AM | moodツ.

زعلوا البرشاويين وغادروا.! طبعاً في الأول والأخير كرة القدم أخلاق بصرف النظر لو فاز ريال مدريد او أهتزم برشلونه 🌚🔥.

صباحكم ضخيم وجميل والسبب الملكي🤍، نفس الخصم نفس الملعب نفس الاحتفالية ←حديقة رونالدو تنتقل إلى مبابي🔥، - تم ترويض صغير أسبانيا بنجاح🔥🤌🏻". مبااااارك لأي حد مدريدي🫶🏻 وهاردلك لأي حد كاتالوني☠. — صـبـاح الـخـيـر مـدريـديـسـتـا🤍.

Bowel sounds.

← من واقع غرفة الطوارئ | ER مريض وصل بأعراض عصبية مفاجئة: لخبطة، تلعثم أو اضطراب الوعي؟ ⚠️ 💡 Check blood glucose 1st! ليش؟ لأنه الـ Hypoglycemia ممكن بتقلّد الـ Stroke تمامًا، وتصحيحها السريع بالجلوكوز قد يؤدي لتحسّن الأعراض خلال دقائق. 🔥 Golden Rule: Always check blood glucose in suspected stroke — ,but never delay stroke assessment!.

⇨Brushing Mistake.. تفريش الأسنان لمدة 30 ثانية لا يكفي.! المدة الموصى بها هي دقيقتان: ✔ دقيقة للفك العلوي. ✔ دقيقة للفك السفلي. هذه الدقيقتان قد تقللان بشكل كبير من تراكم البلاك.

- «أنتَ تُصلِّ علَى النَّبي -ﷺ- واحِدَة، واللهُ فِي عليَائِه يُصلِّ علَيكَ بهَا عَشرًا؛ فَلا تَفتَر». • اللهُمّ صَلّ وسلّم علَى نبيّنا مُحمّد وآله.🤍

⚠️ Is Metronidazole carcinogenic? 🧪 Animal studies: Metronidazole caused tumors in mice and rats. 👤 Humans: Its carcinogenicity in humans has not been established. 📌 IARC Classification: Group 2B — Possibly carcinogenic to humans. 🚫 Is it banned worldwide? No. Metronidazole remains approved for human use in the USA. # Reference: IARC. Overall Evaluations of Carcinogenicity: An Updating of IARC Monographs, Volumes 1–42. Supplement 7, 1987. Metronidazole. https://monographs.iarc.who.int/list-of-classifications/ 💡Carcinogenic in animals ≠ proven carcinogenic in humans. #Pharmacology

※ Henoch–Schönlein Purpura (HSP) | IgA Vasculitis.

⇨ Def: IgA-mediated small-vessel vasculitis, common in children. 📌 Clinical tetrad: 1. 🟣 Palpable purpura — legs & buttocks. 2.🦵 Arthralgia — knees & ankles. 3. 🤕 Abdominal pain ± GI bleeding. 4. Renal involvement — hematuria & proteinuria.

⭐ Child + palpable purpura + abdominal pain → Think IgA Vasculitis!.

#References: 1. HSP rash – DermNet 2. https://my.clevelandclinic.org/health/diseases/21086-vasculitis-in-children?hl=en-US #Dermatology

※ Henoch–Schönlein Purpura (HSP) | IgA Vasculitis.

⇨ Def: IgA-mediated small-vessel vasculitis, common in children. 📌 Clinical tetrad: 1. 🟣 Palpable purpura — legs & buttocks. 2.🦵 Arthralgia — knees & ankles. 3. 🤕 Abdominal pain ± GI bleeding. 4. Renal involvement — hematuria & proteinuria.

⭐ Child + palpable purpura + abdominal pain → Think IgA Vasculitis!.

#References: 1. HSP rash – DermNet 2. https://my.clevelandclinic.org/health/diseases/21086-vasculitis-in-children?hl=en-US #Dermatology

• Aspirin (Salicylate) poisoning: No specific antidote → Sodium bicarbonate NaHCO₃ (urinary alkalinization)✅. #Toxicology

• ❌ Amphetamine is NOT a narcotic in the pharmacological sense. →Amphetamine = CNS stimulant ✅; that ↑es dopamine and norepinephrine → Causes alertness, euphoria, tachycardia, hypertension, and mydriasis. • Narcotics (classically opioids) = CNS depressants that relieve pain, miosis, e.g., morphine and heroin. #Toxicology

• ❌ Phenol poisoning is not classically associated with pinpoint pupils (miosis). #Toxicology

💊 BAL (Dimercaprol) is contraindicated in iron poisoning! Why? It may form a toxic complex with iron, ↑es the risk of nephrotoxicity. ✅ Antidote of choice in severe acute iron poisoning: Deferoxamine. #Toxicology

Q. Why can a patient with severe sepsis die even when blood pressure is initially normal ?!. →The mechanism: In sepsis, inflammatory mediators cause endothelial dysfunction, capillary leakage, and microcirculatory abnormalities. Tissue hypoperfusion may develop even before overt hypotension. ⚠️ The danger: Normal blood pressure does NOT guarantee adequate tissue perfusion. 🔥 IMPORTANT POINT: Shock is a state of inadequate tissue perfusion, not simply low blood pressure. Reference: Singer et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801–810. #Critical_Care #pt_safety

- إنَّ ما كتبه اللهُ في السَّماء، لا تستطيعُ كلُّ سيوف الأرضِ أن تمنعه!. #ألقِ_عصاك

• Acute postoperative endophthalmitis → severe ocular pain + decreased vision + hypopyon until proven otherwise. #ophthalmology

• Acute postoperative endophthalmitis → severe ocular pain + decreased vision + hypopyon until proven otherwise. #ophthalmology

Name: Castroviejo Caliper "Squint Caliper". Use: Measuring corneal diameter (white-to-white) and measuring recession/resection distances in squint surgery. #ophthalmology

• Acute postoperative endophthalmitis → severe ocular pain + decreased vision + hypopyon until proven otherwise.