QuickMed by Maemon

🔉ملفات مراجعة الأطفال السريعة (يفضل دراستها آخر يوم قبل الامتحان) 🔉ملاحظة : المصادر المعتمدة (Hot topics , Nelson,ISU) 🔹 Haematology Clues & Notes اضغط هنا 🔹 Respiratory Clues & Notes اضغط هنا 🔹 Cardiology Clues & Notes اضغط هنا 🔹 CNS Clues & Notes اضغط هنا 🔹 Nephrology Clues & Notes اضغط هنا 🔹 Endocrine Clues & Notes اضغط هنا 🔹 Genetics Clues & Notes اضغط هنا 🔹 Immunization Notes اضغط هنا 🔹 Development Notes اضغط هنا 🔹 Rheumatology Clues & Notes اضغط هنا 🔹 Infectious Clues & Notes اضغط هنا 🔹 Neonatology Clues & Notes اضغط هنا 🔹 Others Clues & Notes اضغط هنا

الحمد كملنا كل السستمات تقريبًا ، يبقن ال GIT , RESPA ,Endo ذني شوية طويلات احاول اكملهن هاليومين ، الفكرة منهن تراجعوهن قبل الامتحان بيوم إلى يومين ، حيكونن كافيات ان شاء الله ، موفقين وتصبحون على خير 🙏🏻🤍

A 6-week-old premature infant is admitted because of persistent jaundice, progressive abdominal distension, and poor weight gain. He had a prolonged NICU stay due to respiratory distress syndrome and received total parenteral nutrition for 3 weeks. During the neonatal period, he also developed severe indirect hyperbilirubinemia secondary to G6PD-related hemolysis and required exchange transfusion. The mother now reports pale intermittent stools and dark urine for the past 10 days. On examination, the infant is icteric with mild hepatomegaly but no splenomegaly. Laboratory tests show total bilirubin 16 mg/dL, direct bilirubin 10 mg/dL, elevated GGT and ALP, and mildly prolonged PT. Ultrasound reveals mild dilatation of the extrahepatic bile ducts with echogenic intraductal material, while the gallbladder is present and contracts after feeding. HIDA scan demonstrates delayed biliary excretion with partial passage into the intestine after 24 hours. Liver biopsy shows canalicular cholestasis without bile duct proliferation or significant fibrosis. What is the most likely diagnosis? A. Biliary atresia B. Progressive familial intrahepatic cholestasis C. Inspissated bile syndrome D. Neonatal hepatitis

ما اتوقع الحك اليوم اشرحها ، احاول اكمل الكم ال clues مال كل السستمات حتى تراجعون عليهن آخر يوم ، ان شاء الله باچر اشرح بقية المحاضرات ، ارجو المعذرة 🙏🏻

هذا البارت الثاني والاسئلة الوزارية للسنتين ٢٤ و ٢٥ تقريبًا ناقشنا كل الافكار الي ممكن تجي ، موفقين جميعا 🤍🙏🏻

A 38-week male neonate is admitted on day 4 of life with poor feeding, lethargy, and progressive jaundice extending to the lower extremities. Laboratory evaluation reveals severe unconjugated hyperbilirubinemia with evidence of hemolysis. Despite intensive phototherapy, the total serum bilirubin continues to rise and approaches the exchange threshold. Double-volume exchange transfusion is performed successfully. Six hours after the procedure, the infant appears clinically improved. Neurologic examination is normal. Repeat bilirubin level shows a marked decline to a value below the exchange threshold and below the intensive phototherapy threshold for age. Hemodynamics are stable, feeding improves, and hemolysis has not completely resolved. What is the most appropriate next step in management?