Let's Talk Medicine
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Lethal triad:

Acidosis
Coagulopathy
Hypothermia
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The major clinical difference between second-and third-degree burns is:

Third-degree burns are painless, and second-degree burns are painful.
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Indications for surgery in gastric ulcer:

- Cancer (rule out)
- Hemorrhage (massive or relentless)
- Obstruction (gastric outlet obstruction)
- Perforation
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Hamman’s sign:


Mediastinal crunch or clicking produced by the heart beating against air- lled tissues.
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Psoas sign:

Pain elicited by extending the hip with the knee in ull extension or by exing the hip against resistance; seen classically in retrocecal appendicitis
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Findings associated with Gardner’s syndrome:

- Sebaceous cysts
- Osteomas
- Desmoid tumors
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Criteria for continuous or intermittent long-term oxygen therapy in COPD:

- PaO2 55 mm Hg, OR

- O2 saturation ≤88% (pulse oximetry) either at rest or during exercise, OR

PaO2 55 to 59 mm Hg plus polycythemia or evidence of cor pulmonale



❗️Note that the above must be consistent findings despite optimal medical therapy
Happy Ramadan! We wish you the best in this holy month, and may all your good deeds be rewarded and may you find eternal peace in Jannah!
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Happy vacation everybody! It’s the summer now and we hope you are all excited for the well-deserved vacation! We won’t be stopping tho, so be sure to stay tuned as we will continue posting just as always. Enjoy!
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although asthma can be diagnosed with PFTs and spirometry, in an acute setting (ED) when patient is SOB, peak flow measurement is quickest method of diagnosis.
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Paraneoplastic syndromes in lung cancer:
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Causes of transudative and exudative pleural effusions:
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Typical presentation of sarcoidosis⬇️

young patient with constitutional symptoms, respiratory complaints, erythema nodosum, blurred vision, and bilateral hilar adenopathy.
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If anticoagulation is contraindicated in a patient with PE, a vena cava filter is indicated.
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- Complications of diverticulosis include painless rectal bleeding and diverticulitis.

- Complications of diverticulitis include bowel obstruction, abscess, and fistulas.
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Complications of severe pseudomembranous colitis (may require surgery):

- Toxic megacolon.
- Colonic perforation.
- Anasarca, electrolyte disturbances.
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SBP diagnosis:

Diagnosis is established by paracentesis and examination of ascitic fluid for WBCs (especially PMNs), Gram stain with culture, and sensitivities.

- WBC >500, PMN >250.
- Positive ascites culture; cult
Let's Talk Medicine pinned «🔴 SBP diagnosis: Diagnosis is established by paracentesis and examination of ascitic fluid for WBCs (especially PMNs), Gram stain with culture, and sensitivities. - WBC >500, PMN >250. - Positive ascites culture; cult»