2 days neonate presented with faiture of passage of stool
OE :- absence of anal opening
Dx :- imperforate anus
Tx :- temporary colostomy for evacuation then scadualed operation
We should examine the neonates completely after the delivery to look for any abnormalities and anus shouldn’t be missed..
OE :- absence of anal opening
Dx :- imperforate anus
Tx :- temporary colostomy for evacuation then scadualed operation
We should examine the neonates completely after the delivery to look for any abnormalities and anus shouldn’t be missed..
Forwarded from My ED cases (Murtadha Ali)
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Jitterness
Sign of hypocalcemia
ناخذها قاعدة اي فت او ابنورمال موفمنت بالنيونيت نشوف الراندم والكالسيوم( والالكترولايت بس مو دائما)
النيونيت يكونوا كلش سنستف للجيجن بالفلود او المنرل
يعني ممكن دوز وحدة تنساها تسوي هايبوكلايسيميا او غيرها مو مثل الكبار
ممكن ثالث يوم من الحياة تنسى الاورال فيدينك انه تضيفه
تلكيه الكالسيوم والبوتاسيوم متخربطات اذا ما ضايفهن على المنتننس مال الفلود
This pt sr ca was 6.5
Sign of hypocalcemia
ناخذها قاعدة اي فت او ابنورمال موفمنت بالنيونيت نشوف الراندم والكالسيوم( والالكترولايت بس مو دائما)
النيونيت يكونوا كلش سنستف للجيجن بالفلود او المنرل
يعني ممكن دوز وحدة تنساها تسوي هايبوكلايسيميا او غيرها مو مثل الكبار
ممكن ثالث يوم من الحياة تنسى الاورال فيدينك انه تضيفه
تلكيه الكالسيوم والبوتاسيوم متخربطات اذا ما ضايفهن على المنتننس مال الفلود
This pt sr ca was 6.5
Acute respiratory distress syndrome
⭕️Definition:
🌀acute respiratory insult or worsening in respiratory status within 1 week.
🌀 bilateral infiltration without alternative explanation such as effusion, nodules or atelectasis.
🌀Edema not fully explained by fluid overload or CHF.
🌀Hypoxemia.
⭕️Etiology:
🌀direct ➡️ pneumonia, aspiration, inhalational injury, lung contusion and near drowning
🌀 indirect ➡️ sepsis, shock , DIC, pancreatitis, TRALI , trauma.
⭕️ Treatment: the 6 Ps
⁃ PEEP.
⁃ Prone position .
⁃ Paralysis( not routinely recommended unless dyssynchronised ventilation) .
⁃ Peeing ( fluid balance) target Cvp 2-4 cm H2o
⁃ Pulmonary vasodilator such as NO.
⁃ Perfusion( v-v ECMO) maybe useful if refractory.
⭕️Definition:
🌀acute respiratory insult or worsening in respiratory status within 1 week.
🌀 bilateral infiltration without alternative explanation such as effusion, nodules or atelectasis.
🌀Edema not fully explained by fluid overload or CHF.
🌀Hypoxemia.
⭕️Etiology:
🌀direct ➡️ pneumonia, aspiration, inhalational injury, lung contusion and near drowning
🌀 indirect ➡️ sepsis, shock , DIC, pancreatitis, TRALI , trauma.
⭕️ Treatment: the 6 Ps
⁃ PEEP.
⁃ Prone position .
⁃ Paralysis( not routinely recommended unless dyssynchronised ventilation) .
⁃ Peeing ( fluid balance) target Cvp 2-4 cm H2o
⁃ Pulmonary vasodilator such as NO.
⁃ Perfusion( v-v ECMO) maybe useful if refractory.
Forwarded from AAS Medical Notes (Mohammed S)
ECG.pdf
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ECG كتاب
مبسط ويبدا مباشرة من ارذميات ويفيد بالطوارئ مجمع من مواقع
ecgwaves, healio, litfl, medscape
للفائدة _يفيد المقيمين_
مبسط ويبدا مباشرة من ارذميات ويفيد بالطوارئ مجمع من مواقع
ecgwaves, healio, litfl, medscape
للفائدة _يفيد المقيمين_
#طب_عدلي نقلاً عن دكتور يزن امير
A 4 year old boy found dead in the garage at his family house. The father said the child was active and otherwise healthy, the child was playing alone.
Autopsy showed a nylon balloon lodged in the larynx.
Suffocation by foreign body can occur at any age, however, children (unattended) are more prone to this tragic event.
A 4 year old boy found dead in the garage at his family house. The father said the child was active and otherwise healthy, the child was playing alone.
Autopsy showed a nylon balloon lodged in the larynx.
Suffocation by foreign body can occur at any age, however, children (unattended) are more prone to this tragic event.