๐
Bemorda bir necha yฤฑl davomida oshqozon sohasida g'alati hislar, jig'ildon qaynashi, qayt qilish, Dejavyu va Jamevyu bezovta qilib kelgan.
Bemor bir necha bor gastroenterologga ko'rigiga borib,shikoyatlari sababli davo muolajasini olgan, ammo samara bermagan.
Chakka bo'lagi automatik va visseral sezgiga javob berganligi uchun bemorda oshqozon tomonidan shikoyatlar kelib chiqqan.
MRT: chap chakka oldingi sohasida kista va uni bosib turipti.
๐ทDavolash
1] Neyroxirurgik kistani olib tashlash
2] -/+Anticonvulsant
@firstaidstep1
Chakka bo'lagi epilepsiya
Qiziq holat
Bemorda bir necha yฤฑl davomida oshqozon sohasida g'alati hislar, jig'ildon qaynashi, qayt qilish, Dejavyu va Jamevyu bezovta qilib kelgan.
Bemor bir necha bor gastroenterologga ko'rigiga borib,shikoyatlari sababli davo muolajasini olgan, ammo samara bermagan.
Chakka bo'lagi automatik va visseral sezgiga javob berganligi uchun bemorda oshqozon tomonidan shikoyatlar kelib chiqqan.
MRT: chap chakka oldingi sohasida kista va uni bosib turipti.
๐ทDavolash
1] Neyroxirurgik kistani olib tashlash
2] -/+Anticonvulsant
@firstaidstep1
๐8๐1
๐MS-Multiple Sclerosis(Tarqoq Skleroz
)
Autoimmun oligodentrositlarning zararlanishi- markaziy nerv sistemasida myelining demyelinizatsiyasi.
Klinikasi:
๐ Optik nevrit(ko'rish pasayishi va og'riq)
๐ Intranuclear oftalmoplegia(MLF zararlanishi hisobiga)
๐ Siydik pufagi disfunsiyasi
Boshqa simptomlar
๐ฐ Ataksiya
๐ฐ Diplopia
๐ฐ Scanning speech
๐ฐ Intension tremor
๐ฐ Orqa miya sindromi(elektrik shok sezgisi, issiqda kuchayadi)
๐ Diagnoz
๐ฉป MRT- periventrikulyar plaklar
๐ฉธ Serebrospinal suyuqlikda yuqori protein va oligoclonal bandlar
๐Davolash
Interferonlar( avoneks, rebif, betaseron)
Natilizumab
Steroidlar
Va symptomatic davo
๐ @firstaidstep1
๐4โก1๐1
#dermatology
๐ Acne vulgaris
Ko'pincha o'smirlik davrida uchraydi, kattalarda ham uchrashi mumkin.
Patogenezi
โ๏ธ Sebum ishlab chiqarilishi oshishi(androgenic effect)
โ๏ธ Follicular giperkeratoz(teshik yopilib qoladi)
โ๏ธ Cutibacterium acnes ko'payishi
โ๏ธ Yallig'lanish reaksiyasi
๐Davolash
๐ Tetracycline or erythromycin
๐ Benzoyl perokxide(o'zimizda klintopik nomi bilan chiqadi)
๐ Retinoic kislota kremlari yoki vitamin A tabletkasi
@firstaidstep1
๐ Acne vulgaris
Yog' bezlari va soch follikulari surunkali yalligโlanishi kasalligi.
Ko'pincha o'smirlik davrida uchraydi, kattalarda ham uchrashi mumkin.
Patogenezi
โ๏ธ Sebum ishlab chiqarilishi oshishi(androgenic effect)
โ๏ธ Follicular giperkeratoz(teshik yopilib qoladi)
โ๏ธ Cutibacterium acnes ko'payishi
โ๏ธ Yallig'lanish reaksiyasi
๐Davolash
๐ Tetracycline or erythromycin
๐ Benzoyl perokxide(o'zimizda klintopik nomi bilan chiqadi)
๐ Retinoic kislota kremlari yoki vitamin A tabletkasi
@firstaidstep1
๐5โก1๐1
๐ Mesial temporal Sclerosis(gippocampal scleroz)
Focal va ikkilamchi generalizatsiyalashgan tutqanoqlarning aniqlanmagan etialogiyasi
@firstaidstep1
Focal va ikkilamchi generalizatsiyalashgan tutqanoqlarning aniqlanmagan etialogiyasi
@firstaidstep1
๐4๐1
๐ Bacillary angiomatosis
๐ก Klinikasi
๐ Qizil yoki binafsha papula/nodular
๐ Tez o'sadi
๐ Oson qonaydi
๐ bir nechta o'choq bo'lishi mumkin
๐ Davolash
Antibiotiklar va birlamchi kasallikka kurashish
@firstaidstep1
Immunitet pasaygan odamlarda(OIV/OITS) bartonella bakteriyalaro sababli rivojlanadi, qon tomirli proliferativ teri kasalligi.
