Mastery of Emergency Medicine

((Mastery= Knowledge + Skills))
💡📒📝📚By ◇Dr. Tawfiq Almezeiny◇د. توفيق بن عبد المحسن المزيني
Academic Teaching of Emergency Medicine.
《[email protected]》

[Mastery of Emergency Medicine @mastery_em]

■ Thoracic Empyema ■
Case: 58 male,CRF on HD.
presented with pyrexia and severe respiratory distress.He was hypoxic and hypotensive.
●Remember
In this critical case
●Measures to improve survival:
Resuscitation- AntiBx- Surgical drainage - Intrapleural enzyme therapy.

[Itebimien Peter @PeterItebimien]

Spot diagnosis
What is this skin lesion👇?
What does it mean?
#Dermatology #MedX #MedEd #FOAMed #GITwitter #CardioTwitter #DermTwitter @albertoortegana @ChefKarim02 @daoo100 @doctors_squad @Dr_Shiv_kumar_ @DrMedica_13 @drobiy12 @MEmwanta @mendietaalex1 @aleidimed @elidyynwa @ArunInamadar @TSM_Humanist @IhabFathiSulima @Mota55em

[Peter 🌚 @usernamee389]

@PeterItebimien @albertoortegana @ChefKarim02 @daoo100 @doctors_squad @Dr_Shiv_kumar_ @DrMedica_13 @drobiy12 @MEmwanta @mendietaalex1 @aleidimed @elidyynwa @BrownJHM @docakx @drkeithsiau @modernHealthMe @drsthanus @the_beardedsina @Doctors__squad @rkalyes1 @ChiomaDPatrick Erythema gyratum repens/" curvy wooden like appreance "

Often puritic / itchy and its highly associated with malignancy

https://t.co/o7ap6fkAgw

[Amal Mattu @amalmattu]

33yo M w/2 hrs of CP; computer and AI called it normal. But good old-fashioned HI (human intelligence) called it positive. Kudos to Dr. Mohammad Assiri, dx'd South African Flag sign, 100% D1 blockage, life saved! #foamed

[Radiology Masterclass @RadMasterclass]

CT BRAIN QUIZ: Non-contrast CT. History of hypertension & sudden left facial droop. What does the image show?
A: Subarachnoid haemorrhage
B: Subdural haemorrhage
C: Intraventricular haemorrhage
D: Intracerebral haemorrhage
E: Enhancing mass
Start Quiz https://t.co/Wz4WTSgjUS

[جريدة الوطن السعودية @AlwatanSA]

النزول إلى الميدان
عوض العمري | @awadoooof
#صحيفة_الوطن #مقالات
https://t.co/Gare7y9Ql9

[Radiology Masterclass @RadMasterclass]

X-RAY QUIZ: Dropped heavy weight on foot. Painful foot. Tender metatarsals. Is there a visible injury? If so, what is the injury? Start Quiz https://t.co/Ise4iZ6oow

[Mastery of Emergency Medicine @mastery_em]

🟥AMAZING TRAUMA ATLAS👍🟥
For ALL ED Physicians and Surgeons
"By Demetrios Demetriades and Edward Newton"
https://t.co/w14DFl3wbw

[Amal Mattu @amalmattu]

My 10 favorite ECG cases of the past decade of https://t.co/Vvf6PK0Uyp this week and next week; this week #s 6-10 at https://t.co/nKT3eB4BPk #FOAMed @UMEmergencyMed

[Amal Mattu @amalmattu]

Case #6 in my favorite cases of the past decade...why did cardioversion nearly kill this patient? Check out this week's ECGWeekly (it's #FOAMed) at https://t.co/nKT3eB4BPk

[Mastery of Emergency Medicine @mastery_em]

Great image,good for exams:😎
1.Esophageal Annular obstruction: Neoplastic versus stricture ?
So: Esophagoscopy is indicated for Diagnosis and Tissue biopsy.

2. Please remember❓️DDx of Luminal obstruction:
⭕️Intraluminal (internal)
⭕️Luminal wall pathology
⭕️Extraluminal ( external compressive)

Thanks for sharing🙏💐💐

[Mastery of Emergency Medicine @mastery_em]

@IhabFathiSulima Erythems Gyratum Repens(EGR )
challenging to catch and spot👏
Thanks for sharing

[Nacho Redondo @nachorredondo]

Patrones ecocardiográficos pulmonares. Otra #infografía para guardar en la carpeta de cosas importantes #FOAMed

[ECGWeekly @ECGWeekly]

56.5 Hours of CME. One Subscription. 30.5 hrs Enduring CME + 26 hrs AMA PRA Cat 1
ECGWeekly Max — $100/year - Use the QR code

Or grab the CME alone for $199 - https://t.co/XdKBqORNVt

[AuntMinnie.com @AuntMinnie]

What's your diagnosis? 64-year-old man with dysphagia and rapid weight loss #radiology @PennMedicine https://t.co/TI1q5kTd2j

[Mastery of Emergency Medicine @mastery_em]

Young male with severe CAP and Respiratory Distress🫁
🔺️Hypoxic O2- Sat 88%RA
🔺️Hemodynamically: Stable
🔺️Labs: Only High WBC- CXR: Bilateral infiltration
ALL OF(CURB65-PSI-IDSA) UNDERESTIMATE SUCH SICK PATIENT.
🔴Admit to ICU - The safest plan
@SEmergMed
@ManualOMedicine
@medhome
@MedscapeEM
@UAE_ESEM
@ResusMed

[Mastery of Emergency Medicine @mastery_em]

This is called:
Failed Back Surgery Syndrome(FBSS).
Pathophys.Factors:
▶️Recurrent spinal disc herniation
▶️Persistent pressure on a spinal nerve after surgery
▶️Altered joint mobility and scar tissue (fibrosis)
▶️Pre-existing conditions, such as diabetes, autoimmune disease, and vascular disease

https://t.co/Gav5CIfBtB

@Yale_EM
@MedscapeEM
@psmmced
@ResusMed
@UMEmergencyMed

[Mastery of Emergency Medicine @mastery_em]

Despite prevoius back surgery for pain; such as discectomy or laminectomy, some patients continued to have back pain. They also drop frequently in ED for analgesics‼️
What is this syndrome called?

[Mastery of Emergency Medicine @mastery_em]

BEING ER PHYSICIAN :
OR ALIENS FROM SPACE ‼️
THE SAME I GUESS 💥😅

[Mastery of Emergency Medicine @mastery_em]

Despite prevoius back surgery for pain; such as discectomy or laminectomy, some patients continued to have back pain. They also drop frequently in ED for analgesics‼️
What is this syndrome called?