Clinical Notes

#remember ✅ Response to steroids is helpful when making the diagnosis of asthma. ✅ Response to PPI is helpful when making the diagnosis of GERD

#remember ✅ In general, β-blockers (including eye drops) are contraindicated in patients with asthma #Not and Not for MRCP

🛑 (Blue Toe Syndrome) ✅ sudden onset of a cold, painful, and cyanotic big toe. the next steps 👉 Therapeutic heparin and urgent echocardiogram

🛑 (Blue Toe Syndrome) ✅ sudden onset of a cold, painful, and cyanotic big toe. the next steps 👉 Therapeutic heparin and urgent echocardiogram

#remember ✅ history of heart failure + iron deficiency 👉 the first step 👉 correcting iron deficiency

💊 هل يفقد الميتفورمين فعاليته مع مرور الوقت؟ يُعد Metformin العلاج الأول لمرض السكري من النوع الثاني، ويتميز بفعاليته العالية وسلامته وانخفاض خطر التسبب بنقص سكر الدم. لكن من المهم معرفة أن بعض المرضى قد يفقدون السيطرة الجيدة على سكر الدم مع مرور الوقت، وهي ظاهرة تُعرف باسم Secondary Failure (الفشل الثانوي للعلاج). 📌 تشير الدراسات إلى أن معدل الفشل الثانوي للميتفورمين يبلغ حوالي 5–10% سنويًا. أي…

🛑 Management of hyperglycaemia in acute coronary syndromes ✅ the most appropriate treatment for his glycaemic control Commence intravenous insulin infusion and stop metformin #note and Note for MRCP

🛑 complications of Percutaneous coronary intervention(PCI) #note and Note for MRCP

🛑 GABG indications

🛑 ACS treatment in diabetes mellitus patients ✅ CABG was superior to PCI in that it significantly reduced rates of death and myocardial infarction. #FREEDOM trial

🛑 ST-Segment Elevation Response to Nitroglycerin ✅ If administration of nitroglycerin results in: Complete resolution of ST-segment elevation . Complete relief of chest pain. This strongly suggests coronary artery spasm , with or without associated myocardial infarction (MI) . ✅ Recommendation: Perform early coronary angiography (within 24 hours) to confirm the diagnosis and exclude obstructive c…

#remember ✅ Women with pulmonary hypertension should avoid becoming pregnant due to very high maternal mortality #note and Not