๐ก Klinikasi
๐ Qizil yoki binafsha papula/nodular
๐ Tez o'sadi
๐ Oson qonaydi
๐ bir nechta o'choq bo'lishi mumkin
๐ Davolash
Antibiotiklar va birlamchi kasallikka kurashish
@firstaidstep1
๐7๐1
๐ Glomus tumor
๐ก Klinikasi
๐ Qizil-ko'k tumor
๐ Og'riqli, ayniqsa bosganda
๐ Sovuqqa sezuvchanlik yuqori
@firstaidstep1
Glomus tanachalardan kelib chiqadigan, odatda yaxshi sifatli(benign) perivaskular o'sma. Glomus tanachalar termoregulyatsiyada ishtirok etuvchi arteriovenoz anastomozlar hisoblanadi. Tirnoq osti sohasida yuzaga keladi.
๐ก Klinikasi
๐ Qizil-ko'k tumor
๐ Og'riqli, ayniqsa bosganda
๐ Sovuqqa sezuvchanlik yuqori
@firstaidstep1
๐4โก1๐1๐ค1
๐ Normal bosh aylanasi
Rasmda grafikasi keltirilgan. Moslab hisoblaysizlar oyma-oy yil-yosh bo'yicha
๐ Bolalarda
๐ Qizlarda
๐งฎ O'lchash texnikasi
Ensa-peshona aylana uzunligi inobatga olinadi, ya'ni bola boshining eng katta aylana o'lchami...
O'lchov lentasi:
Oldinda: glabella-qoshlar orasidagi eng chiqib turgan nuqta
Orqada- ensaning eng chiqib turgan nuqtasi
Orqali aylantiriladi.
Klinik ahamiyati:
Agar ensa-peshona aylanasi oshgan bo'lsa macrosefaliya; masalan, gidrosefaliya, megalesefaliya
Agar kamaygan bo'lsa, microsefaliya
@firstaidstep1
Rasmda grafikasi keltirilgan. Moslab hisoblaysizlar oyma-oy yil-yosh bo'yicha
๐ Bolalarda
๐ Qizlarda
๐งฎ O'lchash texnikasi
Ensa-peshona aylana uzunligi inobatga olinadi, ya'ni bola boshining eng katta aylana o'lchami...
O'lchov lentasi:
Oldinda: glabella-qoshlar orasidagi eng chiqib turgan nuqta
Orqada- ensaning eng chiqib turgan nuqtasi
Orqali aylantiriladi.
Klinik ahamiyati:
Agar ensa-peshona aylanasi oshgan bo'lsa macrosefaliya; masalan, gidrosefaliya, megalesefaliya
Agar kamaygan bo'lsa, microsefaliya
@firstaidstep1
๐6๐1
๐ Tenia capitis- Bosh terisi temiratkisi
๐กKlinikasi:
๐ Bosh terisida qichishish va qiliqli dog'lar
๐ Soch sinishi va kal dog'i hosil bo'lishi
๐ Terining qizarishi yoki kulrang tusga kirishi
๐ Og'ir holatda yiringli, og'riqli shishlar(kerion) paydo bo'lishi
๐Davolash:
๐งฟTerbinafin yoki kloritromazol mazlarini surtish
๐งฟKetokanazolli shampunlarda bosh yuvish
๐งฟVitaminoterapiya
๐งฟUmumiy immunitetni ko'tarish
@firstaidstep1
Bosh terisi va soch follikulalari zambrug'li infeksiyasi.
๐กKlinikasi:
๐ Bosh terisida qichishish va qiliqli dog'lar
๐ Soch sinishi va kal dog'i hosil bo'lishi
๐ Terining qizarishi yoki kulrang tusga kirishi
๐ Og'ir holatda yiringli, og'riqli shishlar(kerion) paydo bo'lishi
๐Davolash:
๐งฟTerbinafin yoki kloritromazol mazlarini surtish
๐งฟKetokanazolli shampunlarda bosh yuvish
๐งฟVitaminoterapiya
๐งฟUmumiy immunitetni ko'tarish
@firstaidstep1
๐5โก1๐1
Forwarded from Terapiya UZ
๐USMLE STEP1 bo'yicha biochemistry barcha mavzulari tahlili.
