Wateen-Ghaith Notes PDF

‫معدر املَف ‪ -:‬مذهرة قَر ملسرت محمود جهرس ورشح مس اميان ؿًل حروب اًخََجرام ‪.‬‬ ‫ًمت كراءة املَف بـد مذاهرة مَف قَر حِداً والاس امتع ايل رشح مس اميان حيت ًمت الفادة املرحوة من ُذا‬ ‫املَف ‪ ,‬وأسال هللا اًلبول والخالص فَِ وأن ٍىون ممك ًال جملِود اًزمالء ومُرساً ٌَفِم واحلفغ ‪.‬‬ ...

‫معدر املَف ‪ -:‬مذهرة قَر ملسرت محمود جهرس ورشح مس اميان ؿًل حروب اًخََجرام ‪.‬‬ ‫ًمت كراءة املَف بـد مذاهرة مَف قَر حِداً والاس امتع ايل رشح مس اميان حيت ًمت الفادة املرحوة من ُذا‬ ‫املَف ‪ ,‬وأسال هللا اًلبول والخالص فَِ وأن ٍىون ممك ًال جملِود اًزمالء ومُرساً ٌَفِم واحلفغ ‪.‬‬  ‫‪Wateen‬‬ ‫‪Ghaith notes‬‬ ‫بغم هللا الطذمن الطذّم ‪.‬‬ ‫ّ‬ ‫واذ ُل ْ‪َ ْٕ ٌُ ٚ‬ص ًة ِّمن ِل َغا ِهُ (‪ٌٍُ َٕ ْٓ َِ )27‬ا َٖ ٍْ ِلُ (‪)) )28‬‬ ‫((‪َ...‬ر ّب ْاؾ َط ْح ِلُ َـ ْصري (‪َ )25‬وِ ِ ّغ ْط ِلُ َا ْمطي (‪ْ )26‬‬ ‫ِ‬ ‫ِ‬ ‫ِ‬ ‫ػٍرة ني ‪.‬‬ ‫‪ ‬دٌاء ٖب‪ ٚ‬المضا‪ٙ‬طة ‪...‬‬ ‫ٔ‬ ‫‪ ‬اللٌم اهَ اػالٗ ٌْم الوبّن وذٓو المطػلّن والمالئ٘ة المٕطبّن اللٌم اخٍ‪ ٚ‬لغاهَ ٌامطا بض‪ٙ‬طك وٖلبَ‬ ‫‪...ツ‬‬ ‫بشؽّجٗ وػطى بهاٌجٗ اهٗ ٌلَ ما ثؽاء ٖصِط وذغبَ هللا وهٍم الٍ‪ّٚٙ‬‬ ‫‪ ‬دٌاء بٍص المضا‪ٙ‬طة ‪...‬‬ ‫ٔ‬ ‫‪ ‬اللٌم اهَ اػجٍدٌٗ ما ٖطات وما ذٓيت ْطدى لَ ٌوص ذاخجَ وال ثوغّوّي موي ؾّائ إهٗ ٌلَ ما ثؽاء‬ ‫ٖصِط ‪...ツ‬‬ ‫‪‬‬ ‫ٌَخـامي مؽ املَف وًمت الاس خفادة مٌَ لزم هذاهر مَف قَر الول اخلاص مبسرت محمود جهرس ووس متؽ ٌَرشح‬ ‫اخلاص مبس اميان ؿًل حروب اًخََجرام وبـدٍن هلرأ املَف دا ؿَضان ثفذىر بَ أمه اًيلط ال ممىن ثخًيس‬ ‫وٍىون ؾبارة ؾن مفىرة كبي الامذحان باكم ًوم ‪.‬‬ ‫ُخاليق لك موضوع مرتمق حتخَ أمه اًيلط ؿَضان ملا ثذاهر ثـرف ان املوضوع اًفالين فَِ اكم هلعَ وًبلى سِي‬ ‫ًالس خذاكر ‪.‬‬ ‫مَحوػة هممة ‪ -:‬ل ًمت الاؾامتد ؿىل املَف ًوحدٍ بس لن مش موحود فَِ لك اًيلط ‪ ,‬لزم هذاهر قَر‬ ‫ووسمؽ اًرشح الول ‪ ,‬وبـدٍن هذاهر املَف دا ؾضان ًفىران بأمه اًيلط‪ ,‬لن املَف ؾبارة ؾن جتمَؽ لمه‬ ‫اًيلط وًُست لكِا ‪ ,‬بىرر اتين ل ًمت الاؾامتد ؿىل املَف وحدٍ ‪.‬‬ ‫املَف ملسم جلزئني ( اجلزء الول ثَخَط أول‪ 111‬ظفحة من مذهرة قَر ‪ ,‬اجلزء اًثاين ثَخَط من‬ ‫‪ 111‬ايل ‪ 218‬ابيق مذهرة قَر وُو مدمج يف ُذا املَف مؽ اجلزء الول )‬ ‫ًمت مذابـة حروب ‪ Wateen files‬ؿىل اًخََجرام ؿَضان ًو يف أي حتدًر أو خدًد ىف املَفات ‪.‬‬ ‫ابًخوفِق ٌَجمَؽ ان صاء هللا ووسأًمك خاًط ادلؿاء ^^ ‪...‬‬ ‫الٕلٍب ‪َ...‬و َك ْا َ ِب َما ِب ِي َّص‬ ‫الف ْص ُر َّصالط ِذ ّْ ُ ‪...‬‬ ‫ُ‬ ‫ٔ‬ ‫ْ‬ ‫اؾجملت ٌلَ الّاس‬ ‫إذا‬ ‫ُ‬ ‫ُ‬ ‫َ‬ ‫ْ‬ ‫َ‬ ‫ٔ‬ ‫الم٘ارى واػجٕطت ‪َ...‬وا ْر َػت ُِْ ا َما ِ‪ِ ٙ‬و ٌَا الشه ٍْ ُب ‪...‬‬ ‫ُ‬ ‫و اونوت‬ ‫ٔ‬ ‫ٔ‬ ‫ً‬ ‫اللط وخٌا ‪...‬و ال اُوَ برّلجي االرِ ُ ‪...‬‬ ‫ّ‬ ‫و لم َثط اله٘ؽاف ِ‬ ‫اللهّّ المغجحّ ُ ‪...‬‬ ‫ُ‬ ‫ٍُث ‪ُّ...‬ن‬ ‫ِمن بي‬ ‫ثاك ٌلَ ٖوٍط موٗ ُ‬ ‫ٍ‬ ‫ٔا َ‬ ‫ثواًت ‪َ َْ...‬م ٍْ ُـ ٌٍل ِب ٌَا َْ َط ٌج َٖ ْط َِ ُ ‪...‬‬ ‫الرادداتاذا ْ‬ ‫ِ‬ ‫و ُّن‪ٚٙ‬‬ ‫… ‪… Mahmoud shalaby‬‬ ‫ال ذٍل وٍٖةال إال باهلل^^ ‪...‬‬ ‫ال إلي إال هللا ‪...‬واػجِٓط هللا ‪...‬‬ ‫هللا ٔا‪ٙ‬بط ‪...‬‬ ‫‪...‬‬ ‫الرمص هلل‬ ‫ػبران هللا ‪...‬‬ ‫‪2‬‬  Wateen Ghaith notes  Normal range.  PH.  7.35-7.45.  PCo2.  35-45.  HCo3.  22-26.  SaO2.  95-100.  PaO2.  80 – 100.  PCO2 represent respiratory system.  HCo3 represent Metabolic system.   PCO2 ( respiratory acidosis ).   PCO2 ( respiratory alkalosis ).   HCO3 ( Metabolic Alkalosis ).   HCO3 ( Metabolic acidosis ). Acidosis More acidosis PH = 7.35 7.40 More alkalosis 7.45 Alkalosis  ABG interpretation. 1 Compensated.  PH = normal. 2 system Abnormal ( HCO3 ( metabolic ),PCO2 (respiratory) ).  e.g PH = 7.38 , PCO 2 = 33 , HCO3 =20. more ‫ و ًُ ًوا‬, 7.38 ph‫ ًوؽٍف الغّغجم ال ماؾُ مً الطػمة ال ٍْ دي ( ًوا ال‬ ُ‫ وًٍ دا ًّجغم‬Acidosisٚ‫ هؽٍف الغّغجم ال الجِّّط ُْ المٍصل الهبٍَّ ٌام‬acidosis  Compensated Metabolic acidosis. ).‫الجٍٍِق بّي‬ 2 Uncompensated.  PH = Abnormal.  1 system normal in range. 1 system abnormal in range ( the cause of the problem ).  e.g PH = 7.46 , PCO 2 = 33 , HCO3 =24.  Uncompensated Respiratory alkalosis. 3 Partial  PH abnormal. compensated.  2 systems are above normal (  ) Or below normal (  ).  e.g PH = 7.47 , PCO 2 = 33 , HCO3 =20.  Partial compensated respiratory alkalosis. 4 Mixed / combined.  PH , HCO3 , PCO2 all of them alkalosis or all of them acidosis.. Alkalosis ‫ لما‬acidosis ‫ اًثالزة لما‬  e.g PH = 7.33 , PCO 2 = 47 , HCO3 =19.  Mixed/combined respiratory and metabolic acidosis.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ ال إلي إال هللا‬... ‫بط‬ٙ‫ هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 3  Wateen Ghaith notes 5 If the PH and bicarb are both in the same direction  metabolic , if they are in different directions  respiratory. 6 Metaboic alkalois.  Vomiting.  Nasogastric tube suction.  Cushing syndrome. 7Metabolic acidosis.  Diarrhea.  Ileostomy.  Dehydration. 8 Respiratory acidosis.  CPR.  Drowning. ‫ زي ال خصول‬cpr‫ ف الغؤال ٍِوُ مثال اها ذاْو‬ph‫ الحصول دا هرٓيي زي اػموا بع هشلُ بالوا من ّٖمة ال‬ ‫ هشلُ بالوا من‬respiratory alkalosis ‫ ف اسجار‬alkalosis ‫ ًوا بٕت‬7.8‫ ّٖمجٌا‬PH‫وخالُ ُْ الغؤال ال‬. ‫المٍهّات ُْ الغؤال‬ 1 Isotonic. 2 Hypotonic. 3 Hypertonic.  0.9 % Nacl.  0.45% Nacl.  3 % Nacl.  Lactated ringer.  0.33 % Nacl.  5% Nacl.  Ringers' solution.  0.2 % Nacl.  3 or5 % Nacl + D/W.  5% dextrose in water.  2.5% Dextrose in water.  > 5 % D/W. 4 D5NS  hypertonic. 5 Ringer lactate rich in Sodium. 6 Hypotonic + isotonic = hypertonic. 7 Dehydration = Iv isotonic solution. ‫ ُْ الغؤال‬ّٚ‫ لٍ ػؤال خالٗ وٖال ان المطِق ٌوصى ُٖء واػٌال دا مٍواى ّْي خٓاف وماذصدش هٍع المرال‬. isotonic‫ ال هٍٍض بٌّا‬ّٚ‫ِبَٕ المرال‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 4  Wateen Ghaith notes 1 CPR depth one third of chest = 1.5 inch = 4 cm in infants,in adult 2 inch = 5 cm. 2 CPR site  sternum. 3 CPR technique is :-  30:2 120 in one rescuer.  15:2 120 if there are 2 rescuers. 4 Carotid artery best site for checking pulse in 5 year old child. 5 Brachial artery best site for checking pulse in infant under 1 year. ‫ ِبُٕ ًوا المطِق مرجاج‬code blue‫ لٍ المطِق ما بّغجحبؼ بمٍوُ ٍْلوا‬V.tach‫ لٍ ُْ مطِق ٌوصى‬6. antiarrhythmic drug‫ اما لٍ المطِق مغجحّ مٍاها وُْ هبق ًوشجار‬defibrillation. ‫ ْالزم الجٍّب ثبُٕ ُْ مغجٍي موشٓق ٌن الفصر‬gravity‫ بّوظل ٌن نطِٔ ال‬drainage ‫ ال‬1 ً‫ ًول‬drainage system‫ ولٍ اهٓفلت من ثرت ٌن‬dressingً‫ لٍ الجٍّب اهٓفلت من ٍْ ٌوص الفصر هل‬2. sterile solution ُْ ‫الجٍّب‬ 3 Drainage system work effectively if you see  fluctuation or intermittent bubbling in water seal chamber. ََ‫ ملا هَجي وض َي اًخَوب خاًط بواسعة اًعبُب بيخًل املرًغ ايخد هفس معَق وٍىمتَ ؾضان ما حيش بوحؽ ودا بًسم‬4. Valsalva maneuver ‫ مي‬80 -50‫ مي بـد مه بُبلي املـدل اًعبَـي‬200 ‫ املـدل اًعبَـي بخجَب‬drainage ‫ اول ساؾخني بـد اًـمََات ال‬5. ‫لك ساؿة‬. ‫ ًبلي يف مضلكة وهبَف ادلنخور‬fresh blood ‫ دا ظبَـي اما ًو‬dark ‫ ًون ادلم ًو‬6... