Medicine at a Glance Flashcards
Bilateral Oedema Causes
Right Heart Failure
(High Jugular Venous Pressure, Hepatomegaly)
Low Serum Albumin
- Liver Failure (Leukonychia, Bruises, Gynecoma
Dilated Abd veins indicating portal hypertention, )
- Renal Failure (Urine Frothy + Protein)
- Malnutrition
General Immobility (Elderly)
Inferior Vena Cava compression
(USS Abd, Colour Flow Doppler)
Unilateral Oedema Causes
Lymphatic Obstruction
DVT (Tenderness in Claves, Warmth, Pain, USS Vein)
Cellulitis (Raised C-Reactive Protein, Erythrocyte sedimentation rate, Temperature)
Pelvic Tumours (Unilaterally Compress Veins)
Localised Immobility (Long Standing Hemiparesis)
Bilateral Oedema
Investigations
Treatment
Albumin Urinary Protein Exretion LFT's Renal Function ECG, CXR Echo-cardiogram
Diuretics
Tachyarrythmia
Instantaneous
Fast Palpitations
Lasts (Minutes)
Vagal Manoeuvres
History of Heart Disease
Supraventricular Tachycardia SVT
Teenage Years
Electro Cardio Gram
Atrial Fibrillation
Irregularly Irregular Palpitations
Breathlessness from heart failure
Ventricular Tachycardia
Syncope is common
Extrasystoles
Post Extra Systolic Beat has an Increased Contraction Feel like their heart misses a beat and then restarts
DVT
Raised D-Dimers