Let's Talk Medicine
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Papillary carcinoma is the most common type of thyroid cancer to develop after radiation exposure (accounts for 80% to 90% of postradiation cancers of the thyroid).
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Patients with cushing disease may have hyperpigmentation due to elevated ACTH levels, whereas patients with Cushing syndrome due to other causes will not have hyperpigmentation.
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Definition of Microalbuminuria:

- 30 to 300 mg/day.
- Albumin–creatinine ratio of 0.02 to 0.20.
🔴 Hyperbaric oxygen is indicated when the CO level is more than:

25% – 59
👍👍👍👍👍👍👍 61%

40% – 19
👍👍 20%

15% – 13
👍👍 13%

70% – 6
👍 6%

👥 97 people voted so far. Poll closed.
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Clinically Definite MS:

- Two episodes of symptoms.
- Evidence of two white matter lesions (imaging or clinical).
Let's Talk Medicine pinned «🔴 Clinically Definite MS: - Two episodes of symptoms. - Evidence of two white matter lesions (imaging or clinical).»
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two ways to differentiate between seizures and syncope:


• In seizures, duration of unconsciousness tends to be longer. In syncope, loss of consciousness is momentary.

• In syncope, bladder control is usually retained, but in seizures it is often lost.
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Steroids are the best treatment for SLE patients with acute flare.

Hydroxychloroquine for long-term treatment for SLE. It can cause retinal toxicity.
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Precipitants of an acute gouty attack:


- Decrease in temperature
- Dehydration
- Stress (emotional or physical)
- Excessive alcohol intake
/ Starvation
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Diagnostic Criteria for Polymyositis:

- Symmetric proximal muscle weakness
- Elevation in serum creatine phosphokinase
- EMG findings of a myopathy
- Biopsy evidence of myositis
- Characteristic rash of dermatomyositis
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Stress ulcer prophylaxis is indicated in:

- Mechanical ventilation
- Burns
- Head trauma
- Coagulopathy
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Studies to differentiate prerenal from intrinsic AKI:
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Absolute indications for dialysis:


- Acidosis—significant, intractable metabolic acidosis.

- Electrolytes—severe, persistent hyperkalemia.

- Intoxications—methanol, ethylene glycol, lithium, aspirin.

- Overload—hypervolemia not managed by other means.

- Uremia (severe)—based on clinical presentation, not laboratory values (e.g., uremic pericarditis is an absolute indication for dialysis.
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SAAG: Correlating level with specific diseases
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ADPKD presents with:


- Pain
- Hematuria
- Infection
- Hypertension
- Kidney stones
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- In hypercalcemia, ECG shows shortening of the QT interval.

- In hypocalcemia, ECG shows a prolongation of the QT interval.
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Serum potassium is affected by pH: alkalosis can lead to hypokalemia, whereas acidosis can lead to hyperkalemia.
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ECG changes in hyperkalemia become prominent when K + >6 and include:

- Peaked T waves (by 10 mm).
- A prolonged PR interval.
- Widening of QRS and merging of QRS with T wave.
- Ventricular fibrillation and cardiac arrest (with increasing levels of K + ).