المتعدد || 𝗠𝘂𝗹𝘁𝗶𝗽𝗹𝗲
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@Dr_Multiple_bot
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شروط الاتحاد الأوروبي لرفع العقوبات عن سوريا
1- ضمان احترام الأقليات
2- ضمان حقوق المرأة
3- نبذ التطرف والعنف

عالم منافق ومتوحش لا يعترف إلا بحقوق الشواذ والانحلال والتفسخ!

أين هذا العالم عن حقوق الأكثرية في غزة؟
أين هم من حقوق المرأة في غزة؟
عن أي تطرف وعنف يتحدثون وهم يدعمون جرائم الإرهابي النتن ياهو في غزة!
عادل العازمي
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Treatment Guidelines for
T2DM



Lippincott's 🆕


#Multiple 🩵🩺
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سؤال اليوم 🌟🥼🔭


A 33-year-old woman comes to her primary care physician complaining
of amenorrhea, headaches, profuse sweating, and joint pains associated with
changes in the sizes of her hands and feet.
With, massive growth of her hands and feet as well as protrusion
of her lower jaw. She believes the shape of her face has changed, becoming sharper.
She also complains of sudden weakness, even when just “carrying the clothes hamper
upstairs.” She first noticed these changes about 6 months ago when she was home
for the holidays and saw some high school and early college pictures of herself.
Her mother brought to her attention how her features seemed much larger. After
that she says she became more aware of her bodily changes. She came in because
she says she knows something is wrong and that there is a definite distinction from
how she looks now from how she used to look. Her husband and she are also trying
to conceive and have been unsuccessful due to amenorrhea for the past 8 months
Physical Examination 🚑



VS: T 99.1°F, P 65/min, R 14/min, BP 130/80 mm Hg,
weight 132 lb, BMI 24
PE: Marked enlargement of facial features, as well as
tongue, feet, and hands; soft doughy handshake;
thyroid gland enlargement, and possible visceral
enlargement; loss of visual field (typically associated
with disease)
Laboratory Tests 🧫


Pregnancy test (hCG): Negative
Growth Hormone: 40 ng/mL (normal: 0-5 ng/mL)
Fasting IGF-I: 31 ng/mL (normal: < 20 ng/mL)
Prolactin: 100 ng/mL (normal: < 20 ng/mL)
Glucose: 1.5 ng/mL
Glucose suppression test: after 75-g glucose, GH was
8 μg/L (normal: < 1 μg/L)
BUN and liver enzymes: Normal
MRI: Pituitary tumor
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@Ask_Multiple_bot

سيتم نشر أسماء أصحاب أول ثلاث إجابات صحيحة 🔥👏🏻🇾🇪

وسيتم شرح الحالة 💯
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هل تعلم أن تكلفة المعيشة اليومية لأسرة متوسطة في غزة قد تصل إلى 500 دولار؟ هذا المبلغ الذي يعادل 20 دولارًا فقط خارج غزة! كيلو اللحم إن وجد يكلف 150 دولارًا، وكيلو البندورة 40 دولارًا، والبيضة الواحدة 6 دولارات. غلاء الأسعار هذا ليس صدفة، بل سياسة لخلق واقع لا يُطاق يدفع الناس للهجرة القسرية.
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Acromegaly

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هل تتفق ؟👇
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رابط التسجيل 🥼🔥🌟🔭👇🏻👇🏻👇🏻
http://conferenceteam.ct.ws/pharma_conf1/?i=2
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يمهل ولا يهمل ، سبحانه 🩵
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555 🩵🎙🌟🎉
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