Clinical Notes Telegram Posts

نوتس للسنوات من زميلتنا❤️

MNEMONIC for Drugs that cause Gynecomastia:

Vera is holding a spiral knife with her digits in the metro bus, shouting : do you see me doing a keto diet?

-Verapamil
-Spironolactone
-nifedipine
-Digoxin
-Metronidazole
-Cimetidine
-Ketoconazole
-don’t forget estrogen and cortisone for sure

(يعني يا رب اكون سهلتها مش صعبتها😂)

Anion Gap calculation in Metabolic Acidosis

How to calculate it?

عشان تحفظو الترتيب: ناكل (na , cl) بايكربونيت😂 :
Na -( cl + hco3)

If >12 = wide anion gap metabolic acidosis

If <12= normal anion gap metabolic acidosis

Indications for Acute Dialysis: "AEIOU"

A: intractable acidosis

E: Electrolyte disarray ( K+, Na+, Ca++)

I: intoxicants (methanol ethylene glycol, Li, ASA)

O: intractable fluid overload

U: uremic symptoms (nausea, seizure, pericarditis, bleeding).

Dialyze early. Keep BUN < 100 mg/dl, Creat < 10 mg/dl.

Behcet Disease mnemonic:
PATHERGY:
-Positive pathergy test
-Aphthous oral ulcers
-Thrombosis (arterial and venous)
-Hemoptysis (pulmonary artery aneurysm)
-Eye lesions (uveitis, retinal vasculitis)
-Recurrent Genital ulcers
-Young at presentation (3rd decade)

Plummer-Vinson Syndrome
-IDA
-Dysphagia
-Esophageal Webs

صباح الخير, هي دفتري الباطني الجديد صار جاهز🥳 (اللي قبله كان بخط الايد وكان ناقص شوية، هون عملت واحد جديد واستخدمت مصادر احسن متل Amboss, First Aid, Step up) وان شاء الله رح اخليه يصير اكبر لسا🥰

3 Side effects for Amiodarone
Pulmonary Fibrosis
Thyroid problems (hyper/hyp)
Hepatotoxicity

ووبناءا على السكور بنتعامل مع الPE زيي هيك

If CT Angiography is contraindicated due to contrast Allergy or Renal Failure, perform V/Q scan

Modified Wells critieria for PE