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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Elective rotation
โค1
Forwarded from Doha Ali Rawaq
https://youtube.com/@amrsalahultrasoundstepbyst4071?feature=shared

ุฏูƒุงุชุฑุฉ ู‡ุงุฏูŠ ู‚ู†ุงุฉ ุฏูƒุชูˆุฑ ู…ุตุฑูŠ ุนุงู„ูŠูˆุชูŠูˆุจ ุงุณู…ู‡ ุนู…ุฑูˆ ุตู„ุงุญ ู…ุจุฏุน ููŠ ุดุฑุญ ุงู„ US ๐Ÿ–ฅ
โค2๐Ÿ‘1
https://youtu.be/OgVATJHtzTw?si=H5Tlh-XirNuHipkg

ุงู„ุณู„ุงู… ุนู„ูŠูƒู… ๐Ÿค

If you're interested or know someone who might be, please share! ๐Ÿคณ

Good luck โœจ๏ธ
โค7๐Ÿ”ฅ1
ุงู„ุณู„ุงู… ุนู„ูŠูƒู… ูˆุฑุญู…ุฉ ุงู„ู„ู‡ ูˆุจุฑูƒุงุชู‡ ๐ŸŒน

ุงู„ูุชุฑุฉ ู‡ุงุฏูŠ ุงู† ุดุงุก ุงู„ู„ู‡ ุญู†ุฒู„ู„ูƒู… ู…ู„ุฎุตุงุช ุจุนู†ูˆุงู† bedside notes ุŒ ู…ุฌู…ุนุฉ ููŠู‡ู… ุฃุบู„ุจ ุงู„ุฃุณุฆู„ุฉ ุงู„ู„ูŠ ูŠุณุฃู„ูˆุง ููŠู‡ุง ุฏูƒุงุชุฑุฉ ุงู„ุทุจูŠ ููŠ ุงู„ุจูŠุฏุณุงูŠุฏ

ุงู† ุดุงุก ุงู„ู„ู‡ ุชุณุชููŠุฏูˆุง ู…ู†ู‡ู… ๐ŸŒน

ูˆู…ู†ูˆุฑูŠู† ุฃู‚ุณุงู… ุงู„ุจุงุทู†ุฉ ุจุญุถูˆุฑูƒู… ุŒ ุฑุจูŠ ูŠูˆูู‚ูƒู… ูˆ ูŠุณู‡ู„ ุนู„ูŠูƒู…. ๐Ÿคฒ
โค10
๐Ÿ”ด#Bedside_Notes
#Cardiovascular / ุฏ.ู…ุญู…ุฏู†ุนู…ุงู†
ู…ู…ูƒู† ุชุฌูŠูƒู… ุฃุณุฆู„ุฉ ููŠ ู„ุฌู†ุฉ ุงู„ OSCE

Q1_ What are the types of pacemaker ?
๐Ÿ‘‡
1_ Temporary (External)
2_ Permenant (Internal )

Q2_ What are the indication of pacemaker?
๐Ÿ‘‡
1_ Heart block
2_ very slow heart rate ( Sever Bradycardia)
โžก๏ธSinus sick syndrome
โžก๏ธDigoxin, BB toxicity ๐Ÿ‘‡
ุทุจุนุงู‹ ู‡ุงุฏูŠ ุชุตูŠุฑ ููŠ ุงู„ุจูŠุดู†ุช ุงู„ู„ูŠ ุนู†ุฏู‡ู… AF ู„ุงู†ู‡ู… ูŠุชุนุงู„ุฌูˆุง ุจุงู„ุฃุฏูˆูŠุฉ ู‡ุงุฏูŠ ู ูƒ S/E ู„ูŠู‡ุง ู…ู…ูƒู† ูŠุฎุดูˆุง ููŠ
Sever Bradycardia .

