Internal medicine Lectures, books,Mcqs & usmle💊

✈️Do not use antibiotics if EHEC is suspected. Obtain diagnostic studies and monitor for signs of HUS. Enterohemorrhagic Escherichia coli (EHEC)

✈️Thrombocytopenia, hemolytic anemia, and acute kidney injury are the typical triad for HUS.

✈️Do not use antibiotics if EHEC is suspected. Obtain diagnostic studies and monitor for signs of HUS. Enterohemorrhagic Escherichia coli (EHEC)

✈️Infants born to HBsAg-positive individuals should receive 1 dose of HBIG and the first dose of HBV vaccine within 12 hours of birth.

✈️HCV infection alone is not an indication for cesarean delivery.

✈️Hepatitis B vaccination is recommended for all pregnant individuals who have not been previously vaccinated.

✈️HCV infection alone is not an indication for cesarean delivery.

✈️Most acute hepatitis B infections in adults are self-limited. Antiviral therapy is not routinely indicated.

✈️Cranial nerve palsies are the most common early feature of botulism; suspect an alternative diagnosis in patients with no or late onset of cranial nerve palsies.

✈️Intravenous administration of vancomycin is ineffective for C. difficile infection because vancomycin is insufficiently excreted into the colon.

✈️Urea breath test or H. pylori stool antigen test can be used for the initial diagnosis of infection and/or confirmation of eradication

✈️PPIs should be discontinued 1–2 weeks prior to most H. pylori testing modalities to minimize rates of false-negative results. However, some types of testing, e.g., histology, are not affected by recent PPI treatment.

✈️Typhoid fever must always be considered in cases of persistent fever of unknown origin and a history of travel to an endemic region.

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Metabolic syndrome is diagnosed in patients with or receiving treatment for ≥ 3 of the following conditions:   Abdominal obesity Most populations in the US  [5][6] Men: waist circumference ≥ 102 cm (≥ 40.2 in) Women: waist circumference ≥ 88 cm (≥ 35 in) People of Asian descent [6][7] Men: waist circumference ≥ 90 cm (≥ 35.4 in) Women: waist circumference ≥ 80 cm (≥ 31.5 in) Elevated triglycerides: ≥ 150 mg/dL (or receiving drug treatment for elevated triglycerides)  Low HDL-C (or receiving drug treatment for reduced HDL) Men: < 40 mg/dL Women: < 50 mg/dL Elevated blood pressure: systolic ≥ 130 mm Hg and/or diastolic ≥ 85 mm Hg (or receiving drug treatment for hypertension) Elevated blood glucose: fasting glucose ≥ 100 mg/dL (or receiving drug treatment for elevated glucose)