AAS Medical Notes

ADH هذا هرمون يتصنع بل Hypothalmus ويروح يتخزن بل pituitary انتبه يعني Pituitary site of storage not synthesis وظيفته من اسمه anti_dieurtics فمن تصعد الاوزملارتي بالجسم رح يبدي ينفرز علمود يرّجع التراكيز لطبيعتها امراضه زيادته تسوي SIADH نقصه يسوي Diabetes Insipidus هسه نجي ع Diabetes Insipidus A large volume of urine (diabetes) That is hypotonic, dilute and tasteless (insipidus) بس مرات ADH يطلع نورمالي لكن اكو فد خلل بال Receptors مالته الي موجوده بالنفرون مال الكدني (اشبه بال resistance DI وهذا يسمو Nephro genic هاذي مقارنه بسبطه ولتنسه هالملاحظه If a patient presents with polyuria and polydipsia, consider the following  Diabetes mellitus  Diuretic use  Diabetes insipidus  Primary polydipsia

‏Peribronchial cuffing, also referred to as peribronchial thickening or bronchial wall thickening, ➡️is a radiologic sign ➡️which occurs when excess fluid or mucus buildup in the small airway passages of the lung causes localized patches of atelectasis (lung collapse). ‏Peribronchial cuffing is seen in a number of conditions including: ‏Acute bronchitis ‏Asthma following exercise or during an acute episode ‏Bronchiolitis ‏Bronchopulmonary dysplasia ‏Congestive heart failure ‏Cystic fibrosis ‏Diffuse parenchymal lung disease ‏Extreme exertion through physical exercise ‏Hantavirus pulmonary syndrome ‏Human metapneumovirus ‏Kawasaki disease ‏Lung cancer ‏Pneumonia ‏Pulmonary edema ‏Smoke inhalation.

نجي نجاوب هذا الكيس المهم جدا

Hx of COVID-19, presented with SOB . dx @AhmedAbdSambot

Primary polydipsia يعني الواحد يشرب مي هوايه اكثر من اللازم ويبقه عطشان وهاي تلث انواع 1_Dipsogenic DI Inappropriate thirst (Lowering of hypothalamic threshold for thirst due to multifocal diseases of the brain such as neurosarcoid tuberculous meningitis, and multiple sclerosis but is often idiopathic 2_Psychogenic Polydipsia is not associated with thirst, seems to be a feature of psychosis or obsessive compulsive disorder اهنا هو المريض يعتقد انه جسمه لازم يتخلص من السموم فيشرب مي هوايه ،و هذوله عدم سايكولوجيك بروبلم 3_Iatrogenic Polydipsia results from recommendations to increase fluid intake for its presumed health benefits مثال الطبيب يكول للمريض لازم تشرب مي هوايه عالاقل خمس بطاله مي

Elderly with dyspnea . @AhmedAbdSambot

No hx of burn. Itchy lesions Dx @AhmedAbdSambot

6 pages only under Title ((Focal Lung dz on CXR )) In simple quick recap with mnemonics & Hinted Picture I would really appreciate if any FeedB or Addition

D-dimer🥳🥳 اختبار لطيف للكشف عن وجود clot، فكرته انه ال clot تتكون من خيوط fibrin تربط مواد الخثره الاخرى من صفائح وغيرها ، ف جسمك يكسر هاي ال clot بصوره طبيعية فترتفع نسبه ال fibrin المتحلل بالدم ويطلع الاختبار بوزتف If the D-Dimer test results are normal or negative - -➡️➡️➡️ (the D-DMR level is lower than the predetermined percentage), this means that it is likely that this person does not have an acute condition or disease that causes abnormal clots to form and destroy them. Most clinicians also agree that a negative dimer result is more appropriate and beneficial when testing is administered to people at low to moderate risk of stroke. A test is used to help rule out the presence of clots as the cause of the symptoms . If the dimer test results are positive+++➡️➡️➡️this may indicate an abnormally high level of fibrinolysis products. This, in turn, indicates that there may be a major blood clot formation (thrombus) and its breakdown inside the body, but it cannot determine its location or cause. For example, it may be due to the presence of venous blood clots (VTE) or intravascular thrombosis (DIC), especially, where the level of DIMER is very high in cases of intravascular thrombosis. لكن ارتفاع اذا طلع الاختبار بوزتف مو معناهه اكيد اكو clot وانما قد. تكون اسباب اخرى لارتفاع ال fibrin لكن اذا طلع نكتف فاستبعد ال clot When this test use؟🤔🤔🤔 The Aldemer tests are used to help rule out the presence of a harmful blood clot (thrombus use the D-Dimer test to help rule this out: ◼️in deep vein thrombosis (DVT) ◼️and pulmonary embolism (PE) ◼️and dimer stroke ◼️diagnose intravascular thrombosis (DIC)).

76 diabetic hypertensive presented with severe chest pain. Your dx @AhmedAbdSambot #ECG

Stria rubra due to steroid misuse

Easy Case of impetigo Give topical anti G+ve bacteria like fucidin

Dx @AhmedAbdSambot