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