شباب 🙌🙌🙌

ECG

أساسيات بس طيب ما تركزوا مع كلام كور الكتير

Heart block + abnormal ECG
ما معاكم


Methods of recording برضو ما معاكم


عشان اكون معاكم واضحة انا عشان افهمها حضرت ورشة خارج الجامعة ولمدة أسبوع اظن 😂💔🚶‍♀

❤️Class 1 antiarrhythmic drug

🧨 Block Na voltage sensitive channel

💙Class 1 A
Qunidine
Commonest side effects
Cinchonism

procinamide
Not preferred IV

💙Class 1 B
Lidocaine
Emergency treatment of cardiac arrhythmia
Shorten phase 3

💙Class 1 C
Flecanide
Suppresses phase 0 up stroke in burkinje fiber
Slow the conduction
Used in refractory ventricular arrhythmia

❤️Class II

🧨They are B blocker
Decrease sympathetic outflow
🧨They diminish phase 4
🦋Metoprolol
🦋Esmolol :-
🩸Used IV in acute arrhythmia that occure during surgery
🩸Very short acting

❤️Class III
🧨 Block potassium channel
🦋Amiodarone
Adverse effects
🩸blue skin discoloration
🩸Photosensitivity
🩸Pulmonary fibrosis 🏴‍☠🏴‍☠🏴‍☠

❤️Class IV

🧨Calcium channel blocker

🦋Verapamil 🦋Dialtiazem

🩸Contraindicated in patient with pre-existing depressed cardiac function

❤️Other antiarrhythmic drug
🦋Digoxin
🧨Inhibit Na/k ATPase
🧨 Lengthen phase 0 & phase 4
🧨 Used in Atrial fibrillation and atrial flutter

🦋Adenosine
🧨Has an extremely short duration of action
🧨Prolong refractory period and decrease automacity in AV node

Side effects
🩸Chest pain 🩸 hypotension
🩸Flushing 🩸bronchospasm

🦋Magnisium sulfate
🧨 Slow the rate of SA node impulse and prolonged conducting time

حمد لله على السلامة شباب ♥️✨
الميد بوريك هل انت بتقرا او لا، هل قاعد تقرا صاح او لا، درجتو بسيطة شديد ما تشيلو ليه هم
- اهم نصيحة بقولها ليكم لل Respiratory، محاضرة المايكرو تقروها يوم نزلت، امتع واظرف مكان ممكن تقرا منو المايكرو بتاع الرسبايراتوري مرجع ليفنسون، بفتشو ارسلو ليكم هنا
- المايكرو والفارما بتقرو في يومهم 👌
- المايكرو والفارما بتقرو في يومهم 👌
- المايكرو والفارما بتقرو في يومهم 👌
الا هل بلغت؟ 😂🔥

ليفنسون الإصدار الأخير

السلام عليكم ورحمة الله وبركاته، الكتاب ده فيه ملخصات سمحة شدييييييييد ومساكات مختلفة، استخدموه للمراجعة، بنفعكم شديييد، فيه مايكرو كمان 🔥
الكارديو ص 28
الريسبايراتوري ص 36

السلام عليكم ورحمة الله وبركاته.. كيفكم يا 31 🌟 كيف القرايه ماشه معاكم... طولنا منكم شديد وحبينا نطلل عليكم قبل الفاينل ان شاء الله بكره حنعمل مراجعه اونلاين للمايكرو والباثو وحنوريكم بعض الحاجات الجات في امتحاننا الفاينل ونحل معاكم بروبلمات كتيره ان شاء الله ❤️🔥
حتكون ان شاء الله بعد صلاه المغرب حنغطي على الحاجات المهمه شديد
بالتوفيق للجميع ❤️❤️