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 5  Wateen Ghaith notes 1 Standard precautions.  CMV.  HIV.  Hepatitis B and C.  Aspergillosis. 2 Airborne precautions.  Tuberculosis.  Corona virus.  Measles.  Chicken pox.  Small pox. 3 Droplet precautions.  Streprococcus.  Meningitis.  Diphtheria.  Rubella.  Influenza. 4 Contact precautions.  RSV.  MRSA.  Ebola virus.  Staphylococcus. 5 Tuberculosis. 6 Meningitis.  Epidemic disease.  Streptococcal pneumonia.  Wear N95 mask.  Meningococcal vaccine. HIB.  Mantoux test / PPD test.  Neck rigidity.  Test within 48-72 hrs.  Droplet.  Isoniazid for TB , side effect  Cloudy CSF. ( numbness , hepatitis symptoms ,  Lumber puncture. stomach upset , rashes ).  Surgical mask.  TB accurate test sputum culture and to be done early morning.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 6  Wateen Ghaith notes 7 Putting on droplet precaution  Gown , face mask , eyewear and gloves. 8 Putting off droplet precautions  gloves , eyewear , gown and face mask. 9 Corona virus causes GIT and respiratory symptoms. 10 Zika virus common in pregnant women. ٔ. ‫ واهت مِمق‬hand washing‫ وساص بالجمطِق اسجار‬infection control ‫ اي ػؤال ّْي‬11 ‫ي ثرت الحلص‬ٙ‫ ثرت الحلص وهجط‬tuberculin‫ من ال‬ٚ‫ م‬2‫ دا ٌبارة ٌن ذٕن‬mantoux or ppd test ‫ ال‬12. ‫صا المطِق اِحابُ وٌوصى المطض‬ٙ َٕ‫ ِب‬ٚ‫ٌن م‬ 5 ‫ ػاٌة وهرصد م٘ان الرٕن بصاِطى و لٍ زادت‬72 -48 ‫لمصة‬  >5 = negative.  5-10 = suspected.  < 10-15 positive and active.. ‫ ًبلى اجيايب‬10 -5‫ وادلاٍرٍ ظَـت مابني‬Contact TB ‫ او‬HIV ‫ اما ًو املرًغ‬. contact precautions ‫خفِفة زي اًـعس واًىحة بًس خخدم‬respiratory ‫ أي أؾراض‬13 14 Chicken pox  rash filled with fluids. 15 Measles  rash is dry with no fluid. 16 Candidiasis  cause inflammation and infection in stoma. 17 Chlamydia  white creemy discharge. 18 Trichomoniasis  yellowish excessive , thin offensive and frothy discharge. 19 Primary level of prevention  prevent illness or injury occurring.. ‫ ٌملّة خطاذّة‬ٚ‫ بوٍم‬hyperthyroidism‫ وُْ ذالة ال‬, ‫ بواسص ٌالج‬hypothyroidism ‫ ُْ ذالة ال‬ 1 Most common complications :- 1 Bleeding. 2 Vocal cord injury. 2 Bleeding occur mostly in back of neck. 3 Hyperphosphatemia + hypocalcemia = tetany. 4 Enlargement in question = surgical removal of abnormal part. 5 Initial goal of care  bleeding then vocal cord mobility. 6 Potassium iodide antidote for radioactive iodine. 7 Synthetic thyroid hormones  has effect on bone density.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 7  Wateen Ghaith notes 8 Statins medication  has effect on cholesterol level. 9 Tingling in the fingers best indicates tetanus. 10 If TSH is low in range  hyperthyroidism. 11 Trousseau's sign :- a sign of hypocalcemia , carpal pasm can be elicited by compressing the brachial artery with a blood pressure cuff for 3 minutes. 12 Chvostek's sign :- a sign of hypocalcemia , a spasm of the facial muscles elicited by tapping the facial nerve just anterior to the ear.. mashed potatoes and soup‫ البلً زي‬ٌٚ‫ مٌطوس ػ‬ٚٙ‫ هٍاؾّ و ِبَٕ اال‬ٚٙ‫ ٔاي ٌملّة َْ الرلٔ مموٍع ٔا‬. check airway and bleedingٚ‫ بٍص الٍملّة ٌلهٍل بوٍم‬ lateral or prone positionُْ ‫ لٍ مؼ واٌُ هشلّي‬semi fowler'sُْ ‫ واٌُ هشلّي‬ٚٓ‫ بٍص الٍملّة لٍ اله‬. ‫ٌلؽان الصم ِوظل بالحاذبّة‬  Frequent swallowing after surgery indicate bleeding. 1 Avoid any analgesics and laxatives and keep NPO once appendicitis diagnosed to prevent rupture of it. 2 Best position to relieve pain  semi fowler's with flexing right knee. 3 Rebound tenderness appears in all inflammation.. ‫ودى مٍواًا اهوا بولِم باِصِوا خامص م٘ان االلم واول ما بوطًْ اِصِوا المطِق بّفطخ من االلم‬. Rebound tenderness َٕ‫ اذا كِهت ُْ الّمّن والمطِق ذع بااللم ُْ الّمّن ِب‬ ُٕ‫ اذا كِهت ف الّغار والمطِق ِرع االلم َْ الّمّن ِب‬. Rosving's sign ٔ. McBurney sign َٕ‫ ِب‬iliac‫ واذا كِهت ُْ الّمّن ِرع االلم ُْ الغطى او‬  The 3 tests for peritonitis , cholecystitis , appendicitis.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 8  Wateen Ghaith notes 1 Treatment of nephritic syndrome is corticosteroids. 2 Stretptokinase a treatment for MI to dissolve the thrombus. ٔ ُ‫ ماِوٍٓؼ هصي اػبطِن مً اللِم الٍالُ بع لٍ خالٗ ػؤال وٖال ُْ هظِّ َْ المز مً كِم ٌال‬ 3. ‫ هظِّ المز‬ٚ‫واالسجّارات ماٌّْاش ُّط االػبطِن ِبَٕ هشجارى ٌلؽان بوراول ًوا هٕل‬ 4 Nitroglycerin tab route  sublingual ( under tongue ) or Buccal ( between cheek and gum ). 5 We asses Pedal pulse if patient complain from throbbing pain in casted leg.. ‫ٍِوُ ُْ هٕؿ َْ الصم ال ماؾُ َْ الحبّطة‬ ٔ ٔ ‫ اسجبار اسمي‬ٚ‫ بوٍم‬numbness , tingling‫طلٗ َْ الغؤال‬ٙ‫ اي ذاخة ٌّْا هٕؿ ُْ االٌفاب وذ‬6. VB12‫ ودا بوؽٍف بّي مٍصل االمجفاص ل‬schilling test 7 Atypical antipsychotic drug has less side effect ( e.g Clozapine ). 8 Typical antipsychotic drug has more side effect ( e.g haloperidol , thioridazine ). 9 Dopamine level is high in schizophrenia and parkinon's. 10 Serotonin level is low in Alzheimer. 11 Naloxone ( (Narcan ) antidote for morphine. 12 Morphine side effect bradypnea. 13 Magnesium sulfate has effect on respiratory rate. 14 Digoxin may cause respiratory depression so avoid it with bradypnea cases. 15 Atropine is used for bradycardia. 16 Atropine antidote for toxicity and chemical substances. 17 Sodium polystyrene sulfonate ( Kayexalate ) antidote for potassium. 18 Clomiphene ( clomid ) induce ovulation ( dose :- 50mg daily for 5 days , from 3rd day after cycle ). 19 Normal range of lithium carbonate 0.8-1.2mEq/IL.. ٍ‫من أؾراض اًدسم اخلاظة بََ اسِال ويقء ورؾضة وثبول بىرثة ىف احلاةل دي بيوكف اؾعاؤ‬  Mild toxicity ( GIT problem ).  Moderate toxicity ( polyuria , hypotension , dehydration ).  Severe toxicity ( nystagmus visual hallucination , seizure ).... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 9  Wateen Ghaith notes 20 Aspirin ( antiplatelet drug ) decrease formation of platelet plugs. 21 Antipyretic for febrile avulsion. 22 Theophyline ( Theo-dur ) side effect heartburn and upset stomach so we take it with milk or crackers to avoid it. 23 Vitamin C for wound healing process. 24 Vitamin D for burn ( long term ). 25 Protein for ( pressure ulcer ). 