Internal Medicine By Doha Rawag
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MBBCh ,Tripoli University👩‍🎓
GP at TUH👩‍⚕️
Studies arab and Libyan board of internal medicine specialists 🩺
Medical educator at https://t.me/New_Minds_Edu💻
القناة خاصة بكل شي يتعلق بمادة الباطنة .💊💉
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بي دي اف قنين في الاكس ري ان شاء الله يفيدكم🌸🌸
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
السلام عليكم دكاترة 🌸🌸

شن تبوا نعطيكم بعد ال xray
Anonymous Poll
60%
ECG
19%
Emergency
11%
Instrument
10%
نحلوا أسئلة
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بما ان الاغلبية صوتوا ECG

ف حيكون تاني موضوع بعد ال x ray و ح نزللكم ECG cases بالحل متعها ان شاء الله .🍀🌼
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A 35 year old man presents with palpitations. He has been drinking heavily with friends over the weekend. This is his ECG. Present your findings and give a diagnosis
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Presentation

Rate➡️100 – 150
Rhythm➡️Irregularlyirregular
Axis➡️Normal
P-wave➡️No p-wave seen,Fibrillating base line
QRS➡️Narrow
ST/T-wave➡️Normal
QTc/other➡️Normal
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Diagnosis

This ECG shows atrial fibrillation (AF) with a fast ventricular response
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Question 2

A 45 year old business man presents with a feeling that his heart is racing. He also has some shortness of breath. This is his ECG. Present your findings and give a diagnosis.

Presentation
👇
Rate➡️150
Rhythm➡️Regular
Axis➡️Normal
PR/P-wave➡️No p-waves. Seesaw baseline
QRS➡️Narrow
QTc/other➡️Normal

Diagnosis
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This is atrial flutter
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A 65 year old man with a history of ischaemic heart disease is found unresponsive. He has no central pulse and is making no respiratory effort. This is his ECG. What is the diagnosis and what will you do?

Presentation
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Rate➡️150
Rhythm➡️Regular
Axis➡️Left axis deviation
PR/P wave➡️Not visible
QRS➡️Wide
ST/T wave➡️Unable to assess
QTc/other➡️Unable to assess

Diagnosis
This is ventricular tachycardia (VT)
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