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Med G

a Medical doctor who graduated in 2018 and I graduated my studies in Japan. I like sharing medical education.I hope you like my page. Contact: [email protected]

All contents are copyrighted. I am a clinical and public health doctor. Disclaimer:
The information provided is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Do not self-medicate or use any prescription drugs without proper evaluation and prescription by a licensed healthcare professional. Always consult your physician or qualified healthcare provider before starting, stopping, or changing any medication or treatment plan.

27/09/2026

Severe sepsis may trigger widespread coagulation activation leading to which complication?”

A) Disseminated intravascular coagulation
B. ) Hemophilia A
C) Iron-deficiency anemia
D) Polycythemia vera

27/09/2026

New post-immunotherapy option for advanced clear-cell renal

On 24 September, the FDA approved belzutifan plus lenvatinib after PD-1/PD-L1 therapy. Versus cabozantinib, median progression-free survival was 14.6 vs 10.6 months; overall survival was not significantly improved.

Why it matters: This adds an evidence-based treatment option, but anemia, hypoxia, hypertension, cardiac dysfunction and thromboembolic toxicity require active monitoring. FDA approval and LITESPARK-011 results⁠
Ref: in comment

26/09/2026

A patient presents with tender, erythematous nodules over both shins, as shown in the image. What is the most likely diagnosis?

A. Cellulitis
B. Erythema nodosum
C. Erythema multiforme
D. Leukocytoclastic vasculitis
E. Pyoderma gangrenosum

26/09/2026

Peripheral vs Central Vertigo — what’s the difference?

Vertigo is the sensation of spinning or movement when no real movement is occurring.

The most important first distinction is whether the cause is peripheral or central.

🔵 Peripheral vertigo

Peripheral vertigo usually comes from the inner ear or vestibular nerve.

Common causes include:

* BPPV
* vestibular neuritis
* labyrinthitis
* Ménière disease

Typical clues:

* strong spinning sensation
* worse with head movement
* nausea and vomiting
* hearing symptoms may occur in some conditions
* nystagmus is often horizontal or rotary

🔴 Central vertigo

Central vertigo comes from the brainstem or cerebellum.

Common causes include:

* stroke
* migraine
* multiple sclerosis
* brain lesions

Typical clues:

* severe imbalance or inability to walk
* double vision
* slurred speech
* weakness or numbness
* other neurological deficits
* central-pattern nystagmus may be present

Easy memory tip

Peripheral = ear problem
Central = brain problem

Red flags

🚨 Vertigo with:

* weakness
* numbness
* double vision
* trouble speaking
* severe gait instability
* new severe headache

should raise concern for a central cause and needs urgent medical assessment.

📌 Save this for neurology and ENT revision.

⚕️ Educational content only. Persistent vertigo or vertigo with neurological symptoms requires appropriate medical evaluation.

Which comparison should Med G cover next: BPPV vs Vestibular Neuritis, Vertigo vs Syncope, or Stroke vs Bell’s Pals?
MedG

26/09/2026

A 70-year-old woman is brought to the ER after suddenly collapsing at home.

Her family reports that she suddenly developed difficulty speaking and was unable to move her right arm and leg.

On examination, she has:
• Expressive aphasia
• Right-sided hemiparesis
• Left gaze preference

❓ What is the most likely diagnosis?

A) Left middle cerebral artery (MCA) stroke
😎 Right middle cerebral artery (MCA) stroke
C) Left anterior cerebral artery (ACA) stroke
D) Right anterior cerebral artery (ACA) stroke

💬 Comment your answer below!

⏰ The correct answer and explanation will be posted in the comments in 24 hours.

25/09/2026

Ascites — what is it?

Ascites is the abnormal accumulation of fluid inside the peritoneal cavity.

A common cause is cirrhosis, where portal hypertension, reduced effective circulating volume, sodium/water retention, and lower oncotic forces all contribute to fluid collecting in the abdomen.

