Sthanu Profile picture
Dec 10 6 tweets 2 min read
What is dancing in the scrotum?

A 26-year-old man presented to the outpatient clinic with a 1-month history of pain and swelling in the scrotum and low-grade fevers
Filarial Dance Sign in Lymphatic Filariasis of the Scrotum

nejm.org/doi/full/10.10…
Lymphatic filariasis is a parasitic infection caused by mosquito-transmitted nematodes.

👉 dance sign represents the undulations of live worms that have migrated into lymphatic channels, causing dilation and dysfunction of the channels
Ultrasound-guided aspiration of scrotal lymphatic fluid was performed

👉 live microfilariae of the species Wuchereria bancrofti were identified on light microscopy

👉 organisms were also seen on a peripheral-blood smear.
After a 3-week course of oral diethylcarbamazine, the patient’s symptoms abated

👉 motile microfilariae were no longer seen on ultrasonography.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Sthanu

Sthanu Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Sthanu5

Dec 12
Q: Calcium infusion is contraindicated in digoxin-induced cardiotoxicity?

A) True
B) False Image
Answer: B

Despite the caveat that hypercalcemia may potentiate the cardiotoxicity of digitalis, calcium infusion is recommended to stabilize the cardiac membrane Image
In such a situation, calcium should be given slowly.

Calcium gluconate is preferred over calcium chloride, as chloride formulation contains three times higher elemental calcium than gluconate version. Image
Read 6 tweets
Dec 12
A 43-year-old woman

👉 3-year history of frequent sleep disturbances, dry mouth, and dry eyes

👉with swelling of the upper eyelids that had progressed during the previous several months Image
👉 examination revealed a nontender enlargement of the lacrimal glands and submandibular salivary glands.
The Schirmer's test for tear production was positive.

👉 salivary-gland biopsy specimen revealed lymphocytic sialadenitis

👉CT revealed enlarged lacrimal and salivary glands

👉 Serologiy👉 positive for anti–extractable nuclear antigen and anti-Ro (SS-A) autoantibodies
Read 7 tweets
Dec 11
Limb deformity.

6 years
Male

radiopaedia.org/quizzes/all/85… Image
Ollier disease

Enchondromatosis, also known as Ollier disease, is a non-hereditary, sporadic, skeletal disorder characterized by multiple enchondromas principally located in the metaphyseal regions.
Ollier disease

non-hereditary, sporadic, skeletal disorder characterized by multiple enchondromas principally located in the metaphyseal regions. Image
Read 6 tweets
Dec 11
Q: 32 years old male is admitted to ICU with sev jaundice and liver insufficiency. Further workup led to the diagnosis of acute hep B.

Which of the following is expected to be seen in acute hepatitis B infection?

A) Anti-HBe

B) Anti-HBs

C) IgG Anti-HBC

D) IgM Anti-HBC Image
Answer: D

IgM anti-HBc – a positive blood test result indicates a person has a new acute hepatitis B infection.

IgM anti-HBc is generally detectable at the time symptoms appear and declines to sub-detectable levels within 6 - 9 months. Image
Note: An acute exacerbation (or liver flare) in a chronic HBV infection can also result in a positive anti-HBc IgM test result.

So follow-up testing after 6 months is required. Image
Read 6 tweets
Dec 11
A 34-year-old woman

👉 9-month history of postprandial dyspnea and substernal fullness

👉had severe pain in her epigastrium, without emesis, shortly after the ingestion of an evening meal. Image
👉 she had audible bowel sounds, mild epigastric tenderness without rebound,

👉 no palpable masses or organomegaly

👉 stool specimen was negative for occult blood
Labs:

hemoglobin level, 12.8 gr

hematocrit, 37 percent;

mean corpuscular volume, 86 μm3;

white-cell count, 7400
Read 8 tweets
Dec 10
Q: Continuous infusion and bolus intravenous loop diuretic overall carries same efficacy in heart failure (CHF) patients.

Beside, less chances of ototoxicity, what other advantage continuous infusion of loop diuretic may have over IV bolus in CHF patients?
Answer: It helps in maintaining sodium level

Continuous intravenous infusion maintains an effective rate of drug excretion, and inhibits sodium chloride reabsorption in the loop of Henle
IV bolus doses of loop diuretics, as expected are associated with higher and then lower rate of drug excretion, causing unreliable maintenance of sodium chloride hemostasis.
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(