Hyperthyroidism is caused by an elevation of thyroid hormone (T3 and T4). Classification Classification Description Examples Primary hyperthyroidism Elevated thyroid hormone due to increased autonomous production by the thyroid gland. Has a low TSH, high T3, and T4 Grave’s disease,…
DKA vs HHS vs EDKA DKA HHS EKDA Predominant feature Ketonemia and high anion gap metabolic acidosis Very high glucose and serum osmolality Ketonemia and high anion gap metabolic acidosis Glucose >13.9 >33.3 Normal (<11) Ketones > 3 mmol/L in…
Diabetes is an endocrine disease caused by a lack of insulin or reduced insulin effectiveness. The main metabolic derangement is hyperglycaemia, which can lead to serious microvascular and macrovascular complications. Both Type 1 diabetes (T1DM) and Type 2 diabetes (T2DM) have the same…
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…
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.…
The unexamined life is not worth living Socrates A month ago, I had a nagging urge to shift my life in a different direction. I felt my life was greatly misaligned with my goals, and that I wasn’t as productive…
Kenyans awoke to an impending healthcare crisis on the 6th of March when the Kenya Medical Practitioners Pharmacists Dentists Union (KMPDU) announced the beginning of a strike. Now these hardy Kenyans were not unfamiliar with strikes having survived (or not)…
Here is a checklist I wish I’d had before embarking on my first day on the ward as a medical student. Feel free to adapt it as you wish and make it your own. Lab coat – Your number one…
It’s another dull and cloudy morning in Nairobi. The sun has barely cleared the horizon, yet your day is already underway. Congratulations you’ve made it past your pre-clinical years! And for that, you have been granted a lifetime membership at…
Planning is a highly effective way to increase productivity. Weekly planning is better than daily planning since it is close enough to be relevant but distant enough to show the bigger picture. I recommend taking 20-30 minutes alone before the…
