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