Regurg, right heart failure, infective endocarditis myocardial infarct, complications abcde x2 arrhythmias / aneurysm bradycardia / ↓bp cardiac failure / cardiac tamponade dresslers / death! viagra generic buy generic viagra online Embolism / extra (vsd, pap muscle rupture) pericarditis drumsticx dresslers, rh fever / ra, uraemia, mi, sle, trauma, idiopathic, coxsackie, x-ray postural hypotension handi hypovolaemia / hypopituitarism, addisons, neuropathy (autonomic), drugs (vasodilators / tcads, diuretics, antipsychotics), idiopathic rheumatic fever: major criteria cases carditis, arthritis (migratory), subcut nodules, erythema marginatum, syndenhams chorea minor criteria 4pa pyrexia, prolonged pr, past hx, positive (ie ↑)esr/crp, arthralgia occlusive arterial disease 6ps pain, pallor, pulseless, parasthesia. viagra super active vs regular viagra cheap viagra online Paralysis, perishing with cold splinter haemorrhages trip sam trauma, ra, infective endo, pan sle / sepsis, anaemia (profound), malignancy (haematological) st elevation elevation electrolytes, lbbb, early repolarization, ventricular hypertrophy, aneurysm, treatment (eg pericardiocentesis), injury (ami, contusion), osborne waves (hypothermia), non-occlusive vasospasm (prinzmetal’s) svt causes snap sinus tachy, nodal tachy, a fib, paroxysmal atrial tachy symptoms of aortic stenosis angina 2 years syncope 1 year dyspnoea 6/12 asd } } prognosis } endocrinology & biochemistry acromegaly hot acromegaly heart failure, / hypertension, oedema, teeth wide spaced appearance / amenorrhoea, carpal tunnel syn / coarse skin / voice, reek, oily skin, myopathy, eye (prominent supra-orbital ridge), goitre / gain wt/ galactorhoea / glycosuria, arthropathy, large tongue & nose, yonser pd byrne – 1999 patrick. viagra side effects weight gain viagra for sale in usa Byrne@lycos. viagra over counter uk 2011 Com acidosis metabolic lusk lactic, uraemic, salicylate, ketoacidosis ketoacidosis sad starvation, alcohol, dm increased anion gap mud piles methanol / metformin, uraemia, dka / aka paraldehyde / phenformin, iron / inh, lactic, ethylene glycol, salicylate / shock / sepsis / starvation normal anion gap acidosis hard up hyperventilation /hyperalimentation, acetazolamide, rta, diarrhoea ureteral diversion (ureterosigmoidostomy), pancreatic fistula / parenteral nacl addisons, causes of antam autoimmune, neoplastic, tb, amyloid, meningococcal (waterhouse-freidhrick) diabetes, complications knives kidney, neuropathy, infection, vascular, eyes, skin lesions hypercalcaemia nhs mtv fapd neoplastic (bony mets, myeloma, sq lung), hyperparathyroidism, sarcoid milk-alkali syn. viagra take with food , thyrotoxicosis, vit d intoxication pagets (acute), addisons, familial, drugs hypoglycaemia re-explain renal failure, exogenous, pituitary, liver failure, alcohol, infection, neoplasm (insuli. buy viagra buy generic viagra

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