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.
Absolute contraindications of thoracocentesis There are no absolute contraindications to diagnostic thoracocentesis. If clinical judgement dictates that the information gained from the pleural fluid analysis may help in diagnosis and therapy, thoracocentesis should be performed. Necessity of an immediate alternative procedure such as open thoracostomy or thoracotomy is the only…
Causes of SIADH Mnemonic: SIADH Diagnosis and Diagnostic Criteria Mnemonic: SOD-IUN TEA
Origin: Neuroendocrine cells Location: Lungs, Bronchi, Trachea, Gastrointestinal tract Synthesize: Biogenic amines (mainly serotonin which is metabolied to 5-HIAA) 5 Manifestations Mnemonic: 5-HIAAS 1. Heart disease (2/3 patients) 2. Intestinal manifestations 3. Airway obstruction 4. Asthma 5. Skin manifestations Alternative mnemonic: CARCinoid Rule of 1/3 Surgery for appendiceal carcinoid tumor…