AAS Medical Notes

Pneumoperitoneum طفل و جاي vomiting and abdominal distention يا اخي خلي أيدك عليه و افحصة قبل لا تنطي مثبريم شراب براسيتامول تحاميل. ال examination اخذناه حته نحجيه للدكتور لو حتى نطبقة ع المرضى. مرات الطفل يكون صعب تحصلة Erect chest X ray, ف بهجي حالات سوي left lateral decubitus abdominal X ray و مثل ما واضح أمامكم ال pneumoperitoneum. #pediatric

Pus some where, pus no where, is the pus under diaphragm. يجي البيشنت عندة hectic fever and toxic, ف انت تحلف عليه عنده pus some where. تسأل عن ال localizing symptoms مال ال pus, يعني cough إذا lung abscess, أو abdominal pain إذا peritoneal abscess و هكذا. بس هذا البيشنت ما عنده localizing symptoms, فگالوا عنه pus no where، يعني بحثنه عن ال site of pus clinically بس ما لگيناه In these case (pus some where and pus no where), think about pus under diaphragm. زين ليش ما عندة localizing symptoms, لأن Superior Sub phrenic space (between diaphragm and liver) is not covered by peritoneum (bare area of liver), so the pain not seen initially but seen later on When the liver capsule (Glisson capsule) is irritated. فمن يجي عنده pain و تسويلة Erect CXR ممكن تشوف Air under diaphragm و ممكن يُشخص خطأً ع انه perforated viscus. #surgery

Do u know What is the value of this score. Slurred speech 1not zero. Duration <<60 min, 1 not zero. Sorry for this mistakes ال CP يعني Clinical picture متعود اختصرها هجي 😂😂 @AhmedAbdSambot #neurology

Pt : dr, my shoulder hurt me. Dr : do ECG. ECG show????? @AhmedAbdSambot #ECG

اشرايكم بهاي ال bilateral hydatid cyst 😑😑

Right Hydropneumothorax due to ruptured hydatid cyst.

Which Artery is the Culprit in inferior MI ? Inferior STEMI can result from occlusion of any of the three main coronary arteries: 1. Dominant right coronary artery (RCA) in 80% of cases 2. Dominant left circumflex artery (LCx) in 18% 3. Occasionally, a “type III” or “wraparound” left anterior descending artery (LAD), producing the unusual pattern of concomitant inferior and anterior ST elevation. #ECG

aVL in inferior MI : aVL is the only lead truly reciprocal to the inferior wall, as it is the only lead facing the superior part of the ventricle. It is thus a sensitive marker for inferior infarction In patient cohorts with inferior occlusion myocardial infarction (OMI), ST depression in aVL has been shown to be more prevalent than STE in inferior leads 91% of “subtle” inferior STEMIs that do not meet STEMI criteria but show occlusion on PCI demonstrate ST depression in aVL #ECG

Hypovolaemia vs dehydration HYPOVOLEMIA refers to any condition in which the extracellular fluid volume is reduced, and results in decreased tissue perfusion. It can be produced by either salt and water loss (e.g. with vomiting, diarrhea, diuretics, or 3rd spacing) OR by water loss alone, which is termed DEHYDRATION. Salt + water loss comes primarily from the extracellular fluid whereas pure water loss (dehydration) come from the total body water, only about 1/3 of which is extracellular. Thus for dehydration to produce the same degree of extracellular volume depletion as salt+water loss, 2.5 times as much fluid needs to be lost. Patients with DEHYDRATION are always hypernatremic.

Situs inversus totalis. الصورة بتصوير إحد الدكاترة، شكرا إله لأن شاركنا هجي كيس #pediatric

تتذكرون هذا الكيس لو لا 😑😑😑 و لو هو انتم شنو تتذكرون!!!!!!!! It is for the same pt after anti TB instillation. Good dx = good treatment = good improvemt of pt's symptoms. This is the true medicine

77 yo M with Hx of lung CA presented with sudden Dyspnea. O/E : stable haemodynamically + tachypneic + tachycardic + complete abscence of air entry in left hemithorax + diminshed air entry in right hemithorax. @AhmedAbdSambot Fresh cases 😬😬 #surgery

for interested ones ,could be a good s/c

for interested ones,could be a good s/c