a b c d e f g h i j k l m n o p q R s t u v w x y z
Cerebellar signs Disdiadochokinesia
` ataxia
nystagmus
Intention tremor
Slurred speech
Hypotonia
She looks too pretty try to catch her !
S caphoid
L unate
T riquetral
P isiform
T rapezium
T rapezoid
C apitate
H amate
COMPLEMENT DEFICIENCIES
INHERITED
C1 INHIB -Hereditary angio-oedema
C1r -SLE like syndrome
C1s -Immune complex disease
C2 -SLE. Henoch Schonlein, Glomerulonephritis
C3 -Recurrent infections
C5-9 -Recurrent infections
ACQUIRED
Renal -Mesangiocapillary GN-Low C3, normal C1,2,4
-Acute post strep GN -Low C3,4
Collagen -SLE -Low C3,4
-In active Rheum Arthritis-Levels may be increased
Liver -In acute hepatitis C3,4 are low in first week, in chronic C3 remains low
Cardiac Catheterization (Normal Values)
R Atrium -1.5 to 0
R Vent 18/ 0 to 2
Pulmon Art 18/8
Pulmon Wedge 4
L Atrium 4
L Vent 130/0 to 10
O2 Sat venous 65-75%
O2 sat arterial 96-98%
Causes of Clubbing
Thoracic Bronchial carconoma
Chronic lung suppuration
Fibrosing alveolitis
Mesothelioma
Cardiac Cyanotic CHD
Endocarditis
Atrial Myxoma
GI IBD
Cirrhosis
GI lymphoma
Coeliac disease
Rare Familial
Thyroid Acropachy
Constrictive Pericardirtis
TB
Radiotherapy
Malignancy
Following severe pericarditis
Connective tissue disease
Carbon Monoxide poisoning
agitation and confusion
Bullous lesions
Muscle necrosis
hypertonia
Acute Renal Failure
Hyperpyrexia
Vomiting
Headache
arrhythmias
Carcinoid syndrome |
CARCinoid: Cutaneous flushing Asthmatic wheezing Right sided valvular heart lesions Cramping & diarrhea |
Captopril side effects |
CAPTOPRIL: Cough Angioedema/ Agranulocystosis Proteinuria Taste changes Orthostatic hypotension Pregnancy contraindication/ Pancreatitis Renal failure (and renal artery stenosis contraindication)/ Rash Increased potassium Leukopenia/ Liver toxicity |
Consent/Refusal
Dr-Patient relationship should be founded on mutual respect
Pt should make own decision, based on information and support
consent should be informed, voluntary and competent
pt should know all the information
only withold info if it will harm pt
life saving Rx can be given without consent
Pt has the right to refuse rx
there is no minimum age for consent
Pt should be informed of all teaching practices
Cholinergics effects |
If you know these,
you will be "LESS DUMB": Lacrimation Excitation of nicotinic synapses Salivation Sweating Diarrhea Urination Micturition Bronchoconstriction |