المساعد الشخصي الرقمي

مشاهدة النسخة كاملة : MِeDِiCَaL IِnْFُoRmَAtIoN



الطائر الأبيض
17-09-2010, 03:29 AM
*** السلام عليكم ورحمه الله وبركاته***

بسم الله الرحمن الرحيم

المــــوضوع واضح من العنــوان

ـــمعلومات طبيه خاصه في سنه خامسه طب بشريـــ

يعني
عبارة عن مقتطفات طبيه
لكل مرض
او
مصطلحات طبية
أو
صور اشعة
في مختلف التخصصات

ــــــــ

وبالتالي
سوف أقوم بوضع معلومات
اليوم
عن
DiGeStIvE DiSeAsE
ـــــ
أولا :
نبدا :
ماهي Dysphagia
is difficulty in swallowing

ــ

CaUsEs Of DySphaGiA

A_causes in the mouth :s
1_ stomatitis
2_ Glossitis
3_ Neoplasm
B_causes in the pharynx:s
1_ Pharyngitis
2_ Phyrangeal diverticulum
3_ Retro pharengeal abscess
4_ Tonsilitis
5_ Para _tonsiller Abscess
6_ Pulmmer Vinson syndrome } characterized by dysphagia & Microsytic aneamia & Splenomegaly & Achlorohydria & Glossitis ,Angular stomatitis and spooning of Nails {
C_ Functional Causes :s
1_ Neuritis of glossopharyngeal Or vagus nerve
2_ Myasthenia gravia Or Tetanus
3_ Motility Disorder e.g : Corkscrew
D_ causes in the oesophagus :s
Cause in the lumen :s
1_ Foreign Body
Cause in the wall :s
1_ Congential : Oesophageal atreasia
2_ Traumatic : Corrosive stricture
3_ Neuromuscular :Achalasia
4_ Hiatus hernia
5_ Inflammatory : rflex oesophagitis
Causes outside the wall :
1_ Malignant Throid
2_ Aortic Aneurysm
3_ Dysphagia Lusoria : it’s Dysphagia bu compression by congenitally abnormal vessels e.g: Double Aortic arch Or Aberrant Rt. Subclavian artery


ولكم المزيد أن شاء الله .......

الطائر الأبيض
17-09-2010, 03:41 AM
EsOpHaGeAl AtReSiA

is a congenital medical condition (birth defect) which affects the alimentary tract.
It causes the esophagus to end in a blind-ended pouch rather than connecting normally to the stomach.

ThIs PiCturE

http://upload.wikimedia.org/wikipedia/commons/5/58/Atrezja.jpg

ShOwInG

a) Esophageal atresia with distal tracheoesophageal fistula (86%).
b) Isolated esophageal atresia without tracheoesophageal fistula (7%).
c) H-type tracheoesophageal fistula (4%).

الطائر الأبيض
17-09-2010, 03:48 AM
Plain x-ray
with contrast
in the upper esophagus above the atresia.

http://upload.wikimedia.org/wikipedia/commons/thumb/8/8e/Esophageal_atresia_contrast.png/437px-Esophageal_atresia_contrast.png

ــــــــــ
ThIs
PlaNe X_RaY

http://upload.wikimedia.org/wikipedia/commons/3/38/Pouch_atresia.jpg

ShWoInG


Plain X-ray:
of the chest and abdomen showing a feeding tube unable to move beyond an upper esophageal pouch.

الطائر الأبيض
17-09-2010, 04:14 AM
MeDiCaL TeRm

Phagophobia

Means:
psychogenic dysphagia, a fear of swallowing.


N.B:


Phagophobia may lead to (and be confused with) fear of eating, and the subsequent malnutrition and weight loss.
In milder cases a phagophobe eats only soft and liquid foods

طايشة بس عايشة!
17-09-2010, 04:27 AM
GOD help all student @ fifth year
goooooooood luck:alldoc (26):

الطائر الأبيض
17-09-2010, 05:02 AM
بسم الله الرحمن الرحيم


بنعرض بعض المصطلحات الطبية

لها علاقة بالPsychological conditions

phobia: Means Fear

1_Ablutophobia – fear of bathing, washing, or cleaning.
2_Acrophobia, Altophobia – fear of heights.
3_Agoraphobia, Agoraphobia Without History of Panic Disorder – fear of places or events where escape is impossible or when help is unavailable.
4_Agraphobia – fear of sexual abuse.
5_Aichmophobia – fear of sharp or pointed objects (as a needle, knife or a pointing finger).
6_Algophobia – fear of pain.
7_Agyrophobia – fear of crossing roads.
8_Androphobia – fear of men.
9_Anthropophobia – fear of people or being in a company, a form of social phobia.
10_Anthophobia – fear of flowers.
11_Aquaphobia – fear of water. Distinct from Hydrophobia, a scientific property that makes chemicals averse to interaction with water.
12_Astraphobia, Astrapophobia, Brontophobia, Keraunophobia – fear of thunder, lightning and storms; especially common in young children.
13_Atychiphobia, fear of failure
14_Aviophobia, Aviatophobia – fear of flying.
15_Bacillophobia, Bacteriophobia, Microbiophobia – fear of microbes and bacteria.
16_Blood-injection-injury type phobia – a DSM-IV subtype of specific phobias
17_Chorophobia - fear of dancing.
18_Cibophobia, Sitophobia – aversion to food, synonymous to Anorexia nervosa.
19_Claustrophobia – fear of confined spaces.
20_Coulrophobia – fear of clowns (not restricted to evil clowns).
21_Decidophobia – fear of making decisions.
22_Dental phobia, Dentophobia, Odontophobia – fear of dentists and dental procedures
23_Dysmorphophobia, or body dysmorphic disorder – a phobic obsession with a real or imaginary body defect.
24_Emetophobia – fear of vomiting.
25_Ergasiophobia, Ergophobia – fear of work or functioning, or a surgeon's fear of operating.
26_Ergophobia – fear of work or functioning.
28_Erotophobia – fear of sexual love or sexual questions.
29_Erythrophobia – pathological blushing.
30_Gelotophobia - fear of being laughed at.
31_Gephyrophobia – fear of bridges.
32_Genophobia, Coitophobia – fear of sexual intercourse.
33_Gerascophobia – fear of growing old or aging.
34_Gerontophobia – fear of growing old, or a hatred or fear of the elderly.
35_Glossophobia – fear of speaking in public or of trying to speak.
36_Gymnophobia – fear of nudity.
37_Gynophobia – fear of women.
38_Halitophobia - fear of bad breath.
39_Haptephobia – fear of being touched.
40_Heliophobia – fear of sunlight.
41_Hemophobia, Haemophobia – fear of blood.
42_Hexakosioihexekontahexaphobia – fear of the number 666.
43_Hoplophobia – fear of weapons, specifically firearms (Generally a political term but the clinical phobia is also documented).
44_Ligyrophobia – fear of loud noises.

الطائر الأبيض
17-09-2010, 05:17 AM
في مزال بعض المصطلحات الخاصه بالخوف
Phopia

45-Lipophobia – fear/avoidance of fats in food.
46_Medication phobia - fear of medications.
47_Megalophobia - fear of large/oversized objects.
48_Mysophobia – fear of germs, contamination or dirt.
49_Necrophobia – fear of death and/or the dead.
50_Neophobia, Cainophobia, Cainotophobia, Cenophobia, Centophobia, Kainolophobia, Kainophobia – fear of newness, novelty.
51_Nomophobia – fear of being out of mobile phone contact.
52_Nosophobia – fear of contracting a disease.
53_Nosocomephobia - fear of hospitals.
54_Nyctophobia, Achluophobia, Lygophobia, Scotophobia – fear of darkness.
55_Osmophobia, Olfactophobia – fear of smells.
56_Paraskavedekatriaphobia, Paraskevidekatriaphobia, Friggatriskaidekaphobia – fear of Friday the 13th.
57_Panphobia – fear of everything or constant fear of an unknown cause.
58_Phasmophobia - fear of ghosts, spectres or phantasms.
59_Phagophobia – fear of swallowing.
60_Pharmacophobia – same as medication phobia.
61_Phobophobia – fear of having a phobia.
62_Phonophobia – fear of loud sounds.
63_Pyrophobia – fear of fire.
64_Radiophobia – fear of radioactivity or X-rays.
65_Sociophobia – fear of people or social situations.
66_Scopophobia – fear of being looked at or stared at.
67_Somniphobia – fear of sleep.
68_Spectrophobia – fear of mirrors and one's own reflections.
69_Taphophobia – fear of the grave, or fear of being placed in a grave while still alive.
70_Technophobia – fear of technology (see also Luddite).
71_Telephone phobia, fear or reluctance of making or taking phone calls.
72_Tetraphobia – fear of the number 4.
73_Thanatophobia – fear of death.
74_Tokophobia – fear of childbirth.
75_Tomophobia – fear or anxiety of surgeries/surgical operations.
76_Traumatophobia – a synonym for injury phobia: fear of having an injury.
77_Triskaidekaphobia, Terdekaphobia – fear of the number 13.
78_Trypanophobia, Belonephobia, Enetophobia – fear of needles or injections.
79_Workplace phobia – fear of the workplace.
80_Xenophobia – fear of strangers, foreigners, or aliens

الكاســـر
17-09-2010, 05:23 AM
photophobia
ليس لها علاقة بالخوف انما هي حساسية من الضوء

Photophobia is a symptom of excessive sensitivity to light and the aversion to sunlight or well-lit places

الطائر الأبيض
17-09-2010, 05:59 AM
photophobia
ليس لها علاقة بالخوف انما هي حساسية من الضوء

Photophobia is a symptom of excessive sensitivity to light and the aversion to sunlight or well-lit places


yes doctor

Photophobia – hypersensitivity to light causing aversion to light
Phonophobia – hypersensitivity to sound causing aversion to sounds.
Osmophobia – hypersensitivity to smells causing aversion to odors.

