Dr. Sarah Deeb
‫تسكيرة العين و القذى التهاب بكتيري‬gentamycin ‫ مرات باليوم و هو بيعدي‬3 ‫قطرة‬
.
* Supplement is primary prophylaxis .
* Irons : 1. ‫تعطيه مع عصير برتقال او ليمون حتى يحسن االمتصاص و النه نقط‬
.‫مباشرة طعمه متيلك و كمان بيعمل مشاكل في االسنان‬
‫ قبل االكل بساعتين الزم‬.2empty stomach.
3. Alarm mother it cause black tarry stool and constipation.
* prophylaxis 1-2mg/kg/day
According to american society from 4 month for full term and from 2
month for preterm.
.‫ شهور للفل‬6 ‫في غزة من‬
To 30 month ‫يستمر الى‬
* Theraputic dose is 3-6 mg/kg/day
Follow up 2 week (14d)
*Hb increase 1 g per 14 days.
*First lab that become better is reticulocytosis after 1 week.
* Theraputic dose continue after completion or hb return to normal 3
month to restor iron store.
*Anemia in children : Hb below 11mg/dl
* Iron ‫موجود على شكل‬drops
‫كل‬drops 1 ‫يحتوي‬mg 10 ‫يعني لو وزن الطفل‬kg 10 ‫فبدو‬mg iron per day
.‫ نقط‬10 ‫يعني‬
* First line Tx of pediculosis is permethrin 1%
‫‪Scabies : permethrin 5% .‬‬
‫)‪Adol(vitamin a and d‬‬
‫‪vitamin A‬كل نقطة ‪500‬‬
‫‪200 vitamin d‬‬
‫احنا من الوالدة لسنة بنعطي نقطتين ‪.‬‬
‫و بعد السنه ل ‪ 5‬سنين بنعطي ‪ 3‬نقط‪.‬‬
‫‪Dr. Ibrahim‬‬
‫نقطة واحدة من الوالدة لسنه ‪* D- dance V.D 400IU‬‬
‫بطل االدول يستخدموه‬
‫مع التطعيمات بيكفي فش حاجه لالدول ‪Vitamin A 2m 6 m‬‬
‫بعد نص ساعة )‪* Insulin : rapid acting(lispro, aspartat, glunisine‬‬
‫بيشتغل بعد ‪ 5‬د ‪Short: regular‬‬
‫بعد ساعه )‪Intermediate (NPH‬‬
‫بعد ساعة و نص )‪Long acting( glargine, detemir‬‬
‫‪Insulin bolus= ,5× kg‬‬
‫فمثال وزنه ‪ ٦٠‬فاحتاج انسولين ‪٣٠‬‬
‫‪short‬و ‪nph ١٥‬هذه ‪١٥ ٣٠‬‬
‫قبل االكل ب‪٣٠‬د ‪Short‬‬
‫بعد العشا ‪Nph‬‬
‫)‪nph‬تلتين ‪rapid+‬تلت (‪Mixtard‬‬
‫مختلف بين االثنين وكمان ‪ph‬النه ‪long acting with rapid‬ممنوع امزج بين‬
‫باالضافات‪long .‬بينما ال ‪amino acid‬بال ‪rapid‬مختلفين ال ‪genetic engineering‬‬
‫‪rapid .‬االقالم بيستخدمو ال‬
ACEI MOA:
S/E
Captopril side effect.Angiedema ( bradykinin)
Teratogencity:
glomeruli.
‫بيمنع‬programmed apoptosis bw finger, renal
Metallic taste.
‫استخدامات‬ACEI: CHF, post mi (remodling), diabetic nephropathy.
CCB ( nondi, dihydro)
Nemodipine(selective ccb ) for subarchonide hemorrage.
Labetolo alpha and betablocker.
Methyldopa cause autoimmune hemolytic anemia.
Hydralazine cause drug induce sle.
The best drug for htn emergency :na nitroprusside S/E: cyanide
piosing
*Sub lingual nitroglycerine instruction : ‫الزم علبة سودا و تاكد من تاريخ‬
‫و اتاكد من صالحيتها بال‬. ‫الصالحية و و تفتح و تسكرها بسرعه‬burning sensation
.
‫كل ال‬diuretic ‫ممنوعه بال‬gout. ‫الوحيد اللي بقدر استخدمو‬nitilic acid.
