@Drhouse

Proff Season Lets Do it

🟣 Eye MCQs Review Points and Diagnosis 🟣 (from Jatoi) ✅ Chapter 5 - Eyelid ✅ Sensory supply of eyelid - Trigeminal Nerve alternative to surgery for chalazion - triamcinolone acetonide yellow pus dries up and form crusts+removal of crusts leave bleeding ulcer+eyelashes matted together- Ulcerative Blepharitis Shiny waxy appearance of eyelid margin+dandruff like material on lashes+yellow/greasy fine flakes/scales+no bleed on removal of crusts - Squamous Blepharitis Distichiasis - congenital condition most common type of entropion/ectropion - Senile (Involutional), only involves lower eyelid face burn, trauma - cicatricial entropion complete ptosis - third nerve palsy backward tilting of head+wrinkling of skin of forehead - Ptosis Tensilon test - edrophonium chloride (Myasthenia gravis) Ptosis is worse in evening - Myogenic Ptosis Steven Johnson Syndrome cause - cicatricial entropion most common method of treatment for chalazion - surgery painless swelling on upper eyelid - chalazion painful swelling + yellow spots of pus - Hordeolum Externum (stye) inward turning of lid margin - Entropion Watering/epiphora + eversion/outward turning of eyelid margin - Ectropion drooping of eyelid - ptosis levator function is normal + eyelid crease at higher level - aponeurotic ptosis ✅ Chapter 7 - Conjunctivitis ✅ Most common cause of viral conjunctivitis- Adenovirus Treatment of choice for trachoma - Azithromycin, 1 g in single dose per week for 2 weeks newborn(2-3 days ago), purulent discharge, pseudomembrane formation - Gonococcal conjunctivitis newborn(2-3 days), mucopurulent discharge - Chlamydial conjunctivitis itching+red eyes+watery discharge+dust - Acute Allergic Conjunctivitis watery discharge + painful preauricular lymphadenopathy + burning + redness + upper respiratory tract infection + family history one week ago - Viral Conjunctivitis Pannus formation + white horizontal line (Arlt's line) + Herbert's pits - Trachoma stringy ropy mucus discharge + summer + spring + giant papillae + itching + cobblestone (pavement stones) + flat topped nodules + trantas dots - Vernal Conjunctivitis/ Spring Catarrh Spring Catarrh- type 1 and type 4 allergy Triangular growth + hot climate (farmer) + probe test negative - pterygium target lesion +oral mucosal lesion + conjunctivitis -steven Johnson syndrome earliest symptom of vit A - night blindness bitot spots - vit A deficiency ankyloblepharon - fusion of eyelids symblepharon - adhesion of bulbar conjunctiva with palpebral conjunctiva ✅ Chapter 16 - Optic Nerve ✅ most common cause of optic neuritis - multiple sclerosis projectile vomiting+headache early in morning + transient blacking out of vision for 10 second many times a day by change of posture + swelling of optic disc + visual acuity is normal + enlarged blind spot - Papilloedema unilateral + sudden loss of vision + pain on eye movement + phosphenes (feeling white flashes on pressing eye) + visual acuity reduced + blurred edges optic disc + color vision disturbed- Optic Neuritis ✅ Chapter 19 - Orbit ✅ most common cause of cellulitis - sinus disease (sinusitis) painful protrusion+history of sinusitis(URTI/Flu)+ocular motility is restricted(unable to move eye in any direction) +reduced vision+disc edema+conjunctival chemosis+lid swelling only eye is involved+RAPD present+fever - Cellulitis retraction of upper eyelid+staring+frightened appearance+lid lag + infrequent blinking+painless proptosis - Thyroid Eye Disease (Graves Ophthalmopathy) Werner classification of ocular changes - Thyroid Ophthalmopathy (NO SPECS) most imp sign of graves Ophthalmopathy- Dalrymple Sign thinnest bone of orbital wall - lamina papyracea most common orbital tumor of childhood - Dermoid Cyst 100% mortality if untreated- cavernous sinus thrombosis severe headache+malaise+vomiting+unilateral periorbital edema edema over mastoid process of temporal bone - Cavernous Sinus Thrombosis ✅ Chapter 22 - Squint ✅ most sensitive period for amblyopia -first six month of life non-paralytic squint - gradual + diplopia absent + no difference of pri and sec deviation + childhood paralytic squint - sudden + old age + diabetic + hypertension + double vision + head posture abnormal + sec dev more than pri dev normal AC/A ratio is 3:1.