MEDICINEnotes

A 64-year-old man is diagnosed with non-valvular atrial fibrillation. He has hypertension but no diabetes, heart failure, vascular disease, or previous stroke. His renal function is normal, and he has no history of bleeding.

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لن تنجو من الموت لكن حاول أن تنجو من النار.

Q1105. A 45-year-old man presents with a 2-day history of sharp retrosternal chest pain that becomes worse during deep inspiration and when lying flat. The pain improves when he sits forward. He reports a recent history of fever, sore throat and general malaise. Examination reveals a pericardial friction rub. ECG shows widespread concave ST-segment elevation, while serial high-sensitivity troponin measurements show no significant rise or fall.

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شوفوا يا جماعة الـ LAD ينقسم Septal و Anterior لو لقينا الـ ECG changes في V1 - V2 = Septal V3 - V4 = Anterior لو لقيناه في VV1- V4 معناها Anteroseptal STEMI ونشكوا ان LAD متصكر معناها الجزء المتضرر من القلب هو Left ventricle مع interventricluar septum

V1–V2 = Septal V3–V4 = Anterior V5–V6 = Latera

Q1096. A 63-year-old woman presents with two hours of central chest pain and sweating. Her pulse is 88 beats/min and blood pressure is 132/80 mmHg. The 12-lead ECG demonstrates 3 mm horizontal ST-segment depression in leads V1–V3, with tall, broad R waves and upright T waves in V2–V3. There is no ST-segment elevation in any of the 12 standard leads. These changes raise suspicion of an acute myocardial infarction that may be poorly represented on the standard ECG.

نقصد ضغط او تشبع الاكسجين في Right atrium و Ventricle

نشرح الفكرة و السؤال

هذا من شيت الدكتور سيف ظريف، شوفوها وجاوبوا السؤال 🫩

اول شي انتم قاريين الـ Complications متعت MI و Early and late complications

بالنسبة للأسئلة ماتركزوش وتقول السؤال الطويل....