Steem Medics,
#AIR-CLINIC ROCKS! It’s good to be back with another interesting episode of Online Ward rounds, a special programme for medics on the blockchain. It is a part of @Air-Clinic's sub-project, SMSI (steem medics support initiative). We are sure you had a great time during the Last episode. For those that missed the show, here is a link to the sixth edition
ATTENDANCE REGISTER (LAST WEEK).
These are the steem medics that graced our grand rounds last week:
- @Drqamranbashir(a GP),
- Dr. @Elvigia (a practicing ENT Surgeon)
- Dr. @Antigenx (a GP),
- Dr. @Elvigia (a practicing ENT Surgeon)
- Dr. @Omaqiin (a general practitioner),
- @bcrafts (our special guest)
You all made our sixth episode a success. We appreciate your contributions.
***@air-clinic specially appreciates @bcrafts **
Thank you for honoring our invite. It was great having you on the show. We also learned from you
Case 1 Highlight
The Diagnosis for this was Temporal Arteritis (TA)
Case 2 Highlight
The Diagnosis for this was Trigeminal Neuralgia
Case 3 Highlight
The Diagnosis for this was Frontal Lobe Dementia
FOR THIS WEEK, HERE ARE THE CASES FOR YOU TO ATTEMPT.
Case 1
A 23-year –old woman develops an acute pain in her right chest radiating to her right shoulder, there is an associated fever and vomiting with a mild yellowing of her skin.
- What is your diagnosis? (And what is the basis for making your diagnosis?)
- What are your DDx?
- How would you work up this patient?
- How would you manage this patient?
Case 2
A 16- year-old mother brings her baby for immunization. The Nurse notices the baby has multiple bruises along both arms and legs. The baby is crying excessively. The house officer also notices that the baby has multiple fractures with a blue sclera.
- What is your diagnosis? And what is the basis for making the diagnosis?
- What are your DDx
- How would you work up the patient?
- What are your management modalities for this case?
Remember to approach these cases from your professional point of view.
BENEFITS OF SMSI
- As the name implies this is strictly to assist steem medics on their steemit journey.
- Support will be in the form of community of mutual interests.
- Qualification verification to improve the quality of steem healthcare.
- Upvotes and post -curation for verified members.
- Get part of the rewards for participating in Online Ward rounds.
- Engaging discussions will be held intermittently to listen to our individual journey on the path of health.
- Problem-solving and family bonding.
TETE-A-TETE (INTERVIEW SEGMENT):
*For this week’s TETE-A-TETE segment, meet our guest... - @evarich
Tell us about yourself
My name is Evelyn Foster, from Nigeria and a Pharmacist by profession. I also have a Masters degree in Public Health
Why you love @air-clinic
I love @air-clinic because it's a place where you can get so much information about health-related issues. It's like a knowledge bank. Also, because it runs free consultation for clients without charging a dime. In fact, it's really solving the health problems of many people.
High and low point on steemit
Well, my high points on steemit was when I joined until recently. Then, the price of Steem and SBD were good so payouts were good. Another high point is the networks and connections I have built on steemit. They're very important to me.
How do you balance your steemit life and real life
Well, nowadays, I really try to draw a balance between steemit and my everyday life. Before I must say I spent so much time on steemit. However, I now know how to spend the appropriate time on steemit. I try to make 1 post a day and 10 comments every day.
Motivation to study your career.
I was motivated to study Pharmacy and Public Health because I wanted a platform through which to reach out and help others live healthier lives.
Challenges/survival story in your specialty.
I have not really had challenges in my specialty so far.
Final words
Keep doing what you're doing to save lives out there.
OTHER INITIATIVES THAT "Steem-Medics" WILL BENEFIT FROM.
#AIR-CURIE: is an initiative powered by @Air-Clinic aimed at finding and rewarding quality medical posts. We also submit to giant curators who may further reward posts.
#Leading-HEALTH-TALKS: every true health professional/student desires to share their knowledge of medicine and the human body with others. We engage #steem medics in the affairs of @Air-Clinic. You get the opportunity to share knowledge according to your interests and specialty*.
