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Asclepius1
01-25-2005, 08:12 PM
Welcome
mick has joined the chat.
[usmlee] hi
[mostafahady] anybody online???
[mostafahady] *bleep*
[Cherub1m] *beep*
[sassy] is this for step 2??
[rsandhu] hi
[rsandhu] hi is anybody here
[rsandhu] *harp*
[kaash110zeh] hi
[kaash110zeh] whats the time today
Now entering USMLE_Step_2 subroom.
mick has joined subroom: USMLE_Step_2
6:43 PM [fouzia] hi
6:43 PM [fouzia] everyone
6:43 PM [fouzia] were u guys connected last night for chat session
6:45 PM spice has joined subroom: USMLE_Step_1
6:49 PM doctorchamita has left the chat.
6:51 PM [iamzuhair] i missed it
6:56 PM [sanz] hi guys!
6:56 PM [fouzia] hello
6:56 PM [iamzuhair] hi
6:56 PM [lanny] hi sanz just logged in too
6:57 PM [sanz] ok... we should wait for more ppl to come, we're early!
6:57 PM [lanny] lets give another 5 mins?
6:57 PM [fouzia] yeap
6:57 PM [iamzuhair] did any of youattend yesturday
6:57 PM [lanny] yep
6:58 PM [iamzuhair] could u just give a brief of what was discussed
6:58 PM [iamzuhair] just some topics
6:58 PM [lanny] chk transcript
6:58 PM [iamzuhair] i think no one posted it on usmle.net
6:58 PM [lanny] basically touched on basic topics diag, tx etc
6:58 PM [sanz] i didnt save any guys.... sorry... ask Strug
6:59 PM [iamzuhair] where can i find it
6:59 PM [iamzuhair] strug couldnt save it either
6:59 PM [lanny] we left with checking TPa and antibiotics for INf endo
6:59 PM [lanny] i have some findings on TPa and mgmt...
7:00 PM [sanz] really?
7:01 PM [strug] hi
7:01 PM [sanz] hey strug :)
7:01 PM [strug] waht r u guys talking about?
7:01 PM [lanny] did anyone chk antibiotic and INF endo..
7:01 PM [sanz] they're asking abt yesterday's transcript
7:01 PM [strug] i dont have it, does anyone else have it?
7:01 PM [lanny] hey strug just talking about yesterday
7:01 PM [sanz] i dont usu save those either...
7:01 PM [strug] hi lanny
7:02 PM [lanny] how are you
7:02 PM [strug] :D
7:02 PM [fouzia] guys its 6.00
7:02 PM [strug] start
7:02 PM [lanny] ok think we can start let me post TPa findings
7:02 PM [fouzia] ok
7:02 PM fouzia has left the chat.
7:03 PM [strug] what happened to fouzia
7:03 PM [iamzuhair] god knows
7:03 PM [iamzuhair] may be comp problem
7:03 PM [strug] ok tel me wahts the most cmn side effect of nitrates
7:03 PM [sanz] hypotension
7:03 PM [iamzuhair] headache
7:03 PM [fouzia] headache
7:04 PM [strug] throbbing headache
7:04 PM [spice] dizziness
7:04 PM [strug] what is the treatment of dilated CM
7:04 PM [lanny] MI greatest benefit if given from 30 mins to 1 hr of presentation of MI sms.for a 5o %red in mortal..can be given up to12 hrs but mort decr to 10 %
7:04 PM [fouzia] bblocker ,diuretics
7:04 PM [iamzuhair] give fluids
7:05 PM [dua_frank] hello
7:05 PM [strug] diuretics, dilators, digitalis...same as CCF
7:05 PM [iamzuhair] ooh
7:05 PM [dua_frank] yikes started already
7:05 PM [sanz] thanx lanny
7:05 PM [sanz] hey dua
7:05 PM [dua_frank] hey sanz
7:05 PM [strug] also give quinidine or procinamide if ventriular ectopy present
7:05 PM [lanny] stroke if given within 3 hrs of onset of isch stroke red the neuro deficits in pts that have no CT evidence of i cran bleed of course tpa is contra in bleeds
7:06 PM [strug] thnx lanny good job
7:06 PM [sanz] strug, for dilated CMP?
7:06 PM [lanny] hope this helps..
7:06 PM [strug] whats CMP
7:06 PM [sanz] cardiomyopathy
7:06 PM [sanz] hehe
7:06 PM [sanz] sorry
7:06 PM [strug] yes
7:07 PM [strug] in dilated also more chances of embolisation so give warfarin also
7:07 PM [sanz] the thing is to recognise CHF in these pt
7:07 PM [strug] how do u differentiate restrictive CM from Constrictive pericaridits
7:07 PM [iamzuhair] echo
7:07 PM [lanny] yep trt like CHF diure b block
7:08 PM [strug] dec EF in restrictive and not in constrictive
7:08 PM [iamzuhair] thickness of myocardial wall
7:08 PM [iamzuhair] oh
7:09 PM [strug] how to diff cardiac tamponade from constrictive pericaridtis
7:09 PM [sanz] constrictive has thick pericardium...
7:09 PM [lanny] rest dont open so has little to give out EF
7:10 PM [lanny] in c pericard kussmaul present absent in c tamp
7:10 PM [sanz] do and ECHO... tamponade will have fluid/blood surrounding the pericardium?
7:10 PM [iamzuhair] x ray or echo
7:11 PM [lanny] both
7:11 PM [spice] taamponade echo
7:11 PM [strug] in tamponade left and right atrial pr equal , in constrictive all the 4 chambers and pul aretery pr equal also square root sign presetn in constrictive
7:11 PM [lanny] echo good for p effusion
7:11 PM [iamzuhair] yep
7:11 PM [spice] start with echo in tamponade
7:11 PM [lanny] xray sees enlarge heart
7:11 PM [strug] best is to differentiate by caridac catherterisation
7:11 PM [spice] a clinical history wouldd suggest doing an echo
7:12 PM [iamzuhair] ok
7:12 PM [strug] how do u clinically diff constrictive pericaridits and CCF
7:12 PM [iamzuhair] long QT syndrome?
7:12 PM [iamzuhair] sory
7:13 PM [lanny] whats ccf
7:13 PM [iamzuhair] lanny
7:13 PM [strug] Congestive cardiac failure
7:13 PM [lanny] its congestive heart failure
7:14 PM [spice] clinically bithg would present similarly
7:14 PM [strug] Pericardial knock present in constrictive pericarditis
7:14 PM [sanz] good qs strug
7:14 PM [spice] a history would be more suggestive for differentiating
7:14 PM [lanny] paradox pulse kussmaul in pericard
7:14 PM [strug] thnx
7:15 PM [strug] Long QT syn is Jervel NElson syn iamzuhair
7:15 PM [iamzuhair] romano ward synd
7:15 PM [strug] whats that can u explain more pl
7:16 PM [iamzuhair] symptoms are syncope and sudden death from torsades de pointes
7:16 PM [strug] thats jervel nelson!!!!!
