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Ninja SMLE Recall: منشور #35826 — TG.ME

Ninja SMLE Recall@ninjasmle · 13.8K subscribers Open in TelegramOpen

[media without text]

t.me/ninjasmle/35826

September 4, 2026 108

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September File Day 1: Sorry For The Typo , Answer Is "B" (High KFT) All In All , I Think The Scenario is Defective (This Is 90% Poor Recall) #September_Edits 6- Patient with pneumonia (+ yellow sputum), lower patchy opacities, high KFT (Examinee note : لم يذكر أي شيء آخر), what's the causative organism? A. Streptococcus B. Legionella C. Staph. Aureus A. Streptococcus 16·Sep 5

. . . . . 16.6 CASE DISCUSSION Case 1 An infertile couple was in the midst of an IVF procedure when the husband died soon after his semen was frozen. The wife wanted to obtain the semen and have a baby by a surrogate mother. A former wife also wanted the semen because she had a girl with leukemia who needed a compatible bone marrow donor, preferably a sister. Hint: paternity outside wedlock is not permitted. Case 2 A recently married woman continued taking oral contraceptives prescribed for menstrual irregularities. Her husband wanted his wife to discontinue her contraception because he wanted to start a family immediately, but the wife refused. Hint: mutual consent required for contraception. 46·Sep 5

. . . . . 16.6 CASE DISCUSSION Case 1 An infertile couple was in the midst of an IVF procedure when the husband died soon after his semen was frozen. The wife wanted to obtain the semen and have a baby by a surrogate mother. A former wife also wanted the semen because she had a girl with leukemia who needed a compatible bone marrow donor, preferably a sister. Hint: paternity outside wedlock is not permitted. Case 2 A recently married woman continued taking oral contraceptives prescribed for menstrual irregularities. Her husband wanted his wife to discontinue her contraception because he wanted to start a family immediately, but the wife refused. Hint: mutual consent required for contraception. 47·Sep 4 إضافة مضاد الفطريات (Antifungal) بعد 3 أيام. أغلب المصادر تقول 4 أيام، لكن المعيار (Standard) هو 4، وهناك مصادر تذكر 3 أيام. إضافة مضاد الفطريات بعد 3 أيام أفضل من استخدام الفانكومايسين (Vancomycin). 72·Sep 4 من دبيتبلز العصر الحجري (مدري على إيش دبيتبل ، لكنه كان دبيتبل لسبب ما) Treatment of neutropenic fever syndromes in adults with hematologic malignancies and hematopoietic cell transplant recipients (h... Graphics (6) utropenia mplications ion of sepsis evaluation HERAPY inciples of antibiotics m of coverage men "Clostridioides difficile infection in adults: Treatment and prevention".) Persistent fever — The median time to defervescence following the initiation of empiric antibiotics in patients with hematologic malignancies, including hematopoietic cell transplant (HCT) recipients, is five days, in contrast with only two days for patients with solid tumors [1]. As stated above, modification of the initial antibacterial regimen is not needed for persistent fever alone. However, patients who remain febrile after the initiation of empiric antibiotics should be re-evaluated for possible infectious sources. (See "Diagnostic approach to the adult cancer patient with neutropenic fever".) Management algorithms have been developed for the reassessment of neutropenic patients (algorithm 2) and after four or more days of persistent fever (algorithm 3) [1]. Key factors in the management of patients with persistent fever include whether the patient is clinically stable, whether there is an identified site of infection, and when the patient is expected to recover from neutropenia. Consideration should be given to the addition of empiric antifungal therapy, as described below. (See 'Addition of an antifungal agent' below.) 86·Sep 4

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