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DiGeorge symptoms may improve slightly with age Wiskott Aldrich syndrome worsens with age #Immunology

Differentiate diaper rash from Candida infection by examining the skin folds. Diaper rash doesn't involve the skin folds, Candida does. #Pediatrics

Differentiate between duodenal atresis and malrotation with midgut volvulus with upper GI series. #Pediatrics #GIT

Differentiate between ileal atresia and meconium ileus with ultrasound. The dilated bowels in meconium ileus are filled with echogenic material. In ileal atresia, they are filled with fluid. #Pediatrics #GIT

Phototherapy degrades vit. B2 and may lead to vit B2 deficiency especially in preterm neonates. #Pediatrics

Avoid kernicterus with phototherapy or exchange transfusion Indication for phototherapy -24 hours of age with total bilirubin > 12 mg/dL -48 hours of age with total bilirubin >15 mg/dL -72 hours of age with total bilirubin > 18 mg/dL Indication for exchange transfusion -24 hours of age with total bilirubin > 19 mg/dL -48 hours of age with total bilirubin > 22 mg/dL -72 hours of age with total bilirubin > 24 mg/dL In neonates born at ≤ 37 weeks gestation and infants with risk factors (sepsis, acidosis, hypoalbuminemia, hemolytic anemia,... etc.), start therapy at lower levels #Pediatrics

يجب أن تثق بنفسك .. اذا لم تثق بنفسك ، فمن ذا الذي سيثق بك ؟ –ارسطو 💪🏻

Epley maneuver is used to treat Benign positional paroxysmal vertigo #ENT

How to differentiate central from peripheral vertigo on Dix-Hallpike maneuver #ENT

The Dix-Hallpike maneuver is performed to test for Benign positional paroxysmal vertigo #ENT

HINTS Exam for vertigo consists of Head Impulse (abnormal = peripheral) Nystagmus (unidirectional, horizontal = peripheral) Test of Skew (absent = peripheral) If any one indicates central → further workup Note: the above image shows the technique of head Impulse test #ENT

Trotter's triad: ipsilateral conductive hearing loss (due to dysfunction of the eustachian tube) + ipsilateral soft palate paralysis (CNX) + ipsilateral trigeminal neuralgia (mandibular division) -Seen in nasopharyngeal carcinoma #ENT

Comparison between peripheral and central vertigo #ENT

A 23-year-old man comes to the physician because of a whistling sound during respiration for the past 3 weeks. He reports that the whistling is becoming louder, and is especially loud when he exercises. He says the noise is frustrating for him. Two months ago, the patient underwent outpatient treatment for an uncomplicated nasal fracture after being hit in the nose by a high-velocity stray baseball. Since the accident, the patient has been taking aspirin for pain. He has a history of asymptomatic nasal polyps. His temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 12/min, and blood pressure is 110/70 mm Hg. Physical examination shows no abnormalities. Which of the following would have prevented the whistling during respiration? #ENT

A triad of traids 1- Gradenigo’s triad: otitis media, facial pain (CN5), and abducens nerve palsy (CN6) -Seen in petrositis 2- Samter triad: Chronic rhinosinusitis with nasal polyposis, NSAID hypersensitivity, and asthma. - a feature of aspirin-exacerbated respiratory disease (AERD). 3- The triad of sensorineural hearing loss (typically show low-frequency hearing loss), tinnitus, and vertigo - Seen in Meniere's disease #ENT

Interpret this audiogram #ENT

Audiogram ranges Remember a low symbol on an audiogram means a high volume required to hear the sound. #ENT

Learn to read an audiogram #ENT https://www.youtube.com/watch?v=acYMy9b0F2A