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1: Heart Failure
•40% myocardial damage •High output: beri-beri, Paget’s, anaemia, thyrotoxicosis •Hypertension: sympathetic, aldosterone •LVF: dyspnoea, bibasalcreps, gallop rhythm (3rdHS),..

2: Breathlessness
•Orthopnoea: •PND: -‘going to the window to get air’ •Marfan’s–ass. w/ aortic aneurysms and aortic regurgitation •Thallium/tetrofosmin: ischaemia/infarctio..

3: Palpitations
•Sinus tachy: fever, anaemia, heart failure •SVT (narrow complex) –AF, flutter –Bundle of Kent –WPW/pre-excitation –delta waves –AVNRT –most common &bull..

4: JVP (Jugular Venous Pressure)
  •‘prominent v waves’ –TR –Secondary venous upstroke d/t filling of RA @systole •Distended, non-pulsatileneck veins: SVC obstruction –espd/t SCC of lung &..

5: Chest Pain
    IHD: precipitation by exercise –incl. sexual intercourse •Sweating, nausea, vomiting –high suspicion of MI •Aortic dissection –‘tearing,’ mediast..

6: A Parent’s Guide to Helping Your Child Succeed at GCSE and A Level
  In the modern world, good qualifications are a pre-requisite for almost all interesting and rewarding careers. This means that performing well in exams, particularly GCSEs and A Levels, is cruc..

7: GCSE Technology Exam Guide
    The key focus before March 1st is to be course work as in Technology it is worth 60% of the final mark. The exam is worth 40% and is set on a theme the AQA make available to pupils on ..

8: GCSE Modern Foreign Languages Exam Guide
  Your GCSE French / German exam is split into 4 skill areas: listening, speaking, reading and writing. Each skill is worth 25% of the overall grade so it is important that you prepare well for e..

9: GCSE Maths Exam Guide
  Revision Undertake revision regularly. Doing questions is much better than reading them. Use web sites such as my maths (login) Lytham (password) expand to revise topics at the correct level fo..

10: Short Course ICT (OCR) Exam Guide
  The exam is worth 40% of your final mark so it’s important you gain every mark you can. It is multiple choice. Each question has 4 possible answers. You will be given a piece of informati..


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