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PulseMed I am Dr.Shemanto Datta. An intern Doctor at Rajshahi medical college. This group is dedicated to sharing and discussing various medical topics.

If you are curious, you’ll find a space here to learn, exchange ideas and wide the horizon of knowledge.

Age:70Y/Mshortness of breath with cough.
06/08/2026

Age:70Y/M
shortness of breath with cough.

45-year-old female presents for a routine check-up.History: Asymptomatic, but family history is notable for premature co...
06/08/2026

45-year-old female presents for a routine check-up.
History: Asymptomatic, but family history is notable for premature coronary artery disease.
Physical Exam: Soft, yellowish, well-demarcated plaques bilaterally on the medial aspect of her upper and lower eyelids (as shown in the image)

Xanthelasma

A 62 year-old male presented to the emergency department with severe central crushing chest pain of 2 hours’ duration, r...
06/08/2026

A 62 year-old male presented to the emergency department with severe central crushing chest pain of 2 hours’ duration, radiating to the left shoulder and jaw. The pain was associated with profuse sweating, nausea, and one episode of vomiting. He had a history of hypertension and smoking but no previous myocardial infarction.

A 29-year-old male presents with multiple hyperkeratotic, rough-surfaced lesions on the palmar and dorsal aspects of his...
06/08/2026

A 29-year-old male presents with multiple hyperkeratotic, rough-surfaced lesions on the palmar and dorsal aspects of his hands and fingers.
History: The lesions started as small, firm papules 8 months ago and have gradually increased in number and size. He reports mild discomfort when gripping heavy tools.
Physical Exam: Multiple firm, well-circumscribed, hyperkeratotic papules and plaques with a verrucous (wart-like) surface on both the palmar and dorsal surfaces of the hands and digits (as shown in the image). Paring of the lesions reveals pinpoint black dots (thrombosed capillaries).
Etiology: Causative agent infects basal keratinocytes through micro-abrasions in the skin.

Verruca Vulgaris (Common Warts)

Normal Blood Oxygen Levels (SpO2) Explained | Pulse Oximeter Reading Guide 🫁📊​​📊 SpO2 Level Ranges:🟢 99% - 100% | Excell...
06/08/2026

Normal Blood Oxygen Levels (SpO2) Explained | Pulse Oximeter Reading Guide 🫁📊
​

​📊 SpO2 Level Ranges:

🟢 99% - 100% | Excellent

🟢 95% - 98% | Normal / Healthy

🟡 91% - 94% | Low (Monitor closely)

🟠 86% - 90% | Very Low (Requires medical attention)

🔴 ≤85% | Critical (Seek immediate emergency care)

​💡 Why Track SpO2?
Monitoring blood oxygen level is essential for tracking respiratory health, fitness performance, sleep quality, and general well-being.

Patient Profile: 32-year-old maleHistory:Chief Complaint: Multiple itchy, scaly bumps across his back and torso for the ...
06/08/2026

Patient Profile: 32-year-old male
History:
Chief Complaint: Multiple itchy, scaly bumps across his back and torso for the past 6 weeks.
History of Present Illness: The lesions initially appeared as small red spots approximately two weeks after a sore throat (streptococcal pharyngitis). Over time, the lesions coalesced and thickened into discrete papules and plaques covered with thick, silvery-white scales. He reports mild pruritus and pinpoint bleeding when the scales are accidentally scraped off.
Physical Examination:
Inspection: Multiple oval, erythematous, indurated papules and plaques with thick micaceous (silvery-white) scale distributed diffusely over the posterior trunk and back. Positive Auspitz sign noted.
Palpation: Well-demarcated, firm plaques; non-tender to touch.

Guttate psoriasis

Tetralogy of Fallot ✅✅✅Q.X ray টা read করো।Ans:This is a plain Chest x-ray PA view showing:Boot shaped heart with oligem...
02/08/2026

Tetralogy of Fallot ✅✅✅

Q.X ray টা read করো।

Ans:This is a plain Chest x-ray PA view showing:
Boot shaped heart with oligemic lung
field (decreased pul. vascularity).
so, my diagnosis is tetralogy of Fallot.

