Jessen

[nemo @heyfannnnn]

sedih banget kenapa hal-hal kayak gini tuh harus banget sampe kejadian, kenapa orang sekitarnya gak ada yang aware pas liat sosmednya? meski itu bukan tanggung jawab kita tapi tolong lahh🥺

emang ya soal kepedulian mental issue ini harus bener-bener diterapin deh di sekolah dari semenjak SMP atau mungkin SD sekalian.

Alfatihah, Aisyawalya Putri🥀

katanya udh 2 kejadian dalam sebulan ya di Jurangmangu ini? :(

[Dr sthanu subramanian @drsthanus]

A male in his 40s who is a construction worker presented with nonpruritic skin lesions over his face, chest, back, arms, and legs.

Six months earlier, he had fever, cough, and vomiting for 1 week.

Likely diagnosis?

[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).

[Dr. Naseem Suhail @DrNaseemSuhail]

🩺 Splenectomy Indications – “SHATTER the spleen”

• S – Spherocytosis
• H – Hypersplenism
• A – Autoimmune hemolytic anemia
• T – Trauma rupture
• T – Thrombocytopenia (ITP)
• E – Enlarged spleen (massive, symptomatic)
• R – Rare tumors/cysts
👉 If the spleen is SHATTERed → take it out!

[GwenP00Le @Bappieidk]

@jaehyungantenk Tempat sy kerja (pci center yang gak 24jam banget) mengkategorikan wellen sbg hi-risk nste-acs (dianggap dynamic st segment changes) jdi tetap early invasive secrpat mungkin

[MEDICINE MADNESS @Doctors_GUILD]

What is the most likely diagnosis?

A. Tuberculosis
B. Sarcoidosis
C. Histoplasmosis
D. Wegener's granulomatosis

[Medzonetv @Medzonetv]

A 45-year-old man is 5 days into his ICU admission for septic shock following a ruptured appendix.

While the infection is slowly clearing, his heart rate remains stubbornly low and his core body temperature is subnormal. A junior resident, trying to be thorough, orders a thyroid profile.

The results:
- TSH: 0.8 mIU/L (Low-Normal)
- Total T4: Low-Normal
- Free T3: Significantly Low 📉
- Reverse T3 (rT3): High 📈

You are the ICU doctor on call.
What is the diagnosis, and do you start treatment?

[سامي @smahup1]

Croup vs. acute epiglottitis

[CardiovascularCorner @TrackYourHeart]

The recommended concentration of adrenaline for intramuscular injection in anaphylaxis is:
a) 1:1,000 (1 mg/ml)
b) 1:10,000 (0.1 mg/ml)
c) 1:100 (10 mg/ml)
d) 1:100,000 (0.01 mg/ml)

[Dr. Nikhil @DrNikhilMD]

HIV pt with cough

Diagnosis??

[Dr. Muhammad Moor @MoarSahitoPTI]

Why is Propofol the most commonly used sedative in intensive care unit (ICU).? 🤔

[itsmisooo12 @itsmisoo12]

@Pejam_mata @sdenta Ada yg namanya scoring TBC pada anak. Jadi anak gk semata2 disuruh minum obat TBC 6 bulan karna mantoux (+). Scoring TBC nya harus >6. Itu yang jadi patokan 3 expert (DSA) dan DU puskesmas memulai pengobatan anak ibu

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

The image is an X-ray of the shoulder showing a large, expansive lesion in the proximal humerus, consistent with an aneurysmal bone cyst (ABC). 

•An ABC is a benign (non-cancerous) but potentially destructive bone lesion.
•It is characterized by blood-filled spaces within the bone.
•The lesion can cause pain and increase the risk of pathological fractures.
•The condition is most common in teenagers and young adults.
#MEDHM

[CardiovascularCorner @TrackYourHeart]

Petechiae & Purpura

[Dr. Marish Asudani @AsudaniMarish]

Rapid Review of AntiMicrobials,
Under Just 90 mins.

Bookmark this video,
For USMLE Step 1, 2 and 3.

This will be one of the most valuable videos during your revision phase.

Follow for more.

[KriMeera Healthcare @krimeeraHC]

➰Beck’s Triad

🤹This triad is classically seen in acute cardiac tamponade:

♨️Hypotension – ↓ cardiac output
♨️Jugular venous distension – ↑ pericardial pressure
♨️Muffled heart sounds – fluid dampens sound transmission

🤹Mnemonic:
🌀Beck = Blood pressure ↓, Elevated JVP, Cardiac sounds muffled

#Cardiology #CardiacTamponade #BecksTriad #ClinicalSigns #MedPearls #KriMeeraHC

[Jessen @hijessen]

@Doctors_GUILD Coffeenosis

[Dr sthanu subramanian @drsthanus]

Ddx

[Haji Siyamuddin ANSARI @DrsansariOrd]

Correct answer: C. ALT

Why?

ALT (Alanine aminotransferase) is the most sensitive and specific marker of hepatocellular injury.

It is located predominantly in hepatocytes, so even mild liver cell damage causes ALT to rise.

Why not the others?

ALP → marker of cholestasis (bile duct obstruction), not primary hepatocyte injury

GGT → sensitive to cholestasis and alcohol use, but not specific for hepatocellular damage

Bilirubin → reflects excretory function, rises later and is not sensitive for early injury

High-yield exam pearl

> Hepatocellular injury → ALT (± AST)
Cholestatic injury → ALP + GGT

So, the most sensitive marker of hepatocellular injury is ALT.