Quick Notes
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Note:

-Increased ferritin does not rule out iron deficiencyanemia. It can be increased in response to simultaneous inflammation.

#Hematology
#Anemia
Remember:

-In combination with an elevated TIBC, low ferritinand iron levels are diagnostic of iron deficiency anemia.

#Hematology
#Anemia
Iron deficiency:
-Ferritin is the parameter of choice in diagnosing iron deficiency.

#Hematology
#Anemia
Leukemoid reaction

Definition

-Reactive leukocytosis: cell hyperplasia withproliferation of myeloid or lymphoid elements.

-Characterized by an increased leukocyte alkaline phosphatase (LAP) score

Causes:

-Infections (predominantly bacterial, e.g.,pertussis)

-Severe purulent conditions (e.g., perforated appendicitis)

Drugs:

-Associated with certain solid tumors (e.g., lung cancer, renal cancer)

#Hematology
Leukoerythroblastic reaction

Definition:
-The presence of immature and/or abnormal cells : e.g. nucleated red blood cells; in the peripheral blood

Causes:
Bone marrow infiltration or fibrosis (e.g.,myelofibrosis, bone marrow metastasis)

#Hematology
-Beta-blockers are effective in preventing cardiac events in approximately 70% of patients with long QT syndrome .

#Cardiology
Upper sternal border murmur:

AS vs PS murmur

-AS 👉🏼 decrease with standing and radiates to carotid artery . May be maximum at apex ( Gallaverdin sign).

-PS 👉🏼 maximum on pulmonary area and spread to left infraclavicular area .

#Cardiology
Secondary causes of Nephrotic Syndrome:

-SLE
-Rheumatoid arthritis
-Henoch-Schönlein purpura
-SCA
-Lymphoma
-Drugs
-NSAID
-Gold

#USMLE
#Renal
Hyperthyroidism treatment in pregnancy:

-Propylthiouracil in 1st trimester,
methimazole in 2nd &3rd trimesters
.

#Thyroid
Remember:

-The most common ECG abnormality in patient of pulmonary embolism is
ST-segement, T wave changes 49%, Sinus tachycardia 44%.


#Cardiology
No wheezing in ILD.

#Respiratory
Hard fibroadenoma is the commonest breast lump of young females, usually 20-30 years.

#Breast
-A pleural fluid N-terminal pro-brain natriuretic peptide (NT-proBNP) >1500 pg/mL is highly suggestive of an effusion related to congestive heart failure.

#Respiratory
Approach to the diagnosis of Pleural effusions.

#Respiratory
Approach to the patient with PUO.

#Infections
Stages of Diabetic Nephropathy.

#Renal
#Endocrine
Schematic representation of normal sinus rhythm showing standard wave, segments, and intervals

Normal sinus rhythm (NSR) is defined as the rhythm of a healthy heart. It means the electrical pulse from the sinus node is being properly transmitted throughout the heart muscle.

#Cardiology
Diagnostic algorithm of AKI.

#Renal
Simplified algorithmal approach to hypertensive emergency .

#Cardiology