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    Complication of Pace Maker

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    ibra musa
    The document discusses various complications that can occur with pacemakers, including pocket complications at the implantation site like hematoma or infection, and malfunctions like failure to pace properly. It also lists various chest scars that can indicate different cardiac surgeries and procedures, such as a midline sternotomy scar indicating heart valve replacement or bypass surgery. Scars on the side of the chest or in the infraclavicular area can indicate a pacemaker implantation. The document provides brief descriptions of common scars seen for conditions like Crohn's disease, as well as scars related to lung biopsies, mediastinal procedures, and more.

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    Complication of Pace Maker

    Uploaded by

    ibra musa
    16 views2 pages
    The document discusses various complications that can occur with pacemakers, including pocket complications at the implantation site like hematoma or infection, and malfunctions like failure to pace properly. It also lists various chest scars that can indicate different cardiac surgeries and procedures, such as a midline sternotomy scar indicating heart valve replacement or bypass surgery. Scars on the side of the chest or in the infraclavicular area can indicate a pacemaker implantation. The document provides brief descriptions of common scars seen for conditions like Crohn's disease, as well as scars related to lung biopsies, mediastinal procedures, and more.

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    Complication of pace maker

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    The document discusses various complications that can occur with pacemakers, including pocket complications at the implantation site like hematoma or infection, and malfunctions like failure to pace properly. It also lists various chest scars that can indicate different cardiac surgeries and procedures, such as a midline sternotomy scar indicating heart valve replacement or bypass surgery. Scars on the side of the chest or in the infraclavicular area can indicate a pacemaker implantation. The document provides brief descriptions of common scars seen for conditions like Crohn's disease, as well as scars related to lung biopsies, mediastinal procedures, and more.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    16 views2 pages

    Complication of Pace Maker

    Uploaded by

    ibra musa
    The document discusses various complications that can occur with pacemakers, including pocket complications at the implantation site like hematoma or infection, and malfunctions like failure to pace properly. It also lists various chest scars that can indicate different cardiac surgeries and procedures, such as a midline sternotomy scar indicating heart valve replacement or bypass surgery. Scars on the side of the chest or in the infraclavicular area can indicate a pacemaker implantation. The document provides brief descriptions of common scars seen for conditions like Crohn's disease, as well as scars related to lung biopsies, mediastinal procedures, and more.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Complication of pace maker

    Pocket complications
     Pocket hematoma, Infection, Erosion, Wound pain, Allergic reactions
     Pneumothorax /air embolism, Cardiac perforation
     Venous thrombosis, Coronary sinus dissection
     Lead dislodgement, Twidller syndrome
    Pacemaker malfunction
    1. Pacemaker syndrome: fatigue, dizziness and hypotension.
    2. Abnormal Pacemaker function
    a. Failure to Pace
    b. Failure to Sense
    c. Failure to Capture
    d. Over sensing
    3. Pacemaker Mediated Tachycardia

    Midline sternotomy scar


     Aortic Valve Replacement
     Mitral valve Replacement
     CABG
     Heart lung transplantation
     Open Mitral Valvotomy
     Total correction of Fallots
     Mediatinal surgery: eshophagectomy, Thymectomy, retrosternal goiter
    Left thoracotomy scar
     MVR, Mitral Valvotomy
     Coarctation repair, Blalock - Taussig Shunt for Fallots
    Left or right infraclavicular scar
     Permanent Pacemaker (PPM)
     Automatic Implantable Cardioverter Defibrillator (AICD)
    Midline sternotomy scar + lateral thoracotomy scar
    There are 4 differentials:
    1. Coarctation repair
    2. TOF repair
    3. VSD repair
    4. Metallic mvr with previous valvoplasty

    Anterior cubital fossa: angiography


    Scars seen in chron’s:
    1. Midline laparotomy scar.
    2. Iliostomy scar.
    3. PEG tube scar.

    Parathyroidecromy scar:

    In chest lateral thoracotomy scar seen in :


    *Pneumonectomy and lobectomy.
    *Single lung transplantation.

    If you suspect that pulmonary fibrosis is on the differential diagnosis, then the patient
    may have undergone a VATS lung biopsy to get a tissue diagnosis. Also used for pleural
    biopsies, decortication, pleurodesis.
    Mediastinoscopy scars:
    Mediastinoscopy scar : A horizontal scar about 1 cm above the sternal notch, very easily
    mistaken for a tracheostomy scar. Used for the investigation of mediastinal
    lymphadenopathy. e.g. Sarcoid, TB, lymphoma, staging of primary lung cancer

    COPD ASTHMA
    ACUTE Administrate O2: 88-92 Administrate O2
    Bronchodilator Bronchodilator
    Corticosteroid Corticosteroid
    Mucolytic, antibiotics, NIV Mg
    CHRONIC Administrate O2: 88-92 SABA
    Bronchodilator Corticosteroid
    Corticosteroid LABA
    Mucolytic, antibiotics Corticosteroid

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