PDF Diploma in Clinical Medicine and Surgery

Medical Emergencies: Cardiac Tamponade, Pulmonary Oedema, Hypertensive Crisis, Upper Gastrointestinal Bleeding, Thyroid Storm and Hypoglycaemia

An emergency medicine deck that takes each acute presentation in turn. It covers cardiac tamponade as fluid, blood or pus accumulating in the pericardial sac to impair ventricular filling and cut cardiac output, with its causes from gunshot and stab wounds and blunt trauma to iatrogenic perforation after catheterisation, angiography, pacemaker insertion or central line placement; pulmonary oedema with its causes and investigations; the hypertensive crisis and the target of lowering the diastolic pressure to 100 to 105 mmHg within two to six hours without cutting the initial pressure by more than a quarter; upper gastrointestinal bleeding; thyroid storm; and hypoglycaemia, with the emergency management, the drug regimens and the monitoring for each.

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