Wednesday, March 9, 2016

Cocaine blocks the reuptake of norepinephrine mnemonic

Hello! Short post for the day!

Cocaine blocks the reuptake of norepinephrine, dopamine and serotonin.

How do you remember this?

Tuesday, March 8, 2016

Lipoprotein A and Thrombosis

It is a well known fact that Lipoprotein A is a cardiovascular risk factor.
Increased levels of Lipoprotein A causes Thrombotic events.
But why does this happen?

Monday, February 29, 2016

Saturday, February 27, 2016

Drugs causing SIADH mnemonic

Hello!

Because ADH makes you retain water, the mnemonic goes: "SIADH Causes Poor Voiding"

S: SSRIs (Sertaline)
I: Indomethacin (Analgesics)
A: Antidepressants (Tricyclics)
D: Diuretics (Thiazides)
Desmopressin
H: Hello :D

Study group discussion: GI hemorrhage and urea

Why does GI haemorrhage increase serum urea?

Any patient with GI bleeding will have an increased serum urea.

Urea is an end product of protein metabolism. Digested blood contains loads of proteins so it's as good as having a meal rich in proteins. Blood proteins include hemoglobin, Immunoglobulins, etc.

Glucose in pleural fluid analysis

Hi :)

A low pleural fluid glucose concentration (less than 60 mg/dL, or a pleural fluid/serum glucose ratio less than 0.5) narrows the differential diagnosis of the exudate.

Causes of low glucose in pleural fluid include:

Symptoms of Legionella pneumonia mnemonic

Happy weekend everyone!

The mnemonic for Legionella is in the word itself - LEGIONella.

L: Lungs - Atypical pneumonia.
Relatively nonproductive cough
Dyspnea
Pleuritic or non pleuritic chest pain
Confluent or patchy infiltrates on x-ray
Random fact: Interstitial infiltrates aren't seen often like in other atypical pneumonias.

COPD: Tips for step 2 CK and rounds

Hello! I have a pulmonary rotation going on and I thought I'd shed light on management of COPD :D

During rotations, you may be asked what you want to do for the patient. I have written "Plan" for what you might want to answer to impress your attending. I've included a few common brand names too :)

Inhalers: Remember inhalers only improve symptoms and have no mortality benefit and do not affect the progression of the disease.

Tuesday, February 23, 2016

Submissions: Anticoagulants mnemonic

This awesome mnemonic on Anticoagulants was submitted by Dr Vinayak Hiremath.

Hidden bleeds

So this is what my fellow asked me today: Say, there is a patient whose hemoglobin is dropping, dropping, dropping and he has barely any significant signs or symptoms.. Besides the GI tract, where else can you have a significant bleed which can be hidden? There are three such places.

Guess before you read the answer! :D

Sunday, February 21, 2016

In my words: Diagnosing a PE

I was reading about Pulmonary Embolism for USMLE Step 2 CK and started typing notes for myself to refer. I thought I'd upload it for you guys to read as well.

Disclaimer: I am talking to myself in the blog. I hope it makes sense.

I'll be talking about two scenarios -
High pretest probability scenario: Dude who sat in a 24 hour flight, smokes a lot, is taking OCP's, got his hip replaced and can't move at all.
Low pretest probability scenario: Dude who is dyspneic, hypoxic and has a normal chest x-ray.

Let's start with scenario #1 - The high pretest probability:

If there's a high index of suspicion and a treatment option is given in the options, choose the treatment one because you don't want to waste time in imaging.

If there's a high index of suspicion and a treatment option is not given in the options, they want you to choose a diagnostic modality. The "next best step" in the diagnosis. What do you choose?