Let's Talk Medicine
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Nyctalopia " Night blindness " is usually the first symptom of Vitamin A deficiency.
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Dipstick urinalysis does not detect immunoglobulin light chains associated with multiple myeloma.
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Neoborn with meconium plug❓

Cystic fibrosis is suspected till proven otherwise.
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The first treatment in anaphylaxis is epinephrine.
There are NO absolute contraindications to epinephrine in the setting of anaphylaxis.
What is the major risk factor for vascular dementia?

Head trauma – 124
πŸ‘πŸ‘πŸ‘πŸ‘πŸ‘πŸ‘πŸ‘ 60%

Hypertension – 69
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Diabetes – 8
▫️ 4%

Smoking – 6
▫️ 3%

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Serum amylase and lipase levels are elevated in 15 to 25 percent of patients with DKA and, in most cases, do not reflect acute pancreatitis.
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"Olive-like" mass on the tummy during abdominal examination is pathognomonic for Pyloric stenosis .
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For warfarin-induced skin necrosis:
Stop Warfarin
Give:
Vitamin K
Therapeutic heparin
protein C concentrate or (FFP)
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Duodenal atresia : Abdominal x-ray shows " Double bubble " sign.
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Thiamine deficiency manifesting as Wernicke encephalopathy :
Nystagmus
Ophthalmoplegia
Ataxia
Confusion
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Candida albicans is the most common cause of infectious esophagitis .
It presents with dysphagia & curdy white esophageal plaques on endoscopy.
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Heart failure, pneumonia, and malignancy are the most common causes of pleural effusions.
The classic symptoms of aortic stenosis (AS) are:
heart failure, angina, and syncope.
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Thyroid storm is a clinical diagnosis; NO level of thyroid hormone elevation is diagnostic.
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Indications for IV iron:

➑️intolerant to oral
➑️absolute non compliance
➑️high iron requirement
➑️GI malabsorption
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Sturge-Weber syndrome
Hallmark features:
1. Seizures
2. PortWine stain
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Celiac Disease :

Definitive diagnosis requires small bowel biopsy or presence of dermatitis herpetiformis.
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B-type natriuretic peptide is useful to help distinguish acute dyspnea caused by decompensated heart failure from other, non-cardiac causes.