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Dr. Gomathi

@Drgomathi_tn

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Physician | sunset enthusiast | painting is my therapy. 📋Sharing clinical cases,flashcards & daily quizzes to inspire learning ;) #MedEd ரௌத்திரம் பழகு!

India
Joined April 2022
Don't wanna be here? Send us removal request.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Stop sitting at the table where they speak ill about others because when you get up, you are "the topic."
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@OGdukeneurosurg Twin-Twin Transfusion syndrome in which there is an imbalance in the blood flow due to abnormal placenta connections,often seen in monochorionic twins. One twin (donor) gives too much blood to the recipient twin.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
2 years
Now can we get our #Kohinoor back? Reminder that Queen Elizabeth is not a remnant of colonial times. She was an active participant in colonialism. #QueenElizabeth #India
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@Drgomathi_tn
1 year
Misdiagnosed initially as Cardiac arrest.🧠 Guess the name of the artery marked below,which when blocked may lead to unconsciousness, disturbance in memory,vision &cognition. #MedTwitter #medicine #MedEd #neurotwitter #Neurology #Clinical #anatomy #BrainHealth
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@Drgomathi_tn
1 year
A 70 yo female p/w painful vesicular rash affecting the left forehead& left eye; 3 days before the onset of rash,a tingling sensation was felt over the forehead. What's the diagnosis? #MedTwitter #medicine #MedEd #Clinical #spotdiagnosis #eyetwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 41 yo man p/w fever & purpuric rash as shown in the image. The CSF sample showed gram-negative diplococci. What's the likely diagnosis? #MedTwitter #medicine #MedEd #Clinical #Health #dermtwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A healthy 5 year old girl presented with dry,scaly, erythematous and annular lesions on her face. What is the likely diagnosis? #MedTwitter #medicine #MedEd #dermtwitter #Medical #Health #Pediatrics
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@Drgomathi_tn
1 year
A 9month old girl p/w high fever for 3 days.She has been more irritable but has been eating.This morning,she no longer had a fever but developed a pink blanchable rash over her chest &back. What is the likely diagnosis? #MedTwitter #medicine #MedEd #Pediatrics #Clinical #Health
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@Drgomathi_tn
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@Drgomathi_tn
1 year
🟣The patient developed the complication as shown in the image after starting Warfarin therapy. What's the reason for this condition? #MedTwitter #medicine #Warfarin #drugs #surgery #dermatology #ClinicalPearl #pharmacology #MedEd
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@Drgomathi_tn
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@Drgomathi_tn
1 year
A 25 year old man presented to the OPD with fever for 5 days.O/E: tender lesions were found on his extremities. What is the diagnosis? #MedTwitter #medicine #MedEd #CardioTwitter #heart #dermatology #Clinical #medicalstudents
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 45 year old man presented with sore throat. A xray was obtained as part of the evaluation. What is the likely diagnosis? #MedTwitter #medicine #ENT #MedEd #Medical #Health #Clinical #healthcare
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.♀️ What are the heart defects that can be expected in this patient? #MedTwitter #medicine #MedEd #obstetrics #genetics #Clinical #Pediatrics
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🫁 Interpret the following chest x-ray in a patient with Ascaris infestation. #MedTwitter #medicine #MedEd #Clinical #radiology #pulmonology #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
The coagulogram of this patient shows increased Prothrombin time & Activated Partial Thromboplastin time with Platelet count of 1.2 L/mm³. What's the diagnosis? A Henoch-Schonlein Purpura B Acute ITP C DIC #MedTwitter #medicine #Clinical #MedEd #Medical #Health #pathology
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@Drgomathi_tn
1 year
A 2 yo boy who had been delivered by assisted forceps method,presented with h/o flushing on his right cheek that appeared when he ate; not associated with pain/sweating/pruritus. What is the underlying condition? #MedTwitter #Pediatrics #medicalstudents #MedEd #ClinicalPearl
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🦟 The patient presented with a high fever& jaundice. His urine appeared as shown below. What is the diagnosis? What is the reason for the discolored urine? #MedTwitter #medicine #MedEd #microbiology #Clinical #medicalstudents #healthcare
