Blog
Worked cases, exam technique and chapter briefings, written by the clinicians who write the bank.
students corner
Congenital Adrenal Hyperplasia is an uncommon cause of hypertension in young patients. This 32-year-old patient, unmarried, and a watchman by profession was referred to the PIMS surgery department for resection of an abdominal mass. The abdominal mass was investigated during his previous admissions and a laparoscopic biopsy was done which was consistent with the diagnosis...
September 7, 2018 · 6 min read
students corner
A 40 years old male presented with uncontrolled hypertension of two years duration. Despite receiving beta blockers, calcium channel blockers, and an ACE inhibitor, his blood pressure remains elevated. He also complains of polyuria, polydipsia, and generalized muscle weakness. On examination, his BP is 180/110 mmHg. Funduscopy reveals grade III hypertensive retinopathy. Rest of the...
September 5, 2018 · 3 min read
infectious disease
Chikungunya is not caused by chicken bites. It has nothing to do with chickens, in fact, it is not even spelled or pronounced like “chicken”. It is pronounced as CHIK-UN-GUN-YA. Chikungunya word is derived from the Swahili language which means “bends up”, in reference to the stooped posture, developed as a result of Arthralgia (severe...
September 3, 2018 · 6 min read
students corner
A 45-year-old male patient, who presented to the outpatient department of Pakistan Institute of Medical Sciences Islamabad with complaints of progressive lower back pain and stiffness in association with a limitation of mobility for the last 20 years. The back pain was insidious in onset and progressive in nature associated with early morning stiffness, and...
September 1, 2018 · 3 min read
News and updates
The incidence of a serious genital infection, the Fournier’s gangrene, has been noted to rise with the use of SGLT2 inhibitors. This has prompted the FDA to add an alert with its use. SGLT2 inhibitors include dapagliflozin, canagliflozin, empagliflozin, and ertugliflozin. These drugs have recently been marketed for the treatment of type 2 diabetes patients....
August 31, 2018 · 4 min read
students corner
A 30 years old female was evaluated 6 months back for rapid weight gain and amenorrhea and found to have diabetes, hypertension, and obstructive sleep apnea. She presented with acute onset of a severe headache and syncope. O/E She is afebrile, BP: 130/80 (80/60 mmHg on standing), signs of meningeal irritation are positive. She has...
August 30, 2018 · 3 min read
students corner
A 40 years old female was brought to the emergency with a history of sudden vision loss. Her previous history is significant for poly-arthralgias, Raynaud’s phenomena and syncopal episodes. On Examination she has stable vital signs with no postural drop in blood pressure. Fundus examination reveals retinal whitening. The cardiovascular examination is significant for a...
August 27, 2018 · 3 min read
infectious disease
Crimean-Congo hemorrhagic fever or CCHF is a viral disease transmitted by a tick from animals to humans. During the Crimean war, the disease was known as Crimean fever. In 1944 the Soviet scientists identified the disease and labeled it as Crimean hemorrhagic fever. In 1967, the virus was isolated and was named as Congo virus....
August 26, 2018 · 6 min read
miscellaneous
Snakebite accounts for more than 100000 deaths annually worldwide. In Pakistan, it is estimated that 40000 snake bites are inflicted every year, out of which about 10000 patients die. Most of these bites are inflicted during the monsoon season (July to September). Men aged 20 to 60 years are affected more probably because of the...
August 25, 2018 · 6 min read
Diet&Drugs
Protein is an essential component of the human diet, However, excessive intake of protein should be avoided especially in patients with kidney & liver diseases. Meat is a very rich source of proteins, iron, zinc, and vitamin B12. Compared to iron derived from plant sources, iron derived from animal proteins is readily absorbed. Apart from...
August 21, 2018 · 5 min read
The posts are here to explain the reasoning. The bank is where you practise it — start with three questions, free.
