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A 50 year old female with a history of severe multiple sclerosis was recently diagnosed ESRD. The patient is alert and has expressed a wish for "Do Not Resuscitate" (DNR). A recent lab result shows a potassium level of 6. What is the appropriate action?
Anonymous Quiz
30%
Dialysis is possible after reversal of DNR
8%
Dialysis cannot be done because of DNR
56%
Ignore the patient's wishes and proceed with dialysis
6%
Take consent from her family
โค17๐Ÿ”ฅ10๐Ÿ‘8๐Ÿฅฐ1
๐Ÿ‘13
A pregnant woman at 42 weeks gestation is admitted to delivery, and her pregnancy has been uncomplicated. Fetal heart rate monitoring shows a baseline of 130/min with absent variability. The patient is informed of the need for an emergency cesarean delivery due to significant risk for fetal asphyxia and death. However she refuses to undergo cesarean delivery stating that she fully understands the risks but continues to insist on vaginal delivery. What is the most appropriate next step?

A. Respect the patient's decision and proceed with vaginal delivery
B. Proceed with emergency cesarean delivery because the fetal rights are more important than the patient's autonomy
C. Proceed with emergency cesarean delivery because there is evidence of fetal distress
D. Seek a court order forcing the mother to undergo emergency cesarean delivery

