Medical Case Study
44 Threads
1/n Hyponatremia in cirrhosis rounds: case 1: ESLD 2/2 ETOH. Admitted at OUH 2/2 abd distension/lethargy w/sNa 133. Kept on spirono + furosem + lactulose. Gradual โฌ๏ธin sNa in 10 da...
Interesting clinic case. 30 yo man referred for polyuria. No medical history and no Rx medications. Normal BP, weight 65kg. #nephtwitter #MedTwitter
1/ A 42-YO F developed pain & numbness on the dorsum of her left forearm w/ wrist & finger drop over 3 days. A month later, she developed R foot drop with pain & numbness along th...
@TumorBoardTues 1/23 #TumorBoardTuesday #Mesothelioma #OncTwitter @FordePatrick @MPishvaian @JohnEbbenMDPhD 65 yo ๐จ๐ฝโ๐ผ๐ญ retired ๐ท๐ฝโโ๏ธ construction โ PMHx ๐ฎโ๐จ SOB + cough ๐ฉป CT CAP:...
1/5 CASE I recently tweeted about a patient who was admitted with severe preeclampsia, underwent C/S and presented 5 days postpartum with progressive thrombocytopenia (shown aga...
@TumorBoardTues 1/22 #TumorBoardTuesday #PancreaticCancer #OncTwitter @CentralParkWMD @MPishvaian 58yo ๐ฉ๐ปโ๐ฆฑ fit, training for NY marathon PMH: HTN, former smoker ๐Develops abd pai...
1/ Alright #neuroX (?!?!) A 78 yo man is hospitalized with sepsis, he undergoes a long hospitalization complicated by ileus and AKI requiring HD (now resolved). He has been hosp...
Hey #NephTwitter #Medtwitter! โ ๏ธHow often do you see a family of cases with nephrotic syndrome? ๐ญWhat are your first thoughts when multiple family members present with glomerular...
Clinical case! ๐ง ๐ญ๐งต 1/7 A 26-year-old woman from a rural region of Mexico presented in a state of catatonia. At age 21, she begun to exhibit aggressiveness. At age 23, she started h...
Interesting case which I was wrong about prospectively. Let me share what I learned Hx: 30 y/o M with severe occipital headache https://t.co/LaIf68Ku2n
ICU stories: "Urosepsis" is one of the "bread & butter" ICU cases. The usual scenario is one of an old lady who is admitted febrile/hypotensive w "dirty urine" & after an overnight...
1/ Another challenging case-based discussion. Help me manage this patient #medtwitter #neurotwitter #stroke. A #tweetorial ๐งต. ๐ to the great @sudhakar_satti for reviewing this cas...
#MayoIDCase Why is this aspergillus lung lesion progressing on voriconazole? Upon review: MDS with prolonged neutropenia. 3 months into voriconazole Rx: fever / hypoxia. CT shown...
Uncontrolled #epileptic fits stopped by #insulin 1. A man aged 75 had for five days experienced tonic-clonic #seizures involving the right side of the face and right upper and low...
Case of a woman whose shoe size increased from 5 to 7 over two years 1. It was an usual OPD, when I was counselling one of my patients with back pain about exercise, diet and corr...
Case of a man who shaved only on right side of face 1. 70-year-old man was brought to OPD three months ago by his son, with a complaint that he had stopped shaving on left side of...
Recurrent seizures: Consider Vitamin B12 deficiency, if cause is not obvious #Vitamin #B12 plays a vital role in keeping nervous system healthy. Deficiency of B12 can lead to deme...
#Stroke after the neck-crack & head massage by a barber after haircut 1. I saw a 22-year old being brought to the emergency room on a stretcher (1999 @OffCMCVellore. He had develo...
#MayoIDCase This is the stool examination of a young man with headache, fever and neck pain. CSF examination: TNC 8748 cells, 75%N, glucose 22 mg/dl, protein 615 mg/dl. #MayoIDQ...
#MayoIDCase After returning from Ethiopia, a young woman presents with eosinophilia, dyspnea due to reactive pneumonitis, abdominal bloating with ill-defined liver hypodensities. W...
#MayoIDCase This is the bone marrow aspirate (Wright Giemsa stain, 1000X) of a 26M (CA/TN/FL/MN) with ulcerative colitis on ustekunimab + steroids. He presented w 6 mo of fever, di...
#MayoIDCase 55F MDS s/p allo BMT complicated by neutropenic fever 22d ago. WBC now 4.0. Meds: PCN, acyclovir, posaconazole, inhaled pentamidine, tacrolimus Now: confusion and hall...
#MayoIDCase 37M with congenital heart disease s/p multiple surgical repair presents with fever and this image. What do you do next? https://t.co/DbsXG0juTg
#MayoIDCase 70M. MN. No travels. Pet cat. Rose gardening. PMH: CLL not on Rx. CC: Fever, headache, neck stiffness CT head normal WBC 14 Cr 1.4 CSF: OP 11 cm H2O; TNC 756; 91%L; g...