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AIIMS PG

Hypercalcemia

Hypercalcemia HYPERCALCEMIA Hypercalcemia is when total serum calcium value is above the upper limit of the normal range or an elevated ionized calcium value.  Etiology- I) With normal or elevated PTH levels- Primary or tertiary hyperparathyroidism (most common) Li- induced hyperparathyroidism Familial hypocalciuric hypercalcemia II) With low PTH levels- Malignancy (most common) Elevated 1, 25 […]

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Tca Poisoning

TCA POISONING Q. 1 A women consumes several tablets of amitryptiline leading to poisoning. All of the following can be done except  A Sodium bicarbonate infusion  B Gastric lavage  C Diazepam to control seizure  D Atropine as antidote Q. 1 A women consumes several tablets of amitryptiline leading to poisoning. All of the following can

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Tca Poisoning

TCA POISONING TRICYCLIC ANTIDEPRESSANT POISONING (TCA POISONING) Features of TCA overdose: 1. Mainly cardiotoxicity: Mainly cardiac (ventricular) arrhythmias – Results in mortality. Due to inhibition of cardiac fast Na+ channels –> Leading to, slowing of phase 0 depolarization in His-Purkinje tissue & myocardium. Other cardiotoxic features:  Conduction defects Hypotension ECG changes like QRS & QT prolongation.

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Uterine Stimulants & Relaxants

UTERINE STIMULANTS & RELAXANTS UTERINE STIMULANTS & RELAXANTS I) UTERINE STIMULANTS Are drugs increasing uterine contractions. Also known as oxytocics/ecbolics. Substances causing uterine stimulation: 1. Oxytocin: Secreted by posterior pituitary, along with ADH. Functions: Increases uterine contractions with complete relaxation on intervals. Increases contraction of upper segment of uterus (fundus & body) Lower segment is

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Inflammatory Bowel Disease

INFLAMMATORY BOWEL DISEASE INFLAMMATORY BOWEL DISEASE Inflammatory bowel disease is an immune mediated chronic intestinal condition. Two main types of IBD- Ulcerative colitis Crohn’s disease (regional ileitis)  Pathogenesis- Clinical features- Extracolonic manifestations-  Extraintestinal manifestations- Systemic manifestations- Investigations & Treatment is same as ulcerative colitis & crohn’s disease studied in the respective module. Exam Important Two

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Drugs For Multiple Sclerosis

DRUGS FOR MULTIPLE SCLEROSIS DRUGS FOR MULTIPLE SCLEROSIS Multiple sclerosis: An autoimmune disease resulting in neurons demyelination. Drug Mechanism Route & Frequency Adverse Effects Interferon-β 1a Down-regulates expression of MHC molecules on antigen presenting cells. ↓ Pro-inflammatory. ↑ regulatory cytokines. ↓ T-cell proliferation ↓ Entry of inflammatory cells in CNS. Intramuscular (i.m.), once a week.

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Zollinger- Ellison Syndrome

ZOLLINGER- ELLISON SYNDROME Q. 1 A patient is diagnosed with Zollinger-Ellison syndrome. Which of the following would be the most appropriate pharmacotherapy?  A Erythropoietin  B Famotidine  C Fluorouracil  D Omeprazole Q. 1 A patient is diagnosed with Zollinger-Ellison syndrome. Which of the following would be the most appropriate pharmacotherapy?  A Erythropoietin  B Famotidine  C Fluorouracil

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