26 Folic acid for neural tube. 27 Amine ٔ mandelate used for urinary tract infection ( UTI ). ‫ بّظود ذمٍكة البٍل ْبواسص الٍالج دا ٌلؽان ًٍ ٖلٍي ّْموً اهجؽار الٍصوي لٍ الٍالج دا اسصها مٍاى‬UTI ‫ال‬ ٔ ٔ. ‫ جط الن اللبن بّظود ذمٍكة البٍل ْمؼ ًّبَٕ َْ ثادّط للٍالج دا‬ٙ‫ ًجظِص ذمٍكة البٍل ا‬Milk 28 Ordered X quantity / available.. ) 30x5 /15 ( ‫ ًبلى‬, ‫ مي‬5/‫ جمم‬15 ‫ واملخاح‬, ‫ جمم‬30‫ًو كاكل ؿاوزٍن هدي ؿالج‬ 29 Infusion rate = order ( ml ) / time ( hr ). 30 Drops per minute =(infusion rate X drop factor) / (time per hr X 60 ). 31 Heparin dose = ordered heparin unit / total of solution unit. 32 BID ( twice ) , TID ( 3 times a day ) , QID ( 4th time ). ‫ لٍ خابلٗ رػمة ػطهحة اهغٍلّن سلُ بالٗ من الغؤال ٌّْا‬33. ml=cc 34 Active charcoal antidote for diazepam. ٔ. ‫ لٍ المطِق مغجمط ٌلّي‬Digoxin ٍّٖ‫ بو‬60‫ من‬ٖٚ‫ لٍ الوبق ا‬35. antiarrythmic drugs‫ لٍ المطِق واٌُ بوصِلي‬V.tachُْ ‫صا‬ٙ ٚ‫ ٍٖلوا ٖب‬36 37 Contraindication of MAOI is Tyra mine. 38 Steroids prevent cerebral edema , diuretics for decrease intracranial pressure. 39 Loratadine side effect syncope , Vertigo.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 10  Wateen Ghaith notes ٔ َْ ‫ ل ّْن‬ٚ‫بمٍوُ ٌاِظ ثبُٕ او ثٍـ‬, ‫ ٌؽاهي ثٍـلي داِما‬ِٚ‫ الطؤِة ًُ الٌصف ال بجؽج‬-: vision ‫ ثٍطِّ ال‬1. ‫ ؟‬ٚ‫المغجٕب‬ ٔ ‫ للٌصف من الطؤِة بجاٌجٗ وثحضب بٌا‬ٚ‫ ًُ الشهٍات ال ًجٍملٌا ٌلؽان ثٍـ‬: mission ‫ اما ثٍطِّ ال‬2. ‫الواس‬ ٔ ‫ ًُ محمٌٍة من الجٍلّمات واالرؾادات ال بجمؽُ ٌلٌّا المغجؽُٓ ٌلؽان ثراْو ٌلُ الويام‬-: policy ‫ اما ال‬3. ُٓ‫والٕطارات َْ المغجؽ‬ 4 Upward communication :- information flowing from the lower level to the upper level. 5 Downward communication :- information flowing from the upper level to lower level. 6 Horizontal communication :- in the same hospital and in the same position ( eg head nurse of ICU and head nurse of CCU ). 7 Diagonal communication :- in different 2 hospital but in the same position. ُ‫ جمطِق هٌٓمٌم بالمٍوُ ال مؽطوذّن ببٌم ًوا وٌل‬ٙ ‫ ثٍطِٓات دول لّي برط واػً َْ الؽطح بالوغبة لّوا‬4 ‫ال‬. ‫الحطوبات‬. ‫ اجلدول ال حتت دا ًخلرأ بفِم مش أنرت ماحتفؼش‬  Authoritarian (  Participative (  Delegative Autocratic ). democratic ). (laissez Faire ).  Degree of  Little freedom.  Moderate freedom.  Much freedom. freedom.  Degree of  High control.  Moderate control.  No control. control.  Decision making.  By the leader.  Leader and group  By the group or by no together. one.  Leader  High.  High.  Minimal. activity level.  Assumption of  Primarily the leader.  Shared.  Abdicated. responsibility.  Output of the  High quantity , high  Creative , high quality.  Variable may be poor group. quality. quality.  Efficiency.  Very efficient.  Less efficient than  Inefficient. autocratic.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ ال إلي إال هللا‬... ‫بط‬ٙ‫ هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 11  Wateen Ghaith notes  Advantages.  Groups make  Increase knowledge ,  No work for the quicker decision. skills of all groups. leader.  More control on the  Motivate staff to  Empowers the group. work hard. group.  Less time and effort  More individual’s  There is a lot of consuming. responsibility. freedom.  More group  Increase job satisfaction ,  The visionary productivity. personal growth and workers are free from  Useful for new motivation. interference. employee.  Disadvantage.  More dependency on  More time consuming  Less group satisfaction. the leader. for the leader.  Poor quality of work.  High level of  Slower decision  Less personal growth. absenteeism and making.  Who takes credit or turnover.  Less control of blame.  Less staff self leader on the  Jobs are not completed. confidence. employee.  Leader unable to  Not effective for new identify his staff needs. employee. 8 Democratic leadership :-  Less control , group plans , participative , offer and make suggestions , theory Y , employee centered , transformational leadership , not used in emergency situation. ٓ ٓ ‫ اسط خملة دى بالجبغّم‬, ‫ًوا بّؽارك االػجاف َْ اثشاذ الٕطار بمٍوُ بّغمً االراء موٌم وِجحمٍٍا ٌلَ ٖطار َْ االسط‬ ٔ. ُٓ‫ المؽ٘الت وبّؽحً االػجاف ٌلٌّا ٌلؽان ِرٍٕٕا اًصاف المغجؽ‬ٚ‫اهٍ بّر االْ٘ار الحصِصة واالبصاع ُْ ذ‬ 9 Autocratice leadership :-  Strong control , leader plans , directive , gives orders and does decision planning , Theory X , job centered , transactional leadership , used in emergency situation. , ‫خصا َْ ذاالت الهٍارىء ٌلؽان ِبَٕ الٕطارمن ؾشؿ واذص‬ ً ‫ودا مٌم‬. ‫ ٖطاراثي من دماُي و مابّغمٍؼ لرص‬ٚٙ ‫ًوا‬ ٔ ٓ. ُٓ‫اما اسط خملة مٍواًا باسجفار اهٍ بٍّجمص ٌلَ الم٘اْات والٍٕاب َْ ثرّٕٔ اًصاف المغجؽ‬ 10 Laissez-faire leadership :-  No control , no planning , uninvolved , nondirective.. ‫ ال ًٍ ٌاوزى‬ٚ‫ ذاخة ٌلَ االػجاف ٍِم‬ٚٙ ِ‫ًوا ػا‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 12  Wateen Ghaith notes 11 Decentralized manager :-  Include staff in decision making. 12 Centralized manager :-  Conduct planning and decision making alone. 13 In disasters patient safety is first highest priority. 14 The steps for nursing manager in patient's survey results :-  Review evaluation details ,.  Feedback to staff.  Plan for change and improvement. 15 Data displayed on hospital digital dashboard is performance. 16Newly nursing manager should evaluates the staff first. 17 Correct nursing process order :- assess ,diagnosis , plan , implement , evaluate. 18 Evaluation is part of therapeutic communication. 19 Disclosing patient's information breaches patient's confidentiality.. ‫هؽط مٍلٍمات المطكُ دا كص سفٍـّجٌم‬ 20 Open-ended question :- can't be answered with yes or no , and need more details( elaboration ) when patient answered it ( what , how , why , where..etc ). ٔ. ‫صا‬ٙ ‫دى ًوا بجبصا باداة اػجٌٓام زى ال مابّن ٍٖػّن‬ 21 Closed ended question :- answered with little words like yes or no , or using numbers on scales.. ‫ ؟‬ًٚ ‫دا ًوا ػؤال بصاِجي‬ 22 Top priority in any plan :- patient safety , staff orientation. ٔ ) long duty(hr‫ جّطة‬ٙ ‫ ػاٌات‬ِٚ‫ لٍ ثمطِق ىاًط ٌلّي ارًا او ثٍ سالل الؽٓت وًٍ المٓطوض ًّؽج‬23 ٔ ٔ ٚ‫ ) بوراول هٍٕلي ِجرم‬short duty hr( ‫ ػاٌات ٖلّلة‬ِٚ‫ ) اما لٍ ًّؽج‬give him day off( ‫دا بوصِلي الٍّم اخازة‬. ) talk about coping( ‫ ِشلؿ‬ِٚ‫لرص ما وٖت الؽ‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 13  Wateen Ghaith notes 24 Kardex report :- a documentation tool used by the nurse in the end of the shift.. ‫دا بُذىذب فَِ ما مت معهل ابخذعار مؽ املرًغ أو ال حعي مؽ املرًغ ازياء اًضفت ؾضان ًمت جسَميَ ٌي خاي بـدك‬ 25 Incident report :- record details of an unusual event like injury to patient or breaking medication amp.. ‫ وٖجٌا وبّجبلَ َْ لريجٌا للمغؤل‬ٚ‫دا بّج٘ ج ّْي ال ذف‬ 26 Delegation :- the process of a nurse manager to direct another person to perform nursing tasks. 