๐ฃ Steptaker: #jon_sharipov
1] Yog'da va suvda eriydigan vitaminlar. Umumiy ma'lumot
2] Vitaminlar qo'shimcha qilish. Vitamin A
3] Vitamin Bยน va Bยฒ
4] Vitamin Bยณ
5] Vitamin Bโต Bโถ Bโท
6] Vitamin Bโน
7] Vitamin Bยนยฒ
8] Vitamin C
9] Vitamin va mineral absorption
10] Vitamin D
11] Vitamin E, K va Sink
12] KWASHIORKOR and MARASMUS
13] Ethanol metabolism Part 1
14] Ethanol metabolism Part 2
15] Enzyme terminology
16] Enzymes in metabolism
17] Glycolysis
18] Gluconeogenesis
19] Transports| Important enzymes
20] Regulation glycolysis and Gluconeogenesis with key enzymes
21] Piruvat dehydrogenase complex and deficiency
22] Pyruvate metabolism
23] TCA cycle(Krebs sikli)
24] Electron transport chain and oxidative phosphorilation
25] Pentose phosphate pathway
26] Glucose-6-phosphate dehydrogenase deficiency
27] Disorder o Fructose metabolism
28] Disorder of Galactose metabolism
29] Sorbitol
30] Lactase deficiency
31] Amino Acids
32] Urea cycle(mochevina sikli)
33] Hyperammonemia
34] Amino Acids derivatives| Catecholamine Synthesis| Tyrosine catabolism
35] Phenylketonuria
36] Maple syrup urine disease
37] Homocystinuria
38] Cystinuria and Organic acidemias
39] Glycogen metabolism by hormones and enzymes
40] Glycogen storage diseases Part 1
41] Glycogen storage diseases Part 2
42] Lysosomal storage diseases
43] Fatty acid metabolism| Yog' kislota metabolizmi
44] Ketone bodies
45] BILIRUBIN METABOLIZMI
46] Fasting and Fed state| Ochlik va To'qlik holati
47] Lipoprotein metabolism Part 1
Kanalga obuna boโling๐
@firstaidstep1
๐ฃ Steptaker: #jon_sharipov
1] Yog'da va suvda eriydigan vitaminlar. Umumiy ma'lumot
2] Vitaminlar qo'shimcha qilish. Vitamin A
3] Vitamin Bยน va Bยฒ
4] Vitamin Bยณ
5] Vitamin Bโต Bโถ Bโท
6] Vitamin Bโน
7] Vitamin Bยนยฒ
8] Vitamin C
9] Vitamin va mineral absorption
10] Vitamin D
11] Vitamin E, K va Sink
12] KWASHIORKOR and MARASMUS
13] Ethanol metabolism Part 1
14] Ethanol metabolism Part 2
15] Enzyme terminology
16] Enzymes in metabolism
17] Glycolysis
18] Gluconeogenesis
19] Transports| Important enzymes
20] Regulation glycolysis and Gluconeogenesis with key enzymes
21] Piruvat dehydrogenase complex and deficiency
22] Pyruvate metabolism
23] TCA cycle(Krebs sikli)
24] Electron transport chain and oxidative phosphorilation
25] Pentose phosphate pathway
26] Glucose-6-phosphate dehydrogenase deficiency
27] Disorder o Fructose metabolism
28] Disorder of Galactose metabolism
29] Sorbitol
30] Lactase deficiency
31] Amino Acids
32] Urea cycle(mochevina sikli)
33] Hyperammonemia
34] Amino Acids derivatives| Catecholamine Synthesis| Tyrosine catabolism
35] Phenylketonuria
36] Maple syrup urine disease
37] Homocystinuria
38] Cystinuria and Organic acidemias
39] Glycogen metabolism by hormones and enzymes
40] Glycogen storage diseases Part 1
41] Glycogen storage diseases Part 2
42] Lysosomal storage diseases
43] Fatty acid metabolism| Yog' kislota metabolizmi
44] Ketone bodies
45] BILIRUBIN METABOLIZMI
46] Fasting and Fed state| Ochlik va To'qlik holati
47] Lipoprotein metabolism Part 1
Kanalga obuna boโling๐
@firstaidstep1
Telegram
Terapiya UZ
#VITAMINLAR โ๏ธ
๐ฐFat soluble
๐ฐWater soluble
Yog'da va suvda eruvchan vitaminlar...
#jon_sharipov
Do'stlaringizni taklif qiling:
@firstaidstep1
๐ฐFat soluble
๐ฐWater soluble
Yog'da va suvda eruvchan vitaminlar...
#jon_sharipov
Do'stlaringizni taklif qiling:
@firstaidstep1
๐5๐1
๐ Lemierra syndrome
lardan keyin yuzaga keladi.
๐ฆ Fusobacterium necrophorum bakteriyasi bilan bog'liq
๐ Davolash
Intravenoz antibiotiklar(klindamitsin, beta laktam/beta laktamaza ingibitorlari)
๐ชJarrohlik
@firstaidstep1
Bu orofaringeal infeksiya(og'iz-halqum) internal vena tromboflebitiga va keyinchalik septik emboliyaga sabab bo'ladigan holat.๐
Angina
๐ Tonzilit
๐ Faringitlardan keyin yuzaga keladi.
๐ฆ Fusobacterium necrophorum bakteriyasi bilan bog'liq
๐ Davolash
Intravenoz antibiotiklar(klindamitsin, beta laktam/beta laktamaza ingibitorlari)
๐ชJarrohlik
@firstaidstep1
๐6โก1๐ฅ1๐1