Dr.3shry

بسم الله الرحمن الرحيم أول وأهم حاجه أنصح بيها أي حد في بداية تحضيره لستيب تو هي إنك تقرأ الأول وتذاكر كويس قبل الحل، أيا كان مصدر القراءة اللي ترتاح ليه ابدأ وذاكر السستم كامل باطنة وجراحة وأطفال وطوارئ وبعدها روح حل وسستم دماغك من يوورلد وضيف النوتس بتاعتك لمصدر القراءة الأساسي. الطريقة دي هتخلي الفرست ريد تطول منك لكن هتسهل عليك جدا السكند والثيرد وأي حل بنوك أو مراجعات هتعملها بعد كده وكمان هتشوف الفرق كويس جدا وانت في مرحلة ال cms and nbmes.

الحمد لله بفضل من الله وكرمه وببركة الدعاء والصلاة على سيدنا النبي تمت ستيب تو على خير الحمد لله

Channel name was changed to «Dr.3shry»

مساء الفل يا رنجاله كل سنه وانتو طيبين، يتم عودة إلى فيديوهات حل الأسئلة والتجميعات العزيزة اللذيذة😆 انقر هنا لمشاهدة فيديو ممتع مفيد أسطوري مفيش منه اتنين☝️☝️ https://vt.tiktok.com/ZSmPFdxvw/

في رأي الشخصي أقوى مهارة لازم تكون موجودة عند أي حد دلوقتي هي إنه يعرف يقعد مفصول من التليفون أو من المدخلات لدماغه عموماً أي كانت احنا بناكل واحنا بنتفرج على حاجه بنتمشى واحنا بنسمع حاجه راكبين مواصلات واحنا بنسمع حاجه بننام على فيديوهات وحجات شغاله في وداننا وبنصحى أول حاجه ندور عليها هي التليفون التي هنشغل فيه حاجه، ومش قصدي المحتوى الحمصي بس زي الريلز وغيره لا، حتى البودكاست والفيديوهات المفيدة والكتب الصوتية مثلا، كل الفكرة إن الاتصال الدائم ده ضار جدا للدماغ ولقدرته على التركيز والتأمل للأسف يعني لو حد شايف إن كلامي فيه مبالغة هقولك على تجربة بسيطة جدا اعملها على نفسك واحكم انت بعدها، جرب تاخد ساعة واحدة من يومك قاعد هادي مش بتعمل حاجه خالص، قاعد تفكر في شؤونك أو في أي حااجه في الدنيا بس من غير قرآن ولا أغنية شغالة جنبك ومن غير أي حاجه، انت ودماغك بس. وعلشان اللي هيقول انا كده هضيع ساعه من عمري (الواد مقطع السمكه وديلها يعني) هقولك خلي الساعة دي وانت بتعمل حاجه تانية زي مثلا الجيم أو المواصلات أو بتتغدى لوحدك مثلا وشوف هتقدر تقعد من غير حجات داخله لمخك ولا لأ. أنا عن نفسي جربت كذا مره وفشلت ودا جرس الإنذار اللي مخليني بشارك معاكم الكلام ده دلوقتي.. ربنا يتولانا ويهدينا يارب. وياريت تشاركونا تجاربكم وآرائكم في الموضوع ده لأنه شاغلني الفترة دي وشايفه مهم ومأثر علينا كلنا تقريبا

A This patient's development of tremor, psychomotor retardation (bradykinesia), and decreased arm swing shortly after an increase in risperidone dose is suggestive of antipsychotic-induced parkinsonism.   Adding an anticholinergic antiparkinsonian medication when the antipsychotic is working well and there is concern for destabilizing the patient with a dosage reduction or switching to a new antipsychotic (as in this patient). The anticholinergic antiparkinsonian medication benztropine is commonly used.

A 52-year-old woman with a history of schizoaffective disorder, depressive type, is brought to the office by her husband for follow-up.  The patient was hospitalized last month due to worsening auditory hallucinations that were telling her to kill herself. …

A 52-year-old woman with a history of schizoaffective disorder, depressive type, is brought to the office by her husband for follow-up.  The patient was hospitalized last month due to worsening auditory hallucinations that were telling her to kill herself.  She responded to an increased dose of risperidone and was discharged a week later.  The patient reports feeling relieved that the voices telling her to kill herself have gone away since her antipsychotic dose was increased.  Her husband also reports that she is much less agitated since the voices have subsided, but he is concerned that she smiles less and seems slowed down.  He is worried that she is becoming depressed.  On examination the patient is alert, calm, and cooperative.  She has a mild tremor and does not swing her arms when she walks.  Her affect appears sad.  She denies any auditory hallucinations or thoughts of wanting to die.  Which of the following is the most appropriate pharmacological management for this patient's condition?

