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Sthanu subramanian @sthanu25.bsky.social · Dec 13

www.nature.com/articles/sj....

Sthanu subramanian @sthanu25.bsky.social · Dec 13

Frontal linear scleroderma (en coup de sabre)

En coup de sabre ('cut from a sword' in French) is a deep seated form of the linear scleroderma affecting the scalp and face like a sabre cut.

The hair is lost permanently and the underlying skull bones may shrink.

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Sthanu subramanian @sthanu25.bsky.social · Dec 12

Likely diagnosis?

#medsky

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Sthanu subramanian @sthanu25.bsky.social · Dec 12

Bowel obstruction

#medsky

app.pulsenotes.com/surgery/gene...

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Sthanu subramanian @sthanu25.bsky.social · Dec 12

VENOUS INSUFFICIENCY: SIGNS AND SYMPTOMS

calgaryguide.ucalgary.ca

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Sthanu subramanian @sthanu25.bsky.social · Dec 12

Alkaline Phosphatase

#medsky

www.tamingthesru.com/blog/r1-diag...

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Sthanu subramanian @sthanu25.bsky.social · Dec 12

Liver Function Tests

Compared to AST, ALT elevation is much more specific for the liver.

ALT will also remain elevated for much longer than AST and can often take weeks to return to normal levels in the setting of acute hepatic injury.

www.tamingthesru.com/blog/r1-diag...

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Sthanu subramanian @sthanu25.bsky.social · Dec 12

#medsky

Sthanu subramanian @sthanu25.bsky.social · Dec 12

Wall chart to display guidelines on gastric decontamination.

journals.plos.org/plosone/arti...

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Reposted by Sthanu subramanian

Sthanu subramanian @sthanu25.bsky.social · Dec 11

“Bulging Fissure Sign”

A radiological finding that occurs when the affected portion of the lung expands, displacing the adjacent fissure.

It's often seen in the right upper lobe (RUL) of the lung and is classically associated with Klebsiella pneumonia.

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Sthanu subramanian @sthanu25.bsky.social · Dec 11

#medsky

Sthanu subramanian @sthanu25.bsky.social · Dec 11

journals.lww.com/jatn/fulltex...

link.springer.com/chapter/10.1...

Radiopaedia.org

“Bulging Fissure Sign” on Chest Radiograph: Strong... : Journal of Association of Pulmonologist of Tamil Nadu

age. Infective etiologies are infective types in children and adults with comorbid conditions. In this case report, we have reported a 54-year-old male presented with cough and hemoptysis with progres...

journals.lww.com

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Sthanu subramanian @sthanu25.bsky.social · Dec 11

The bulging fissure sign is less commonly seen today due to the prompt administration of antibiotics to patients with suspected pneumonia.

To confirm a diagnosis, a bronchoscopy is an important tool because of the endobronchial nature of the pathophysiology.

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Sthanu subramanian @sthanu25.bsky.social · Dec 11

However, it can also be caused by other types of pneumonia, or by other space-occupying processes in the lung:

Streptococcus pneumoniae
Pseudomonas aeruginosa
Staphylococcus aureus
Legionella pneumophila
Mycobacterium tuberculosis
Pulmonary hemorrhage
Lung abscess
Tumor

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Reposted by Sthanu subramanian

Tan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · Dec 11

Quick lung conditions cheat sheet 🫁

#medsky
#pulmsky

@kerrijohannson.bsky.social
@sthanu25.bsky.social
@jclrodrigues.bsky.social
@gbosslet.bsky.social
@pulmpeeps.bsky.social

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Sthanu subramanian @sthanu25.bsky.social · Dec 11

“Bulging Fissure Sign”

A radiological finding that occurs when the affected portion of the lung expands, displacing the adjacent fissure.

It's often seen in the right upper lobe (RUL) of the lung and is classically associated with Klebsiella pneumonia.

1 2 3

Sthanu subramanian @sthanu25.bsky.social · Dec 11

Proposed algorithm for assessment and management of thyroid disease in the pre-conception period or early pregnancy

#medsky

journals.sagepub.com/doi/10.1177/...

Sthanu subramanian @sthanu25.bsky.social · Dec 11

#medsky

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Sthanu subramanian @sthanu25.bsky.social · Dec 11

Evaluation of suspected incomplete Kawasaki disease.

Characteristics suggesting disease other than Kawasaki disease include exudative conjunctivitis, exudative pharyngitis, discrete intraoral lesions, bullous or vesicular rash, or generalized adenopathy

pmc.ncbi.nlm.nih.gov/articles/PMC...

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Sthanu subramanian @sthanu25.bsky.social · Dec 10

Pharmacotherapy for obstructive sleep apnea
#medsky
www.tandfonline.com/doi/full/10....

Reposted by Sthanu subramanian

Tan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · Dec 10

Types of cardiomyopathy 🫀

#cardiosky
#medsky

@katehanneman.bsky.social
@laurengroner.bsky.social
@ashleyprosper.bsky.social
@sthanu25.bsky.social

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Sthanu subramanian @sthanu25.bsky.social · Dec 10

Management of gout: An algorithm.

#medsky

www.sciencedirect.com/science/arti...

Sthanu subramanian @sthanu25.bsky.social · Dec 10

#medsky

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Sthanu subramanian @sthanu25.bsky.social · Dec 10

It is not a contraindication to continuing warfarin treatme

sciencedirect.com/science/articl…

panafrican-med-journal.com/images-in-medi…

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Sthanu subramanian @sthanu25.bsky.social · Dec 10

It is important to exclude serum calcium and phosphorus imbalances seen in hyperparathyroidism

If airway calcification is localized or associated with tracheobronchial narrowing or wall thickness,

*relapsing polychondritis and amyloidosis should be considered

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