
Peter. 🫁
@p_jrn1
“The desire to be loved is the last illusion. Give it up and you will be free.”
— Margaret Atwood
ID: 1304083257500340224
10-09-2020 15:45:51
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Peter.🧔♂️ However, by reducing angiotensin II, the pressure within the glomeruli of the kidneys is lowered, which can sometimes lead to reduced kidney function, especially in patients with pre-existing kidney disease.


Dr sthanu subramanian ➡️ bilateral Opacitation are seen on the chest xray. Suggestive of typical bat wig sign .🫁 👉kerly B lines seen. 👉[1]there is a. Catheter via subclavain vein ➡️Dx pulmonary 🫁 Edema.
![Peter. 🫁 (@p_jrn1) on Twitter photo <a href="/drsthanus/">Dr sthanu subramanian</a> ➡️ bilateral Opacitation are seen on the chest xray.
Suggestive of typical bat wig sign .🫁
👉kerly B lines seen.
👉[1]there is a. Catheter via subclavain vein
➡️Dx pulmonary 🫁 Edema. <a href="/drsthanus/">Dr sthanu subramanian</a> ➡️ bilateral Opacitation are seen on the chest xray.
Suggestive of typical bat wig sign .🫁
👉kerly B lines seen.
👉[1]there is a. Catheter via subclavain vein
➡️Dx pulmonary 🫁 Edema.](https://pbs.twimg.com/media/GtkeV15WQAAN83y.jpg)


Dr sthanu subramanian ➡️history of Down syndrome is given on history 👉on xray there is Double bubble 🫧 sign appreance DX➡️Duodenal Aterisa > there will be no bowel movements/vomiting within first day of life +bowel distention 👉🫧duodenal artesia in Down syndrome abnormality Cc;Osmosis from Elsevier


Keith Siau Courvoisier-Terrier sign <Image source: Satyendra Dhar, MD SFHM via GrepMed, tinyurl.com/e8mtm7ap>


Manual Of Medicine ➡️ Dupuytren's Disease (Fibromatosis) a genetic disorder,more common in people of Northern European or Scandinavian descent. Involves different parts of body; ➡️Palm - Dupuytren’s Contracture ➡️Foot - Ledderhose disease. ➡️Penis - Peyronie's Disease ➡️Knuckle - Garrod’s Pads


Itebimien Peter Dr. Akhil 🇮🇳 Dr sthanu subramanian Nirmal Pandey MD DM Neurologist Chioma Patrick Mehmet S Uyanik, MD Peter.🧔♂️ ChefKarim02 Dr Jum jum Hey Joe Loki Skylizard Alexander Mendieta, MD Journal of Brown Hospital Medicine radRounds Radiology Network Keith Siau André Martin Mansoor Neural Consult Modern Health Oren Gottfried, MD







Scott C. Howard ➡️Age + blue-gray + sclerae +ankle. 🤔 History of drug use !? ➡️Top dx is minocycline induced skin pigmentation Is not minocycline then >> Amiodarone Type II hyperpigmentation Ddx 👉Addison disease ,any electrolytes imbalance or other systemic c/0 ?🤔 x.com/schowardjd/sta…