• كتاب 100 سؤال وجواب عن الاورام للدكتور عاطف أحمد
    دليلك الشامل لفهم مرض السرطان


    https://youtube.com/shorts/C-GqFXrWuk8


    احصل علي نسختك الان

    https://www.amazon.com/dp/B0CJKZPLB7


    كتب اخري للمؤلف
    https://www.amazon.com/author/dratef


    هذه نسخه مجانيه لك ولاصدقائك واهلك
    هدفنا نشر الوعي الصحي
    انشروا الكتاب للاهل وللاصدقاء
    الكتاب كامل في مرفقات البوست التالي بعنوان
    File Type: pdf



    يُعد مرض السرطان من أكثر الأمراض شيوعًا وخطورة في العصر الحديث، إلا أن هناك الكثير من المفاهيم الخاطئة والمعلومات غير الدقيقة التي تحيط بهذا المرض. لذا جاء هذا الكتاب ليسد الفجوة من خلال 100 سؤال وجواب شامل حول كل ما يتعلق بالأورام السرطانية، بدءًا من التعريف العلمي وأنواعها وأعراضها وأسبابها، مرورًا بطرق الوقاية والكشف المبكر، ووصولاً لخيارات العلاج المتاحة. يتميز الكتاب بلغته العلمية المبسطة وأسلوبه السلس، مع تغطيته لكل التساؤلات التي تشغل بال المريض أو ذويه حول هذا المرض الخطير. لذا فهو يُعد مرجعًا أساسيًا لكل من يرغب في فهم مرض السرطان والتسلح بالمعرفة الدقيقة لمواجهته.



    #السرطان
    #أورام
    #سرطان_الثدي
    #سرطان_الرئة
    #سرطان_القولون
    #سرطان_الجلد
    #سرطان_الدم
    #سرطان_البروستات
    #سرطان_الرحم
    #سرطان_الكبد
    #سرطان_المعدة
    #سرطان_المخ
    #سرطان_البنكرياس
    #سرطان_الخصية
    #سرطان_العظام
    #الوقاية_من_السرطان
    #الكشف_المبكر
    #أعراض_السرطان
    #علاج_السرطان
    #العلاج_الكيماوي
    #العلاج_الإشعاعي
    #الجراحة
    #المناعة_ضد_السرطان
    #الأورام_الحميدة
    #الأورام_الخبيثة
    #الخلايا_السرطانية
    #الأورام_الليمفاوية
    #سرطان_الدم_الليمفاوي
    #سرطان_الدم_النخاعي
    #الأورام_السرطانية
    #النقيلة
    #انتشار_السرطان
    #هشاشة_العظام
    #فقر_الدم
    #فحوصات_السرطان
    #التبرع_بالدم
    #دعم_مرضى_السرطان
    #كيموثرابي
    #راديوثرابي
    #كيماوي
    #مناعي
    #أورام_الأطفال
    #سرطان_الأطفال



    السرطان , أورام , سرطان الثدي , سرطان الرئة , سرطان القولون , سرطان الجلد , سرطان الدم , سرطان البروستاتا , سرطان الرحم , سرطان الكبد , سرطان المعدة , سرطان المخ , سرطان البنكرياس , سرطان الخصية , سرطان العظام , الوقاية من السرطان , الكشف المبكر , أعراض السرطان , علاج السرطان , العلاج الكيماوي , العلاج الإشعاعي , الجراحة , المناعة ضد السرطان , الأورام الحميدة , الأورام الخبيثة , الخلايا السرطانية , الأورام الليمفاوية , سرطان الدم الليمفاوي , سرطان الدم النخاعي , الأورام السرطانية , النقيلة , انتشار السرطان , هشاشة العظام , فقر الدم , فحوصات السرطان , التبرع بالدم , دعم مرضى السرطان , كيموثرابي , راديوثرابي , كيماوي , مناعي , أورام الأطفال , سرطان الأطفال , الأورام العصبية , جراحة الأورام , أنواع السرطانات , مراحل السرطان , أسباب الإصابة بالسرطان , علامات السرطان المبكرة , الوراثة والسرطان , التغذية والسرطان , التدخين والسرطان

