Beaus line
Leuconychia
Onycholysis
Pitting
Random fact that I learnt today!
If a patient with WPW syndrome develops symptomatic atrial fibrillation, what is the drug of choice?
Answer is procainamide.
Stable patients suspected of having WPW with atrial fibrillation should not receive agents that predominantly block atrioventricular conduction, but they may be treated with procainamide or ibutilide.
Why?
Because if you block the AV node using beta blockers, calcium channel blockers or digoxin, you will favour conduction to the accessory pathway. This will worsen the arrhythmia.
That's why, in stable patients, chemical cardioversion is preferred.
If instability is present, electrical cardioversion is required.
That's all!
-IkaN
Related post: Supraventricular tachycardia mnemonic
So here it is...
Ampicillin HELPS to clear Enterococci!
Haemophilus influenzae
E. Coli
Listeria monocytogenes
Proteus
Salmonella
Ps: Gram-negative organisms have 'porin' channels in their outer lipid membrane through which the Beta-lactam antibiotics enter the cell. Also the lipopolysaccharide layer that contains endotoxins! (Gram-positive organisms do not have such things in their cell wall)
The only exception is Listeria monocytogenes that has little amounts of such endotoxins, inspite of being Gram-positive bacteria!
That's all!
-JasKunwar Singh