πDyskinesia Akathisia
Asosiy ko'riladigan narsa bu kasallikda "Restlessnes and intense urge to move" ya'ni "Bezovtalik( tinch o'tira olmaslik) va ixtiyorsiz harakat qilishga kuchli ichki turtki"
Causes:
Bunda be'mor bir joyda harakat qilmasdan tura olamaydi. O'tirsa ham tursa ham yotsa ham harakat(ixtiyorsiz) qilishi kerak.
Buni neurology kursimizda gaplashib o'tamiz.
@firstaidstep1
Asosiy ko'riladigan narsa bu kasallikda "Restlessnes and intense urge to move" ya'ni "Bezovtalik( tinch o'tira olmaslik) va ixtiyorsiz harakat qilishga kuchli ichki turtki"
Causes:
Neurolepticlar va Parkinson kasalligida davolashda dorilarni nojo'ya effekti sabab dofamin tizimini izdan chiqishiBunda be'mor bir joyda harakat qilmasdan tura olamaydi. O'tirsa ham tursa ham yotsa ham harakat(ixtiyorsiz) qilishi kerak.
Buni neurology kursimizda gaplashib o'tamiz.
@firstaidstep1
π6π₯1π€1π±1
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πQorin bo'shlig'i MRT
πJigar o'ng bo'lagi exinokoki
Be'mor shikoyati: O'ng qovurg'a yoyi ostida og'riq va noma'lum massa effekti borligiga shikoyat qilib kelgan.
βοΈKo'pincha bu jigar o'ng bo'lagida bo'ladi, sababi jigarning o'ng jigar arteriyasi(arteria hepatica dextra) chapiga nisbattan kengroq va kaltaroq bo'ladi. Shu Qon oqimi ko'proq va shu tarmoq orqali exinokoklar ko'proq o'tishi mumkin.
Davolashi: Exinokokektomiya
@firstaidstep1
πJigar o'ng bo'lagi exinokoki
Be'mor shikoyati: O'ng qovurg'a yoyi ostida og'riq va noma'lum massa effekti borligiga shikoyat qilib kelgan.
βοΈKo'pincha bu jigar o'ng bo'lagida bo'ladi, sababi jigarning o'ng jigar arteriyasi(arteria hepatica dextra) chapiga nisbattan kengroq va kaltaroq bo'ladi. Shu Qon oqimi ko'proq va shu tarmoq orqali exinokoklar ko'proq o'tishi mumkin.
Davolashi: Exinokokektomiya
@firstaidstep1
π9β‘1
π Apocrinitis yoki Hidradenitis axillaris( Qo'ltiq osti ter bezlarining yalligβlanishi)
Gidradenitga ko'pincha kasallandiπ
π Semiz odamlar(asosan ayollar)
π Chekuvchilar
π Acnega moyillar
Kasallikni viruslar ham keltirib chiqaradiyu, lekin asosan bakterilayarπ
π°
1-rasmda o'tkir holati va operatsiyadan keyin. Nodulalar va Absesslarni operativ yorib, drenajlanadi. Antibacterial, yalligβlanishga qarshi va Vitaminoterapiya qilinadi.
2-rasmda bu surunkali past darajada kechgan holati.
Qaysi dorilar "chotki" ta'sir qiladi bu holatda?
πOral antibiotics
π° Erythromycin(250-500mg)
π° Tetracycline(250-500mg)
π° Clindamycin( 300mg)
π° Riphampycin(300mg)
π’ Prednizalon
2-3 kun birinchi 70 mg dozada, keyin 14 kun ichida tushurib boriladi dozasi
Suprastin maz 2 mahal surtishga(yoki boshqa steroid mazlar)
πOg'ir holatda
Infliximab tabletkasi(holat bo'yicha)
γ½οΈ Vitaminoterapiya albatta qilishini kerak
@firstaidstep1
Gidradenitga ko'pincha kasallandiπ
π Semiz odamlar(asosan ayollar)
π Chekuvchilar
π Acnega moyillar
Kasallikni viruslar ham keltirib chiqaradiyu, lekin asosan bakterilayarπ
π°
S. aureus
π° streptococcuslar
π° Escherichia coli
π° Proteus mirabilis
π° Pseudomanas aeruginosa1-rasmda o'tkir holati va operatsiyadan keyin. Nodulalar va Absesslarni operativ yorib, drenajlanadi. Antibacterial, yalligβlanishga qarshi va Vitaminoterapiya qilinadi.
