Nerd Student (21UMAS)
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💢 Hyperkalemia Causing Drugs
mnemonics: K-Bank 🧠
K: K+ supplements💊
B: Beta blockers💊
A: ACE inhibitor & ARBs💊
N: NSAIDS💊
K: K+ sparing diuretics💊
Dysphagia lusoria—dysphagia caused by compression of oesophagus by congenital vascular
anomalies.
Findings
Chest radiograph: Bibasilar opacities likely reflecting atelectasis and small pleural effusions, left greater than right. Probable mild pulmonary edema. No pneumothorax. The cardiac silhouette appears enlarged.
CTA chest, abdomen and pelvis: Small volume hemopericardium. There is contrast layering in the IVC.
Diagnosis: Cardiac tamponade
An 88-year-old woman with a history of sick sinus syndrome and thoracic aortic aneurysm presented with chest pain and hypotension.
Repost from CXR (Chest X-Ray) Cases
An 88-year-old woman with a history of sick sinus syndrome and thoracic aortic aneurysm presented with chest pain and hypotension.
🚨Impacted fish bones:
Fish bones often become stuck in the pharynx or oesophagus. Direct visu-
alization with a good light (head torch useful) and a wooden spatula as
tongue depressor may reveal fish bones lodged in the tonsil or base of the
tongue—remove with Tilley’s forceps. If no FB is seen, obtain soft tissue
lateral neck X-rays (look for prevertebral soft tissue swelling/fish bone, re-
membering not all are radio-opaque), then refer to ENT for endoscopy.
A fish bone can scratch the pharynx, causing a sensation of FB to persists.
Which chamber enlargement shows a
double right heart border with a wide
subcarinal angle?#PYQ#FMGE#NEETPG#INICET
Repost from Radiology
Which chamber enlargement shows a
double right heart border with a wide
subcarinal angle?#PYQ#FMGE#NEETPG#INICET
#Electrical_alternans
*Consecutive, normally-conducted QRS complexes that alternate in height
*Occurs when the heart swings backwards and forwards within a large fluid-filled pericardium
## glycosylated hemoglobin (GHb, GHB, Glycohemoglobin,
Glycolated hemoglobin, Hemoglobin [Hb A1c], Diabetic control index)
Type of test Blood.....
_____
Normal findings:
$ Nondiabetic adult or child: 4% to 5.9%
$ Good diabetic control: < 7%
$ Fair diabetic control: 8% to 9%
$ Poor diabetic control: > 9%
(Values vary with laboratory method used.)
*Abnormal findings*
# Increased levels
Newly diagnosed diabetic
patient
Poorly controlled diabetic
patient
Nondiabetic hyperglycemia
(e.g., acute stress response,
Cushing syndrome,
pheochromocytoma,
glucagonoma,
corticosteroid therapy, or
acromegaly)
Splenectomized patients
Pregnancy
# Decrease level
Hemolytic anemia
Chronic blood loss
Chronic renal failure
