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OBSTETRIC & GYENAECOLOGY

OBSTETRIC & GYENAECOLOGY

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قناة المحاضرات والتلخيصات للنسائية والتوليد

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السَّلَامُ عَلَى الْحُسَيْنِ الَّذِي سَمَحَتْ نَفْسُهُ بِمُهْجَتِهِ. السَّلَامُ عَلَى مَنْ أَطَاعَ اللَّهَ فِي سِرِّهِ وَعَلَانِيَتِهِ السَّلَامُ عَلَى مَنْ جُعِلَ الشِّفَاءُ فِي تُرْبَتِهِ السَّلَامُ عَلَى مَنِ الْإِجَابَةُ تَحْتَ قُبَّتِهِ السَّلَامُ عَلَى مَنِ الْأَئِمَّةُ مِنْ ذُرِّيَّتِهِ. السَّلَامُ عَلَى الْمُرَمَّلِ بِالدِّمَاءِ السَّلَامُ عَلَى مَهْتُوكِ الْخِبَاءِ السَّلَامُ عَلَى خَامِسِ أَصْحَابِ أَهْلِ الْكِسَاءِ السَّلَامُ عَلَى غَرِيبِ الْغُرَبَاءِ السَّلَامُ‏ عَلَى شَهِيدِ الشُّهَدَاءِ السَّلَامُ عَلَى قَتِيلِ الْأَدْعِيَاءِ السَّلَامُ عَلَى سَاكِنِ كَرْبَلَاءَ. السَّلَامُ عَلَى الْجُيُوبِ الْمُضَرَّجَاتِ السَّلَامُ عَلَى الْجُيُوبِ الْمُضَرَّجَاتِ السَّلَامُ عَلَى الشِّفَاهِ الذَّابِلَاتِ‏، السَّلَامُ عَلَى النُّفُوسِ الْمُصْطَلَمَاتِ السَّلَامُ عَلَى الْأَرْوَاحِ الْمُخْتَلَسَاتِ السَّلَامُ عَلَى الْأَجْسَادِ الْعَارِيَاتِ السَّلَامُ عَلَى الْجُسُومِ الشَّاحِبَاتِ‏ السَّلَامُ عَلَى الدِّمَاءِ السَّائِلَاتِ السَّلَامُ عَلَى الْأَعْضَاءِ الْمُقَطَّعَاتِ السَّلَامُ عَلَى الرُّءُوسِ الْمُشَالاتِ السَّلَامُ عَلَى النِّسْوَةِ الْبَارِزَاتِ. السَّلَامُ عَلَى مَنْ نُكِثَتْ ذِمَّتُهُ السَّلَامُ عَلَى مَنْ هُتِكَتْ حُرْمَتُهُ السَّلَامُ عَلَى مَنْ أُرِيقَ بِالظُّلْمِ دَمُهُ السَّلَامُ عَلَى الْمُغَسَّلِ‏ بِدَمِ الْجِرَاحِ السَّلَامُ عَلَى الْمُجَرَّعِ بِكَأْسَاتِ الرِّمَاحِ السَّلَامُ عَلَى الْمُضَامِ‏ الْمُسْتَبَاحِ السَّلَامُ عَلَى الْمَهْجُورِ فِي الْوَرَى السَّلَامُ عَلَى مَنْ تَوَلَّى دَفْنَهُ أَهْلُ الْقُرَى السَّلَامُ عَلَى الْمَقْطُوعِ الْوَتِينِ السَّلَامُ عَلَى الْمُحَامِي بِلَا مُعِينٍ. السَّلَامُ عَلَى الشَّيْبِ الْخَضِيبِ السَّلَامُ عَلَى الْخَدِّ التَّرِيبِ‏، السَّلَامُ عَلَى الْبَدَنِ السَّلِيبِ السَّلَامُ عَلَى الثَّغْرِ الْمَقْرُوعِ بِالْقَضِيبِ السَّلَامُ عَلَى الْوَدَجِ الْمَقْطُوعِ السَّلَامُ عَلَى الرَّأْسِ الْمَرْفُوعِ السَّلَامُ عَلَى الْأَجْسَامِ الْعَارِيَةِ فِي الْفَلَوَاتِ تَنْهَشُهَا الذِّئَابُ الْعَادِيَاتُ وَتَخْتَلِفُ إِلَيْهَا السِّبَاعُ الضَّارِيَاتُ.

