ANTIDOTES ........ FIRSTLINE Treatment ......... INVESTIGATIONS
just a quick reminder>>>>>>>>>>>> ANTI-DOTES
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Heparin -----------------------------------Protamine Sulphate
just a quick reminder>>>>>>>>>>>> ANTI-DOTES
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Heparin -----------------------------------Protamine Sulphate
Paracetamol -----------------------------N-Acytcystiene, Methionine
Warfarin -----------------------------------Vitamin K.
Iron ------------------------------------------Desferroxamine (chelating agent).
Cyanide -------------------------------------Na thiosulphate, Amyl Nitrite,
Warfarin -----------------------------------Vitamin K.
Iron ------------------------------------------Desferroxamine (chelating agent).
Cyanide -------------------------------------Na thiosulphate, Amyl Nitrite,
Sodium Nitrite
Copper & Lead ----------------------------Pencillamine.
Heavy metals ------------------------------Dimercaprol. (organic compound)
Insulin & oral hypoglycemic ------------Dextrose.
Digoxin/Digitalis-------------------------------------Digoxin Immune Fab(
Copper & Lead ----------------------------Pencillamine.
Heavy metals ------------------------------Dimercaprol. (organic compound)
Insulin & oral hypoglycemic ------------Dextrose.
Digoxin/Digitalis-------------------------------------Digoxin Immune Fab(
Digibind).
Opioid ----------------------------------------Noloxone,Nalmaphene,Naltrexone.
Morphine ------------------------------------Naloxone.
Organophosphate Poisoning-------------Pralidoxime,Atropine
Anticholinergics------------------------------Physosigmine
Opioid ----------------------------------------Noloxone,Nalmaphene,Naltrexone.
Morphine ------------------------------------Naloxone.
Organophosphate Poisoning-------------Pralidoxime,Atropine
Anticholinergics------------------------------Physosigmine
Benzodiazepines-----------------------------Flumazenil
Carbon mono-oxide-------------------------Oxygen/Hyperbaric chamber
Methanol/Ethylene Glycol-----------------Fomepizole
Methimoglobinemia-------------------------
just a quick reminder>>>>>>>>>>>>>>>> TT by Rahul Jain
Carbon mono-oxide-------------------------Oxygen/Hyperbaric chamber
Methanol/Ethylene Glycol-----------------Fomepizole
Methimoglobinemia-------------------------
just a quick reminder>>>>>>>>>>>>>>>> TT by Rahul Jain
First line for AF with hyperhyrodism………BB
First line for mitral valve prolapsed……BB
First line ttt for HOCM……….BB
First line ttt for angina………BB
First medical ttt for aortic dissection…….BB
TTT of essential tremors……….BB
TTT of panic ……BB ( SECOND LINE) ….
First line for mitral valve prolapsed……BB
First line ttt for HOCM……….BB
First line ttt for angina………BB
First medical ttt for aortic dissection…….BB
TTT of essential tremors……….BB
TTT of panic ……BB ( SECOND LINE) ….
FIRST IS Benzodiazepine
TTT of leg restless syndrome…….levo dopa BB SECOND LINE
First drug for premature ventriculat beat……..BB ( only if Ṥ)
First drug for SVT……adenosine then CCB OR BB
First line for WPW ……AMIODARONE
First line for torsade de points………Mg so4
TTT of leg restless syndrome…….levo dopa BB SECOND LINE
First drug for premature ventriculat beat……..BB ( only if Ṥ)
First drug for SVT……adenosine then CCB OR BB
First line for WPW ……AMIODARONE
First line for torsade de points………Mg so4
First line stable vent. Tachycardia………amiodarone
First line unstable vent. Tachycardia…….cardioversion
First line V. Fibrillarion……defibrillator
First line for symptomatic bradycardia……..atropine
First line for COPD…….O2
First line for pericarditis…….NSAIDs
First line unstable vent. Tachycardia…….cardioversion
First line V. Fibrillarion……defibrillator
First line for symptomatic bradycardia……..atropine
First line for COPD…….O2
First line for pericarditis…….NSAIDs
