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FreeMedSite

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FreeMedsite is a Platform that provides Medical Notes.
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The latest Messages

2023-05-03 06:52:02 Takotsubo cardiomyopathy:

Features:

Chest pain
Features of heart failure
ECG: ST-elevation
Normal coronary angiogram

Treatment is supportive.

Prognosis
The majority of patients improve with supportive treatment
530 views03:52
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2023-03-05 06:52:16 Myocardial Infraction
227 views03:52
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2023-01-31 14:18:37 Cardiology

Case Study: Acute Pericarditis following Heart Transplantation

Patient: A 35-year-old male

History: The patient underwent a successful heart transplantation surgery 2 weeks prior. On post-operative day 14, he presented to the hospital with a sudden onset of chest pain and shortness of breath.

Examination: Physical examination revealed a fever (101°F) and tenderness over the precordium. An electrocardiogram (ECG) showed evidence of pericarditis with diffuse ST elevations.

Diagnosis: The patient was diagnosed with acute pericarditis based on the physical examination findings and ECG changes.

Investigations: Blood tests showed elevated white blood cell count and C-reactive protein levels, suggesting an infectious cause. A pericardial fluid analysis revealed a high number of white blood cells, further supporting an inflammatory process.

Treatment: The patient was started on nonsteroidal anti-inflammatory drugs (NSAIDs) and colchicine for pain control and to reduce inflammation. He was also started on a course of antibiotics to treat the suspected infectious cause.

Outcome: The patient's symptoms improved significantly over the next few days, and he was discharged from the hospital after 6 days of treatment. He was followed up in the clinic regularly, and no further episodes of pericarditis were observed.

Discussion: Acute pericarditis is a rare but potentially serious complication of heart transplantation. Prompt recognition and treatment are crucial to prevent complications such as cardiac tamponade, which can be life-threatening. In this case, the patient responded well to a combination of NSAIDs, colchicine, and antibiotics.
296 views11:18
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2023-01-29 08:11:52 Migraine is a primary headache disorder characterized by recurrent moderate to severe headaches, often on one side of the head. It is often accompanied by symptoms such as nausea, vomiting, photophobia, and phonophobia.

The pathophysiology of migraine is not fully understood but it is thought to involve the activation of the trigeminovascular system and the release of inflammatory mediators.

Migraine triggers include hormonal changes, stress, diet and environmental factors.

Diagnosis is based on the patient's history and physical examination.

Treatment options include abortive therapy with triptans and non-steroidal anti-inflammatory drugs, and prophylactic therapy with anticonvulsants, beta blockers, and anti-depressants.

Non-pharmacological approaches such as cognitive behavioral therapy and biofeedback may also be beneficial.
508 viewsedited  05:11
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2023-01-11 13:07:17
Curtain sign in #Myasthenia

As I support the right weak eyelid - signal sent - less innervation needed - by Herring’s Law of equal innervation - less signal to left as well - ptosis in left worsens
228 views10:07
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2022-12-19 06:40:17 Stroke: Management

Aspirin 300mg orally or rectally should be given as soon as possible if a haemorrhagic stroke has been excluded.
221 viewsedited  03:40
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2022-12-13 04:50:52
378 views01:50
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2022-12-09 05:04:29
Sialolithiasis (also termed salivary calculi or salivary stones), is a condition where a calcified mass or sialolith forms within a salivary gland usually in the duct of the submandibular gland. Some factors such as abnormalities in calcium metabolism, dehydration, reduced salivary flow rate,altered acidity (pH) of saliva caused by oropharyngeal infections are involved.
99 views02:04
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2022-12-06 05:13:16
Which neurocutaneous syndrome is characterized by a portwine stain
Anonymous Poll
13%
Neurofibromatosis
13%
Tuberous Sclerosis
71%
Sturge weber syndrome
2%
Von hippel lindau
52 voters148 views02:13
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2022-12-06 05:12:38
Port-wine stain is a birthmark in which swollen blood vessels create a reddish-purplish discoloration of the skin.Always present at birth. In an infant, they are flat, pink, vascular lesions. Common locations include the face and neck.
146 views02:12
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