Spice Route India Newsletter
1. A 50-year-old man presented with central crushing chest pain. He is immediately taken to Emergency department where basic investigations are done. He is then immediately shifted to cardiac unit for percutaneous coronary intervention. There is thrombosis of Left circumflex artery. Angioplasty was done with drug eluting stent. What are the most likely changes to have occurred on ECG during admission?
2. A 60-year-old man is admitted with mild exacerbation of asthma. He is known to have hypertension which is controlled by medications. He was given Salbutamol and Ipratropium nebulisation when being brought to the hospital in ambulance by paramedics. Patient was then shifted to ICU where he was given regular nebulizers along with his antihypertensive medications. Before being discharged his serum Potassium levels was 2.9 mg/dl. Select from the list below the drug most likely to have caused hypokalemia .
3. A 54-year-old woman was diagnosed with Crohn’s disease 15 years back. For the first few years she responded well to medical management. 2 years back due to a severe attack of Crohn’s disease which did not respond to medical management, she had to undergo a bowel resection. You realise she has a risk of developing Vitamin B12 deficiency as a result of surgery. Which part of small bowel is responsible for absorption of Vitamin B12?
4. A 16-year-old girl is recently diagnosed with type I diabetes comes to your clinic to discuss about long term complication of her condition. Her father is recently diagnosed with End Stage Renal Disease (ESRD) due to uncontrolled diabetes and is on haemodialysis. She specifically enquires about testing for early signs of renal impairment. The most appropriate investigation is:
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