Case-based MCQ
19.3K subscribers
249 photos
2 videos
2 files
1.37K links
Enhance Your Medical Expertise with Case Based MCQ โ€“ Your Go-To Telegram Channel for Challenging, Real-World MCQs and Continuous Learning.

Admin: @Mohamm_ADs
Download Telegram
๐Ÿ‘4โค2
Case-based MCQ pinned Deleted message
Forwarded from Medical Mnemonics
๐Ÿงฉ Medical Mnemonics

Modified Alvarado score for diagnosis of appendicitis


๐ŸŒŽ ๐Ÿ‡จ๐Ÿ‡ฆ โ€Œ๐Ÿ‡ฒโ€Œโ€Œ๐Ÿ‡ดโ€Œโ€Œ๐Ÿ‡ณโ€Œโ€Œ๐Ÿ‡นโ€Œโ€Œ๐Ÿ‡ทโ€Œโ€Œ๐Ÿ‡ชโ€Œโ€Œ๐Ÿ‡ฆโ€Œโ€Œ๐Ÿ‡ฑโ€Œ


โ•๐— igration ๐—ขf pain to right lower quadrant (1 point)

โ•๐—กausea and vomiting (1 point)

โ•๐—งenderness in right lower quadrant (2 points)

โ•๐—ฅebound tenderness (1 point)

โ•๐—˜levated temperature (1 point)

โ•๐—”norexia (1 point)

โ•๐—Ÿeukocytosis >10 ร— 10โน/liter (2 points)



- Score of โ‰ฅ4 indicates that the patient should be further evaluated for appendicitis.


#surgery
ใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐ
ยฉMedical Mnemonics
๐Ÿ‘14โค1
Forwarded from Medical Mnemonics
๐Ÿงฉ Medical Mnemonics


Hypokalemia causes


Eid Mubarak ๐ŸŒบ๐ŸŒ™ ๐ŸŽ†๐Ÿ•‹

โšกEnteric losses ( diarrhea)
โšกInsulin excess, Increase of Glucocorticoid (Cushing's, exogenous steroids, ectopic ACTH), Increased sweat losses
โšกDialysis, Decrease of body temperature (hypothermia)

โšกMagnesium depletion
โšกUrinary losses(Diuretics)
โšกฮฒ-adrenergic activity, Bartter's or Gitelman's syndrome
โšกAlkalosis, Amphotericin B
โšกRTA types I and II
โšกAldosteronism
โšกKetoacidosis

#nephrology
ใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐ
ยฉMedical Mnemonics
โค25๐Ÿ‘6๐Ÿฅฐ1
Forwarded from Medical Mnemonics
๐Ÿงฉ Medical Mnemonics

Differential diagnosis of elevated serum aminotransferases


๐ŸŒ  โ€Œ๐Ÿ‡ฆโ€Œโ€Œ๐Ÿ‡งโ€Œโ€Œ๐Ÿ‡จโ€Œโ€Œ๐Ÿ‡ฉโ€Œโ€Œ๐Ÿ‡ชโ€Œโ€Œ๐Ÿ‡ซโ€Œโ€Œ๐Ÿ‡ฌโ€Œโ€Œ๐Ÿ‡ญโ€Œโ€Œ๐Ÿ‡ฎโ€Œ


๐Ÿชถ ๐—”utoimmune hepatitis, ๐—”drenal insufficiency, ๐—”norexia nervosa
๐Ÿชถ Hepatitis ๐—•
๐Ÿชถ Hepatitis ๐—–, ๐—–eliac disease
๐Ÿชถ ๐——rugs or toxins
๐Ÿชถ ๐—˜thanol
๐Ÿชถ ๐—™atty liver
๐Ÿชถ ๐—šenetic disorders (Wilson disease, Hemochromatosis, Alpha-1 antitrypsin deficiency)
๐Ÿชถ ๐—›emodynamic disorders (CHF and MI)
๐Ÿชถ ๐—œnfiltration of the liver by malignancy, ๐—œnjury to muscle (strenuous exercise, myopathy)

#gastroenterology
ใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐ
ยฉMedical Mnemonics
๐Ÿ‘10โค4
Forwarded from Medical Mnemonics
On MCU RESEARCH COLLABORATION, we provide you:

- Language revision
- Scientific Editing
- Journal Selection
- Submitting the manuscript
- Guide to dealing with Journals

๐Ÿ‘Œ And Much More!

๐Ÿชฉ Feel Free to contact admin ๐Ÿ‘‰ @Mohamm_ADs
๐Ÿ‘1
Case-based MCQ pinned Deleted message
Forwarded from Medical Mnemonics
๐Ÿงฉ Medical Mnemonics

Learn ๐Ÿซง SOAP BUBBLE appearance in Giant cell tumor of bone by #visual_mnemonics.

