Latest posts tagged with #MedCase on Bluesky
#MedCase - A reminder to consider #methotrexate as a potential cause of #gynecomastia, even with long-term low-dose therapy and in euhormonal states.
Conservative measures such as dose reduction or folate supplementation may lead to symptom reversal.
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#RheumSky
#MedCase - Management of Lutembacher’s syndrome during pregnancy requires a coordinated, multidisciplinary approach to mitigate high risk complications.
This case highlights the challenges of its management in a low-resource setting.
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#CardioSky
#MedCase - #KrabbeDisease usually occurs in infancy, but adult-onset cases are increasingly described.
KD should always be considered in very late-onset spastic paraplegia, as in this 66-year-old with concomitant cognitive decline.
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#NeuroSky
#MedCase - This case of a #TesticularCancer patient with #CysticFibrosis and #LiverCirrhosis shows that monitoring of #etoposide concentrations can be beneficial in complex scenarios involving organ dysfunction and/or potential drug–drug interactions.
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#OncSky
#MedCase - Slight pain related to eye movement and decreased VA indicated #papillitis.
Rapid vision loss revealed an unusual initial finding of optic nerve involvement preceding retinal necrosis.
But what was the cause?
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#EyeSky #IDSky
#MedCase - A unique case of both #MOGAD and emergent #lupus developing after anti-TNF treatment in a patient with ankylosing #spondylitis, highlighting the need for increased clinical awareness of the immunological consequences of TNF blockade.
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#RheumSky
#MedCase - FDG-PET/CT is invaluable in identifying synchronous infective foci, as this case of concurrent infective native aortic aneurysm and T9-T10 spondylodiscitis in an elderly patient with recurring S. enterica bacteremia, highlights.
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#IDSky #CardioSky #RheumSky
#MedCase - Dysphagia and nasogastric tube obstruction occurred after 5 days of enteral feeding following cardiothoracic surgery. Upper endoscopy revealed a large, whitish bezoar completely filling the esophageal lumen.
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#GastroSky
#MedCase - A case of immune-related #gastritis complicated by subsequent CMV #gastritis in a patient undergoing combination therapy with #ipilimumab and #nivolumab for renal cell carcinoma.
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#OncSky
#MedCase - An unusual case of Vogt-Koyanagi-Harada syndrome emerging after a trip above 2500 m, presenting with low visual acuity, conjunctival injection, and retinal detachment.
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#EyeMed #EyeSky
#MedCase - A continuous infusion of ATM-AVI following a full-vial loading dose was successful in treating a complex, deep-seated K. pneumoniae infection, possibly providing a rational, stewardship-conscious dosing approach for severe MBL infections.
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#IDSky #NeuroSky
#MedCase - This case of subacute inferolateral #MI secondary to coronary thrombosis occurring after adjuvant doxorubicin–cyclophosphamide therapy in a patient with #BreastCancer underscores the need for vigilance for uncommon, yet life-threatening, complications.
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#OncSky
#MedCase - Purtscher #retinopathy is usually related to trauma. But, in this rare case, cotton wool spots with few hemorrhages revealed left-eye Purtscher‑like retinopathy developing after endogenous panophthalmitis in the right eye.
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#EyeSky
#MedCase - #Tularemia is typically linked to ticks, hares and contaminated water or dust.
In an unusual case from Southern Germany, this patient developed headache, chills, fatigue and swollen lymph nodes following a squirrel bite.
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#IDSky
#MedCase - Coronary aneurysms may present with nonspecific symptoms, delaying appropriate management.
A suspected cardiac tumor in this patient was revealed to be a giant RCA aneurysm, which was successfully managed with surgery.
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#CardioSky
#MedCase - A case of eosinophilic #cholangitis presenting as a localized biliary stricture in a 65-year-old man.
As perihilar cholangiocarcinoma could not be ruled out, the patient opted for surgical intervention.
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#GastroSky
#MedCase - An 81-year-old receiving #upadacitinib for RA developed CMV #retinitis complicated by delayed retinal ischemia and vitreous hemorrhage.
Clinicians should be vigilant for atypical ocular complications from JAK inhibitors.
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#EyeSky #IDSky #arthritis
#MedCase - Familial thyroid cancers are well documented, but in this rare report one monozygotic twin sister had metastatic poorly differentiated thyroid carcinoma and the other recurrent papillary thyroid carcinoma.
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#OncSky #ThyroidCancer
#MedCase - A 37-year-old woman developed acute #encephalopathy and treatment-induced #neuropathy of diabetes after 3 months of #semaglutide use.
Benefits of #GLP1 agonists outweigh the risks, but clinicians should be alert to potential sequelae.
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#NeuroSky
#MedCase - Echocardiography revealed a 3 mm Type I APW with minor hypertension in a 3-year-old girl. Transcatheter coil occlusion was successful in closing the defect, highlighting its role as an alternative to surgical repair.
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#CardioSky #CongenitalHeartDisease
#MedCase - An extremely rare case of #dermatomyositis concomitant with IgA nephropathy.
Although the possibility of coincidental co-occurrence cannot be ruled out, it seems more likely that a common pathologic mechanism plays a role.
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#IgANephropathy #RheumSky
#MedCase - STA is a safer alternative to needle-based techniques, but this case of acute vision loss, ptosis, ophthalmoplegia, and mydriasis after #ropivacaine injection during cataract + macular surgery highlights the potential for rare but reversible complications.
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#EyeSky
#MedCase - Recognize the importance of considering Kawasaki disease in infants presenting with prolonged, antibiotic-resistant fever, even though the condition is uncommon in children younger than 6-months.
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#CardioSky #PediatricCardiology
#MedCase - Learn about the neurological symptoms of #VEXAS syndrome in this 58-year-old patient with a biopsy supporting central demyelination.
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#RheumSky
#MedCase - Microbiological testing confirmed disseminated multidrug-resistant #TB with simultaneous involvement of the lungs, breast, and adnexa uteri, in a postpartum woman.
The patient showed improvement following tailored anti-TB therapy.
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#IDSky #WomensHealth
#MedCase - #Sclerotherapy is minimally invasive and generally safe, but local facial injections carry unique risks.
In this pediatric patient, progressive OAO following foamed polidocanol injection led to irreversible blindness.
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#EyeSky #PediatricMed
#MedCase - Penetrating cardiac injuries often necessitate surgical removal of the foreign body due to risks of tamponade, embolization, or infection.
However, conservative management may be an option in select hemodynamically stable patients.
👉https://buff.ly/Rh47vPn
#CardioSky
#MedCase - Rapidly progressing neurological disease should immediately signal a possible #prion disorder.
Learn key diagnostic clues to distinguish Creutzfeldt-Jakob disease from mimics like multiple system atrophy.
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#NeuroSky #CJD
#MedCase - Common infections can trigger macrophage activation syndrome.
This case of a 10-year-old girl developing MAS during the convalescence period after #varicella highlights the complexities of MAS diagnosis.
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#RheumSky #IDSky