الثلاثه هدوما
يعتبرو من Non-psychological conditions
وليست لهم علاقة بالخوف أبدا

الطائر الأبيض
17-09-2010, 06:12 AM
وفي انواع تانية من الفوبيا Phopia

مثل :

Animal phobias

1_Ailurophobia – fear/dislike of cats.
2_Apiphobia – fear/dislike of bees (also known as Melissophobia).
3_Arachnophobia – fear/dislike of spiders and other arachnids.
4_Chiroptophobia – fear/dislike of bats.
5-Cynophobia – fear/dislike of dogs.
6-Entomophobia – fear/dislike of insects.
7_Equinophobia – fear/dislike of horses (also known as Hippophobia).
8_Herpetophobia - fear/dislike of reptiles and/or amphibians.
9_Ichthyophobia – fear/dislike of fish.
10_Musophobia – fear/dislike of mice and/or rats.
11-Ophidiophobia – fear/dislike of snakes.
12_Ornithophobia – fear/dislike of birds.
13-Scoleciphobia – fear of worms.
14_Zoophobia – a generic term for animal phobias.

الطائر الأبيض
17-09-2010, 06:35 AM
معلومة عنـــ peptic ulcer

is an ulcer (defined as mucosal erosions equal to or greater than 0.5 cm) of an area of the gastrointestinal tract,
that is usually acidic and thus extremely painful.

many as 70-90% of ulcers:
are associated with Helicobacter pylori, a spiral-shaped bacterium that lives in the acidic environment of the stomach

http://upload.wikimedia.org/wikipedia/commons/7/7d/Deep_gastric_ulcer.png

Deep gastric ulcer

الطائر الأبيض
17-09-2010, 06:52 AM
بسم الله الرحمن الرحيم

لما يجينا مريض للمستشفي
نسألو علي حاجات لو شكينا
انها Peptic ulcer
عشان نعرفو هل هي
Duodenal ulcer Or Gastric ulcer
الزوز فيهم وجع
لكن
لو جاك كريض وقالك اني في اليل بطني توجع في وفي النهار عادي اموري تمام ما فيش وجع
يعني
Pain Night
&
the pain Relieved by eating
this is Symptoms and signs of Duodenal Ulcer
ـــــــــ

But
If Patient Come With pain that is precipitated by food
this is sign of gastric ulcer
in this case
the patient may afraid to eat and weight loss results

الطائر الأبيض
17-09-2010, 07:03 AM
CaUseS Of PePtIc UlCeR
N.B:(60% of gastric and up to 90% of duodenal ulcers)s

major causative factor:
is chronic inflammation due to Helicobacter pylori that colonizes the antral mucosa.

N.B:H.Pylori Cause Peptic ulcer By Increase level Of Gastric acid
By Stmulation Of Pariatl Cells By Gastrin
This Lead to Erosion of the mucosa and therefore ulcer formation.

الطائر الأبيض
17-09-2010, 07:14 AM
Complications


1_Gastrointestinal bleeding is the most common complication.
Sudden large bleeding can be life-threatening.
It occurs when the ulcer erodes one of the blood vessels.
2_Perforation (a hole in the wall) often leads to catastrophic consequences.
Erosion of the gastro-intestinal wall by the ulcer leads to spillage of stomach or intestinal content into the abdominal cavity.
Perforation at the anterior surface of the stomach leads to acute peritonitis, initially chemical and later bacterial peritonitis.
The first sign is often sudden intense abdominal pain.
Posterior wall perforation leads to pancreatitis; pain in this situation often radiates to the back.
3_Penetration is when the ulcer continues into adjacent organs such as the liver and pancreas.
4_Scarring and swelling due to ulcers causes narrowing in the duodenum and gastric outlet obstruction.
Patient often presents with severe vomiting.
5_Cancer is included in the differential diagnosis (elucidated by biopsy), Helicobacter pylori as the etiological factor making it 3 to 6 times more likely to develop stomach cancer from the ulcer

الطائر الأبيض
17-09-2010, 07:20 AM
Differential diagnosis of epigastric pain


1_Peptic ulcer
2_Gastritis
3-Stomach cancer
4_Gastroesophageal reflux disease
5-Pancreatitis
6-Hepatic congestion
7-Cholecystitis
8_Biliary colic
9_Inferior myocardial infarction
10_Referred pain (pleurisy, pericarditis)
11_Superior mesenteric artery syndrome

الطائر الأبيض
17-09-2010, 08:52 PM
بسم الله الرحمن الرحيم


http://upload.wikimedia.org/wikipedia/commons/4/4b/Gray793.png

ـــــــــــ

نبذة بسيطة عن:

vagotomy:
is a surgical procedure in humans and animals that involves resection (removal of, or at least severing) of part of the vagus nerve.
It is not to be confused with vasectomy.


Applications


Truncal vagotomy:
is a treatment option for chronic duodenal ulcers.
It was once considered the gold standard but is now reserved for patients who have failed the first-line "triple therapy" against Helicobacter pylori infection: 2 antibiotics (clarithromycin and amoxicillin or metronidazole) and a proton pump inhibitor (e.g. omeprazole).
It is also used in the treatment of gastric outlet obstruction.

The use of vagotomy to treat obesity is being studied.
Early results show an average of 18% weight loss

الطائر الأبيض
17-09-2010, 09:00 PM
Truncal Vagotomy

http://img.blog.yahoo.co.kr/ybi/1/eb/95/dr_kaljaby/folder/6/img_6_1438_2?1193398852.jpg

http://medartist.com/teotia2.jpg

صورة عامه :

http://www.hopkins-gi.org/Upload/200802291523_45645_000.jpg

dr.sesswa
17-09-2010, 09:09 PM
السلام عليكم ورحمة الله
فكرة حلوة ومفيدة

المشاركات تبي قراية بتمعن
ربي يعاونكم وربي يوفقكم لما فيه الخير والنجاح

الطائر الأبيض
17-09-2010, 09:25 PM
شكر ليكم وان شاء الله الفكرة جميله وعجبتكم
وهو المطلوب أثباته

الطائر الأبيض
17-09-2010, 09:37 PM
Pyloroplasty


Pyloroplasty:
is surgery to widen the opening in the lower part of the stomach (pylorus);
so that the stomach contents can empty into the small intestine (duodenumduodenum)s.

الطائر الأبيض
17-09-2010, 09:50 PM
Description
The surgery is done under general anesthesia

The surgery involves cutting through some of the thickened muscle to relieve the narrowing (stenosis).
The cut through the muscle is then closed horizontally to keep the pylorus open and allow the stomach to empty.


N:B: Pyloroplasty is the only effective treatment for pyloric stenosis


It may also be used to treat certain patients with peptic ulcerspeptic ulcers or other types of gastric disease that cause a blockage of the stomach opening


Risks

**Risks of anesthesia include the following:

1_Reactions to medications
2_Problems breathing
**Risks of any operation include the following:
1_Bleeding
2_Infection
**Risks specific to this procedure:
1_Leakage of stomach contents
2_Long-term diarrhea
3_Malnutrition
4_ Tear in the lining of surrounding organs (mucosal perforation)s

الطائر الأبيض
18-09-2010, 02:04 AM
Chronic liver disease


is a disease process of the liver that involves a process of progressive destruction and regeneration of the liver parenchyma leading to fibrosis and cirrhosis


Signs
1_Clubbing
2_Palmar erythema
3_Spider nevi (angiomata)
4_Scratch marks
5_Gynaecomastia
6_Feminising hair distribution
7_Testicular atrophy
8_Small irregular shrunken liver
9_Anaemia
10_Caput medusae.

الطائر الأبيض
18-09-2010, 02:12 AM
Nail clubbing

nail clubbing:
(also known as "Drumstick fingers," "Hippocratic fingers," and "Watch-glass nails") is a deformity of the fingers and fingernails that is associated with a number of diseases, mostly of the heart and lungs.s


http://upload.wikimedia.org/wikipedia/commons/thumb/d/d9/Clubbing.svg/283px-Clubbing.svg.png

Clubbing of the fingernail. The red line shows the outline of a clubbed nail.

ــــ


http://upload.wikimedia.org/wikipedia/commons/thumb/c/cd/Acopaquia.jpg/800px-Acopaquia.jpg

الطائر الأبيض
18-09-2010, 02:22 AM
Clubbing develops in five steps

1_Fluctuation and softening of the nail bed (increased ballotability)
2_Loss of the normal <165° angle (Lovibond angle) between the nailbed and the fold (cuticula)
3_Increased convexity of the nail fold
4_Thickening of the whole distal (end part of the) finger (resembling a drumstick)
5_Shiny aspect and striation of the nail and skin


http://upload.wikimedia.org/wikipedia/commons/thumb/a/ac/ClubbingFingers1.jpg/800px-ClubbingFingers1.jpg

Clubbing in the fingers of a 33-year old female with Eisenmenger syndrome.

