Gandolfi Emergency Medicine FRCEM / MRCEM Revision
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Sample (from 1120 notes)
|Front||Layers of pericardium:|
|Back||Outer = fiberous pericardiumInner = serous pericardium(subdivided into 2):- Parietal pericardium - fused to fiberous- Visceral pericardium - part of epicardium (Is reflected back at great vessels to become continuous with parietal pericardium)|
|Front||Classification system for thoracic dissecting aortic aneurysm. Which need surgery?|
|Back||DeBakey classification- Type I – originate in ascending aorta and propagate at least to the aortic arch and often beyond it- Type II – originate in and are confined to the ascending aorta- Type III – originate in the descending aorta, rarely extending proximally but will extend distally.Stanford A = I and II (includes ascending aorta)Stanford B = type III (Descending aorta/arch - distil to left subclavian artery)Ascending need surgery (I and II). Descending (III) may be treated medically by controlling BP|
|Front||HELLP syndrome: Who gets it, what signs, complications and how to treat|
|Back||Pregnant women, 3rd trimester usually. Considered to be pre-eclampsia variant.Haemolysis (low Hb, raised LDH)ELevated liver enzymesLow Platelet countVague symptoms such as RUQ pain and malaise. Can be hypertensive with proteinureaComplicationsDIC/renal failure/hepatic failure/placental abruptionTreat with tight BP control, magnesium, and definitive treatment is delivery|
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Fantastic for preparing for MCEM examinations