Answer: A

It is not allowed to force a patient or his relatives to give informed consent if the patient has refused with full capacity. This is deemed as a violation of the properly informed consent regulations. - Saudi guidelines for informed consent page 15
๐Ÿ‘28โค4๐Ÿ”ฅ1
A girl with depression symptoms and suicidal attempts is advised by her doctor to be admitted, but she becomes very angry about the suggestion. What ethical principle supports the doctor's decision to want to admit the patient?
Anonymous Quiz
4%
Justice
76%
Beneficence
5%
Privacy
15%
Non-maleficence
๐Ÿ‘19๐ŸŒ5โšก4โค3
During a surgical preparation, a nurse noticed that something was not properly sterilized. The nurse immediately said, "Stop now; it was not properly sterilized." What type of communication was used?
Anonymous Quiz
6%
Check back
36%
Call out
52%
Critical language
7%
Closed loop communication
๐Ÿ˜ข26๐Ÿค”24๐ŸŒ16โค15๐Ÿ‘9๐Ÿ”ฅ4๐Ÿ˜ฑ3๐ŸŒญ2๐Ÿ˜2๐Ÿ‘1
A 12-year-old boy diagnosed with end-stage cancer, with metastases to the femur and backbone. The doctor has accepted a "do not resuscitate" (DNR) order. What is your management to help at this stage?
Anonymous Quiz
5%
Inotropic support
6%
Mechanical ventilation support
77%
Morphine
12%
Nothing to do
๐Ÿ‘15โค9๐Ÿ˜ข6๐ŸŒ3๐Ÿพ1
SMLE Brain pinned ยซู…ุณุงุก ุงู„ุฎูŠุฑุฑ ๐Ÿ‘€ ูƒูŠู ุงุญูˆุงู„ูƒู…ุŸ ุดูƒุฑุงู‹ ู„ูƒู„ ุงู„ู„ูŠ ูƒุชุจูˆ ู„ูŠ ููŠุฏุจุงูƒ ุนู† ุงู„ุชุทุจูŠู‚ ูˆุงู„ุญู…ุฏู„ู„ู‡ ุงู†ู‡ ุงุนุฌุจูƒู… ูˆู…ุณุชููŠุฏูŠู† ู…ู†ู‡ โœจโœŠูˆุงู„ุญู…ุฏู„ู„ู‡ ุงู„ุงู† ุฌุงู‡ุฒ ุน ุงู„ุงู†ุฏุฑูˆูŠุฏ ๐Ÿค SMLE Brain app on Android: https://play.google.com/store/apps/details?id=com.ahmeddilli.smlebrain SMLE Brain appโ€ฆยป
SMLE Brain pinned ยซู…ุณุงุก ุงู„ุฎูŠุฑ ๐Ÿ‘€๐ŸŒ… ููŠู‡ ูƒู… ู†ู‚ุทุฉ ุงุจูŠ ุงูˆุถุญ ู„ูƒู… ุงูŠุงู‡ุง ุจุฎุตูˆุต ุงู„ุชุทุจูŠู‚: ๐ŸŒŸ๐Ÿง  ุงู„ุงุดุชุฑุงูƒ: ุงู†ุง ุญุงุท ู„ูƒู… ูุชุฑุชูŠู† ุงู…ุง ุชูƒูˆู† ุดู‡ุฑุŒ ุงูˆ 3 ุดู‡ูˆุฑุŒ ุจุญูŠุซ ุงู†ู‡ ุงุฐุง ุจุชุดุชุฑูƒ ู…ุซู„ุงู‹ ุดู‡ุฑ ูŠูƒูˆู† ู…ุชุงุญ ู„ูƒ ุชุชุตูุญ ูˆุชุญู„ ุฌู…ูŠูŠุน ุงุณุฆู„ุฉ ุงู„ุดู‡ูˆุฑ ุงู„ู„ูŠ ู…ูˆุฌูˆุฏู‡ ุจุงู„ุชุทุจูŠู‚ ูƒุงู…ู„ุฉ ุฎู„ุงู„ ู…ุฏุฉ ุงุดุชุฑุงูƒูƒ. ๐Ÿ’ซ๐Ÿง  ุงู„ุชุทุจูŠู‚ ุญุงู„ูŠุงู‹โ€ฆยป
SMLE Brain pinned a video
SMLE Brain pinned ยซุจู…ุง ุงู†ู‡ ูƒุซูŠุฑ ู…ู†ูƒู… ู…ู‚ุฑุฑ ุน ุงู„ุดู‡ุฑ ุงู„ู„ูŠ ุจูŠุฎุชุจุฑ ููŠู‡ุŒ ุจุจู„ุบูƒู… ุนู† (ุจูˆุช ูŠุจุญุซ ู„ูƒ ุนู† ุงู„ู…ูˆุนุฏ ุงู„ู„ูŠ ุชุจูŠ ุชุฎุชุจุฑ ููŠู‡ ูˆูŠู†ุจู‡ูƒ ุจุฃุชุตุงู„๐Ÿค–): ูƒู„ ุงู„ู„ูŠ ุนู„ูŠูƒ ุงู†ูƒ ุชุนุทูŠู‡ ุงู„ุชุงุฑูŠุฎ ุงู„ู„ูŠ ุชุจูŠู‡ ูˆุงู„ู…ู†ุทู‚ุฉ ุงู„ู„ูŠ ุชู†ุงุณุจูƒ! ูˆุชุฑูŠุญ ุจุงู„ูƒุŒ ู…ุฌุฑุฏ ูŠูุชุญ ุงู„ู…ูˆุนุฏ ุจุงู„ู…ูˆู‚ุน ุน ุทูˆู„ ุจูŠูˆุตู„ูƒ ุงุชุตุงู„ ู…ู†ู‡ู… ุงูƒุซุฑ ู…ู† ู…ุฑุฉ ุนุดุงู†โ€ฆยป
ูˆุนู„ูŠูƒู… ุงู„ุณู„ุงู…ุŒ ุนููˆุงู‹ ูˆุงู„ุญู…ุฏู„ู„ู‡ ุงู†ู‡ ู†ุงู„ ุฑุถุงูƒู… ูˆ ู…ุณุชููŠุฏูŠู† ู…ู†ู‡โœจ
ูก- ุจุงู„ู†ุณุจุฉ ู„ู„ subspecialtyุŒ ุงูŠูˆุง ู…ูˆุฒุนุฉ ู…ู‚ุณู…ุฉ ุน ูƒู„ ุดูŠ.

ูข- ุงู„ุชุทุจูŠู‚ ุงุฐุง ูƒู†ุช ุจู†ูุณ ุงู„ุฌู„ุณุฉ ุจูŠุญุฐู ุงู„ู…ูƒุฑุฑุŒ ู„ูƒู† ุงุฐุง ุชุจูŠ ุงู„ุชูƒุฑุงุฑ ุงูƒุซุฑ ู…ู† ู…ุฑุฉ ููŠ ุทุฑูŠู‚ุฉ ุงู†ูƒ ุชุณูˆูŠ ุฌู„ุณุฉ ูˆุชุณู…ูŠู‡ุง ู…ุซู„ุงู‹ April Quiz ูˆุชุญุท ููŠู‡ุง ูู‚ุท ุงุณุฆู„ุฉ April ูˆุจุนุฏ ู…ุงุชุฎู„ุต ุงู„ุฌู„ุณุฉ ู‡ุฐูŠ ุชุถุบุท ุน Finish Quiz ุถุฑูˆุฑูŠ ุนุดุงู† ูŠู†ุญูุธ.

