ملف زميلنا حمود الله يسعده ويوفقه يارب لأسئلة الجراحة

السلام عليكم ورحمة الله وبركاته جميعاً وصباح الخير عليكم ❤️

أنا هدفي بهذه القناة إني أخفف عليكم مرحلة الإمتياز ودائماً موجود لو احتجتوني في أي شيء والله ❤️

🔶 قنوات تخصص الباطنية :

1- Review Team (أم القرى)
https://t.me/SMLE_medicine


2- دكتور بالحارث
https://t.me/Medicine_ExplainedClearly


3- MD1TALK SMLE IM
https://t.me/MD1TALKSMLE


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🔶 قنوات تخصص الجراحة :

1- SMLE SURGERY
https://t.me/SMLE_Surgery


2- SMLE By Hamza ( Mainly Surgery )
https://t.me/SmleByHamza


3- Dr.abeidi | د.العبيدي
https://t.me/Abeidi_Review

4- Surgery High-Yield | د.حمود
https://t.me/SurgeryByHamoud


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🔶 قنوات نساء و ولادة :

1- Wafa OBGYN | د.وفاء السالم
https://t.me/WafaOBGYN


2- OB-gyn
https://t.me/obgynq


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🔶 قناة خاصة لطب الاطفال Pediatrics :
https://t.me/smlepaediatrics


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🔶 قنوات حلول أطباء حصلوا على 90+ :

1- Quick Recall | د.القويز
https://t.me/QuickRecall

2- Bdran's space | د.بدران
https://t.me/BdranSpace


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🔶 Ethics + psychology:

1- SMLE Brain | Ethics
https://t.me/smlebrain

2- Psych-SMLE Channel
https://t.me/psychsmlechannel


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🔶 General Questions Channels :

1- Silent :
https://t.me/silent_2023m

2 SMLE-B :
https://t.me/smlemay

3- Hunter SMLE :
https://t.me/HunterSMLE

4- Team 10 Box (ملفات)
https://t.me/saudismle

5- ASMA
https://t.me/ASMA_smle

6- Golden Team (ملفات)
https://t.me/SMLEGOLDEN

7- SMLE Killers
https://t.me/SmleKillers

8- October Q's 2022
https://t.me/octuber2022

9- C4 Seniors (ملفات)
https://t.me/C4Seniors

10- similar Questions | قروب النعناع 🍀☘️🌿🌱
(قروب يعرض لك أسئلة متشابه تقريبا آو سيناريوهات متشابه مع اختلاف الاجوبة او نفس الاجوبة لكن صيغه السؤال مغايره )
https://t.me/+T6Qfi895khAzNWQ0

11- Earth 🌍
https://t.me/joinchat/AAAAAEocQAhzeoECam_PUQ

12- Fair ⛈
https://t.me/dec2020q

13- last Dance with December 2022
https://t.me/+AnE5k3hQNN4xYzI8

14- January Q's 2023
https://t.me/JANISHERESMLE


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🔺 بوت SMLE تقدر تحصل فيه الملفات اللي ممكن تحتاجها ( ام القرى ، صفدر بيديا ، وفاء قايني ، الخ )

@SMLE1_Bot


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🔴 أشهر رابط مشترك بين أطباء الامتياز و اللي يجمع أكثر الملفات المهمة و تجميعات الشهور الماضية و ملفات التخصصات

لا تنسوا الجميع من خالص دعواتكم
" سيتم تجديد الملف بين فترة وأخرى في حال إستجد جديد  "  
بالتوفيق لكم جميعا 🤍🤍


https://docs.google.com/document/d/1npzmSa2-GvpOtIs6_15ue5RaNY3Qnpfli3UEvgDOjWc/edit?usp=sharing

تسجيل اللقاء:

https://youtu.be/NNWgu7uz5JQ

الله يوفقكم يارب ❤️

ملف يساعدكم في أسئلة الVascular diseases بالجراحة

ملف ثاني يفيدكم بالجراحة 🙏🏼

A 5 years old child came to ER with his mother c/o sudden squint and double vision
A- Call neurosurgeon immediately
B- Refer to paediatric-ophthalmology
C- Brain MRI for occupying lesion
D- Referrer to paediatric ophthalmologist

Answer: C. Choice B/D would be correct if it was an emergency referral.

A medically free child with no history of trauma who is presenting with a sudden presentation of an esotropia/inward deviation of the eyes should alert to a sign of compression on cranial nerve 6 (tumor or increased ICP). A full ophthalmic and neurologic examination should be done, followed by imaging tests (mostly MRI).

Another recall:
Concerned father due to sudden squint of his child. He has NO history of trauma and presented with convergent squint. What you will do?
A. Neurologist refer now ( or Neurosurgery)
B. CT to detect any space occupying lesion
C. Refer to pediatric ophthalmologist after 24 hours (Next day)
D. Reassurance

Answer: C since the referral is next day.

CT is usually not preferred in children because of the risk of radiation. We also prefer MRIs in these cases because we want to assess for space occupying tumors. Keep in mind that retinoblastomas can present with strabismus, making CT scans not preferable due to risk of secondary malignancies related to radiation exposure.

Q. About 11 years with red eye and yellow discharge on examination bilateral red conjunctiva and wet discharge
What is the most appropriate management:
A. Oral antibiotics
B. Reassure and normal saline drops
C. Steroid ointment for 7 days
D. Referral to ophthalmologist for ophthalmoscope

pediatric newborn with purulent eye discharge , Culture showed gram negative diplococci , How to treat ?

• A. Topical antibiotic
• B. Observation
• C. IV Cephalosporin
• D. IV Doxycycline

Answer is C. The description of the gram-negative diplococci is alluding to the diagnosis of Neisseria Gonnorhea causing ophthalmia neonatorum, which is treated by systemic (not topical) third generation cephalosporin (e.g., Ceftriaxone).

- Ceftriaxone in a single dose (25-50 mg/kg IM or IV, up to a maximum of 125 mg).

- Bacitracin or erythromycin ointment every 2 to 4 hours.

- Topical atropine if corneal involvement.

**If there is a systemic disease, treatment is required for 7 to 14 days.

**Hospitalization and evaluation for disseminated N. gonorrhea infection.

**Topical irrigation with normal saline to remove mucopurulent discharge.

لاتترددون أبداً عن سؤالي عن أي شيء بالإمتياز أو بالأوفثا.

أعتذر عن استقبال أي سؤال SMLE غير متعلق بالأوفثا

Telegram: @AbdulrahmanAlgwaiz
E-Mail: Abdulrahman.Algwaiz@hotmail.com
Twitter: https://x.com/gweizer

الله يوفقكم يارب وييسر أمركم دنيا وآخرة وعقبال ماتبشروننا بقبولكم ❤️