27 Steps before delegation in hospital :-  Check Policy of hospital.  Definition of Job description.  Explain Scope of practice. ٔ ٔ ‫بّطة ٍِوُ لٍ ٌوصها ذالة ذطخة‬ٙ ‫ المٌام ال ما ِبٕاش ٌّْا مغئٍلّة‬ٖٚ‫ ادواء ثٍِٓق مٌمة لجمطِق خصِص هصِلي ا‬28. ‫وذالة ٌادِة هصِلي الرالة الٍادِة‬ 29 Difference between RN and LVN/LPN scope of practice.  Registered Nurse.  Licensed vocational nurse.  Clinical assessment.  Monitoring RN findings.  Initial client education.  Reinforcing education.  Discharge education.  Routine procedures ( e.g catheterization ).  Clinical judgment.  Most medication administration.  Initiating blood transfusion.  Ostomy care.  Tube patency and enteral feeding.  Specific assessments. ٔ ٔ. LPN ‫ الي‬IV‫ ُْ الجٍِٓق مموٍع اي‬30 ٔ ٔ. IV medication and postoperative patient ‫ ال‬RN‫ جط ذاخجّن لٌّم اولٍِة ل‬ٙ‫ ُْ الجٍِٓق ا‬31 ٔ ٔ ٔ ّٗ‫ٍِع لٍ دسلٍا ل‬ٙ ‫ دول بّبٍٕا لٌّم االولٍِة اهٌم ِجؽاٍْا او ِجابٍٍا‬Cardiac , respiratory ‫ اي مطِق‬32 ٔ ٔ ٔ ٔ‫ بجشجار ال ٌوصى هظِّ اهي لّي االولٍِة اهٍ ِجلر‬chest pain , severe bleeding‫ اما لٍ سّطك مابّن‬, ‫الهٍارىء‬. ‫وٍِّؼ‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 14  Wateen Ghaith notes 1 Ovulation occurs 14 days before the onset of the next menstrual cycle. 2 Rubella vaccination after delivery not during pregnancy. ٔ ‫ اهي بٍّجمص ٌلَ الغ٘ط من االم ْلما‬+ ‫ ابوٌا بٍّ٘ن وزهي زِادة‬ٚ‫ لما ٍِ٘ن ٌوصًا ػ٘ط ادواء الرم‬ٚ‫ االم الرام‬3 ٔ ٔ. hypoglycemia ٚ‫ ْبّرف‬ٚ‫ لحغم الحوّن هجّحة اٌجمادى ٌلَ االم ادواء الرم‬shockٚ‫ِشطج من االم بّرف‬ 4 Foods rich in Calcium and folic acid is important for pregnant woman like ( processed cheese , vegetables and fruits ). 5 Vitamin D ( milk and fishes ). 6 After lumbar epidural anesthesia assess breathing and maternal blood pressure.  First stage ( dilating stage ).  Begin with the onset of true labor pain and ends with complete dilation of the cervix.  Phases of first stage ( latent, active and transitional).  Latent.  Active.  Transition.  Length.  0-3 cm.  4-7 cm.  8-10 cm.  Duration of phase.  6-8 hrs.  3-6 hrs.  20-40 min.  Contraction strength.  Mild to moderate.  Moderate to  Strong to very strong. strong.  Rhythm of contractions.  Irregular.  More regular.  Regular.  Frequency of contractions.  5-30 min.  3-5 min.  2-3 min.  Duration of contractions.  30-45 second.  40-70 second.  45-90 second.  Show color.  Brownish  Pink to bloody  Bloody mucus. discharge. mucus.  Amount of discharge.  Scant.  Scant to  Copious. moderate.  In the nullipars , effacement is often before dilation begins.  In the multipara effacement occurs with dilation.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 15  Wateen Ghaith notes  Second stage ( expulsive stage ).  Begins with complete dilation of the cervix and ends with delivery of the infant.  Third stage ( placental stage ).  Begins with delivery of the infant and ends with delivery of the placenta.  Fourth stage.  It’s the first 1-2 hrs following delivery.  Duration of  1st stage.  2nd stage.  3rd stage. labor.  Primigravidae.  12-16 hrs.  1-2 hrs.  10-20 min.  Multipara.  6-8 hrs.  10-30 min.  10-20 min. 8 Types of lochia.  Color. It lasts …  Lochia rubra.  Dark red.  3-4 days.  Lochia serosa.  Pinkish brown.  4-10 days.  Lochia alba.  Whitish yellow.  10-28 days. 9 To avoid spina bifida (pregnant should intake multivitamins and folic acid). 10 HELLP syndrome :-  H Hemolysis. EL Elvated liver enzymes.  LP Low platelet count. Leopold's maneuvers is contraindicated with pregnant with HELLP syndrome. ‫باسجفار لٍّبٍلص دا اػم واذص اػجشصم نطِٕة لجرصِص مٍكً الحوّن ُْ الطذم وػمًٍا باػمي ْالهطِٕة دى مموٌٍة‬ ٔ. ‫َْ الرالة ال ٍْ دى ٌلؽان ما ِرفلؼ ملآٌات مً االم باػجشصامٌا‬ 11 Signs of bleeding (fluid deficits , pain ). 12 Psychological responses during pregnancy ( mood swings , acceptance , introversion , ambivalence.. ). 13 Nullipara :- a woman who has not given birth to a viable child. 14 Syndactyly :- finger or toes wholly or partly united.. ‫بّبُٕ ُْ ـٍابً الزٖي َْ بٍق‬ ‫ الحوّن لٍ ّْي دٕ َْ البهّن بجاع الٕل وال بوغمّي‬15 ُ‫ ثلٕائ‬ٕٚٓ‫ دا مم٘ن ِج‬ventricular septal defect ٔ. ‫ اؾٌط‬6 ‫بٍص‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 16  Wateen Ghaith notes ٚ‫ بّبَٕ اللِم مشجلّ مابّن االرخ‬Coarcotation of aortaُ‫ ذصِثُ الٍالدة ٌوصى كّٔ ُْ االورن‬ٚٓ‫ لٍ ن‬16 ٔ. 20 mmhg ِ‫ من الّصِن بالجٕط‬ٖٚ‫ بّبَٕ ا‬ٚ‫ اللِم َْ الطخ‬, ‫والّصِن‬ 17 Positive Homan's sign ( calf pain ) , Homan's sign used in diagnosis of DVT. 18 Tetanus vaccination is safe during pregnancy. 19 Bulging of hydrocephalus indicate increased intracranial pressure. 20 Breast self exam after the period. 21 Fetus that remain at high station high risk for cord prolapse. 22 Measles and MCV4 vaccination should be given to 9 months infant. 23 Caput succedaneum ( swelling of the scalp during labor ) , appears as a soft fluctuant mass filed with fluid during examination. 24 Total ante natal visits :-  10-12 visit ( every 4 weeks in the first 28 weeks , every 2 weeks in 32-36 weeks , every week from 36-40 weeks ). 25 REEDA ( Redness , edema , echymosis , drainage , approximation ) , REEDA :- it's used the assess the perineal wound after birth. 26 Side effect of prednisone : anorexia. 27 Dilatation and curettage after abortion. 28 Expected date of delivery = last menstrual period date + 9 months +7 days. ‫ ؾٌٍر‬9ّّ‫ مثال ِبَٕ مٍّاد الٍالدة ًول‬2022 / 8/ 10‫ ٍٖلوا ٔاسط دورة ؾٌطِي‬282‫بالمثال ال مٍخٍد َْ الغؤال‬ ٔ. 2023 / 10 / 17‫ ِبُٕ مٍّاد الٍالدة‬10 َ‫ اِام ٌل‬7 ّّ‫ وهل‬8 ‫ٌلَ ؾٌط‬ 29 Placenta previa vs abruption placenta.  Placenta previa.  Abruption placenta.  Painless vaginal bleeding.  Pain with bleeding.  Bright red bleeding.  Dark red bleeding.  First episode of bleeding is  First episode of bleeding slight then becomes profuse. usually profuse.  Signs of blood loss comparable  Signs of blood loss out of to extent of bleeding. proportion to visible amount.  Uterus soft , non tender.  Uterus board –like , painful.  Fetal parts palpable : FHT's  Fetal parts non palpable FHT's countable. non countable.  