Hip!

What is the description or diagnosis?

What is the overall Diagnosis?

@docxusofficial 😢😢

This man has veins bulging out of his abdomen, fluid filling his belly, and a liver that is barely functioning. He still hasn’t stopped drinking. I see this in the ward more often than I’d like to admit. A known alcoholic. Multiple previous admissions. History of decompensated liver cirrhosis. Ascites drained more than once. Put on diuretics. Counselled every single time. Family begged him to stop. He was discharged two months ago with strict instructions. No alcohol. Follow up in two weeks. Continue lactulose. Continue spironolactone. He came back yesterday. Abdomen distended. Prominent dilated veins across the abdominal wall. Caput medusae. The kind you show medical students because you rarely see it this clearly in a textbook. His liver is so scarred that blood can’t flow through it normally anymore. Portal hypertension forces the blood to find alternate routes. Those veins you see on his abdomen are collaterals. The body’s desperate attempt to bypass a liver that has essentially shut down. He also has tense ascites. Fluid filling the peritoneal cavity because his liver can no longer produce enough albumin to hold fluid inside the vessels. His serum albumin was 1.8. Normal is 3.5 to 5.5. We drained 4 litres of fluid from his abdomen yesterday. He’ll need it drained again in weeks. Maybe sooner. And when I asked him about alcohol his family answered before he could. “He never stopped. Not even for a week.” This is what alcohol does when your liver has already given up. It’s not a slow decline anymore. Every drink is actively pushing him toward variceal bleeding or hepatic encephalopathy or spontaneous bacterial peritonitis or hepatorenal syndrome. Any one of these can kill him in hours. The hardest part of medicine isn’t the diagnosis. It isn’t the treatment. It’s watching a patient walk back in with the same condition you treated last time because the one prescription they refused to follow was the only one that mattered. Stop drinking. That was the treatment. That was the whole treatment. And he couldn’t do it. Addiction is a disease. But so is what it leads to. And by the time your abdomen looks like this the damage is not coming back

Why is this guy such a idiot 😂😂

@Picolas_Caged @docxusofficial It’s the biggest medical page by a consultant doctor And you’re literally a crypto scammer, you dying piece of shit!!!

@docxusofficial 'That’s not his instinct. It’s training.' so fucking AI

This man had 4 minutes to live. No one was in the room. He survived because he knew something 95% of the world doesn’t. Choking kills over 365,000 people globally every year, according to the WHO. 95% of these choking episodes share one variable: the person was alone. Not because the obstruction was worse. Because no one was there to help, and the victim didn’t know how to help themselves. Without oxygen, brain damage begins in as little as 4 to 6 minutes. Average ambulance response time globally? Eight minutes or more. In many countries, they don’t arrive at all. The math is unforgiving. You either know what to do in the first 60 seconds, or you don’t survive long enough for help to arrive. This man survived for one reason, he’s a medical worker. He knew the self-Heimlich exists. He knew to use the back of a chair to generate subdiaphragmatic thrust against his own epigastrium. That’s not his instinct. It’s training. Now think about who doesn’t have that training. Elderly people eating alone. Toddlers. Anyone living by themselves who has never been shown that a chair, a countertop, or even your own fist can substitute for another person’s hands. The Heimlich maneuver was invented in 1974. Fifty years later, most people on Earth still don’t know it exists, let alone that you can perform it on yourself. 112K+ people watched this video. Almost none of them would have thought of actually learning the technique. They watched a man almost die and just felt relieved. Here’s what the video should have taught you: In case you’re alone and choking: Step 1: Make a fist. Place the thumb side just below your rib cage, above your navel. Step 2: Grasp it with your other hand. Thrust sharply inward and upward. Step 3: If that doesn’t work, lean over any firm surface. A chair back. A countertop edge. A railing Step 4: Drive your upper abdomen against it. Hard. Repeat until the airway clears. That’s 15 seconds of knowledge. Don’t forget that. Save this post.

@DrAkhilX Are is @DocPriyamMD ko dekho chutiye ko sir 😂😂😂 Chatgpt copy paste bhsdika 😂

Which vitamin deficiency causes this?

#neetpg2025 #INICET

Dekho bhai is chutiye madarchd bordoloi ko 😂😂😂😂😂😂😂😂 Din bhar ChatGPT se copy paste I just tried to confirm whether his chutiya tweet is ai generated Block kar dia madarchd chutiye ne 😂😂😂😂 #NEETPG #INICET

@DocPriyamMD @pangramlabs slop?

We call it Enteric Fever to sound professional, but let's be real: Typhoid always means the sanitation chain failed and someone’s stool ended up in your mouth

Laparoscopic view of Inguinal hernia!👇🏼

Which drug is most commonly associated with medication-induced acanthosis nigricans? A. Metformin B. Niacinamide C. Isotretinoin D. Spironolactone

Your ears do far more than detect sound. 📹valorgi

HIV pt with cough Diagnosis??

Boys will be boys

A single dose of a new cancer drug made a brain tumor almost disappear - in just 5 days In early 2024, doctors at Massachusetts General Hospital treated three people with recurrent glioblastoma brain tumour using a brand-new type of CAR T-cell therapy called CARv3-TEAM-E. The treatment is made from each patient’s own immune cells, which are taken out, genetically rewired in the lab to recognize two different markers commonly found on glioblastoma cells, and then infused directly into the fluid spaces of the brain through a single procedure. The results were stunning and much faster than anyone expected: In one patient, MRI scans taken just five days after the single infusion showed the tumor had almost completely vanished. A second patient had more than 60 % of the tumor disappear, and that shrinkage lasted for over six months. The third patient also had clear tumor reduction within days. These responses happened far more quickly and dramatically than anything seen before with immunotherapy for this type of brain cancer. Doctors described the early images as “jaw-dropping”

The brain cleans itself during sleep 📹 xavork

Dx? Another case of a beautiful image but scary unfortunate problem. How does the air get in there? #neurosurgery #cpr

Google Gemini is the smartest AI right now. But 90% of people prompt it like ChatGPT. That's why I made the Gemini Mastery Guide: → How Gemini thinks differently → Prompts built for Gemini → 2000+ AI Prompts Comment "Gemini" and I'll DM it free.

“I’m good at Anatomy” Name the structure on the picture??

Appearance of the liver during laparoscopy in a patient with chronic abdominal pain. What’s the diagnosis?