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UnansweredCommunity Medicine

Is it safe to take Dolo 650 (paracetamol) daily for 10+ days for chronic tension headaches, or does that raise liver concerns?

26 August 2026 · 7 days openAnswer this →

UnansweredPediatrics

A 2-Year-Old Child with Progressive Abdominal Distension: What's Your Diagnosis

9 June 2026 · 85 days openAnswer this →

UnansweredPediatrics

Pediatric Oncology: Can You Identify the Diagnosis?

8 June 2026 · 86 days openAnswer this →

UnansweredUrology

CT urogram showing ureterovaginal fistula, right kidney swelling and stone – what does this mean and what treatment is needed?

3 June 2026 · 90 days openAnswer this →

UnansweredPulmonology

When should asthma therapy be stepped up from ICS alone to ICS/LABA, and what triggers biologics?

21 May 2026 · 103 days openAnswer this →

UnansweredObstetrics & Gynecology

MBBS Final Year – Obstetrics & Gynecology Discussion

6 May 2026 · 119 days openAnswer this →

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⚠️Clinical Disclaimer: All content is for peer discussion only — not a substitute for clinical judgment or formal medical advice. Always verify with authoritative sources.

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Differentiating Alzheimer's disease from vascular dementia — clinical, neuroimaging, and biomarker approach

A 74-year-old hypertensive male presents with a 2-year history of progressive cognitive decline. His deficits began abruptly after a lacunar infarct and have progressed in a stepwi…

CGRP antagonists vs traditional migraine prophylaxis (topiramate, propranolol, amitriptyline) — when to escalate?

A 35-year-old female with chronic migraine (> 15 headache days/month) has failed topiramate and amitriptyline due to side effects. She is now on overusing triptans. What is the cur…

Systematic approach to peripheral neuropathy workup: axonal vs demyelinating, and key treatable causes

A 58-year-old diabetic male presents with bilateral symmetric distal numbness, burning pain, and mild weakness of foot dorsiflexion. EMG/NCS shows predominantly axonal sensorimotor…

Prevention and management of cerebral vasospasm after aneurysmal subarachnoid hemorrhage

A 55-year-old woman with aneurysmal SAH (Hunt-Hess grade 3, Fisher grade 3) had successful coil embolization on day 1. On day 5, she develops new focal deficits and TCD shows eleva…

When to initiate levodopa in Parkinson's disease — early vs delayed treatment debate

A 62-year-old man with newly diagnosed Parkinson's disease presents with mild resting tremor, rigidity, and bradykinesia but is still functionally independent. He asks whether star…

Management of Guillain-Barré syndrome: IVIG vs plasmapheresis, and ICU monitoring criteria

A 30-year-old male presents with ascending weakness starting in the legs, areflexia, and mild respiratory compromise 2 weeks after a campylobacter gastroenteritis. NCS confirms AID…

Headache red flags (SNOOP4) — which patients need urgent neuroimaging?

A 42-year-old woman presents to the ED with a sudden severe headache she describes as the worst of her life, with onset during exercise. No fever, no neck stiffness initially. How …

Key differences between MS and NMOSD: clinical, imaging, and CSF findings

A 28-year-old female presents with bilateral optic neuritis and transverse myelitis extending over 3 vertebral segments. MRI spine shows a long central cord lesion at C3-C6. Serum …

Step-by-step management of refractory status epilepticus in the ICU

A 35-year-old known epileptic presents with continuous tonic-clonic seizure activity lasting > 30 minutes unresponsive to IV lorazepam 4mg and IV levetiracetam 3g. He is now intuba…

Ischemic stroke thrombolysis beyond the 4.5-hour window: who qualifies with advanced imaging?

A 67-year-old patient woke up with right-sided hemiparesis and aphasia. Time last known well is 9 hours ago. NIHSS is 12. MRI DWI shows small core infarct with large penumbra on pe…

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