الطائر الأبيض
18-09-2010, 02:43 AM
Clubbing is associated with:

1_Lung disease:
**Lung cancer, mainly large-cell (35% of all cases), not seen frequently in small cell lung cancer
**Interstitial lung disease
**Tuberculosis
**Suppurative lung disease: lung abscess, empyema, bronchiectasis, cystic fibrosis
**Mesothelioma
**A·V fistula
2_Heart disease:
**Any disease featuring chronic hypoxia
**Congenital cyanotic heart disease (most common cardiac cause)
**Subacute bacterial endocarditis
**Atrial myxoma
3_Gastrointestinal and hepatobiliary:
**Malabsorption
**Crohn's disease and ulcerative colitis
**Cirrhosis, especially in primary biliary cirrhosis
**Hepatopulmonary syndrome, a complication of cirrhosis
**Laxative abuse
**Polyposis
**Esophageal CA
Others:
**Hyperthyroidism (thyroid acropachy)
**Familial and racial clubbing and "pseudoclubbing" (people of African descent often have what appears to be clubbing)
**Vascular anomalies of the affected arm such as an axillary artery aneurysm (in unilateral clubbing)
**Thymoma
**Thalassemia

الطائر الأبيض
18-09-2010, 05:05 AM
Colorectal polyp

is a polyp (fleshy growth):
occurring on the lining of the colon or rectum.
Untreated colorectal polyps can develop into colorectal cancer
may be benign (e.g. hyperplastic polyp), pre-malignant (e.g. tubular adenoma) or malignant (e.g. colorectal adenocarcinoma).

http://upload.wikimedia.org/wikipedia/commons/b/b8/Polyp-2.jpeg

Polyp of sigmoid colon as revealed by colonoscopy.
Approximately 1 cm in diameter.
The polyp was removed by snare cautery

الطائر الأبيض
18-09-2010, 05:56 AM
Types


The most common general classification is:

1_hyperplastic,
2_adenomatous & malignant,
3_hamartomatous and,
4_ inflammatory.s


http://upload.wikimedia.org/wikipedia/commons/4/44/Colon_cancer.jpg

Gross appearance of a colectomy specimen containing two colorectal polyps and one invasive colorectal carcinoma

الطائر الأبيض
18-09-2010, 10:21 PM
السلام عليكم ورحمة الله وبركاته

بسم الله الرحمن الرحيم
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

اليوم يا دكاترة
بنعطي نبذة بسيطة عن :

Pallor


Pallor :
is a reduced amount of oxyhemoglobin in skin or mucous membrane,
a pale color which can be caused by illness,
emotional shock or stress, stimulant use, lack of exposure to sunlight, anemia or genetics

الطائر الأبيض
18-09-2010, 11:12 PM
ThIs PiCtUrE

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
http://upload.wikimedia.org/wikipedia/commons/thumb/4/47/Anemia.JPG/800px-Anemia.JPG

The pale hand of a woman with severe anemia (right) in comparison to the normal hand of her

Possible causes Of PaLe


1_ anemia, due to blood loss, poor nutrition, or underlying disease such as sickle cell anemia

2_ migraine attack or headache


3_
natural genetics


4_
excess estradiol and/or estrone


5_ vitamin D deficiency

6_ lack of sun tanning

7_ weight gain

8_osteoporosis

9_ shock, a medical emergency caused by illness or injury

10_cancer

11_ hypoglycemia

12_ leukemia

13_albinism.




ولكم المزيـــد أن شاء الله .....

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
18-09-2010, 11:22 PM
Cyanosis

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

Cyanosis :
is a blue coloration of the skin and mucous membranes due to the presence of greater than,
or equal to, 2.5 g/dL of deoxygenated hemoglobin in blood vessels near the skin surface

Cyanosis :
is divided in to two main types: central (around the core and lips) and peripheral (only the extremities are affected).



ولكم المزيـــد أن شاء الله .....
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
18-09-2010, 11:47 PM
Central cyanosis

is due to a circulatory or ventilatory problem that leads to poor blood oxygenation in the lungs or,
greater oxygen extraction due to slowing down of blood circulation in the skin's blood vessels.

Causes
1. Central Nervous System:

** Intracranial hemorrhage
** Cerebral anoxia
** Drug overdose (e.g. Heroin)
2. Respiratory System:

** Bronchiolitis
** Bronchospasm (e.g. Asthma)
** Lung disease
** Pulmonary embolism
** Hypoventilation
** COPD (emphysema and chronic bronchitis)
3.Cardiac Disorders:

** Congenital heart disease (e.g. Tetralogy of Fallot, Right to left shunts in heart or great vessels)
** Heart failure
** Heart valve disease
** Myocardial infarction
4.Blood:

** Methemoglobinemia
** Polycythaemia
5.Others Causes:

** High altitude
** Hypothermia
** Congenital cyanosis (HbM Boston) arises from a mutation in the α-codon which results in a change of primary sequence, H --> Y. Tyrosine stabilises the Fe(III) form (oxyhaemoglobin) creating a permanent T-state of Hb.


ولكم المزيـــد ان شاء الله ...
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
19-09-2010, 12:00 AM
Peripheral cyanosis

is the blue tint in fingers or extremities, due to inadequate circulation

Causes


1_ Arterial obstruction

2_ Cold exposure (due to vasoconstriction)

3_ Raynaud's phenomenon (vasoconstriction)

4_ Reduced cardiac output (e.g. heart failure, hypovolaemia)

5_ Vasoconstriction

6_ Venous obstruction (e.g. deep vein thrombosis)



http://upload.wikimedia.org/wikipedia/commons/thumb/f/fc/Raynaud%27s_Syndrome.jpg/455px-Raynaud%27s_Syndrome.jpg

Hands with Raynaud's phenomenon
ShOwS CyNoSiS


ولكم المزيـــد ان شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
19-09-2010, 12:07 AM
نبذة بسيطة عن :


http://upload.wikimedia.org/wikipedia/commons/thumb/9/91/Symptoms_of_anemia.png/629px-Symptoms_of_anemia.png

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990

ولكم المزيـــد ان شاء الله ...
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

judi
19-09-2010, 12:33 AM
السلام عليكم ورحمة الله وبركاته
اشكرك جزيل الشكر علي المعلومات القيمة المعروضة بطريقة ممتعة سهلة الحفظ
بانتظارالمزيد

الطائر الأبيض
19-09-2010, 01:17 AM
العفو جودي

Diabetes:
is a chronic (lifelong) disease marked by high levels of sugar in the blood
&
This PiCtUr
ShOwS
http://www.your-family-and-diabetes.com/images/260px-main_symptoms_of_diabetes.png

ولكم المزيـــد ان شاء الله ...
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
19-09-2010, 04:28 AM
السلام عليكم ورحمة الله وبركاته

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990

بنقول نبذة عن صور توضيحية
والصور هذه
الفضل يعود الي
العضوة أيزنايس
Eyesnice
لانها هي الي وجدت الصور هذه لبعض الامراض
وانا
عن طريقها قدرت أن احصل علي بعض الصور التوضيحية
ولكم الاتي :

causes of polycythemia
http://www.wrongdiagnosis.com/bookimages/4/fig85.jpg

causes of vomiting
http://www.wrongdiagnosis.com/bookimages/4/fig149.jpg
causes of diarrhea
http://www.wrongdiagnosis.com/bookimages/4/fig55.jpg

causes of fever
http://www.wrongdiagnosis.com/bookimages/4/fig81.jpg
causes of oliguria
http://www.wrongdiagnosis.com/bookimages/4/fig24a.jpg

causes of tachycardiaa
http://www.wrongdiagnosis.com/bookimages/4/fig199.jpg

causes of bradycardia
http://www.wrongdiagnosis.com/bookimages/4/fig33.jpg

causes of hypothermia
http://www.wrongdiagnosis.com/bookimages/4/fig126.jpg

الطائر الأبيض
19-09-2010, 04:43 AM
also

http://www.healthhype.com/wp-content/uploads/Bacterial_infections.png
~~~~ ~~~~~~~~ ~~~~

http://www.healthhype.com/wp-content/uploads/Viral_infections.png

~~~ ~~~ ~~~

causes of LEUKOCYTOSIS
http://www.wrongdiagnosis.com/bookimages/4/fig138.jpg

causes of LEUKOPENIA
http://www.wrongdiagnosis.com/bookimages/4/fig139.jpg

causes of HYPONATREMIA
http://www.wrongdiagnosis.com/bookimages/4/fig124.jpg

causes of HYPERNATREMIA
http://www.wrongdiagnosis.com/bookimages/17/5925.1.jpg

causes of HYPOKALEMIA
http://www.wrongdiagnosis.com/bookimages/4/fig121.jpg

causes of HYPERCALCEMIA
http://www.wrongdiagnosis.com/bookimages/4/fig109.jpg

causes of HYPOCALCEMIA
http://www.wrongdiagnosis.com/bookimages/4/fig119.jpg


وأخيرا وختام الصور التوضيحيه مع :

down syndrom
http://4.bp.blogspot.com/_ROxmhDMSsJI/SYKhd74A4UI/AAAAAAAAALc/UEAURXQCX9k/s400/down+syndrome+effects.jpg

ولكم المزيـــد من المعلومات الطبية أن شاء الله ...
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
20-09-2010, 01:11 AM
بسم الله الرحمن الرحيم

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990

نبذة بسيطة عن :
Edema

is an abnormal accumulation of fluid beneath the skin or in one or more cavities of the body.
Generally,
the amount of interstitial fluid is determined by the balance of fluid homeostasis,
and increased secretion of fluid into the interstitium or impaired removal of this fluid may cause edema.


http://upload.wikimedia.org/wikipedia/commons/thumb/b/b2/Oedema.jpg/480px-Oedema.jpg

ThIsE PiCtUrE ShOw
Periorbital oedema

Six factors can contribute to the formation of edema:

1_ It may be facilitated by increased hydrostatic pressure or,
2_ reduced oncotic pressure within blood vessels;
3_ increased tissue oncotic pressure
4_ by increased blood vessel wall permeability as in inflammation;
5_ by obstruction of fluid clearance via the lymphatic system; or,
6_ by changes in the water retaining properties of the tissues themselves.
Raised hydrostatic pressure often reflects retention of water and sodium by the kidney

