Case Conference - ARDS and Hypoxemic Respiratory Failure in 34-Year-Old Male
34-year-old male transferred to MICU for hypoxemic respiratory failure with a history of asthma, recent respiratory symptoms, and suboptimal response to previous antibiotic treatment. Initial labs and imaging findings indicate a complex differential diagnosis involving multiple organ systems. Furthe
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Clinical Presentation and Management of a Possible Rabies Case in a 42-Year-Old Male
A 42-year-old male presented with back pain and an infected wound, later developing symptoms of fatigue, difficulty drinking water, muscle spasms, behavioral changes, and phobias. Concerns of possible Rabies led to admission, treatment with fluids, antivirals, and sedatives. Tetanus immunization was
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Case Study: Sepsis Presentation and Management in Two Patients
Mrs. NP, a 55-year-old woman with a background of cirrhosis from heavy alcohol use, presented to the ED with symptoms suggestive of sepsis. Examination revealed a febrile state, elevated blood pressure, and altered mental status. Investigations were initiated to determine the cause, with differentia
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Guidance on Hospice Care and Feeding Tubes for Elderly Patients
Learn about the appropriateness of hospice care for a 74-year-old female with heart failure and the use of feeding tubes for an 89-year-old female with advanced Alzheimer's dementia. Understand important considerations for palliative care decisions.
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How to avail National Old Age Pension Scheme (IGNOPS) in TN
The Indira Gandhi National Old Age Pension Scheme (IGNOPS) is a government-approved retirement plan that ensures a monthly pension for government employees who have served for a minimum of ten years. The calculation is based on their final basic salary and years of service. \nTO know More: \/\/obcr
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Evolution of English Literature: From Old English to Beowulf
The English language, evolving over 1,400 years, transitioned from Old English to Middle English with works like Beowulf standing as a pinnacle of Old English literature. The epic poem tells the tale of Beowulf's heroic feats in pagan Scandinavia, showcasing elements of alliteration, a key literary
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Advanced Neurodegeneration in a 50-Year-Old Female: A Diagnostic Radiology Case Study
Patient Nicole Thomason, a 50-year-old female, presented with memory concerns and progressive cognitive decline. Initial imaging showed subtle changes, while recent PET CT revealed marked hypometabolism in specific brain regions indicative of advanced neurodegenerative disorder, potentially Alzheime
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Mystery Case Study: 75-Year-Old Male with Fever and Altered Mental Status
A 75-year-old male with a history of multiple animal exposures presented with fever, altered mental status, headache, and diarrhea. Physical exam revealed vital signs within normal limits, and labs showed various results including negative infectious disease workup but pending further tests. Imaging
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Case Study: Pancreatoblastoma with Liver Metastasis in a 23-Year-Old Pregnant Female
A 23-year-old pregnant female presents with abdominal pain, leading to the diagnosis of pancreatoblastoma with liver metastasis. Initial biopsy and imaging confirm the presence of high-grade carcinoma, with treatment involving chemotherapy and stem cell transplant. CT features and a differential dia
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Case Report: Submassive Bilateral Pulmonary Embolism in a 69-Year-Old Female
Anne Knisely, a 69-year-old female with a history of endometrial cancer, presented with left leg pain, pleuritic chest pain, and shortness of breath. Imaging revealed extensive bilateral pulmonary emboli, right heart strain, and lower extremity deep vein thrombi. She was managed with anticoagulation
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Understanding Intellectual Disability in a 5-Year-Old Boy
This case study discusses the diagnosis and severity of intellectual disability (ID) in a 5-year-old boy, distinguishing between developmental delay and ID. It covers the importance of genetic testing, particularly in cases like Fragile X syndrome, as well as the evolution of assessing ID severity b
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Unusual Case of Fever with Gastrointestinal Symptoms in a 22-Year-Old Patient
A 22-year-old male from Pune presents with high-grade fever, chills, myalgia, arthralgia, loose stools, and vomiting for 2 days. Past history is unremarkable, while the family history includes hypothyroidism in the mother and hypertension in the father. General examination reveals normal vital signs
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Case Study: Management of Haemothorax Complicated by Pneumonia in a 62-Year-Old Patient
A 62-year-old patient with a history of COPD, AF, and metallic AVR on warfarin presented with left-sided chest pain and breathlessness. Initially diagnosed with a pleural effusion, subsequent imaging revealed a complicated parapneumonic effusion/empyema. Despite initial drainage and treatment, the p
