Forwarded from MRCP QBank
A 65-year-old woman with COPD is admitted to the ED with SOB. This is her first admission with an exacerbation of COPD. Blood gases taken on room air shortly after admission :
pH 7.38 pCO2 4.9 kPa pO2 8.8 kPa
What should her target oxygen saturations be?
pH 7.38 pCO2 4.9 kPa pO2 8.8 kPa
What should her target oxygen saturations be?
Anonymous Quiz
14%
A. 94-98%
48%
B. 88-92%
20%
C. 92-94%
4%
D. >98%
14%
E. > 95% first 48 hours, > 90% rest of admission
Forwarded from MRCP QBank
Which one of the following is least associated with bronchiectasis?
Anonymous Poll
15%
A. Hypogammaglobulinaemia
14%
B. Allergic bronchopulmonary aspergillosis
34%
C. Measles
12%
D. Cystic fibrosis
25%
E. Sarcoidosis
Forwarded from MRCP QBank
A 43-year-old lifelong non-smoker is diagnosed as having emphysema. Further tests reveal that he has alpha-1 antitrypsin deficiency. What is the main role of alpha-1 antitrypsin in the body?
Anonymous Quiz
9%
A. Nicotinic receptor activator
55%
B. Protease inhibitor
15%
C. 5-alpha-reductase inhibitor
13%
D. Trypsin activator or
8%
E. Phosphodiesterase inhibitor
Forwarded from MRCP QBank
A 33Y man is seen in hospital . He was poorly control asthma and has recently had salmeterol added in addition to beclometasone inhaler 200mcg bd and salbutamol prn.There has unfortunately been no response to adding the salmeterol.What is the next action¿
Anonymous Quiz
12%
A. Stop salmeterol + trial of leukotriene receptor antagonist
38%
B. Continue salmeterol + increase beclometasone dipropionate inhaler to 400mcg bd
26%
C. Continue salmeterol + trial of leukotriene receptor antagonist
8%
D. Stop salmeterol + trial of oral theophylline
16%
E. Stop salmeterol + increase beclometasone dipropionate inhaler to 400mcg bd
One of the cases i saw in the ER as a stagiaire…
50 years old male a known case of HTN / DM / IHD presented with 3 hours hx of chest pain , vomiting and sweating
OE/
The Bp was 80/50 at the beginning then become undetected neither PR
ECG was done below 👇🏻
Cardiac centre refused to take the patient until he become stabalized with sinus rythem
2 DC shock was given without improvement
The patient received
Aspirin
Plavix
Heparin
Doputamin
Tramal and diazepam
The patient unfortunately passed away after a while
What do you think about the ecg?
50 years old male a known case of HTN / DM / IHD presented with 3 hours hx of chest pain , vomiting and sweating
OE/
The Bp was 80/50 at the beginning then become undetected neither PR
ECG was done below 👇🏻
Cardiac centre refused to take the patient until he become stabalized with sinus rythem
2 DC shock was given without improvement
The patient received
Aspirin
Plavix
Heparin
Doputamin
Tramal and diazepam
The patient unfortunately passed away after a while
What do you think about the ecg?
2 days neonate presented with faiture of passage of stool
OE :- absence of anal opening
Dx :- imperforate anus
Tx :- temporary colostomy for evacuation then scadualed operation
We should examine the neonates completely after the delivery to look for any abnormalities and anus shouldn’t be missed..
OE :- absence of anal opening
Dx :- imperforate anus
Tx :- temporary colostomy for evacuation then scadualed operation
We should examine the neonates completely after the delivery to look for any abnormalities and anus shouldn’t be missed..
