The deal

Let's make a deal , long posts , stories and adventures will be posted here..

quick notes will be posted in my twitter page .. thnx.

3eed s3eed

Hola

cafe du jardin

nice experience but the problem is that most customers don't follow orders about smoking , they smoke anywhere , they don't care if they were in the wrong area.

in ramadan, this becomes very clear , coz they think they are racing against time .

this is my only problem when i go to enjoy a cup of coffee.

happy Eid

At last

Today .. she smiled ..

she was giggling ..

she was gorgeous ..

Some infos

Electrocardiogram Findings in Pericarditis

Pericarditis (inflammation of the sac around the heart) is associated with several ECG findings:

1. Low voltage (i.e., "small") QRS complexes.
2. Electrical alternans.
3. ST segment elevations with a "concave up" morphology more common.
4. Depression of the PR wave.
5. T wave inversion, but usually only after the ST segment has normalized

Metastatic Tumors To The Lung

The cancers that are most commonly metastatic to the lung are:

1. Colon
2. Breast
3. Renal (kidney)

In many cases, these tumors can be resected (surgically removed) if the following criteria are met:

1. There is no other metastatic disease in the body.
2. The amount of lung resection leaves adequate pulmonary reserve.
3. The primary tumor is adequately controlled.

Basilar Skull Fractures

Basilar skull fracture are commonly seen in blunt trauma. These fractures are usually managed conservatively and do not require surgery. They present with the following:

1. Racoon's eyes (periorbital edema)
2. Battle's sign (postauricular ecchymoses)
3. Hemotympanum (blood behind the ear canal)
4. Cerebrospinal fluid otorrhea (drainage through the ear canal)
5. CSF rhinorrhea (drainage through the nostrils)
6. Cranial nerve deficits

Nasogastric tubes should not be placed in cases of suspected or confirmed basilar skull fractures as the tube can be inadvertently placed intracranially.

Causes Of Anion Gap Acidosis

The causes of an anion gap acidosis are best remembered by MUDPILES

Methanol
Uremia
Diabetic ketoacidosis
Paraldehyde (obsolete as use of this substance has been abandoned)
Iron, Isoniazid
Lactic acid
Ethanol, Ethylene glycol
Salicylates

Causes Of Hypertension That Are Surgically Correctable

There are five causes of hypertension that are caused by surgically correctable conditions. These are:

1. Renal artery stenosis or disease (most common)

2. Coarctation of the aorta

3. Cushing's Disease

4. Primary hyperaldosteronism (Conn's disease)

5. Pheochromocytoma

Motor and Sensory Fibers in Cranial Nerves

The type of fibers that run in the twelve cranial nerves are difficult to remember. The following mnenomic can be used to remember which types of fibers run in which cranial nerves (I-12), with S=sensory, M=motor, and B=both.

Some say marry money but my brother says big boobs matter more.

CN1 - sensory
CN2 - sensory
CN3 - motor
CN4 - motor
CN5 - both
CN6 - motor
CN7 - both
CN8 - sensory
CN9 - both
CN10 - both
CN11 - motor
CN12 - motor

This week

First time I signed my name as a house officer.

First time I attended morning meeting as a house officer.

First time a clerked a case as a house officer.

First time I wrote a progress note.

First time I ordered tests by computer & orders sheet.

First time I ordered other specialties for consultation.

First time I got called by switchboard.

First time a nurse asked me for a signature or a stamp.

Next week inshala’a will be my first on-call and maybe my first time case presentation at morning meeting.