2-rasmda bu surunkali past darajada kechgan holati.
Qaysi dorilar "chotki" ta'sir qiladi bu holatda?
πOral antibiotics
π° Erythromycin(250-500mg)
π° Tetracycline(250-500mg)
π° Clindamycin( 300mg)
π° Riphampycin(300mg)
π’ Prednizalon
2-3 kun birinchi 70 mg dozada, keyin 14 kun ichida tushurib boriladi dozasi
Suprastin maz 2 mahal surtishga(yoki boshqa steroid mazlar)
πOg'ir holatda
Infliximab tabletkasi(holat bo'yicha)
γ½οΈ Vitaminoterapiya albatta qilishini kerak
@firstaidstep1
π±7π₯3π1
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πQorin bo'shlig'i MRT
π©»MRT da bemorni sigmasimon ichagi uzun va oshqozon osti bezida atrofiya boshlangan
πBemor ancha yildan beri ich kelishi va hazm bilan bog'liq muammo bilan yurgan, ee o'tib ketar deb shifokorga ko'rinmagan. Afsuski ahvol mana bunday...
Vaqti-vaqti bilan tekshirishlardan o'tish kerakβοΈβοΈβοΈ
@firstaidstep1
π©»MRT da bemorni sigmasimon ichagi uzun va oshqozon osti bezida atrofiya boshlangan
πBemor ancha yildan beri ich kelishi va hazm bilan bog'liq muammo bilan yurgan, ee o'tib ketar deb shifokorga ko'rinmagan. Afsuski ahvol mana bunday...
Vaqti-vaqti bilan tekshirishlardan o'tish kerakβοΈβοΈβοΈ
@firstaidstep1
π8π₯1π’1
#Renal system
πQiziq holat
Normal homiladorlikda siydikda glukoza paydo bo'lishi mumkin. O'zi glucose threshold ~200mg/dL edi, qandli diabetlarda bu chegaradan o'tsa, glukozuriya(siydikda qand) bo'lar edi. Lekin homilador ayolda GFR(glomerular filtration rate) ortgani uchun siydikda normal holat glukoza paydo bo'ladi.
Savol tug'iladi: Gestation diabeti bor ayol bo'lsachi unda ham siydigida qand aniqlanishi mumkinki deysizlar, to'g'ri savol.
Gestation diabetda> plazmadagi glukoza leveli(miqdori) normal emas
Normal homilador ayolda> plazmadagi glukoza leveli(miqdori) normal bo'ladi
@firstaidstep1
πQiziq holat
Normal homiladorlikda siydikda glukoza paydo bo'lishi mumkin. O'zi glucose threshold ~200mg/dL edi, qandli diabetlarda bu chegaradan o'tsa, glukozuriya(siydikda qand) bo'lar edi. Lekin homilador ayolda GFR(glomerular filtration rate) ortgani uchun siydikda normal holat glukoza paydo bo'ladi.
Savol tug'iladi: Gestation diabeti bor ayol bo'lsachi unda ham siydigida qand aniqlanishi mumkinki deysizlar, to'g'ri savol.
