SWIM
397 posts
- USMLE PEARLS ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️
معليش ! نسيت اني مسوي ملخّص ارتب واحسن من osmosis (البيسيك ملعبهم، بس الباطنة ملعبي) ورقة فيها المهم في البورد وال USMLE ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️ - Replying to @md1talkDONT give the medications! Tergert BP in acute ischemic stroke in the first 24h is <220/120 “permissive HTN” High BP support the perfusion to brain And lowering BP is harmful to the ischemic penumbra
- Replying to @md1talkAntibiotics will kill the bacteria → shiga toxin release from the dead bacteria → Hemolytic uremic syndrome Rule in medicine: Afebrile bloody diarrhea → avoid antibiotics use !
- Replying to @md1talk3W’s Wet → urinary urgency Wacky → cognitive impairment Wobbly → magnetic gait with falls 🧲 Imaging → hydrocephalus Lumbar puncture → normal pressure The diagnosis: Normal pressure hydrocephalus
- This question is from my morning recalls, who can guess the answer ? 🤔🤔 Heparin Clopidogrel PCI
- Replying to @md1talkOne important Differential would be: Nephrogenic diabetes insipidus induced by lithium Clinically evident by polyuria Laboratory evident by hypernatremia, ↑ osmolality and dilute urine
- Replying to @md1talkacE-i → dilate “E”fferent arteriole (the action of angiotensin 2 is to vasoconstrict the efferent) → ↓ GFR NSIADs → ↓ prostaglandins → afferent vasoconstriction → ↓ GFR
- Replying to @md1talk1) AF 2) Irregular irregular pulse 3) cha2ds2 vasc 4) HAS BLED
- Replying to @md1talkHypophosphatemia, mediated by FGF-23 hormone ↓ phosphate can lead to muscle weakness and arrhythmias along with respiratory depression
- Replying to @md1talkKoilonychia + fatigue = iron deficiency Koilonychia + fatigue + esophageal web = plummer-vinson syndrome
- Replying to @md1talkResistant HTN + Hypokalemia = primary hyperaldosteronism “At least this is very true for exams sake” First step is aldosterone/renin ratio. Then confirmation is done by adrenal imaging (CT/MR)
