Creative Doctors ๐Ÿ–ค
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ุ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
is it important to ask a patient about travel history when he presented by dysphgia ุŸand why ?
ุงู„ุฌูˆุงุจ ุญูŠู†ุฒู„ ุจู„ู…ุญุงุถุฑู‡ ุงู„ู‚ุงุฏู…ู‡
ุงุฐุง ุชุญุจูˆู† ุชุดุงุฑูƒูˆู† ุงุฌูˆุจุชูƒู…
โค4
So any one here familiar with cardiac lusoria?
https://youtu.be/-hxxftx_09Y
is it important to ask a patient about travel history when he presented by dysphgia ุŸand why ?
ุงู„ุฌูˆุงุจ ุจู‡ุงูŠ ุงู„ู…ุญุงุถุฑู‡
https://youtu.be/PwO6zhHfyHo

ุณุงู…ุนูŠู† ุฐุจุญุฉ ุจู„ู…ุฑูŠุก๐Ÿ˜…
ู„ุง ฺ†ุฐุจ ุจุณ ู‡ุฐุง ุงู„ู…ูˆุถูˆุน ูƒู„ุด ูŠูˆู‡ู…ูƒ ุจูŠู†ู‡ ูˆุจูŠู† ุงู„ angina ูุฎู„ูŠ ุจุงู„ูƒ ูˆุงุนุฑู ุงู„ูุฑู‚ ุจู‡ุฐุง ุงู„ููŠุฏูŠูˆ
โค1
https://t.me/yas0ay

ุณูˆูŠุช ู‡ุงูŠ ุงู„ู‚ู†ุงุฉ ูˆุญูˆู„ุช ุจูŠู‡ุง ูƒู„ ุงู„ูุฏูŠูˆู‡ุงุช ูˆุงู„ู…ุญุงุถุฑุงุช ุญุชู‰ ูŠุณู‡ู„ ุนู„ูŠูƒู… ุงู„ูˆุตูˆู„ ุงู„ู‡ุง ูˆู…ุง ุชุชุฏุงุฎู„ ูˆูŠ ุงู„ูƒู„ุงู… ุจู„ูƒุฑูˆุจ
ุงู†ุถู…ูˆุง ุจูŠู‡ุง
โค13
ุงู„ูŠ ุดุงู ุงู„ุดุฑุญ ูŠุงุฑูŠุช ูŠู†ุทูŠู†ูŠ ููŠุฏ ุจุงูƒ ูˆุงู‡ู…ุดูŠ ุงุณุชู‚ุจู„ ุงู„ููŠุฏุจุงูƒ ุงู„ุณู„ุจูŠ ูˆูŠูƒูˆู† ุชู‚ูˆูŠู…ูŠ ุฃูŠุถุงู‹ ูˆุจูŠู‡ ุญู„ูˆู„ ูˆุงู„ูŠ ุนุฌุจู‡ ุงู„ุดุฑุญ ู‡ู… ูŠู†ุทูŠ ุฑุฃูŠู‡ ุญุชู‰ ุงุณุชูุงุฏ ู…ู† ุงุฎุทุงุฆูŠ ุงุฐุง ุงูƒูˆ ูˆุงุญุงูˆู„ ุงุญุณู†ู‡ุง ู…ู† ุจุงฺ†ุฑ ๐Ÿ˜…
ุงู„ูŠูˆู… ฺ†ุงู† ุทูˆูŠู„ ูˆู…ุชุนุจ ุจู„ุชุญุถูŠุฑ ูˆุงู„ุชุตูˆูŠุฑ ู„ูƒู† ุงู„ุญู…ุฏุงู„ู„ู‡ ุชู…ุช ุนู„ู‰ ุฎูŠุฑ ุงูˆู„ ู…ูˆุถูˆุน
โค24
In severe acute pancreatitis:
Do not give prophylactic antibiotics, including for patients with sterile necrosis (Strong recommendation).
โค4
extent of pancreatic and peripancreatic changes not directly proportional to severity of organ failure..
โค3
dipstick measurement of urinary trypsinogen-2 levels > 50 ng/mL (50 mcg/L) on admission may have moderate sensitivity but high specificity for diagnosing acute pancreatitis in patients presenting to emergency department with acute abdominal pain
โค3
lactated Ringer's solution may reduce systemic inflammatory response syndrome (SIRS) compared to normal saline in patients with acute pancreatitis
โค6๐Ÿ”ฅ1
treatments reported to be effective in hypertriglyceridemic pancreatitis include IV heparin, insulin, fibrates, and plasmapheresis
โค3
in patients with severe acute pancreatitis, use enteral nutrition rather than parenteral nutrition for prevention of infectious complications; avoid parenteral nutrition unless the enteral route is not available, not tolerated, or not meeting caloric requirements (ACG Strong recommendation, High-quality evidence)
โค3
early enteral nutrition may decrease infectious complications and mortality compared to late enteral nutrition or total parental nutrition in patients with acute pancreatitis
โค4
https://t.me/yas0ay

ุณูˆูŠุช ู‡ุงูŠ ุงู„ู‚ู†ุงุฉ ูˆุญูˆู„ุช ุจูŠู‡ุง ูƒู„ ุงู„ูุฏูŠูˆู‡ุงุช ูˆุงู„ู…ุญุงุถุฑุงุช ุญุชู‰ ูŠุณู‡ู„ ุนู„ูŠูƒู… ุงู„ูˆุตูˆู„ ุงู„ู‡ุง ูˆู…ุง ุชุชุฏุงุฎู„ ูˆูŠ ุงู„ูƒู„ุงู… ุจู„ูƒุฑูˆุจ
ุงู†ุถู…ูˆุง ุจูŠู‡ุง
ู†ุตูŠุญุฉ ุจุณูŠุทู‡ ู„ู„ูŠ ูŠุฑูŠุฏ ูŠู‚ุฑู‡ ุจู„ุนุทู„ุฉ
ู‚ุณู…ู‡ุง :
75% ุฑุงุฌุน ุงู„ูŠ ุงุฎุฐุชู‡ ุจู„ู…ุฑุญู„ุฉ ุงู„ุณุงุจู‚ุฉ
25% ุงู‚ุฑู‡ ุดูŠ ุฌุฏูŠุฏ

ุญุชู„ูˆ ุถุงุจุทู‡ู† ุงุฑุฌุน ุนู„ูŠู‡ู† ุฑุงุฌุน
ุญุชุดูˆู ูุฑู‚ ูƒู„ุด ุฌุจูŠุฑ
โค19๐Ÿ”ฅ4