مستمرون غدا مع جرعة جديدة من المحاضرات الثرية والملهمة 💙
كونوا معنا 🔥

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انتظرونا اليوم
بأسئلة في نهاية كل محاضرة وجوائز مقدمة من دار سوريا الفتاة🔥🔥
فكونوا على استعداد وتركيزٍ تامّين🤩🤩

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A 54-year-old man comes to the emergency department due to worsening shortness of breath for the last 3 days.
His symptoms initially occurred with exertion but are now present at rest. The patient could not sleep last night
because of a suffocating cough each time he tried to lie down. He considers himself generally healthy and states,
"I've never had to see a doctor for any problems." Family history is remarkable for asthma and hypertension.
Blood pressure is 162/86 mm Hg, pulse is 92/min, and respirations are 26/min. An x-ray of the chest is shown in the exhibit. Which of the following is the most likely diagnosis?


A. Acute decompensated heart failure

B. Acute respiratory distress syndrome

C. Obstructive pulmonary disease

D. Pulmonary arterial hypertension

ختام مميز لأسبوع حافل بالعلم والعطاء 💙
كونوا على الموعد 🔥

تنويه: المحاضرة غداً تبدأ الساعة 10:30

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A 9-year- old boy is brought to the emergency department following a bicycling accident. The patient was riding downhill when he hit a rock and lost controle. He was thrown off his bicycle and hit the handlebars befor tumbling onto the pavement. The patient was not wearing helmet but didn’t lose consciousness. BP is 118/80 mmhg and pulse is 140/min. examination shows ecchymosis over the right superior orbit with underlying tenderness and few scalp abrasions. Visual acuity is 20/20 in the left eye. Using the right eye, the patient is unable to read the largest letter on the visual acuity chart and is only able to perceive light. There is a relative afferent pupillary defect in the right eye. Extraocular movements are normal, and the red reflex is symmetric bilaterally. Fluorescein dye testing is unremarkable. Which of the following is the most likely diagnosis in this patient

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34-year-old man is brought to a rural emergency department after being rescued from a burning building where he was trapped for a prolonged period.  The patient reports a headache and dizziness.  Temperature is 36.9 C (98.6 F), blood pressure is 90/60 mm Hg, pulse is 100/min, and respirations are 26/min.  Oxygen saturation is 100% on a nonrebreather mask.  The patient is awake and alert.  Diffuse blistering of the oropharyngeal mucosa is present.  Mild wheezing is noted to auscultation of the lungs.  Deep partial- and full-thickness burns are present over 45% of the body, including the face, neck, arms, and legs.  There is a circumferential deep partial-thickness burn to the left lower arm.  Radial pulses are present.  The abdomen is soft and nondistended.  Blood carboxyhemoglobin concentration is 35%.  Intravenous fluid resuscitation is initiated per standard burn protocol.

شعّ الهدى والبشرُ في بسماتهِ .. واليُمن والإيمان في قسماتهِ
غسل الكرى عن أعين الدنيا كما .. يُجلى الدُّجى بالفجر في فلقاتهِ

يهنئكم فريق ألفابيت بذكرى هجرة سيدنا محمد ﷺ، ويتمنى لكم عامًا سعيدًا تُسقى فيه قلوبكم بغيثٍ من الرحمن، وتتراءى فيه أفراحكم ملء الأكوان، وتُجلى فيه أكداركم تترًا مع بُعد الأحزان

كل عام وأنتم إلى الله أقرب 🌻

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