Beyond the boards بالعربي
Open in Telegram
Show more
The country is not specifiedThe category is not specified
204
Subscribers
No data24 hours
No data7 days
No data30 days
Data loading in progress...
Similar Channels
No data
Any problems? Please refresh the page or contact our support manager.
Tags Cloud
No data
Any problems? Please refresh the page or contact our support manager.
Incoming and Outgoing Mentions
---
---
---
---
---
---
Attracting Subscribers
May '26
May '26
+5
in 0 channels
April '260
in 0 channels
Get PRO
March '26
+19
in 1 channels
Get PRO
February '260
in 1 channels
Get PRO
January '260
in 5 channels
Get PRO
December '250
in 0 channels
Get PRO
November '25
+54
in 0 channels
Get PRO
October '250
in 0 channels
Get PRO
September '250
in 1 channels
Get PRO
August '250
in 1 channels
Get PRO
July '250
in 1 channels
Get PRO
June '25
+90
in 3 channels
Get PRO
May '250
in 1 channels
Get PRO
April '25
+36
in 3 channels
| Date | Subscriber Growth | Mentions | Channels | |
| 05 May | 0 | |||
| 04 May | 0 | |||
| 03 May | 0 | |||
| 02 May | 0 |
Channel Posts
ف مثلا بال severe dehydration شلون ننطي لل infant فلويد
مثلا اذا جان وزن الطفل 5 kg, ف
Bolus = 20×5 = 100 ml
ننطي ٣٠٪ خلال اول ساعة، ف تصير 30 mL.
بما انو
24 macrodrops /min in 1 hour = 100 mL
ف نقسم على ٣ يطلع شلون ننطي ال ٣٠ سس، فتصير
8 macrodrops/ min in 1 hour ≈ 33 mL.
و اذا مثلا نريد ننطي كمية قليلة بوقت طويل، نحتاج نحول لل microdrip, ف بس نضرب عدد القطرات في ٤، ف مثلا اذا نريد ننطي ١٠ سس بالساعة، فلازم نقسم على ١٠ فتصير
2.4 macrodrops / min in 1 hour = 10 mL
ف نضربهة في ٤ علمود نحصل المايكرو ف يصير
2.4×4 = 9.6
يعني عشر قطرات تقريبا بالدقيقة خلال ساعة رح نكدر ننطي ١٠ سس.
اتمنى تكون واضحة ولو شوية تدوخ، بس حاولت اوضح على كد قدرتي. و اذا عدكم ملاحظات او طرق سهل ف هم شاركوهن.
| 2 | ملاحظات د. مضر
•1 macrodrip = 4 microdrips.
• 15 microdrips = 1 mL.
• 1 macrodrop/min in 24 hours = 100 mL/24 hours.
يعني اذا نريد ننطي ١٠٠ سيسي باليوم، ننطي قطرة بالدقيقة لمدة ٢٤ ساعة.
و اذا نريد ننطي ٥٠٠ سس باليوم، ف نضربهة في ٥، فتصير
• 5 macrodrops/min in 24 hours = 500 mL in 24 hours.
فننطي ٥ قطرات بالدقيقة.
و اذا نريد ننطي 2000 mL باليوم, ف نضرب في 20, فتصير
• 20 macrodrops/min in 24 hours = 2000 mL in 24 hours.
فننطي ٢٠ قطرة بالدقيقة، و هكذا.
و ذني يفيدنة علمود ننطي ال maintenance fluid خلال ٢٤ ساعة.
و نكدر نشتق منة ذني مثلا حسب عدد الساعات:-
• 2 macrodrops/min in 12 hours = 100 mL/12 hours.
• 4 macrodrops/min in 6 hours = 100 mL/6 hours.
• 24 macrodrops/min in 1 hour = 100 mL. | 401 |
| 3 | د. ماهر، ١, GIT
Jaundice:-
-Prehepatic, hepatic, obstructive.
