SudaMediCa, The Sudanese Medical Community

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I guess the main thing is Public Health rather than infectious, infectious is an important part of public heath (endemic, pandemics, disasters ...etc) "The CDC is the United States' national public health institute and is a founding member of the International Association of National Public Hea...

mmm, well I have no idea but just for the sake of correction: CDC: works to protect public health and safety by providing information to enhance health decisions, and it promotes health through partnerships with state health departments and other organizations. The CDC focus national attention on de...

hi dr kmssa ... we really appreciate the useful info u submit before ... i really have question need clear answer could u help me plz ... my inquire is about that if i had part one mrcp then i come to oman and register for their medical council successfully , after that i work as medical officer in...

Thanks doctor, right answer

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مليون سلام يا شعبنا ومليون حباب الإغتراب يا ابونا.. ما طول الغياب الاغتراب فال البخونك ويزدريك ونحن بين سُونكيهو.. والزنزانه والسجن السميك منك قراب يا شعبنا *** أحرار... وحريتنا فى ايمانا بيك ثوار بنفتح لى الشمس فى ليلنا باب.. لى يوم جديد ابداً جذورك فينا تمتدّ.. وتجيك وبنفتديك وحا نفتديك ما بنرمى ...

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Mortality rate in myxedema coma has historically been as high as 80%. Some data suggest that aggressive management and early recognition have improved the mortality rate to 15-20%. However, a more recent observational study was unable to show significant differences in outcome based on replacement t...

1. Supportive care: treat hypotension with crystalloid, treat hypothermia, support the airway and intubate if needed 2. start IV thyroid hormone as soon as possible up on suspecting the diagnosis (of course after sending the blood tot he lab and after stabilizing life threatening issues) 3. involve ...

D-Dimer now is a primary screening investigation in suspected cases of pulmonary embolism, it is fast, cheap (comparing to radiological alternatives) mmm but it has a problem that it can be false -ve in pregnancy, otherwise, a normal D-Dimer virtually excludes pulmonary embolism (of thrombotic origi...

Bilateral inguinal hernia
Bilateral hydrocele

surgery in both cases

Don't Google that, this should be a thousand $ question.

سجلي في امتحان

وأهم شي تدفعي الرسوم

دا الحل الأفضل

Thalassaemia is a haemoglobinopathy resulting from defective synthesis of globin chains required for haemoglobin synthesis. Each copy of chromosome 16 has two genes for the alpha globin subunit (four in total), and each copy of chromosome 11 has one gene for the beta subunit (two in total). Adult ha...

Pickwickian syndrome is the combination of severe obesity, a plethoric face and obstructive sleep apnoea causing hypoxia and hypercapnia resulting in marked daytime somnolence. It is named after the ‘fat and red-faced boy in a state of somnolency’ as described in the novel The Pickwick Papers by Cha...

combination of Parkinsonism and chronic liver disease in a young person is highly suggestive of Wilson’s disease, also known as hepatolenticular degeneration. This is a rare, autosomal recessive disorder of copper metabolism. There is failure of copper excretion in bile, resulting in its accumulatio...

In short: Recently updated guidelines on blood pressure tend to recommend starting therapy with either an ACE inhibitor or calcium antagonist, with calcium antagonists probably more effective as initial therapy in afro-caribbean patients due to racial differences in renin levels. An ACE inhibitor or...

A 64-year-old type 2 diabetes patient presents for review. She has poor blood glucose control and is taking maximal doses of metformin and gliclazide. You elect to substitute insulin glargine for her gliclazide.

The mode of action of fibrates is to enhance lipoprotein lipase activity, increase low-density lipoprotein (LDL) receptor-mediated clearance of LDL and increase high-density lipoprotein (HDL) synthesis. This leads to a corresponding fall in triglycerides due to a fall in very low-density lipoprotein...

The INR conveys the synthetic function of the liver and is the most accurate marker for severity of liver damage. Poor prognostic signs, and thus indications for transfer to a liver unit include: INR > 2 within 48 hours INR > 3.5 within 72 hours Signs of encephalopathy Creatinine > 300 μmol/l (studi...

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Dose-dependent unwanted effects of carbamazepine include diplopia, nystagmus, ataxia and hyponatraemia. Hepatotoxicity, peripheral neuropathy (and, rarely, bone marrow depression) can occur.

عن ابن عمر أن رجلا جاء إلى النبي صلى الله عليه وسلم فقال: يا رسول الله أي الناس أحب إلى الله؟ وأي الأعمال أحب إلى الله عز وجل، فقال رسول الله صلى الله عليه وسلم : أحب الناس إلى الله أنفعهم للناس ، وأحب الأعمال إلى الله سرور تدخله على مسلم أو تكشف عنه كربة أو تقضي عنه ديناً أو تطرد عنه جوعاً، ولأن أ...