ولكم المزيـــد أن شاء الله ...
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الطائر الأبيض
21-09-2010, 07:24 AM
HeArt FaIlUrE


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990
is generally defined as inability of the heart to supply sufficient blood flow to meet the body's needs

N.B: term heart failure is often incorrectly used to describe other cardiac-related illnesses, such as myocardial infarction (heart attack) or cardiac arrest

Common causes :
of heart failure include :myocardial infarction (heart attacks) and other forms of ischemic heart disease, hypertension, valvular heart disease, and cardiomyopathy
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

The major signs and symptoms of heart failure.

http://upload.wikimedia.org/wikipedia/commons/9/99/Heartfailure.jpg

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

N.B: shortness of breath (typically worse when lying flat, which is called orthopnea),

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
ولكم المزيــد إن شاء الله ...
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984[/CENTER]

الطائر الأبيض
21-09-2010, 11:53 PM
بسم الله الرحمن الرحيم

Pathophysiology of Heart Failure
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

Very Important and easy
لو عرفنا الطريقة هده حنفهم فشل القلب وحنعرفو شنو هو العلاج

There is Tow Compensatory Mechanism

First : Sypathatic Mechanism:

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
Effect of sympathatic on the Heart :
1_ Increase the Contractility Of heart mean + Inotropic

2_ Increase The Heart Rate + Chronotropic

3_ Increase The Rate Of Conductivity

4_ Increase of Automaticity this refers to a cardiac muscle cell firing off an impulse on its own All of the cells in the heart have the ability to initiate an action potential

N.B : بمعني أن بتزيد التكوين للMeasage in S.A.Node وبالتالي بزيد ال Rhythm ــ وبتزيد ال C.O.P
ويُعوض القلب النقص بالطرق التي أسردتها فوق
من الاول :
بزيد ال Rate of Automaticity
ـــ يؤدي الي زيادة في الConductivity ـــ يؤدي الي زيادة في Cntractility ــ يؤدي الي زيادة في ال Heart Rate ـــ يؤدي الي التعويض وزيادة ال C.O.P

ــــــــــــــــــ

second: Compensatory Mechanism :

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
Hormonal :
H.F lead to Decrease in C.O.P
Thise lead to Decrease Renal Perfusion By Hypovolemia
Lead to Stimulation of hormone called Renin
This Hormone Cnvert Angiotensinogen to Angiotensinogen I
&
By A.C.E
Converte It to Angiotensinogen II
thise lead to stimulation of synthesis of Aldosterone Hormone
Thise Hormone lead to Increase Water & Sodium Retention
Lead to Increase Intravascular Volum Or Compartment
lead to Increase the Venous Retrain
Lead To Increase
The
C.O.P
ـــــــــــ


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيــد أن شاء الله ...


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
تحيات
الطائر الابيض


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
22-09-2010, 12:33 AM
Heart Failure بالتالي
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990
لما ننظرو للموضوع من ناحية التعويض للدم وأعطاء الجسم كميته الكافيه
نقول
لن تحدث اعراض او مضعفات أبدا
لكن
بالعكس
In Late Case Of Heart Failure
Increase the Contractility of The heart
lead to
Increase the thickness of wall
this lead to
Decrease Diameter of lumen of heart
lead to Decrease C.O.P
ـــــ
بنقول معلومه قبل
القلب يغديه شريان اسمه Coronary Artery
في بدايه الHeart Failur
كمية الدم الي ماشية للقلب وتغديه كافية ومناسبه ليه ولحجمه
لكن
بعد فترة طويلة وصار تضخم في القلب
أدي الي نقص الدم الي ماشي للقلب
Or
Lead To Decreas Blood supply of heart
this lead to Ischemia
And
Necrosis
And Myocyte Dith
Thise lead to
Weak Of Heart
&
Inabiity to Contract
&
Decrease
C.O.P
ويدخل في مضاعفات
ـــــ
أما
Or
Hormonal Mechanism
After period of time
&
Weak Of Heart more
&
More Decrease In Blood volum in Circulation
lead to

more synthesis
of
Aldosteron
&
Antidiuritic Hormone

thise lead
More
Water and soduim Retension
&
Because
more Water Retension By This Tow Hormone
Lead To
Dilution Of Na
Lead To HypoNatremia

But
also in late Disease
And step of Decrease Bl .Volume And Increase The secretion of hormon
Lead to
Increased Intravascular Volum
Lead to Increase Venous Retrain to thr Heart
ملاحظة مهمة هنا
زيادة الدم ليها علاقة بضعف القلب وعدم انقباضه بشكل جيد
مما يؤدي
الي زيادة الدم الراجع الي القلب بكمية كبيرة جدا
ويؤدي الي
Increase Preasure in pulmonary Bl.Vessel & In The lung
This Lead to
Pulmonary Congestion
&
Odema

lead to Disturbance in Breathing

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيــد أن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981


تحيات


الطائر الابيض

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
22-09-2010, 01:33 PM
بسم الله الرحمن الرحيم
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990

man with :
congestive heart failure and marked jugular venous distension.
External jugular vein marked by an arrow.

http://upload.wikimedia.org/wikipedia/commons/thumb/4/4d/Elevated_JVP.JPG/458px-Elevated_JVP.JPG

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

الطائر الأبيض
22-09-2010, 02:09 PM
Heart sounds

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990


are the noises (sound) generated by the beating heart and the resultant flow of blood through it.


This is also called a
heartbea
t.

In cardiac auscultation, an examiner uses a stethoscope to listen for these sounds,
which provide important information about the condition of the heart.

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

http://upload.wikimedia.org/wikipedia/commons/thumb/2/2a/Gray1216_modern_locations.svg/633px-Gray1216_modern_locations.svg.png

Front of thorax,
showing surface relations of bones, lungs (purple), pleura (blue), and heart (red outline). Heart valves are labeled with "M", "T", "A", and "P".

First heart sound: caused by atrioventricular valves - Mitral (M) and Tricuspid (T).

Second heart sound caused by semilunar valves -- Aortic (A) and Pulmonary/Pulmonic (P).

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

http://upload.wikimedia.org/wikipedia/commons/b/be/Gray1218.png

Diagram showing:
relations of opened heart to front of thoracic wall. Ant. Anterior segment of tricuspid valve. A O. Aorta. A.P. Anterior papillary muscle.
In. Innominate artery. L.C.C. Left common carotid artery. L.S. Left subclavian artery. L.V. Left ventricle. P.A. Pulmonary artery. R.A. Right atrium. R.V. Right ventricle. V.S. Ventricular septum.

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيـــد أن شاء الله ..

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
22-09-2010, 02:22 PM
Normal heart sounds

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990


N.B:
Normal heart sounds are associated with heart valves closing, causing changes in blood flow




S1
The first heart tone, or S1, forms the "lubb" of "lubb-dub" or "lubb-dup" and is composed of components M1 and T1.
Normally M1 precedes T1 slightly.
It is caused by the sudden block of reverse blood flow due to closure of the atrioventricular valves, i.e. mitral and tricuspid, at the beginning of ventricular contraction, or systole.
When the ventricles begin to contract, so do the papillary muscles in each ventricle.
The papillary muscles are attached to the tricuspid and mitral valves via chordae tendineae, which bring the cusps of the valve closed (chordae tendineae also prevent the valves from blowing into the atria as ventricular pressure rises due to contraction).
The closing of the inlet valves prevents regurgitation of blood from the ventricles back into the atria.
The S1 sound results from reverberation within the blood associated with the sudden block of flow reversal by the valves.

If T1 occurs more than slightly after M1, then the patient likely has a dysfunction of conduction of the right side of the heart such as a Right bundle branch block.

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

S2
The second heart tone, or S2, forms the "dub" of "lubb-dub" or "lubb- dup" and is composed of components A2 and P2.
Normally A2 precedes P2 especially during inspiration when a split of S2 can be heard.
It is caused by the sudden block of reversing blood flow due to closure of the aortic valve and pulmonary valve at the end of ventricular systole, i.e. beginning of ventricular diastole.
As the left ventricle empties,
its pressure falls below the pressure in the aorta, aortic blood flow quickly reverses back toward the left ventricle,
catching the aortic valve leaflets and is stopped by aortic (outlet) valve closure. Similarly, as the pressure in the right ventricle falls below the pressure in the pulmonary artery, the pulmonary (outlet) valve closes.
The S2 sound results from reverberation within the blood associated with the sudden block of flow reversal.

A split S2 can be associated with several different cardiovascular conditions


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيـــد إن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

inter4all
22-09-2010, 02:36 PM
بارك الله فيك دكتورنا ...صراحةً ابدعت في طرح اهم المواضيع ...وبالطرق التوضيحية المبسطة ....

استمر علي هدا المنوال ....واتمني من الدكاترة الكرام من لديه الرغبة في المشاركة في طرح موضوع ما ...فليتفضل بطرحة في موضوعك ...( بعد اذنك طبعا ....!!)

الطائر الأبيض
22-09-2010, 08:31 PM
بسم الله الرحمن الرحيم
أكيد فاليتفضل مرحب به في أي وقت
وألي عنده موضوع يكتبه
أو يبي يسأل حاجه
ان شاء الله
وبارك الله فيك اخي انتر فور اول
علي دعمك المتواصل


تحيات
الطائر الابيض

الطائر الأبيض
22-09-2010, 09:20 PM
Gallop rhythm
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990

refers to a (usually abnormal) rhythm of the heart on auscultation.
It includes three or four sounds, thus resembling the sounds of a gallop
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
N.B: Gallop rhythms may be heard in young or athletic people, but may also be a sign of serious cardiac problems like heart failure.