For osteoporosis use in htn and thiazide.
Diclofene: ‫بياتر على‬cox , ‫و بتسيب ال‬leukotriene. So it contraindicated in
asthma.
While steroid ‫بيشتغل على‬leukotrienes indicated in asthma.
SABA: tremor, tachycardia, tolerance, hypokalemia.
Most common for metz in lung is suprarenal gland.
Metz from breast to bone is osteolytic while prostat to bone is
osteoblastic.
R.A. dont causd back pain , it cause atlantoaxial joint . ‫ليش؟ النه الوحيد‬
‫في ال‬spinal cord that contain c shaped synovium.
Small cel carcinoma( SIADH, calcitonin cause hypocalcemia , ACTH
cushing).
Cushing cause hypokalemia
Sq cell carcinoma cause hypercalcemia becouse pth like peptide.
Most specific tumor for asbestosis is mesothelioma.
Most common tumor for asbestosis is lung cancer.
Adenocarcinoma ‫ماله عالقة بال‬smoking.
Sq and small cell is highly related to smoking.
* Metformin uses (DM, PCKD, non alcholic fatty liver).Efficacy 1-2%
‫احسن واحد في‬antidiabetic drug.
‫مباح في‬pregnancy 1‫بعد ال‬st trimester . ‫عادي‬
MOA: 1)increase insulin sensivity , 2) inhibit gluconeogenesis.
* Sulfonylurea: glibenclamide()‫دوانين‬
Gliburide (amryl) max 8 mg
S/E : hypoglycemia( ,‫س‬٢٤ ‫لو صارت باخليه عندي‬allergy ).
‫بيعمل‬secondary pharmacological fauilre ‫بيصير المريض بعد عشر سنين ما‬
.‫يستجيب عليه‬
‫* الكورونا ال تنتقل عن طري الفم النه‬enveloped virus.
* The most common cause of uti in school age aged is pinworm.
* Metabolised of macilide in liver so side effect of macrolide is
cholestatic jaundice.
* Mebendazole(vermix) for pinworm.
Vermix with flagyl cause exofoliative dermatitis.so contraindicated
give with each other.
‫ال يمكن يصير‬flagyl resistance.
‫ابراهيم في صبحة‬.‫د‬
* Pigophagia , becouse iron very important for brain.
*Most common site of iron reabsorption: duodenum.
‫كيف افرق ال‬thalasemmia from IDA?*
Highly reduced mcv and low hb :thalasemia
While mild reduced in iron deficency anemia
*Hb A2 increase thalasemia
*Transferrin bind to irons its serum iron
*Transferrin sarut: acute phase reactant.
*Neutrophil hypersegmented: megalocystic macrocytic.blood film
*Cause of non megaloplastic macrocystic
‫كيف افرق ال‬primary and secondary polycythemia*
Erythropoitin increse in secondary
All parameter in cbc increse in primary.
*Myeloproliferative disease groub .
*Lyphoproliferatice(M.M, Hairy cell leuk, b cell lymphoma) ‫كلهم فوق‬
‫ سنه‬60‫ال‬
*Why corona not transmitted by mouth?
Envelop ‫ال يمكن ينتقل عن طريق الفم النه يتكسر بال‬HCL.corona is enveloped.
*Most common site of transmitted herpes from mother in baby is
temporal.
*EBV Live in b lymphocyte cause absolute lymphocytosis in blood film
atypical cell(t cell ‫يهاجم‬b cell).
*Nasophryngeal carcinoma, burkitl ymphoma in children locate in
mandible in europ adult iliocecal abdominal, hodgkin lymphoma.
* CMV screening befor bybass becouse they found it cause multiple
restenosis.
* Herpes simplex cause kaposi sarcom.
Hep C dont have vaccine becouse kwasy phenomena ‫بيتغير من حين‬
.‫الخر‬
*Sign of ddh : gluteal fold
Limited of abduction ( .)‫لمن باعمل ما بتوصل الرجلين لالرض‬
Test
*R.F of ddh (3 f female first born family hx ), other association ,
multuple gestation, breach(most risk factor increase 2-3 fold),
oligohydroamnious.
* Polymyalgia rhematica:
ESR. ‫اي اشي بيصير في عينيك حتروح للطوارئ عشان ال‬giant cell arteritis.