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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ุงู„ุณู„ุงู… ุนู„ูŠูƒู… ูŠุง ุฏูƒุงุชุฑุฉ๐Ÿ€

ู†ุตุญูŠุฉ ู…ุง ุชุชูˆุชุฑูˆุด ูˆ ุชู‚ุนุฏูˆุง ุชููƒุฑูˆุง ููŠ ุงู„ุฅู…ุชุญุงู†ุŒ ู„ุงู† ู…ู† ุงู„ูˆุงุถุญ ุฌุฏุงู‹ ุงู†ู‡ ุญูŠุชุฃุฌู„ ๐Ÿ’โ€โ™€๏ธ

(ู…ู† ุงู„ุฏูุนุงุช ุงู„ู„ูŠ ู‚ุจู„ูƒู… ุฃู‚ู„ ุฏูุนุฉ ูƒู…ู„ูˆุง ุงู„ุจุงุทู†ุฉ ููŠ 8 ุดู‡ูˆุฑ)
ุฃูŠุงู… ุฏููุนุชูŠ ุงู„ุชุบูŠูŠุฑ ู‚ุฑูŠู†ุงู‡ุง ููŠ 10 ุดู‡ูˆุฑ .

ุบูŠุฑ ุฏูŠุฑูˆุง ู…ูˆู‚ู ู…ู† ุชูˆุง ู…ุน ู‚ุณู… ุงู„ุฏุงุฑุณุฉ ูˆ ุงู„ุฅู…ุชุญุงู†ุงุช ูˆ ู‚ุณู… ุงู„ุจุงุทู†ุฉ ู„ูŠู† ูŠุญุฏุฏูˆู„ูƒู… ู…ูˆุนุฏ ุฑุณู…ูŠ ูˆ ูŠู†ุงุณุจ ุงู„ูƒู„ ูˆ ุงู„ู„ูŠ ู‚ุงู„ู„ูƒู… ุชู‚ุฏุฑูˆู‡ุง ุฃูƒูŠุฏ ุญูŠุฏูŠุฑู„ูƒู… ุญู„.๐Ÿ˜‚
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ู„ุงู† ุงู„ู…ูŠุฏูŠุณู† ุทูˆูŠู„ุฉ ู„ุงุฒู… ู…ู† ุงู„ุงุฎุชุตุงุฑุงุช ูˆ ุงู„ู‚ุตุต ุจุงุด ุงุชุจุชูˆุง ุจูŠู‡ุง ุงู„ู…ุนู„ูˆู…ุงุช๐Ÿ’ญ

ู‚ุตุฉ ุงู„ Rt ุทูŠุจ ูˆ ุงู„ lt ุดุฑูŠุฑ ๐Ÿ“

ุงู„ lt ุฏูŠู…ุง ูŠุจูŠ ูŠุฌูŠ ู„ู‚ุฏุงู… ูˆ ุงู„ Rt ุฏูŠู…ุง ูŠู‚ุนุฏ ููŠ ุงู„ุฎู„ู๐Ÿ˜ž

โฌ…๏ธูˆู‚ุช ุงู„ coronary artery ุฌูŠ ุจูŠู†ู‚ุณู…
ุงู„ Lt coronary artery ู‡ูˆ ุงู„ู„ูŠ ุนุทูŠ ุงู„ Anterior descending
ูˆ ุฎู„ูŠ ุงู„ Rt coronary artery ูŠุนุทูŠ ุงู„ Posterior descending

โฌ…๏ธููŠ ุงู„ Axis deviations
ุงู„ Lt axis deviation ูŠุตูŠุฑ ุจุณุจุจ Anterior hemiblock

ูˆ ุงู„ Rt axis deviation ูŠุตูŠุฑ ุจุณุจุจ posterior hemiblock.
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๐Ÿ”ดPoor prognostic criteria of heart failure ๐Ÿ“๐Ÿ’ญ

โ—ฝ4 ู…ู† ุงู„ู‡ุณุชูˆุฑูŠ ๐Ÿ‘‡
1_Old age
2_Male
3_Sever symptoms
4_PMH of IHDs

โ—ฝ4 ู…ู† ุงู„ุงู‚ุฒุงู…ู†ูŠุดู†๐Ÿ‘‡
1_Gallop rythym
2_Raised JVP
3_ Bilateral basal lung fine crepitations
4_Unstable Vital signs/ Hypotension, Bradycardia or pulses alternals , Cheyen stock breathing

โ—ฝ4 ู…ู† ุงู„ investigation ๐Ÿ‘‡
1_ Electrolyte / hyponatremia , hypokalemia
2_ RFT / โฌ†๏ธ bun
3_โฌ†๏ธ BNP
4_Echo / โฌ‡๏ธEF , lt ventricular hypertrophy .
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Bells palsy
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ุทุจุนุงู‹ ุงู„ Most common cause of 2ry causes is Metabolic ๐Ÿ’ก

ู„ุฐู„ูƒ ุงูŠ pt admitted as a case with convlusion ู„ุงุฒู… ู†ุจุนุชู‡๐Ÿ‘‡
Ca
Phosphorus
Mg
Na
K
RBS
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ุงู„ุณู„ุงู… ุนู„ูŠูƒู… ูˆุฑุญู…ุฉ ุงู„ู„ู‡ ูˆุจุฑูƒุงุชู‡ ูŠุง ุฏูƒุงุชุฑุฉ๐ŸŒธ

ูƒูŠู ุญุงู„ูƒู… ูˆ ุดู†ูˆ ู…ุฏุงูŠุฑูŠูŠู† ููŠ ู‚ุฑุงูŠุชูƒู… ุŸ

ุจุงู„ู†ุณุจุฉ ู„ู„ุฏูƒุงุชุฑุฉ ุงู„ู„ูŠ ูŠุณุฃู„ูˆุง ููŠุง ุนู„ู‰ ูƒูˆุฑุณ ุงู„ Examination ุจุงู„ู†ุณุจุฉ ู„ู‚ุฑูˆุจุงุช ุดู‡ุฑ 11 ูˆ 12 ูˆ ุงู„ู„ู‡ ุชุนุจูˆุง ูˆ ุจุฒูŠุงุฏุฉ

ู„ูˆ ุชุฃุฌู„ ุงู…ุชุญุงู†ูƒู… ุญู†ุนุทูŠ ููŠ ุดู‡ุฑ 1 ุจุนูˆู† ุงู„ู„ู‡

ูˆ ุงู† ุดุงุก ุงู„ู„ู‡ ุฑุจูŠ ูŠู‚ุฏุฑู†ูŠ ู†ููŠุฏูƒู… ูƒู„ูƒู… ูˆ ู…ุง ู†ู‚ุตุฑุด ู…ุนุงูƒู… ูˆ ุฑุจูŠ ูŠุณู‡ู„ ุนู„ูŠูƒู… ูˆ ูŠูˆูู‚ูƒู….๐Ÿคฒ

ู„ุงูŠ ุงุณุชูุณุงุฑ ุชูˆุงุตู„ูˆุง ู…ุนุงูŠ ุนุงู„ุฎุงุต https://t.me/Doha_Rawaq
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Forwarded from New Minds
ู…ูˆุงุถูŠุน ุงู„ History ุงู„ู…ุชูˆูุฑุฉ ุนู„ู‰ ุงู„ู…ู†ุตุฉ ูˆ ุงู„ุฏูƒุชูˆุฑุฉ ู…ุณุชู…ุฑุฉ๐Ÿ”ฅ

Internal medicine: History taking by Dr. Doha Rawag

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https://newminds.app/courses/internal-medicine-history-taking-skills/

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