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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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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HYPERSENSITIVITY PNEUMONITIS Clinical features Diagnosis and Treatment of Hypersensitivity HYPERSENSITIVITY PNEUMONITIS (HP) It is also called extrinsic allergic alveolitisis an inflammatory disease of alveolar walls, and terminal airways caused by repeated exposure to organic agents in a susceptible person. It’s also called farmer’s lung, commonly due to the HP caused...
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Viral Diseases: Introduction This section discusses viral diseases caused by many type of viruses, those preventable by vaccines, and others causing distinct type of syndromes. Rickettsial illnesses and Kawasaki disease are also included. Disorders caused by hepatotropic viruses , €€papillomaviruses , and HIV (see Gynecology and Infectious Diseases: HIV ,...
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Dengue feaver treatment, and Dengue feaver food suppliment Dengue feaver is basicaly a viral feaver like all other viral disease it is also self limitting but it have strong symptome, there is basicaly no medicine requair for dengue feaver just maintanence of homeostasis like fluide maintanence, temprature controle etc. profilecticaly some antibiotic...
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Radiographic x-ray Basic views (PA view) and (AP view) Basic views– There are mainly two basic type of x-ray view , Radiographic examination is the key to the diagnosis of many skeletal abnormalities, Obliteration of normal soft-tissue lines and the presence of a joint effusion are of particular importance, The...
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Clinical features of Unstable Angina(UA) / NSTEMI — There is chest pain in the substernal lesion or epigastrium radiating to neck, left shoulder and left arm. There is severe discomfort or pain. Anginal equivalents like dyspnoea and epigastric discomfort are also frequently present. There is diaphoresis (increased sweating), pale skin,...
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Management of UA / NSTEMI ,with Anti-ischemic treatment -,uses of Nitrates and Beta adrenergic blockers . Risk stratification and Prognosis Early risk within 30 days for death and new infarction is about 10%. Patients at high risk are age more than 65 years, 3 or more risk factors for CAD, documented...
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PRINZMETAL’S VARIANT ANGINA This is a syndrome of ischemic pain at rest and with ECG showing transient ST elevation. This sydrome is caused by spasm of coronary artery leading to severe ischemia. It may occur in patients who may not have any coronary artery stenosis. It is a kind of...
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Hypertension Hypertension is a serious disease which may be asymptomatic. According to JNC-7 normal blood pressure is 120/80 mmHg and a blood pressure equal to or more than 140 mmHg systolic and 90 mmHg diastolic is hypertension. Etiology is unknown in 90 – 95% cases. Greater than normal tension or...
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