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قيمصك المنشور في السماء ... نادى حي على العزاء
قيمصك المنشور في السماء ... نادى حي على العزاء
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اركبْ بنفسى أنت يا أخي 💔💔
اركبْ بنفسى أنت يا أخي 💔💔
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رسمياً النسائية ✅ والحمد لله ♥️
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شكلنه ويه الامتحان العملي من دنقرا كلشي
شكلنه ويه الامتحان العملي من دنقرا كلشي
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كل عام وانتم بخير وصحة وسلامة , سلامة الاهل وتحقيق الاماني والنجاح بارقى الدرجات 💞💞
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* كُلُّ وِعاءٍ يَضيقُ بِما جُعِلَ فيهِ إلّا وِعاءَ العِلمِ؛ فإنَّهُ يَتَّسِعُ بِهِ * الامام امير المومنين علي (عليه السلام).
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هذي هي سلايدات النسائية والتوليد ☝🏻
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slides review in obstetrics.pdf
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💭بسم الله الرحمن الرحيم💭 ♥️ الحمد لله رب العالمين حتى يبلغ الحمد منتهاه حمداً لانقطاع له ولا امد والصلاة والسلام على رسول الله واله الاطهار. ♥️ الحمد لله خلصنه من كل الامتحانات الوزارية واسال الله تعالى انه تتكلل جهودنا بالنجاح الباهر. ♥️ الحمد لله اجتي هواي اسئلة من الذهبيات الي نشرتهم الي هي حصيلة ومجموع من محاضرات ومصادر اسئلة متعددة والفضل لله وحده. ♥️ ان شاء الله تعالى حيكون التوجه بالعملي ببرنامج جديد ومفيد حتشوفوه ان شاء الله وما يتعبكم ومن الله العون. ♥️ بعون الله تعالى حيتم نشر كيفية التعامل مع long cases بكل التفاصيل و OSCE &. Slides. ♥️ هذي رابط القنوات اتمنى تنشروهن حتى الكل يستفاد وهي بالاخير لوجه الله تعالى وزكاة العلم نشره لمستحقه : 🩺قناة الطب الباطني : https://t.me/internalmedicinstagaireMI 🩸قناة الجراحة : https://t.me/generalsurgeryMI 👼🏻قناة الاطفال : https://t.me/paediatricMI 🤰🏻قناة النسائية والتوليد: https://t.me/obsgynestagaireMI MUSTAFA ISTBRAQ
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الاسئلة مال اليوم والحل مو صحيح
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نسائية وزاري 2024.pdf
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بسم الله الرحمن الرحيم..♥️ وَوَصَّيْنَا الْإِنْسَانَ بِوَالِدَيْهِ حَمَلَتْهُ أُمُّهُ وَهْنًا عَلَىٰ وَهْنٍ وَفِصَالُهُ فِي ع
بسم الله الرحمن الرحيم..♥️ وَوَصَّيْنَا الْإِنْسَانَ بِوَالِدَيْهِ حَمَلَتْهُ أُمُّهُ وَهْنًا عَلَىٰ وَهْنٍ وَفِصَالُهُ فِي عَامَيْنِ أَنِ اشْكُرْ لِي وَلِوَالِدَيْكَ إِلَيَّ الْمَصِيرُ بمُناسبة امتحان النسائية ، احب اشكُر كل اُم حملت وعانت ورعت طفلها وكررت هالمُعاناة  مرة ومرتين وتلاثة.. ، شكد عظيمة المرآة ، وشكد عظيم رب العالمين ورحيم بينة ، خلانة تحت رحمتة ورعايتة من اول يوم بتكوينة ، وخلة الام عدها القدرة تتحمل كُل هذا العناء 9 شهور ، مادة النسائية كفيلة تخليك تحس شكد لُطف رب العالمين عظيم .. (واخرِ دعواهُم انِ الحمدُ للهِ ربُ العالمين..) اخر فاينل نظري الحمدُ لله ع كُلشي ، مهما كانت نتيجة الامتحانات السابقة هم الحمدلله ، عدت وخلصت ب اذن الله ، يجوز الله يجبر بخاطرك ويعوضك بالعملي بطريقة فعلا تستشعر بيها رحمة رب العالمين ، بلحظة رب العالمين قادر يقلب الموازين لصالحك، عاملة باليقين حتشوف التوفيقات تترس دروبك... 2024/6/13..♥️⌛️
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نسألكم الدعاء 😇
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الى هنا تقريبا احتويت كل المادة بذهبيات وكيسات مهمة يا رب تستفادون منها ☝🏻😇
