“ملخص لمحاضرات الدكتورة أمة الرحيم القهالي لمقرر CVS

ملاحظات👇

1⃣ يحتوي هذا الملخص على ماتم شرحه من قبل د. أمة الرحيم القهالي مع إضافه بعض المعلومات من مصادر أخرى في بعض المواضيع..

2⃣ هذا الملخص لا يغنيك عن الإطلاع على مصدرك المفضل أو أي مصادر تحب القراءة منها
وكذلك الاطلاع على محاضرات الدكتورة‼️

3⃣ نعتذر عن وجود أي أخطاء ونتمنى منكم إبلاغنا ليتم تعديله.

4⃣ فيما يتعلق بملخص Renal سيتم إنزاله قريباً💯


#اللجنة_العلمية_للدفعة_الخامسة_طب_بشري
#نرسم_لك_الطريق👨‍🦯

تفريغ محاضرة HTN🔥

Cardiology

Kidney

تفريغ محاضرة
Abnormal ECG & Arrhythmia
للدكتورة أمة الرحيم

ملف دورة ECG بصورة واضحة ل الذي لم يتضح له في الملخص

تفريغ لكلام الدكتوره بس ما ادري ان كان كافي او لا 🤷🤷

تفريغ محاضرة الدكتورة أمه الرحيم القهالي

nephritic syndrome.doc'

mechanical valves VS  bioprosthetic valves

محاضرة الدكتورة امة الرحيم congenital heart disease👆👆

من قناة الدفعه 2 البكالوريوس

كل الشكر للزميل عادل القيسي

الملف الذي كتب الدكتور نشوان الحالات منه في الاختبارات السابقة 👆

_____بوست 3️⃣____
Unusual features in SLE & Associated conditions
-----------------------------------------------------------------------------

دليلك الكامل لكل ما هو صعب وغير نمطى فى مريض
الذئبه

#Nonspecific cutaneous SLE
~~||~|~~~

✅Nonspecific cutaneous SLE refers to features relating to underlying illness rather than an autoimmune attack.

🌀These features may occur in other connective tissue and autoimmune diseases.

1) Nail fold capillary telangiectasia

2) Raynaud phenomenon (white fingers and toes on exposure to the cold)

3) Vasculopathy of tips of digits (occlusion of small blood vessels by thrombus)

4- Diffuse hair thinning without brittle hair

5- Urticaria, which may be neutrophilic on biopsy
Angioedema also can occur

6- Cutaneous vasculitis: palpable purpura or
urticarial vasculitis

7- Livedo reticularis (a network pattern of blood vessels) in 20–30% patients with SLE

N.B : patient with SLE can present by Angioedema

🔷Uncommon GIT symptoms
•••••••••••••••••••••••••••••••••••••••

✏️Anorexia , nausea and vomting

✏️Abdominal pain due to peritoneal inflammation ( peritonitis as one of polyserositis)

✏️mesentric vasculitis , bowel infarction , perforation & peritonitis

✏️Liver affection
Associated elevated liver enzymes

✏️SLE can be associated with Autoimmune hepatitis at the same time

🔷Uncommon chest Features
••••••••••••••••••••••••••••••••••••••

✏️Acute pneumonitis :
Presents é fever , cough , dyspnea and pleurisy along with late inspiratory crackles on the chest
🫁CT chest : ground glass apperance

✏️Alveolar hemorrhage ; acute onset of dyspnea , fever , hemoptysis + low O2 saturation
🫁CT chest : bilateral alveolar shadows with airbronchograms

✏️interstitial lung fibrosis related to SLE as any connective tissue disease ( gradual dyspnea , dry cough along with inspiratory crackles on the chest

✏️Pulmonary Hypertension ( high JVP, pitting LL edema , accentuated P2 ± left parasternal pulsations/heave

✏️Shrinking Lung Syndrome
It is a a rare complication characterized by dyspnea , episodic pleuritic chest pain , and progressive reduction in lung volume in abscence of interstitial fibrosis
🫁CT chest : unexplained lobar collapses


✏️Pulomnary embolism can occur due to Anti-phospholipid syndrome secondary to SLE مهمه جداااا

Unusual Cardiac manifestations of SLE
=================================

✏️Valvular lesions called Libman-Sacks endocarditis that develop in 6 - 10 % of all SLE patients
#there are non-bacterial verrucous lesions near the edge of mitral , aortic and tricuspid valves { mostly affecting the mitral valve leading to Mitral Regurge

Some of cases are Asymptomatic while
the others are Symptomatic ,
Some cases lead to systemic emboli
Also Non-bacterial endicarditis may occur

N.B : Mitral Valve proplapse is frequently seen in SLE patients

✏️Myocarditis : is an uncommon comolication of SLE

C/P
resting tachycardia out of proportion to temperature with non specific ECG changes + Cardiomegaly
-> Global hypokinesia is seen on ECHO

✏️Coronary heart disease can occur because of autoimmune coronary vasculitis + accelerated atherosclerosis

✏️Associated Anti-phospholipid Syndrome may lead to Myocardial infarction

✏️Pediatric complications
In mothers of SLE with positive Anti-Ro and/or Anti-La , there is 3% risk of developing NEONATAL LUPUS with Congenital Heart Block

Unusual neuropsychiatric features in SLE
••••••••••••••••••••••••••••••••••••••••••••••••••••••

Rule 1 : the range of neuropsychiatric symptoms of SLE is broad , it ranges from mild symptoms such as poor concentration and emotional disturbances to SEVERE SYMPTOMS such as Seizures, stroke and psychosis



Rule 2 :
التصنيف من الاكثر حدوثا فالاقل و هكذا

From the most to the least common, symptoms range from DEPRESSION, COGNITIVE DISTURBANCES , HEADACHE , MOOD DISORDERS , STROKE/TIA, SEIZURES , POLYNEUROPATHY , ANXIETY and PSYCHOSIS