ACE-I side effects (CAPTOPRIL):

Cough
Angioedema
Potassium elevation
Taste abnormality
Oligohydramnios
Positive ketone
Renal Insufficiency"rash"
Leukopenia.

#Medicine

Remember:

NSAIDs contraindications:

Nursing and pregnancy
Serious bleeding
Allergy/ Asthma/ Angioedema
Impaired renal function
Drug (anticoagulant).

#Medicine

•Treatment of Neuroleptic Malignant Syndrome:

ABCDE

Amantadine
Bromocriptine, Benzodiazepines
Carbidopa/levodopa
Dantrolene
Electroconvulsive Therapy.

#Medicine

•Example of drugs cause peripheral neuropathy :

VIA

- Vincristine
- Isoniazid
- Amiodarone.

#Medicine

•Henoch-Schonlein purpura Features:

"PAAN"

Purpura
Abdominal pain
Arthritis
Nephritis

#Medicine
#Pediatrics

Monoarthritis: causes

"GHOST"

-Gout
-Hemarthroses
-Osteoarthritis
-Sepsis
-Trauma.

#Medicine

•Frequent causes of haemolytic neonatal jaundice at 24 hours of age:

RAGS

-Rhesus incompatibility
-ABO incompatibility
-G6PD deficiency
-Spherocytosis.

#Pediatrics

Most Important Tests of Synovial Fluid:

(3 C's)

-Culture and gram stain
-Cell count and differential
-Crystal examination (protein, LDH, glucose less helpful)

#Medicine

Day of appearance of rash in a febrile patient:

“Very Sick Person Must Take Double Tablets”

Very – Varicella (day 1
Sick – Scarlet fever (day 2
Person –Small pox (day 3
Must – Measles (day 4
Take – Typhus (day 5
Double – Dengue (day 6
Tablets – Typhoid (day 7.

#Medicine

Respiratory depression inducing drugs

"STOP"

-Sedatives and hypnotics
-Trimethoprim
-Opiates
-Polymyxins.

#Medicine

Antinuclear Antibody +ve:
4 S

-SLE
-Systemic sclerosis
-Sjorgen syndrome
-Sometimes normal

#Medicine

Difficult intubation:

L E M O N

-Look externally
-Evaluate 3-3-2 rule
-Mallampati score
-Obstruction
-Neck Mobility.


#Medicine

Varicose vein : symptoms

AEIOU

-Aching
-Eczema
-Itching
-Oedema
-Ulceration (LDS, hemosiderin, varicosities)

#Medicine

Causes of chronic constipation


🇺🇸👤JOE BIDEN 🏛


🗳Juvenile eating disorder(anorexia nervosa)
🗳Other(pregnancy, systemic sclerosis, myotonic dystrophy)
🗳Environmental and dietary(low fiber diet, immobility,...)

🗳Bowel obstructing lesions
🗳Irritable bowel syndrome, Idiopathic chronic constipation
🗳Drugs(Aluminum,Opiates,
...), Dyssynergic defecation
🗳Endocrine and metabolic (hypothyroidism,hypokalemia,hypercalcemia)
🗳Neurogenic disorders(Multiple sclerosis, Hirschsprung disease,...)


#Medicine

•Carpal tunnel syndrome; causes


🇺🇸DONALD TRUMP🏛

💲Diabetes
💲Overuse injury, Obesity
💲Neoplasm
💲Acromegaly
💲Low thyroid(hypothyroidism)
💲Dialysis-related amyloidosis

💲Trauma(colles fx)
💲Rheumatiod arthritis
💲Use of Aromatase inhibitors
💲Menopause, Myxoedema
💲Pregnancy


#Medicine
#Surgery

Hypercalcemia DDx

🥛HyperCALCEMIAS


💠Hyperparathyroidism
💠Carcinoma
💠Antacids containing Calcium, Acute renal failure
💠Lymphoma, Leukemia, Low phosphate, Lithium
💠Calcium Supplements, Congenital (familial hypocalciuric hypercalcemia)
💠Endocrine: hyperthyroidism, pheochromocytoma
💠Multiple Myeloma, Metistatic Lesions to Bone, Milk-alkali syndrome
💠Immobilization (exacerbates another underlying disorder), Iatrogenic(thiazide, diuretics, vitamin D)
💠Addison's Disease, Acromegaly, A hypervitaminosis
💠Sarcoid and other granulomatous diseases


#Medicine

Thyroid storm
Causes and management

🏷Causes

🌪THIS Powerful storm

🔻Trauma
🔻Hyperthyroidism
🔻Infection/ Illness/ Iodine load
🔻Surgery
🔻Parturition

🏷Management

4🅿’s

🅿redinisone
🅿ropylthiouracil
🅿ropranolol
🅿otassium Iodide


#Thyroid
#Surgery

•What are the causes of anemia in hypothyroidism?

-Causes of anemia:
1)Anemia of chronic disorder
2)Iron deficiency
3)Vitamin B12 deficiency
4)Folate deficiency
5)Other factors responsible menorrhagia in female, anorexia.

#Medicine
#Surgery

•What are the types of anemia in hypothyroidism?

-Anemia may be:
1-Usually normocytic normochromic
2-Iron deficiency, if menorrhagia (in female)
3-May be macrocytic due to associated pernicious anemia (due to deficiency of vitamin B12).

#Thyroid
#Surgery

•Why thyroxine should be started in low dose?

-Because if high dose is given, it may precipitate anginal attack.

#Thyroid

•What is the bedside test in hypothyroidism?

-Ankle jerk, which shows slow relaxation, also called “hung-up reflex” (other jerks may also show slow relaxation).

•How slow relaxation is best elicited in the ankle? Why slow relaxation?

-It is best elicited in kneel down position on a chair or bedside.
-Slow relaxation is due to decreased rate of muscle contraction and relaxation.

#Thyroid