Heart murmur Location/valve Aortic Pulmonary Tricuspid Mitral Aortic and pulmonary ? ?

Murmur Ejection systolic Early diastolic Illness Aortic stenosis Aortic regurgitation Others Radiated to carotid Expiration, leaning forward Radiated to axilla Bell, rolled to left

Pansystolic Mid diastolic Pansystolic Diastolic continous Innocent (ES)

Mitral regurgitation Mitral stenosis VSD PDA Pregnancy, fever

High stoke volume

Smoking packed year [Length (year) smoking X cigarette per day]/20 Carpal Tunnel Syndrome and Tarsal Tunnel Syndrome at a Glance Carpal tunnel syndrome is caused by irritation of the median nerve at the wrist. Any condition that exerts pressure on the median nerve can cause carpal tunnel syndrome. Symptoms of carpal tunnel syndrome include numbness and tingling of the hand. Diagnosis of carpal tunnel syndrome is suspected based on symptoms, supported by physical examination signs, and confirmed by nerve conduction testing. Treatment of carpal tunnel syndrome depends on the severity of symptoms and the underlying cause. Corticosteroids: Side Effects and Adverse Reactions The potent effect of corticosteroids can result in serious side effects which mimic Cushing's disease, a malfunction of the adrenal glands resulting in an overproduction of cortisol. The list of potential side effects is long and includes: increased appetite and weight gain deposits of fat in chest, face, upper back, and stomach water and salt retention leading to swelling and edema high blood pressure diabetes black and blue marks slowed healing of wounds osteoporosis cataracts acne muscle weakness thinning of the skin increased susceptibility to infection

stomach ulcers increased sweating mood swings psychological problems such as depression adrenal suppression and crisis

Lungs

Supraclavicular Infraclavicular Intermammary Inframammary

Suprascapular Interscapular

Infrascapular

Others: axillary and infraxillary

SLE vs. RA SLE RA -

Episodic symptoms Arthritis, serositis Fever, malaise, weight loss Photosensitivity, malar rash Nephritis

SLE AHMAD PRISON Arthritis Hematological Malar rash ANA Discoid rash

Photosensitivity Renal disease Immunological Serositis Oral ulcer Nervous system

Normal body temperature, adult: 37.2 - 37.5 C

(http://www.nlm.nih.gov/medlineplus/ency/article/003090.htm)

STROKE Incidence: Symptoms and signs Hemiparesis Hemisensory loss/reduced Headache Aphasia Visual defect AC Dysarthria Diplopia Drop attack Ventigo
Most common, MCA?

Anterior (ACA, MCA) 38 33 25 20 14 5 3 0 0 0

Posterior (PCA) 12 9 3 0 22 16 11 7 16 48

Supply: Anterior most of the cerebral cortex, subcortical white mater, basal ganglia and internal capsule Posterior brainstem, cerebellum, thalamus, portion of occipital lobe and temporal lobe