A pleural fluid N-terminal pro-brain natriuretic peptide(NT-proBNP) >1500 pg/mL is virtually diagnostic that the effusion is secondary to congestive heart failure.

#question
Do you know when (NT-proBNP) test is required?

إيه الفرق بين

Victoza ? Saxenda❓

? Victoza (Liraglutide for Type 2 Diabetes):
- Use: Victoza is primarily prescribed for the management of type 2 diabetes.
- Dosage: Typically administered once daily via injection.
- Mechanism: It acts as a GLP-1 receptor agonist, helping to regulate blood sugar levels by enhancing insulin secretion and slowing gastric emptying.
- Benefits: Effective in lowering blood sugar levels and may have additional cardiovascular benefits, which are less emphasized compared to Saxenda's weight loss benefits.
- Side Effects: Common side effects include nausea, diarrhea, and vomiting. There is also a rare risk of pancreatitis or kidney problems.

? Saxenda (Liraglutide for Weight Management):
- Use: Saxenda is specifically approved for weight management in addition to managing type 2 diabetes.
- Dosage: Administered via injection once daily, with dosage gradually increased over several weeks.
- Mechanism: It works as a GLP-1 receptor agonist, similar to Victoza but at a higher dose, helping to reduce appetite and increase satiety.
- Benefits: Effective for weight loss, often leading to significant reductions in body weight beyond what is achieved with Victoza.
- Side Effects: Common side effects include nausea, diarrhea, and vomiting, similar to Victoza.

? Key Difference Impacting Weight Loss:
Dosage: Saxenda’s higher dosage (3 mg/day) is more effective in suppressing appetite and promoting weight loss compared to Victoza's lower doses (Liraglutide 1.2 mg or 1.8 mg), which are optimized for managing blood sugar in diabetes.

? Reference ➡️FDA

Remember ✅

➡️Celiac disease and tropical sprue have similar features (e.g., steatorrhea, abdominal pain, weight loss), but only tropical sprue #responds to antibiotics.

Remember ✅

➡️Glucocorticoid replacement therapy with hydrocortisone is required in all forms of adrenal insufficiency.

Remember ✅

➡️Perianal fistulas and abscesses are often the first signs of Crohn's disease

#analysis

كل عام وأمتنا المكلومة الجريحة بكل خير، كل عام وغزة العزّة، وشام الإباء، وعراق الشهداء، ويمن الحكمة بكل خير.

أعاده الله علينا وغزة بأحسن حال، وأهلها قد عادوا إلى ديارهم أعزة كرماء، ونحن وإياهم في رحاب المسجد الأقصى فاتحين مكبرين.

اللهم هيئ لأمتنا أمر رشد يعزّ فيه أهل طاعتك، اللهم فرّج عن أخواتنا الأسيرات وإخواننا الأسرى، اللهم اشفِ جرحانا وضمد أدواء قلوبنا، اللهم اغفر لشهداء غزة، وفرّج عن أطفالها وأبنائها، اللهم عليك بمن خذل المسلمين.

*➖ Medications that cause “Metallic taste” ?***

?? راح نعرفهم من كلمة METALLiC

MET: METformin, METronidazole
ALL: ALLopurinol
C: Captopril, Clindamycin

⭕️ قسم ال GIT,
دافيدسون.