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Friday, November 19, 2010

Anion gap metabolic acidosis: causes

A MUDPILE CAT

Alcohol


Methanol


Uremia



Diabetic ketoacidosis


Paraldehyde


Iron/ Isoniazid


Lactic acidosis


Ethylene glycol


Carbamazepine


Aspirin


Toluene
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History taking question

COMPLAINS


C-Complain:What is the problem?

O-Onset:what did it start?


M-Magnitude:is it mild,sever?


P-Pattern:Episodic,intermittent,constant?


L-Location:where it is?


A-Associated symptoms?


I-Improvement:what make it better?


N-Negetive Stimuli:What makes worse?


S-Specific Episode:In past.
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CAUSES OF CLUBBING

CLUBBING 


Cyanotic heart diseases and cystic fibrosis;

Lung cancer and lung abscess; 


Ulcerative colitis; 


Bronchiectasis;


Benign mesothelioma; 


Infective endocarditis, idiopathic pulmonary


fibrosis, idiopathic, and inherited; 


Neurogenic tumors; and


Gastrointestinal diseases (e.g., cirrhosis and regional enteritis).
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D/D HYPOGLYCAEMIA

HIPOGLICEMIA


H-Headtrauma/Hepatic failure (Fulminant)

I-Insulinomas


P-Physhosis


O-Overdose of insulin


G-Glycogen storage Disease/glucogan Deficiency


L-Lymphomas


I-Isolated ACTH deficiency


C-Carcinomas


E-Excess Exercise/Eating problem(starvation)


M-Medications (drugs)


I-Intoxication Of alcohol


A-Addision disease.
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