ูˆ ุชุจุฏุฃ ุฌู„ุณุฉ ุฌุฏูŠุฏุฉ ุชูƒูˆู† May ู„ูƒู† ุจุงู„ูู„ุชุฑ ุงู„ู„ูŠ ุชุญุช ุงู†ุช ุญุฏุฏ ุงู†ู‡ ูŠูƒูˆู† All Questions ูˆ ุจูƒุฐุง ูŠุทู„ุน ู„ูƒ ุงูŠ ุณุคุงู„ ูƒุงู† ู…ูƒุฑุฑ ุจ April.
โค6๐Ÿ”ฅ2๐ŸŒญ2๐Ÿ‘1
ุงู…ูŠูŠู† ูˆ ุงูŠุงูƒู… ูŠุงุฑุจ ๐Ÿ™ุŒ ุจุฃุฐู† ุงู„ู„ู‡ ุฌูˆู† ุฎู„ุงู„ ุงู„ูŠูˆู…ูŠู† ู‡ุฐูŠ ุฑุงุญ ูŠูƒูˆู† ุฌุงู‡ุฒ ููŠ ุงู„ุชุทุจูŠู‚.
๐ŸŽ‰7โค5๐ŸŒญ2๐Ÿฅฐ1
ุงู„ุณุคุงู„ ู‡ุฐุง ุชูƒุฑุฑ ูˆู‚ู„ุช ุงุฐูƒุฑูƒู… ุจุงู„ู…ูŠุฒุฉ ุงู„ู„ูŠ ุฐูƒุฑุชู‡ุง ุงูˆู„ุŒ ุงู†ุง ููƒุฑุชูŠ ู„ู…ุง ุฎุทุทุช ู„ู„ุชุทุจูŠู‚ ูƒู†ุช ุญุฑูŠุต ุฌุฏุงู‹ ุน ุงู†ู‡ ูŠูƒูˆู† ู…ู† ุงูุถู„ ุงู„ุทุฑู‚ "ู„ู„ู…ุฐุงูƒุฑุฉ" ุงูƒุซุฑุฑ ู…ู† ุงู†ู‡ ุชุทุจูŠู‚ ุชุญู„ ููŠู‡ ุงุณุฆู„ุฉ ูˆุชุญูุธ ุงุฌูˆุจุฉ ุฌุงู‡ุฒุฉ ุจุฏูˆู† ุฌู‡ุฏ ุจุณูŠุท ู…ู†ูƒ. ูˆุงู„ุญู…ุฏู„ู„ู‡ ุตู…ู…ุชู‡ ุจู†ูุณูŠ ูˆุชุฑุฌู…ุชู‡ ุน ู‡ุฐุง ุงู„ุงุณุงุณุŒุน ุณุจูŠู„ ุงู„ู…ุซุงู„: ุฎุงุตูŠุฉ ุชุบูŠูŠุฑ ุงุฌุงุจุฉ ุงู„ุณุคุงู„ุŒ ุงุญูŠุงู†ุงู‹ ูˆู‚ู„ูŠู„ ุฌุฏุงู‹ ุชูˆุงุฌู‡ ุงุณุฆู„ุฉ ุนู„ูŠู‡ุง debate ููŠ ุงู„ุฅุฌุงุจุฉุ›ู„ูƒุซุฑุฉ ุงู„ุงุฑุงุก ูˆุงู„ู…ุฑุงุฌุน ุงู„ู…ุฎุชู„ูุฉุŒูˆุงู†ุช ู…ุซู„ุงู‹ ุชู…ูŠู„ ู…ุน ุงุฌุงุจุฉ ู…ุนูŠู†ุฉ ู„ูู‡ู…ูƒ ุงู„ุฎุงุต.ูˆุจุงู„ุชุงู„ูŠ ุชู‚ุฏุฑ ุจุณู‡ูˆู„ุฉ ุฎู„ุงู„ ุญู„ูƒ ุงู†ูƒ ุชุบูŠุฑ ุงู„ุงุฌุงุจุฉ ุงู„ู…ูˆุฌูˆุฏุฉ ูˆุชู†ุญูุธ ุน ุญุณุงุจูƒ ุจุงู„ุชุทุจูŠู‚ุŒ ุจุญูŠุซ ุงู†ู‡ ุฎุงุต ููŠ ู…ูุงู‡ูŠู…ูƒ ูˆู…ู„ุงุญุธุงุชูƒ.

