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Dissecting Thoracic Aneurysm

-Hemiplegia (carotids)

-Unequal pulses

-Unequal BP

-Paraplegia (Ant Spinal art)

-Anuria (Renal art)

-MI (Coron art)

 

 

 

 

 

 

Causes of "DARK COLOURED" urine

 

1.Concentration

2.Bile

3.Blood,Haemoglobinuria, Myoglobinuria

4.Methaemaglobinuria

5.Porphyria

6.Alkaptonuria

7.Melaninuria

8.Beetroot

 

 

 

 

Down syndrome features
"My CHILD HAS PROBLEM!":
Congenital heart disease/ Cataracts
Hypotonia/ Hypothyroidism
Incure 5th finger/ Increased gap between 1st and 2nd toe
Leukemia risk x2/ Lung problem
Duodenal atresia/ Delayed development
Hirshsprung's disease/ Hearing loss
Alzheimer's disease/ Alantoaxial instability
Squint/ Short neck
Protruding tongue/ Palm crease
Round face/ Rolling eye (nystagmus)
Occiput flat/ Oblique eye fissure
Brushfield spot/ Brachycephaly
Low nasal bridge/ Language problem
Epicanthic fold/ Ear folded
Mental retardation/ Myoclonus

 

 

 

 

 

DCCT Trial

 

Diabetes control and complications trial

landmark paper

better diabetic control    reduces risk of  neuropathy

                                                          reduces risk of retinopathy

                                                          reduces risk of microangiopathy

                                                          increases risk of hypoglycaemia

 

 

 

 

DIGAMI Study

Diabetic Insulin/Glucose infusion in acute mI

sliding scale post MI

reduces mortality by 11%