SudaMediCa, The Sudanese Medical Community

Iam sure that in any pt with dissiminated Tuberculosis you may figure out A reversed Albumin : globulin ratio + high alkaline phosphatase but dont know why !!! ,,, any one to explain ???

Alsalam alykom :) I woud like to ask you a question : A patient with established diagnosis of cerebral malaria in al khartoum bahri hospital ,, he recieved QUININE 600mg in D5% given IV through 4hrs every 8hrs ,, on the 5th day of treatment , the patient developed tinnitus and his hearing began to d...

Alsalam alikom ,, thanx doctor alnawrany for the nice case ,, there is alot of logic DD mentioned by the nice doctors above and I agree with them waiting for your final judjment .

A patient presented with morning headache , vomiting and blurred vision ,, O/E : there is (+)ve marcus gun pupillary sign and proptosis in the right eye ,, fundoscopic examination revealed papilledema in the left eye ,, what is your diagnosis ??? and what drug you can give in such cases ???

Alsalam 3alaykom w rahmatollah :) I just wanted to ask aquestion : If allopurinole is to be given as a prophylaxis in a patient with gout who is known to be diabetic with kimmel steil wilson's disease (diabetic nephropathy) and his creatinie clearance has recently fall to < 10 ml/min ,, he is taking...