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🍦 H/O frequent change in eyeglasses. Which structural aberration in the eye gives the following finding? #MedTwitter #Medical #MedEd #Clinical #ophthalmology #eyes #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A patient in ICU has the following finding with absent pulsation & abdominojugular reflex. What are the possible causes? #MedTwitter #medicine #MedEd #medicalstudents #ClinicalPearl #Health #heart #CardioTwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
It's true,danger hides in beauty.🌸 The peripheral smear of a patient who presented with generalised lymphadenopathy& hepatomegaly is shown. What's the diagnosis? #MedTwitter #medicine #MedEd #hematology #pathology #Clinical #Health #medicalstudents
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@Drgomathi_tn
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@Drgomathi_tn
1 year
What are the skeletal changes seen in this condition? #spotdiagnosis #hematology #medicine #MedTwitter #MedEd #ClinicalPearl #medicalstudent #Health
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Dr. Gomathi
@Drgomathi_tn
1 year
A 58 yo female who was not on anticoagulants, p/w spontaneous bruising of her right middle finger without prior trauma. Thrombocyte abnormalities,coagulopathy & inflammation were all ruled out. What's the diagnosis? #MedTwitter #medicine #MedEd #Clinical #Health #MedicareForAll
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.👀 What abnormalities do you see in this patient? What's the likely diagnosis? #MedTwitter #medicine #MedEd #surgery #Medical #Health #Clinical
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Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.👁️🕸️ A 30 yo man came with c/o uncommon-looking pupils and progressive blurring of vision since childhood. #MedTwitter #Medical #eyes #MedEd #Ophthalmology #Clinical #Health
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@Drgomathi_tn
1 year
50 yo F, painless necrotic ulcer on the palate,swollen lip associated with fever& malaise. Past h/o nasal obstruction+ purulent discharge for 3 years. Biopsy showed lymphoid proliferation,CD56+ve. What's the diagnosis? #MedTwitter #MedEd #oncology #hematology #Clinical
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@Drgomathi_tn
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@Drgomathi_tn
1 year
Spot Diagnosis.🦠 Guess the abnormality and what are the characteristics of the disease? #MedTwitter #medicine #MedEd #Pediatrics #Clinical
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.⚫ This condition is often missed/diagnosed late in dark-skinned individuals which results in poor prognosis. What are the possible causes? #MedTwitter #MedEd #surgery #medicalstudents #Clinical
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@Drgomathi_tn
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@Drgomathi_tn
1 year
Spot Diagnosis.🩻 A 20 yo man p/w pleuritic chest pain and shortness of breath. No history of trauma. What is the likely diagnosis and management? #MedTwitter #medicine #MedEd #radiology #pulmonology #lung #Clinical #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A patient with hypertension & peripheral vascular disease presented as shown in the image below. Inflammatory markers- normal limits. What is the likely diagnosis? What are the risk factors? #MedTwitter #medicine #MedEd #surgery #Clinical #spotdiagnosis #Health #medicalstudents
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 9 month old infant p/w multiple flexion episodes like salaam attacks;developmental delay present. O/E: skin lesions present as shown. CT showed the following finding. What's the likely diagnosis? #MedTwitter #MedEd #medicine #neurotwitter #Clinical #Pediatrics #dermatology
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 50yo diabetic patient presented with the following changes in the nails. What is the likely diagnosis? #MedTwitter #medicine #MedEd #Clinical #medicalstudents #Medical #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.💀 A 65 yo male patient p/w mild dyspnea,upper respiratory infection; H/O weight loss present. The skull xray& bone marrow trephination picture is shown below. What's the diagnosis? #MedTwitter #medicine #MedEd #Clinical #radiology #hematology #Health
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Dr. Gomathi
@Drgomathi_tn
1 year
A 80 yo woman presented with Anemia.She also has gastritis ¬ on any medications.What's the finding of her oral examination? Guess the possible diagnoses. #MedTwitter #medicine #MedEd #Clinical #Health #oralhealth #Medical