Blood clotting defect absent.  Blood clotting defect ( DIC ) likely.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 17  Wateen Ghaith notes  Induced abortion ;- intentional termination of pregnancy.  Spontaneous abortion ( miscarriage ) :- unintentional or natural termination of pregnancy. 30 Types of abortion. th Threatened abortion.  Used when a pregnancy is complicated by vaginal bleeding before 20 week , and vaginal examination reveals a closed cervix.  Inevitable abortion.  Complicated by vaginal bleeding and cramp like lower abdominal pain , cervix partially dilated.  Incomplete abortion.  Vaginal bleeding + cramp + cervical dilation + passage of products of conception like skin or liver.  Complete abortion.  Passage of all the products of conception , pregnancy test becomes negative.  Missed abortion.  Fetus has died but is retained in the uterus.  Recurrent abortion.  Any case in which there have been 3 consecutive spontaneous abortions due to abnormalities or infection or systemic disease. 31 Preterm infant is high risk for impaired gas exchange related to loss of surfactant and ineffective thermoregulation related to lack of subcutaneous fat. 32 Infertility that occurs after previous pregnancy represents secondary infertility. 33 Best time for glucose screening test with gestational diabetes during pregnancy is 24-28 weeks. 34 Pregnant woman is high risk for gestational diabetes and pregnancy induced hypertension during 3rd trimester. 35 Amniotic fluid importance , surrounds , cushion , protect baby , allow the fetus to move freely , maintain body temperature to the fetus , and contain urine from the fetus cushion. ٔ. ّٚ‫ ٔاٖالم او ثلج ٌلَ ػب‬ٚٙ‫ مثال بججٍذم اهٌا ثا‬ٚٙ ‫ بججٍذم ٌلَ ذاخة ُّط اال‬ٚ‫ إن الرام‬Pica ُ‫ مٍو‬36 ‫المثال‬ 37 GTPAL format ( gravidity , term , preterm , abortion , living ). Gravidity = number of pregnancies , term =37+ weeks , preterm =20-37 weeks. ٔ ٔ ٔ 2 َٓ ٙ ‫اهٌا والدة واذصة ٍِوَ لٍ خال‬ٙ ‫ ملرٍىة الجٍام بججرغ‬ ‫صا ًوٍٕل اهٌم‬ٙ 35‫الغؤالثٍام َْ االػبٍع ال‬. preterm 2 ‫ مؼ‬preterm1... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 18  Wateen Ghaith notes. ‫ ِبَٕ الصم دا من سارج الطذم وذغ ػّا الغؤال مٍاك‬firm‫ لٍ َْ دم سارج من الطذم وٖالٗ ٌوص الٓرؿ إن الطذم‬38 ٔ ٔ ٔ. ‫ خطٌات االهغٍلّن‬ٚ‫ ٍِوَ لٍ ولصت بوٕل‬ٚ‫ جط ٌ٘ع وًُ مؼ ذام‬ٙ‫ مطِلة لغ٘ط بجرجاج اهغٍلّن ا‬ٚ‫ ادواء الرم‬39 ٔ ٔ ٔ ٔ. ‫ والجٓاًم مٍاًم‬ٚ‫ مً االنٓال بجادط ٌلَ الجٍاـ‬developmental ‫ او‬Mental ‫ اى مؽ٘لة‬40 41 Best method for family planning is group discussion. 42 Individual counseling it keep privacy and allow for more questions. 43 Post partum psychological adaptation. Take in :- mother concern with her own needs 1st –2nd after birth.  Taking hold :- focus on care of baby 3rd -10 day and may last for several weeks after birth.  Letting go :- return to normal life and care for all family. ٔ ٔ ً‫ المطذلة الجالجة بجطخ‬, ‫ جط‬ٙ‫ المطذلة الثاهّة بجبصا ثشلَ بالٌا من الطكًّ ا‬, ‫المطذلة االولَ بجشلُ بالٌا من هٓغٌا‬ ٔ. ٚ٘ٙ ‫لرالجٌا الٍادِة وثٌجم باالػطة‬ 44 Recommended weight gain during pregnancy :-  BMI.  Classification.  Range of pregnancy weight gain.  Less than 18.5.  Underweight.  12.5-18kg.  18.5-24.9.  Normal.  11.5-16 kg.  25-29.9.  Overweight.  6.8-11.3kg.  More than 30.  Obese.  5-9.1kg. 45 Normal fetal heart rate = 140-160. ٔ ٔ ٔ left lateralَْ َٕ‫ببوشلٌّا ثب‬10ٍَّ‫ او ازِص ٌن المٍصل الهب‬ٖٚ‫ خات وادواء الٓرؿ لّٕوا هبق الحوّن ا‬ٚ‫لٍ ذام‬. ‫ جٍر‬ٙ‫ بوبلَ الص‬ّٚ‫ اما لٍ الوبق ٖل‬position 46 Puerperal infection :- presence of fever of 38 or higher from 2 days to 10 days. 47 Intrauterine breech position may cause dysplasia of the hip. 48 Ideal time to administer analgesia to a woman in labor when woman progress from latent to active phase.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 19  Wateen Ghaith notes 49 Fetal heart rate should be checked every 5 mins during second stage of labor. 50 Papanicolau (PAP ) test to screen for cervical neoplasia during antenatal assessment. 51 Avoid sexual intercourse for 2 weeks after dilatation and curettage of abortion. ‫ َْ ذالة إن واذصة بجاسصى ٌوصًا مطض ٌصوى خوغّة زي‬zithromycin ‫ ال‬52 ‫ بووفرٌا اهٌا ثاسص‬Chlamydia ٔ. ٚ‫ من ثادّط ذبٍب موً الرم‬ٚ‫ مٍاى الهي بّٕل‬ٚ‫هٌٍّن من ذبٍب موً الرم‬ 53 Purpose of late vaginal rectal culture during ante natal screening to screen for group B streptococci. 54 Progesterone and estrogen are responsible for implantation of ovum inside uterine wall. 55 Estrogen responsible for uterine wall and breast enlargement during pregnancy. 56 Serum HCG level done to diagnose gestational trophoblastic disease. 57 Side effect of HCG during pregnancy is depression. 58 Placenta produce HCG. 59 Uterus size after delivery is 900 grams. 60 Raise head of the bed if pregnant woman experience heartburn. 61 Ceftriaxone is treatment during pregnancy for gonorrhea. 62 Lepoids maneuvers used to assess location and presentation of the fetus. ٔ ٔ ٔ. ‫ص من هبق الحوّن ٔادواء الغٍهار لالم بّجم خع هبق االم ادواء االػجماع لوبق الحوّن‬ٙ‫ ٌلؽان ثجا‬63 ٔ. ‫ هؿ ػاٌة بٍص ػاٌجّن‬ٚٙ ‫صا‬ٙ ‫ بٍص‬, ‫ ربً ػاٌة َْ ٔاول ػاٌة‬ٚٙ ‫ بٍص الٍالدة بّجم ّٖاس الٍالمات الرٍِّة لالم‬64 65 Molar pregnancy :- abnormal form of pregnancy in which a non viable fertilized egg implants in the uterus and will fail to come to term , and best advice is to avoid falling pregnant for at least one year.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 20  Wateen Ghaith notes 66 Molar pregnancy signs is rapid increase of uterine growth. 67 Indirect Coombs test done for Rh- client to predict whether the fetus is at risk for acute hemolytic disease. 68 Placenta previa after 12 weeks , abruption placenta in 3rd trimester , ectopic pregnancy doesn't cause fundus height. 69 Amenorrhea :- is the absence of menstrual cycle. 70 Primary amenorrhea :- the absence of menstruation in someone who hasn’t had a period by age 15 related to hormone levels. 71 Secondary amenorrhea :- the absence of three or more periods in a row by someone who has had periods in the past. 72 Dexamethasone during pregnancy to promote fetal lung maturation. 73 Administer Rheum within 72 hrs after abortion for woman ( Rh- ). 74 Puerperal sepsis symptoms is a temperature of 38 c or higher 2-10 days postpartum. 75 Puerperal sepsis and hemorrhage may lead to death. 76 Mother infected with Neisseria gonorrhea may cause blindness to a newborn. 