" Clinical Notes "
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" صدقةٌ جاريةٌ عن أرواحِ شهداء غزة ."🇵🇸

ادعوا لهم بالرحمة و المغفرة .
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The most common cause of hemoptysis is ?
Anonymous Quiz
61%
Acute bronchitis
25%
Pulmonary TB
8%
Pneumonia
6%
Lung cancer
🗯 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
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
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
2
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
🗯 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
24
# Acute Appendicitis
# ازاي نختار المحلول الوريدي المناسب حسب حالة المريض ؟
6
🌴🌴🌴🌴🌴🌴🌴🌴🌴🌴🌴
👀1
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
A 23-year-old woman who is 28 weeks pregnant presents with right -sided abdominal pain, leukocytosis, and an abdominal ultrasound that does not visualize the appendix. What intervention would you recommend?
Anonymous Quiz
26%
Abdominal CT scan
20%
Abdominal MRI scan
38%
Exploratory Laparoscopy
16%
Serial clinical observation
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