MODULE 12
OK, another big module: Cardiology. Resources below on some of the major topics. Enjoy!
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READ
By all means have a skim of Cameron this week, but the cardiology chapters tend to be pretty long and boring, and of not a great deal of relevance to the exam except for some MCQs. You need to be able to read ECGs and manage the conditions they represent, which is by far the biggest application of cardiology knowledge in the exam.
We have a few articles of interest relating to cardiology topics this week:
1. Cardioversion, written by Luke for EMA: lots of factoid type information about management of acute arrhythmias
2. Two articles discussing the predictive value of various chest pain features for acute coronary syndrome. Note one is linked and the file for the other is below it.
3. The ADAPT study, discussing the use of a two hour "rule out" troponin in low risk chest pain. This is definitely worth knowing about as it's starting to seep into clinical practice. In fact, it's now referenced in the national ACS guidelines.
1. Cardioversion, written by Luke for EMA: lots of factoid type information about management of acute arrhythmias
2. Two articles discussing the predictive value of various chest pain features for acute coronary syndrome. Note one is linked and the file for the other is below it.
3. The ADAPT study, discussing the use of a two hour "rule out" troponin in low risk chest pain. This is definitely worth knowing about as it's starting to seep into clinical practice. In fact, it's now referenced in the national ACS guidelines.
| aaem_chest_pain_predictors.pdf |
solve.
- THERE ARE 2 PROBLEMS TO SOLVE. THESE HAVE BEEN SET UP AS SAQ'S.
- PLEASE COMPLETE THEM AND PLACE YOUR ANSWERS ON THE VSG FOR REVIEW.
- WE WILL DISCUSS THESE AT THE NEXT FACE TO FACE
PROBLEM 1.
A 48 yo male presents to the emergency department with one week of high fevers, cough and shortness of breath. He is pale, lethargic and dehydrated. His temperature is 39.3 C, HR is 103bpm, BP 123/71, RR is 28, sats 89% on room air. His CXR shows a basal pneumonia. He is on high flow oxygen and has IV access. The nurse calls you urgently as she is concerned that he is going in and out of Ventricular Tachycardia(VT). His ECG is shown below.
(a) List 4 criteria, that when positive indicate the diagnosis of VT. (2 marks)
(b) Below is the ECG. Please interpret and give the diagnosis.(4 marks)
(a) List 4 criteria, that when positive indicate the diagnosis of VT. (2 marks)
- ________________________________
- ________________________________
- ________________________________
- ________________________________
(b) Below is the ECG. Please interpret and give the diagnosis.(4 marks)
(c) What is your initial management, in terms of the ECG findings? (4 marks)
PROBLEM 2.
A 48 yo male presents with a chest infection. He tells you he has palpitations.
(a) Please review the ECG below. Describe it and give your diagnosis and a differential.
(a) Please review the ECG below. Describe it and give your diagnosis and a differential.
write.
OKAY, Here's the homework. Please write 3 high quality MCQ's and 1 high quality SAQ in CARDIOLOGY