73 y/o MLP k/c of IHD, PUD , anemia, BPH Presented with H/O dysponea – hematemesis 5 times – G.fatiguability H/O melena His Hgb 4.5 g/dl, BP 90/50 We start I.V omeprazol infusion 250mg in 500 cc N/s 2cc /hr… Read More
A 27 y/o FLP presented with a history of fever, headache and photophobia
27 years old FLP presented with H/O headache, fever and photophobia from 1 week PMH: H/O bilateral pleural effusion from 1 year ago O/E pt conscious confused febrile 39c Neck stiffness ++ MRI done and shows (meningoencephalitis) Credit: Dr. Mutaz… Read More
A 17 y/o MLP with a history of Cerebral Palsy
A 17 years old male, presented with large abdominal distention, vomiting and constipation, symptoms progressed over a week. The patient is a known case of Cerebral Palsy, and congenital Hydrocephalus, so a VP (Ventriculo-Peritoneal) shunt was inserted at infancy. On… Read More
A 34 years old female diagnosed with neurofibromatosis (NF1) since birth
A 34 years old female was diagnosed with neurofibromatosis (NF1) since birth, recently she’d been presented to the hospital with a lump on her lower back one month ago and this huge lump started to become very painful accompanied with… Read More