7:16 PM [iamzuhair] therapy with beta blockers
7:17 PM [iamzuhair] may be it one more name ----- i didnt know that name
7:17 PM [iamzuhair] need to check
7:17 PM [lanny] yes b blockers
7:17 PM [sanz] no.. they're both different
7:17 PM [strug] herring loss also in jervel nelson
7:17 PM [sanz] they both causes long QT interval
7:17 PM [iamzuhair] well i know it as romano synd
7:17 PM [sanz] Romano is auto dom
7:17 PM [iamzuhair] yes its AD
7:17 PM [sanz] jervell is recessice
7:17 PM [strug] It is Autosomal recessive..jervel nelson
7:18 PM [strug] is hearing loss present in romano ward?
7:18 PM [sanz] romano is not lethal
7:18 PM [sanz] Jervell is lethal#
7:18 PM [iamzuhair] in high risk patients we need to use cardiac defibrilator
7:18 PM [sanz] death fr VT/VF
7:19 PM [iamzuhair] yes
7:19 PM [spice] no defness in roomano ward and it is transmitted autosomal dominant
7:19 PM nalini has left the chat.
7:19 PM [lanny] what cardiomyop is caused by pregnancy
7:19 PM [iamzuhair] dilated
7:19 PM [strug] yes
7:19 PM [lanny] thx
7:20 PM rsandhu has left the chat.
7:20 PM [lanny] shock explain PCWP in shock
7:20 PM [lanny] can someone expl please
7:20 PM [iamzuhair] less than 20
7:20 PM [iamzuhair] mmhg
7:20 PM [strug] in which shock
7:21 PM [sanz] PCWP is low in cardiogenic shock
7:21 PM [iamzuhair] hopovolmic
7:21 PM [sanz] sorry high
7:21 PM [lanny] mechanism?
7:21 PM [iamzuhair] mech of pcwp or shock
7:21 PM [sanz] cuz the heart cant pump, left atrila pressure builds up
7:21 PM [cyrus1345] hi everybody
7:22 PM [sanz] hey nasi!
7:22 PM mehr has left the chat.
7:22 PM [strug] hi nasi
7:22 PM [lanny] hey
7:22 PM [iamzuhair] hi
7:22 PM [strug] nasi please explain shock and PCWP
7:22 PM [cyrus1345] in cardiogeneic shok you mean?
7:22 PM [cyrus1345] which type of shock?
7:22 PM [lanny] is it increase filling pressue
7:23 PM [lanny] cardiogenic
7:23 PM [strug] in all types of shock
7:23 PM [cyrus1345] yes pulmonary caillary presuure is increase
7:23 PM [cyrus1345] more than 18
7:23 PM [lanny] i think it increases
7:23 PM [lanny] LV dysfunction
7:23 PM [cyrus1345] in cardiogenec shock only!
7:23 PM [strug] in neurogenic shock?
7:24 PM [sanz] decreased
7:24 PM [strug] PCWP dec in hypovolmic and septic
7:24 PM [cyrus1345] not in neurogenic shock,tell me what's type of neurogenic shock
7:25 PM [sanz] hypotension and bradycardia
7:25 PM [lanny] in neuro dec CO ND FILLING PRESSUE
7:26 PM [lanny] PCWP should be low right?
7:26 PM [crengy] so in neurogenic shock, you have vasodilat and hypotens and low PCWP
7:26 PM [lanny] should be but gotta chk
7:27 PM [crengy] it's like in anaphylactic shock?
7:27 PM [iamzuhair] which mineral def can cause dissecting aortic aneurysm?
7:27 PM [strug] zinc
7:28 PM [crengy] really?!
7:28 PM [iamzuhair] copper ---- also causes menki- kinki hair synd
7:28 PM [lanny] corrcer crengy re neuro shock
7:28 PM cyrus1345 has left the chat.
7:28 PM [crengy] thank you
7:28 PM [lanny] mean correct mind my typo
7:29 PM [strug] whats menki kinki hair syn...welcome back nasi
7:29 PM [sanz] zuhair wuz the right ans?
7:29 PM [iamzuhair] dunno really -- just know it
7:29 PM [cyrus1345] sorry I just locked!thank you!
7:29 PM [iamzuhair] copper
7:29 PM [sanz] copper met defective
7:29 PM [cyrus1345] my pleasure
7:30 PM [iamzuhair] copper defciency
7:30 PM [lanny] zinc is for hair
7:30 PM [iamzuhair] its associated with iron deficiency anemia
7:30 PM [crengy] and skin and resp and potency (zinc)
7:30 PM [iamzuhair] zinc -- ALOPECIA
7:30 PM [iamzuhair] zinc -- ALOPECIA
7:30 PM [iamzuhair] zinc -- ALOPECIA
7:30 PM [iamzuhair] ALWAYS
7:31 PM [lanny] correct
7:31 PM [sanz] hehe, thnx, now i wont forget anymore
7:31 PM [iamzuhair] zinc also in wound healing
7:31 PM [iamzuhair] i got tested in this
7:31 PM [crengy] yep bz of collagen
7:31 PM [iamzuhair] early wound not healing --- ?
7:32 PM [iamzuhair] late wound healing ?
7:32 PM [crengy] early
7:32 PM [iamzuhair] late wound not healing ?
7:32 PM [strug] gosh now we need to learn these minerals too....i hate it
7:32 PM [lanny] this is not cardio but as we are doing elements what def in hospital pt on parenteral nutrition
7:33 PM [strug] K+
7:33 PM [iamzuhair] early its calcium
7:33 PM [iamzuhair] late is zinc
7:33 PM [iamzuhair] ok back to cardio
7:33 PM [cyrus1345] what's initial tx of RV infarction?
7:33 PM [iamzuhair] sorry for deviation
7:33 PM [lanny] selenium guys
7:33 PM [lanny] ok bk to cardio
7:33 PM [crengy] fluids
7:33 PM [strug] fluids nasi?
7:33 PM [cyrus1345] yes good
7:34 PM [strug] thnx
7:34 PM [lanny] arrythmia
7:34 PM [lanny] lets do arrythmia confusing
7:34 PM [iamzuhair] lets do it easily
7:35 PM [lanny] 1st line drug for v fib
7:35 PM [iamzuhair] adenosind
7:35 PM [crengy] defib
7:35 PM [strug] defib
7:35 PM [iamzuhair] drug
7:35 PM [lanny] i mean drug
7:35 PM [iamzuhair] drug
7:35 PM [iamzuhair] drug
7:35 PM [strug] lidocaine?
7:35 PM [iamzuhair] drug
7:35 PM [crengy] lidoc
7:35 PM [cyrus1345] atropin
7:35 PM [lanny] epinephrine
7:35 PM [iamzuhair] lido right
7:35 PM [cyrus1345] no lido is for VT
7:36 PM [lanny] no atropine in v fib pt will die
7:36 PM [cyrus1345] it's epi or atropin
7:36 PM [crengy] for both
7:36 PM [iamzuhair] v tac leads to v fib
7:36 PM [iamzuhair] so for both
7:36 PM [lanny] sometimes
7:36 PM [spice] epinephrine if unconcious
7:36 PM [iamzuhair] yes
7:36 PM [crengy] if resisistant
7:36 PM mmw has joined subroom: USMLE_Step_1
7:36 PM [spice] and if brabycardic then atropine
7:37 PM [iamzuhair] do defib
7:37 PM [lanny] right only if brady
7:37 PM mmw has left the chat.
