Approach to Suspected Preterm Labor

Internal Hemorrhoids Grading and Treatment

What will decrease mortality in COPD patient? 🧐

1- Smoking cessation (if it is in choices it is always the best answer)
2- Vaccination (Pneumococcal and influanza vaccine)
3- Home oxygen therapy (only if indicated, don’t choose it unless indicated!)

Indications for long term home oxygen therapy in COPD patient:-
1- PaO2 in ABG (out of time of acute attack) less than 55
2- PaO2 55-59 + one of the following: dependent edema (Cor pulmonale), polycythemia (Hct > 56%), pulmonary hypertension, Nocturnal hypoxemia

Approach to Anemia

Clinical and radiographic clues to the etiology of pneumonia in children

Brucellosis treatment period:
Joint > 3ms
CNS > 6ms
Pregnancy > 4ws
Non local brucellosis > 6ws

LBBB and RBBB

Colonoscopy Surveillance

Paraneoplastic Syndromes

Light's criteria

SLE Antibodies

Approach to a Monoarthritic Joint

Vascular dementia: usually comes with hyperintensites in ct + hx of dementia follwing stroke or embolism.

Lewy body: Dementia + Parkinsonism + hallucinations.

Normal pressure hydrocephalus: dementia + unsteady gait + urinary incontinence + CT might show ventricular enlargement and hypo intensities.

Frontotemporal: dementia + personality changes

Severe asthma exacerbation management:

O2+ SABA+ ipratropium
No response? Systemic steroid
No response ? Mgso4 IV
No response? Intubate

Asthma
Mild intermittent >> SABA
Mild persistent >> SABA + ICS
Moderate persistent >> SABA +ICS + LABA

IE Prophylaxis

Approach to Cushing’s:
1- Confirm Cushing with 24h urine test
2- Measure ACTH if urine came +ve
3a- Low ACTH: CT abdomen
3b- high ACTH: High dexa suppression test
4a- +ve: MRI brain
4b- -ve: ACTH secreting tumor, perform CT chest

● PROPHYLAXIS IN SAUDI SOLDIERS GOING TO THE SOUTH: ATOVAQOUONE AND PROGUANIL

● PROPHYLAXIS IN SAUDI IN GENERAL : MEFLOQUINE

● PROPHYLAXIS FOR DEPRESSED PATIENT : ATOVAQUONE /PROGUANIL (mefloquine is contraindicated)

● PROPHYLAXIS IN SUDAN: MEFLOQUINE

● TX FOR MALARIA IN SAUDI : ARTESUNATE/pyrimethinamine/sulfadoxine

● TX for malaria in SOUTHEAST ASIA : ARTESUNATE AND MEFLOQUINE

Thiazolinediones : -zone
GLP-1 : -tide
DDP4 : -liptin
SGLT2 : -lozin