medical tips

[المحرر البحراني]

أخيرا وصلتم للمرحلة العملية بعد عناء طويل
و يجب عليك تحويل المعلومات النظرية إلى معلومات عملية
ففكرت في موضوع يفيدكم الآن و في السنوات العملية القادمة وهو بعنوان medical tips
وهو عبارة عن مشاركة الآخرين بالمعلومات العملية من الخلال الموضوع و ستظل هذه المعلومات لك في حال نسيتها كما انك ستفيد زملائك الذين سيمروا على نفس الأقسام و خير شرح للموضوع و طريقته هي أمثلة :

مثال 1 : (in history (surgery
In pain Don’t forget to ask if this is the first time

مثال 2 : pediatric ( in examination )
In UTI Don’t forget to look at the back and examine the genital area for discharge and look for suprapubic pain and and renal angel tenderness

مثال3 : surgery (in lecture )
The difference between Strangulation and Obstruction in hernia is :
•Strangulation : Obstructed lumen with impairment of the bowel blood supply and gangrene may occur as early as 6 hours.
•3-Obstructed Hernia: Irreducible hernia with obstructed lumen of the bowel either from without impairment of the bowel blood supply

وملاحظك في الراوند
طريقة فحص معينة و هكذا

جميع طلاب الطب مدعوون للمشاركة بالموضوع

[med student]

سلام من الله عليكم
أهــلا و سهلا دكــاتره ..عـساكم بخير
الحمد لله اللي من علينا بالنجاح .. ووصلنا لمرحلة الكلينيك
المحرر والبقية وينكم في اي روتيشن انتو ؟؟ قتلتون 17 نفر و لا بعدكم .. انا قريت مقال عشان تستوي دكتور بلزم تجتل 17 نفر على الاقل ههههه .. بسم الله عليكم و بعيد الشر عنكم وعن كـل المرضى
انا حاليا في البيدياتريكس ... وان شالله اتفاعل مع الموضوع .
. اتمنى من الكل يتفاعل و يثري الموضوع لتحقيق الفائدة المرجوة ..
طيب و اهم شي نوتاتكم الجميلة =)

جزيـل الشكر اخوي المحرر لانك تجمعنا مرة 2 في موضوع قيـم كـعادتك ..

إلى الملتقى .. موفـقين

[المحرر البحراني]

و عليكم السلام و الرحمة
17 مرة وحدة على هالحسبة ما بنتوظف إلا ضمنا جهنم
انا حاليا نسائية و الباقي توزعوا على الباطني و الجراحة و الأطفال
نوتات النسائية ما اعتقد بتفيد احد هالفترة فبشارك بالباقي
و ننتظر التفاعل ................ بس اتوقع بعد فترة من الزمن لأن حاليا مجرد introduction

[med student]

نحن ماشين بالعكس اطفال وبعدين نسا وولادة
هذا الاسبوع السادس بيكون لي في الاطفال احس توني اجمع شوي ..والوقت وايد ضيق..

[med student]

salams
well ,there are soo many things to be added
but ill choose one of the questions that i was asked in the morning rotation

it's a long history but ill try to be brife
we saw an omani child of about 1 year old he was failure to thrive
had multiple infections
for a long time suffers of low grade fever
many times got chest infections
and gastrointritis
ear infections


O\E
the child was pale
on nebolizer
concious
alert
chest examnation:
child had fine cripitation on the base of the rt lung , and wheeze
abdomen was soft
cardio : normal
mmm

on investigations :
sweat chloride test was orderd by the dr
bec as a differential DX for a wheezy chest in a child with failure to thrive and multiple infection is cystic fibrosis
i so sweat chloride test
should be done in such a case to exclude or confirm CF

[med student]

The sweat chloride test is a common and simple test used to evaluate a patient who is suspected of having cystic fibrosis (CF), the most common lethal genetic disease affecting Caucasians. Cystic fibrosis is often clinically suspected when there is poor growth during infancy or recurrent serious intestinal or respiratory diseases in a toddler or young child. The genetic defect in cystic fibrosis affects the way chloride moves in and out of cells, and sweat contains chloride in the form of sodium chloride (salt). Measurement of the chloride in sweat has been the standard method for diagnosing cystic fibrosis for over 40 years. Because cystic fibrosis is so common, many states include testing for the cystic fibrosis gene as part of the Newborn Screen; however, sweat testing is still required to confirm the diagnosis.


