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TEMPORAL ARTERITIS/GIANT CELL ARTERITIS (MUST NOT MISS)
duration
recommends screening for hypertension in adults 18 years or older with office blood
pressure measurement (OBPM). The USPSTF recommends obtaining blood pressure
measurements outside of the clinical setting for diagnostic confirmation before
starting treatment.
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, ROUTINE SCREENINGS
blood pressure
on palms & soles
small, painless hemorrhages with a macular or slightly nodular character
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Janeway lesions
cardiovascular disease
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METABOLIC & ENDOCRINE SYSTEMS (A COMORBITIY AFFECTING THE
CV & NEURO SYSTEMS)
complications
ACE inhibitors (-pril)
beta blockers (-olol)
diuretics (e.g. furosemide)
aldosterone antagonists (spironolactone)
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, heart failure
treatment - pharmacological
A 70-year-old woman with a history of myocardial infarction presents with shortness
of breath and ankle swelling. Echocardiogram shows reduced ejection fraction
(HFrEF). She is started on an ACE inhibitor, beta-blocker, and diuretics.
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heart failure
example
temporary stroke-like symptoms, such as weakness, vision changes, difficulty speaking
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Transient Ischemic Attack (TIA)
symptoms
disease: hypoglossal nerve palsy
conditions: tumors, stroke
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Cranial Nerves & Diseases
Hypoglossal nerve (CN12)
, inflammation of the brain
requires urgent antiviral or other specific treatments
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encephalitis
urgency
severe headache (THUNDERCLAP)
neck stiffness
photophobia
altered consciousness
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subarachnoid hemorrhage
symptoms
thiazide diuretics
ACE inhibitors
ARBs
calcium channel blockers
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HYPERTENSION
treatment - pharmacological