Aiims 2k19
Polycythemia::mast cell Jak 2 mutation pruritus,thrombosis,aquagenic pruritus, erythromelagia,splenomegaly,gout

Lewy body::visual hallucinations, parkinsonism, cognitive, attention,alert
Psychosis:pimvanserin
Rivastigmjne ,donepezil 
Devics::transverse myelitis + optic myelitis
Acute steroids,,,eculi complement,sartali 6,inebili B
Y descent::cardiomyopathy, Tricuspid regurgitation, constrictive pericarditis
Pelizeus merbazucher:::plp1,,Axonal demyelination,,,Mr spectroscopy::Naa


Exudative 1 positive Glucose <60 malignancy, parapneimonic effusion, ra
Ada>40 tb
Bp...sbp 20 dbp 10 after 3 minutes

Cjd:::spongiform encephalopathy..myoclonus dementia,akinetic mutism...periodic sharp waves,14 3 3 csf
Sporadic cortical ribbon,,variant..hockey stick...familial prpc

Ag::6 to 12
Na -cl +hco3 ante chk

Unstable psvt ;;;sync cv afib aflutter vtach without pulse mono ::100 -200 ,bi:::50 -100
Vtach with pulse and v fib;; mono 360 bi;;200
Hemophilia::multiple bt sodiumcitrate causes metabolic bicarbonatisss


Recent past..igm+anti hbs
Remote past...igg
Vaccine;;anti hbs
Acute 
Early::hbs ,hbe,  igmhbv dna
Window::hbe ,,antihbe,igm,hbv dna
Recovery ..anti hbs ,,iggg,anti hbe

Vit d toxicity:: dexa intestinal absorption 
Leptospirosis::doxy azithro penicillin 
Serology, mat, cultures emjh,fletcher, pcr
Multiple myeloma "";;hyperglycemia,renal insufficiency, anemia,bone  any one

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