Sweat Chloride Test (cont.)



In this Article

• What is the sweat chloride test?
• What is the aim of the sweat chloride test
• How is the sweat chloride test done?
• How long does the test take?
• What is done with the sweat?
• What are normal sweat chloride levels?
• What is the sweat chloride level in cystic fibrosis?<LI class=selected>What if the sweat chloride is intermediate (between normal and the usual cystic fibrosis levels)?
• Can a cystic fibrosis child have a normal sweat chloride level?
• Can the sweat chloride be high without having cystic fibrosis?
• Sweat Chloride Test Index

What is the aim of the sweat chloride test?

The goal of this test is to painlessly stimulate the patient's skin to produce a large enough amount of sweat which may then be absorbed by a special filter paper and analyzed for the content of chloride in the sweat. Patients with cystic fibrosis produce larger quantities of sweat chloride than normal individuals.

How is the sweat chloride test done?

To produce the necessary volume of sweat, a technique called iontophoresis is employed. The technique requires the application of a tiny (painless) electrical current that medically stimulates maximum sweat production.
The patient's forearm is commonly used. However, in small infants, the back may also serve as an appropriate area to perform this procedure.

How long does the test take?

The sweat chloride test usually takes about one-half to one hour.

What is done with the sweat?

The sweat is collected on a specialized filter paper. After determining that enough sweat has been collected to ensure test reliability, the amount of chloride in the sweat is measured. This is considered a specialized test, and not all institutions have experience with the techniques, and poor collection techniques can result in false negative results.

What are normal sweat chloride levels?

The normal sweat chloride values are 10-35 milliequivalents per liter.

What is the sweat chloride level in cystic fibrosis?

Patients with cystic fibrosis usually have a sweat chloride value greater than 60 milliequivalents per liter.

What if the sweat chloride is intermediate (between normal and the usual cystic fibrosis levels)?

Intermediate values between 35 and 60 milliequivalents per liter may be seen in some cystic fibrosis patients (and in some normal children). In those cases, the sweat chloride test should be repeated in the very near future.

[med student]

تابعت اليوم الحالة .. وقال الدكتور ان مستبعد السستك فايبروسس لان غالبا يكون عندهم اسهال مزمن من بعد الولادة على طول ... و يكون تعرق الطفل له ريحه مميزة غير عن بقية الاطفال لان نسبة الكولورايد تكون فيه عالية
آخر شي .. بعد ما تم استبعاد الاسباب الثانية قالوا انه ممكن يكون السبب الرئيسي سوء التغذية .. وبالتالي الطفل مناعته صارت وايد ضعيفة .. وتعرض لعدة التهابات
وزنه الحالي = 6 كيلو واقل من الوزن المتوقع لمثل عمره

[med student]

سلام ورحمة من الباري \

مساكم خـير .. و سعادة =)

يا ناس يا عالم .. وين التفاعل ... وين اوادم البيدياتريكس و بقية الروتيشنز ؟ دكتورة بتول ؟!! شخباركم شمسوين ؟
ما قلتو شي عن الروتيشن كيف تشوفونه ؟؟
على فكرة يوم رديت اقرا اللي كتبته عن السستك فايبروسس حسيت اني غبية .. ما علينا شكله محد قرا اصلا .. لان اللي بيقرا بتمعن بيشوف ان في اشيا وايد ناقصة في الهستوري !
في الامتحان ما ايبون اشيا صعبة هذا اللي توصلت له من الدكاترة ايبون الاشيا ال more common

asthma
pnemonia
neonatal examination >>>my best part =)
afbrile seizure
diarrheo
cp
يعني هالاشيا وايد مهمه .. ما اعرف كيف في الاردن شو الشايع هناك هههه يمكن عندكم copd of pediatrics بسبب التدخين ;P


والمحرر نتريا تعطينا فكرة عن تجربتك في العملي ..