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Pediatric Case Presentation: Fever and Rash in a 3-Year-Old Patient
A 3-year-old female presented with fever, rash, cough, vomiting, diarrhea, and dyspnea. History revealed incomplete immunization and household fever cases. Physical exam showed tachycardia, respiratory distress, rash, and other symptoms. Past medical history indicated normal development and perinata
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Management of Missed Combined Oral Contraceptive Pills: A Case Study
In this case study, a 25-year-old woman is seeking advice for missing three consecutive combined oral contraceptive pills. The management options for this scenario, including taking necessary steps and possibly using emergency contraceptive pills if needed, are discussed. Additionally, counseling on
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A Rare Case of Ascites in a 22-Year-Old Female: Clinical Presentation and Investigations
A 22-year-old female presented with abdominal distension and pain. Her medical history, family history, and personal habits were reviewed. Examination revealed mild hepatomegaly and shifting dullness. Lab investigations showed normal values with no signs of infection. Ascitic fluid analysis indicate
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Pulmonary Conditions and Hemodynamic Disorders: Clinical Cases
A 69-year-old man with chest pain and pleural effusion presents with thromboembolism; a 22-year-old worker with fractures develops shock due to fat embolism; a postpartum woman dies from amniotic fluid embolism. The cases illustrate conditions like pulmonary embolism, fat embolism, and amniotic flui
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Iron Deficiency Anemia in a 78-Year-Old Man: A Case Study
A 78-year-old man presents with symptoms of fatigue, headache, and abdominal pain, leading to a diagnosis of iron deficiency anemia. His medical history includes hypertension, type II diabetes, and chronic shoulder pain. Investigations reveal hypochromic, microcytic anemia with low iron levels and h
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Case Study: 1-Year-Old Child Undergoing CT Cisternography for Head Injury Evaluation
A 1-year-old female child presented with a history of head injury and rhinorrhea. No other significant symptoms were observed, and the child was deemed stable for CT cisternography under general anesthesia. Normal systemic and general examination findings were noted, and standard anesthesia monitori
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Case Study: CBL Elbow Pain Assessment in a 62-Year-Old Man
A 62-year-old man presents with elbow pain, swelling, and discharge, worsening over 5 days without history of trauma. Further history reveals DM type II, mild schizophrenia, suicide attempt, and previous elbow fusion for fracture. Socially, he is married, jobless, a heavy smoker, with unclear alcoho
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Case Study of a 33-Year-Old Woman with Complex Health Issues
This case study examines the health issues of a 33-year-old woman, including physical symptoms such as abdominal pain, urinary urgency, constipation, and migraines, as well as mental health struggles related to her past marriage. Despite various medical examinations, her condition remains unresolved
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Celtic Influence on Old English Language Evolution
The Old English language was influenced by the Celtic, Roman, and Scandinavian languages during its early years in England. The assimilation of Celtic words into Old English can be seen in place-names and vocabulary. Various cities and natural features in England bear traces of Celtic influence, sho
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Differential Diagnosis of Chronic Cough in Primary Care
A 54-year-old man with a persistent cough prompts consideration of initial investigations like chest X-ray and pulmonary function tests. For a 40-year-old woman with a persistent cough, initial management options include sequential trials of steroids, a proton pump inhibitor, and nasal spray. These
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Radiology Case Presentation: Differential Diagnosis of Large Posterior Fossa Mass in 25-Year-Old Male
25-year-old male with persistent headaches and neck pain presents with worsening symptoms. Differential diagnosis includes primary brain tumor, pyogenic abscess, pilocytic astrocytoma, medulloblastoma, and other possibilities. Neurocysticercosis, a parasitic disease caused by T. solium, endemic in c
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Ophthalmology Case Study: Left Eye Swelling and Pain in a 14-Year-Old Female Patient
14-year-old female patient presents with 4-day history of left eye swelling, pain, proptosis, blurred vision, and headaches. Past episodes of similar symptoms, past medical history, and family history of sickle cell trait noted. Physical exams, workup, differential diagnosis, and treatment plan incl
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911 Call: 9-Year-Old Girl Reports Domestic Violence
Crystal Cortez, a 9-year-old girl, makes a brave 911 call to report domestic violence involving her parents. The dispatcher calms and guides her through the call, ensuring her safety and swiftly responding to the emergency situation.
