Creative Doctors ๐Ÿ–ค
4.19K subscribers
968 photos
27 videos
358 files
458 links
Med notes ๐ŸŽถ
Download Telegram
Creative Doctors ๐Ÿ–ค
Photo
ู‡ุฐุง ูƒู„ ุงู„ู…ุญุชูˆู‰ ุงู„ู…ุชุนู„ู‚ ุจู„ esophagusโค๏ธ
โค3
ุฏุงุฆู…ุง ูˆุฑู‡ ู…ุง ุงุดุฑุญู„ูƒ ุงู„ู…ูˆุถูˆุน ุงู†ุทูŠูƒ ู…ุจุงุดุฑุฉู‹ ุงู„ูƒูŠุณ ุดู„ูˆู† ูŠุฌูŠูƒ ุจุงู„ุงู…ุชุญุงู† ุจุงู„ุถุจุท ูˆุจู„ู…ุณุชุดูู‰ ุงูŠุถุงู‹ ุงุตุบูŠู„ูƒ ุงู„ู…ูˆุถูˆุน ุจุตูˆุฑู‡ ูƒูŠุณ ูˆุงุจูŠู†ู„ูƒ ุงู„ูุฑูˆู‚ุงุช ู…ุซู„ ู…ุฏู†ุดูˆู ุจุงู„ู…ุญุงุถุฑู‡ ู‡ุงูŠ
โค22๐Ÿ‘3๐Ÿ”ฅ3
ู‚ุจู„ ู„ุง ู†ุจุฏูŠ ุจุงฺ†ุฑ ุจู„ูƒูˆุฑุณ ุงู„ู…ุฌุงู†ูŠ ุฎู„ู†ุญฺ†ูŠ ุดูˆูŠู‡ ุนู† GIT System
ุจุฑุงู†ฺ† ุจุงุทู†ูŠู‡ ุฌุฑุงุญู‡ ู…ุฎู„ุท ุจุญูŠุซ ุงู„ acute abdominal pain ุจุงู„ุงู…ูŠุฑุฌู†ุณูŠ ูŠุชุนุงุฑูƒูˆู† ุนู„ูŠู‡ ุจุณ ุจุงู„ุงุฎูŠุฑ ุงุจูˆ ุงู„ุฌุฑุงุญู‡ ูŠููˆุฒ๐Ÿ˜‚ ุจุณ ุจูŠู‡ ู‡ูˆุงูŠ ุฌุงู†ุจ ุจุงุทู†ูŠ ุจุณ ุงู„ุนู„ุงุฌ ุงุบู„ุจ ุดูŠ ุฌุฑุงุญูŠ ูˆู„ูˆ ู‡ุณู‡ ุตุงุฑ ู‚ู„ูŠู„ ูˆุงุบู„ุจู‡ู… ุตุงุฑ endoscopy ู…ุงุดุงุก ุงู„ู„ู‡ ู‡ูˆุงูŠ ูŠุณูˆูŠ ุดุบู„ุงุช ุŒ ุงู„ู…ู‡ู… ู‡ุฐุง ุจุฑุงู†ฺ† ู„ุทูŠู ูˆุฎููŠู ู…ุงุจูŠู‡ ุชุนู‚ูŠุฏุงุช ู‡ูˆุงูŠู‡ ุŒ ุฒูŠู† ุดู„ูˆู† ุชุฎู„ุท ุจุงุทู†ูŠู‡ ูˆุฌุฑุงุญู‡ ุŒ ู‡ูˆ ุงู„ู…ุฑุถ ู†ูุณู‡ ุชุฑู‡ ู…ุงูƒูˆ ุงุฎุชู„ุงู ุจุณ ุงู„ุฃุฎุชู„ุงู ูŠูƒูˆู† ุจู„ management ู†ุชุทุฑู‚ ู„ู„ุฌุฑุงุญู‡ ูˆุงู„ุนู…ู„ูŠุงุช ูˆุดู†ูˆ ุงู„ indication ู…ุงู„ุชู‡ุง ู‡ูˆ ู‡ุฐุง ุงู„ู…ุทู„ูˆุจ ู…ู†ูƒ ู…ูŠุฑุฏูˆู† ู…ู†ูƒ ุชูุงุตูŠู„ ุงู„ุนู…ู„ูŠู‡ ูˆุดู„ูˆู† ุชุดุชุบู„ ูˆุดู„ูˆู† ุชูุชุญ ุงุจุฏุงู‹ ู…ูŠุฑุฏูˆู† ู‡ูŠุฌ ูˆุงูƒูˆ ู…ูˆุงุถูŠุน ุจูŠู‡ pure surgery ุŒุงู„ู…ุญุงุถุฑุงุช ุชุญุชูˆูŠ ุนู„ู‰ ุฒุจุฏุฉ ุงุบู„ุจ ุงู„ู…ุตุงุฏุฑ ู…ู†
Belly and loves
davidson
MKSAP
amboss
Dynemedix
USMLE STEP 2
MRCP NOTES and NOTES

