Why COC are contraindicated in The following causes?!
1- Epilepsy: due to drugs interaction (decrease effect of anti epileptic drugs).
2- TB: also drugs interaction with rifampicin
3-migraine: due to side effecs, high risk of stroke due E is increasing of clotting factors
4-optic neuritis: d/t occlusion of branches of the retinal artery
5- Otosclerosis -COCs have effect on the bone metabolism of the ear ossicles mainly stapes this become thickened and fuses finally.
6-SEL: is prone to dangerous to blood clot as DVT and PE
Also estrogen is increasing blood clotting
7-DM- E+P are anti insuline lead to increase resistance of insuline so that got hyperglycaemia
8- AF : decrease effect of Warfarin.
-Avoid to give Drospirenone, Estradiol that are called YASEmEEn with Aspirin or NSAID.. because they ll lead to heperkalemia... Dys arrhythmia.
-Advice to give Vit. B6 to women who use COC... why?!
becaues COC lead to mood change,and VitB6 stimulate Dopa decarboxylase enzyme that release dopamine that improve the mood.
1- Epilepsy: due to drugs interaction (decrease effect of anti epileptic drugs).
2- TB: also drugs interaction with rifampicin
3-migraine: due to side effecs, high risk of stroke due E is increasing of clotting factors
4-optic neuritis: d/t occlusion of branches of the retinal artery
5- Otosclerosis -COCs have effect on the bone metabolism of the ear ossicles mainly stapes this become thickened and fuses finally.
6-SEL: is prone to dangerous to blood clot as DVT and PE
Also estrogen is increasing blood clotting
7-DM- E+P are anti insuline lead to increase resistance of insuline so that got hyperglycaemia
8- AF : decrease effect of Warfarin.
-Avoid to give Drospirenone, Estradiol that are called YASEmEEn with Aspirin or NSAID.. because they ll lead to heperkalemia... Dys arrhythmia.
-Advice to give Vit. B6 to women who use COC... why?!
becaues COC lead to mood change,and VitB6 stimulate Dopa decarboxylase enzyme that release dopamine that improve the mood.
Forwarded from Mohammed Al-gradi
Selwy mcqs from Nelson review book.pdf
112.9 KB
الMCQ حق د / الصلوي من هذا الملف
نهائي الدفعة 20
أما ال MCQ حق د/ الشهاري في نهائي سادس الدفعة 19& 18
كان من هنا أسئلة د /الشهاري
نهائي الدفعة 20
أما ال MCQ حق د/ الشهاري في نهائي سادس الدفعة 19& 18
كان من هنا أسئلة د /الشهاري
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Forwarded from Mohmed Algorhmi
Mohmed Algorhmi
100-Cases-In-Obstetrics-And-Gynaecology.pdf
هذا الكتاب جابوا الحالات الجايني منه مطبوعه جاهزه تقرأها وتشخص ومناقشة عليها
Forwarded from Mohmed Algorhmi
هذا الاوسكي معه كل حالة جايني أو اوبس تنسال منهن
- contraception بالتفصيل عنه
-gynaecology instruments
-obstetrics instruments.
- contraception بالتفصيل عنه
-gynaecology instruments
-obstetrics instruments.
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Forwarded from المكتبة الطبية الإلكترونية م 5 (Muhammad)
Quick Summary in Pediatric History Taking
▪️Personal History:
1-Name, age and gender.
2-Residence, e.g. from Dhamar and lives there.
3-Number or order among his siblings.
4-Date of admission and through what.
-May be as OPC or ED or as a referable case from a private clinic or hospital.
5-Source of the information or the informant.
💬Example, Comment:
-A 6 month old male infant, Ali Saleh Ahmad, from Jahran and lives in Maaber city. He is the 3rd kid in his siblings.
-DOA: The patient was admitted to hospital on Wednesday in the 1st of December, 2022 through ED at 7:00 a.m. Or say: the patient was admitted one day ago..etc
-The informant is the infant's mother.
-The date of history taking is in 2-12-2022 on Thursday.
▪️Chief complaint:
-As usual with duration, can be three.
💬Example:
-The patient was suffering from Cough and Fever 2 days prior to admission and difficulty of breathing 1 day before admission.
Or " better"
-Fever,Cough 2 days
-Difficulty of breathing 1 day.
▪️History of present illness:
1-Last time when the patient was healthy.
-If the patient is less than 3 year-old you say the patient started suffering ,but if more you can say started complaining.
2-The first symptom that appeared .
3-Analysis of the each complaint.
4-Associated symptoms with analysis.
5-Significant review of other symptoms to support your Dx & narrow your differential diagnosis or to look up for complications.
💬Example:
-The patient was quite well till 2 days back when he started suffering from fever which was gradual in onset, low grade, intermittent in course, 3- 4 times /day each one remains 1-2 h, relieving by medication and cold fomentations or pads. No aggravating factors, interfering with patient's sleep. Not documented "يعني ما قاستها الأم"
-Associated with Cough which was gradual, with progressive course 2 days duration, aggravated in cold weather, no relieving factors, not productive interfering with infant's sleep. Not related to position. Yesterday the fever became high grade or increased in severity according to mother saying, continous, not relieved by medication and cold fomentations. The cough became productive with small amount sputum white color, no blood. Also the patient suffered from difficulty of breathing, gradual in onset, 1 day duration, progressive in course, no relieving or aggravating factors and it's interfering with sleep.
