🔴 Spot Diagnosis:

📍SVT

🔴 An elderly male presents with Palpitations and Shortness of breath on exertion. The ECG is as follows.

🔴 What is the likely diagnosis and management?

📍Atrial Fibrillation

🔴 What is the best management?

📍Beta-Blocker

🔴 A patient known to have hypertension presents with Chest discomfort and Nausea.

📍Hyperkalemia

🔴 Most Likely underlying Cause?

📍Due to ACEIs or ARBs

🔴 Firstly line Management?

📍 IV Calcium Gluconate

🔴 Spot Diagnosis?

📍Atrial Fibrillation

🔴 The following ECG is done for a 58 YO man who presents with palpitation. He is otherwise healthy.

🔴 Diagnosis?

📍Atrial Fibrillation

🔴 What is the most appropriate line in Rx?

📍 Beta-blockers (eg, metoprolol, atenolol)

🔴 A 59 YO hypertensive patient presents to the A&E complaining of dull central chest pain for around 4 hours. His vitals are as follows: HR: 99, BP: 155/95, RR: 21, O2 sat on room air: 97% Chest X-ray is normal. Troponin level was sent and still pending. He was given IV morphine for his chest pain.

🔴 Diagnosis?

📍 myocardial ischemia

🔴 What is the most appropriate next step in management?

📍 Oral Aspirin & SC LMWH

🔴 Spot Diagnostic?

📍2nd degree heart block (Mobtiz 2)

🔴 A patient with DM type 1 who presents with abdominal pain, vomiting, lethargy, increased thirst and urination, and fruity smelling breaths. This ECG:

🔴 What is the ECG Abnormality?

📍Hyperkalemia

🔴 What is The Cause?

📍Due to DKA (diabetic ketoacidosis)

"دوام الذكر في الطريق، والبيت، والحضر، والسفر، والبقاع تكثير الشهود للعبد يوم القيامة؛ فإن البقعة، والدار، والجبل، والأرض تشهد للذاكر يوم القيامة".

ابن القيم (رحمه الله) | الوابل الصيب ١٩٧

﴿مَنْ كَانَ يَرْجُو لِقَاءَ اللَّهِ فَإِنَّ أَجَلَ اللَّهِ لآتٍ وَهُوَ السَّمِيعُ الْعَلِيمُ﴾ [العنكبوت: ٥]

"يا أيها المحب لربه، المشتاق لقربه ولقائه، المسارع في مرضاته، أبشر بقرب لقاء الحبيب، فإنه آتٍ".

السعدي (رحمه الله ) | تيسير الكريم الرحمن ٦٢٦