doctor's notebook
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Scrotal pain
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PREGNANCY SAFE
ANTIBIOTICS
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ACUTE RHINOSINUSITIS
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The 3 main things to look for on head CTs are:
πŸ”ΈBlood
πŸ”ΈMass Effect
πŸ”ΈStroke

➑️Blood
πŸ”ΈCT is just a measure of density. Blood is thicker than water, so blood is denser than brain (70% water) on head CT
Blood can be:
πŸ”ΈEPIdural: looks lentiform
πŸ”ΈSUBdural: looks crescentic
πŸ”ΈSUBarachnoid: looks snake-like

➑️Mass effect
πŸ”ΈYou won’t bleed out in your head. Instead, calvarium is a closed space & brain gets compressed
Look for:
πŸ”ΈSubfalcine herniation = midline shift, ventricles shift to the other side
πŸ”ΈTranstentorial herniation = Loss of the basilar cisterns--normally look like a pentagon & smiley face

➑️Stroke
πŸ”ΈNormal gray-white differentiation looks like an octopus & is crispy & well-defined
πŸ”ΈStroke looks like someone smeared white matter paint into gray matter paint
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Algorithm for Liver Function Tests (LFT) Workup
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Bilateral hilar lymphadenopathy -caused by Malignancy (Lung cancer,lymphoma, and extra thoracic cancer) and granulomatous conditions (Sarcoidosis and tuberculosis).D-CXR,CT,MRI.T-Surgery,radiation therapy,chemotherapy,immunotherapy,or a combination.
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Pathophysiology of pulmonary embolism
Purple urine bag syndrome (PUBS) is rare disease entity, occurs predominantly in constipated women, chronically catheterized and associated with bacterial urinary infections that produce sulphatase/phosphatase. The etiology is due to indigo (blue) and indirubin (red) or to their mixture that becomes purple.
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HYPONATREMIA
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Glucose metabolism
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Dizziness
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Modified versions of the Romberg test.
β€’ Sharpened Romberg Test (SRT) -This test procedure differs from the traditional Romberg Test in the positioning of the feet. Instead of standing with feet shoulder-width apart, the sharpened Romberg test dictates that the feet of the patient
β€’Single-legged Stance Test (SLST) - is mainly used to assess postural stability and control in the elderly and those with Parkinson's disease.
β—¦ Static balance test serves as a balanced assessment of Parkinson's disease. The process entails assessing how long the patient can maintain a single-leg stance with eyes open. The test ends after 60 seconds, and each leg is tested three times.
β€’ Sitting-rising Test (SRT)- is an easily administered test focused on the assessment of the elderly population as well as stroke victims as a tool to predict mortality risk. 
β€’ Get-Up and Go Test - assessment of frailty and predictor of a geriatric patient's ability to go outside alone safely.
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CHRONIC KIDNEY DISEASE
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COMPLICATIONS OF INFLAMMATORY BOWEL DISEASES
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Hypokalemia
Antihistamines
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