The issue is about the residents of lavington complaining about the noises of the matatu operators

A patient presents with shortness of breath. You're asked to examine their respiratory system. Looking at their hands you notice something different about their fingernails. What would you thinking? #MedEd #Tweetorials MedTweetorials André Martin Mansoor @PeteSullivanPDx

⚠️Sedating antihistamines, such as chlorphenamine, should be avoided in severe liver disease as they can precipitate hepatic encephalopathy.

NAIL CHANGES Clubbing, which is one example of a nail manifestation of systemic disease, was first described by Hippocrates in the 5th century B.C. Careful examination of the fingernails & toenails can provide clues to underlying systemic diseases. See 👇 GrepMed #MedEd 👇👇

1/6 This patient presents for evaluation after family noticed he’s been “slowing down” recently. We walk in to meet him. How old do you think he is? Perhaps there is already a clue to the underlying diagnosis.