A 73 y/o woman with multiple myeloma presented with periorbital purpuric, nonblanching lesions, not associated with recent trauma, aspirin or anticoagulants. PT and aPTT were normal. - What's the diagnosis ? ➡️ Answer and Full Case: manualofmedicine.com/spot-diagnosis… #medtwitter #foamed

This ECG is from a 77 y/o female who presented with dyspnea and palpitations. Medical history of ischaemic heart disease. Clinical examination consistent with cardiac failure. - What do you see ? ➡️ Answer and Interpretation: manualofmedicine.com/ecgs/ecg-case-… #medtwitter #foamed #ecg

What is the diagnosis in this 3 y/o girl with recent upper respiratory infection and new pruritic blanching rash? ➡️ Full Case and Answer: manualofmedicine.com/spot-diagnosis… #medtwitter #foamed #meded

Signs and Symptoms of Malabsorption #medtwitter #foamed #usmle

An 81 y/o man with 7-month of painless swelling and redness of both eyes, blurred vision, weight loss of 10 kg (22 lb) and multiple enlarged cervical and inguinal lymph nodes. - What’s the diagnosis ? ➡️ Full Case and Answer: manualofmedicine.com/spot-diagnosis… #medtwitter #foamed #usmle