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Ninja SMLE Recall: منشور #36082 — TG.ME

Ninja SMLE Recall@ninjasmle · 13.9K subscribers Open in TelegramOpen

t.me/ninjasmle/36082

September 8, 2026 152 1

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أما هذا الريكول اللي فوق ، فاتضح ان علي الحرشان هو اللي كتبه بالحرف الواحد (ماله أي علاقة بالريكول اللي تحت) مافي لا RECENTLY ولا أي شيء Maybe 2 Recalls? OR Poor Recall? Anyhow , Answer is "A" [Lamotragin Treatment Of Bipolar Depression] أما الريكول اللي تحت ، فقد يكون ريكول مختلف (أو بور ريكول ، الله أعلم) 32 Years old male with history of bipolar II, for the last 3 weeks he was complaining of depressed mood and anhedonia, past-medical history of hypertension on Lisinopril. What is the most appropriate management? (as I think) A. Lamotrigine and titrate slowly B. Stop Lisinopril as it may worsen symptoms C. Fluoxetine to treat his depression D. Electroconvulsive therapy for rapid symptoms relief Alhomrani: I Don't Think The Recall Is Written Like This , See Similar (From June/July) A question about a patient with bipolar disorder whose condition worsened over the last 3 weeks. He was RECENTLY diagnosed with hypertension and started on an ACE inhibitor. What is the management? Choices: A) Stop the ACE inhibitor B) Give Lamotrigine 37·Sep 9

[media post] 28·Sep 9

آخر تعليق على هذا السؤال: مافي اجابة حتى يجيني الريكول كامل مع الخيارات + العمر 😞 Female chronic intermittent diarrhea and abdominal pain. Attached this exact image Initial management? A. TNF-a B. Steroids and melasamine C. ? D. ? It Depends On Many Factors: Age? Child vs Adult? Is There Joint Disease? Is This Crohn's Or UC? Any Features Of Severe Disease? (Eg ESR & CRP , Low Albumen? Etc?) Anyhow , ASSUMING It's UC AND No Joint Disease , Then My Answer Is "B. Steroids and Mesalamine" See Below Evidence & Approach 30·Sep 9 32 Years old male with history of bipolar II, for the last 3 weeks he was complaining of depressed mood and anhedonia, past-medical history of hypertension on Lisinopril. What is the most appropriate management? (as I think) A. Lamotrigine and titrate slowly B. Stop Lisinopril as it may worsen symptoms C. Fluoxetine to treat his depression D. Electroconvulsive therapy for rapid symptoms relief Alhomrani: I Don’t Think The Recall Is Written Like This , See Similar (From June/July) A question about a patient with bipolar disorder whose condition worsened over the last 3 weeks. He was RECENTLY diagnosed with hypertension and started on an ACE inhibitor. What is the management? Choices: A) Stop the ACE inhibitor B) Give Lamotrigine We Need Someone To Refine The Recall In Future , But For Now Answer Is: B. Stop Lisinopril as it may worsen symptoms ACE inhibitors Antagonise RAAS System And Block Amiloride Sensitive Channel (Which Is Responsible For Lithium Absorption) ACE Inhibitors Worsen Bipolar Control In Lithium Users As They Decrease Lithium Serum Level 97·Sep 8

[media post] 78·Sep 8

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