7:37 PM [spice] first epi if still vt or vf then defibrillation
7:37 PM [cyrus1345] no!
7:37 PM [lanny] no first cpr
7:37 PM [crengy] no
7:37 PM [cyrus1345] NEVER!
7:37 PM [strug] no
7:38 PM [cyrus1345] first defibril
7:38 PM [strug] v fib always defib
7:38 PM [lanny] defib is last option
7:38 PM [lanny] start with
7:38 PM [crengy] after cpr def for V Fi
7:38 PM [lanny] cpr
7:38 PM [cyrus1345] I am totally disagree!
7:38 PM [spice] if if pt is alert then defib
7:38 PM [iamzuhair] cpr is last resort
7:38 PM [crengy] no way-for fi v first is defibr
7:38 PM [spice] if pt unconcsious the abc then epi then defib
7:38 PM [strug] may i write the Rx
7:38 PM [iamzuhair] yes
7:38 PM [iamzuhair] plz
7:39 PM [lanny] ok chk it, start with CPR thenmeds if meds dont work defib 200-300 J
7:39 PM [strug] for v fib first do CPR till defibrillator arrives
7:39 PM [iamzuhair] if unconcious
7:39 PM [crengy] agree with Strug
7:39 PM [cyrus1345] agree
7:39 PM [iamzuhair] ut how do u know its v fib without ecg
7:39 PM [crengy] no pulse
7:39 PM [strug] start defib 200, 300 and 360
7:40 PM [huli72] Hi
7:40 PM [strug] resume cpr now and get ivacess and intubate
7:40 PM [lanny] first step is,,call for help, yell while doing CPR
7:40 PM [spice] agree with lanny
7:40 PM [strug] if still no repsonse epin/ vaso
7:40 PM [strug] defib again
7:40 PM [lanny] yes
7:40 PM [spice] i ahd a question soemthing liek that
7:41 PM [strug] no respone lidocain/ amiodaron
7:41 PM [lanny] do meds before defibr
7:41 PM [iamzuhair] v fib usually seen with reperfusion injury to heart with heparin after MI
7:41 PM rsandhu has left the chat.
7:41 PM [strug] defib again
7:41 PM [lanny] right
7:41 PM [strug] is till no repsonse procinamide
7:41 PM [strug] defib again
7:41 PM [iamzuhair] SO IN THIS SETING GIVE LIDOCAINE FIRST
7:41 PM [huli72] epinephrine?
7:42 PM [strug] hey guys check that out we shall discuss it tomorreow there is alot of controversy in this
7:42 PM [lanny] guys these srrythmias are impot because its life or death we gotta know it clean!!!
7:42 PM [cyrus1345] if the paitent is uncouieness!first call for help
7:43 PM [cyrus1345] don't do cpr
7:43 PM [lanny] they like v tac and v fib
7:43 PM [iamzuhair] lol
7:43 PM [cyrus1345] becuase we don't know the paitent is asystol orVF
7:43 PM [strug] nasi can u summarise ur Rx
7:43 PM [spice] i would say they liek antiarrhythmic drug side effects more
7:43 PM [iamzuhair] exactly
7:43 PM [strug] yes nasi u r right and never shock a pt with asystole
7:43 PM [cyrus1345] ok!let me continue please!
7:43 PM [lanny] assume ekg has been done
7:44 PM [cyrus1345] and then correct me!
7:44 PM [strug] nasi go ahead
7:44 PM [lanny] ok cyrus other topic
7:44 PM [strug] let him finish lanny
7:45 PM [cyrus1345] ok!then after monitoring we candecide
7:45 PM [cyrus1345] is it asystol or VF!
7:45 PM [cyrus1345] if VF strat with Df
7:45 PM [cyrus1345] if asystol no shock!atropin
7:45 PM [huli72] why?
7:46 PM [cyrus1345] then you were correct srug with managment of Vf
7:46 PM [strug] i have a doubt for asystole we give atropine first or epine
7:46 PM [lanny] correct but call code team while doing CPR
7:47 PM [fouzia] atropine
7:47 PM [cyrus1345] cpr is like shok lanny
7:47 PM [lanny] atrop
7:47 PM [strug] ok lanny ur right
7:47 PM [cyrus1345] and without manitor you don't know!
7:47 PM [lanny] CPR is not defibril (shock)
7:47 PM [cyrus1345] myebe this paitent is asystol!
7:48 PM [lanny] if a no of us have doubts in an area please double chk in your studies
7:48 PM [huli72] what is the trt for asystol?
7:48 PM [iamzuhair] beta blockers indicated in which type of heart failure and contraindicated in which type or hrt failure
7:48 PM [lanny] atropine
7:48 PM [fouzia] atropine
7:49 PM [lanny] CHF
7:49 PM [huli72] do you mean atropine is the trt for asystol?
7:49 PM [lanny] in acute CHF contra
7:49 PM [fouzia] yeap
7:49 PM [lanny] atropine for asystol
7:49 PM [huli72] thanks
7:49 PM [lanny] remembe a for a
7:50 PM [huli72] Q: stress ECG contraindicated in....?
7:50 PM [sanz] aortic stenosis
7:50 PM [strug] MVP, LBBB, LVH
7:50 PM [lanny] stable angina
7:50 PM [huli72] unstable angina
7:50 PM [lanny] sorry unstable
7:50 PM [crengy] acute disstress, suspicion infact
7:50 PM [huli72] yeah
7:50 PM [lanny] possibly
7:50 PM [strug] sever uncontrolled HT
7:51 PM [iamzuhair] we had it on usmle .net yest
7:51 PM [huli72] no
7:51 PM [fouzia] ihpp
7:51 PM [huli72] resting st change
7:51 PM [strug] aortic dissection
7:51 PM [lanny] acute chf
7:51 PM [huli72] yeah
7:51 PM [strug] acute IHD
7:51 PM [fouzia] asthma
7:51 PM [huli72] left bundle branch block
7:51 PM [huli72] left ventricular hypertrophy
7:52 PM [iamzuhair] basically any one you fear will die due to exercise
7:52 PM [strug] correct
7:52 PM [huli72] yeah
7:52 PM [crengy] :)
7:52 PM [fouzia] dec k
7:52 PM [strug] ? fouzia why
7:52 PM [huli72] trt for thoracic aneyrism less than 5-6 cm?
7:52 PM [lanny] can we go through tests EKG thallium, gadolinium tests what are indications
7:52 PM [strug] control of HT
7:52 PM [fouzia] abnormal k cause false positive reading
7:53 PM [strug] ok
7:53 PM [iamzuhair] guys this is imp let me tell you
7:53 PM [huli72] I think we can use that in left ventricular hypertrophy to lanny
7:53 PM [iamzuhair] beta blockers indicated in which type of heart failure and contraindicated in which type or hrt failure
7:53 PM [strug] indicated in heart failure due to mi
7:53 PM [crengy] but no severe
7:53 PM [strug] containdiated in regurgitant and stenostis
7:53 PM [iamzuhair] beta blocker indicated in CHF due to diastolic dysfunction
7:54 PM [iamzuhair] contraindicated in CHF due to systolic dysfunction
7:54 PM [huli72] contraindicated in heart failure
7:54 PM [lanny] no huli
7:54 PM [lanny] maybe in acute hear failure
7:54 PM [strug] ok got it
7:54 PM [spice] indicated in chf cos decrease mortality
7:55 PM saghar has left the chat.
