STAGE 4.
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بُترت قدم شخص مصاب بالسكّري، البداية كانت من سرقة حذائه في صلاة الجمعة ما جعله يعود إلىٰ البيت حافيًا.. أصيب بجرح ظنّ أنّه سيشفىٰ، لكن هذا لم يحدث! والسّارق ما زال يظنّ أنّ جرمه صغير!
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761
drugs cause Thrombocytopenia
®️ rifampicin
🏨 heparin
💲 sulfonamide
™️ Thiazide diuretics
#pharma 💊
761
normal range LFT
AST🤳🏻 5-40 U/L
GGT 🤳🏻 10 - 48 U/L
ALP 🤳🏻 30-130 U/L
باختصار الAST و GGT ذني النهايتهن T فوك ال٤٠ ابنورمال
و ALP هذا وحده فوك ال١٣٠ 🤷🏼♂️
#GIT
761
H pylori associated with ❔
♈️peptic ulcer
☯️ MALT gastric lymphoma
♒️chronic gastritis
♎️ gastric adenocarcinoma
#GIT
761
Complications of MI 😵
Early
- VT , VF , BBB
- AR (papillary muscle rupture) , VSD
- cariogenic shock
- rupture of ventricular free wall ( causes cardiac tamponade , pulselessness , hypotension, LOC) 🫨
Late
- dressler syndrome (pericarditis weeks after MI , treat by NSAIDs)
- ventricular aneurysm ( ST elevtion persists weeks after MI )
761
S/E of TB drugs 🌳
1. Isoniazid
Zid = زيد
هذا زيد ميحس برجليه
- Peripheral neuropathy (B6 deficiency) 🦵
- CNS effects و دايخ
- sideroblastic anemia طلع عنده انيميا من الدوخه
———————————————-
2 . Pyrazinamide
Zina = زينة
هاي زينة خطيه عده الكبد ميشتغل 😔 وحكة و طفح
- hepatotoxicity
- Rash & pruritis
———————————————-
3. Ethambutol
Butol = بتول
هاي بتول تلبس نظاره 🤓 لان عدها عمى الوان
- optic neuritis 👁️
- red green color blindness
- vertical nystagmus
———————————————-
4. Rifampicin هذا مميز
- fever 🤒
- red color urine 🩸
761
Drugs that cause pulmonary fibrosis 😵💫😤
- bleomycin 👤
- amiodarone 🤦🏻
- sulfasalazine 🧣
- methotrexate 🪖
761
Fibrosis of the lung usually starts at the bases and spreads superiorly to the upper zones of the lung as disease progresses. 🫁
#respiratory
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54 woman has weight loss, loss of appetite and SOB. RR is 19 and spo2 between 93 and 95 %. On examination, there is reduced air entry and dullness to percussion on the lower to midzones of the right lung. There is also reduced chest expansion on the right
761
14-year-old girl with meningococcal septicaemia a few weeks previously. She complains of tiredness and having a poor appetite. She feels dizzy when standing up from a sitting position. Her blood tests show sodium 127 mmol/L and potassium 5.4 mmol/L.
761
68 man presents with acute lower chest and upper abdominal pain with vomiting. On examination, he has marked tenderness in the epigastrium and you note subcutaneous emphysema. ECG shows a sinus tachycardia, chest X-ray demonstrates mediastinal air
761
علاج الOA كلش سهل
🚙 Non Pharmacological
exercise , weight loss
🚕 pharmacological
NSAIDS, acetaminophen, intraarticular steroid injection
🚗 surgical
Arthrodesis يلحمون المفصل حت ميحتك ويروح الالتهاب
Arthroplasty تبديل المفصل
