Extra Needs 1st

رضا الناس غاية لا تدرك ، ورضا الله غاية لا تترك، فاترك ما لا يدرك ، وأدرك ما لا يترك 🙏🏻 💧وصية ابن تيمية رحمه الله: ( لا تقصد رضا الناس بأقوالك ولا أفعالك فإنَّ رضا الناس غاية لاتدرك، اليوم تُرضِ الناس يشكروك، وفي غد تسخطهم يذمُّوك، انقضى عمرك بين شكرهم وذمهم ولا حقيقة لأحدهما، بل إذا عُرض لك أمر فيه طاعة الله أقدِم عليه ولو أنّ في قبالته ألفًا يذمونك، فإن الله يكفيك شرَّهم) و كل سنه و انتوا طيبين جميعا 🙏🏻

رتن باثو و فارما زي المذكزة اللي في المكتبة و شامله كل الرتن اللي ممكن يجي ان شاء الله 🫡 افتكر الصدقة

متأخر شويه بس عملتو ايه يا شباب🙊

تجميعه لكل ال applied anatomy & clinical features اللي عندنا 🌟 Children with respiratory distress (difficulty in breathing) have working ala nasae. 🌟 Little's area (Kiesselbanch's plexus) --> epistaxis in the nasal septal wall --> first aid: continuous pressure for 15 min --> consist of: Ascending branch of greater palatine / Sphenopalatine / Septal branch of superior labial / Anterior ethmoidal a. 🌟 Triangle of death --> infection in the eyelid, nose & upper lip --> dural sinus >> cavernous sinus >> the brain 🌟 The internal carotid a. runs in the pharyngeal recess --> a physician may mistake the eustachian tube with the pharyngeal recess causing an injury in the ICA which may lead to "death" (as children are more liable to get infections and obstructions in the auditory tube either by mucus or pus) 🌟 The pharyngeal tonsils get called "Adenoids" when it's hypertrophied 🌟 Tonsillitis --> glossopharyngeal n. supplies both the palatine tonsils & middle ear --> pain is referred to the middle ear through the tympanic branch 🌟 Tonsillectomy (removal of tonsils) --> bleeding due to the rich blood supply --> Commonly: paratonsillar v. or/ large external palatine v. --> Less common: the tonsillar a. or/ arterial twigs --> vulnerable to injury: glossopharyngeal n. --> vulnerable to injury when "tortuous": ICA 🌟 Waldeyer's ring --> Palatine tonsils / Pharyngeal tonsil / Lingual tonsil 🌟 Injury in the glossopharyngeal n. --> paralysis of the stylopharyngeus muscle only (It's the only pharyngeal muscle supplied with it) 🌟 Superior laryngeal n. lesion --> Motor effect: paralysis of cricothyroid (as it's supplied by the external laryngeal n.) --> Sensory effect: loss of sensation in the upper half of the larynx (as it's supplied by the internal laryngeal n.) --> Vocal effect: loss of tension "can't raise ur voice" 🌟 Recurrent laryngeal n. lesion (Thyroidectomy) --> PARTIAL:- •Unilateral: cause adduction only "loss of the abduction properties" ---> Dyspnea on exertion •Bilateral: cause obstruction of air way "suffocation" ---> Stridor --> COMPLETE "cadaveric lesion":- •Unilateral: cause one-sided cadaveric position "midway & lost tension" ---> Hoarseness of voice •Bilateral: cause the both sides to be in cadaveric position leading to loss of voice & respiratory affection ---> Aphonia 🌟 Recesses of pleura disappear with pleural effusion 🌟 Parietal pleura is supplied with the phrenic n. & Intercostal n. --> Phrenic >> referred pain to the tip of the shoulder & root of the nick --> Intercostal >> referred pain to the thoracic & abdominal walls 🌟 The Rt crus pass up to the left and surround the esophageal hiatus --> act as a sphincter --> prevent any regurgitation of the stomach contents into the thoracic part of the esophagus 🌟• Injury in the phrenic n. --> paralysis of the diaphragm • Injury in the the Intercostal n. --> paralysis of the Intercostal muscles • BOTH ---> complete stoppage of inspiration "death" 🌟• Brachial plexus --> 1st intercostal n. • Skin of axilla --> 2nd Intercostal n. / Intercostobrachial n. • Rectus abdominis --> 7-11th Intercostal n.

ال alveolar epi هنا يا دكاتره هو ال simple squamous 🙏🏻 خدوا بالكوا منها علشان لو جت في mcq تبقوا عارفين إنها هي هي 🌝

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تعديل: تعديل الupper segment من الleft lung عنده apicoposterior segment مش posterior

تاني تاني تاني 🙈🙈