTwitter
#MedEd
#MedX
@IhabFathiSulima
HORNER SYNDROME
Classically presenting with partial ptosis (drooping or falling of upper eyelid), miosis (constricted pupil), and facial anhidrosis (loss of sweating) due to a disruption in sympathetic nerve supply. It is primarily
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
KETO RASH
Ketogenic diet can cause a red, itchy skin rash called keto rash or prurigo pigmentosa,is distinctive as it forms network-like patterns across skin, usually affects upper body.
Rash may have a link with ketosis. Several different treatments *
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
@Sthanu5
RUPTURED BAKER CYST
Baker's cyst can sometimes rupture resulting in fluid leaking down into calf,causes sharp pain in calf, which becomes swollen, tight & red. The fluid will gradually be reabsorbed into the body within a few weeks.
@IhabFathiSulima
#MedEd
#MedX
#MedTwitter
@Sthanu5
SNOWFLAKE CATARACT
Not very common and is associated with diabetes. It is derived from the fact that the lens looks like white opacities reminiscent of snowflakes. Snowflake cataracts can also occur in non-diabetics too, although very
@IhabFathiSulima
#MedTwitter
#MedX
#MedEd
APERT SYNDROME WITH FUSION OF DIGITS
May have craniosynostosis, midface hypoplasia &symmetric syndactyly of the hands and feet. craniosynostosis is more severe & additional finding of syndactyly helps confirm diagnosis between multiple, similar syndromes
@IhabFathiSulima
#MedTwitter
#MedX
#MedEd
COLOBOMA
Is an eye condition that people are born with. It happens when part of the tissue that makes up the eye is missing. It can affect 1 or both eye
Different types of coloboma can affect different parts of the eye, including the:
Iris (colored part
@BrownJHM
#MedTwitter
#MedEd
@IhabFathiSulima
PLUMMER VINSON SYNDROME CLASSIC TRIAD of POST CRICOID DYSPHAGIA, iron-DEFICIENCY ANEMIA, and UPPER ESOPHAGEAL WEBS .In UK , it is known as Paterson-Brown-Kelly syndrome after two British laryngologists, DONALD ROSS PATERSON (1863-1939) & ADAM
@IhabFathiSulima
#MedX
#MedX
RACCOON EYES ( in UK/ Ireland as panda eyes) or periorbital ecchymosis is a sign of basal skull fracture or subgaleal hematoma, a craniotomy that ruptured the meninges, or certain cancers Bilateral haemorrhage occurs when damage at time of a facial fracture tears
@IhabFathiSulima
#MedX
#MedEd
#Medtwitter
VALSALVA RETINOPATHY
Specific form of retinopathy characterized by pre-retinal hemorrhage secondary to raised intrathoracic pressure. Patients present with sudden onset painless diminution of vision. Prognosis is usually good with spontaneous clearing
Biggest patriotic song of year, HAR GHAR TIRANGA Anthem An ode to strength & grace of our Tiranga, this song is going to rekindle in you a sense of pride & love for nation. Now every home will fly a Tiranga & every heart will sing
#HarGharTiranga
#TirangaAnthem
#AmritMahotsav
@drkeithsiau
Upper gastrointestinal bleeding can be due to ulceration in mid-esophagus due to erosion of tuberculous subcarinal lymph nodes.
Sometimes Hematemesis & Hemoptysis can be confused as patient sometimes. Bleeding source from GIT or Lungs can,t be differentiated
@IhabFathiSulima
#MedTwitter
#MedX
#MedEd
#medschool
NOONAN SYNDROME OR LEOPARD SYNDROME with multiple lentigines (NSML) is a rare inherited disorder. with skin, head,face, inner ear, heart. & genitals involvement
Noonan syndrome with multiple lentigines was formerly known as LEOPARD syndrome.