A 55-year-old man with a history of severe hypertension is admitted to the ICU for management of a hypertensive emergency. He is started on an intravenous antihypertensive infusion. Twelve hours later, the patient becomes disoriented and develops generalized…

A 55-year-old man with a history of severe hypertension is admitted to the ICU for management of a hypertensive emergency. He is started on an intravenous antihypertensive infusion. Twelve hours later, the patient becomes disoriented and develops generalized seizures. His skin appears flushed, and laboratory studies show a markedly elevated serum lactate level. Which of the following best explains this patient’s findings?

A 10-day-old male newborn is brought with 12 hours of weakness, spasms, poor feeding, and difficulty opening his mouth. No fever or illness. Born at home (39 weeks, uncomplicated), mother unvaccinated. His mother reports the baby may have ingested raw honey…

A 10-day-old male newborn is brought with 12 hours of weakness, spasms, poor feeding, and difficulty opening his mouth. No fever or illness. Born at home (39 weeks, uncomplicated), mother unvaccinated. His mother reports the baby may have ingested raw honey 5 days ago. Exam: generalized stiffness, twitching, soft fontanelles. Which organism is most likely?

In this case: Ultrasound shows hypoplastic nasal bone: Indicative of trisomy 21 (Down syndrome). Low α-fetoprotein: Can suggest an increased risk for Down syndrome. Increased β-hCG and inhibin A: highly associated with Down syndrome. So the correct answer is: Single transverse palmar crease 👉Other choices: ⚡Ambiguous external genitalia: Related to disorders of sexual development, such as congenital adrenal hyperplasia. ⚡Microphthalmia: This is seen in conditions like trisomy 13, Patu syndrome. ⚡Extremity lymphedema: More associated with Turner syndrome. ⚡Meningomyelocele is a neural tube defect associated with folic acid deficiency prior to pregnancy. ⚡Clenched fists with overlapping fingers (the index finger over the third finger and the fifth finger over the fourth) are associated with trisomy 18, Edward syndrome.

مهم جدا جدا تكون عارف الإجابة الصح وعارف كل اختيار بيكون موجود مع أي حالة.. جمع إجابتك وهنزلك الملخص بتاعها إن شاء الله

A 45-year-old woman, gravida 3, para 2, at 18 weeks' gestation comes to the physician for a prenatal visit. Ultrasonography at a previous visit when she was at 12 weeks' gestation showed a hypoplastic nasal bone. Pelvic examination shows a uterus consistent…

A 45-year-old woman, gravida 3, para 2, at 18 weeks' gestation comes to the physician for a prenatal visit. Ultrasonography at a previous visit when she was at 12 weeks' gestation showed a hypoplastic nasal bone. Pelvic examination shows a uterus consistent in size with an 18-week gestation. Maternal serum studies show low α-fetoprotein and free estriol concentrations and increased inhibin A and β-hCG concentrations. Physical examination of the infant after delivery is most likely to show which of the following findings?

Isoniazid (INH) needs mycobacterial catalase-peroxidase to get activated. So, if the bacteria reduce or mutate this enzyme, INH won’t work. INH normally blocks mycolic acid synthesis → destroys mycobacterial cell wall. But if activation fails → drug becomes useless. Others Ethambutol: ↑ Arabinosyl transferase Pyrazinamide: Mutated/lost pyrazinamidase Rifampin: Mutation in RNA polymerase Streptomycin: Altered 30S ribosomal protein

A 23-year-old man comes to the emergency department with fever, severe headache, and vomiting.  He has had fatigue, intermittent low-grade fever, and headaches for 2 weeks.  The patient is HIV positive.  He was incarcerated in a county jail for several months…

A 23-year-old man comes to the emergency department with fever, severe headache, and vomiting.  He has had fatigue, intermittent low-grade fever, and headaches for 2 weeks.  The patient is HIV positive.  He was incarcerated in a county jail for several months 3 years ago.  Temperature is 38.6 C (101.5 F).  Neck stiffness is present on physical examination.  CT scan reveals no intracranial lesions.  Cerebrospinal fluid analysis is notable for the following: Glucose24 mg/dL Protein180 mg/dL Leukocytes120/mm3 Cerebrospinal fluid cultures grow Mycobacterium tuberculosis with significantly decreased activity of intracellular catalase-peroxidase.   The isolates would most likely exhibit resistance to which of the following agents?

لسه سامع حتة حكمة ملهاش حل: متمشيش قدام أسد ولا تمشي ورا حمار😆😆😆😆😆😆😆 طبقها على مذاكرة أو شغل أو أي حاجه في حياتك هتلاقيها أصح حاجه😆