⚀Description
◽Palin chest x ray
◽PA view
◽Showing wide spread small (2-4mm) nodular opacities distributed throughout both lungs. 

⚀DD
1_Miliary TB
2_ Bronchpneumonia
3_ lung Metastasis
2_ILD

⚀Most likely DX
Miliary TB

⚀Next step
Sputum C/S
Quantiferon test

⚀Description
◽Plain chest x ray
◽PA view
◽Showing markedly enlarged cardiac silhouette ,There is a double contour to the right heart border and splaying of the carina. 

⚀Most likely DX
Cardiomegally

⚀Next step
ECG
Echo

⚀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

https://t.me/internal_medicine_Dr_Doha💮

لا تنسونا من صالح الدُعاء.🤲🌙🌟🧡

⚀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

https://t.me/internal_medicine_Dr_Doha💮

لا تنسونا من صالح الدُعاء.🤲🌟🌙🧡

و هادي اغلب و اهم مواضيع ال X ray اللي مطالبين بيهم

ان شاء الله بالتوفيق. 🌸🌸🌸🌸

بي دي اف قنين في الاكس ري ان شاء الله يفيدكم🌸🌸

السلام عليكم ورحمة الله وبركاته.🌸🌸

لاي دكتور/ة سألني كيف يقرا للاورال و الكلينك📝

◽الديرما 👇
من د.محسن و PDF و فيديوات دكتورة مريم بريون

◽الاورال
👇
🔹️ECG و X.ray emergency
من د.عبد الرؤوف
🔹️instruments
قريته من شيت د.محسن

(واللي بيقراه كله من د.مصعب حتى هو كويس مختصر و ممتاز )

◽Examination
👇
شيت د.سيف مع فيديواته و الفيديوات القصار متع د.عبد الروؤف و طبعاً لازم تكونوا ماشيين للمستشفى و شايفين و سامعيين فاينديق خاصة في ال cardio / respiratory/ neuro /Abdominal🧐

تقدروا تمشوا الفترة هادي يوم او يومين للمستشفى تلفوا عالأقسام، حتى العشية .


◽History
👇
فيديوات د.محمد شلوف ابداع و طريقته في الشرح
حلوة و منظمة و فيه مواضيع مش كاتبها قريتها من شيت د.محسن و شيت د.سيف ظريف اللي كاتباته زميلتي في دفعة التغيير سارة الجمل

إن شاء الله تكونوا استفذتوا من كلامي و ربي يوفقكم و يفتح عليكم جميعاً.🌸

هذا الشيت متعي ، حيفيدكم هلباااا في ال Examination 📝

و طلب بسيط بالله لو ممكن تبعتولي اسئلة البيبر متعكم !!

السلام عليكم ورحمة الله وبركاته 💌

فيه مجموعة كلموني يبوا كورس Examination بعد البيبر

بإذن الله بناخد مجموعة وحدة نبدا معاهم يوم الأحد الجاي (نحاول نكملكم بسرعة في 3 أيام ان شاء الله).

اللي يهمه الموضوع يتواصل معاي عالخاص
@Doha_Rawaq.

A 35 year old man presents with palpitations. He has been drinking heavily with friends over the weekend. This is his ECG. Present your findings and give a diagnosis
👇
◽Presentation

Rate➡️100 – 150
Rhythm➡️Irregularlyirregular
Axis➡️Normal
P-wave➡️No p-wave seen,Fibrillating base line
QRS➡️Narrow
ST/T-wave➡️Normal
QTc/other➡️Normal
👇
◽Diagnosis

This ECG shows atrial fibrillation (AF) with a fast ventricular response

Question 2

A 45 year old business man presents with a feeling that his heart is racing. He also has some shortness of breath. This is his ECG. Present your findings and give a diagnosis.

◽Presentation
👇
Rate➡️150
Rhythm➡️Regular
Axis➡️Normal
PR/P-wave➡️No p-waves. Seesaw baseline
QRS➡️Narrow
QTc/other➡️Normal

◽Diagnosis
👇
This is atrial flutter

A 65 year old man with a history of ischaemic heart disease is found unresponsive. He has no central pulse and is making no respiratory effort. This is his ECG. What is the diagnosis and what will you do?

◽Presentation
👇
Rate➡️150
Rhythm➡️Regular
Axis➡️Left axis deviation
PR/P wave➡️Not visible
QRS➡️Wide
ST/T wave➡️Unable to assess
QTc/other➡️Unable to assess

◽Diagnosis
This is ventricular tachycardia (VT)

A 58 year old man who attends the emergency department with chest pain loses consciousness whilst he is having his initial ECG. He has no central pulse and is taking occasional deep breaths. What is going on?

◽Presentation
👇
Rate➡️Initially 100, then 300
Rhythm➡️Initially regular, then irregular
PR/P wave➡️Initially present, then unable to visualise
QRS➡️Initially narrow, then wide
ST/T wave➡️Initially massive ST elevation in II III and aVF with reciprocal depression in I and aVL. Then unable to visualise
QTc/other➡️Unable to assess

◽Diagnosis
👇
This is ECG initially shows an inferior STEMI, which then deteriorates into ventricular fibrillation (VF).

A 60 year old man presents with tight central chest pain radiating to his left shoulder. This is his initial ECG. Present your findings and give a diagnosis.

◽Presentation
👇
Rate➡️90
Rhythm➡️Regular
Axis➡️Normal
PR/P wave➡️Normal
QRS➡️Narrow
ST/T wave➡️Grossly elevated in V2, V3, V4, V5 and V6. Reciprocal depression in II, III and aVF.
QTc/other➡️Normal

◽Diagnosis
👇
This patient has ST elevation in the anterior and lateral leads. This is therefore an anterolateral ST elevation MI (STEMI).

A 29 year old  presents with central chest pain. She has a history of recent flu-like illness but no significant past medical history. This is her ECG. What is the diagnosis?

Presentation
👇
Rate➡️60
Rhythm➡️Regular
Axis➡️Normal
PR/P wave➡️PR segment depression
QRS➡️Narrow
ST/T wave➡️Widespread ST elevation (saddle shaped)
QTc/other➡️Normal

Diagnosis
👇
The diagnosis is pericarditis. Pericarditis often presents in young people after a history of viral illness. He you can see the characteristic widespread saddle-shaped ST elevation and PR depression.