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيـــد إن شاء الله ...
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
22-09-2010, 11:43 PM
السلام عليكم ورحمة الله وبركاته
اسعد الله اوقاتكم بالمحبة
و
الفرح والسرور

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6990

في يوم من الايام كنت جالس في قسم الطواريء
لحظت بعض
الحالات التي تأتي بانتفاخ والم شديد في الاصابع
يكون تشخيصها صعب
قليلا
وذالك لعدم التركيز بشكل جيد لهذه الكسور الدقيقة
في
X_Ray
ولذالك حبيت
أنقول عن كسر لاحطت وجوده وكان من الصعب تشخيصه من قبل
الطلبة سنة خامسة او الامتياز
وهو :

Salter-Harris fractures

is a fracture that involves the epiphyseal plate or growth plate of a bone.
It is a common injury found in children.


http://upload.wikimedia.org/wikipedia/commons/thumb/1/1b/SalterHarris2010.JPG/450px-SalterHarris2010.JPG

Xray of the left ankle showing a Salter-Harris type III fracture of medial malleolus.
Closed arrow demonstrates fracture line well the open arrow marks the growth plate.

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ولكم المزيــــد إن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
22-09-2010, 11:52 PM
Types Salter-Harris fractures


There are six types of Salter-Harris fractures:

1_ Type I - A transverse fracture through the growth plate (also referred to as the "physis") : 6% incidence
2_ Type II - A fracture through the growth plate and the metaphysis, sparing the epiphysis: 75% incidence
3_ Type III - A fracture through growth plate and epiphysis, sparing the metaphysis: 8% incidence
4_ Type IV - A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis: 10% incidence
5_ Type V - A compression fracture of the growth plate (resulting in a decrease in the perceived space between the epiphysis and diaphysis on x-ray): 1% incidence
6_ Type VI - Injury to the peripheral portion of the physis and a resultant bony bridge formation which may produce an angular deformity
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981


هذه الصورة موضحة للانواع :


http://upload.wikimedia.org/wikipedia/en/thumb/7/78/SalterHarris.png/800px-SalterHarris.png

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيـــد إن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
23-09-2010, 12:07 AM
Salter-Harris fracture images

http://upload.wikimedia.org/wikipedia/en/thumb/7/7d/Salter_Harris_1_demo.jpg/514px-Salter_Harris_1_demo.jpg

لاحظ أن الصورة
مركبة من ثلاث صور
الصورة الصغيرة توضيح للصورتين الكبيرتين
والخط الاحمر يوضح مكان الكسر
وقارنه بالصورة الكبيرة
وهذه الصورة توضح :
Salter-Harris I fracture of distal radius.
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

http://upload.wikimedia.org/wikipedia/en/thumb/7/76/Salter_Harris_2_demo.jpg/319px-Salter_Harris_2_demo.jpg

وهذه الصورة توضح الكسر بالخط الاحمر قارنها بالصورة الكبيرة :


Salter-Harris II fracture of ring finger proximal phalanx.

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

http://upload.wikimedia.org/wikipedia/en/thumb/7/75/Salter_Harris_3_demo.jpg/279px-Salter_Harris_3_demo.jpg

وهذه الصورة توضح الكسر بالخط الاحمر وقارنها بالصورة الكبيرة


Salter-Harris III fracture of big toe proximal phalanx.


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

http://upload.wikimedia.org/wikipedia/en/thumb/b/b1/Salter_Harris_4_demo.jpg/301px-Salter_Harris_4_demo.jpg

وهذه الصورة توضح الكسر بالخط الاحمر وقارنها بالصورة الكبيرة


Salter-Harris IV fracture of big toe proximal phalanx

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981


ولكم المزيـــد إن شاء الله ...


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
23-09-2010, 12:20 AM
Distal radius fracture

is a common bone fracture of the radius in the forearm.
Because of its proximity to the wrist joint, this injury is often called a wrist fracture


http://upload.wikimedia.org/wikipedia/commons/thumb/e/e3/Collesfracture.jpg/543px-Collesfracture.jpg
Colles fracture on X-ray.
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

Specific types of distal radius fractures are Colles' fracture; Smith's fracture; Barton's fracture; Chauffeur's fracture

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981


ولكم المزيــد إن شاء الله ...


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
23-09-2010, 12:30 AM
Colles' fracture

is a distal fracture of the radius in the forearm with dorsal (posterior) displacement of the wrist.
The fracture is sometimes referred to as a "dinner (or silver) fork deformity" due to the shape of the resultant forearm

http://upload.wikimedia.org/wikipedia/commons/thumb/e/e3/Collesfracture.jpg/230px-Collesfracture.jpg
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

Classical Colles fractures have the following characteristics:
1_ Transverse fracture of the radius
2_ 1 inch (2.54 cm) proximal to the radio-carpal joint
3_ dorsal displacement and angulation


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

N.B: Colles fractures occur in all age groups



The fracture is most commonly caused by people falling forward onto a hard surface and breaking their fall with extended outstretched hands - falling with wrists flexed


N.B: Colles' fracture is a common fracture in people with osteoporosis, second only to vertebral fractures.




http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيــد إن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
23-09-2010, 12:43 AM
Smith's fracture
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

also sometimes known as a reverse Colles' fracture is a fracture of the distal radius.
It is caused by a direct blow to the dorsal forearm or falling onto flexed wrists,
as opposed to a Colles' fracture which occurs as a result of falling onto wrists in extension.
Smith's fractures are less common than Colles' fractures


The distal fracture fragment is displaced volarly (ventrally), s

Treatment


Treatment of this fracture depends on the severity of the fracture.
undisplaced fracture may be treated with a cast alone.
A fracture with mild angulation and displacement may require closed reduction.
Significant angulation and deformity may require an open reduction and internal fixation.
open fracture will always require surgical intervention.


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
ولكم المزيـــد إن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
23-09-2010, 12:55 AM
Barton's fracture

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint.


The Barton's fracture :
is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim.
Carpal displacement distinguishes this fracture from a Smith's or a Colles' fracture.


Treatment of this fracture :
is usually done by open reduction and internal fixation with a plate and screws, but occasionally the fracture can be treated conservatively.


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيـــد إن شاء الله ...


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
23-09-2010, 12:58 AM
معلوة بسيطة عن :

Chauffeur's fracture:
is a type of fracture of the forearm, specifically the radial styloid process.
The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process of the distal radius.
It can be caused by falling onto an outstretched hand.
Treatment:
is often open reduction and internal fixation, which is surgical realignment of the bone fragments and fixation with pins, screws, or plates.



http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ولكم المزيــد إن شاء الله ...

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

inter4all
23-09-2010, 05:18 PM
الله يبارك فيك دكتور ...متابع معك ....ولازلت استمتع وخصوصا في جزئيات الاورتو ..يا ريت تزيدها من تنويعك الرائع لمواضيعك

الطائر الأبيض
23-09-2010, 06:35 PM
Scaphoid fracture

is the most common type of wrist fracture.
Scaphoid fractures usually cause pain at the base of the thumb accompanied by swelling in the same area.

Treatment depends on the location of the fracture.



http://upload.wikimedia.org/wikipedia/commons/thumb/2/22/Scaphoid_waist_fracture.gif/478px-Scaphoid_waist_fracture.gif

Diagnosis



Clinically patients present with snuff box tenderness.


in case of scaphoid fracture
the X_Ray not Show the fracture at the time of truma or any cause

but
should be do the X _Ray after 2 weeks
but within this time
people with tenderness over the scaphoid are often casted for 7–10 days

بأختصار
المريض بيجي
بانتفاخ و snuff box tenderness
فهدا دليل علي
الكسر في الscaphoid Bone
ولكا نضع ال cast Should done X ray
to show the scaphoid bone
Because
scaphoid bone
It receives its blood supply primarily from lateral and distal branches of the radial artery.
Blood flows from the top/distal end of the bone in a retrograde fashion down to the proximal pole;
if this blood flow is disrupted by a fracture, the bone may not heal.
Surgery is necessary


Complications


Avascular necrosis (AVN) is a common complication of a scaphoid fracture. Risk of AVN depends on the location of the fracture.

!_Fractures in the proximal 1/3 have a high incidence of AVN
!!_ Waist fractures in the middle 1/3 is the most frequent fracture site and has moderate risk of AVN.
!!!_ Fractures in the distal 1/3 are rarely complicated by AVN.
Non union can also occur from undiagnosed or undertreated scaphoid fractures.

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

للمعلومة فقط هذا موقع طبي
فيه العظام بشرح جميل
أضغط علي التضليل في الموقع

http://www.pediatric-orthopedics.com/Topics/Bones/Skell_BW_c.jpg

أدخل هنا
الطائر الابيض الطبي (http://www.pediatric-orthopedics.com/Topics/Bones/Wrist_Hand/wrist_hand.html)

الطائر الأبيض
23-09-2010, 06:45 PM
This picture

http://upload.wikimedia.org/wikipedia/commons/thumb/d/d5/Broken_fixed_arm.jpg/800px-Broken_fixed_arm.jpg


Show
Internal and external views of an arm with a compound fracture, both before and after surgery.