๐Ÿ’ป Join us in the official Instagram page: Online Medical School

#radiology 
ใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐ
ยฉMedical Mnemonics
๐Ÿ‘6โค1
Forwarded from EDL Backup Channel
โš  ๐Ÿ”” ๐’๐€๐•๐„ ๐“๐‡๐ˆ๐’ ๐‹๐ˆ๐’๐“ ๐…๐Ž๐‘ ๐€ ๐‘๐€๐ˆ๐๐˜ ๐ƒ๐€๐˜ ! โคต


1. ๐Ÿงฉ ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐— ๐—ก๐—˜๐— ๐—ข๐—ก๐—œ๐—–๐—ฆ (๐—Ÿ๐—˜๐—”๐—ฅ๐—ก ๐—˜๐—”๐—ฆ๐—œ๐—Ÿ๐—ฌ)

2. ๐—–๐—”๐—ฆ๐—˜ - ๐—•๐—”๐—ฆ๐—˜๐—— ๐— ๐—–๐—ค๐—ฆ ๐Ÿ’ฏ

3. ๐Ÿ‡จ๐Ÿ‡ฆ ๐— ๐—–๐—–๐—ค๐—˜ ๐—ฃ๐—ฅ๐—˜๐—ฃ๐—”๐—ฅ๐—”๐—ง๐—œ๐—ข๐—ก

4. ๐Ÿฉบ ๐—˜๐——๐—Ÿ ๐— ๐—˜๐——๐—œ๐—–๐—ข๐—ฆ (๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—•๐—ข๐—ข๐—ž๐—ฆ ๐—”๐—ก๐—— ๐—Ÿ๐—œ๐—ก๐—ž๐—ฆ)

5. ๐Ÿ“š ๐—˜๐——๐—Ÿ ๐—ฃ๐—›๐—”๐—ฅ๐— 

6. ๐Ÿ› ๐—ข๐—ก๐—Ÿ๐—œ๐—ก๐—˜ ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—ฆ๐—–๐—›๐—ข๐—ข๐—Ÿ

7. ๐—ฅ๐—˜๐—ฆ๐—œ๐——๐—˜๐—ก๐—–๐—ฌ ๐—œ๐—ก ๐—š๐—˜๐—ฅ๐— ๐—”๐—ก๐—ฌ ๐Ÿ‡ฉ๐Ÿ‡ช

8. ๐—ฃ๐—ฅ๐—”๐—–๐—ง๐—œ๐—–๐—˜ ๐—œ๐—ก ๐—”๐—จ๐—ฆ๐—ง๐—ฅ๐—”๐—Ÿ๐—œ๐—” ๐Ÿ‡ฆ๐Ÿ‡บ

9. ๐— ๐—•๐—•๐—ฆ & ๐—ฅ๐—˜๐—ฆ๐—œ๐——๐—˜๐—ก๐—–๐—ฌ ๐—œ๐—ก ๐—œ๐—ง๐—”๐—Ÿ๐—ฌ ๐Ÿ‡ฎ๐Ÿ‡น

10. ๐—ฅ๐—˜๐—ฆ๐—œ๐——๐—˜๐—ก๐—–๐—ฌ ๐—œ๐—ก ๐—จ๐—ž ๐Ÿ‡ฌ๐Ÿ‡ง

11. ๐—ฅ๐—˜๐—ฆ๐—œ๐——๐—˜๐—ก๐—–๐—ฌ ๐—œ๐—ก ๐—จ๐—ฆ ๐Ÿ‡บ๐Ÿ‡ธ

12. ๐—ฅ๐—˜๐—ฆ๐—œ๐——๐—˜๐—ก๐—–๐—ฌ ๐—œ๐—ก ๐—–๐—”๐—ก๐—”๐——๐—” ๐Ÿ‡จ๐Ÿ‡ฆ

13. ๐—™๐—ฅ๐—˜๐—ก๐—–๐—› ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—•๐—ข๐—ข๐—ž๐—ฆ ๐Ÿ‡ซ๐Ÿ‡ท

14. ๐—š๐—˜๐—ฅ๐— ๐—”๐—ก ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—•๐—ข๐—ข๐—ž๐—ฆ ๐Ÿ‡ฉ๐Ÿ‡ช

15. ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—ฅ๐—˜๐—ฆ๐—˜๐—”๐—ฅ๐—–๐—› ๐ŸŽ“

16. ๐Ÿ“ธ ๐——๐—˜๐—ฅ๐— ๐—”๐—ง๐—ข๐—Ÿ๐—ข๐—š๐—ฌ ๐—”๐—ง๐—Ÿ๐—”๐—ฆ

17. ๐—ข๐—˜๐—ง ๐—ฃ๐—ฅ๐—˜๐—ฃ๐—”๐—ฅ๐—”๐—ง๐—œ๐—ข๐—ก ๐Ÿ”ก

18. ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—”๐— ๐—”๐—ญ๐—ข๐—ก ๐ŸŒ

19. ๐— ๐—˜๐——๐—œ๐—–๐—–๐—ข๐—จ๐—ก๐—ง - ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—”๐—–๐—–๐—ข๐—จ๐—ก๐—ง ๐ŸŒ€

20. ๐Ÿ“ ๐—จ๐—ช๐—ข๐—ฅ๐—Ÿ๐—— ๐—˜๐——๐—จ๐—–๐—”๐—ง๐—œ๐—ข๐—ก๐—”๐—Ÿ ๐—ข๐—•๐—๐—˜๐—–๐—ง๐—œ๐—ฉ๐—˜๐—ฆ
๐Ÿ‘6โค2๐Ÿ‘1๐Ÿ˜1
Forwarded from Medical Mnemonics
- Do you want to publish your paper in the High Impact journal?