7:55 PM [iamzuhair] ace more of decreased mortality
7:55 PM [lanny] yes we did y day thx for reviewing imp stuff
7:55 PM [lanny] remember spironolactone too dec mort
7:55 PM [spice] drug decreasing mortality in angina????
7:56 PM [iamzuhair] most common ecg change seen in pulmonary embolus
7:56 PM [strug] b blockers?
7:56 PM [cyrus1345] A.S.A,B blocker
7:56 PM [huli72] heparin
7:56 PM [spice] asprin......
7:56 PM [sanz] RBBB
7:56 PM [huli72] asprin
7:56 PM [strug] tachycardia
7:56 PM [lanny] agree aspirin
7:56 PM [iamzuhair] yes strug --- sinus tachycardia
7:56 PM [lanny] correct strug
7:56 PM [strug] thnx
7:57 PM [crengy] how do you dif clinically betw. restrictive peric and pericardial tamponade?
7:57 PM [lanny] PE from what veins is embolus mostly
7:57 PM [crengy] ileo fem
7:57 PM [sanz] prox leg deep veins
7:57 PM [spice] veins of the pelvis
7:57 PM [huli72] pulse paradux + in restrive
7:57 PM [strug] proximal deep veins of leg
7:58 PM [spice] arew u guys sure
7:58 PM [iamzuhair] crengy could u plez change color -- sory barely can read
7:58 PM [huli72] Kusselmul + in tamponade
7:58 PM [strug] me too
7:58 PM [cyrus1345] what's tx of WPW syndrome?
7:58 PM [strug] b blocker
7:58 PM [lanny] no kussmaul in tampon
7:58 PM [crengy] better?
7:58 PM [sanz] beta blockers
7:58 PM [huli72] procaimade
7:58 PM [sanz] thnx crengy
7:58 PM [iamzuhair] thanks
7:58 PM [cyrus1345] if asymptomatic nothing!
7:58 PM [crengy] no prob
7:58 PM [lanny] huli no kussmaul in tampon
7:59 PM [cyrus1345] if syptomatic procianamid
7:59 PM [spice] if unstable cardivert
7:59 PM [strug] good q nasi
7:59 PM [iamzuhair] warfarin therapy monitered by what ?
7:59 PM [crengy] inr
7:59 PM [sanz] INR
7:59 PM [spice] inr
7:59 PM [cyrus1345] thank,
7:59 PM [strug] APTT
7:59 PM [naz1234] Pt
7:59 PM [spice] normal valuee inr
7:59 PM [iamzuhair] PT
7:59 PM [sanz] or PT
7:59 PM [lanny] INR correct
7:59 PM [huli72] <2
8:00 PM [spice] from what tot what
8:00 PM [naz1234] INR 2-3
8:00 PM [sanz] depends on why the warfarin is for
8:00 PM [strug] hi naz welcome
8:00 PM [spice] isnt it 1.5-2.0
8:00 PM [lanny] it should be 2-3 regardless
8:00 PM [naz1234] No is 2-3
8:00 PM [crengy] depend
8:00 PM [huli72] how to trt aortic aneurysms <5 cm?
8:00 PM [spice] true sanz depends what the warfrin is for
8:00 PM [strug] no treatment
8:00 PM [crengy] inheart vav may be 4
8:01 PM [huli72] no strug
8:01 PM [strug] we do Sx for > 6cm
8:01 PM [naz1234] For af is 2-3 right?
8:01 PM [huli72] please give the drug.
8:01 PM [iamzuhair] THERE ARE MANY PEOPLE IN THIS CHAT BUT ONLY A FEW ASK AND ANSWER -- OTHERS PLZ COME FORWARD AND ASK UR DOUBTS OR ANSWER
8:01 PM [crengy] yes
8:01 PM [lanny] are you sure crengy
8:01 PM [huli72] <5 drug trt
8:01 PM [crengy] yes
8:01 PM clover has left the chat.
8:02 PM [strug] i dunno the drug
8:02 PM [huli72] B blocker
8:02 PM [spice] rx of unstable angina if heparin cannot be given
8:02 PM [iamzuhair] REST AND TPA
8:02 PM [naz1234] Watter bottle in CXR wh is Dx ?
8:02 PM [crengy] CABG?
8:02 PM [strug] how can tpa be given if heparin contrain?
8:02 PM [huli72] glycoprotein IIb/III a inhibitor
8:02 PM [fouzia] yes huli
8:03 PM [iamzuhair] LESS REACTION WITH TPA THAN WITH HEPARIN
8:03 PM [spice] its is angioplastya nd stent placement
8:03 PM [lanny] if <5 follw with imaging
8:03 PM shreya has left the chat.
8:03 PM [huli72] how to trt aortic aneurysm >6 cm
8:03 PM clover has left the chat.
8:03 PM [strug] surgery
8:03 PM [fouzia] angioplasty is last option
8:03 PM [iamzuhair] NAZ I AM NOT ABLE TO GET IT BACK -- WHATS THE ANSWER
8:03 PM [spice] in what
8:03 PM [strug] whats for < 6 cm? huli
8:03 PM [huli72] sorry, >6 cm
8:03 PM [spice] wait and watch i guess
8:03 PM shreya has left the chat.
8:03 PM [sanz] observe
8:03 PM [lanny] same watch imaging
8:03 PM [naz1234] My Q was watter bottle in CXR ?
8:04 PM laura_ramirez has left the chat.
8:04 PM [crengy] tamponade?
8:04 PM [strug] tamponade?
8:04 PM [naz1234] pericardial eff
8:04 PM [iamzuhair] YES DUDE BUT I M NOT ABLE TO REMEMBER
8:04 PM [iamzuhair] ITS STUCK IN MY HEAD
8:04 PM [iamzuhair] OH
8:04 PM [iamzuhair] OH
8:04 PM [huli72] it is the same thing
8:04 PM [iamzuhair] THERE WAS THIS BOOT SHAPED HEART ALSO
8:04 PM [strug] huli pl give ans what if < 5cm
8:04 PM [lanny] tetralogy
8:04 PM [sanz] tetralogy
8:05 PM [crengy] ao aneurysm-treatment?
8:05 PM [iamzuhair] YEP
8:05 PM [huli72] B blocker
8:05 PM [spice] boot shape--- tetrology of fallot
8:05 PM [huli72] if <5 cm
8:05 PM [huli72] if >6 cm , surgery
8:05 PM [lanny] pbservce do periodic US
8:05 PM [spice] bottle shape--- trasposition of grt vessels
8:05 PM [lanny] surgery grafting >7
8:05 PM [huli72] and right ventricular hypertrophy
8:05 PM [strug] what was for thoracic aneursym huli?
8:06 PM [strug] was it contro l of hypertension?
8:06 PM [lanny] sorry surgery >5-6
8:06 PM [huli72] I mean the treatment (trt)
8:06 PM spice has left the chat.
8:06 PM [crengy] of what?
8:06 PM [lanny] mean meds?
8:06 PM [strug] if heparin C/I what do we finally give i didnt get the ans?