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❗️Submucousal fi broids are the fi broids most likely to be associated with recurrent abortion because of their effect on the uterine cavity. ❗️Menorrhagia is the most common symptom of uterine fi broids, and severe menorrhagia often leads to anemia. 👩🏻 A ❗️65-year-old woman is noted to have suspected ❗️uterine fi broids on physical examination. Over the course of 1 year, she is noted to have ❗️enlargement of her uterus from approximately 12 weeks’ size to 20 weeks’ size. best RX ➡️ Exploratory laparotomy with hysterectomy. ❗️For a relatively large uterus due to fi broids, uterine artery embolization is the best alternative therapy to surgery. ❗️Depot medroxyprogesterone acetate is associated with loss of bone mineral density particularly in adolescents. ❗️Tension headaches are not a contraindication for oral contraceptive agents. ❗️Migraines with aura increase the risk of strokes in patient who take com bination hormonal contraception. 👩🏻 A 28-year-old woman experienced an ❗️episode of unprotected intercourse. Her ❗️last menstrual period was about 2 weeks previously. She receives a ❗️combination oral contraceptive agent for emergency contraception. most common side effect of the Yuzpe regimen (combination OC) ➡️ Nausea and/or vomiting 👩🏻 A 34-year-old woman states that she has had ❗️no menses since she had a ❗️uterine curettage and ❗️cone biopsy of the cervix 1 year previously. Since those surgeries, she complains of severe, crampy lower abdominal pain “similar to labor pain” for 5 days of each month. Her basal body temperature chart is biphasic, rising 1°F for 2 weeks of every month. cause ➡️ Cervical condition. ❗️Uterine curettage for a pregnancy-related process predisposes to IUA.This is best diagnosed with hysteroscopy. ❗️Metabolic syndrome is characterized by hyperlipidemia, glucose intolerance, hypertension, and central obesity. Patients with metabolic syndrome are at greatly increased risk of cardiovascular disease, particularly when the glucose intolerance is present. 👩🏻 An ❗️18-year-old nulliparous adolescent female complains of ❗️not having started her menses. Her breast development is Tanner stage V. She has a ❗️blind vaginal pouch and no cervix. DX ➡️ Müllerian agenesis. 👩🏻 A ❗️20-year-old G0P0 woman is told by her doctor that there is a ❗️strong probability that her gonads will turn malignant. She has not had a menses yet. She has Tanner stage I breast development. Dx ➡️ Gonadal dysgenesis. ❗️A pelvic kidney most likely is associated with a müllerian abnormality. #goldens #gyne
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👩🏻 A 48-year-old G3P3 woman has ❗️leakage of urine with coughing and sneezing. She ❗️denies dysuria or urinary urgency. likely to be present on physical examination ➡️ Hypermobile urethra. 👩🏻 A 62-year-old woman complains of ❗️constipation and difficulty having bowel movements. She states that she often needs to ❗️use her fingers to push her vagina backward to achieve a bowel movement. Her history is otherwise unremarkable. RX ➡️ Posterior colporrhaphy. 