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" NOTES"
هتحضروا بكرا المحاضرة ؟
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مساء الخير يا شباب ده الجزء الأول من النوت ع tbl ، الجزء الثاني هنزله كمان يومين و آخر الأسبوع هنزل كويز عليه
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■ Notes on middle ear diseases : ( part1): ● Dehiscene of the bony facial canal is the most common congenital anomaly of the middle ear ● incudostapedial joint is the most common affected joint in ossicular disruption ● Otitic barotraumas happen when the different pressure on both sides of ear drum more than 80 mmHg ● severe cases of otitic trauma ttt by myringoplasty ● longitudinal fracture base of the skull is the most common , while transverese fracture is the most serious ●Haemtympanum is one of sign of transeverse fracture ● E.T is one of the commonest route of infection in case of  otitis media ● Nose is one of the commonest soure of infection in case of O.M ● Any Deafness is associated with tinnitus ● Earache with diminution of hearing after common cold may be d.t AOM ●  in case of catarrhal O.M : ♤ congested T.M  with CHL ● in case of suppuration O.M : ♤  after drum perforation : all signs of inflammation and pain & discharge decrease & there ia central perforation ● CT & PTA are most important investigation ● A child with earache or night crying after common cold = AOM ● AOM is common in infant & young children is due to E.T is short &wider& more horizontal ● OToscopy : the drum is thick & doesn't bulge easily & lusterless ● myringotomy is done after faliure of TTT for 48 hrs ● complication is more common d.t misdiagnosisi as G.E & low resistence
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■ الشباتر الصغيرة في الرمد :- من 5 لحد 10 صفحات Pupil , sclera , orbit , squint , intra ocular tumors , lens , optic nerve ■ الشباتر المتوسطة ب 17 صفحة :- Glucoma , errors of refraction لو بديت فيهم هتخلص بدري .
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مساء الخير في أكثر من حد بعت و متأخر اوي في المنهج و مش عارف يسمع مين و مش بادي ب Ear و سايبها و كده و حاسس المنهج كبير دلوقتي أحسن حاجة تعملها أنك تبدأ بالشباتر الصغيرة و المهمة و تنجز بيها و تسمع أحسن حد بينجز و ماشي مع المنهج و بيخلص بدري أما ال Ear الأسبوع ده ابدأ بيها لأنه اسبوع الجاي في TBL في أول شابترين أسمعهم للدكتور مسعد أو د.ياسر فؤاد أو محجوب عشان تنجز و تخلص و تذاكرهم و تراجع عليهم ان شاء الله هحاول اني انزل عليهم نوت و كويز ع اخر اسبوع كده .
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بتسمعوا مين في الرمد ؟
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صباح الخير موضوع الفليبد أحسن حد تسمعه دكتور محمد عواد عن congenital cataract ماشي مع الكتاب و شرحه بطريقة تسهل عليك .
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صباح الخير دي مهمة و ركزوا عليه دي مقارنة بين ciliary & conjunctival injection
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Leucoma non adherent which is the following is correct ?
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■ ophthalmology :- ● Cornea :- https://t.me/med_Notes2/67 https://t.me/med_Notes2/69 ● eye lid :- https://t.me/med_Notes2/28 https://t.me/med_Notes2/34 https://t.me/med_Notes2/61
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لو حد عنده سؤال بخص المديول ده يبعته و هرد عليه http://35458332371775.sarhne.com
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مساء الخير يا شباب كده خلصت النوت على درس cornea ان شاء الله هنزل الأيام الجايه على أهم الدروس ما تنسوش تدعوا لأهل غزة أنه ربنا يحفظهم و ينصرهم على اليهود فهم أمس الحاجة للدعاء .
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■ Notes on cornea :- ( part 2 ) ● the diameter of cornea measured by caliber or pentacam topography ● the thickness of cornea measured by pachymetry ● The bowman layer can't regenerate while descement membrane can regenerate ● Endothelium of cornea decrease in no.  with age & examined by specular M.C ● Pneumococci is the commonest  organism in case  of bacterial keratitis ● double therapy of antibiotics is the 1st line ttt in aggressive disease of bacterial keratitis ● heaped hypopyon is associated with fungal keratitis ● Steriods+ corneal ulcer = corneal perforation ● Keratomalacia  : ♤ there is melting of cornea & eye is quite And TTT by topical vit A & associated with nutritional deficiency ● Corneal anaesthesia = neurotrophic keratitis :- ♧ Herpes zoster of ophthalmicus is the most common cause ♧ IT treated by median tarsorraphy ● Exposure keratopathy is affect lower 1/3 of the cornea with upper horizontal line ● Degree of corneal opacities :- ♧ nebula , macula, leucoma ♧ nebula affect vision more than macula ● 2ry glucoma :- ♧ Anterior staphyloma ♧ corneal fistula ♧ leucoma adherent 
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■Notes on Cornea :- ( part 1) ● the commonest cause of interstitial keratitis is HSV & HSV ●Keratoconus :- ♧ It is a progressive conical protrusion of the cornea & it is more common in female ♧ the cause is unknown may be associated with down & Marfan syndrome   ♧ it comes in Ealry adluthood with gradual painless diminution of vision & sudden painful dimiution of vision d.t Acute hyprops ♧ Corneal totpgraphy is used before LASIK to evaulate corneal ( thickness , curvature , power) ■ Keratoplasty : ♧ the donor cornea must be free from HIV & hepatitis ♧ it dones with circular incision around diseased cornea & removed or by femto laser ♧ corneal graft is sutured ■ Arcus senilis :- ♧ it is common in old age & it is a bilateral & may be unilatreal in case of unilateral carotid stenosis ♧ May affect young d.t DM or hyperlipidemia
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صباح الخير في اكثر من حد بعت عاوز يشوف الأحسن في شابتر ال cornea أنا طبعاً جربت د.محمد عواد و برشحه و ماشي مع الكتاب
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كدا مفيش كلام بعد كده بعد الشرح و المصدر اللي بجيب منه عشان كده المصدر و الأسئلة الللي بجيب منه بكون متاكد قبل ما أنزله و بنزل الأسئلة على حسب الكتاب اللي معنا مش من منهج قديم و د.أحمد كمال أكد الكلام و الجواب زي ما هو محلول ipsilateral hypotropia
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و دي أسباب pseudoptosis ؟ ▪︎ ipslateral hypotropia ▪︎ ipsilateral brow ptosis ▪︎ ipsilateral lack of support of upper lid ▪︎ ipsilateral dermatochalasis ▪︎ contralateral lid retraction
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بالنسبة للسؤال بتاع ptosis ك misdiagnosed as طبعا الجواب الصح ipsilateral hypotropia لأنها من ضمن أسباب pseudoptosis ● Ipsilateral hypotropia, a form of strabismus, may give rise to a pseudoptosis because the upper lid follows the globe inferiorly.
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