    كتاب 100 سؤال وجواب عن الاورام للدكتور عاطف أحمد دليلك الشامل لفهم مرض السرطان https://youtube.com/shorts/C-GqFXrWuk8 احصل علي نسختك الان https://www.amazon.com/dp/B0CJKZPLB7 كتب اخري للمؤلف https://www.amazon.com/author/dratef هذه نسخه مجانيه لك ولاصدقائك واهلك هدفنا نشر الوعي الصحي انشروا الكتاب للاهل وللاصدقاء الكتاب كامل في مرفقات البوست التالي بعنوان File Type: pdf يُعد مرض السرطان من أكثر الأمراض شيوعًا وخطورة في العصر الحديث، إلا أن هناك الكثير من المفاهيم الخاطئة والمعلومات غير الدقيقة التي تحيط بهذا المرض. لذا جاء هذا الكتاب ليسد الفجوة من خلال 100 سؤال وجواب شامل حول كل ما يتعلق بالأورام السرطانية، بدءًا من التعريف العلمي وأنواعها وأعراضها وأسبابها، مرورًا بطرق الوقاية والكشف المبكر، ووصولاً لخيارات العلاج المتاحة. يتميز الكتاب بلغته العلمية المبسطة وأسلوبه السلس، مع تغطيته لكل التساؤلات التي تشغل بال المريض أو ذويه حول هذا المرض الخطير. لذا فهو يُعد مرجعًا أساسيًا لكل من يرغب في فهم مرض السرطان والتسلح بالمعرفة الدقيقة لمواجهته. #السرطان #أورام #سرطان_الثدي #سرطان_الرئة #سرطان_القولون #سرطان_الجلد #سرطان_الدم #سرطان_البروستات #سرطان_الرحم #سرطان_الكبد #سرطان_المعدة #سرطان_المخ #سرطان_البنكرياس #سرطان_الخصية #سرطان_العظام #الوقاية_من_السرطان #الكشف_المبكر #أعراض_السرطان #علاج_السرطان #العلاج_الكيماوي #العلاج_الإشعاعي #الجراحة #المناعة_ضد_السرطان #الأورام_الحميدة #الأورام_الخبيثة #الخلايا_السرطانية #الأورام_الليمفاوية #سرطان_الدم_الليمفاوي #سرطان_الدم_النخاعي #الأورام_السرطانية #النقيلة #انتشار_السرطان #هشاشة_العظام #فقر_الدم #فحوصات_السرطان #التبرع_بالدم #دعم_مرضى_السرطان #كيموثرابي #راديوثرابي #كيماوي #مناعي #أورام_الأطفال #سرطان_الأطفال السرطان , أورام , سرطان الثدي , سرطان الرئة , سرطان القولون , سرطان الجلد , سرطان الدم , سرطان البروستاتا , سرطان الرحم , سرطان الكبد , سرطان المعدة , سرطان المخ , سرطان البنكرياس , سرطان الخصية , سرطان العظام , الوقاية من السرطان , الكشف المبكر , أعراض السرطان , علاج السرطان , العلاج الكيماوي , العلاج الإشعاعي , الجراحة , المناعة ضد السرطان , الأورام الحميدة , الأورام الخبيثة , الخلايا السرطانية , الأورام الليمفاوية , سرطان الدم الليمفاوي , سرطان الدم النخاعي , الأورام السرطانية , النقيلة , انتشار السرطان , هشاشة العظام , فقر الدم , فحوصات السرطان , التبرع بالدم , دعم مرضى السرطان , كيموثرابي , راديوثرابي , كيماوي , مناعي , أورام الأطفال , سرطان الأطفال , الأورام العصبية , جراحة الأورام , أنواع السرطانات , مراحل السرطان , أسباب الإصابة بالسرطان , علامات السرطان المبكرة , الوراثة والسرطان , التغذية والسرطان , التدخين والسرطان
    File Type: pdf
    0 Comments 0 Shares 2481 Views
  • Hello Everybody . i am Introducing "The Comprehensive Guide in Hernia" by Dr. Atef Ahmed – Your Ultimate Resource for Hernia Knowledge!

    https://youtu.be/Sjdat8Wpxiw


    get Your copy from amazon
    https://www.amazon.com/dp/B0CHN9XSL7

    other books of the author
    http://www.amazon.com/author/dratef

    https://youtu.be/Sjdat8Wpxiw

    Are you seeking a definitive source to demystify the complexities of hernia? Look no further! Dr. Atef Ahmed presents a comprehensive masterpiece that promises to be your go-to reference for all things hernia-related. "The Comprehensive Guide in Hernia" is a treasure trove of insights, offering a wealth of information and practical solutions to tackle hernia concerns with confidence.

