Encephalo 🧠
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πŸ”° USMLE materialiga asoslangan
πŸ”° MRT/KT
πŸ”° Terapiya
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πŸ“ŒDyskinesia 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: Neurolepticlar va Parkinson kasalligida davolashda dorilarni nojo'ya effekti sabab dofamin tizimini izdan chiqishi

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
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πŸ“ŒQorin bo'shlig'i MRT

πŸ”˜Jigar 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.


⭕️Ko'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
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πŸ“Œ Apocrinitis yoki Hidradenitis axillaris( Qo'ltiq osti ter bezlarining yallig’lanishi)

Gidradenitga ko'pincha kasallandiπŸ‘‡

πŸ”˜ Semiz odamlar(asosan ayollar)
πŸ”˜ Chekuvchilar
πŸ”˜ Acnega moyillar

Kasallikni viruslar ham keltirib chiqaradiyu, lekin asosan bakterilayarπŸ‘‡
πŸ”° S. aureus
πŸ”° streptococcuslar
πŸ”° Escherichia coli
πŸ”° Proteus mirabilis
πŸ”° Pseudomanas aeruginosa


1-rasmda o'tkir holati va operatsiyadan keyin. Nodulalar va Absesslarni operativ yorib, drenajlanadi. Antibacterial, yallig’lanishga qarshi va Vitaminoterapiya qilinadi.

2-rasmda bu surunkali past darajada kechgan holati.
Qaysi dorilar "chotki" ta'sir qiladi bu holatda?
πŸ›‘Oral antibiotics
πŸ”° Erythromycin(250-500mg)
πŸ”° Tetracycline(250-500mg)
πŸ”° Clindamycin( 300mg)
πŸ”° Riphampycin(300mg)

πŸ’’ Prednizalon
2-3 kun birinchi 70 mg dozada, keyin 14 kun ichida tushurib boriladi dozasi

Suprastin maz 2 mahal surtishga(yoki boshqa steroid mazlar)

πŸ”†Og'ir holatda
Infliximab tabletkasi(holat bo'yicha)

〽️ Vitaminoterapiya albatta qilishini kerak


@firstaidstep1
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πŸ“ŒQorin bo'shlig'i MRT

🩻MRT da bemorni sigmasimon ichagi uzun va oshqozon osti bezida atrofiya boshlangan

πŸ”˜Bemor 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 kerak❗️❗️❗️


@firstaidstep1
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#Renal system

πŸ“ŒQiziq 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
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πŸ“ŒAcute bronchitis| O'tkir bronxit

πŸ”˜Part 1

Ko'ramiz va share qilamizπŸ”„
@firstaidstep1

πŸ›‘YouTube πŸ‘‡
https://youtu.be/hplJKfllBM4?si=uSyTf6JrXCt2VWQO
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πŸ“ŒAcute bronchitis| O'tkir bronxit

πŸ”˜Part 2


πŸ”„Ko'ramiz va share qilamiz
@firstaidstep1

πŸ›‘YouTube πŸ‘‡
https://youtu.be/pkNyI2kG5tE?si=179WzhxLRZliA-L_
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πŸ“ŒAcute bronchitis | O'tkir bronxit

πŸ”˜Part 3

Ko'ramiz va share qilamiz
@firstaidstep1

πŸ›‘YouTube πŸ‘‡
https://youtu.be/LsL_c3-m54o?si=gfTLHRuhJsA0GaO7
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πŸ“ŒUSMLE STEP1 bo'yicha biochemistry barcha mavzulari tahlili.

πŸ—£ 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 B⁡ B⁢ B⁷

6] Vitamin B⁹

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 bo’lingπŸ‘‡
@firstaidstep1
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#neurology 🧠

πŸ“ŒHeadache | Bosh og’riqlari

πŸ”° Tension type
πŸ”° Migrene
πŸ”° Cluster cepahalgia


πŸ“ŒYuzdagi og'riq

πŸ”°Trigeminal neuralgia

πŸ”˜ Klassifikatsiyasi
πŸ”˜ Lokalizatsiyasi
πŸ”˜ Davomiyligi
πŸ”˜ Klinikasi
πŸ”˜ Davolash

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πŸ›‘YouTubeπŸ‘‡
https://youtube.com/watch?v=jOAN02jDgq0&si=jqR08tmIFQw3Tm_k
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πŸ“ŒTizza bo'g'imi MRT

πŸ”˜Desmoplastic fibroma

Shikoyati: Tizzadagi og'riq, harakat cheklanishi

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πŸ“Œ Qorin bo'shlig'i MRT

πŸ”˜Multiple nodulalar lesions

Shikoyati: hazm qilishdagi qiyinchilik.


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πŸ“Œ Bosh sohasi CT

πŸ”˜Osteoma

Shikoyati: Noqulaylikka va og'riq

Yosham 95 yoshdadaπŸ˜…. Endi momoga bunday narsalar chiqishini ahamiyati ham qolmagan bo'lsa kerak(hazil)

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⭕️ 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
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#gastrointestinal

πŸ“ŒGastritis

πŸ”˜Acute gastritis
πŸ”˜ Chronic gastritis


πŸ”° Etiology
πŸ”° Pathophysiology


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πŸ›‘YouTube πŸ‘‡
https://youtu.be/tZSk3z02KDE?si=76TQkKNZ8mioyxKL
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πŸ“ŒYelka kamari va yelka suyagi Rentgen va KT

Bemorda 3 joyidan suyaklar normalnigina singan azizlar

πŸ”˜O'mrov suyagi o'rta uchligidan sinib siljigan
πŸ”˜ Skapula fossa glenoid sinib siljigan
πŸ”˜ Yelkani proksimal uchligidan sinib siljigan


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πŸ“ŒSiydikdagi qon(hematuria)

πŸ”˜Glomerular hematuria
πŸ”˜Nonglomerular hematuria

Boshqacha qilib aytganda shakli o'zgargan yoki o'zgarmagan eritrotsitlarni siydikda bo'lishi.

πŸ”°Klinikada buyrak kasalliklarida diagnoz qo'yishda juda muhim point.

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πŸ“Œ Chanoq sohasi MRT

πŸ”˜O'ng tuxumdon dermoid kistasi(mature teratoma)

πŸ”°Shikoyati: Qorin pastki sohasida og'riq, hayz siklini buzilishi va tez-tez siyish

πŸ“œTuxumdon dermoid kistasi (yoki mature teratoma) β€” tuxumdon (ovary)da rivojlanadigan, odatda yaxshi xulqli (benign) boβ€˜lgan oβ€˜sma turi. U embrional hujayralardan rivojlanadi va ichida teri, soch, tish, yogβ€˜, asab toβ€˜qimasi kabi turli toβ€˜qimalar boβ€˜lishi mumkin.


Bu bemorda ham ko'rsangizlar kista ichida yog' to'qimasi bor.



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#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 yozamizπŸ‘‡
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