Jeffrey Kalei

Jeffrey Kalei

Diabetes Mellitus

Overview Type I Diabetes Mellitus (T1DM): Caused by autoimmune destruction of beta cells. Always requires insulin. Lean patient with early onset. Type II Diabetes Mellitus (T2DM): Caused by insulin resistance. Controlled by appropriate diet and exercise and/or oral meds. May…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

Standard Monitoring

Basic Anaesthetic Monitoring ASA has prescribed standards for basic anaesthetic monitoring. Standard Statement Standard I A qualified anaesthesia personnel shall be present in the room throughout the conduct of all general anaesthetics, regional anaesthetics and monitored anaesthesia care Standard II…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

A 22-year-old with asthma

Pathophysiology of Asthma

History A 22-year-old woman diagnosed with asthma previously presents at the outpatient clinic with a 3-day history of worsening cough, wheezing, and dyspnea that was not relieved by her rescue inhaler. Q1. What are the differentials for a cough? Q2.…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

The problem with medicine

The problem with medicine is that it remains dominated by imperialist Western interests and practices. Economic gain has been prioritized over the well-being of our population.  Our countries remain dependent on the West for medical essentials, technology, resources, and decision-making.…

A 46-year-old with right upper quadrant pain

History 46-year-old woman presents to the emergency department with a 1-day history of constant right upper quadrant abdominal pain. Q1. What are the differentials for right upper quadrant and epigastric abdominal pain? The pain began after eating fried pork. She…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

A 23-year-old with right lower quadrant abdominal pain

History A 23-year-old woman presents to the emergency department with a 12-hour history of right lower quadrant (RLQ) abdominal pain. Q1. What are the differentials for RLQ abdominal pain? Q2. What are the differentials for RLQ abdominal pain in women?…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

A 29-year-old man with jaundice

Hepatitis B Virus

History A 29-year-old man presents with yellow discoloration of the eyes Q1. What is jaundice? Q2. At what concentration of conjugated bilirubin is jaundice visible? Q3. What is the earliest sign of jaundice? Q4. Where else can jaundice be appreciated?…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

A 45-year-old who lost consciousness following head trauma

Acute epidural hematoma

History A 45-year-old male motorcyclist is brought to the Emergency Department after hitting the rear-end of a car at highway speeds. He was wearing a helmet but was thrown from his motorcycle. He was found awake in the field by…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

A 17-year-old with nausea and vomiting

Pathophysiology of DKA, Pathogenesis of DKA

History A 17-year-old girl with a history of Type I Diabetes Mellitus is brought to the Emergency Department with nausea, vomiting, lethargy, and dehydration Q1. What is the most likely diagnosis? Q2. What other symptoms are associated with DKA? Q3.…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here

A 25-year-old with burns to the face, torso and upper extremities

History A 25-year-old man weighing 70 kg is brought to the casualty department one hour after sustaining burn injuries to his face, torso, and upper extremities in a house fire. He is awake but appears confused and disoriented. He also…...

Hyperexcision Explorer Membership Required

You must be a Hyperexcision Explorer member to access this content.

Join Now

Already a member? Log in here