#remember
✅history of heart failure + iron deficiency 👉 the first step 👉 correcting iron deficiency

🛑(Blue Toe Syndrome)
✅sudden onset of a cold, painful, and cyanotic big toe. the next steps 👉Therapeutic heparin and urgent echocardiogram

🛑مريض لديه ظهور مفاجئ لإصبع قدم بارد، مؤلم، وأزرق اللون (Blue Toe Syndrome)، فما الخطوة التالية؟

✅بدء الهيبارين العلاجي فورًا (Therapeutic Heparin).
✅إجراء إيكو القلب بشكل عاجل (Urgent Echocardiogram)؛ لأن 80% من الحالات يكون مصدر الصمّة من القلب.

#remember
✅In general, β-blockers (including eye drops) are contraindicated in patients with asthma
#Not and Not for MRCP

#remember
✅Response to steroids is helpful when making the diagnosis of asthma.

✅Response to PPI is helpful when making the diagnosis of GERD

🛑Small bowel bacterial overgrowth syndrome (SBBOS)

#remember
✅Thrombocytobenia is a common finding in chronic liver disease.
#Not and Not for MRCP

🛑Trans-jugular intrahepatic porto-systemic shunt (TIPSS)
🅰 Indications

✅Diuretic resistant ascites (Intractable ascites )
✅ Intractable portal hypertensive bleeding
✅Hepato-renal failure.

🅱 contraindications to shunting:
✅ Severe hepatic encephalopathy
✅ Severe heart failure
✅Septicaemia

#Not and Not for MRCP

🛑Autoimmune hepatitis
✅امرأة شابة + ارتفاع وظائف الكبد + انقطاع الدورة الشهرية الثانوي = فكّر أولًا في التهاب الكبد المناعي الذاتي.

كتاب ديبرو الصغير النسخه 13
Dipiro's Pharmacotherapy Handbook 13

جاهز ب ينزل بعد شوي ع شكل شباتر كامل وعددهم 94 شابتر
#Clinical_Notes

Dipiro's Pharmacotherapy Handbook 13 edition

#clinical_Notes

🛑Diagnostic criteria toxic megacolon

✅ transverse colon dilatation ≥ 6 cm + signs of systemic toxicity.

🛑inflammatory bowel diseases (IBD)

🛑pulmonary embolism

🛑pericardial effusion treatment

🛑Dermatitis + Diarrhea + Dementia.👉Pellagra

🛑 typhoid fever
✅افضل شرح بخصوص الموضوع ممكن تحصله
المرجع BMJ

🛑vitamin b12 deficiency

#remember
✅Active Ulcerative Colitis+ DVT → Heparin (NOT Warfarin) 👉because the patient may require an emergency colectomy.
#Not and Not

#remember
🛑Lupus anticoagulant (LA) is the strongest predictor of future thrombosis in patients with Antiphospholipid Syndrome (APS).


#note and Note