كل يوم case 🫀🩻🩺

هاي ملفات رضا عزيز مهمات يكولون

رحلتي من رضا علوان ☕️ الى رضا عزيز

هذا كلش راح يفيدكم بحل اي سؤال يخص الستونات اذا استفاديتو منه لاتنسوني من الدعاء

Legionella pneumophila = hyponatremia ,⬆️liver enzymes

-elevated liver enzymes -hyponatraemia -elevated creatin kinase -hypoalbuminaemia Suggest which micro-organism ? #cardioresp

مادري ليش دائما يجي ابالي يجبولنه كيس نيمونه ويطلبونه منه ارقام حسب المخطط

#pharma #S3

وعدتُ من المعاركِ لَستُ أدري علامَ أضعتُ عمري في النزالِ

A 71 year old man presents with increasing shortness of breath with no cough or systemic symptoms. He has atrial fibrillation for which he takes apixaban. A recent echocardiogram suggests preserved left ventricular systolic function and no valvular abnormalities. He has no significa respiratory exposures and has always worked in an office. He has only ever holidayed in North America. For the patient described in Question what would be the best next step in his management? A. Bedside thoracic ultrasound and pleural aspiration B. Diuretic therapy C. Repeat echocardiogram D. Stop apixaban E. Thoracic ultrasound scan-guided intercostal chest drain

A 35 year old man has been unwell for a week. He has experienced fever, productive cough, rhinitis and aching muscles. He now presents with left-sided pleuritic chest pain to the emergency department. Observations include temperature 39°C, oxygen saturations 94% on room air, BP 134/76 mmHg, pulse 101 beats/min, respiratory rate 24 breaths/min. His CXR is below.

71 year old man presents with increasing shortness of breath with no cough or systemic symptoms. He has atrial fibrillation for which he takes apixaban. A recent echocardiogram suggests preserved left ventricular systolic function and no valvular abnormalities. He has no significant respiratory exposures and has always worked in an office. He has only ever holidayed in North America.

الجواب c لكن مو المفروض d؟

A 36-year-old man presents to the emergency room with renal colic. His vital signs are normal and a urinalysis shows microscopic hematuria. A radiograph reveals a 1.5-cm stone. Which of the following is the most appropriate management of this patient? a. Hydration and analgesics b. α-Adrenergic blocker c. Extracorporeal lithotripsy d. Percutaneous nephrostomy tube e. Open surgery to remove the stone

الاسبوع اليجي مثل هيج وقت مخلصين امتحانات يارب تتمها على خير 🙏

A cool limb A sensorimotor deficit Time greater than 4 hours since the initial insult Diminished arterial pulse Patient age greater than 60

During initial assessment of a hemodynamically stable patient with peripheral vascular trauma which of the following characteristics conveys the greatest urgency for repair?

A middle-aged man is diagnosed with TB. He has no known drug allergies. Which is the least likely drug to be included in the initial treatment? b. Handling pigeons c. Turning germinating barley d. Turning mushroom compost a. Ethambutol b. Pyrazinamide c. Streptomycin d. Rifampicin e. Isoniazid

A woman is admitted to hospital with acute severe asthma. Her respiratory rate is greater than 25 breaths/min and peak flow is less than 50% of her predicted value. What is the next most appropriate step in management? 16. A 23-year-old known intravenous drug abuser is admitted with a fever, productive cough and dyspnoea. Which of the following organisms is most likely to account for his condition? a. Noninvasive ventilation b. Antibiotic therapy c. Intravenous magnesium d. Intravenous aminophylline e. Nebulized salbutamol