Последние посты
MRCP ROAD - PART ONE
22 сент., 06:34
MRCP ROAD - PART ONE
21 сент., 03:38
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20 сент., 07:41
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19 сент., 08:35
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18 сент., 13:01
MRCP ROAD - PART ONE
17 сент., 20:59
MRCP ROAD - PART ONE
16 сент., 21:54
MRCP ROAD - PART ONE
15 сент., 05:16
MRCP ROAD - PART ONE
13 сент., 05:05
MRCP ROAD - PART ONE
8 сент., 04:58
“Sometimes… it disguises itself as a conduction catastrophe.”⸻🎬 Scene 8 — But Why Did It Happen?The team returned to the beginning of the story.CKD.Ramipril.Spironolactone.But was that enough to explain a potassium of 8.7 mmol/L?They asked the son again:“Did anything else happen over the last few days?”MRCP ROAD - PART ONE
8 сент., 04:58
بالطبع، وهذه النسخة الإنجليزية كاملة بنفس الأسلوب القصصي والتعليمي:🩺 A Medical Story⸻🎬 Scene 1 — The 3 AM CallA 67-year-old man arrived at the Emergency Department with:Severe weaknessDizzinessShortness of breathJust minutes before arrival, he had told his son:“I feel like my heart is going to stop.”MRCP ROAD - PART ONE
8 сент., 04:55
☑ مريض renal impairment + bradycardia يستحق أن تضع hyperkalaemia مبكرًا جدًا في الـ differential.☑ في life-threatening hyperkalaemia مع ECG changes، لا تنتظر النتيجة إذا كان الاشتباه السريري قويًا وكان العلاج العاجل مطلوبًا.☑ IV calcium stabilises the cardiac membrane — it does NOT lower serum potassium.☑ Insulin/glucose ينقل potassium إلى داخل الخلايا مؤقتًا، لكنه لا يزيله من الجسم.☑ Severe renal failure مع refractory hyperkalaemia قد يحتاج urgent dialysis.☑ راجع دائمًا الأدوية.أحيانًا السبب الحقيقي لا يكون مرضًا جديدًا…بل dangerous combination of familiar medications.⸻🎯 الرسالة الأخيرةMRCP ROAD - PART ONE
8 сент., 04:55
🩺 حدوتة طبيه🎬 المشهد الأول — مكالمة الساعة 3 صباحًارجل عمره 67 سنة وصل الطوارئ بسبب:Severe weaknessDizzinessShortness of breathوقبل وصوله بدقائق قال لابنه:“حاسس إن قلبي هيقف.”ثم سقط على الأرض.عند وصوله:MRCP ROAD - PART ONE
4 сент., 15:12
переслано из @zadtalb3lm
MRCP ROAD - PART ONE
2 сент., 01:54
MRCP ROAD - PART ONE
30 авг., 05:07
خصوصًا عندما تجد acute chest pain مع واحد أو أكثر من:☀️ Abrupt onset / maximal pain at onset☀️ Pain radiating to the back☀️ Pulse deficit or BP differential☀️ New aortic regurgitation murmur☀️ Neurological deficit☀️ Syncope☀️ Unexplained shock☀️ Features of cardiac tamponade☀️ Acute coronary syndrome with features that don’t quite fitMRCP ROAD - PART ONE
30 авг., 05:06
The problem was not simply a thrombus inside a coronary artery.The problem was:The wall of the aorta itself was dissecting.Giving thrombolysis in this situation could cause catastrophic bleeding, worsen haemorrhage or precipitate cardiac tamponade, turning a critical surgical emergency into a disaster.This patient needed:Immediate cardiothoracic surgical involvementNot blind thrombolysis.⸻🎬 Scene 8 — The Teaching RoundLater, the consultant asked the residents:MRCP ROAD - PART ONE
30 авг., 05:06изменён
🩺 A Medical Story🎬 Scene 1 — He Was Sitting With His FamilyA man in his early sixties.Just minutes earlier, he had been completely well.He was sitting with his family, talking and laughing as usual.Then suddenly…He grabbed his chest.“My chest…!”The pain was severe and came out of nowhere.Within seconds, he became extremely short of breath.MRCP ROAD - PART ONE
30 авг., 05:06
خصوصًا عندما تجد acute chest pain مع واحد أو أكثر من:☀️ Abrupt onset / maximal pain at onset☀️ Pain radiating to the back☀️ Pulse deficit or BP differential☀️ New aortic regurgitation murmur☀️ Neurological deficit☀️ Syncope☀️ Unexplained shock☀️ Features of cardiac tamponade☀️ Acute coronary syndrome with features that don’t quite fitMRCP ROAD - PART ONE
30 авг., 05:06
🩺 حدوته طبيه🎬 المشهد الأول – كان جالسًا مع أولادهرجل في أوائل الستينات.لا توجد أي شكوى قبلها بدقائق.كان جالسًا مع أولاده يتحدث ويضحك بشكل طبيعي.وفجأة…وضع يده على صدره.“صدري…!”ألم شديد جدًا ظهر بصورة مفاجئة.وبعد ثوانٍ بدأ يتنفس بصعوبة.
