سوالف طبية
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Incoming and Outgoing Mentions
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| Date | Subscriber Growth | Mentions | Channels | |
| 09 December | +1 | |||
| 08 December | +1 | |||
| 07 December | +1 | |||
| 06 December | +1 | |||
| 05 December | 0 | |||
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Channel Posts
| 2 | The consistence of a lump depends not only upon its structure but also on the tension within it.
Some fluid-filled lumps are hard, some solid lumps
are soft; therefore, the final decision about composition
of a lump (i.e.whether it is fluid or solid) rarely
depends solely upon an assessment of the consistence. | 154 |
| 3 |  No text... | 152 |
| 4 | ATLS guidelines 8th edition
In a hemodynamically stable patient with abdominal trauma, the
investigation of choice is CECT (contrast enhanced CT scan)
In a hemodynamically UNSTABLE patient with suspected abdominal
trauma, the investigation of choice is FAST (focussed abdominal
sonogram in trauma). | 150 |
| 5 | +1 Pediatric / Neonate
Doses 💯 | 150 |
| 6 | During open hernia repair, the ilio-inguinal nerve is the most commonly injured .
while the lateral femoro-cutaneous nerve is more commonly injured during laparoscopic herniorraphy .
وهالشي يسبب
Post Herniorrhaphy Groin Pain | 146 |
| 7 | No text... | 151 |
| 8 | Primary amenorrhea : absence of mens at age 14 without 2ry sexual development or 16 with 2ry sexual development
Clinical approach رح نعتمد على شيئين
-anatomic يعني اكو uterus لو لا
-hormonal : يعني اكو breast لو لا
(باعتبار اذا اكو بريست يعني اكو استروجين)
……..
If breast ✅…. Uterus ✅
Ddx➡️ imperforated hymen,
vaginal septum,
pregnancy
If breast ✅ uterus ❌
Ddx: mullarian agenesis
testicular femminisation
If breast❌….uterus ✅
Ddx: turner’s syndrome
Kallman syndrome | 144 |
| 9 | No text... | 130 |
| 10 | Infection cause miscarrigae in ;
First Trimester is Varicella and rubella
Second Trimester is bacterial vaginosis | 162 |
| 11 | النقطة الثانية اهنا بس تعديل عليها
Mean sac diameter ;
1- More than 25mm in transabdominal u/s
2- More than 18mm in transvaginal u/s
3- less than 4mm growth in 7 days
+ abscense of embryo | 167 |
| 12 | ⚫️ Cx of surgical Management include :
- Risk of GA
- infection
- Retained Products of Conception
- Bleeding ( that’s why we give Methergine after the procedure)
- Asherman Syndrome ( infertility)
- Perforation | 159 |
| 13 | ⚫️ Expectant Management of Miscarriage depends on :
- Earlier Gestation
- Singleton pregnancy
- Social Circumstances
- Counseling | 155 |
| 14 | ⚫️ Always Remember
Imagining Criteria to diagnose nonviabiality include :
- Crown rump length of 7mm or more + no fetal heartbeat
- mean sac diameter of 25mm or more + absence of an embryo | 164 |
| 15 | No text... | 164 |
| 16 | No text... | 150 |
| 17 | Cervical incompetence: السيرفكس راخي مديلزم روحه
-Causes..➡️congenital weakness, acquired due to injury, cone biopsy, D&C
-Dx: history of recurrent 2nd tri mes. ويكون تنازلي + U/S (less than25 length)
MX➡️ cerclage elective at 13 wk removed at 37wk
Emergency at 22wk
Types of operation…➡️shirodkar التيب العريض
•Mcdonald ابو النجمة
•trans abdominal cerclage
Contraindications of cerclage
-bleeding
-rupture membrane
-uterine contractions
Complications
-suture disruption,
-rupture membrane,
-chorioamnonitis
* when to remove :
- at 37wk
-whenever labour occurs
-rupture membrane
- evidence of uterine infection | 159 |
| 18 | 2nd trimester miscarriage
-when… ➡️ 12-24 wk (قبلها يعتبر 1st وراها يعتبر preterm labour)
-cause…➡️ 12-15wk مثل الفرست اذا اكثر بيها 6 اسباب
•ascending infection
•cervical incompetence
•intrauterine bleeding
•epidemiology causes
•increase maternal age
•amniocentesis ( نسويه بعمر ال16-18 wk)
Classification…➡️ threatened,missed, inevitable, septic
-Tx ➡️supportive, antibiotics, tocolytics هاي كلاوات متفيد | 134 |
| 19 | Causes of recurrent miscarriage
- structural
•fetal chromosomal abnormalities
• paternal chromosomal abnormalities
-anatomical
• uterine abnormalities ( septate most common)
• cervical causes (2nd trimester)
• asherman syndrome
•acquired like fibroid
-thrombotic
•anti phospholipid syndrome (15% of RPL Tx by low dose aspirin)
• thrombophilia (Tx By LDA)
-immunological
•anti thyroid Ab
•Natural killer cells (Tx by Low dose prednisone)
-endocrinological
• PCOS
• thyroid
• DM
-infection
• bacterial vaginosis ( 1st tri loss & risk factor for 2nd tri loss & preterm labour)
-endometrial causes (tx by aspirin, progesterone, HCG)
-environmental
• smoking and alcohol
• pollutants
-psychological | 167 |
| 20 | DDX of early pregnancy bleeding :
-miscarriage
-ectopic pregnancy
- H.mole
-red degeneration of fibroid
-rupture ovarian cyst
-polyp | 172 |