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Dr. Gomathi
@Drgomathi_tn
1 year
A 5 year old patient presented with unconsciousness & projectile vomiting. MRI brain shows cerebellar lesion& the characteristic histological image is shown. What's the diagnosis? #MedTwitter #Pediatrics #MedEd #Clinical #radiology #pathology #Health #NeuroTwitter
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@Drgomathi_tn
1 year
A 67 yo male p/w abdominal pain over the past few days,fever,nausea,anorexia,brown urine,yellow sclerae& skin.He reported ingesting the below shown legume, 3 days ago. What is the missing enzyme in this patient? #MedTwitter #medicine #Medaed #medicalstudents #MedEd #hematology
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Dr. Gomathi
@Drgomathi_tn
1 year
@ctopher313 Normal Epiglottis- thin curved flap of tissue,like a leaf/petal🍃 In Epiglottitis-becomes swollen &enlarged appearing like our thumb.
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Dr. Gomathi
@Drgomathi_tn
1 year
A 25 yo male p/w gradually progressive swelling over the left upper leg associated with pain worsening at night. The xray and MRI is shown. What's the likely diagnosis? #MedTwitter #Medical #MedEd #Clinical #radiology #orthotwitter #medicine
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
🐟What's the diagnosis based on the lumbar spine Xray and peripheral smear findings? #MedTwitter #medicine #radiology #orthopedics #hematology #MedEd #Clinical #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.💨 A patient presented with sudden onset abdominal pain,distention and vomiting. What is the likely diagnosis? #MedTwitter #medicine #MedEd #radiology #surgery #Clinical #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@radRounds Double Bubble sign seen in Duodenal atresia (closed/absent). -air filled stomach+ dilated duodenum -bilious/non bilious vomiting -abdomen distension -associated with Down's, congenital heart diseases Rx: Duodeno-duodenostomy
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A man presents with slowly progressive swelling over the past 1 year. O/E it has variable consistency and appears as shown. What is the probable cause? [hint: radioresistant] #MedTwitter #Medical #surgery #ClinicalChallenge #clinicaltips #medicine #medicalstudents #QuizTime
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 48yo man came with c/o thickening of skin. On workup,ANA was positive& IF showed nucleolar pattern. What is the likely diagnosis? #MedTwitter #medicine #MedEd #RheumTwitter #Clinical #Health #Medical
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Wait,are there snakes under his skin!?🤪 Guess the causes for this condition. #MedTwitter #medicine #RareDisease #Health #medicalstudent #MedEd #ClinicalPearl #spotdiagnosis
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@aravind Clotting of small blood vessels,yes!👏 Because of the dislodgement of many microthrombi (due to Warfarin) from the main thrombus,these microthrombi cause blockage of the small arteries.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Aspiration PNEUMONIA- an infectious process due to inhalation of oropharyngeal secretions that are colonised by bacteria. Aspiration PNEUMONITIS- chemical injury due to inhalation of sterile gastric contents. Both conditions can overlap! #pulmonology #medicine #MedTwitter #MedEd
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@drsulkbich Very good!🌟 Noonan syndrome also presents with the above shown features. Compared to Turner's,mostly right sided heart defects are observed in Noonan's.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
68 yo M,painful skin tightening &swelling of his arms& legs ×8 months. The symptoms had progressed on Glucocorticoids &MTX. O/E: symmetric woody induration of the trunk,arms & legs; dimpled appearance; elbow contractures. What's the diagnosis? #MedTwitter #Clinical #Rheumatology
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
2/n Answer: Thyrotoxicosis/Grave's-Basedow disease ✅ 👀Abnormal findings here: -lid retraction -exophthalmos -Dalrymple sign: visible upper sclera i.e., widened palpebral tissue -Hertoghe sign: lateral madarosis Grave's➡️ autoimmunity➡️ eye muscles damaged➡️ bulging eyes
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@drsulkbich Good!👏🌟 Hutchinson sign is observed- zoster of the lateral/tip of the nose. Branches of Nasociliary nerve leading to the eye are just before the branches that innervate the nose. Hence, if the nose is involved, the eyes are more likely to be involved.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@schowardjd Good pic!👏 Granuloma annulare is a close differential but is non-infectious & usually seen over the hands/feet secondary to thyroid disorder/diabetes.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
