CAD prevention

 

Coronary Arterial Disease

 

reference:

Haslett, C. (2018). Davidson’s Principles and Practice of Medicine. (23^rd Edition). London: Churchill Livingstone.

reference:Toy, E. C., T., P., & Warner, M. T. (2009). Case files internal medicine. New York: MCGRAW-HILL.

more info on CAD:

https://www.cdc.gov/heartdisease/coronary_ad.htm

more visual, to see beyond

https://www.youtube.com/watch?v=flJsXOMhuK0

credit 

https://www.thrombosisadviser.com/en/professionals/

continue: chest discomfort

 DDX

Life threatening :

• ·        ACS – MI or unstable angina
• ·        Pulmonary embolism
• ·        Aortic dissection

Other differential:

Haslett, C. (2018). Davidson’s Principles and Practise of Medicine. (23^rd Edition). London: Churchill Livingstone. 

From the differential diagnosis 

 lets find the culprit!!

IS IT ACS (acute coronary syndrome)? 

IS IT due to pulmonary embolus?

AORTIC disection?

OR OTHERS? 

to know which is the culprit we need to have a good knowledge on each disease.. 

hence, lets us learn each of it and we get back to this later😎

chest discomfort

 

reference:

Toy, E. C., T., P., & Warner, M. T. (2009). Case files internal medicine. New York: MCGRAW-HILL.

credit: Medical City ER

Already have differential in mind? 

Focus on life threatening first!

 

DDX

Life threatening :

• ·        ACS – MI or unstable angina
• ·        Pulmonary embolism
• ·        Aortic dissection

Other differential:

Red flag pointers for acute chest pain

• Dizziness/syncope

• Pain in arms L>R, jaw

• Thoracic back pain

• Sweating

• Palpitations

• Dyspnoea

• Pain or inspiration

• Pallor

• Past history: ischaemia, diabetes, hypertension

Chest pain represents an acute coronary event until proved otherwise.

reference:

Talley, N. J., & O'Connor, S. (2013). Clinical examination: A systematic guide to physical diagnosis (7th ed.). London: Elsevier.

Hall, T. (2013). PACES for the MRCP: With 250 clinical cases (Third ed.). Edinburgh etc., Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto: Churchill Livingstone/Elsevier.

Haslett, C. (2018). Davidson’s Principles and Practise of Medicine. (23^rd Edition). London: Churchill Livingstone. 

 

to be continue....

Becoming a detective in medical field

 

This blog is dedicated for my buddy line and even for me. Interchange the language between English and Malay do help me in understanding. I don’t care if others would judge me about the language, my aim is to understand more. And, when I understand, then I will remember, right? Well in this blog it is more about case discussion in super basic ways. It might evolve one day as I go along the journey of becoming a good doctor. So be it! Have fun while learning while helping others.