23 Apr 2026, 09:25 UTC237 views2 reactionsread 7 August 2026 #notes_in_MULTISYSTEM
• Signs of neurogenic shock : Hypotension and bradycardia
• ↓ CO (cardiac output ),
↓ PCWP(Pulmonary capillary wedge pressure) , ↑ PVR(Pulse-Volume Recording) : Hypovolemic shock
• ↓ CO, ↑ PCWP, ↑ PVR Cardiogenic (or obstructive) shock
• ↑ CO, ↓ PCWP, ↓ PVR Distributive (eg, septic or anaphylactic) shock
• Treatment of septic shock : Fluids and antibiotics
• Treatment of cardiogenic shoc…
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Signed Mohamad Al Ayed
19 Apr 2026, 08:15 UTC199 views1 reactionsread 7 August 2026 #notes_in_RENAL_GENITOURINARY
• Treatment of hypernatremia : NS for volume resuscitation if unstable vital signs; D5W or 0.45% NS to replace free-water loss once vitals are stable
• Differential diagnosis of hypotonic hypervolemic hyponatremia : Cirrhosis, HF, nephrotic syndrome, AKI, CKD
• Complication of overly rapid correction of hyponatremia : Central pontine myelinolysis (osmotic demyelination syndrome)
• …
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Signed Mohamad Al Ayed
14 Apr 2026, 08:31 UTC187 views1 reactionsread 7 August 2026 #notes_in_PULMONARY
• Normalizing PCO2 in a patient having an asthma exacerbation may indicate Fatigue and impending respiratory failure
• Treatment for acute asthma exacerbation : β2-agonists and corticosteroids
• All adults and adolescents with asthma should get long-term Inhaled corticosteroids
• PFTs of restrictive pulmonary disease : Normal or ↑ FEV1/FVC, ↓ TLC
• Honeycomb pattern on chest radiograph : …
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Signed Mohamad Al Ayed
26 Mar 2026, 08:59 UTC212 views3 reactionsread 7 August 2026 #notes_in_NEUROLOGY
• Unilateral, severe periorbital headache with tearing and conjunctival erythema : cluster headache
• Prophylactic treatment for migraine : Antihypertensives, antidepressants, anticonvulsants, dietary changes
• The Treatment of stroke if presentation within 3–4.5 hours is Thrombolytics (tissue plasminogen activators tPA)
• acute “broken speech." : Broca aphasia, Frontal lobe, Left MCA dist…
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Signed Mohamad Al Ayed
16 Mar 2026, 09:43 UTC198 views1 reactionsread 7 August 2026 A.5.
• Cullen's sign: This is a bluish discoloration of the skin around the umbilicus, which may occur due to intraperitoneal hemorrhage.
• Grey-Turner's sign: This is a reddish-blue or greenish-brown discoloration of the flanks, reflecting tissue hemoglobin breakdown. These two signs indicate severe necrotizing pancreatitis.
A.6. Treatment:
In 80-90% of patients with acute pancreatitis, the disease is self-limiti…
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Signed Mohamad Al Ayed
16 Mar 2026, 09:43 UTC151 viewsread 7 August 2026 #Gastrointestinal_cases8 ( from MRCP )
A 39-year-old woman was brought to the emergency department due to severe epigastric pain, vomiting, and fever for one day. There was no history of gastrointestinal bleeding or hematemesis. She had previously complained of mild epigastric discomfort, especially after eating fatty foods, and used antacids, which temporarily relieved the symptoms. She did not have diabetes or high…
Signed Mohamad Al Ayed
16 Mar 2026, 09:37 UTC73 views1 reactionsread 7 August 2026 ج6. خطة العلاج:
1. الإجراءات الطارئة والعلاج الداعم:
إدخال المريض إلى المستشفى.
تعويض السوائل عن طريق الوريد لتصحيح الجفاف والاضطرابات الكهارلية.
نقل دم إذا كان هناك فقر دم شديد.
التوقف عن تناول الأطعمة الصلبة
2. تصنيف الهجمات وعلاجها
1. هجمة خفيفة (عدد مرات التبرز أقل من 4 يوميًا)
أساكول 1 جرام 4 مرات يوميًا
حقنة شرجية تحتوي على 100 مجم هيدروكورتيزون ليلًا
2. هجمة متوسطة (عدد مرات التبرز أكثر من 6 يوميًا)
حقنة شرجي…
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Signed Mohamad Al Ayed
16 Mar 2026, 09:37 UTC98 views1 reactionsread 7 August 2026 #Gastrointestinal_cases7 ( from MRCP )
حضر شاب يبلغ من العمر 27 عامًا إلى قسم الطوارئ وهو يعاني من إسهال متكرر منذ يومين. البراز ممزوجًا بالدم والمخاط، وكان بمعدل 10 إلى 12 مرة يوميًا. كما اشتكى من الحمى والانزعاج البطني. لم يكن هناك تاريخ لتعاطي المخدرات، وبمزيد من الاستفسار أفاد بأنه يعاني من نوبات متكررة من الإسهال المتقطع منذ شهرين، وأيضا كان أحيانًا يحتوي على مخاط ودم. لم يعانِ من نوبة شديدة كهذه من قبل. وذكر أي…
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Signed Mohamad Al Ayed
15 Mar 2026, 10:54 UTC99 viewsread 7 August 2026 A5.
Treatment includes:
1. Identify and treat precipitating factors (e.g., bleeding, infection, electrolyte imbalance, high protein intake, sedative medications).
2. Empty the bowel using enemas and lactulose.
3. Implement a protein-free diet initially.
4. Administer antibiotics such as neomycin (1 g every 6 hours orally for one week).
5. Maintain caloric intake and fluid/electrolyte balance.
6. Stop diure…
Signed Mohamad Al Ayed
15 Mar 2026, 10:54 UTC95 views0 reactionsread 7 August 2026 #Gastrointestinal_cases6 ( from MRCP )
A 45-year-old male patient was brought to the emergency department after experiencing a severe episode of hemoptysis and a sudden deterioration in his level of consciousness. His brother mentioned that he had jaundice about a year ago which lasted for approximately one month. He then took some medications from traditional healers (without consulting a doctor) and improved slight…
Signed Mohamad Al Ayed
15 Mar 2026, 10:53 UTC101 viewsread 7 August 2026 #Gastrointestinal_cases5 ( from MRCP )
رجل يبلغ من العمر 45 عامًا حضر إلى قسم الطوارئ بسبب معاناته لمدة أسبوع من الحمى الشديدة و عرواءات مصحوبة بتعرق غزير. لاحظ تعبا غير معتاد وفقدانًا للشهية. كان يشعر بالغثيان معظم الوقت وتقيأ عدة مرات. قبل أربعة أسابيع من حالته الحالية، أصيب باسهال مع دم ومخاط في البراز، لكنه تحسن بعد تناول بعض الأدوية. اشتكى من ألم في البطن، وكان أكثر وضوحًا في الجانب الأيمن. لم يكن يعاني من مشاكل…
Signed Mohamad Al Ayed
14 Mar 2026, 12:01 UTC89 viewsread 7 August 2026 Photo
Photo, posted without a caption
Signed Mohamad Al Ayed
Showing the 12 most recent of 20 posts we hold for @Drmedabstracts. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