الطائر الأبيض
23-09-2010, 06:50 PM
x-ray image of a spiral fracture to the left humerus of a 27-year-old male.
The injury was sustained during a fall.
http://upload.wikimedia.org/wikipedia/commons/thumb/0/00/Humerus_spiral_fracture.png/602px-Humerus_spiral_fracture.png
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
spiral fracture ( torsion fracture) is a bone fracture resulting from the affected bone being twisted apart

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981
ولكم المزيـــد إن شاء الله ....
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6984

الطائر الأبيض
24-09-2010, 02:04 AM
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail

http://upload.wikimedia.org/wikipedia/commons/thumb/8/89/K-Knie-z2.jpg/637px-K-Knie-z2.jpg

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

X-ray showing the distal portion of a fractured tibia and intramedular nail.

http://upload.wikimedia.org/wikipedia/commons/thumb/c/c7/K-Fuss-z2.jpg/750px-K-Fuss-z2.jpg

الطائر الأبيض
24-09-2010, 08:55 AM
السلام عليك ورحمة الله وبركاته

اليوم بنعرض بعض Abnormal Heart Sound


للتحميل
أضغط هنا
Sound 1 (http://www.mediafire.com/?teu09wzm6w36i68)

للتحميل
أضغط هنا
Sound 2 (http://www.mediafire.com/?51ey75xrl1vwlxf)

للتحميل
أضغط هنا
Sound 3 (http://www.mediafire.com/?45a117fmlf2l2ya)

للتحميل
أضغط هنا
Sound 4 (http://www.mediafire.com/?gd4g0aaqb0iverz)

للتحميل
أضغط هنا
Sound 5 (http://www.mediafire.com/?szif2r7vn7z1djm)

للتحميل
أضغط هنا
Sound 6 (http://www.mediafire.com/?9bjzwbh2ct3biqh)

للتحميل
أضغط هنا
Sound 7 (http://www.mediafire.com/?l3dsl9tbq324pit)

للتحميل
أضغط هنا
Sound 8 (http://www.mediafire.com/?yjf3gscc23090d9)

للتحميل
أضغط هنا
Sound 9 (http://www.mediafire.com/?ewj8uf4jwjpwidy)

للتحميل
أضغط هنا
Sound 10 (http://www.mediafire.com/?6zz752fdqgfz3od)

للتحميل
أضغط هنا
Sound 11 (http://www.mediafire.com/?p1bu5qgmqb7uqm1)


شكر لكم
وإن شاء الله يعجبكم الموضوع

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

inter4all
24-09-2010, 02:30 PM
الله يبارك فيك دكتور ..استمر في ابداعك ....

بعد اذنك ..: تم وضع رابط للموضوع في الارشيف ...للرجوع اليه مستقبلا وللدفعات المقبلة ..باذن الله

الطائر الأبيض
24-09-2010, 04:13 PM
شكر
ليك أخي أنتر فور أول

خود راحتك
وهذا شرف لي أكيد

الطائر الأبيض
24-09-2010, 05:21 PM
السلام عليكم ورحمة الله وبركاته

Pulmonary Breath Sounds


للتحميل
أضغط هنا
Trachial Breath Sound (http://www.mediafire.com/?89bhnshf5662138)

Sound Characteristics : high pitched, tubular, hollow sound
Indication : pneumonia, atelectasis, fluid infiltration

للتحميل
أضغط هنا
Bronchial Breath Sound (http://www.mediafire.com/?q19xmwq481fog1a)

Sound Characteristics : high pitched, tubular, hollow sound
Indication : pneumonia, atelectasis, fluid infiltration

للتحميل
أضغط هنا
Vesicular Breath Sound (http://www.mediafire.com/?0aimie0xg77vef6)

Sound Characteristics : low pitched, soft rustling sound
Indication : pneumonia, atelectasis, fluid infiltration


للتحميل
أضغط هنا
Bronchovesicular Breath Sound (http://www.mediafire.com/?xdycd10mm1cl4pn)

Sound Characteristics : high pitched, tubular, hollow sound
Indication : pneumonia, atelectasis, fluid infiltration



للتحميل
أضغط هنا
Pleural Friction Rub - Case # 1 (http://www.mediafire.com/?3hy7wol8ulzm9b9)

للتحميل
أضغط هنا
Pleural Friction Rub - Case # 2 (http://www.mediafire.com/?lzcwm100z1ev8ae)

للتحميل
أضغط هنا
Stridor - Case # 1 - Mild Early Stridor (http://www.mediafire.com/?kk0ljrizm7vjuf6)


للتحميل
أضغط هنا
Stridor - Case # 2 - Advanced Severe Stridor (http://www.mediafire.com/?q3pk9n3jafh674j)



http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

الطائر الأبيض
25-09-2010, 12:11 PM
OtHeR
HeArT SoUnDs

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

للتحميل
أضغط هنا
Aortic insufficiency (http://www.mediafire.com/?zln5y1q6n3a9cc6)


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

للتحميل
أضغط هنا
Atrial septal defect (http://www.mediafire.com/?zqx5430g81o2y2q)


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981


للتحميل
أضغط هنا
Patent ductus arteriosus (http://www.mediafire.com/?4so31rv3ayqcbh2)


http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981



للتحميل
أضغط هنا

Benign murmur (http://www.mediafire.com/?sxih0wbdlsaadbd)

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

الطائر الأبيض
25-09-2010, 09:37 PM
أنتر فور أول
لو سمحت
أنت ستقوم بنقل رابط للموضوع في التثبيت لكي لا يصبح في اخر الصفحات
في يوم من الايام
ولك جزيل الشكر

inter4all
25-09-2010, 10:46 PM
أنتر فور أول
لو سمحت
أنت ستقوم بنقل رابط للموضوع في التثبيت لكي لا يصبح في اخر الصفحات
في يوم من الايام
ولك جزيل الشكر



في ظل ازدحام المواضيع المتبتة ..سيظل رابط للموضوع في الارشيف ..ويتم تتبيته لاحقا ...او تفعيله من حين لاخر ..باضافة رد جديد له ....

الطائر الأبيض
27-09-2010, 05:03 PM
نبذة بسيطة عن :


Cardiomyopathy

means "heart muscle disease" (Myo= muscle, pathy= disease) It is the deterioration of the function of the myocardium

most common cause of a cardiomyopathy is ischemia

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

Ischemia



http://upload.wikimedia.org/wikipedia/commons/thumb/a/a5/Ischemia.JPG/800px-Ischemia.JPG

Vasuclar ischemia of the toes with characteristic cyanosis.

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

ischemia


is a restriction in blood supply, generally due to factors in the blood vessels, with resultant damage or dysfunction of tissue.
It may also be spelled ischaemia or isch&#230;mia.
It also means local anemia in a given part of a body sometimes resulting from vasoconstriction, thrombosis or embolism.

مصطفى الشويهدي
27-09-2010, 07:43 PM
thanks doctor

but i we are talking about ischemia u ve to know that the ischemic leg appearance look to the picture u `ill know that there`s hair loss and brittleness in the skin with some damage in nails

and if u put ur finger to feel the pulse u ill find nothing or u ill find weak pulse with cold pale foot

and it`s due to

DM
hypotension
Sickle cell anemia
embolism
atherosclerosis**


peace

الطائر الأبيض
28-09-2010, 01:16 AM
Myocardial infarction

http://upload.wikimedia.org/wikipedia/commons/thumb/4/4a/AMI_scheme.png/464px-AMI_scheme.png

Diagram of a myocardial infarction (2) of the tip of the anterior wall of the heart (an apical infarct) after occlusion (1) of a branch of the left coronary artery (LCA, right coronary artery = RCA).

Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack:
is the interruption of blood supply to part of the heart, causing heart cells to die.
This is most commonly due to occlusion (blockage) of a coronary artery following the rupture of a vulnerable atherosclerotic plaque, which is an unstable collection of lipids (fatty acids) and white blood cells (especially macrophages) in the wall of an artery


The resulting ischemia (restriction in blood supply) and oxygen shortage,
if left untreated for a sufficient period of time, can cause damage or death (infarction) of heart muscle tissue (myocardium).


Classical symptoms of acute myocardial infarction include:
sudden chest pain (typically radiating to the left arm or left side of the neck), shortness of breath
nausea
vomiting
palpitations
sweating
and anxiety
http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

http://upload.wikimedia.org/wikipedia/commons/2/24/AMI_pain_front.png

Rough diagram of pain zones in myocardial infarction (dark red = most typical area, light red = other possible areas, view of the chest).


&


http://upload.wikimedia.org/wikipedia/commons/4/48/AMI_pain_back.png

http://www.doctors.ly/forums/picture.php?albumid=914&pictureid=6981

الطائر الأبيض
28-09-2010, 01:39 AM
Classification OF M.I

There are two basic types of acute myocardial infarction:



1_ Transmural: associated with atherosclerosis involving major coronary artery.
It can be subclassified into anterior, posterior, or inferior.
Transmural infarcts extend through the whole thickness of the heart muscle and are usually a result of complete occlusion of the area's blood supply.
2_ Subendocardial: involving a small area in the subendocardial wall of the left ventricle, ventricular septum, or papillary muscles.
Subendocardial infarcts are thought to be a result of locally decreased blood supply, possibly from a narrowing of the coronary arteries.
The subendocardial area is farthest from the heart's blood supply and is more susceptible to this type of pathology

Also
There Other Classifications:

Clinically, :
myocardial infarction can be further subclassified into :
ST elevation MI (STEMI) versus a non-ST elevation MI (non-STEMI) based on ECG changes

&
Other Classifications

classifies myocardial infarction into five main types

**_ Type 1 - Spontaneous myocardial infarction related to ischaemia due to a primary coronary event such as plaque erosion and/or rupture, fissuring, or dissection
**_ Type 2 - Myocardial infarction secondary to ischaemia due to either increased oxygen demand or decreased supply, e.g. coronary artery spasm, coronary embolism, anaemia, arrhythmias, hypertension, or hypotension
**_ Type 3 - Sudden unexpected cardiac death, including :cardiac arrest, often with symptoms suggestive of myocardial ischaemia, accompanied by presumably new ST elevation,
or new LBBB, or evidence of fresh thrombus in a coronary artery by angiography and/or at autopsy,
but death occurring before blood samples could be obtained, or at a time before the appearance of cardiac biomarkers in the blood
**_ Type 4 - Associated with coronary angioplasty or stents:
**_ Type 4a - Myocardial infarction associated with PCI
**_ Type 4b - Myocardial infarction associated with stent thrombosis as documented by angiography or at autopsy
**_ Type 5 - Myocardial infarction associated with CABG

الطائر الأبيض
28-09-2010, 01:50 AM
N.B: in M.I


Levine's sign

is a clenched fist held over the chest to describe ischemic chest pain.
As the referred pain associated with ischemia radiates to the area of the left proximal forelimb, the right,
unaffected arm is used to produce the gesture.