The image shows a characteristic intrauterine USG finding of the fetus. What's the diagnosis? #MedTwitter #Medical #MedEd #Clinical #obgyntwitter #Health #radiology
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@radRounds Hypoattenuating tubular areas in the liver- Hepatic Portal Venous Gas (HPVG). Causes: -bowel obstruction -ischemic pathology -infectious processes HPVG- gas extends till the periphery of the liver due to centrifugal circulation. (Pneumobilia- gas located centrally)
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🍇 A 7 yo boy came for a routine health checkup. O/E: right submandibular lymphadenopathy &the following finding was observed. What condition do you suspect? #MedTwitter #medicine #MedEd #Clinical #oralhealth #infectiousdiseases #dental
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@Drgomathi_tn
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@Drgomathi_tn
1 year
Chocolate in medicine! Chocolate cyst= Endometrioma of ovary #ChocolateDay #HappyChocolateDay2023 #ValentinesWeek #MedEd #MedTwitter #Medicos #ClinicalPearl #medicare #endometriosis
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@Drgomathi_tn
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@Drgomathi_tn
1 year
@imedverse Episodic flushing,sweating over the parotid area,h/o mandibular surgery- Frey's aka Auriculotemporal Syndrome. It is due to the aberrant re-innervation of the parasympathetic fibres of the Auriculotemporal nerve with the sympathetic fibres of sweat gland.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
27 yo man presented with 1 week fever f/b 2 months of progressive,painful swelling on the right side of neck (tender lymph node).A few days before the onset of symptoms,his outdoor cat died from a subacute illness. What is the diagnosis? #MedTwitter #medicine #MedEd #Clinical
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
74yo hypertensive (not on medications),sudden onset headache&dizziness while driving. He developed unsteady gait,dysphagia, hoarseness &diplopia within 2 hrs;BP-170/100. Loss of pain & temperature on the left side of face & right half of body. Diagnosis? #MedTwitter #neurotwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@SomeShitILike Henoch-Schonlein Purpura (HSP/IgA vasculitis) presents with typical hive-like rash,abdominal pain &hematuria. Labs will be showing mild anemia,leucocytosis,high CRP & NORMAL platelet count.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Born via vacuum delivery,at 30hours,the findings shown below were observed. Hb decreased from 16 to 14g/dL,coagulation profile was normal& hepatic enzyme levels were slightly high.USG- scrotal fluid. What could be the possible cause? #MedTwitter #Pediatrics #Emergency #MedEd
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🫧 What are the two hallmark features of this condition? #MedTwitter #medicine #MedEd #radiology #surgery #medicalstudents #Medical
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@ab_babaker Good differential!👍 Forchheimer spots are also seen over the soft palate. But the clicking points here are: -rash appeared first over the trunk (in rubella,1st appears behind the ears) -rash developed only AFTER the fever (in rubella fever&rash occurs simultaneously)
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
The wife brought her 40 yo husband to the ER after an episode of light-headedness &palpitations. ECG was taken. What is the diagnosis? A. Mobitz type I B. Mobitz type II #MedTwitter #medicine #MedEd #CardioTwitter #heart #medicalstudents #Clinical
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Connect the dots.💡 43 yo male,ringing in the ear,diminished vision& occasional pain in hands and feet. What's the diagnosis? #MedTwitter #medicine #Genetics #Ophthalmology #DermTwitter #MedEd #eyes #medicalstudents #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A male patient presented with weakness,loss of appetite,weight loss,vomiting,diarrhea,oily stool &joint pain for 6 months; Malabsorption syndrome was suspected. What is the most probable diagnosis? Duodenal biopsy is given. #MedTwitter #medicine #stomach #gastro #Clinical #MedEd
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@RAGASUDHIN Right!🌟 It's a complication of meningococcal meningitis leading to severe adrenal hemorrhage & petechial rashes all over the body +
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@imedverse @NEJM Fever+painful blisters,image showing solid raised multiple red/purple bullous lesions,mucosal lesions,skin ulcer,preceded by an infection (tonsillitis) are s/o Sweet's Syndrome aka acute febrile neutrophilic dermatoses. CBC and biopsy are needed for confirmation. Rx- Steroids.
