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Category: Internal Medicine

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MAT and WAP – Key differences and practice essentials

July 27, 2024 Mohamed T. Shembesh

Case presentation: A 73 year old MLP, heavy smoker, k/c of COPD Rapid irregular rhythm > 100 bpm. At least 3 distinctive P-wave morphologies (arrows). Diagnosis: Multifocal Atrial Tachycardia Multifocal Atrial Tachycardia (MAT) A rapid, irregular atrial rhythm arising from… Read More

Dr. Mohamed T. Shembesh, Internal MedicineLeave a comment

67 year old MLP Presented with Exacerbated Symptoms of Anemia // A Case of Infra-Renal Abdominal Aortic Aneurysm (AAA)

October 29, 2019 Cases 101

A 67-year-old male Libyan patient, presented with Shortness of breath, Dizziness, headache, palpitations, and generalized fatigability for the past 2 months but increasing over the last 5 days. Patient is also a heavy smoker for over 20 years (2 packs/Day)… Read More

Internal Medicine2 Comments

A 45 years old FLP Presented to the Emergency Department with Dyspnea at Rest

March 17, 2019March 17, 2019 Mohamed T. Shembesh

A 45 years old woman presented to the emergency department with dyspnea at rest.   She was at her usual state of health till four days back when she started to notice a leg swelling, exertional dyspnea that worsened in… Read More

Internal MedicineLeave a comment

43 years old FLP presented with history of sudden onset reduced level of consciousness, vomiting and a severe headache

February 8, 2019February 8, 2019 Mohamed T. Shembesh

43 years old Libyan woman, presented with history of sudden onset reduced level of consciousness, vomiting and severe headache, she had no history of fainting or fits, no history of limb weakness or dysarthria, no history of fever, other systemic… Read More

Internal MedicineLeave a comment

43 years old Libyan female patient with Systemic Lupus Erythematosus (SLE)

September 26, 2018October 5, 2018 Ghada S. ELshatiti

43 years Libyan female patient came to neurology clinic complaining of numbness and weakness in the left lower limb two months ago.   History of the Patient: History reveals that she is a case of Systemic Lupus Erythematosus (SLE) diagnosed in October… Read More

Internal MedicineLeave a comment

A 73 y/o MLP with a known case of IHD, PUD anemia and BPH

May 12, 2018May 12, 2018 Cases 101

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

Internal Medicine1 Comment

A 27 y/o FLP presented with a history of fever, headache and photophobia

May 12, 2018May 12, 2018 Cases 101

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

Internal MedicineLeave a comment

A 17 y/o MLP with a history of Cerebral Palsy

May 11, 2018 Cases 101

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

Internal Medicine1 Comment

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