Dr. Mohammed salem

تفيدكم المقبليين ع مفارز الأربعين ‏

تقديمي لورشة تدريب في مؤسسة الشهداء/ محافظة كربلاء BLS ( basic life support) محاضره مهمه للمشاركين في المفارز الطبيه. راح انزل المحاضره بالاسفل pdf

Dr. Mohammed salem pinned «📌مفاتيح حل كيسات الإمتحان الوزاري كل كيس بالامتحان اخذ منه فقط المهم وجاوب. #Cardiology CARDIOLOGY (PROBLEM SOLVING). #Cases Ddx of Chest pain + ST segment Elevation • Transmural myocardial infarction • Prinzmetal angina. • Pericarditis. ✒️✒️✒️✒️✒️✒️…»

Dr. Mohammed salem pinned «🔮مفاتيح حل حالات الجهاز التنفسي Respiratory cases #RESPIRATORY CASES 🩻🩻🩻🩻🩻🩻🩻🩻🩻 1.  Dyspnea , Chest Tightness , Cough , Clear Sputum , Triggered by Exercise ( Bronchial Asthma). 🩻🩻🩻 2.  Dyspnea , Cough , Wheezes 1 Hour after Aspirin ( Aspirin Induced Asthma).…»

ACUTE CHEST PAIN DIFFERENTIALS. #Cardiology

#Cardiology

⭕️some #tricks in #ECG 📝Atrial Fibrillation • Palpitations • Fast heart rate • Dyspnoea 📝Atrial Flutter • Patient in stem will describe it as a “fluttering feeling in the chest” 📝Ventricular Fibrillation • Older adult with sudden collapse • Not breathing 📝Ventricular Tachycardia • Regular and fast • Stem will mention a period of ongoing lightheadedness, palpitations and chest pain (rarely will they present with collapsed in exams) 📝Sinus Bradycardia • Lightheadedness, dizziness, hypotension, vertigo and syncope • NB: Slow heart rate is completely normal in young athletes 📝Sinus Tachycardia • Physiological situations, such as exercise or situations of stress or anger • History of infection 📝Heart Block ➖Type 1 AV Block: lengthening of the PR interval ➖Type 2 AV Block • Mobitz I: progressive prolongation of PR interval until a P wave is dropped • Mobitz II: randomly dropped P waves ➖Type 3 AV Block (Complete Heart Block): no P waves 📝Wolff-Parkinson White Syndrome • “Delta wave” in ECG #Cardiology

🌸Common P wave abnormalities include: 🪻P mitrale (bifid P waves)➡️➡️seen with left atrial enlargement. 🪻P pulmonale (peaked P waves)➡️➡️seen with right atrial enlargement. 🪻P wave inversion➡️➡️seen with ectopic atrial and junctional rhythms 🪻Variable P wave morphology➡️➡️seen in multifocal atrial rhythms. #ECG

📌مفاتيح حل كيسات الإمتحان الوزاري كل كيس بالامتحان اخذ منه فقط المهم وجاوب. #Cardiology CARDIOLOGY (PROBLEM SOLVING). #Cases Ddx of Chest pain + ST segment Elevation • Transmural myocardial infarction • Prinzmetal angina. • Pericarditis. ✒️✒️✒️✒️✒️✒️…

 Anorexia , Nausea , Vomiting & Blurring of Vision in Patient with HF ( Digitalis toxicity). #وزاري

