📜 العلاج Tx :

⭕ علاج ال Entamoeba :

لو كانت trophozoite /vegetative🪱
يعني نشطة وتتحرك وتتغذى
👉🏻Metronidazole
☑flagyl®️ 500mg tab1×3×7D
☑Amrizol®️ 500mg tab 1×3×7D
☑Flagyl®️ 125 susp 2ml/kg then ÷8

👉🏻secnidazole
☑fladazol 500mg tab ( 4 tab مرة واحدة )

لو كانت Cyst🪱 يعني مغلفة و محمية :

👉🏻Metronidazole+ Diloxanide
☑ Furazol®️ Tab 1×3×10D

⭕علاج ال Giradiasis (نفس ال entamoeba)

⭕علاج ال Oxyuris / Ascaris/Ankylostoma :

👉🏻Mebendazole :
☑Antiver tab®️ 100mg
☑Vermox tab®️ 100mg
قرص واحد اسبوعياً /3 اسابيع
☑Vermox®️ Susp 100mg
5 مل اسبوعياً/ 3 اسابيع

👉🏻Flubendazole
☑Fluvermal®️ tab 100mg قرص واحد اسبوعياً
☑Fluvermal®️ Susp

👉🏻Albendazole :
☑Alzental®️ Tab 200mg
قرصين في الاسبوع / 3 اسابيع
☑Alzental®️ Susp 20mg/ml
20 مل مرة واحدة اسبوعياً / 3 اسابيع

____________________

🖊Via/ Ahmed Al Wadrney

⭕و تذكر :

ممنوع صرف ال

Metronidazole + Mebendazole ❌❌

اشهر تداخل دوائي ، و يؤدي الى Steven J syndrome

النقاط اللي ركز عليها الدكتور عبدالقوي وقال ممكن تجي MCQ في موضوع ال Spondyloarthropathies
🔴SPAs are the most common form of chronic inflammatory arthritis
🔴the most common form of arthritis is osteoarthritis 75 of cases
🔴IL-22 is involved with causing new bone formation while IL-17 has a pivotal role in driving inflammation
🔴40-50% of patients with AS will develop hip arthritis
🔴IN AS the age is <40_45 yr male to female ratio3:1
🔴 AS is associated with unilateral acute anterior uveitis نركز مش posterior
🔴 in CXR of AS ➡️ apical pulmonary fibrosis
🔴 90-95 % of pt with AS is HLA B27
🔴 radiographic changes in advanced AS is symmetrical marginal syndesmophytes unlike psoriatic spondylitis
🔴hydroxychloroquine is avoided in psoriatic arthritis
🔴Etanercept has no efficacy in IBD
مع التركيز على اخر السلايدات تبع ال MRCP pearls MCQbank

قال انو يعتبر portal HTN اذا كان اكثر من 7mmhg
ولكن ما يكون manifested portal HTN الا اذا كان 15mmhg وقال سؤال امتحان
وقال متى يسمى tropical splenomegaly في حالة schistosomiasis ويكون huge splenomegaly

اسباب الasites حفظ ومهمات
والstage مهمات وسأل فيهن

قال ايش الفرق بين complicated asites و uncomplicated
-complicated asites تكون مع الspontanous bacterial peritonitis والmalignancy
-uncomplicated asites يااما
Response to diuretic or unresponse

قال decrease blood flow to liver that's mean ischemic liver
والischemia يااما تعمل لل organ
Shriking or hypertrophy

الدكتور يحيى غانم في محاضرة الIBD
قال سؤال MCQ
Ulcerative colitis :
-40-50% limited in rectal &sigmoid .
-30-40% extend.... To sigmoid.
-20% total colon.

تبع الدكتور يحيى غانم

☘Angiodysplasia
Vascular malformation
Rt side colon
Old age
Profuse bleeding
Stop sponteasly and commonly recur
Detected by colonscopy and angiography show Similar to spider nevie
Treated by endoscopic ablation .

☘Ischemic colitis:
Old age
Atherosclerosis
Vomiting
Diarrhea
B/w sup and inf mesenteric in splenic flexure
Detect by colonscopy
Self limiting may cause peritonitis

☘Occult bleeding
Anemia with postive occult test

☘Obscure bleeding
Anemia with postive occult test with out identefing cause


☘Upper GIT bleedind causes
Peptic ulcer
Varises
Mallory
Esophagitis
Not diagnose
A. V fistula , malgnancy, duedenitis, stomal ulcer, CTD, hemobilia,
بالترتيب


☘Risk of ulcer and Bleeding
H. Pylori
NSAIDS
corticosteroid
Ora anticoagulant


☘Lower GIT bleeding commen causes:
Polyp, colitis, diverticulsis, tear in rectum, cancer, perianal crohns, proctatis, solitary ulcer

☘Rare:dysplasia, carcinma, meckles., enteritis, IBD

☘Onset acute:
Diverticulum, angiodyslasia, ischemic colitis, meckles

☘Chronic and subacute:
Anal disease
Fissure
hemorriods
Large polyp
Solitary ulcer
Rectal ulcer
T. B
IBD
Schistosoma
Carcinoma
angiodysplasia
Dysentry

☘Massive bleeding:diverticulum then angiodysplasia

☘Minimal bleeding : malignancy

☘MCC of IDA is anchlystoma
☘MC important things in carcinoma of caecum that not have GIT symptoms .
☘Octertoid is CI in alcoholism

☘UGIT bleeding more than LGIT bleeding .

د. عبدالحفيظ الصلوي

هذا مهم من ملزمة الدكتور امين Dengue fever

#باطنة
#infection

الاروجن اكثر نسبه بعد الالسر

Prophylaxis of malaria

د. احلام المرتضى

Type of bone fracture


#عظام