Why is AST/ALT 2:1 in Alcoholic Hepatitis?

10 years ago

Patients with alcoholic hepatitis almost always have liver markers levels less than 500 IU/L and often have a ratio AST/ALT…

Asplenia and Encapsulated Bacteria

10 years ago

Splenectomy may be necessary 2° to: 1) trauma 2) cancer (i.e multiple myeloma, ALL, CLL) 3) ITP refractory to treatment. Certain…

Why do PPIs reduce B12 Levels?

10 years ago

Gastric acid inhibitors [Proton Pump Inhibitor (PPIs) & Histamine 2 receptor antagonists (H2RAs)] is associated with vitamin B12 deficiency; especially…

ADLs (DEATH) and IADLs (SHAFT)

10 years ago

ADLS (Activities of daily living): Often used to assess functional status; Mostly used for elderly or chronically ill patients. D-…

What are the Reversible Causes of Dementia? (mnemonic)

10 years ago

VERY common question on internal medicine wards, and important to recognize as early as possible! The mnemonic commonly used is…

Crohn’s Disease vs. Ulcerative Colitis

10 years ago

Differential Dx of Signs and Symptoms SYMPTOMS Crohn’s Disease Ulcerative Colitis Defecation Will present porridge-like stool and possibly fatty diarrhea…

Causes of Pancreatitis: I GET SMASHED

10 years ago

Idiopathic (i.e microlithiasis) ·         Gallstones Endoscopic retrograde cholangiopancreatography (ERCP)         Trauma (especially blunt abdominal trauma)·   Scorpion bites (Tityus trinitatis, Trinidad) Mumps.…

Signs of Hypocalcemia

10 years ago

HYPOCALCEMIA Low serum calcium levels in the blood< 2.12mmol/L (TOTAL) and <1.16mmol/L (+) Signs and Symptoms POSITIVE bathmotropic effects due…

Why expiration film for Pneumothorax?

10 years ago

When a pneumothorax is suspected, an inspiration AND expiration chest x-ray will often be obtained. On an expiratory film, the…

Empyema vs. Abscess

10 years ago

Empyema => collection of pus in a pre-existing anatomical cavity (i.e pleura space) Abscess => collection of pus in a…

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