ال pdf هذا عبارة عن كيسات محلولة و فيه أغلب ال ECG cases اللي تجي في الإمتحان ، ان شاء الله يفيدكم🌸

أهم مواضيع ال ECG في إمتحان الاورال✋📝✏

STEMI (بأنواعها )
AF
Atrial flutter
SVT(مش شرط تحدد النوع المهم تزبطها )
VT
VF (ما تجيش هلبا)
Torsade de pointes (ما يجيش هلبا)
Heart block (بأنواعه التلاتة)

طبعاً بعد ما تقروا ال ECG و تقولوا ال presentation يسألك بعدها على DX و ال Causes لازم اتبتوهم مهماااات هلباا💡💡

بالنسبة لل TTT ما يسألوش عليها و لو سألوا يبوا إجابة سطحية .

ربي يوفقكم جميعاً.🧡💛

السلام عليكم ورحمة الله وبركاته 🌸🌸

هذا شيت ملخص للهستوري ، كاتباته من ايامات كنت سنة خامسة، بنفس طريقة د. محمد شلوف و زايدة عليه شوية إضافات

كنت نبي نعدله اكثر ، لكن ما لقيتش وقت☹

ان شاء الله يفيدكم و لا تنسوني من صالح الدُعاء🤲

#OSCE
◽General
🔹️Hand examination

Q1_ What are the stages of clubbing?
1_ Stage 1/ +ve flactuation test
2_ Stage 2/ loss of normal angel b/w nail and nail fold
3_ Stage 3/ loss of window ( Sham Roths sing )
4_ Stage 4 / Drum stick
5_ Stage 5/ Hyperthrophic pulmonary osteoathropathy


Q2_What are the bedside tests for Clubbing ?
1_flactuation test
2_nail angels
3_widow sign

Q3_What are the hand features of Marfan syndrome?
1_ Wrist sign
2_ Thumb sign
3_ Arachnodactaly
4_ Joint flexity

Q4_What're the hand features of IE ?
1_ Splinter haemorrhage
2_ Osler nodules
3_ Janeway lesion
4_ Clubbing

Q5_What is the DD of yellow nail ?
1_Onychomycosis
2_ Chronic paronychia
3_ Pseudonymous infection
4_ Yellow nail syndrome ( Yellow nail + Branchiactasis + lymphedema)
5_Drugs ( Topical 5`flurouracil , tetracycline)

Q6_What're the hand deformities of RA ?
1_Swan neck defomity
2_ Boutonniere deformity
3_ Z deformity
4_ Radial deviations at wrist joint
5_ Alnar deviations at wrist joint

Q7_ What're the special tests of wrist examination?
1_Phalen test
2_ Tinel test

#OSCE
◽CVS
🔹️AS

Q1_ What're the BP changes could you see in pt with AS ?
➡️Low BP with narrow pulse pressure

Q2_What're the puse changes could you see in pt with AS ?
1_Slow volume ( pulsus parvus)
2_Slow Rising pulse (pulsus tardus)
3_Pulses bisferiens (AS+AR)

Q3_ What's the type of murmur and it's radiation in pt with AS?
➡️ Ejection systolic murmur radiates to the root of neck

Q4_ How to differentiate between AS radiation and Carotid a atherosclerosis?
➡️Phonoangiography

#OSCE
◽CVS
🔹️Apex beat

Q1_ Prescribe the normal apex beat site and character ?
1_lt 5th intercostal space midclvicular line
2_gentle non sustained

Q2_ Mention 2 manoeuvres in case of impalpable?
1_Turn pt to lt lateral position
2_palpate at Rt side

Q3_Mension 3 abnormal character?
1_ Forceful sustained / AS
2_ Forceful unsustained / AR , MR
3_ Tapping / MS
4_ Diffuse / DCM
5_ Double / HOCM

Q3_What valve is responsible for S1 , S2 ?
1_S1 / Closure of M
2_ S2 / Closure of A

Q4_ What signs you should look for in case with Dextrocardia ?
1_ Cyanosis
2_ Clubbing
3_During measuring the liver span ➡️The liver is at Lt side ( if Dextrocardia with situs inversus )

Q5_ Pt with ⬆️ JVP , LL edema , ascitis what could be the cause ?
Rt side heat failure