Theeta Medico

20/02/2022

Classic Features of Absence Seizures:

👉Abrupt onset and offset
👉Short time, less than 10 seconds
👉Eye staring, blinking or rolling
👉Normal intelligence, exam and brain scan
👉Clonus or automatism may occur
👉EEG- 3Hz spike and wave
👉DOC: Ethosuximide

31/01/2022

24/12/2021

21/12/2021

🔥How to differentiate bw lupus flare , preeclampsia and Normal pregnancy ✌️
✅Lupus Flare during pregnancy:
1)Red cells/cast in urine
2)Normal LFTs
3)elevated dsDna titers
4)low compliment levels C3 and c4

21/12/2021

N.B: Hypothyroidism and hyperthyroidism both causes Proximal myopathy🔥
Hypervitaminosis E" causes proximal myopathy🔥

13/12/2021

🔥Increased HCT or Hb + Normal RBC mass➡️Relative polycythemia✅

🔥Elevated HCT/Hb+ elevated Rbc mass + Low serum Erythropoetin➡️Polycythemia vera✅

🔥Elevated Hct/Hb + elevated Rbc mass + high erythropeitin level + Low arterial 02 saturation➡️Evaluate for Heart/Lung conditions ✅e.g(COPD,high altitude,AVor intracardiac shunt)

🔥Elevated Hct/Hb + elevated Rbc mass + high erythropeitin + Normal o2 saturation +Smoker + elevated carboxyhb level➡️Smokers Polycythemia✅

🔥Elevated Hct/Hb +Elevated Rbc mass + Elevated erythropeitin level+Normal 02 saturation +Non-Smoker+ Normal carboxyhb level+Increased Hb o2 affinity➡️ Haemoglobinopathy✅

🔥Above features + Normal Hb o2 affinity➡️Search for Tumor as a cause of elevated EPO✅E.g Renal carcinoma,Cerebellar hemangioma,uterine leomyoma,Hepatoma

12/12/2021

🔥Tetanus transmission can occur in animal >>> human bites. Rabies is the man concern in animal bites.

🔥To cover transmitted bacteria, amoxicillin-clavulanate is the best initial medication for both animal and human bites

🔥Human bites can transmit→ HBV>HCV>HIV
🔥Dog bites can transmit→ Tetanus & Rabies
🔥Cat bites can transmit→ Tetanus & Bartonella

🔥Antibiotic prophylaxis is needed in all these bites even without signs of infection.

🔥Rabies(Dog,Monkey,skunks,bats,racoons,foxes)

12/12/2021

🔥Most common cause of acute liver failure worldwide is Acute viral hepatitis✅
🔥Most common cause of Acute liver failure in UK is Paracetamol overdose✅
🔥Cerebral disturbance(Hepatic encephalopathy/cerebral edema ) is the hallmark of acute liver failure✅
🔥PT is laboratory test of greatest prognostic benefit in acute liver failure so avoid correcting raised PT by giving fresh frozen plasma except in cases of frank bleeding✅
One more ➡️ Factor V level can be used as alternative to PT in prognosis✅
🔥Classification of Acute liver failure:
🔹HyperAcute: Less than 7 days
🔹Acute: 8 to 28 days
🔹SubAcute:29 days to 12 wk
🔥Drugs contributes 70-80% cases of Acute liver failure

12/12/2021

All About blue sclera

12/12/2021

Hepatitis B core IgM antibody is the best screening test for acute hepatitis B infection,as liver damage is due to the immunological response to the virus,which has often been eliminated,and the test for hepatitis B surface antigen (HBsAg)may be negative.