DM / DNB Cardiology Entrance Mock Test 5
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 5.
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Source: Cardiophile MD - January 20, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 4
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Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 4.
You scored %%SCORE%% out of %%TOTAL%%.
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Source: Cardiophile MD - January 18, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 3
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 3.
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Source: Cardiophile MD - January 17, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Data Thinking In Health Care
By LEONARD D’AVOLIO
Clinicians have been on the receiving end of some pretty terrible practices when it comes to information technology. Instead of informed and shared decision making, clinicians experience an assault of mandates, metrics, buzzwords, and acronyms without clear explanation or expectations. Not surprisingly, the pages of THCB and beyond contain frustrated denunciations of EMRs, dares for Dr. Watson to replace them, and dismissals of “big data.” This whole “technologists are from mars, clinicians are from venus” vibe is understandable, but it isn’t productive.
Data is the building block ...
Source: The Health Care Blog - January 15, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 1
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This mock test has only 10 questions. Future tests will have more questions depending the user response. Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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Congratulations - you have complete...
Source: Cardiophile MD - January 15, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Coronary steal
Brief Review
The term ‘coronary steal’ is basically diversion of coronary flow from one artery to another. It can be either between from one coronary territory to another or from coronary territory to a non coronary territory. Different such scenarios can be found in literature.
Abnormal stress test due to large anomalous vessels supplying a large left atrial myxoma producing coronary steal has been reported [1]. Symptoms and abnormal stress test response resolved after resection of the tumour and ligation of the abnormal vessels.
Another situation is coronary steal into a coronary cameral fistula connecting a ...
Source: Cardiophile MD - January 1, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Post-CABG wall motion defects : Mechanism and implication.
Wall motion defect , in patients after CABG is fairly common.These defects are difficult to interpret as the mechanisms can be multiple.Though the commonest wall motion defect appears to involve the interventricular septum. it can occur anywhere in antero-lateral zone.
The mechanism attributed is the effect of pericardiotomy , which surgeons as we understand leave it open after grafting .This can cause lack of localised ventricular interdependence and results in a a brisk septal movement (bounce )It is an indirect effect .
Note the, wall motion defects are confined to the exposed areas of the heart during cardi...
Source: Dr.S.Venkatesan MD - December 25, 2015 Category: Cardiology Authors: dr s venkatesan Tags: CABG Cardiology -unresolved questions Echocardiography - LV dysfunction echocardiography following cabg paradoxical wall motion defect in ivs septum cabg post cabg wall motion defect Source Type: blogs
A Fascinating Demonstration of ST/S Ratio in LBBB and Resolving LAD Ischemia
This case was contributed by one of my talented colleagues, Johanna Moore, MD. She is our research director and is doing some great research on cardiac arrest. Check out her research on Head-up CPR!There is more interesting stuff on Head up CPR here. And here.CaseA patient with a history of CABG in 1998, with subsequent ischemic cardiomyopathy, called his clinic to report he had a few minutes of burning chest and epigastric pain, associated with walking, that was now gone. They told him to call 911. Medics arrived and recorded this ECG (pain free) about 15 minutes after the resolution...
Source: Dr. Smith's ECG Blog - December 16, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
STE in aVR and diffuse ST depression: It can be ACS or demand ischemia. If ACS, either posterior STEMI or subendocardial ischemia!
A middle-aged male with a history of 2-vessel coronary bypass called 911 because of the relatively sudden onset of severe SOB. He had had more mild SOB for the past 2 days. The medics found him in respiratory distress with coarse breath sounds, a BP of 196/132, oxygen saturations of 90%, and a pulse of 130. They put him on CPAP for respiratory support. He denied chest pain.Here is his prehospital ECG:There is diffuse ST depression, with ST elevation in lead aVRThe patient arrived in the ED and was put on Noninvasive ventilation (BiPAP). Blood Pressure was 200/110. A nitroglycerin drip wa...
