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Unstable angina – 3 hours  Classification  Clinical characteristics  Evaluation of risk and treatment strategies  Biomarkers  Clinical cases 22 order cheap viagra sublingual on-line impotence at age 30. Myocardial infarction – pathogenesis order viagra sublingual 100 mg visa impotence clinics, clinical manifestation purchase viagra sublingual now erectile dysfunction unable to ejaculate, diagnosis – 2 hours  Pathogenesis  Clinics  Diagnostic criteria  Biomarkers 23 buy generic eriacta 100 mg on line. Myocardial infarction – complications buy clomid once a day, differential diagnosis – 3 hours  Complications  Clinical cases  Differential diagnosis 24. Treatment – 2 hours  Strategies – invasive vs non-invasive 195  Secondary prevention  Rehabilitation  Clinical cases 25. Arterial hypertension – etiology, pathogenesis, clinical manifestation – 2 hours  Etiology  Pathogenesis  Staging and grading  Hypertensive crysis 27. Arterial hypertension – treatment – 3 hours  Classification of antihypertensive drugs  Representatives  Indication and contraindication  Clinical cases 28. Myocardites – 2 hours  Classification  Clinical characteristics  Complications and prognosis  Treatment 29. Cardiomyopathies – 3 hours  Classification  Clinical characteristics 196  Complications and prognosis  Treatment 30. Pericardial diseases – 2 hours  Classification  Clinical characteristics  Complications and prognosis  Treatment List of topics for theoretical written exam in Cardiology 1. Stable angina – classification, etiology, pathogenesis, clinical characteristics, diagnosis and treatment. Unstable angina - classification, etiology, pathogenesis, clinical characteristics, diagnosis and treatment. Acute myocardial infarction – etiology, pathogenesis, risk factors, clinical presentation, biomarkers. Arterial hypertension - classification, etiology, pathogenesis, clinical characteristics, diagnosis and treatment. Pericarditis - classification, etiology, pathogenesis, clinical characteristics, diagnosis and treatment. Course of teaching: Terms 1 Horarium: 10 h lectures, 20 h practical training Technical devices use in the educational process : Multimedia, audiovisual devices, tables, etc. Final exam : it is part from the exam of Internal Medicine Form of the final score: The final score is form after final exam of Internal Medicine. How is formed the final score: test, writing exam, practical exam,Latin terminology, oral exam. Clinical picture, methods of physical examination, anamnesis, laboratory investigations of musculoskeletal diseases. The students should perform a complete exam including taking of history, internal organs check, posing diagnosis, determining the prognosis of a certain disease.

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Intravenous methylpredniso- lone buy viagra sublingual mastercard erectile dysfunction vitamins, 250 mg q6h buy 100 mg viagra sublingual otc erectile dysfunction free samples, is recommended for patients with associated visual loss order 100 mg viagra sublingual otc protein shakes erectile dysfunction. Tempo- ral artery biopsy should be accomplished within 72 h of initiating treatment; however safe 80mg super cialis, immediate treatment with steroids may prevent complications and should not be delayed pending confirmation of the diagnosis purchase antabuse on line amex. Refractory cases may require intermittent lumbar puncture or lumboperitoneal shunting. Maintaining intracranial pressure at relatively normal levels helps to protect against irreversible vision loss. Associated symptoms include orthostatic lightheadedness, tinnitus, photophobia, anorexia, nausea, and vomiting. Treatment includes rest and analge- 4 sics, and symptoms are generally self-limited. For more severe cases, caffeine (500 mg in 1 L of normal saline administered over 1 h) may be effective. Finally, in persistent cases, consultation with anes- thesiology for an autologous epidural “blood patch” may be warranted. The motor nerve fibers and the muscle fibers make up the presyntaptic and postsynaptic components of the neuromuscular junction, respectively. Scope of the Problem • Based on the anatomy of the neuromuscular system, peripheral nervous system causes of motor weakness correlate with involvement at 1 of 4 levels: the anterior horn cells, peripheral nerve, neuromuscular junction, or the muscle fiber itself. Etiology The following list is not exhaustive, but includes most etiologies encountered on an emergency basis. The patient may have a known neurologic disease and present 84 Emergency Medicine with an exacerbation or deterioration, or may have new-onset symptoms without a prior diagnosis. The most frequent impairment results from im- munologic reaction against nerve roots, peripheral nerves, and cranial nerves. The typi- cal clinical manifestation is motor weakness beginning in the legs and ascending to the arms, with symptoms evolving over a few days. Approximately 14% of patients will present with symptoms beginning in the cranial nerves or arms, descending to the legs. Weakness and fatiguability are the predominant symptoms, with a predilection for the ocular muscles. Like myasthenia gravis, the characteristic weakness, fa- tiguability, and pain primarily affects proximal muscles; unlike myasthenia gravis, cra- nial nerves are only mildly impaired. An underlying malignancy (usually squamous cell carcinoma of the lung) is present in 75% of male and 25% of female patients. Hyperthermia (resulting from underlying infection) may exacerbate previous neurologic deficits, or precipitate new symptoms. Distal weakness of the upper limbs may manifest as clumsiness or loss of fine motor skills (e. A history of similar symptoms suggests familial periodic paralysis or myoglobinuria.

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Wahrenberg ea (2005) found that a waist circumference of less than 100 cm excludes insulin resistance in both sexes cheap 100mg viagra sublingual visa erectile dysfunction venous leak. Montgomery and Ekbom (2002) reported an increased risk for diabetes and obesity among the offspring of women who smoked during pregnancy purchase 100mg viagra sublingual amex erectile dysfunction zinc. Hypothyroidism viagra sublingual 100mg with visa impotence from prostate removal, hypogonadism buy generic proscar 5mg, hypopituitarism order generic malegra dxt canada, and Cushing’s syndrome are associated with obesity among other things. The characterization of an obesity gene (ob) on chromosome 6 in mice (and its human homologue) was reported in 1994. It was hypothesised that the ob gene on chromosome 7 produced an ob protein (this 1883 turned out to be leptin ) that acted on brain ob receptors leading to satiety and a reduction in food intake. In fact, in excess of one hundred genes have been implicated in the determination of body weight. These act mainly through the brainstem and hypothalamus and influence food intake and tendency to exertion. Leptin (‘ob protein’; Gk: leptos, thin) levels are chronically elevated in obese humans. Apart from the few people with inherited leptin deficiency, therapeutic leptin use failed to work. According to Watts (2007) cells produce leptin to prevent too much weight loss during lean times rather than to prevent obesity! Leptin 1881 Lambert Adolphe Jacques Quételet (1796-1874), Belgian astronomer, mathematician, statistician, and sociologist. When injected into the peritoneum it causes a reduction in feeding and an increase in energy output. It inhibits 1887 neuropeptide Y (a powerful appetite stimulant) in the arcuate nucleus of the hypothalamus. Galanin is an orexigenic peptide that probably acts at the level of the paraventricular nucleus. It was indicated as an adjunct to diet and exercise for obesity or overweight adult (> 18 years) patients with associated risk factors, e. It should be avoided in uncontrolled serious psychiatric disorder and it was not recommended for people on antidepressants. It was not recommended during pregnancy and is contraindicated during breastfeeding. Social or cultural factors may moderate or mediate the association between obesity and mood disorder. Unresolved dynamic-neurotic factors and learning theory are generally considered to be operative.

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