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Showing posts from May, 2012

Case Review : Acute ST Elevation MI

A 46 years Male from Islamabad came to ER with complains of Epigastric  and retrosternal pain for 16 hours. The pain was constricting type , continuous, radiating to left arm and neck, and not relieved in any position. It was associated with Shortness of breath. He had 3 episodes of Vomiting and sweating. He also complains of palpitation. Headache +, LOC followed the event and he was rushed to ER. Bowel/Bladder habits were Normal. He had no history of chest pain before but he is a smoker, 9-10 sticks per day for past 30 years. He occasionally consumed alcohol. He doesn’t give history of HTN, or Diabetes Mellitus. On Examination at ER: GC-  patient conscious but in agony. Vitals- Blood pressure- 100/80 mmHg, Pulse= 64/minute, RR=32/min , Temperature=Normal Cardinal signs- JVP- raised Chest- Bilateral Normal Vesicular Breath Sound, No added sounds CVS- S1 and S2 Normal, No mumur P/A-  soft, non-tender, no organomegaly ECG showed- ST-T chan...

Popular Medications

(Drugs listed alphabetically by generic name with brand name in parentheses)  ACE (angiotensin converting enzyme) inhibitors - Angiotensin converting enzyme inhibitors are used to treat high blood pressure. They cause the blood vessels to relax and become larger and, as a result, blood pressure is lowered. When blood pressure is reduced, the heart has an easier time pumping blood. This is especially beneficial when the heart is failing. ACE inhibitors also cause the process of hypertensive- and diabetes-related kidney diseases to slow down and prevent early deaths associated with high blood pressure. ACE inhibitors cannot be taken during pregnancy since they may cause birth defects. Generic ACE inhibitors are available. acetaminophen (brand name: Tylenol) - A pain reliever and fever reducer. The exact mechanism of action of acetaminophen is not known. Acetaminophen relieves pa...

Inspirational Quotes 2

Healing the Hardest of Hearts (By: Aisha Bhoori)

The ambulance was shrieking, and I was the unlucky patient being hurriedly transported to the local hospital. My body lay on a stretcher inside the vehicle, pain shooting through my left arm. “It looks like a massive heart attack,” I heard one of the paramedics whisper. Not knowing the true severity of my situation, I shut my eyes, desperately praying to Ar-Rahman (The Merciful) to have mercy on His slave. ….. I impatiently tugged at the oxygen tubes in my nose, wondering when I would be able to escape from this prison the public decreed was a hospital.  A cardiologist soon strolled into my room, her brown eyes vibrant with empathy as she laid my chart down on the side counter and turned towards me, exclaiming, “ As-salaamu `alaykum Aisha.” Believing her kindness to be merely the facet of a friendly facade, I brusquely muttered an inaudible “ Wa `alaykum as-salaam .” The doctor tucked a strand of loose hair back in her hijab and began the arduous task...