@BrownJHM
CROHN'S DISEASE (IBD). Inflammation extends through entire thickness of bowel wall from mucosa to serosa,disease runs a relapsing &remitting course. With multiple relapses,can progress from initially mild to moderate inflammatory conditions to severe penetrating
@IhabFathiSulima
#MedTwitter
#MedX
#MedX
ACUTE INTUSSUSCEPTION
Usually, ileum enters cecum. Rarely part of ileum or jejunum prolapse into itself. Almost all intussusceptions occur with intussusceptum having been located proximally tointussuscipiens. This is because a peristaltic action of
@OGdukeneurosurg
#Medtwitter
#MedX
#MedEd
KLUMPKE PALSY
Named after Augusta Dejerine-Klumpke, is a neuropathy involving lower brachial plexus. In contrast,more common; Duchenne palsy involves more cephalic portion of brachial plexus C5 to C6. Brachial plexus is a bundle of individual nerves
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
PPI - NUTRIENT ROBBER
PPIs have been associated with an increased risk of vitamin and mineral deficiencies impacting vitamin B12, vitamin C, calcium, iron and magnesium metabolism. Magnesium 1st mineral deficiency. Skin lesions - due to Zinc deficiency
@IhabFathiSulima
HIRSCHSPRUNG DISEASE
Disturbed rostrocaudal migration of neural crest cells along variable length of intestine-cause for HD
Rectosigmoid colon in 80 % -short-segment disease. Aganglionosis to sigmoid colon,15-20 %-long-segment disease.Entire colon,5%-total colon aganglionosis
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
KETO RASH
Ketogenic diet can cause a red, itchy skin rash called keto rash or prurigo pigmentosa,is distinctive as it forms network-like patterns across skin, usually affects upper body.
Rash may have a link with ketosis. Several different treatments *
@OGdukeneurosurg
#MedEd
INTRACAPSULAR FRACTURE NECK FEMUR-Vascular supply of femoral head-medial femoral circumflex artery,which runs under quadratus femoris.Displaced fracture put blood supply at risk,tearing ascending cervical branches that stem off arterial ring supply causing osteonecrosis
@IhabFathiSulima
#MedEd
#MedX
#MedTwitter
MONGOLIAN SPOT
Macular blue-gray pigmentation usually on the sacral area of healthy infants. Mongolian spot is usually present at birth or appears within the first weeks of life. Mongolian spot typically disappears spontaneously within 4 years but can
@IhabFathiSulima
#MedTwitter
#MedX
#MedEd
MECKEL'S DIVERTICULUM
Caused by incomplete obliteration of omphalomesenteric duct in developing embryo.Most common congenital anomaly of GIT. Incomplete obliteration of duct results in a diverticulum in small intestine. Often, these are completely
@IhabFathiSulima
#MedX
#Medtwitter
#MedEd
@Sthanu5
ACNE CONGLOBATA-
Rare but severe form of nodulocystic acne,usually presents with tender, disfiguring, double or triple interconnecting comedones, cysts, inflammatory nodules & deep burrowing abscesses on the face, shoulders, back, chest, upper
#HarGharTirangaCampaign
@PMOIndia
@OfficeOfLGJandK
A Tiranga rally led by LG Hon'ble Manoj Sinha ji today on 14th August at famous Boulevard Road adjoining the Dal Lake , Srinagar on eve of 76th Independence Day - a historic moment
with conclusion of Azadi ka Amrit Mahotsav
@IhabFathiSulima
#MedTwitter
#MedX
#MedEd
OSTEOGENESIS IMPERFECTA Genetic disorder of connective tissues caused by an abnormality in synthesis or processing of type I collagen-also called brittle bone disease characterized by an increased susceptibility to bone fractures & decreased bone density.
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
Carcinoid syndrome refers to a group of symptoms caused by the systemic release of different kinds of humoral factors like polypeptides, biogenic amines, and prostaglandins mostly from well-differentiated neuroendocrine tumors. Previously
@OGdukeneurosurg
OPEN CARDIAC MASSAGE
Before the implementation of closed-chest compressions in the early 1960s, OPEN CARDIAC MASSAGE was a common procedure performed during cardiac arrest. OPEN CARDIAC MASSAGE is typically performed when there is inadequate CARDIAC OUTPUT, AFTER EMERGENCY
@IhabFathiSulima
#MedEd
RIGHT MIDDLE CEREBRAL ARTERY INFARCT
MCA territory- most commonly affected in cerebral infarction, due to size of territory & direct flow from internal carotid artery into middle cerebral artery,one of largest artery of
#brain
providing easiest path for thromboembolism
A Great Day of Indian chess followers - This reminds of Mahabharata times when similar game was played by Pandavas & Duryodan with foul play by Shakuni .This 16 year old Prodigy should be honored
@IhabFathiSulima
#MedEd
#MedX
#MedTwitter
Gingival hyperplasia in AML
Most commonly seen with acute monocytic leukemia (AML-M5) (66.7%) & acute myelomonocytic leukemia (AML-M4) (18.5%). In these cases , a rapid gingival enlargement with associated bleeding may be main reason for seeking oral
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
BURKITT'S LYMPHOMA
It's common for adults with Burkitt lymphoma to experience fevers, night sweats and weight loss. These three symptoms often occur together and are known as 'B symptoms'. Around 1 in 3 people with Burkitt lymphoma have lymphoma cells in
#XRAY
@HealthMedicalE1
@dhs_jammu
qXR - Chest X - ray Interpretation Software installed at Govt. Gandhinagar, Hospital, Jammu- 1st Hospital in J & K .
