Support 42 | Notes 2️⃣

📌 النقطتين دول كانوا ناقصين في جزء Complications of nephrotic ابقوا زودوهم Hypovolemic shock with aggressive diuretic therap Renal failure (from hypovolemia and renal vein thrombosis) Relapse Complications of therapy :- Steroids & Cyclophosphamide (endoxan) الفايل دلوقتي متعدل بالتوفيق يارب #أسئلة_شاملة_Nephro https://t.me/mfmsupport42_4notes1

دي الإجابات الصح للأسئلة دي

اسكيمات لمعظم ال contraception تسهل الحفظ إن شاء الله دعواتكم لزميلتنا ♥️ تجميعة ال SE Scheme of side effects of hormonal contraceptive methods: 1- change in bleeding pattern 2- change in mood 3- change in weight 4- nausea, vomiting, headache 5- breast tenderness 6- abdominal pain حاجة مميزة لكل نوع: 1- COCs: - increase blood pressure - rare: DVT, MI, stroke 2- combined impants: -skin irritation at site of insertion 3- progestin only injections (DMPA & NET-EN): - loss of bone density - delayed return of ferility 4- progestin only implants: - difficult removal - infection at insertion site IUD side effects بالمرة😁: - dysmenorrhea - change in bleeding pattern IUD complications بالمرة😁😁: (2M+ infection+ perforation + يطلع بصعوبة+ يطلع بسهولة) 1-Menorrhagia—> anemia 2-Miscarriage & preterm 3- Infection: PID & tubo-ovarian abscess 4- Perforation 5- يطلع بصعوبة Difficult removal 6- يطلع بسهولة Unrecognised IUD expulsion—> unintended pregnancy ـــــــــــــــــــــــــــــــــــــــــــــــ تجميعة ال contraindications:

COCs

اسكيمة دكتور صلاح كمال (HML BGD 2S همل بجد) H: HTN & DM >20 years M: Migraine L: liver diseases B: breast: Hx of breast cancer and breasfeeding < 6 months G: gall bladder diseases D: DVT, MI, stroke, p.embolism D: drugs—> anti-seziures and anti-TB S: surgery (major) S: smoking >35 years

Progestin only injections (DMPA, NET-EN)

Same as COCs BUTTTT -can be used in controlled HTN - make the diagnosis of unexplained vaginal bleeding due to pregnancy or underlying medical conditions difficult عشان بتعمل نزيف فا انت ما بتكون عارف النزيف سببه الحقنة ولا حاجة تانية..

Progestin pills

(Breast & liver+ 2D) 1- Hx of breast cancer 2- liver disease 3- drugs : anti-TB and anti-seziures 4- DVT, stroke, MI history

Mirena (levonorgestrel IUD)

(Breast & liver+ 2D) 1- Hx of breast cancer 2- liver disease 3- DVT and p.embolism 4- duration: between 48h and 4 weeks after birth (اكيد مش حتركب لولب لي وحدة لسه والدة يعني )

Copper IUD

(C-IUD) 1- Cancer: ovary, endometrial, cervix 2- Infection risk of STI 3- Unexplained vaginal bleeding 4- Diseases: -puerperal sepsis -ectopic pregnancy - septic abortion ـــــــــــــــــــــــــــــــــــــــــــــــ تجميعة الadvantages

COCs

بتحمي ضد حاجات وبتقلل حاجات (Protect and reduce) 1-protect against: -Ovarian cancer, ovarian cyst, reduce symptoms of PCOS -Endometrial cancer and reduce symptoms of endometriosis -Iron deficiency anemia 2- reduce: - menstural bleeding and menstrual cramping - hirsutism

Progestin only injections

Same as COCs (yayy)

Levonorgestrel IUD (mirena)

Protect and reduce برضو 1- protect against cervical cancer 2- protect against endometrial cancer and reduce endometriosis symptoms 3- protect against Iron deficiency anemia 4- reduce menstrual cramping (dysmenorrhea) and menstrual bleeding #ملخصات_أسرة_Obs https://t.me/mfmsupport42_4notes1

🚨كيسز مهمة جت في العملي مش موجودة سنين سابقة #أسئلة_توليد_Obs https://t.me/mfmsupport42_4notes1

📌 شوية تعديلات بسيطه في فايل الريتن 📍الصوره الاولى دي هتبقى Pregestational DM وده هيبقى المانجمانت بتاعها زي الكتاب ← HbA1C reflects glycemic control over the past 8 to 12 weeks, A diagnosis of overt diabetes is made when A1C is ≥ 6.5%. Insulin dosage: فاكس مش معانا جرعات Morning dose : two-thirds of the dose is given as intermediate acting Insulin (neutral protamine Hagedorn (NPH) insulin), and one-third of the dose is given as a rapid acting insulin. Evening dose  one-half of the dose is given as NPH and one-half of the dose is given as rapid acting insulin 📍الصوره التانيه هتبقى Prematurity 📍الصوره التالته منهج قديم بس هو عايز اسباب الـ bleeding in 1st trimester  ودي اسباب الـ abortion وهو بيبقى قبل الاسبوع الـ 20 فهتمشي صح عادي

أسئلة الاسرة من امتحانات سابقة (معانا من التحديدات):

Premarital care

1- enumerate components of premarital counseling

Antenatal care

1- enumerate 3 red flags symptoms during antenatal period 2- enumerate red flags of antenatal care اتكرر مرتين

Postpartum care

1- enumerate 3 common emotional & psychological postpartum problems 2- list 4 educational message for lactating mother to prevent breast problems 3- case: contraception & postpartum depression (بصمجة من فايل د انشاد)

Contraception

اكتر حاجة بيجي فيها cases 1-possible causes of irregular bleeding with COCs 2- management (reduce) irregular bleeding with COCs 3- contraindications of COCs 4- contraindications of IUD 5-special situations مهم في كل الوسائل دعواتكم لزميلتنا ربنا يوفقها 🤍 #أسئلة_أسرة_Obs https://t.me/mfmsupport42_4notes1