Arrhythmias (SVT, VT, VF)
Congestive cardiac failure
Tamponade/ Thromboembolic disorders
Rupture (ventricle, septum, papillary muscle)
Infaction (a second one)
Death/ Dressler's syndrome
Deep venous thrombosis: diagnosis
Dilated superficial veins/ Discoloration/ Doppler ultrasound
Venography is gold standard
Tenderness of Thigh and calf
Heart failure/ Hypertension
Heart failure causes
"HEART MAy DIE":
Rheumatic heart disease
Thyrotoxicosis (incl. pregnancy)
Diet & lifestyle
Cardiovascular risk factors (Framingham)
Insulin resistance (diabetes)
Non-regulated lipids (dyslipidaemia)
Georgie Pie (high fat diet)
Thrombosis and thrombocytopenia PARTNER together:
| Platelet count low |
Anemia (microangiopathic hemolytic)
ER admission (as it is an emergency)
| PARIS: |
· Alternatively: PIG ARMS to include Goodpasture's [one cause of RPGN], Membranoproliferative [only sometimes included in the classic nephritic list].
| TIBC levels at the: |
| FAT RBC: |
Thyroid disease(ie hypothyroidism)
B12 and folate deficiency
Cirrhosis and chronic liver disease
| TIMID CHIMP: |
Increases paralytic ileus (aggravates)
Increases possibility of hepatic encephalopathy
Increases P-R interval, T wave and prominent U wave
| ABCDEFG: |
-due to less EPO
D vitamin loss
-due to leukocyte abnormalities and dialysis hazards
-peptic ulcer disease
| MAD SCAB: |
"Life Can Get Complicated":
· 'Life' used since necrosis is 'death'.
Turner syndrome: components
Cardiac abnormalities (specifically Coartication)
Ovaries underdeveloped (causing sterility, amenorrhea)
Nipples widely spaced
Fragile-X syndrome: features
DSM-4: Discontinued chromosome staining
Male (male more affected)
Mental retardation (2nd most common genetic cause)
WHIPPLES: Weight loss
Hyperpigmentation of skin
Infection with tropheryma whippelii
PAS positive granules in macrophage
CREST sydrome: components
Edwards' syndrome: characteristics
EDWARDS: Eighteen (trisomy)
Digit overlapping flexion
Absent intellect (mentally retarded)
Small lower jaw
Fragile X syndrome: features
FEMALES FMR1 gene
Long face with large jaw
Kawasaki disease: features
Disease name: a Kawasaki motorcycle.
Usually young children, epidemic in Japan: Japanese child rides the motorcycle.
Conjunctival, oral erythema: red eyes, mouth.
Erythema of palms, soles: red palms, soles.
Generalized rash: rash dots.
Cervical lymphadenitis: enlarged cervical nodes with inflammation arrows.
Vasculitis of arteries: inflammation arrows on arteries.
Cardiovascular sequelae [20%]: inflammation arrows on cardiac arteries.
Treat with aspirin: aspirin headlight.
Kawasaki Disease Criteria
"Be careful when riding a Kawasaki motorcycle, you might get CREAMed.
Rash (polymorphous non-vesicular)
Edema (or erythema of hands or feet)
Adenopathy (cervical, often unilateral)
Mucosal involvement (erythema or fissures or crusting)
To have Kawasaki disease you must have fever for greater than 5 days plus 4 of the above.
Second most common casue of genetic mental retardation.
Kawasaki disease: diagnostic criteria
5 letters=5 days, >5 years old, 5 out 6 criteria for diagnosis:
Hyperthermia (fever) >5 days
Idiopathic polymorphic rash
Dryness & redness of (i)lips & month (ii)palms & soles [2 separate criteria]