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Wednesday, January 18, 2012

AF, CVA, Orange urine

1. What are the common causes of AF(artrial fibrillation)?
2. What you want to rule out in ECG for patient with CVA(cardiovascular accident= stroke)?
3. A patient with PTB came to you and complaint of passing out urine in orange color after taking anti-TB for 3 days. What would you do? 

1. Common causes of Artrial Fibrillation (AF)
  • Ischemic heart disease (IHD)
  • Hypertensive heart disease
  • Rheumatic heart disease (RHD)
  • Thyrotoxicosis
  • Post-srugery
  • Chronic lung disease
  • Atrial septal defects (ASD)
  • Acute alcohol intoxication

2. In CVA patient, we need to rule out causes of cardiogenic embolism on ECG
  • Artrial fibrillation (AF): Absence of P-wave, irregular base line, irregular RRI.
  • Myocardial infarction (MI): Deep Q-wave.
  • Left ventrial aneurysm: Residual ST-elevation, deep Q-wave.

3. Orange-coloured urine is SE of Rifampicin. Need to explain that this medication may produce orange coloration of urine, sweat, saliva, or tears, but it is harmless, so reassure patient to continue to take their medication.

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