Medicine Key Points

                   Medicine Key Points

• All patients presenting with new-onset oedema should have a urinalysis.
• Hypothyroidism should be considered in the differential diagnosis of any patient pre- senting with fatigue.
• FEVER AND SHORTNESS OF BREATH= Consider PNEUMONIA.
• CHEST PAIN, SHORTNESS OF BREATH & PALE Consider ANEMIA, go with CBC.
• ADPKD patients may present with loin pain or haematuria.
• Rheumatoid arthritis tends to spare the distal interphalangeal joints. Anaemia and ESR correlate with disease activity. NSAIDs may adversely affect renal function.
• Irritable Bowel Syndrome= Abdominal Pain+Bloating+Periods of frequent defaecation alternate with periods of relative constipation+ Stress(Headache+Menstrual irregularties)
• Carcinoid Tumor: Diarrhea, Abdominal Cramps, Facial Flushing, someimes Asthmatic Wheeze.
• Hypertension:
• Pheochromocytoma: High BP with paroxysmal symptoms of sweating, palpitations and anxiety.
• Coarctation of Aorta: High BP with radiofemoral delay.
• Conn's Syndrome: High BP with low Serum potassium.
• Glomerulonephritis: High BP with Hematuria & Proteinuria.
• Renovascular Disease: High BP with moderately raised creatinine.
• Retrosternal Pain & relation of pain to lying flat and bending with Normal ECG suggestive of GERD.
•  if Calcium increases and phosphate decreses then think about PTH.