Gestation diabetda> plazmadagi glukoza leveli(miqdori) normal emas
Normal homilador ayolda> plazmadagi glukoza leveli(miqdori) normal bo'ladi
@firstaidstep1
π₯8π4
πAcute bronchitis| O'tkir bronxit
πPart 1
Ko'ramiz va share qilamizπ
@firstaidstep1
πYouTube π
https://youtu.be/hplJKfllBM4?si=uSyTf6JrXCt2VWQO
πPart 1
Ko'ramiz va share qilamizπ
@firstaidstep1
πYouTube π
https://youtu.be/hplJKfllBM4?si=uSyTf6JrXCt2VWQO
YouTube
O`TKIR BRONXIT 1-QISM
------------------------------
By Bandicam Screen Recorder (https://www.bandicam.com)
By Bandicam Screen Recorder (https://www.bandicam.com)
π7β‘1
πAcute bronchitis| O'tkir bronxit
πPart 2
πKo'ramiz va share qilamiz
@firstaidstep1
πYouTube π
https://youtu.be/pkNyI2kG5tE?si=179WzhxLRZliA-L_
πPart 2
πKo'ramiz va share qilamiz
@firstaidstep1
πYouTube π
https://youtu.be/pkNyI2kG5tE?si=179WzhxLRZliA-L_
YouTube
O'TKIR BRONXIT 2-QISM
telegram sahifamiz; @firstaidstep1
π4β‘1
πAcute bronchitis | O'tkir bronxit
πPart 3
Ko'ramiz va share qilamiz
@firstaidstep1
πYouTube π
https://youtu.be/LsL_c3-m54o?si=gfTLHRuhJsA0GaO7
πPart 3
Ko'ramiz va share qilamiz
@firstaidstep1
πYouTube π
https://youtu.be/LsL_c3-m54o?si=gfTLHRuhJsA0GaO7
YouTube
O'TKIR BRONXIT 3-QISM
telegram sahifamiz: @firsaidstep1
------------------------------
------------------------------
π6β‘1
πUSMLE STEP1 bo'yicha biochemistry barcha mavzulari tahlili.
π£ Steptaker: #jon_sharipov
1] Yog'da va suvda eriydigan vitaminlar. Umumiy ma'lumot
2] Vitaminlar qo'shimcha qilish. Vitamin A
3] Vitamin BΒΉ va BΒ²
4] Vitamin BΒ³
5] Vitamin Bβ΅ BβΆ Bβ·
6] Vitamin BβΉ
7] Vitamin BΒΉΒ²
8] Vitamin C
9] Vitamin va mineral absorption
10] Vitamin D
11] Vitamin E, K va Sink
12] KWASHIORKOR and MARASMUS
13] Ethanol metabolism Part 1
14] Ethanol metabolism Part 2
15] Enzyme terminology
16] Enzymes in metabolism
17] Glycolysis
18] Gluconeogenesis
19] Transports| Important enzymes
20] Regulation glycolysis and Gluconeogenesis with key enzymes
21] Piruvat dehydrogenase complex and deficiency
22] Pyruvate metabolism
23] TCA cycle(Krebs sikli)
24] Electron transport chain and oxidative phosphorilation
25] Pentose phosphate pathway
26] Glucose-6-phosphate dehydrogenase deficiency
27] Disorder o Fructose metabolism
28] Disorder of Galactose metabolism
29] Sorbitol
30] Lactase deficiency
31] Amino Acids
32] Urea cycle(mochevina sikli)
33] Hyperammonemia
34] Amino Acids derivatives| Catecholamine Synthesis| Tyrosine catabolism
35] Phenylketonuria
36] Maple syrup urine disease
37] Homocystinuria
38] Cystinuria and Organic acidemias
39] Glycogen metabolism by hormones and enzymes
40] Glycogen storage diseases Part 1
41] Glycogen storage diseases Part 2
42] Lysosomal storage diseases
43] Fatty acid metabolism| Yog' kislota metabolizmi
44] Ketone bodies
45] BILIRUBIN METABOLIZMI
46] Fasting and Fed state| Ochlik va To'qlik holati
47] Lipoprotein metabolism Part 1
Kanalga obuna boβlingπ
