tag:blogger.com,1999:blog-10712003.post110805590740697938..comments2011-06-22T09:55:59.479-04:00Ves Dimov, M.D.noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-10712003.post-85694628036208076122011-06-22T09:31:14.752-04:002011-06-22T09:31:14.752-04:00Very interesting case. Sorry for my not good english. What is the necessity of central line placement in this case? In my opinion, their was enough to have a access in a peripheral vein. And no AF.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-61726983577189602862010-07-06T11:26:10.746-04:002010-07-06T11:26:10.746-04:00thax for your kind responseAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-78740219177569353642010-07-06T11:24:51.391-04:002010-07-06T11:24:51.391-04:00thanks alot for your kind responseAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-58239694285178323482010-07-05T17:28:30.960-04:002010-07-05T17:28:30.960-04:00It is now explained in the text above and also listed below. Thank you for your comment.<br /><br />Vital signs stable (VSS).<br />Well-developed and well-nourished in non-apparent distress (WD/WN in NAD).<br />Chest: Clear to auscultation bilaterally (CTA (B).<br />Cardiovascular system (CVS): Clear S1S2.<br />Abdomen: Soft, non-tender and non-distended (NT, ND).<br />Extremities: right diabetic foot ulcer with signs of infection.Clinical Cases and Imageshttp://clinicalcases.org/noreply@blogger.comtag:blogger.com,1999:blog-10712003.post-64761507453697202372010-07-05T15:15:14.379-04:002010-07-05T15:15:14.379-04:00please explain me the symbols used in physucal examination. because as a student of 1st year mbbs i m unable to undersrand themAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-58898275075629782782010-04-27T21:36:40.001-04:002010-04-27T21:36:40.001-04:00Re: &quot;withdrawing the catheter few centimeters out could have been one of the diagnostic approaches.&quot;<br /><br />Probably the best approach. I agree. Does not sound like this patient was on telemetry from the start though - there was no need to be on. She may have been placed on tele after she developed the arrhythmia.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-87183186721071120862009-11-02T14:53:21.870-05:002009-11-02T14:53:21.870-05:00Interesting case. Often you can tell that the patient is having problem related to the central line placement almost immediately. The patient must have been on telemetry (telemetry leads visible on CXR), so withdrawing the catheter few centimeters out could have been one of the diagnostic approaches.Raplhhttp://realicu.comnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-3095708259055451142009-01-07T17:59:00.000-05:002009-01-07T17:59:00.000-05:00This patient will not require Coumadin (warfarin) or sotalol.<BR/><BR/>Long-term anticoagualtion is done with warfarin.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-33908352497129153992009-01-07T17:57:00.000-05:002009-01-07T17:57:00.000-05:00Is there a less problematic long term regimine<BR/>than coumadin and sotalol? Coumadin seems to have many negatives.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10712003.post-63155937392526415862008-11-24T09:24:00.000-05:002008-11-24T09:24:00.000-05:00I think I have learned something useful from this blog.magicfjhhttp://www.blogger.com/profile/00135424764747112982noreply@blogger.comtag:blogger.com,1999:blog-10712003.post-27930033267549405472008-11-24T08:37:00.000-05:002008-11-24T08:37:00.000-05:00really good...learned a lot...keep it upbrocasareahttp://namdu.blogspot.com/noreply@blogger.comtag:blogger.com,1999:blog-10712003.post-75199403202464450162008-10-12T10:51:00.000-04:002008-10-12T10:51:00.000-04:00Interesting presentation of transient atrial fibrillation with rapid ventricular response due to a rare cause. It is not uncommon to see such atrial arrhythmias during cardiac catheterisation when the catheter is manipulated in the right atrium. The case also illustrates the principle that for sustaining atrial fibrillation once initiated, needs a large atrial mass. Sometimes atrial fibrillation induced by catheter manipulation needs cardioversion for correction, especially when the atria are grossly enlarged and diseased.Johnson Francishttp://www.cardiophile.orgnoreply@blogger.com