Download e-book for kindle: 250 Short Cases in Clinical Medicine by Ragavendra R. Baliga MD MBA

By Ragavendra R. Baliga MD MBA

ISBN-10: 0702026247

ISBN-13: 9780702026249

A suite of brief instances prepared by way of scientific sector, emphasising the main diagnostic beneficial properties of scientific stipulations as generally provided within the brief case a part of the ultimate MB and MRCP examinations. additionally integrated are most probably directions or instructions anticipated from the examiner for every situation, and the most important issues which the candidate needs to inform the examiner. In June 2001 the MRCP brief situations examination is being changed with a brand new OSCE-style examination referred to as PACES (Practice review of scientific exam talents) and this e-book will take complete account of this alteration.

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Patients with successfully treated chronic stable angina pectoris should have a follow-up evaluation every 4-12 months. During the first year of therapy evalu-ations every 4-6 months are recommended. After the first year of therapy, annual evaluations are recommended provided the patient is stable and reliable enough to call or make an appointment when anginal symptoms become worse or other symptoms occur. Patients who are co-managed by their general practitioner and cardiologist may alternate these visits (Circulation 1999; 99: 282948).

Symptomatic sinus bradycardia. · Symptomatic second- or third-degree heart block. Which drug would you use to treat sinus bradycardia seen in the setting of an acute myocardial infarction? Intravenous atropine. What do you understand by the term chronotropic incompetence? Failure to reach a heart rate that is 85% of the age-predicted maximum (220 - age in years) at peak exercise, the failure to achieve a heart rate of 100 beats per minute, or a maximal heart rate more than 2 SD below that in a control population (N Engl J Med 2000; 342:703 9).

How frequent are the palpitations'? · What is the duration of each episode'? · Is each episode followed by polyuria (seen in supraventricular tachycardia)? g. polymorphic VT in long QT syndrome)? · What happens on standing (postural hypotension, atrioventricular nodal tachycardia)? Are there any precipitating factors such as colIee, tea, alcohol or medications such as thyroid extract, ephedrine, aminophylline, monoamine oxidase inhibitors? Are there any associated symptoms such as chest pain or shortness of breath?

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250 Short Cases in Clinical Medicine by Ragavendra R. Baliga MD MBA

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