Clinical and medical skills and knowledge collection

 

  Dumping syndrome is diagnosed based on typical symptoms in patients who have undergone gastric surgery. Typical signs and symptoms can be elicited with an oral glucose challenge of 50 g. Sigstad developed a diagnostic scoring system on weighing factors allocated to the symptoms of dumping. A diagnostic index greater than 7 is suggestive of dumping syndrome. Sigstad's diagnostic index, indicating symptoms and the points assigned for those symptoms, is as follows: Shock: +5 Almost fainting, syncope, unconsciousness: +4 Desire to lie or sit down: +4 Breathlessness, dyspnea: +3 Weakness, exhaustion: +3 Sleepiness, drowsiness, yawning, apathy, falling asleep: +3 Palpitation: +3 Restlessness: +2 Dizziness: +2 Headaches: +1 Feeling of warmth, sweating, pallor, clammy skin: +1 Nausea: +1 Fullness in the abdomen, meteorism (distention because of gas): +1 Borborygmus: +1 Eructation: -1 Vomiting: -4               Courtsey: medscape 

 

 A 63-year-old man developed purplish discoloration of his face after he underwent stenting and balloon dilation of the left common carotid artery. Cholesterol embolization syndrome was diagnosed. What is the name of this physical exam finding? Courtesy: NEJM https://t.co/kQrNuVmVXg https://t.co/sfziapeHEc

  The Kernig sign is elicited by flexing the hip and knee on 1 side while the patient is supine, then extending the knee with the hip still flexed.  Hamstring spasm results in pain in the posterior thigh muscle and difficulty with knee extension.  With severe meningeal inflammation, the opposite knee may flex during the test.                                     ( medscape ) 

 A-> Acidosis E-> Electrolyte imbalance, particularly hyperkalemia of >6.5 I-> Intoxication, particularly Li, O-> Overload of volume, particularly with signs and symptoms of CHF or pulmonary edema U-> Uremia, with altered mental status, pericarditis  NOT FOR HIGH CREATININE OR OLIGURIA ALONE