@firstaidstep1
π£ Steptaker: #jon_sharipov
1] Yog'da va suvda eriydigan vitaminlar. Umumiy ma'lumot
2] Vitaminlar qo'shimcha qilish. Vitamin A
3] Vitamin BΒΉ va BΒ²
4] Vitamin BΒ³
5] Vitamin Bβ΅ BβΆ Bβ·
6] Vitamin BβΉ
7] Vitamin BΒΉΒ²
8] Vitamin C
9] Vitamin va mineral absorption
10] Vitamin D
11] Vitamin E, K va Sink
12] KWASHIORKOR and MARASMUS
13] Ethanol metabolism Part 1
14] Ethanol metabolism Part 2
15] Enzyme terminology
16] Enzymes in metabolism
17] Glycolysis
18] Gluconeogenesis
19] Transports| Important enzymes
20] Regulation glycolysis and Gluconeogenesis with key enzymes
21] Piruvat dehydrogenase complex and deficiency
22] Pyruvate metabolism
23] TCA cycle(Krebs sikli)
24] Electron transport chain and oxidative phosphorilation
25] Pentose phosphate pathway
26] Glucose-6-phosphate dehydrogenase deficiency
27] Disorder o Fructose metabolism
28] Disorder of Galactose metabolism
29] Sorbitol
30] Lactase deficiency
31] Amino Acids
32] Urea cycle(mochevina sikli)
33] Hyperammonemia
34] Amino Acids derivatives| Catecholamine Synthesis| Tyrosine catabolism
35] Phenylketonuria
36] Maple syrup urine disease
37] Homocystinuria
38] Cystinuria and Organic acidemias
39] Glycogen metabolism by hormones and enzymes
40] Glycogen storage diseases Part 1
41] Glycogen storage diseases Part 2
42] Lysosomal storage diseases
43] Fatty acid metabolism| Yog' kislota metabolizmi
44] Ketone bodies
45] BILIRUBIN METABOLIZMI
46] Fasting and Fed state| Ochlik va To'qlik holati
47] Lipoprotein metabolism Part 1
Kanalga obuna boβlingπ
@firstaidstep1
Telegram
Encephalo π§
#VITAMINLAR βοΈ
π°Fat soluble
π°Water soluble
Yog'da va suvda eruvchan vitaminlar...
#jon_sharipov
Do'stlaringizni taklif qiling:
@firstaidstep1
π°Fat soluble
π°Water soluble
Yog'da va suvda eruvchan vitaminlar...
#jon_sharipov
Do'stlaringizni taklif qiling:
@firstaidstep1
π9β‘2π₯1
#neurology π§
πHeadache | Bosh ogβriqlari
π°
πYuzdagi og'riq
π°Trigeminal neuralgia
π Klassifikatsiyasi
π Lokalizatsiyasi
π Davomiyligi
π Klinikasi
π Davolash
Telegram
πYouTubeπ
https://youtube.com/watch?v=jOAN02jDgq0&si=jqR08tmIFQw3Tm_k
πHeadache | Bosh ogβriqlari
π°
Tension type
π° Migrene
π° Cluster cepahalgia πYuzdagi og'riq
π°Trigeminal neuralgia
π Klassifikatsiyasi
π Lokalizatsiyasi
π Davomiyligi
π Klinikasi
π Davolash
Telegram
πYouTubeπ
https://youtube.com/watch?v=jOAN02jDgq0&si=jqR08tmIFQw3Tm_k
YouTube
Headache | Bosh ogβriqlari
β‘5π3π₯1π1π€1
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πTizza bo'g'imi MRT
πDesmoplastic fibroma
Shikoyati: Tizzadagi og'riq, harakat cheklanishi
Telegramπ
πDesmoplastic fibroma
Shikoyati: Tizzadagi og'riq, harakat cheklanishi
Telegramπ
π6π₯2β‘1
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π Qorin bo'shlig'i MRT
πMultiple nodulalar lesions
Shikoyati: hazm qilishdagi qiyinchilik.
Telegramπ
πMultiple nodulalar lesions
Shikoyati: hazm qilishdagi qiyinchilik.
