Junior in Medicine 🩺
✅Summary Of Important Topics in Medicine 🩺 For Medical Students & Junior Doctors ✅Authored By Ali Habeeb @ali_habeeb22 ✅Joining Link https://t.me/+XTxDxpeC2E44OWZi 🔥👈فهرس القناة بالمنشور المثبت Pinned Post👉🔥
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🔰بتعليقات هذا البوست راح انزل ملفات القناة بالترتيب
▪︎بس نصيحتي اعتمدوا على البوستات المثبتة بالفهرس افضل من الملفات (لان البوست يتم تحديثه بشكل مستمر وتصحيح الأخطاء والنقوصات)
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🔰بتعليقات هذا البوست راح انزل قنوات الملازم مال الكليات
وانتوا هم اذا تعرفون ملازم كاملة مرتبة هم نزلوها لزملائكم
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خطييية عدهم دوام باجر 🐸
اللهم لا شماتة
المهم الموضوع بسيط ترة لا تشيلون هم
🔰عندي فقط ملاحظات بسيطة الكم :
▪︎تقرون على المصادر الرسمية او على ملازم مرتبة وكاملة واساسها المصدر (لان امتحانكم وزاري من المصدر)
▪︎بعد ما تقرون كل مادة ، تجون هنا تراجعون الموضوع على جونير (حتى تستفادون اكثر وتتاكدون خاف فاتكم شي)
▪︎لازم تخلون جدول للمادة النظرية وتقرونها يوم بيومة خلال فترة الروتة (لان ما عدكم وقت ثاني غير الروتة)
▪︎لازم يكون عدكم ملخص للمادة تقرونه بوقت الامتحان (لان مستحيل تلحكون تقرون كلشي اثناء فترات إمتحانات الروتة)
▪︎تحضرون كل ايام العملي وتاخذون هتسري وتسوون فحص وتقرون طبلات شكد ما تكدرون
▪︎والباقي راح يكون سهل وممتع ان شاء الله لا تشيلون هم
▪︎فهرس القناة وكل محتواها مرتب وموجود بالمنشور المثبت
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🔴Junior in Medicine 🩺
▪︎🔥🔥 Joining Link 🔥🔥
▪︎Aim ➡️ Summary Of Important Topics in Medicine For Medical Students & Junior Doctors
🔰Content الفهرس
📍1. Internal Medicine
📍2. Surgery
▪︎General Surgery
▪︎Orthopedic
▪︎Urology
📍3. Pediatric Medicine
📍4. Obstetrics & Gynecology
🔰Sources (Last Edition) المصادر :
📍1. Internal Medicine :
•Davidson
•Step Up
•Medicine in Minutes
📍2. Surgery :
•Bailey's & Love
•Principles Of Surgery
📍3. Pediatrics :
•Nelson (Essential & Textbook)
•Illustrated Textbook Of Pediatrics
📍4. Obstetrics & Gynecology :
•Ten Teacher
•Essentials Of Obstetrics & Gynecology
Junior in Medicine 🩺
✅Summary Of Important Topics in Medicine 🩺 For Medical Students & Junior Doctors ✅Authored By Ali Habeeb @ali_habeeb22 ✅Joining Link
https://t.me/+XTxDxpeC2E44OWZi🔥👈فهرس القناة بالمنشور المثبت Pinned Post👉🔥
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اخر جمعة بحياة الاستاجيرية
اللهم اجعله خيراً
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خلص الاونلاين بخير وسلامة
بقى الاوفلاين ان شاء الله يتساهلون ويانا
ان شاء الله تكونون استفاديتوا
واني هم صراحة تونست وياكم
وتعرفت على بعضكم برغم الصعوبات وضيق الوقت 🐸
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موعد حريتنا اقترب يا ستاجيرية
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🔸B. Delayed Puberty متأخرة
▪︎It's A Condition Of No Development Of The Secondary Sexual Characteristics At Age Of 14 Years (Or No Menstrual Cycle At Age Of 16 Years)
▪︎Central Causes Results in Delayed Puberty & Primary Amenorrhea
▪︎Peripheral Causes Results in Delayed Puberty & Primary Or Secondary Amenorrhea
🔷Causes Of Delayed Puberty
📍1. HypoGonadoTrophic HypoGonadism (Central Causes) Due To :
🔻I. Constitutional Delay :
▪︎Normal Variant Causes Delay in The Initiation Of Puberty Process
▪︎+Ve Family Hx Of Same Condition & Short Stature
🔻II. CNS Lesions (Pituitary Tumours)
🔻III. Kallman Syndrome (Genetic Disorder Results in GnRh Deficiency)
🔻IV. Other Causes :
▪︎Anorexia Nervosa
▪︎Excessive Exercise
▪︎Chronic Illnesses (DM/Renal Failure)
📍2. HyperGonadoTrophic HypoGonadism (Gonadal Failure) Due To :
▪︎Turner Syndrome
▪︎XX Gonadal Dysgenesis
▪︎Premature Ovarian Failure
📍3. NormoGonadoTropic HypoGonadism (End Organ Defects) Due To :
▪︎Uterine Defects
▪︎Imperforated Hymen
▪︎PCOS
▪︎Tumours Secrete Androgen
🔷Mx Of Delayed Puberty
📍1. Determine & Treat The Known Cause
📍2. HRT (Hormonal Replacement Therapy) For Untreatable Causes