🟣 Eye MCQs Review Points and Diagnosis 🟣 (from Jatoi) ✅ Chapter 5 - Eyelid ✅ Sensory supply of eyelid - Trigeminal Nerve alternative to surgery for chalazion - triamcinolone acetonide yellow pus dries up and form crusts+removal of crusts leave bleeding ulcer+eyelashes matted together- Ulcerative Blepharitis Shiny waxy appearance of eyelid margin+dandruff like material on lashes+yellow/greasy fine flakes/scales+no bleed on removal of crusts - Squamous Blepharitis Distichiasis - congenital condition most common type of entropion/ectropion - Senile (Involutional), only involves lower eyelid face burn, trauma - cicatricial entropion complete ptosis - third nerve palsy backward tilting of head+wrinkling of skin of forehead - Ptosis Tensilon test - edrophonium chloride (Myasthenia gravis) Ptosis is worse in evening - Myogenic Ptosis Steven Johnson Syndrome cause - cicatricial entropion most common method of treatment for chalazion - surgery painless swelling on upper eyelid - chalazion painful swelling + yellow spots of pus - Hordeolum Externum (stye) inward turning of lid margin - Entropion Watering/epiphora + eversion/outward turning of eyelid margin - Ectropion drooping of eyelid - ptosis levator function is normal + eyelid crease at higher level - aponeurotic ptosis ✅ Chapter 7 - Conjunctivitis ✅ Most common cause of viral conjunctivitis- Adenovirus Treatment of choice for trachoma - Azithromycin, 1 g in single dose per week for 2 weeks newborn(2-3 days ago), purulent discharge, pseudomembrane formation - Gonococcal conjunctivitis newborn(2-3 days), mucopurulent discharge - Chlamydial conjunctivitis itching+red eyes+watery discharge+dust - Acute Allergic Conjunctivitis watery discharge + painful preauricular lymphadenopathy + burning + redness + upper respiratory tract infection + family history one week ago - Viral Conjunctivitis Pannus formation + white horizontal line (Arlt's line) + Herbert's pits - Trachoma stringy ropy mucus discharge + summer + spring + giant papillae + itching + cobblestone (pavement stones) + flat topped nodules + trantas dots - Vernal Conjunctivitis/ Spring Catarrh Spring Catarrh- type 1 and type 4 allergy Triangular growth + hot climate (farmer) + probe test negative - pterygium target lesion +oral mucosal lesion + conjunctivitis -steven Johnson syndrome earliest symptom of vit A - night blindness bitot spots - vit A deficiency ankyloblepharon - fusion of eyelids symblepharon - adhesion of bulbar conjunctiva with palpebral conjunctiva ✅ Chapter 16 - Optic Nerve ✅ most common cause of optic neuritis - multiple sclerosis projectile vomiting+headache early in morning + transient blacking out of vision for 10 second many times a day by change of posture + swelling of optic disc + visual acuity is normal + enlarged blind spot - Papilloedema unilateral + sudden loss of vision + pain on eye movement + phosphenes (feeling white flashes on pressing eye) + visual acuity reduced + blurred edges optic disc + color vision disturbed- Optic Neuritis ✅ Chapter 19 - Orbit ✅ most common cause of cellulitis - sinus disease (sinusitis) painful protrusion+history of sinusitis(URTI/Flu)+ocular motility is restricted(unable to move eye in any direction) +reduced vision+disc edema+conjunctival chemosis+lid swelling only eye is involved+RAPD present+fever - Cellulitis retraction of upper eyelid+staring+frightened appearance+lid lag + infrequent blinking+painless proptosis - Thyroid Eye Disease (Graves Ophthalmopathy) Werner classification of ocular changes - Thyroid Ophthalmopathy (NO SPECS) most imp sign of graves Ophthalmopathy- Dalrymple Sign thinnest bone of orbital wall - lamina papyracea most common orbital tumor of childhood - Dermoid Cyst 100% mortality if untreated- cavernous sinus thrombosis severe headache+malaise+vomiting+unilateral periorbital edema edema over mastoid process of temporal bone - Cavernous Sinus Thrombosis ✅ Chapter 22 - Squint ✅ most sensitive period for amblyopia -first six month of life non-paralytic squint - gradual + diplopia absent + no difference of pri and sec deviation + childhood paralytic squint - sudden + old age + diabetic + hypertension + double vision + head posture abnormal + sec dev more than pri dev normal AC/A ratio is 3:1.

