Let's Talk Medicine
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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»
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Kayser–Fleischer rings - seen in Wilson Disease - (yellowish rings in cornea) are caused by copper deposition in cornea; they do not interfere with vision.
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- The most common malignant liver tumors are HCCs and cholangiocarcinomas.

- The most common benign liver tumor is the hemangioma.
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Dark urine and pale stools signal a diagnosis of conjugated hyperbilirubinemia.
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- Pain in acute cholecystitis is secondary to gallbladder wall inflammation, whereas the pain of biliary colic is secondary to the contraction of the gallbladder against the obstructed cystic duct.

- Pain of acute cholecystitis persists for several days, whereas the pain of biliary colic lasts only a few hours.
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Primary biliary cirrhosis VS primary sclerosing cholangitis:
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Drugs that can cause jaundice:

- Isoniazid.
- Chlorpromazine.
- Paracetamol, excess.
- Drugs that cause cholestasis.
Let's Talk Medicine pinned «🔴 Drugs that can cause jaundice: - Isoniazid. - Chlorpromazine. - Paracetamol, excess. - Drugs that cause cholestasis.»
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Bloody stool is commonly caused by CHESS:

Campylobacter.
Hemorrhagic E.coli.
E.histolytica.
Salmonella.
Shigella.
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Metabolic alkalosis is usually seen with pyloric obstruction or small-bowel obstruction.

Metabolic acidosis is seen with late presentation of bowel obstruction.
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Stroke: A syndrome of rapid onset of cerebral deficit (usually focal) lasting >24h or leading to death, with no cause apparent other than a vascular one.

Transient ischemic attacks (TIA): A brief episode of neurological dysfunction due to temporary focal cerebral or retinal ischemia without infarction.
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Hypertension: A sustained increase in resting systolic BP (≥ 140 mmHg), diastolic BP (≥90 mmHg), or both, when not on anti-hypertensive medications and not in acute illness.

Hypertension is the most important modifiable risk factor for coronary heart disease, vascular diseases, stroke, and end stage renal disease❗️