sᴘᴏᴛ ᴅɪᴀɢɴᴏsɪs

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بسم الله الرحمن الرحيم
One Click, One glimpse, One site
@SDME2023

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3.67

3 reviews

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The latest Messages 15

2021-12-09 00:39:19

77 yrs old male c/o frequent fall down for the past 2 month and lately his hands begin to shake involuntarily best next step to confirm your diagnosis :

Anonymous Quiz

30%

MRI

33%

37%

Physical examination

27 voters75 views..., 21:39

Open / Comment

2021-12-09 00:28:07

#Cancer_pain_managment:

Severe pain : short acting opioid (morphine, hydromorphone) if not responding will or need a frequent dosing resort to long acting Opioid (e.g. Fentanyl patches)

Less severe pain :
Non opioid +/- opioid accordingly.

#Source:
Uworld /step II neurology

81 views..., edited 21:28

Open / Comment

2021-12-09 00:21:06

71 yrs old male c/o severe back pain for months following a diagnosis of prostate cancer patients received palliative radiotherapy and ibuprofen for pain with no improvement Neurological Ex where normal, best next step in pain management of this patient :

Anonymous Quiz

Increase ibuprofen dosage

37%

Long acting opioid

47%

Short acting opioid

11%

Acetaminophen

Aspirin

19 voters80 views..., 21:21

Open / Comment

2021-12-09 00:12:37

Commonest site of involved ordered from commonest to less common :

Anonymous Quiz

29%

Basal ganglia (esp putamen), cerebellum, Thalamus, Pons and cerebral cortex

35%

Thalamus, cerebellum, Pons, basal ganglia

35%

Cerebellum, basal ganglia, cortex

17 voters83 views..., 21:12

Open / Comment

2021-12-09 00:07:06

Physical examination of this patient will show:

Anonymous Poll

32%

Left hemiparesis

11%

Right hemiparesis

16%

Right hemiataxia

16%

Left hemiataxia

37%

Homonyms hemianopia

19 voters80 views..., 21:07

Open / Comment

2021-12-09 00:04:33

67 yrs old male presented to The ER with severe occipital headache and vomiting for the last 3 hours further Hx reveled a long Hx of poorly controlled hypertension, patient deny any trauma or use of blood thinners otherwise Hx insignificant, non contrast CT ordered.

#Spot_diagnosis?

80 views..., 21:04

Open / Comment

2021-12-08 23:54:54

32 yrs old female c/o obscuring of her vision and early morning headach that increases with coughing, sneezing, and stooping for the last 2 month, family Hx of Migraine is reported, BMI 35, o/Ex patient will show :

Anonymous Quiz

18%

Dilated fixed pupil

61%

Papiloedema

Nuchal rigidity

18%

Scalp tenderness

28 voters93 views..., 20:54

Open / Comment

2021-12-08 00:51:48

34 yrs old male brought by an ambulance to the hospital following car accident in which he was the driver patient GCS is 15 no obvious or internal injuries Lower limb examination showed weakness and loss of temperature, pain and intact fine sensation :

Anonymous Quiz

15%

Subacute combined cord degeneration

34%

Hemisection of the cord

30%

Anterior cord syndrome

22%

Peripheral neuropathy

130 voters636 views..., 21:51

Open / Comment

2021-12-08 00:44:38

Tricyclic antidepressants (TCA) effect include:

Anonymous Quiz

Anticholinergic ( dry mouth, urine retention)

23%

Alpha blocker effect: orthostatic Hypotension

Antihistaminc effect

59%

All of the above

79 voters615 views..., 21:44

Open / Comment

2021-12-08 00:41:53

27 yrs old F diagnosed with fibromyalgia ( chronic pain and fatigue syndrome) discharged on amitriptyline, patients report improvement of her fatigue symptoms but recently developed frequent dizziness and syncope, on Ex following finding will be typical:

Anonymous Quiz

69%

Orthostatic Hypotension

19%

Vertigo on dix hallpice test

13%

Nystagmus

54 voters522 views..., 21:41

Open / Comment

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