Note

وحدة من الكيسات الي بقت ببالي Middle age male presented with typical hx of MI ECG and troponin were positive بعد ما اخذ الانتي اسكيميا تم اعطاءه اكتليز و حسب البروتوكول بعد ٦ ساعات patient developed disturbed level of consciousness, mouth deviation and lt side weakness CT shows ICH and IVH !! صحيح هو واحد من السايد افكت للاكتليز ولكن هالشي كلشش رير ونسبته قليلة هل السبب انو جان عنده كونترا اندكيشن ؟ او الهيمورج مو بسبب الاكتليز انما كوفد ملام ؟ لان السي تي بين اكو انلفتريشن باللنك ايضاً يمشي وي كوفد

Holiday heart syndrome Is a condition where the heart develops arrhythmia usually AF after binge drinking of alcohol or withdrawal.. usually resolves within 48 h without any treatment

A 15 years old male with hx of SOB for few days No hx of trauma, fall or smoking Spot dx?

A 50 years old male with negative hx of HTN , Dm or IHD presented with palpitations and chest tightness radiating to the left shoulder Patient looked pale and fatigue No BP or pulse was detected ECG was done and show the pic below A shot of NS was given then we got a bp of 80/60 Then we delivered a synchronized DC to him Final ECG AS shown , what do you think the possible cause ?

An old age female presented with sob and palpitations On examination Clear chest spo2 =98 PR 160 Bp 110/70 mmhg RBS CbC , S troponin all was normal ECG was done as shown Adenosin 6 mg was given pulse reduced from 154 to 85 bpm But few minutes later returned to 155 bpm Another 12 mg of adenosine was given and reduced to 75 bpm but again few minutes later became 163bpm A shoot of NS was giver then isoptine 5 mg directly the patient pulse become 85 bpm and this time didn’t raised upove normal😂💔

A COMPLETE blood count is INCOMPLETE without a peripheral smear.

A case of osteochondroma

A 53 years old man presented to the ward with 5 days hx of FBM And vomiting.. Patient later developed Vt ( torsade de piont ) at night and referred to ccu where he returned by DC shock and given kcl and mg sulfate And when i took this case in the morning the patient was Dloc with multiple seizures attack that stopped with diazepam What do you think about such case?

الـ septic shock من أبرز مسببات الوفاة للمرضى عدنا، ولهذا هنا كون نكتشف الـ sepsis من وكت قبل لا توصل للشوك … الخطأ اللي نرتكبه هو اعتمادنا على صعود الـ WBC والصخونة حتى نگول sepsis، والواقع أنه هاي مو ضمن الكرايتيريا … ولهذا هواي sepsis ما ندگنزهم لأن WBC نورمل، والعكس صحيح … أولاً: شلون نشك أكو sepsis؟ اذا شكيت أكو إنفكشن + ٢ من ذني: (RR > 22, SBP < 100, GCS < 15) بأوكسفورد يگول بس وحدة منهن كافي. ثانياً: شنو ندز؟ ١- ندوّر على مصدر الإنفكشن: أشعة صدر، تحليل إدرار ٢- نشوف إذا أكو end organ damage: فندز مثلاً RFT, LFT ٣- ندز ABG علمود الـ Lactate، وCBC، وblood C&S ثالثاً: شلون نعالج؟ بمجرد الشك بوجود sepsis ابدي العلاج، لأن كل ساعة تأخير تزيد المورتالتي ١٠٪؜ حسب ديفدسن، والعلاج هو: ١- أوكسجين، ويكون high flow ٢- نورمل سلين ٢٠ مل/كغم + نورادرينالين إذا بقى هايپو ٣- IV Ab (Tazo or mero + vanco) نعيد الـ lactate وره ساعتين حتى نشوف الاستجابة. د. محمد السوداني @M7md_alsudani

Young age presented after RTA Fixed dilated pupils GCS 6 Undetected bp Weak carotid pulse Gasping breathing Patient was intubated Blood and fluid was given and referred to RCU BUT unfortunately she passed away 💔

Iv drug administration ملخص عن الادوية الي متوفرات حاليا و غالبا نستخدمها بشكل دوري و طريقة التخفيف والاعطاء

مو خفارة طن RTA و طن كسور ملحكت اصور بس ذني 😅 اهم شي بهيج كيسات خاصة الكسور نجيك ABC و فايتالز نشوف مكان الكسر و نجيك نيورو و distal pulses اذا كلشي تمام فقط انالجيسا وباك سلاب اذا fracture without displacement If displaced the reduce under analgesia و باك سلاب

Before and after actylase

Young age female few days after eclamptic fit and delivery she suffered from headache for 2 days then she suddenly Lost her consciousness

وحدة من الكيسات الي بقت ببالي A teenager presented with sudden loss of consciousness.. family reported he had one week hx of diarrhea otherwise normal On examination he was vitally stable but very feverish with bilateral fixed dilated pupils!! GCS 3-4 Lab Ix and CT Brain was normal No neck stiffness Babenski negative And I noticed some scars all over his both hands probably from suicidal attempts (family said it’s from work! ) At that time i was thinking about drug abuse or Encephalitis as a possible cause after all these findings what do you think ? After digging in hx the family reported that the pt had hx of burn 2 months prior this admission and he was taking antihistamines from time to time!

I’m a dopamine hater ✌🏻🥲