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⛔️Insulinoma:
🍃Whipple triad ..
-Attacks of hypoglycemia.
-Blood sugar <50 during attack.
-Improve by dextrose.
"يُغيرَ اللَّه نَواميسَ الكونِ كُلُها، لأجلِ عبدِ دعا فأحسنَ الظنَّ بِه

إستكثروا من صلاة الليل فإنها من خَزائنِ الآخِرة ، حتى لو لم تكُن من عَادتكِ أن تصلِّيها جرّب لعَلّها بِدَاية خير ، إختم يومكِ بشيءٍ يحبّه الله

الوتر الإستغفار بالاسحار
Q/ 35y old lady presented to the emergancy department with acute onset of pain in right hypochondrium with referral to the right shoulder all the following could be the cause of her symptoms except:
Anonymous Quiz
12%
Acute cholecystitis
6%
Acute hepatitis
11%
Liver abcess
8%
Rt basal pneumonia with pleurisy
63%
Acute pancreatitis
Q/ 70 years old male patient presented to the OPD with 6 month bistory of anorexia, weight loss and dull upper abdominal pain radiating to the back. Clinical examination reveals deep pandice and a palpable globular mass at the right hypochondrium. The mass has smooth surface moves down with respiration. The most likely diagnosis is:
Courvoisier's law or Courvoisier's sign. It means that you have jaundice and a gallbladder that is enlarged but is not painful.
{إِنَّ اللَّهَ وَمَلائِكَتَهُ يُصَلُّونَ عَلَىٰ النَّبِيِّ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا}

جمعة طيِّبة، ولا تنسوا قراءة سورة الكهف.🌱
Retroperitoneal organs
SAD PUCKER
• Dysphagia: Difficulty swallowing 
due to mechanical obstruction or 
dysmotility of the esophagus or 
pharynx.

• Odynophagia: Pain when swallowing due to ulceration or infammation (e.g. eosinophilic esophagitis) in the esophagus or pharynx.

• Achalasia (Cardiospasm): its failure of relaxation of lower esophageal sphincter.
The commonest part of the oesophagus to be affected by malignant growth:
Anonymous Quiz
9%
Upper ⅓
15%
Middle ⅓
68%
Lower ⅓
8%
Gastro-esophgeal Junction
All the following are aetiological factors of carcinoma oesophagus except:
Anonymous Quiz
1%
Smoking
2%
Alcohol
1%
Barrett's oesophagus
26%
Mycotoxin
70%
Para oesophageal hernia
A 50 year old obese lady presented with H/O of attacks of epigastic pain and heartburn the most likely diagnosis is:
Anonymous Quiz
9%
Gastric ulcer
5%
Deudonal ulcer
3%
Gall stones
0%
Chronic paincreaitis
82%
GERD
🥶CREST syndrome:

-Calcinosis
-Rhyanoids phenomena
-Esophageal achalasia
-Scleroductaly
-Telangectasia
⛔️Pre cancer in esophagus:

GERD
Hiatus hernia
Corrosive
Pharyngeal Pouch
Plummer vinson syndrome
Barrettes esophagus
2025/07/05 02:44:29
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