Slendermannn @Slendermannn4
Joined June 2021-
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Following1K
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What's the finding? What's the diagnosis?
@IhabFathiSulima 🚨 HSP - HSP / IgA Vasculitis 🩸🧬 Classic Tetrad: 🩸 – Palpable purpura (lower limbs/buttocks) 🤕 – Arthralgia / arthritis (knees, ankles) 🫁 – Abdominal pain / GI bleeding 🩸 – Renal involvement (hematuria/proteinuria) Triggers: URTI, drugs, vaccines
@modernHealthMe 🛑 Green Nail Syndrome (GNS) 🔷️Cause : Pseudomonas aeruginosa infection 🔷️Color : Green or green-black nail 🔷️Risk : Wet hands, nail trauma, onycholysis ♦️Treatment : 🔷️Keep nails dry 🔷️Vinegar soaks (2–4%) 🔷️Topical antibiotics (gentamicin/neomycin) 🔷️Oral…
Nasogastric feeding
@IhabFathiSulima Wegeners granulomatosis .
@IhabFathiSulima 🅾️Detected by indirect immunofluorescence in the context of a compatible clinical image. cANCA is mainly associated with proteinase 3 and is related to granulomatosis with polyangeitis, while pANCA is related to myeloperoxidase and is associated with microscopic polyangeitis.
@IhabFathiSulima 🔴 Diagnosis: Livedo reticularis (mottled, net-like violaceous patches on both legs). 📍 Worsens in cold, improves with warming; symmetric = often physiologic (cutis marmorata). ⚡️ Persistent/asymmetric/painful → consider APS, vasculitis, cryoglobulinemia, cholesterol emboli. 🔷…
@IhabFathiSulima 🔴 Diagnosis: Superficial–partial thickness burn with tense bullae 📍 Painful erythematous base + clustered, clear/yellow fluid blisters 🔷 Thermal injury → separation at dermal–epidermal junction with plasma exudation 💡 Analgesia + sterile non-adherent dressing; debride…
@IhabFathiSulima Skin thermoreceptors trigger a “cold shock” reflex that spikes heart rate and blood pressure through sympathetic nervous system activation, while at the same time, the diving reflex (stimulated by cold on the face and breath-holding) slows the heart via parasympathetic vagal…
What is the Heart Response to ICE immersion? Is it Safe?
@IhabFathiSulima 🔴 Sign: Chinese dragon sign 📍 Curvilinear, tortuous calcified splenic artery on abdominal X-ray resembling a dragon 🔴 Diagnosis: Splenic artery calcification (± splenic artery aneurysm) 💡 Common in elderly/diabetics; confirm with CTA—treat aneurysm if symptomatic or large (>2…
What is the Sign ⁉️ What is the diagnosis⁉️

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