Surgical notes
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🛑بالنسبة لمحاضرة الباثولجي القادمة:

قال الدكتور عبدالله الذبحاني...
بتكون علينا بمعنى انو في الوقت المحاضرة بيختار طلاب يشرحوا ويقومهم على السبورة ...

المواضيع بتكون
Hepatitis Disease
Liver cirrhosis

قال ممكن بيمر على ال Gall bladder

وال Pancreatitis

خليكم مستعدين! 😁

#اللجنة_العلمية
🍄🍄Choriocarcioma??

- It is Found in 3 organs ??
- Have the same Histopatholgy in each !

1- Ovary
2- Placenta
3- Testis

- Follow HCG levels !

#باثو
#الدكتورة_منية
To differentiate between
Benign prostatic hyperplasia
And
Prostatic cancioma
🍀🍀🍀🍀
BPH ..lining epithelium is two layers one of them is myoepethilial layer and PSA test is under 10

But ..
Prostatic carcinoma .. single epethilial lining...no myoepethilial lining and PSA is more than 10

#باثو
#اللجنة العلمية
Overview – Tonsillitis

Tonsillitis is inflammation of the tonsils, two oval-shaped pads of tissue at the back of the throat — one tonsil on each side. Signs and symptoms of tonsillitis include swollen tonsils, sore throat, difficulty swallowing and tender lymph nodes on the sides of the neck. Most cases of tonsillitis are caused by infection with a common virus, but bacterial infections also may cause tonsillitis.



Because appropriate treatment for tonsillitis depends on the cause, it’s important to get a prompt and accurate diagnosis. Surgery to remove tonsils, once a common procedure to treat tonsillitis, is usually performed only when bacterial tonsillitis occurs frequently, doesn’t respond to other treatments or causes serious complications.



Types of tonsillitis

There are different types of tonsillitis that are defined by their symptoms and recovery period.

These include:

Acute tonsillitis: Symptoms usually last around 3 to 4 days but can last up to 2 weeks.

Recurrent tonsillitis: A person has many different cases of acute tonsillitis in a year.

Chronic tonsillitis: Individuals will have an ongoing sore throat and foul-smelling breath.


Causes of tonsillitis

Tonsils are your first line of defense against illness. They produce white blood cells to help your body fight infection. The tonsils combat bacteria and viruses that enter your body through your mouth. However, tonsils are also vulnerable to infection from these invaders.

Tonsillitis can be caused by a virus, such as the common cold, or by a bacterial infection, such as strep throat. According to the American Academy of Family Physicians (AAFP), an estimated 15 to 30 percent of tonsillitis cases are due to bacteria. Most often it’s strep bacteria.

Viruses are the most common cause of tonsillitis. The Epstein-Barr virus can cause tonsillitis, which can also cause mononucleosis.

Children come into close contact with others at school and play, exposing them to a variety of viruses and bacteria. This makes them particularly vulnerable to the germs that cause tonsillitis.



Risk factors of tonsillitis

Risk factors for tonsillitis involve increasing the risk of invasion by pathogenic viruses or bacteria.

Living or working in close proximity to children

Living in an urban environment with more exposure to viruses or bacteria

Being a young child or elderly adult

Being immunocompromised

Living or working in close proximity to airborne pollutants, such as smoke

Living in colder climates

Suffering from diabetes

Suffering from cardiac disease

Excessive and prolonged use of corticosteroids

Obesity or overweight

Signs and Symptoms of tonsillitis

The most common symptoms of tonsillitis include:

A sore throat and pain when swallowing

Red and swollen tonsils with pus-filled spots

High temperature

Headache

Difficulty swallowing

Pain in the ears and neck

Tiredness

Difficulty sleeping

Coughing

Chills

Swollen lymph glands



Less common symptoms can include:

Fatigue

Stomach pain and vomiting

Nausea

Furry tongue

Changes in the sound of the voice

Bad breath

Difficulty opening the mouth

In some cases, tonsilloliths, also known as tonsil stones or tonsillar calculi, may be present. A tonsillolith is a calcified build-up of material in the crevices of the tonsils.

They are generally small, but in rare cases, tonsilloliths have measured 3 centimeters and above.

Tonsilloliths can be a nuisance

Complications of tonsillitis

Complications of tonsillitis are rare and usually only occur if it’s caused by a bacterial infection. They’re usually the result of the infection spreading to another part of the body.