Source: Dr. Smith's ECG Blog - November 16, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
Survival after CABG – Cardiology MCQ
Most important factor affecting survival after CABG (coronary artery bypass grafting):
a) Type of graft used
b) Left ventricular function
c) Number of grafts used
d) Severity of native vessel disease
Correct answer: b) Left ventricular function
Left ventricular function is the most important factor determining survival after CABG. Arterial grafts have a better long term patency and improves symptom free survival.
The post Survival after CABG – Cardiology MCQ appeared first on Cardiophile MD. (Source: Cardiophile MD)
Source: Cardiophile MD - November 11, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Factors predicting stroke after CABG – Cardiology MCQ
Factors predicting stroke after CABG:
a) Presence of intracerebral and extracerebral atherosclerotic disease
b) Demonstration of previous stroke by imaging
c) Atheromatous disease of the aorta
d) All of the above
Correct answer: d) All of the above
Aortic plaques have a high chance of embolization while cannulating the aorta for cardiopulmonary bypass. Avoiding cardiopulmonary bypass with off pump CABG (OPCAB) may have an edge over conventional on pump CABG in this situation. Previous history of stroke or transient ischemic attacks (TIA) within the previous six months is an important risk factor for perioperative stroke. ...
Source: Cardiophile MD - October 15, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Graft failure after CABG – Cardiology MCQ
Which of the following is not a pointer to graft failure after CABG:
a) Electrocardiographic signs of myocardial ischemia
b) Ventricular arrhythmias
c) Two times elevation of CPK
d) New wall motion abnormalities noted on echocardiography
Correct answer: c) Two times elevation of CPK
Five time elevation of CPK is the cut off level for post CABG myocardial infarction. In addition to these, hemodynamic instability could also be a pointer of graft failure.
The post Graft failure after CABG – Cardiology MCQ appeared first on Cardiophile MD. (Source: Cardiophile MD)
Source: Cardiophile MD - October 14, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Hyponatremia, he fell, the answer
To recap:
78-year-old man admitted after a fall – no fractures.
His labs on admission
125
89
33
128
5.2
22
2.1
He has a history of B-cell lymphoma.
His serum osm are 273 and urine osm 263.
Clinically he is euvolemic (i.e., not orthostatic). He is bradycardic (we stopped his beta blocker given for previous CABG).
He is new to our hospital, we do not know his previous renal function.
Your question – what further tests do you want? Can you speculate on his diagnosis?
Cory had the proper instincts. The patient had a random cortisol of ~4 (normal 8 or greater). His stimulation test had a peak cortis...
Source: DB's Medical Rants - October 13, 2015 Category: Internal Medicine Authors: rcentor Tags: Acid-Base & Lytes Source Type: blogs
Hyponatremia and he fell
78-year-old man admitted after a fall – no fractures.
His labs on admission
125
89
33
128
5.2
22
2.1
He has a history of B-cell lymphoma.
His serum osm are 273 and urine osm 263.
Clinically he is euvolemic (i.e., not orthostatic). He is bradycardic (we stopped his beta blocker given for previous CABG).
He is new to our hospital, we do not know his previous renal function.
Your question – what further tests do you want? Can you speculate on his diagnosis?
(Source: DB's Medical Rants)
Source: DB's Medical Rants - October 8, 2015 Category: Internal Medicine Authors: rcentor Tags: Acid-Base & Lytes Source Type: blogs
ECG Diagnostic of STEMI. But Interventionalist cancels the cath lab.
PrehospitalA male in his 80s was crossing the street, felt weak, and sat down. He denied LOC, chest discomfort or dyspnea. He had no medical history. Here is the prehospital ECG (sorry for the poor resolution):There is profound ST elevation in anterior leads. 3.5 mm at the J-point in lead V3; 5 mm at 60 ms after the J-point. There is convex ST elevation in aVL, with reciprocal concave ST depression in inferior leads. This is diagnostic of STEMI due to proximal LAD occlusion, especially in an 80 year old. Young men could conceivably have this much precordial ST elevation at ba...
Source: Dr. Smith's ECG Blog - September 18, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