    Unparalleled Answers to Your Hernia Questions:
    Curious about the different types of hernias, their causes, or potential treatments? Dr. Atef Ahmed provides clear and concise answers to all your burning hernia questions. Whether you're a patient, caregiver, or medical professional, this book simplifies the intricacies of hernia, ensuring you're well-informed every step of the way.

    Test Your Knowledge with MCQs in Hernia:
    Challenge yourself with a series of thought-provoking Multiple Choice Questions (MCQs) specifically designed to enhance your understanding of hernia. Dr. Atef Ahmed's expertise shines through as he guides you through these interactive exercises, making learning about hernia both engaging and informative.

    Proven Tips and Tricks in Hernia Management:
    Navigate the world of hernia management like a pro! This book is brimming with invaluable tips and tricks to help you or your patients effectively manage hernia-related issues. Dr. Atef Ahmed's practical advice will empower you to make informed decisions and ensure the best possible outcomes.

    Real-Life Case Scenarios in Hernia:
    Explore real-world scenarios and gain insight into how hernia cases are managed by medical professionals. Dr. Atef Ahmed presents a collection of intriguing case studies, providing a behind-the-scenes look at the challenges and triumphs faced in hernia treatment. These scenarios serve as invaluable learning tools for healthcare practitioners and students alike.

    "The Comprehensive Guide in Hernia" by Dr. Atef Ahmed is your one-stop resource for all things hernia-related. Whether you're a healthcare professional looking to expand your expertise or someone dealing with hernia concerns personally, this book offers a holistic approach to understanding, managing, and conquering hernia issues.

    Don't miss out on this invaluable resource! Grab your copy today and embark on a journey toward hernia knowledge and mastery like never before. Dr. Atef Ahmed's wealth of experience and dedication to simplifying complex medical topics will leave you equipped and empowered to take control of your hernia-related challenges.

    get Your copy from amazon
    https://www.amazon.com/dp/B0CHN9XSL7

    other books of the author
    http://www.amazon.com/author/dratef

    https://youtu.be/Sjdat8Wpxiw



    #Hernia
    #HerniaSurgery
    #HerniaBook
    #HerniaAwareness
    #HerniaSupport
    #lifes1
    #hernia #herniateddisc #herniarepair #herniatreatment #herniasurgery #herniateddiscexercises #herniateddisctreatment #herniateddisk #herniadiscal #herniasymptoms #herniakailaj #herniaoperation
    Hello Everybody . i am Introducing "The Comprehensive Guide in Hernia" by Dr. Atef Ahmed – Your Ultimate Resource for Hernia Knowledge! https://youtu.be/Sjdat8Wpxiw get Your copy from amazon https://www.amazon.com/dp/B0CHN9XSL7 other books of the author http://www.amazon.com/author/dratef https://youtu.be/Sjdat8Wpxiw Are you seeking a definitive source to demystify the complexities of hernia? Look no further! Dr. Atef Ahmed presents a comprehensive masterpiece that promises to be your go-to reference for all things hernia-related. "The Comprehensive Guide in Hernia" is a treasure trove of insights, offering a wealth of information and practical solutions to tackle hernia concerns with confidence. 📘 Unparalleled Answers to Your Hernia Questions: Curious about the different types of hernias, their causes, or potential treatments? Dr. Atef Ahmed provides clear and concise answers to all your burning hernia questions. Whether you're a patient, caregiver, or medical professional, this book simplifies the intricacies of hernia, ensuring you're well-informed every step of the way. 📚 Test Your Knowledge with MCQs in Hernia: Challenge yourself with a series of thought-provoking Multiple Choice Questions (MCQs) specifically designed to enhance your understanding of hernia. Dr. Atef Ahmed's expertise shines through as he guides you through these interactive exercises, making learning about hernia both engaging and informative. 💡 Proven Tips and Tricks in Hernia Management: Navigate the world of hernia management like a pro! This book is brimming with invaluable tips and tricks to help you or your patients effectively manage hernia-related issues. Dr. Atef Ahmed's practical advice will empower you to make informed decisions and ensure the best possible outcomes. 🏥 Real-Life Case Scenarios in Hernia: Explore real-world scenarios and gain insight into how hernia cases are managed by medical professionals. Dr. Atef Ahmed presents a collection of intriguing case studies, providing a behind-the-scenes look at the challenges and triumphs faced in hernia treatment. These scenarios serve as invaluable learning tools for healthcare practitioners and students alike. "The Comprehensive Guide in Hernia" by Dr. Atef Ahmed is your one-stop resource for all things hernia-related. Whether you're a healthcare professional looking to expand your expertise or someone dealing with hernia concerns personally, this book offers a holistic approach to understanding, managing, and conquering hernia issues. Don't miss out on this invaluable resource! Grab your copy today and embark on a journey toward hernia knowledge and mastery like never before. Dr. Atef Ahmed's wealth of experience and dedication to simplifying complex medical topics will leave you equipped and empowered to take control of your hernia-related challenges. get Your copy from amazon https://www.amazon.com/dp/B0CHN9XSL7 other books of the author http://www.amazon.com/author/dratef https://youtu.be/Sjdat8Wpxiw #Hernia #HerniaSurgery #HerniaBook #HerniaAwareness #HerniaSupport #lifes1 #hernia #herniateddisc #herniarepair #herniatreatment #herniasurgery #herniateddiscexercises #herniateddisctreatment #herniateddisk #herniadiscal #herniasymptoms #herniakailaj #herniaoperation
    Like
    1
    0 Comments 1 Shares 35805 Views

