1. If CT angiogram cannot be done in a patient of suspected pulmonary embolism then the next step would be Doppler of leg or V/Q scanning??
2. If aortic dissection is present, control BP then x ray after that ct scan or echo??
Anyone can please help me over these points:
1) Do not do angiography if reversible signs of ischemia are absent?
Mean we will not do it after MI?
2) ST segment depression in V1 and V2 means posterior wall MI........It is Non ST segment elevation MI.
A 63-year-old woman presents with a 2-week history of malaise, fatigue, fever, and rash. Physical examination reveals a temperature of 38.4°C (101.1°F), grouped petechiae over the distal extremities, and cardiac murmur. Transesophageal echocardiography reveals valvular vegetations and blood...
in risk factors for IHD in KAPLAN its written cardiovascular events risk increases with bp over 110/75 .
but its normal bp! how? and we are supposed to consider patients with bp over 110/75 as risk factor?
a 63 y/o Female comes with substernal chest pain of 1 hour duration.
She is a K/C/O Afib and is currently on aspirin Prophylaxis for the same. Her EKG shows suspicious T wave inversions in leads II III AvF. She is started on Heparin, Beta Blockers, Aspirin, Clopidogrel...
USMLE World Q ID 4928........the guy has four risk factors for CAD---- age ,HTN, h/o premature CAD in his dad and smoking history
in the explanation, the Framingham risk score was calculated to be 17....:confused::confused:...how did they get the no 17...???? and accrdngly ha...
A 12-year-old African American Male is found to have a,murmUr during routine sports Physical. He has 'a family history of sudden death at a young age it is a harsh crescendo-decrescendo murmur that begins after S1 and is best heard at the left lower sternal border. Valsalva maneuver intensifies...
This is a gift from me to all of the Step 2 CK forum users, I recently found this page and its amazing, it has a lot of EKG that we will likely face on the exam, and it also covers a quite a few topics that are high yield.
Hope you guys find it useful
60 yo, s/p AMI, EF 25%, is coming to the ER, with decreased saturation, pulmonary edema, needs ventilation. BP 190/90, HR 130 (sinus tachy). what would you do?
b. Amioderan IV
c. Verapamil IV
d. Digoxin IV
Can someone explain it to me?
A 60-year-old man with a history of congestive heart failure (CHF) presents to his physician with an 8-month history of exertional fatigue and excessive daytime sleepiness. His wife has told him that he has episodes of choking in his sleep. He has been taking enalapril, metoprolol, and...