زكاة العلم الدكتور محمد البيضاني
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منو عنده اهتمامات بالتصميم
يحب يشارك بتصميم الواجهه الرئيسيه للكتاب
حياكم الله
الحمدالله تم قبولي في البورد العربي للجراحات التجميليه
Pericarditis
Chest pain aggravated by cough
History of flue like illness
Elevated WBC and CRP
Negative S troponine
ECG show
- widespread st elevation
- PR interval depression
- positive spodik sing (downslope TP segment)
- no reciprocal st depression
-ST depression in avR and PR elevation in avR
NOTE: always compare the st segment and pr interval to base line which is TP segment.
By the way in the ED during my general surgery duty
WPWS type A
- short PR interval
- delta wave
- slightly wide QRS
- negative R in V1
تخطيط من احد الاصدقاء
شاب عشريني العمر
اجا للطوارء وجع بصدره اثناء ما تعصب بالبيت
وضغطه صاعد ( فقط هدا الهستري الي حصلته منه)
اني اشوف pericarditis حسب الي متوفر عندي
- widespread ST elevation
- widespread PR interval depression
- ST depression and PR interval elevation in avR
- no reciprocal st depression
- positive spodic sign( down sloping TP segment).
هذي حسب تفسيري الي عنده ملاحضات يكولها.
طبعا الهستري مو تلم والفحص السريري مو تام ممكن اكو هواي شغلات موجوده مواصلتني.
28 years old with history of asthma. Presented with palpitations. During examination there is good air entry bilateral with no added sound. The last attack of Dyspnea before 3 years .
I give him adenosine 6 mg and return sinus rhythm and everything straightforward 🤓.
Paroxysmal attack of polymorphic VT (Torsade de point).
Usually the patient has pulseless and clinical appear like VF ( snoring, secretion from mouth , apnea ,,,,,).This misdiagnosis as paroxysmal VF ( according to my narrow spectrum of knowledge I don’t hear or read anything about paroxysmal VF)
Atrial fibrillation with old anterior MI(poor progression of R wave in anterior pericardial lead) and couplet ventricle ectopic beat
Bradycardia – tachycardia syndrome
•Alternating bradycardia with paroxysmal tachycardia, often supraventricular in origin.
•On cessation of tachyarrhythmia may be a period of delayed sinus recovery e.g. sinus pause or exit block.
•If significant this period of delayed recovery may result in syncope.
- ST elevation in lead I, avL and V2
- ST depression in inferior lead (II, III and avF).
This is called high lateral MI due to occlusion of first diagonal branch of LAD.
This picture created sigh called South Africa 🇿🇦 flag sign
According to your opinion which vessel was occluded in this ECG?
Young age male with history of fatiguability ,
presented with Lower legs weakness and inability to walk
This is developed shortly after sweat diet
Chest pain aggravated by cough
History of flue like illness
Elevated WBC and CRP
Negative S troponine
ECG show
- widespread st elevation
- PR interval depression
- positive spodik sing (downslope TP segment)
- no reciprocal st depression
-ST depression in avR and PR elevation in avR
NOTE: always compare the st segment and pr interval to base line which is TP segment.
