An easy way to remember serum protein electrophoresis for #MedstudentTwitter !
In myeloma, the thumb goes ⤴️ and the pinky finger goes ⤵️
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ULNAR NEUROPATHY made simple:
Perfect👍From emedicine.medscape:
https://t.co/bly0XUnJ1R
The most common site of ulnar nerve entrapment is at or near elbow region,esp,in the region of cubital tunnel or ... The second most likely site is at or near the wrist, esp, Guyon’s canal.
The ICU OnePager approach to SHOCK:
⚡ shock is inadequate O2 delivery, NOT a specific BP
4️⃣consider 4 categories using PUMP, TANK, PIPES
💔cardiogenic
���obstructive
🫗hypovolemic
🤒distributive
🩺use physical exam & POCUS to differentiate
https://t.co/UQh1I7TgTl
Elevated ammonia levels:
(G-SUPPERS)
GI bleeding
Salicylate intoxication
UTI from urease-producing organisms
Portosystemic shunting
Parenteral nutrition
ETOH use
Renal disease
Shock
👉Hepatic encephalopathy is diagnosed based on overall clinical picture & not by Ammonia levels