Mnemonic: ABCD
Mnemonic: PPM
Malnourished (depleted intracellular Phosphate, Potassium, Magnesium) → Refeeding → Increased glucose load → Insulin spikes → Drives PPM into cells → Hypophosphatemia (major abnormality), hypokalemia, hypomagnesemia
If patient hasn’t not eaten for >5 days, aim to refeed at <50% energy and protein levels.
Monitor and aggresively supplement PPM.
When we look from lateral side, the veins on each side form a “W” shaped arrangement. Each corner of the “W” is prolonged upward into the scalp, and downward into the neck. Remember the 3 verticla stems of letter “W”: 1st stem (in face): Facial vein 2nd stem (behind mandible,…
Following are the important features of fetal circulation: 1. Placenta plays the role of lungs; lungs are not functional: Like pulmonary veins, left umbilical vein carries highly oxygenated blood from placenta to heart. Like pulmonary artery, right and left umbilical arteries braing deoxygenated blood to placenta. 2. Mixing potentially occurs…
Propionyl CoA is a common intermediate in catabolism of essential amino acids and odd chain fatty acids. It is also called VOMIT pathway which stands for: Valine Odd chain fatty acids Methionine Isoleucine Threonine They enter TCA cycle – using PMS pathway: Propionyl CoA Methylmalonyl CoA Succinyl CoA Defects in…