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review everyday / add your own nemonics/ share to care - and learn fast fact
you can aid memory pearl also -- i will start with cardiology pearls
Monabaa-- management of mi
morphine
oxygen
nitroglycerine
aspirin
betablocker
ace inhibitor/arb
angiography and angioplasty
RX OF ALTERED MENTAL STATUS
DONT
dextrose
oxygen
naloxone
thiamine
thiamine before dextrose
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JONES CRITERIA FOR RHEMATIC HEART DISEASE
JOINTS
O- Looks like heart - pericarditis
Nodules - subcutenous
erythema marginatum
S ydenham's chorea
minor criteria
FAL
Fever
Arthalgia
L eucocytosis
HACEK organism for for conventinal culture negative bacterial endocarditis
H emophillus
Actinobacter
Ccardiobacterium
eIKENELLA
kINGELLA
ABCDE of cardiomyopathy
A-alcohol;
B eriberi AND BABY IN UTERUS
C Chagas disese/cocaine coxsicae virus/ during Conception AND POSTPARTUM
Doxorubicin
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j R has NO fAME==CLINICAL SIGNS OF BACTERIAL ENDOCARDITIS
janeway lesion
Roth spot in eyes
Nail bed hemorrhege also called splinter hemorrhage
oSLER'S NODE
fEVER
aNEMIA
mURMUR
E MBOLI
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janeway lesion and roth's spot are vasculitis
osler's and splinter hemorrhage are autoimmune
there may be splenomegaly and hematuria in bacterial endocarditis
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Abcd IN ATRIAL FIBRILLATION
aNTICOAGULATE or amiodarone
BETABLOCKER
CALCIUM CHANNEL BLOCKER OR CARDIOVERT
D igoxin
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See RAIR when you read ekg
rate
axis
interval
rhytm
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Causes of recurrrent cardiac failure or congestive heart failure is FAilure
F Alure to take medicartion or forgot the medicine
Anemia/ arrythmia
i schemia/ infection/infarction
lifestyle failure-- increse sodium in diet or LACK OF EXCERCISE
u -- Upload of fluid that is fluid overload -- high output failure - hyperthyroidism= higher iv fluid
r -renal failure due to fluid overload
e--mbolism -pulmonary embolism
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beta blocker precaution
Abcd - asthma / brdycardia/ copd/ diabetes
or bradycardia block bronchospasm/ blood sugar
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Acute congestive heart failure management -LMNOP
LASIX
MORPHINE
NITROGLYCERINE
OXYGEN
PULMONARY VENTILATION
chronic mangement ABCD TO NSS
ACE AND ASPIRIN
BETABLOCKER
C-ONLY SOMETIMES CALCIUM CHANNEL BLOCKER NOT ALWAYS
DIURETICS AND DIGOXIN
NITROGLYCERINE LONG ACTING NITRITES
STATIN
SPIRONOLACTONE