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Angelina Total Posts: 130 | Posted: Mon Apr 23, 2007 05:46 am MI: post-MI complications ACT RAPID: Arrhythmias (SVT, VT, VF) Congestive cardiac failure Tamponade/ Thromboembolic disorders Rupture (ventricle, septum, papillary muscle) Aneurysm (ventricle) Pericarditis Infaction (a second one) Death/ Dressler's syndrome Deep venous thrombosis: diagnosis DVT: Dilated superficial veins/ Discoloration/ Doppler ultrasound Venography is gold standard Tenderness of Thigh and calf MI: complications HAS CRAPPED: Heart failure/ Hypertension Arrhythmia Shock Cardiac Rupture Aneurysm Pericarditis Pulmonary Emboli DVT Heart failure causes "HEART MAy DIE": Hypertension Embolism Anemia Rheumatic heart disease Thyrotoxicosis (incl. pregnancy) Myocardial infarct Arrythmia Y Diet & lifestyle Infection Endocarditis Cardiovascular risk factors (Framingham) FRAMINGHAM: Family history Running (exercise) Adiposity (obesity) Marlboros (tobacco) Insulin resistance (diabetes) Non-regulated lipids (dyslipidaemia) Georgie Pie (high fat diet) Hypertension Age Male Quote: Portal hypertension: features ABCDE: Ascites Bleeding (haematemesis, piles) Caput medusae Diminished liver Enlarged spleen Thrombosis and thrombocytopenia PARTNER together: Quote: Platelet count low Anemia (microangiopathic hemolytic) Renal failure Temperature rise Neurological deficits ER admission (as it is an emergency) Nephritic syndrome: glomerular diseases commonly presenting as nephritic syndrome Quote: PARIS: Post-streptococcal Alport's RPGN IgA nephropathy SLE · Alternatively: PIG ARMS to include Goodpasture's [one cause of RPGN], Membranoproliferative [only sometimes included in the classic nephritic list]. Anemia: TIBC finding to differentiate iron deficiency vs. chronic disease Quote: TIBC levels at the: Top=Iron deficiency. Bottom=Chronic disease Macrocytic anaemia: differential Quote: FAT RBC: Fetus (pregnancy) Alcohol Thyroid disease(ie hypothyroidism) Reticulocytosis B12 and folate deficiency Cirrhosis and chronic liver disease Hypokalaemia: clinical features Quote: TIMID CHIMP: Tetany Increases paralytic ileus (aggravates) Muscle weakness Increases possibility of hepatic encephalopathy Digoxin toxicity Cardiac arrythmias Hypotonia Increases P-R interval, T wave and prominent U wave Muscle cramps Polyuria Renal failure (chronic): consequences Quote: ABCDEFG: Anemia -due to less EPO Bone alterations -osteomalacia -osteoporosis -von Recklinghausen Cardiopulmonary -atherosclerosis -CHF -hypertension -pericarditis D vitamin loss Electrolyte imbalance -sodium loss/gain -metabolic acidosis -hyperkalemia Feverous infections -due to leukocyte abnormalities and dialysis hazards GI disturbances -haemorrhagic gastritis -peptic ulcer disease -intractable hiccups Aneurysm types Quote: MAD SCAB: Mycotic Atherosclerotic Dissecting Syphilitic Capillary microaneurysm Arteriovenous fistula Berry |