250 Cases in Clinical Medicine-Elsevier (2019).pdf
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250 Cases in Clinical Medicine-Elsevier.
Remember:
-Dyskariosis refers to abnormality from a smear.
-Dysplasia or cervical intraepithelial neoplasia are histological terms from a biopsy sample.
-CIN should be treated to prevent long-term progression to cervical carcinoma.
-LLETZ is the usual treatment for CIN, with yearly follow-up for 10 years.
-USMEL
#Obs_Gyne
-Dyskariosis refers to abnormality from a smear.
-Dysplasia or cervical intraepithelial neoplasia are histological terms from a biopsy sample.
-CIN should be treated to prevent long-term progression to cervical carcinoma.
-LLETZ is the usual treatment for CIN, with yearly follow-up for 10 years.
-USMEL
#Obs_Gyne
Typical presentations of fibroids:
-Menorrhagia
-Abdominal mass
-Pressure effect from pressure on the bladder, stomach or bowel
-Infertility.
#Obs_Gyne
-Menorrhagia
-Abdominal mass
-Pressure effect from pressure on the bladder, stomach or bowel
-Infertility.
#Obs_Gyne
Remember:
-Most prolactinomas respond to medical treatment with bromocriptine or cabergoline.
-Surgery is only indicated rarely.
#Obs_Gyne
-Most prolactinomas respond to medical treatment with bromocriptine or cabergoline.
-Surgery is only indicated rarely.
#Obs_Gyne
Remember:
The earliest symptom of digoxin toxicity is appetite loss, followed by nausea and vomiting.
-MRCP
#Medicine
The earliest symptom of digoxin toxicity is appetite loss, followed by nausea and vomiting.
-MRCP
#Medicine
What are the indications for steroids in chronic asthma?
-Sleep is disturbed by wheeze
-Morning tightness persists until midday
-Symptoms and peak expiratory flows progressively deteriorate each day
-Maximum treatment with bronchodilators not controlling symptoms
-Emergency nebulizers are needed.
-MRCP
#Medicine
-Sleep is disturbed by wheeze
-Morning tightness persists until midday
-Symptoms and peak expiratory flows progressively deteriorate each day
-Maximum treatment with bronchodilators not controlling symptoms
-Emergency nebulizers are needed.
-MRCP
#Medicine
•Main causes of esophageal varices:
1-Severe liver cirrhosis as aresult of:
a-Chronic hepatitis
b-Alcoholic liver disease
c-Fatty liver disease
2-Primary biliary cirrhosis
3-Thrombosis of portal/splenic vein
4-Parasitic infection as schistosomiasis
5-Budd-chiary syndrome
•RISK_FACTORS:
1-High portal pressure
2-Increase size (large)varices
3-Red streaks on the varices ..when seen by endoscope
4-Continous use of alcohol
5-Sever liver cirrhosis or liver failure.
#Medicine
1-Severe liver cirrhosis as aresult of:
a-Chronic hepatitis
b-Alcoholic liver disease
c-Fatty liver disease
2-Primary biliary cirrhosis
3-Thrombosis of portal/splenic vein
4-Parasitic infection as schistosomiasis
5-Budd-chiary syndrome
•RISK_FACTORS:
1-High portal pressure
2-Increase size (large)varices
3-Red streaks on the varices ..when seen by endoscope
4-Continous use of alcohol
5-Sever liver cirrhosis or liver failure.
#Medicine
Remember:
-Ticagrelor antiplatlet agent demonestrates bactericidal activity against MRSA & may be active against multidrug resistant staphylococcus,or enterococci.
-Medscape
#Medicine
-Ticagrelor antiplatlet agent demonestrates bactericidal activity against MRSA & may be active against multidrug resistant staphylococcus,or enterococci.
-Medscape
#Medicine
Remember:
Low TSH + normal FT4+normal T3:
-subclinical hyperthyroidisim
-sick euothyroid syndrome
-drug effect.
-MRCP
#Medicine
Low TSH + normal FT4+normal T3:
-subclinical hyperthyroidisim
-sick euothyroid syndrome
-drug effect.
-MRCP
#Medicine
Remember:
-Plasmapheresis & IV immunoglobulins are the main stay of treatment of mysthenia crisis.
-MRCP
#Medicine
-Plasmapheresis & IV immunoglobulins are the main stay of treatment of mysthenia crisis.
-MRCP
#Medicine
Remember:
-Fresh frozen plasma is helpfull in stopping bleeding in patients of DIC with raised PT & APTT.
-MRCP
#Medicine
-Fresh frozen plasma is helpfull in stopping bleeding in patients of DIC with raised PT & APTT.
-MRCP
#Medicine
Typical ECG findings with left main coronary artery (LMCA) occlusion:
-Widespread horizontal ST depression, most prominent in leads I, II and V4-6
-ST elevation in aVR ≥ 1mm
-ST elevation in aVR ≥ V1.
#Medicine
-Widespread horizontal ST depression, most prominent in leads I, II and V4-6
-ST elevation in aVR ≥ 1mm
-ST elevation in aVR ≥ V1.
#Medicine
Nifedipine Indications.
-Hypertension
-Angina
-High-altitude pulmonary edema (HAPE)
-Reynaud's phenomenon
-Premature labor
-MRCP
#Medicine
-Hypertension
-Angina
-High-altitude pulmonary edema (HAPE)
-Reynaud's phenomenon
-Premature labor
-MRCP
#Medicine
Remember:
No role for NOACs in the following patients with venous thromboemoblism (VTE)
1-Antiphospholipid syndrome
2-Pregnancy and lactation
3-CKD(GFR below 30 for dabigatran, GFR below 15 for Rivaroxaban )
4- Chronic thromboembolic pulmonary hypertension(CTEPH).
#Medicine
No role for NOACs in the following patients with venous thromboemoblism (VTE)
1-Antiphospholipid syndrome
2-Pregnancy and lactation
3-CKD(GFR below 30 for dabigatran, GFR below 15 for Rivaroxaban )
4- Chronic thromboembolic pulmonary hypertension(CTEPH).
#Medicine