AUSCULTATION

جيت تفحص صدر مريض وحطيت السماعة على صدر المريض ايش الذي مطلوب منك تعلق عليه وكيف تطلع finding

Ther is 5 points to comment when reporting respiratory auscultation

1. Get the patient to cough first – comment on air entry and quality +/- wheeze
2. The patient must breath in and out through their mouth
3. Comment on the characteristics of breath sounds – length of inspiration/expiration and quality
4. ADDED SOUNDS – wheeze, stridor, crepitations, rubs.
5. Comment on voice sounds

يتبع..... PERCUSSION Name 5 causes of dullness to percussion 1. Effusion 2. Pleural thickening 3. Collapse 4. Fibrosis 5. Consolidation Top 5 Causes of pleural effusion 1. Cardiac failure 2. Bronchial carcinoma 3. Metastatic carcinoma 4. Pneumonia…

وانت بتعمل examination للجهاز التنفسي توقع يجي لك احد هذي الاسئلة INSPECTION Name 5 RESPIRATORY causes of finger clubbing 1. Cryptogenic (idiopathic) fibrosing alveolitis /pulmonary fibrosis 2. Chronic suppurative lung disease (i.e. bronchiectasis, CF,…

Glasgow Coma scale

?. Eyes opening:
Spontaneously (+4)
To verbal command (+3)
To pain (+2)
No eye opening (+1)

?. Verbal response :
Oriented (+5)
Confused (+4)
Inappropriate words (+3)
Incomprehensible sounds (+2)
No verbal response (+1)

?. Motor response :
Obeys commands (+6)
Localizes pain (+5)
Withdrawal from pain (+4)
Flexion to pain (+3)
Extension to pain (+2)
No motor response (+1)

#surgery
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?️Pediatric Most common

1️⃣ Most common  Congenital Pancytopenia = Fanconi anemia (spontaneous chromosomal breaks)

2️⃣ most common acquired cause of bleeding disorders in children is = thrombocytopenia

3️⃣ Most common hereditary bleeding disorder = von Willebrand Disease (vWD)

4️⃣ most common presenting sign  of  Hodgkin Lymphoma  = Painless, firm cervical or supraclavicular nodes ()

5️⃣ Second most frequent malignancy in children; mortality 45% = Brain tumer

6️⃣ Most common Brain tumer =  Infratentorial Tumors (Classic site—cerebellum)

7️⃣ Second most common malignant abdominal tumor = Wilms Tumor

8️⃣ Most common site of Pheochromocytoma  = adrenal medulla

9️⃣ most common seizure usually present within 12–24 hours after birth= Hypoxic ischemic encephalopathy

?Most common Complication of bacterial  meningitis  is = hearing loss
#Notes ?

Least common cause of DKA in children is infarction

The most common complication of Patent ductus arteriosus is infective endocarditis

⭕️⭕️هـــــــــــــــاااااااام ⭕️⭕️

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