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Internal Medicine
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Post-obstructive uropathy with acute kidney injury and bilateral severe hydronephrosis secondary to bladder outlet urinary obstruction.
Noor Ali Shah
Aug 31
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The most important approach should be done,
1. Do urgent electrolytes and urea creatinine to rule out hyperkalemia or electrolytes imbalance and renal function status after details history and clinical examination.
2. Do 12 lead ECG and Echo to see cardiac function status.
3. Consult urologist for possible relief of obstruction either insertion of small IFC or supra pubic approach through small incision.
4. Urgent nephrology consultation for possible HD if indicated.
5. Under lying cause should be identified as soon as possible and address accordingly.
Edited
Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Portal Hypertension
Portal hypertension is the increased blood pressure within the portal venous system, which can lead to serious complications like variceal bleeding, refractory ascites, and hepatic hydrothorax. TIPS reduces portal hypertension by diverting a portion of the portal blood flow directly into the systemic circulation, thereby decreasing the pressure in the portal venous system
The key indications include recurrent variceal bleeding that is unresponsive to endoscopic or pharmacological treatments, refractory ascites that does not respond to diuretics or repeated paracentesis, and hepatic hydrothorax resistant to medical therapy. Additionally, TIPS may be used in managing Budd-Chiari syndrome, where thrombosis of the hepatic veins leads to increased portal pressure.
Aphthous stomatitis!
Noor Ali Shah
Aug 19
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Aphthous stomatitis, or recurrent aphthous stomatitis, commonly referred to as a canker sore, is a common condition characterized by the repeated formation of benign and non-contagious mouth ulcers in otherwise healthy individuals.
It is also called Canker sore. It is painful and irritating. It’s more common in female than male. It is usually benign in origin.
Common causes of simple sore
Stress,
Acidic food use,
Injury to mucous membranes,
Dental appliances such as braces,
NSAID use.
While complex sores are common in immune compromised patients.
Treatment is just apply anaesthetic gels and usually healed in 1-3 weeks without scarring. Occasionally used topical antibiotics or steroids for treatment . Nutritional deficiencies should be corrected such as B-12 etc. Avoid trigger food items.
Edited
Wegdan Abdalla
Aug 14
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Medical Devices Visible:
1. Endotracheal Tube (ETT)
2. Central Venous Catheter
3. Chest Tubes
4. ECG Leads
Your diagnosis?
Symmetric diffuse, bilateral pulmonary infiltrates with mediastinal and bilateral hilar lymphadenopathy. DDx?
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Mazen Kherallah
May 15
Thank you, in addition to the pneumomediastinum and SQ emphysema, there is also a pneumothorax on the right side and a chest tube is needed since this patient is on the ventilator. @Everyone
Intravenous drug abuse and tricuspid valve endocarditis lead to Multiple cavitary lung lesions (Multiple Lung Abscesses )