-There's no history of noisy respiration, no cyanosis, no sweating, .. etc
Note:
-You should ask and comment on hospital stay, like investigations done, procedures performed, treatment given and if new symptoms developed, and the current condition of the patient.
-Systemic review:
Including general and systemic:
Should write them especially the important symptoms related to the case in each system even when negative.
-Note:
بعض الدكاترة مثل الشهاري مايعجبه تقول: The baby was well،تكتب رأساً :
The condition started as...etc
▪️Past History:
-Like any history, including drug and trauma hx.
▪️Perinatal History:
-هذا تذكره لوكان أقل من سنتين،و كذلك لو كانت الحالة Neurological مثل CP أو Endocrine في أي عمر.
▫️Prenatal or Antenatal hx:
- Mother age at pregnancy.
-Antenatal Care : antenatal Visits , Folic acid supplementation.
-History of fever and rash and if present ask about the trimester.
-يهمنا لوفي TORCH infections خصوصاً في الشهور الأولى تسوي congenital diseases.
-History of maternal diseases during pregnancy such DM, PIH..etc
وكذلك لو معهDM؛ لأنه قد يسوي CHD.
-History of drug intake and ask if she knows the name, it may be teratogenic.
-History of maternal exposure to radiation, teratogenic.
-History of tetanus vaccination "important to know the doses".
💬Example:
-The mother is Para 3 plus 0 and her age at pregnancy was 26 year-old.
-Regular antenatal care, a visit per month, had folic acid and iron supplementation.
-No history of fever and rash, no history of maternal diseases during pregnancy like DM or HTN, no history of drug intake apart from some vitamins and the above mentioned supplements. No hx of exposure to radiation. No history of tetanus vaccination.
▪️Personal History:
1-Name, age and gender.
2-Residence, e.g. from Dhamar and lives there.
3-Number or order among his siblings.
4-Date of admission and through what.
-May be as OPC or ED or as a referable case from a private clinic or hospital.
5-Source of the information or the informant.
💬Example, Comment:
-A 6 month old male infant, Ali Saleh Ahmad, from Jahran and lives in Maaber city. He is the 3rd kid in his siblings.
-DOA: The patient was admitted to hospital on Wednesday in the 1st of December, 2022 through ED at 7:00 a.m. Or say: the patient was admitted one day ago..etc
-The informant is the infant's mother.
-The date of history taking is in 2-12-2022 on Thursday.
▪️Chief complaint:
-As usual with duration, can be three.
💬Example:
-The patient was suffering from Cough and Fever 2 days prior to admission and difficulty of breathing 1 day before admission.
Or " better"
-Fever,Cough 2 days
-Difficulty of breathing 1 day.
▪️History of present illness:
1-Last time when the patient was healthy.
-If the patient is less than 3 year-old you say the patient started suffering ,but if more you can say started complaining.
2-The first symptom that appeared .
3-Analysis of the each complaint.
4-Associated symptoms with analysis.
5-Significant review of other symptoms to support your Dx & narrow your differential diagnosis or to look up for complications.
💬Example:
-The patient was quite well till 2 days back when he started suffering from fever which was gradual in onset, low grade, intermittent in course, 3- 4 times /day each one remains 1-2 h, relieving by medication and cold fomentations or pads. No aggravating factors, interfering with patient's sleep. Not documented "يعني ما قاستها الأم"
-Associated with Cough which was gradual, with progressive course 2 days duration, aggravated in cold weather, no relieving factors, not productive interfering with infant's sleep. Not related to position. Yesterday the fever became high grade or increased in severity according to mother saying, continous, not relieved by medication and cold fomentations. The cough became productive with small amount sputum white color, no blood. Also the patient suffered from difficulty of breathing, gradual in onset, 1 day duration, progressive in course, no relieving or aggravating factors and it's interfering with sleep.
-There's no history of noisy respiration, no cyanosis, no sweating, .. etc
Note:
-You should ask and comment on hospital stay, like investigations done, procedures performed, treatment given and if new symptoms developed, and the current condition of the patient.
-Systemic review:
Including general and systemic:
Should write them especially the important symptoms related to the case in each system even when negative.
-Note:
بعض الدكاترة مثل الشهاري مايعجبه تقول: The baby was well،تكتب رأساً :
The condition started as...etc
▪️Past History:
-Like any history, including drug and trauma hx.
▪️Perinatal History:
-هذا تذكره لوكان أقل من سنتين،و كذلك لو كانت الحالة Neurological مثل CP أو Endocrine في أي عمر.
▫️Prenatal or Antenatal hx:
- Mother age at pregnancy.
-Antenatal Care : antenatal Visits , Folic acid supplementation.
-History of fever and rash and if present ask about the trimester.
-يهمنا لوفي TORCH infections خصوصاً في الشهور الأولى تسوي congenital diseases.
-History of maternal diseases during pregnancy such DM, PIH..etc
وكذلك لو معهDM؛ لأنه قد يسوي CHD.
-History of drug intake and ask if she knows the name, it may be teratogenic.
-History of maternal exposure to radiation, teratogenic.
-History of tetanus vaccination "important to know the doses".
💬Example:
-The mother is Para 3 plus 0 and her age at pregnancy was 26 year-old.
-Regular antenatal care, a visit per month, had folic acid and iron supplementation.
-No history of fever and rash, no history of maternal diseases during pregnancy like DM or HTN, no history of drug intake apart from some vitamins and the above mentioned supplements. No hx of exposure to radiation. No history of tetanus vaccination.
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