Let's Talk Medicine
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Serum amylase and lipase levels are elevated in 15 to 25 percent of patients with DKA and, in most cases, do not reflect acute pancreatitis.
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"Olive-like" mass on the tummy during abdominal examination is pathognomonic for Pyloric stenosis .
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For warfarin-induced skin necrosis:
Stop Warfarin
Give:
Vitamin K
Therapeutic heparin
protein C concentrate or (FFP)
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Duodenal atresia : Abdominal x-ray shows " Double bubble " sign.
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Thiamine deficiency manifesting as Wernicke encephalopathy :
Nystagmus
Ophthalmoplegia
Ataxia
Confusion
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Candida albicans is the most common cause of infectious esophagitis .
It presents with dysphagia & curdy white esophageal plaques on endoscopy.
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Heart failure, pneumonia, and malignancy are the most common causes of pleural effusions.
The classic symptoms of aortic stenosis (AS) are:
heart failure, angina, and syncope.
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Thyroid storm is a clinical diagnosis; NO level of thyroid hormone elevation is diagnostic.
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Indications for IV iron:

โžก๏ธintolerant to oral
โžก๏ธabsolute non compliance
โžก๏ธhigh iron requirement
โžก๏ธGI malabsorption
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Sturge-Weber syndrome
Hallmark features:
1. Seizures
2. PortWine stain
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Celiac Disease :

Definitive diagnosis requires small bowel biopsy or presence of dermatitis herpetiformis.
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B-type natriuretic peptide is useful to help distinguish acute dyspnea caused by decompensated heart failure from other, non-cardiac causes.
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Hypernatremia: causes
6 D's:
โˆšDiuretics
โˆšDehydration
โˆšDiabetes insipidus
โˆšDocs (iatrogenic)
โˆšDiarrhea
โˆšDisease: kidney, sickle cell, etc
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Cryptosporidium is the most common infective cause of diarrhoea in HIV patients .
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Causes of Hypokalaemia without hypertension:
Diuretics
GI loss
Renal tubular acidosis (type 1 & 2)
Bartter's syndrome
Gitelman syndrome
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Complications of tumour lysis syndrome include:
โ— Hyperkalaemia
โ— Hyperphosphataemia
โ— hypocalcaemia
โ— Hyperuricaemia
โ— Acute renal failure
What disease is caused by HHV-8:

Kaposi sarcoma โ€“ 175
๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘ 88%

Genital ulcers โ€“ 10
โ–ซ๏ธ 5%

Infectious Mononucleosis โ€“ 8
โ–ซ๏ธ 4%

Shingles โ€“ 5
โ–ซ๏ธ 3%

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Characteristic findings in severe hypophosphatemia are:
HF, muscle weakness, rhabdomyolysis, hemolytic anemia, and metabolic encephalopathy