Mr haider
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Channel Posts
Mnemonic for DM Eye Disease (Specific):
“Diabetic EYES CAN See No Good”
• E: Edema (macular)
• C: Cataracts (snowflake)
• S: Sparing pupil CN III palsy
• N: Neovascular glaucoma
• G: Growth of vessels (PDR)
| 2 |  +1Approach to DLOC
الموضوع كلش common بس للاسف جنت اشوف هواي من المقيمين ما يعرفون يتعاملون ويا بالطوارئ ويعتبرون الكل stroke
لكن الموضوع اوسع ويشمل systemic and neurological causes | 320 |
| 3 |  +1Approach to DLOC
الموضوع كلش common بس للاسف جنت اشوف هواي من المقيمين ما يعرفون يتعاملون ويا بالطوارئ ويعتبرون الكل stroke
لكن الموضوع اوسع ويشمل systemic and neurological causes | 1 |
| 4 | بواحد من كولات الطوارئ جاي استلم الكيسات من التيم الي قبلي وسلموني مريضة
Old age female known case of HF , DM , Ischemic HD present with DLOC
ف سالتهم شنو وضعها
كالو ننتظر يجي بيرمننت النيورو يجي يشوفها لان هاي ستروك
دورت ع تحاليلها ما جانو دازيها اي شي ينتظرون المقيم يجي يدزها ct
ف دزيتها basal metabolic panel
الي متوفرة عدنا
BUN , electrolytes , RBS
وللاسف طلعت المريضة hypoglycemia , RBS 14mg
للاسف لان هو reversible cause
بس اذا استمر فترة طويلة يبدي يسوي permanent neurological damage | 299 |
| 5 | CAN OPEN
Mnemonic for wernicke’s encephalopathy
Confusion
Ataxia
Nystagmus
Ophthalmoplegia
PEripheral
Neuropathy | 281 |
| 6 |  Hypersensitive pneumonitis subtypes and their causative agents | 325 |
| 7 | If patient with nephrotic syndrome develop hyponatremia
It mostly pseudohyponatremia due to hyperlidemia
So next step is check the osmolarity to see it true or pseudo hyponatremia | 186 |
| 8 | Sepsis , severe HF , renal artery thrombosis and other causes of pre renal cause of AKI
If they persist for long duration it will cause Renal tubular necrosis | 245 |
| 9 | Causes of oedema not respond to diuretic
- decreased GIT absorption ( due oedema in git wall )
- hypoalbumenima
- decrease renal blood flow
- urea competitive on functional site of the diuretic
- decreased renal function (end stage renal failure) | 310 |
| 10 | How does NSAID cause nephrotoxicity ?
- cause pre renal failure by vasoconstriction of afferent arterioles
- cause glomerulonephritis( minimal change and membranous type )
- cause acute interstitial nephritis | 358 |
| 11 | HIV related infections
🔴HIV patient with diarrhoea
-Cryptosporidium
- Mycobacterium avium
- CMV
-Giardia
🔴 HIV patient with dysphagia
- candidiasis
- hiv itself
- CMV
- HSV
🔴 HIV with pneumonia
- Pneumocystis jirovecii
🔴 HIV patient with meningitis
-Cryptococcus | 437 |
| 12 | Important Points about HUS and TTP
-Children account for 90% of the cases of HUS, while adults are more frequently affected with TTP
-Kidney disease and fever predominates in HUS, while in TTP neurological symptoms are more common.
-The prognosis is worse in TTP compared with HUS.
-Treatment is supportive with plasma exchange until the activity of the disease has subsided. Steroids are also beneficial. | 452 |
| 13 | Ddx of patient with fever of unknown origin and bilateral adrenal swelling is
- Tb
- lymphoma
- histoplasmosis | 419 |
| 14 | In acute pancreatitis
Hematocrits usually hight
Why ?
- it’s due decrease intravascular volume
And after initiate aggressive iv fluid management it will return to normal value
But if it still hight after appropriate iv fluid
It considered poor prognostic factor | 521 |
| 15 | Failure to use adrenaline in first 20 minutes of anaphylaxis
Is risk factor for poor outcome
لذلك لا تخافون من استخدام الادرينالين بالتحسس حتى لو كانت اعراض بسيطة
0.3-0-5 ml of adrenaline (1/1000)
IM
And can repeat every 5-20 minutes | 520 |
| 16 | Some important note about COPD
What reduce mortality and improve survival ?
-Long term oxygen therapy
- smoke cessation
- surgery
What improve exercise?
- pulmonary rehabilitation
What decrease the rate of exacerbation?
- ICS , LABA
- azithromycin 500mg 3/w
- Roflumilast
What decrease the mortality during the exacerbation ?
-non invasive ventilation | 502 |
| 17 | Cough is very common complain and have a lot of Ddx
But DDX of cough and normal CXR is most likely one of the following
- GERD
- postnasal drip
- cough variant asthma
- drugs induce cough ( like ACE inhibitors) | 507 |
| 18 | Cough is very common complain and have a lot of Ddx
But DDX of cough and normal CXR is most likely on of the following
- GERD
- postnasal drip
- cough variant asthma
- drugs induce cough ( like ACE inhibitors) | 1 |
| 19 | هواي مرضى يكون عدهم عجز قلب وعجز كلى بنفس الوقت
طبعا المرضين واحد ممكن يؤدي الى الثاني وتسمى
Cardiorenal syndrome
And divided to
Type 1 - hf cause AKI
Type 2 - HF cause CKD
Type 3 - AKI cause acute HF
Type 4 - CKD cause HF
Type 5 - systemic disease cause both Renal failure and heart failure | 285 |
| 20 |  Hemolytic anemia
الموضوع جبير وبي هواي ddx
طبعا لازم تقرا التفاصيل وكل نوع
بس هذا يختصرلك اهم المعلومات | 351 |
