Quick Notes
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Remember:

-Polymyositis is the commonest cause of inflammatory muscle disease in people under 50-years-old.

-Inclusion body myositis is the commonest in those over 50- years-old.

#Rheumatology
Stages of Diabetic Nephropathy.

#Renal
#Endocrine
Polycythemia.

#Hematology
Remember:


-AMOIDRONE is contraindicated in individuals with polymorphic ventricular tachycardia as it is associated with a prolonged QT interval which will be made worse with anti-arrhythmic drugs.

#Cardiology
Common pathogens in pneumonia and lower respiratory tract infections:

-COPD exacerbations 👉🏼 H.influenza.

-Cystic fibrosis 👉🏼Pseudomonas ( foul smelling sputum ).

-Alcoholic and diabetic 👉🏼 klebsiella ( cavitation).

-HIV 👉🏼 PCP , Histoplasmosis ( insidous cavitation) , staph aureus( acute, cavitation) , and cryptococcus ( positive India ink).

-Hypogamaglobulinemia 👉🏼 streptococcus and hemoohilus influenza .

-Exposure to bats 👉🏼 Histoplasmosis .

#mrcp1
#Respiratory
Remember:

-Hyponatremia + abdominal pain + vomiting:


With hypotension 👉🏼 think in Addison

With hypertension ( and neuro psychatric symptoms )👉🏼Porphyria .


-Do not give metoclopramide in patients with suspected porphyria.

Best treatment for acute intermittent porphyria IV glucose infusion with mild cases and haem arginate IV with severe cases .


#mrcp1
#Endocrine
Exercise ECG is not useful in patients with:
1) Conduction abnormalities: e.g. LBBB.
2) Resting ECG abnormalities like ST segment depression of ˃ 1 mm.
3) WPWS
4) Those with ventricular pacing rhythm.
5) Those on digoxin.

#Cardiology
Sudden cardiac death (SCD):
-It is an unexpected death due to cardiac causes that occurs in a short time period (generally within 1 hour of symptom onset) in a person with known or unknown cardiac disease.

#Cardiology
8 Hand Findings of Cirrhosis: 🤚

1. Palmar Erythema

2. Dupuytren's Contracture

3. Asterixis

4. Terry's Nails

5. Clubbing

6. Spider Angiomas

7. Muscle Wasting

8. Leukonychia

#Liver
💊6 Clinical Uses of ACE Inhibitors:

1⃣ Hypertension

2⃣ Heart failure

3⃣ Diabetic nephropathy

4⃣ In patients at risk of ischemic heart disease

5⃣ Following myocardial infarction; especially with ventricular dysfunction

6⃣ Chronic renal insufficiency, to prevent progression.

#Cardiology
Oral P2Y12 Inhibitor Pharmacology
Diagnostic algorithm of different causes of Ascites.

#Liver
Diagnostic algorithm of persistent thrombocytosis.

#Hematology
Management algorithm of ADHF
Acute decompensated heart failure



#Cardiology
Diagnostic algorithm of different causes of Ascites

#Liver

Suspected stroke algorithm approach (diagnosis &management)

#Neurology