qXR is a deep learning technology that helps detect and highlight abnormalities in chest radiographs ,guided by DG- Sir
#Jammu
@DrJitendraSingh
1999- 2020 ( 20 Years) , Worked as Incharge Medical & administrative officer , Physician & Surgeon with Special Security Group for Chief Ministers, Ex- chief Ministers & their families.Warm Farewell by NGO"s of SSG addressed in my mother Tongue - DOGRI
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
HEREDITARY HEMORRHAGIC TELANGIECTASIAS (HHT)
Autosomal dominant vascular disorder. Epistaxis, gastrointestinal bleeding, iron deficiency anemia & mucocutaneous telangiectasia are most common manifestations of the disease. Epistaxis is secondary to
@BrownJHM
#MedX
#MedEd
#Medtwitter
BARTONELLA NEURORETINITIS WITH MACULAR STAR
Cat scratch disease, worldwide distributed systemic infectious disease caused by a bacterium, Bartonella henselae (B. henselae)usually transmitted to humans through contact with infected cats. Ocular
@ali_jadoon93
@IhabFathiSulima
@bhatta_agd
#Medtwitter
@IhabFathiSulima
TENSILON TEST
Diagnostic test used to evaluate myasthenia gravis,a neuromuscular condition characterized by muscle weakness. The test involves an injection of Tensilon (edrophonium), after which your muscle strength is evaluated to determine whether
@IhabFathiSulima
TWIN TWIN TRANSFUSION SYNDROME (TTTS)
#MedTwitter
#MedX
#MedEd
@drkeithsiau
Condition that can affect twin gestations that share one placenta.Disorder highlights importance of determining chorionicity (number of placentas) & amnionic (number of amniotic sacs) for all twin
@modernHealthMe
#MedX
@IhabFathiSulima
#MedEd
#MedTwitter
PEAU'D 'ORANGE-Most likely Inflammatory Breast Carcinoma-
Breast tissue inflamed due to blockage of small lymph ducts in breast by cancer cells,except at hair origin
Other causes -
Graves Dermopathy,Infection Pseudoxanthoma Elasticum
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
ECTOPIA CORDIS or ectopic heart. Congenital malformation in which heart is abnormally located either partially or totally outside of thorax,along a spectrum of anatomical locations, including neck, chest, or abdomen.Mostly heart protrudes outside chest
@modernHealthMe
#MedTwitter
@IhabFathiSulima
BURKITT'S LYMPHOMA
Mutation involving chromosome 8, affecting transcription factor- ‘c-MYC’ that controls cell growth,arises by way of a swapping of genes (translocation) between a part of chromosome 8 & a part of one of either chromosome 14, 2 or 22
@drsamshuaibi
#MedEd
#Medtwitter
#MedX
@IhabFathiSulima
@Sthanu5
B - VANCOMYCIN
REDMAN SYNDROME-
Vancomycin flushing syndrome (VFS) is an anaphylactoid reaction caused by the rapid infusion of the glycopeptide antibiotic vancomycin. VFS consists of a pruritic, erythematous rash to the face,
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
Osler-Weber-Rendu disease
Rare autosomal dominant disorder that affects blood vessels throughout body causing vascular dysplasia, results in a tendency for bleeding. Also known as hereditary hemorrhagic telangiectasia.prognosis varies, depending on
#worldpopulationday2022
@MOHFW
@OfficeOfLGJandK
@WHO
11TH JULY- Effects of population on development & nature & Increasing population sheds light on health problems faced by women during pregnancy &childbirth, making need for family planning, gender equality& maternal health.
@IhabFathiSulima
#MedTwitter
#MedEd
#MedX
ANGELMAN SYNDROME
Caused by a defect in maternal chromosome 15q11-q13
Complex genetic disorder that primarily affects the nervous system
FEATURES- Delayed development, intellectual disability, severe speech impairment,ataxia. Most have recurrent
@IhabFathiSulima
#MedEd
#MedX
CARCINOID SYNDROME
Flushing is most common presentation( 85%), paroxysmal, salmon pink to dark red discoloration of skin of upper body face, neck, upper trunk, lasting 30Sec-30 min.,wheezing,GI symptoms (diarrhea, malabsorption),Pellagra cardiac symptoms, fatigue