77 Progesterone affect systems like GIT and urine , estrogen has effect on secretion like ( nausea , vomiting , discharge). ٔ ٔ ٔ carrier ‫ اما لٍ ًما‬, ‫ ًّبٍٕا مفابّن‬% 100 ‫ِبَٕ اوالدًم‬ sickle anemia ‫ لٍ االم واالب مفابّن ب‬78. % 25 ‫ ( ًجبُٕ هغبة اإلـابة‬trait ) ٔ ُْ ‫ االولٍِة َْ الطٌاِة ًجٍ٘ن المفاب‬, ‫ روئي والجاهُ مفاب بالجٌاب َْ لغان المظمار‬ٚ‫ لٍ ٌوصك نٓلّن واذص مفاب بغ‬79 ٔ. ٍ‫ ـ‬ٚٙ ‫ ٌلؽان دا بّغص الٕفبة الٌٍائّة وبّشلُ مطور اال‬epiglottitis ‫لغان المظمار‬ ٔ ‫ ثلٕائُ بٍص الٍالدة اػمٌا‬ٕٚٓ‫ الصورة الصمٍِة بجاع الحوّن بجبُٕ ٌ٘ع دورة االم ف ُْ ْجرات بالحوّن بجج‬80. Indomethacin ‫ ودى لٍ ما اثٕٓلجؼ بواسص لٌا ٌالج اػمي‬patent ductus arterious... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 21  Wateen Ghaith notes ‫صا ب ملاد ذٍّي‬ٙ ٚ‫ لٍ ما اثٍالحجؼ ٖب‬recent episode of streptococcal tomsillitis ‫ ال‬81. Rheumatic fever ‫دى بجغب‬ ٔ ِٔ‫ ٌن نط‬ٚٙ ‫ بوطًْ راػي وبوموً اال‬Tracheoesophagageal fistula ( TOF ) ‫ لٍ مٍلٍد خصِص ٌوصى‬82. ‫ لّي ٌلؽان اإلْطازات‬suction ٚ‫الٓم وبوٍم‬ 83Diabetes insipidus symptoms excessive thirst and polyuria. 84 Subluxion most common form of development dysplasia of the hip ( DDH).. ُ‫ دا سلً هٌائ‬dislocation ‫ اما‬, ‫صا‬ٙ ‫ دا زي مظ بغّم‬preluxion‫ اما‬, ‫ الرٍض‬ٚ‫دا مٍواى سلً خظئُ ُْ مٓف‬ 85Children with cerebral palsy 30-50% have cognitive impairment. 86 Priority with sickle cell anemia :- oxygen , pain , hydration. 87 Uterine retention cause uterine atony. 88 Follow up visits ( for most cases like :- visit to families with newborn , discuss hazards facing family , health problems ). 89 Selective visits ( focus on individuals or subgroups facing specific problems as : infectious diseases , chronic illness ,epidemiological survey..etc ). 90 Systemic visits ( known as routine visits like antenatal , postnatal ). 91 Basic steps of family planning counseling ( GATHER model ) :-  G:- Greet the client.  A:- Ask about their family planning needs.  T :- Tell them about options and methods.  H :- Help them to make decision.  E :- Explain how to use methods.  R :- Return/refer schedule and carry out a return visit and follow up.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 22  Wateen Ghaith notes ‫ اًعفحة دى ثخلرا ٌَفِم مش أنرت‬  Fetal lie.  It’s the relationship of the long axis of the fetus ( asrelated to the spinal column ) to the long axis of the mother ( Longitudinal , oblique or transverse ).. ٚ‫لالم مم٘ن ٍِ٘ن راػَ ٔا و ٔإَْ ٔا و مائ‬ ٔ ‫وكً الٍمٍد الٕٓطى للحوّن بالوغبة للٍمٍد الٕٓطى‬  The fetus in a transverse or uncorrectable oblique is usually delivered by cesarean birth.  Fetal attitude.  It’s the relationship of the parts to one another ( the fetus is described as being in a state of flexion or extension ).... ) ‫صا‬ٙ ‫ نطف لٍذصى وبّبَٕ كٌطى واسص هؿ داِطى‬ٚٙ ‫وكً ٔانطاف الحوّن بالوغبة لحغمي ( راػي بجبَٕ ٌلَ ـصرى ورخلّي وإِصِي بجبَٕ ملجٓي‬  Fetal presentation.  It’s the first part of the fetus which meets the pelvic brim and it’s the first part felt by vaginal examination.. ‫الحظء من الحغم ال ًٍّ٘ن ٔا ول ذاخة ثوظل ٔا دواء الٍالدة‬ 1 Cephalic presentation :-  Vertex ( head is flexed ).  Face ( head is extended ).  Brow ( head is midway between flexion and extension ). 2 Breech presentation ( buttocks ). 3 Shoulder presentation ( the fetus in transverse lie ).  Denominator.  It’s a landmark on the presenting part by which the position of the fetus is known.. ٚ‫ المؽجطك ودى بّبَٕ مٍخٍد بّن وكً الحوّن ٔوا ول خظء ًّوظل ٔا دواء الرم‬ٚ‫الٍام‬  Vertex presentation  occiput  O.  Face presentation  chin or mentum  M.  Breech presentation  sacrum  S.  Shoulder presentation  scapula  A.  Position.  It’s the relation of the denominator to the maternal pelvic.  The maternal pelvis is divided into 4 sections based on her right and left and front and back.. ‫ المؽجطك مً ٔا ول خظء ًّوظل ٔا دواء الٍالدة‬ٚ‫م٘ان الحوّن دى بوشلم ّْي وخٍدى بالوغبة للطذم مً الٍام‬  Fetal position is described by using 3 letters :-  The first designates whether the presenting part is facing to the mother’s right ( R ) or left (L).  The second is the denominator.  The third designates whether the presenting part is pointing to the anterior ( A ) or posterior ( P ) section of the mother’s pelvis or to the center ( transverse –T- ).... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 23  Wateen Ghaith notes 1 Caused by :- streptococcus aurous. 2 It won't affect the newborn. 3 First line treatment :- antibiotic therapy and continuation of breast feeding. 4 Measures to relieve nipple soreness :- ice packs before feeding , lubricate nipple with a few drops of milk , letting nipples air dry after feedings , avoid using soap on it. 5 Management of breast engorgement :- ice packs , analgesia , continuation of breast feeding , supportive bra. -: ‫ مفهلرات بالوغبة لرصِثُ الٍالدة‬3 ‫ ٌوصها‬ 1 -: gestational age ‫ الول من حِر ؿدد أسابَؽ اذلي‬  Term :- 38-40 weeks.  Preterm :- 30-36 weeks.  Post term :- > 40 weeks. -: ‫ اًثاين من حِراًوزن ؾيد اًولدة‬  Normal weight :- -2.5-3.5 kg.  Low birth weight :- less than 2.5 kg.  Very low birth weight :- less than 1.5 kg. -: ‫ اًثاًر من حِرؿالكة اًوزن ابًـمر اجليُينوُيا بًس خخدم اًرمس اًبَاين‬  Large for gestational age :- more than 90 %.. ‫دا واكؽ ىف امليعلة اًبَضاء ىف اًرمس اًبَاين‬  Appropriate for GA :- between 10% and 90 % on the chart.  Small for GA :- 10% and below 10 % on the chart. ‫ُو بَجَب كل اًسؤال مـاٍ رمسَ زي ال حتت دى وبياءاً ؿىل املـعَات ال ىف اًسؤال بدضوف اًـالكة مابني اًوزن وؿدد الاسابَؽ وبياءأ‬. large or appropriate or small ‫ؿَهيا بخحدد الاخابَ اذا اكن‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 24  Wateen Ghaith notes birth weight‫ ًو خاكل ىف اًسؤال اًوزن بس وما ذهرش أى حاخة ؾن معر اًرمح بًضوف الاخذَارات ال فهيا‬-: ‫ مَحوػة‬. gestational age‫اما ًو ذهر ىف اًسؤال معر اًرمح و وزن اجليني بًضوف ىف الاخذَارات‬ ‫ مـؼم اخملاظر بخىون ؾن ظرًق ألك حاخة فهيا‬toddler ‫ اخلاص ابلؾٌلر اًـ‬safety measures ‫ سؤال‬ 2 motor or bicycle ‫ مـؼم اخملاظر بخىون ؾن ظرًق‬school age ‫أما ال‬ poisoning ‫مسوم‬. accident 3 Chromosomal 46 , XY refer to normal male. 4 Chromosomal 46 , XX refer to normal female. 5 To measure fetal heart rate and fetus activity through daily fetus kicks. 