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12.12.20 Ward notes

SAD PERSONS
  • S: Male sex
  • A: Older age
  • D: Depression
  • P: Previous attempt
  • E: Ethanol abuse
  • R: Rational thinking loss
  • S: Social supports lacking
  • O: Organized plan
  • N: No spouse
  • S: Sickness
  • Risk assessment:
    • 0–4 Low
    • 5–6 Medium
    • 7–10 High

Notes
  • Palmar erythema spares the centre
  • LVH 
    • Enlarges inwards initially => No apex displacement
    • Only when failure starts does it grow outwards
    • ECG criteria are not sensitive
  • Don't give GTN in AS!
    • Reduces o/p and worsens the problem
    • Give beta blockers instead, to lower oxygen demand
  • Ventricular ectopics disappear on exertion
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