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Dr SHARMIN MERIN

05/06/2023

Assalamualaikum doctors,
👉👉Here is the routine for month of June.Next 2 months schudle will be given accordingly inshallah

Pasttest, MRCP Part-1,(October diet)
Starting date:10th June,2023
Number of total classes :Around 55
Duration of each session :2.5 to 3 hours
Session:Interactive

👉👉👉Admission is going on

Payment link:
141.151.1572(DBBL,comilla branch
Bkash:01836656883

01/06/2023

30/05/2023

A 28-year-old woman who is 3 months post-partum comes to the surgery complaining
of tiredness: she has had no periods since the baby was born and she has been unable to breastfeed because of a lack of
milk production. You notice in her case sheet that she required a blood transfusion after delivery for severe post-partum
haemorrhage.
What is the most likely diagnosis?
Empty sella syndrome
Hypophysitis
Prolactinoma
Sheehan syndrome
Sipple syndrome

22/05/2023

Aortic Dissection
*Type A(Ascending Aorta)
Type B( Descending Aorta)
See the image below👇👇👇

22/05/2023

. Cardiology
Long QT syndrome 👇👇👇

normal corrected QT interval is less than 430 ms in males and 450 ms in females.

Causes of a prolonged QT interval:

Congenital 👇👇
Jervell-Lange-Nielsen syndrome (includes deafness and is due to an abnormal potassium channel)
Romano-Ward syndrome (no deafness)

Drug cause👇👇
amiodarone, sotalol, class 1a antiarrhythmic drugs
tricyclic antidepressants, selective serotonin reuptake inhibitors (especially citalopram)
methadone
chloroquine
terfenadine**
erythromycin****
haloperidol
ondanestron**

Others 👇👇
electrolyte👇👇👇
***** hypocalcaemia, hypokalaemia, hypomagnesamia

hypothermia*****

Management👇👇
beta-blockers***
ICD

22/05/2023

Important topic from Cardiology

👉Brugada syndrome

**Autosomal Dominant Disease

**ECG changes
convex ST segment elevation > 2mm in > 1 of V1-V3 followed by a negative T wave
partial right bundle branch block
the ECG changes may be more apparent following the administration of flecainide or ajmaline - this is the investigation of choice in suspected cases of Brugada syndrome

Management*****
implantable cardioverter-defibrillator(No beta blocker, ICD is the definitive treatment here)

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