جنت اريد اقرة عنها، وفرتي علية الوقت 🍻

How stroke can cause pulmonary embolism?

By being confined to bed?

Yup it’s stasis😂

Meningococcal rash is an erythematous macular and petechial rash on the legs that quickly disseminates, becoming purpuric and even necrotic if meningococcemia remains untreated

Meningococcal purpura

De musset's sign: head nodding.

Corrigan's sign: Suprasternal notch pulsation ( large volume pulse)

*This is a condition of aortic regurgitation

The first sign was noticed in the French poet "Alfred de Musset" by his brother,
He had syphilitic aortitis which is one of the causes of AR.

مرضى الربو الي يستعملون inhaled glucocorticoids يُنصحون انو بعد ال inhaler يمضمضون بمي ويذبوا( rinse and spit ) بهذه الطريقة ينظفون الفم من بقايا ال inhaler لأن استعمال ال steroid فترة طويلة يعرضهم لـ oropharangeal candiasis

This x-ray showing bilateral pulmonary infiltrate
DDX:
cardiac pulmonary oedema
Non cardiac pulmonary oedema ( ARDS)
Acute eosinophilic pneumonia

With clinical contexts and doing Echo for the heart we can exclude the 1st diagnosis in case of normal LV.

By doing Bronchoalveolar lavage (BAL) with bronchoscopy we can exclude the 3rd one in case there’s no raise in eosinophilia above 25%.

With other contexts: like patient is a young with recent sepsis or trauma, aspirated or any other causes of ARDS .. we can confirm the ARDS.

3 lifesaving ARDS tips :
1- apply mechanical ventilation for all your patients.
2- Give steroid:
”dexamethasone 20 mg/day followed by 10 mg/day”
3- Prone positioning.

بإختصار:
Any patient who diagnosed with IE due to streptococcus bovis should be sent for colonoscopy because this bacteria is usually associated with colonic carcinoma.

Raised ALP & GGT indicate obstructive jaundice.
While raised ALT is indicative of hepatocellular damage.

Courvoisier's sign:
A painless palpably enlarged gallbladder accompanied with mild jaundice is unlikely to be caused by gallstones. It's more likely to be caused by a malignancy at the head of the pancreas.

The condition is painless because it's chronic and the gallbladder is distended and obstructed in a gradual manner due to the malignant growth. This is in contrast with the sudden onset of painful gallstones.

+ لازم أتذكر أسولف عن:
SIADH & meningitis
+ Cerebral Salt-Wasting (CSW) syndrome

بس ورة النسائية...