Internal medicine
@IMmemorandum
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Suicide is the second-leading cause of death among medical residents, behind cancer, but the most common cause of death among male residents. https://t.co/Dolef6QMrr
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@IMmemorandum Up to 70% will not have the classic triad on presentation (and MRI not very sensitive either). Diagnose based on response to empiric IV thiamine (500mg q8h)
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Thiamine deficiency manifesting as Wernicke encephalopathy : ● Nystagmus ● Ophthalmoplegia ● Ataxia ● Confusion
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Peripheral neuropathy: differential STAGLAND: 👉Sarcoid 👉Thyroid 👉Amyloid 👉Guillian-Barre 👉Lead 👉Alcohol 👉Nutritional 👉Drugs/Diabetes
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Dose dependence of thiazide-induced side effects " bendrofluazide in relation to daily dose "
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"If you define success in terms of winning and losing, you’ve already lost" - Adam Grant
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Common side effects of Rifampicin: ■Potent liver enzyme inducer ■Hepatitis ■Orange secretion ■Flu-like symptoms
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What is the preferred anticoagulation for antiphospholipid syndrome (APS) with VTE?
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Systemic embolization occurs at a frequency of approximately 0.7% to 1% per patient per year in patients with mechanical valves who are treated with vitamin K antagonist. In comparison, the risk is 2.2% per patient per year with aspirin and 4% with no anticoagulation.
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This trial shows an increased rate of events with rivaroxaban as compared with warfarin in patients with antiphospholipid syndrome.
ashpublications.org
Publisher's Note: There is a Blood Commentary on this article in this issue.
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Causes of Hypokalaemia without hypertension: ▪Diuretics ▪GI loss ▪Renal tubular acidosis (type 1 & 2) ▪Bartter's syndrome ▪Gitelman syndrome
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Approach to perioperative management of patients on warfarin undergoing major surgery
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Comparison of gout and calcium pyrophosphate deposition disease
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Most cases of Restless legs syndrome are idiopathic. Associated conditions: Low iron stores Uremia Neuropathy Spinal cord disease Pregnancy
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Do not use isotope bone scans to identify myeloma-related bone disease in people with a plasma cell disorder suspected to be myeloma.
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