Let's Talk Medicine pinned «🔴 Bowel Obstruction Workup: • Abdominal series (Upright abdominal, supine abdominal, & upright chest plain film X-ray). • Barium Swallow or Enema. • CT: usually for SBO. • Lab tests: - CBC: check for leukocytosis, hemoglobin, & BUN. - Blood chemistries:…»
Red Flags of Dyspepsia (raise suspicion of gastric malignancy):
🚩Unintended weight loss.
🚩Persistent vomiting.
🚩Progressive dysphagia.
🚩Odynophagia.
🚩Unexplained anemia or iron deficiency.
🚩Hematemesis.
🚩Jaundice.
🚩Palpable abdominal mass or lymphadenopathy.
🚩Family history of upper GI cancer.
🚩Previous gastric surgery.
🚩Unintended weight loss.
🚩Persistent vomiting.
🚩Progressive dysphagia.
🚩Odynophagia.
🚩Unexplained anemia or iron deficiency.
🚩Hematemesis.
🚩Jaundice.
🚩Palpable abdominal mass or lymphadenopathy.
🚩Family history of upper GI cancer.
🚩Previous gastric surgery.
Top 3 Causes of Small Bowel Obstruction (in order):
1️⃣Adhesions.
2️⃣Bulge (hernias).
3️⃣Cancer (neoplasms).
1️⃣Adhesions.
2️⃣Bulge (hernias).
3️⃣Cancer (neoplasms).
Babies start to sit alone and roll by 6️⃣months, and gets into sitting position and pulls furniture to stand by 9️⃣months.
Check this out for more❗️
Pediatric Developmental Milestones
🔗: https://t.co/sd6vRh3pq8
Check this out for more❗️
Pediatric Developmental Milestones
🔗: https://t.co/sd6vRh3pq8
Symptoms of Chronic Pancreatitis:
🔺Abdominal pain.
🔺Diabetes.
🔺Steatorrhea.
🔺Abdominal pain.
🔺Diabetes.
🔺Steatorrhea.
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Indications for Urgent Operation:
"IHOP"
Ischemia.
Hemorrhage.
Obstruction.
Perforation.
Indications for Urgent Operation:
"IHOP"
Ischemia.
Hemorrhage.
Obstruction.
Perforation.
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Layers of the Cornea:
Anterior epithelium.
Bowman’s Membrane.
Corneal Stroma.
Dua’s Layer, Descemet’s Membrane.
Endothelium.
Layers of the Cornea:
Anterior epithelium.
Bowman’s Membrane.
Corneal Stroma.
Dua’s Layer, Descemet’s Membrane.
Endothelium.
Treatment of Hyperlipidemia:
(Non-pharmacological)
▪️Diet control.
▪️Smoking cessation.
▪️Exercise.
(Non-pharmacological)
▪️Diet control.
▪️Smoking cessation.
▪️Exercise.
Classic Triad of Mastoiditis:
🔺Otorrhea.
🔺Tenderness to pressure over the mastoid.
🔺Retroauricular swelling with protruding ear.
🔺Otorrhea.
🔺Tenderness to pressure over the mastoid.
🔺Retroauricular swelling with protruding ear.
"Can’t see, can’t pee, can’t climb a tree”❗️
Triad of Reactive Arthritis:
(99% specific, but 51% sensitive, for ReA)
• Conjunctivitis.
• Urethritis.
• Arthritis.
Triad of Reactive Arthritis:
(99% specific, but 51% sensitive, for ReA)
• Conjunctivitis.
• Urethritis.
• Arthritis.
Deep Tendon Reflex Scoring:
0️⃣ Absent.
1️⃣+ Depressed.
2️⃣+ Normal.
3️⃣+ Increased.
4️⃣+ Clonus (≥4 beats).
0️⃣ Absent.
1️⃣+ Depressed.
2️⃣+ Normal.
3️⃣+ Increased.
4️⃣+ Clonus (≥4 beats).
Let's Talk Medicine pinned «Deep Tendon Reflex Scoring: 0️⃣ Absent. 1️⃣+ Depressed. 2️⃣+ Normal. 3️⃣+ Increased. 4️⃣+ Clonus (≥4 beats).»
🔴
DDx of Lower Cranial Nerve Deficits (CN IX, X, XI, XII):
Intracranial/Skull Base: meningioma, neurofibroma, metastases, osteomyelitis, meningitis.
Brainstem: stroke, demyelination, syringobulbia, poliomyelitis, astrocytoma.
Neck: trauma, surgery, tumors.
DDx of Lower Cranial Nerve Deficits (CN IX, X, XI, XII):
Intracranial/Skull Base: meningioma, neurofibroma, metastases, osteomyelitis, meningitis.
Brainstem: stroke, demyelination, syringobulbia, poliomyelitis, astrocytoma.
Neck: trauma, surgery, tumors.
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COPD:
• FEV 1 /FVC ratio is <0.70.
• FEV 1 is decreased.
• TLC is increased.
• Residual volume is increased.
COPD:
• FEV 1 /FVC ratio is <0.70.
• FEV 1 is decreased.
• TLC is increased.
• Residual volume is increased.
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In patients with patent foramen ovale, venous thromboembolism may result in ➡️embolization involving the systemic circulation.
This frequently presents as cerebrovascular accident.
In patients with patent foramen ovale, venous thromboembolism may result in ➡️embolization involving the systemic circulation.
This frequently presents as cerebrovascular accident.
If a peptic ulcer is uncomplicated, a barium study or endoscopy is NOT needed initially❗️
➡️Initiate empiric therapy.
If any of the peptic ulcer disease complications is suspected, order confirmatory studies.
➡️Initiate empiric therapy.
If any of the peptic ulcer disease complications is suspected, order confirmatory studies.