ุชูุงุตูŠู„ ุฏู‚ูŠู‚ู‡ ุฐุงูƒุฑ ุจูŠู‡ุง ูˆุงูƒูˆ ุดุบู„ุงุช ุฒูˆุฏุชู‡ุง ุชููŠุฏูƒ ุจุญูŠุงุชูƒ ุงู„ุนู…ู„ูŠู‡ ูƒู„ุด ุจุณ ุฒุงูŠุฏุงุช ุนู† ุงู„ูƒู„ูŠุฉ ุงู†ูŠ ุงู†ุจู‡ูƒ ุนู„ูŠู‡ู† ู…ู† ุงูˆุตู„ู‡ู† ูˆู‡ู„ู…ุญุงุถุฑุงุช ุชู†ุงุณุจ ูƒู„ ุงู„ูƒู„ูŠุงุช ูˆุฃูŠ ู†ุธุงู… ู…ูˆุฌูˆุฏ ุญุงู„ูŠุงู‹ ู…ู† ุตู ุฑุงุจุน ูˆุฎุงู…ุณ ูˆุณุงุฏุณ ูˆุงู„ุฎุฑูŠุฌูŠู† ุงู„ูŠ ูŠุฑุฏูˆู† ุฑูุฑุด ู„ู„ู…ุนู„ูˆู…ุงุช ุŒ ุงู„ูƒูˆุฑุณ ู…ุฌุงู†ูŠ ุชู…ุงู…ุงู‹ ุงู„ู…ุญุงุถุฑุงุช ุญุชู†ุฒู„ ุนู„ู‰ ุงู„ูŠูˆุชูŠูˆุจ ูˆุนู„ู‰ ุงู„ุชู„ูŠ ุŒ ูˆู†ุณุฃู„ ุงู„ู„ู‡ ูŠูˆูู‚ู†ุง ูˆู†ุตู†ุน ูุฑู‚ ูˆู„ูˆ ุทููŠู ุจู„ู…ุณุชูˆู‰ .. ุงู†ูŠ ุงุชู…ู†ู‰ ุชุดูˆููˆู† ุงู„ุดุฑุญ ู„ุงู†ู† ู…ุชุฃูƒุฏ ุญูŠุถูŠู ู…ุนู„ูˆู…ุงุช ุฌุฏูŠุฏู‡ ูˆู…ู†ุชุธุฑ ุฑุฃูŠูƒู… ุจู„ู…ุญุงุถุฑุงุช
Stay tuned โค๏ธ
ู‡ุงูŠ ู†ุจุฐู‡ ู…ู† ุงู„ู…ุญุงุถุฑุงุช
ุงู„ูŠุฑูŠุฏ ูŠู†ุถู… ุจู‡ุฐุง ุงู„ูƒุฑูˆุจ

https://t.me/musabyassen
โค28๐Ÿ”ฅ3
upper endoscopy is not required for typical GERD symptoms (ACG Strong recommendation, Moderate-quality evidence), but is recommended in some cases
upper endoscopy may be recommended if
troublesome dysphagia (ACG Strong recommendation, Moderate-quality evidence)
no response to twice-daily PPI (ACG Conditional recommendation, Low-quality evidence)
any alarm symptoms or for screening in patients at high risk for complications (ACG Strong recommendation, Moderate-quality evidence)
patient is refractory to optimized PPI therapy with typical symptoms (ACG Strong recommendation, Moderate-quality evidence)
do not repeat endoscopy in patients without Barrett esophagus in absence of new symptoms (ACG Strong recommendation, Moderate-quality evidence)
๐Ÿ‘2
surgery such as (laparoscopic fundoplication) is a long-term therapy option for GERD (ACG Strong recommendation, High-quality evidence); however, surgery is generally not recommended in patients with no response to PPI therapy (ACG Strong recommendation, High-quality eviden)

ุงู†ุชุจู‡ ูŠุนู†ูŠ ุงู„ู…ูŠุณุชุฌูŠุจูˆู† ู„ู„ PPI ุงู„ surgery ู…ุฑุงุญ ุชููŠุฏู‡ู… ุจุดูŠุก
