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Progressive ECG changes with increasing 
hyperkalaemia. 
 (a) Normal 
 (b) Tented T wave (arrow)
Progressive ECG changes ... with increasing hyperkalaemia ... (a) Normal (b) ... d) 'Sine wave' pattern ... #Progression #Changes
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - ... Differential Diagnosis Algorithm ... in cough) • Abnormal ... lymadenopathy, clubbing, chest ... exam, etc) • Abnormal
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Abnormalities in ... disease, pleuritic chest ... may show this pattern ... include asthma, chronic ... #Breathing #Patterns
Causes of Constipation in Adults
Most common
 - Inadequate fiber or fluid intake
 - Poor bowel habits
Systemic
- Metabolic: hypokalemia ... , hypercalcemia, ... Diuretics - Calcium channel ... Cholestyramine Structural abnormalities ... disorders - Chronic
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Chronic infections ... the digits and changes ... from hypoxia, changes ... Spots in the pattern ... Nail #Diseases #Abnormal