بقلوب مؤمنة بقضاء الله وقدره تلقينا خبر وفاة اخت زميلنا احمد النهاري 😭💔

سائلين المولى عزوجل أن يتغمدها بواسع رحمته ، ويسكنها فسيح جناته ، ويلهم أهلها ، وذويها الصبر والسلوان وإنا لله وإنا إليه راجعون حسبنا الله ونعم الوكيل
عظم الله اجركم وعصم قلوبكم والهمكم الصبر والسلوان ، البقيه في حياتكم ،
(الفاتحه) الى روح المرحومة والى روح موتانا وموتى المؤمنين والمؤمنات .

Bilateral hilar Lymphadenopathy DD

#باطنة
#اشعة

BODE score for COPD

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CURB-65 Score for Pneumonia Severity

Estimates mortality of community-acquired pneumonia to help determine inpatient vs. outpatient treatment.

🔸Peripheral signs of Aortic Regurgitation


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Light's criteria to differentiate between transudative vs exudative plueral effusion .

#باطنة

By X-Ray ...
It is not seen unless ,
the fluid is than 200 ml

So it's best seen By Ultrasound or Lateral decubitus X-ray.

#باطنة
#اشعة

🛑Dd of white plueral effusion ?
- emphyema
- cylothorax
-psuedochylothorax

🤍Chylothorax is caused by disruption of the thoracic duct and distributor resulting in chyli (lymphatics fluid of interstitial region) into pleural space. This can be seen in many conditions, and trauma and malignancy are the leading causes

🤍The most common etiologies of psuedocylothorax are tuberculosis and rheumatoid arthritis

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-Indications for thoracotomy

A) Early indications

1-Chest x-ray reveals complete opacification of the whole hemithorax or wide mediastinum >8 cm.

2-Drainage of> 2000 ml of blood after insertion of the tube.

3-Bleeding > 200 ml/hour for 3 successive hours.

4-Associated with injuries, e.g., the oesophagus or cardiac tamponade.

B) Delayed indications

1-Clotted or loculated haemothorax ( diagnosed by failure of the tube to drain blood) -4 mini-thoracotomy for evacuation of blood clot

2-In the presence of foreign bodies.

3-Fibrothorax needs thoracotomy and decortication of the lung.

#جراحة

JVP waveforms

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Gustilo classification

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levels of cervical lymph nodes which are used in staging of the cancers:

- Level I: Submental and submandibular nodes

- Level II: Upper jugular chain of nodes
(upper cervical)

- Level III Mid jugular nodes,

- Level IV: Lower jugular behind lower border of
SCm

- Level V: Posterior triangle lymph nodes;
nodes along spinal accessory nerve

- Level VI: Central compartment lymph nodes

#جراحة