Asslamu Alikom All I noticed that I am the only one who puts photos in the photo gallery, it is a very useful tool, we need to build a good library of photos, it is kind of studying and amusement at the same time, watch and learn I hereby request all my colleagues to start uploading photos and I als...

The combination of

optic neuropathy,
proptosis,
chemosis,
Horner's syndrome,
ophthalmoplegia
involvement of the first branch of the trigeminal nerve.

carbimazole side effect case.pdf

Carbimazole Information Sheet.pdf

Myxoedema coma is a rare but very important to diagnose medical emergency. The clues toward this diagnosis are 'Yellowish hue' (referring to carotinaemia) Obesity Bradycardia Hypothermia Coma. This could easily be in case of chronic hypothyroidism that can be precipitated by an acute infection

There are four main types of thyroid cancer (in order of frequency): 1. Papillary 2. Follicular 3. Medullary 4. Anaplastic Follicular thyroid carcinoma (FTC) is a well-differentiated tumour. In fact, FTC resembles the normal microscopic pattern of the thyroid. FTC originates in follicular cells and ...

Hepatic Encephalopathy.pdf

CONGRATS OUR DOCTORS I AM REALLY HAPPY FOR BOTH OF YOU, YOU DESERVE IT, YOU REALLY BROUGHT THIS SITE TO THE TOP ... GO >>> WE ARE WAITING FOR MORE

Thanks for the administration

I requested the admins to make a new hisopathology section for the slides in the gallery, the response was very quick

NOW, THE LIBRARY CONTAINS MORE THAN 100 SLIDES & MORE IS COMING

CHECK IT HERE: Histology Section

There are numerous predictors of increased severity and risk of death from community acquired pneumonia including white cell count < 4 or > 20, co-morbidity such as renal disease, multi-lobar involvement on CXR and temperature < 35°C or > 40°C

CURB-65 criteria of severe pneumonia • Confusion (abbreviated mental test score < 8/10) • Urea > 7 mmol/L • Respiratory rate = 30 / min • BP: systolic < 90 or diastolic < 60 mmHg • age > 65 years The risk of death at 30 days increases as the score increases: 0—0.6% 1—3.2% 2—13.0% 3—17.0% 4—41.5% 5—5...

Associated clinical signs that accompany aortic regurgitation include: Wide pulse pressure Decrescendo early diastolic murmur (heard best while the patient is leaning forward on deep expiration) Austin-Flint murmur (caused by the regurgitant flow causing vibration of the mitral apparatus) Pulsus bi...

ok, What is this?

yes, this is a typical picture of papilledema seen on Fundoscopy

the other answer is is also perfectly right

No, wrong answer

Thanks for trying ... can we hear something else?

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إختار الله صباح الأثنين الخامس من ديسمبر 2011 إلى جواره مهيرة ابنة الدكتور هاني أبوالقاسم محمد

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[/align] اللهم يا مالك الملك إنا نسألك أن تجعلها شفيعة لوالديها يوم القيامة
اللهم الهم والديها الصبر والثبات واليقين
إنا لله وإنا له لراجعون

Treatment Approach 1. Myositis and cytopenias: The patient was placed on methylprednisolone 12 mg twice daily. This lowish dose was chosen initially because of the bowel disorder and my concern about infection. After 1 week on this dose, muscle weakness and tenderness, muscle enzyme tests, and edema...

My Diagnosis I believe this patient has an autoimmune disorder manifested by muscle weakness due to myositis, pancytopenia due to bone marrow necrosis and autoimmunity, leg edema due to inflammation-related capillary leak and myositis, and probable intestinal dysmotility. Note that I make this diagn...

My Evaluation When I saw the patient I was impressed by her normal vital signs, stable weight, marked abdominal distension with mild direct tenderness, muscle tenderness in the thighs and calves, 4+/5 strength in the legs and arms, mild edema to the mid calves (she notes that her legs swell as the d...

From Medscape Rheumatology > Rheumatology Curbside Consult Swelling, Pain, and Pancytopenia: An Elusive Diagnosis Stephen Paget, MD [hr] A 26-year-old woman presents for an evaluation and better definition of a 3-year history of progressive abdominal pain and distension, fatigue, pancytopenia, leg s...

common guys, this is a great chance, don't miss it !

I agree with

نضيف خانة جديدة في فورم التسجيل للموقع يذكر فيه العضو الجديد من قام بدعوته
العضو الذي عن طريقه انضم أكبر عدد من الأعضاء الجدد المفعلين يكون هو الفائز

Thanks friends, it’s quite amazing fact, I really realized the spelling mistakes after reading half of the paragraph. Regarding IELTS, I gave the test twice, I scored 8.5 and 8 in Reading tests. I worked by ignoring the articles (not reading them at all) http://www.sudamedica.com/images/goldboxsmile...

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