👩🏻 A 55-year-old woman notes constant ❗️wetness from her vagina ❗️following a total vaginal hysterectomy procedure, which she had undergone 2 months previously. She ❗️denies dysuria or urgency to void. The urine analysis is normal. best Ix ➡️ Dye instillation into bladder (maybe fistula has formed). 👩🏻 A 42-year-old woman with ❗️long-standing diabetes mellitus complains of small amounts of ❗️constant dribbling of urine loss with coughing or lifting. RX ➡️ overflow incontinence , Intermittent self-catheterization 👩🏻 A 39-year-old woman ❗️wets her underpants two to three times each day. She feels as though ❗️she needs to void, but ❗️cannot make it to the restroom in time. Dx , Rx ➡️ urge component , Oxybutynin. 👩🏻 A 35-year-old woman has undergone ❗️four vaginal deliveries. She notes ❗️urinary loss six to seven times a day concurrently ❗️with coughing or sneezing. She ❗️denies dysuria or an urge to void. Her urine culture is negative. DX , RX ➡️ stress urinary incont. , Sub-urethral sling procedure ❗️Chlamydial cervicitis is the most common cause of mucopurulent cervical discharge. ❗️Patients who engage in oral sex are at increased risk of acquiring gonococcal pharyngitis. ❗️Disseminated gonococcal disease leads to multiple, often painful, pustules on the skin. ❗️Trichomonas vaginalis is a hardy organism and may be isolated from a wet surface up to 6 hours after inoculation. 👩🏻 A 29-year-old woman has been treated for bacterial vaginosis and ❗️after 3 days of metronidazole, she notes abdominal discomfort, bloating, and diarrhea. explanation ➡️ Medication side effect. #goldens #gyne
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❗️Gonococcal cervicitis is strongly associated with preterm delivery. ❗️Suspected abruption is a relative contraindication for tocolysis. ❗️ Labor is the most common complication associated with PROM. ❗️Amniocentesis-revealing organisms on Gram stain are diagnostic of infection. ❗️Listeria may induce chorioamnionitis without rupture of membranes. ❗️The most common finding with PPROM would be variable decelerations likely due to oligohydramnios from the rupture of membranes. ❗️chlamydial infection Has a propensity for transitional and columnar epithelium. ❗️Chlamydia trachomatis Is an obligate intracellular organism. ❗️The most common method of HIV transmission to women in the United States is currently heterosexual intercourse. ❗️reverse end-diastolic flow, or absent end-distolic flow is an Ominous signs for IUGR. ❗️Escherichia coli is the most commonly isolated bacteria in pyelonephritis. ❗️Pyelonephritis is the most common cause of septic shock in pregnancy. ❗️The hemoglobin A1c value correlates with the risk of fetal anomalies and fetal morbidity. ❗️All women with gestational DM should have a screening test at 6 weeks postpartum for overt diabetes. 👩🏻A 21-year-old G1P0 woman at ❗️11 weeks’ gestation is seen in the emergency center complaining of ❗️nausea, vomiting, abdominal pain, and fatigue. The patient is a ❗️known diabetic since age 12 years, and has been in good control. On examination, ❗️her BP is 90/60 mm Hg, ❗️HR 120 beats per minute, and ❗️RR 28 per minute. The a❗️rterial blood gas reveals a pH of 7.28, pO2 of 100 mm Hg, pCO2 of 22 mm Hg, and bicarbonate level of 12 mEq/L. DX , RX ➡️ DKA , 2 L of normal saline intravenously. #obstetric #goldens
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