[يمني كووول]

آلسلآمـ عليكمـ

حيــالله دكــآتــرهـ المستقبلـ

فــــــآلكمـ آلتوفيـــــق يــآرب

آذا آخترب عليكمـ جهاز
او تبون نسوي له Calibration
آو في Sensor ـ

مـــآ يشتغل
حنــآ حــــــآضريـــــــــن

[المحرر البحراني]

السلام عليكم ورحمة الله وبركاته

سلام ورحمة من الباري \

مساكم خـير .. و سعادة =)

يا ناس يا عالم .. وين التفاعل ... وين اوادم البيدياتريكس و بقية الروتيشنز ؟ دكتورة بتول ؟!! شخباركم شمسوين ؟
ما قلتو شي عن الروتيشن كيف تشوفونه ؟؟
على فكرة يوم رديت اقرا اللي كتبته عن السستك فايبروسس حسيت اني غبية .. ما علينا شكله محد قرا اصلا .. لان اللي بيقرا بتمعن بيشوف ان في اشيا وايد ناقصة في الهستوري !
في الامتحان ما ايبون اشيا صعبة هذا اللي توصلت له من الدكاترة ايبون الاشيا ال more common

asthma
pnemonia
neonatal examination >>>my best part =)
afbrile seizure
diarrheo
cp
يعني هالاشيا وايد مهمه .. ما اعرف كيف في الاردن شو الشايع هناك هههه يمكن عندكم copd of pediatrics بسبب التدخين ;P


والمحرر نتريا تعطينا فكرة عن تجربتك في العملي ..
__________________

نفس الحالات عندنا بس زيادة عندنا minengitis , uti , gastroenteritis
بالأطفال الأمراض تتشابه بالعوارض و الفحص مهم جدا عشان تفرقين بينهم
لازم تحفضين ويش تسألين لكل مرض و الفحص بشكل خاص لكل حالة عشان العملي
وترى الأطفال مو صعب يمكن اسهل قسم مر عليي بس تعودين روحش على الفحص و تأخذي الحالات الشائعة اكثر من مرة بتحسي روحش سيطرتين على الوضع
اما عن ال cystic fibrosis فالصراحة ما اتذكره بالضبط لان كل الأعراض موجودة فيه

في قروب جابوا لهم السيستيك فيبروسيس بالإمتحان سوو systemic reviwe وما خلصوا كل النقاط

اما عن التفاعل فللأسف مشير حاليا بالجينا و الأوبستتريك
وبتعرفي يعني ويش مشير بمشاركتي الجاية

الأخ يمني كول

و الله ما فهمت ويش قصدك اي سنسور واي كليبرايتشن احنا ما عندنا غير هالسماعات لا عندنا ألتراسوند بالبيت ولا سي تي سكان
بس شكراا على العرض

[المحرر البحراني]