رابط قروب المناقشة❤️👇
https://t.me/+cgyv1Jdw6IkxYmFk

Clinical features of viral infection

🧨 HHV1........ oral ulceration

🧨 HHV2........Genital ulceration

🧨 HHV3........ Rash

🧨 HHV4 and HHV5
infectious mononucleosis
🧨 Mumbs ........parotid swelling

🧨 Measle........ koplic spot

🧨 PIV........ Croup

🧨 Yersinia pestis........ plaque

🧨 Corynobacterium diphterea........ Diphtheria
🧨 Mycobacterium T.B........ tuberculosis

Commonest cause

🧨 Pneumonia between 5 - 35 years?
Mycoplasma pneumoniae

🧨 Pneumonia in pt with HIV?
Pneumcystis jirovecii

🧨 Pneumonia in alcoholics?
Klebsela

🧨 Post influenza pneumonia?
S ausrus

🧨 Croup?
Parainfluenza virus

🧨 Acute bronchiolitis
RSV

🧨 Common cold?
Rhinovirus

🧨 Sinusitis?
S pnemonia

🧨 Pneumonia?
S.peumonia

🧨 Parapneumonic effusion?
S.pneumoniae

🧨 Empyema?
S.pneumoniae

❄️Features of some organisms

🧨 Streptococcus pneumonia
Gram+ve cocci

🧨 Mycoplasma pneumoniae
Gram- ve bacilli

🧨 Legoinella
Gram -ve bacilli

🧨 Pneumcystis jirovecii
Fungus

🧨 Mycbacterium TB
Acid fast bacilii

🧨 Paramyxoviridea ( Parainfluenza virus.. Measles.. Mumbs... RSV...)
Single stranded - sense RNA virus

🧨 Herbs viruses
HHV1...HHV2...HHV3(Varicella zoster) HHV4 ( Epstian Bar Virus) HHV5 cytomegalovirus
Double stranded DNA Enveloped virus

the organism with the following feature
🧨 Murcary droplet in culture
Brodetella
🧨 Dark pigmented culture
Yersinia
🧨 Transmitted by flea bite
Yersinia
🧨 Need both factor X&V
H.influnzea
🧨 Produce lipotechoic acid
S. Pneumoniae
🧨 Produce toxin damage cilliated epithelium In lungs
Brodetella
🧨 Gram _ a Hemolytic
S. Pneumoniae

🧨 Herps viruses🧨

🧨 Structure.:-
💙Icosahedra symmetry.
💙Enveloped.
💙Contain tegument, B protein and G protein.

🧨 Assembly of these virus take place in nucleus
Envelopment take place in the inner nuclear membrane

🧨HHV1 and HHV2 infect epithelium
Latency in neuron

🧨Varicella zoster🧨

🩸Varicella
🦋Mild in chideren
🦋Severe in adult
🦋All of the cases are clinical

🩸Herps zoster
🦋Reactivation of the virus
🦋Associated with low immunity

❤️Previous antibody formation is confer live long immunity for vareclla not zoster

🩸Cytomegalo virus🩸
🦋 Produce cytopathic effects
🦋Can be transmitted vertically
🦋Manifest as infectious mononucleosis

🩸EBV🩸
🧨 Cause acute infectious mononucleosis

🧨Associated with :
❤️ Nasopharngeal carcinoma
❤️Hodgkins lymphoma
❤️Gastric carcinoma

🏴‍☠Target of the virus B Cell
🏴‍☠Subclinical in children
🏴‍☠Mode of transmission
(Respiratory droplet 💧SALIVA)

🧨Features of infectious mononucleosis are :-
💙Fever.
💙Lymphadenopathy
💙Sore throat
💙Atypical lymphcytosis

🧨 Test........ monospot test

❤️❤️Paramyxoviridea❤️❤️

🩸Paramyxovirus
Parainfluenza virus
Mumbs virus
🩸Morbili virus
Measels
🩸Pneumovirus
RSV

🧨They have helical symmetry
🧨All of them cause viremia except (RSV_PIV)
🧨 Some of them prevented by vaccine called MMR
(Mumbs Measle Rubella)

