Internal Medicine Notes

prophylaxis in dental procedure ------------> Penicilline
pericarditis ------------> elevated ST segments in all 3 satndard leads
in the Trt of cardiac arrhythmias ------------> Phenytoin , Procainamide
migratory polyarthritis
spasmodic muscle twisting ------------> rheumatic fever
chorea
long standing peptic ulcer ------------> iron deficiency anemia
Addison's disease (autoimmune) ------------> adrenal cortex
B12 dficiency ------------> glossitis , bone marrow hyperplasia, achlorhydria , spinal columns degeneration
breast cancer ------------> jaw metastasis
Ludwig's angina ------------> oro-pharyngeal lesions
poorly controlled D.M. ------------> mucormycosis ------------> necrotising palate lesions
Glycosides ------------> decrease : edema , HR , Heart size , residual volume
Systolic bruit in the midepigastric area ------------> abdominal aorta
spontaneous fracture of the femur ------------> Sprue Sd
Brucellosis ------------> through ingestion OR the skin ,
cow , goat , pig
agglutinin titer 1:500 ------------> compatible with Atypical Viral Pneumonia
scarlet fever ------------> A Streptococcus toxin
metastasis of femoral osteosarcoma ------------> Lungs
sequella of A Streptococcus ------------> Rheumatic fever
post-infectious complications by A Strepto ------------> ARF , AGN
Acute Bacterial Endocarditis ------------> heart valve vegetations ------------> platlets + fibrin + bacteries
Mycoplasma , candida albicans ----------> Urethritis
injection of Iodine product ----------> could aggravate Renal Failure
recurrent urinary infections
Extra Cellular Dahydration ----------> Skin Fold Sign
Trt of labil HTN in a young pt ----------> Acebutolol (Sectral)
Leukemia ------------> Chemotherapy ------------> oral infection ------------> Candida albicans
disturbance in the metabolism of Purine ------------> Gout
in CRF ----------> Normocytic anemia
diuretics Trt ----------> CRF decompensation
in Nephrogenic Diabetes Insipidus ----------> HyperNa+ (decrease volemia)
Negative Arginin - Vasopressine test ----------> Nephrogenic Diabetes Insipidus
tonsillitis ----------> IgA glomerulonephritis ----------> Macroscopic Hematuria
incubation period of gonorrheal urethritis ----------> 5 days
No inguinal ADP in Gonorrheal urethritis
HypoNa+ ----------> too much water , rather than decrease Na +
HypoNa+ ----------> Nausea
Heparine -------> Thrombocytopenia
contrast venography -------> most effective way to demonstrate the blood clot area
NON-tender superficial varicosities -------> Deep venous insufficiency
Painful tender cord -------> Superficial thrombophlebitis
Trt of superficial thrombophlebitis -------> NSAIDS
LMWH -------> No laboratory monitoring
primary degenerative brain disease -------> Dementia
Vit B12 and B1 -------> treatable dementia
most common cause of Dementia -------> Alzhimer
Delirium = acute dementia
depression = pseudo-dementia
Trt of Hirsutism -------> Spironolactone
CRF -------> bone pain , metalic taste
No edema in -------> CRF
urine analysis -------> hyaline casts -------> pre / post renal failure
Nephrotic Sd -------> HypoAlbuminimia -------> platlet aggregation -------> Thrombosis
Nephrotic Sd -------> urinary wasting of AntiThrombine 3 , hyperUricemia , HyperLipidemia , Functional RF,salt and water retention ,
Vomiting -------> increase aldosterone -------> hypoK+
Diarrhea and Diuretics -------> HypoK+
HypoK+ -------> glucose intolerance , weakness and paralysis , polyuria ,
insulin -------> Glucose and K+ into cells
Thiazidic diuretics -------> HypoK+
dermatomyositis ------------> muscle pain and butterfly rash !

Na+ HCO3- ------------> HypoKalemia (Trt of HyperK+)
frequently on mucus membranes ------------> Candida