  • Ozempic is the brand name for the medication semaglutide, which is a prescription drug used to treat type 2 diabetes. Semaglutide belongs to a class of medications called glucagon-like peptide-1 (GLP-1) receptor agonists.

    GLP-1 receptor agonists work by mimicking the actions of GLP-1, a hormone that regulates blood sugar levels. By activating GLP-1 receptors, semaglutide helps to lower blood sugar levels in people with type 2 diabetes.

    Ozempic is typically administered once a week as an injection under the skin (subcutaneous injection). It helps to improve glycemic control by stimulating insulin release, reducing the production of glucose by the liver, and slowing down the emptying of the stomach.

    In addition to its blood sugar-lowering effects, Ozempic may also lead to weight loss in some individuals. It is often prescribed in combination with diet and exercise to manage blood sugar levels in adults with type 2 diabetes.

    As with any medication, Ozempic may have potential side effects. Common side effects can include nausea, vomiting, diarrhea, decreased appetite, and abdominal pain. It is important to discuss any concerns or potential side effects with a healthcare provider before starting Ozempic or any other medication.

    It's worth noting that this information is a general overview of Ozempic, and it's always important to follow the specific instructions and advice provided by a healthcare professional when taking any medication.
    Ozempic is the brand name for the medication semaglutide, which is a prescription drug used to treat type 2 diabetes. Semaglutide belongs to a class of medications called glucagon-like peptide-1 (GLP-1) receptor agonists. GLP-1 receptor agonists work by mimicking the actions of GLP-1, a hormone that regulates blood sugar levels. By activating GLP-1 receptors, semaglutide helps to lower blood sugar levels in people with type 2 diabetes. Ozempic is typically administered once a week as an injection under the skin (subcutaneous injection). It helps to improve glycemic control by stimulating insulin release, reducing the production of glucose by the liver, and slowing down the emptying of the stomach. In addition to its blood sugar-lowering effects, Ozempic may also lead to weight loss in some individuals. It is often prescribed in combination with diet and exercise to manage blood sugar levels in adults with type 2 diabetes. As with any medication, Ozempic may have potential side effects. Common side effects can include nausea, vomiting, diarrhea, decreased appetite, and abdominal pain. It is important to discuss any concerns or potential side effects with a healthcare provider before starting Ozempic or any other medication. It's worth noting that this information is a general overview of Ozempic, and it's always important to follow the specific instructions and advice provided by a healthcare professional when taking any medication.
    0 Comments 0 Shares 8783 Views
  • "Golden Bachelor" is a term that originated in China and refers to a wealthy and successful single man who is actively sought after by women for potential marriage. The concept gained popularity through a reality television show called "The Golden Bachelor" (also known as "Perfect Bachelor" or "Perfect Gentleman") that aired in China.


    The show follows a group of accomplished, affluent, and eligible bachelors as they interact with a pool of female contestants. The contestants compete for the bachelor's attention and affections, participating in various challenges and activities designed to showcase their compatibility and appeal. The bachelor ultimately selects a woman to pursue a romantic relationship with, usually culminating in a potential marriage proposal.

