GLP-1 receptor agonists are emerging as a potential therapeutic option for obstructive sleep apnea (OSA).
⚡ Migraine treatment works best when it is early, decisive, and individualized:
✓ Treat at the first sign
✓ Use an adequate initial dose
✓ Choose a nonoral route for significant nausea/vomiting
✓ Consider preventive therapy when attacks are frequent or difficult to control
SGLT2 inhibitors may modestly improve glucose and weight in type 1 diabetes, but they increase the risk of diabetic ketoacidosis—including euglycemic DKA. Their use requires careful patient selection, education, ketone monitoring, and sick-day precautions.
🩸 ASH 2026 Guidelines: Key Ferritin Thresholds for Diagnosing Iron Deficiency—With or Without Anemia
Shawl sign in dermatomyositis:
Poikilodermatous eruption on the upper back in a patient with dermatomyositis.
All patients who test positive for active H. pylori infection (ie, have a positive nonserologic test) should be offered treatment.
Exception if there is contraindications to treatment (eg, pregnancy)
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Long-distance Travel
&
VTE prophylaxis
#ASH18 Guidelines – at Barcelona, Spain
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Replying to @IMmemorandum
Up to 70% will not have the classic triad on presentation (and MRI not very sensitive either). Diagnose based on response to empiric IV thiamine (500mg q8h)
Thiamine deficiency manifesting as Wernicke encephalopathy :
● Nystagmus
● Ophthalmoplegia
● Ataxia
● Confusion
Peripheral neuropathy: differential
STAGLAND:
👉Sarcoid
👉Thyroid
👉Amyloid
👉Guillian-Barre
👉Lead
👉Alcohol
👉Nutritional
👉Drugs/Diabetes