Q.বলো, Clinical features of TOF?
Ans:
Symptoms:
•Fatigue
•Fallot's spell (cyanotic spells) on
exertion relief by squatting position.
•Sudden dyspnea
• Growth retardation

Signs:
•Cyanosed, congested conjunctiva.
• clubbing
•Tapping apex beat
•Left parasternal heave
•Ejection systolic murmur in
pulmonary area (due to Pul. stenosis)

Q. Cyanotic spells precipitated হয় কিভাবে?
Ans:
• Vigorous crying
•Exertion
এর মাধ্যমে।

Q. কোনটির diagnostic significance আছে?
Ans:
Squatting position.

Q. এ পজিশনে কি সুবিধা?

Ans: এই পজিশনে peripheral blood vessels এ resistance বাড়ে, ফলে blood বেশি বেশি periphery থেকে heart এ আসে,তখন symptoms relieved হয়।

Q.Investigations কি কি দিবা?
Ans:
•ECG
•Chest x-ray: boot-shaped heart,
oligemic lung field.
•Echo: VSD, RVH, Pulmonary stenosis,
overriding of aorta.
•CBC with ESR: Hbf (increased
viscosity resulting in polycythemia)
•PBF: microcytic hypochromic anemia.

Q.Management কিভাবে করবা?
Ans:
• Correction of anemia,
Scurvy.
• Correction of polycythemia
•Prevention of dehydration
•Treatment of paroxysmal hypercyanotic attack.
Surgical:
Palliative shunt procedure (Blalock-
Taussig shunt) shunt between subclavian
& pulmonary artery.

Q. Treatment of Fallot's spell?
Ans: Place the patient in knee chest
position.
• Oxygen by mask.
• IV fluid lOml/kg
• Morphine O.l mg/kg
subcutaneously (to keep the child
calm).
•Propranolol O.l mg/kg IV.

Immediate Care of Newborn: [VIVA]✴️1.Immediate drying and warmth :Dry the baby immediately.Skin-to-skin contact with mot...
31/07/2026

Immediate Care of Newborn: [VIVA]✴️

1.Immediate drying and warmth :
Dry the baby immediately.
Skin-to-skin contact with mother and cover with warm cloth/cap.

2.Ensure breathing:
Assess APGAR score, check breathing/crying and manage birth asphyxia if needed.

3.Cord care:
Delayed cord clamping (1–3 minutes), cut with sterile instrument.
Apply 7.1% chlorhexidine to the cord stump.

4.Early breastfeeding:
Initiate breastfeeding within 1 hour of birth.

5.Vitamin K:
Give Vitamin K IM (1 mg if >1000 g; 0.5 mg if

31/07/2026

A 13-year-old mother from Bangladesh was thrown out of her home by her husband, who kept her 7-month-old infant. After a legal battle facilitated by Chief Legal Aid, the court granted full custody of the child back to the young mother. While the legal victory brings relief, the story highlights a deeply troubling reality regarding child marriage and adolescent pregnancy.

As a medical professional, here is why a 13-year-old child should never undergo pregnancy:

1. Pelvic Immaturity: A 13-year-old's body is still developing. An underdeveloped pelvis dramatically increases the risk of obstructed labor, severe tissue tearing, and obstetric fistula.

2. Severe Medical Complications: Adolescent pregnancies face significantly higher risks of severe anemia and preeclampsia (dangerously high blood pressure), putting both mother and child in life-threatening danger.

3. Risks to the Infant: Babies born to young adolescents face higher rates of premature birth, low birth weight, and developmental challenges.

4.Severe Psychological Trauma: A child lacks the emotional and neurological maturity to handle the psychological stress of marriage, childbirth, and custody disputes.

Child marriage is not just a social concern, it is a severe medical risk that puts young lives on the line.

What steps should legal and social systems take to put an end to child marriage for good? Let’s discuss in the comments.

Follow for more medical insights and stories

✳️Rickets✳️-Mineralization failure of growing bone.Q.Read and interpret the x ray?Ans:This is a X-ray of wrist joint sho...
30/07/2026

✳️Rickets✳️

-Mineralization failure of growing bone.

Q.Read and interpret the x ray?
Ans:This is a X-ray of wrist joint showing:
-Widening, cupping, fraying of
metaphysis.
-Wide gap between
epiphysis and metaphysis.
-Density of
shaft bone is reduced.
So, my radiological diagnosis is Rickets.

Q. Clinical features of rickets?
Ans:
•Short stature, muscle weakness.
•Head: Box-like square head, delayed
closure of fontanelle & suture.
•Teeth: delayed dentition, dental
caries, and impaired enamel
formation.
•Chest: Pigeon chest deformity
(painless rachitic rosary at
costochondral junction),
Harrison sulcus.
•Spine: Deformities like scoliosis,
kyphosis lordosis etc.
• Knock knee
• Extremities: Widening of wrist and
ankle, valgus and varus deformity,
anterior bowing of legs.
•Symptoms of hypocalcemia: Tetany,
seizure, stridor due to laryngeal
spasm.

Q.Investigations?
Ans:
• In Blood: Serum calcium,
phosphate, (normal or low).
The product of serum calcium &
phosphate
if > 40: Rickets unlikely,
if between 30-40: doubtful
if

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