### 1. Most likely diagnosis **Wilms tumor (nephroblastoma)** of the left kidney with **para-aortic lymph-node and bilateral pulmonary metastases**. The age (2 years), large unilateral renal mass, abdominal distension, and pulmonary nodules are highly suggestive. ### 2. Common differential diagnoses * **Neuroblast…
Headache is a relatively common side effect of armodafinil. It can sometimes be made worse by dehydration, skipping meals, inadequate sleep, or excessive caffeine. Staying well hydrated, eating regularly, and maintaining a consistent sleep schedule may help. If headaches are persistent, severe, or becoming more frequen…
Based on what you've described, taking **one Dolo 650 tablet most evenings for the last two weeks would not generally be considered medication-overuse headache**. That usually becomes a concern when simple painkillers such as paracetamol are used on **15 or more days a month for more than 3 months**. The bigger thing …
This 60-year-old gentleman presents with progressive exertional dyspnea, chronic dry cough, and HRCT findings of basal-predominant honeycombing with traction bronchiectasis. The first step is to determine whether this represents a UIP pattern and then systematically exclude secondary causes of interstitial lung disease…
1.immediate endotracheal intubation 2.ketamine induction agent 3. Volume Assist-Control (VC-AC) is a common starting mode Lung-protective strategy Target: Low tidal volume ventilation Use: TV: 6 mL/kg predicted body weight RR: 20–26/min initially FiO₂: 100% initially, then titrate PEEP: 8–12 cm H₂O initially (dependi…
Here are some high-yield mnemonics for valvular heart disease patterns that NEET PG/USMLE students usually remember easily: ## 1. Systolic vs Diastolic Murmurs ### “MR. PASS” = Systolic murmurs * **M** = Mitral Regurgitation * **R** = Regurgitation * **P** = Physiologic * **A** = Aortic * **S** = Stenosis * **S** = …
In this case, she has major placenta previa at 34 weeks with one episode of moderate bleeding, but currently she is stable and the CTG is reassuring. So at this point, this is not an emergency yet, but it is definitely a high-risk situation. If I see this patient in practice, I would admit her and observe closely. As…