Emergency notes🫀
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قناة مهتمة بنشر معلومات وملاحظات يحتاجها كل طالب او طبيب طوارئ …
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Channel Posts
شباب انضموا من اجل دعم الابحاث السريرية الطبية ، وحتة تكونون support النا بهذا الطريق ، وكذالك اذا راح تكون بالمستقبل interested in clinical research فراح تلكة فرص بهذا الكروب او تراسل الادمنية حتة يدزولك فرصة مجرد تتوفر …
| 2 | انضموا للگروب الي سوينا على linkedin ، بخصوص الابحاث الطبية التي ستبدأ في شهر ال١٢، في مستشفى الكاظمية وبدعم وموافقة كلية طب النهرين | 633 |
| 3 | انضموا للگروب الي سوينا على linkedin | 1 |
| 4 | https://www.linkedin.com/groups/13116948/ | 653 |
| 5 | السلام عليكم..
بالشين نكون تيم لعمل الأبحاث الطبية ، وراح تكون الأبحاث عبارة عن primary clinical research (general and cardiothoracic surgery filed)
ومحتاجين data collector عدد 5 من بغداد...
هذه الأبحاث حتكون مدفوعة تكاليف واجور النشر ، كل الي عليك تجمع الداتا والباقي يمنا ...
وشكراً... | 381 |
| 6 | السلام عليكم..
محتاجين ٥ طلاب من النهرين يكونون interested بالبحث الطبي يراسلوني ..
@Abdulillh | 1 |
| 7 |  The following was taken from a pt with progressive fever and lethargy and right shoulder pain. Also had abdominal pain, nausea, and vomitting with abdominal tenderness and rebound tenderness. What caused the finding? | 755 |
| 8 | بالguidelines القديم لل ESC
كان انه اذا ال AF صارلهة يومين او اقل نحولهة الى sinus rhythm سواء electrical or pharmacological cardioversion
هسة بالكايدلاين ال2024 صار يوم واحد فقط 😱..
يعني اقل من يوم نحاول نرجعة اكثر من يوم نبقي rate control | 941 |
| 9 | حامل وعدهه arrhythmia شنو نننطيهه🔥
Adenosine ➡️SVT
Digoxine ➡️SVT
🤔🤔هنا ال digoxine من يستخدم ويه الحامل راح تلاحظ ارتفاع بنسبة ال digoxine ب circulation 🤨🤨🤔.. ليش لان ال circulation of pregnancy تكون موجوده بيهه جزيئات تشبه ال. Digoxine لذلك راح تطلع النتيجه بيهه نسبة خطأ لذلك اتذكر هاي الملاحظه الي تكول 🗣️🗣️🗣️
assay for measuring digoxin levels during pregnancy can result in falsely elevated levels due to circulating digoxin-like fragments
Procainamide ➡️VT
Lidocain➡️VT
Torsade de pointes ➡️mg sulfate | 1 013 |
| 10 | Pateint presented with Wide QRS complex in ED ...
و متكدر تفرق هذا
لو VT🤔
لو AF + BBB 🤔
لو SVt + WPW 🤔
نعالجه ع الاخطر الي هي VT
نبلش ننطي amidarone❤️
Dont forget the C.I :
💫digoxin induced vt
💫arrhythmia due hyperkalimia | 855 |
| 11 | Toxicity: 💔
Loss of patellar reflux
respiratory arrest so contraindicated in MG
Antidot :🤔
Reversal of magnesium sulfate toxicity
Is ca gluconate 1g 10% | 853 |
| 12 | Dose of magnesium sulfate :
🔥Torsade de pointes:
Loading dose: 2 gram/15 min if the patient was pulsatile,
and over 2 min if the patient was pulseless
Maintenance dose: 1 g/hr for 24 hr
🔥Acute exacerbation of asthma
In Adult: 2 gram over 20 min, no Maintenance dose. | 827 |
| 13 | Clinical Uses of magnesium sulfate is ABCDE :
(A)cute severe asthma
(B)arium poisoning
(C)onstipation
(D)e pointes ( torsade de pointes ) /Digoxin intoxication
(E)clampsia | 808 |
| 14 |  الجواب Air under diaphragm, perforated viscus
الair مأشر بالاخضر | 936 |
| 15 |  مريض متوسط العمر اجة بacute abdomen .. شنو ممكن يكون التشخيص بالاعتماد على هاي الx ray | 839 |
| 16 | ![📍Isoniazid [ anti tb ] Mech ; act on cell wall synthyesis side effects : 📝 - hepatotoxicity ( GIT ) - lupus erythematous +](data:image/jpeg;base64,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){kind=small} 📍Isoniazid [ anti tb ]
Mech ; act on cell wall synthyesis
side effects : 📝
- hepatotoxicity ( GIT )
- lupus erythematous + Rash
- peripheral neuropathy (PNS)
- seziure + psycosis (CNS)
So advice pateint to don LFT as follow up + check if signs of hepatitis appeare | 1 326 |
| 17 | IMP INV:
wegener's🔥
Most specific diagnostic test of wegener's granulomatosis
C_ANCA.
Most definitive diagnosis of wegener's granulomatosis is lung biopsy.
scleroderma🔥
Most sensitive diagnostic test of scleroderma is ANA.
Most specific diagnostic test of limited form of scleroderma is anti_centromere.
Most specific diagnostic test of generalized form of scleroderma is
anti_opoisomerase antibody (anti_scleroderma antibody).
RA🔥
Most specific diagnostic test of reumatoid arthritis is anti_CCP antibody.
Sle🔥
Most sensitive diagnostic test of SLE is anti _nuclear antibody (ANA).
Most specific diagnostic test of SLE is anti_sm ab and anti_ double stranded DNA antibody (AdsDNA) | 906 |
| 18 |  The right main bronchus is wider, shorter, and more vertical than the left main bronchus so aspiration of foreign bodies and aspiration pneumonia are more likely in the right lung. | 885 |
| 19 | no evidence of increased fetal risks or pregnancy loss with typical CXR doses.
دائما اتصير انه الواحد يفكر انه ممكن هذا الاشعاع يأثر على الطفل ، بس بالحقيقة ماكو اي تأثير | 942 |
| 20 | ? | 1 125 |
