A 53 years old man presented to the ward with 5 days hx of FBM And vomiting..
Patient later developed Vt ( torsade de pointe) at night and referred to ccu where he returned by DC shock and given kcl and mg sulfate
And when i took this case in the morning the patient was Dloc with multiple seizures attack that stopped with diazepam
Ix as shown in the pic
Further management with kcl and mg sulfate continued with cover up antibiotics
What do you think about such case?
Patient later developed Vt ( torsade de pointe) at night and referred to ccu where he returned by DC shock and given kcl and mg sulfate
And when i took this case in the morning the patient was Dloc with multiple seizures attack that stopped with diazepam
Ix as shown in the pic
Further management with kcl and mg sulfate continued with cover up antibiotics
What do you think about such case?
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A COMPLETE blood count is INCOMPLETE without a peripheral smear.
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An old age female presented with sob and palpitations
On examination
Clear chest
spo2 =98
PR 160
Bp 110/70 mmhg
RBS CbC , S troponin all was normal
ECG was done as shown below in comments
Adenosin 6 mg was given pulse reduced from 154 to 85 bpm
But few minutes later returned to 155 bpm
Another 12 mg of adenosine was given and reduced to 75 bpm but again few minutes later became 163bpm
A shoot of NS was giver then isoptine 5 mg directly the patient pulse become 85 bpm and this time didn’t raised upove normal😂💔
On examination
Clear chest
spo2 =98
PR 160
Bp 110/70 mmhg
RBS CbC , S troponin all was normal
ECG was done as shown below in comments
Adenosin 6 mg was given pulse reduced from 154 to 85 bpm
But few minutes later returned to 155 bpm
Another 12 mg of adenosine was given and reduced to 75 bpm but again few minutes later became 163bpm
A shoot of NS was giver then isoptine 5 mg directly the patient pulse become 85 bpm and this time didn’t raised upove normal😂💔
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A 50 years old male with negative hx of HTN , Dm or IHD presented with palpitations and chest tightness radiating to the left shoulder
Patient looked pale and fatigue
No BP or pulse was detected
ECG was done and show the pic below
A shot of NS was given then we got a bp of 80/60 Then we delivered a single synchronized DC shock of 100J to him
Final ECG AS shown , what do you think the possible cause ?
Patient looked pale and fatigue
No BP or pulse was detected
ECG was done and show the pic below
A shot of NS was given then we got a bp of 80/60 Then we delivered a single synchronized DC shock of 100J to him
Final ECG AS shown , what do you think the possible cause ?
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A 15 years old male with hx of SOB for few days
No hx of trauma, fall or smoking
Spot dx?
No hx of trauma, fall or smoking
Spot dx?
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Holiday heart syndrome
Is a condition where the heart develops arrhythmia usually AF after binge drinking of alcohol or withdrawal..
usually resolves within 48 h without any treatment
Is a condition where the heart develops arrhythmia usually AF after binge drinking of alcohol or withdrawal..
usually resolves within 48 h without any treatment
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وحدة من الكيسات الي بقت ببالي
Middle age male presented with typical hx of MI
ECG and troponin were positive
بعد ما اخذ الانتي اسكيميا تم اعطاءه اكتليز و حسب البروتوكول
بعد ٦ ساعات patient developed disturbed level of consciousness, mouth deviation and lt side weakness
CT shows ICH and IVH !!
صحيح هو واحد من السايد افكت للاكتليز ولكن هالشي كلشش رير ونسبته قليلة
هل السبب انو جان عنده كونترا اندكيشن ؟ او الهيمورج مو بسبب الاكتليز انما كوفد ملام ؟ لان السي تي بين اكو انفلتريشن باللنك ايضاً يمشي وي كوفد
Middle age male presented with typical hx of MI
ECG and troponin were positive
بعد ما اخذ الانتي اسكيميا تم اعطاءه اكتليز و حسب البروتوكول
بعد ٦ ساعات patient developed disturbed level of consciousness, mouth deviation and lt side weakness
CT shows ICH and IVH !!
صحيح هو واحد من السايد افكت للاكتليز ولكن هالشي كلشش رير ونسبته قليلة
هل السبب انو جان عنده كونترا اندكيشن ؟ او الهيمورج مو بسبب الاكتليز انما كوفد ملام ؟ لان السي تي بين اكو انفلتريشن باللنك ايضاً يمشي وي كوفد
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طبعا خلال الفترة الفاتت لاحظنا ازدياد كيسات ischemic stroke عند اشخاص بالعشرينات و الثلاثينيات ماعدهم اي رسك فاكترز ، درك هستري او فاملي هستري
الشي الوحيد الي كدرت الكاه بواحد منهم انو جان عنده هستري مال اصابة كوفد قوية ٧-١٠ ايام قبل وكعته
Coronavirus disease 2019 (COVID-19) is associated with a hypercoagulable state, especially with viral strains that circulated early in the pandemic. The degree of hypercoagulability depends on the magnitude of the systemic inflammatory response.
لهذا ممكن نلكه ال d dimer - PT - Ptt مرتفعات …
الشي الوحيد الي كدرت الكاه بواحد منهم انو جان عنده هستري مال اصابة كوفد قوية ٧-١٠ ايام قبل وكعته
Coronavirus disease 2019 (COVID-19) is associated with a hypercoagulable state, especially with viral strains that circulated early in the pandemic. The degree of hypercoagulability depends on the magnitude of the systemic inflammatory response.
لهذا ممكن نلكه ال d dimer - PT - Ptt مرتفعات …
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