AM | moodツ.

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

- وإن الحوائج لتُقضى بكثرة الصلاة على النبي ← صَلِّ اللَّه عليهِ وآله وَسَلِّمْ.🤍

• "Curtain coming down" = retinal detachment until proven otherwise. #ophthalmology

• Sudden flashes + floaters = retinal tear until excluded. #ophthalmology

• Severe boring pain = scleritis until proven otherwise. #ophthalmology

⇨ Ophthalmology Pearls🖇..

CORNEA - Dendrite → HSV "Herpes Simplex Virus". - Feathery → fungus. - Ring infiltrate + contact lens → Acanthamoeba. - Rapid ulcer + contact lens → Pseudomonas. - Keratoconus → thinning + cone + cross-linking.

SCLERA - Severe boring pain → Scleritis. - Scleritis → autoimmune association. - Mild superficial redness → Episcleritis.

UVEA - Pain + photophobia + miosis + cells/flare → anterior uveitis. - Anterior uveitis → steroid + cycloplegic. - HLA-B27 "Human Leukocyte Antigen B27" → recurrent anterior uveitis. - Snowballs → intermediate uveitis.

VITREOUS - Flashes + floaters → exclude retinal tear. - Vitreous hemorrhage → PDR "Proliferative Diabetic Retinopathy" is a major cause.

RETINA - 4-2-1 → severe NPDR "Non-Proliferative Diabetic Retinopathy". - Neovascularization → PDR "Proliferative Diabetic Retinopathy". - Cherry-red spot → CRAO. "Central Retinal Artery Occlusion". - Blood & thunder → CRVO "Central Retinal Vein Occlusion". - Curtain → retinal detachment. - Drusen → dry AMD "Age-Related Macular Degeneration". - CNV "Choroidal Neovascularization" → wet AMD "Age-Related Macular Degeneration" → anti-VEGF "Anti-Vascular Endothelial Growth Factor". - Bone spicules + night blindness → retinitis pigmentosa. - Leukocoria in child → retinoblastoma.

#ophthalmology

⇨ Ophthalmology Pearls🖇..

CORNEA - Dendrite → HSV "Herpes Simplex Virus". - Feathery → fungus. - Ring infiltrate + contact lens → Acanthamoeba. - Rapid ulcer + contact lens → Pseudomonas. - Keratoconus → thinning + cone + cross-linking.

SCLERA - Severe boring pain → Scleritis. - Scleritis → autoimmune association. - Mild superficial redness → Episcleritis.

UVEA - Pain + photophobia + miosis + cells/flare → anterior uveitis. - Anterior uveitis → steroid + cycloplegic. - HLA-B27 "Human Leukocyte Antigen B27" → recurrent anterior uveitis. - Snowballs → intermediate uveitis.

VITREOUS - Flashes + floaters → exclude retinal tear. - Vitreous hemorrhage → PDR "Proliferative Diabetic Retinopathy" is a major cause.

RETINA - 4-2-1 → severe NPDR "Non-Proliferative Diabetic Retinopathy". - Neovascularization → PDR "Proliferative Diabetic Retinopathy". - Cherry-red spot → CRAO. "Central Retinal Artery Occlusion". - Blood & thunder → CRVO "Central Retinal Vein Occlusion". - Curtain → retinal detachment. - Drusen → dry AMD "Age-Related Macular Degeneration". - CNV "Choroidal Neovascularization" → wet AMD "Age-Related Macular Degeneration" → anti-VEGF "Anti-Vascular Endothelial Growth Factor". - Bone spicules + night blindness → retinitis pigmentosa. - Leukocoria in child → retinoblastoma.

#ophthalmology

#¡Hala_Madrid!🤍 #y_nada_más!🔥 ←وهلا مدريد من ذحين ولو غداً مُش إجازة عندنا "دوااااام"☠.

'14 أكتوبر🔥.. ملحمة تاريخية ووطنية جسدت واحدية النضال الثوري ضد الإمامة والاحتلال. #ثورة_14_أكتوبر_المجيدة. ←من ذحين ولو غداً مُش إجازة عندنا "دوااااام"☠.

⇨Opposing areas of injured nasal mucosa can heal together, forming a synechia. #ENT

🔥🖇 → Ptosis + Dilated Pupil + Down-and-Out Eye..↓ ⇨ Think: Oculomotor Nerve (CN III) Palsy Q. Why? CN III supplies most extraocular muscles EOMs, the levator palpebrae superioris, and the parasympathetic fibers responsible for pupillary constriction. ⚠️ CLINICAL ALERT: Sudden onset requires emergency evaluation to exclude a compressive lesion, including a posterior communicating artery aneurysm. • Remember: Ptosis + mydriasis + a down-and-out eye → CN III palsy until proven otherwise. #Ophthalmology

اللهُمَّ صلِّ وسلم وبارک على نبينا محمَّد. #ساعة_استجابة

» العلاقة مع اللّه مؤنسة، جابرة، أبديّة ومُختلفة،.. عندما يُحبّك سينعكس حُبه على وجهك وأخلاقياتك، سيُسخّر لك الأرض ومن عليها، حتّى تكره التعلّق بسِواه، حتّى تُحبّ ما يُحب وتُبغض ما يُبغض.. ستجده دائمًا في حاجتك، ستشعر معه بالحماية والوقاية والأمان التامّ🤍.

• Exogenous Ochronosis.

◆ Cause: prolonged topical Hydroquinone use. ◆ Clinical: localized blue-black / gray-brown pigmentation at the site of application. ◆ Prognosis: قد بتكون difficult to treat and potentially irreversible, خصوصًا في الحالات المتقدمة. ◆ Prevention: تجنب الاستخدام المطول + daily sunscreen. #Dermatology

☠️ TOXICOLOGY | POISON → ANTIDOTE.

• Paracetamol → N-acetylcysteine (NAC). • Opioids → Naloxone. • Organophosphates (OPC) → Atropine + Pralidoxime (2-PAM). • Methanol → Fomepizole / Ethanol. • Ethylene glycol → Fomepizole. • Benzodiazepines → Flumazenil. • Tricyclic antidepressants (TCA) → Sodium bicarbonate. • Digoxin → Digoxin-specific Fab. • Iron → Deferoxamine. • Lead → EDTA / Dimercaprol. • Arsenic → Dimercaprol. • Cyanide → Hydroxocobalamin. • Carbon monoxide (CO) → 100% Oxygen ± Hyperbaric O₂. • Methemoglobinemia → Methylene blue. • Heparin → Protamine sulfate. • Warfarin → Vitamin K ± PCC "Prothrombin Complex Concentrate". • Sulfonylureas → Octreotide. • Isoniazid (INH) → Pyridoxine (Vitamin B6). • Beta-blockers → Glucagon. • Calcium-channel blockers → Calcium + High-dose insulin. • Local anesthetic toxicity → IV Lipid emulsion.

🔥 In toxicology, knowing the antidote can be life saving ,but supportive care and ABCs come 1st.

#Toxicology

Acne & Fungal folliculitis. #Dermatology

Ehlers-Danlos Syndrome (EDS)

مجموعة من hereditary connective tissue disorders بتأثر على الـ collagen. 🔹 Classic triad: • Joint hypermobility 🤸. • Skin hyperextensibility. • Easy bruising / tissue fragility. 🔹 قد تظهر أيضًا: • Recurrent joint dislocation. • Poor wound healing & abnormal scars. • Vascular complications في بعض الأنواع.