Module 1 of 6th year students. Internal diseases 4.

Earliest radiological sign of Pulmonary Venous Hypertension in Chest X-ray is:

1. While caring for a patient with a suspected pneumothorax, you note there are several areas on the patient’s skin that appear to be “bulging” out. These “bulging” areas are located on the patient’s neck, face, and abdomen. On palpation on these areas, you note they feel "crunchy". When charting your findings you would refer to this finding as?

1. A patient Presents with decreased vital Capacity and total Lung volume. what is the most probable diagnosis?

FIND DIFFERENCES BETWEEN GIVEN ECG AND ATRIAL FLUTTER

A 29 year-old Caucasian male, recently diagnosed with seizure disorder, was brought to emergency room for altered mental status with combative behavior. Patient was having syncopal episodes and sudden seizures with spontaneous resolution in few minutes for the past 4-5 months. Family history was significant for sudden deaths in family in early age. 12 lead EKG showed the following. Identify ECG changes and find further  complication of this

1. A 62-year-old man presents to the emergency department complaining of shortness of breath. Four days prior to presentation he felt unwell and complained of muscle aches and headache. He started having rigors and his wife measured his temperature as 39°C. They thought that he had influenza. However his symptoms worsened, and by the day of presentation he was complaining of a dry cough and marked shortness of breath.

His pulse rate is 120/min and blood pressure 146/72 mmHg. His respiratory rate is 32/min. His trachea is central and chest expansion is symmetrical. Percussion is reduced, and auscultation reveals bilateral crackles and bronchial breathing in both lower zones posteriorly.

Hb – 15 G/DL, White cell count – 10.5 x 10⁹ /l, neutrophils – 8,9 x 10⁹ /l, lymphocytes – 0.4  x 10⁹ /l, platelets- 150 x 10⁹ /l.

According to known information choose from the followings as the main drugs

Which artery is most likely to be affected in the context of ST elevation being present in leads V3 and V4?

A person with mitral regurgitation and atrial fibrillation presents with syncope. On examination the person has a heart rate of 55. What is the most probable cause?

The most common reentrant tachycardia associated with WPW syndrome is:

Which of the following is cause of RBBB?