8:07 PM [crengy] hydralazine + b blocj
8:07 PM [huli72] i just answer strug's q
8:07 PM [iamzuhair] TPA
8:07 PM [crengy] for ao rupture
8:07 PM [cyrus1345] angioplasty
8:07 PM [sanz] then PTCA, strug
8:07 PM [strug] thnx
8:07 PM [cyrus1345] for paitent with unsatble angina
8:07 PM [cyrus1345] with contraindication for heparin
8:07 PM [strug] gotcha
8:07 PM [crengy] ok
8:08 PM [huli72] is stress ECG good in detecting restenosis of coronary after angioplasty?
8:08 PM [iamzuhair] YES
8:08 PM [cyrus1345] what's th ebst way for tx of MI?TPA orPCTA?
8:08 PM [strug] ptca
8:08 PM [crengy] ptca
8:08 PM [cyrus1345] good job man!
8:08 PM [lanny] agrere
8:08 PM [naz1234] Pulsus paradoxus in where ?
8:08 PM [iamzuhair] YES
8:08 PM [cyrus1345] tamponad and asthma
8:09 PM [spice] cardiac tamp[onade
8:09 PM [crengy] restr.peric
8:09 PM [naz1234] more !
8:09 PM [iamzuhair] AORTIS REGURG
8:09 PM [strug] ac ccf
8:09 PM [spice] chf
8:09 PM [crengy] ?
8:09 PM [strug] yes congestive heart failure
8:09 PM [naz1234] CHF , hypovolemic shoke too
8:09 PM [cyrus1345] ok tanks!
8:09 PM [crengy] wauuuu
8:10 PM [cyrus1345] what's the first inital managment for SVT?
8:10 PM [crengy] massage
8:10 PM [cyrus1345] then?
8:10 PM [strug] adenosiene
8:10 PM [sanz] adenosine
8:10 PM [cyrus1345] yep!
8:10 PM [crengy] adens
8:10 PM [cyrus1345] AF?
8:10 PM [iamzuhair] WHAT TEST HAS TO BE DONE IN A PERSON WITH ATRIAL FIBRILLATION
8:10 PM [crengy] def
8:10 PM [lanny] no trt if asympyo
8:10 PM [huli72] ice bag
8:11 PM [sanz] b blocker
8:11 PM [cyrus1345] I asked FOR AF?
8:11 PM [naz1234] CCB for AF
8:11 PM [strug] is stable carotid massage
8:11 PM [sanz] and then warfarin
8:11 PM [cyrus1345] yes b blocker,dig,verapamil
8:11 PM [strug] if unstasble cardiover
8:11 PM [naz1234] or B blocker
8:11 PM [cyrus1345] yes strug
8:11 PM [fouzia] zuhair is it 24 hrs holter
8:11 PM [iamzuhair] TSH AND T4
8:11 PM [cyrus1345] AF+CHF what's TX?
8:11 PM [fouzia] good one zuhair
8:12 PM [sanz] MS
8:12 PM [crengy] cardiover
8:12 PM [iamzuhair] ALWAYS RULE OUT GRAVES DZ
8:12 PM [strug] what was zuhair q
8:12 PM [sanz] mitral stenosis, nasi
8:12 PM [strug] b blocker?
8:12 PM [lanny] me too lost here
8:12 PM [iamzuhair] WHAT TEST HAS TO BE DONE IN A PERSON WITH ATRIAL FIBRILLATION
8:12 PM [strug] whats the ans?
8:12 PM [iamzuhair] TSH AND T4
8:12 PM [iamzuhair] ALWAYS RULE OUT GRAVES DZ
8:12 PM [fouzia] tsh t4
8:12 PM [cyrus1345] AF+CHF+DIG
8:12 PM [naz1234] wh is normal Ejection Fraction range ?
8:12 PM [lanny] 80
8:13 PM [naz1234] no
8:13 PM [crengy] 60
8:13 PM [cyrus1345] AF+HYPerthyroid=b blocker
8:13 PM [lanny] 60-80
8:13 PM [huli72] <80
8:13 PM [strug] 55 to 60
8:13 PM [fouzia] >60
8:13 PM [cyrus1345] agree with strug
8:13 PM [fouzia] yes strug
8:13 PM [naz1234] 55-65
8:13 PM [huli72] DM pt, what is the LDL goal?
8:13 PM [lanny] yes cyrus
8:13 PM [strug] verapmil C/I in which pt
8:13 PM [crengy] dis. with high EF?
8:14 PM [iamzuhair] dec CO , dec JVP , incSYSTEMIC VASC RESISTANCE ---- ? SHOCK
8:14 PM [strug] hypertro cardiomyo
8:14 PM [crengy] yes Strug
8:14 PM [cyrus1345] good question strug
8:14 PM [strug] septic
8:14 PM [naz1234] In Dilated cardiomyopathy how is CO and Ej fractin?
8:14 PM [strug] decre
8:14 PM [cyrus1345] agre
8:14 PM [spice] rx of tosades
8:14 PM [lanny] AGREE STRUG
8:14 PM [fouzia] mg
8:14 PM [naz1234] yes
8:14 PM [iamzuhair] HYPOVOLUMIC
8:15 PM [lanny] lidocaine
8:15 PM [fouzia] give mag in torsedes
8:15 PM [lanny] lido spice
8:15 PM [crengy] magnesium
8:15 PM [spice] isoproterenol
8:15 PM [spice] and mag
8:15 PM [strug] ans to my q?
8:15 PM [crengy] also b block
8:15 PM [spice] correct hypomagnesia
8:16 PM [cyrus1345] hypertrophic cardiomyopathy,unstable angina
8:16 PM [cyrus1345] am I right strug?
8:16 PM [strug] dec EF, and leftventricular dysfun
8:16 PM [naz1234] wh was Q?
8:16 PM [strug] nifedipine C/i in unstable angina
8:16 PM [cyrus1345] yes
8:16 PM [strug] q was c/i of verapamil
8:17 PM [iamzuhair] YES
8:17 PM [cyrus1345] you ar etotally right!
8:17 PM [cyrus1345] thanks!
8:17 PM [naz1234] thank
8:17 PM [strug] welcome dear
8:17 PM [strug] CCb are DOC in hypertro cm
8:17 PM [cyrus1345] which drug are contraindicated in HOCM?
8:17 PM [fouzia] DM and hypertension ,tx
8:17 PM [strug] after b blockers ofcourse
8:17 PM [strug] ace i , diuretics
8:18 PM [fouzia] yes
8:18 PM [iamzuhair] B BLOCKERS
8:18 PM [cyrus1345] dig and diuretic
8:18 PM [naz1234] TNG is contra
8:18 PM lanny has left the chat.
8:18 PM [strug] nasi ace i diuretic and digitalos
8:18 PM [cyrus1345] ok I forgot about ace!
8:19 PM [strug] its opp to Rx of stenotic lesions....
8:19 PM [cyrus1345] yes very good point
8:19 PM [spice] mc noncardiac side effect of digitalis poisoning
8:19 PM [iamzuhair] PERSON PRESENTING WITH ATRIAL FIBRILATION ABUT VENTRICULAR RESPONSE IS NORMAL --- ?