Possible complications of tonsillitis include:

A middle ear infection (otitis media) – where fluid between the eardrum and inner ear becomes infected by bacteria

Quinsy (peritonsillar abscess) – an abscess (collection of pus) that develops between one of the tonsils and the wall of the throat

Obstructive sleep apnoea (OSA) – where the walls of the throat relax
ring sleep, which causes breathing difficulties and poor sleep

Other complications of tonsillitis are very rare and usually only occur if an underlying bacterial infection is left untreated. They include:

Scarlet fever – a condition that causes a distinctive pink-red skin rash

Rheumatic fever – this causes widespread inflammation throughout the body, leading to symptoms such as joint pain, rashes, and jerky body movements

Glomerulonephritis – an infection (swelling) of the filters in the kidneys that can cause vomiting and a loss of appetite

How tonsillitis is diagnosed?

Your healthcare provider will ask about your health history and do a physical exam. To guide treatment, your provider may rub a sterile swab over the back of the throat and tonsils to get a sample of the secretions and perform:

 

Rapid strep test: This test can detect strep bacteria in minutes

Throat culture and sensitivity: The sample is cultured in a lab for the presence of bacteria; it helps the provider choose the best antibiotic to treat it, but can take 48 to 72 hours to get the results

Treatment and medications

Treatment of viral tonsillitis primarily involves rest, recovery and symptom relief. It is also important to drink plent

and have regular meals (soft foods and smoothies are best).

If a bacterial infection is confirmed by a throat culture, antibiotics will be prescribed to prevent complications, particularly rheumatic fever and kidney disease. It is important to take the full course of antibiotics as prescribed to prevent the infection from returning and to reduce the likelihood of developing rheumatic fever or kidney disease. Refer to our strep throat page for more information.

Antibiotics will not be prescribed for viral tonsillitis because antibiotics are not effective against viruses. Viral tonsillitis will usually get better without treatment.  Pain relief and reduction of fever can be achieved with over-the-counter paracetamol and ibuprofen.

Gargling salt water (half teaspoon of salt to a cup of warm water) may provide some symptom relief as may sucking on hard sweets or throat lozenges containing ingredients that are cooling, anesthetic, antiseptic, or anti-inflammatory.

Corticosteroids such as dexamethasone or prednisone may be prescribed to reduce inflammation and swelling, particularly when it is making swallowing and breathing difficult.

Surgery

Some people who have recurring bouts of tonsillitis will be offered surgery to remove their tonsils. The operation is known as a tonsillectomy.

People who have a tonsillectomy need a general anesthetic and often stay in hospital overnight. There is a risk of heavy bleeding after the operation. It doesn’t prevent sore throats coming back. Some people have a lot of pain afterward, and it can take up to 2 weeks to recover.

You should talk to your doctor or ear, nose and throat specialist about whether a tonsillectomy is likely to help you.

What natural or home remedies help soothe tonsillitis pain and inflammation?

If a doctor has diagnosed tonsillitis, some home remedies can help soothe the symptoms of a sore throat.

Throat sprays and lozenges: These can coat and moisturize the throat, and many have a topical anesthetic to relieve pain (consult a doctor before giving lozenges to young children; they can be a choking hazard)

Saltwater gargle: This helps clear mucus from the throat

Sipping warm beverages such as tea with honey, or broth can be soothing

Eating cold foods such as ice cream or popsicles can help ease pain

Some alternative remedies may help ease tonsillitis symptoms.

Slippery elm in lozenge form may help with pain relief

Serrapeptase is an enzyme that has anti-inflammatory properties and can help decrease pain and help with swallowing

Papain is an enzyme that can help treat inflammation

Andrographis can help treat fever and sore throat symptoms

Consult your doctor before using any alternative remedies. Doctors do not recommend many of these home remedies for use in children or adolescents as most have not
en scientifically evaluated.

Prevention of tonsilitis

The germs that cause viral and bacterial tonsillitis are contagious. Therefore, the best prevention is to practice good hygiene. Teach your child to:

Wash his or her hands thoroughly and frequently, especially after using the toilet and before eating

Avoid sharing food, drinking glasses, water bottles or utensils

Replace his or her toothbrush after being diagnosed with tonsillitis

To help your child prevent the spread of a bacterial or viral infection to others:

Keep your child at home when he or she is ill

Ask your doctor when it’s all right for your child to return to school

Teach your child to cough or sneeze into a tissue or, when necessary, into his or her elbow

