doctor's notebook
25.8K subscribers
1.99K photos
14 videos
32 files
5 links
Medical books and flowcharts
Download Telegram
Treatment:
In regions where Loiasis is prevalent, treatment should be carefully considered due to the risk of severe adverse events caused by the death of large numbers of microfilariae.
Diethylcarbamazine (DEC) is the treatment of choice for symptomatic patients; however, close monitoring for adverse events is crucial.
Surgical removal of adult worms (extreme cases) may be conducted by a specialist when necessary.
Prognosis:
The prognosis is generally good. However, individuals with high microfilarial loads are at risk for severe adverse events with treatment.
Avoidance of vector exposure (flies) is recommended to prevent reinfection.
Thoracic aortic aneurysm

Thoracic aortic aneurysm are typically easily visible on chest x-rays and are often an incidental finding.
Hemolysis
❤2
Erb's Palsy: Unraveling Birth-Related Brachial Plexus Injuries 🤱🌈

📌 Definition:
Erb's Palsy is a type of brachial plexus injury that occurs during childbirth, affecting the network of nerves near the neck and shoulder. It specifically involves injury to the upper brachial plexus, impacting the muscles and function of the arm.

🤔 Causative Factors:

Difficult Births: Often associated with shoulder dystocia, where the baby's shoulder becomes stuck behind the mother's pelvic bone.
Traction on the Head and Neck: Excessive force during delivery can stretch or tear the nerves.
🚼 Clinical Features:

Weakness or Paralysis: Typically on one side of the upper limb.
Arm Position: The affected arm may be held against the body and extended at the elbow.
Lack of Moro Reflex: Absence of the normal startle reflex in the affected arm.
❤4👍2
Causes

Having a single palmar crease is often normal. However, it may also be associated with various conditions that affect a person's mental and physical growth, including:
• Down syndrome
• Aarskog syndrome
• Cohen syndrome
• Fetal alcohol syndrome
• Trisomy 13
• Rubella syndrome
• Turner syndrome
• Klinefelter syndrome
• Pseudohypoparathyroidism 
• Cri du chat syndrome
👍4❤1
Koenen Tumor, a distinctive feature in Tuberous Sclerosis Complex (TSC), manifests as periungual fibromas affecting the nail unit. This benign but notable skin finding contributes to the clinical mosaic of TSC.

Key Features:

Periungual Fibromas: Slow-growing tumors around the nails.
Tuberous Sclerosis Complex (TSC): Genetic disorder characterized by the growth of benign tumors in various organs.
🔬 Clinical Significance:

Dermatologic Marker: Koenen Tumors are often a dermatological hallmark of TSC.
Multisystem Involvement: TSC can affect the skin, brain, kidneys, heart, and other organs.
👍2