Kidney Disease Management: A Concise Reference

Kidney Disease Management

Non-album BP: NOptimize glycemic control (target HbA1c < 6.5)
Persistent microalbumin BP: N+ ACE inhibitor
Persistent microAlb HBPTitrate ACE inhibitor, aim for BP < 130/85 mmHg; low sodium diet;
add another antihypertensive
Proteinuria– Aggressive BP control, – BP < 125/75 mmHg – lipid-lowering drugs,
low-protein diet
Rising GFRLow-protein diet (0.8g/kg daily); initiate dialysis when GFR is < 20-15






ANCA Small Vessels

Nitic + old age/purpura/abdominal pain/sinusitis,
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Professional Workplace Conduct: Customer Service & Communication

Professional Workplace Conduct

This document covers various aspects of professional conduct, including personal appearance, language, and workplace environment, all crucial for effective customer service.

A. Personal Presentation

Adhere to general rules of hygiene and maintain a professional appearance as recommended by the organization.

B. Use of Formal Language

Employ appropriate language in professional settings. This includes:

  • Standard cultured supraformal
  • Formal linguistic purism
  • Informal linguistic
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ENT Key Points: Diagnosis and Treatment

Key Concepts in ENT

Focus on Solving

  • All or None
  • True or False
  • Subject by Subject

Differential Answers

  1. Moderate allergy Tx: (C)
  2. Asphyxia: (ER Tracheostomy)
  3. Larynx abd: (C-A-P)
  4. Allergy: Pale mucosa!
  5. Septal Resection Does not Cause: Nasal Polyp
  6. Photoan: weak VC
  7. Contact ulcer: Vocal abuse!
  8. VC lateral: paralysis
  9. VC constriction: functional aphonia!
  10. Bullous myringitis: PS Aeruginosa!
  11. Normal skin: Except diphtheria!
  12. Swelling of inner orbital: ALL
  13. : Serous otitis media
  14. Headache: Aggravated by exertion
  15. High Pitch: high and
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Phrasal Verbs and Vocabulary in English: A Comprehensive List

Essential Phrasal Verbs

  • Acabar: End up doing something
  • Admirar a: Look up to somebody
  • Agarrarse a: Hold on to something = Hang on to something
  • Alcanzar a: Catch up with somebody
  • Arreglárselas: Get by
  • Buscar: Look for = Search for = Seek
  • Buscar: Look up
  • Causar: Bring on/about something
  • Ceder: Give in to something
  • Ceñirse a: Stick to something = Follow something
  • Chocar contra: Crash into = Bump into = Drive into = Collide with
  • Continuar con: Get on with something = Carry on with something
  • Convertirse en: Turn
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Diagnosis and Treatment of Thoracic Conditions: A Comprehensive Review

I- Dx and T of Spontaneous Pnthorax:



^DX :


I- Dyspnea, pleuritic chest
Pain / ↓  Breath Sounds/Hyperesonance!
II-XRay on Inspiration:
-Radiolucent air & absence of MAaking between
 a shrunken lobe or lung
&the parietal pleura are diagnositc of Pneumothorax!
-Tracheal deviation , 
III-  Pnthroax Defined:% of empty hemithorax


^^Tension Pn thorax :


if there is suden & unexplained :
-hypotension
-Dyspnea
-+ve Pressure ventilation



^^Tx:



I-”TENSION Pn TRX=Needle Decompresion

– ER —-> cannot wait
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The Brethren: Plot, Characters, and Key Story Elements

1- Story Beginnings: Grisham initiates two separate narratives in the first two chapters. The first focuses on the judges (the Brethren), detailing their imprisonment and activities. The second introduces presidential candidate Aaron Lake, supported by the CIA. These stories converge when the three judges begin blackmailing Aaron Lake.

2- The Brethren: The Brethren are a group of three judges, sentenced as criminals. They were imprisoned by a governor who opposed forward-thinking judges like Finn

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