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📌 MEDKEN
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@medicineken
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@medicineken
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ⓂCQ ~ 91
A healthy 23-year-old female is referred to your clinic after being seen in the emergency department for intermittent severe chest pain. During her visit, she is ruled out for cardiac ischemia, with negative biomarkers for cardiac ischemia and unremarkable electrocardiograms. An exercise single photon emission CT (SPECT) myocardial perfusion test was performed, and a reversible exercise-induced perfusion defect was noted. The test was read as positive. The patient was placed on aspirin
@medicineken
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#MedNote
#Radiology
#ICP
Radiographically, findings that suggest increased intracranial pressure include:
● Enlargement of the recesses of the third ventricle.
● Dilation of the temporal horns of the lateral ventricle.
● Interstitial edema of the periventricular tissues (seen on T2-weighted or FLAIR [fluid-attenuated inversion recovery] magnetic resonance imaging (MRI) sequences).
● Effacement of the cortical sulci.
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#MedNote
#PANCREAS
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@medicineken
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#MedNote
Remember there are two situations that put at imminent risk the life in which the patient describes the pain as: “the worst pain I have ever felt in my life”
1️⃣ Acute Myocardial Infarction
2️⃣ Subarachnoid Hemorrhage
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@medicineken
:
🅰️ns ~ 90
✅ The answer is 3️⃣. Osteomalacia, or adult rickets, is Lisa’s disorder. It is characterized by a failure of newly formed osteoid to calcify because there is a lack of calcium, vitamin D, and phosphorus. The bones gradually soften and bend, and pain accompanies the condition, which often becomes severe during pregnancy as the fetus removes calcium from the mother’s body. Osteogenesis imperfecta is a genetic condition affecting the synthesis of type I collagen in the bone matrix and re
@medicineken
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🅰️ns ~ 89
✅ The answer is 4️⃣. Reduction of an elevated serum potassium level is important to avoid the cardiovascular complications that ultimately culminate in diastolic cardiac arrest. Kayexalate is a cation exchange resin that is instilled into the gastrointestinal tract and exchanges sodium for potassium ions. Its use is limited to semiacute and chronic potassium elevations. Sodium bicarbonate causes a rise in serum pH and shifts potassium intracellularly. Administration of glucose initiat
@medicineken
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ⓂCQ ~ 90
Lisa is small and thin in stature. She spends her days indoors and rarely eats dairy products. When she became pregnant at 25 years of age, she had severe lower back and leg pain and tenderness when pressure was applied over bony regions of her body. Radiographs revealed excessive amounts of poorly mineralized osteoid in both femurs. Beneficial treatment of her condition involved high doses of vitamin D, calcium, and phosphorus, a regimen that continued after successful delivery of her
@medicineken
:
ⓂCQ ~ 89
Which of the following medications administered for hyperkalemia counteracts the myocardial effects of potassium without reducing the serum potassium level?
1️⃣ Sodium polystyrene sulfonate (Kayexalate)
2️⃣ Sodium bicarbonate
3️⃣ 50% dextrose
4️⃣ Calcium gluconate
5️⃣ Insulin
@medicineken
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#MedNote
#Mnemonic
#ABC/2
ABC/2, also confusingly written as 1/2ABC in some literature, is a fast and simple method for estimating the volume of intracerebral haemorrhage (or any other ellipsoid lesion for that matter) which does not require volumetric 3D analysis or software.
Intracerebral haemorrhage volume is an important predictor of morbidity and mortality (and thus trial eligibility) which is often under-reported. ABC/2 has been well-validated and correlates highly with volumes calcula
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