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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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What is the diagnostic approach to interstitial lung disease - when is HRCT sufficient vs surgical lung biopsy needed?

60-year-old male with progressive exertional dyspnea, dry cough for 1 year. HRCT shows basal bilateral honeycombing with traction bronchiectasis. No identifiable cause. How do I ap…

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

25-year-old with diagnosed asthma. Currently on moderate-dose ICS, still using SABA 3x/week, waking at night twice a month. What step is this and when should I add LABA vs refer fo…

How is spontaneous pneumothorax managed - needle aspiration vs chest tube, and when is surgery indicated?

25-year-old tall male, first episode of right-sided pneumothorax, 3 cm on CXR. Mildly symptomatic. Do I observe, aspirate or insert a chest tube? And at what point should VATS be c…

What is the initial management of massive hemoptysis and when is bronchial artery embolization indicated?

Patient with TB history now coughing up >200 mL blood in 24 hours. SpO2 dropping. Is this massive hemoptysis? What are the immediate airway/positioning steps and when should we pro…

How is pulmonary arterial hypertension classified and what are treatment options for WHO Group 1 PAH?

35-year-old woman with progressive exertional dyspnea, mPAP 45 mmHg on right heart catheterization, no secondary cause found. How is PAH classified and what drugs should be started…

When should BiPAP/NIV be started in COPD exacerbation with hypercapnic respiratory failure?

COPD patient ABG: pH 7.29, pCO2 68, pO2 55 on controlled O2. Currently on nebulized bronchodilators and IV steroids. Drowsy but rousable. What are the criteria for NIV initiation a…

Which severity score is better for community-acquired pneumonia - CURB-65 or PSI? And what are ICU admission criteria?

70-year-old with fever, productive cough, RR 28/min, BUN 28, confusion, SpO2 90%. How do I score severity and determine hospitalization vs ICU admission?

How do you diagnose pulmonary embolism - when is D-dimer enough vs when is CTPA needed?

35-year-old post-surgery patient with sudden onset pleuritic chest pain and tachycardia. Wells score 4. D-dimer is elevated. Should I go straight to CTPA or is VQ scan better here?

How do you approach diagnosis of a unilateral pleural effusion — when is thoracentesis mandatory?

45-year-old with unilateral dullness on percussion and reduced breath sounds at left base. CXR shows left-sided opacity. No prior known disease. How do I differentiate transudative…

What is the stepwise management of acute COPD exacerbation in the ED?

65-year-old with COPD (FEV1 40% predicted) presents with increased dyspnea, purulent sputum, and SpO2 84% on room air. RR 28/min. What are the immediate and subsequent management s…

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