First line for percardiac tamponade…….percardiocentesis
First line for STEMI……....angioplasty
First line for non STEMI…….heparin
First line for unstable angina…….heparin
First line for variant angina……CCB
First line for cocaine induced angina……CCB
First line for
First line for STEMI……....angioplasty
First line for non STEMI…….heparin
First line for unstable angina…….heparin
First line for variant angina……CCB
First line for cocaine induced angina……CCB
First line for
hyperlipidemia…….statin
Best life style for asthma……avoid smoking
Best life style for HTN……..loss weight
Best life style for OA………Loss weight
First drug for aortic regurge……ACEI
First drug for DM With HTN……ACEI
First line for DM + Protenuria…….ACEI
Best life style for asthma……avoid smoking
Best life style for HTN……..loss weight
Best life style for OA………Loss weight
First drug for aortic regurge……ACEI
First drug for DM With HTN……ACEI
First line for DM + Protenuria…….ACEI
HTN + unilateral renal artery stenosis…….ACEI
Best ttt for renal artery stenosis…..stent
Best initial drug for HTN……Thiazides
HTN + DM……..ACEI
HTN + osteoporosis…….THIAZIDES ( hypercalcemia)
HTN + Hyperthrodism…….BB
HTN + BPH……..Alpha blockers
HTN + ESSENTIAL
Best ttt for renal artery stenosis…..stent
Best initial drug for HTN……Thiazides
HTN + DM……..ACEI
HTN + osteoporosis…….THIAZIDES ( hypercalcemia)
HTN + Hyperthrodism…….BB
HTN + BPH……..Alpha blockers
HTN + ESSENTIAL
TRMORS……..BB
HEART BLOCK:
First degree……,no ttt
Mobitz 1……..no ttt
Mobitz 2…….pace maker
Third degree (cannon waves)……pace maker
. The most common cause of death in the 72 hours post AMI is VENTRICULAR ARRHYTHMIA
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HEART BLOCK:
First degree……,no ttt
Mobitz 1……..no ttt
Mobitz 2…….pace maker
Third degree (cannon waves)……pace maker
. The most common cause of death in the 72 hours post AMI is VENTRICULAR ARRHYTHMIA
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Just a quick reminder>>>>>>>>>>>>>INVESTIGATION by Ali Sangi
- OA >>>>> X-ray ( early OA may be appears only in MRI or with arthroscopy)
Arthroscopy is the best.
- SLE >>>>Anti dsDNA , ANA test.
- RA>>>>appropriate is Anti CCP , initial >>>>> RF & ESR
-
- OA >>>>> X-ray ( early OA may be appears only in MRI or with arthroscopy)
Arthroscopy is the best.
- SLE >>>>Anti dsDNA , ANA test.
- RA>>>>appropriate is Anti CCP , initial >>>>> RF & ESR
-
PAN (polyarteritis nodosa) >>ANCA
((((( The correct diagnosis of PAN (polyarteritis nodosa) was not confirmed by this biopsy because the biopsy was not deep enough. The biopsy specimen contains only the epidermis and superficial dermis. PAN classically affects medium–sized
((((( The correct diagnosis of PAN (polyarteritis nodosa) was not confirmed by this biopsy because the biopsy was not deep enough. The biopsy specimen contains only the epidermis and superficial dermis. PAN classically affects medium–sized
arteries located in the deep dermis.))))
- Knee swelling >>>>> Aspiration
- Any skeletal disorder or injury >>>>> initial : X-ray
- MM>>>>>> Bone marrow ( bence J protein)
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PE
- Initial inv for PE >>>> D-dimer
- PE In early pregnancy>>>> CTPA
-
- Knee swelling >>>>> Aspiration
- Any skeletal disorder or injury >>>>> initial : X-ray
- MM>>>>>> Bone marrow ( bence J protein)
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PE
- Initial inv for PE >>>> D-dimer
- PE In early pregnancy>>>> CTPA
-
PE in late pregnancy >>>> V/Q scann
- PE in pt with renal impairment >>>> V/Q scan.
- PE in breast feeding :
1) V/Q. 13 hours gap
2) CTPA. No gap
- PE in Pregnant person with Hx of DVT >>>> Doppler USG
- PE In women at reproductive age >>V/Q
- DVT >>>>>>> Doppler- USG
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- PE in pt with renal impairment >>>> V/Q scan.
