قصص طبية Iraqi doctors
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قناة تنشر قصص وحالات طبية مع مواضيع طبية منوعة ومقتطفات من الكتب للتواصل والملاحظات @WaelM95 رابط القناة https://t.me/+REaFo7b1A3b-I_Pe لتحميل كتاب قصص وتجارب طبية https://t.me/c/1145472419/479
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Channel Posts
+1
مباشر من الطوارئ
🛑 Don't miss posterior STEMI
This 60 years old female
PMHx > DM
Presented with 1 day Hx of Typical chest pain
⚠️ ECG > positive R wave + ST depression in V1_V3
Posterior ECG > STEMI
تم تحويل المريضة لمركز الناصرية القلب
| 2 | مباشر من الطوارئ
🛑 Don't miss posterior STEMI
This 60 years old female
PMHx > DM
Presented with 1 day Hx of Typical chest pain
⚠️ ECG > positive R wave + ST depression in V1_V3
Posterior ECG > STEMI
تم تحويل المريضة لمركز الناصرية القلب | 1 |
| 3 | #ملاحظة_طوارئ
⚠️ Sepsis
رغم أهمية الموضوع ماكو تعريف ثابت ومتفق عليه واكو عبارة مذكورة
(Although sepsis was described over 2,000 years ago, clinicians still struggle to define it, and there is no 'gold standard.)
🟢 بصورة عامة حتى تميز كيسات ال Sepsis بالطوارئ قبل تعلمنا على Criteria of SIRS
بالجديد صار عدنا شي اسمه Sofa score
👉 The quickSOFA is a bedside prompt that may identify patients with suspected infection who are at greater risk for a poor outcome outside the intensive care unit (ICU)
♦️ Criteria :
1️⃣ RR > 22
2️⃣ Altered mentation (GCS < 15)
3️⃣ SBP < 100
اذا لكينا نقطتين عند المريض هذا
High risk of mortality | 1 403 |
| 4 | ✅ Antivenom
مو كل حالات snake bite تحتاج ننطي Antivenom
هنا دافيدسون يذكر Indications | 1 094 |
| 5 | #ملاحظة_طوارئ
🟠 شوكت تكول هذا المريض دخل ب AKI ؟
1️⃣ اذا الكرياتين ارتفع أكثر من 0.3 mg/dl خلال أقل من يومين
2️⃣ اذا الكرياتين ارتفع أكثر من 1.5 مرة خلال اسبوع
3️⃣ اذا ال Urine أقل من 0.5 ml/kg/hr خلال 6 ساعات
👍اي وحدة من ذني تصير معناهه المريض دخل ب AKI
يعني إعتمادنا فقط على الكرياتين وال UOP ..
✋ هنا حتى تكول هذا AKI.. لازم تتأكد المريض اصلا ما عنده CKD ولازم تعرف ال Baseline S. Creatinine
✅ ليش مهم تعرف هالشي ؟
ممكن معرفتك بالبداية تنقذ المريض وتمنع تحوله الى CKD ويبقى يغسل طول عمره
▶️ Mostly cause is Pre_renal
So >
🔸good hydration
🔸Rx of underlying cause
🔸Stop Offending drugs (like NSAIDs, ACE)
🟥 زين اذا احتاريت هذا المريض هو AKI لو CKD شلون تميز ؟
👉 Abd US > Small kidneys, Poor CMD Suggest CKD
👉 Lab > S.Ca, PTH, Hb .... | 972 |
| 6 | Approach to Shock (1).pptx | 1 484 |
| 7 | #ملاحظة_طوارئ
🟥 موضوع مهم جدا ..
Shock = Circulatory failure
( الأوكسجين اللي يوصل للخلايا أقل من إحتياجها)
🤔 لو سألنا السؤال التالي :
مريضين عندك
1️⃣ pt A > BP 110/40
2️⃣ pt B > BP 90/60
منو عنده
Better tissue perfusion ?
للوهلة الأولى تعتقد إنه المريض A وضعه أحسن
بس بالحقيقة لا
🟠 من تريد تحدد المريض داخل بحالة Shock أو لا ..
تعتمد على حساب MAP
Mean arterial pressure
(( MAP = SBP + DBP + DBP /3 ))
♦️الضغط الإنبساطي أهم من الضغط الانقباضي
pt A > MAP = 63
pt B > MAP = 70
ال MAP فوق ال 65 عادة يكون كافي حتى يحافظ على Tissue perfusion
___
🟠 Hypotension لا يساوي Shock
مو كل هبوط بالضغط معناه المريض بحالة Shock
👉 3 markers of tissue hypoperfusion
1️⃣ Metabolic acidosis
2️⃣ High Lactate
3️⃣ Reduced UOP
___
✅ العلاج المبكر ينقذ حياة المريض..