Pale stool in obstructive jaundice. Urine color is unchanged in prehepatic jaundice. Dark urine in hepatic and obstructive jaundice. -Investigations in jaundice:-
1-Liver function tests.
2-CBC (hemolysis->anemia and high reticulocyte count. Hepatitis->leukocytosis.)
3-Ultrasound (مهم) to look for evidence of obstruction (dilated bile ducts).
-Liver function tests vs. liver enzymes الفرق مهم بينهن
Liver enzymes: SGPT (ALT), SGOT (AST), GGT (gamma glutamyl transpeptidase), ALP (alkaline phosphatase).
Liver function tests: liver enzymes + albumin, TSB (total serum bilirubin), coagulation profile (PT, INR).
Prehepatic jaundice -> indirect hyperbilirubinemia.
obstructive jaundice -> direct hyperbilirubinemia.
↑GGT, ↑ALP: obstructive jaundice.
↑GGT, normal ALP: alcoholism.
SGPT (ALT) is more specific than SGOT (AST).
SGPT:SGOT ratio is high -> hepatic.
Urine for bile pigment: positive in hepatic and post hepatic (direct bilirubin is water soluble). Negative in prehepatic jaundice (indirect bilirubin is NOT water soluble). مهم شلون تفرق بين اسباب الجوندس اذا جنت بمركز صحي و معندك تحاليل
Jaundice is detectable clinically if: TSB > 2.5 mg or > 40 micromol.
Obstructive jaundice may be intrahepatic, or extrahepatic (from porta hepatis until ampulla of vater).
-Viral hepatitis serology:
Hepatitis A IgM antibody.
Hepatitis E IgM antibody.
Hepatitis C IgM antibody.
Hepatitis B core (C) antibody IgM (useful in window period).
Hepatitis B surface (S) antigen.
-other investigations:-
↑Serum ferritin (hemochromatosis) in men or postmenopausal women (rare in premenopausal women).
↓Serum ceruloplasmin (wilson disease)
↑urinary copper (wilson)
Anti smooth muscle antibody, elevated immunoglobulins (autoimmune hepatitis)
Antimitochondrial antibody (primary billiary cholangitis)
-History points in Jaundice:-
Fever, vomiting, abdominal pain (hepatitis).
Risk factors:
Blood transfusions, intravenous drug abuse, sexual history, travel history, family history of autoimmune diseases, alcohol use. Metabolic syndrome (obesity, hypertension, DM, ↑uric acid).
Pruritus is a feature of obstructive jaundice.
Causes of abdominal distension, five F's: fat, fetus, flatus, feces, fluid. | 499 |
| 4 | Miscarriage
Symptoms:-
-abdominal pain
-vaginal bleeding and amount
-
Hospital course:-
-pv( os open or close)
-blood tests (pt, ptt, fibrinogen)
-ultrasoumd findings
-medication (route, how many pills)
-tissue expulsion (color?)
-fever, nausea, vomiting (septic abortion)
-was D&C needed?
-Patient aborted or not yet
Risk factors
-Previous arterial or venous thrombosis
-previous miscarriages
-fever or infection during pregnancy
-trauma
-smoking
-History of congenital abnormalities | 284 |
| 5 | Suha
Sources of androgen in females: ovaries, adrenal glands, and adipose tissue.
Puberty stages: thelarche, adrenarche, growth spurt, and menarche.
Surgery in pregnancy, after third missed period.
Why isn't cervical cerclage done before 13 weeks? To allow chromosomally and congenitally abnormal fetuses to abort, and avoid GA effect on fetus in early pregnancy.
Tanmer stages مطلوبات
Menarche occurs within 2 years of thelarche.
Delayed puberty: Girls > 14 years old with no pubertal changes.
Primary amenorrhea: girls > 16 years old WITH secondary sexual characteristics.
Oligomenorrhea and heavy menses: due to unopposed effect of estrogen/fsh leading to thickening of endometrium with subsequent heavy menses.
Corpus luteum in pregnancy appears as an ovarian cyst on ultrasound, which does NOT require treatment and usually disappears by 4 missed periods.
