By Ragavendra R. Baliga MD MBA
A suite of brief instances prepared by means of medical sector, emphasising the major diagnostic beneficial properties of medical stipulations as in general offered within the brief case a part of the ultimate MB and MRCP examinations. additionally incorporated are most likely 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 known as PACES (Practice evaluation of scientific exam abilities) and this e-book will take complete account of this modification.
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Additional resources for 250 Short Cases in Clinical Medicine
Rupture of interventricular septum. Left ventricular aneurysm. Mural thrombus. Thromboembolism: cerebral or peripheral. Venous thrombosis. Pericarditis. Dressler's syndrome, characterized by persistent pyrexia, pericarditis, pleurisy. It was first described in 1956 when Dressier recognized that chest pain following myocardial infarction is not caused by coronary artery insufficiency. What is a silent myocardial infarct? A painless infarct, common in diabetics and the elderly; it may present with complications of myocardial infarction.
What is the role of glycoprotein lib/Ilia antagonists as adjuncts to thrombolytic therapy in acute MI? After thrombolytic therapy for acute MI, full anterograde perfusion (TIMI grade 3 flow) occurs in only 29-54% of patients at 90 minutes while reocclusion occurs in at least 12%, with increased morbidity and mortality. Thrombolytic therapy may itself be prothrombotic by releasing clot-bound thrombin, which in turn stimulates platelet activation. Preclinical and early clinical trials have suggested that glycoprotein llb/llla receptor blockers (which prevent fibrinogen binding to platelets) used as adjuncts to thrombolytic therapy may improve early patency and reduce the incidence of reocclusion.
Doppler echocardiography allows determination of diastolic dysfunction. g. haemochromatosis, hypocalcaemic cardiomyo-pathy, thyroid heart disease, anaemia, heavy metal poisons, amyloid (serum electrophoresis, rectal biopsy), sarcoid (serum angiotensin converting enzyme). Coronary angiography to identify ischaemic heart disease. Ventricular biopsy for specific myocarditis, especially viral, and to exclude infiltrative diseases such as cardiac sarcoidosis and amyloidosis. Radionuclide ventriculography or echocardiography: to quantitate severity of systolic dysfunction (ejection fraction).
250 Short Cases in Clinical Medicine by Ragavendra R. Baliga MD MBA