Manual of Medicine

Scapular Winging

Post category:Spot Diagnosis
Post published:April 26, 2021

This 9-year-old boy presented with a two-day history of right shoulder pain after an upper respiratory tract infection. What is the cause of the abnormality demonstrated?

Headache Algorithm

Post category:Neurology
Post published:April 25, 2021

Emergency department evaluation relies on excluding life-threatening causes of Headache (killers), specifically SAH and meningitis. Then consider other serious causes of headache that can debilitate the patient (the maimers). When these have been excluded, we can then diagnose primary headache syndromes.

37-year-old man with Dyspnea

Post category:Spot Diagnosis
Post published:April 24, 2021

37-year-old man with Dyspnea 37-year-old man with known end-stage renal disease and chronic uraemic pericardial effusion presented with gradually worsening dyspnoea and orthopnoea, 4 days after a nephrectomy to control…

ECG Changes in Chronic Obstructive Pulmonary Disease (COPD)

Post category:ECGs
Post published:April 23, 2021

Right Axis Shift of P waves with prominent P waves (P Pulmonale - Right Atrial Enlargement (RAE)) in inferior leads (II , III , aVF) and flat or inverted P…

ECG Case 5

Post category:ECGs
Post published:April 23, 2021

Ecg of a 81 Years old man. What disease can cause abnormalities like this on the ECG ?

Drugs for Maintaining Calcium Homeostasis

Post category:Acid Base and Electrolytes
Post published:April 22, 2021

Three hormones are available to the body for maintaining a calcium homeostasis: Vitamin D, Parathormone, Calcitonin

Evaluation and Management of Sarcoidosis

Post category:Pulmonology
Post published:April 22, 2021

Sarcoidosis is a multisystem granulomatous disorder that is characterized by noncaseating granulomas. Pulmonary involvement is the most common manifestation, but extrapulmonary manifestations are seen in up to 30% of patients.

Upper Abdominal Pain in the Emergency Department

Post category:Emergency and Acute Medicine Gastroenterology
Post published:April 20, 2021

Work-up for upper abdominal pain begins with resuscitation and exclusion of critical diagnoses. Then, through a detailed history and physical, consider all the causes of upper abdominal pain. The differential may then come down to Gallstone etiology vs Gastritis/PUD → will need further imaging based on suspicion (US abdomen)