Internal Medicine By Doha Rawag
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MBBCh ,Tripoli University👩‍🎓
GP at TUH👩‍⚕️
Studies arab and Libyan board of internal medicine specialists 🩺
Medical educator at https://t.me/New_Minds_Edu💻
القناة خاصة بكل شي يتعلق بمادة الباطنة .💊💉
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Plain chest x ray
PA view
Showing single homogenous white mass occupying the upper zone of the Rt hemithorax

🟨DD
1_Cancer 👉 Bronchogenic ca , lymphoma
2_ Infection 👉 Hydatid cyst , Aspergilloma
3_ Inflammation 👉 Wegner granulomatosis , Polyartritis nodosa

🟨Most likely Dx
Pancots tumer (Bronchogenic ca)

🟨Next step
Bronchoscopy and biopsy
CT scan (Chest + abdomen ) with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Plain chest x ray
PA view
Showing single cavitary mass occupying the lower zone of the Rt hemithorax with water lilly appearance (camalote sign)

🟨DD
1_ Infection 👉Hydatid cyst , TB , Fungal infection
2_ Cancer

🟨Most likely DX
Hydatid cyst
(B/C of 👉 Water lilly appearance )

🟨Next step
Chest CT scan
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Plain chest x ray
PA view
Showing single liquifactive cavitary mass with air fluid level occupying the upper zone of the Rt hemithorax

🟨DD
1_ Infection 👉 Abscess, TB , Hydatid cyst,
Fungal infection
2_ Cancer

🟨Most likely DX
Abscess
(B/C of 👉 Air fluid level )💡💬

🟨Next step
Chest CT scan
Sputum C/S

مرات يسألك سوال تاني ، بال Examination شن ممكن تلقى عنده ؟
1_ Finger clubbing
2_ Halitosis
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
The water-lily sign, also known as the camalote sign, is seen in hydatid infections when there is detachment of the endocyst membrane which results in floating membranes within the pericyst .

و تشوفوها حتى بال abd US ، Chest
CT ، MRI
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Plain chest x ray
PA view
Showing multiple white homogenous lesions (Giving Cannon ball appearance) occupying both Rt and lt hemithorax

🟨DD
1_ Cancer / lung Metastasis
2_ Inflammation/ Wegner granulomatosis, RA nodules

🟨Most likely DX
Lung Metastasis

🟨Next step
Brochoscopy and lung biopsy
Chest CT scan
CT abdomen and pelvis with contrast
Dexa scan
CBC
ESR
CRP
LFT
RFT
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Plain chest x ray
PA view
Showing oval shaped white opacity at the hilum of both Rt and lt hemithorax.

🟨DD
1_Sarcidosis
2_Fungal infection
3_Viral infection
4_Bacterial infection / Mycoplasma

🟨Most likely DX
Sarcidosis

🟨Next step
PFT
ABG
CBC
HRCT
BAL
Lung biopsy
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Plain chest x ray
PA view
Showing air under diaphragm

🟨DD
1_ Perforated viscus
2_ Post_surgery
3_ Post_Truma (Stab wound)

🟨Most likely DX
Perforated viscus

🟨Next step
➡️Stabilize the pt 👉 ABC / IV fluids , Antibiotics
➡️Send investigations
CBC
ESR
CRP
RFT
Blood group, Cross match
➡️Imaging
Abdominal CT scan with contrast
2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
Air under diaphragm
2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟨Description
Erect abdominal x ray
AP view
Showing multiple air fluid level

🟨Most likely DX
IO (Intestinal obstruction )

🟨Next step
➡️Medical TTT
NPO
IV fluids
Analgesics
Antibiotics

➡️Surgical TTT
Resection and Anastomosis
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بي دي اف قنين في ال Radiology ان شاء الله يفيدكم🌸
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تجميعة على هيئة خرائط لل X ray لدكتور مصري

للي يحب جو الخرائط ان شاء الله تفيدكم📝
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السلام عليكم ورحمة الله وبركاته 🌻

مقلوبة 2 , مفاضلة 1+2

البوست هذا ليكم📢

مُبارك عليكم إنهاء اول خطوة في الإمتحان بيبر ون و توو و بإذن الله كلهم pass

اللي حايس و مش عارفة شنو بيقرأ لل Diagnostic حنزللكم تجميعات لكل شابتر و شن يجي منه
، يعني الأسئلة اللي تكرر كل سنة ، مجمعتهم من اسئلة السنوات


و بالتوفيق في اخر خطوتين للتخرج🤍💪
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✳️General

◽️Bed sore➡️ Most common site , Mx
◽️Wound dehesion
◽️IV fluids
◽️Stoma ➡️ Indication, Complications
◽️Neck swelling
◽️IO➡️ Investigations, Mx
◽️UC (Endoscopic pictures)➡️ DD + Investigations
◽️pre auricular swelling ➡️ DD + what u have to examine (Facial N + Ear)
◽️Cullen sign , grey Turner sign
◽️CT scan Hydatid cyst ➡️ Complications + Mx
◽️Thyroglossal cyst
◽️MRCP
◽️ERCP
◽️Intestinal polyp ➡️ Types , Mx
◽️Blood bag ➡️ types of blood transfusion
◽️Ulcer ➡️ Description , Types of ulcer
◽️NGT ➡️ Indication, Complications
◽️T tube cholangiogram ➡️ Indication
◽️Breast swelling ➡️ DD
◽️perianal Abscess ➡️ Types, Mx
◽️ATLIS
◽️Upper git endoscopy veiw showing gastric ulcer ➡️ Indication, What your Dx , Mension 3 Complications
◽️Paronychia➡️ Most common causative organism, Mx
◽️Abd US showing GBS➡️ Description, types of GBS , Name 4 common Complications
◽️Abdominal x ray showing air under diaphragm
◽️Chest X ray showing Pneumothorax
◽️Thyrotoxicosis face ➡️ describe the picture, Most likely DX, Investigations
◽️Unilateral LL swelling
◽️Fasiotomy
◽️Intestinal gangrene
◽️Cervical colar
◽️Colar scar
◽️Kocher scar
◽️gas gangrene
◽️Paget's disease of the breast 
◽️Various veins
◽️Para umbilical herina ➡️ Mension other types, Complications
◽️Central line set
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✳️Ortho

◽️# NOF ➡️ Classification, Mx
◽️ genu valgus ➡️ Defention, Name other deformity
◽️# distal part of fibula
◽️Colles #
◽️# shaft of humerus ➡️ Complications, Mx
◽️posterior hip dislocation
◽️posterior knee dislocation
◽️# clavicle
◽️# lower femor
◽️transverse # of patella
◽️# tibia (open #)
◽️Montagia #
◽️Posterior shoulder dislocation
◽️Supra chodylar # of humerus
◽️Scaphoid #
◽️# 5 th metatarsal bone
◽️# olecranon
◽️wedge # of vertebrae
◽️Myositis ossificans
◽️ DDH
◽️Club foot
◽️Halloxus valgus
◽️Cubitus valgus
◽️Chronic osteomyelitis ➡️ describe the picture, Most likely DX, Mx
◽️Types of bone fixator
◽️Smith's #
◽️SUFE
◽️bone X ray showing osteosarcoma ➡️ Description, Complications, Mx
◽️C arm x ray
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