Asalam o Alaikum everyone I hope everyone is fine. I I am fine Alhamdulillah we have spent many days sportsafter this I have to cover a lot of syllabus so I was very busy my studies. I hope everybody is safe and sound. I am Studying eye with its ward of Ophthalmology. Yesterday a new family member came in this world. He is my sister son. I request all of you pray for his health. I was with my sister through thick and thin . She loves me very much. She took care of me a lot in childhood. His name is Saad given by me. When I was in my home town I tried many new foods. These are very delicious. This is one of them shown in picture we called it "kheer" I think its some dessert. So guys it's enough for today.

Today I have changed my schedule . Our university administrator's are always ready to surprise us. Now they come with the idea of taking last classes physically. Now we have to wake up early to get these lecture. Today lecture was very productive. We study about central nervous system infection. These are two types Meningitis Encephalitis Causing agent are three Bacteria Virus Fungi

Asalam o Alaikum everyone I hope everyone is fine today. I am Also good Alhamdulillah.What a Sunday it was. Allah Almighty blessed us with great success. We have arranged a big screen in our university. First we thought its weekend no one will come but its a great surprise for nishtarian they come in whole crowd. We enjoy it a lot. Everybody showed full discipline. A great performance by Pakistan team. A great team work. First time I have seen improvement from fielding side. Our professor also come to watch the cricket it was a fabulous moment to see e how excited they are the Batting of Mohammed Rizwan was impressive everything was so good we enjoy it we expressed it in every meaning later we go to a sweet shop where we eat sweets then we go to a tea shop.

Asalam o Alaikum everyone I hope everyone is fine today. I am good alhamdulillah. Life Is going very well. I am little bit tired due to unexpected sports week. Today it was my first day of class after long online study. It was a nice experience. We reached late to the class then they don't let us come to the class.After wasting a little bit time let us come. We have good time for this.

So Guys I Am hoping Everyone is fine. I am Good Alhamdulillah. Guys these days are freezing in sense of our living life style. We have nothing to do. Actually I have many things upheld but I jave no interest in things. These days are very tiring. I am thinking I should change in my routine to adopt upcoming winter season. I love winter very much. But these weather changes sometimes devastating in some sense. OK guys what's are guys doing these days. How these changes effect your life Good Night

Good Night Everyone. As weather is changing I am not feeling so well. I feel bored all the time. Upcoming weather Is always very difficult to adopt. Recently I have seen patient with rhinitis also increased. In my college I have seen many patient of flue and fever. We should take care about our health. We should eat good diet. Fresh fruit juices are also good for health.

