Hearing loss, feeling of pressure in the ear with tinnitus, vertigo and involvement of cranial nerve e.g. right abducens nerve are suggestive of acoustic neuroma. ACOUSTIC NEUROMA Acoustic neuromas (more correctly called vestibular schwannomas) account for approximately five percent of …
Her observations are extremely alarming and would raise red flags. She is clearly septic from a pneumonia. Sepsis six would need to be performed urgently within the hour. Among the sepsis six is to give intravenous fluids. Oral antibiotics would …
IgA nephropathy (Berger’s disease) Features Young male, recurrent episodes of macroscopic haematuria Typically usually with an upper respiratory tract infection or, less often, gastroenteritis. Most patients have a history of an upper respiratory tract infection and, either at the onset …
This acute kidney injury and hydronephrosis are indicative of an obstructive uropathy. Percutaneous nephrostomy would be the best intervention to temporarily decompress the renal collecting system. ESWL becomes extremely less effective once the stone goes upto 2-3 mm in size. …
Lichen planus Lichen planus is a skin disorder of unknown etiology, most probably being immune mediated. Features Purple, pruritic, papular, polygonal rash on flexor surfaces Lacy white pattern on buccal mucosa Mnemonic: 4P Purple Pruritic Papular Polygonal rash DIFFERENCES BETWEEN …
Lichen planus Lichen planus is a skin disorder of unknown etiology, most probably being immune mediated. Features Purple, pruritic, papular, polygonal rash on flexor surfaces Lacy white pattern on buccal mucosa Mnemonic: 4P Purple Pruritic Papular Polygonal rash DIFFERENCES BETWEEN …
Atopic eczema usually begins between ages 3 and 12 months and usually starts on the scalpe and face. As they get older, it may localize in the flexures. If flare-ups of atopic eczema occur, then corticosteroids are effective in controlling …
Erythema nodosum is the most likely diagnosis here. The reason they give a history of coming from India with fever and feeling of being unwell is to point you towards the direction of tuberculosis. Erythema nodosum can occur with the …
Sexual dysfunction isa common symptom of depression. However, in addition to this, all antidepressants can cause sexual dysfunction to varying degrees (most commonly serotonin reuptake inhibitors). Table 1. Sexual adverse effects of antidepressants  Drug Prevalence Type of problem experienced …
100 mg of tramadol is equivalent to around 5 mg of intravenous morphine. So 600 mg of tramadol would equate to 30 mg of intravenous morphine. OPIOID EQUIVALENT DOSES Below is an approximate guide for converting opioid analgesics Opioid analgesic …