โค3
treatments not recommended for GERD
medications other than acid suppression, such as prokinetic therapy and baclofen, should not be used for GERD without diagnostic evaluation (ACG Conditional recommendation, Moderate-quality evidence)
there is no role for sucralfate in non-pregnant GERD patients (ACG Conditional recommendation, Moderate-quality evidence)
Helicobacter pylori eradication does not improve or worsen heartburn or GERD (ACG Strong recommendation, Low-quality evidence)

ุงู„ H pylori ุนู…ุฑู‡ุง ู…ุงู„ู‡ุง ุนู„ุงู‚ู‡ ุจู„ GERD
โค3
patients with known osteoporosis can remain on PPI therapy, and concerns for hip fracture and osteoporosis should not affect decision to use long-term PPIs except in patients with other risk factors for hip fracture (
โค2
PPI therapy does not need to be altered in patients taking concomitant clopidogrel (ACG Strong recommendation, High-quality evidence)
โค1
slowly progressive, long-standing dysphagia with history of GERD suggests peptic stricture
short history of dysphagia with rapid progression (weeks or months) and associated weight loss suggestive of esophageal cancer
โค5
ุงู„ุญู…ุฏุงู„ู„ู‡ ุงูˆู„ ููŠุฏูŠูˆ ู†ุฒู„ ุจู…ูˆุถูˆุน ุงู„ GERD ุงู„ุดุฑุญ ุฑุงุญ ูŠูƒูˆู† ุนู„ู‰ ูุฏูŠูˆู‡ุงุช ู‚ุตูŠุฑู‡ ุนู„ู…ูˆุฏ ุงู„ู†ุช ู†ู‚ุทุน ุงู„ู…ุญุงุถุฑู‡ ุงุชู…ู†ู‰ ู…ู†ูƒู… ุชุดูŠุฑูˆู† ุงู„ููŠุฏูŠูˆ ู„ุฃูƒุจุฑ ุนุฏุฏ ู…ู…ูƒู† ุŒ ุงู„ุดุฑุญ ุจู‡ุฐูŠ ุงู„ู…ุญุงุถุฑู‡ ุจุฃุจุณุท ู„ุบู‡ ูˆู…ูู‡ูˆู…ู‡ ู„ู„ุฌู…ูŠุน ูˆุจู„ุชูˆููŠู‚ ูŠุงุฑุจโค๏ธ
โค41๐Ÿ‘4๐Ÿ˜1
ุฎู„ูˆุง ุงู„ู…ุญุงุถุฑู‡ ุนู„ู‰ ุณุฑุนู‡ 1.5 ูŠุตูŠุฑ ุงุญู„ู‰ ุจุนุฏ ูˆู…ุชูˆุงุฒู† ุงู†ูŠ ุฑุงุนูŠุช ู‡ู„ู†ู‚ุทู‡ ู…ุง ุญุฌูŠุช ุจุณุฑุนู‡ ุญุฌูŠุช ุจุดูƒู„ ู…ุชูˆุณุท ุญุชู‰ ู…ู† ุชุฌูŠ ุชุณุฑุน 1.5 ุงู„ุญุฌูŠ ูŠุตูŠุฑ ู…ุชูˆุงุฒู† ูˆู…ุถุจูˆุท
โค23๐Ÿ˜6