كل عام و انتم بألف خير اطباءنا
اعاده الله عليكم باليمن و البركة

? Vaccines given to COPD patients

- Influenza vaccine (every year)
- pneumococcal vaccine

#OSCE

? Lump Examination

Inspection (5S + M)
1- Site
2- Size
3- Shape
4- Margin
5- Skin color & surrounding
6- Surface

Palpation
7- hotness (Temperature)
8- tenderness
9- layer of origin & fixity

Compositions
1- consistency
2- fluctuation
3- fluid thrill
4- translumination
5- reducibility
6- compressibility
7- pulsatile & expansile
8- percussion => percussion notes
9- ausculration => bruit & thrill

Exam
1- local innervation
2- local circulation
3- local LN
4- General exam (CVS + Neurological)

#OSCE

#Radio #Respiratory

Best initial test for bronchiectasis ?
Gold Standard test for bronchiectasis ?

??

Charcot’s Triad
? RUQ pain
? fever
? Jaundice

Reynold’s pentad
? + Hypotension
? + Confusion

Dx : Ascending Cholangitis
Ix : Abdominal US
Tx : ERCP

Type of gallstones in hemolytic anemia ?
#GIT #Surgery #Hemato

• للاسف ماكو x ray تجي واضحة كلش بالطوارئ بحكم كثرة الحالات و الحالة تكون unstable