insulin dosing Untitled 1.pdf
13.3 MB
شرح للـ insulin و شلون نحسب الـ dose
بسم الله ⚘️
ملاحظات الاستشارية :
What is the differential diagnosis of radio opaque shadow in loin area?
Stone , forign body , gall bladder stone , calcified lymph node ,fecolith
Pylonephritis cause tenderness when palpating the kidney angle
Struvite stone has other names , include :
1-Ammonium , megnesium , phosphat ( الاسم العلمي )
2-infectious stone
لان المريضة (غالبا بالfemale ) يكون عدها اكثر من attack of UTI
3-Triple phosphate
Stone can cause turbid urine appearance
ملاحظات الاستشارية :
What is the differential diagnosis of radio opaque shadow in loin area?
Stone , forign body , gall bladder stone , calcified lymph node ,fecolith
Pylonephritis cause tenderness when palpating the kidney angle
Struvite stone has other names , include :
1-Ammonium , megnesium , phosphat ( الاسم العلمي )
2-infectious stone
لان المريضة (غالبا بالfemale ) يكون عدها اكثر من attack of UTI
3-Triple phosphate
Stone can cause turbid urine appearance
Imaging:
In US we can see size and site of kidney , kidney number ,hydronephrosis , parynchymal thickness , stone , mass ,diltation of ureter
Ct is the golden standered imaging for stone
99% من الstone نشوفها بال CT عدى نوع نادر هو " triamterne stone "
هذا الدواء هو potassium sparing diuretic ويستعمل في علاج ال hypertension مع الthiazide
ولكن هو يعتبر nephrotoxin لا يسبب crystalluria and cast formation
وممكن يسبب stone ولكن نادرا
In US we can see size and site of kidney , kidney number ,hydronephrosis , parynchymal thickness , stone , mass ,diltation of ureter
Ct is the golden standered imaging for stone
99% من الstone نشوفها بال CT عدى نوع نادر هو " triamterne stone "
هذا الدواء هو potassium sparing diuretic ويستعمل في علاج ال hypertension مع الthiazide
ولكن هو يعتبر nephrotoxin لا يسبب crystalluria and cast formation
وممكن يسبب stone ولكن نادرا
ESWL: extracorporeal shock wave lithotripsy ( مطلوب الاسم )
It is a procedure to break up stones inside the urinary tract, bile ducts or pancreatic duct with a series of shock waves generated by a machine called a lithotripter. The shock waves enter the body and are targeted using an X-ray
Used for stones that are too large to pass on their own (larger than 5 millimeters in diameter — about the size of a pencil eraser)
🔍Another source -> ESWL used for stones that are less than 2cm
It is a procedure to break up stones inside the urinary tract, bile ducts or pancreatic duct with a series of shock waves generated by a machine called a lithotripter. The shock waves enter the body and are targeted using an X-ray
Used for stones that are too large to pass on their own (larger than 5 millimeters in diameter — about the size of a pencil eraser)
🔍Another source -> ESWL used for stones that are less than 2cm
الفرق بين ESWL & laser lithotripsy
ESWL as an outpatient procedure does not require analgesia or anesthesia; it remains the first line therapy for proximal ureteral stones while ureteroscopic laser lithotripsy as a surgical procedure requires general anesthesia, hospitalization and much more costs
Eswl is used for stone less than 2 cm
analysis found Laser Lithotripsy can treat larger stones (> 2 cm) with good stone-free and complication rates
ESWL as an outpatient procedure does not require analgesia or anesthesia; it remains the first line therapy for proximal ureteral stones while ureteroscopic laser lithotripsy as a surgical procedure requires general anesthesia, hospitalization and much more costs
Eswl is used for stone less than 2 cm
analysis found Laser Lithotripsy can treat larger stones (> 2 cm) with good stone-free and complication rates