Assalamu Alaikum everyone I hope everyone is fine I am also doing well Sunday is a fun day it's true but I am doing research the topic of my research is the causes of anaemia in pregnant ladies presented to New OPD Gynae ward nishtar Medical University. I have to work very hard to complete my introduction off the research please check out this introduction. ccording to WHO the anemia is defined as if the Hemoglobin status is low from the following cut off value for the pregnant women is Hb < 11 g/dl.The cutoff point for Mild anemia are (10.0- 10.9 g/dl), Moderate (7-9.9 g/dl) and severe

Subah Bakhair Sb ko! Today I have changed my schedule of sleep and wake. As our sports week is on going. So I want to participate in it. I Wake up early in the morning. I did some exercises now I am doing breakfast . I have recently felt this thing if you want change bring change in yourself. We are all waiting for a miracle to happen but after decades nothing changed. Changed one person life result in change in group of people.

Asalam o Alaikum everyone I hope everyone is fine today I am Also doing well. I have been studying very long. So I was a little bit inactive from the noise cash. Now got some time so I am here. Today I was passing through the college courtyard. I have seen these beautiful flowers. I like this color so much. I could not stop myself from capturing these charming flowers. Picture taken by my phone Rate my photography Suggestions will be appropriated

Every incident bring a new feelings to life. I am a student. I have seen many things in my life. Recent year brings many joys in my life. But unwanted events also occur in my life. I have never wished for them. These days are most boring days of my life. Such events come to teach us. If anyone of you saw ECG it's not uniform it's wavey so life is. When downs come we should face them with courage and patience. Photo is captured by me from the corner flower of libraries of NMU #lifelessons #happiness

Asalam o Alaikum everyone! I hope everyone is doing well. I am Fine. Today I was busy because our college sports gala is started. I am participating in many games, Tug of war Kabbadi Cricket Disc throw So wish me good luck. Every body is working hard in this week. I am studying regularly with this.

Good Morning! World is beautiful until you are happy. If we the world as a whole its beautiful but when we confined ourselves to someone who don't concerned about us. Life slowly slowly loses the beauty in it. When that particular person notice us we will be happy. When he ignored us life become curse. We don't interact with other people properly. Yes someone said: "Khayal e Yar tak hi duniya haseen h " Because he consider is his beloved his world and universe he can't see the beauty of the world

Hadith Mubarak... Islam has two primary sources. First is the Qurʾān which is the direct word of God inspired to the Prophet Muhammad peace be upon him. The second source is the Prophet’s teachings. These teachings include his words, actions, and things he approved of. The Prophet’s teachings are called Sunna. The Sunna is found in texts called ḥadīth. A ḥadīth is a statement of the Prophet peace be upon him which was narrated by his companions and subsequently narrated to the next generation until these sayings were compiled in ḥadīth collections. The Prophet Muhammad, peace be upon him, was sent as the final messenger to mankind. With his death, the message of Islam was completed. The preservation of scripture is not limited to the text of the Qur’ān, but its meaning as well. If the Prophet’s explanation is needed in order to understand the Qur’ān, then it is necessary that his sayings be preserved as well, not only the words of the Qur’ān. In other words, without the Sunna the Quran is not preserved, what will only remain is the text without its meaning. Imagine for instance trying to discover the manner of prayer based only the command to “establish prayer” with few references to bowing and prostration. The number of prayers, times per day, and what to recite would remain unknown. Therefore, the Sunna is part of the Qurʾān’s preservation. Without the Sunna the meaning of the Qurʾān would be lost and by extension not preserved.

"Time" Time is passing with out waisting for anyone. Its a bitter reality we are all going in a cycle of time. When a child born he depend upon his parents for his all necessities. As when he become old enough he again gain a situation where he cannot gets its needs. Can you remember your old days but you feel nothing change but in reality you have get older. Things are going to be very harsh. Pay attention to your activities and save your time. Enjoy life. Do better to this world

Birthday celebrations! Birthday celebrations started from old ages. It is first celebrated by King pharaoh. Today it had become trend all over the world. I have recently felt this thing in our country.I don't know its right or wrong but peopel really enjoy it lot

Today I was worried and Feeling not good about the day. Then I hear a terrible news of death of my junior from 3rd year mbbs. Please recite Surah Fateha for her Maghfirah. She is very talented student.o Allah May Keep Us All Safe She met a road Terrific accident. Please while driving not only care about yourselves but also other travelling along the road.