8:20 PM [lanny] sorry i was kicked out
8:20 PM [strug] b blockers
8:20 PM [strug] i thought u were hungry lanny
8:20 PM [iamzuhair] DUE TO WHAT
8:20 PM [iamzuhair] CAUSE
8:20 PM [iamzuhair] DRUG
8:20 PM [lanny] coming up!!!
8:20 PM [strug] dunnno
8:20 PM [lanny] where are we now
8:20 PM [iamzuhair] STARTS WITH D
8:20 PM [huli72] digitalis?
8:20 PM [crengy] digo?
8:21 PM [cyrus1345] :p dig
8:21 PM [strug] ok good hint...dobutaimie
8:21 PM [iamzuhair] DIGOXIN
8:21 PM [crengy] :)
8:21 PM [strug] whats the disease? and why digoin
8:21 PM [lanny] what ques
8:21 PM [iamzuhair] PAROXISMAL ATRIAL TACHY
8:21 PM [crengy] hypertyr
8:21 PM [iamzuhair] 2:1 BLOCK
8:21 PM [strug] ok gotcha
8:21 PM [crengy] ok
8:21 PM [iamzuhair] WITH DIGOXIN TOXICITY
8:22 PM [cyrus1345] what's tx of PAT in copd?
8:22 PM [strug] its the most common arrthy with digoxin to
8:22 PM [crengy] SVT?
8:22 PM [huli72] AF
8:22 PM [iamzuhair] YES
8:22 PM [lanny] re entry
8:22 PM [iamzuhair] PAT
8:22 PM [fouzia] person with MI ,AFTER 15 DAYS DEVELOPS CHEST PAIN ,FEVER FRICTION RUB ?
8:22 PM [lanny] PAT is same as SVT
8:22 PM [strug] dresslers
8:23 PM [fouzia] RX
8:23 PM [naz1234] Dressler
8:23 PM [iamzuhair] SAW TOOTHED P WAVE ON EKG
8:23 PM [huli72] NASIDs
8:23 PM [strug] nasi good q..dunno the ans
8:23 PM [crengy] flutter
8:23 PM [cyrus1345] ventilation!
8:23 PM [iamzuhair] ATRIAL FLUTTER
8:23 PM [cyrus1345] correct underlying copd!
8:23 PM [strug] whats the rate in flutter and fiblillation
8:23 PM [sanz] 150
8:23 PM [strug] in what?
8:23 PM [cyrus1345] flutter 300-350
8:23 PM [sanz] flutter
8:24 PM [iamzuhair] YES
8:24 PM [iamzuhair] THINK SO
8:24 PM [lanny] 300 correct for flutt
8:24 PM [strug] and fibrillation?
8:24 PM [crengy] 300-600-fib
8:24 PM [huli72] fibrilation 300-500
8:24 PM [strug] thanks guys
8:24 PM [lanny] more not sure of no.
8:24 PM [cyrus1345] 1 less than flutter!
8:24 PM [strug] nasi it was a good q
8:24 PM [huli72] flutter 150
8:25 PM [strug] confused fluttert 150 or 300?
8:25 PM [lanny] atrial rate is usu300 vent rate is 150 since is usu 2.1
8:25 PM [crengy] 150 is for ventric rate in atrial flutter
8:25 PM [sanz] yup
8:25 PM [naz1234] Wide splitting S2 in where ?
8:25 PM [sanz] cuz of the delay
8:25 PM [cyrus1345] I think flutter more than fibrilation,correct me if I am wrong please!
8:25 PM [sanz] ASD
8:26 PM [iamzuhair] V TAC -- USE LIDOCAINE
8:26 PM [strug] even i think so nasi
8:26 PM [crengy] fibrilation is much more
8:26 PM [iamzuhair] V FIB --- IMEDIATE D FIB
8:26 PM [naz1234] Wide splitting S 2 ??????????
8:26 PM [sanz] ASD
8:26 PM [strug] ASD
8:26 PM [iamzuhair] ASD
8:26 PM [lanny] right
8:26 PM [huli72] left to right shunt
8:26 PM [naz1234] more ?
8:27 PM [huli72] VSD
8:27 PM [lanny] ASD VSD
8:27 PM [sanz] AS?
8:27 PM [naz1234] Left to R is fixed
8:27 PM [naz1234] M R , PS
8:27 PM [strug] in ASD fixed wide split
8:27 PM [naz1234] and RBBB
8:28 PM [huli72] actually, 350-500 in atrial fibrilation, according to Kap notes
8:28 PM [crengy] good to know
8:28 PM [strug] thnx
8:28 PM [huli72] yeah, thanks, naz
8:28 PM [naz1234] welcome guys
8:29 PM [lanny] what to do to conv SVT to N sinus rythm
8:29 PM [strug] whichis the first cardiac enz to get elevated in a pt of MI
8:29 PM [iamzuhair] AUSTIN FLINT MURM
8:29 PM [crengy] myoglobin
8:29 PM [iamzuhair] TRP T
8:29 PM [lanny] ckMB
8:29 PM [naz1234] Ck MB
8:29 PM [iamzuhair] CKMB
8:29 PM [strug] b blocker, digitalis, ccb lanny
8:29 PM [sanz] troponin
8:29 PM [strug] crengy is right its myoglobin
8:29 PM [huli72] inspiration increase murmur in which side?
8:29 PM [lanny] ok but what is the first to do
8:30 PM [strug] rt side
8:30 PM [huli72] yeah, strug
8:30 PM [strug] Ckmb
8:30 PM [strug] lanny ans to ur previous q what to do to con SVT?
8:30 PM [lanny] yes
8:30 PM [lanny] beside drugs
8:30 PM [sanz] carotid massage
8:31 PM [lanny] or valsalva
8:31 PM [strug] vagal maneovours
8:31 PM [iamzuhair] INDICATIONS FOR CABG
8:31 PM [lanny] 3 vessel block
8:31 PM [sanz] left main ves dz
8:31 PM [strug] 3 vesl dis or major art block
8:31 PM [lanny] LDCA block
8:31 PM [naz1234] Squar root sign in ech o wh disease ?
8:31 PM [iamzuhair] TRIPLE VESSEL DZ , LEFT MAIN DZ , PT WITH DM
8:31 PM [huli72] tamponade
8:31 PM [strug] constritive pericar
8:31 PM [sanz] pericarditis
8:32 PM [strug] also restri cm
8:32 PM [lanny] all fright
8:32 PM [naz1234] myopathy res
8:32 PM [lanny] all correct
8:32 PM [strug] pt with DM we do CABG?
8:32 PM [iamzuhair] YES
8:32 PM [sanz] yes
8:32 PM [lanny] think so
8:32 PM [iamzuhair] ITS AN INDICATION
8:32 PM [lanny] DM not a contra
8:32 PM [strug] thnx ididnt know that
8:33 PM [iamzuhair] I MEAN NOT JUST DM -- ITS DM WITH CARDIAC SYMPTOMS
8:33 PM [lanny] EKG thallium stress test need help when to do
8:33 PM [strug] LBBB, WpW syndrome, MVP
8:33 PM [iamzuhair] TO EVERYONE WHO WONT DIE OF EXERCISE
8:33 PM [strug] youndg female
8:33 PM [lanny] an imp topic indicat for various
8:33 PM [naz1234] MHD
8:33 PM [strug] LV dysf
8:34 PM [strug] wahts MHD naz
8:34 PM [lanny] its more specific than that zuhair
8:34 PM [lanny] thanks
8:34 PM [iamzuhair] LOL
8:34 PM [iamzuhair] YES DUDE
8:34 PM [iamzuhair] JUST KIDDIN
8:34 PM [naz1234] Strug , sorry just mistake
8:35 PM [lanny] they give csenarios we need to chk persantine too gadolinum etc
8:35 PM [strug] pt on digoxin, procinamde, quinidine
8:35 PM [strug] thats ok naz
8:35 PM [strug] lanny am i correct? ans pl
8:35 PM [crengy] yep
8:35 PM [lanny] dont get yur qyes
8:36 PM [crengy] sorry, i agree for Strug
8:36 PM [lanny] whats your ques strug?