    "The Golden Bachelor" show became a sensation in China due to its blend of entertainment and the portrayal of successful men and ambitious women. It captivated audiences with its drama, emotional moments, and the chance to witness high-profile romances unfold on television.

    While the term "Golden Bachelor" initially referred to participants in the reality show, it has since been used more broadly to describe wealthy and successful single men who are seen as desirable marriage prospects. These individuals often receive attention and pursuit from women who are attracted to their financial stability, social status, or other desirable qualities.

    It's worth noting that the concept of the "Golden Bachelor" has both positive and negative connotations. On one hand, it highlights the achievements and desirability of successful individuals. On the other hand, it can reinforce traditional gender roles and stereotypes by placing importance on a man's wealth and social standing as the primary factors for his desirability.

    Overall, "Golden Bachelor" is a term used to describe affluent single men who are highly sought after by women, both in the context of the reality show and more broadly in society.
    "Golden Bachelor" is a term that originated in China and refers to a wealthy and successful single man who is actively sought after by women for potential marriage. The concept gained popularity through a reality television show called "The Golden Bachelor" (also known as "Perfect Bachelor" or "Perfect Gentleman") that aired in China. The show follows a group of accomplished, affluent, and eligible bachelors as they interact with a pool of female contestants. The contestants compete for the bachelor's attention and affections, participating in various challenges and activities designed to showcase their compatibility and appeal. The bachelor ultimately selects a woman to pursue a romantic relationship with, usually culminating in a potential marriage proposal. "The Golden Bachelor" show became a sensation in China due to its blend of entertainment and the portrayal of successful men and ambitious women. It captivated audiences with its drama, emotional moments, and the chance to witness high-profile romances unfold on television. While the term "Golden Bachelor" initially referred to participants in the reality show, it has since been used more broadly to describe wealthy and successful single men who are seen as desirable marriage prospects. These individuals often receive attention and pursuit from women who are attracted to their financial stability, social status, or other desirable qualities. It's worth noting that the concept of the "Golden Bachelor" has both positive and negative connotations. On one hand, it highlights the achievements and desirability of successful individuals. On the other hand, it can reinforce traditional gender roles and stereotypes by placing importance on a man's wealth and social standing as the primary factors for his desirability. Overall, "Golden Bachelor" is a term used to describe affluent single men who are highly sought after by women, both in the context of the reality show and more broadly in society.
    0 Comments 0 Shares 686 Views
  • Vagotomy /Vagus Nerve /Indications /Types /Techniques /Lap vagotomy/Peptic ulcer / Complications

    https://twitter.com/DrATEFAHMED/status/1653799587956629507?s=20
    https://www.youtube.com/watch?v=lYNWabyEd_4

    #vagotomy #vagus #vagusnerve #vagusfuehairtransplant
    #ulcers #pepticulcer #peptic
    #bleedingperrectum #rectalbleeding #rectalcancertreatment #rectalcancer
    #rectal #colorectalcancer #bleeding #bleedingsoulpoetry #bleedingink #hollywoodsbleeding #rectalbleeding
    #herniainguinal #inguinalhernia #swelling #andreaswellinger #reduceswelling #groin
    #famous_doctors #topdoctors #no1doctor #harmanns
    #syndrome #shorts #Surgical_problem #lifes1
    #surgery #MCQS #Mrcs #medical_student_exam #Medical_Student_Exam
    #No1doctor #dratef #usmle #frcs #exam #student #lecture
    #ukrian #russia #russian #war #news #trend
    #movie #film #song #doctor #nurse…

