Mnemonic for Infective Endocarditis manifestations 🦠❤️

#PH342

تقدروا تقروه من اهني بس ، اشرت ع النقاط اللي تجي ف الاسئلة

ننصحكممم تقروه من اهني ماتفوتوشييي

#PH342

Local Anesthetics Exam favorites 📌

• Cocaine → vasoconstriction (NOT dilation)
• Esters → more allergy
• Amides → more toxicity
• Acidic tissue → ↓ LA effect
• Adrenaline → NOT in fingers/toes
• Lidocaine → standard drug / anti arrhythmic
• Bupivacaine → long + cardiotoxic
• Prilocaine → blood problem (metHb)
• Benzocaine → surface only
• Procaine → allergy / slow

NSAIDS overview ⭐️

حضور العملي قبل يوم الامتحان it’s not for the weak 👍🏻

OPIOIDS ‼️

• “Morphine: miosis + constipation + retention”NOT urination
• “Methadone = long acting withdrawal control”✔️ addiction treatment
• “Meperidine = seizures” ⚠️ anticholinergic effect
• Naloxone does NOT treat withdrawal
• Morphine ❌ NOT for head injury ✔️ Crosses placenta
• Opioids ❌ NOT anti-inflammatory
• Buprenorphine ❌ not easily reversed ✔️ sublingual
• Codeine ❌ not addiction-free
Tramadol = Inhibits 5-HT & NE reuptake
(cancer patients) → give laxative

Local Anesthetics ✅

Non-ionized form → crosses membrane ✔️
• Alkaline pH → ↑ effect ✔️
Bupivacaine = heart danger ⛔️
Prilocaine = metHb
Benzocaine = topical only
Amides = ❗ More systemic toxicity
Procaine = NOT used topically ❗
Articaine = both amide + ester bond ❗
Procaine = allergy

#MB342

Other gram -ve

#MB342

Other gram -ve

#MB342

Other gram -ve

#MB342

Spore forming