تجميعة للكل notes ع أهم الدروس في مديول CNS:
●Hemiplegia :
https://t.me/Medcology_CNS/280
https://t.me/Medcology_CNS/282
https://t.me/Medcology_CNS/303
●MS:
https://t.me/Medcology_CNS/378
●Myopthay:
https://t.me/Medcology_CNS/338
● PN :
https://t.me/Medcology_CNS/306
●Encephalitis:
https://t.me/Medcology_CNS/315
●meningitis:
https://t.me/Medcology_CNS/317
●Tetanus:
https://t.me/Medcology_CNS/344
●brain tumors :
https://t.me/Medcology_CNS/320
https://t.me/Medcology_CNS/353
●General:
https://t.me/Medcology_CNS/325
https://t.me/Medcology_CNS/329

مساء الخير يا شباب
دي أهم الأسئلة على الجراحة ؛-
● C/P & TTT of cervical spondylosis

●  C/P &  TTT of lumbar disc prolapse

● Management of Lumbar canal stenosis

● Enumerate clinical types of tumors of neuroepithelail tissue

● Enumerate lines of ttt of brain
tumors

● C/P & investigation of brain tumors

■ Diagnosis of schizophrenia :-

● +ve symptoms :-

3D:♡ Delusions , disorganized behaviour , disorganized speech
Hallucinations

● -ve symptoms:
5A : Anhedonia , Avolition , Alogia , Asociality , Affect flattened

● symptoms last at least 6 months

● not cuz by substance use or medical condition

● presence of significant social or occupational dysfunction

مساء الخير يا شباب :
دي أهم الأسئلة على السايكاتري
● Diagnostic criteria of schizophrenia

● Diagnostic criteria of major depressive episode

● Diagnostic criteria of manic depressive episode

● pharmacotherapy of major depressive episode & schizophrenia

● Note on pellagra :-

♧It causes mainly sensory peripheral neuropathy

♧ it cause lost of ankle reflex with exaggrerated knee reflex d.t affect on periphral nerve & pyramidal tract

🗨C/P of GBS :-

■febrile stage : influenza like attack with FAHM
■ latent stage : above symptoms disappear , pt is free for 1-4 weeks

■ paralytic stage :

● Motor :
♧Weakness with an ascending march :-
acute severe symmetric  weakness or paralysis starting in LL & ascending to trunk & respiratory ms followed by the UL ms
♧ Weakness proximal > distal
♧ No wasting in spite of the degree of paralysis

● Sensory :
♧ glove & stoke hyposthesia & deep sensory loss
● Autonomic : instability with hypo or hyper tension
● Reflexes : decrease deep reflexes

● Cr.Nr : especially 7& 10

● CSF : cytoalbumin dissociation

🗨 TTT of GBS  :-

● Should begin as soon as possible within 1st 7-10 days

● General lines :
♧ bed rest : till HR below 100/min
♧ Vitamins : B1 ,B6 ,B12 IM daily
♧ physiotherapy
♧ Antibiotics : aganist 2ry infection

● Specific lines :
♧ IVIG
♧ Plasma excahnge ( the ttt of choice)
♧ Both IVIG & PE are equally effective

● TTT of complications :
♧ Care of the bulbar ms :
•frequent suction from the pharynx + tube feeding in pharyngeal paralysis

♧ care of respiratory ms :
Suction to keep a patent airway + tracheostomy

🗨 Note :- ( C5 )

Above C5 :
• unilateral = hemiplegia
• Bilateral = quadriplegia

Below C5 :
• unilateral = monoplegia
• bilateral = paraplegia

مساء الخير يا شباب دي أهم الأسئلة في الباطنة و النيورولوجي :-
● C/P & TTT of MS

● Risk factors of hemiplegia

● Lines of ttt of hemiplegia

● Give a short account on GBS ( C/P+ TTT)

● enumerate causes of PN & its C/P

● Compare b/w ischemic stroke & ICH

● Enumerate causes of epilepsy & investigations

الأطفال ركزوا ع سؤال Clinical types& TTT & C/P of cerebral palsy
و برضو ركزوا ع سؤال enumerate causes of inability of walk
و برضو سؤال summarize ttt of epilepsy
ركزوا احتياط ع سؤال diagnosis & ttt of febrile convulsions

■ Notes on peripheral nerve injury : -

C5, 6: Policeman tip position

C567: wrist drop

T1: Horner syndrome

C8T1: Claw hand deformity and horner syndrome.

Radial nerve : wrtist drop

Median nerve at elbow: FDP, pointing infex.

Ape like hand: median nerve at elbow(small muscles of hand).

Ape like hand, wasting of eminence:
1 Abductor
2 Flexor
3 Opponens: no opposition
4 Radial 2 lumbricals.

Median nerve at wrist : paralysis of above muscles
Radial deviation of hand :ulnar paralysis at elbow

Ulnar deviation of the hand: median n at elbow

Cardboard test: ulnar nerve paralysis of intrrossssi (ring, little, Index)

Froment test(adductor pollicis) thumb and index.

Flattening of hypothenar eminence and interossei hollowing : ulnar nerve

Foot drop : sciatic nerve and lateral popliteal n.
Paralytic equinovarus : longstanding lateral popliteal nerve

Lumber sympathectomy= Upper 3 lumber gangila in Burger's disease

Cervical sympathectomy = 2nd & 3rd thoracic ganglia except stellat ( raynaud's & hyperhydrosis)

■ توضيح الإجابة : ده تفسير دكتور الهواري اللي سمعه هيعرف ده و مكتوبة في كتابه 😉

أنا بنفع استخدم أي واحد فيهم لأنه كل واحد فيهم effective
بس م ينفعش استخدم الاثنين مع بعض في آن واحد
طيب هو مين ttt of choice طبعاً plasma exchange
ليه ؟ لأنه أقل في side effects من أعراض الجانبية بتاعت IVIG