Q3_ What is the specific sign for lt ventricular failure?
๐Ÿ‘‡
โžก๏ธS3 gallop

Q4_What are the characteristic clinical sings found in pt with TR ?
๐Ÿ‘‡
1_ Epigastric pulsation
2_ โฌ†๏ธ JVP
๐Ÿ‘1
๐Ÿ”ด#Bedside_Notes
#Cardiovascular / ุฏ.ุฃุณุงู…ุฉ ุงู„ุจู‡ูŠู„ูŠู„

Q1_ What is the mechanism of PND and why it occurs at night ?
๐Ÿ‘‡
1_ โฌ†๏ธ venous return / Flat position
2_ โฌ‡๏ธ sympathetic/ Broncho-construction + โฌ‡๏ธ contractility of heart

Q2_ What are the uses of Slidinifine (Vigra)?
๐Ÿ‘‡
1_ Pulmonary HTN
2_ Erectile dysfunction

Q3_ What is the mechanism of action of Slidenifine ?
๐Ÿ‘‡
1_ Vasodilatation
2_ โฌ†๏ธ NO (Nitrous Oxide)

Q4_ What are the causes of Pulmonary HTN ?
๐Ÿ‘‡
1_ Lt side HG
2_ Chronic lung disease (Hypoxia)
3_ CTD / SLE
4_ Portal HTN ( porto_pulmonary HTN which occurs in sever advanced liver cirrhosis )
5_ Idiopathic
6_ Congenital

Q5_ What is the age of sudden death ?
๐Ÿ‘‡
Male / 45
Female / 50

Q6_What are the cardiopulmonary diseases which are absolutely C/I for pregnancy?
๐Ÿ‘‡
1_ Sever AS
2_ HOCM
3_ Pulmonary HTN

Q7_ ุนู„ุงุด ู†ุดูˆููˆุง ููŠ ุงู„
central cyanosis
ููŠ ุงู„ Tongue ุŸ
๐Ÿ‘‡
1_ High and rich in vasculature
2_ No sympathetic nerve supply
3_ internal organ / ู…ุง ูŠุชุนุฑุถุด ู„ู„ุตู‚ุน ุฒูŠ ุงู„ุตุจุน
โค1๐Ÿ‘1
Central and peripheral cyanosis.
๐Ÿ”ด#Bedside_Notes
#Cardiovascular/ ุฏ.ุฑุถุง ุจู† ูุถู„

Q1_ What is the DD of visible pulsation at suprasternal notch ?
๐Ÿ‘‡
1_ Thoracic aortic aneurysm
2_ Hyperdynamic circulation
3_ Normal ( Thin person )

Q2_ What is the DD of visible pulsation at Epigastric area ?
๐Ÿ‘‡
1_ Abnormal aortic aneurysm
2_ Rt ventricular dilatation
3_ Pulsatile liver ( Due to TR )
4_ Normal (Thin person )

Q3_ What are the causes of displaced apex in pt with MS ?
๐Ÿ‘‡
ุทุจุนุงู‹ ููŠ ุงู„ุญุงู„ุฉ ู‡ุงุฏูŠ ู…ูุฑูˆุถ lt ventricule ูŠูƒูˆู† normal size
ูุงู„ุงุณุจุงุจ ุญุชูƒูˆู† ูŠุง ุงู…ุง
1_ Rt ventricular dilatation
ูˆ ู‡ุงุฏูŠ ุชุตูŠุฑ late ุจุณุจุจ ุงู„ Backwards symptoms on the lung then on the Rt side of the heart
2_ Presence of other pathology / Congenital heart disease

Q4_ What are the causes of Acute MR ?
๐Ÿ‘‡
1_ Acute MI
2_ Endocarditis
3_ Sever chest truma

Q5_ What are the DD of Kussmal sign ?
๐Ÿ‘‡
1_ Constictive pericardaitis
2_ Cardiac temponade
3_ Restrictive cardiomyopathy
โค1
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
#Cardiology_Notes๐Ÿ’ญ

Q1_What is the DD of ejection systolic murmer at 1st aortic area ?
๐Ÿ‘‡
1_AS
2_Aortic sclerosis
3_Hyperdynamic circulation

ูƒูŠู ุชูุฑู‚ูˆุง ุจูŠู†ู‡ู… ุŸ
โžก๏ธMurmur of AS radiates to the root of neck + associated with slow volume pulse

โžก๏ธMurmur of Aortic sclerosis has no radiation + associated with normal pulse

โžก๏ธMurmur of hyperdynamic circulation has no radiation + associated with large volume pulse and +ve collapsing pulse
โค1