May 2019 – Neuros | Medical Social Network

Best form of Diagnostic test to detect Vitamin D deficiency

Neuros Medical Verified User May 25, 2019 Primary Care Comments Off 5873 views

Here is how the Vitamin D is formed in the body In the skin, UV rays help metabolise 7-dehydrocholesterol to cholecalciferol, which then by 1-alpha hydroxylase, forms 25-hydroxyvitamin D in the liver and 1,25-dihydroxyvitamin D in the kidney. The most accurate form of Vitamin D which is tested to guage vitamin D deficiency in patients, is the 25-Hydroxyvitamin D A ...

Acute Pancreatitis

Wiz MD Verified User May 25, 2019 Primary Care Comments Off 5488 views

Most frequent GI cause for hospitalization + leading cause of in hospital deaths CLASSIFICATIONSRevised Atlanta Classification- Interstitial edematous acute pancreatitis - Necrotizing acute pancreatitisAccording to Severity - Mild acute pancreatitis - no organ failure/complications - Mod pancreatitis - transient organ failure +/- local or systemic complications - Severe acute pancreatitis - persistent organ failure (> 48hrs) RISK FACTORSGallstones (most common), Alcohol, Hypertriglyceridemia, Post ERCP, Medications, Micro-organisms, Trauma, Genetic risk, Hypercalcemia

Pros & Cons of Online vs In person CBT-i

Wiz MD Verified User May 12, 2019 Sleep Medicine Comments Off 4330 views

ONLINE CBT-iIN PERSON CBT-iPROSPROSAvailable anytime of the day, as long as access to phone and internetRegular visits ensures compliance and accountabilityStudies indicate, as effective as in personLess dropout / non compliance ratesLess expensive If insomnia is due to an underlying medical condition, it is identified and referred to proper specialistsCONSCONSOnly effective in self motivated individualsVery few qualified CBT-i professionals, making appointments difficultMore dropout / non compliance rateMore expensiveDoes not help, if insomnia is due to an underlying ...

Acute Kidney Injury

Neuros Medical Verified User May 11, 2019 Primary Care Comments Off 5029 views

By definition: rise in serum Cr of >0.3 mg/dl within 48 hrs or an increase of 50% serum Cr within 7 days or urine output <0.5 ml/kg/hr for > 6hrs CAUSES - Categorized intoPRERENAL - hypotension, volume depletion (vomiting, sweating, GI loses, hemorrhage, burns), renal artery stenosis, heart failure, ischemic tubular necrosisINTRARENAL - Contrast dye tubular necrosis, NSAIDs, Glumerulonephritis, Acute interstitial nephritis, vasculitis, multiple myeloma POST RENAL - BPH, pregnancy, carcinoma, calculus, clot, stricture, neurogenic ...

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