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sᴘᴏᴛ ᴅɪᴀɢɴᴏsɪs

Logo of telegram channel spotdiagnosis — sᴘᴏᴛ ᴅɪᴀɢɴᴏsɪs S
Logo of telegram channel spotdiagnosis — sᴘᴏᴛ ᴅɪᴀɢɴᴏsɪs
Channel address: @spotdiagnosis
Categories: Education
Language: English
Subscribers: 2.46K
Description from channel

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

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The latest Messages 3

2022-02-16 10:18:49
Postpartum 30 yrs old female present with lateral right wrist pain for 2 weeks now, pain increases with Adduction of the wrist. No hx of trauma or rheumatological disease, spot diagnosis :
Anonymous Quiz
65%
De Quervain tendenopathy
11%
Scaphoid fracture
13%
Rheumatoid arthritis
11%
Styloid processe fracture.
46 voters184 views...., 07:18
Open / Comment
2022-02-16 10:12:00
27 yrs old male admitted to the ER following major RTA.Primary survey where normal.Patients consciousness deteriorated, Brain imaging showed Rt epidural hematoma in which he underwent craniotomy. Day1 post-op nurse noted blood oozing from surgical sites
Anonymous Quiz
41%
DIC is the diagnosis
32%
Vitamin K deficiency is suspected
27%
Liver faliure is a top deffrential
44 voters194 views...., 07:12
Open / Comment
2022-02-16 09:03:12
43 yrs old female present with acute left sided weakness, past history insignificant other than Wt loss, fever and fatigubility for the last 3 months preceding the events. Brain imaging showed multiple infarct.Echo showed left atrial mass. Your Dx:
Anonymous Quiz
30%
Infective endocardtitis
54%
Atrial myxoma
5%
Mycotic aneurysm
5%
Air Embolism
5%
Antiphospholipid syndrome
56 voters207 views...., 06:03
Open / Comment
2022-02-13 08:16:16
The cause of such findings in this patient:
Anonymous Quiz
62%
Perotenial stretching following laproscopic CO2 insuffliation.
35%
Vena caval obstruction
3%
Inadequate anesthesia.
63 voters347 views𝕬𝖇𝖉𝖎𝖗𝖆𝖍𝖒𝖆𝖓 𝕯𝖍𝖊𝖊𝖑, 05:16
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2022-02-13 00:22:01
48 yrs old female present with classical symptoms and signs of acute calcular cholecystitis. scheduled for laproscopic Cholecystectomy. Medical Hx significant for HTN. At time of the operation and as the assistant started insufflating the abdomen with CO2, patient heart rate dropped dramatically with an av block visible on the monitor.

#Source:
UWORLD SURGERY
345 views𝕬𝖇𝖉𝖎𝖗𝖆𝖍𝖒𝖆𝖓 𝕯𝖍𝖊𝖊𝖑, edited  21:22
Open / Comment
2022-02-12 22:27:38
#Physiology_Flashback:

Hypothalamus produce Gonado-Trophin Releasing Hormone ( GnRH) which in turn stimulate the Pituitary gland to release, the Follicular Stimulating Hormone (FSH) & Leutenizing Hormone (LH). FSH & LH influences the gonads (The testis and the ovaries).


#Notes:
FSH stimulate Sertoli cells(S forS) .
LH stimulate Leydig cells(L for L) .
Leydig cells is an endocrine cells that produces Testesteron.
Sertoli cells produces Androgen binding protien to keep Tetstesteron concentration high within the testis.
Leydig cell tumor is the commonest Stromal Tumors.
Stromal tumor present with painless testicular mass and excessive androgen(estrogen and testesteron).
Gynecomastia, acne and precious puberty are the classical symptoms.
It is not an unusual for leydig cell tumor to secrete #Estrogen.
Tetstesteron important in spermatogenesis, male genital organ development and secondary male sex characteristics.


#Reference:
1)Atlas of Histology by Cui
Page 345- 360.
2)UWORLD Surgery.
306 views𝕬𝖇𝖉𝖎𝖗𝖆𝖍𝖒𝖆𝖓 𝕯𝖍𝖊𝖊𝖑, edited  19:27
Open / Comment
2022-02-12 22:09:29
#Histology_Flashback:

Testis has #two compartments:
1- Tubular compartment: seminiferous tubules and genital ducts. #Seminiferous tubules are lined with layers of germinal epithilum in various stages of development ranging from the immature #Spermatogonium to the fully mature mobile #Spermatozoa. considered the functional cells of the testis. Another important cells within this compartments is #Sertoli_Cells known as nurse cells they support and protect the immature gamates from the immune system (they form Blood-Testis barrier).

2 - Intertubular compartment: I.e the interstitial space. Contain lose connective tissue and #Leydig_Cells.

#Covering_of_the_Testis:
From in to out:
1- Tunica Albuginea.
2 - Tunica vaginalis.
4- Scrotum.

#Reference:
Atlas of Histology by Dongmei Cui page 345-360.
707 views𝕬𝖇𝖉𝖎𝖗𝖆𝖍𝖒𝖆𝖓 𝕯𝖍𝖊𝖊𝖑, edited  19:09
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2022-02-10 01:15:19
42 yrs old female C/o watery diarrhea 3, times a day for the last 7 month, patient also report a mild abdominal cramps, Hx otherwise unremarkable. Vitally stable, BMI :23. Colonoscopy revealed shallow ulcers and inflammation of the rectum and sigmoid. Dx:
Anonymous Quiz
0%
Traveler's diarrhea.
15%
Whipple disease.
0%
Cholera.
8%
Irritabile bowl syndrome.
77%
Ulcerative colitis.
13 voters45 views𝕬𝖇𝖉𝖎𝖗𝖆𝖍𝖒𝖆𝖓 𝕯𝖍𝖊𝖊𝖑, 22:15
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2022-02-10 01:07:21
34 yrs old male present with bilateral painful breast swelling for 3 months. O/Ex left small painless testicular mass is detected. LH and FSH are low. BHCG and AFP are not raised. Most likely diagnosis:
Anonymous Quiz
0%
Yolk sac tumor.
0%
Embryonal carcinoma.
0%
Chorizo carcinoma.
36%
Teratoma.
21%
Leydig cell tumor.
43%
Seminoma.
14 voters50 views𝕬𝖇𝖉𝖎𝖗𝖆𝖍𝖒𝖆𝖓 𝕯𝖍𝖊𝖊𝖑, 22:07
Open / Comment
2022-02-08 00:21:38 For Arab Medical students

منصة خاصة بطلبة الطب العرب خصوصا من هم في السودان مرحبا بكم حللتم أهلا ونزلتم سهلا تجدون هنا إن شاء الله كورسات، ورش ومحاضرات أونلاين في متناول الجميع.
يقوم بها كوكبه متميزه من خريجي جامعات السودان مرحب بكم جميعا نرجو أن تعم الفائده.
https://t.me/SpotdiagnosisMedstudents
143 views𝕯𝖍𝖊𝖊𝖑, edited  21:21
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