Causes of Fever in Cardiac Patient

 Rheumatic fever 

Subacute Bacterial Endocarditis 

Pericarditis 

Pulmonary Embolism

Myocardial Infarction 

Deep Vein Thrombosis

Associated Fever from RTI

Examples of Pseudoallergic reactions

 Pseudoallergic reactions which occur with first contact with drugs  like 

Bronchospasm induced by Morphine 

Itching induced-by Morphine 

Urticaria induced by Aspirin 

Bronchospasm induced by N-Acetyl Cystiene 

Aspirin induced Urticaria 

Treatment of Anaphylaxis Shock

 Adrenaline Amp

Intravenous Hydrocortisone 

Oxygen if needed

Intravenous Fluids

Intravenous Chlorpheniramins 

Clinical features of Anaphylaxis

 Bronchospasm

Laryngospasm

Hypotension

Diarrhea 

Cyanosis 

Common Side Effects of widely used drugs dose dependant

 Aminglycosides causes Eighth Nerve Damage 

Duretics especially Thiazides causes Gout 

Methotrexate causes Bone Marrow Depression

Doxorubicin therapy causes Myocardial Damage 

Chloramphenicol causes Aplastic Anaemia 

Anaphylaxis due to Penicillins 

Haemolytic Anaemia due to Methyl Dopa 

Serum Sickness due to Carbimazole 

Thrombocytopenic Purpra  due to Quinine 

Contact Dermatitis due to topical Antibiotics 

Anticonvulsants cause Megaloblastic Anaemia 

Methyseregide for Rx of Migraine causes retropritoneal Fibrosis

Amiodorane for Arrythmia causes  Pulmonary Fibrosis 

Methysergide causes retropritoneal Fibrosis