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internal medicine

الطب بطريقه سهله ...... حالات ، أسئلة شفوي Long case Short case Osce ECG Step by step Start by Blood End by rheum

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😅 no one compelet?
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Open group
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It's for fun only 😅
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👨🏻‍⚕ Anyone can help them ? 👨🏽‍⚕ Hahah they will fail ? 🧑‍⚕🧑🏻‍⚕🧑🏼‍⚕🧑🏿‍⚕🧑🏾‍⚕🧠
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Compelet 👨‍⚕? 🧑‍⚕🧑🏻‍⚕🧑🏼‍⚕🧑🏿‍⚕🧑🏾‍⚕🧑🏼‍⚕ 🤔
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In assessment of Mitral stenosis : 1- degree of stenosis 2- mobility of valve 3- pulmonary Hypertension 4- presence of other lesions , Dominance
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Now i will discuss some points about echo ... Echo also asses severity of Mitral stenosis, any associated lesion , There's echocardigraphic mitral morphology score : depends on 1- leaflet rigidity 2- leaflet thinking 3- valvular Calcification 4- subvavular disease Also Dopler show 1- pressure gradient across Mitral valve 2- pulmonary artery pressure ,MVA
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👨‍⚕Q. What are the echocardiogram findings in mitral stenosis? 🧑‍⚕ A. As follows: ✓ Thick mitral valve leaflet (with restricted opening), diastolic doming of anterior mitral leaflet and restricted movement of posterior mitral leaflet. ✓ Reduction of valvular area (narrow): button like or funnel shaped. ✓Calcification of valves (increased echogenecity). ✓ Shortening of chordae tendinae. ✓ Enlarged left atrium. ✓ Reduced rate of diastolic filling of left ventricle. ✓ Characteristic “M” shape movement of anterior leaflet normally seen in diastole is lost and the diastolic slope (EF) is reduced. ✓Thrombus may be seen.
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👨‍⚕What is tool of choice for diagnosis of Mitral stenosis ?
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