    Vagotomy /Vagus Nerve /Indications /Types /Techniques /Lap vagotomy/Peptic ulcer / Complications https://twitter.com/DrATEFAHMED/status/1653799587956629507?s=20 https://www.youtube.com/watch?v=lYNWabyEd_4 #vagotomy #vagus #vagusnerve #vagusfuehairtransplant #ulcers #pepticulcer #peptic #bleedingperrectum #rectalbleeding #rectalcancertreatment #rectalcancer #rectal #colorectalcancer #bleeding #bleedingsoulpoetry #bleedingink #hollywoodsbleeding #rectalbleeding #herniainguinal #inguinalhernia #swelling #andreaswellinger #reduceswelling #groin #famous_doctors #topdoctors #no1doctor #harmanns #syndrome #shorts #Surgical_problem #lifes1 #surgery #MCQS #Mrcs #medical_student_exam #Medical_Student_Exam #No1doctor #dratef #usmle #frcs #exam #student #lecture #ukrian #russia #russian #war #news #trend #movie #film #song #doctor #nurse…
    0 Comments 0 Shares 20695 Views
  • A 65-year-old woman with well controlled type 2 diabetes mellitus presents with perforated appendicitis. She is taken to the operating room for exploration, drainage of intraabdominal abscess, and ileocecectomy. She is admitted to the surgical intensive care unit postoperatively in septic shock.
    Overnight, she is resuscitated with 9 L crystalloid. She is now on norepinephrine and vasopressin infusions to keep her mean arterial pressure above 65 mm Hg. On postoperative day 1, she is hypoxic with pulmonary edema on chest x-ray.
    Her serum potassium is 5.9 mmol/L, her serum creatinine increased from 1.5 to 5.4 mg/dL (0.4-1.3 mg/dL), her serum blood urea nitrogen is 60 mg/dL (7-20 mg/dL), her serum bicarbonate is 13 mmol/L (20-29 mmol/L), and her pH is 7.21. Her urine output is 0.3 mL/kg/hour for the last 12 hours.

    What is the next step in managing her renal failure?

    A. Continuous renal replacement therapy
    B. Intermittent hemodialysis
    C. Furosemide 80 mg intravenously
    D. Dopamine infusion
    E. Sodium bicarbonate infusion

    ANSWER: A
    Acute kidney injury in the postoperative period is associated with increased morbidity and mortality. Two classification systems were proposed in the early 2000s: the RIFLE criteria
    and the Acute Kidney Injury Network (AKIN) staging system. These systems provide concise definitions of the extent of injury and prognosis. Both systems consider increases in serum creatinine, either an absolute number or an
    increase from baseline, and urine output criteria. This patient had a marked increase in serum creatinine and has oliguria.
    According to the RIFLE criteria, she has Failure; she is in AKIN stage III.
    Additionally, she is acidemic, with a serum pH of 7.21 and bicarbonate of 13 mmol/L (20-29 mmol/L), and hyperkalemic. She also shows evidence of volume overload with hypoxemia and radiographic evidence of pulmonary
    edema.
    This patient has several indications for renal
    replacement therapy.


    Data regarding the optimal modality and timing of renal replacement therapy are conflicting. However, when patients are hemodynamically abnormal and require vasopressor support, a continuous mode of renal replacement therapy is preferred. Continuous modes require smaller volumes of
    blood to be removed at a time compared with intermittent hemodialysis and are better tolerated in hypotensive patients.
    A sodium bicarbonate infusion is used for patients with acidosis; however, starting a sodium bicarbonate infusion is generally not recommended until the serum pH is less than
    7.15. Also, there are no data confirming any reduction in morbidity and mortality for its use in renal failure.
    Aggressive diuretic therapy used in the early stages of AKI to treat volume overload and hyperkalemia is possible.
    However, once a patient advances to renal failure, renal replacement therapy is the preferred modality of management. Low-dose dopamine infusions were once
    erroneously thought to be renal protective via a mechanism of increased renal blood flow. There are currently no data to support the use of a dopamine infusion as prevention or
    treatment of AKI.
    A 65-year-old woman with well controlled type 2 diabetes mellitus presents with perforated appendicitis. She is taken to the operating room for exploration, drainage of intraabdominal abscess, and ileocecectomy. She is admitted to the surgical intensive care unit postoperatively in septic shock. Overnight, she is resuscitated with 9 L crystalloid. She is now on norepinephrine and vasopressin infusions to keep her mean arterial pressure above 65 mm Hg. On postoperative day 1, she is hypoxic with pulmonary edema on chest x-ray. Her serum potassium is 5.9 mmol/L, her serum creatinine increased from 1.5 to 5.4 mg/dL (0.4-1.3 mg/dL), her serum blood urea nitrogen is 60 mg/dL (7-20 mg/dL), her serum bicarbonate is 13 mmol/L (20-29 mmol/L), and her pH is 7.21. Her urine output is 0.3 mL/kg/hour for the last 12 hours. What is the next step in managing her renal failure? A. Continuous renal replacement therapy B. Intermittent hemodialysis C. Furosemide 80 mg intravenously D. Dopamine infusion E. Sodium bicarbonate infusion ANSWER: A Acute kidney injury in the postoperative period is associated with increased morbidity and mortality. Two classification systems were proposed in the early 2000s: the RIFLE criteria and the Acute Kidney Injury Network (AKIN) staging system. These systems provide concise definitions of the extent of injury and prognosis. Both systems consider increases in serum creatinine, either an absolute number or an increase from baseline, and urine output criteria. This patient had a marked increase in serum creatinine and has oliguria. According to the RIFLE criteria, she has Failure; she is in AKIN stage III. Additionally, she is acidemic, with a serum pH of 7.21 and bicarbonate of 13 mmol/L (20-29 mmol/L), and hyperkalemic. She also shows evidence of volume overload with hypoxemia and radiographic evidence of pulmonary edema. This patient has several indications for renal replacement therapy. Data regarding the optimal modality and timing of renal replacement therapy are conflicting. However, when patients are hemodynamically abnormal and require vasopressor support, a continuous mode of renal replacement therapy is preferred. Continuous modes require smaller volumes of blood to be removed at a time compared with intermittent hemodialysis and are better tolerated in hypotensive patients. A sodium bicarbonate infusion is used for patients with acidosis; however, starting a sodium bicarbonate infusion is generally not recommended until the serum pH is less than 7.15. Also, there are no data confirming any reduction in morbidity and mortality for its use in renal failure. Aggressive diuretic therapy used in the early stages of AKI to treat volume overload and hyperkalemia is possible. However, once a patient advances to renal failure, renal replacement therapy is the preferred modality of management. Low-dose dopamine infusions were once erroneously thought to be renal protective via a mechanism of increased renal blood flow. There are currently no data to support the use of a dopamine infusion as prevention or treatment of AKI.
    0 Comments 0 Shares 8144 Views
  • #In #classical #multiple #endocrine #neoplasia #type 2A, #most #patients #develop