8:36 PM [strug] u asked when we use thalium, i gave the ans lanny
8:36 PM shreya has left the chat.
8:36 PM [lanny] oh thx
8:36 PM [sanz] hehe
8:37 PM [iamzuhair] PRIMARY CAUSE OF DEATH IN NEPHROTIC SUNDROME
8:37 PM [crengy] infect
8:37 PM [iamzuhair] ITS NOT A RENAL QUESTION
8:37 PM [cyrus1345] CAD
8:37 PM [sanz] thrombosis
8:37 PM [iamzuhair] MI
8:37 PM [lanny] its cardio today
8:37 PM [crengy] you sure is MI?
8:37 PM [iamzuhair] MI
8:38 PM [iamzuhair] YES MAN
8:38 PM [cyrus1345] yes
8:38 PM [cyrus1345] agree
8:38 PM [iamzuhair] I AM SURE -- BUT DONT ASK ME WHY
8:38 PM [crengy] ok
8:38 PM [naz1234] Pt with HCM and chest pain wh medication ?
8:38 PM [iamzuhair] I DUNNO
8:38 PM strug has left the chat.
8:38 PM [lanny] lol zuhair
8:38 PM [cyrus1345] the reason is easy due to hyperlipidemia!
8:38 PM [cyrus1345] in nephrotic syndrome
8:38 PM [huli72] B blocke
8:38 PM [iamzuhair] CAN GUESS BUT DIDNT READ IT ANYWHERE
8:38 PM [iamzuhair] SO DIDNT SAY
8:39 PM [sanz] no, the reason is that they lose anti-thrombin (protein) in the urine... so thrombosis
8:39 PM [crengy] i know the reason but i thought that infect are more often
8:39 PM [iamzuhair] WHARE IS STRUG GONE
8:39 PM [cyrus1345] it can be another reason too snaz!
8:39 PM [sanz] you're right nasi!
8:40 PM [cyrus1345] thanks snaz !
8:40 PM [naz1234] answer for my Q is b blocker or CCB
8:40 PM [iamzuhair] DUDE GUES WHAT
8:40 PM [cyrus1345] soory naz what was your question?
8:40 PM [iamzuhair] I FOUND THE ANSWER TO NEPHROTIC SYND AND MI
8:40 PM [iamzuhair] BUT IT KINDA TO LONG
8:40 PM [naz1234] HCM + chest pain
8:41 PM [sanz] sorry naz, didnt mean to ignore.. just that i didnt see yr q!
8:41 PM [cyrus1345] thanks!
8:41 PM [cyrus1345] got it
8:41 PM [naz1234] that is okay
8:41 PM [lanny] lost quest too
8:41 PM [cyrus1345] what's the imporatnt ciuqase of dilated cardimyopathy?
8:41 PM [cyrus1345] cuase
8:42 PM [lanny] cause
8:42 PM [sanz] idiopathic most common,
8:42 PM [sanz] then alcohol
8:42 PM [naz1234] ABCD !!!
8:42 PM [cyrus1345] yes good
8:42 PM [lanny] chagas ds if s america
8:42 PM [huli72] pregnancy
8:42 PM [lanny] sanz is right
8:42 PM [iamzuhair] MC IS IDIPATHIC WITH ALCOHOL AS SECOND
8:43 PM [lanny] right
8:43 PM [iamzuhair] WHICH OIL BEST FOR COOKING
8:43 PM [lanny] DVT what veins MC
8:43 PM [iamzuhair] HAD IT ON EXAM
8:43 PM [sanz] sunflower
8:43 PM [lanny] canola
8:43 PM [iamzuhair] YES
8:44 PM [iamzuhair] CANOLA
8:44 PM [lanny] actually olive is best
8:44 PM crengy has left the chat.
8:44 PM [lanny] canola for cooking
8:44 PM [strug] hey i got kicked off what r u guys discussiong
8:44 PM [iamzuhair] WELCOME BACK
8:44 PM [sanz] which oil is best
8:44 PM [crengy] sorry
8:44 PM [sanz] that's what we're discussing strug
8:44 PM [iamzuhair] GASOLINE
8:44 PM [lanny] oil ,zuhair may be hungry
8:44 PM [iamzuhair] LOL
8:44 PM [lanny] what gasoline
8:45 PM [iamzuhair] WHICH OIL BEST FOR COOKING
8:45 PM [lanny] oh my god...
8:45 PM [iamzuhair] GASOLINE
8:45 PM [strug] whats the conclusion
8:45 PM [lanny] none!!!!!!!!!!!!!
8:45 PM [sanz] hehe lanny
8:45 PM [lanny] lol
8:45 PM [lanny] lol
8:45 PM [huli72] Dr. Goljan said canola
8:45 PM [iamzuhair] :p
8:45 PM [iamzuhair] YEAH GUYS IT CANOLA
8:45 PM [iamzuhair] GREAT GOLJAN--- LONG LIVE
8:45 PM [lanny] ok lets do Periph vasc ds
8:46 PM [strug] how do people die of nephrotic syn?
8:46 PM [crengy] what's the subject for tomorrow?
8:46 PM [iamzuhair] MI
8:46 PM [strug] thnx
8:46 PM [huli72] thrombosis?
8:46 PM [iamzuhair] GOT THE EXPLANATION NOW
8:46 PM fouzia has left the chat.
8:46 PM [lanny] diag of DVT
8:46 PM [strug] soppler
8:46 PM [iamzuhair] LOSS OF PROTEIN -- MORE OF APOLIPOPROTEIN SYNTHESISED
8:47 PM rsandhu has left the chat.
8:47 PM [iamzuhair] LOT OF HMG CO A ACTIVITY
8:47 PM [huli72] dopler
8:47 PM [iamzuhair] LOT OF CHOLESTEROL GENERATED
8:47 PM [lanny] thx zuhair
8:47 PM [cyrus1345] what's classic cenario for cholesterol emboli?
8:47 PM [strug] thats why we have hyperlipidemia in pt with
8:48 PM [strug] livido reticualris
8:48 PM [iamzuhair] FEMUR #
8:48 PM [strug] after cardiac catherri
8:48 PM [iamzuhair] FEMUR #
8:48 PM [strug] nasi ans?
8:48 PM [cyrus1345] yes strug and acute increase in creatnin
8:48 PM [cyrus1345] anuria
8:48 PM [iamzuhair] I DIDNT GET
8:49 PM [cyrus1345] you talked about fat emboli iamzuhair
8:49 PM [strug] thnx nasi
8:49 PM [strug] Rx?
