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 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
2
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
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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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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
هذا الكتاب مش عادي لل DD و ال Investigations لجزئية ال History

بالتوفيق.🌼🌼
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Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
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.🌸
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السلام عليكم ورحمة الله وبركاته ✨️

لكثرة الاستفسارات بخصوص كورس ال Examination hands on + findings للأسف مش حنتفتح الفترة هادي

عندي كورس Examination discussion بس مفتوح ، البوست الخاص بيه و طريقة الاشتراك مثبت في القناة 📲

بالتوفيق للجميع يارب.🤍🍀🤲
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