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🌟فريق من المتطوعين من مختلف الجامعات العربية هدفهم تحويل منصات التواصل الإجتماعي 🔮 لبيئة طبية يمكن الإستفادة منها في تقديم المحتوى الطبي والمعلومة الصحيحة للجميع 💉💊➖
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🌀أى عيان old age بيشتكى من chronic itching بعد ما تستبعد ال :
🍀local causes
🍀parasitic infestation ( scabies)
🍀review drug history
فكر فى :
Metabolic causes vs Malignancies
〰〰〰〰〰〰〰〰〰
🟣Warfarin ➡️ Purple Toe Syndrome
🔴Vancomycin ➡️ Red Man Syndrome
🔵Amiodarone ➡️ Blue Man Syndrome
♾Chloramphenicol ➡️ Gray Baby Syndrome
🟣Phenytoin ➡️ Purple Glove Syndrome
https://t.me/medicine99
〰〰〰〰〰〰〰〰〰
🌀بشكل عام
حالات ال Hypertension Emergency لازم يتم تنزيل ال BP بشكل Gradually باستخدام I.V Drug ...
ف خلال ال ساعة الأولى ،بننزل الضغط بمقدار 25% ك حد أقصى .
وخلال 6:2 ساعات بنوصله 110:160 /100
وبنحتاج من 48:24 ساعه عشان يرجع لل Normal ..
باستثناء 3حالات :
1⃣ Aortic Dissection
لازم ينزل الضغط لأقل من 120
خلال اول 20دقيقه لمنع ال Aorta Rupture .
2⃣ Severe preeclampsia or eclampsia
هنا لازم الضغط ينزل لاقل من 140 mmhg خلال اول ساعه ..
3⃣ Pheochromocytoma Crisis
بردو لازم خلال اول ساعه ينزل تحت ال 140
غير كده أي حاله HTN emergency لازم الضغط ينزل Gradually.
〰〰〰〰〰〰〰〰
🌀 لو أنت قاعد في الطوارئ وجالك عيان ب syncope ازاي توصل للسبب وتفرق بين أنواع ال syncope..؟
There are 3 types of syncope:
1- Reflex (vasovagal, carotid sinus hypersensitivity, situational).
2- Cardiac (VT, HCM, AS).. "AVNRT and AVRT rarely reduce cardiac output enough to cause syncope"
NB: Cardiac syncope of any etiology would not be associated with a vagal prodrome (eg, warmth, lightheadedness).
3- Orthostatic (can be excluded by drug history and BP).
بعد ما تعمل exclusion للسبب التاني
(cardiac examination, 12-lead ECG, and Holter)
والسبب التالت..
يتبقى السبب الأول، لو الموضوع متكرر مع ال micturation, defication, and cough يبقى بنتكلم في situational syncope..
لو بيحصل مع الحلاقة أو وهو لابس حاجة بياقة ضيقة يبقى carotid sinus hypersensitivity ودي بتبقى موجودة أكتر في كبار السن.
لو الموضوع مش متكرر وغالبا مع الوقوف أو emotional stress يبقى بنتكلم في vasovagal syncope.
🌀أدويه تسبب Constipation
👉 anticholinergic ال
زي مثلا ال (Atropine و scopalamin )
👉 CCB
زي ال (Verapamil و diltiazem )
👉 iron supplements
زي ال ferrous sulfate
👉 diuretics
زي ال hydrocholorothiazide
بيعمل hypokalemia & dehydration
ودا هيقلل الperistalsis
👉 opioid
زي ال morphine و ال codeine
بتقلل ال mortality &secretion
👉 Antidepressants
زي ال SSRIs
👉 antipsychatric
علشان ناخد بالنا من ال Drug history كويس
〰〰〰〰〰〰〰〰
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