8:49 PM [iamzuhair] WHAT DOES CREATININE INC CAUSE
8:50 PM [strug] fluids?
8:50 PM [huli72] renal failure
8:50 PM [cyrus1345] I don't know!
8:50 PM [cyrus1345] srug forgot!
8:50 PM [huli72] GFR decr
8:50 PM [iamzuhair] NO I MEAN IS IT RELATED TO FAT EMBOLI
8:50 PM [cyrus1345] I think it's supportive!
8:50 PM [cyrus1345] I am not sure!
8:51 PM [strug] not sure either
8:51 PM [iamzuhair] OK
8:51 PM naz1234 has left the chat.
8:51 PM [iamzuhair] PARADOXICAL SPLIT
8:51 PM [sanz] aortic stenosis
8:51 PM [iamzuhair] STARTS WITH L
8:51 PM [strug] in AS S2 is soft or absent
8:51 PM [iamzuhair] LB
8:51 PM [iamzuhair] LBB
8:52 PM [iamzuhair] LBBB
8:52 PM Roxanita has left the chat.
8:52 PM [huli72] echo show symmetrical thicking of the ventricular walls with a 'speckled partern' . which disease?
8:52 PM [strug] amyloidosis
8:52 PM [iamzuhair] YES
8:52 PM [huli72] yeah
8:52 PM [iamzuhair] MAY BE OTHER DEPOSITIONS ALSO
8:52 PM cyrus1345 has left the chat.
8:53 PM [lanny] sorry had to step out
8:53 PM [iamzuhair] RT CARDIAC BORDER ENLARGED ON X RAY
8:53 PM [strug] rt atrial enlargment
8:53 PM [lanny] can we save todays discuss, how to do it
8:53 PM [strug] zuhair ans?
8:53 PM [huli72] treatment for cocaine induced caridiac ischemia?
8:53 PM [iamzuhair] RT ATRIAL ENLARGE
8:54 PM [strug] B blockers?
8:54 PM [iamzuhair] YES
8:54 PM [huli72] no
8:54 PM [sanz] nitrates?
8:54 PM [huli72] no
8:54 PM [iamzuhair] YES MAN
8:54 PM [iamzuhair] COCAINE CAUSE VASOCONST
8:54 PM [huli72] yeah
8:55 PM [iamzuhair] OH MAN
8:55 PM [lanny] suspect in young with MI sms
8:55 PM [iamzuhair] YES
8:55 PM [huli72] oh, sorry, nitrate is OK
8:55 PM [strug] whats the Rx of cocaine induced ishcemia?
8:55 PM [sanz] nitrates
8:55 PM [lanny] nitrate
8:55 PM [strug] thnx guys
8:55 PM [huli72] but not 1st drug
8:55 PM [strug] then whats the Rx?
8:55 PM [lanny] whats first
8:55 PM [huli72] 1st drug is benzodiazepine
8:56 PM [huli72] and aspirin
8:56 PM [lanny] for ischemia?
8:56 PM [crengy] may be for hypertens
8:56 PM [iamzuhair] #1 CAUSE OF DEATH IN MI
8:56 PM [sanz] for vasospasm?
8:56 PM [iamzuhair] SORRY
8:56 PM [lanny] arrythmia
8:56 PM [iamzuhair] #1 CAUSE OF DEATH IN HTN
8:56 PM [iamzuhair] #1 CAUSE OF DEATH IN HTN
8:56 PM [huli72] arryhthmia
8:56 PM [sanz] HTN - stroke
8:56 PM [strug] ventriular rupture?
8:56 PM [lanny] stroke or MI
8:56 PM [iamzuhair] MI
8:56 PM [iamzuhair] NOT STROKE
8:56 PM [iamzuhair] MI
8:56 PM [huli72] heart failure
8:56 PM [strug] for HT MI
8:57 PM [strug] for MI no 1 coz is?
8:57 PM [iamzuhair] FAILURE
8:57 PM [crengy] arrhytm.
8:57 PM [huli72] hyperlipidemia?
8:57 PM [strug] hey dear failure or arryth
8:58 PM [iamzuhair] HYPO WITH FAILURE
8:58 PM [lanny] arrythmia for MI
8:58 PM [iamzuhair] I M NOT SURE
8:58 PM [iamzuhair] I M NOT SURE
8:58 PM [crengy] harrison-arrhytm
8:58 PM [strug] thnx crengy
8:58 PM [crengy] welcome
8:58 PM [lanny] ok guys tomorrow
8:58 PM [iamzuhair] AFTER LOAD REDUCERS
8:59 PM [crengy] ok, but what tomorrow?
8:59 PM [lanny] topic
8:59 PM [strug] Gi and hepatology
8:59 PM [lanny] ok
8:59 PM [crengy] thanks
8:59 PM [iamzuhair] HYDRALAZINE AND NITRATES
8:59 PM [lanny] how can we save this transcrip
8:59 PM [lanny] missed a few parts
8:59 PM [iamzuhair] ASK STRUG
8:59 PM [lanny] can we print
8:59 PM [lanny] somone help
9:00 PM [iamzuhair] STRUG ANSWER
9:00 PM [strug] i dunno
9:00 PM crengy has left the chat.
9:00 PM [lanny] PS WE HAD ASEVERAL DISAGGREMENTS WE ALL NEED TO GO BACK ARRYTHMIA IS IMP
9:00 PM [iamzuhair] OK
9:01 PM [iamzuhair] JUST CLIK ON SOME BUTTON DOWN
9:01 PM [lanny] where
9:01 PM [huli72] :o
9:01 PM [iamzuhair] DUDE GOT IT
9:01 PM [iamzuhair] BESIDE THE SPEAKER
9:01 PM [iamzuhair] THERE IS A BUTTON CLICK IT
9:01 PM [iamzuhair] HULI UR NASTY
9:02 PM [lanny] today was good too im sure by two mths if we continoe we can get a lot this is stimulatory llets keeo it up guys!!!
9:02 PM [lanny] which button
9:02 PM [iamzuhair] BESIDE THE SPEAKER
9:02 PM [iamzuhair] THERE IS A BUTTON CLICK IT
9:02 PM [lanny] i was kicked off three times missed a few
9:02 PM [iamzuhair] ABOVE HE BAR WHERE YOU TYPE
9:03 PM [lanny] ok will try
9:03 PM [lanny] thanks
9:03 PM [iamzuhair] ITS OK JUST NEED TO CLICK A FEW TIMES DUDE BEFOR EYOU HIT THE FORTUNE
9:03 PM [iamzuhair] THATSTHE RULE OF A CASINO
9:03 PM [lanny] good night all see you all in GI
9:04 PM [iamzuhair] BYE
9:04 PM [iamzuhair] DOES ANY ONE HAVE ANYTHING ABOUT YESTURDAY CAHT
9:04 PM [iamzuhair] CHAT
9:06 PM [strug] ok then tomorrow with GI and Hepatology....till then adios
9:07 PM huli72 has joined subroom: USMLE_Step_1
9:07 PM lanny has left the chat.
9:08 PM huli72 has left the chat.

Asclepius1
04-17-2005, 01:30 PM
hi. i want to ask about ica stent in casees of coccluded internal carotid artery
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