📍3. No Tx Needed For Constitutional Delay
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🔴Disorders Of Puberty
▪︎Puberty It's The Process Of Changing A Child Into Adult Through The Development Of Secondary Sexual Characteristics & Reproductive Ability
▪︎Puberty Usually Starts To Develop At Age Of 8-9 Years
🔷Physiological Changes During Puberty
📍1. Hypothalamic Pituitary Axis (HPO) Starts To Function At Age Of 8-9 Years By Producing Pulsations Of GnRH (GonadoTropin-Releasing Hormone)
📍2. Pulsations Of GnRH Starts To Increase Gradually Over Time & Takes About 4-5 Years For Full-Maturation Of HPO (Adult Frequency & Amplitude)
📍3. GnRH Stimulates Anterior Pituitary For Secretion Of LH-FSH Hormones
📍4. LH-FSH Hormones Stimulates Gonads (Ovaries Or Testis) To Start Secretes Their Hormones (Estrogen Or Testosterone)
📍5. Estrogen Or Testosterone Stimulates Body Tissues & Organs To Starts Developing Secondary Sexual Characteristics & Reproductive Ability
📍6. Development Of Female Secondary Sexual Characteristics :
🔻I. Breast Development (Thelarche) :
▪︎1st Physical Sign Of Puberty in Females
▪︎Usually Occurs At Age Of 9-11 Years (2-3 Years Before Menarch)
🔻II. Pubic Hair Development (Adrenarche) :
▪︎Occurs After Breast Development
▪︎Depends On Adrenal Androgens (All Other Characteristics Depend On Ovarian Androgen Except Pubic Hair)
🔻III. Menstrual Cycle Development (Menarche) :
▪︎Usually Occurs At Age Of 9-17 Years (Average At Age Of 12.8)
▪︎Initial Cycle is AnOvulatory & Irregular
▪︎Takes About 5-8 Years For Full Maturation (Or About 3 Years According To Ten-Teacher)
🔻IV. Axillary Hair (Usually Last To Develop)
🔻V. Pubertal Growth Spurt :
▪︎It's The Peaking Of Growth Velocity 6-12m Before Onset Of Menstrual Cycle Then After That Growth Velocity Decline Due To Epiphyseal Closure
▪︎Final Height in Females Usually Reached At 14.5-15 Years Age
🔰Disorders Of Puberty
🔸A. Precocious Puberty مبكرة
▪︎It's The Onset Of Puberty Before 8 Years in Girls (9 Years in Boys)
▪︎High Risk Of Early Bone Epiphyseal Closure & Short Stature
🔷Types Of Precocious Puberty
📍1. True (Central/Cerebral) ➡ Occurs Due To Increase Production Of Pituitary GonadoTrophins (LH/FSH)
📍2. False (Pseudo-Precocious Puberty/Peripheral) :
▪︎Occurs Due To Increase Production Of Sex Hormones (Estrogen & Androgen)
▪︎Results in Iso-Sexual (Early Female Secondary SexualCharacteristics) Or Hetero-Sexual (Early Male Secondary SexualCharacteristics)
📍3. Incomplete ➡ Precocious Development Of Only One Secondary Sexual Characteristic (Like Only Breast Development)
🔷Causes Of Precocious Puberty
📍1. Central Causes :
🔻I. Constitutional (Idiopathic/Central/Primary) :
▪︎Most Common Cause
▪︎Occurs Due To Early Activation Of The Hypothalamic Pituitary Axis (HPO) Due To Unknown Ateiology
🔻II. Secondary To CNS Lesions (Trauma/Tumours/Meningitis/Encephalitis/Abscess/Malformations)
📍2. Peripheral Causes :
▪︎Adrenal Lesions (Hyperplasia/Adenoma/Carcinoma/Cushing's Syndrome)
▪︎Ovarian Lesions (Tumours)
▪︎Any Other Body Tumours Secrete Estrogen Or Stimulate Ovary To Secrete Estrogen
▪︎Juvenile Hypothyroidism (Low Thyroxine Increase FSH Secretion Then GnRh Secretion)
▪︎Iatrogenic Estrogen Intake
▪︎Syndromes (Silver & McCune-Albright Syndromes)
🔷Mx Of Precocious Puberty
▪︎Goal Of Mx is To Stops Puberty Until Enough Height Has Been Achieved
📍1. Determine & Treat The Known Cause :
▪︎Tumour Resection
▪︎Thyroxine For Hypothyroidism
▪︎Estrogen Inhibitors For Mccune-Albright Syndrome (TestoLactone/Tamoxifen/Fluvestrant)
📍2. Tx Of Idiopathic Precocious Puberty (Give One Of These Drugs Until Puberty Age Which is Usually At 12 Years) :
▪︎GnRh Agonist (Best Method)
▪︎MedroxyProgesterone Acetate
▪︎Danazol
▪︎Cyproterone Acetate
📍3. No Tx Needed For Incomplete Precocious Puberty
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