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Encorate 200 MG Tablet is an anticonvulsant medication that is used alone or in combination with other medicines for the treatment of certain types of epilepsies, a brain disorder characterized by uncontrolled jerking movements and loss of consciousness. It is also used in the treatment of mania which is a mental disorder characterized by hyperactivity and racing thoughts. This medicine is used to prevent migraine headaches characterized by severe headache, eye pain, nausea, and vomiting.

The active ingredient Sodium valproate in Encorate can affect the synthesis and metabolism of a naturally occurring amino acid that acts as a transmission inhibitor. neurotransmitter called Gamma aminobutyric acid (abbreviated as GABA), thereby inhibiting the activity of this amino acid.
What is the difference between valproic acid and sodium valproate?

Sodium valproate is a white crystalline powder with a very slight characteristic odor of valproic acid. Valproic acid is 2-propylpentanoic acid. It is also known as n-dipropylacetic acid, 2-propylvaleric acid, DPA, and by many slight variations of the particular nomenclature.
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Traverse Myelitis
Types of pylorplasty

* Heineke-Mikulicz pyloroplasty involves a longitudinal incision across the pylorus that is closed transversely; this is the most commonly performed pyloroplasty

* Jaboulay pyloroplasty involves a side-to-side gastroduodenostomy without a pylorus incision (ie, the pylorus remains intact)

* Finney pyloroplasty also involves a side-to-side gastroduodenostomy but with a pylorus incision (ie, the pylorus is divided)
🎈#Note :

Therapeutic options for cirrhotic portal hypertension:

Carvedilol, a unique type of NSBB that displays additional α1 adrenergic effects, has the capacity to:

✔️ enhance nitric oxide release

✔️and therefore has both extrahepatic and intrahepatic effects.
Forwarded from Med Fire (Dr.abdulrhman faisal)
🔹Medical Mnemonics


Mnemonic to assess for risk factors for OSA(Obstructive sleep apnea):

🫥 STOP - BANG

🕸 Snore
🕸 Tired
🕸 Observed apnea
🕸 high-blood Pressure

BMI >35
Age >50
Neck circumference >40
Gender Male.
What drug causes maculopapular rash ?

beta-lactam antibiotics (penicillins, cephalosporins), sulfonamides, allopurinol, anti-epileptic drugs and nonsteroidal anti-inflammatory drugs (NSAID).
Pt. With refractory hypokalemia what is your next step ..?
Anonymous Quiz
6%
Give another KCL
8%
Start spironalactone
67%
Check Mg
20%
asses aldesterone and renin ratio
Heroin addict want to start a program to eliminate the addiction, which drug would you choose?
Anonymous Quiz
51%
Naloxone
35%
Methadone
10%
Tramadol
4%
Steroids
Which of the following drugs increase the survival in a patient with heart failure ?beta
Anonymous Quiz
52%
Beta blocker.
6%
Nitrites.
16%
Digoxin
26%
ACE inhibitors
Pt with hx of IHD with no fever , low CO , low wedge pressure and normal RT ventricular pressure .
What's the type of shock ?
Anonymous Quiz
41%
Hypovolemic
11%
Anaphylactic
44%
Cardiogenic
4%
Septic
Pt. Post RTA with multiple facial laceration & O2 sat 80%, best airway ..?
Anonymous Quiz
39%
Cricothyrotomy
28%
Surgical tracheostomy
19%
Orotracheal tube
15%
Nasotracheal tube
55 year old diabetic female patient has to do elective cholecystectomy but she had an episode of myocardial infarction 6 weeks ago. What is the most proper course of action in this case?
Anonymous Quiz
20%
Observation
7%
Open Cholecystectomy In Same Admission
19%
Laparoscopic Cholecystectomy
54%
Laparoscopic Cholecystectomy In 6 Months
female patient presented complaining of a sudden urge to void, frequent voidings during the day and getting up to void more than once per night. She diagnosed as urge urinary incontinence. Which of the following considers the most appropriate management?
Anonymous Quiz
62%
Oxybutynin and Kegel exercises
9%
Oxybutynin
26%
Kegel exercises
3%
Vaginalcones
Female did lap chole, 7d later she has abd pain very high total & direct bili. Imaging showed sub hepatic biloma 10cm ..
Anonymous Quiz
9%
Conservative
27%
MRCP
27%
Open drainage
37%
CT guided drainage
Which of these is an indication for home oxygen therapy in COPD?
Anonymous Quiz
24%
1 readings of Po2<6.3
42%
2 readings of Po2 <7.3
17%
1 reading of Po2 <8
17%
1 reading of Po2 <7.8pka
An elderly patient in ICU has bed sores with exposed necrotic skin and subcutaneous tissue. What is
your management?
Anonymous Quiz
11%
-Debridement with a skin graft
37%
-Debridement with assisted vacuum
42%
-Debridement & Dressing with secondary closure
10%
-Debridement with primary closure
Trauma patient with a wound on his thigh subcutaneous fat is lost vasculature underneath is exposed what provides the best management?
Anonymous Quiz
17%
Debridement with primary closure
15%
Primary repair
44%
Debridement with secondary graft
24%
Debridement with vacuum-assisted closure
2024/05/31 18:54:45
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