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أنا بحاجة إلى تلك الأربعين دعوة من غريب ...🥹💜

دعواتكم...🥺💜

‏"لا حياة لمن يظل واقفًا على الضفاف،
خائفًا من الأمواج والأعاصير، الحياة لمن
يتحرك، يُقدِم، يُقبِل، يخوض، يتعثر،
ينهض، يصبر، حتى يظفر أخيرًا."❤️🩺

Feature of severe malaria
schizonts on a blood film
parasitaemia > 2%
hypoglycaemia
acidosis
temperature > 39 °C
severe anaemia
complications as below
Complications
cerebral malaria: seizures, coma
acute renal failure: blackwater fever, secondary to intravascular haemolysis, mechanism unknown
acute respiratory distress syndrome (ARDS)
hypoglycaemia
disseminated intravascular coagulation (DIC)
Naser Salam

Potentially life-threatening conditions presenting as breathlessness


1- Stridor (may be
mistaken for wheeze) :-

Partial obstruction of trachea
or major airway

2- Audible wheeze (one
should listen very carefully, as may be very silent) :-


Severe asthma
Anaphylaxis
Acute bronchitis
Pulmonary oedema

3- Diffuse features:-


Pneumonitis
Widespread pneumonia
Pulmonary oedema


4- Significant asymmetry of
findings in a whole lung
on percussion and/or
auscultation :-


Pneumothorax
Massive pleural effusion
Total lung collapse

5- Focal features of
consolidation :-


Lobar collapse from tumour,
foreign body or mucus plug
Pneumonia

6- No obvious abnormality :-

Pulmonary embolism (hypoxia
often present)
Metabolic acidosis (hypoxia
often absent)

Pulmonary Hamartoma
Cartilage is the most common connective tissue in lung hamartoma.
If you remember the most common benign tumour of lung in adults is pulmonary hamartoma. There are islands of cartilage, fat, smooth muscle, and entrapped respiratory epithelium.
The traditional term hamartoma is retained for this lesion, but it is in fact a clonal neoplasm associated with chromosomal aberrations involving either 6p21 or 12q14-q15.
On radiograph, produce coin lesion.

‏"وعلّقتُ أمالي بحبل قُدرتك وأيقنتُ أنك نعم الوكيل لأمري فَبشّرني"!❤️🥺