Medical Mnemonics

01/03/2026

Iron is required in obesity primarily to counteract a high prevalence of iron deficiency caused by chronic, low-grade inflammation. Obesity-related inflammation increases hepcidin, a hormone that blocks iron absorption and traps it in storage, leading to poor iron availability, anemia, and metabolic dysfunction.

01/03/2026

Drink water

23/02/2026

19/02/2026

Ramadan is best chance
To lower your weight
To lower your cholesterol
To lower your uric acid
To increase insulin sensitivity

16/02/2026

Sertraline
Mechanism of Action
Selective serotonin reuptake inhibitor; little or no affinity for alpha-adrenergic histamine or cholinergic receptor

16/02/2026

Big shout out to my new rising fans! Алан Токтогонов

13/02/2026

Which pain is worst ?
Labour pain or Sub arachnoid hemorrhage?
Both are described as extremely severe pains, but medically and clinically:

🚨 Subarachnoid hemorrhage (SAH) pain is considered worse and more dangerous

Doctors often call it:

> “The worst headache of my life.”

Why SAH pain is worse:

Sudden, explosive, unbearable pain (like a thunderclap)

Reaches peak intensity in seconds to minutes

Often associated with:

vomiting

neck stiffness

loss of consciousness

It’s a medical emergency and can be life-threatening

🤰 Labour pain — severe but physiological

Very intense, cramping, wave-like pain

Comes in contractions (with breaks in between)

The body is designed to handle it

Not dangerous in itself (in normal delivery)

✅ Medical consensus:

Pain Type Intensity Danger

Subarachnoid hemorrhage 🔥 Extreme (sudden & overwhelming) 🚨 Life-threatening
Labour pain 🔥 Extreme (but intermittent) ⚠️ Usually safe

📌 Bottom line:

Subarachnoid hemorrhage pain is generally worse, sudden, and far more serious than labour pain

11/02/2026

1 oral drop vitamin-d daily for 6 months .....
In new born

08/02/2026

🧠 Why cholesterol rises in hypothyroidism

In hypothyroidism:

↓ LDL receptor activity in liver

↓ cholesterol clearance
➡️ LDL and total cholesterol increase

So the dyslipidemia is often secondary and reversible.

✅ First-line treatment = Treat hypothyroidism

👉 Start levothyroxine and normalize TSH

In many patients: 📉 LDL & total cholesterol fall significantly within 6–12 weeks

💊 Do we give statins immediately?

Usually NO — not at first

Statins are not routinely started initially unless:

✔️ Very high cardiovascular risk (previous MI, stroke, diabetes + risk factors)
✔️ Extremely high LDL (e.g. >190 mg/dL / >4.9 mmol/L)
✔️ Cholesterol remains high after TSH normalizes

📋 Practical approach (exam + real life)

1. Check lipid profile + TSH

2. If hypothyroid → treat with levothyroxine

3. Repeat lipids after euthyroid state (6–12 weeks)

4. Decide statin only if still elevated or high CV risk

⚠️ Important pearl

Starting statins in untreated hypothyroidism increases risk of:

❗ Statin-induced myopathy

So always correct thyroid first.

✅ Summary (one-line answer)

👉 Hypercholesterolemia due to hypothyroidism is treated by correcting thyroid function first — statins are added only if dyslipidemia persists or CV risk is high.

08/02/2026

❤️ Safest antidepressants in heart disease (post-MI, stroke risk, HTN)

✅ FIRST LINE (preferred)

SSRIs

Sertraline ⭐ (best studied post-MI)

Escitalopram

Fluoxetine

✔ Minimal effect on heart rhythm
✔ Safe in ischemic heart disease & heart failure
✔ No BP rise

👉 If a depressed patient has CAD → choose SSRI

⚠️ Use with caution

SNRIs

Venlafaxine

Duloxetine

❗ Can raise BP & pulse
👉 Avoid in uncontrolled HTN or arrhythmias

❌ Avoid in cardiac patients

TCAs (very important for exams)

Amitriptyline

Imipramine

Nortriptyline

🚫 Cause: • Arrhythmias
• QT prolongation
• Orthostatic hypotension
• Sudden cardiac death risk

📊 Quick exam table

Drug class Cardiac safety

SSRIs ✅ Safest
SNRIs ⚠️ Moderate
TCAs ❌ Dangerous
MAOIs ❌ Avoid

🧠 After heart attack — depression treatment

Best choice:
👉 Sertraline or Escitalopram

📌 One-line viva answer:

> SSRIs are safest antidepressants in cardiovascular disease.
TCAs are contraindicated due to arrhythmia risk.