-Drugs causing intrahepatic Cholestasis.

Drugs causing intrahepatic Cholestasis

"Cheap"

Contraceptive pills,Chlorpromazine.
Hypoglycemic drugs.
Erythromycin.
Anti-thyroid drugs,Anti-coagulants,Anabolic steroids.
PAS.

Dr Ibrahim

-Poor prognosis of rheumatoid disease.

Poor prognosis of rheumatoid disease
"I'm fresh"

Insidious onset.
Male patient.

Functional disability at the 1st year after start of disease.
Radiographic evidence of erosion.
Extra-articular manifestations.
Subcutanous nodules.
High positive Rheumatoid factor.

Dr Ibrahim

-Complications of Tetralogy of fallot.

Complications of Tetralogy of fallot
"Inches"

Infective endocarditis,Low I.Q.
Neurological (e.g Brain abscess,cerebrovascular accidents)
Cyanotic spell,Clubbing.
Hematological(e.g polycythemia,IDA,Thrombosis).
Hyperuracemia and gout,Heart Failure (rare).
Exercise intolerance.
Squatting,scoliosis,Stunted growth.

Dr Ibrahim

-Drugs causing hepatitis.

Drugs causing hepatitis

"CMV Hard knife"

Cytotoxic drugs,Clonazepam.
Methyldopa.
Verapamil.

Halothane.
Atenolol.
Rifampicin.
Disulfiram.

Ketoconazole.
Nitrofurantoin,Niacin.
Isoniazid.
Fenofibrate.
Enalapril,Erythromycin.

Dr Ibrahim

-Treatment of Acute pancreatitis.

Treatment of Acute pancreatitis
"Snails"

Shock managment.
Nothing by mouth (put pancreas to rest).
Aspiration of gastric contents and Analgesics for pain.
Iv fluids and Calcuim.
Lavage of peritoneum in severe cases.
Somatostatin:- decrease pancreatic secretions.

Dr Ibrahim