A 45 year old man is found collapsed at home. There is no history available. This is his ECG. What is the diagnosis?

◽Presentation
👇
Rate➡️Highly variable – up to 300 bpm
Rhythm➡️Irregular
Axis➡️Unable to assess
PR/P wave➡️Absent during episodes of extreme tachycardia
QRS➡️Wide
ST/T wave➡️Unable to assess
QTc/other➡️Unable to assess

◽Diagnosis
👇
This is a difficult case and shows runs of polymorphic VT or Torsades de pointes.

◽Presentation
👇
Rate➡️64 beat/min
Rhythm➡️Regular
Axis➡️Normal
PR/P wave➡️Constant prolongation of PR interval in lead 2
QRS➡️Normal
ST/T wave➡️Normal
QTc/other➡️Normal

◽Diagnosis
👇
This is a First degree heat block.

◽Presentation
👇
Rate➡️ 75 beat/min
Rhythm➡️irregular
Axis➡️Normal
PR/P wave➡️progressive prolongation of PR interval in lead 2 , followed by a Missed beat
QRS➡️Normal (Narrow)
ST/T wave➡️ ST segment elevations in lead 2 , 3 , AVF , Otherwise are Normal.
QTc/other➡️Normal

◽Diagnosis
👇
This is a Second degree heat block (Mobitz type I ) with Acute inferior STEMI.

◽Presentation
👇
Rate➡️ 100 beat/min
Rhythm➡️irregular
Axis➡️Lt axis deviations
PR/P wave➡️Normal and constant PR intervval , followed by Missed beat in lead 2
QRS➡️M shaped in V1 , V 2
ST/T wave➡️Normal
QTc/other➡️Normal

◽Diagnosis
👇
This is a Second degree heat block (Mobitz type II) with RBBB.

◽Presentation
👇
Rate➡️ 55 beat/min
Rhythm➡️Regular PR , Regular RR intervals
Axis➡️Normal axis
PR/P wave➡️Normal
QRS➡️Wide
ST/T wave➡️Normal
QTc/other➡️Normal

◽Diagnosis
👇
This is a Third (Complete)degree heart block.

ال pdf هذا عبارة عن كيسات محلولة و فيه أغلب ال ECG cases اللي تجي في الإمتحان ، ان شاء الله يفيدكم🌸

أهم مواضيع ال ECG في إمتحان الاورال✋📝✏

STEMI (بأنواعها )
AF
Atrial flutter
SVT(مش شرط تحدد النوع المهم تزبطها )
VT
VF (ما تجيش هلبا)
Torsade de pointes (ما يجيش هلبا)
Heart block (بأنواعه التلاتة)

طبعاً بعد ما تقروا ال ECG و تقولوا ال presentation يسألك بعدها على DX و ال Causes لازم اتبتوهم مهماااات هلباا💡💡

بالنسبة لل TTT ما يسألوش عليها و لو سألوا يبوا إجابة سطحية .

ربي يوفقكم جميعاً.🧡💛

السلام عليكم ورحمة الله وبركاته 🌸🌸

هذا شيت ملخص للهستوري ، كاتباته من ايامات كنت سنة خامسة، بنفس طريقة د. محمد شلوف و زايدة عليه شوية إضافات

كنت نبي نعدله اكثر ، لكن ما لقيتش وقت☹

ان شاء الله يفيدكم و لا تنسوني من صالح الدُعاء🤲

#OSCE
◽General
🔹️Hand examination

Q1_ What are the stages of clubbing?
1_ Stage 1/ +ve flactuation test
2_ Stage 2/ loss of normal angel b/w nail and nail fold
3_ Stage 3/ loss of window ( Sham Roths sing )
4_ Stage 4 / Drum stick
5_ Stage 5/ Hyperthrophic pulmonary osteoathropathy


Q2_What are the bedside tests for Clubbing ?
1_flactuation test
2_nail angels
3_widow sign

Q3_What are the hand features of Marfan syndrome?
1_ Wrist sign
2_ Thumb sign
3_ Arachnodactaly
4_ Joint flexity

Q4_What're the hand features of IE ?
1_ Splinter haemorrhage
2_ Osler nodules
3_ Janeway lesion
4_ Clubbing

Q5_What is the DD of yellow nail ?
1_Onychomycosis
2_ Chronic paronychia
3_ Pseudonymous infection
4_ Yellow nail syndrome ( Yellow nail + Branchiactasis + lymphedema)
5_Drugs ( Topical 5`flurouracil , tetracycline)

Q6_What're the hand deformities of RA ?
1_Swan neck defomity
2_ Boutonniere deformity
3_ Z deformity
4_ Radial deviations at wrist joint
5_ Alnar deviations at wrist joint

Q7_ What're the special tests of wrist examination?
1_Phalen test
2_ Tinel test