السلام عليكم ورحمة الله وبركاته

Obstetrics and Gynecology

1. The ulcer of primary syphilis is usually single and painless, while the ulcer of herpes is more often multiple and painful.
2. Trichomoniasis and candidiasis are diagnosed by visualizing the organisms on microscopy of vaginal discharge; bacterial vaginosis is diagnosed by the "whiff test" and the appearance of "clue cells".
3. PID is often a polymicrobial infection but generally begins with infection with N. gonorrhoeae or C. trachomatis.
4. Midcycle surge of luteinizing hormone (LH) predicts impending ovulation.
5. In females, the order of puberty is thelarche, pubarche, maximum growth velocity, and menarche.
6. The three most common causes of primary amenorrhea are gonadal dysgenesis, müllerian agenesis, and androgen insensitivity.
7. The most common cause of secondary amenorrhea is pregnancy.
8. The two syndromes that are characterized by breast development and the absence of a uterus, androgen insensitivity and müllerian agenesis, can be differentiated by a karyotype.
9. Premenstrual syndrome (PMS) is defined as the emotional and physical symptoms that occur at the same time prior to the menstrual cycle each month.
10. Fibroids are estrogen-sensitive, fibromuscular benign tumors that are thought to originate from a monoclonal cell line.
11. There are no diagnostic criteria for polycystic ovarian syndrome (PCOS), but common findings include increased LH:FSH ratio, decreased fasting glucose:insulin ratio, polycystic ovaries on ultrasound, hirsutism, and obesity.
12. Endometriosis, or endometrial tissue outside the uterus, causes pelvic pain, dyspareunia, and infertility.
13. Adenomyosis, or endometrial tissue in the myometrium, causes menorrhagia and dysmenorrhea.
14. All pelvic pain is not gynecologic in origin.
15. Ovarian failure is normal at menopause (average 51 years old) and premature at > 40 years; it requires work-up in women < 30 years old.
16. Risks of ovulation induction include multiple gestation and ovarian hyperstimulation.
17. Initial evaluation of an infertile couple should include basal body temperature chart to assess ovulation, semen analysis, hysterosalpingogram to check tubal patency, then postcoital test to evaluate cervical mucus.
18. In vitro fertilization (IVF), a procedure used to overcome tubal or male factor infertility, requires ovarian hyperstimulation with injectable gonadotropins, egg retrieval, fertilization, and embryo transfer.
19. Stress incontinence is loss of urine due to increased intra-abdominal pressure, and urge incontinence is due to detrusor instability.
20. Stress incontinence can be due to urethral hypermobility or, less commonly, intrinsic sphincter deficiency.
21. 15-20&percnt; of clinically recognized pregnancies end in miscarriage, but this risk is decreased to 6-8&percnt; once embryonic cardiac activity is seen.
22. The most common type of chromosomal abnormality in miscarriages is autosomal trisomies, but the single most common karyotype is monosomy X.
23. Legalization of abortion has significantly reduced the number of women hospitalized with complications of abortions.
24. Patients with ectopic pregnancies usually present with abdominal pain and abnormal vaginal bleeding.
25. In a normal pregnancy, beta-hCG levels approximately double every 48 hours.
26. Combination oral contraceptives (OCPs) work primarily by inhibiting ovulation through suppression of LH and FSH.
27. OCPs decrease the risk of ovarian and endometrial cancers.
28. The phases of the sexual response cycle are excitement, plateau, orgasm, and resolution.
29. Vaginismus is often associated with a history of sexual abuse or trauma.
30. Symptoms of menopause include irregular then absent menses, hot flashes, and vaginal atrophy or dryness.
31. Vulvar cancer is predominantly squamous cell and spreads via lymphatics to superficial inguinal nodes.
32. Paget's disease of the vulva may be associated with underlying adenocarcinoma; therefore, local excision is recommended.
33. Human papillomavirus (HPV) can trigger genital dysplasia and is linked to invasive cervical cancers.
34. The incidence of cervical cancer is decreasing secondary to regular screening with Pap smears.
35. Cervical cancer is staged clinically with exam under anesthesia, cystoscopy, and proctoscopy.
