Massive anterolateral MI.
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Internal Medicine
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New 2024 ESC guidelines
Female gender was removed from CHADS-VASc score in new ESC guidelines for management of AF.
Rationale: female gender is a risk modifier rather than risk factor for stroke.
1-AF
https://drive.google.com/file/d/15nQsJjk8pXTF9qkRxjpBrI-HecWBqjd-/view?usp=drivesdk
2-Aortic and PAD
Post-obstructive uropathy with acute kidney injury and bilateral severe hydronephrosis secondary to bladder outlet urinary obstruction.
© 2022 ICU REACH
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The most important approach should be done,
1. Do urgent electrolytes and urea creatinine to rule out hyperkalemia or electrolytes imbalance and renal function status after details history and clinical examination.
2. Do 12 lead ECG and Echo to see cardiac function status.
3. Consult urologist for possible relief of obstruction either insertion of small IFC or supra pubic approach through small incision.
4. Urgent nephrology consultation for possible HD if indicated.
5. Under lying cause should be identified as soon as possible and address accordingly.