Internal medicine

Shawl sign in dermatomyositis: Poikilodermatous eruption on the upper back in a patient with dermatomyositis.

All patients who test positive for active H. pylori infection (ie, have a positive nonserologic test) should be offered treatment. Exception if there is contraindications to treatment (eg, pregnancy)

Time to positivity of HIV diagnostic tests

Causes of unintentional weight loss

Long-distance Travel & VTE prophylaxis #ASH18 Guidelines

@IMmemorandum Up to 70% will not have the classic triad on presentation (and MRI not very sensitive either). Diagnose based on response to empiric IV thiamine (500mg q8h)

Thiamine deficiency manifesting as Wernicke encephalopathy : ● Nystagmus ● Ophthalmoplegia ● Ataxia ● Confusion

Peripheral neuropathy: differential STAGLAND: 👉Sarcoid 👉Thyroid 👉Amyloid 👉Guillian-Barre 👉Lead 👉Alcohol 👉Nutritional 👉Drugs/Diabetes

Dose dependence of thiazide-induced side effects " bendrofluazide in relation to daily dose "

Causes of secondary hyperparathyroidism

"If you define success in terms of winning and losing, you’ve already lost" - Adam Grant

Common side effects of Rifampicin: ■Potent liver enzyme inducer ■Hepatitis ■Orange secretion ■Flu-like symptoms

What is the preferred anticoagulation for antiphospholipid syndrome (APS) with VTE?

Systemic embolization occurs at a frequency of approximately 0.7% to 1% per patient per year in patients with mechanical valves who are treated with vitamin K antagonist. In comparison, the risk is 2.2% per patient per year with aspirin and 4% with no anticoagulation.

Management of statin myopathy

This trial shows an increased rate of events with rivaroxaban as compared with warfarin in patients with antiphospholipid syndrome. bloodjournal.org/content/early/…

Causes of Hypokalaemia without hypertension: ▪Diuretics ▪GI loss ▪Renal tubular acidosis (type 1 & 2) ▪Bartter's syndrome ▪Gitelman syndrome

Approach to perioperative management of patients on warfarin undergoing major surgery

Comparison of gout and calcium pyrophosphate deposition disease

Most cases of Restless legs syndrome are idiopathic. Associated conditions: Low iron stores Uremia Neuropathy Spinal cord disease Pregnancy