Growth hormone and ACTH cause an increase in insulin sensitivity. TSH causes increased glucose absorption from small intestine. They all cause increased blood glucose.
Pleural exudate, not transudate, if PF protein / serum protein over 0.5, PF LDH / serum LDH over 0.6, or absolute LDH over 200 U/L. Exudate indicates pneumonia, infarction or malignancy.
At altitude, partial pressure of oxygen in blood, and saturation of hemoglobin, are lower, but hematocrit is higher (60-65, instead of ~45).
Strawberry tongue diseases: Kawasaki disease, Scarlet fever (and toxic shock syndrome). Both also have rashes, but Kawasaki is mostly hand and feet, and has redness of lips and oral mucosa. Scarlet fever tends to spare the oral region, the rash starts in the chest, arm pits, and behind the ears. Both rashes are desquamative.
Measles: Rash starts on head and spreads to rest of body. Remember the three C's -- cough, coryza, and conjunctivitis -- as well as Koplik's spots, which are pathognomonic but not always seen since they are transient.
Elevated alkaline phosphatase is seen in many disease states of the liver, bone, and bone marrow. Liver: cholestasis, cirrhosis, hepatitis, many liver disease. Bone: Paget's disease, primary hyperparathyroidism and secondary hyperparathyroidism, bone metastases of prostatic cancer, bone fracture, bone fracture in multiple myeloma. Bone marrow: PV, ET, MF, but NOT chronic myelogenous leukemia (in fact you see lowered leukocyte alkaline phosphatase in CML).
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