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.
Acute or sudden vision loss is due to one of the following causes: Opacification of normally transparent structures anterior to retina Retinal abnormalities Abnormalities of optic nerve and visual pathway Systematic history and ocular examination is necessary. Step 1: Unilateral or Bilateral Sudden vision loss ? Monocular loss of vision:…
Thyroplasty is the cutting and reshaping of thyroid cartilage in various ways. Ishikki classificaiton – 4 types: Type Mnemonic Procedure Indication I M Medialization of cord (Approximation) Adductor palsy II L Lateralization of cord (Expansion) Abductor palsy III S Shortening of cord (Relaxation) Puberphonia IV L Lengthening of cord (Tensioning)…
A) Indications: Clinical or radiological evidence of involvement of axillary nodes Microscopically positive sentinel node(s) due to metastasis from primary malignant tumor In sentinel node negative: 98 % accurate in predicting that the other nodes are negative In sentinel node positive: possibility of microscopic disease in any of the remaining lymph nodes is 15–30…