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Tumour Lysis Syndrome

Dr Swapnil Pawar June 23, 2023

play_arrow Tumour Lysis Syndrome Dr Swapnil Pawar Tumour Lysis Syndrome Written by – Dr Andrew Lam   Cairo-Bishop Definition of TLS Laboratory Diagnosis K > 6mmol/L and >25% increase than baseline serum level PO4 > 1.45mmol/L and >25% increase than baseline serum level Ca < 1.75mmol/L and >25% decrease than […]

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Heparin Induced Thrombotic Thrombocytopenia Syndrome

Dr Swapnil Pawar April 9, 2023

play_arrow Heparin Induced Thrombotic Thrombocytopenia Syndrome Dr Swapnil Pawar HITT’s Written by Dr Andrew Lam Four T’s Score 0 +1 +2 Thrombocytopenia Platelet decrease <30% OR nadir <10 Platelet decrease 30-50% OR nadir 10 – 19 Platelet decrease >50% AND nadir > 20 Timing of Thrombocytopenia Platelet Fall < 4 […]

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Ectopic Pregnancy

Dr Swapnil Pawar October 17, 2022

play_arrow Ectopic Pregnancy Dr Swapnil Pawar Ectopic Pregnancy  Written by Dr Ashley Liu Ectopic Pregnancy Ectopic pregnancies should always be considered in any patient of reproductive age with vaginal bleeding +/- abdominal pain. Clinical Manifestation The most common presentation of ectopic pregnancy is usually first-trimester vaginal bleeding and/or abdominal pain. […]

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Supra-ventricular Tachycardia

Dr Swapnil Pawar August 27, 2022

play_arrow Supra-ventricular Tachycardia Dr Swapnil Pawar Supraventricular Tachycardia Blog written by – Dr Ashly Liu Summary If unstable: (1) ELECTRICITY (2) Pharmacology If stable: (1) Vasovagal manoeuvres  (2) Pharmacology (3) ELECTRICITY (if unstable) Is the patient stable or unstable? Primary Survey to assess for haemodynamic instability Airway: airway maneuvers (chin […]

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A-V Blocks

Dr Swapnil Pawar December 23, 2021

play_arrow A-V Blocks Dr Swapnil Pawar Atrioventricular Blocks Written by Dr Andrew Lam First Degree Heart Block  Prolongation of the PR interval (>200ms) Benign as an isolated entity that doesn’t cause haemodynamic instability. Intervention generally not required Second Degree Heart Block (Mobitz Type 1 – Wenckebach) Progressive prolongation of the […]

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Gout

Dr Swapnil Pawar November 8, 2021

play_arrow Gout Dr Swapnil Pawar Written by – Dr Andrew Lam Gout vs. Pseudogout Gout Pseudogout Predominant Sites Affected Small Joints (i.e. 1st MTP) Large Joints (i.e. knee) Clinical Findings Marked swelling, erythema and tenderness +/- tophi Swelling and tenderness often less marked than in gout Pathophysiology Uric acid crystal […]

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Hypercalcemia

Dr Swapnil Pawar August 4, 2021

play_arrow Hypercalcemia Dr Swapnil Pawar Hypercalcemia Written by Dr Andrew Lam Corrected Calcium Corrected Calcium = = 0.8 * (Normal albumin – Patient’s Albumin) + Measured Calcium Symptoms Bones – increased risk of osteolysis and fracture Stones – increased incidence of hypercalcemic renal stones Abdominal groans – nausea and vomiting, […]