Forwarded from My ED cases (Murtadha Ali)
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Jitterness
Sign of hypocalcemia
ناخذها قاعدة اي فت او ابنورمال موفمنت بالنيونيت نشوف الراندم والكالسيوم( والالكترولايت بس مو دائما)
النيونيت يكونوا كلش سنستف للجيجن بالفلود او المنرل
يعني ممكن دوز وحدة تنساها تسوي هايبوكلايسيميا او غيرها مو مثل الكبار
ممكن ثالث يوم من الحياة تنسى الاورال فيدينك انه تضيفه
تلكيه الكالسيوم والبوتاسيوم متخربطات اذا ما ضايفهن على المنتننس مال الفلود
This pt sr ca was 6.5
Sign of hypocalcemia
ناخذها قاعدة اي فت او ابنورمال موفمنت بالنيونيت نشوف الراندم والكالسيوم( والالكترولايت بس مو دائما)
النيونيت يكونوا كلش سنستف للجيجن بالفلود او المنرل
يعني ممكن دوز وحدة تنساها تسوي هايبوكلايسيميا او غيرها مو مثل الكبار
ممكن ثالث يوم من الحياة تنسى الاورال فيدينك انه تضيفه
تلكيه الكالسيوم والبوتاسيوم متخربطات اذا ما ضايفهن على المنتننس مال الفلود
This pt sr ca was 6.5
Acute respiratory distress syndrome
⭕️Definition:
🌀acute respiratory insult or worsening in respiratory status within 1 week.
🌀 bilateral infiltration without alternative explanation such as effusion, nodules or atelectasis.
🌀Edema not fully explained by fluid overload or CHF.
🌀Hypoxemia.
⭕️Etiology:
🌀direct ➡️ pneumonia, aspiration, inhalational injury, lung contusion and near drowning
🌀 indirect ➡️ sepsis, shock , DIC, pancreatitis, TRALI , trauma.
⭕️ Treatment: the 6 Ps
⁃ PEEP.
⁃ Prone position .
⁃ Paralysis( not routinely recommended unless dyssynchronised ventilation) .
⁃ Peeing ( fluid balance) target Cvp 2-4 cm H2o
⁃ Pulmonary vasodilator such as NO.
⁃ Perfusion( v-v ECMO) maybe useful if refractory.
⭕️Definition:
🌀acute respiratory insult or worsening in respiratory status within 1 week.
🌀 bilateral infiltration without alternative explanation such as effusion, nodules or atelectasis.
🌀Edema not fully explained by fluid overload or CHF.
🌀Hypoxemia.
⭕️Etiology:
🌀direct ➡️ pneumonia, aspiration, inhalational injury, lung contusion and near drowning
🌀 indirect ➡️ sepsis, shock , DIC, pancreatitis, TRALI , trauma.
⭕️ Treatment: the 6 Ps
⁃ PEEP.
⁃ Prone position .
⁃ Paralysis( not routinely recommended unless dyssynchronised ventilation) .
⁃ Peeing ( fluid balance) target Cvp 2-4 cm H2o
⁃ Pulmonary vasodilator such as NO.
⁃ Perfusion( v-v ECMO) maybe useful if refractory.
Forwarded from AAS Medical Notes (Mohammed S)
ECG.pdf
18.4 MB
ECG كتاب
مبسط ويبدا مباشرة من ارذميات ويفيد بالطوارئ مجمع من مواقع
ecgwaves, healio, litfl, medscape
للفائدة _يفيد المقيمين_
مبسط ويبدا مباشرة من ارذميات ويفيد بالطوارئ مجمع من مواقع
ecgwaves, healio, litfl, medscape
للفائدة _يفيد المقيمين_
#طب_عدلي نقلاً عن دكتور يزن امير
A 4 year old boy found dead in the garage at his family house. The father said the child was active and otherwise healthy, the child was playing alone.
Autopsy showed a nylon balloon lodged in the larynx.
Suffocation by foreign body can occur at any age, however, children (unattended) are more prone to this tragic event.
A 4 year old boy found dead in the garage at his family house. The father said the child was active and otherwise healthy, the child was playing alone.
Autopsy showed a nylon balloon lodged in the larynx.
Suffocation by foreign body can occur at any age, however, children (unattended) are more prone to this tragic event.