Pain from primary dysmenorrhea: due to release of prostaglandins, inflammatory mediators, and ischemic pain due to vasoconstriction of spiral arterioles.
Primary dysmenorrhea: is within the first two days.
Secondary dysmenorrhea: starts before menses, and continues throughout the menses.
Characteristics of a normal menstrual cycle: frequency is 21-35 days, duration is 3-7 days, with no heavy menstrual bleeding.
Heavy menstrual bleeding( more than 80 ml, OR affects her social life, OR changes pads multiple times a day, OR passage of clots, OR anemia whether symptomatic or not, OR requires blood transfusion or parenteral iron therapy, OR flooding. Other methods include weighing of the pads before and after usage, and ???).
Hypomenorrhea: scanty bleeding.
Oligomenorrhea: frequency > 35 days.
Polymenorrhea : frequency < 21 days.
Menometrorrhagia ?
Secondary amenorrhea: no menses for 6 months, MUST exclude pregnancy, lactation, menopause.
Why doesn't menstrual blood clot normally? Due to presence of fibrinolytic activity, the capacity of which is exceeded during heavy menstrual bleeding leading to clot formation.
Type of suture in cervical cerclage: non absorbable, usually silk.
Timing of cerclage: 13-14 weeks.
Cerclage is routine in triplets, but not twins.
Not all cerclage patients benefit, only 1 in 5 do.
OGTT or fasting blood glucose should be done after delivery in all gestational DM patients in(6 weeks postpartum يختلف حسب المصدر). | 497 |
| 6 | Dr Ban
Bimanual examination: 6 points.
1-vaginal or cervical masses or lesions (describe them if present).
2-cervical motion (for tenderness and fixity of the cervix); cervical motion tenderness is seen in PID and ectopic pregnancies. Fixed cervix or restricted movement is seen in endometriosis and adenomyosis.
3-Size of the uterus and mobility; fixed uterus seen in endometriosis.
4-Adnexa for masses and tenderness.
5-Pouch of Douglas (cul de sac); it should normally be concave. If it's bulging, this may be due to blood (ruptured ectopic), asictic fluid, or pus in PID.
6-Examine the fingers for discharge and comment on color, odour, etc. | 1 151 |
| 7 | -Magnesium sulphate:-
Loading dose: 4g slow iv infusion (over 20-30 minutes).
Maintenance dose: 1g/hr for 24 hours after the last fit.
-Labetalol
PO
IV
Loading dose 10-20mg IV infusion followed by 20-80mg maintenance every 10-30 mins. Max dose is 300mg q 24 h
OR
1-2mg/min IV infusion
-Enoxaparin
Prophylactic regimen : Depends on body weight given as a single SubQ injection
< 50 kg -> 2000 IU
50-90 kg -> 4000 IU
91-130 kg -> 6000 IU
> 131-150 kg -> 8000 IU
> 150 kg give 0.6 mg/kg/day
Therapeutic regimen is same the dose per injection, given twice daily
-Misoprostol
PO tablets contain 200 micrograms
Induction of Labor : 25 micrograms vaginally then another 25 micrograms repeated after
Induction of Abortion : 800 micrograms, sublingual, buccal or vaginal every 3 hours
In PPH, 800-1000 micrograms
-Mifepristone
-Nifedipine
-Methyldopa
250 mg PO 2-3 times daily titrate as needed (Max dose is 2.5g q24h)
-Oxytocin
In PPH: 20-40 units in 500 ml NS, OR 20 units IM, OR 10 units iv bolus.
-Betamethasone
12 mg single IM injection repeated after 24 hours.
-Dexamethasone
6 mg given twice 12 hours apartment repeated after 24 hours.
-Calcium Gluconate:-
10 ml of 10% vial over 10 minutes in 100 ml of normal saline.
