معلومات طبية جابرية

Comment on types of murmurs in Aortic stenosis (AS): The murmur of aortic stenosis is typically a mid-systolic ejection murmur, heard best over the “aortic area” or right second intercostal space, with radiation into the right neck. Aortic incompetence (regurgitation): Early Diastolic murmur. Mitral regurgitation (MR): Pan systolic murmur: usually best heard at the apex, with radiation into the axilla. Mitral stenosis (MS): Mid diastolic murmur. Ventricular septal defect (VSD): It is usually best heard over the “tricuspid area”, or the lower left sternal border What are the causes of MR? A: Mitral valve regurgitation is usually either a congenital condition or a consequence of rheumatic heart disease, marked left ventricular dilatation, acute infective endocarditis, or papillary muscle dysfunction secondary to acute or prior myocardial infarction. #cardio #IM #ER #murmur #AS #MS #MR #VSD للمزيد تابعونا على التيليجرام: https://t.me/medjab

Comment on site and character of cardiac apex Site: (the most lateral and most inferior; normally in the 5th left intercostal space in the mid clavicular line) Displaced or not Character : The following are the common characters of apex: thrusting displaced apex beat is caused by volume overload: an active large stroke volume ventricle eg aortic or mitral regurgitation or left to right shunts. sustained apex beat is caused by pressure overload eg aortic stenosis, gross hypertension. tapping apex beat - mitral stenosis. diffuse pulsation asynchronous with apex beat - left ventricular aneurysm. double or triple impulse may occur in hypertrophic obstructive myopathy. an impalpable apex beat - obesity, overinflated chest, pericardial effusion. Also consider dextrocardia #cardio #apex_beat #IM #ER للمزيد تابعونا على التيليجرام: https://t.me/medjab

What is orthopnea? It is feeling dyspnic on laying down. It is typically occur in left side heart failure (pulmonary odema). Enumerate the physical signs and symptoms of left side heart failure: The patient is feeling short of breath (dyspnea) and you may see cyanosis, tachycardia and orthopnea in general examination. Apex of the heart may be displaced, Auscultation of chest will reveal fine basal (at base of lungs posteriorly) crepitation. What are the features of right side heart failure: Fatigue, cardiomegaly, raised JVP, bilateral pitting leg oedema and may be features of ascites and pleural effusion. #cardio #orthopnea #HF #IM #ER للمزيد تابعنا على التيليجرام : https://t.me/medjab

important questions about common symptoms in cardiovascular, respiratory GIT Cardiovascular: Ask about chest pain and its characters (ischemia, pericarditis). Ask about palpitation (SVT, atrial fibrillation, etc.) Ask about waking up at night due to shortness of breath (paroxysmal nocturnal dyspnea and pulmonary oedema). Respiratory: Ask about cough and whether dry or productive of sputum. Ask about wheeze (bronchial asthma, bronchitis, etc.) Ask about coughing of blood (TB, lung cancer, etc.). Ask about shortness of breath. GIT: Ask about dyspepsia (indigestion): It is an upper abdominal discomfort. Many causes : functional is the commonest cause , peptic ulcer, gastritis, cancer, etc. Ask about heart burn: Burning sensation behind the sternum (retrosternal) due to regurgitating (reflux) of stomach content to oesophagus in a disease called gastroesophageal reflux disease (GERD ). Ask about abdominal pain (Location: epigastric, lower abdomen, mid central, etc.) , association and nature (constant or colicky). Ask about a recent change in bowel habit (diarrhea, or constipation). Ask about stool: If it containing blood, mucus, food particles , etc. Ask about amount of stool (stool size): small amount (in large bowel disease, large sized stool usually in diseases of small bowel. Bulky, offensive, greasy with difficulty in washing and floating stool in WC indicates malabsorption syndrome. #IM #ER #GIT #pain #Cardio #Respiratory للمزيد تابعنا على التيليجرام: https://t.me/medjab

Tall R (+Ve R) in V1 = • RVH • RBBB • Posterior MI • WPW syndrome #ECG #ER #IM للمزيد تابعنا على تليجرام: https://t.me/medjab

IDA [ ⬇️ Hb ,⬇️ MCV , ⬆️ RDW ,⬆️ PLT ] #Hematology #IDA #IM للمزيد تابعنا على التليجرام : https://t.me/medjab

Difference between Migraine headache 🤕 and Cluster Headache 🤕 Migraine [ Throbbing in character, MC In Female, more sensitive to light 💡 and sound 🎶 ، long time in onset >2h and <24h , procedes by prodromal aura ] Cluster [ Stabbing pain , MC In male, not sensitive to light or sound, Short time 15 min to 3h , without aura] #Migraine #Cluster #Headache #Neurology #IM #ER للمزيد تابعونا على تليجرام : https://t.me/medjab

Murmurs #Murmur #Cardio #IM #ER للمزيد تابعونا على تليجرام : https://t.me/medjab

Murmurs #Murmur #Cardio #IM #ER للمزيد تابعونا على تليجرام : https://t.me/medjab

mnemonic of postoperative fever in the order (Based on days) : ✅ Wind (atelectasis) ✅Water (urinary tract infection [UTI]) ✅Wound (wound infection) ✅Walking (venous thromboembolism) ✅Wonder drug (drug fever). منقول من دكتور ياسر عباس عبدالستار / طب النهرين #Surgery #Fever