Tutorials in Medicine

Posts by Prof. Shaheen

  • by shaheenmoin
    A 44-year-old man was evaluated at this hospital because of diarrhea, weight loss, and abdominal pain and irregular fever . Approximately 6 months before admission, the patient began to have early satiety, nausea approximately 30 minutes after eating small amounts of food, and intermittent anorexia. He began to consume primarily liquids, khichdi and sabudana for … Continue reading Evaluating chronic diarrhoea in an adult.
  • by shaheenmoin
    An eighteen year old woman was brought to the hospital after a syncopal attack. She had fainted after carrying a heavy load of washed clothes in the morning. She was dizzy but conscious on reaching the hospital 2 hours later. She had recovered in a few minutes after falling to the ground, had not had … Continue reading A young woman with anemia: enough to fail a candidate.
  • by shaheenmoin
    A 56 year old man reports to the OPD with pain in his left fore foot and says that his toes are turning black. His left foot is swollen, with patches of red and blue skin, a non-healing ulcer on the dorsum and left side of the ankle with blue/black discoloration of the big toe … Continue reading How to assess gangrene in the toes. Looking for peripheral vascular disease.
  • by shaheenmoin
    Scenario 1. A 16 year old girl is brought by her family to a tertiary care cardiac facility for management. She has been unwell for 5 years with severe palpitation, breathlessness which is exertional, recurrent swelling of the face and feet and has needed hospitalisation for worsening of her symptoms, to the local hospitals near … Continue reading Young women with mitral valve disease, atrial fibrillation or not and heart […]
  • by shaheenmoin
    The 2019-nCoV corona virus identified in the current outbreak in the Wuhan province in China is the third virus which has mutated from animals to infect human beings. This one has been traced to a seafood market in Wuhan province. The two other pathogenic human respiratory coronaviruses are : severe acute respiratory syndrome coronavirus [SARS-CoV] … Continue reading Corona Viruses 2019, why the mutation and what can be done.
  • by shaheenmoin
    The current guidelines of the American Heart Association and the American Stroke Association (AHA–ASA) recommend “intense” statin therapy after an ischemic stroke of atherosclerotic origin but do not stipulate a target level of LDL cholesterol because there are limited data on outcomes with different targets for LDL cholesterol. Most physicians prescribe high-intensity statin therapy after … Continue reading If we are lowering cholesterol (LDL) how low should it go to […]
  • by shaheenmoin
    Diabetes is perhaps the most common problem encountered in the outpatient departments, medical clinics and in the wards. It comes in all varieties of severity and complications and involves many systems. When a patient with type 2 diabetes comes to a doctor they have probably already had the disease for many years without being aware … Continue reading How should we be assessing the risk for someone who has just […]
  • by shaheenmoin
    Fat accumulates in the liver. Liver function is affected and liver failure can ensue. How is it defined? Patients with nonalcoholic fatty liver disease (NAFLD) have hepatic steatosis, with or without inflammation and fibrosis. In addition, no secondary causes of hepatic steatosis are present. If there is inflammation then it is called nonalcoholic steatohepatitis (NASH) … Continue reading DOES NONALCOHOLIC FATTY LIVER DISEASE CAUSE HEART ATTACKS AND STROKES?
  • by shaheenmoin
    Well folks here is another step taken by the medical profession for improving patient care. There is a tetravalent vaccine for dengue fever. I hope it reaches the third world countries soon. Here is a reminder from a current trial. Dengue is a pandemic-prone viral disease, the incidence of which has increased by a factor … Continue reading Of dengue, diabetes, heart failure, myocardial infarctions and such like. Interesting updates.
  • by shaheenmoin