@insatiable19190 Approach hx more broadly. Focus on P.C and 1-2 major associations to build your d.ds.
If a pt has rigid neck + ASOC + fever + SOMI. Think of 3-4 dx that fit the description of fever + ASOC. Dont only think of d.ds that fit all the symptoms. Diseases can have atypical presentation
@DrMShujat Dilated CMP has reduced EF.
Also restrictive CMP makes better sense to me here.
Failure to relax --> Reduced diastolic filling --> Pulmonary congestion --> Pulmonary edema --> Dyspnea
@DrNikhilMD Rule out IRIDA, achlorhydria, malabsorptive disorders. Other than that, pt could be taking PPIs, Ca-supplements, tea & coffee with iron supplements.
@anas081081 Interactive case studies can still be fruitful. But old school lectures that aim to teach EVERYTHING are archaic & very very redundant now.
Majaal ha 5 saal me koi lecture suna ho mene๐ญ
Jo cheez sir 3 hafton sa hr lecture ma prha rha tha wo Sirf half day ma prh kr cmed ka test pass krLia๐
Infact agar shugal mela ki bjaye ankhein khol k paper krta tu position b ajati lol
This again proves why the lecture system in colleges is outdated
Self learning>>>>lectures
@HakarisupremaC When a domain is closed using a barrier, it only captures beings with CE. Hence why buildings (& maki) don't get included in usual domains. Open domains make no such distinction, as already seen in shibuya