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Tricky case? Ask your colleagues!

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Andreas Rheinländer

Student of human medicine

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Optic neurisitis
yesterday

May I please seek the views of esteemed members in the work up of a patient referred to me? A 20 year old lady presented with blurred vision with the right eye 6 weeks ago. She was seen by a doctor who prescribed some eye drops and the vision ... more »

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Live from the OR: What's this?
yesterday

Another day at the OR is over. This 85 year old female patient suffered from sudden abdominal distension. She only had minor pain. Laboratory results were unremarkable apart from a hypokalaemia (2.8).

The patient had a colonoscopy 2 years ago ... more »

OGILVIE - Syndrom
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diagnosing dementia
6 days ago

Dear community,

How can the diagnosis dementia be verified, in this case?

A 86-year old patient is admitted to the hospital, because he was stopped by the police in traffic, beeing completely confused and unoriented.

social anamnesis:

... more »

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Live from the OR: What's this?
6 days ago
Dear colleagues, Take a guess - what can be seen on the picture? a. Panenteritis b. Toxic megacolon c. Mesenteric ischemia
Mesenterialinfarkt
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Sleep apnea?
9 days ago

You are treating a 60- year-old male patient, who has had an incision and drainage procedure, some 6 days ago. Since then the patient is reporting about severe pain.

The patient is increasingly somnolent, his SpO2 is dropping to 86% when he ... more »

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degenerative disc disease
15 days ago

Dear community,

I have a question, concerning a 40-year old patient with degenerative disc disease in the lumbar region.

Medications:

Naproxen Oxycodon

The patient is referred to a spine surgeon, since physical therapy and NSAIDs only ... more »

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Tetanus vaccine
16 days ago

Hi everybody, I would like to ask a question about the vaccination against tetanus. A patient has been vaccined and hasn't had any recall for more than 10 years. If he wants to be vaccined again is it enough to give a single dose or he has to ... more »

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Vitiligo and black skin
19 days ago

I would like to ask for the consultation of a dermatologist about the possibility to heal from vitiligo.

I did a consultation as trainee in psychotherapy to an African patient who told me that he has vitiligo and he used some kind of ultraviolet ... more »

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Green patient?
19 days ago

Dear community,

As a doctor in private practice, you are called by a family, who inform you that "he's completely green"

The patient is 25 years old, Typ I diabetic, with multiple episodes of ketoacidosis in the past. Also the man seems to be ... more »

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dyspnea as a symptom for...?
24 days ago

A 50-year old female is admitted to the hospital, because of progressive dyspnea since two weeks. She denies having any chest pain or coughing. She has no fever, palpitations or wheezing.

Past medical history:

smoker mild ... more »

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DocCheck Ask: Ask your colleagues and discuss medical cases

DocCheck Ask serves physicians, pharmacists and other healthcare professionals as a platform for exchange of views about tricky cases and discussions about findings, differential diagnoses and therapies. The interdisciplinary exchange between the various medical specialities is paramount at DocCheck Ask. Here, physicians, pharmacists, students and other healthcare professionals have the opportunity to ask questions about medical topics, get expert opinions and share patient case histories. Those questions might be of a more general nature, be aimed directly at doctors of certain specialties or display interdisciplinary discussions. In addition, images or further details (medical history, lab results etc.) can complete those questions..

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