How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
How it started: How it’s going:
Answers:

1. Dapsone induced methemoglobinemia (🍫🩸)
2. Pentamidine ➡️ increased insulin secretion ➡️ hypoglycemia
3. Succinylcholine induced malignant hyperthermia, Tx - dantrolene, supportive care
4. PPI ➡️ impaired intestinal Mag absorption ➡️ hypomagnesemia
5. Metformin - B12 deficiency
Mechanisms:
-alterations in small bowel motility ➡️ stimulates bacterial overgrowth
-competitive inhibition/inactivation of vitamin B12 absorption
-alterations in intrinsic factor levels
-inhibition of Ca-dependent absorption at the terminal ileum
6. Natalizumab ➡️ prevents lymphocytes from adhering to the endothelium of the blood–brain barrier ➡️ reduces migration from the blood into the CNS ➡️ JC virus reactivation ➡️ progressive multifocal leukoencephalopathy
10.Bevacizumab ➡️ increase in vascular tone due to inhibition of VEGF-mediated vasodilation ➡️ malignant hypertension
11.TMP/SMX - hemolytic anemia (G6PD), bite cells on smear
12.Flucytosine - bone marrow suppression, pancytopenia
13.Atazanavir - bilirubinemia, jaundice
14.Allopurinol - DRESS (Drug reaction with eosinophilia & systemic symptoms)
15.Furosemide - bullous pemphigoid
16.Rifampin - Orange urine
17.Clofazimine - hyperpigmentation
18.Metronidazole - encephalopathy (Nearly all cases show lesions in the cerebellum/dentate nuclei)
19.Amoxicillin - AGEP (Acute generalized exanthematous pustulosis)
20.Cyclophosphamide - hemorrhagic cystitis
21.Cisplatin ➡️ disordered cerebral autoregulation, endothelial damage ➡️ PRES (posterior reversible encephalopathy). Symmetrical lesions in post. cerebral hemispheres
22.Sildenafil ➡️ selectively inhibits cGMP-specific phosphodiesterase type 5 (PDE5). Also inhibits PDE6 exclusively present in rod and cone photoreceptors ➡️ blue tinge to vision (cyanopsia)
23.Isoniazid - sideroblastic anemia, addition of B6 can correct the anemia
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