Abbreviation: IPPA Inspection, palpation, percussion, auscultation
Abbreviation: IR Interventional radiology
Abbreviation: JAK2 JAK2 V617F • JAK2 mutation is present in >95% cases of polycythaemia vera ===== Laboratory test: • A diagnostic test for [olycythaemia vera • Hospital Ampang offers this special haematology test, and it requires a special request form • Container: EDTA tube
Killip Classification in Acute Myocardial Infarction • Killip Class 1: No signs of left ventricular failure • Killip Class 2: Elevated JVP, Bibasal crepitations, S3 gallop • Killip Class 3: Acute pulmonary oedema • Killip Class 4: Cardiogenic shock
Serum lactate • Normal value: <2 mmol/L Further reading: https://www.myhouseman.my/serum-lactate/
📑 Function • To facilitate visualization of upper airway to assist intubation 📑 Standard laryngoscope • Macintosh: curved blade (tip is placed in the vallecula and indirectly expose the larynx when it’s lifted) • Miller: straight blade (tip passes posterior to epiglottis and directly expose larynx when it’s lifted), e.g. for use in neonatal resuscitation […]
Abbreviation: LDH Lactate dehydrogenase ===== Notes: • Serum LDH is marker for haemolysis • LDH is part of Light’s criteria in pleural effusion • LDH is also used as cardiac enzyme (together with CK + AST), especially in district hospitals where Troponin / CK-MB is not immediately available
Definition of exudate (at least ONE of the following criteria) • Pleural fluid protein / serum protein >0.5 • Pleural fluid LDH / serum LDH >0.6 • Pleural fluid LDH >2/3 normal upper limit of serum LDH Related Posts 1. Pleural effusionPleural effusion
Logrolling • Requires at least 3 rescuers + 1 person to examine the patient’s back • Raise the bed to optimum level for rescuers • Patient’s position: lying flat; lower limbs extended; upper limbs extended (palms facing inside) • Remind patient not to help during turning later • Rescuer 1 head & neck at neutral […]
Lytic Cocktail: Components of lytic cocktail: 1. IV Calcium gluconate 10% 10 mL, give over 10 minutes, then 2. IV Dextrose 50% 50 mL, then 3. IV Actrapid 10 units (i.e. 0.1 mL) Tips: 1. Make sure patient is on cardiac monitor while serving lytic cocktail 2. IV Calcium gluconate 10% and IV Dextrose 50% […]