‼️Management of PPH:-
1st line (physical method):-
- Bimanual uterine massage
- Empty bladder (catheter)

2nd line:-
- Oxytocin
- Carboprost
- Ergimetrine (not in hypertension)

3rd line (surgical):-
- Balloon tamponade (do this first in surgical method)
- B-Lynch suture
- Ligation of the uterine arteries or internal iliac arteries

Last option:-
- Hysterectomy

كله اشترت بس انت بقيت

اكو احد بعده ممشتري سماعة؟ 👀
اذا اي و تريد تطلب راسلنا عالبوت👇
@NOTASMED_bot

‼️Primary hyperaldosteronism:-

Causes:-
▫️bilateral idiopathic adrenal hyperplasia (60-70%)
▫️adrenal adenoma (20-30%) (conn's syndrome)
▫️unilateral hyperplasia
▫️familial hyperaldosteronism
▫️adrenal carcinoma (extremely rare)

Features:-
▫️hypertension (usually refractory to treatment)
▫️hypokalemia (muscle weakness) (variable not always present)
▫️metabolic alkalosis
▫️no peripheral edema (no hypervolemia due to aldosterone escape)

Investigations:-
▫️1st line → aldosterone/renin ratio (high aldosterone with low renin)
▫️CT abdomen + Adrenal venous sampling

Management:-
▫️adrenal adenoma → surgery
▫️bilateral adrenocortical hyperplasia → aldosterone antagonist (spironolactone or eplerone)

خوش ملف للبارتو👆

يتأخرون بالتصحيح و فوكاها نص تصحيحهم غلط

‼️Pneumonia Vs. Acute Bronchitis :-
▫️Fever and cough with (-) CXR is suggestive of bronchitis
▫️Fever and cough with (+) consolidation on CXR is suggestive of pneumonia
▫️Fever and cough with cavitation on CXR is suggestive of Fungus/abscess/tuberculosis

خوش ملف للعملي جراحة 🙏

‼️Mneumonic for describing fetal heart decelerations:-
VEAL-CHOP

Variable: Cord compression
Early: Head compression
Accelerations: Ok!
Late: Placental insufficiency