    A. #medullary #thyroid #cancer.
    B. #pheochromocytoma.
    C. #primary #hyperparathyroidism.
    D. #insulinoma.
    E. #pituitary #adenomas

    https://twitter.com/DrATEFAHMED/status/1645521771729231873?s=20

    ANSWER: A

    Multiple endocrine neoplasias (MEN) are autosomal
    dominant inherited familial disorders characterizing a
    predisposition to tumors of endocrine organs
    The tumors include both benign and malignant tumors and
    are frequently multicentric. The tumors may arise
    synchronously or metachronously. Classical MEN2A
    includes medullary thyroid cancer, pheochromocytoma, and
    primary hyperparathyroidism. Medullary thyroid cancer and
    pheochromocytoma are also seen inMEN2B.
    Nearly all patients with classical MEN2A develop medullary
    thyroid cancer; fewer patients develop pheochromocytomas
    or primary hyperparathyroidism. However,
    pheochromocytomas should be excluded whenever a
    diagnosis of medullary thyroid cancer is made because
    pheochromocytomas should be treated first when any
    intervention is planned. Pancreatic neuroendocrine tumors,
    pituitary adenomas, and parathyroid hyperplasia are
    characteristic of MEN 1.
    #In #classical #multiple #endocrine #neoplasia #type 2A, #most #patients #develop A. #medullary #thyroid #cancer. B. #pheochromocytoma. C. #primary #hyperparathyroidism. D. #insulinoma. E. #pituitary #adenomas https://twitter.com/DrATEFAHMED/status/1645521771729231873?s=20 ANSWER: A Multiple endocrine neoplasias (MEN) are autosomal dominant inherited familial disorders characterizing a predisposition to tumors of endocrine organs The tumors include both benign and malignant tumors and are frequently multicentric. The tumors may arise synchronously or metachronously. Classical MEN2A includes medullary thyroid cancer, pheochromocytoma, and primary hyperparathyroidism. Medullary thyroid cancer and pheochromocytoma are also seen inMEN2B. Nearly all patients with classical MEN2A develop medullary thyroid cancer; fewer patients develop pheochromocytomas or primary hyperparathyroidism. However, pheochromocytomas should be excluded whenever a diagnosis of medullary thyroid cancer is made because pheochromocytomas should be treated first when any intervention is planned. Pancreatic neuroendocrine tumors, pituitary adenomas, and parathyroid hyperplasia are characteristic of MEN 1.
    0 Comments 0 Shares 10122 Views
  • Soleus pushup

