This media is not supported in your browser
VIEW IN TELEGRAM
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😂💔
🔥5❤3
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 ?
❤7👏1
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?
👍3❤1🤯1
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
❤14
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
😢6👏2🤔2
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 …
❤15👏7
Pre and post actylase
المفروض اكو اي سي جي بري اوضح
بس يبدو مضيعيه
المفروض اكو اي سي جي بري اوضح
بس يبدو مضيعيه
👍4❤3👏1
27 years old male presented to ER an RTA case
After resuscitation and primary Ix The patient had both femoral and tibial fracture, otherwise he was normal
So Skin traction was placed until ORIF was possible 1 day after the RTA
On The second day post op the patient presented to ER again but with SOB and agitation
PR was 135bpm
Spo2 was 74% without O2 and 100% with O2
Bp= 11/70
Chest auscultation> clear chest with bilateral good air entry
ECG as shown below (sinus tachycardia)
D dimer 4300
Hb 7.3
Plt 101
Otherwise normal ix including RBS LFT and electrolytes
CT couldn’t be done as he’s not stable yet and ct with contrast wasn’t Available anyway
The most likely dx is PE and anticoagulants was started immediately as bolus and maintenance
After resuscitation and primary Ix The patient had both femoral and tibial fracture, otherwise he was normal
So Skin traction was placed until ORIF was possible 1 day after the RTA
On The second day post op the patient presented to ER again but with SOB and agitation
PR was 135bpm
Spo2 was 74% without O2 and 100% with O2
Bp= 11/70
Chest auscultation> clear chest with bilateral good air entry
ECG as shown below (sinus tachycardia)
D dimer 4300
Hb 7.3
Plt 101
Otherwise normal ix including RBS LFT and electrolytes
CT couldn’t be done as he’s not stable yet and ct with contrast wasn’t Available anyway
The most likely dx is PE and anticoagulants was started immediately as bolus and maintenance
👍13🔥4👏3❤2