https://www.youtube.com/watch?v=5SOe6PzbKgQ
Thursday, September 30, 2021
Friday, June 25, 2021
Celiac Disease (Spectrum of Manifestations)
Hello friends! I hope all of you are doing well. Today I wanted to share with you the many faces of Celiac Disease. Although considered as the disease which chiefly causes gastrointestinal symptoms, the entire spectrum of possible manifestations it can cause is quite broad.
Some significant associations are as follows:
1.) GI- Enteropathy associated T-cell lymphoma (EATL), Microscopic colitis
2.) Liver- NASH
3.) Spleen- Functional Asplenia (SLE & Amyloidosis being other notable causes)
4.) CNS- Seizures with posterior cerebral calcification, Neuro-psychiatric symptoms, Ataxia
5.) Hematology- Evans syndrome
6.) Pulmonary- Diffuse alveolar hemorrhage
Here is the full spectrum. Hope you like it.
-Kirtan Patolia
Saturday, May 29, 2021
Psychogenic non epileptic seizure (PNES)
PNES characteristics :
- No loss of consciousness or postictal period
Comorbidities
- Psychiatric conditions (depression, anxiety)
- Physical/sexual abuse
- Epilepsy
Friday, May 28, 2021
Red blood cell transfusion thresholds mnemonic
Hello everyone! Just look here..
What does it mean ? SHOAN …?Subarachnoid haemorrhage
Clinically important steps required for SAH management ( from its onset )
- Most commonly due to ruptured saccular (berry) aneurysm
- Severe & sudden onset of headache different from previous headache pattern or described as "worst headache of my life"
- Nausea, vomiting, brief loss of consciousness, focal neurologic deficits, or meningismus
- Noncontrast head CT >90% sensitive within 2-6 hr of SAH onset
- Lumbar puncture required to exclude SAH definitively in patients with negative CT scan of the head
- Xanthochromia confirms diagnosis (usually >6 hr from SAH onset)
- Cerebral angiography to identify bleeding source
Biophysical Profile Mnemonic
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Biophysical Profile |
“ The value of experience is not in seeing much, but in seeing wisely”. - William Osler
Thank you! 🩺
Tuesday, May 25, 2021
Basal Ganglia Circuit
Hello everyone! Confusing loop has now simplified look! 👀
First of all, Basal ganglia receives cortical input, provides negative feedback to cortex to modulate movement.
3 things must be remembered.
- SNc (Substantia nigra) input to the striatum via the nigrostriatal dopaminergic pathway releases GABA.
- Dopamine binds to D1 , stimulating the excitatory pathway, and to D2 , inhibiting the inhibitory pathway.
- Pathways from Thalamus to Motor cortex & from Motor cortex to Basal ganglia - “Stimulatory”
That’s why this circuit is important in voluntary movements and adjusting posture.
Here is my attempt to simplify this circuit through a drawing. By understanding that you’ll never forget it!
- I-N-hibitory pathway goes through Gp-I & N-ucleus(Subthalamic)!
- If BG output = +, then increased motor activity
- If BG output = -, then decreased motor activity
Thank you! 🩺
Sunday, May 16, 2021
HERPANGINA vs HERPETIC GINGIVOSTOMATITIS
HERPANGINA (Hand-Foot-Mouth Disease) | HERPETIC GINGIVOSTOMATITIS | |
CAUSATIVE VIRUS | Coxsackie A virus | Herpes Simplex type 1 virus (HSV-1) |
AGE | 3-10 years | 6 months-5 years |
CLINICAL PRESENTATION | Grayish Vesicles on Posterior Oropharynx (soft palate, tonsils, tonsillar pillars, Uvula)
| Clusters of vesicles on Anterior Oropharynx (Lips, buccal mucosa, tongue, gingiva, hard palate) |
TREATMENT
| Supportive management with oral hydration and analgesics | Oral Acyclovir |
Tuesday, May 11, 2021
ARDS management mnemonic
Maintenance “DOSE”
Dry Lungs - “Dry lungs -Happy lungs”
- Maintain negative fluid balance to reduce pulmonary edema
Open but not Over-distended
Sunday, May 9, 2021
Management of asymptomatic carotid atherosclerotic disease and carotid artery stenosis mnemonic
Saturday, April 24, 2021
Ampicillin-rash in infectious mononucleosis
Hi!
Penicillins such as amoxicillin and ampicillin are currently not recommended in patients with infectious mononucleosis with bacterial secondaries (streptococcal tonsillo-pharyngitis). Why?
Sunday, February 28, 2021
Essential tremor - a mnemonic.
Wednesday, February 24, 2021
Tuesday, February 23, 2021
NEXUS criteria for Cervical Spine imaging - Mnemonic
NEXUS criteria for Cervical Spine imaging
Any 1 of the following is an indication :
Mnemonic = “NSAID”