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High dose Insulin can induce arrhythmia by suddenly shifting of [ K] intracellular

Source :- MKSAP 18

Anorexia , nausea and vomiting are the first signs of digoxin toxicity

Digoxin toxicity can cause all types of arrhythmias except mobtiz type II and atrial flutter

reinfection with

- Generally speaking; reinfections are milder than the 1st one and they will continually being weakened (i.e. infection impact) by the developing immunity after each exposure.

LMCA occlusion typically results in massive ischemia and is therefore expeditiously fatal. As a result, a large proportion of these patients do not survive to emergency department arrival. This may explain why STE in aVR is a lesser-
known sign of ACS.

aVR St elevation

old but gold

Benign early repolarization syndrome

Hyperkalemia 👇👇

Wolff-Parkinson-White Syndrome
WPW Syndrome

Junior doctors have more road traffic accidents when tired.
Exhaustion erases recent learning.

20–25 hours without sleep – as might be experienced by a doctor who has worked just one night and was without rest during the day leading into the shift – reduces psychomotor performance to the level of someone with a blood alcohol concentration of 0.10%.This is greater than the current maximum level for legal driving in the UK (0.08%).