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1-Beggining, End, Branches and Tributaries of :
- CCA
- ECA
- IJV
- EJV
- subclavian artery
- Subclavian Vein
- Bracheocephalic Vein (Right - Left)
- Pulmonary Trunk & Arteries
- Aorta ( Asending - Arch - Descending )
- Axillary Artery
- Brachial Artery
- Radial
- Ulnar
- Superficial Veins of Upper Limb
- Femoral Artery
- Popliteal
- Anterior Tibial
- Posterior Tibial
- Superficial Veins of Lower Limb
يعتبر كل حاجة ممكنة 🥸🥸🥸🥸🥸
2- list source of Arch Of Aorta
3- list fate of Aortic Arches
4- SVC is derived from .....
5- Fate of Cardinal Veins
6- Change that occur in fetus circulation
7- Follow the blood from the umbilical vein to the umbilical artery
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لو حد مزنوق زمايلنا كتبوا ورا الدكتور الحاجات المهمة اللي قالها لو عايزين تشوفوها سريعا
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Clinical pathology
سؤالين في حتة بتاعت bacteria
وسؤالين في markers
VTE
Clinical picture of dvt مهمة
PAD
Acute ischemia
Clinical picture :6P
Femoral bifurcation :Common dvt
Markers
Specific troponin
Early myoglobin
Lipid profile
VLDL LDL HDL
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stable angina (Chronic coronay $)→ symptoms on exertion Relived by Rest or St Nitrate , Gradul Narowing
Non stable ( Acute Coronay $)→[unstable Angina, STEMI and NSTEMI] Rupture Plaque + Thrombus
ECG+ Echo+ CT
TTT: ModIFY life+ Aps drugs
Acute Coronary $→ First Line [ECG] MI
if STEMI→ ST elevation+ Markers+ve
if NSTEMI→ ST depression or Inverted Tor Normal + Markers +ve
UA → ST depression or Inverted T or Normal +Markers -ve
ECG+ Echo+ catheterization + Markers
Markers -→ Troponin ( Most specific) help in Late diagnosis but Can't help in Reinfarction
Myoglobin-→ Most earliest
CK-MB→( Notspecific) can diagnosis Reinfarction
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HEART FAILURE
Left Side → Lung complication [DYSPneaa- PE-orthapnea+PND+ Lung Congestion]
Right side → systemic congestion and edema [ LL Edema +distended neck veins+ Asits +elevated IVJ]
Bothh → decrease COP [Fatigue+ dizziness]
NYHA
I → No limitation on ordinary activity
II→ Mild Limitation on activity + comfortable on Rest + Mild excretion
III→ Marked Limitation on activity+ Comfortable only atRest V
Iv → Symptoms occ ur at Rest
Gold standard→ Echo
BNP→ elevated on HF
Both done Together
TTT
I → lifestyle Modification
2→ Diuretic For symptoms Releif
3 → Improve mortality [BBS +ACEI + MRA]
TTT of Cardiogenic shock→ Vasopressor + +Ve inotropics + Fluids + Mechanical ventilate
TTT PE→ Diuretcs
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Most common IEC organism : Strept viridans
Iv drug : SA
SA → right side IEc
Early prothati→ Staph epidermis
Late→ S. Viridans
Most Important diagnostic tools For IEC→ Echo+ Blood Culture
Infective endocarditis
Investigation: culture , transthoracic echo
Culture negative endocarditis
Previous antibiotics
Slowly growing organisms
Native : viridans
Acute , addicts : staph aureus
Early prothetic : epidermides
Modifiable risk factors
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Auscultation
انهي Murmur systolic و انهي diastolic
Patent ductis arterioses 👉Continuous murmur