ุฎุชุงู…ุงู‹ุŒ ุงู„ุงุฌุงุจุงุช ุงู„ู…ูˆุฌูˆุฏุฉ ุจุงู„ุชุทุจูŠู‚ ู‡ูŠ ู…ู† ุงู„ู…ุตุงุฏุฑ ุงู„ุฃุณุงุณูŠุฉ ุงู„ู…ูˆุซูˆู‚ุฉ ูˆุงู„ู…ุนุชู…ุฏุฉ ู„ู„ุญู„ :

-UpToDate.
-Schwartz and Washington manual of surgery.
-ACOG and Williams Obstetrics.
-SMLE Brain Channel ๐ŸซกโœŒ๐Ÿป
โค21๐Ÿ‘7๐Ÿค”3๐Ÿ‘2๐Ÿฅฐ1๐Ÿ˜ข1๐Ÿฅด1๐ŸŒญ1
A 45-year-old female patient requires a CABG operation after unsuccessful thrombolytic therapy and PCI. She is currently unconscious, and her husband is out of the city. What is the most appropriate course of action regarding obtaining consent?
Anonymous Quiz
4%
Wait for the husband to return
72%
Take consent by phone from the husband
12%
Let him choose a local guardian until he arrives
12%
Obtain court order to treat patient
๐Ÿ‘17โค11๐Ÿคจ5๐Ÿฅฐ2๐Ÿณ2๐Ÿ”ฅ1๐ŸŒญ1
ุงู„ุณู„ุงู… ุนู„ูŠูƒู…ุŒ ุงุณุนุฏ ุงู„ู„ู‡ ู…ุณุงุฆูƒู… ุจูƒู„ ุฎูŠุฑุฑ โœจ

๐Ÿ“ ( ุดู‡ุฑ ูŠูˆู†ูŠูˆ- 6) ุงู„ุงู† ู…ุชุงุญ ุจุงู„ุชุทุจูŠู‚ ๐Ÿ”ฅ
๐Ÿ“ (ุดู‡ุฑ ูŠูˆู„ูŠูˆ-7) ู‚ุฑูŠุจุงู‹ ุจุฅุฐู† ุงู„ู„ู‡ ๐Ÿ˜‰๐Ÿ”ฅ

๐Ÿ“ุญุงู„ูŠุงู‹ ุงู„ุชุทุจูŠู‚ ุดุงู…ู„ ุฌู…ูŠุน ุงู„ุงุณุฆู„ุฉ ู…ู† (ุดู‡ุฑ 1) ุงู„ู‰ ู†ู‡ุงูŠุฉ (ุดู‡ุฑ 6 / 2023)ุŒ ุงู„ุงุดุชุฑุงูƒ ูŠุดู…ู„ ุฌู…ูŠุน ุงู„ุดู‡ูˆุฑ ุงู„ู…ุชูˆูุฑุฉ ููŠ ุงู„ุชุทุจูŠู‚ ๐Ÿ”ฅ