ENT (EYE, NOSE, THROAT) : After Three holidays one official two unofficial hahha mean one was Sunday. I was absent from the class from Friday and Saturday. Today I attended the class its was really difficult to attend the long class. In the morning I travelled from home. I travelled usually on bike but today I choose the car. It was good in first of all but later it become horrible. I don't like air conditioner in car. It always causes vertigo in my brain.

I love sufism. I reall like them and found of reading sufism. One day I was studying about rumi. Then I started reading his tales. One line touched my heat very much. ""Out beyond ideas of wrongdoing and rightdoing there is a field. I'll meet you there. When the soul lies down in that grass the world is too full to talk about". We should be not thinking all time whats wrong what's right. We must evaluate ourselves.

You know hope is a dangerous thing it can drive a man insane. I am passing through an era of life where I believe in realities, whether these are harsh or bitter but I wanna face them. I realise this thing very early but yesterday when I am coming from home. I have hope from someone but these people always ditched us. If you are fair in your dealings you are good with me I will not mind it. But please for God sake behonist to yourself.

We mostly live in our houses mean most of time we spend indoor. We really missed the beauty of outside. In our village people sleep in courtyard or their big place. Its very good chance to see beautiful sky. The beautiful moon is very charming. Sometime clouds come and pass through the moon its look like moon is travelling. These views are worth seeing

Child Labour! We are living in country where people having many problem. Some people have a lot of money other have nothing to eat. It's because of injustice between the people. In developing countries we are facing a problem of child labour. The main reasons behind this is the having many children multiple marriages. These children have destroyed their own present and future as well. They have nothing to do with this. It's main problem of their family

You have seen flower of different kind But mostly people like red velvety type flower. Actually whenever we think about flower first thing come into our mind is it must be read but I have seen many flower of different colours but the yellow one are very near to my heart. Recently I have seen a picture of Japan somewhere. The road both sides are full of yellow flower. These picture are taken during my village tour. These are flower of a tree. This is very strong tree. This tree is not only strong in its wood meaning but also in its ability to bear thirst.

These are photos of my village. A village is place full of peace and calm. Life goes very slowly in there. People are very familiar with each other. This thing lack in city. We even don't know who is living in neighbourhood in city. But in village we know all about our whole village #Photography

I know people mostly care about their own benefits. But i can't live without people. Recently I have seen a decumentary on abandoned world. It was so much depressing. All the beauty of the world is due to human animals and plants. Although we cannot deny the major fact is human. We make carve the things. We make them beautiful and charming.

Today I visited my village. As you all know I am student in Multan. So after fortnight I visit my village. It was really a nice experience to meet all. Mon dad and all others was good. There is environment is quiet and peaceful. Everything is so beautiful and charming I can't explain it. Althoght it was a short visit but I do a lot of things. Daily work with parents and meet up with

She is Lost in a world , quietly healing on her own, flawed differently with a fragile heart. The scars being her strength, while her soul in shades of beauty. The one she r... Read more

Good Morning... I was paaing through the college. I have seen these beautiful flowers Red and blue in colour. As colour concerned blue is more charming for me. I like to wear blue but this natural beauty mesmerised me. I want to take more and more pictures of them but the girls came here for their own photography so I have to slipped away lol. As I was not afraid of them but don't feel good in congested environment

Believe in people but never become blind. Trusting someone blindly is very dangerous. To err is human. But human work in mysterious way. We cannot judge or decided anyone about the next move so be careful and alert about your surroundings