A hub for internal medicine professionals — Board.ThaiHealth.net connects doctors, clinical cases, and AI-powered tools to enhance continuous learning, research, and patient care. We use baseline informations from various textbooks and journals in 2025 and use Mikai AI to help for the arrangement. You can see Mikai in action here click to see MIKAI
Types of biases from a psychological perspective
In psychology, biases refer to systematic deviations from rational or objective thinking, often influenced by cognitive, emotional, or social factors. Here are some key types of biases from a psychological perspective: Cognitive Biases: Errors in thinking that affect how we process information. Confirmation Bias: Favoring information that confirms pre-existing beliefs and ignoring contradictory evidence.Anchoring Bias:…
The best treatment of psoriasis (2025)
The best treatment for psoriasis depends on the type, severity, and location of the disease, as well as patient-specific factors. Here are some commonly recommended treatments: For severe cases with joint involvement (psoriatic arthritis), medications targeting TNF-alpha, IL-17, or IL-23 are often used. Regular monitoring is essential due to potential side effects of systemic therapies.
Ordering for sepsis patient in clinical practice.
Initial Laboratory Evaluation for Sepsis: Complete Blood Count (CBC) with Differential: To assess for leukocytosis, leukopenia, or bandemia, which are common in sepsis. – Basic Metabolic Panel (BMP): To evaluate electrolyte imbalances, renal function, and metabolic acidosis. – Liver Function Tests (LFTs): To detect hepatic dysfunction, which may indicate severe sepsis or organ dysfunction. –…
Prediction of Thyroid storm
Factors and precipitation and scaling of thyroid storm prediction Precipitating Factors (common triggers):Infection (e.g., pneumonia, urinary tract infection)Trauma, surgery (e.g., thyroidectomy, radioiodine therapy)Discontinuation of antithyroid medications in thyrotoxicosisMyocardial infarction, strokeDiabetic ketoacidosis, pregnancy, labor Clinical Features (Burch-Wartofsky Point Scale for diagnosis):Temperature >38°C (1 point per degree above 37°C)Heart rate >140 bpm (1 point per 10 bpm…
DOAC list , updates
Direct Oral Anticoagulants (DOACs) in 2025: –Apixaban (Factor Xa inhibitor) –Rivaroxaban (Factor Xa inhibitor) –Edoxaban(Factor Xa inhibitor)Dabigatran (Direct thrombin inhibitor) –Betrixaban (Factor Xa inhibitor, approved for extended VTE prophylaxis) Apixaban (Eliquis)–Onset: Rapid, with peak plasma concentrations reached in 3–4 hours. –Action: Direct factor Xa inhibitor, preventing clot formation. –Side Effects: – Bleeding (most common, including…
Osteoporosis , recent treatment update
Antiresorptive Agents (First-Line for Postmenopausal Osteoporosis):
diabetes recent study (2023 up)
Beta-blockers and thiazide diuretics: May increase or have no change in type 2 diabetes incidence. – ACE inhibitors and calcium antagonists: May decrease or have no change in type 2 diabetes incidence. – Rationale: Data from high-quality studies suggest variable effects on diabetes risk, with some drugs potentially exacerbating metabolic dysfunction. – Euglycemic DKA in…