ุงู„ู…ุดุชุฑูƒูŠู† ู…ู† ุฃูˆู„ ุชู„ู‚ุงุฆูŠ ุงู„ุงู† ุงู†ุฑูุน ุนู†ุฏูƒู…๐ŸŽ‰๐Ÿ”ฅ
๐Ÿ”ฅ16โค1
SMLE Brain pinned ยซุงู„ุณู„ุงู… ุนู„ูŠูƒู…ุŒ ุงุณุนุฏ ุงู„ู„ู‡ ู…ุณุงุฆูƒู… ุจูƒู„ ุฎูŠุฑุฑ โœจ ๐Ÿ“ ( ุดู‡ุฑ ูŠูˆู†ูŠูˆ- 6) ุงู„ุงู† ู…ุชุงุญ ุจุงู„ุชุทุจูŠู‚ ๐Ÿ”ฅ ๐Ÿ“ (ุดู‡ุฑ ูŠูˆู„ูŠูˆ-7) ู‚ุฑูŠุจุงู‹ ุจุฅุฐู† ุงู„ู„ู‡ ๐Ÿ˜‰๐Ÿ”ฅ ๐Ÿ“ุญุงู„ูŠุงู‹ ุงู„ุชุทุจูŠู‚ ุดุงู…ู„ ุฌู…ูŠุน ุงู„ุงุณุฆู„ุฉ ู…ู† (ุดู‡ุฑ 1) ุงู„ู‰ ู†ู‡ุงูŠุฉ (ุดู‡ุฑ 6 / 2023)ุŒ ุงู„ุงุดุชุฑุงูƒ ูŠุดู…ู„ ุฌู…ูŠุน ุงู„ุดู‡ูˆุฑ ุงู„ู…ุชูˆูุฑุฉ ููŠ ุงู„ุชุทุจูŠู‚ ๐Ÿ”ฅ ุงู„ู…ุดุชุฑูƒูŠู†โ€ฆยป
ุงูŠูˆุง ุงู„ุชุฑุชูŠุจ ุจุงู„ุฃุดู‡ุฑ ุจุญูŠุซ ูƒู„ ุดู‡ุฑ ููŠู‡ ุงุณุฆู„ุชู‡ุŒ ุงุฐุง ุจุฏูŠุช ูƒูˆูŠุฒ ูˆุงุฎุชุฑุช ุดู‡ุฑ April ุญุฏุฏ ุจุงู„ูู„ุชุฑ ุงู†ู‡ All Questions ูˆุงุฐุง ุฎู„ุตุชู‡ุง ุงุญูุธู‡ุง. ูˆุจู†ูุณ ุงู„ุทุฑูŠู‚ู‡ ู„ุฃูŠ ุดู‡ุฑ ุซุงู†ูŠ ุชุณูˆูŠู‡.
ูƒุฐุง ุญุชู‰ ู„ูˆ ุงู„ุณุคุงู„ ู…ุชูƒุฑุฑ ุจุงู„ุดู‡ุฑูŠู† ุจูŠุทู„ุน ู„ูƒ ุจูƒู„ ุดู‡ุฑ ๐Ÿ‘
๐Ÿ‘7โค4
ุงู„ู„ู‡ ูŠุนุงููŠูƒ ๐Ÿ™ ุงู„ุชุทุจูŠู‚ ุงุณุฆู„ุฉ ูˆุงุฌูˆุจุฉ ูู‚ุทุŒ ู„ูƒู† ุชู‚ุฏุฑ ุชุถูŠู ู„ู†ูุณูƒ Explanation ุจุงู„ู†ูˆุช ูˆุชุญูุธู‡ุง
โค5๐Ÿ‘2๐Ÿฅฐ2๐Ÿค”1
ูˆุนู„ูŠูƒู… ุงู„ุณู„ุงู…ุŒ ุงูŠูˆุง ู‡ูˆ ุงุฌุชู‡ุงุฏ ูƒุจูŠุฑ ุจุญูŠุซ ุฌู…ูŠุน ุงู„ุฃุดู‡ุฑ ุงู„ู…ูˆุฌูˆุฏุฉ ุจุงู„ุชุทุจูŠู‚ ุชุญุตู„ูˆู†ู‡ุง ุดุงู…ู„ุฉ ูˆูƒุงู…ู„ุฉ ู…ู† ุฌู…ูŠุน ุงู„ู‚ู†ูˆุงุช.
ุงู„ู„ูŠ ุนู„ูŠูƒ ุจุณ ุดู‡ุฑ ุงุฎุชุจุงุฑูƒ ุชุดูˆูู‡ ู…ู† ุงู„ู‚ู†ูˆุงุช ุนุดุงู† ุชูƒูˆู† ุญุตุฑูŠ ูˆุฌุงู‡ุฒ ุงูˆู„ ุจุฃูˆู„
๐Ÿ”ฅ9
ู…ุณุงุก ุงู„ุฎูŠุฑ ุฌู…ูŠุนุงู‹ โœจ
๐Ÿ›‘ ููŠู‡ ุงุณุฆู„ุฉ ุชูˆุตู„ู†ูŠ ุจุงู„ููˆุฑู… ุนู† ุงู„ุชุทุจูŠู‚ ูˆูƒูŠููŠุฉ ุงู„ุงุดุชุฑุงูƒ ูˆุงู„ุฃุดู‡ุฑ.

ุดูŠูƒูˆ ุน ุงู„ุฑุณุงูŠู„ ุงู„ู…ุซุจุชุฉ ุจุงู„ู‚ู†ุงุฉ ุจุชุญุตู„ูˆู† ูƒู„ ุงู„ุงุฌุงุจุงุช ู„ุงุณุชูุณุงุฑุงุชูƒู… ๐Ÿ›‘
โค5๐Ÿ‘2