Internal medicine knowledgeالاستاذ الدكتور سالم يوسف

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June 06, 2016

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Ramadan kareem رمضان كريم

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peripheral #neuropathy #neuropathytreatment #impotence

It's inflammation or degeneration of the peripheral nerves and/or the cranial nerves resulting in impairment of their conductivity leading to motor, sensory, and autonomic manifestations. Autonomic manifestation: Impotence and lost testicular sensation. Sensory, motor, or autonomic bladder. Postural hypotension resting tachycardia. Silent myocardial infarction. Gastroparesis: indigestion and delayed gastric emptying. Hyperhydrosis or anhydrosis. Trophic skin changes: ulcers, loss of hair, brittle nails, and Charcot's neuropathic joint. Treatment of diabetic neuropathy: Optimal glucose control is the most effective method of preventing the development of diabetic neuropathy. Vasodilators: e.g., #pentoxyfylline 400mg/12h increases RBCs' flexibility. Vitamins B1, B6, B 12 daily & ATP. For the neuropathic pain: Anticonvulsants: #Pregabalin :75-300 mg /day. #gabapentin :400-2400mg/day. #Carbamazepine and Oxcarbazepine #Antidepressants : - #Duloxetine - #Venlaf...

Salem's sign(pale yelllow nose in a chronically ill patient)

Salem's sign: it is seen in chronically ill patients like patients with renal, cardiac, hepatic, hematologic diseases, ...etc. The unhealthy nose and surrounding area appear pale yellow. fig1. Salem's sign (pale yellow nose in a chronically ill patient) fig2. Salem's sign (pale yellow nose in a chronically ill patient)

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