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M.Nageh: post #8902 — TG.ME

M.Nageh@Az2ndyear · 4.6K subscribers Open in TelegramOpen

https://t.me/+dHAeSZ06Yts3ZTE8

t.me/Az2ndyear/8902 Translate

August 14, 2026 298

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85 year old male diabetic on oral medication Present with 4 months of epigastric pain increase by eating decrease by fasting burning in nature not relived by medication From 10 days developed yellowish discoloration With tea coloured urine , dark stool with no prurites , fever Pt not known to be HCV or heb B Pt had malaria at 35 age and medically treated with no recuurence 305·Aug 14

خليك دايما مركز على قد ما تقدر ادينا بنحاول وانت حاول 360·Aug 13

جميل جدا وده واحدة من الأفكار الي اتقالت خليني بس اوضح نقطة ان عشان تقول ان دي megaloblast لازم ال mcv يكون 110 او اعلى لكن قبل 110 انت بتبقى مش قادر تحلف تاني حاجة ان عشان تبقى Autoimmune polyglabdular syndrome لازم تبقى صافية يعني كلها Autoimmune ومش خارجة برا سكة ال Autoimmune لكن العيان دا فيه تفاصيل تانية مخلية موضوع ال Autoimmune مش هو الخيار الاول انا حبيت بس اذكر الحاجات ال confirmed في العيان لكن تاني تفكير جميل جدا وأحييك عليه 414·Aug 13

شاطر يا دكتور تفكير جميل جدا وهو اول حاجة تخطر على البال هو بس العيان اتعمله تحاليل ال dm ومكنش diabetic 444·Aug 13

يبخت الزقازيق والجامعات الخاصة 517·Aug 12

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