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الطب بطريقه سهله ...... حالات ، أسئلة شفوي Long case Short case Osce ECG Step by step Start by Blood End by rheum
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تجزیه و تحلیل انتشار
| پست ها | بازدید ها | به اشتراک گذاشته شده | ديناميک بازديد ها |
01 👨⚕Q. What is mitral facies? | 819 | 1 | Loading... |
02 . | 825 | 0 | Loading... |
03 While I was in pediatric ER i see patient 9 years old , Hb = 17
MCV = 63 , MCHC = 25 g/dl
👨⚕ For pediatricians explain this result ??? | 1 081 | 2 | Loading... |
04 This enough for today , see you tomorrow | 1 917 | 0 | Loading... |
05 🧑⚕ A. Muffled first heart sound and no opening snap. | 1 924 | 0 | Loading... |
06 👨⚕Q. What is the feature of non-pliable mitral valve? ✔️ | 1 881 | 0 | Loading... |
07 🧑⚕A. Short, sharp, accentuated first sound and presence of opening snap. | 1 811 | 0 | Loading... |
08 👨⚕Q. How to assess the pliable mitral valve? | 1 731 | 0 | Loading... |
09 👩⚕ best Answered by Fatima Alhaj and Hilanah
A. Normal area of mitral valve is 4 to 6 cm2
, if severe it may be <1 cm2
(tight MS).
Signs of severe MS are:
✓ Pulse: low volume
✓ 1st heart sound: soft
✓ Opening snap: nearer to the 2nd sound
✓ MDM: prolonged
✓ Evidence of pulmonary hypertension and pulmonary congestion. | 1 641 | 1 | Loading... |
10 👨🏽⚕ Q. How to assess the severity of MS (is it severe)? | 1 410 | 1 | Loading... |
11 🧑⚕ A. As follows:
✓ It indicates that the valve cusp is still mobile
✓ It is absent when the valve is calcified
✓ The gap between second heart sound and opening snap indicates the severity of MS. The
diminishing gap indicates severe MS
✓ It is always due to organic MS. | 1 408 | 3 | Loading... |
12 👨⚕Q. What is the significance of opening snap? | 1 284 | 2 | Loading... |
13 🩺 stethoscope Answer: A. It is a short, sharp high pitched sound, heard immediately after 2nd heart sound (during diastole),
produced by sudden opening of mitral valve, due to raised left atrial pressure.
Opening snap is usually found in MS. (Rarely, it may be found in TS, severe MR, etc.). | 1 268 | 2 | Loading... |
14 👨🏻⚕Q. What is opening snap? What is the mechanism? | 1 167 | 2 | Loading... |
15 🧑⚕A. It is present only if there is sinus rhythm. It is due to atrial systole, which increases the flow across the stenosed mitral valve from left atrium to left ventricle, causing accentuation or loudness of the murmur. It is absent, if there is atrial fibrillation.
Best answer was from Hilanah and abdulla | 1 243 | 2 | Loading... |
16 🦕🦕 no one here | 1 306 | 0 | Loading... |
17 👨🏻⚕When and why the pre-systolic accentuation is present? ⚽️vs⚽️ | 1 341 | 2 | Loading... |
18 🧑⚕ It is the accentuated, palpable 1st heart sound. | 1 424 | 1 | Loading... |
19 👨⚕Why the apex beat is tapping in Mitral Stenosis ? | 1 439 | 2 | Loading... |
20 🧑⚕Combination of ASD with rheumatic MS (it occurs in 4% cases of ASD).
Answered by Nodirbek | 1 524 | 2 | Loading... |
21 👨⚕Q. What is Lutembacher’s syndrome? | 1 476 | 2 | Loading... |
22 👨⚕ we will return to our discussion about Mitral stenosis , " the above case of chest pain is real case seen in ER " latter we will discussion about Acute coronary syndrome and other emergency cases of Cardiovascular 🫀 | 1 502 | 1 | Loading... |
23 PCI
If not available thrombolysis | 1 518 | 1 | Loading... |
24 👨⚕That's what we do in ER for patient ,
Result of ECG was ST elevation
Also trponin was elevated
So what you will do ? | 1 907 | 3 | Loading... |
25 👨⚕Begin management of hemodynamic instability ( shock or Hypertensive emergency or sign of respiratory distress or failure ( hypoxia ) as soon as they are identified
👉Ensure the patient has had aspirin 300mg—this is likely to have been
given prehospital, but check and give it if not.
