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Case discussions and exam technique.

Worked cases, exam technique and chapter briefings, written by the clinicians who write the bank.

discussion forum

Can you diagnose this patient with bouts of cough?

A 20 years old male previously in good health presented with a history of bouts of cough from the last week. The cough was associated with a low-grade fever but got settled after two days. It was not associated with any specific posture or day-night variation. The patient denied any history of shortness of breath,...

September 25, 2019 · 2 min read

infectious disease

Dengue Fever Symptoms and Dengue Hemorrhagic Fever

Tracking dengue in yourself or someone at home? Dengue Patient Care is a free app that follows the illness day by day, tells you what matters on each day of fever, and warns you when a reading crosses a threshold that needs a doctor. English and Urdu, works offline. Open Dengue Patient Care Dengue Fever...

September 15, 2019 · 4 min read

Nephrology

Nephrotic syndrome – A young male with Anasarca

Nephrotic syndrome is a clinical syndrome characterized by generalized body swelling as a result of proteins loss in the urine. Before discussing the key points in the diagnosis and management of nephrotic syndrome, I present here a case scenario of our patient who was admitted with generalized body swelling in our ward. A young male...

August 29, 2019 · 4 min read

discussion forum

A female patient with rapid weight gain!

A 36 years of age female patient was brought to the hospital with rapid weight gain. The patient is an unmarried female with a history of the polycystic ovarian syndrome (and menstrual irregularities). She had been obese since teenage that resulted in depression and psychosocial issues like fatigue, somnolence, staying at home most of the...

August 13, 2019 · 4 min read

Neurology

Meningitis – an overview of the symptoms and signs!

Meningitis is inflammation of the membranes covering the brain called meninges. It usually follows a bloodstream infection, pneumonia, pelvic and urinary tract infection, and upper respiratory tract infection. Meningitis may be caused by bacterial, fungal, tuberculous, or viral infections. The most common bacteria causing meningitis in adults is streptococcus pneumonia. In newborns, E.coli is the...

July 25, 2019 · 4 min read

News and updates

Dapagliflozin (Forxiga) in Type 1 Diabetes Mellitus!

The National Institute for Health and Care Excellence (NICE) has issued final appraisal determination (FAD) for the use of 5 mg Forxiga or dapagliflozin in type 1 Diabetes Mellitus patients with insulin in patients with inadequate glycemic control. Dapagliflozin (Forxiga) is an oral antidiabetic medication that is now commonly used to treat patients with type 2 Diabetes...

July 13, 2019 · 2 min read

Diet&Drugs

Barriers to Rituximab therapy in Pakistan

Rituximab is available in Pakistan by the brand names of Ristova and MabThera (Roche Pakistan Ltd). It is indicated for a variety of conditions worldwide. Some of the common indications of Rituximab are: Blood cancers: Chronic Lymphocytic Leukemia Lymphoma Waldenstrom’s macroglobulinemia Autoimmune rheumatic diseases: Rheumatoid Arthritis Wegener’s Granulomatosis Microscopic polyangiitis Immune thrombocytopenia Autoimmune hemolytic anemia...

July 6, 2019 · 3 min read

Diagnose yourself

Lower back pain – Symptoms that warrant an urgent evaluation!

Lower back pain is a common problem in individuals of all ages. Most of the causes are benign that is related to an abnormal posture, excessive weight lifting, or as a part of systemic pain syndromes. Since most of the causes are benign, majority of the patients respond to simple pain relief medicines and rest....

June 27, 2019 · 5 min read

Diagnose yourself

PUO (Pyrexia of Unknown Origin) – Causes & Workup

PUO or Pyrexia of unknown or FUO (Fever of unknown origin) origin refers to a febrile state of a prolonged duration without any obvious cause. It is important to note that PUO is not a diagnosis, it is a failure on the part of the physician to reach a diagnosis. Quite often, the physician is...

June 16, 2019 · 7 min read

students corner

Fever of unknown origin in a young female

Fever of unknown origin is a frustrating diagnosis for both the patient and the physician. It is rather a failure on the part of the physician being not been able to make a diagnosis. When the physician is not able to make a diagnosis, the frustrated physician then tries to prescribe very broad-spectrum antibiotics. These...

June 7, 2019 · 4 min read

Reading is not retrieval.

The posts are here to explain the reasoning. The bank is where you practise it — start with three questions, free.