MARFANS SYNDROME

MARFANS SYNDROME::

Remember the systemic features of Marfan syndrome with

MARFANS

Mitral prolapse
Aortic dissection
Regurgitant aortic valve
Fingers long (arachnodactyly)
Arm span>height
Nasal voice (high arched palate)
Sternal excavation

Submitted by Our Page Member
-Dr Saad Khan

Causes of Generalized Tonic Clonic Seizures - 'MTB'

Causes of Generalized Tonic Clonic Seizures

•  HypoNatremia & HyperNatremia

• Hypoxia

• Hypoglycemia

• Any CNS infection (encephalitis, meningitis, Abscess)

• Any CNS ANATOMIC Abnormality ( trauma, Stroke, tumor)

• HypCalcemia

• Uremia (elevated creatinine)

• Hepatic failure

• Alcohol, Barbiturate and Benzodiazepine WITHDRAWAL

• Cocaine Toxicity

• Hypomagnesemia (rarely)

Answer to the Question on EKG dated 4/7/13

This EKG shows Type 1 Heart Block,. PR Interval is constant and prolonged around 0.4 sec. There are no P waves without a following QRS Complex. There is Bradycardia with HR of 48 bpm. The Patient's Potassium levels are at 5.98 mmol/l.  Rest there is appearance of 'U' waves in this EKG. There is Cardiomegaly and Axis is in normal direction.

The Patient was showing Bradycardia on Monitor of 48. Management Includes, Immediate EKG, Investigating Serum Potassium levels, i/v(in dilution) or i/m Atropine and Regular Monitoring. Other Observations and Management Suggestions are Welcome. :)