Dr.Alrowili

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معلومه عالماشي كلمة insulin فيها اثنين in - الاولى تدخل الجلوكز الى الخليه - الثانيه تدخل البوتاسيوم الى الخليه عشان كذا يستخدم الانسولين في علاج ارتفاع مستوى الجلوكوز في الدم وايضًا Hyperkalemia 👍🏼

🛑 ECG High-Yield Findings 🔷️ Acute Pericarditis → PR depression + diffuse concave ST elevation 🔷️ Pericardial Effusion → Electrical alternans 🔷️ Brugada Syndrome → ST elevation in V1–V3 🔷️ Wolff–Parkinson–White (WPW) → Short PR + delta wave + wide QRS 🔷️ Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) → T-wave inversion in V1–V3 🔷️ Pulmonary Embolism → S1Q3T3 pattern 🔷️ Left Bundle Branch Block (LBBB) → Wide QRS + notched R in V5–V6 + deep S in V1 🔷️ Right Bundle Branch Block (RBBB) → RSR’ in V1 + wide S in V6 🔷️ Hyperkalemia → Peaked T waves + prolonged PR + wide QRS 🔷️ Hypokalemia → Flattened T waves + U waves 🔷️ Long QT Syndrome → Prolonged QT → risk of Torsades de Pointes 🔷️ Hypercalcemia → Short QT interval 🔷️ Hypocalcemia → Prolonged QT interval 🔷️ Digoxin Effect → ST depression (“reverse tick” / scooped ST) 🛑 Exam Tip 🔷️ Electrolytes = QT changes (Ca²⁺ affects QT, K⁺ affects T waves) 🔷️ Bundle branch blocks = Wide QRS

حسب ما وصلني من الطلاب نعم الخبر صحيح وسيعمم على جميع التجمعات احسبوا حسابكم من بدري اذا بيخلونه نفس الاتاتشمنت معناته الشهر 2300 ريال

B: Ticagrelor or Prasugrel✅ While clopidogrel (Plavix) is a classic choice, it has some limitations that Ticagrelor (Brilinta) and Prasugrel (Effient) overcome:✅ Potency and Speed: Both Ticagrelor and Prasugrel provide more rapid and consistent platelet inhibition compared to clopidogrel.✅ Genetic Variability: Clopidogrel is a prodrug that requires activation by the liver enzyme CYP2C19. Some people are "poor metabolizers" of this enzyme, making clopidogrel less effective for them. ✅ Ticagrelor and Prasugrel do not have this same level of genetic dependency.✅ Clinical Outcomes: Large-scale trials showed that these drugs significantly reduced the risk of recurrent heart attacks and stent thrombosis compared to clopidogrel.✅

Which P2Y12 inhibitor is preferred over clopidogrel in ACS patients undergoing PCI? A. Ticlopidine B. Ticagrelor or prasugrel C. Cangrelor only D. Aspirin

عاجل: غدًا الخميس المكمّل لشهر رمضان.. والجمعة أول أيام عيد الفطر . (المحكمة العليا)

Right Ventricular Hypertrophy (RVH) on ECG — Summary Main ECG Criteria: 1️⃣ Dominant R wave in V1 R/S ratio in V1 > 1 R wave in V1 > 7 mm 2️⃣ Deep S wave in V5–V6 R/S ratio in V5 or V6 < 1 3️⃣ Right Axis Deviation QRS axis > +110° 4️⃣ Right Ventricular “Strain Pattern” ST depression + T-wave inversion in V1–V3 5️⃣ Delayed intrinsicoid deflection in V1 > 35 ms ■ Supporting Findings ▪︎ Right atrial enlargement (P pulmonale) ▪︎ Incomplete or complete RBBB pattern. ■ Common Causes ▪︎ Pulmonary hypertension (most common) ▪︎ Chronic lung disease (cor pulmonale) ▪︎ Pulmonary stenosis ▪︎ Congenital heart disease (e.g., ASD, Tetralogy of Fallot). ✅ Quick Recognition Pattern RVH on ECG = ○ Tall R in V1 ○ Right axis deviation ○ Deep S in V6 ○ ± Right ventricular strain (V1–V3) #lifestyle #viralchallenge #cardiology #medicine

Site of coronary artery occlusion in STEMI

🛑 Metronidazole – Key Indications (GUPTAG) 🔷 G — Giardiasis 🔷 U — Ulcer (H. pylori – peptic ulcer therapy) 🔷 P — Pseudomembranous colitis (C. difficile) 🔷 T — Trichomoniasis 🔷 A — Anaerobic bacterial infections 🔷 G — Gardnerella vaginalis (Bacterial vaginosis) 📌 Mnemonic: GUPTAG → Remember the major uses of Metronidazole.

بعد مرور السنين من طالب طب الى طبيب مقيم الى اخصائي و اخيراً استشاري اقدر اقول ان الناس ما تنبهر بالطبيب الشاطر و المتميز قد ما تنبهر بالطبيب الطيب الرحيم الهيّن الليّن " الأدب يستر قليل العلم و العلم لا يستر قليل الأدب و فقدهما عراء و جمعهما ثراء " يارب نجمع الاثنين 🤲❤️

LV Global Longitudinal Strain (GLS) 📍 Acquisition • Apical 4-, 2-, and long-axis views • Avoid foreshortening, Frame rate ~40–80 fps • Optimize speckle tracking 📏 Measurement • LV GLS (%) using speckle-tracking software • Confirm proper ECG gating (end-systole) Detects subclinical LV dysfunction #ASEchoJC #EchoFirst @ASE360

Which of the following combinations defines a bifascicular block on ECG? A. RBBB + LAFB B. RBBB + LBBB C. LBBB+ LPFB D. RBBB + first-degree AV block

مو كل WBC مرتفع يعني عند المريض infection. في الطوارئ ممكن تشوف WBC = 20,000 وما يكون فيه أي بكتيريا أصلاً. وش السبب؟

Aspirin should NOT be used in which type of stroke? a) Ischemic stroke b) Hemorrhagic stroke c) TIA d) Cardioembolic stroke

Name of pattern and its associated syndrome?

1/ Most people think you need an angiogram to detect coronary artery disease. But sometimes, the first clue appears on a simple echocardiogram. Here are echo findings that quietly reveal coronary artery disease (CAD), even before other tests. 🧵

facebook.com/share/p/1HDrTL… ⚡️ Electrocardiogram (ECG): Key Concepts, Lead Placement, and MI Localization ⚡️ 🔴 Anterior MI 🟠 Anterolateral MI 🟡 Inferior (Diaphragmatic) MI 🔵 True Posterior MI #Cardiology #MyocardialInfarction #HeartAttack

Permanent Pacemaker

facebook.com/share/p/14TKUb… 🎯📈Classification of AV Blocks on ECG: Save this guide 📌 | Share with your network! #Cardiology #ECG #HeartHealth #MedEd #AVBlocks