Medspace universal

Langer's lines ◼️These lines describe the direction of collagen fibres in the dermis, they generally run perpendicular to the underlying muscle fibres, it was first described by Baron Dupuytren and later clarified by Langer. ◼️Incisions which are placed parallel to Langer's line heals better, have less scarring and has a better cosmetic appearance and wound strength compared to those placed across. ◼️Fig above shows a map outlining direction of Langer's lines. #جراحة

السلام عليكم 🌹🌹 انضموا لصفحتنا على الانستغرام حننشر بيها كورساتنا القادمة ونشر وكلشي راح يصير على حساب الانستا https://instagram.com/medspace.uni?utm_source=qr&igshid=ZDc4ODBmNjlmNQ%3D%3D

السلام عليكم كورس الباطنية للمعادلة محاولة شهر ١١ ولموازي طب بغداد سنة ٢٠٢٣/٢٠٢٤ حنبلش يوم 8/10 السبت بواقع محاضرتين باليوم مسجلة على ملازم طب بغداد المواد التي سيتم شرحها : قلبية cardiology تنفسية respiratory غدد صماء endocrinology هضمية Git الجهاز الكلوي renal بالاضافة الاشتراك راح يشمل شرح مصدر ديفدسون mcq الي اغلب الاسئلة الوزارية والمعادلة تجي منه الاشتراك سعره ٧٥ الف شامل الملازم والmcq للخمس مواد و25 طالب فقط راح نفتحله الإشتراك حسب الاسبقية

السلام عليك يا ابا عبد الله وعلى الارواح التي حلت بفنائك اللهم العن اول ظالم ظلم حق محمد وآل محمد واخر تابع لهم على ذلك

C

Brucellosis كلش مهم -gram negative coccobacilli -four species: *Brucella Melitensis (goats, sheep and camels) which is the common type in the middle east and the most severe form *B.Abortus (cattle) which is the most common in Iraq *B.suis (pigs) *B.Canis (dogs) -humans aquire the infection by dealing with animal products especially unpasteurized milk -symptoms of acute infection: high swinging temperature, rigor, lethargy, headache, arthraglia, myalgia, scrotal pain. -physical exam finding are non specific; splenomegaly and lymphadenopathy -diagnosis by blood culture which are positive in 75-80% of the cases Serology can aid the diagnosis, antibody titer of 1/320 or fourfold rise supports the diagnosis -treatment: *non localized disease: Doxycyclin oral+ gentamicin IV for 1 week OR Doxycycline oral + rifampicin oral for 6 weeks *Bone disease : Doxycycline oral+gentamicin IV+ Rifampicin oral *Neurobrucellosis: Doxycyclin oral+ Rifampicin oral +Ceftriaxone IV *Endocarditis: surgical intervention + Doxycycline orally + Rifampicin orally+ trimetheprim sulfamethoxazole + gentamicin *Pregnancy: Rifampicin + trimetheprim sulfamethoxazole CMV -It resembles the clinical syndrome cause by EBV (infectious mononucleosis) except that hepatomegaly is more pronounced here while tonsillitis, splenomegaly, lymphadenopathy are less common. -It’s a common infection during childhood and adolescence -the complications include: meningoencephalitis, Gullian barre syndrome, autoimmune hemolytic anemia, thrombocytopenia, myocarditis -the complications in immunocompromised patients are more severe and include: hepatitis, esophagitis, colitis, pneumonitis, retinitis and encephalitis -women who develop CMV infection have 40% chance of transmitting CMV to the fetus -diagnosis: *serology; IgM and IgG *Heterophil antibody is negative *Atypical lymphocytosis is less prominent than EBV. *We can detect the antigen of CMV in urine In neonate only *in immunocompromised the detection of antibodies is unreliable and we detect CMV by PCR, antigen detection, culture and histopathology -Treatment Symptomatic treatment only in immunocompetent In immunocompromised we either use oral valganciclovir or IV ganciclovir

من اعظم الفديوات لمادة الطوارئ هو شرح الدكتور اختصاص الطوارئ نصرت العطار انصحكم كل يوم تتفرجون فيديو واحد وتلخصون وياه🌹🌹

