MEDICINEnotes

كلمة او جملة واحدة في السؤال عطت Clue ع الجواب

A 23-year-old recently married female presents to her family doctor with a 6-week history of 3kg weight loss, an irregular menstrual cycle and anxiety. She has a fear of general anaesthesia due to a previous perioperative episode of anaphylaxis. She and her husband are keen to start a family. On examination a smooth goitre is palpable in her neck with bruit detected on auscultation. Thyroid function tests show TSH <0.01mIU/L (RR 0.2–4.5mIU/L), and free T4 36pmol/L (RR 9–21 pmol/L. TSH receptor antibody (TRAb) is 14IU/L (RR 0–1.6 IU/L).

😂😂😂😂😂😂

كل جملة في الــ Cases لها دلالة معينة

🧠 Case A 24-year-old man is brought to the Emergency Department because of recurrent generalized tonic-clonic seizures. According to his family, the first seizure started approximately 20 minutes ago. Since then, he has had repeated generalized tonic-clonic seizure activity with only brief intervals and without complete recovery of consciousness between episodes. He is a known case of generalized epilepsy and has been prescribed sodium valproate, but his family reports that he has been poorly compliant with his medication over the last few days. On examination: GCS: E1 V1 M2 HR: 128 beats/min BP: 140/90 mmHg RR: 24 breaths/min SpO₂: 92% on room air Temperature: 37.2°C Ongoing generalized tonic-clonic seizure activity Pupils are equal and reactive No obvious signs of head trauma or meningism Focal neurological examination cannot be reliably assessed during the seizure Initial investigations: Random blood glucose: 7.2 mmol/L CBC: within normal limits Urea and creatinine: within normal limits Na⁺: 138 mmol/L K⁺: 3.8 mmol/L Ca²⁺: 2.2 mmol/L LFTs: within normal limits

😂😂😂😂😂

قناة خاصة فيها . MCQs and cases نظام القناة طريقة الاختبارات حاليا فيها كورس Respiratory وبدينا كورس Endocrinology القناة تلاقي هاشتاق مثبت اسم الكورس تحت الهاتشاق منشور يوضحلك الاسئلة من رقم كذا لكذا راهو  COPD ومن كذا لكذا Asthma وكل بداية و نهاية موضوع رسالة مثبتة لاسم المرض عشان تقرا الكورس او جزء المعين وتختبر نفسك للاستفسار والتواصل @Ducktor47

التفاعلات غير اللائقة خلف الحسابات المخفية لا تُعبر إلا عن مستوى صاحبها.

قناة خاصة فيها . MCQs and cases نظام القناة طريقة الاختبارات حاليا فيها كورس Respiratory وبدينا كورس Endocrinology القناة تلاقي هاشتاق مثبت اسم الكورس تحت الهاتشاق منشور يوضحلك الاسئلة من رقم كذا لكذا راهو COPD ومن كذا لكذا Asthma وكل بداية و نهاية موضوع رسالة مثبتة لاسم المرض عشان تقرا الكورس او جزء المعين وتختبر نفسك للاستفسار والتواصل @Ducktor47

A 34-year-old woman is brought to the emergency department because of sudden agitation and confusion. For the past 2 weeks, she has complained of worsening anxiety, heat intolerance, diarrhea, and difficulty sleeping. Her family mentions that she has lost weight despite having an increased appetite. Three days ago, she was treated for a respiratory infection but stopped taking her usual medication because she "felt better." On examination: Temperature: 40.1°C Heart rate: 162 bpm, irregular Blood pressure: 148/70 mmHg Respiratory rate: 28/min She is restless and disoriented Cardiac examination reveals an irregularly irregular rhythm. She has a fine tremor and a diffusely enlarged thyroid gland. Laboratory results: TSH: undetectable Free T4: markedly elevated Free T3: elevated An ECG shows atrial fibrillation with rapid ventricular response. Despite initial supportive measures, her mental status deteriorates.