unstable angina/non stemi

                                                                                                          

1

2

3

4

                   

stemi

1

2

3

4

5

6

7

8

9

10

11

Calcium

Normal range of•Ser calcium(total) ; 2.1-2.65 mmol/L•Ionized calcium:1-1.4 mmol/l•Corrected calcium:2.12-2.57 mmol/L•Corrected ca:(40-albumin)x0.02+ caNormal range: •ALP: 30-150 U/L•FREE T4: 10-34.8 pmol/L•TSH: 0.5-5 mU/L•PTH: < 0.8 - 8.5pmol/L•Paraesthesia•Cramp
•Tetany•Circumoral numbness•Dystonia
•Chvosteks sign- gentle tapping over facial nerve causes twitching of facil muscle•Trousseaus sign- inflation of sphygmomanometer above diastolic pressure for 5 mins causes carpopedal spasm.•Long standing hypocalcemia: dry skin, coarse hair, alopecia, brittle nail,hypoplastic teethClinical features of hpocalcemia

scope

emergency cases

postings:
1. medical
2. surgery
3. paeds:
4. ong
5.

medical
1. neuro
-stroke
-tia

2. infectious disease
-dengue
-leptospirosis
-melioidosis
-diarrhea
-tb
-hiv
- hepatitis

3. cvs
-ami
-acs
-svt
-arryhtmia
-svt
-afibrillation
-cardiac arryhtmias

4. respi
-pneumonia
-