- All interested Steem Medics who would love to be a part of this support initiative should join @Air-Clinic on DISCORD.
See link here: https://discord.gg/rqded5m
don’t forget to share your interesting case with us; it may be used for a review in our next episode.
We are here for your health!
This article was compiled by @antigenx for @air-clinic
KINDLY UPVOTE & RESTEEM TO REACH MORE MEDICS.
KINDLY UPVOTE & RESTEEM TO REACH MORE MEDICS.
I think it is a liver abscess, due to fever, nausea and jaundice.
differential diagnosis with vesicular lithiasis, with cholecystitis and cholestasis, with probable migration of the stone to the pancreas. It can also be a collection on the right lung base
You have to practice abdominal ultrasound. Chest x-ray and blood tests complete hematology, with total and fractionated bilirubin, phosphatases, transaminases. To decide or not surgical resolution.
Case 2
It is an imperfect osteogenesis, based on multiple fractures and blue scleras. The diagnosis is clinical and radiological, in addition to the molecular study of collagen in a skin biopsy.
Is mandatory in cases like this, with multiple fractures, rule out child abuse
The current treatment is bisphosphonates, which have the ability to bind to bone and stimulate osteoblasts, thus inhibiting the activity of osteoclasts, pain treatment, surgeries for some fractures and continuous medical checks.
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Case 2
My DX is osteogenesis imperfecta.
Basis H/o multiple fractures and blue sclera.
Ddx- OI, Battered baby syndrome, rickets , osteomalacia.
Work up-
Medical imaging (x ray) will show multiple fractures.OI cortical bone shows increased porosity, canal diameter, and connectivity in micro-computed tomography
DNA or collagen testing is confirmation.
Skin biopsy can be performed to determine the structure and quantity of type I collagen.
Treatment
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Hi @drqamranbashir, you have been very regular on the rounds, i appreciate your contributions and the efforts you put in to share your knowledge with the blockchain. Its a n amazing feat. Your diagnosis and management protocols are in order. Keep up the good work @drqamranbashir.
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Thank you.
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He is not just regular. How detailed he goes is quite commendable. Well done Dr.
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Thank you. Itz partly because of my passion and partly because of compliments i get from people like you and @antigenx here.
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and i also noticed you have a penchant for the second cases..(winks)
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Basically i usually see cases after an hour or so and i expect others to have started working on first case. Morever , i attempt only one case so that max people get chance to participate and enlighten us.
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For case 1
My diagnosis is cholelithiasis + acute chole-cystitis(angitis) with differentials of Acute pancreatitis, Acute hepatitis,
Reason.. Acute pain, fever, right sided chest pain radiating to the right shoulder, yellowness of skin.
Investments will include CBC, LET, urinalysis, Abd USS, CT, ERCP
Treatment is with analgesics, hydration, antibiotics, antiemetic, stone dissolution (oral bile salt therapy, extracorporal Shockwave lithotripsy) or surgery( cholecystectomy).
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Wow! @air-clinic is doing so much on steemit. This is really great. I really appreciate all you do.
Thank you so much for featuring my interview. And to my boss @antigenx, thank you so much.
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Thank you for honouring our invitation. Glad we found yet another Steemian who's a health expert. Stay tuned for more! Join us on our discord server so we can assign you a role. Https://discord.gg/rqded5m.
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@air-clinic, i think she already joined a long time ago, its just that she has not been coming around. I will try and work on her to be more frequent on the server
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Case 1. It could be cholangitis due to lithiasis in the bile ducts or gallbladder. The pain in this area is usually referred to the shoulder on the same side. Abdominal ultrasound and laboratory should be performed to corroborate diagnosis, start antibiotics and analgesics and then schedule surgery.
Case 2.Definitely it is about osteogenesis imperfect, the finding of multiple fractures in childhood without apparent trauma with blue scleras are diagnostic criteria. These cases should be treated with bisphosphonate cycles to avoid fractures.
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Good to have you back @endopediatria, your diagnosis are in order. How is practice.
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