Lab 17
Problem 1
a 36 years old man with indigestion following
meals , treated himself with one table
spoonful of sodium bicarbonate which
relieve his symptoms. Over several months
period he developed a different type of
abdominal pain in his epigastrium , which
often awakened him at night. He treated
himself with same remedy which makes
him feels better,he also noticed that his
ankle began to swell. He consulted his
doctor for this pain and diagnosed as DU.
Problem 2
A young women was bothered by
retrosternal pain of reflux oesophagitis,
she consulted her doctor and gave her
an injection and some tablet. On the
second day, she suddenly developed
painful spasm of the muscle of the neck
and trunk with painful twist of the head
toward the right. What happens?
The student should be able to link these
side effects to the drugs.
Problem 3
A 65 years old man was admitted to medical unit
after an acute myocardial infarction . Since his
admission he had complained of worsening
fatigue , orthopnoea and paroxysmal nocturnal
dyspnoea. His pulse is irregular. The clinical
,radiological and ECG finding suggest
congestive heart failure with atrial fibrillation .
What drugs might be used to treat this condition?
If diuretics are used,how would these drugs
interact with digoxin and captopril?
Comment on the use of digoxin in heart failure.
4-A 35 year old patient who suddenly
started to feel distressed with some
difficulty in breathing and palpitation. On
examination heart rate was rapid and
measure 180 per minute. ECG was
done. The diagnosis of supraventricular
tachycardia was made.
What are the lines of treatment as
emergency case?
