Valvular disorder 💙🔥

🌸Causes of reumhatic fever=
Group A beta hemolytic sterptococcus
🌸Diagnosis of ARF require=
A) 2 major criteria
B) 1 major and 2 minor criteria
C) All 5 minor criteria
Either A or B or C + evidence of streptococcus pyogenes

🌸What is Major criteria.=
Pancaritis
Erythema marginatum
Subcutaneous nodules
Sydenham’s chorea
Migrarory polyarthritis

🌸Minor criteria:=
Fever.
Raised ESR or CRP.
Arthralgia
Prolonged PR interval
Previous rheumatic fever..

🌸Evidence of RF confirmed by=
Anti streptolysin O teter(ASO teter
Anti DNas B titer

🌸RF is hypersenstivity type!= 2

🌸Most common cause of death in ARF!!=
Myocarditis

🌸Common valve involve in ARF =
Mitral valve

🌸What is Histological finding in Reumhatic fever=
Aschoff bodies

🌸Treatment of reumhatic fever=
Penicillin

Rheumatic heart disease 💙🔥

#Fever + new murmur=
IE

#Most common type of cardiomyopathy=
Dilated cardiomyopathy

#Most common cause of death in athele=
HOCM

#Most common cause

1.Myocarditis=
Kwasaki viruse

2.Dilated cardiomyopathy=
Idiopathic

3.Acute pericarditis=
Kwasaki viruse

4.constrictive pericarditis=
Tb

5.Invective endocarditis=
Streptococcus viradea

#Chest pain improve by lining forword= pericarditis

#Chest pain radiate to back + normal ECG=
Aortic dissection

#Chest pain worse with inspiration better when sitting up= Dessler syndrome

#Atrial fibralation=
Arrhythmia

#Traid of Cardiac temponade=
1.Hypotension
2.Muffide sound
3.Increase JVP
Backs triad 🔥

#Crechendi dreshendo=
aortic stenosis

#Best systematic method of CVS examination =
Pulse, blood pressure, face, JVP, Praecordium

#Decrease systolic BP greater than 10mmhg = plusus paradoxus

#Most common cardiac tumor in children =Rhabdomyoma

#Most common cardiac tumor in adult =Myexoma

الباقي 💙🔥😂

AntiHypertensive drugs

🧨 Hepertensive drug in black elderly
Calcium channel blocker

🧨 AntiHypertensive drug in white youngs
ACEI

🧨 Antihypertensive drug in diabetic patients
Calcium channel blocker

🧨 Antihypertensive drug used in pheuchromocytoma
Phenoxybenzamin

🧨Drug that cause first dose syncope and dry couph
ACEI

🧨ACHEI drug used in patient with liver problem
Captopril isionpril

🧨 Drug used in Hypertensive patient with Ischemic heart disease
ACEI

🧨 Antihypertensive drug block aldosterone secretion and don't increase bradykinin level (don't cause dry couph)
ARBS

🧨 Calcium channel blocker has greater effect on Vascular
Nefidipin

🧨 Antihypertensive drug cause pedal edema and gingival hypertrophy
Calcium channel blocker

🧨 Antihypertensive drug used in patient with benign prostatic hyperplasia
Alpha adrenergic blocker

🧨 Antihypertensive drug used in pregnancy
Methyldopa

🧨 Antihypertensive drug cause hypertrichosis
Minoxidil

🧨 Antihypertensive drug used in emergency hypertension
Infusion nitropursside

🧨 Antihypertensive drug cause gynocomastia
Sprinolactone

🧨 Antihypertensive drugs that don't affect the Potassium level in blood
Potassium sparing duritics

🧨 antidote for digoxin toxicity
Digoxin immune Fab


🧨Drug used in acute heart failure
ACEI

🧨 examples of class 1 antiarrhythmic drug
Qunidine procinamide

🧨 examples of class 2 antiarrhythmic drug
B receptor blocker

🧨 example of class 3 antiarrhythmic drug
Amiodarone

🧨 example of class 4 antiarrhythmic drug
Calcium channel blocker

🧨 Drug used in atrial fibrillation and flutter
Digoxin

🧨 Drug used in supraventricular tachyarrhythmia
Adenosine

السلام عليكم ورحمة الله وبركاته كيفكم مع القرايه والتجهيز للامتحان 😂 . ان شاء الله الليله حنعمل مراجعه شامله بامتحانات زي ما وعدناكم المره الفاتت الساعه 1:00 ظهر ان شاء الله في اقروب ال Discussion
فخليكم قريبين🔥

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