.

.

Isoniazid, carcinoid syndrome, and chloramphenicol all can cause pellagra

هذا أعراضه كلش nonspecific
لغرض التبسيط، فهي أما تكون cardiovascular (wet beriberi)
أو تكون neurological (dry beriberi) أو مزيج من الإثنين

اوكي ماكو تبسيط...

• while Guillain-Barré syndrome (GBS) is an important cause of acute flaccid paralysis, thiamine deficiency should be considered an important differential diagnosis, particularly in patients with a history of dietary deprivation and incarceration. 

• high-output cardiac failure should prompt investigation of thiamine deficiency as a cause.

Thiamine deficiency can be caused by:

1. not ingesting enough vitamin B1 through the diet
2. Excess use, and subsequent depletion of thiamine due to hyperthyroidism, pregnancy, lactation, or fever.
3. Impaired ability to absorb vitamin B1 due to prolonged diarrhea.
4. Impaired use due to severe liver disease.

املوها ولكم الأجر والثواب
*مو شرط تكونون من النهرين*

In most patients, the distinction between type 1 and type 2 DM is clear. Thus, the primary tasks of the clinician are to determine:

• Who should be tested for diabetes
• Who has diabetes
• Which complications to monitor
• How to treat the patient.

It's so damn interesting

Pathophysiology

Clinical presentation

صوت الديچ😂

مال جيراننا😂
كفرني بحياتي هذا