قناة طبية للمراحل المتقدمة 5,6 والمتخرجين ، كيسات مع ملاحظات https://t.me/medical_cafe_cases

Hernias | B&B 2022

#Surgery #General ⭕️ Clinical points on Hernia ✅الانواع الشائعة من ال Hernia هي 3 Direct inguinal hernia Indirect inguinal hernia Femoral hernia ✅ نجي لاول سؤال؟ الهرنيا تصير بيا عمر؟ Bimodal distribution for the incidence of hernia <1y and >60y are more common ✅ الهرنيا هل هي اكثر بالميل لو الفيميل؟ Hernia is more common in males من كل خمس مرضى تشوفهم انت عندهم هرنيا فقط وحدة منهم تكون فيميل بس اكو هرنيات تكون شائعة بالفيميل اكثر مثلا .. Femoral hernia Umbilical hernia ✅ زين هو شنو اكثر نوع مال هرنيا؟ Most common type of hernia in males and in females is indirect inguinal hernia شنو هي ال Risk factors for hernia Older age Male gender Smoking Chronic cough Chronic constipation Lifting heavy objects Obesity is protective ✅ شنو الفرق Clinically Between direct and indirect inguinal hernia ? طبعا اكو فرق بال anatomy اكو فرق بال Incidence Direct inguinal hernia is more common in elderly Indirect inguinal hernia is more common in infants, children and adults. وبالحقيقة اكو طرق ممكن نفرقهن بالاعتماد على الفحص السريري بس ديكولون هالشيء مو مهم Because both the direct and indirect inguinal hernia are managed by the same surgical way ✅ هسة نجي للمريض ابو الهرنيا شلون يجينا؟ Groin mass, Lump Groin pain Parasthesia (Hernia compresses nerves) Signs of acute inflammation (Skin is red, tender, hot, may points toward strangulated hernia) Intestinal obstruction (Constipation, vomiting, abdominal pain) Diarrhea (Richter's hernia) ✅ الهرنيا تمر بمراحل؟ Reducible Irreducible Incarcerated Developemnt of adhesions between the sac and the contents of hernia Obstructed Gut lumen is obstructed Strangulated Impaired blood supply to hernia Most common type of hernia laible to be strangulated is the femoral hernia. لين ال Neck مالتها كلش narrow ✅ هسة ورة مشفنا المريض المفروض هستري نسويله وكلنكال الكزامنيشن ونقرر ع المنجمنت مالته Here in managemnt we have different schools BUT there is some points all schools are consistent with ... 🔴All femoral hernia ==>Surgery لين ال رسك مال strangualtion عالي 🔴 All types of hernia in young age group ==> Surgery لين الهرنيا عادة Progressive يعني تكبر وية زيادة العمر وبالتالي تزيد مضاعفاتها 🔴 Elderly with hernia that is Asymptomatic OR Minimal symptoms May be managed by watchful waiting قسم ينصحون بال truss وقسم يكولون لا ما بيه فائدة اصلا .. طبعا اذا صار اكو كومبلكيشن او صارت مزعجة كلش ممكن نروح للسيرجري ✅ العملية ممكن تكون ؟ Under GA or LA Using open approach or laproscopic approach ✅ اخر شيء عدنا Complications of hernia and hernia repair? 🔴 ON SHORT TERM Peritonitis Intestinal obstruction Acute bleeding Surgical site infection Seroma and hematoma Post-operative acute pain 🔴 ON LONG TERM Hernia recurrence Chronic pain syndrome

Biliary Tree | Gallstone Disease (B&B 2022)

#CHOLECYSTECTOMY Preparation for operation After appropriate history taking and assessment of the patient’s fitness for the procedure, 🍎a full blood count and biochemical profile should be performed to exclude anaemia and to identify abnormal liver function A blood coagulation screen should be checked if there is a history of jaundice or liver function is abnormal. 🍎Prophylactic antibiotics should be administered either with the premedication or at the time of induction of anaesthesia. 🍎A second-generation cephalosporin is appropriate . 🍏Subcutaneous heparin or antiembolic stockings should be prescribed. مصدر bailey and loves 27th

#Pulmonary_embolism

#DVT

هاي ملف بي شرح عن الية الاستخدام