Chest pain or chest discomfort may occur due to some minor illness or may be due to some serous illness, or may be an emergency condition. chest pain Causes of serious chest pain – Acute ischemic heart disease, or aortic coronary syndrome, Aortic dissection, Tension pneumotherix, Pulmonary pneumothorex,...
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Glycogen Storage Diseases Carbohydrate metabolism provides energy for metabolic functions of cell. Metabolism of glucose generates ATP by glycolysis and oxidative phosphorylation. Any one of several heritable diseases characterized by the abnormal storage and accumulation of glycogen in the tissues, esp. in the liver Dietary sources of glucose: · Polysaccharide...
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Sarcoidosis It is a chronic, multisystem disorder of unknown cause. chronic multisystem disease of unknown etiology, characterized by noncaseating (hard) granulomas and lymphocytic alveol, Sarcoidosis is a noninfectious, multisystem granulomatous disease of unknown cause, commonly affecting young and middle-aged adults. Almost any other organ may be involved, including liver, spleen,...
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Sepsis (Septic Shock) Prognosis Prevention TREATMENT TREATMENT Sepsis (Septic Shock) Admit in ICU Treat local site of infection Monitor hemodynamics. Sepsis is a clinical syndrome characterized by systemic inflammation due to infection. There is a continuum of severity ranging from sepsis to severe sepsis and septic shock. Antimicrobial therapy in...
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Cardiac Arrest Death is an irreversible cessation (stoppage) of all biologic functions. Cardiac arrest is an abrupt cessation of cardiac pump function which may be reversible by prompt intervention; otherwise it leads to certain death. Cardiac arrest is due to ventricular fibrillation in 80% of cases. Rest are due to...
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Ostium Primum ASD (Inter atrial communication) The opening in the first septum of the embryonic heart; it closes as the ventricles form. There is right to left shunt and mitral valve regurgitation. Symptoms occur in childhood itself with congestive heart failure and retarded growth and development. There is atrial fibrillation...
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Ebstein’s anomaly of the tricuspid valve Ebstein’s anomaly Physical examination with Clinical features Ebsetin’s anomaly of the tricuspid valve is a congenital heart disease in which the tricuspid valve is placed at a lower level so that there is atrialization of the rigFit ventricle. A congenital heart condition resulting from...
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Examination and Investigations of CYANOTIC CONGENITAL HEART DISEASE Collateral circulation / anastomoses in coarctation of aorta Examination of precordium : A systolic thrill may be felt in the suprasternal notch. There is a heaving left ventricular apical impulse due to pressure overload of LV....
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CYANOTIC CONGENITAL HEART DISEASE Coarctation of the Aorta Clinical features coarctation of aorta means a narrowing of the aorta just distal to left subclavian artery, proximal (preductal) or distal (post ductal) to insertion of ductus arteriosus. A narrowing (discrete or of varying lengths) of the aorta at any point but usually...
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CONGENITAL HEART DISEASES General defects structural problem in the heart Acyanotic congenital heart diseases with normal or decreased pulmonary arterial blood flow (no shunt). Left sided HEART Malformations or structural problem in the heart Cardiac mal positions – Dextrocardia etc. Congenitally corrected transposition of great arteries .(CTGA). Coarctation of aorta Mitral...
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