MedLearn Easy

MedLearn Easy This page is the learning aid for medical related issues by Dr. Md. Rafiqul Islam, MBBS, FCPS( Medicine)

02/09/2026

Cozen's test for Tennis elbow

02/09/2026

Eschar in Rickettsial fever

Patient presented with fever for 8 days,highest recorded temperature 104.5° F. There is also dry cough. Patient is on a third generation IV cephalosporin without any improvement.This simple finding on left upper eyelid gives the diagnostic clue.

02/09/2026

Ri'sk factors for RA-ILD

1. S'mo'king ( important modifiable factor)
2. Male gender
3. Advanced age
4. High titre RF
5.High titre Anti-CCP
6. Severe extra-articular disease
7. Exposure to particulate materials
8.Genetic makeup ( gain function of MUC5B promoter variant)

01/09/2026

A 25 year-old 6+ month pregnant lady presented with anorexia, nausea,vomiting jaundice for the last 15 days. On query she gave history of one miscarriage at 9 weeks age of fetus.She also added that she and recurrent oral ulcer and alopecia. She was diagnosed as hypothyroidism for 1 year and is taking levothyroxine regularly.

Her investigations show high s. bilirubin,SGPT to,SGOT,normal S.ALP.ANA is very high but Anti-dsDNA is negative. Hepatitis B virus and C virus profile is negative.

a) Mention Provisional diagnosis or DD
b) Next investigations

Lean and thin patientNo specific complaints except occasional dry cough.Ex-smokerBetel nut chewer at present
29/08/2026

Lean and thin patient
No specific complaints except occasional dry cough.
Ex-smoker
Betel nut chewer at present

24 year-old female having prolonged cough.No fever,no sputum production,no lympadenopathy,no roganomegaly.
28/08/2026

24 year-old female having prolonged cough.
No fever,no sputum production,no lympadenopathy,no roganomegaly.

27/08/2026

Tonsilitis

25/08/2026

Duchenne muscular dystrophy
Patient having pseudohypertrophy of both calves and Gowers' sign positive.
His CPK is very high ( more than 100 times the upper normal limit)

24/08/2026
21/08/2026

COPD patient with pursed lip breathing

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