🟨PBC and ( role of M)📝

Ig M
Anti Mitochondrial Abs
M2 subtype
Middle aged female

🟨Most common site of ischaemic colitis is

➡️Splenic flexure

🟨Dyphagia📝

Dysphagia to both fluids and solids = Achalasia
Dysphagia to solids only = Malignancy

🟨Most common complications of refeeding syndrome is

➡️Hypo_phosphataemia

🟨Alcoholic hepatitis
⬆️AST > ALT 2:1

🟨Non Alcoholic fatty liver
⬆️ALT > AST

عكس بعض ركزوا عليهم📝

🟨Severity of COPD categorised by using

➡️FEV 1

🟨Factors which improve survival in COPD

Smoking cessation
LTOT
Lung volume reduction surgery

🟨CXR in patient with PE is usually

➡️Normal

مهماااااات جداً📝

🟨Genetic inheritance in hematological diseases

G6P deficiency ➡️ X linked recessive

HS + VWD ➡️ AD

Sickle cell anemia and Thalassemia ➡️
AR

#Important_noes 📝

🟨First sign in PBF in pt with vit B12 deficiency is

➡️Hypersegmented neutrophils

🟪key points 📝
#Hematology

Symptoms of anemia + neurological symptoms = Vit B 12 deficiency

Symptoms of anemia + neurological symptoms + H/O autoimmune diseases = Pernicious anemia

Pruritus after hot bath = PRV

Lower backpack + symptoms of hypercalcemia + high ESR = Multiple myeloma

Thrombocytopenia + hemolytic anemia + renal dysfunction + neurological symptoms = TTP

باش ما تتخلبطوش بين ال
HMWH and LMWH💡


📝نجوا لل LMWH
لان Low بيكون Fractionated
لان low بيأتر على factor واحد بس اللي هو factor
10
(تفكروا ال 10 بال O متع ال low😂)
و هذا علاش حتى لما بنديره monitoring نقيس مستوى
Factor 10
و لان low يصيرله elimination by kidney فقط


...........
توا نجوا لل HMWH
لان high ف اكيد هو اللي بيكون unfractionated
😏
ولأن high حيأتر على أكثر من factor و اللي هما، 9 ،10 ،11
و هذا علاش يندارله monitoring بال APTT
و لان high ف بيصيرله
Eilemenatin by liver and kidney 😇

ملاحظة:-اسمه un fractionated مش HMWH غير طبعا للتبسيط و تسهيل الحفظ