knowmedge @knowmedge
Knowmedge is a medical board review platform for doctors, residents, and physician assistants. Start learning today at https://t.co/3nUn890nus #MedEd knowmedge.com Joined March 2012-
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Q1: Besides c-ANCA, what antibody is also positive in patients with Granulomatosis with Polyangiitis? #ABIM #NBME #Rheumatology
Excellent! A2: 2 or more attacks/year warrants use of prophylactic medications for gout. With CKD, urolithiasis, or tophi, one attack suffices to start patients on prophylactic medication #ABIM #USMLE #NBME #Rheumatology
Excellent! A2: 2 or more attacks/year warrants use of prophylactic medications for gout. With CKD, urolithiasis, or tophi, one attack suffices to start patients on prophylactic medication #ABIM #USMLE #NBME #Rheumatology
All correct! A1: Rheumatoid arthritis #ABIM #Rheumatology
All correct! A1: Rheumatoid arthritis #ABIM #Rheumatology
Q1: Although not diagnostic, 33% of patients will have anti-type II collagen antibodies in this condition? #ABIM #USMLE #Rheumatology
That’s it for this week’s #ABIMTweetShow! Thanks for the responses, likes and retweets!
Q10: What is the best management for idiopathic transverse myelitis? #Neurology
Q9: 65 year old male with hx of DM presents with speech impairment for 75 minutes and BP of 160/100. What is his ABCD^2 score?#Neurology
Q8: Which of these is LEAST likely to be a source of metastatic brain tumor? Lung, Melanoma, Colon, or Kidney Cancer? #ABIM
Q7: Which anti-epileptic drug is safe to use in women with child bearing potential: Ethosuxomide, Topiramate, Carbamazepine, or Levetiracetam? #Neurology
You got it! A5: Seizures are often not seen with this condition. Headaches and dementia are also absent with this condition
You got it! A5: Seizures are often not seen with this condition. Headaches and dementia are also absent with this condition
Q6: Which of these is not often seen in patients with MS: Hyperreflexia, bowel/bladder incontinence, diplopia, or seizures? #ABIM #Neurology
Nice work everyone! A5: Lhermitte Sign and MS
A4: Verapamil or Nimodipine #ABIM
Q4: What are two approved medications used in managing subarachnoid hemorrhage? #ABIM
Dr Joshua Walinjom @walinjom
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1K Followers 818 Following Get MCQs on your Twitter timeline. Learn while having fun on Twitter.@knowmedge Romiplostim and Eltrombopag? These work by work by stimulating the production of platelets in the bone marrow, helping to increase platelet counts in patients with ITP who have not responded well to other treatments.
@knowmedge 💉 Rasburicase, a recombinant urate oxidase, is approved for use in preventing complications of hyperuricemia during the tumour lysis syndrome in both adults and children. #MedEd #MedTwitter #MedX #clinicalpearls
@knowmedge INF. Even from a logical point of view, your literally boosting their immunity by giving them a cytokine, hence predisposing them to autoimmunity.
@knowmedge Flumazenil ✅ Screenshot from Classify Rx 📱 onelink.to/classifyp
@knowmedge Aminoglycoside ( gentamicin,Vancomycin) by damaging inner ear sensory cells and neurons .
@knowmedge Aminoglycoside antibiotics, such as gentamicin, can lead to irreversible tinnitus. This ototoxic effect is attributed to the drug's ability to accumulate in the inner ear, specifically the cochlea and vestibular apparatus. The high concentration in these structures can cause…
@knowmedge Losartan can be used as it is uricosuric. Thiazides are avoided.
@knowmedge Painful Chancroid - H ducreyi HSV Painless Syphilis Donavonosis LGV - Chlamydia L1-3
@knowmedge Causative organisms are usually gram-negative flora bacteria, especially Escherichia coli, Klebsiella, and Pseudomonas, although gram-positive bacteria are also seen, most commonly Enterococcus.
@knowmedge Being a stimulant laxative, using senna long term can lead to “cathartic colon” with chronic diarrhea, and even darken the pigmentation of the mucosa within the colon.
@knowmedge @YousafKhanzada7 Aspirin-exacerbated respiratory disease(AERD) aka Samter’s Triad is a chronic medical condition,consists of 3 clinical features:asthma,sinus disease with recurrent nasal polyps,sensitivity to aspirin and other NSAIDs that inhibit an enzyme called COX-1. Rx steroids,antihistamine
@knowmedge Porphyromonas gingivalis - R.Arthritis It is the only oral commensal that harbour Peptidyl Arginine Deaminase, which produces citrullinated peptides. Since RA is characterized by the presence of ACP antibodies,oral dysbiosis/Periodontitis before the development of RA is argued.
@knowmedge Topiramate. It can inhibit carbonic anhydrase enzyme, increasing the acidity within the renal tubules and precipitate calcium phosphate stones
@knowmedge #Topiramate may cause systemic metabolic acidosis, lower urinary citrate excretion, and raise urinary pH if used long-term. The side effects could significantly increase the likelihood of calcium phosphate stones.?
@knowmedge long-term topiramate administration could induce metabolic acidosis and consequently urholithiasis.
@knowmedge Nephrotic syndrome ✠ frothy urine with fatty casts exhibiting "Maltese cross" sign Besides nephrotic syndrome, there's one more topic described using "Maltese cross" ✠ Hint: protozoal infection 👇 x.com/theokayestms/s…
Does "Maltese cross" ring a bell?🔔 Apparently, there are 2 medical topics (yup, not just 1 😳) that are connected to it. 🧵 👇
@knowmedge Nebulized beta-agonists can be used to treat refractory hyperkalemia.
@knowmedge More about the drug 👇🏼 (Reference: Amboss)