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P. aeruginosa is a common organism found in patients with burn wounds and catheter-associated infections. It is also a common cause of nosocomial infections. Pseudomonas infection must be suspected if there is a greenish discharge. Some important antipseudomonal penicillin agents include piperacillin and ticarcillin.

Rates of the conduction system. Cardiology

Q2: A 54-year-old man is admitted to the Emergency Department with a 15 minute history of crushing central chest pain. Which one of the following rises first following a myocardial infarction? A. AST B. Troponin I C. CK D. CK-MB E. Myoglobin Cardiology

Join Cardiology and Read in Comment How does a heart attack happen? An atherosclerotic plaque ruptures in the coronary artery supplying the heart and clot forms over it blocking the flow completely. Here are pics of clotted artery which was opened by angioplasty and clots pulled out.

A 27-year-old woman is reviewed in the asthma clinic. She currently uses salbutamol inhaler 10Omcg prn combined with beclometasone dipropionate inhaler 400mcg bd. Despite this she is having frequent exacerbations of her asthma and recently required a course of prednisolone. What is the most appropriate next step in management? A. Add a leukotriene receptor antagonist B. Add tiotropium C. Add salmeterol D. Start to take the salbutamol regularly, 2 puffs qds E. Switch beclometasone to fluticasone Respiration

Erythema Migrans (Target lesion) in Lyme disease

Q1: A 34-year-old woman is admitted to the Emergency Department following a collapse. Her ECG shows a polymorphic ventricular tachycardia. Which one of the following is not associated with an increased risk of developing torsade de pointes? A. Tricyclicantidepressants B. Subarachnoid haemorrhage C. Hypercalcaemia D. Romano-Ward syndrome E. Hypothermia Cardiology

Metochlorpromide Vs Dopmperidone Regarding mechanism of action and side effects. Which you prefer in gastroparesis and elderly?

Pheochromocytoma Provocative tests with histamine or tyramine are hazardous and should not be done. Give alpha-blockers first before beta-blockers. Unopposed beta-2-blockade can cause paradoxical increase in blood pressure by blocking beta-mediated vasodilation.

Acute coronary syndrome: Long-term treatment: Aspirin (lifelong) & ticagrelor (12 months) If aspirin contraindicated, clopidogrel (lifelong) Transient ischaemic attack: Treatment: 1st line = Clopidogrel (lifelong) 2nd line = Aspirin (lifelong) & dipyridamole (lifelong)

Any patient who is taking 40 mg or more of prednisiolone for more than 7 days or who is taking 20 mg or more of prednisolone for more than 14 days = is classed as immunocompromised.

Wallenberg syndrome is a neurological condition caused by a lateral medullary infarction, which results from occlusion of either the posterior inferior cerebellar artery (PICA) or the vertebral artery. For this reason, it is also referred to as lateral medullary syndrome or PICA syndrome. Symptoms include ipsilateral Horner syndrome, palate weakness, hemiataxia, and contralateral sensory disturbances. Management is supportive, and may include swallowing and speech therapy, as well as a feeding tube in some cases.