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| 2 |  Matn yo'q... | 839 |
| 3 |  +1Matn yo'q... | 1 026 |
| 4 |  Matn yo'q... | 1 224 |
| 5 | 😀2025 Edition Book Collection from the American Save Life Organization | 3 901 |
| 6 | +7 CPR_Handbook.pdf | 4 205 |
| 7 |  ⭐️ Sheehan Syndrome 🤱🧠
A postpartum hypopituitarism caused by ischemic necrosis of the anterior pituitary following severe obstetric hemorrhage.
⭐ Classic Association = Postpartum hemorrhage + Failure to lactate
📌 Pathophysiology
• Massive postpartum blood loss
• Enlarged pituitary during pregnancy is vulnerable to ischemia
• Anterior pituitary infarction
• Multiple pituitary hormone deficiencies
📌 Classic Features
• Failure to lactate (earliest sign)
• Secondary amenorrhea
• Loss of pubic/axillary hair
• Fatigue and cold intolerance
📌 Hormones Decreased
• ↓ Prolactin
• ↓ FSH/LH
• ↓ TSH
• ↓ ACTH
📌 Investigations
• Hyponatremia
• Low pituitary hormones
• MRI: Pituitary infarction or empty sella
📌 Management
• Hydrocortisone FIRST ⚠️
• Levothyroxine replacement
• Estrogen/progesterone replacement
• Other hormone replacement as needed
⚡ Rapid Exam Clue
Postpartum hemorrhage + inability to breastfeed = Sheehan Syndrome
🧠 Memory Trick
“She can’t feed the baby after she bled.” | 1 367 |
| 8 |  +1Matn yo'q... | 1 529 |
| 9 |  Matn yo'q... | 1 745 |
| 10 |  Matn yo'q... | 1 892 |
| 11 |  Matn yo'q... | 2 067 |
| 12 |  Matn yo'q... | 2 126 |
| 13 |  Matn yo'q... | 2 287 |
| 14 |  ⭐️- Types of Heart Block -
🫀Heart blocks occur when electrical signals from the atria to the ventricles are delayed or blocked
🫀This leads to changes in the relationship between P waves and QRS complexes | 2 396 |
| 15 | 🔴Definition of ‘Nursing’ and a ‘Nurse’ 2026 | 2 139 |
| 16 |  +5Matn yo'q... | 2 533 |
| 17 |  Matn yo'q... | 2 232 |
| 18 | Matn yo'q... | 2 362 |
| 19 |  ⭐️Transudate vs Exudate Pleural Effusion
Pleural effusions are broadly divided into transudates and exudates based on mechanism + pleural fluid analysis.
⸻
🔵 TRANSUDATE
= Pressure imbalance effusion
📌 Mechanism
• ↑ Hydrostatic pressure OR ↓ oncotic pressure
• No pleural inflammation
• Low-protein fluid ⭐
📌 Common Causes
• CHF
• Liver cirrhosis
• Nephrotic syndrome
• Hypoalbuminemia
📌 Pleural Fluid Findings
• Protein ↓
• LDH ↓
📌 Light’s Criteria
• Pleural protein / serum protein < 0.5
• Pleural LDH / serum LDH < 0.6
📌 Clinical Clues
• Dyspnea
• Orthopnea
• Bilateral effusions common
💊 Management
• Treat underlying systemic disease
🧠 Memory Trick
Transudate = “Trouble with pressure”
⸻
🔴 EXUDATE
= Inflammatory pleural effusion
📌 Mechanism
• Inflammation → leaky capillaries
• Protein-rich fluid + inflammatory cells ⭐
📌 Common Causes
• Pneumonia
• Tuberculosis
• Malignancy
• Pulmonary embolism
📌 Pleural Fluid Findings
• Protein ↑
• LDH ↑
📌 Light’s Criteria
• Pleural protein / serum protein > 0.5
• Pleural LDH / serum LDH > 0.6
📌 Clinical Clues
• Fever
• Pleuritic chest pain
• Unilateral effusion common
💊 Management
• Drain fluid + treat local pathology
🧠 Memory Trick
Exudate = “Exit of proteins + cells”
⸻
⚡ Rapid Exam Differentiation
• Pressure imbalance → Transudate
• Inflammation / malignancy → Exudate | 2 459 |
| 20 | Matn yo'q... | 2 094 |