A simple way to remember it:

Portal hypertension + fluid retention → ascites

Common clues

* increasing abdominal swelling
* rapid weight gain
* abdominal discomfort
* fullness / early satiety
* shortness of breath when severe

Common causes

* cirrhosis (very common)
* malignancy
* heart failure
* kidney disease
* infection, depending on the setting

Why it matters

Ascites may indicate significant underlying disease, and complications can occur, including:

* breathing difficulty from abdominal distension
* discomfort and reduced mobility
* infection of ascitic fluid such as spontaneous bacterial peritonitis

Evaluation and management

Assessment may involve:

* physical examination
* ultrasound
* diagnostic paracentesis in appropriate cases

Management depends on the cause, but often includes:

* treating the underlying condition
* sodium restriction
* diuretics
* paracentesis when needed

🚨 Fever, abdominal tenderness, confusion, or worsening illness in a patient with ascites should prompt urgent medical review.

Easy memory tip

Ascites = fluid in the abdomen
Cirrhosis = common cause

📌 Save this for hepatology revision.

⚕️ Educational content only. New, worsening, or symptomatic ascites requires proper medical evaluation.

Which liver topic should Med G cover next: Portal Hypertension, Spontaneous Bacterial Peritonitis, or Hepatic Encephalopathy?

24/09/2026

What is the longest and strongest bone in the human body?
A) Tibia
B ) Humerus
C) Femur
D) Fibula

24/09/2026

Ischemic vs Hemorrhagic Stroke — what’s the difference?

Both types of stroke cause sudden neurological symptoms, but the underlying problem is different.

🔵 Ischemic Stroke

This happens when a blood vessel supplying the brain becomes blocked, usually by a clot.

Simple pathway:

Blocked artery → reduced blood flow → reduced oxygen → brain tissue injury

This is the most common type of stroke.

🔴 Hemorrhagic Stroke

This happens when a brain blood vessel ruptures, causing bleeding into or around the brain.

Simple pathway:

Vessel rupture → bleeding → pressure on brain tissue + brain injury

Hemorrhagic stroke may be associated with sudden severe headache, vomiting, or reduced consciousness, though symptoms vary.

What they share

Both may cause:

* facial droop
* arm or leg weakness
* speech difficulty
* sudden vision or balance problems

Easy memory tip

Ischemic = blocked vessel
Hemorrhagic = bleeding vessel

🚨 Both are medical emergencies and require immediate treatment.

📌 Save this for neurology revision.

⚕️ Educational content only. Any sudden stroke symptoms require urgent emergency evaluation.

Which stroke topic should Med G cover next: Stroke vs TIA, Lacunar Stroke, or Subarachnoid Hemorrhage?

22/09/2026

🧠 Stroke — signs, symptoms, and prevention

Stroke symptoms usually start suddenly. Key warning signs include face drooping, arm weakness, speech difficulty, sudden numbness or weakness on one side, sudden trouble seeing, sudden trouble walking or dizziness, and a sudden severe headache with no known cause. If these symptoms appear, urgent emergency care is needed because fast treatment can reduce brain injury

Think FAST

Face drooping
Arm weakness
Speech difficulty
Time to act

This is one of the simplest and most important ways to recognize stroke quickly.

Prevention

Stroke prevention focuses on controlling major risk factors and making healthy lifestyle changes. Important steps include controlling blood pressure, managing cholesterol and diabetes, not smoking, staying physically active, eating a healthy diet, maintaining a healthy weight, limiting alcohol, and using appropriate treatment for conditions such as atrial fibrillation when indicated.

Easy memory tip

Sudden FAST symptoms = emergency
Control risk factors = prevention

📌 Save this for quick revision.

⚕️ Educational content only. Sudden stroke symptoms require urgent emergency evaluation.
M

Which neurology topic should Med G cover next: Stroke vs TIA, Ischemic vs Hemorrhagic Stroke, or Bell’s Palsy vs Stroke?

22/09/2026

Case 71
A 25-year-old man is brought to the trauma bay after a high-speed motor vehicle collision. He is in severe respiratory distress. His blood pressure is 80/50 mmHg, his trachea is deviated to the left, and breath sounds are completely absent on the right side of his chest.
A) Cardiac tamponade
B ) Massive hemothorax
C) Tension pneumothorax
D) Flail chest

住所

Hiroshima, Hiroshima