Thyrotoxic crisis or thyroid storm It is a life-threatening hyperthyroidism with fever, seizures, coma, vomiting, diarrhoea, jaundice. A rare but often life-threatening medical emergency resulting from untreated hyperthyroidism Death can occur due to cardiac failure, arrhythmias, hyperthermia. Thyrotoxic crisis Symptoms include : — and fingernails may separate from the nail...
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Grave’s disease Grave’s disease is thyrotoxicosis, common in females, associated with high iodine intake, occurring between 20 – 50 years of age. Grave’s ophthalmopathy Besides the signs of thyrotoxicosis, there is Grave’s ophthalmopathy. decreased extraocular muscle mobility, and corneal injury, periorbital edema, periorbital and conjunctival inflammation, Ophthalmopathy associated with hyperthyroidism...
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Diabetes insipidus (DI) Disorders of Neurohypophysis The neurohypophysis or posterior pituitary gland is made up of nerve tissues originating in supraoptic and paraventricular nuclei of hypothalamus. It produces 2 hormones: 1. AVP or arginine vasopressin, also known as antidiuretic hormone (ADH). 2. Oxytocin AVP acts on renal tubules to absorb...
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HYPOTHALAMIC, PITUITARY AND OTHER SELLAR MASSES Pituitary tumors , Pituitary adenomas : Commonest tumors are pituitary adenomas. These are benign and their features depend on the cell type from which they occur. They may arise from PRL, GH, ACTH, TSH, LH and FSH producing cells r;esulting in features of hypersecretion of...
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Some other COMPLICATIONS OF AMI AND TREATMENT ARRHYTHMIAS RECURRENT ANGINA PERICARDITIS THROMBOEMBOLISM LV ANEURYSM Other measures: – Control of Hypertension – Physical activity – Avoid physical emotional stress. – Cessation of smoking – Control of blood lipids AND OTHER COMPLICATIONS ARE complications-of-ami-and-treatment-1 1. COMPLICATIONS OF AMI ARRHYTHMIAS Ventricular premature...
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CARDIAC MARKERS IN MI Serum proteins released in blood from necrotic heart muscles after AMI are called serum markers . Creatinine phosphokinase (CK) Rises in 4 – 8 hours. Returns to normal in 48 – 72 hours. CK increased in : IM injections Stroke Surgery Trauma Skeletal muscle...
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CARDIAC IMAGING Very useful. 2D Echo RV infarction: diagnosed by Echo Ventricular aneurysm Pericardial effusion y LV thrombus Wall motion abnormalities are seen Old scars can also cause WMA Decreased LV function is indication for ACE inhibitor VSD MR is diagnosed easily. dobutamine stress echocardiography: noninvasive test for...
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MANAGEMENT of Acute Myocardial Infarction (AMI) MANAGEMENT Management involves Prompt attention and diagnosis. Reperfusion therapy Management of pain. MI is a medical emergency; Typical treatment for the patient includes: diagnosis and treatment should not be delayed. administering oxygen immediately, and giving aspirin and beta blockers, unless there are...
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REGIME FOR MANAGEMENT OF AMI Twelve lead ECG is done. Or If there is ST elevation more than 1 mm in any lead or 2 mm in V1′ V2 , In comparison, fibrinolytic therapy has largely not been effective in patients with a non-ST elevation MI (NSTEMI) then reperfusion...
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COMPLETE MANAGEMENT OF AMI Coronary Care Unit (CCU) Patients of AMI are admitted to CCU for monitoring of all vital parameters, management of arrhythmias, thrombolytic therapy. For more management-of-acute-myocardial-infarction-ami and acute-myocardial-infarction-management-regime-for-management-of-ami Sedation DiazeRam Lorazepam Reassurance Quiet surroundings. Diet Liquids for 1St 12 hours. Fat <30 % of total calories, carbohydrate...
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