Medical Education

Distribution of hand joints involvement of different condition .

Higher than expected leves of HbA1c :
1. IDA
2. vitamin B12 / folic acid def.
3. Alcohol dependence
4. CRF
5. Hyperbilirubinemia
6. Splenectomy

👉👉Polymorphic eruption of pregnancy
•Pruritic condition associated with last trimester
•Lesions often first appear in abdominal striae
•Management depends on severity: emollients, mild potency topical steroids and oral steroids may be used

👉👉Pemphigoid gestationis
•Pruritic blistering lesions
•Often develop in peri-umbilical region, later spreading to the trunk, back, buttocks and arms
•Usually presents 2nd or 3rd trimester and is rarely seen in the first pregnancy
•Oral corticosteroids are usually required.

ECZEMA: TOPICAL STEROIDS
Use weakest steroid cream which controls patients symptoms
below shows topical steroids by potency

✍️✍️Mild

👉Hydrocortisone 0.5-2.5%

✍️✍️Moderate

👉Betamethasone valerate 0.025% (Betnovate RD)
👉Clobetasone butyrate 0.05% (Eumovate)

✍️✍️Potent

👉Fluticasone propionate 0.05% (Cutivate)
👉Betamethasone valerate 0.1% (Betnovate)

✍️✍️Very potent

👉Clobetasol propionate 0.05% (Dermovate)

Medical Education

Clinical pearl : Maternal smocking has been shown to increase lung maturity , possibly by enhancing the production of cortisol .

Medical Education Online Medical University

:
NSAID use is associated with decrease risk of certain gastric tumor.
Medical education

Clinical pearl :
Erythropoiesis-stimulating agents act as a growth factor in the context of active
malignancy, and this increases the mortality of patients with malignancy (e.g. renal
cell carcinoma) who receive erythropoietin. The other major risk factor associated
with these drugs is ischaemic stroke.

Routine use of antipyretics in low-grade fever is not justified. This may mask important clinicalindications.

• Cyanosis
• Obtundation
• Chest wall motion
•Tachypnea, bradypnea, orapnea
Medical education
Medical Education