يقال إن البروف مجدي يعقوب تخرج من جامعة القاهرة بتقدير مقبول... لكن هذا لم يمنعه أن يصبح واحداً من أعظم جراحي القلب في العالم.

الرسالة واضحة: لا تثق كثيرا في الأرقام والتقديرات، ولا تجعلها مقياسك الوحيد. الجامعة والممتحن يقيمون ورقة، لكن الحياة تقيم شغفك، اجتهادك، واستمرارك في السعي.

عبي رأسك معلومات واشتغل على نفسك، وإياك أن تقارن نفسك بأحد؛ فإن قارنتها بمن هم أعلى منك حطمت نفسك، وإن قارنتها بمن هم أقل منك ثبطت همتك.

المقارنة الوحيدة المسموحه هي مقارنتك مع نفسك بالأمس واعلم أن يوم لم تتعلم فيه فأنت لاتستحقه. لذلك احرص كل يوم على تعلم درس أو معلومة في أي جانب بالحياة.

وفي النهاية اكررها لكم جميعاً أن الامتحان يقيس ذاكرة الطالب فقط وليس تعلمه ومعرفته
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
Exam is only to measure student memory not his learning and knowledge.

#ذاالنون القحطاني
@Surgery_Practice

اتطلعوا على نماذج الدفع السابقة

وبنك المطري القديم*

وبعدهن القصر العيني

مهم جدا

🔴 Early Goal-Directed Therapy (EGDT) – Septic Shock

EGDT is a structured approach for managing septic shock in the first hours:

📌 Key targets (initial resuscitation):
❇️ MAP ≥ 65 mmHg
❇️ Urine output ≥ 0.5 mL/kg/hr
❇️ Central venous pressure (CVP) 8–12 mmHg
❇️ ScvO₂ ≥ 70%

📌 Management bundle:
• Early broad-spectrum antibiotics (within 1 hour)
• Rapid IV crystalloids (30 mL/kg)
• Vasopressors (norepinephrine first-line) if hypotension persists
• Source control (drainage / surgery if needed)

⚠️ Delay in antibiotics significantly increases mortality in septic shock.

❇️ Clinical tip: If hypotension persists after fluids → think vasopressor-dependent septic shock.

🚨 Important note: EGDT is time-critical → “golden hour” concept in sepsis.

#Surgery
#Shock #Sepsis
https://t.me/Surgery_Practice

A 19-year-old male is brought to the hospital after sustaining an abdominal injury while playing  rugby. He is complaining of left upper abdominal pain and has some bruising over the same area. His pulse is 140/min and his BP is 100/82 mmHg.what is the type of shock?

An 86-year-old male has been complaining of increasing lower abdominal pain for the past week. On examination he looks very unwell with warm peripheries. He has signs of generalised peritonitis. His pulse is 130/min and his BP 84/50 mmHg. what is the type of shock?

A 55-year-old woman with poorly controlled hypothyroidism is found comatose. She is
hypothermic. Her pulse is irregular and her BP is 96/70 mmHg. what is the type of shock?

A 76-year-old male is brought to the hospital with persistent diarrhoea and vomiting for the past 4 days. He has been unable to keep his food down and feels very tired. On examination he is very dehydrated. His pulse is 128/min and his BP is 88/52 mmHg. what is the type of shock?

A 78-year-old man with known ischaemic heart disease (IHD) complains of chest pain and collapses. His pulse is irregular and BP is 74/48 mmHg. ECG shows features of an anterolateral myocardial infarction (MI).what is the type of shock?

A 7-year-old boy with nut allergy develops stridor and collapses after eating a snack. He requires airway and breathing support. His BP is 60/38 mmHg.what is the type of shock?

A 28-year-old motorist is brought to the A&E after a road traffic accident (RTA). He has sustained an isolated injury to his back and has motor and sensory deficits in both lower limbs.His pulse is 122/min and his BP 100/62 mmHg.what is the type of shock?

6 منشورات تقرأها قبل ما تنام تخليك فاهم موضوع ال DVT من الألف إلى الياء بكل مافيها من تفاصيل 👇

https://t.me/M_Information11/10958

✅ Ascites : High SAAG vs Low SAAG
#surgery
https://t.me/Surgery_Practice

✅ Modified classification
#surgery
https://t.me/Surgery_Practice