Ace SMLE 💯

For new Interns 📣 Zoom meeting tonight at 9:00pm https://x.com/selah_imsiu/status/1819702781193732246?s=46&t=9fTxq5fR0mGVBWwYpBrnCg

Important Radiological signs in SMLE🪧: - Boot shaped heart > TOF - Heart shaped Egg on string > TGA - Pearl necklace in ovaries > PCOS - Snowstorm like appearance > Complete Hydatidiform mole - Target sign in US > Intussusception - Bird peak sign > Achalasia - Deep sulcus sign > Pneumothorax - Joint space narrowing > Osteoarthritis - Coffee bean sign > Sigmoid Volvulus - Lemon shaped hematoma > Extra-dural hematoma - Joe

2 Misleading questions with different answers Kindly focus on them: A 21-year-old woman presented with an abnormal vaginal discharge, burning on micturition, and blood spotting for the past 2 months. On genital examination, the was an eroded and friable (strawberry appearance) cervix, with a yellowish-greenish mucopurulent discharge (see report). Lab Testing: >10 PMNs per oil immersion field. Which of the following is the most likely diagnosis? A. Gardnerella vaginalis B. Trichomonas vaginalis C. Neisseria gonorrhoeae D. Chlamydia trachomatis ✅ A 27-year-old woman presented with vaginal itching and an unpleasant smelling discharge. Itching gets worse at night and after intercourse. Physical examination confirmed a frothy and yellow-green vaginal discharge. Her vulva is erythematous and edematous and the cervix is inflamed and friable (see report). Wet Preparation: Flagellated protozoa. Which of the following is the most likely diagnosis? A. Chlamydia B. Gonorrhea C. Trichomoniasis ✅ D. Bacterial vaginosis How can we differentiate? 1. focus on the whole scenario both can come with strawberry cervix and yellowish-greenish Discharge 2. The difference: Burning on micturition, yellowish-greenish mucopurulent discharge , >10 PMNs per oil immersion field , strawberry cervix > Chlamydia trachomatis Yellowish-greenish foul smelling discharge , flagellated protozoa , strawberry cervix > Trichomonas vaginalis -Joe

من أكثر القنوات فائدة وضروري ترجعون لها: Everything about SMLE is here ⬇️ T10 telegram channel: https://t.me/saudismle

Important #Pedia notes👶🏻 🚩Absent Moro reflex >> Brachial plexus injury 🚩 Most common Side effect of DTP vaccine >> erythema at injection site 🚩Stepping reflex >> disappears by 2m 🚩Rooting reflex >> disappears by 4m 🚩School Age vaccine >> DTap / OPV / Variecella / MMR 🚩Rota virus stool >> foul smelling watery and green diarrhea 🚩 Tetralogy of fallot >> Boot heart shape in X-ray 🚩Celiac Mx >> Gluten free diet 🚩Green meconium after delivery >> NICU transfer 🚩Kawasaki >> conjunctivitis , strawberry tongue , fever more than 5 days , rash 🚩 kwashiorkor >> Ascites , edema, severe muscle wasting, hyperkeratosis

📣 Today’s Schedule “Last day” Day 32 Review difficult topics + June Questions Best of luck Doctors 🙏🏻🤍

📣 Today’s Schedule: Day 31 / 32 Pediatrics Final Revision 1 / 2 + June Questions + March Questions

📣 Today’s Schedule: Day 30 Surgery Final Revision 3 + June Questions + March Questions

📣 Today’s Schedule: Day 28 / 29 Surgery Final Revision 1 / 2 + June Questions + April Questions

📣 Today’s Schedule: Happy Eid 🐑🎉 Break for 3 days and then we come back stronger 💪🏻

📣 Today’s Schedule: Day 27 OBGYNE Final Revision 2 + June Questions + April Questions لا تنسوني ووالداي من دعواتكم الطيبة في هذا اليوم الفضيل🙏🏻🤍 سُئل الرسول ﷺ عن صوم يوم عرفة فقال : ( يُكفِّر السنة الماضية والباقية )

📣 Today’s Schedule: Day 26 OBGYNE Final Revision 1 + May Questions

📣 Today’s Schedule: Day 24/25 Um Alqura Medicine Final Revision + May Questions

📣 Today’s Schedule: Day 23 Enjoyyy your break for today🔥😴

📣 Today’s Schedule: Day 22 Psychiatry Joe’s pictures Important calculations (if you have time go through it quickly)