- PE in breast feeding :
1) V/Q. 13 hours gap
2) CTPA. No gap
- PE in Pregnant person with Hx of DVT >>>> Doppler USG
- PE In women at reproductive age >>V/Q
- DVT >>>>>>> Doppler- USG
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DM
- DM with risk factor>>>>>>Ogtt
- Gestational DM:
1) without risk factor >>>>Ogtt at 26- 28 weeks
2) with risk factor >>>>>>Ogtt at first antenatal ( or FBS)
- Following after delivery: Ogtt>>>>> 6 weeks after delivery ( and 5 years)
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- MS>>>>>>>>MRI
-
- DM with risk factor>>>>>>Ogtt
- Gestational DM:
1) without risk factor >>>>Ogtt at 26- 28 weeks
2) with risk factor >>>>>>Ogtt at first antenatal ( or FBS)
- Following after delivery: Ogtt>>>>> 6 weeks after delivery ( and 5 years)
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- MS>>>>>>>>MRI
-
TB>>>>>>> Mantoux test, X-ray , sputum
- Clamydia>>>>> urine PCR
- Gonococcal :
1) in women>>>>>Endoservical swab PCR
2) in men>>>>>>> Urethral & anal swab
- Herpes>>>>> swab of due roofed vesicles PCR
- HIV >>>>>>> ELISA & Westren blot
-
- Clamydia>>>>> urine PCR
- Gonococcal :
1) in women>>>>>Endoservical swab PCR
2) in men>>>>>>> Urethral & anal swab
- Herpes>>>>> swab of due roofed vesicles PCR
- HIV >>>>>>> ELISA & Westren blot
-
Hepatitis A >>>> LFTs & viral markers
- Hepatitis B>>>> HBs Ag
- Hepatitis C>>>> Serology HCV Ab & HCV-RNA
- Haemochromatosis >>>>> Serum Transferase Saturation ( >70%)
( confirmation : Genetic test)
- Thalasemia >>>> First: FBE, Diagnostic: Haemoglobin Electrophoresis
-
- Hepatitis B>>>> HBs Ag
- Hepatitis C>>>> Serology HCV Ab & HCV-RNA
- Haemochromatosis >>>>> Serum Transferase Saturation ( >70%)
( confirmation : Genetic test)
- Thalasemia >>>> First: FBE, Diagnostic: Haemoglobin Electrophoresis
-
Sickle Cell Anemia >>>>> Hb Electrophoresis is need to confirm.
-Porphyria >>>>> Urine PBGs ( high) & Serum Na ( very low)
- Cystic fibrosis>>>> Sweat test for elevated CL & Na Level
( confirmation for most carrier: DNA test)
- Fragile X Syndrome >>Cytogenic test ( Karyotype)
-Porphyria >>>>> Urine PBGs ( high) & Serum Na ( very low)
- Cystic fibrosis>>>> Sweat test for elevated CL & Na Level
( confirmation for most carrier: DNA test)
- Fragile X Syndrome >>Cytogenic test ( Karyotype)
- Hereditary spherocytosis >>>> The most sensitive test for HS is the incubated osmotic fragility test, which is performed after incubating RBCs for 18-24 hours under sterile conditions at 37°C.
- Dobutrex Contractor >>>>> FBS the before treatment USG
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- Dobutrex Contractor >>>>> FBS the before treatment USG
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- Suspected Temporal Arthritis : initial >>>>>>>>ESR , Diagnostic >>>>>>> Biopsy & Histological Examination
- SAH >>>>>>>> CT
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- Primary Amenorrhea ( if secondary sexual characteristics are present) >>>>>First USG, Then>>>>>>> FSH & LH
- Hypertrophic
- SAH >>>>>>>> CT
-----------------------
- Primary Amenorrhea ( if secondary sexual characteristics are present) >>>>>First USG, Then>>>>>>> FSH & LH
- Hypertrophic
obstructed Cardiomyopathy >>> ECHO
- Scrotal swelling >>>> USG
- SBO >>erect X-Ray first ( then Gastrograffin follow through)
- Dysphagia >> first : Barium enema . Diagnostic : Endoscopy
-disorder in mobility of esophageal >>>>> Barium Swallow
- Follow up Helicobacter pillory
- Scrotal swelling >>>> USG
- SBO >>erect X-Ray first ( then Gastrograffin follow through)
- Dysphagia >> first : Barium enema . Diagnostic : Endoscopy
-disorder in mobility of esophageal >>>>> Barium Swallow
- Follow up Helicobacter pillory
>>>>Urea breath test
- Polycystic Dis>>> Testostrone. Then> USG
- Diverticular Disorders >>>>>>WBC & ESR , Sigmoidoscopy , Barium Enema
- Ulcerative Colitis >>>>>>1) protosigmoidoscopy. 2) Barium enema
- Coeliac. disease >>>>>Duodenal Biopsy
- Good posture : Initial>>>>.
- Polycystic Dis>>> Testostrone. Then> USG
- Diverticular Disorders >>>>>>WBC & ESR , Sigmoidoscopy , Barium Enema
- Ulcerative Colitis >>>>>>1) protosigmoidoscopy. 2) Barium enema
- Coeliac. disease >>>>>Duodenal Biopsy
- Good posture : Initial>>>>.
Anti IGM antibody. Best>>>>>Kidney Biopsy
- investigations for Crhon disease >>>>>> 1) Sigmoidoscopy 2) colonoscopy is useful to differentiated from Ulcerative Colitis.
Diagnostic>>>> Biopsy with endoscopy
- Cancer of Head of Pancreas >>>>1) USG or CT ( Appropriate :CT). 2)
- investigations for Crhon disease >>>>>> 1) Sigmoidoscopy 2) colonoscopy is useful to differentiated from Ulcerative Colitis.
Diagnostic>>>> Biopsy with endoscopy
- Cancer of Head of Pancreas >>>>1) USG or CT ( Appropriate :CT). 2)
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