Dr.Cube

#Anatomy_bites

أهمية ربط المعلومات المشتركة بين المحاضرات او بين المواد المختلفة ❤️

😏😏😏 وجهوه للصيادلة خل يشوفون ويامن ديلعبون 😎

باع الصيادلة شنو ينشرون علينا 🙂 اكتبولي قصفة قوية ننزلها عليهم شباب

لو شتكولون شباب 🌚😂 #خط_الاطباء

#Anatomy_bites العضلة الاهم بيومنا والمفضلة عند الرياضيين ، الـ Quadriceps muscle 🔥 واكيد كل هالمعلومات بتفاصيل اكثر وبهيج ترتيب مختصر تلكوها بكورس د.علي الدبوني للتشريح ❤️

#Anatomy_bites

هيج دلال ما تلكوه بس يم د. كيوب 🙂‍↔️❤️ Dystocia summary

مساحة حرة للفضفضة ❤️ شونها معنوياتكم عالفاينل ، شنو الصعب لحد هسه ؟ ملتزمين بجدولكم خربطتو؟ 🌚

نصائح من طالب طب مو مثالي مو كل يوم لازم ادرس 8 ساعات مو دائمًا عندي شغف وأحيانًا أأجل… بس شلون دا أمشي؟ أدرس حتى لو ما عندي مزاج أركز على المهم مو كلشي أعوض الأيام اللي أضيعها مو لازم تكون مثالي… بس لازم متتوقف أكبر كذبة انو طلاب الطب يدرسون طول الوقت الحقيقة: عندهم أيام إنتاجية ✅ وأيام صفر ❌ النجاح يعتمد ع الاستمرارية مو الكمال

هذه مقارنة شاملة كل المحاور بنفس الوقت مختصرة المهمات بين ال COPD و ال asthma 🔥

🔴Asthma ▪︎Chronic Obstructive Inflammatory Disorder Of Airways (Airway HyperResponsiveness) ▪︎In Adults More in Females While In Children More in Males 🔹Risk Factors For Asthma 📍1. +Ve Family Hx Of Asthma Or Atopy 📍2. Severe Respiratory Infections During Childhood (Pneumonia/Bronchiolitis) 📍3. Early Breast Milk Weaning 📍4. Male Gender & Low Birth Weight 📍5. Smoking Exposure 📍6. Eosinophilia & Wheezing Episodes 🔹Types Of Asthma 🔸A. Childhood Asthma 📍1. Allergic Asthma (Atopic/Extrinsic) : ▪︎Most Common Type Of Asthma ▪︎Childhood Onset ▪︎IgE Mediated Type I Hypersensitivity ▪︎Personal & Family Hx Of Allergic Diseases (Atopy) ▪︎Good Response To Tx 📍2. Transient NonAtopic Asthma ➡️ Recurrent Episodes Of Wheeze In Children After Viral Infections That Resolved Without Persistent 🔸B. Cough Variant Asthma ➡️ The Only Predominant Symptoms is Dry Cough 🔸C. Aspirin Induced Asthma ▪︎Mostly In A Middle Age Female With Asthma & Rhinosinusitis & Nasal Polyps ▪︎Symptoms Occur After Alcohol Or Foods Or Any Compound Containing Salicylate (Aspirin) 🔸D. Exercise Induced Asthma ➡️ Symptoms Triggered Only By Physical Activity 🔸E. Non Allergic Asthma ▪︎Onset At Adulthood ▪︎Due To Lung SubMucosal Irritation ▪︎Poor Response To Tx 🔹Clinical Features Of Asthmatic Attacks 📍1. Recurrent Episodes Of Diffuse Bilateral Expiratory Wheeze With SOB & Chest Tightness & Cough 📍2. Diurnal Variation in Symptoms (Worst At Early Morning & Night) 📍3. Sleep Disturbances By Symptoms 📍4. Chest Hyperinflation & HyperResonant With Prolonged Expiration 📍5. Hx Of Other Atopy & +Ve Family Hx 📍6. Symptoms Respond To Bronchodilators 🔹Precipitants Of Asthmatic Attacks 📍1. Exercise in Cold Weather 📍2. Airborne Allergens & Pollutants 📍3. Viral URTI 📍4. Drugs (BB/Aspirin/OCP/Prostaglandin/Cholinegric Agents) 📍5. GERD/RhinoSinusitis 🔹Confirm Dx (If Age >5 Years) 🔶A. Spirometer 📍1. FEV1/FVC <0.7 (<70%) ➡️ Obstructive Picture 📍2. FEV1 >12% Increase After Bronchodilators (Good Response To Bronchodilators Specific For Asthma) 📍3. FEV1 >15% Decrease After 6min Of Exercise 🔶B. Diurnal Variation in PEF >20% On More Than 3 days For 2 Weeks 🔶C. Increase IgE & Eosinophills 🔹Classification Of Asthma Severity 📍1. Mild Intermittent : ▪︎Day Symptoms ➡️ ≤2/Week ▪︎Night Symptoms ➡️ ≤2/Month 📍2. Mild Persistent : ▪︎Day Symptoms ➡️ >2/Week ▪︎Night Symptoms ➡️ >2/Month 📍3. Moderate Persistent : ▪︎Day Symptoms ➡️ Every Day (Daily) ▪︎Night Symptoms ➡️ >1/Week 📍4. Severe Persistent : ▪︎Day Symptoms ➡️ Every Day (Daily) ▪︎Night Symptoms ➡️ Frequent (7x)/Week 📍5. Acute Severe Attack : ▪︎PEF 33-50% ▪︎Tachycardia & Tachypnea ▪︎Can't Complete Sentence in One Breath 📍6. Life Threatening Attack : ▪︎PEF <33% ▪︎SPO² <92% (<8KPa) ▪︎Normal Or Increase PaCo² ▪︎Silent Chest ▪︎Cyanosis/Bradycardia/Hypotension/Delirium & Coma 📍7. Near Fatal Attack ➡️ Increase PaCo² That Requiring Mechanical Ventilation