Telegramπ
π₯6β‘2π2
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π Bosh sohasi CT
πOsteoma
Shikoyati: Noqulaylikka va og'riq
Yosham 95 yoshdadaπ . Endi momoga bunday narsalar chiqishini ahamiyati ham qolmagan bo'lsa kerak(hazil)
Telegramπ
πOsteoma
Shikoyati: Noqulaylikka va og'riq
Yosham 95 yoshdadaπ . Endi momoga bunday narsalar chiqishini ahamiyati ham qolmagan bo'lsa kerak(hazil)
Telegramπ
π9π2β‘1
βοΈ Ortostatik gipotiniyaga olib keladigan dorilar. Bu dorilarni berishdan oldin be'morni kasallik tarixini yaxshilab o'rganish zarur. Aks holda, be'mor tez-tez sinkop(hushdan ketish) holatiga tushishi mumkin
@firstaidstep1
@firstaidstep1
β‘6π1π₯1π1
#gastrointestinal
πGastritis
π
π° Etiology
π° Pathophysiology
Telegramπ
πYouTube π
https://youtu.be/tZSk3z02KDE?si=76TQkKNZ8mioyxKL
πGastritis
π
Acute gastritis
π Chronic gastritisπ° Etiology
π° Pathophysiology
Telegramπ
πYouTube π
https://youtu.be/tZSk3z02KDE?si=76TQkKNZ8mioyxKL
YouTube
Gastritis | Gastrit
π8π1π€©1
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πYelka kamari va yelka suyagi Rentgen va KT
Bemorda 3 joyidan suyaklar normalnigina singan azizlar
πO'mrov suyagi o'rta uchligidan sinib siljigan
π Skapula fossa glenoid sinib siljigan
π Yelkani proksimal uchligidan sinib siljigan
Telegramπ
Bemorda 3 joyidan suyaklar normalnigina singan azizlar
πO'mrov suyagi o'rta uchligidan sinib siljigan
π Skapula fossa glenoid sinib siljigan
π Yelkani proksimal uchligidan sinib siljigan
Telegramπ
π5β‘2π₯2π±2π1
πSiydikdagi qon(hematuria)
πGlomerular hematuria
πNonglomerular hematuria
Boshqacha qilib aytganda shakli o'zgargan yoki o'zgarmagan eritrotsitlarni siydikda bo'lishi.
π°Klinikada buyrak kasalliklarida diagnoz qo'yishda juda muhim point.
Telegram π
πGlomerular hematuria
πNonglomerular hematuria
Boshqacha qilib aytganda shakli o'zgargan yoki o'zgarmagan eritrotsitlarni siydikda bo'lishi.
π°Klinikada buyrak kasalliklarida diagnoz qo'yishda juda muhim point.
Telegram π
β‘4π3π₯1π1
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π Chanoq sohasi MRT
π
π°Shikoyati: Qorin pastki sohasida og'riq, hayz siklini buzilishi va tez-tez siyish
πTuxumdon dermoid kistasi (yoki mature teratoma) β tuxumdon (ovary)da rivojlanadigan, odatda yaxshi xulqli (benign) boβlgan oβsma turi. U embrional hujayralardan rivojlanadi va ichida teri, soch, tish, yogβ, asab toβqimasi kabi turli toβqimalar boβlishi mumkin.
Bu bemorda ham ko'rsangizlar kista ichida yog' to'qimasi bor.
Telegramπ
π
O'ng tuxumdon dermoid kistasi(mature teratoma)
π°Shikoyati: Qorin pastki sohasida og'riq, hayz siklini buzilishi va tez-tez siyish
πTuxumdon dermoid kistasi (yoki mature teratoma) β tuxumdon (ovary)da rivojlanadigan, odatda yaxshi xulqli (benign) boβlgan oβsma turi. U embrional hujayralardan rivojlanadi va ichida teri, soch, tish, yogβ, asab toβqimasi kabi turli toβqimalar boβlishi mumkin.
Bu bemorda ham ko'rsangizlar kista ichida yog' to'qimasi bor.
Telegramπ
β‘6π4π₯1π1
#neurology case
Bemor 36 yoshda. Chap ko'zida og'riq va ko'rishning pasayishiga, ikta ko'rish va gapirishdagi qiyinchilik sabab shifokor qabuliga keldi. Tekshiruvlar paytida be'morda ikki tomonlama nystagmus aniqlangan ko'zida. Qo'llarida bir tomonlama spastiklik bor. Umurtqasida, ayniqsa bo'yin sohasida electric tok urgandek sezgi bor. Be'mor so'zidan har safar issiq vanna qabul qilganda bu simptomlar kuchayar ekan.
Diagnoz? Komentga yozamizπ
Bemor 36 yoshda. Chap ko'zida og'riq va ko'rishning pasayishiga, ikta ko'rish va gapirishdagi qiyinchilik sabab shifokor qabuliga keldi. Tekshiruvlar paytida be'morda ikki tomonlama nystagmus aniqlangan ko'zida. Qo'llarida bir tomonlama spastiklik bor. Umurtqasida, ayniqsa bo'yin sohasida electric tok urgandek sezgi bor. Be'mor so'zidan har safar issiq vanna qabul qilganda bu simptomlar kuchayar ekan.
Diagnoz? Komentga yozamizπ
π9β‘1π1