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.
The basic clinical examination of the Cardiac System is by Auscultation (listening to the sounds made by the heart). As explained in the previous article physiological sounds made in each cardiac cycle viz. S1 and S2 due to the closure of the Atrio-Ventricular Valves and Outlet Valve in synchrony. Please…
Origin: C(7), C8, T1 (medial cord of Brachial plexus) Course: Motor innervation: 1. Forearm: Flexor carpi ulnaris (weakness of ulnar deviation and flexion of wrist), Medial half of flexor digitorum profundus (branches near the elbow) 2. Hand: branches near wrist Sensory innervation: Palmar branch at forearm and Digital branch at wrist…
Under resting conditions, red blood cells move through the pulmonary capillary bed in approximately 0.75 seconds (transit time), although equilibration of oxygen and carbon dioxide takes place in about 0.25 seconds. In a diffusion limited gas exchange situation, the alveolar gas is still equilibrating with the blood cell at the…