The short prodromal illness coupled with the development of biventricular heart failure, tachycardia, widespread T-wave inversion and elevated troponin I is most consistent with viral myocarditis. The features, including the mild flu-like illness, are consistent with Coxsackie B (FCPS, MRCP, MD, Diploma)
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SBA Pearls and Topic Bank for FCPS (Medicine) & MRCP, MD Residency, Diploma
Ge***al herpes can be transmitted even when lesions aren't present by asymptomatic shedding from the lesion (MRCP)
The European Society of Cardiology recommends urgent extraction of the implanted device followed by prolonged antibiotic therapy in patients with cardiac device related infective endocarditis (MRCP)
PTH stimulates calcium reabsorption in the DCT and increases phosphate excretion in the PCT (FCPS, MRCP, MD, Diploma)
If known as a case of heart failure on ẞ-blocker presented with acute pulmonary oedema→ increase diuretics, stop ẞ- blockers and restart ẞ-blockers when his lungs are dry (MRCP)
Patients with heart failure or iron deficiency have been shown to show benefits from IV iron replacement (MRCP)
Diffusion-weighed imaging should reveal diffusion restriction (MRCP)
Antibiotic prophylaxis against infective endocarditis is not recommended for people undergoing dental procedures or for people undergoing non-dental procedures at upper and lower gastrointestinal tract, genitourinary tract or upper and lower respiratory tract (FCPS, MRCP, MD, Diploma)
The majority of patients with TGA recover within 24 hours and do not get further such episodes (FCPS, MRCP, MD, Diploma)
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