Euglycemic DKA is common in malnourished diabetics and pregnancy..

DKA without acidosis
Or DKA without ketosis

ممكن يصيرن ؟؟
for discussion

Yes... if patient have vomiting for long period this lead to alkalosis and may normalize PH


The second Q.

Normal ketones body not exclude DKA especially in urine
Because first ketone that elevated is beta Hydroxybutarate and we measures mostly acetoacetate and acetone that need time to elevated .

اتمنى يكون هذا البوست هو نهاية الصراع ..

BIG YES for lactated Ringer in hyperkalemia..

End of discussion—

ببساطه
NS cause acidosis and lead to more shift of K

وهذا تاثيره اقوى على زياده البوتاسيوم مايتقارن بكمية البوتاسيوم الموجوده في ال lactated ringer

نطرح سؤال جداً ممهم هو منو الأخطر ؟؟ ⭕️

which category of fluid infusion represents the most critical one , resuscitations fluids or manitenance fluids?

Volume, sodium abd chloride overload due to non-resuscitation solutions and fluid creep is more critical one...

لذلك انت من تجي تستخدم maintenance fluid or drug dilute

👌🏻لازم تستخدم Sodium and chloride free

واكو شركات تكلك سوي dilution لهذا ال drug ب500 ml!!!
وهو ممكن ينحل ب 100ml عادي
ولا هامها هلموضوع ...

وكدامك مصدر الكلام

https://instagram.com/drug.drug.interactions?igshid=OGQ5ZDc2ODk2ZA==
amazing account

يلا ابطال..
Typical chest pain

Definite hand preference before 1 year of age, suggests a one-sided muscle weakness and is a red flag for hemiplegia!

Studies have shown that magnesium sulfate significantly reduces the risk of cerebral palsy if given to mothers at risk of premature delivery.

معلومه جدا مهمه

When to consider just 0.5mm ST elevation enough for diagnosis of STEMI?🤔

•Isolated Posterior lead STE
•STE in V3R and V4R
•Isolated STE in avR
•If there is clinical symptoms consistent with cardiac ischemia
•if there is other ECG changes suggestive of ischemia like:
•Abnormal negative T wave
•abnormal Q wave
•Reciprocal ST depression

انتبهوا...

Current Said: Urine analysis is a poor man renal biopsy
يعني شغله عظيمة
ولاعزاء للمختبرات التجارية

بلنسبه لموضوع ال ACS بكل تفاصيله الدقيقه مشروح وعلى اخر Guidelines وبعدها تدخل على ال ECG of ACS ، هنا انت عرفت معلومات تكفيك
Up to MRCP exams