Papá de Nate

AMLO es puto

[𝙎𝙔𝙀𝘿 𝙃𝘼𝙈𝘼𝘿 𝘼𝙃𝙈𝘼𝘿 @SyedHamadAhmad3]

Rhinosporidiosis

Cause: Infection by Rhinosporidium seeberi (aquatic protist-like organism).
Source of infection: Contaminated stagnant water (ponds, lakes).
Common site: Nasal mucosa (also eye, throat).
Clinical feature: Polypoidal, red, friable mass in nose that bleeds easily.
Symptoms: Nasal obstruction + recurrent epistaxis + “strawberry-like” bleeding mass.
Treatment: Surgical excision with cauterization of base (dapsone may reduce recurrence).

[Riñón Ácido @AcidoRinon]

Mamadas nivel:

- no doctor, aunque sea una rabdomiolisis no los puede pasar primero a hemo, en el inss tienen que pasar todos a diálisis peritoneal

Tiene función normal y un chingo de CPK

- no doctor, a diálisis

🤡

[OPTIMISTIC DOCTOR @Ennan_D]

Bruising behind the ear (mastoid) suggests:

A. Mandibular fracture
B. Basilar skull fracture
C. Cervical spine injury
D. Temporal arteritis

[MEDICINE MADNESS @Doctors_GUILD]

List of causes of auto-amputation of fingers:

1. Diabetes
2. Raynaud's phenomenon
3. Buerger's disease
4. Scleroderma
5. Gangrene
6. Neurological disorder
7. Infection
8. Trauma
9. Vascular anomalies
10. Atherosclerosis
11. Vasculitis

[MEDICINE MADNESS @Doctors_GUILD]

Doctor… why are my fingers turning black?

Pain started first.
Then discoloration.
Now parts of the fingers are literally dying.

What could cause this terrifying finding?

[C.Alberto Ortega @albertoortegana]

What is the name of this rare, congenital condition?

[RADIOLOGISTS @DrAyubaD]

NEURO CASE 🔥🔥

Adult patient with chronic headache. Brain MRI requested.

What is the diagnosis?

[Scott C. Howard @schowardjd]

The diagnosis is eruptive halo nevi following melanoma excision.

Halo nevi are benign melanocytic nevi surrounded by a rim of depigmentation caused by a T-cell–mediated immune response against melanocytes. Although most commonly seen in children & young adults, the sudden appearance of multiple halo nevi in adults should prompt evaluation for an underlying malignancy, particularly melanoma.

In this case, a man in his 30s underwent excision of a 0.8-mm, nonulcerated melanoma w/ -ve margins & -ve SLNB. Three months later, multiple preexisting nevi on the back developed halo depigmentation. The melanoma specimen demonstrated a brisk lymphocytic infiltrate, supporting an antitumor immune response that may have cross-reacted with melanocytic antigens in distant nevi, leading to their regression.

Eruptive halo nevi have been reported in association with melanoma, immune checkpoint inhibitors, autoimmune diseases, viral infections, and, rarely, following melanoma excision alone. The mechanism is thought to involve immune recognition of shared melanocyte antigens, resulting in cytotoxic T-cell–mediated destruction of melanocytes in both melanoma cells & benign nevi.

[CardiovascularCorner @TrackYourHeart]

Diagnosis: Lipodermatosclerosis

Overview
Lipodermatosclerosis is a chronic inflammatory condition of the subcutaneous fat, most often affecting the lower legs. It is strongly linked to chronic venous insufficiency. Damaged venous valves lead to venous hypertension, causing leakage of fibrinogen into the dermis, hypoxia, inflammation, and fibrosis.

Acute cases present with painful, erythematous, tender plaques. Subacute disease shows non-tender, hyperpigmented, sclerotic plaques from hemosiderin deposition. Chronic disease produces the classic “inverted champagne bottle” leg: tapered lower leg with proximal edema and distal fibrosis.

Risk factors include obesity, history of DVT, prolonged standing, sedentary lifestyle, older age, smoking, and hypercoagulable states. Diagnosis is clinical and supported by duplex ultrasound assessing venous incompetence or thrombosis, and ABPI to rule out arterial disease.

This condition reflects advanced venous disease where long-standing venous hypertension reshapes the skin and soft tissue, often progressing to venous ulcers if untreated.
Source: https://t.co/tonU0XMH9S

[CardiovascularCorner @TrackYourHeart]

The inverted champagne bottle appearance in the lower limb refers to:

[Dr sthanu subramanian @drsthanus]

Circinate Syphilitic Lesions.

He had a history of HIV with a CD4+ T-cell count of 374 per cubic millimeter.

PE....

Circinate lesions on the palms, soles, and face and patchy alopecia.

A Venereal Disease Research Laboratory (VDRL) test was positive at a titer of 1:32, which confirmed a diagnosis of syphilis.

The patient was treated with intramuscular benzathine penicillin with resolution of the lesions.

●Atypical Cutaneous Manifestations of Secondary Syphilis and Differential Diagnosis.

https://t.co/cCdu6VOmbK

https://t.co/3wdRYNY8Mj

[Dr. Pankaj Royal @drpankajroyal]

@hemo_shk Grey turner sign
Acute pancreatitis

[Dr.Haitham Hamoud | د.هيثم @hemo_shk]

Flank bruising on physical exam.

Not trauma. Not a skin disease.

What could cause this finding?

[Dr. Medica🩺 @DrMedica_13]

@hemo_shk Grey turner sign

[Menatallah Adel 🥀 @MenatallahAdel]

@hemo_shk Grey turner sign indicating retroperitoneal haemorrhage

[Lebza lady @lebojoycechauke]

@docakx It's leprosy (Hansen's disease).The image shows a thickened great auricular nerve (cord-like structure behind the ear), a classic physical sign in tuberculoid leprosy.

[Itebimien Peter @PeterItebimien]

@TrackYourHeart Hampton hump sign
The Hampton hump is a radiological sign indicating a pulmonary embolism (PE) with secondary lung infarction. It is characterized by a dome-shaped, wedge-shaped, or rounded opacity in the lung that touches the pleural surface (outer edge of the lung).

[CardiovascularCorner @TrackYourHeart]

Patient with suspected pulmonary embolism undergoes a chest X-ray

What is this sign called?

[Dr. Longissimus @DrLongissimus]

Missing this diagnosis leads to an obscene amount of healthcare expenditure.
Make sure you never miss it.

[Alejandro Castillo @MediCasos]

Caso clínico de hoy:
39 años más nódulo TIRADS 4.

Después del usg ¿qué harían?