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Channel Posts
Correct Answer - A Ans: A. Alcohol An indicator that should make the clinician highly suspicious of alcohol-related liver injury is AST: ALT ratio of 2:1 or more. Gamma-glutamyl transferase (GGT) is another sensitive but non- specific marker for the hepatic injury which cannot be used solely to diagnose alcohol-related hepatic insult. Levels of GGT greater than twice the normal values in addition to AST:ALT ratio >2 strongly indicate alcohol-induced liver injury as well.

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42-year-old patient with obstructive jaundice. Alp, Ggt, haptoglobin all increased. The most likely cause is:
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https://youtu.be/rZi3qI9bbso?si=FvjpZJcy5Ofilh_x
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https://youtu.be/oYxMrOoMHpA?si=FPGrVisugtdO6xGH
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Voting
Atient has fatigue. But not gaining weight. Body was warm. Investigation will show:
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Follow the Doctor usmle channel on WhatsApp: https://whatsapp.com/channel/0029Va5uYgUKGGGNpDS2LJ2X
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Correct Answer - C Ans: C. Hypotension Following are seen in Pituitary apoplexy Severe hypoglycemia Severe headache (usually retro-orbital) Impaired consciousness Fever Visual disturbances (visual field defect, visual acuity) Ophthalmoplegia (ocular paresis) β†’ Causing diplopia Hypotension & shock Nausea/vomiting Meningeal sign
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Voting
Which of the following is not seen in Pituitary apoplexy
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Correct Answer - A Ans: A. PICA .Most cases result from ipsilateral vertebral artery occlusion; occlusion of the posterior inferior cerebellar artery is responsible for it. Vessel occlusion that results in Lateral Medullary syndrome: Vertebral (most common) Posterior inferior cerebellar (2nd most common) Superior, middle or Inferior lateral medullary arteries Lateral medullary syndrome (Wallenberg syndrome): Vertigo Numbness of ipsilateral face and contralateral limbs Diplopia Dysphagia Dysarthria Ataxia Hoarseness
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Loss of pain/temperature sensation on ipsilateral face & C/L body due to thrombosis in
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Correct Answer - A Ans: A. (Lymphocytosis, Low Glucose, High protein) Presence of significant basal exudates, together with dilated ventricles (hydrocephalus) in a young female with a prolonged history of fever and headache suggests a diagnosis of Tubercular Meningitis. Tubercular Meningitis is characterized by Lymphocytic Pleocytosis, Low Glucose and High Protein within the CSF. The pathological hallmark of Tubercular Meningitis is the predominant involvement of basal cisterns that are observed by the presence of basal inflammatory tissue exudate.
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Voting
A 25 years old lady with a history of fever for 1 month presents with headache and ataxia.Brain imaging shows dilated ventricles and significant basal exudates. Which of the following will be the most likely CSF finding:
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