Emergency & Critical Care ✱

ال triage اهم حاجه امثله ال category 1,2 وتقريبا التعريف

د هاشم ف ال abdominal pain حلو ، وال surgical management امتى تعمل جراحه وال causes بتاعته

دى زيتونه اللى اتأكد عليها هتيجى سؤال من محاضره التروما

السلام عليكم يا 40 دا الألجوريزم اللى دكتورة إيمان حجازى شرحته فى انڤيرتد الجراحة. دى الاسلايد إلى كانت موضوع المحاضره امبارح الدكتوره قالت إن السؤال عليها فاينل بيجى How to assess Airway How to assess breathing How to assess circulation How to assess disability In poly trauma patient الاجابه هتكون كالاتى Initial assessment ( المربع الاصفر ( Adjuncts ( المربع الصغير اللى تحت الاصفر ) Management (المربع الازرق الكبير ) ده يعتبر ملخص المحاضره الدكتورة سردت النقط وقالت عايزة شرح شويه فى الاجاب #انفرتيد_جراحة_اوفلاين

🔰زتون للمواضيع دي في الاطفال من زميلتنا 🥰💚⬆️ #زتون_اطفال

🔰مساء الخيرات دي الاسئلة المهمة ريتين في النيونيت ⬆️💚 ◽️الاسئلة اللي اتكررت قبل كده في كل موضوع ◽️اسئلة فاينالات 38 و 39 ◽️الاسئلة اللي الدكاترة اكدوا عليها في الانفرتيد بالتوفيق ☺️ #نوتس_طوارئ #QS_Neonate

🔰Perinatal asphyxia

◻️pathophysiology of birth asphyxia & ttt ◽️Sequel of birth asphyxia =Complications?

🔰Hypoxic ischemic encephalopathy (HIE)

◽️ clinical stages of HIE (Sarnat staging) ◽️A newborn baby girl was born by NVD at 39.6 wk gestation. Delivery history was significant for the baby being stuck within the birthing canal for 7 minutes. the mother was only 7 cm dilated, and the baby’s heart rate dropped to 50 bpm. Upon delivery, the baby weighed 3.800 kg. APGAR scores at 1, 5 and 10 min were 2, 3, and 6. Cord pH was 7.12, cord CO2 was 53 and cord base excess was -12.4. the baby intubated . a) what is the most probably diagnosis? b) how to diagnose? c) what is the scoring systems devised to help predict an baby's subsequent risk for neurodevelopmental injury ?

🔰Neonatal apnea:

◽️What is the definition of an apnea? ◽️types ◽️What is the most likely reason for the recurrent apneas in baby? ◽️How should this baby be managed?

🔰Neonatal seizures:

◽️Compare between jitteriness and convulsions. ◽️Causes of Neonatal convulsions & ttt

🔰Neonatal sepsis :

◽️Outline neonatal clinical sepsis score and its significance ◽️List 5 features suggestive of neonatal septicemia ◽️what is the Diagnostic types of neonatal sepsis?

🔰Hemolytic Diseases of Newborns (RH&ABO)

◽️pathogenesis of RH ◽️clinical manifestation of RH ◽️management of RH ( Anti D in 28 weeks then 3 days (72 hr))

🔰Birth injury :

◽️Upper brachial plexus palsy (compare between erb's palsy & Klumpke's paralysis) ◽️Compare : Cephalhematoma and caput succedaneum (4 differences). (final 39)💯 ◽️justify Following-up of head circumference in newborn with intracranial hemorrhage

🔰Neonatal ressuccitaion

◽️indication, dose, route of drug administration  #نوتس_طوارئ

      🚨 NEONATE 🚨

🔰Reflexes:

◽️Mention clinical significances of Moro reflex ◽️mention primitive reflexes

🔰Normal newborn:

◽️enumerate Benign neonatal skin findings.(final 38)💯

🔰Apgar score:

1. Enumerate the 5 items of Apgar scoring 2. List 2 clinical significance of Apgar score

🔰estimation of gestional age

◽️Ballard of gestational age or pre maturity?

🔰Neonatal anemia

1. Definition 2. Enumerate causes. 3. Clinical picture 4. Mention the treatment.

🔰 polycythemia

1.Defintion 2.C/P 3.TTT (نحفظ المعادلة ) Exchange volume =blood volume ×(observed HCT - desired HCT) /observed HCT

🔰IDM and hypoglycemia

◽️Complications of IDM.(final 38,39) 💯 ◽️a neonate as large for gestational age (LGA) a) Name 4 causes of that condition (2 marks). b) List 3 treatment lines if this neonate presented to neonatal intensive care unit (NICU) by hypoglycemia ◽️TTT of symptomatic hypoglycemia final (final 38) 💯 دول د. نهى عاشور كانت مزوداهم ومهمين👇💯 ◽️Causes of convulsions in IDM (final 38) 💯 ◽️Causes of of RD in IDM

🔰Prematurity :

◽️Enumerate 5 Physiological handicaps of prematurity= C/P of Prematurity (final 39 💯) ◽️Mention 5 Clinical Feature of Prematurity =List 5 complications that may affect the premature infant ( final 38)💯 ◽️Justify Fundus examination is important in any ventilated premature ◽️Name the scoring system of prematurity ◽️A preterm baby was born with need of resuscitation. He was admitted to NICU for respiratory distress and diagnosed as hyaline membrane disease (HMD) a) Relate the condition to the clinical data on presentation b) Outline a management plan (diagnosis & treatment) for this clinical condition

🔰Jaundice :