الطائر الأبيض
28-09-2010, 02:10 AM
PaThOpHySiOlOgY

ـــــــــ



http://upload.wikimedia.org/wikipedia/commons/5/5e/Heart_attack_diagram.png

myocardial infarction occurs when an atherosclerotic plaque slowly builds up in the inner lining of a coronary artery and then suddenly ruptures,
causing catastrophic thrombus formation, totally occluding the artery and preventing blood flow downstream.

الطائر الأبيض
28-09-2010, 04:46 AM
ECG PiCtUrE Of M.I


http://upload.wikimedia.org/wikipedia/commons/thumb/7/76/12_Lead_EKG_ST_Elevation_tracing_color_coded.jpg/800px-12_Lead_EKG_ST_Elevation_tracing_color_coded.jpg

12-lead electrocardiogram showing ST-segment elevation (orange) in I, aVL and V1-V5 with reciprocal changes (blue) in the inferior leads, indicative of an anterior wall myocardial infarction.
N.B:
normal ECG does not rule out acute myocardial infarction.

الطائر الأبيض
28-09-2010, 07:10 PM
CaRdIaC MaRkErS In M.I


ــــــــ
Cardiac markers or cardiac enzymes:
are proteins that leak out of injured myocardial cells through their damaged cell membranes into the bloodstream


markers most widely used in detection of MI are:
MB subtype of the enzyme creatine kinase and cardiac troponins T and I as they are more specific for myocardial injury

The cardiac troponins T and I which are released within 4–6 hours of an attack of MI and remain elevated for up to 2 weeks, have nearly complete tissue specificity and are now the preferred markers for asssessing myocardial damage


Heart-type fatty acid binding protein is another marker



New markers such as glycogen phosphorylase isoenzyme BB are under investigation


ـــــــــ


CaRdIaC MaRkEr

http://upload.wikimedia.org/wikipedia/commons/e/e0/CardiacMarkerComparison.JPG

Comparison of cardiac marker in the first hours after chestpain onset and the relative concentration



ــــــــــــــــ


http://upload.wikimedia.org/wikipedia/commons/b/be/CardiacMarkerComparison2.JPG

Comparison of cardiac marker in the first hours after chestpain onset and the multiples of the cutoff


ـــــــــــ


http://upload.wikimedia.org/wikipedia/commons/thumb/8/80/AMI_bloodtests_engl.png/800px-AMI_bloodtests_engl.png

Kinetics of cardiac markers in myocardial infarction with or without reperfusion treatment



ThAnKs

الطائر الأبيض
30-09-2010, 04:13 PM
بسم الله الرحمن الرحيم

نبذة بسيطة عن :

pathological which can be seen on the ECG

1_ Shortened QT interval
Causes :


Hypercalcemia, some drugs, certain genetic abnormalities.

2_ Prolonged QT interval

Causes


Hypocalcemia,

3_ Flattened or inverted T waves

Causes


Coronary ischemia, left ventricular hypertrophy, digoxin effect

4_ Hyperacute T waves
Causes

first manifestation of acute myocardial infarction.

5_ Prominent U waves

Cause


Hypokalemia.

Thanks

الطائر الأبيض
01-10-2010, 08:40 PM
بسم الله الرحمن الرحيم

هذا موضوع خاص
بال
ECG

أدخلو من هنا :

http://www.doctors.ly/forums/showthread.php?t=44374

الأسطورة
02-10-2010, 08:16 PM
جزاك الله كل خير يا دكتور على المعلومات الرائعة

الطائر الأبيض
06-10-2010, 09:57 PM
Cirrhosis


Or
LiVeR CiRrHoSiS

is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrosis,
scar tissue and
regenerative nodules (lumps that occur as a result of a process in which damaged tissue is regenerated)s,

leading to loss of liver function.

Cirrhosis is most commonly caused by:
alcoholism, hepatitis B and C, and fatty liver disease,
but has many other possible causes.
Some cases are idiopathic, i.e., of unknown cause.

الطائر الأبيض
06-10-2010, 10:35 PM
Signs and symptoms


** Spider angiomata or spider nevi.
Vascular lesions consisting of a central arteriole surrounded by many smaller vessels because of an increase in estradiol.
These occur in about 1/3 of cases.[5]
** Palmar erythema.

Exaggerations of normal speckled mottling of the palm, because of altered sex hormone metabolism.
** Nail changes.

** Muehrcke's lines - paired horizontal bands separated by normal color resulting from hypoalbuminemia (inadequate production of albumin).
** Terry's nails - proximal two-thirds of the nail plate appears white with distal one-third red, also due to hypoalbuminemia
** Clubbing - angle between the nail plate and proximal nail fold > 180 degrees
Hypertrophic osteoarthropathy.
Chronic proliferative periostitis of the long bones that can cause considerable pain.
** Dupuytren's contracture.

Thickening and shortening of palmar fascia that leads to flexion deformities of the fingers.
Thought to be caused by fibroblastic proliferation and disorderly collagen deposition.
It is relatively common (33% of patients).
** Gynecomastia.
Benign proliferation of glandular tissue of male breasts presenting with a rubbery or firm mass extending concentrically from the nipples.
This is caused by increased estradiol and can occur in up to 66% of patients.
** Hypogonadism.
Manifested as impotence, infertility, loss of sexual drive, and testicular atrophy because of primary gonadal injury or suppression of hypothalamic or pituitary function.
** Liver size.
Can be enlarged, normal, or shrunken.
** Splenomegaly (increase in size of the spleen).
Caused by congestion of the red pulp as a result of portal hypertension.
** Ascites.
Accumulation of fluid in the peritoneal cavity giving rise to flank dullness (needs about 1500 mL to detect flank dullness).
** Caput medusa.
In portal hypertension, the umbilical vein may open.
Blood from the portal venous system may be shunted through the periumbilical veins into the umbilical vein and ultimately to the abdominal wall veins, manifesting as caput medusa.
** Cruveilhier-Baumgarten murmur.
Venous hum heard in epigastric region (on examination by stethoscope) because of collateral connections between portal system and the remnant of the umbilical vein in portal hypertension.
** Fetor hepaticus.
Musty odor in breath as a result of increased dimethyl sulfide.
** Jaundice.
Yellow discoloring of the skin, eye, and mucus membranes because of increased bilirubin (at least 2–3 mg/dL or 30 mmol/L).
Urine may also appear dark.
** Asterixis.
Bilateral asynchronous flapping of outstretched, dorsiflexed hands seen in patients with hepatic encephalopathy.
** Other:
Weakness, fatigue, anorexia, weight loss.

الطائر الأبيض
25-11-2010, 07:12 PM
السلـام عليكم ورحمة الله وبركاته...
اليوم بنعرض مــــــــوضوع بسيط عن ..

Trench foot...

is a medical condition caused by prolonged exposure of the feet to damp, unsanitary and cold conditions

Causes..

Trench foot occurs when feet are cold and damp while wearing constricting footwear

Characteristics....

Infected feet may become numb, affected by erythrosis (turning red) or cyanosis (turning blue) as a result of poor vascular supply
and

feet may begin to have a decaying odor due to the possibility of the early stages of necrosis setting in.
As the condition worsens, feet may also begin to swell. Advanced trench foot often involves blisters and open sores, which lead to fungal infections; this is sometimes called tropical ulcer jungle rot.

http://upload.wikimedia.org/wikipedia/commons/2/2d/Case_of_trench_feet_suffered_by_unidentified_soldi er_Cas_de_pieds_des_tranch%C3%A9es_%28soldat_non_i dentifi%C3%A9%29.jpg


If left untreated, trench foot usually results in gangrene, which can cause the need for amputation.
If trench foot is treated properly, complete recovery is normal,
though it is marked by severe short-term pain when feeling returns.
As with other cold-related injuries, trench foot leaves sufferers more susceptible to it in the future


تحيات:
الطائر الـأبيض

الطائر الأبيض
25-11-2010, 07:44 PM
Upper gastrointestinal bleeding

refers to hemorrhage in the upper gastrointestinal tract.
The anatomic cut-off for upper GI bleeding
is
the ligament of Treitz, which connects the fourth portion of the duodenum to the diaphragm near the splenic flexure of the colon.