📌مفاتيح حل كيسات الإمتحان الوزاري كل كيس بالامتحان اخذ منه فقط المهم وجاوب. #Cardiology CARDIOLOGY (PROBLEM SOLVING). #Cases Ddx of Chest pain + ST segment Elevation • Transmural myocardial infarction • Prinzmetal angina. • Pericarditis. ✒️✒️✒️✒️✒️✒️ 1) ANGINA PECTORIS Old male, smoker or e' hyperlipidemia. retro-sternal chest pain, ↑ e' exercise,↓ by nitrates and rest, <30 min. ECG = ↓ST segment. ST depression S. Troponin negative 💡💡💡 2) VARIANT ANGINA Prinzmetal angina= Young age, no risk factor. Retro-sternal chest pain not related to exertion. ECG = ↑ ST segment.⬆️ ST elevation S. Troponin negative 📌📌📌 3) MYOCARDIAL INFARCTION old male, smoker + sever chest pain at rest + ↑ ST segment. ST elevation +- S. Troponin positive ⬆️⬆️ 📌• If complicated with Pulmonary odema dyspnea, orthopnea, pink frothy sputum, sense of impending death. Bubbling crepitation all over the chest. 💡💡💡💡 4) RHEUMATIC FEVER 5-15 yrs old pt, sore throat (tonsillitis) after 2-3 wks he developed asymmetrical arthritis, tachycardia, muffling of heart sounds, diastolic murmur. Or 📌 Pansystolic Murmur ( Rheumatic Fever) ECG↑ PR interval. Prolonged PR interval ⬆️ 📌📌📌📌 5) IEC = (FEVER + MURMUR) Infective endocarditis After a surgery or tooth extraction. Fever in cardiac Patient . Rheumatic Activity / IEC/Chest Infections. 💡💡💡💡 6) VIRAL PERICARDITIS Viremia (flu like History of flu or sore throat then after weeks patient with chest pain aggrivated by cough,sneezing Relieve by rest. Or 📌 Chest Pain when Taking Breath , FHMA [ Fever , Headache , Malaise , Anorexia ] , Pericardium Rub , (Elevated ST concave shape in All Leads ( Viral Pericarditis ✒️✒️✒️✒️✒️✒️ 7) . CONSTRICTIVE PERICARDITIS Patient past history of T. B                  dyspnea, orthopnea, (neck veins) +pulsus paradoxus. 📌📌📌📌📌 8) HOCM = Young Athlete + Sudden Death after Exercise. (Autosomal dominant  + murmur ↑ ) Ddx Aortic stenosis 📌 MI Mitral valve prolapse Arhythmiogenic RIGHT ventricular cardiomyopathy ✒️✒️✒️💡💡 9) PULMONARY EMBOLISM Cough, dyspnea, sudden chest pain (pleurisy) unexplained tachypnea pulmonary embolism. Tachycardia History of prolonged sitting no movement In Ecg tachycardia or RBBB or S1 Q3 T3 D. Dimer high ⬆️⬆️ 📌📌📌📌📌 10) DISSECTING AORTIC ANEURISM Old male, un-controlled HTN. Severe acute chest pain radiating to the back. unequal pulse volume on both sides. unequal blood pressure on both sides 11) Left atrial MYXOMA = Young female e' recurrent syncopal attacks. In Echo thrombus in left atrial. 🔖🔖🔖 12) MV PROLAPSE = Young female e' atypical chest pain, recurrent arrhythmiae' palpitation. Fever + Murmur + Any thromb- embolic manifest. eg. Hemi-plegia 📌📌📌 13.) Diabetic Patient , Epigastric Pain Not Relieved by Antacids , Nausea , Vomiting ( Inferior MI). St elevation in leads II, III, AVf 💡💡💡💡 14.) Murmurs ✒️✒️✒️✒️✒️  Mitral valve stenosis = mid diastolic localized to apex. ✒️✒️✒️✒️ MR = Systolic ("pan Systolic murmur and radiating to Axilla. 💡💡💡💡💡  AR = early Diastolic murmur in 2nd Aortic Area & AS = ejection Systolic murmur Radiating to Carotid Apex + Syncope 🔖🔖🔖🔖  Irregular Pulse & Stroke = atrial fibrillation 💡💡💡💡  Ischemic Pain ( If > Half hour = MI ... If < Half hour = Angina) ✒️✒️✒️✏️✏️ 15.)  Persistant ST Elevation in Patient with MI ( Myocardial Aneurysm [ Late Complication . of MI ] 🖊️🖊️🖊️ 16. )  Symptoms of Low Cop + Muffled Heart sound + Low voltage ECG ( Pericardial Effusion). Or cardiac tamponade if with Severe chest pain, SOB. 💡💡💡 17. )  Multiparus Female + Dyspnea & Chest Pain +. Loud S2 ( Pulmonary HTN “ Repeated Showering. 🔖🔖🔖🔖 18. )  Chest Pain + Cough + Dyspnea + Hemoptysis + tinge of jaundice ( Pulmonary Infarction). 🔖🔖🔖 19.)  Acute Shock + Cyanosis + Dyspnea + Low cop ( Massive Pulmonary Embolism). 🧩🧩🧩 20. )  Long Standing “ severe ” HTN + Disturbed Conscious Level Without Lateralization ( Hypertensive Encephalopathy). ✨✨✨ 21.)