◽️ Compare between: physiological jaundice in full-term & preterm intants regarding Time of appearance. Level of bilirubin.. Time of disappearance. Treatment lines. ◽️ Compare between: breast milk jaundice & breast feeding jaundice ◽️A 3-day-old infant is assessed for being jaundiced; a) Enumerate 4 differential diagnoses of indirect hyper-bilirubinemia b) List 3 treatment lines for a case of indirect hyper-bilirubinemia ◽️enumerate 5 causes of Jaundice at first week of life ◽️describe 3 phases of acute kernicterus

🔰Respiratory distress in neonate :

◽️Identity clinical grades of neonatal respiratory distress ◽️Determine 10 causes of respiratory distress in neonates

🔰Hyaline membrane disease (RD1):

كيز انفرتيد د. نهى 💯 We have a baby: - This baby is male 30weeks gestation delivered 2 hours ago. - Delivered vaginally due to premature contractions. With clear fluid . - His weight is: 1900gm. - He was born with RD grade 4, APGAR=5 - He was intubated in the delivery room and now he is on mechanical ventilation. a) What is the most likely diagnosis? b) What is the pathogenesis? c) What is the lung pathology seen in the chest radiograph? d) He should have early rescue in the delivery room can you tell what is it? ◽️A preterm baby was born with need of resuscitation. He was admitted to NICU for respiratory distress and diagnosed as hyaline membrane disease (HMD) a) Relate the condition to the clinical data on presentation (1 mark). b) Outline a management plan (diagnosis & treatment) for this clinical condition

🔰Transuent tachypnea of newborn

كيز انفرتيد د. نهى 💯 We have a baby: - Male and 38 weeks' gestation. - Delivered an hour ago by CS due to previous CS delivery with clear amniotic fluid. - His weight =3300grams - His RR= 85cycl/min and chest retraction - Otherwise the baby looks healthy. a) What is the most likely diagnosis? b) What is the pathogenesis and how to treat?

🔰Meconum aspiration syndrome:

◽️A recently delivered neonate presented with vigorous vaginal delivery and was meconium stained. The infant's clinical condition got worse, for which he was admitted to neonatal intensive care unit (NICU) due to respiratory distress: 1. Name the diagnosis of this clinical condition 2. List 3 treatment lines of this infant's Clinical syndrome #نوتس_طوارئ

د. نجوان كانت اكدت على موضوعين shock و coma في الاطفال والباقي نقرأهم بس نشوف الاسئلة دي موضوع CPR لانها اتكررت في فاينال 38 و 39 👇

🔰Cardiopulmonary arrest in Pediatrics.

a) Define of cardiopulmonary arrest. b) what are types of cardiopulmonary arrest? c) mention steps of cardiopulmonary resuscitation. وموضوع ال respiratory failure نقرأه احتياطي و اهم الاسئلة فيه 👇

🔰Respiratory failure

◽️Causes of RF ◽️types of RF ◽️indication of ventilation #نوتس_طوارئ

          🚨 Pediatric Emergency 🚨 الاسئلة اللي اكدت عليها د. نجوان في جزء الاطفال (اللي جنبه العلامة دي 💯 ده اكدت عليه جداً)

🔰Coma = brain failure

1.define GCS ? mention items of it ? advantage ? disadvantage ? 💯 2.How to approach (formulate clinical picture of comatosed patient)? 💯 3.Mention causes of brain failure (6 causes)? 4.Define brain failure in pediatrics? 5.Treatment of brain failure? 6.describe assessment of level of consciousness and mention a score to assess it ? 7.mention 6 urgent investigation in comatosd child?

🔰Shock = circulatory failure

1. enumerate causes / types / DD of shock (circulatory faliure ) in children ? and explain one of them (C/P, investigation,ttt) ? 💯 2.Mention clinical grading of shock? 💯 #نوتس_طوارئ #MFM40_SUPPORT_TEAM

🔰ماسدج مجمعة لزتون زمايلنا في الطوارئ 💚 ✅ الاطفال ♻️ د. نانسي الشيخ ◽️perinatal asphyxia ◽️Respiratory distress + Intro ◽️Airway obstruction +TTN+Muconuim Aspiration $ ◽️neonatal apnea ◽️Infant of diapetic mother ◽️Hypoglycemia ◽️Hypoxic ischemic encephalopathy + TTT ◽️Necrotizing enterocolitis ◽️neonatal seizers ◽️Hemolytic disease of new born (RH incompetability, exchange transfusion, ABO) ◽️ Birth injury     ▬▬▬▬▬▬✱▬▬▬▬▬▬  ✅ الجراحة ♻️د. منار شرف ◽️ABCDE Approach ◽️Triage ◽️Airway management ◽️ALS ◽️Trauma ◽️POCUS ◽️Chest pain,, الخلاصة ◽️Acute abdominal pain     ▬▬▬▬▬▬✱▬▬▬▬▬▬  ✅التخدير ♻️د. منار شرف ◽️IV fluid ◽️shock & cardiogenic shock ◽️Sepsis ◽️Disturbed level of consciousness     ▬▬▬▬▬▬✱▬▬▬▬▬▬ ✅ الباطنة ♻️ د. نانسي الشيخ ◽️Upper GIT bleeding  ◽️Lower GIT bleeding ◽️Acute liver cell failure  ◽️Anaphlaxis     ▬▬▬▬▬▬✱▬▬▬▬▬▬ ✅ التجميل ♻️ د. نانسي الشيخ ◽️من الكتاب القديم ◽️من الكتاب الجديد #زتون_الطوارئ

♻️شرح البلاستيك من د. نانسي الشيخ ⬆️💚 #زتون_البلاستيك