هذا الكتاب مش عادي لل DD و ال Investigations لجزئية ال History

بالتوفيق.🌼🌼

20140121_093127.mp4 - Google Drive
https://drive.google.com/file/d/1Y0Uo3HsbGxTDkRaZZGnWwgHDyi4R7rDn/view

20140121_104146.mp4 - Google Drive
https://drive.google.com/file/d/1ih5O2FywGoXKg13PdbKAJ44bhYkjTWcD/view

20140121_104848.mp4 - Google Drive
https://drive.google.com/file/d/1dHu9g-ONTbVlCow_EJxjhh8Etw8GykTJ/view

20140121_103134.mp4 - Google Drive
https://drive.google.com/file/d/1Pa_gTfN3SwySkHchuVMEqU_Uo03KAs1X/view

20140121_120825.mp4 - Google Drive
https://drive.google.com/file/d/1nPZqs1PrU3k2JHlksAq0ctiF4xHv2zOF/view

20140121_120406.mp4 - Google Drive
https://drive.google.com/file/d/1TFt_ZoZHjUIkYL8OvkQFjyKL8k0IQPWs/view

فيديوات و شيت المراجعة للدكتورة مريم بريون في الديرما

موفقين✨️

السلام عليكم ورحمة الله وبركاته 🍀☁️

هذا كتاب هندي لل OSCE ، نظام سرده للمواضيع بطريقة check list
النص الأول تلقوا مواضيع ال Examination و النص التاني تلقوا مواضيع ال History

طبعاً طريقتهم في ال examination مختلفة علينا هلبا ، لكن ال history كاتبه بطريقة منظمة.


بالتوفيق.🌸

مجموعة Check list for history taking exam

Good luck 🤍

السلام عليكم دكاترة ✨️

كيف حالكم و ان شاء الله أموركم تمام مع إمتحان الاورال

حنبدا معاكم من اليوم تجهيزاً لإمتحان الكلينك💪

حنزللكم خطوات ال examination لكل سيستم زي ما يبوه في الإمتحان و معاه امتلة

يعني شن ممكن يجي في كل لجنة و كيف تعطوا presentation و شنو الأسئلة اللي تنسأل 📝

بالتوفيق 🤍

🟪CVS examination

Initial approuch to the patient, introduce yourself, explain what are you going to do , take permission , ask about pain , hand hygiene

➡️Inspection
Inspect the chest for deformity, scars , visible pulsation, visible dilated veins , any skin lesions (bruises , cautery marks)

➡️Palpation
Palpate the apex beat and describe its character then localise its site
Palpate for Lt parasternal heave
Palpate for trill

➡️Auscultation
Auscultate mitral area by diaphragm of stethoscope for S1 + Murmer of MR
Auscultate axilla for radiation of MR
Auscultate mitral area by bell of stethoscope while you're turning the patient to his lt lateral side
Auscultate tricuspid area by diaphragm of stethoscope for murmur of TR / TS
Auscultate 1st aortic area for S2 + Murmer of AS
Auscultate the root of neck for radiation of AS
Auscultate pulmonary area for murmur of
PR/PS
Auscultate 2nd aortic area for murmur of AR then leaning the patient forward and ask him to hold breathing on expiration

Describe your findings
Give appropriate DD
Elict investigations which will help you to reach you Dx
Overall approach to task
Total mark

🟨Case 1

By inspection
The chest is symmetrical , the is a midsternotomy scar , no chest deformity , no visible pulsations , no bruises all over the chest

By palpation
The apex beat is palpable which is  gentle non sustained and localised at 6th ICS AAL
(ملاحظة :-اغلب اللي مدايرين open heart تلقوا ال apex beat مش في مكانها )

There is no lt parasternal heave
There is no trill all over the chest

By auscultation
First heart sound is audible
Second heart sound is metallic in nature
No murmurs
No added sounds

◾️DX
Aortic Valve replacement

■What are the complications of prostetheic Valve replacement?
➡️Early complications
Thrombosis
➡️late complications
Dysfunction (AR> AS)
IE
Hemolytic anemia

◾️How to follow up this patient
Echo
INR