-Tranexamic acid:-
1 g iv within 3 hours of PPH
-Ergometrine:-
In PPH 0.5-1 mg IV/IM
-Hydralazine:-
5-10 mg iv bolus, repeated every 15 mins until BP <140/100
max dose is 20mg/24h
Or (preferred) 20 mg powder in 200 ml of Normal Saline, infusion (NOT 500 ml and NOT distilled water)
Maximum dose: 10 mg/hour (100ml/h) البطل يخلص بساعتين | 352 |
| 8 | Hyperemesis gravidarum history format:-
Symptoms:
Nausea,
Dizziness/syncope on standing (orthostasis).
Vomiting (hematemsis->mallory weiss, boerhave, peptic ulcer, etc.)
Dysuria (UTI, PID)
Lower abdo pain (UTI)
RUQ pain (hepatitis, cholecystitis, ascending cholangitis, etc.)
RLQ pain (appendicitis).
Flank pain (pyelonephritis)
Jaundice (hepatitis, ascending cholangitis, etc.)
Fever (uti, hepatitis, cholecystitis, gastroenteritis, etc.)
Diarrhea (gastroenteritis)
Vaginal discharge (PID)
Hospital course:-
Cannula, iv fluids.
Blood tests (CBC, electrolytes, urinalysis for ketones)
Medication (antiemetics, thiamine).
NG tube or TPN.
Termination of pregnancy (refractory cases)
Ask about risk factors:
Personal or family history of twin pregnancies, molar pregnancy or previous hyperemesis gravidarum.
History of migraine.
GERD or other GI disorders.
(Nulliparity) | 342 |
| 9 | ملاحظات هستري النسائية
#نسائية
#حنان | 419 |
| 10 |  #ملاحظات_نسائية_عشوائية
#نسائية | 389 |
| 11 |  #ملاحظات_نسائية_عشوائية
#نسائية | 379 |
| 12 |  #نسائية | 408 |
| 13 |  #وزاري
#نسائية | 456 |
| 14 |  #Obgyn@bnbinarabic | 434 |
| 15 |  #وزاري
#نسائية | 393 |
| 16 |  #Obgyn@bnbinarabic | 446 |
| 17 | معلومات وزارية:-
Clomiphene citrate.
شنو هذا الدوة و شنو استعمالة؟
ال clomiphene citrate هوة selective estrogen receptor modulator، ف يشتغل عالرسبترات مال استروجين و مرات يطفيهن و مرات يشغلهن، حسب وين موجود الرسبتر. اهم مكان يأدي وظيفتة بي هوة الرسبترات الموجودة على ال hypothalamus، و يطفيهن.
زين شنو الفائدة؟ ذني الرسبترات موجودات على ال hypothalamus بالحالة الطبيعية على مود ال negative feedback. يعني من يزداد الاستروجين بالدم، و يشغل ذني الرسبترات، رح يقلل افراز ال GnRH من ال hypothalamus علمود ميزداد كمية الاستروجين لان ال GnRH هنة بالنهاية اصلا يحفزن الovaries على تصنيع الاستروجين. فالفكرة هنا، انو من يسد ذني الرسبترات مال استروجين على ال hypothalamus, رح يختفي هذا ال negative feedback و بهالحالة يزداد افراز ال GnRH. ذني يروحن لل pituitary علمود تفرز ال FSH و ال LH، و بالتالي اذا انطينا بوقت محدد من ال menstrual cycle رح يزيد ذني الهورمونات و يسويلنة ovulation. لذلك هذا الدوة يستعمل لل ovulation induction.
#وزاري@bnbinarabic
#نسائية@bnbinarabic | 429 |
| 18 | Pericardial Diseases.pdf | 384 |
| 19 | مبارك النجاح دكاترة، و بالتوفيق بالدور الثاني لاي شخص ما حالفهُ الحظ 🤍
ان شاء الله هاي القناة الي رح نبدي ننشر بيهة الشغلات المتعلقة بالكلية و السادس | 764 |
| 20 | https://youtu.be/WwafDpwvye4?si=aULKtqQNQbKQjrPR | 900 |