6 Highest priority for newborn ( CAB – circulation , airway and breathing - ) + preventing heat loss from the infant. ‫ اما ًو ذهر كل‬RDS ٍ‫ ًبلي ؾيد‬grunting , nasal flaring ‫ بَـاين من‬preterm ‫ ًو كال يف اًسؤال‬ 7. normal in the first 24 hrs of birth ‫ ًبلىى‬term ‫الؾراض دى مؽ اًـ‬ 8 Preterm may suffer from lack of surfactant and has signs of grunting and nasal flaring.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 25  Wateen Ghaith notes 9 Ventricular septal defect ( VSD ) might close spontaneously after 6 months. 10 Infant mortality :- death of infants during the first year of life per 1000 live birth. 11 Endotracheal is a route of surfactant for premature newborn in NICU to treat respiratory distress. 12 Group B streptococcus may cause septicemia including respiratory distress and apnea and hypotension to neonate within 12 hrs of birth. 13 Lanugo hair :- fine hair in preterm baby less than 30 weeks. 14 Vernix caseosa :- -waxy white substance found coating the skin of newborn human babies. 15 Milia :- small , whitish cysts on the skin ( common in infants ). 16 Mongolion spots :- congenital dermal melanocytosis (a kind of birthmark that is flat , blue , or blue gray ).. ‫ أما اًخـرًف ال بـدُا دا بدبلى ؿالمَ ص بَ" اًومحَ" اًعور ُخوحض انرت‬, ‫املَََا دى بدبلي حبوب مٌدرشة يف اًوخَ بدبلي ًوهنا أبَغ وانصفة‬ 17 Meningomyelocele ( one type of spina bifida ) :- cover it with moist sterile saline dressing to prevent infection. 18 Hemoglobin electrophrosesis test to detect sickle cell disease. 19 Diabetes insipidus results from an inadequate secretion of vasopressin or ADH from the back part of the pituitary ( posterior ). 20 Congenital heart disease is common with Down syndrome. ‫ اضـاف‬3 ‫ هََو ) وَُلى‬6 ( ‫ صِور‬6‫ َُبلى اًضـف ؾيد‬, ‫ هََو‬3ٍ‫ ًو كال ىف اًسؤال وزن اًعفي ؾيد اًولد‬ 21. ) ‫ هََو‬12( ‫ اضـاف وزهَ ؾيد س يدني‬4 ‫ هََو ) و‬9 ( ‫ؾيد س ية‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 26  Wateen Ghaith notes 22 Types of heat transfer ( Radiation , conduction , convection , evaporation ). ‫الوىل ؾن ظرًق املوخات اًىِروملياظس َة زي مثال ملا ثلف ىف اًضمس ( ممىن ًذهركل ىف اًسؤال اًعفي َُفلد احلرارة ؾن ظرًق ابب أو‬ ‫ أما اًخاًخة احلرارة بخًذلي ؾن ظرًق سائي أو ُواء ( زي مثال ملا ثَجي‬, ) ٍ‫ اًخاهَة دا ابًخالمس ( ًـين حعَيا اًعفي مثال ؿىل ظربزي‬,. ) ‫ص باك‬. ‫ أما اًرابـة دى ؾن ظرًق خبار املاء‬, ) ‫ثديف املاًَ بخحط ماًَ خسيَ ؿىل ماًَ ابردٍ أو ملا جضلي اًخىَِف ؾضان ًبدل اًِوا اًسخن ابًساكؽ‬ 23 Cephalohematoma cause blood break down then cause anemia and pathological jaundice. 24 Cover the eyes with shield for newborn receiving phototherapy. 25 Physiological jaundice due to immature hepatic function , pathological jaundice common with Rh incompatibility. 26 Vitamin K injection to prevent hemorrhage. 27 Flattened nose , mall ears , short neck , upward slating eyes are physical signs of down syndrome. 28 Avoid circumcision till the hypospadias repair. 29 Newborn assessment ( vital signs ) :- respiration , pulse , temperature. 30 Brachial artery for pulse check in infant. ‫ ودا بَىون‬vasoocclusive ََ‫ بَحعي بطء يف مرور ادلم يف الوؾَة بًسم‬sickle cell anemia ‫ يف‬ 31. ‫معاحب ًََ أمل صدًد وظـوبة ابًخيفس ؿَضان ندا مميوع ممارسة رايضة زي جسَق اجلبال لحصاب املرض دا‬ 32 Heel is recommended site for blood sugar sample from neonate.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 27  Wateen Ghaith notes 33 Desferoxamine ( desferal ) used to treat thalassemia but its toxicity may cause decreased hearing.. prednisone ‫ دا بُبلى فَِ هلط ىف الادرًياًني فبياخد ؿالج هورثزيون هل زى‬cushing's syndrome ‫ مرض ال‬34 35 Vastus lateralis is best site for Vit K injection in newborn. 36 Vit k injection for newborn due to lack intestinal bacteria. ٔ. vit kُْ ‫ ْبواسص الرٕوة دى لما ٍِ٘ن َْ هٕؿ‬, ‫ ّْ َ ذصِثُ الٍالدة‬vit k‫ُْ ب٘ جّطِا ُْ االمٍاء بجغاٌص ٌلُ ثٍِ٘ن‬ 37 Normal systolic Bp for newborn 60-80. 38 Neonatal mortality rate 1/1000. 39 Newborn stomach capacity 6 ml. 1 Cleft lip surgery :- between 2-6 months , position after surgery ( supine or lateral ). 2 Cleft palate surgery :- between 12-18 months , position after surgery (prone). 3 Consideration after cleft lip and palate :-  Burping the baby frequently every 15 mins.  Feeding upright , setting position.  Elbow restraint and infant shouldn't allow to cry.  Pregnant woman should ( take folic acid 400 iu , increase green vegetables and citrus intake ). ‫ أما ًو معي اًـمََة‬special bottle feeding ‫ بُِالك ؾن ظرًَق‬cleft palate ‫ ًو ًسَ ما معَش‬4. open cup ‫بًس خخدم‬. bottle ‫ أما ًو معي اًـمََة بًس خخدم‬Tea spoon ‫ بُِالك ؾن ظرًَق‬cleft lip ‫ ًو ًسَ ما معَش‬5 6 Arm restraint :- lip repair ( 1 week ) , palate repair ( 3 weeks ). ‫ أما ًو ذهر‬cleft lip and palate‫ ًو خاكل يف اًسؤال ان اًعفي رحؽ اٌَنب من الهف أو الذن بس من كري أؾراض ًبلي‬7. tracheoesophageal fistula ‫ ُيا َُبلى‬cyanosis , chocking ‫مـامه أؾراض زي‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 28  Wateen Ghaith notes 1 Types :- occulta , meningocele , myelomeningocele. 2 Suitable position :- prone. 3 Folic acid can decrease incidence of it. 4 Common complication :- hydrocephalus , so we monitor head circumference.. ٍ‫ ؿَضان بَـمي حساس َة مـا‬latex ‫ مميوع ًخـرض لي‬ventriculoperitoneal shunt 5  Absence of ganglion cells in rectum and intestine causes failure to pass meconium or stool in newborn for 24 hrs.. ‫دا مرض وررايث مابُبلاش يف حرنة يف المـاء وابًخايل بَلي اخراج اًعفي‬ 1 Common complications :-  Entrocolitis.  Mechanical obstruction.  Failure to thrive , constipation. 2 Avoid palpating the child's abdomen with Wilm surgery.. ‫ واًورم بُذأثر ابخلبط ؿىل اًبعن‬tenderness ‫ؿَضان اًببعن ببدبلى‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 29  Wateen Ghaith notes ٔ ٔ. Red jelly stool‫ البطاز‬ٚ٘‫ دا بّبُٕ ُْ االمٍاء او الٍٕلٍن بّبُٕ ؾ‬1 2 First line of therapeutic management :- a Non surgical hydrostatic reduction ( enema ). b Manual manipulation. 1 Signs and symptoms :- a Olive like mass ( upper right quadrant ).. ‫دا اثبت مابُذحروش‬ b Projectile vomiting. c Peristalsis movement from left to right.. ‫ة االمٍاء دي ال بججرطك وبجبُٕ ملرٍىة‬ٙ‫اما ذط‬ 2 Surgery for pyloric stenosis :- pyloromyotomy. 3 Tetralogy of fallot located in right heart side :- a Pyloric stenosis. b Aortic stenosis. c Ventricular septal defect. d Right ventricular hypertrophy. 4 Knee chest position is best for tetralogy of fallot to avoid cyanosis. 5 High risk with lymphocytic leukemia :- a Infection. b Bleeding. c Hepatitis. 6 Fever 38-40 c , hyperpyrexia > 40. 