Upper GI bleeds are considered medical emergencies

http://upload.wikimedia.org/wikipedia/en/8/83/MALT_4.jpg

Gastric Ulcer


The causes for upper GI hemorrhage include the following







Esophageal causes

Esophageal varices
Esophagitis
Esophageal cancer
Esophageal ulcers
Mallory-Weiss tear




Gastric causes:

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions


Duodenal causes:

Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae.
Fistulae are usually secondary to prior vascular surgery and usually occur at the proximal anastomosis at the third or fourth portion of the duodenum where it is retroperitoneal and near the aorta.
Hematobilia, or bleeding from the biliary tree
Hemosuccus pancreaticus, or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome




تحيات
الطائر الـأبيض

الطائر الأبيض
25-11-2010, 10:32 PM
Rheumatoid arthritis

is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints.
The process produces an inflammatory response of the synovium (synovitis) secondary to hyperplasia of synovial cells, excess synovial fluid, and the development of pannus in the synovium.

http://upload.wikimedia.org/wikipedia/commons/7/7e/Rheumatoid_arthritis_joint.gif


The pathology of the disease process often leads to the destruction of articular cartilage and ankylosis of the joints

Like in This Pictures

X°Rqy

http://upload.wikimedia.org/wikipedia/commons/thumb/3/3e/RheumatoideArthritisAP.jpg/362px-RheumatoideArthritisAP.jpg


ـــــــــــــــــــــــــــــــ


http://upload.wikimedia.org/wikipedia/commons/thumb/7/70/Rheumatoid_Arthritis.JPG/800px-Rheumatoid_Arthritis.JPG


Typical Changes Of RA in THise Hand IS:s

Left Hand

**Swelling in the Wrist Or Dorsal Sublaxation of ulna at the wrist

** Radial Deviation Of Metacarpal Bone at the wrist

** Ulnar Deviation Of the Digitis at The MCP Jpint

** There is Deformitiy At The Base of Ring Finger



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الطائر الـأبيض

الطائر الأبيض
03-12-2010, 07:37 PM
بسم الله الرحمن الرحيم

السـلام عليكم ورحمة الله وبركاته



HoW To Differentiate Between Gout And PsudoGout & Septic Arthritis
In History
&
Lab Investigation?





Answer is:



Difference Between Gout & pseudoGout & Septic Arthritis

Firset In History
is
Pt With Gout Come To Hospital Complaning Of Sudden Sever
Pain Specially in the neigh
in One Joint That is Commonly First Metatarsl Joint FMT

pt Suffering From sever pain in Base of Grat Toea
That Called Specially Characteristic For Gout
podagra

This IF The First Attak

If Pt Come With pain in the knee
my you Enter In D.D
But
If There History Of Recurrent Pain In Last
From About 1 Or 2 Year
&
the pain in Base in Grat Toe
The Most Likely dignosis
is
Gout

بسم الله الرحمن الرحيم

من الكلـام الذي أسرد فوق
بمعني
يجب أن تكون الحالة مدروسة جيدا من المنهج
ويجب ان نعرف بأن الGout
له أربع مراحل
سأقولها لـاحقا أن شاء الله
ومن هذه المراحل
بأنه يتكرر بعد فترة زمنية
وهي عبارة عن سنة الي سنتين
كالمثال السابق
أدا مريض قال لنا اثناء اخد القصة
هناك وجع في الركبة وكانت حادة ومفاجئة وخصوصا في الليل

فأنت حيناها
ممكن تشك بأكثر من مرض
لكن
حينما يقول لك بأن الوجع في مفصل واحد فقط
أيMonoArthritis
ويقول أن كان له قصة وجع في مفصل واحد فقط منذ حوالي سنة
وكان
الوجع في مكان خاص ومميز لمرض الGout
وهو في قاعدة الصبع الكبير
ويطلع عليه Podagra

ومن خلال الجنس ايضا
الGout يحدث في الرجال لكن Pseudogout في النساء اكثر
و
الSeptic More in children
وأذا حصل في الكبير قليلا
young
فيجب ان تركز هل هناك Sexual Transmission
وخاصة في حالات
Neisseria Gonorrhea
that Called
GonoCocal Arthritis
ـــــــــــــــ
Pseudogout

More in Femal
&
also Acute Monoarthritis In Elderly is commonest

&
the Pain in Knee is Commenst
&
Ther is no history oF Bodagra
ـــــــــــــ

Septic Arhtritis

Is Acute MonoArthritis Which is commonest in Also
In
Knee
But In Age Of Children
There
Big Difference Between Septic in Children
&
PseudoGout in Elderly

ــــــــــــــــــ

هذا حد علمي من ناحية الHistory

ـــــــــ
Second
Lap Investigation

Any Pt Come With Sever Pain In Joint
With Mild Effusion

The Most Step Is
Synovial Aspiration

Aspiration of synovial from joint To sEnd Fluid for
Cell Count
Culture
Crystal Analysis

ـــــــــــــــــ
باه
N.B: Normal Joint Contain Small OFFluid That Is Essentially Acellular>

IF There Is No High Iflammatory Cell
&
No Organism On Gram Stain
And the Pt
From history Is Mal And Age Of 40 Year
&
no History Of STD

Must Be Done
Crystal analysis Requires the use
OF
Polarizing Light Microscope

If There Is
MonoSodium Ureat Crystal
&
In Needle shape <typically IntracellularWithin PMn Cell
&
Are Negatively Birefringent
&
Appearing
Yellow Under The Polarizing MicroScope

Is
Most Lickely Difnosis
Is
Gout

IF Other Deposition
Called : Calcium Pyrophosphat Dehydrate Crystal

&
Appearing Blue Under Microscope

Of
Weakly Positively Birefringent

&
Pt Femal Elderly Most Common
&
Pain In Knee Specially

Most Likely dignosis
Is
PseudoGout

ــــــــــــــ
OK
لو كان الشخص صغير في السن وكان هناك.. History Of STD

ولا يوجد الOrganism In Fluid
علماً أن
هذا لا يثبت عدم وجود أصابة بكتيرية للمفصل
وخاصة
في حالة Gonococal Arthritis

لنُثبت ذالك
وبما أن هذا المرض احيانا يصاحب بـPustular Skin Lesion
فنأخد عينة من هدا الLesion

Or
From Blood

أذأ وجد

Most Likely is Septic
OR
GonoCocal Arthritis
ــــــــــــــــــــ

والله أعلم

وهذا كل ما في رأسي لحد الـأن
ان نسيت شيء فسأكتبة بعون الله تعالي...

سلـام

تحيات
الطائر الـأبيض

الطائر الأبيض
03-12-2010, 08:04 PM
بسم الله الرحمن الرحيم


كما وعدتكم أن شاء الله


Gout Classically Is Progresses Through Four Stages


Stage 1: Asymptomatic HyperUricemia
Pt Have Elevated Uric Acid Levels Without
Arthritis Or Kidney Stones
The Majority of Pt Is Never Develop Any Symptoms ,

But
Higher The uric Acid Level & the Longer The duration Of hyperuricemia ,the Greater the Likelihood Of the
Pt Developing Gouty Arthritis

Stage 2 :Acute Gouty Arthritis:
Sever OF Acute Onset Of MonoArticular Pain ,Occuring At night,In First MTP Joint

Attacks may last Hours Ot Up to 2 Weeks

Stage 3 : InterCritical Gout : OR Peroid Between Acute Attack.
Pt Generlly Are Completely asymptomatic
Majority Of Pt Will Haver Anothrer Acute Attack
Within 1_2 Years.
This is Diagnostic for Gout

Stage 4: Chronic Tophaceous Gout:Occurs after 10 Or More Years OF Acute Intermittent Gout
In This Stage
InterCritical Stage OR Peroid Are No Longer Asympyomatic ;the Involved Joint now have Ch.Swelling And Discomfort, Which Worsens Over Time.
Pt Also Develop SubCutaneous Tophi
Deposits OF MonoSodium Ureat


ThanK YoU

سلـام
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الطائر الـأبيض

الطائر الأبيض
04-12-2010, 11:19 PM
بسم الله الرحمن الرحيم

السلـام عليكم ورحمة الله وبركاته


بعض العلـامات السريرية

Signs




_ حمامي (احمرار) راحة اليد palmar erythema

http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/img6193314.jpg



2_تعجر الاصابع clubbing



http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/clubbing.jpg


3_ تقبص دوبويتران Dupuytren contracture


http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/x740381.gif


4_ رعشة اليد المرفرفة Flapping tremor


http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/asterixis4vs%20%281%29.gif



5_ تضخم الثدي لدى الذكورgynecomastia


http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/gyno.jpg




6_ شامة عنكبية spider nevus


http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/spiderangioma39974med.jpg



7_ استسقاء Ascites


http://knol.google.com/k/-/-/1uvri02hl6fvf/6siaan/3247883550d4ac349dc6.jpg





سلام ّّّ..ّّّّ



تحيات

الطائر الابيض

الطائر الأبيض
11-12-2010, 12:36 AM
Heart failure

defined as:
inability of the heart to supply sufficient blood flow to meet the body's needs.

Common causes of heart failure

include:
myocardial infarction (heart attacks)
and
other forms of ischemic heart disease,

hypertension,

valvular heart disease,
and
cardiomyopathy


The major signs and symptoms of heart failure

http://upload.wikimedia.org/wikipedia/commons/9/99/Heartfailure.jpg


ـــــــــــــــــــــــــــ

man with congestive heart failure and marked jugular venous distension.
External jugular vein marked by an arrow

http://upload.wikimedia.org/wikipedia/commons/thumb/4/4d/Elevated_JVP.JPG/458px-Elevated_JVP.JPG



ــــــــــــــــ

أدعولنا ...الـأمتحانات علي الـأبواب


سلـام

تحيات
الطائر الـأبيض

الطائر الأبيض
12-12-2010, 11:13 PM
بسم الله الرحمن الرحيم

Parkinson's disease

Parkinson's disease:
(also known as Parkinson's, Parkinson disease, or PD) is a degenerativecentral nervous system that impairs motor skills, cognitive processes, and other functions.

PD is the most common cause of chronic progressive syndrome characterized by tremor, rigidity, bradykinesia and postural instability


http://upload.wikimedia.org/wikipedia/commons/thumb/d/d7/Sir_William_Richard_Gowers_Parkinson_Disease_sketc h_1886.jpg/497px-Sir_William_Richard_Gowers_Parkinson_Disease_sketc h_1886.jpg





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الطائر الـأبيض