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كيف تُذاكرون باطنة وجراحة بدون روت احبائي
في الله ، طريقة مجربة ومضمونة
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General outline for case exam
الdiagnosis هيبقي واضح ان شاء الله ،
لو مش واضح لقدر الله اكتب for deferential diagnosis
مثلا
Chest pain for dd most properly MI
Other causes of chest pain are .....
......
بعد الdiagosis اكتب ال positive data
يعني ليه قولنا التشخيص ده
.....
في ال investigations لو مش عارف specific اكتب
Investigation العامة بتاعه البرانش
Investigation for cause or PP
Investigation for DD
وشويه امثله عليهم
يعني مثلا جت case angina
نعمل investigations علي الatherosclerosis
Lipid profile , glucoses level ...
و investigations علي الdd بتاعها
Cardiac enzymes for MI
D dimer for PE
لو حاجةautoimmune دور علي الantibody
Serology test for specific ab
وتدور علي حاجات تانيه autoimmune علشان ساعات بيجوا مع بعض
Search for other autoimmune disorder
لو حاجة وراثيه اعمل family screening
........
في العلاج ، لو مش عارف علاج معين ، عالج الsymptom وال pp الي في ال case
Analgesic for pain
Statin for atherosclerosis
Aspirin for arthritis
عنده dehydration اديله fluid
عنده edema اعمله salt restrictions
لو obese قوله يعمل exercise و life style modification
طب لو فيه سبب معين عمل الكيس ده يبقي اتجنبه
Avoid precipitating factor in favism وتقولهم
Avoid triggers in athma تقولهم
Avoid aspirin in in aspirin induced athma
لو حاجة emergency ممكن تقول oxygen sedation hospitalization
لو مرض وراثي مالوش علاج او end stage هتقول transplantation زي liver chirrosis
Alpha 1 anti trypsin

لو مرض وراثي او مزمن برضو اعمله follow up
زي الضغط والسكر ، follow up for detection of complications & effectiveness of
treatments

وان شاء الله الموضوع يكون سهل بكره وربنا معانا
Virus c treatment, once /day for 3 month’s ... imp case
MCQ Quote
- E coli causes
1. Traveller diarrhea
2. Liver abscess
3. SBP
4. Cholangitis
TTT :- ciprofloxacin
MCQ Quote
Absolute CI for liver biopsy
- hemangioma
- hydatid cyst
MCQ Quote
In case of Liver cirrhosis
If hepatic encephalopathy give oral neomycin
If SBP give ciprofloxacin
MCQ Quote

Sigmoid colon is the most common site of
1- cancer colon
2- Diverticulosis
3- volvulus
Ascending paralysis is seen in
Anonymous Quiz
95%
Gullian baree
5%
Myasthenia Graves
Pituitary adenoma shows
Anonymous Quiz
87%
Bitemporal hemianopia
13%
Contralateral hemianopia
Type 2 DM recently diagnosed, Hb A1c 7.3
You give him
Anonymous Quiz
19%
Insulin
81%
Metformin
DM is diagnosed if
Anonymous Quiz
93%
Hb A1c above 6.5
7%
Hb A1c above 5.7
Treatment of pregnant hypertensive women
Anonymous Quiz
90%
Alpha methyl dopa
10%
Valsartan
Middle aged women with hashimoto , developed diarrhea, weight loss , you suspect
Anonymous Quiz
77%
Celiac
23%
Irritable bowel
MCQ Quote

Autoimmune couples💘
Celiac & hashimoto
DM 1 & Addison
DM1 & ulcerative colitis
Use which one t o monitor response of antibiotic therapy
Anonymous Quiz
77%
CRP
23%
Blood cluture
A TB patient receives his treatment for 1 month, now he has elevated liver enzymes, next step is
Anonymous Quiz
15%
Continue Anti TB drugs
85%
Stop Anti TB drugs
A female was a close contact to a newly diagnosed meningitis, she met har friend 2 days ago , she didn’t receive any vaccinations
Anonymous Quiz
24%
Give her rifampicin
76%
Give her meningococcal vaccines plus rifampicin
MCQ Quote


Precautions when using methotrexate
Monitor every 1 M
Give folic acid
Stop during any infection
Methotrexate cause
Anonymous Quiz
81%
Pneumonia
19%
Cellulitis
Horner syndrome has
Anonymous Quiz
25%
Dilated pupils
75%
Constricted pupils
Severe attacks of headache , hypertension, sweating is
Anonymous Quiz
94%
Pheochromocytoma
6%
Addison