بعد ماتخرجنا و صار عدنا وقت فراغ
صار وقت كثير نطلع ع ملفات هواي ، أشياء هواي
كنت اتمنى لو شايفتها من كنت ادوام حتى استفاد منها اقصى استفاده
و مرات ادزلكم هنا بهذا القناة حتى تستفادون منها بعد مااطلع عليها
بس مااريد اضيع فكرة القناة لان هي مخصصه للأسئله
لذلك سويت قناة بيه الأشياء المفيده
الي يحب ينضم بيها
لان هذا القنوات حتبقى مخصصه فقط للأسئله

#Medicine
د.فائز

📝 To differentiate between acute hepatitis and acute hepatic failure

Check INR
👉 If INR Normal this is acute hepatitis
لو لاحظته Normal معناها acute hepatitis وبهاي الحالة البيشنت ما راح يدخل ك acute liver failure

👉 If high INR >1.5 this is acute liver failure
لو لاحظت high معناها acute liver failure

#Hepatology
#git

ال dysphagia ..
1_dysphagia +odynophagia👉 must exclud candida infection (like hx of use topical cortisol)

2_dysphagia+hemoptysis+dyspnea👉 more about LAH like MS or lung cancer

3_dysphagia+Raynaud's phenomenon👉scleroderma

4_dysphagia for food and water 👉achalasia

5_dysphagia+anemia in middle age female 👉Plummer-Vinson syndrome

6_dysphagia+regargitation from nose 👉injury to recurrent laryngeal nerve or vagus nerve(bulbar palsy ),stroke

7_dysphagia at end of eating 👉myasthenia gravis

8-dysphagia + GERD 👉stricture or cancer

9-dysphagia progressive +wt loss👉cancer

10-intermitent dysphagia +asthma👉eosinophilic esophagitis

ال clubbing
Clubbing +heart failure 👉IE or CHD

Clubbing + wt loss + hemoptysis in elderly 👉lung cancer

Clubbing +fever+productive cough 👉lung abcess

Clubbing + chronic cough with large amount sputum + faul smell+wt loss+hemoptysis 👉 bronchiactesis

Clubbing +dry cough + Bilateral fine basal crackles 👉Interstitial lung disease.(مهمة)

Clubbing +chronic diarrhea 👉coeliac disease

Clubbing +jaundice 👉liver disease

Clubbing +wt loss +palpitation+diarrhea 👉gravis disease

Clubbing in normal patient👉families

■Clubbing in COPD you should exclude lung cancer

#Pneumonia_Plus :_
Pneumonia + hemolysis= mycoplasma
Pneumonia + erythema multiforme = mycoplasma
Pneumonia + hyponatremia = legionella
Pneumonia + rusty sputum = strept pneumonie
Pneumonia + elderly / diabetic / alcoholic = klesiella
Pneumonia + mutilple abscesses = staph aureus.
Pneumonia + parrots = chalymdia
Pneumonia + smoker = hemoph. influenze.
Pneumonia + neutropenia / chemotherapy= pseudomonas auregenosa.
Pneumonia + unconsiouness / anasthesia = anaerobes.

📑 Dyspnea Plus
(Suggestive Dx)
📝 Dyspnea + wheezing
👉 Asthma

📝Dyspnea + creption + orthopeni
👉 Pulmonary edema

📝 Dyspnea + fever +general fatigue + couph
👉 Pneumonia or Abcess

📝 Dyspnea + hemoptysis + wight loss
👉 TB or cancer

📝 Dyspnea + epigastric pain
👉 Intestinal perforation air underdiphram

📝 Dyspnea + pallor
👉 Anemia

📝 Dyspnea +chest pain +Dm + HTN
👉 MI

📝 Dyspnea + increase with inspiration
👉 Plerusity inflammatory

📝 Dyspnea + auria or hematurua or dysuria
👉 Uremia

📝 Sudden Dyspnea + hemaptsis
👉 pulmonary embolism

📝 Dyspnea + after truma
Pneumothorax

📑 Epigastric pain plus
(Suggestive Dx)
📝 Epigastric pain + pain worse with food
👉 Gastric ulcer

📝 Epigastric pain + pain better with food
👉 Duodenal ulcer

📝 Epigastric pain + weight loss
👉 Gastric ulcer or cancer

📝 Epigastric pain +tenderness + radiation to back + relive by forward
👉 Pancretitis

📝 Epigastric pain + bad taste ,cough ,hoarse
👉 GERD

📝 Epigastric pain + nothing
👉 Non ulcer dyspepsia [ 90% of cases]

📝 Epigastric pain + diabetic and bloating
👉 Diabetic gastroparesis

📝 Epigastric pain+diabetic + middle or old age
👉 MI until proven otherwise

#GIT

من البوت :تعرفون العام اطفال الرابعه فاينل شكم امسكيو جانن صدك 56 نقطه ؟
الي يعرف لا يقصر

السلام عليكم
منو من دكاترة الرابعة يكرر بالجراحة يعني مضمون كون بليز لأن ما الحك اكمل

الي عنده معلومه خلي يجاوب