Spring Blossoms 🌸🌺 Clinical Channel 😷🏥🏅

Patients with ulcerative colitis are at increased risk for colorectal cancer, and the risk is proportionate to the duration and extent of disease. Screening colonoscopy should be offered to patients with long-standing ulcerative colitis beginning 8 years after diagnosis and every 1-3 years thereafter.

Patients with severe Crohn disease, especially those who have required intestinal surgery in the past, are at high risk for future complications and often need aggressive management with biologic and/or immunomodulator therapy. Smoking is strongly associated with increased severity and progression of Crohn disease and should be avoided in these patients

Crohn disease can involve any portion of the gastrointestinal tract from the mouth to the anus. Oral aphthous ulcers and perianal manifestations (eg, fissures, skin tags, fistulae) are common. Histologic findings include transmural inflammation and noncaseating granulomas.

Crohns vs Ulcerative colitis 💎 خطة دراسة ومذاكرة موديول الجي اي تي والمحاضرات المجانية 👈 اضغط هنا @Mashrou3_Dactoor

Pelvic inflammatory disease 💎 خطة دراسة ومذاكرة موديول الريبرو والمحاضرات المجانية 👈 اضغط هنا @Mashrou3_Dactoor

اشهر سبب للوفاة في حالة سرطان عنق الرحم cancer cervix هو ال uremia بسبب Bilateral ureteric obstruction

🧑‍⚕Indications ✓For severe bleeding episodes. ✓The only effective treatment in type 3.

👨‍⚕ what is the indication of VWF replacement therapy ?

#The reversible complications of haemochromatosis are: *DCM *skin pigmentations #the irrervesible complications are: *liver cirrhosis *hypopituitarism *arthritis *hypogonadotrophic hypogonadisim

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🍬What are the lipid abnormalities in NS? 🍬What are the mechanisms? A. Lipid abnormalities are: 🥰Hypercholesterolemia and hypertriglyceridemia 🥰High LDL, VLDL and IDL 🥰There is no change or low HDL. The mechanisms are: 🥰Increased synthesis of lipoproteins by the liver, secondary to hypoalbuminemia 🥰Reduced clearance of triglyceride bearing lipoprotein (chylomicron and VLDL) in direct response to albuminuria. 💁‍♀As a result, there is high rate of atherosclerosis.

🌺Lactoulose is used for ttt of constipation 🌺The oral absorption of it is <3% but it may increase blood glucose level as it contain lactose & galactose (monitor in pt with DM) Reference: Dr waleed Alsibakhi

Thymoma associated with: 1/myasthenia gravis (30-40% of patients with thymoma) 2/ red cell aplasia 3/dermatomyositis 4/ SLE 5/SIADH

#remember ✅azithromycin extended-release suspension should be taken on an empty stomach. ✅ clarithromycin extended-release tablets should be administered with food. #UpTodate2024

🤰Elderly Primagravida 🍂One of high risk pregnancies 🍂Def:- Primagravida whose age is 35y or more during pregnancy or delivery 🍂Maternal & fetal Risk Factors:- 1- medical disorder during pregnancy as PE, eclampsia & GDM 2- IUGR, Placental insufficiency & Preterm labor 3- increases incidence of chromosomal abnormalities as trisomy 21 & congenital malformations 4- dysfunctional labor, abnormal uterine action & rigid perineum 5- increases incidence of CS to insure baby safety Reference : Kasr Elaini #Obs_Gyne

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