Clinical medicine

الأخ أصيل البريهي فقد كتاب ECG الكتاب أصل وليس طباعة يرجى ممن وجده تسلميه للأخ أصيل أو الأخ مندوب المجموعة الرابعة أحمد الصلاحي هذه صورة الكتاب

Congenital abnormalities of the oesophagus

Causes of acute kidney injury in pregnancy

Case 34 || Solution || Part 1 @medic_altimesMT The answer to the given question is “Bronchial Asthma” ⏩Obstructive Pulmonary Disorder ⏩It is chronic, relapsing, inflammatory disorder ⏩Due to inflammation there will be: •Hyperactive Smooth Muscle •Hypersecretion of mucus This will induce ‘Bronchospasm’ but ‘Reversible’ (In Asthma) But, All other Obstructive Pulmonary Disorder have ‘Irreversible’ Bronchospasm ⏩Ethology of Bronchial Asthma: ⏹ATOPY (Allergic Disorder) Associated with Chromosome-5q (Long arm) ⏹Genetic Association: •IL-13 gene polymorphism (Strongest & Most consistent Association) •ADAM-33 Gene Polymorphism This gene is responsible for proliferation of smooth muscle cells & fibroblasts in bronchi resulting in bronchial hyper-reactivity and subepithelial fibrosis •YKL-40 protein: Directly related with Severity of Asthma ⏹Pathogenesis: Type I Hypersensitivity Reaction ⏹Clinical Presentation: •Wheezing •Chest Tightness •Nocturnal Cough •Dyspnea •Respiratory Alkalosis ⏹On Sputum Cytology: 3 characteristic Bodies are seen: (Remember them as 3Cs) A. Curschmann Spiralis B. Charcot Leyden Crystal C. Creola Bodies ⏹Curschmann Spiralis: ‘Spiral-shaped mucus plugs’ from subepithelial mucous gland ducts of bronchi (As shown in the picture) Also Follow us on Instagram https://www.instagram.com/medic_altimes/

Mechanism of pleura effusion

Rai staging of chronic lymphocytic leukemia

Calciphylaxis is present in CRD patient as result deposition of phosphocalcium compound in subcutaneous tissue

🎻🎶Listening to music for at least 5-10 minutes a day strengthens the mind, making it easier to deal with emotional stress.

Chest X-ray from patient with silicosis

Chest x-ray from patient with asbestos

Occupational lung diseases

Infants with pure oesophageal atresia and no tracheo-oesophageal fistula are usually best managed by a temporary gastrostomy and delayed primary repair. Except for very-low-birthweight babies and those with major congenital heart disease, most infants with repaired oesophageal atresia have a good prognosis.

Oesophageal atresia A blind proximal pouch with a distal tracheo-oesophageal fistula is the most common type Affected infants typically present soon after birth with frothy saliva and cyanotic episodes, exacerbated by any attempt to feed. The preceding pregnancy may have been complicated by maternal polyhydramnios. The diagnosis is confirmed by failure to pass a 10 Fr orogastric tube into the stomach; the tube is visible within an upper oesophageal pouch on the chest radiograph. The presence of abdominal gas signifies the tracheo-oesophageal fistula. Associated anomalies are common and include cardiac, renal and skeletal defects. The standard method of surgical repair is via a right-sided extrapleural thoracotomy within a day or two of birth. The fistula is divided and the tracheal side oversewn. The oesophageal ends are then anastomosed. Potential postoperative complica- tions include anastomotic leak, stricture, recurrent fistula formation and gastro-oesophageal reflux.

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صفحه 157

صفحه 542

السلام عليكم ..حصلت خطأ يمكن لغوي ويمكن علمي في davidson,s principle and practice of medicine الطبعه 23صفحه 507الي تقول ان painحق aortic dissectionبيكون intrascapular الي معناه انو بيكون على scapula نفسها وهذا غلط الصح بيكون interscapulaبمعنى مابين between the scapulaومرفق المراجع الي اخذت التصحيح منهن ..

(يَا أَيَّتُهَا النَّفْسُ الْمُطْمَئِنَّةُ ارْجِعِي إِلَى رَبِّكِ رَاضِيَةً مَّرْضِيَّةً فَادْخُلِي فِي عِبَادِي وَادْخُلِي جَنَّتِي.). صدق الله العظيم بقلوب مؤمنة بقضاء الله وقدره تلقينا نبأ وفاة المغفور له باذن الله تعالى عبدالله قائد واننا وبهذا المصاب الجلل نتقدم بخالص العزاء والمواساة الى زميلتنا الدكتور : ساره عبدالباسط الشميري لوفاه جدها سائلين المولى عزوجل أن يتغمده بواسع رحمته ، ويسكنه فسيح جناته ، ويلهم أهله ، وذويه الصبر والسلوان وانا لله وانا اليه راجعون حسبنا الله ونعم الوكيل عظم الله اجركم وعصم قلوبكم والهمكم الصبر والسلوان ، البقيه في حياتكم ، إنا لله وانا اليه راجعون. (الفاتحه) الى روح المرحوم والى روح موتانا وموتاكم.