High Yield SMLE Notes

السلام عليكم ورحمة الله وبركاته مساء الخير جميعا، ان شاء الله تكونو بخير وصحة وعافية هذا ملف نوتات المديسن ، وبكذا يكون اكتملت جميع الملفات 👍🏼 اتمنى لكم التوفيق جميعا وان شاء الله تبشروني بالدرجات الي تطمحون لها 🙏🏻

مساء الخير على الجميع ملف نوتات الاوبي كاملة، موفقين ان شاء الله ❤️🙏🏻

السلام عليكم ورحمة الله وبركاته ان شاء الله تكونو بخير جميعا هذا ملف نوتات قسم البيديا بالنسبة لنوتات المديسن والاوبي، جاري العمل عليها موفقين يا رب🙏🏻

السلام عليكم ورحمة الله وبركاته هذا ملف لجميع نوتات الجراحة الموجوده بالقناة، لو احد عنده ملاحظه او سؤال يكتب تحت الرسالة هذي او يتواصل معي تلقرام @Omarrr_11 بالتوفيق لكم جميعا

السلام عليكم ورحمة الله وبركاته مساء الخير جميعا بداية موفقة لجميع اطباء الامتياز، ان شاء الله تكون سنة جميلة وميسرة لكم جميعا بإذن الله الفترة القادمه راح ارسل جميع النوتات الموجودة في هذه القناة في ملفات pdf ليسهل عليكم مذاكرتها لا تنسوني من دعائكم وبالتوفيق 🙏🏻

GS notes.. DONE ✅ Pediatric notes.. DONE ✅ Medicine…. DONE ✅ Ob-Gyn notes….DONE ✅

Vulvar lesion at 5 o'clock or 7, inflammatory changes up to cervix, red, unilateral, tender, edematous fluctuant mass was noticed just outside the introits in the rt vulva; Bartholin abscess Small mass in the vulva, jelly-like secretions; vulvar mucinous cyst Sudden onset of unilateral, lower abdominal pain, often following strenuous physical activity, sometimes hemorrhagic shock; Ruptured Ovarian Cyst US done showed Solitary with cystic component complex left ovarian cyst measure 7x8 cm; Tumor markers (CA -125) 75-year-old female presented with left abdominal pain, by US there is multiloculates, hard left adnexal mass. CA125 normal. Most app Mx; Refer to gynecology oncology center Ovarian cyst 6 cm with high ca125 high u/s showed multi Loculated, cystic something . Which of the following is the most appropriate management; oopherctomy

Elderly with endometrial polyp, endometrial lining was 19mm; Initially; hysteroscopy with polypectomy, Definitive; laparoscopic hysterectomy 56 years with uterine cancer, what the most appropriate treatment at this age; laparoscopic hysterectomy (less invasive than laparotomy) ———- Endometrial hyperplasia Mx, If wants preserve fertility; progesterone, If post-menopausal; hysterectomy Risk factors of endometrial cancer; PCOS Then age, DM, nulliparity and Tamoxifen ——— When to do Endometrial biopsy; - post-menopausal bleeding, - 45 Y to menopause; if bleeding is heavy, prolonged, frequent or intermenustral. - Less than 45 Y; if BMI ≥30, PCOS ———- Post menopause blood and itchy, pea size mass confined to valvular (SCC); wide local excision Most common ovarian cancer; Epithelial, Most common valvular cancer; SCC

Invasive cervical cancer; clinical staging, Vs. Ovarian tumor; surgery and chemo ——— Bleeding location: if profuse; uterus, if scantily or after sex; cervix (next step; Pap test)

Start Pap smear (from transformation zone); 21 y.o 21-29 Y; pap every 3 y 30-65 Y; pap every 3 y or every 5 y with HPV ————— Start HPV screening; 30-34 y.o HPV vaccine; 9-14y; 2 doses(0, 6-12 months) 15-26y; 3 doses(0,1-2 months, 6 months)

Cervical lesion in exam; next step; colposcopy highest dx; biopsy ——— Pregnant with suspicious cervical lesion; colposcopy HISL then biopsy showed carcinoma in situ, want conserve her family; LEEP

If routine cervical smear shows: -Unsatisfactory; More than 30 Y.o and HPV-positive; colposcopy Others; repeat 2-4 months -Undermined significant; 21-24 y.o; repeat 12 months More than 24 y.o; HPV testing -LSIL; 21-24 y.o; repeat 12 months 25-29 y.o; colposcopy 30 y.o and more; HPV testing -HSIL; colposcopy

Cervical cancer screening;

Uterine Fibroids firm fundal mass; Fibroid heavy bleeding; sub mucosal fibroid most common or felt on pelvic exam; intra mural Diagnoses; next; US, Best; MR Submucosal fibroid, Mx, If old; hysterectomy, If young; hysteroscopic resection. (laparoscopic resection for intramural, subserosal fibroid) —- Incidental findings of fibroid; observation or US every year. Fibroid; hypoechoicسواد VS. polyp (hyperechoic)بياض Medication given to decrease fibroid size; GNRH 34 gestational age with fever and abdominal pain,2 cm cervical dilatation; Red degeneration; observe

Adenomyosis Enlarged and tender uterus or Abnormal uterine bleeding with previous Hx of surgery (myomectomy); adenomyosis Dx; MRI Tx: If old; hysterectomy, If young; OCP