Every minute of hypoperfusion = more infarction of the Viral Organs
شلون تشخص الأسباب وتتعامل وي الحالة والعلاج المناسب في المحاضرة التالية | 1 420 |
| 8 | #ملاحظة_طوارئ
🟥 موضوع مهم جدا ..
Shock = Circulatory failure
( الأوكسجين اللي يوصل للخلايا أقل من إحتياجها)
🤔 لو سألنا السؤال التالي :
مريضين عندك
1️⃣ pt A > BP 110/40
2️⃣ pt B > BP 90/60
منو عنده
Better tissue perfusion ?
للوهلة الأولى تعتقد إنه المريض A وضعه أحسن
بس بالحقيقة لا
🟠 من تريد تحدد المريض داخل بحالة Shock أو لا ..
تعتمد على حساب MAP
Mean arterial pressure
(( MAP = SBP + DBP + DBP /3 ))
♦️الضغط الإنبساطي أهم من الضغط الانقباضي
pt A > MAP = 63
pt B > MAP = 70
ال MAP فوق ال 65 عادة يكون كافي حتى يحافظ على Tissue perfusion
_______
🟠 Hypotension لا يساوي Shock
مو كل هبوط بالضغط معناه المريض بحالة Shock
👉 3 markers of tissue hypoperfusion
1️⃣ Metabolic acidosis
2️⃣ High Lactate
3️⃣ Reduced UOP
_______
✅ العلاج المبكر ينقذ حياة المريض..
Every minute of hypoperfusion = more infarction of the Viral Organs
شلون تشخص الأسباب وتتعامل وي الحالة والعلاج المناسب في المحاضرة التالية | 1 |
| 9 | ✅ Degludec
مريض سكر نوع أول وتتكرر عنده دخوليات DKA شنو الإجراء اللي ممكن يحميه ؟
👉 A patient with recurrent admissions for DKA secondary to missing doses can be started on degludec to reduce readmission rate.
Degludec has a much higher half-life than Detemir and therefore maintains a basal insulin level when the patient omits or forgets doses. This can prevent DKA. | 1 336 |
| 10 | 👍 Don't miss Red flags in headache | 1 334 |
| 11 | 🛑 22 years old male
Negative PMHx
7 days Hx of headache
3 days Hx of R. Vomiting, Blurred vision ، mild fever
Admitted treated as encephalitis
BP 100/60
Negative meningeal signs
CBC Hb 8.7
Severe headache not responding to Rx
ثاني يوم رجعنا retrograde بالهستري طلع مسوي حادث قبل اسبوعين
👉 Finally Brain CT >> Subdural hematoma with Compression on ventricle
دخل عمليات مباشرة | 1 301 |
| 12 | ▶️ Calcium can cause soft tissue necrosis if it extravasates during intravenous administration,
👉In picture our patient 60 years old male with CKD
Necrosis at site of cannula received Calcium previously | 1 226 |
| 13 | 🔶 Measles
هالأيام نلاحظ انتشار حالات للحصبة
هذا ملخص عن الموضوع | 5 260 |
| 14 | 👉 Today case
Acute pancreatitis due to Hypertriglyceridemia
🔶 32 years old male
Central Obesity
T.G > 3450 mg/dl | 1 537 |
| 15 | No text... | 1 320 |
| 16 | 🔹 17 y o female
▪️Hx of epilepsy since childhood
▪️Presented with ESKD and uremic encephalopathy
↪️ Abdominal u/s show polycystic kidney disease
↪️ general examination show angiofibromas
and ash-leaf maculae’s
↪️ brain mri shoe White matter demyelination
🔴 Final diagnosis. :- tuberous sclerosis
د احمد الموسوي | 1 399 |
| 17 | 👉 This is .. #Hemichorea ..
Bilateral para_ventricular brain calcification due to 1ry Hypoparathyroidism
(Ix show Low PTH, S.Ca ) | 1 348 |
| 18 | 👉 This is .. #Hemichorea ..
Bilateral para_ventricular brain calcification due to 1ry Hypoparathyroidism
(Ix show Low PTH, S.Ca ) | 1 303 |
| 19 | 🟡 28 years old female Down syndrome
PMHx > T1DM, celiac disease
Presented with this abnormal movement in left arm & left leg
1 months ago
Description ??
DDx ? | 1 204 |
| 20 | 🟡 Today case
Old age male with ESRD
👉 Uremic frost :
In ESRD, the incidence of uremic frost about 3%.
زين ليش تصير 🤔🤔
🔶 When the BUN level is high, the concentration of urea in sweat increases greatly.
Evaporation of sweat with high urea concentration causes urea to crystallize and deposit on the skin. | 1 214 |
