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4th 𝒔𝒕𝒂𝒈𝒆 𝒃.𝒖.𝒄.o.𝒎.

4th 𝒔𝒕𝒂𝒈𝒆 𝒃.𝒖.𝒄.o.𝒎.

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طب بابل /دفعة 2021_2020

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اشياء تفيدكم بأوسكي Respiratory

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الادوات اللي نحتاجها 1/ stethoscope 2/ساعة يدوية 3-مسطرة _قلم 4- tape measure
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تشخيص الحالات الشائعة respiratory 1- COPD & Asthma. 2- Bronchiectesis. 3- Pleural Effusion. 4- Pneumothorax. 5- Pneumonia. 6- Interstitial Lung Disease (ILD).
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. Respiratory system examخطوات💛 added sounds 💛 💛ملخص osce station of chest from anterior💛 osce station of chest from posterior 💛 … ✨Videos ✨ 🔰Dr. Rajoj Clinical Examination Playlist 🔰Macleod's Respiratory Examination 🔰 OSCE Respiratory Examination
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من ماكلويد نصا وكلام دكاترة
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الكليشة المهمة للجهاز التنفسي بالاوسكي: 💭 Type of Breathing: *Harsh Vesicular Breathing  Means  Normal (Inspiration More Than Expiration). *Broncho-Vesicular Breathing  Means  Obstructive Lung Diseases (Expiration More Than Inspiration) as in Asthma, COPD, Bronchiectesis. 💭No prolongation of the inspiratory or expiratory phases 💭No rhonci (if present we should mention the area , highest area , expiratory or both) 💭No crepitation (if present we should mention the area , fine or coarse) 💭No friction rub 💭No stridor (harsh inspiratory sound which is smiliar to rhonci sound but in the inspiratoey phase) 💭 DDx
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What you say in ( mention the area ) : 1- left upper zone 2- right upper zone 3- left middle zone 4- right upper zone 5- left
What you say in ( mention the area ) : 1- left upper zone 2- right upper zone 3- left middle zone 4- right upper zone 5- left lower zone 6- right lower zone اذا سمعتوا بكل الاماكن تكدرون تعبرون علي بالطريقة الي تعجبكم لكن اسهلها هي : All over the back
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💥Vocal resonance Causes of increased vocal resonance: consolidation and collapse Causes of decreased vocal resonance: pleural effusion, pneumothorax, collapse with obstructed bronchus. للي عدهم consolidation نسويلهم شي اسمه Whispering pectoriloquy نكله اهمس بصوت ناصي ونسمع بالسماعة فحنلكه الصوت عالي عبالك ديحجي بصوت عالي وهمات نسوي شي اسمه Aegophony وهذه هنا نكوله كول eeeeee حنسمعها aaaaa
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- Crackles it a deep breathing to represent the sudden opening of small airways
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Coarse Crackles : Good air entry all over the lung Normal vesicular breathing all over the lung without prolongation of expiratory phase Regarding added sounds there is biphasic coarse crackles in ( mention the area ) DDx : 1- T.B 2- absseces 3- resoulation phase of pneumonia 4- bronchiectasis 5- advance pulmonary odema
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Fine Crackles : Good air entry all over the lung Normal vesicular breathing all over the lung without prolongation of expiratory phase Regarding added sounds there is inspiratory fine crackles in ( mention the area ) DDx : 1- atypical pneumonia 2- interstital lung disease 3- pulmonary fibrosis 4- early phase of pneumonia 5- pulmonary odema
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- narrowed small airways - most commonly expiratory
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Wheezing : Good air entry all over the lung vesicular breathing all over the lung with prolongation of expiratory phase Regarding added sounds there is expiratory wheezing in ( mention the area ) DDx if wheeze all over the lung : 1- asthma 2- chronic bronchitis ( COPD ) 3- Bronchiolitis 4- acute bronchitis 5- cardiac asthma DDx if wheeze in localized area : 1- tumor 2- forgien body 3- mucus inspiration 4- compression from outside 5- bronchiectasis
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هسه نجي ع ال added sound نحجي كل اليخصهم
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