ياكلاب الوطني

ياكلاب الوطني .. ياأزبل ما كنت في وطني ؛ ياشلة حرمية ياعصبجية ؛ ياكابوس كابس للأماني حابس ؛ يافيضان الجهل يانهر الدم ؛ يا كل أمراض الهم ؛ يا تاريخ أسود للحقيقة ؛ ياكبت للحرية وبيعة رخيصة للبريئة ؛ ياحزب المهانة ياكذب الامتهانة ؛ يا كل قبيح عشناه يا كل ذل دقناه ؛ يارب امنحنا من بعده الحياة ونور طريقنا ده نورك انت بس كل الحياة

Sout Al Horeya صوت الحريه Amir Eid - Hany Adel - Hawary On Guitar & Sher...

أغنية ثورة الغضب المصرية 25 يناير .wmv

ثورة 25 يناير 2011

Jaw Thrust Technique

عسوووووووووووووووووووووووووول

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مناورة رائعة لطيار مصري بطائرة ميج21 في حرب 73 مع طيّار إسرائيل بطائرته الميراج

Acid-Base, Fluids, and Electrolytes Made Ridiculously Simple (MedMaster Series)

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Davidson's Internal Medicine 20th edition

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In Biblotheica Alexandrina

This is me ;)

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KAPLAN MEDICAL STEP 2 CS COURSE GUIDE

5-day course

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اللهم أنت ربي

اللهم أنت ربي
لا إله أنت
خلقتني وأنا عبدك
وانا على عهدك ووعدك مااستطعت
أعوذ بك من شر ماصنعت
أبوء لك بنعمتك علي
وأبوء بذنبي
فاغفر لي
فأنه لا يغفر الذنوب إلا أنت

Ramadan Kareem ; Happy Ramadan

My Graduation ... March 2008

Mansoura University
Faculty of Medicine
Graduation Party

My sister's little daughter ...

A princess shining like a star in my life ... isn't she ?

Sobhan Allah سبحان الله

Salicylate overdose

The mixed respiratory alkalosis and metabolic acidosis in a sweaty, confused patient point towards salicylate overdose. The development of pulmonary oedema suggests severe poisoning and is an indication for haemodialysis

Salicylate overdose leads to a mixed respiratory alkalosis and metabolic acidosis. Early stimulation of the respiratory center leads to a respiratory alkalosis whilst later the direct acid effects of salicylates (combined with acute renal failure) may lead to an acidosis. In children metabolic acidosis tends to predominate

Features

• hyperventilation (centrally stimulates respiration)
• tinnitus
• lethargy
• sweating, pyrexia*
• nausea/vomiting
• hyperglycaemia and hypoglycaemia
• seizures
• coma

Treatment

• general (ABC, charcoal)
• urinary alkalinization is now rarely used - it is contraindicated in cerebral and pulmonary oedema with most units now proceeding straight to haemodialysis in cases of severe poisoning
• haemodialysis

Indications for haemodialysis in salicylate overdose

• serum concentration > 700mg/L
• metabolic acidosis resistant to treatment
• acute renal failure
• pulmonary oedema
• seizures
• coma

** Salicylates cause the uncoupling of oxidative phosphorylation leading to decreased adenosine triphosphate production, increased oxygen consumption and increased carbon dioxide and heat production