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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✳️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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✳️ Urology

◽️KUB showing ureteric sone ➡️ Description, Types of urinary stone , Mx
◽️Urethral catheter
◽️picture of testicular swelling + CT scan show renal mass (RCC) ➡️ Description, Dx , Mx
◽️CT scan showing renal mass
◽️IVU showing hydronephrosis
◽️IVU showing double ureter , double kidneys
◽️Urine bag
◽️Ascending urethrogram showing urethral stricture
◽️Nephrostomy set
◽️torsion testis
◽️cystoscopy showing urinary bladder mass (UB carcimoma)
◽️Scrotal swelling
◽️CT scan showing renal stone
◽️Hematuria
◽️Tran illumination test
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✳️ ENT

◽️Audiogram ➡️ Mension other test using for hearing assessment
◽️Middle ear anatomy pic➡️ Name the bones of Middle ear , Name the ms of Middle ear
◽️Epistaxis
◽️CT scan showing maxilla # ➡️ Classification, What is the nerve which is suspected to be injured?
◽️Follicular tonsillitis
◽️Tunning fork
◽️Nasal speculum
◽️Tracheostomy tube
◽️Ear drum perforation
◽️larynx
◽️Rinoscpoe
◽️Laryngioscope
◽️Orbital swelling
◽️Otitis extena
◽️Eustachian tube
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✳️Anesthesia

◽️Ketamin
◽️Propofol
◽️Na thiopentone
◽️Preoperative assessment
◽️Postoperative assessment
◽️Malignant hyperthermia ➡️ Defention, Mension 3 drugs can cause it , Mx
◽️Laryngioscpoe
◽️Epidural set
◽️Spinal needle
◽️ETT
◽️Succunyl choline
◽️Rocuronium
◽️Bupivacain
◽️Neostigmen
◽️lidocaine
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✳️Plastic

◽️Malignant melanoma
◽️Skin flap
◽️burn
◽️Congenital hand
◽️cleft lip
◽️cleft palate
◽️hemagioma
◽️Congenital hairy nevii
◽️BCC
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✳️Neurology

◽️CT brain showing Subdural hematoma
◽️CT brain showing Extradural hematoma
◽️Depressed # of skull ➡️ Name other types of # , complications
◽️GCC
◽️Racon eye ➡️ what indicate , mension other signs and symptoms , Mx
◽️Hydrocephaly
◽️Meningiocele
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السلام عليكم دكاترة 🤍

يوم الأربعاء بنعطي كورس Findings في الطبي
التوقيت من ال 12 و نص لل 5 العشية

للقروب مازال فيه أماكن، اللي يرغب بالتسجيل يتواصل معاي عالخاص

موفقين🌹
6
السلام عليكم دكاترة 🤍

يوم الخميس (غدوا ان شاء الله) بنعطي كورس Findings في الطبي
التوقيت من ال 12 و نص لل 5 العشية

للقروب مازال فيه أماكن، اللي يرغب بالتسجيل يتواصل معاي عالخاص

موفقين🌹
3
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
السلام عليكم دكاترة 🤍

اللي حايس و مش عارفة شن يقرا من منهج النظري باش يغطي المواضيع اللي تجي في إمتحان ال Examination اللي هو حيكون 3 محطات وحدة general و زوز local🩺🥼

جهزتلكم كورس Examination discussion تلموا بيه ال presentation و ال DD + Causes + Investigations

الكورس حينزل في قناة خاصة عالتليقرام📲💻

سعر الكورس 40 د 💭

الإشتراك عبر كروت اي كاش متوفرات في
مصورات الكلية🔍📠

او اماكن توزيع الICAHS :

https://newminds.app/خريطة-موزعين-icash/📠🔍

للتسجيل في الكورس التواصل على البوت التالي:

@New_Minds_Robot📲🤳


ملاحظة:- الدكاترة المشتركين معاي في كورس ال Examination الكامل ، عندكم تخفيض 50%.
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السلام عليكم دكاترة 🌻

هذا فيديو مجاني ل كورس ال Examination discussion
للي يبي يشوف نظام الكورس كيف📢


Good luck 💪
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Media is too big
VIEW IN TELEGRAM
signs of LMNL
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟪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
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟪Abdominal examination

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

➡️Inspection
Inspect for abdominal symmetry, abdominal distension , ask the
patient to take breath and Inspect for abdominal movement , Inspect the umbilicus and ask the patient to cough , Inspect for scars, superficial dilated veins , brucies, skin pigmentation,stia ,scratch marks

➡️Palpation
◾️Superficial palpation
Ask the patient if he has pain then palpate the whole 9 abdominal areas for Superficial masses, tenderness and hotness
◾️Deep palpation
Palpate the live and measure the liver span
Palpation the spleen
Do balotabale test

➡️Percusdion
Test for Stiffening dulness (if +ve then test for fluid trill)

➡️Auscultation
Ascultate over macbarny point for bowel sounds
Ascultate 1 cm above and lateral to the umbilicus for bruit
Ascultate Rt hypochondrial area for hump and bruit (if patient has signs of portal hypertension)
Auscultate Lt hypochondrial area for fraction rub (if patient has splenomegally)

Describe your findings
Give appropriate DD
Elict investigations which will help you to reach you Dx
Overall approach to task
Total mark
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟪Chest examination from the back

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

➡️Inspection
Inspec the chest for any deformity , scars (lateral thoracotomy scar , scar of plural tap) , any skin lesion (cautery marks)
Ask the patient to take a breath and look for his chest movement

➡️Palpation
chest expansion
TVF

➡️Percussion
➡️Auscultation
Auscultate the chest for air enty , type of breathing, added sounds
Auscultation the chest for vocal resonance

Describe your findings
Give appropriate DD
Elict investigations which will help you to reach you Dx
Overall approach to task
Total mark
1🔥1
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
🟪General examination

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

➡️General look
A / appearance
B / bulit
C / conscious level
S / skin (clour , rash , brucies , scar , pigmentation , fistula )
S / surroundings (cannula , O2 mask , medications )

➡️ head
1_Hair /for hair distribution
2_Eyes / for sings of anemia and jundice
3_Face / malar rash
4_Mouth / for sings of anemia (Angular stomatitis + pale mucous membrane , smooth tongue) , central cyanosis , mouth hygiene, artificial teeth.

➡️neck
1_Look for any Neck swelling
2_Palpate the Trachea/ centalized or deviated
3_Palpate Carotid artery and look for JVP
4_LN examination

➡️ hands
1_Inspect dorsal surface
2_Inspect palmer surface / for pale palmer creases , palmer erythema , atrophy of thenar and hypothenar ms
3_Inspect nails / for leukonykia, kolionykia , peripheral cyanosis , culbbing
طبعا لازم اديروا test for clubbing
inspect the nail angle
Fluctuation test
Window sing
4_Test for fine and flapping tremors
5_VS measurement

➡️ LL
1_Inspect for symmetry, sewlling and for any skin changes
2_Palpate for hotness and tenderness
3_Test for BLLE
4_Inspect between toes for fungal infection
5_Palpable dorsalis pedis artery and posterior tibilal artery


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