When the etiology of hemoptysis is obscure, which of the following steps is most appropriate to distinguish hemoptysis from hematemesis or from nasopharyngeal or oropharyngeal bleeding?
Anonymous Quiz
46%
Bronchoscopy
1%
Empiric ttt for bronchitis
41%
Esophagogastric endoscpoy
12%
CT scan
A patient of hemoptysis presents with normal Chest x-ray . Suggest the next step investigation to help diagnosis ?
Anonymous Quiz
19%
Sputum cytology
2%
Thoracoscopy
61%
Bronchoscopy
18%
HRCT thorax
The most common cause of hemoptysis is ?
Anonymous Quiz
61%
Acute bronchitis
25%
Pulmonary TB
8%
Pneumonia
6%
Lung cancer
The first step in management in a patient with massive hemoptysis ??
Anonymous Quiz
85%
Protect airway with endotracheal intubation
13%
Resuscitation with IV fluids
1%
Blood transfusion
0%
Sedation & analgesics
🗯 TBL :-
■ Compare between hemoptysis & hematemesis :-
https://t.me/med_Notes2/403
■ MCQ on Hemoptysis :-
https://t.me/med_Notes2/405
■ Compare between hemoptysis & hematemesis :-
https://t.me/med_Notes2/403
■ MCQ on Hemoptysis :-
https://t.me/med_Notes2/405
Telegram
" Clinical Notes "
جدول مهم ما بين hemoptysis & hematemesis
🗯 دكتور الشافعي بقول :-
● أنه العيان اللي جاي ب Hemorrhage أول حاجة بنعملها هي resuscitation و دايماً تدي للعيان saline لحد م يجيلك fresh blood ما عدا Hemoptysis
لانه ال 1st line of ttt is intubation
● أنت عشان تدخل ف hemorrhagic shock محتاج تفقد ع الأقل 2 لتر من blood على الأقل و ال trachea تتسد ب 200 ml of blood عشان لو دخلت ال trachea هدخل العيان ف asphyxia & death عشان كده أهم حاجة ال intubation
● أنه العيان اللي جاي ب Hemorrhage أول حاجة بنعملها هي resuscitation و دايماً تدي للعيان saline لحد م يجيلك fresh blood ما عدا Hemoptysis
لانه ال 1st line of ttt is intubation
● أنت عشان تدخل ف hemorrhagic shock محتاج تفقد ع الأقل 2 لتر من blood على الأقل و ال trachea تتسد ب 200 ml of blood عشان لو دخلت ال trachea هدخل العيان ف asphyxia & death عشان كده أهم حاجة ال intubation
❤19😭2
🗯 مساء الخير بالنسبة للديجرامات في درس Cardiac arrest في شرح سمعته للدكتور اسمه دكتور محمد الدفراوي ف 6 دقايق بنصحكم تسمعوه نفس اللي ف الكتاب و بطريقة مبسطة جداً للفهم
https://youtu.be/AQ_V8REQsSs?si=07hkDhhBgQT14mTe
https://youtu.be/AQ_V8REQsSs?si=07hkDhhBgQT14mTe
YouTube
تلخيص انعاش القلب المتقدم- ACLS 2020 Tricks and Tips
تلخيص cardiac Arrest Algorithm# بطريقة مبسطة وسهلة
لو حضرتك بتتعامل مع مرضى الحالات الحرجة والطوارئ او بتذاكر لدورة ACLS او طالب
الفيديو ده هيفيدك بإذن الله
#americanheartassociation #icu #cardiacdeath
لو حضرتك بتتعامل مع مرضى الحالات الحرجة والطوارئ او بتذاكر لدورة ACLS او طالب
الفيديو ده هيفيدك بإذن الله
#americanheartassociation #icu #cardiacdeath
❤11
Which of following ECG findings is associated with sudden cardiac death ?
Anonymous Quiz
4%
1st degree heart block
9%
Premature ventricular contractions
80%
Prolonged Q-T interval
7%
Sinus arrythmia
❤4
Short P R interval in ECG is a characteristic of ?
Anonymous Quiz
84%
WPW syndrome
10%
Digitalis toxicity
2%
Rheumatic carditis
4%
IHD
The most common type of shock in pediatric is ?
Anonymous Quiz
94%
Hypovolemic shock
1%
Cardiogenic shock
1%
Neurogenic shock
3%
Distributive shock
The first step in cardiac resuscitation is ?
Anonymous Quiz
5%
Cardiotonic drugs
57%
Cardiac massege
31%
Ventilation
0%
Bicarbonate administration
6%
IV infusion
❤2
The followings statements are true about cardiac arrest except one ?
Anonymous Quiz
2%
May be due to cardiac A systole or VF
40%
Causes irreversible brain damage after 3 minutes
19%
Is associated with fixed dilatation of pupil
4%
Is suspected from abscence of carotid pulse
35%
Should be treated at once by open cardiac message
❤1😭1
ALL the types of shock cause tachycardia except one ?
Anonymous Quiz
4%
Hypovolemic shock
8%
Septic shock
30%
Cardiogenic shock
10%
Obstructive shock
48%
Neurogenic shock
😭3👀2
All are drugs used in the management of status epilepticus except?
Anonymous Quiz
3%
Phenytoin
1%
Diazepam
21%
Thiopental
75%
Carbamazepine
What is the new definition for status epilepticus (SE)?
Anonymous Quiz
89%
Seizure lasting longer than 5 minutes
7%
Seizure lasting longer than 30 minutes
1%
Seizure lasting less than 2 minutes
3%
Seizure lasting less than 5 minutes
🗯 صباح الخير يا شباب
● كل أنواع ال shock ال BP بيقل يعني في hypotension و كلهم بكون فيه Increase in respiratory rate
● طيب بالنسبة لل HR كلهم بيحصل فيهم tachycardia ما عدا neurogenic shock
ال HR بكون فيه bradycardia ؟
بتحصل ليه عشان قلل
sympathetic tone lead to unopposed parasympathtic response
lead to decrease vascular tone & HR
● كل أنواع ال shock ال BP بيقل يعني في hypotension و كلهم بكون فيه Increase in respiratory rate
● طيب بالنسبة لل HR كلهم بيحصل فيهم tachycardia ما عدا neurogenic shock
ال HR بكون فيه bradycardia ؟
بتحصل ليه عشان قلل
sympathetic tone lead to unopposed parasympathtic response
lead to decrease vascular tone & HR
❤24
بتسمعوا مين في مديول surgical emergency ؟
Final Results
17%
د.وهدان
21%
د.رفعت
31%
د.عاطف
3%
د.المطري
9%
الكلية
28%
مش بسمع حد و مع نفسي
A 55-year-old man has CT evidence of complicated appendicitis with a contained abscess in the RLQ. He is mildly tachycardic, afebrile, and normotensive with focal RLQ tenderness but no peritonitis. What is the optimal approach to this patient?
Anonymous Quiz
3%
immediate Laparotomy
60%
Perutaneous drainage , IV fluids , bowel rest , broad spectrum antibiotics
22%
Laparoscopic expolration & abscess drainage
15%
Appendectomy
❤1