Old age female, known case of HTN and IHD presented with 1 hour hx of chest pain, burning in nature, no radiation, associated with nausea without vomiting ?

A 72-year-old woman with a history of hypertension presented with an unpleasant awareness of her heartbeat and chest discomfort. On examination, her pulse rate was 30 bpm, with fine basal crackles and distant heart sounds. CXR showed Kerley B lines. One month earlier, she had an episode of palpitations and was diagnosed with paroxysmal atrial fibrillation, for which she was started on flecainide and bisoprolol.

This is a very interesting case. It was originally posted by Dr. Ali A. Rasheed, who kindly explained it to me a year ago.

Old age pt. With uncontrol HT presented to emergency department with sever headache and DLOC ?
BP 190/110
What happened?
Dx.?
How to deal with this pt. In ER ?

هذا المريض اجاني فقط
Sever headache

No chest pain , no dyspnea
PMH : DM , HTN
BP : 180/100

شتكولون شنسويله ؟
الكيس من د.حيدعبدالرضا 👏

#باطنية

Sent for CT هذا البيشنت لازم
طبعا ال SAH يجي ب finding of STEMI مو بس cerebral T wave

بالنتيجة المريض اندز CT و فعلا طلع SAH

Managment of HTN in patients with CKD

#cardionotes

#هام_جدا

المحكمة الاتحادية تقرّر إنهاء أعمال مجلس النواب وتحويل الحكومة إلى "حكومة تصريف أعمال" فيما يواصل رئيس الجمهورية ممارسة مهامه.

https://t.me/MydoctorA96

التعيين : سلملي

Very tough one⚡️⚡️⚡️

I would love to hear your interpretation, and learn from you, before I share my thoughts and first impression on this ECG.

In fact, this Case was posted by “ECG weekly” on facebook, unfortunately they don’t share the answer with the post.

👇This is my thoughts on this ECG

اغلب المرضى (حوالي ٧٠٪؜) اللي بيحصل لهم DKA مع ال SLG2is، السكر عدهم يكون اقل من ٢٥٠ وجزء كبير منهم السكر يكون اقل من ٢٠٠ (مو لازم السكر يكون مرتفع )

Risk factors of DKA with SGLT2 inhibitors include
Very-low-carbohydrate diets
Prolonged fasting
Dehydration
Excessive alcohol intake

#emergency_note

This post is for discussion, and I’d love to hear your thoughts.

We were always taught that thrombolytics are not indicated in patients with Non-STEMI. The usual explanations include that thrombolytics might worsen a partial occlusion into a complete one, or that they could generate emboli that block distal coronary vessels, among other explanations.

What do you think? Why are thrombolytics truly not recommended for patients with Non-STEMI?

🔻نائب نقيب الأطباء العام :
▪️التعينات دورة 24 ستكون في شهر 12 هذا ماتوصلت إليه نقابه مع جهات معنية.

هذا الكلام اكيد اخوان ؟؟؟

Most common cause of HF is IHD
2nd common cause is HT
So Mx. Of HT decrease rate of HF more than 50%

#cardio_note

#عاجل_جدا

وزارة الصحة ترسل اسماء خريجي الطب العام دفعة 2024 الى مجلس الخدمة الاتحادي للمصادقة عليها وقريباً سيتم إعلانها عبر الرابط

https://t.me/Medical_cours1

هذا الكلام صحيح الي عنده اخبار ؟؟؟
لو لعب باعصابنا !!!

⚡️🐝
Let’s give a third dose of adenosine, shall we?🙂
Or perhaps verapamil might be more effective, right?

🔴 Red Man Syndrome شلون تعالج

🔷 Stop the infusion immediately
🔷 Administer antihistamine (Diphenhydramine)
🔷 Restart infusion at a slower rate after symptoms settle
🔷 Prevent next episode: infuse over ≥ 60–90 minutes