Sunday, November 29, 2020

Template for study guide

When you are studying  each disease, do not just memorise them but to understand them throughly.

For me I always remind myself of the 5 key points to make sure I fully understand each disease from its core. Hopefully it is useful for you and gives you a rough idea what to do when you are studying. 

Don't rush unless you have no time. the point is to understand how all this works in real working life. 


Key Points for each Disease 

Definition

Disease name, definition

- what are the cause, factors

- signs and symptoms

- common in which age group?

- significant characteristic 

Ix&I

Investigation and their interpretation

Example: CXR, ABG, CT, CTG, Partogram, etc. 

what is the point of the investigations?

Lab values

Normal lab values for each

FBC, LFT, etc…

how the changes of value affect how you treat the patient?

Medications

What are the common medications

- normal dose

- any side effects?

- contraindications?

what are the meds you need to avoid if the it is contradictory

Others

Differential Diagnosis

- a great help to make you remember the disease "characteristic" better. 


 




Some other commonly used diagrams

Murmur locations

causes: MR: RHD, CHD, IE, 
MS: Rheumatic fever
TR: RF, IE, VSD
TS: RF, CAD, CTdisorder
AS: degenerative calcification


NYHA classification


GCS charting


ECG sections


TIMI



Killip class

Why does heart failure increase JVP?
Elevated jugular venous pressure is a manifestation of abnormal right heart dynamics, mostly commonly reflecting elevated pulmonary capillary wedge pressure from left heart failure. This usually implies fluid overload, indicating the need for diuresis


CI warfarin: 
Bleeding – GIT, ICB, aneurysm, retinopathy 
Liver disease-alcoholic hepatitis 
Endocarditis (bacterial) 
Elevated uncontrolled BP 
Dementia, with likely poor compliance 
Counselling for warfarin : 1) Requires frequent visits to INR clinic for blood taking (every 3 days) until optimal dose determined 2) Must be compliant to dose and time 3) Conseqeuences: bleeding tendencies, bruises, melena, hemarthrosis

fluid maintanence



targets for DMT2

inhaler pictures:
https://www.facebook.com/photo?fbid=3948545381830374&set=pcb.3948549878496591





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