#Clinical_case_34


A 72-year old man has admitted to hospital with 10 days history of progressive confusion and unsteadiness. His medical history included parkinson and mitral valve replacement.

Drug history 👉 Warfarin

Physical examination 👇

GCS = 14/15
BP = 130/86mmHg
PR = 88/min
RR = 10/min
T = 37.1°c

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1⃣ What is the differential diagnosis?

2⃣ Initial consideration in the management?

3⃣ Describe the appearance of his brain CTscan

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📌 Suture types

What is the diagnosis?

✅ WHO guideline for assessment of dehydration in children

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✅ Hand-foot-mouth disease

📌 Causes
📌 Symptoms
📌 Prevention
📌 Treatment

⬆️ Upcoming case:

📌 DDx?
📌 Management?

👆👆👆👆👆👆

✅ Infectious mononucleosis (EBV)

📌 Symptoms
📌 Complications
📌 Differential diagnosis
📌 Treatment
📌 Prevention

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✅ BCGitis

📌 A rare complication of BCG vaccine
📌 Occurs in 2% of all cases

Treatment:

Usually it resolves spontaneously but in suppurative cases, there are 3 options:

📌 Antibiotic therapy
📌 Needle aspiration
📌 Surgical excision