لتنسوها

(Uhthoff phenomenon).

Means, one with old deficits like paraparesis, but recovered and there is usually only simple effect, when exposed to high temperatures or severe stress = deteriorated (in this case leg weakness) - in Hx taking, ask him do you have old attack, and if the same symptoms, he will tell you yes I have old attack it is the same one (Fixed), ask him about high temperature exposure ( he answers yes either hot water or exposure to sun), ask him how long weaknesses prolonged ? It must be less than 24 hr ( this is not true attack, this is uhthofs phenomenon) and this occurred due to decrease in the conduction velocity in the de-myelinated axons and could be treated or prevented ? By Thiamine B1 daily pill - while if prolonged more than 24 hr this is new attack “relapse” so investigation and examination is needed and treat as new relapse ( Steroids )

Mcq

Mcq

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شوكت تحلف هل شخص عده MS من تسوي CSF electrophoresis وتلكه عده oligoclonal band
وراها تسوي MRI

اما بقية تحاليل كلها to exclude بس للأسف هل تيست موجود بس ب٩٠٪؜ اما ال١٠% نطبق عليهم الMcDonald criteria ولهذا شافوا هل كرايتيريا احسن👍🏻

‏﴿ وَمَن يَتَوَكَّلْ عَلَى اللَّهِ فَهُوَ حَسْبُهُ ۚ إِنَّ اللَّهَ
بَالِغُ أَمْرِهِ ۚ قَدْ جَعَلَ اللَّهُ لِكُلِّ شَيْءٍ قَدْرًا ﴾.

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Note about MS

CVA
All stroke is sudden onset except?
Anterior cerberal artery
Is acute onset

اهنا يبدي نوتات حول اول موضوع CVA🤝

Mcq about acute leukaemia

#Headache part 2

Peripheral neuropathy 2

حدز كم امسكيو على Sickle anemia