A 54-year-old man comes to the emergency department at 2 o’clock in the morning
after being awakened by an intense left-sided chest pain radiating to his back.
The patient spent the evening at a college reunion where he sampled several spicy
dishes and consumed a moderate quantity of beer. His past medical history includes
an appendectomy at age 18 and a cholecystectomy at age 34.

Diagnosis : GERD 🩺🥇

⚡🔻🥼👨🏻‍⚕️🩺
A 65-year-old woman comes to the clinic complaining of weakness and lethargy.
The patient indicates that for the past 6 years she has had rheumatoid arthritis and
has managed the pain by daily ingestion of a nonsteroidal anti-inflammatory drug
(NSAID). During the past 6 months, she noted a decrease in stamina ?!

Diagnosis is 🥳🥳
#Pernicious_anemia
Pernicious anemia is a type of megaloblastic anemia in which the body isn’t able to absorb vitamin B12 due to a lack of intrinsic factor in stomach secretions. Intrinsic factor is needed for the body to absorb vitamin B12

👨🏻‍⚕️🩺📜⚡
A 46-year-old man comes to the clinic complaining of abdominal cramping and severe
diarrhea that has persisted for 36 hours.
The patient has just returned from a camping trip in the mountains. Both of his
companions are also experiencing severe diarrhea. The diarrhea initially had loose
feces but now is composed of mostly watery stools. The patient indicates he has not
eaten in the past 24 hours, but he has consumed 2 L of a sports drink (Gatorade).
The patient does not report nausea or a history of fever ?!

#multi_Clinic

🌐رابط الزوم للمؤتمر :
https://us06web.zoom.us/j/83146489837?pwd=oO7jmD6GEfpFYq0mubWwLw1NsQPYFe.1

PASSWORD IF REQUESTED = 230872

💥حيبدأ الساعة 7:30 p.m بتوقيت السعودية
يا حبذا الزملاء يخبرونا اذا وصلهم ايميل برابط الزوم للمؤتمر ؟

Diagnosis 🩺👨🏻‍⚕️🔻

#Secretory_diarrhea
Due to
Enterotoxic E. coli infection

Explanation 😮🩺💙🔬
📜 Osmotic diarrhea
is due to the presence of poorly
absorbed solutes in the intestinal lumen, such as the
diarrhea accompanying milk ingestion in lactase-
deficient individuals.
🚒 Hypermotility diarrhea
occurs
when fluid passes through the intestines too quickly for
normal absorption.
🎊 Inflammatory diarrhea,
such as that
characterized by ulcerative colitis, is due to damage of
the intestinal epithelial cells. #Secretory_diarrhea
, such as
is occurring in this individual, is a result of more water
entering the intestinal lumen than can be absorbed.

🧑🏻‍⚕🧠🩺💙
A 38-year-old man comes to the emergency department complaining of an abrupt,
severe epigastric pain.
The patient is a known alcoholic who has been seen in the emergency department
for several fights and accidents related to inebriation. Today he is brought in because
of an attack of pain in his epigastric region after an afternoon drinking binge.
The patient describes his pain as radiating to his back, and he feels nauseated.
The patient recently vomited, and he is sweating profusely ?!

Diagnosis is :👨🏻‍⚕️🔻🩺🥼

#Acute_pancreatitis🤢
results from the activation of the
pancreatic digestive enzymes while in the pancreatic
duct or the pancreatic tissues. The digestion of the
pancreatic tissues results in an acute severe epigastric
pain. The pain intensity increases when walking or
lying flat and diminishes when sitting upright or lean-
ing forward. Eating can also increase pain. The pain
causes vomiting and strong sympathetic activation,
including sweating and anxiety.

‏ما من أيامَ العمل الصالح فيهنَّ أحبُّ إلى الله من هذهِ الأيامِ العشر ؛ إغتنموا الفرص تصدقوا وصوموا و أكثروا من التكبير و التهليل و الإستغفار.
‏الله آكبر الله آكبر لاإله إلا الله الله آكبر كبيرا والحمدلله كثيرا وسبحان الله بكرة وآصيلا الله آكبر الله آكبر الله آكبر الله آكبر✨

‏اُدْعُوهُ بِإِلْحَاحِ؛ فَكَمْ مِنْ أَمْرٍ
‏بعدَ الرَّجَاءِ جَاءِ!
‏-الوتر 🤍🔻

#سنن_يوم_الجمعة :
‏1-الاغتسال
‏2-التطيب
‏3-لبس الجميل
‏4-السواك
‏5-التبكير إلى المسجد
‏6-قراءة سورة الكهف
‏7-الإكثار من الدعاء
‏8-الصلاة على نبينا ﷺ

عيدكم مبارك 🐑💙❣️