Medical science, drawn into focus.

Rheumatoid Arthritis-Associated Interstitial Lung Disease (RA-ILD)

Overview Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a serious extra-articular manifestation of RA, affecting up to 10% of RA patients clinically, though subclinical involvement may be present in up to 60% on HRCT. It typically presents in the 5th–6th decade, with a male predominance and is a leading cause of RA-related mortality. The most…

Community Acquired Pneumonia

Overview Community acquired pneumonia occur in individuals who are not in hospital (or have been in hospital in the past 48 hours) and who are not significantly immunocompromised. The World Health Organization estimates that lower respiratory tract infection is the most common infectious cause of death in the world. Choice of antibiotics are usually empirical…

Bronchiolitis

Overview Bronchiolitis is often a viral cause mainly Respiratory Syncytial Virus (RSV). Bronchiolitis is the most common respiratory tract infection of neonates and is usually self-limiting. A major source of confusion of treatment is differentiating a viral bronchiolitis to asthma. In summary bronchiolitis is usually seen in infants <2yo. Asthma is seen in older children. Bronchiolitis…

Gestational Diabetes

Overview Diabetes:  A group of metabolic diseases in which there are high blood sugar levels over a prolonged period.   Two types Diabetes Mellitus Type I (autoimmune destruction of beta cells in the pancreas) and Type II (insulin resistance followed by beta cell atrohpy) Gestational Diabetes:  diabetes diagnosed during the second half of pregnancy with…

Diabetes Insipidus

56 year old lady recurrent presentations to your practice for polyuria and increased thirst. Random serum glucose and urinary glucose have returned normal. Patient has otherwise been well, complains of no dysuria, haematuria, fevers or night sweats . Overview Diabetes Insipidus (DI) is associated with inadequate arginine vasopressin (known as antidiuretic hormone) secretion or renal…

Diverticular Disease

Overview Diverticula of the colon consist of outpouchings of mucous membrane through the muscle wall of the bowel. In the colon, diverticula are found most commonly in the sigmoid and descending colon, and become increasingly rare in passing from the left to the right side of the colon. They are unusual before the age of 40…

Liver Cysts

Authors Dr. Armando Faigl Areej zeeshan Ahmed Overview Liver cysts are fluid filled cavities in the liver that are asymptomatic and usually found incidentally on abdominal imaging. Larger cysts are more commonly associated with symptoms and complications. Clinical Manifestations Differential diagnosis for all liver cysts Liver abscess Benign tumors Malignant tumors Regenerative nodules Cholelithiasis GERD…

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