    https://youtube.com/shorts/gnHMW2qv8Tk

    #soleus #pushup #muscle #diabetes #bloodsugar #diabetestreatment #doctor #mrcs #diabetes #diabetestelugu #diabetescontrol #diabetesdietinhindi #diabetesreversal #diabetesfoodstoeat #diabetestype2 #diabetesexercise #diabetesmellitus #diabe
    Soleus pushup https://youtube.com/shorts/gnHMW2qv8Tk #soleus #pushup #muscle #diabetes #bloodsugar #diabetestreatment #doctor #mrcs #diabetes #diabetestelugu #diabetescontrol #diabetesdietinhindi #diabetesreversal #diabetesfoodstoeat #diabetestype2 #diabetesexercise #diabetesmellitus #diabe
    0 Comments 0 Shares 58334 Views
  • Vagotomy /Vagus Nerve /Indications /Types /Techniques /Lap vagotomy/Peptic ulcer / Complications

    Please Subscribe to our Channel
    Like ,Share our Videos
    Press Alarm Button


    https://yt6.pics.ee/4nrc3y
    https://youtu.be/lYNWabyEd_4


    like our page on https://lifes1.com/

    https://lifes1.com/pages/no1doctor


    #vagotomy #vagus #vagusnerve #vagusfuehairtransplant
    #ulcers #pepticulcer #peptic
    #bleedingperrectum #rectalbleeding #rectalcancertreatment #rectalcancer
    #rectal #colorectalcancer #bleeding #bleedingsoulpoetry #bleedingink #hollywoodsbleeding #rectalbleeding
    #herniainguinal #inguinalhernia #swelling #andreaswellinger #reduceswelling #groin
    #famous_doctors #topdoctors #no1doctor #harmanns
    #syndrome #shorts #Surgical_problem #lifes1
    #surgery #MCQS #Mrcs #medical_student_exam #Medical_Student_Exam
    #No1doctor #dratef #usmle #frcs #exam #student #lecture
    #ukrian #russia #russian #war #news #trend
    #movie #film #song #doctor #nurse #medical #medical_exam
    #explorer #instagram #twitter #youtube #emergency #good _doctor #magic_doctor
    #apollohospitalshyderabad #herniatreatment #herniadedisco
    #surgery #surgeryonline #surgeryvlog #surgerylectures #surgeryrecovery #surgeryasmr #surgerylife #surgerysimulator #surgerysimulator2 #optheory
    Vagotomy /Vagus Nerve /Indications /Types /Techniques /Lap vagotomy/Peptic ulcer / Complications Please Subscribe to our Channel Like ,Share our Videos Press Alarm Button https://yt6.pics.ee/4nrc3y https://youtu.be/lYNWabyEd_4 like our page on https://lifes1.com/ https://lifes1.com/pages/no1doctor #vagotomy #vagus #vagusnerve #vagusfuehairtransplant #ulcers #pepticulcer #peptic #bleedingperrectum #rectalbleeding #rectalcancertreatment #rectalcancer #rectal #colorectalcancer #bleeding #bleedingsoulpoetry #bleedingink #hollywoodsbleeding #rectalbleeding #herniainguinal #inguinalhernia #swelling #andreaswellinger #reduceswelling #groin #famous_doctors #topdoctors #no1doctor #harmanns #syndrome #shorts #Surgical_problem #lifes1 #surgery #MCQS #Mrcs #medical_student_exam #Medical_Student_Exam #No1doctor #dratef #usmle #frcs #exam #student #lecture #ukrian #russia #russian #war #news #trend #movie #film #song #doctor #nurse #medical #medical_exam #explorer #instagram #twitter #youtube #emergency #good _doctor #magic_doctor #apollohospitalshyderabad #herniatreatment #herniadedisco #surgery #surgeryonline #surgeryvlog #surgerylectures #surgeryrecovery #surgeryasmr #surgerylife #surgerysimulator #surgerysimulator2 #optheory
    YT6.PICS.EE
    Vagotomy /Vagus Nerve /Indications /Types /Techniques /Lap vagotomy/Peptic ulcer / Complications
    #vagotomy #vagus #vagusnerve #vagusfuehairtransplant #ulcers #pepticulcer #peptic #bleedingperrectum #rectalbleeding #rectalcancertreatment #rectalcan
    0 Comments 0 Shares 134143 Views