Teach your child to wash his or her hands after sneezing or coughing

#micro. #bacteria
Female genital pathology.pdf
523.1 KB
ملخص محاضرة الباثولجي الدكتورة منية ( 2+3 ) في ال Female reproductive system
( Uterus + Placenta)
اعداد د/ انوار العسكري
طباعة د/ خلود الفاقوس
#مجموعة_الباثو
#اللجنة_العلمية
ملخصات الباثولجي الدكتورة منية
Female genital tract + male genital tract

للي يسألوا عنها ^^

#مجموعة_الباثو
#اللجنة_العلمية
اللجنة العلمية للدفعة 34 طب بشري
Female genital pathology.pdf
:
هذا الملف يحتوي على تلخيص كلام الدكتورة بالمحاضرة الاخيرة اضافة للسلايدات بالملف الاخر الذي يحوي كلام الدكتورة بالمحاضرة الثانية

كما يحتوي على تلخيص بشكل مرتب لجمال ندى بشكل مقارنات جداول وملاحظات هامة من بعض المراجع مثل روبن وهارش

وفي الاخير بعض من cases في هذه المواضيع
Deleted Account
سلايدات الدكتورة منية 2.pptx
هذا سلايدات المحاضرة الثانية التي تم الحصول عليها بتحوي تعليقات الدكتورة منية على السلايدات وكل حالة مرضية مع diagnosis and treatment
#باثو
Forwarded from Clinical medicine (مجاهد الوجيه)
Short notes Abx dr. Asma'a.pdf
4 MB
Share 'Short notes Abx dr. Asma'a.pdf'
Forwarded from Clinical medicine (مجاهد الوجيه)
ملخص لجميع محاضرات كلام الدكتورة ٲسماء على شكل short notes
A 34-year-old accountant presents to the emergency room because of headache and fever of 3 days’ duration. The day before admission his wife noted mild confusion and irritability. Lumbar puncture revealed an opening pressure of 300 mm, 200 red blood cells, 90% of the WBCs whichare lymphocytes, sugar of 85 mg/dL (concomitant blood sugar of 110mg/dL), and protein of 65 mg/dL. Bacteriologic smears (and ultimately alsothe bacterial cultures) were negative, as were India ink preparations. All latex particle agglutination tests for fungal and bacterial capsules done onthe patient’s CSF were also negative. The patient’s condition did notimprove despite appropriate therapy, and he died 10 days after hospitalization.


0. What is the most likely diagnosis?
Answer: Herpes simplex encephalitis

0. What is the virus’s shape?
Answer: Icosahedral with nuclear membrane envelope.

0. Where within the cell does the virus replicate?
Answer: Nucleus for both DNA synthesis and assembly.

0. What other members belong to the same family?
Answers: EBV, Varicella-Zoster, Cytomegalovirus.

Virology#
65-year-old retired male police officer reports to an emergent care facility complaining of fever, sore throat, shortness of breath, dry cough, and generalized muscle aches and pains. On examination the patient is pale, tachycardic, and tachypneic. His conjunctivae are congested and rales and wheezes are heard over both lung fields. A chest radiograph shows diffuse bilateral infiltrates and a hemagglutination inhibition
antibody test is positive at high titer.


0. What is your diagnosis?
Answer: Influenza

0. What drugs are available to treat this disease?
Answer: Amantadine/rimantadine (inhibit uncoating)
Zanamivir/oseltamivir (inhibit neuraminidase)

0. To what viral family does it belong?
Answer: Orthomyxovirus
0. Where in the cell does it replicate?
Answer: Cytoplasm and nucleus

0. What vaccine might have prevented this?
Answer: Killed, H3N2, H1N1 plus one strain of Influenza B

0. What attribute of the agent causes pandemics?
Answer: Segmented genome can be reassorted, causing genetic shift.

Virology#
🚑young man became ill with a sore throat and swollen tonsils, marked fatigue, cervical adenopathy, a palpable spleen, and a pruritic
erythematous rash that started after self-administration of ampicillin.

🧫 What is the most likely disease? What are the most common laboratory
diagnostic tests? What does the antibody test measure?
Answer: Infectious mononucleosis; monospot test (measures heterophile
antibody which is not specific to EBV antigen) plus CBC.

🧫 What type of cells are the Downey type II cells?
Answer: T lymphocytes. (Reactive cells, not infected.)


💊What cells does the virus infect? Through what receptor does the lymphocytic infection begin?
Answer: EBV infects epithelial cells and B lymphocytes, whose receptor is
CD21 = CR2.
Virology#