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Cardiology scheme
Definition :
especially: Heart failure . Ischemic heart disease . Hypertension .
Etiology:
especially:
Clinical picture :
i) Manifestations of LCOP :
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chest pain :
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The following questions are asked for any pain: 1- Site? 2- Character? 3- Radiation? 4- Duration? 5- ppt factors? 6- Relieving factors? 7-Association?
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Investigations :
1- X ray :
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2- ECG :
o Chamber enlargement . o Detect the cause .
you have to know ECG changes of the following diseases : angina , MI & dry pericarditis .
3- Echo :
o Chamber enlargement . o Detect the cause . o Paradoxical movement of the myocardium.
4- Catheterization :
o Chamber enlargement . o Detect the cause .
BUT :
In myocardial infarction In Infective endocarditis In Pulmonary embolism In Dissecting aorta : : : : add :cardiac enzymes. add : blood culture . add : pulmonary angiography add : CT & MRI .
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Treatment :
1- treatment of the cause 2- treatment of precipitating factors : eg. hyperlipidemia : statins : 20 - 80 mg/d SE: myositis . Fenofibrate : 300 mg/d Omega 3 ( fish oil ) . 3- Specific treatment : unfortunately it differs according to the differs disease !!!!
We think so because all other people think so,or because we were told to think so,and think we must think so
Rudyard Kipling
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