👉 Clopidogeral 300 mg
👉 Morphine ( or fentanyl )
👉IV acess
- ECG within 10 minutes | 2 035 | 5 | Loading... |
26 1- Start ABCD assessment | 2 141 | 4 | Loading... |
27 👨⚕Today in ER room I see Two patient , first one 60 years old age came complaining of chest pain , assume you are doctor in ER what you will do ?? | 2 168 | 4 | Loading... |
28 👨⚕🫀What is life threatening causes of chest pain ? | 2 230 | 0 | Loading... |
29 ✅ | 1 | 0 | Loading... |
30 #symptoms_1
👨⚕ Causes of chest pain?
👨⚕ What is the first choice investigation for patient with chest pain ? | 2 620 | 5 | Loading... |
31 😂😂 no problem i will care about myself | 2 153 | 0 | Loading... |
32 👨⚕ no one care about you | 2 125 | 1 | Loading... |
33 Than you for 19k ❤️
I didn't continue with I am 🤧 and Busy | 3 917 | 0 | Loading... |
34 🧑⚕A. The causes are as follows:
✓ Venous return increases while lying down.
✓ Mobilization of edema fluid from extravascular to intravascular compartment in supine position.
✓ Low adrenergic drive at sleep.
✓ Heart rate increases during rapid eye movement (REM) sleep.
✓ Vital capacity is reduced in supine position.
✓ Left atrial pressure is elevated and PaOO
is reduced during sleep.
✓ Abdominal contents are also pushed up giving pressure on diaphragm. | 5 657 | 10 | Loading... |
35 👨⚕Q. What are the causes of PND? | 4 700 | 2 | Loading... |
36 A. Paroxysmal breathlessness usually at night, which awakens the patient from sleep with a feeling of suffocation and choking sensation. The patient sits, stands up or open the windows for fresh air.
It is due to pulmonary edema, and indicates early LVF or left atrial failure. | 4 816 | 8 | Loading... |
37 Media files | 1 176 | 0 | Loading... |
38 👨🏼⚕ you ask easiest question but no answer
👨🏽⚕ No one see question | 4 388 | 0 | Loading... |
39 👨🏽⚕Q. What is paroxysmal nocturnal dyspnea (PND)? | 4 297 | 3 | Loading... |
40 🧑⚕ many excellent Answer thanks for anyone react "
Best answered by SRK , islam , Jabra , Fatima ,
👉Answer is . Rupture of pulmonary or bronchial veins associated with pulmonary hypertension (pulmonary
apoplexy). Also hemoptysis may be due to pulmonary infarction.
Also Noor Mohamed ask question is pulmonary apoplexy special for Mitral stenosis , or any pulmonary HTN ? | 4 455 | 3 | Loading... |
While I was in pediatric ER i see patient 9 years old , Hb = 17
MCV = 63 , MCHC = 25 g/dl
👨⚕ For pediatricians explain this result ???
👨⚕Q. What is the feature of non-pliable mitral valve? ✔️
👍 1❤🔥 1
🧑⚕A. Short, sharp, accentuated first sound and presence of opening snap.
👍 1
👩⚕ best Answered by Fatima Alhaj and Hilanah
A. Normal area of mitral valve is 4 to 6 cm2
, if severe it may be <1 cm2
(tight MS).
Signs of severe MS are:
✓ Pulse: low volume
✓ 1st heart sound: soft
✓ Opening snap: nearer to the 2nd sound
✓ MDM: prolonged
✓ Evidence of pulmonary hypertension and pulmonary congestion.
❤🔥 2