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My Medical Shoebox

This is my personal aide-memoire. Feel free to read it if you find it useful, but it is not, and is not intended to be, a comprehensive reference. It is just a list of things that I find useful. No guarantee of accuracy is offered or should be inferred by any reader. Dermatomes and peripheral nerves. New units and estimated average glucose. NICE and SIGN guidelines. How the islet cell works. MODY bits and bobs. Antenatal and labour guidelines. NICE and SIGN guidelines in pregnancy.

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My Medical Shoebox | bigtomato.org Reviews

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This is my personal aide-memoire. Feel free to read it if you find it useful, but it is not, and is not intended to be, a comprehensive reference. It is just a list of things that I find useful. No guarantee of accuracy is offered or should be inferred by any reader. Dermatomes and peripheral nerves. New units and estimated average glucose. NICE and SIGN guidelines. How the islet cell works. MODY bits and bobs. Antenatal and labour guidelines. NICE and SIGN guidelines in pregnancy.

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1 my medical shoebox

2 disclaimer

3 menu

4 general medicine

5 clinical scoring systems

6 driving

7 surviving sepsis

8 cardiology

9 arrhythmia

10 chronic heart failure

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my medical shoebox,disclaimer,menu,general medicine,clinical scoring systems,driving,surviving sepsis,cardiology,arrhythmia,chronic heart failure,endocarditis,erythromelalgia,haematology,maternal medicine,asthma,collapse,epilepsy,dvt and pe,neurology,pcos

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My Medical Shoebox | bigtomato.org Reviews

https://bigtomato.org

This is my personal aide-memoire. Feel free to read it if you find it useful, but it is not, and is not intended to be, a comprehensive reference. It is just a list of things that I find useful. No guarantee of accuracy is offered or should be inferred by any reader. Dermatomes and peripheral nerves. New units and estimated average glucose. NICE and SIGN guidelines. How the islet cell works. MODY bits and bobs. Antenatal and labour guidelines. NICE and SIGN guidelines in pregnancy.

INTERNAL PAGES

bigtomato.org

1

New Diabetes Medications

http://www.bigtomato.org/diabetes/new_meds.php

May be appropriate to monitor BMS. No need to notify DVLA so long as (i) no more than one disabling hypo in last 12 months, (ii) no impaired hypo awareness, (iii) no disabling hypo when driving. All other drugs including GLP-1 and DPP-4s. No need to notify DVLA so long as (i) no more than one disabling hypo in last 12 months, (ii) no impaired hypo awareness, (iii) no disabling hypo when driving. HbA1c 7.5%, or other level agreed with individual. Added to MF and SU. Weight loss 3% at 6 months.

2

How The Islet Cell Works

http://www.bigtomato.org/diabetes/mody/isletcell.php

How The Islet Cell Works. The K-ATP channel comprises two subunits:. The Kir6.2 subunit. The sulphonylurea-receptor subunit (SUR-1 in pancreatic β-cell, SUR-2A in cardiac and skeletal muscle). Of the K-ATP channel by sulphonylureas or glucose sensing causes the depolarization that triggers insulin release. Diazoxide is a K-ATP channel opener.

3

Guillain-Barre Syndrome

http://www.bigtomato.org/genmed/neuro/gbs.php

Classical: acute inflammatory demyelinating polyneuropathy (AIDP). Most commonly identified form. Nearly 40% of patients are seropositive for Campylobacter jejuni. Progressive symmetric ascending muscle weakness. Commonly, unable to stand or walk despite reasonable strength. Cranial nerves may be affected later, e.g. resembling Bell's palsy - oculomotor involvement is rare. With or without sensory or autonomic symptoms. Sensory loss usually involves proprioception. Nodes of Ranvier are attacked. May also...

4

Maternal Medicine - Asthma

http://www.bigtomato.org/genmed/maternal_medicine/asthma.php

Maternal Medicine - Asthma. Normal respiratory physiology during pregnancy. Increased oxygen demand causes increased tidal volume and reduced PaCO. A compensated respiratory alkalosis is normal, and women are often aware of the increased ventilation as subjective breathlessness. Course of asthma during pregnancy. About a third each improve, deteriorate, or are unchanged. Severe pre-pregnancy asthma is more likely to deteriorate during pregnancy. CXR should be performed as normally indicated in severe ast...

5

Headache

http://www.bigtomato.org/genmed/neuro/headache.php

Common migraine = without aura. Classical migraine = with aura. At least two of unilateral, pulsating, moderate to severe, worsened by routine physical activity. At least one of nausea, photophobia, phonophobia. No other evident organic illness. Minimal or mild = NSAIDs first. Moderate or severe = triptans first. Aspirin 300-900mg 4-6 hrly. Perhaps as good as sumatriptan. Naratriptan slower effect and fewer side effects. Early nausea/vomiting/rapid onset - sumatriptan nasal spray/suppository/SC injection.

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My Medical Shoebox

This is my personal aide-memoire. Feel free to read it if you find it useful, but it is not, and is not intended to be, a comprehensive reference. It is just a list of things that I find useful. No guarantee of accuracy is offered or should be inferred by any reader. Dermatomes and peripheral nerves. New units and estimated average glucose. NICE and SIGN guidelines. How the islet cell works. MODY bits and bobs. Antenatal and labour guidelines. NICE and SIGN guidelines in pregnancy.

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