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null
null
null
null
null
null
null
DR. YAZAN ABU CHARBIEH
null
null
null
null
Chapter 1: Endocrinology
1
null
null
null
null
Chapter 2: Rheumatology
31
null
null
null
null
Chapter 3: Gastroenterology
45
null
null
null
null
Chapter 4: Cardiology
83
null
null
null
null
Chapter 5: Hematology
118
null
null
null
null
Chapter 6: Infectious Disease
139
null
null
null
null
Chapter 7: Nephrology
165
null
null
null
null
Chapter 8: Pulmonology
193
null
null
null
null
Chapter 9: Emergency Medicine
223
null
null
null
null
Chapter 10: Neurology
234
null
null
null
null
Community Medicine
249
null
null
null
null
Clinical
pictures of Cushing's syndrome:
null
null
null
null
1-
fat deposition: moon face, buffalo hump, mesenteric bed, truncal obesity
null
null
null
null
2-
HTN
null
null
null
null
3-
muscle weakness + fatigability
null
null
null
null
4-
osteoporosis
null
null
null
null
5-
cutaneous striae
null
null
null
null
6-
easy bruisability
null
null
null
null
7-
acne, hirsutism, amenorrhea
null
null
null
null
8-
emotional changes irritability >> depression >> confusion
null
null
null
null
9-
glucose intolerance >> DM
null
null
null
null
10-
hypokalemia
null
null
null
null
11- -
leukocytosis
null
null
null
null
12-
delayed wound healing
null
null
null
null
13-
Renal calculi 1
null
null
null
null
14-
glaucoma
null
null
null
null
15-
pyuria
null
null
null
null
16-
susceptibility to infection.
null
null
null
null
null
Difference between DKA and
HONK
null
null
null
null
HONK
DKA
null
null
null
Blood glucose
Very high > 30mmol/l
High >15 mmol/l
null
null
null
Ketone body
None
Present
null
null
null
Acidosis
Normal
Moderate/severe
null
null
null
Bicarbonate
>15
<15
null
null
null
Volume depletion
Marked
Mild
null
null
null
Plasma anion gap
Normal
Increased
null
null
null
Present in
Type 2
Type 1
null
null
null
ECE osmolarity
Very high
Usually, normal
null
null
null
Serum insulin
Mild to moderate lack
Sever lack
null
null
null
Hyperventilation
Absent
Present
null
null
null
Dehydration
Marked
Mild
null
null
null
Mortality in admitted patient
10% or more
1-4 %
null
null
null
Difference between type
1 DM and type 2 DM
null
null
null
null
Type 1
Type 2
null
null
null
null
Younge age
Middle age / elderly
null
null
null
null
Not obese
Overweight / obese
null
null
null
null
No family history
Family history
null
null
null
null
Short duration of symptoms
Symptoms present over months
null
null
null
null
Can present with DKA
Not present with DKA
null
null
null
null
Insulin required
Insulin not necessarily
null
null
null
null
1-
Bone pain
null
null
null
null
2-
Pathological Fractures
null
null
null
null
3-
Increase warmth over affected bone
null
null
null
null
4-
Deformity
null
null
null
null
5-
Neurological problems: deafness, cranial nerve defect, nerve root defect, spinal stenosis
null
null
null
null
6-
Increase risk of osteosarcoma
null
null
null
null
Category
BMI range kg/m2
null
null
null
null
Sever thinness
<16
null
null
null
null
Moderate thinness
16-17
null
null
null
null
Mild thinness
17-18.5
null
null
null
null
Normal
18.5-25
null
null
null
null
Overweight
25-30
null
null
null
null
Obese class I
30-35
null
null
null
null
Obese class II
35-40
null
null
null
null
Obese class III
>40
null
null
null
null
1.
Alcohol abuse
null
null
null
null
2.
Alkalosis (elevated pH of the blood)
null
null
null
null
3.
Hyperventilation
null
null
null
null
4.
Hypocalcemia
null
null
null
null
5.
Hypoparathyroidism (underactive parathyroid glands)
null
null
null
null
6.
Malnutrition
null
null
null
null
7.
Medication side effects
null
null
null
null
8.
Pancreatitis
null
null
null
null
9.
Pregnancy and breastfeeding
null
null
null
null
10.
Vitamin D deficiency
null
null
null
null
11.
Clostridium tetany toxin
null
null
null
null
Disease
null
Appearance
PTH level
Ca
PO4
Hypoparathyroidism
null
Normal
Low
Low
High
Pseudohypoparathyroidism
1A
Skeletal defect
High
Low
High
null
1B
Normal
High
Low
High
null
2
Normal
High
Low
High
Pseudo pseudohypoparathyroidism
null
Skeletal defect
Normal
Normal
Normal
Major criteria
Minor criteria
null
null
null
null
Recurrent febrile episodes associated with peritonitis, pleuritis or synovitis Amyloidosis of AA-type without a predisposing disease Favorable response to daily colchicine
Recurrent febrile episodes Erysipelas-like erythema Positive history of familial Mediterranean fever in a first degree relative
null
null
null
null
Major criteria
Minor criteria
null
null
null
null
Typical attacks of:
1-2 Incomplete attacks affecting one or more
null
null
null
null
Peritonitis (generalized)
sites
null
null
null
null
Pleuritis (unilateral) or pericarditis
Abdomen
null
null
null
null
Monoarthritis (hip, knee, or ankle)
Chest
null
null
null
null
Fever alone
Joint
null
null
null
null
null
Exertional leg pain
null
null
null
null
null
Response to colchicine
null
null
null
null
Typical attacks
Incomplete attacks
null
null
null
null
recurrent (>/=3 of the same type) febrile (rectal temperature of 38°C (100°F) or higher)
painful and recurrent, differing from typical attacks in 1 or 2 features, as follows: 1. The temperature is normal or lower than
null
null
null
null
short (lasting between 12 hours and 3 days).
38°C (100°F) 2. The attacks are longer or shorter than
null
null
null
null
null
specified (but no shorter than 6 hours or longer than a week)
null
null
null
null
null
3. No signs of peritonitis are recorded during the abdominal attacks
null
null
null
null
null
4. The abdominal attacks are localized
null
null
null
null

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