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Pure Medicine Dr. Mussab M. Abdullatef




Medicine In 5 Hours Plus+
Case solving & Main MCQ Points

Plus more keywords for
new cases




BY
Dr. Mussab M. Abdullatef


Pure Medicine
easy … simple .. clear

,Pure Medicine Dr. Mussab M. Abdullatef

Key words in Cardiology

 Splitting S2,S4 at Apex, Chest Pain, Dyspnea, Congested Neck Veins, Basal
Inspiratory Crackles, Ejection Systolic Murmur at upper right sternal Border >
(Chronic heart failure due to Aortic Stenosis).

Chest Pain, Dyspnea, Congested Neck Veins, Basal Inspiratory Crackles, S3 at
Apex >> (Chronic heart failure due to Ischemic Cardiomyopathy).

Old age male, DM, HTN, Central chest pain, sweeting , st segment elevation
>> ( Acute MI )
Elevation lead 2,3,AVF >> Inferior MI
Elevation lead V2,3,4,5,6 >> Extensive anterior MI

 Rheumatic Heart Diseases in patient develops; Tachycardia, Coughing,
Shortness of breath, irregular Rhythm = (Rheumatic Heart Disease, Mitral
Stenosis, Atrial Fibrollation).

 Bilateral basal crepitation, syncope, angina, dyspnea >> ( LSHF due to AS )

 History of URTI, Bilateral Basal Crepitation's, Pan systolic Systolic Murmur to
Axilla >> (Rhumatic heart complicated with Mitral Valve Disease )

 Tachycardia, HTN, Palpable LV, Loud S2, S3, S4 >> (LSFH due to hypertensive
cardiomyopathy).

 Severe Retrosternal Pain, Elevated Cardiac Enzymes, Depressed ST Segment
(Acute Non ST Segment Elevation Myocardial Infarction ).

 Chest Pain when taking breath, FHMA (Fever, Headache , Malaise, Anoraxia),
Pericardium Rub, Elevated ST in all leads >> (Pericarditis).

 History of sore throat, fever, joint pain, pansystolic Murmur >> (Rheumatic
Fever).

, Pure Medicine Dr. Mussab M. Abdullatef

 Diabetic Patiant, Epigastric Pain not relieved by antacids, Nausea, Vomiting
(Inerior MI).

 MS=mid diastolic localized to apex &MR=Systolic and radiating to Axilla.
 AR= Diastolic in 2nd Aotic Area & AS = Systolic radiating to Carotid Apex +
Syncope.
 Irregular Pulse & Stroke = Af

 Persistent ST elevation in patient with MI >> (Myocardial Aneurysm {Late
Comp of MI })

 Symptoms of low COP + Muffled HS + low voltage ECG (Pericardial Effusion).

 Chest Pain & ST Elevation in all leads (Pericarditis).

 Chest Pain + Cough + Dyspnea + Hemoptysis (Pulmonary Infraction).
 Acute Shock + cyanosis + Dyspnea +LOW COP (Massive Pulmanory
Embolisim).

 Long standing severe HTN + Disturbed Conscious Level without lateralization
(Hypertensive Encepholopathy).

 Anorexia + Nausea, Vomiting & Blurring of vision in patient with HF (Digitalis
Toxicity).

 Fever + Arthritis of big joints + Tic Tac Rhythm (Rheumatic Fever).



 Sudden Severe Chest pain radiating to the back + Murmur (Dissecting Aortic
Aneurisim).

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