🧨This family differ from orthomyxovirdea in that
💙orthomyxovirdea
Replicte on nucleus
Segmented genom
💙Paramyxoviridea
Replicate in cytoplasm
Non segmented

🩸Parainfluenza viruses🩸
🦋4 serotybe
🦋Have short live immunity
🦋Contain hemaglutini neuramindase

🧨 HPIV1 HPIV3 cause pneumonia
🧨 HPIV1 HPIV2 HPIV3 cause Croup

What is Croup
Infection of larynx, trachea bronchi

🧨 What is the clinical presentation of Croup :-
🦋barking couph
🦋Inspiratory straidor

💙💙❤️مساكات Respiratory💙💙❤️

🧨 Patient with a hoarse Barking couph + inspiratory stridor
Croup
🧨 Drooling +Dysphagia +muffled voice + inspiratory stridor
Acuts epiglottitis

🧨 Consolidation of entire lobe of the lung on chest x ray
Lobar pneumonia

🧨 Weight loss + night sweating + couph with hemoptysis + prolonged fever
T.B

🧨 Dyspnea + non productive couph + wight loss + fever + polyarthlagia and come from afrocarrbian
Sarcoidosis

🧨 Productive couph lasting af least 3 month over 2 years + thick mucous in bronchial wall

Chronic bronchitis

🧨 Smoker dyspnea and couph prolonged expiration with pursed lips +barrel shape chest on x ray
Emphysema

🧨 Episodic attack of dysnpea and wheezing after exposure to allergic stimuli and family history of similar condition
Asthma

🧨 Couph and dyspnea and foul smelling breath
Bronchiectisis

🧨 Preterm baby + has increasing Respiratory effort after birth tachypanea use of accessory inspiratory muscle + cyanosis
Respiratory distress syndrome

🧨 Smoker + weight loss + central mass on chest x ray + high serum calcium or high serum PTHrP
Squamous cell carcinoma

🧨 Nonsmoker or female + peripheral lung tumor adenocarcinoma

🧨 Male smoker + central mass in the lung + paraneoplastic syndrome or high ADH, ACTH
Squamous cell carcinoma

🧨 Hyperresonant chest percussion +rib fraction + collapse of a portion of the lung
Tension pneumothorax

🧨shipyard worker + interstitial fibrosis of lung with golden brown fiber.. Plural effusion + chest pain
Mesothelioma

Stony dullness to percussion + dyspnea
Pleural effusion

🧨 triad of situs inversus, pansinusitis, and bronchiectasis
Kartagener syndrome

Most common cause of :

🧨Rhinitis
Rhino virus

🧨 Acute epiglottitis
H. influenzae type b

🧨 laryngotracheobronnchitis croup
Parainfluenza virus

🧨 Lobar pneumonia
Streptococcus pneumoniae

🧨 Emphysema
Smoking

🧨Bronchiolitis
RSV

🧨 Common cause of lung cancer overall
Metastasis from another organ

🧨Common cause of primary lung cancer
Small cell carcinoma

🧨 Lung cancer in female or non smoker
Adenocarcinoma


🧨 Pneumonia in alcoholics?
Klepseilla

🧨 Post influenza pneumonia?
S auerus

🧨 Pneumonia in pt with HIV?
S. Pneumoniae

🧨 Pneumonia between 5 - 35 years?
Mycoplasma pneumoniae

🧨 Plural effusion
Bacterial pneumonia

🧨 Pneumonia in older patients with cystic fibrosis
Pseudomonas aeruginosa

🧨childhood cause of nasal polyposis is
Cystic fibrosis


🧨 congenital laryngeal anomaly that produces stridor is
Larngomalacia



بالتوفيق يا شباب 💙🦋

امتحان 30 كارديو 👇

1.D
2.A
3.B
4.D
5.C
6.B

7.C
8.A
9.D
10.B
11.A
12.C
13.A

18 C
19 B
20 B

23. C
24. B
25. D
26. D
27. A
28. A