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Dr. Gomathi
@Drgomathi_tn
1 year
@imedverse @NEJM Image showing multiple raised ruptured pustules on an erythematous base (snail track lesions),Crohn's disease+, peripheral eosinophilia are s/o Pyostomatitis Vegetans which is usually associated with IBD. Histology and IF are needed for confirmation.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@ManualOMedicine Edematous skin infection after eating raw (?contaminated) seafood- Vibrio vulnificus infection due to either (prior)wound exposure to seawater/consumption of contaminated seafood. Rx: Ciprofloxacin, 3rd gen Cephalosporins
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Dr. Gomathi
@Drgomathi_tn
1 year
30 yo old woman,recurrent palpitation &light headedness. An ECG was taken. What is the likely diagnosis? #medicine #CardioTwitter #MedEd #Cardiology #Clinical #ECG #heart #MedTwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@Shashankk0007 Good!🏆 aka Consumption Coagulopathy where PT/aPTT are elevated with low platelet count & fibrinogen levels due to extensive clot formation.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@PeterItebimien Good!🌟👏 Nagayama spots are pathognomonic of Roseola infantum.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 68 yo hypertensive man presented with the following lesion over his tongue.He drinks alcohol almost every day,but he had never smoked; no lymphadenopathy. What is the likely diagnosis & management? #MedTwitter #surgery #MedEd #medicalstudents #Clinical #oralhealth #alcohol
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@schowardjd @ActaNeuro Good!👏 AOP supplies the bilateral paramedian Thalami & its occlusion results in Thalamic infarct.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@radiologistpage Hypodensity & loss of the normal ribbon pattern of the left Insular cortex- subtle Insular ribbon sign s/o an early ?acute MCA territory stroke. (has to be differentiated from Herpes Encephalitis)
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@Dmac3039 Getting flashbacks of my internship days.Intubating children was the scariest.Hope the child survived! Epiglottitis is a serious condition& patients with a high suspicion of epiglottitis should be intubated asap.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@sikarwar_sahab Yes,it is Infective Endocarditis.👍 But splinter hemorrhages which are also s/o IE are seen in the nail bed.