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Comprehensive Assessment of a Pathogenic CNV in a 2-Year-Old Male with Developmental Delay and Seizures
In this case study, a 2-year-old male presenting with developmental delay and seizures was evaluated for a CNV at the 12p13.1p12.3 region. The CNV was found to overlap with the GRIN2B gene, a known haploinsufficient gene associated with developmental disorders. Despite potential additional scoring c
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Youth Height Trends in the Netherlands from 1980 to 1998
The graph shows the average height of young males and females in the Netherlands from 1980 to 1998. Specifically, the average height of 20-year-old females increased by 2.3 cm during this period. By applying mathematical techniques, we can determine the average height of a 20-year-old female in 1980
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Acute Diabetic Ketoacidosis in a 19-Year-Old Male
Acute presentation of a 19-year-old man with diabetic ketoacidosis (DKA) characterized by hyperglycemia, anion-gap acidosis, and ketosis. Clinical findings include dehydration, hyponatremia, hypotension, altered consciousness, and abdominal pain. Immediate management involves ABCs, fluid resuscitati
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Uncommon Complication in a 5-Year-Old Female Child: A Case Study
A 5-year-old female child presented with high-grade continuous fever, abdominal pain, headache, malaise, and loss of appetite. Initial investigations revealed positive findings for Scrub IGM ELISA. Treatment with oral Doxycycline and platelet transfusion led to the resolution of symptoms. However, o
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Anaesthetic Management of 11-Year-Old Female with End-Stage Renal Disease (ESRD) for Renal Transplant and Ileal Conduit
An 11-year-old female child with end-stage renal disease (ESRD) and multiple surgical histories was evaluated for renal transplant and ileal conduit surgery. The patient presented with hypertension, chronic kidney disease, neurogenic bladder, and urinary incontinence. Preoperative assessments reveal
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Meet These Adorable Dogs: Labrador Max, Maltese Boni, and Playful Apica
Labrador Max is a playful and faithful six-year-old dog with white golden fluffy hair and big ears. Boni, the Maltese, is a cute three-year-old dog with white hair who loves cookies and sleeps under the bed. Apica, or Paws, is a one to two-year-old dog with brown fur, tiny legs, and a playful person
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Asthma, GERD & Dyspepsia: Diagnosis and Management Scenarios
In this medical scenario-based content, we explore cases of bronchial asthma in an 8-year-old boy with symptoms frequency assessment, risk factors, and management strategies. Moving on to dyspepsia and GERD, we delve into diagnostic approaches for a 54-year-old male with H. pylori and a 57-year-old
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Science Curriculum Overview for Year 8 to Year 10 Students
Year 8 to Year 10 Science curriculum covers a range of topics including Biology, Chemistry, Earth Science, and Physics. Students engage in experiments, research investigations, and data analysis. Year 9 topics include ecosystems, atomic structure, plate tectonics, light, and electricity. In Year 10,
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A Gospel-Centered Glance at the Old Testament: Ruth and the Old Covenant Structure
Delve into the Old Testament through a gospel-centered lens, exploring the structure of the Old Covenant and the narrative of Ruth. Discover the underlying themes of redemption, hope, and the lineage leading to King David. Uncover the significance of characters like Naomi, Ruth, Boaz, and the prophe
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Meet Silvia, Massimiliano, Clara, Andrea, Denise, and Luca from Belvedere Marittimo
Silvia is a 16-year-old Italian girl who loves dancing and pizza. Massimiliano is a 16-year-old Italian boy who enjoys playing drums and has a sister. Clara, also 16, is a girl who likes dancing and eating pizza and has a brother. Andrea, a 15-year-old Italian boy, likes playing volleyball and has a
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Pediatric Malnutrition Case Studies and Program Assessment
Mohamed, a 24-month-old boy with oedema in Phase 1 of treatment, shows signs of improvement but needs assessment for NGT removal. Maimouna, a 4-year-old girl in ATFC with marasmus, has a flat weight curve despite good appetite. Kevin, a 12-month-old boy in Phase 1, has a good appetite and normal vit
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Understanding Messianic Interpretations in the Old Testament
The discussion revolves around the rejection of defining the Old Testament as solely messianic and how the early Church ascribed such texts to Jesus based on their conviction rather than explicit Old Testament support. The evolving evangelical perspective towards the Hebrew Bible's messianic nature
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Respiratory Case Studies: Asthma, COPD, CF, and CPFE
A 23-year-old pregnant female with uncontrolled asthma, a 70-year-old with severe COPD exacerbation, a 50-year-old man with worsening breathlessness, and a 20-year-old with cystic fibrosis and Burkholderia cenocepacia colonization present challenging respiratory cases. The cases involve consideratio
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