Відео

Good cases and wonderful disscusion.

Good Discussion

حفظكم الله وبارك فيكم.

This is the group link

chat.whatsapp.com/F47pGrEi0g91gsBKm3iTtY

Thanks Dr Basim .. can you please add me to your what's up group?? ❤

Mrs Sophia Alix 65 years Known case of COPD admitted as COPD exacerbation was very sick on admission, was Unconscious and signed as DNAR, Son was agreed for the plan however; Now her condition is better regained fully consciousness. Task to sit with her, tell her about DNAR decision to continue or not, she’s Refusing ABG also. To explain her the importance of ABG and adress all concerns

Mrs Solly Adam 23 During her duty she sustained needle stick injury from HIV positive pt, she is extremely anxious, please speak to her and address her concerns You the SHO in the ward

Mrs marry 70 y Case of ESRD on dialysis for 3 y bed ridden admitted from nursing home drowsy, difficult to breath pt wish in AD if confused don't do dialysis if u stop dialysis pt will die Talk to her son MR john

Is this kind of cases like acute presentation of SVC obstruction can come in real exam ?

Mr John is 56 years old. Presented with persistent dyspnoea. Seen by consultant and work up done and diagnosed as extensive mesothelioma. He is a shipyard and still working. The consultant decided to refer him to an oncologist to consider chemotherapy, radiotherapy or conservative management (palliative). He is stable now; However, he is concerned regarding his condition Task: Update him regarding the unfortunate diagnosis, discuss the management plan and address his concerns.

You are the medical doctor on-call. Please read this summary and then continue with the consultation. Re: Mr Thomas Jenkins, aged 43 Mr Jenkins is a man with type 1 diabetes mellitus who was admitted under your consultant's care yesterday with pneumonia, poorly controlled blood sugars and confusion. As a consequence of his confusion, he has physically assaulted one nurse and verbally abused another on the ward about 30 min ago. The security staff are with him at the moment trying to calm the situation. However, the senior sister (Sister James) wants to talk to you about the situation. She wants him removed from the hospital and threatens to call the police. Your tasks are to: discuss the situation with Sister James, acquire full details o what has happened and discuss how to manage the situation.

Diabetic session ( DSF diabetic septic foot & Hypoglycemia Unawareness )

HOCM session ( Counseling and Procedure ICD )

Postmortem session ( Coroner Vs Postmortem examination )

3 scenarios

Headache dull aching in nature with signs of increased ICP associated with progressive loss of vision Along with memory changes, behavioral changes With constitutional symptoms ( loss of weight and appetite ) On Examination You might have Decreased visual acuity, by fundoscopy you might find optic atrophy in one eye and papilledema in the other eye Strong suspicion of Foster kennedy syndrome as a SOL

Great content, as always! Just a quick off-topic question: I have a SafePal wallet with USDT, and I have the seed phrase. (alarm fetch churn bridge exercise tape speak race clerk couch crater letter). What's the best way to send them to Binance?

Drugs causing impotence I think Bb diuretics Cachb

It’s against welfare dr Basim to ask about other partner in married Middle East lady even in a British exam, especially dr Dina didn’t excuse before asking such Q

2nd scenario Young female with acute onset 3 days jaundice Along with abdominal pain mainly in the right hypochondrium and generalized distension +ve Hx. Of miscarriages And OCPs intake

1st scenario Young male with with Hx. Of chronic diarrhea for 3 months Non flushable, large amount, not related to food, awakening him from sleep +ve dehydration signs dry skin, thirsty and symptoms dizziness Hx. Of recurrence chest infection with frequent course of ABXs No travel Hx. No family Hx.

