Remember:
-AMOIDRONE is contraindicated in individuals with polymorphic ventricular tachycardia as it is associated with a prolonged QT interval which will be made worse with anti-arrhythmic drugs.
#Cardiology
-AMOIDRONE is contraindicated in individuals with polymorphic ventricular tachycardia as it is associated with a prolonged QT interval which will be made worse with anti-arrhythmic drugs.
#Cardiology
Common pathogens in pneumonia and lower respiratory tract infections:
-COPD exacerbations 👉🏼 H.influenza.
-Cystic fibrosis 👉🏼Pseudomonas ( foul smelling sputum ).
-Alcoholic and diabetic 👉🏼 klebsiella ( cavitation).
-HIV 👉🏼 PCP , Histoplasmosis ( insidous cavitation) , staph aureus( acute, cavitation) , and cryptococcus ( positive India ink).
-Hypogamaglobulinemia 👉🏼 streptococcus and hemoohilus influenza .
-Exposure to bats 👉🏼 Histoplasmosis .
#mrcp1
#Respiratory
-COPD exacerbations 👉🏼 H.influenza.
-Cystic fibrosis 👉🏼Pseudomonas ( foul smelling sputum ).
-Alcoholic and diabetic 👉🏼 klebsiella ( cavitation).
-HIV 👉🏼 PCP , Histoplasmosis ( insidous cavitation) , staph aureus( acute, cavitation) , and cryptococcus ( positive India ink).
-Hypogamaglobulinemia 👉🏼 streptococcus and hemoohilus influenza .
-Exposure to bats 👉🏼 Histoplasmosis .
#mrcp1
#Respiratory
Remember:
-Hyponatremia + abdominal pain + vomiting:
With hypotension 👉🏼 think in Addison
With hypertension ( and neuro psychatric symptoms )👉🏼Porphyria .
-Do not give metoclopramide in patients with suspected porphyria.
Best treatment for acute intermittent porphyria IV glucose infusion with mild cases and haem arginate IV with severe cases .
#mrcp1
#Endocrine
-Hyponatremia + abdominal pain + vomiting:
With hypotension 👉🏼 think in Addison
With hypertension ( and neuro psychatric symptoms )👉🏼Porphyria .
-Do not give metoclopramide in patients with suspected porphyria.
Best treatment for acute intermittent porphyria IV glucose infusion with mild cases and haem arginate IV with severe cases .
#mrcp1
#Endocrine
Exercise ECG is not useful in patients with:
1) Conduction abnormalities: e.g. LBBB.
2) Resting ECG abnormalities like ST segment depression of ˃ 1 mm.
3) WPWS
4) Those with ventricular pacing rhythm.
5) Those on digoxin.
#Cardiology
1) Conduction abnormalities: e.g. LBBB.
2) Resting ECG abnormalities like ST segment depression of ˃ 1 mm.
3) WPWS
4) Those with ventricular pacing rhythm.
5) Those on digoxin.
#Cardiology
Sudden cardiac death (SCD):
-It is an unexpected death due to cardiac causes that occurs in a short time period (generally within 1 hour of symptom onset) in a person with known or unknown cardiac disease.
#Cardiology
-It is an unexpected death due to cardiac causes that occurs in a short time period (generally within 1 hour of symptom onset) in a person with known or unknown cardiac disease.
#Cardiology
8 Hand Findings of Cirrhosis: 🤚
1. Palmar Erythema
2. Dupuytren's Contracture
3. Asterixis
4. Terry's Nails
5. Clubbing
6. Spider Angiomas
7. Muscle Wasting
8. Leukonychia
#Liver
1. Palmar Erythema
2. Dupuytren's Contracture
3. Asterixis
4. Terry's Nails
5. Clubbing
6. Spider Angiomas
7. Muscle Wasting
8. Leukonychia
#Liver
💊6 Clinical Uses of ACE Inhibitors:
1⃣ Hypertension
2⃣ Heart failure
3⃣ Diabetic nephropathy
4⃣ In patients at risk of ischemic heart disease
5⃣ Following myocardial infarction; especially with ventricular dysfunction
6⃣ Chronic renal insufficiency, to prevent progression.
#Cardiology
1⃣ Hypertension
2⃣ Heart failure
3⃣ Diabetic nephropathy
4⃣ In patients at risk of ischemic heart disease
5⃣ Following myocardial infarction; especially with ventricular dysfunction
6⃣ Chronic renal insufficiency, to prevent progression.
#Cardiology
•The most important consequence of portal hypertension is variceal bleeding, which commonly arises from oesophageal varices located within 3–5 cm of the gastro-oesophageal junction, or from gastric varices.
•Risk Factors for Bleeding in Varices:
-The size of the varices
-Endoscopic variceal features such as red spots and stripes,
-High portal pressure and
-Liver failure are all general factors that predispose to bleeding.
-Drugs capable of causing mucosal erosion, such as salicylates and NSAIDs, can also precipitate bleeding. Variceal bleeding is often severe, and recurrent if preventative treatment is not given.
#Liver
•Risk Factors for Bleeding in Varices:
-The size of the varices
-Endoscopic variceal features such as red spots and stripes,
-High portal pressure and
-Liver failure are all general factors that predispose to bleeding.
-Drugs capable of causing mucosal erosion, such as salicylates and NSAIDs, can also precipitate bleeding. Variceal bleeding is often severe, and recurrent if preventative treatment is not given.
#Liver
-Banding is best suited to the treatment of Oesophageal varices
-It is associated with a lower risk of oesophageal perforation or stricturing than sclerotherapy.
-Prophylactic acid suppression with proton pump inhibitors reduces the risk of secondary bleeding from banding induced ulceration.
#Liver
-It is associated with a lower risk of oesophageal perforation or stricturing than sclerotherapy.
-Prophylactic acid suppression with proton pump inhibitors reduces the risk of secondary bleeding from banding induced ulceration.
#Liver