مُحَمَّد طه
@MohamedTaha2480Intern doctor AUD | طالب علم | بسمِ اللَّه نَبْدَأ سعَادة جَدِيدَة ♥️
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76/ Thunderclap headache: defined as peak within 1s, this sign is characteristics to subarachnoid haemorrhage (SAH). Sudden sever "worst ever".
قال الليث ، عن يحيى بن سعيد ، عن عمرة ، عن عائشة رضي الله عنها، قالت : سمعت النبي صلى الله عليه وسلم يقول : " الأرواح جنود مجندة، فما تعارف منها ائتلف، وما تناكر منها اختلف ".
67/ In DKA: ➡️ Abdominal pain in DKA is d.t ketosis. ➡️ Monitoring of Na+ (corrected sodium) in DKA is more important than K+, Na+ should be increased during treatment of DKA. ➡️ No big role of bicarbonate therapy in DKA.
65/ In venous blood gases (VBG): Normal venous pCO² will exclude hypercapnia.
64/ ((وَاتَّقُوا اللَّهَ وَيُعَلِّمُكُمُ اللَّهُ وَاللَّهُ بِكُلِّ شَيْءٍ عَلِيمٌ))
59/ In cardiac arrest, if IV access is impossible consider the intra-osseous route. It's no longer recommended for any drugs to be given by tracheal tube. Similarly, don't attempt intra cardiac injection.
58/ In monitored patients with pulsless VT/ VF where defibrillation is not immediately available, give a single precordial thump. With a tightly clenched fist, deliver one direct blow from a height of ~20cm to the lower half of the sternum.
زكاة العلم نشره، قال الناظم: فاعمل ولو بالعشر كالزكاة .. تخرج بنور العلم من ظلمات فعالم بعلمه لم يعملن .. معذب من قبل عباد الوثن وقال علماء الحديث: زكاة الحديث "في كل أربعين حديث .. حديث".
49/ New onset left bundle branch block is also considered an Indication for urgent revascularization.
وَ قَدْ يُرجىٰ لِجُرحِ السيفِ برءٌ وَ لا برءٌ لِما جَرَحَ اللسانُ جِراحات السِّنانِ لها التِئامٌ وَ لا يلتامُ ما جَرَحَ اللسانُ وَ جرحُ السيفِ تدملُهُ فَيَبْرىٰ وَ يبقىٰ الدهرُ ما جَرَحَ اللسانُ
46/ In meningitis prophylaxis: According to public health/expert advice. Give to contacts in droplet range, eg 1 dose Ciprofloxacin 500mg PO, or Rifampicin 600mg BD PO for 2d.
45/ In breast lump It is not possible to exclude cancer by clinical examination alone and all palpable masses should be regarded as potentially malignant until proven otherwise.
43/ Ischemic stroke: decrease BP by 10-20% in first 24hr if BP >220/120 mmHg.
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