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Dr sthanu subramanian Profile picture
@drsthanus
Jan 16 • 6 tweets • 2 min read • Read on X
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More from @drsthanus

Dr sthanu subramanian Profile picture
Oct 8
An elderly female patient presented with massive haemoptysis.

A known case of hypothyroidism and HTN and on regular treatment.

Had cough with expectoration and mild streaking of blood in sputum for about 3 days.

Thoughts? Image
Chest X-ray...

Right mid zone homogenous opacity along with the obliteration of both right costophrenic and cardiophrenic angles.
Once stabilized, she was taken for diagnostic fibreoptic bronchoscopy that revealed a cauliflower-like growth in RUL bronchus raising a high suspicion of malignancy.
Read 11 tweets
Dr sthanu subramanian Profile picture
Aug 26
A previously healthy, full-term, 2-month-old boy.

A 2-week history of these lesions.

Likely underlying cause of this baby’s findings? Image
Results of a complete blood count and comprehensive metabolic panel were normal.

Skin-biopsy sample obtained from the baby’s right forehead 👉 vacuolar interface dermatitis and perivascular and periadnexal lymphocytic infiltrates.
Anti-Ro and anti-La antibodies were positive in both the infant and the mother, the latter of whom was asymptomatic and had no history of autoimmune disease.

*Diagnosis...

Neonatal lupus erythematosus Image
Read 8 tweets
Dr sthanu subramanian Profile picture
Jul 16
Young female patient with fever, cough and dyspnea.

Diagnosis? Image
Consolidation of the anterior segment of the RUL and the middle lobe of the right lung.

Moderate volume loss of the middle lobe. Image
Demonstration of Felson's silhouette sign.

On the PA view, the anterior segment consolidation is seen superior to the minor fissure of the right lung.
Read 5 tweets
Dr sthanu subramanian Profile picture
Jul 11
A guide to interpreting an Electrocardiogram (ECG).

One... Image
Two... Image
Three... Image
Read 5 tweets
Dr sthanu subramanian Profile picture
Jul 10
Findings?

Diagnosis? Image
Anti‐synthetase syndrome

Cutaneous features of antisynthetase syndrome

(a) demonstrates Mechanic's hands with Gottron's papules.

(b) highlights volar digit scaling or ‘Reverse Gottron's papules’.

(c, d) demonstrate ragged cuticles with Gottron's papules.
(e) highlights the lateral digit scaling seen in Mechanic's hands.

(f) Demonstrates subacute cutaneous lupus Image
Read 5 tweets
Dr sthanu subramanian Profile picture
May 15
The image illustrates lymphocyte heterogeneity, focusing on T cell subsets and their roles in immunity and inflammation. Image
Key points include:

*Regulatory T cells (Tregs):

Maintain immune homeostasis and tolerance.

*CD4+ cells:

Differentiate into subtypes like Th1, Th2, Th17, Th9, and Th22, each with distinct functions.
*Innate lymphoid cells (ILCs):

Mirror T helper cell functions, contributing to immune responses.

*Memory T cells:

Provide long-term immunity and rapid response to re-infection.

*T cells in inflamed tissue:

Show heterogeneity in inflammatory bowel disease (IBD).

.
Read 5 tweets

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