@BrownJHM Hutchinson’s sign, eruption of vesicles on the tip of nose because the virus (herpes zoster) reactivates along the nasal branch of the nasociliary nerve. Initiate acyclovir and seek an urgent referral to ophthalmology for evaluation of ophthalmic zoster.
A 35-year-old woman is having several severe migraines per month. The migraines are usually relieved with one or two doses of triptan drugs. Which is most appropriate for prophylaxis to reduce the frequency of her migraines?
A 35-year-old woman is having several severe migraines per month. The migraines are usually relieved with one or two doses of triptan drugs. Which is most appropriate for prophylaxis to reduce the frequency of her migraines?
Blunt force trauma to the forearm -> nightstick fracture (an isolated fracture of the ulnar shaft), classically occurring when the upper arm is raised in self-defense against an attack to the head or torso.
60-year-old left-handed woman presented to the emergency department with pain in her left forearm. The arm was swollen and tender, especially with passive pronation and supination. Overlying skin was intact, and the results of neurovascular examination were normal.
(1/2)
#MedEd
@BrownJHM@grepmeded Landolfi’s sign, this finding may be seen in patients with severe aortic regurgitation and is a manifestation of wide pulse pressure and large stroke volume in the iridial vessels, which causes systolic constriction and diastolic dilation of the pupils.
@caffeinatedmd Forearm fractures have three common causes that make up the bulk of the cases we see.
•Direct blows to the forearm
•A fall on an outstretched arm, usually while playing sports or falling from a height
•Motorcycle or motor vehicle accidents
https://t.co/c2iWptouBM
60-year-old left-handed woman presented to the emergency department with pain in her left forearm. The arm was swollen and tender, especially with passive pronation and supination. Overlying skin was intact, and the results of neurovascular examination were normal.
(1/2)
#MedEd
Assalamu alaikum my Muslim brothers and sisters
I remind you and myself of the hadith: Whoever observes the fast of Ramadan and follows it with six [fasts] in Shawwal, will be [rewarded] equal to fasting the entire year.
These days could be separate and any time during Shawwal.
📌 Acinetobacter baumannii is considered by the Infectious Diseases Society of America as one of the “red alert” pathogens that significantly threaten the effectiveness of our current antibacterial armamentarium.
The patient underwent an uncomplicated total thyroidectomy, and a benign goiter was observed on pathological analysis. Thyroid hormone therapy was prescribed, and the patient was euthyroid on follow-up 6 months after surgery.
#MedTwitter
Pemberton’s sign➡️reversible facial congestion after elevation of both arms. Indicates superior vena cava syndrome from obstruction of the thoracic inlet, in this case, by the enlarged thyroid gland compressing the subclavian and jugular veins.
Panel C➡️patent trachea deviated.
77-year-old man with subclinical hyperthyroidism, enlarged thyroid with no palpable nodules or cervical lymphadenopathy. When the patient raised both arms, he developed reversible facial congestion. What is the name of this sign?
#FOAMed#MedTwitter
77-year-old man with subclinical hyperthyroidism, enlarged thyroid with no palpable nodules or cervical lymphadenopathy. When the patient raised both arms, he developed reversible facial congestion. What is the name of this sign?
#FOAMed#MedTwitter