AAS Medical Notes

No urine, just pus. Before starting antibiotics, please take sample for culture and sensitivity.

عظمة و اهمية هذا الموضوع

شبيه من يندز الكلچر و تنتظر النتيجة و تبدي تختار ب الي يعجبك.

إلى من يهمه الأمر الى كل منتسب بوزارة الصحة الى الأشخاص الي يصرفون انتيبايوتك لكل كيس يشوفونه الى مدري منو

Ebstein anomaly is a rare congenital cardiac defect that consists of variable apical displacement from the annulus and dysplasia of the septal and inferior leaflets of the tricuspid valve. The anterior leaflet always has a normal annular insertion, but is often dysplastic with abnormal distal attachments. This anomaly results in a portion of the right ventricle functioning as an atrium, with resulting decrease in the functional right ventricular volume. A wide variety of adverse hemodynamic sequelae may occur related to tricuspid valve dysfunction, right ventricular failure, cyanosis due to atrial shunting, and arrhythmias. There is a wide spectrum of manifestations depending on the age at presentation. Diagnosis is with ECG and imaging. Treatment is with medications and surgery, and sometimes with interventional catheterization.

قرررب الصورة شنو تلاحظ Repeated vomiting diagnosis??

صراحة ما حسبالي كيسات الـ Giant cell arteritis هالگد كمن يعني خلال هذا الشهر اني شايف عشر كيسات و اغلبيتها missed خطيه، تقريبا نصف او اكثر من النصف تم تشخيصهم بردهات الطوارىء و لله الحمد. كلش كمن اخوان، خلوه ع بالكم

📝 Quick note Eosinophil guided corticosteroids therapy in the sitting COPD: - Eosinophil levels are primarily used to guide treatment in preventing COPD flare-up, rather than managing acute flare-up - Eosinophils as a biomarker, indicating the level of eosinophilic inflammation, eosinophils help predict the likelihood of COPD exacerbations and guide the selection of appropriate treatments to prevent these flare-ups 👉 Eosinophil Count ≥ 100 cells/µL: Strong recommendation for ICS use, more likely to benefit from ICS therapy due to a higher risk of exacerbations and a likely better response to ICS. 👉 Eosinophil Count < 100 cells/µL: Avoid or Caution with ICS, less likely to benefit from ICS. Consider adding either: - Macrolide antibiotic - PDE4 inhibitor (roflumilast) #GOLD_guideline #Respiratory

admission paper for this case

افضل كتاب للتعلم هو المريض داوم حتى لو بوقت غير دوامك داوم اخذ هستري سوي اكزام خلي دفرنشيل اكتب علاجه و قارنه وي علاج المريض الي داخل عليه، راجع الاختلاف بينهم ارجع سوي فحص اتعلم شلون تسوي ابروج و ارجع اقرء الكيس بالكتب استغل كل الوقت حتى تكون طبيب ناجح ابد ما احچي مثاليات، بس هي هاي الطريقة الافضل حتى تكون طبيب يُعتمد عليه. هواي ناس اوائل بالكلية، ما يعرفون شلون يتعاملون وي الكمن كيسس، لأن ما يداومون، او يداومون بس بوقت دوامهم. و هواي ناس العكس .... و الكلام يطووول ..........

شي حلو من المريض يشرحلك حالته مثل ما موجود بالكتب Nice case case of subarachnoid hemorrhage. Rx of SAH: Bed rest is mandatory. Restlessness and headache are treated symptomatically. Stool softeners are given to prevent constipation, which can lead to straining. Hypertension should be treated only if mean arterial pressure is > 130 mm Hg or systolic blood pressure (BP) is > 160 mm Hg; euvolemia is maintained Vasospasm is prevented by giving nimodipine 60 mg orally every 4 hours for 21 days to prevent vasospasm, but BP needs to be maintained in the desirable range (usually considered to be a mean arterial pressure of 70 to 130 mm Hg and a systolic pressure of 120 to 185 mm Hg). If clinical signs of acute hydrocephalus occur, ventricular drainage should be considered. https://www.instagram.com/p/C-vham7N7KT/?igsh=MTlpd24yNnk2YXgybA==

اريد اصدمكم و اگلكم كتابي مال الاطفال جاي اطبع بالجلاد حالياً سنة و ٧ أشهر من الكتابة…. أنتهت

Admission paper for a patient with clostridium difficile vs bacterial GE later confirmed as a case of C.difficile. discharged very well

Admission paper for a patient with Anton syndrome. I put the Anton syndrome as ddx even before brain MRI.

Bilateral upper and lower limbs hyperreflexia + reported hx of sudden painless visual loss. Case of Multiple sclerosis. Treatment of exacerbations and relapses Corticosteroids, given in brief courses, are used to treat acute onset of symptoms or exacerbations that cause objective deficits sufficient to impair function (eg, loss of vision, strength, or coordination); regimens include Methylprednisolone 500 to 1000 mg IV once a day for 3 to 5 days Less commonly, prednisone 1250 mg orally per day (eg, 625 mg orally twice a day or 1250 mg orally once a day) for 3 to 5 days Some data show that high-dose methylprednisolone (1000 mg/day for 3 consecutive days) orally or IV may have similar efficacy. Some evidence indicates that IV corticosteroids shorten acute exacerbations, slow progression, and improve MRI measures of disease. If corticosteroids are ineffective in reducing the severity of an exacerbation, plasma exchange may be used. Plasma exchange can be used for any relapsing form of MS (relapsing-remitting, progressive relapsing, secondary progressive). It is not used for primary progressive MS.

و اني جاي اشرح اشوف الفارما شلون تآخذني من الموضوع الأساسي 😑

يلا بث بسيط نحجي ع هذا الكيس و اجاوب اسألتكم الي بالتعليقات

Admission paper for a patient with variceal upper GI bleeding طبعا فكرة انشر الدخوليات الي مسويها طَرِحت علي من قبل أحد الأصدقاء. اتمنى الكل يستفاد و أي تصحيح مرحب بيه اني من الناس احاول اعتمد على ال guideline فقط و فقط طبعا اكيد اذا اكو توصيات اكثر، تخابر الخفر و توصيه عليهن، مو كلشي تكدر تكتبه بالكارت.