FRIENDS OF MARAGA THE 6TH
@jamesnderi43255
ID: 1916684848208527360
28-04-2025 02:44:36
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Dr Ihab Suliman 🔴 Diagnosis: Pretibial myxedema (thyroid dermopathy) from Graves disease 📍 Thickened, waxy/peau d’orange plaques over the shins (often bilateral) ⚡️ Key clue = Graves history (often with ophthalmopathy) 🔷 TSH-R Abs → fibroblast activation → GAG (mucin) deposition + edema 💡
6 days fever,excessive crying,new heart murmer🫀with palbable axillary lymph node. guess the diagnosis? Dr Ihab Suliman #MEDHTM Dr.Haitham Hamoud | د.هيثم @Jkbjb1 #TooCloseToDiagnose Dr. Muhammad Moor Daily Dose of Medicine Dr. ISHWAR N RATHORE MD د. باسم | طبيب أطفال الدكتور محمد المقبل
Dr.Haitham Hamoud | د.هيثم RAS antihypertensive contraindications: ACEIs/ARBs contraindicated in bilateral RAS/solitary kidney RAS. Why? Block efferent constriction → acute GFR drop & AKI. Safe: CCBs, BBs, diuretics. Monitor Cr!