Multiple studies have shown that metformin reduces serum B12 levels in 10–30% of patients. The effect increases with the duration of the therapy. Decrease in…Explore more How Metformin Causes Vitamin B12 deficiency?
SIADH causes Mnemonic: SIADH Surgery Intracranial – Infection, Head injury, CVA Alveolar – Carcinoma, Pus Drugs – Opiates, Antiepileptics, Cytotoxics, Anti-psychotics Hormonal – Hypothyroid, Low…Explore more Hyponatremia : SIADH vs Cerebral Salt Wasting Syndrome
The severity of alcoholic hepatitis can be assessed using a number of simple quantitative indices (Maddrey score, Meld score, Combined clinical and laboratory index). Of…Explore more Maddrey Score (Discriminant Function) and Lillie Model : Alcohoic Hepatitis
In the Absence of Microbiological Confirmation, these case defintions and criteria may be helpful. Case definitions of Typhoid Fever a. Confirmed enteric fever: A patient…Explore more Clinical Criteria for Diagnosis of Enteric Fever
Diagnostic criteria for DKA a. Plasma glucose (mg/dl): >250 b. Arterial pH: 7.25 to 7.3: mild DKA 7 to 7.24: moderate DKA <7: severe DKA…Explore more DKA : Mnemonic Approach and Clinical Aspects
Corrected sodium level When hyperglycemia is present, the underlying sodium concentration (corrected sodium concentration) can be estimated by adding 1.6-2.4 mEq/L (average of 2 mEq/L)…Explore more Hyponatremia Correction: Practical Approach
Synonyms: Murphy’s kidney punch, CVA tenderness (CVAT) Anatomy of Costovertebral angle or Renal angle: Costovertebral angle is formed by the junction of the 12th, or…Explore more Costovertebral or Renal angle tenderness
Both Somogyi effect and Dawn phenomenon are the cause of MORNING FASTING HYPERGLYCEMIA. Mnemonic: Somogyi = So Much InsulinDawn = Down Insulin a. Somogyi effect:…Explore more Somogyi effect and Dawn Phenomenon – Mnemonic