Paid To Popup MBBS MADE EASY

Wednesday, December 1, 2010

Apex beat: differential for impalpable apex beat

DOPES 


Dextrocardia

Obesity


Pericarditis or pericardial tamponade


Emphysema


Sinus inversus/ Student incompetence
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Atrial fibrillation: causes

PIRATES

Pulmonary: PE, COPD

Iatrogenic


Rheumatic heart: mirtral regurgitation


Atherosclerotic: MI, CAD


Thyroid: hyperthyroid


Endocarditis


Sick sinus syndrome
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ECG: T wave inversion causes

INVERT 


Ischemia

Normality [esp. young, black]


Ventricular hypertrophy


Ectopic foci [eg calcified plaques]


RBBB, LBBB


Treatments [digoxin]
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Murmurs: innocent murmur

8 S
Soft

Systolic


Short


Sounds (S1 & S2) normal


Symptomless


Special tests normal (X-ray, EKG)


Standing/ Sitting (vary with position)


Sternal depression
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