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0votes
2ans
168
views
Internal Medicine Resolved
What Are the Common Side Effects of Artvigil 150 mg?
**Headache** One of the most commonly reported side effects of Armodafinil is headaches. Factors such as dehydration, hunger, lack of sleep, and caffeine intake can exacerbate th…
LI
Lily parkerUSER
31d ago
0votes
1ans
161
views
Community Medicine
Is it safe to take Dolo 650 (paracetamol) daily for 10+ days for chronic tension headaches, or does that raise liver concerns?
Patient reports recurring tension-type headaches almost daily for the past 2 weeks, self-medicating with one Dolo 650 tablet most evenings for relief. No fever, no other analgesics…
ME
MediComparesUSER
32d ago
0votes
1ans
525
views
Pediatrics
A 2-Year-Old Child with Progressive Abdominal Distension: What's Your Diagnosis
A 2-year-old male child presents with progressive abdominal distension for 2 months, intermittent fever, weight loss, and decreased appetite. There is no history of trauma. On exa…
PR
pranithaConsultant
110d ago
0votes
0ans
437
views
PediatricsPediatricOncology
Pediatric Oncology: Can You Identify the Diagnosis?
A **3-month-old female infant** presents with fever and abdominal distension. ### Imaging Findings **Ultrasound Abdomen** * Left suprarenal mass measuring **52 × 50 × 39 mm** * …
DI
Dinesh BattulaOther
111d ago
0votes
2ans
287
views
Microbiology
Clinical Challenge: Can You Solve This Tropical Infection?
A 54-year-old man with diabetes presents with fever, weight loss, and multiple liver abscesses after returning from Southeast Asia. Culture reveals an oxidase-positive Gram-negativ…
PR
pranithaConsultant
111d ago
0votes
0ans
374
views
Urologyurologist
CT urogram showing ureterovaginal fistula, right kidney swelling and stone – what does this mean and what treatment is needed?
53‑year‑old woman who recently had a CT urogram because of urinary leakage and discomfort. The report mentions: Mild hydroureteronephrosis of the right kidney A thin communicati…
DI
Dinesh BattulaOther
116d ago
0votes
1ans
276
views
Pulmonology
What is the diagnostic approach to interstitial lung disease - when is HRCT sufficient vs surgical lung biopsy needed?
60-year-old male with progressive exertional dyspnea, dry cough for 1 year. HRCT shows basal bilateral honeycombing with traction bronchiectasis. No identifiable cause. How do I ap…
AD
adminOther
129d ago
0votes
0ans
333
views
Pulmonology
When should asthma therapy be stepped up from ICS alone to ICS/LABA, and what triggers biologics?
25-year-old with diagnosed asthma. Currently on moderate-dose ICS, still using SABA 3x/week, waking at night twice a month. What step is this and when should I add LABA vs refer fo…
AD
adminOther
129d ago
0votes
1ans
250
views
Pulmonology
How is spontaneous pneumothorax managed - needle aspiration vs chest tube, and when is surgery indicated?
25-year-old tall male, first episode of right-sided pneumothorax, 3 cm on CXR. Mildly symptomatic. Do I observe, aspirate or insert a chest tube? And at what point should VATS be c…
AD
adminOther
129d ago
0votes
1ans
234
views
Pulmonology
What is the initial management of massive hemoptysis and when is bronchial artery embolization indicated?
Patient with TB history now coughing up >200 mL blood in 24 hours. SpO2 dropping. Is this massive hemoptysis? What are the immediate airway/positioning steps and when should we pro…
AD
adminOther
129d ago

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