7 Rectal temperature depth 3.5 cm ( 1-1.5 inch ). 8 Fastest and most sanitary thermometer is tympanic. ٔ ٔ ‫ ٓاءة الٕل هجّحة وخٍد ؾٍّطات‬ٙ ُ‫ لٍ ٌوصها مطِق ٖل بوجحو هّٕع الرطارة من الؽطج الن دا بّادط ٌل‬9. cardiac output ّٕٚ‫ وبالجالُ ب‬vegal stimulation‫دمٍِة َْ الؽطج بجرٓظ ال‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 30  ‫‪Wateen‬‬ ‫‪Ghaith notes‬‬ ‫‪ ‬خدول اًخعـاميت اًوظين ‪.‬‬ ‫‪ ‬اًخعـمي ‪.‬‬ ‫‪ ‬اًزايرة ‪.‬‬ ‫‪Vaccine.‬‬ ‫‪Visit.‬‬ ‫‪ BCG.‬‬ ‫درن‬ ‫ؾيد اًولدة ‪.‬‬ ‫‪ Hepatitis B.‬‬ ‫اٍهتاب هبدي ( ب )‬ ‫‪At birth.‬‬ ‫‪ IPV.‬‬ ‫صَي أظفال‬ ‫معر صِرٍن ‪.‬‬ ‫‪ DTaP.‬‬ ‫اًثاليث اًبىذريي‬ ‫‪2 months.‬‬ ‫‪ Hepatitis B.‬‬ ‫اٍهتاب هبدي ( ب )‬ ‫‪ Hib.‬‬ ‫املس خدمية املزنًَة‬ ‫‪ Pneumococcal conjugate ( PCV ).‬‬ ‫اًبىذرياي اًـلدًة اًرئوًة‬ ‫‪ Rota.‬‬ ‫فريوس اًروات‬ ‫‪ IPV.‬‬ ‫صَي أظفال‬ ‫معر ‪ 4‬صِور ‪.‬‬ ‫‪ DTaP.‬‬ ‫اًثاليث اًبىذريي‬ ‫‪4 months.‬‬ ‫‪ Hepatitis B.‬‬ ‫اٍهتاب هبدي ( ب )‬ ‫‪ Hib.‬‬ ‫املس خدمية املزنًَة‬ ‫‪ Pneumococcal conjugate ( PCV ).‬‬ ‫اًبىذرياي اًـلدًة اًرئوًة‬ ‫‪ Rota.‬‬ ‫فريوس اًروات‬ ‫‪ OPV.‬‬ ‫صَي الظفال اًفموي‬ ‫معر ‪ 6‬صِور ‪.‬‬ ‫‪ IPV.‬‬ ‫صَي أظفال‬ ‫‪6 months.‬‬ ‫‪ DTaP.‬‬ ‫اًثاليث اًبىذريي‬ ‫‪ Hepatitis B.‬‬ ‫اٍهتاب هبدي ( ب )‬ ‫‪ Hib.‬‬ ‫املس خدمية املزنًَة‬ ‫‪ Pneumococcal conjugate ( PCV ).‬‬ ‫اًبىذرياي اًـلدًة اًرئوًة‬ ‫‪ Rota.‬‬ ‫فريوس اًروات‬ ‫‪ Measles.‬‬ ‫احلعبة املفرد‬ ‫معر ‪ 9‬أصِر ‪.‬‬ ‫‪ Meningococcal conjugate quadrivalent ( MCV4 ).‬‬ ‫‪9 months.‬‬ ‫اذلى اًضوهَة اًرابؾي امللرتن ‪.‬‬ ‫‪ OPV.‬‬ ‫صَي الظفال اًفموي‬ ‫معر ‪ 12‬أصِر ‪.‬‬ ‫‪MMR.‬‬ ‫اًثاليث اًفريويس‬ ‫‪12 months.‬‬ ‫‪ Pneumococcal conjugate ( PCV ).‬‬ ‫اًبىذرياي اًـلدًة اًرئوًة‬ ‫‪ Meningococcal conjugate quadrivalent ( MCV4 ).‬‬ ‫اذلى اًضوهَة اًرابؾي امللرتن ‪.‬‬ ‫‪ OPV.‬‬ ‫صَي الظفال اًفموي‬ ‫معر ‪ 18‬أصِر ‪.‬‬ ‫‪ DTaP.‬‬ ‫اًثاليث اًبىذريي‬ ‫‪18 months.‬‬ ‫‪ Hib.‬‬ ‫املس خدمية املزنًَة‬ ‫‪ MMR.‬‬ ‫اًثاليث اًفريويس‬ ‫‪ Varicella.‬‬ ‫اجلدٍري املايئ‬ ‫‪ Hepatitis A.‬‬ ‫الاٍهتاب اًىبدي ( أ )‬ ‫ال ذٍل وٍٖةال إال باهلل^^ ‪...‬‬ ‫ال إلي إال هللا ‪...‬واػجِٓط هللا ‪...‬‬ ‫هللا ٔا‪ٙ‬بط ‪...‬‬ ‫‪...‬‬ ‫الرمص هلل‬ ‫ػبران هللا ‪...‬‬ ‫‪31‬‬  Wateen Ghaith notes  Hepatitis A. ) ‫الاٍهتاب اًىبدي ( أ‬. ‫ صِر‬24 ‫معر‬ 24 months.  OPV. ‫صَي الظفال اًفموي‬. ‫ؾيد دخول اًعف الولالابخدايئ‬  DTaP ( Td ). ) ‫اًثاليث اًبىذريي ( اًثيايئ اًبىذريي‬ First class primary  MMR. ‫اًثاليث اًفريويس‬ school age.  Varicella. ‫اجلدٍري املايئ‬ 1 Vaccine refrigator temperature is 2-8 c. 2 Vaccine storage in ICE. 3 Measles vaccine route is SC. 4 DTaP vaccine route is IM. 5 MMR vaccine prevent Mumps, Measles , german measles ( rubella ). 6 DTaP vaccine prevent diphtheria , tetanus , pertussis. 7 Meconium is dark green stool in newborn. 1 Most common cause of diarrhea in pediatric is rotavirus. 2 Knee chest position is best for tetralogy of fallot to avoid cyanosis. 3 Motor vehicle injury common with children above 5 years. 4 Kwashiorkor signs and symptoms :- weight loss , loss of muscle mass , diarrhea , edema of the ankles. ٔ ‫ مٍيم االػئلة بجٍ٘ن اـابات من الٍالصِن وبوبلَ بٌّا ٌن ػٍء المٍاملة‬5. local authorities 6 Ventriculoperitoneal shunt malfunction :- vomiting , lethargy. 1 Hyperglycemia :- defect with beta cells of islet of langerhans. 2 Daily weight should be the plan of care for child receiving TPN. 3 Metformin (glucophage ) drug used to treat type 2 DM.. egg yolk and fish ‫ ) بّبُٕ ُْ هٕؿ ُْ ال٘الغٍّم ْبوٍٍض ب‬Rickets ( ‫ ال٘غاح‬4 ‫ ٍِ٘ن سّّٓ ٌؽان هجحو االمغاك زي الظبادى‬ٚٙ‫ بووفد ان اال‬stoma ٙ‫ لٍ ذالة ًجط‬5. yogurt and pasley... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 32  Wateen Ghaith notes ‫ الملّان دًٍن زى‬ٚٙ ‫ بوجحو ٔاال‬olecystectomy‫ لما ِجم اػجئفالٌا‬,‫ المطارة بجٌلم الصًٍن‬6. whole milk ٔ. Bran , figs , prune‫ الجّن‬- ‫ الشٍخ‬-‫ ال بّشّٓ االمغاك دّٖٔ الؽٍْان‬ٚٙ ‫ اال‬7 ٔ ٔ ٔ ٔ ٚٙ‫ الن الحغم بٌّاخم االهغحة بجاٌجي لما بّا‬gluten ‫ ّْي‬ٚٙ‫ إن ِجحو اى ا‬celiac disease ‫ بووفد مطِق‬8 ٔ. wheat‫ دا زي‬ٚٙ ‫هٍع اال‬ ٔ. mashed potatoes and soup‫ المواػ لٍملّات اللٍز ِبُٕ نطي زي‬ٚٙ ‫ اال‬9. necrosisٚ‫ هجحو ؾطب ال٘رٍلّات مً مطض البو٘طِاس ٌؽان بجٍم‬10 ٔ. lentils‫ جط هٌٍّن هباثُ ٌّْم بطوثّن الٍٓل والٍصس‬ٙ‫ لٍ المطِق هباثُ ا‬11 ٔ ٔ ‫ جّط ْبوشاف من اى‬ٙ tremor‫ ٌلؽان بّبُٕ ٌوصى‬semi solid ُٕ‫ بّب‬ٚٙ ‫ اال‬parkinsonism ‫ مطِق ال‬12 ٔ. ‫ هاؾّ مم٘ن ِغب لي اسجوا‬ٚٙ‫ا‬ 13 Nephritic syndrome :- low salt , low fat , low fluid. 14 Chronic renal :- low protein , low salt , low fluid. 1 Pulmonary angiography for pulmonary embolism. 2 Pulmonary function test for pulmonary edema. 3 Rheumatic heart disease = positive Beta hemolytic streptococcus. 4 Use a heart model for a girl 10 yrs old to show her how the surgery will go. 5 Increase magnesium level cause cardiac arrthmyias and prolonged QRS. 6 MI = ST elevation , Ischemia = ST depression. 7 Randomized control trial study design provides the strongest evidence. 8 Terminal illness need palliative care.. ‫ًو املرض مزمن ومالزم مدى احلَاة بَحخاج مسىن مش أنرت‬ 9 Neutrophils blood test increase in inflammation. 10 High gastric PH reduce absorption of drugs. ‫ م والمطِق ذع اهي ٌاوز‬1‫ ص والجمطِق هٓض ٔاالمط الغاٌة‬11‫ جٍر ٖال هؽّلٌا‬ٙ‫ ػؤال الٕغهطة الٍٓلُ لٍ الص‬11 ٔ ٍ‫ اما ل‬urine retention ‫ ُْ سلً الٕغهطة ْبالجالُ مم٘ن ٍِ٘ن الغب‬ٍِٚ‫ الرمام ًوا ماسصهاش وٖت ن‬ٚ‫ِصس‬ ٔ. urinary tract infection ‫الجمطِق هٓض االمط بٍص ْجطة نٍِلة مم٘ن ٍِ٘ن الغب‬... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 33  Wateen Ghaith notes 12 APGAR score done at 1-5 mins at birth.. ‫دا ببِلمي حاةل اًعفي يف أول دكائق من ولدثَ ؾضان ًُمت اختاذ اًالزم هل‬  Severe depression 0-3.  Mild depression 4-7.  Normal 8-10. 13 fundal height during pregnancy.... ^^‫ال ذٍل وٍٖةال إال باهلل‬... ‫ واػجِٓط هللا‬... ‫ال إلي إال هللا‬... ‫بط‬ٙ‫هللا ٔا‬... ‫الرمص هلل‬... ‫ػبران هللا‬ 34  ‫‪Wateen‬‬ ‫‪Ghaith notes‬‬ ‫معدر املَف ‪ -:‬مذهرة قَر ملسرت محمود جهرس ورشح مس اميان ؿًل حروب اًخََجرام ‪.‬‬ ‫ًمت كراءة ملَف بـد مذاهرة مَف قَر حِداً والاس امتع ايل رشح مس اميان حيت ًمت الفادة املرحوة من ُذا‬ ‫املَف ‪ ,‬وأسال هللا اًلبول والخالص فَِ وأن ٍىون ممك ًال جملِود اًزمالء ومُرساً ٌَفِم واحلفغ ‪.‬‬ ‫ال ذٍل وٍٖةال إال باهلل^^ ‪...‬‬ ‫ال إلي إال هللا ‪...‬واػجِٓط هللا ‪...‬‬ ‫هللا ٔا‪ٙ‬بط ‪...‬‬ ‫‪...‬‬ ‫الرمص هلل‬ ‫ػبران هللا ‪...‬‬ ‫‪35‬‬  ‫‪Wateen‬‬ ‫‪Ghaith notes‬‬ ‫بغم هللا الطذمن الطذّم ‪.‬‬ ‫ّ‬ ‫واذ ُل ْ‪َ ْٕ ٌُ ٚ‬ص ًة ِّمن ِل َغا ِهُ (‪ٌٍُ َٕ ْٓ َِ )27‬ا َٖ ٍْ ِلُ (‪)) )28‬‬ ‫((‪َ...‬ر ّب ْاؾ َط ْح ِلُ َـ