1. Reverse Pulsus Paradoxus s/i. A. HOCM B. COPD C. Cardiac tamponade D. Hypovolemic Shock ANSWER: A 2. Lt. Ventricular S3 s/i a/e A. MS B. MR C. PDA D. Pregnancy ANSWER: A 3. Carey Coombs Murmur s/i A. Severe MS B. Acute RF C. Pure AR D. All ANSWER: B 4. Graham steel murmur… Continue reading TARGET PGM-CET 2016: CARDIOVASCULAR SYSTEM
ANSWERS: www.facebook.com/Lifecaremedi 1. 67yr male presented with Loss of Balance a/w disordered & difficulty stepping described as Slipping Cluth Syndrome, Cycling gait at rest is Normal occurs in A. Cerebellar Gait d/o B. Sensory Gait d/o C. Parkinsonism gait d/o D. Frontal Gait d/o.✔ 2. A person complains of inversion of foot while walking &… Continue reading TARGET PGM-CET: Medicine
Anatomy Cranial duramater has periosteal and meningeal layers, is supplied by 5th nerve, is outermost meningeal layer and Dural venous sinuses are not present inner to the meningeal layer. Lateral pterygoid muscle, medial pterygoid muscle and tensor veli palatini muscle are innervated by trigeminal nerve. Stylohyoid muscle is innervated by the stylohyoid branch of the… Continue reading AIIMS MAY 2014 with Solutions
?PHARMACOLOGY UPDATE: ?First-in-class drug for HF approved?: Time to replace ACE inhibitors ?Approval of the first angiotensin-receptor/neprilysin inhibitor (ARNI): valsartan/sacubitril for the treatment of heart failure with reduced ejection fraction (HFrEF) ?PARADIGM-HF* trial results last year which showed that valsartan/sacubitril (formerly called LCZ696) significantly reduced the risk of cardiovascular (CV) death and hospitalization for HF… Continue reading First-in-class drug for HF approved?
A 2yr Child presented with enlarging scalp mass seizures focal neurological deficit headache …. A CT scan was done which showed lytic calvarial lesion with scalloped edges. What is Diagnosis ??? ANSWER: LEPTOMENINGEAL CYST also known as growing skull fractures, are an enlarging skull fracture that occurs near post-traumatic encephalomalacia. Epidemiology Majority occur in children < 3 years. Clinical presentation… Continue reading What is Diagnosis …??
A white line that extends across the nail and doesn’t move when the nail grows is called a Muehrcke’s line. It’s important to distinguish Muehrcke’s nails from Beau’s lines which also extend horizontally across the nail plate. If it’s a Beau’s line you’ll feel a ridge when you touch the nail, whereas a Muehrcke’s nail… Continue reading White line across the nail
Important Points To Remember 1. Smallest Ig- IgG 2. Largest Ig- IgM 3. Maximum serum concentration- IgG 4. Minimum serum concentration- IgE 5.Heat Labile- IgE 6. Earliest to be Synthesised (primary immune response)- IgM 7. Secondary immune response- IgG 8. Crosses Placenta- IgG 9. Minimum half Life- IgE 10. Maximum half life- IgG 11. Protects… Continue reading Immunoglobulins
Differential Diagnosis of Systolic Murmurs Systolic Ejection Benign Innocent systolic murmur (vibratory) Flow murmurs Hemodynamic effect (i.e., fever, hyperthyroidism, severe anemia) Athlete’s heart Atrial septal defect (incidental) Pathologic Aortic stenosis Pulmonary stenosis Hypertrophic cardiomyopathy Atrial septal defect Pansystolic Tricuspid reflux Mitral reflux Ventricular septal Differential Diagnosis of Pericardial Friction Rub Caused by inflammation of the… Continue reading D.D of Pericardial Rub & Systolic Murmurs
For Regular rhtyhms The easiest way (Triplet rule) – Find a R wave which falls on the heavy line of a large box. From then count every other heavy line as 300, 150, 100, 75, 60 ,50, 43, 37, 33. So if you memorize these simple numbers you can estimate the heart rate at a glance! The cumbersome way (Rule… Continue reading Calculating Heart Rate Made Easy