- Would you like your work to be seen in the best journals?


๐Ÿ”ท We will proceed with the journal publishing process with our professional team on MCU RESEARCH COLLABORATION

๐Ÿ”ป Feel Free to contact admin ๐Ÿ‘‰ @Mohamm_ADs
โค5
Forwarded from Medical Mnemonics
๐Ÿงฉ Medical Mnemonics


The 4 โ€Œ๐Ÿ‡ฆโ€Œโ€Œ's of Guillain-Barrรฉ
syndrome ๐Ÿ“

โœ– ๐—”cute inflammatory demyelinating
polyradiculopathy
โœ– ๐—”scending paralysis
โœ– ๐—”utonomic neuropathy
โœ– ๐—”lbuminocytologic dissociation (increased albumin in CSF)


#neurology
ใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐ
ยฉMedical Mnemonics
๐Ÿ‘14โค1
Case-based MCQ pinned Deleted message
Forwarded from Medical Mnemonics
๐Ÿงฉ Medical Mnemonics

Crigler-Najjar and Gilbert have problems with CoNjuGation of bilirubin while Dubin-Johnson and Rotor have a defective DooR for secretion of bilirubin.

#in_a_tweet
#pediatrics
ใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐใ€ฐ
ยฉMedical Mnemonics
โค6๐Ÿ‘1
Forwarded from Medical Mnemonics
Today, Medical Channels Union (MCU) launches a new group for cardiology enthusiasts;

๐Ÿค“ Cardiology Cases is considering helping medical staff to become highly skilled in cardiology, particularly ECG interpretation.

๐Ÿ”— https://t.me/Cardiology_Cases

๐Ÿค We also welcome cardiologists from around the world to help us as group administrators.

Invite your Friends ๐Ÿ™‹โ€โ™‚ ๐Ÿฆ‹
๐Ÿ‘4โค2๐Ÿฅฐ2
A 40-year-old man is evaluated for palpitations in the emergency department. He has had these symptoms several times over the past year but this episode is worse. He denies any associated chest pain, lightheadedness, or syncope. He denies any history of medical problems and takes no medications. Examination reveals an adult male in no significant distress. Cardiac examination is significant for regular tachycardia with no jugular venous pressure elevation. Lungs are clear without crackles or wheezing. There is no lower extremity edema. ECG shown below. What is the best intervention at this point?


A. Valsalva maneuver
B. Adenosine
C. Metoprolol
D. Digoxin
E. Cardioversion
๐Ÿ‘17โค2๐Ÿ‘Ž1
๐Ÿ‘6
The correct answer is A.

Supraventricular tachycardias (SVT) include paroxysmal, reentry, or preexcitation tachycardias. Reentry SVTs include AV nodal reentry (AVNRT), atrioventricular reentry, or atrial reentry. Reentry circuits require the presence of at least two different conduction pathways with differential refractory times. It is characterized by an abrupt onset and termination of tachycardia, that distinguishes it from sinus tachycardia, which has gradual changes in rate. It is precipitated by a premature atrial or ventricular contraction or hyperadrenergic state. Other triggers include hyperthyroidism and stimulants, including caffeine, drugs, and alcohol. This patient has supraventricular tachycardia (SVT) likely related to atrioventricular nodal reentrant tachycardia (AVNRT) and he has no concerning symptoms.

The ECG shows a regular, fast rhythm with absent P waves and a narrow QRS complex. Unstable patients require immediate synchronized cardioversion. Stable patients, such as the patient above, should first undergo vagal maneuvers. Some common vagal maneuvers include holding your breath and bearing down (Valsalva maneuver), coughing, gagging, and immersing your face in ice-cold water. If vagal maneuvers are unsuccessful, adenosine is used both diagnostically and therapeutically. Adenosine transiently blocks the AV-node and allows the circuit to โ€œreset.โ€


โš Choice B is not correct:

Adenosine is very short acting and can be used if vagal maneuvers fail to terminate the arrhythmia.

โš Choice C is not correct:

Metoprolol would also be considered if the above measures failed.

โš Choice D is not correct:

Digoxin would also inhibit the AV node but has more potential side effects than the other medications and is rarely used for this purpose.

โš Choice E is not correct:

Cardioversion would be reserved for hemodynamic instability including hypotension, heart failure, or angina.

Summarized Points:

This patient has SVT likely related to AVNRT and he has no concerning symptoms. The initial attempts at termination should use vagal maneuvers such as the Valsalva maneuver.
๐Ÿ‘8โค2๐Ÿฅฐ1
โค1