Scenario 1 You are SHO in nephrology clinic Mr. Adams, 67 years of age has been in your care for the last 3 years. He was diagnosed with End Stage Renal failure and is undergoing haemodialysis for three years. He is currently visiting the hospital twice a week. He is known hypertensive and diabetic and is undergoing regular follow up for his medical condition to the medical clinics. Recently his diabetes and hypertension has worsened. On the last visit your consultant suspected that he might be having ischemic heart disease and suggested a cardiology opinion. Today he had another dialysis session and after the session he asked the nurse that he wants to talk to the duty doctor. Nurse told you that Mr. Adams seems depressed and is waiting for you in the room. Your task is to talk with Mr. Adams and address his concerns. You are not supposed to take history and examine the patient. III

Scenario 2 Steven Johnson syndrome: Role: DR. in the medical ward. Mrs. Ann 35yrs lady She had normal SVD of a healthy son, diagnosed to have Group B streptococcal based on isolation from vaginal swab. So to prevent child getting infection during delivery and as part of standard treatment she was given Penicillin IV, on the 3rd day the mother reacted with rashes on the face and body and on the 5th day she was diagnosed to have SJS with multiple organ insufficiency involving the Kidney and the Liver (deranged LFT, RFT). Now she become confused requires ventilator for breathing, the team decided to shift her to ICU for possible Intubation. Task: speak to her husband explain the diagnosis, plan for management and plan to shift her to ITU and possible intubation

2nd scenario Young male presented with fatigue and dizziness specially when standing from sitting position Patient had TB before on anti TB non compliantly On examination patient is having dark hand creases along with pigmentation inside the mouth, +ve postural hypotension So the diagnosis possibly TB adrenalitis, adrenal insufficiency

1st scenario young female presented with Acute headache which occurred 3 days after CS After analysis and screening for the possible causes of acute headache Found the headache worse with standing or upright position And improving with lying flat or recumbent position Finally the cause is post spinal anesthesia, lumbar puncture

If possible dr basim can you the scenarios in the first comment thank you

Great effort Dr basim, thank you alot it is really helpful videos, God bless you

Thanks ,great advice and comments

Did you pass dr Basim ? Where was your centre ?

Sequence of hormone replacement in Panhypopituitarism 1. Glucocorticoids 2. Thyroid hormone 3. Sex steroids 4. Growth hormone

In first case

Please do comment in English

Safe alcohols in Celiac disease?

Trying to share it Already Shared to the WhatsApp group

Where is the picture of rash in second LCC?

ربنا يوفقك وينجحك د باسم يارب thanks for sharing your exam experience with us I have qustion about timig was it enough for talking and examination of patient ? also was patient cooperative? thanks very much wish you success

How to tell surrogate about Lymph node enlargement or involvement

Nice session by you. May you succeed in your exam. Please continue the sessions

بالتوفيق يارب العالمين ناجح ب أذن الله 🎉

Wishing you success in your paces exam and happiness in your future ❤

Done

Medication Immediate antithrombotic therapy: REF patients with TIA or minor ischaemic stroke should be given antiplatelet therapy provided there is neither a contraindication nor a high risk of bleeding for patients within 24 hours of onset of TIA or minor ischaemic stroke and with a low risk of bleeding, the following DAPT regimes should be considered: clopidogrel (initial dose 300 mg followed by 75 mg od) + aspirin (initial dose 300 mg followed by 75 mg od for 21 days) followed by monotherapy with clopidogrel 75 mg od ticagrelor + clopidogrel is an alternative if not appropriate for DAPT: clopidogrel 300 mg loading dose followed by 75 mg od should be given proton pump inhibitor therapy should be considered for DAPT

Should we tell about side effects of medication in this consultation?

Excellent work

Angioedema 1- Hereditary if family hx. ( AD ) 2- Allergic if triggered by allergens exposure 3- Drug induced: ACEIs exposure even up to 10 yrs 4- Idiopathic if all above ruled out Allergic Angioedema Mast cell tryptase will be high Hereditary C1 Inhibitors will be low Allergic prophylactic Epipen Wait for 6 hrs As the the 2nd phase anaphylactic happens after 4 hrs In acute hereditary Angioedema ttt C1 inhibitors concentrate Bradykinin B2 receptor antagonist FFP if not present For prophylactic hereditary Angioedema If male Danazole If female Tranexamic acid

Excellent

Good learning cases

دكتور باسم قناتك ممتازه جدا والاستمراريه وطريقه مناقشتكم لكل case

The 2nd scenario will be clarified at the end