36. Important risk factors for endometrial cancer include obesity, anovulation, and tamoxifen use.
37. The most common presenting symptom of endometrial cancer is abnormal uterine bleeding, especially postmenopausal bleeding.
38. Sex cord and germ cell tumors are usually diagnosed early and are highly curable, while epithelial ovarian cancer presents late in the disease.
39. Meigs syndrome mimics advanced-stage ovarian cancer but actually involves benign ovarian fibroma associated with ascites and pleural effusion.
40. The highest risk for serious injury or death is when or after an abused woman leaves her abuser.
41. The incidence of domestic violence increases during pregnancy and postpartum.
42. A woman with a history of a child with a neural tube defect needs 4 mg of folic acid prenatally, but those without such a history need only 400 mcg.
43. Advanced maternal age is associated with increased chromosomal abnormalities, increased first-trimester losses, and increased risk of most obstetric complications.
44. An increase in plasma volume that is greater than the increase in red blood cell mass causes the dilutional physiologic anemia of pregnancy.
45. Pregnancy is a hypercoagulable state due to increased clotting factors and venous stasis.
46. To decrease group B streptococcal neonatal sepsis, the CDC recommends maternal screening for the bacteria via vaginal and rectal cultures in the late third trimester and prophylaxis with antibiotics in labor for those who test positive.
47. The nonfasting 1-hour, 50-gm glucose tolerance test is used to screen for gestational diabetes, and the fasting 3-hour, 100-gm glucose tolerance test confirms the diagnosis.
48. The recommended weight gain in pregnancy is 25-35 pounds for normal weight women.
49. Nausea and vomiting of pregnancy typically begin around the fourth to the seventh week and end by the twelfth week.
50. There is no method proven to prevent preeclampsia, and the only cure is delivery.
51. Magnesium sulfate is given to preeclamptic women during labor and for 24 hours after delivery to prevent seizures.
52. If a woman has a history of gestational diabetes, her lifetime risk of developing type 2 diabetes is 36&percnt;.
53. To decrease the malformation risk in patients with insulin-dependent diabetes mellitus (IDDM), good glycemic control should be achieved prior to conception.
54. Circulating T4 and T3 increase in pregnancy secondary to increased thyroid-binding globulin, but free levels are unchanged.
55. The risk of congenital anomalies is 2-3 times higher than baseline in women on anticonvulsants, but the risk is increased above baseline even in women with epilepsy not on medications.
56. Cardiac output increases in pregnancy, first by increased stroke volume, then by increased heart rate.
57. Women with cardiac valvular disease and ventricular septal defects should receive subacute bacterial endocarditis prophylaxis at the time of vaginal delivery.
58. Treatment of asthma in pregnancy is essentially the same as in nonpregnant women.
59. Pulmonary embolism is the leading cause of maternal mortality in the U.S.
60. During pregnancy, increased renal plasma flow and increased glomerular filtration rate lead to decreased serum BUN and creatinine.
61. Pregnancy increases the risk of pyelonephritis due to anatomic changes, changes in urine content, and increased progesterone affecting ureteral motility.
62. Maternal parvovirus infection can lead to fetal anemia, hydrops, and even IUFD.
63. Women with active HSV at the time of delivery should undergo cesarean section to prevent neonatal transmission.
64. Possible fetal effects of lupus include congenital heart block and neonatal lupus.
65. There is no safe level of alcohol consumption in pregnancy; the best advice is not to drink alcohol at all.
66. Placental abruption and stillbirth occur in 8&percnt; of pregnant cocaine users.
67. Lithium, a common treatment for bipolar disorder, has been associated with cardiac malformations, especially Ebstein's anomaly, but the extent of the risk is unclear.
68. Postpartum blues occur in 50-80&percnt; of women, depression in 8-15&percnt;, and psychosis in 1-2/1000.
69. Special considerations for general anesthesia in the pregnant woman include aspiration risk, physiologic respiratory changes, IVC compression by gravid uterus, and hypercoagulability.