🔴 Chronic Obstructive Pulmonary Disease (COPD) ▪︎It's A Preventable & Treatable (Controlled) Group Of Diseases (Chronic Bronchitis & Emphysema) Consist Of AirFlow Limitation & Premature Closure Of Airways That Increasing The Work Of Breathing Due To Chronic Inflammation ▪︎Major Cause Of Death & Disability Worldwide 🔰Types Of COPD 📍1. Chronic Bronchitis (Blue Bloater) ▪︎Bronchial Wall Inflammation & Thickening & Increase Gland Secretions ▪︎Results in Chronic Cough & Sputum For 3m in 2 Years ▪︎Cyanosis & Secondary Polycythemia Due To Hypoxia ▪︎Low Ph (Acidosis) ▪︎More Chest Infection 📍2. Emphysema (Pink Puffer) ▪︎Abnormal Permanent Airspaces (Alveoli) Enlargement & Wall Destruction & Loss Elasticity Causing Air Trapping Inside Alveoli & Hyperinflation ▪︎Severe Dyspnea & Pursed Lips ▪︎Normal Skin Color (Pink) ▪︎Barrel Chest By Hyperinflation ▪︎Near Normal Ph (No Acidosis) 📍3. ExtraPulmonary Features Of COPD : ▪︎Weight Loss ▪︎Skeletal Muscle Dysfunction ▪︎Lung Cancer ▪︎Osteoporosis ▪︎Depression ▪︎Metabolic Syndrome ▪︎Cardiovascular & Cerebrovascular Diseases 🔰Risk Factors For COPD 📍1. Smoking (>10 Pack Years) ➡️ Single Most Important Risk Factor 📍2. Low Birth Weight/Childhood Infections/Maternal Smoking/Cannabis Smoking 📍3. HIV & AdenoVirus Infections/Air Pollution/Low Socioeconomic State 📍4. Genetic Alpha-1 Anti-Trypsin Deficiency ➡️ Emphysema At Young Ages 🔰Dx Of COPD 🔸A. By Spiromerty 📍1. FEV1/FVC <0.7 (<70%) 📍2. Poor Response To Bronchodilators (Confirm Dx) 📍3. Determine Severity By Post Bronchodilators FEV1% : ▪︎Stage 1 (Mild): FEV1 >80% ▪︎Stage 2 (Moderate): FEV1 50–79% ▪︎Stage 3 (Severe): FEV1 30–49% ▪︎Stage 4 (Very severe): FEV1 <30% 🔸B. By Clinical Features 📍1. Chronic Productive Cough & Dyspnea (Smoker Cough 1st Symptoms) 📍2. Onset in Mid Life (40 Years) With Hx Of Smoking 📍3. Persistent (Irreversible) AirFlow Limitation 📍4. Fixed Symptoms (No Symptoms Variation During the Different daytime) 📍5. Fatigue/Anorexia/Weight Loss (In Severe COPD) 📍6. Chest Xray/CT ➡️ To Detect Lung Hyperinflation/Bullae/HF/Lung Cancer 📍7. Peripheral Edema (R HF/Salt & Water Retention) 📍8. Morning Headache (High CO2) 📍9. Quiet Breath Sounds (Hyperinflation) & Crackles (Infection) 🔰Mx Of COPD 📍1. Reduce Exposure To Noxious Particles & Smoking Cessation 📍2. Mild Symptoms ➡️ Short Acting B2 Agonist (SABA) 📍3. Moderate To Severe Symptoms : ▪︎Long Acting B2 Agonist (LABA) ▪︎Inhaled Steroids (ICS) + Long Acting B2 Agonist (LABA) ▪︎Oral Systemic Steroids (Prednisolone) 📍4. Pulmonary Rehabilitation (Exercise) 📍5. Long Term Domicillary Oxygen ➡️ 15h/Day (To Reach 90% Oxygen Saturation) 📍6. Surgical Resection Of Bullae 📍7. Annual Influenza & Pneumococcal Vaccine 🔰Acute Exacerbations Of COPD ▪︎Mostly Due To Infection (Bacterial/Viral) Or Change Air Quality ▪︎Haemophilus influenzae Most Common Infection ▪︎Risk Of Respiratory Failure/Fluid Retention/Death 🔹Mx Of Acute Exacerbations 📍1. Low Concentration Oxygen (24-28%) By Venturi Mask Or Nasal Cannula ➡️ To Reach Oxygen Saturation >90% 📍2. Short Acting B2 Agonist (SABA) + Anticholinergic (Salbutamol + Ipratropium) 📍3. Oral Systemic Steroids (Prednisolone 30mg For 10 Days) 📍4. Antibiotics (Aminopenicillin/Tetracycline/Macrolides) 📍5. Ventilation (Non Invasive Or Mechanical) 📍6. Diuretics For Peripheral Edema 🔰Complications Of COPD 1. Respiratory Failure 2. Recurrent Respiratory Infections 3. Pulmonary Hypertension 4. Pneumothorax 5. Right Side HF 6. Skeletal Muscle Dysfunction 7. Depression & Anxiety

سمعنا عدكم مشكله ويه ال peptic ulcer ? 🌚 د.كيوب اجه يحلها الكم بهذا 🔥Summary