🟨DD of yellow nail

1_Onychomycosis
2_ Chronic paronychia
3_ Pseudonymous infection
4_ Yellow nail syndrome
5_Drugs ( Topical 5`flurouracil , tetracycline)💊

🟨Yellow Nail Syndrome

📝Yellow naiks
📝Congenital lymphydema
📝Bronchiactasis / Pleural effusions
📝Chronic sinusitis

✳️Charcot's triad of Ascending cholangitis

1-RUQ pain
2-Fever
3-Jundice

✳️Reynoid's pentad
نفسهم +
📝Confusion
📝Hypotension

✳️Spontaneous bacterial peritonitis
SBP

📝Cause ➡️E.coli
📝Dx➡️Paracentesis➡️Neutrophils > 250 cells/ul
📝TTT➡️IV cefotaxime

🟨Most common site of Carcinoid syndrome is

📝Ileum.

🟨PBC and ( role of M)📝

Ig M
Anti Mitochondrial Abs
M2 subtype
Middle aged female

🟨Alcoholic hepatitis
⬆️AST > ALT 2:1

🟨Non Alcoholic fatty liver
⬆️ALT > AST

عكس بعض ركزوا عليهم📝

🟨Dyphagia📝

Dysphagia to both fluids and solids = Achalasia
Dysphagia to solids only = Malignancy

#Bedside_Notes
◽Hematoloy ( د.منال الهباش)

Q1_ What are the causes of loss of concoious in pt with chronic liver disease ?
?
1_ Hepatic encephalopathy
2_ Hypoglycemia
3_ Hypercalcemia

Q2_ What is the DD of Hyperviscosty regarding to Hematological diseases ?
?
1_ Myeloproliferative disorders
2_ Waldenstroms Macroglobinemia

https://t.me/internal_medicine_Dr_Doha ?