70. Initial evaluation of a pregnant trauma patient is the same as in the nonpregnant woman; stabilize the mother before evaluating the fetus.
71. Perimortem cesarean section should be done after 4 minutes of CPR in a pregnant woman.
72. Preterm labor and delivery are much more common in multiple gestations; in fact, mean gestational length for twins is 35 weeks; for triplets, 33 weeks; and for quadruplets, 31 weeks.
73. Twin-to-twin transfusion syndrome of monozygotic pregnancies occurs due to a placental vascular anastomosis between the fetuses.
74. Fetal hemolytic disease can occur if the mother produces antibodies against fetal red blood cell antigens.
75. Rhogam, which is anti-D immunoglobulin, is given to Rh-negative women at 28 weeks, at other times when fetomaternal hemorrhage may occur, and postpartum if the newborn is Rh-positive.
76. The baseline risk of congenital anomalies is 2-3&percnt;.
77. The most common autosomal disorders are trisomy 21 in live births, trisomy 18 in stillbirths, and trisomy 16 in first-trimester losses.
78. The discriminatory zone is the β-hCG level at which an intrauterine pregnancy should be seen on ultrasound.
79. Gestational dating is done using the crown-rump length in the first trimester and biparietal diameter, head circumference, femur length, and abdominal circumference in the second and third trimesters.
80. Although intrauterine growth restriction (IUGR) is defined as estimated fetal weight less than the tenth percentile, most adverse perinatal outcomes occur at less than the fifth percentile.
81. Fetal urine is the major source of amniotic fluid production while fetal swallowing is the major mode of resorption.
82. The majority of cases of polyhydramnios are idiopathic followed by maternal diabetes.
83. HCG is made by the syncytiotrophoblast to maintain the corpus luteum's production of progesterone.
84. Abnormal placental development may occur over the internal cervical os (previa), attached to the myometrium (accreta), into the myometrium (increta), or through the myometrium (percreta).
85. Placenta previa classically presents as painless third-trimester vaginal bleeding, but placental abruption presents as painful third-trimester vaginal bleeding.
86. Even after two consecutive mid-trimester losses due to premature cervical dilation, women have a 70-75&percnt; chance of carrying the next pregnancy to term.
87. Cervical cerclage is indicated for treatment of cervical incompetence, but its benefit is still controversial.
88. Premature rupture of membranes (PROM) is confirmed by pooling, positive nitrazine test, and ferning of vaginal fluid.
89. External cephalic version is a technique where one or two people attempt to maneuver a fetus from breech to cephalic presentation.
90. Non-stress tests assess fetal heart rate baseline, variability, and accelerations and are part of antepartum fetal surveillance to detect fetuses at risk secondary to uteroplacental insufficiency, but non-stress tests cannot predict sudden events.
91. Intrapartum fetal heart rate monitoring has decreased the number of intrapartum fetal deaths, but it has increased the number of cesarean sections without changing the rate of long-term neurologic sequelae or cerebral palsy.
92. Decelerations are characterized based on timing with contractions - early (head compression), late (uteroplacental insufficiency), and variable (cord compression).
93. The stages of labor are stage one (onset of contractions to complete dilation), stage two (complete dilation to delivery of fetus), and stage three (delivery of fetus to delivery of placenta).
94. The cardinal movements of labor are engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion.
95. The most common complication of cesarean section is infection, namely endometritis.
96. The main complication of vaginal birth after cesarean section (VBAC) is uterine rupture, and the level of risk depends on the type of previous uterine incision.
97. As in the adult, neonatal resuscitation utilizes the ABCs (airway, breathing, and circulation).
98. Postpartum hemorrhage is loosely defined as blood loss greater than 500 cc for a vaginal delivery and 1000 cc for a cesarean section.
99. The most common cause of postpartum hemorrhage is uterine atony.
100. The most common cause of postpartum fever is endometritis, and the greatest risk factor for this infection is cesarean section.

