passmed misc Flashcards
if thrombolysis given, repeat ECG…
60-90mins
if ST elevation persists patient should be urgently transferred for PCI
electorlyte disturbance. -thiaze
hypercalcamia
warfarin - PT and APTT
prolonged PT
normal APPT
hypercalcaemia ECG change
short QT
loop diurecitcs - effect on potassium
hypokalaemia
additional Ix if someone has strep bovis IE
colonoscopy
Kussmuals Sign
JVP rises with inspiration –> contrictive pericarditis
malignant htn
> 180/120
symptomatic
caused by fibroid necrosis
end organ damage - IC haemorrhage, AKI, aortic dissection q
malignant htn Mx
controll drop in BP to ~160/100 over 24hrs
uncontrolled drop in BP can lead to ischaemic stroke due to poor cerebral autoregulation and perfusion
which anti-hypertensive can cause leg swelling
CCBs
causes of high output cardiac failure
anaemia AV malformation thyrotoxicosis Paget's pregnancy thiamine deficiency
amyloidosis - heart failure and sign on ECHO
amyloidosis can cause restrictive heart failure
myocardium has sparkling appearance on ECHO
when are nitrates contraindicated
hypotension
statin + erythomicin/clarithromycin
drug interaction
what medication is contraindicated in hypertrophic obstructive cardiomyopathy
ACEI
ruptured interventricular septum
pt with LAD MI at risk
haemodynamic instabilisty
harsh holosystolic murmur
rupture left ventricular free wall
leads to haemoperidcardium –> cardiac tamponade
hypotension, raised JVP, muffled heart sounds
