Marrow @marrow_med
Advancing the practice of medicine through evidence-based learning. marrow.com Bengaluru, India Joined June 2014-
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What would you suggest as lifestyle changes to prevent future attacks of the following condition?
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@marrow_med Cradles cap Mild baby shampoos Petroleum jelly to soften them And soft brush to loosen the scales
@marrow_med pts with treatmemt resistant OCD,may benefit from invasive neuromodulation.Evidence suggests that disrupting abnormal hyperdirect CSTC pathway activity offers sustainable,symptomatic relief in most pts.Multiple surgical approaches allow for modulation of the CSTC pathway.
@marrow_med #Hyperkalemia due to CKD/Metabolic Acidosis. Rx -I/V Calcium Gluconate -I/V 10 Units Regular Insulin with 25 Grams of Glucose.
@marrow_med NPH clinical history classic for Hakim's triad. Neuroimaging showing exaggerated evan index
@marrow_med Hakim triad(Gait ataxia,urinary incontinence,dementia)seen in Normal Pressure Hydocephalous.
@marrow_med Normal Pressure Hydrocephalus (NPH). Classic Traid - fall while walking / walking difficulty, unable to control micturition & memory loss. Rx - drainage of excess csf.. surgical is Ventriculo-Peritoneal (VP) shunt.
@marrow_med Normal pressure hydrocephalus
@marrow_med Normal pressure hydrocephalus: classical triad of Wet ( urinary incontinence) Wobbly ( gait instability) Wacky ( cognitive changes)
@marrow_med Normal pressure hydrocephalus , management is by VP CSF shunt which helps in reducing the pressure.
@marrow_med NPH (Image credit: @knowmedge)
@marrow_med AE needs Zinc Sulphate :) Leads to miraculous recovery
@marrow_med Pickup points 👇 ▫️7 yr old boy ➡️ 1st decade of life. ▫️ Unilateral ▫️Leukocoria in affected eye. ▫️Retinal yellowish exudate. Coats disease. Ddx of Leukocoria ▫️ Retinoblastoma ▫️ congenital cataract ▫️Retinal detachment ▫️Coats disease.
Using @marrow_med Learning medicine is more easy and fun. I am getting much better in Surgery btw.
@marrow_med @grepmeded Caroticocavernous fistula. IOC: DSA
@marrow_med Pt had diarrhea and burning micturition That's mean he had ecoli GI and UT infection. After 2-week pt presented with joint pain that suggest immune mediated reaction triggered by a recent bacterial infection The final diagnosis is Reactive arthritis
@marrow_med Ataxia talengiactesia, AR inheritance. Saw one patient in the paediartics ward. Never gonna forget thiss
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