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? Chest X-ray...

Right mid zone homogenous opacity along with the obliteration of both right costophrenic and cardiophrenic angles.

A previously healthy, full-term, 2-month-old boy.

A 2-week history of these lesions.

Likely underlying cause of this baby’s findings? 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.

Young female patient with fever, cough and dyspnea.

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

Moderate volume loss of the middle lobe.

A guide to interpreting an Electrocardiogram (ECG).

One... Two...

Findings?

Diagnosis? 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.

The image illustrates lymphocyte heterogeneity, focusing on T cell subsets and their roles in immunity and inflammation. 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.

Useful!

All about CSF in this thread..

●Source:
studocu.com/ph/document/so… Cont'd..

Newborn...

Likely diagnosis? A Rare But Pathognomonic Sign of Congenital Syphilis

Bullous palmoplantar rash.

The presence of an inflammatory bullous rash in the palms and soles, although rare, is a pathognomonic sign.

Gastric pneumatosis

Can be caused by:

Small mucosal tears from vomiting

Increased gastric wall friability

GI cancers

Chemoradiation therapy

Obstructing intra-abdominal cancers

Pneumothorax

Instrumentation

Infection

Gastric wall ischemia

Mechanical injury

https://twitter.com/ManualOMedicine/status/1859990223272264167

Gastric pneumatosis can encompass 2 processes with different etiologies, symptoms, and prognoses:

1. Gastric emphysema

Usually asymptomatic and generally secondary to mechanical causes. It doesn't require surgical treatment and generally responds to conservative management.