MATCH

أضافه Eman يوم الاثنين 18/05/2009 الساعة 08:20pm |
Hi everybody .. these cases just to refresh your mind away from study مبسووط!!
Seriously .. you will found them simple and straight forward .. have a nice time & Good Luck

1. A 67 year old woman wakes up from sleep fighting for breath. She gets up and opens a window to gasp for fresh air before she calls the ambulance. She had a similar episode 3 days ago.
2. A 43 year old tennis player complains of central chest pain. The pain is sharp and severe and is aggravated by coughing and deep breath. The pain is relieved by sitting forward.
3. A 78 year old smoker, diabetic and hypertensive complains of a 10-day history of central chest pain radiating to the neck and jaw which is typically provoked by exercise and relieved by rest. The pain has been worse during the last 24 hour, is increasing in frequency, and has been coming on the rest.
Select the best match for each of the above …
A) Aortic dissection
B) paroxysmal nocturnal dyspnea
C) pulmonary embolism
D) acute pericarditis
E) chronic stable angina
F) unstable angina

المصدر: 
Clinical Medicine
mERCI


mERCI

أضاف التعليق 2BO_3MaiR يوم الاثنين 2009/05/18 الساعة 09:44pm
for 1 I choose B ... but

for 1 I choose B ... but Eman we should also consider F in diff. diagnosis

for 2 I choose D ... easy

for 3 I choose F .....

أضاف التعليق Johnnie Walker يوم الاثنين 2009/05/18 الساعة 10:27pm
1-B 2-D 3-F أول شي


1-B
2-D
3-F


أول شي الله يخليلنا ياكي وتطالعينا من جو الكآبة اللي عايشينو بهالمحاضرات انطح راسي بالحيط!! مبسووط!!
وتاني شي يسلم ايديك كتير برافو!!

سلاااااااام

أضاف التعليق STAR 007 يوم الثلاثاء 2009/05/19 الساعة 06:12am
3amer .. welcome Johnnie
3amer .. welcome
Johnnie Walker برافو!!
STAR برافو!!

thank you to be here .. & thank you for your answers which are correct

إقتباس:

for 1 I choose B ... but Eman we should also consider F in diff. diagnosis

Yup .. I am with you
And as we know PND is a symptom while unstable angina is a disease

1. B
Paroxysmal nocturnal dyspnea (PND) occurs when there is an accumulation of fluid in the lungs (pulmonary oedema) at night. The patient is waken from sleep fighting for breath, a dramatic and frightening experience. Sitting on the side of the bed or getting up may relieve the breathlessness. Sometimes the patient will get up and open a window to gasp for fresh air.

2. D
The pain of pericarditis is felt in the center of the chest and like that of pleurisy is aggravated by movement, posture, respiration and coughing, but may be relieved by sitting forward.

3. F
Angina pectoris literally means a strangling sensation (angina) in the chest (pectoris). It is a gripping or crushing central chest pain (or discomfort) that may be felt around the whole chest or deep within the chest. The pain may be radiate into the neck or jaw ,and rarely, into the teeth, back or abdomen. It is associated with heaviness, paraesthesia or pain in one ( usually the left ) or both arms. It is typically provoked by exercise and is promptly relieved by rest. Angina of increasing frequency, or coming on at rest or unpredictably is called unstable ( or crescendo ) angina.

Johnnie Walker
STAR

I wish you all the best for your final exams
أضاف التعليق Eman يوم الثلاثاء 2009/05/19 الساعة 04:23pm
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