كلنا حاملون للسوء ولكن الله بلطفه يسترنا

Polycystic ovary syndrome (PCOS) is a highly prevalent disorder,

🛑representing the single most common endocrine-metabolic disorder in reproductive-aged women.

Currently there are four recognized phenotypes of PCOS:
1) hyperandrogenism+oligo-anovulation+polycystic ovarian morphology;

2) hyperandrogenism+oligo-ano ulation

3)hyperandrogenism+polycystic ovarian morphology;

4) oligo-anovulation+polycystic ovarian morphology,

🛑Polycystic ovary syndrome is a highly inherited complex polygenic, multifactorial disorder.

🛑Pathophysiologically abnormalities in gonadotropin secretion or action, ovarian folliculogenesis, steroidogenesis, insulin secretion or action, and adipose tissue function, among others, have been described in PCOS.

🛑Women with PCOS are at increased risk for glucose intolerance and type 2 diabetes mellitus; hepatic steatosis and metabolic syndrome; hypertension, dyslipidemia, vascular thrombosis, cerebrovascular accidents, and possibly cardiovascular events; subfertility and obstetric complications; endometrial atypia or carcinoma, and possibly ovarian malignancy; and mood and psychosexual disorders.

🛑The evaluation of patients suspected of having PCOS includes a thorough history and physical examination, assessment for the presence of hirsutism, ovarian ultrasonography, and hormonal testing to confirm hyperandrogenism and oligo-anovulation as needed and to exclude similar or mimicking disorders.

🛑 Therapeutic decisions in PCOS depend on the patients' phenotype, concerns, and goals, and should focus on

1) suppressing and counteracting androgen secretion and action,

2) improving metabolic status, and
3) improving fertility.

#obs

ياخ انا كنت داير الكتلة دي لي قجة😅

?Discribe Types Of Apex Beat :
?Tapping  ➡ Mitral Stenosis
?Trusting ➡ Aortic Regurgitation
?Forceful ➡ Aortic Stenosis
?Impalpable:?
?Emphysema
?Pneumothorax
?Dextrocardia
?Obesity
?Pericard effusion

إذا أعطيت طفلا قلما ليرسم مثلثا ثم استطاع ذلك على اقل تقدير هو اكبر من .....

هل أي زول عندو subclinical hypothyroidism يتعالج؟!

الجواب لا إلا في حالات معينة:

1. الحمل
2. ال TSH >10 mlU/L
3. ال heart diseases

ليه عيانين ال hypothyroidism بيكون عندهم cold intolerance?

حسب علمي انا العبد الفقير لله ٢:

1. ال BMR عندهم بكون بسيط.
2. ال SVR بكون عالي.

قال الرسول -صلى الله عليه وسلم-: "أحب الأعمال إلى الله: أدومها وإن قل"