Important knowledge

⚡️ulcer examination ▪︎اذا شفنا ال edges نضيفة واكو ulcer granulation (مثل الركي ) نكول عليها slopping edges ▪︎ اذا شفنا ال edges مخربطة وبيها sloughing نكول irreguler edges

⚡️Comfort on Bending forward is posative only in 50% of patient with pancreatitis

⚡️Strategy of pancreatitis Mx --------------‐------- 1) diagnosis 2) asses the severity 3) determine the cause ▪︎Never let patient with pancreatitis left the hospital without known the cause

⚡️strategy for diapedic foot examination علي عادل -------------------------------- ▪︎primary pathology (6S 2T of ulcer ) ▪︎vascular examination ◇temperature ◇tenderness ◇refilling time ◇pulse ( all lower limb arteries includes abdominal aorta) (*Abdominal aorta is examined by bimannual method ) ▪︎neurological examination ◇Inspection ◇fine touch ◇pin prick قبل لانسوي fine touch نختار مكان control على ال sternum ونشوفه يحس او لا قبل لانبلش نفحص ال foot ◇motor (tone , power , knee & ankle reflexs )

⚡️How u can differentiate between redness of cellulitis & ischemia in foot ? ▪︎burger test ترفع رجلة وتشوفها تصير pale بال ischemic ( سؤال سلايدات )

▪︎mid inguinal point = mid point between anterior superior illiac spine & symphesis pupis = inguinal artery 1,25cm below it ▪︎mid point of inguinal ligament = mid point between anterior superior illiac spine & pupic tubercle = deep inguinal ring

⚡️Lethal traid in any shocked or multi-injured patient : ▪︎acidosis ▪︎Hypothermia ▪︎coagulopathy

#Surgery_Rotation بداية روتة الجراحة 🌞

#End_of_paediatric_rotation

OSCE: Herditary Spherocytosis[abnormal blood film,IVX,TTT] Caushing Syndrome Hydrocephalus [Diagnosis,sign,organism of TORCH Turner Syndrome [gene,abnormality In Heart,abnormality in renal] Data: ASGN [nephrotic syndrome] الثانيه ما متاكده منا 😅😅 Instrument: NG Tube[uses non surgical,how to sure in right position] Growth Chart Celiac disease

Cases DIC AMBIGOUS GENTALIA X-linked Recessive Neonatal Seizure Short Essay: Fate of VSD Chemoprophylaxis of contact of meningititis for neonatal period Aim of weaning in infancy Complications of pertussis Management of status Asthmatics

يمكن السؤال مسرب😂😁

Spinal needle (LP) Indication / Contraindication/ same C.E for LP

NG tube

Indication for Lactose free fromula ...? 1.Primary lactose intolerance 2. Secondary lactose intolerance (post gastroenteritis ) . 3. Galactosemia 4. Sever gastroenteritis 5. Sometimes in phototherapy .... S.E of prolonged use is hypothyroidism

Flat nasal bridge 😕 خلقة الله هههه Thalassemia Dawn syn. Hypothyroidism

اجانة مريض للطوارئ عنده jaundice بشنو نفكر ؟ لو hepatitis لو acute hemolysis G6PD Patient with hepatitis will have hyperbilirubinemia and normal PCV بينما الG6PD رح يكون pale PCV low and hyperbilirubinemia نگدر نميز بينهم عن طريق Urine analysis Present bile pigment ➡️ hepatitis If there is urobilinogen ➡️ Acute hemolysis

Drugs that cause acute hemolysis Antibiotic 1.sulfonamide 2.TMSMX 3.nitrofurantoin Antimalarial Primaquine , chloroquine V k analoge DKA Aspirin

⚡️urinary system/ infant د رباب ▪︎Polyuria = (يحتاج هواية يبدل الحفاظة بالليل (فد ٤ مرات ▪︎dysuria = الام منتبهه عليه قبل لايبول يكوم يبجي

⚡️infectious د رباب ▪︎ brucellosis = high grade fever & profuse sweating (يغط بالعرك) ▪︎Typhoid fever = الصخونه متستجيب للعلاج الا بعد ٥ ايام يالله تنزل