Internal Medicine By Doha Rawag
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MBBCh ,Tripoli University๐Ÿ‘ฉโ€๐ŸŽ“
GP at TUH๐Ÿ‘ฉโ€โš•๏ธ
Studies arab and Libyan board of internal medicine specialists ๐Ÿฉบ
Medical educator at https://t.me/New_Minds_Edu๐Ÿ’ป
ุงู„ู‚ู†ุงุฉ ุฎุงุตุฉ ุจูƒู„ ุดูŠ ูŠุชุนู„ู‚ ุจู…ุงุฏุฉ ุงู„ุจุงุทู†ุฉ .๐Ÿ’Š๐Ÿ’‰
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๐ŸŸชMost common cause of Cardiogenic pulmonary edema is โžก๏ธ Acute CHF

๐ŸŸชMost common cause of non cardiogenic pulmonary edema is โžก๏ธ Renal artery stenosis

#Important_noes๐Ÿ“
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๐ŸŸจThe most common cause of COPD exacerbation is

โžก๏ธHemophillus influnza Infection

#Important_noes ๐Ÿ“
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๐ŸŸชKey points ๐Ÿ“
#Gastroenterology

Jundice + newly diagnosed DM = Hemochromatosis

Jundice + abnormal movement = Wilsone disease

Jundice + itching = PBC

Jundice + H/O UC = PSC

Jundice + fever + RUQ pain = Ascending cholngitis

H/O DM + HTN + smoking + H/O post prandial abdominal pain = Mesenteric ischemia

Multiple ulcers + diarrhea = Zolinger syndrome
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๐ŸŸจPBC and ( role of M)๐Ÿ“

Ig M
Anti Mitochondrial Abs
M2 subtype
Middle aged female
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๐ŸŸจMost common site of ischaemic colitis is

โžก๏ธSplenic flexure
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๐ŸŸจDyphagia๐Ÿ“

Dysphagia to both fluids and solids = Achalasia
Dysphagia to solids only = Malignancy
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๐ŸŸจMost common complications of refeeding syndrome is

โžก๏ธHypo_phosphataemia
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๐ŸŸจAlcoholic hepatitis
โฌ†๏ธAST > ALT 2:1

๐ŸŸจNon Alcoholic fatty liver
โฌ†๏ธALT > AST

ุนูƒุณ ุจุนุถ ุฑูƒุฒูˆุง ุนู„ูŠู‡ู…๐Ÿ“
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๐ŸŸจSeverity of COPD categorised by using

โžก๏ธFEV 1
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๐ŸŸจFactors which improve survival in COPD

Smoking cessation
LTOT
Lung volume reduction surgery
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๐ŸŸจCXR in patient with PE is usually

โžก๏ธNormal
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ู…ู‡ู…ุงุงุงุงุงุงุช ุฌุฏุงู‹๐Ÿ“
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๐ŸŸจGenetic inheritance in hematological diseases

G6P deficiency โžก๏ธ X linked recessive

HS + VWD โžก๏ธ AD

Sickle cell anemia and Thalassemia โžก๏ธ
AR

#Important_noes ๐Ÿ“
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๐ŸŸจFirst sign in PBF in pt with vit B12 deficiency is

โžก๏ธHypersegmented neutrophils
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๐ŸŸชkey points ๐Ÿ“
#Hematology

Symptoms of anemia + neurological symptoms = Vit B 12 deficiency

Symptoms of anemia + neurological symptoms + H/O autoimmune diseases = Pernicious anemia

Pruritus after hot bath = PRV

Lower backpack + symptoms of hypercalcemia + high ESR = Multiple myeloma

Thrombocytopenia + hemolytic anemia + renal dysfunction + neurological symptoms = TTP
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ุจุงุด ู…ุง ุชุชุฎู„ุจุทูˆุด ุจูŠู† ุงู„
HMWH and LMWH๐Ÿ’ก


๐Ÿ“ู†ุฌูˆุง ู„ู„ LMWH
ู„ุงู† Low ุจูŠูƒูˆู† Fractionated
ู„ุงู† low ุจูŠุฃุชุฑ ุนู„ู‰ factor ูˆุงุญุฏ ุจุณ ุงู„ู„ูŠ ู‡ูˆ factor
10
(ุชููƒุฑูˆุง ุงู„ 10 ุจุงู„ O ู…ุชุน ุงู„ low๐Ÿ˜‚)
ูˆ ู‡ุฐุง ุนู„ุงุด ุญุชู‰ ู„ู…ุง ุจู†ุฏูŠุฑู‡ monitoring ู†ู‚ูŠุณ ู…ุณุชูˆู‰
Factor 10
ูˆ ู„ุงู† low ูŠุตูŠุฑู„ู‡ elimination by kidney ูู‚ุท


...........
ุชูˆุง ู†ุฌูˆุง ู„ู„ HMWH
ู„ุงู† high ู ุงูƒูŠุฏ ู‡ูˆ ุงู„ู„ูŠ ุจูŠูƒูˆู† unfractionated
๐Ÿ˜
ูˆู„ุฃู† high ุญูŠุฃุชุฑ ุนู„ู‰ ุฃูƒุซุฑ ู…ู† factor ูˆ ุงู„ู„ูŠ ู‡ู…ุงุŒ 9 ุŒ10 ุŒ11
ูˆ ู‡ุฐุง ุนู„ุงุด ูŠู†ุฏุงุฑู„ู‡ monitoring ุจุงู„ APTT
ูˆ ู„ุงู† high ู ุจูŠุตูŠุฑู„ู‡
Eilemenatin by liver and kidney ๐Ÿ˜‡

ู…ู„ุงุญุธุฉ:-ุงุณู…ู‡ un fractionated ู…ุด HMWH ุบูŠุฑ ุทุจุนุง ู„ู„ุชุจุณูŠุท ูˆ ุชุณู‡ูŠู„ ุงู„ุญูุธ
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