[Dr.Batool]

السلام عليكم
نحن هنا نتابع .. وقد نشارك مع الأيام..

شكراً جزيلاً..

[med student]

قريت من النوتات هاي اللي مخلنها .. اشيا مهمة احسها .. بتنفعنا للروتيشن الياي انشاءالله في الكايني ..
كثر منها وأجرك على الله
البيدياتركس حلو وايد بس الوقت يركض ومب ملحقة احسني على شي .. استغفر الله نظام الدراسة بدا ينرفزني عدل .. يعني نحن مافي نظري و بعدين عملي .. لا ..داخلين هريس وخبيص كلو مع بعضو
4 ايام دوام في المستشفى من الاحد الين الاربعاء ... الخميس زحمة محاضرات نظرية .. والويك اند ولا اتعس منه لا الواحد عارف يدرس ولا يستنانس

د. بتول : أهلا وسهلا الغالية .. نترقب تشريفكم للموضوع

مـوفقين جمـيعا يااارب

[med student]

my exams case was eventfull
three months preterm of 34 week infant presented to e\r with cyanosis and shortness
.. of breath
and seizure
\ brain hemorrahge

when i examined him .. he was distressed with intercosat \subcostal musle \ resecsion
and tense bulging ant fontanell


diagnosis is bronchiolitis : RSV . in fluenza, para influenze more propable to be the casatiive agents
DD : asthma

well i did so many stupid things .. i would like u not to do them
- always wash ur hand ;P
- do full examination dont waith for the examiner to tell u what to do next or to feel his approval
when u examine the chest dong forget examinng the heart as well comment on s1 s2 , grouth parameters , apex beat espesifically


all the best to all of you

[med student]

finally ..END of PEDIATRICS rotation exam

NOW in OBS|GYNE ..2 day was the first day in the clinic

wish u all ...all the best

[med student]

Salam everyone,

I uploaded some of the ebooks i found on the net, I hope you find them helpful. Please click on the links below to download...

Book 1- Gyne by ten teachers 18th Ed.



RapidShare: 1-CLICK Web hosting - Easy Filehosting

ook 2- Obstetrics Illustrated 6th Ed



(will upload soon)

Book 3- Obs/Gyne Secrets, 3rd Ed



RapidShare: 1-CLICK Web hosting - Easy Filehosting

[المحرر البحراني]

السلام عليكم ورحمة الله وبركاته
شكرا اختي على الكتب تن تيشر المرجع تبعنا للنسائية و نزلت الكتاب الثالث طريقته نفس ريكول
الكتاب مفيد بس خلاص ما في وقت حدنا نقرا بالمحاظرات
والستار الله

[med student]

وعليكم السلام ورحمة الله و بركاته

أهـلاً اخوي المحرر

الله يـساعدكم .. ويسرها عليـكم

بس نحن تونا في اول الروتيشن .. تونا نقول بسم الله

تن تيجر .. مخلاي عندنا من المراجع ..سألت البنات اللي كانوا قبل في الكايني قالوا انه ما يكفي ولازم ترجعون لكـتب ثانية
و نصحوني بـ blue print >>استعرته قريت منه تقريبا جبتر ..جميل حسيته و أسلوبه حلو وواضح ..

للحين ما علمونا نفس الاوادم كـيف ناخذ appropriate history .. ..
احتاج جيك لست او نوتس تساعدني اكون مرتبة في الهستري

موفـقين =)

[المحرر البحراني]

وعليكم السلام و الرحمة
طلبش سهل بما ان قريب اخلص النسائية

History & Physical Examination Summery
http://www.4shared.com/file/14066283...c3d1/OSCE.html
Takimg History

http://www.4shared.com/file/14038356...0/History.html
اللنك الثاني فيه سمري للهستوري
بس ترى في اختلاف في طريقة الهستوري بالبداية دورت بالنت شفت اختلاف كبير فمو شرط يضبط وياش

[المحرر البحراني]

Obstetrics and Gynecology
كيف نحسب عمر الطفل gestationa age ? expected day of delivery ?

نحسبها حسب النايجل rule
expected day of delivery = last menstural cycle + 9month + 7days

gestationa age:
1month = 4 weeks+2days
2month = 8weeks +5days
3month = 13 weeks