@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
The image shows Splinter hemorrhages (black lines) which are small bleeds in the nail bed caused by micro-emboli from the vegetation. ✓it is a sign of Infective Endocarditis🫀affecting the cardiac valves.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@Dr_MSU Koplik spots are grayish specks(like table salt crystals),surrounded by an erythematous halo seen on the buccal mucosa opposite the lower molars. Plz try again!👍
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A patient p/w abnormal gait,memory loss which interferes with his daily routine& is socially inactive. He also c/o urinary incontinence. What's your diagnosis? #MedTwitter #medicine #MedEd #radiology #Clinical #neurotwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot diagnosis. What abnormal facial features do you observe? What's the cause? #MedTwitter #Medical #MedEd #Clinical #ENT #Pediatrics #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@sandeepbonagir1 Impetigo is a superficial bacterial (usually Staph/Strep) infection- golden or honeybrown crusted lesions typically found around the mouth.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 45 yo man developed pigmented,exophytic growth in the maxillary anterior region which was progressive for the past 6 months. O/E: submandibular lymph nodes palpable. What's the likely diagnosis? #MedTwitter #medicine #MedEd #medicalstudents #surgery #Medical #Clinical
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
40yo female developed skin changes as shown& c/o nausea,headache,numbness,tingling &fatigue.She was found to have been drinking water from the well for 30years. What is the most likely causative agent? #Medtwitter #medicine #medicalstudent #MedEd #ClinicalPearl #dermtwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🧐 You see an alcoholic patient in the ward with the following finding. What is it? What abnormalities do you suspect in this patient? #MedTwitter #medicine #MedEd #medicalstudents #Clinical #alcohol #surgery #Health
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🫀 The ECG of a 60 yo hypertensive patient is shown. #MedTwitter #medicine #ECG #MedEd #Clinical #Health #heart #medicalstudents
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Not hot water splash♨️ Spot the diagnosis. What is the causative agent for this condition? #MedTwitter #Pediatrics #newborn #infection #medicalstudents #MedEd #ClinicalPearl #spotdiagnosis
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@Janetbirdope Osler Weber Rendu disease/HHT- autosomal dominant disorder resulting in AV malformations &recurrent bleeding (esp. nosebleeds) episodes. Rx: anemia correction, antifibrinolytics,embolisation,surgery
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A patient was brought to the ER with seizures; alleged h/o consumption (suicide attempt) of the seeds shown below. What's the treatment? #MedTwitter #medicine #MedEd #Emergency #Clinical #Health #EM
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A patient recovering from heart surgery has the following finding. What are the possible causes? #medicine #MedTwitter #MedicalStudents #MedEd #dermatology #Health #healthcare #Medicare #clinicaltips
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
2/n MRI finding
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Spot Diagnosis.🎨 Concerned with Melanin distribution. What congenital syndromes can be associated with this condition? #MedTwitter #Medical #MedEd #Clinical #eyes #Ophthalmology #eyetwitter
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Guess the wave abnormality seen here. What could be the possible diagnosis? #MedTwitter #medicine #ECG #medicalstudents #EM #MedEd #Clinical #Health #CardioTwitter #heart
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
Is that a leaf inside her eye?! Spot Diagnosis.🌿 #MedTwitter #medicine #eyes #MedicalStudents #ClinicalPearl #HealthForAll #MedEd #ophthalmology
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@IslashMehak Excellent!👏👍 SVC obstruction causes absent JVP pulse and absent hepatojugular reflex.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@radRounds Cupola sign- free air under the right diaphragm s/o Pneumoperitoneum,most commonly due to a perforated viscus.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@imedverse @Radiopaedia Multiple punched out osteolytic lesions of the skull- Multiple Myeloma/Plasma cell myeloma
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
@imedverse @NEJM Papular lesions arranged in annular configuration over both the palms- Circinate Syphilitic lesions usually seen in the secondary stage of Syphilis. It may also be seen over face,trunk and inner thighs.
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
26 yo female,painful skin sores on the face,itchy painful rashes in the legs as shown. She has arthralgia in both the ankles,knee &elbows, Lymphadenopathy+ hepatosplenomegaly. What is the most probable diagnosis? #MedTwitter #medicine #lung #dermatology #MedEd
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@Drgomathi_tn
Dr. Gomathi
@Drgomathi_tn
1 year
A 24 yo female presents with c/o foul smelling vaginal discharge. What do you see in the image below? What's the likely diagnosis? #MedTwitter #Obstetrics #MedEd #Clinical #Health #obgyn #medicalstudents
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