@bouaggad_abdu @IntensiveCareRe @AfakNsiri@khattouamine@IhabFathiSulima @DrAkhilX @DrNoumory@DrRawanJ2 This looks like chronic dvt.
Any previous picc line or central line.
For older population will add ampiclin Listeria monocytogenes(which might be culturalnegative), and what isare the findings on LP study.
@MacDeptMed@HamHealthSci “If you don’t take care of yourself, you can’t take care of others,” he says. “You don’t have to rush. Life is long. Things will come in time.”. nice words by Dr Azzam
@ButterflyNetInc has been a great tool to look for a plaque in carotid artery with a quick intervention while waiting for other diagnostic imaging to happen.
Importance of carotid artery atherosclerosis progression by ultrasound (carotid plaque burden, cPB) for prediction of all-cause mortality in a prospective study of 5,700 participants without symptoms
https://t.co/mb2CNq2yNM
cPB was more informative for risk than coronary artery calcium score @JACCJournals
@ross_prager Have you seen severe pulmonary edema from LV dysfunction with totally noraml RA pressure (collapsed ivc qnd internal Jugular vein)
Simply normal Vexus scan
@MithuRheum Totally agree and If we spot a diagnosis, we should screen for complications so the case be ready for the rheumatologist to see and manage .
If sle diagnosed to check urine routine, Scleroderma to do echo for phtn etc