Dr Zoya Medicine 💊💉

8 yrs old male pt admitted in Medical ward and he had history of RTA 1 week back. What's diagnosis ? What's Management ?

Drug of choice for acute gout attack ? A- Allopurinol B- Colchicine C- Probenecid D- Febuxostat

@ChShafiullah15 B

@DrMShujat Ulcerative colitis

A 24-year-old male presents with: ➡️ Bloody diarrhea for 3 months ➡️ Weight loss ➡️ Urgency & tenesmus ➡️ Mild abdominal pain Colonoscopy shows: Continuous inflammation starting from rectum with friable mucosa and superficial ulcerations. What’s the most likely diagnosis?

There are some problems with my 𝕏 account. Something went wrong and we're working to fix it. A few days ago the same issue happened, and several mutuals — including the honourable and respected Dr. @ihabsulaiman Sir ❤️🫡 — were unfollowed. 😟 Please stay with us; we'll reconnect with you very soon.🙏❤️

73 y'o female pt k/c of HTN admitted in ICU with c/o loose motion and P/R blood loss. For last 10 yrs she has been on blood transfusion for every 6 months, now blood is transfused every 2 to 3 months. Differential diagnosis? 🤔 Management?🤔

@DrMShujat Wow great Doctor, I almost listen your every lecture on FB and subscribed your WA and YT channel now It's Twitter ❤️❤️❤️

Starting a new Emergency Series for new house officers, medical officers, and junior residents. In this series, we will discuss the practical management of important and commonly encountered emergency cases especially focusing on how to approach a patient step👇

@TeachingOfIs ✅ D. Hepatitis E Hepatitis E is the most dangerous during pregnancy, especially in the 3rd trimester, due to the high risk of fulminant hepatic failure, maternal mortality, and adverse fetal outcomes. 🩺

@DrsansariOrd Cellulase

Answer ❓

Which type of hepatitis is most dangerous during pregnancy? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis E #MedTwitter

Dear MBBS students, spend more time on X (twitter)- especially #MedTwitter This is not just another social media app; this can become your living medical college beyond college. Here you will find physicians, surgeons, pathologists, radiologists, anaesthesiologists, dermatologists, microbiologists and almost every specialty doctor sharing real cases, notes, MCQs, puzzles, images, facts and hard-earned wisdom. You can ask the same question to different specialists and understand how medicine actually thinks from different angles. Instagram may give you reels, but X can give you mentors, clarity, curiosity and a serious medical network. Bring your friends here. Build your learning circle early. Medicine becomes less lonely when good people learn together.

@TeachingOfIs @3DMedico1 @ajlkfad2333 @ChShafiullah15 @daoo100 @DrAyubaD @DoctorMed0 @drpankajroyal @drxmelodyy @ekeneahmed @henry_jibunor Sspe

@Chiragrx07 @3DMedico1 @ajlkfad2333 @ChShafiullah15 @daoo100 @DrAyubaD @DoctorMed0 @drpankajroyal @drxmelodyy @ekeneahmed @henry_jibunor So it means your first priority is autoimmune encephalitis???

The history is highly suspicious for Subacute Sclerosing Panencephalitis (SSPE) despite negative serum IgM. Serum IgM is usually NOT useful for SSPE diagnosis. The key test is: CSF measles antibody titer (markedly elevated anti-measles IgG in CSF). Important DDs:- Autoimmune Encephalitis Wilson Disease (less likely; copper/ceruloplasmin normal) Progressive Myoclonic Epilepsy Viral Encephalitis Mitochondrial Encephalopathy But with this combination of: measles history + myoclonus + progressive decline + characteristic EEG - SSPE should be ruled out first.

14 y'o male pt admitted with C/O ALOC and fever, having hx of fits/tremor 8 mnths ago and pt was on syrup lerace measles hx at age of 3 yrs S. Measle IgM Antibodies negative S.Measles IgG slightly raised S. Copper, ceruloplasmin nd homocysteine normal MRI Brain normal 🤔 DDs🤔

@TeachingOfIs @3DMedico1 @ajlkfad2333 @ChShafiullah15 @daoo100 @DrAyubaD @DoctorMed0 @drxmelodyy @ekeneahmed @henry_jibunor Differential Diagnosis- 1. SSPE 2. Autoimmune encephalitis 3. Viral encephalitis 4. ADEM

@TeachingOfIs @3DMedico1 @ajlkfad2333 @ChShafiullah15 @daoo100 @DrAyubaD @DoctorMed0 @drxmelodyy @ekeneahmed @henry_jibunor CSF analysis

@henry_jibunor @drpankajroyal @3DMedico1 @ajlkfad2333 @ChShafiullah15 @daoo100 @DrAyubaD @DoctorMed0 @drxmelodyy @ekeneahmed Wow brilliant

Treat as encephalitis Urgent tests: EEG to rule out non‑convulsive status epilepticus. Lumbar puncture for CSF (cells, protein, glucose, culture, viral PCR; ± autoimmune panel, CSF measles IgG). Then adjust therapy based on CSF/EEG (continue antivirals if viral; consider steroids/IVIG if autoimmune once infection excluded).

@drpankajroyal @3DMedico1 @ajlkfad2333 @ChShafiullah15 @daoo100 @DrAyubaD @DoctorMed0 @drxmelodyy @ekeneahmed @henry_jibunor What should be next step