Reproduzido
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وعي ٧٧ | أحسن القصص | سيدنا يوسف عليه السلام by Hazem El Seddiq, Ahmed Amer & Sherif Ali
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Contributor: Alec Coston MD
Educational Pearls:
Causes of seizures in a fairly well-appearing child with diarrhea:
Electrolyte abnormalities: hypocalcemia, hyponatremia
Also hyperkalemia which causes arrhythmias and syncope - can appear like seizures
Hypoglycemia
If the child has diarrhea and appears very sick, differential diagnosis may include:
Hemolytic uremic syndrome (HUS):
simultaneous occurrence of microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury
Typically caused by Shiga-like toxin producing Escherichia coli (also known as EHEC, or enterohemorragic E. coli)
One of the main causes of acute kidney injury in children
Toxic ingestions such as salicylates, lead, or iron
In this case, the child had a seizure but appeared well and was afebrile:
Consult with neurology led to a diagnosis of benign convulsions with mild gastroenteritis (CwG)
First identified in 1982 in Japan
Viral gastroenteritis with diarrhea and convulsions but does not include fever, severe dehydration, or electrolyte abnormalities
Uncommon illness caused by rotavirus and norovirus pathogens
Criteria for discharge is similar to a febrile seizure - the patient had one seizure that lasted less than 15 minutes and he quickly returned to his baseline, so he was able to be safely discharged home
This diagnosis does not predispose him to epilepsy later in life
References
Lee YS, Lee GH, Kwon YS. Update on benign convulsions with mild gastroenteritis. Clin Exp Pediatr. 2022 Oct;65(10):469-475. doi: 10.3345/cep.2021.00997. Epub 2021 Dec 27. PMID: 34961297; PMCID: PMC9561189.
Mauritz M, Hirsch LJ, Camfield P, et al. Acute symptomatic seizures: an educational, evidence-based review. Epileptic Disorders. 2200;1(1). doi:https://doi.org/10.1684/epd.2021.1376
Noris, Marina*; Remuzzi, Giuseppe*, †. Hemolytic Uremic Syndrome. Journal of the American Society of Nephrology 16(4):p 1035-1050, April 2005. | DOI: 10.1681/ASN.2004100861
Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3
Donate: https://emergencymedicalminute.org/donate/
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Listen along to Dr Sagen Zac-Varghese and Dr Elinor Roderick as they discuss hyponatraemia. Using analogies and a structured framework (a five-step approach), they talk you through diagnosing and managing people with hyponatraemia, walk you through a case and, illustrate how to discuss this with your patients.
Sagen Zac-Varghese is a consultant in diabetes, endocrinology and general internal medicine and lead for undergraduate students at the East and North Herts NHS Trust. She is the RCP education representative for the RCP Advisory Group on Nutrition Weight and Health.
Elinor Roderick is an academic foundation doctor at the East and North Herts Trust.
LinksEuropean Society of Endocrinology Clinical guideline for the management of hyponatraemia
https://www.ese-hormones.org/publications/directory/ese-clinical-guideline-for-the-management-of-hyponatraemia/
Society for Endocrinology Emergency management of severe and moderately severely symptomatic hyponatraemia in adult patients
https://www.endocrinology.org/media/xhrhxhxm/emergency-management-of-severe-and-moderately-severely-symptomatic-hyponatraemia-in-adult-patients-2022.pdf
Music: bensound.com -
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أحمد خالد توفيق
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كتاب شآبيب
أحمد خالد توفيق
"هذە ليست حربًا، لكنها تدانيها في الخطورة والأهمية. الهدف الاستراتيجي واضح جلي، لكنه يحتاج إلى مبرر أخلاقي وتاريخي. الوسيلة لن تكون نظيفة تمامًا لكن الغاية مبررة ومحترمة. القليل من الماكيافيلية لن يضر أحدًا...هكذا استعان بأستاذ تاريخ هو أحمد صفوان وأستاذ أديان مقارنة وأديب، كلهم من العرب المقيمين في الولايات، قال لهم:ـ أريد تاريخًا مزيفًا!" حلم واحد كان يلاحق مكرم؛ الأستاذ "هذە ليست حربًا، لكنها تدانيها في الخطورة والأهمية. الهدف الاستراتيجي واضح جلي، لكنه يحتاج إلى مبرر أخلاقي وتاريخي. الوسيلة لن تكون نظيفة تمامًا لكن الغاية مبررة ومحترمة. القليل من الماكيافيلية لن يضر أحدًا...هكذا استعان بأستاذ تاريخ هو أحمد صفوان وأستاذ أديان مقارنة وأديب، كلهم من العرب المقيمين في الولايات، قال لهم:ـ أريد تاريخًا مزيفًا!"
مرحبًا عشاق البودكاست!
إذا كنت تحب ما تسمعه، فلماذا لا تعلن عن عملك معنا؟
انقر على الرابط أدناه، دعنا نوصل رسالتك إلى جمهورنا الرائع!
https://admanager.fm/client/podcasts/dr-ahmed-khaled-tawfiqميزات الإعلان على البودكاست الخاص بنا:
جمهور كبير ومتفاعل: لدينا جمهور كبير من المستمعين الذين يهتمون بالمحتوى الذي نقدمه.معدلات مشاركة عالية: يشارك مستمعونا بنشاط في المحتوى الذي نقدمه، مما يعني أن إعلانك سيصل إلى الكثير من الأشخاص.تكلفة معقولة: تقدم خدماتنا مجموعة متنوعة من الخيارات الإعلانية بأسعار معقولة.www.podcastrecord.co
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في حلقات كتير اتكلمنا فيها عن البدايات، المرة دي قررنا نتكلم عن عكسها بقى، إمتى بتقرروا إن اللحظة دي هي نهاية الحدوتة؟ وهل القرار بيكون سهل بالنسبالكم؟ وإيه النهاية اللي كنتوا عاوزين تغيروها في عمل فني بتحبوه؟
إحنا ٣ أصحاب بنتكلم من ٣ وجهات نظر مختلفة، قعدتنا مفيهاش استفادة لو مش بتعتبر الانبساط ده استفادة. من إنتاج ذا بوتكاست برودكشنز - The Potcast Productions.
الحلقة بتنزل كل سبت على منصات البودكاست وكل تلات على اليوتيوب.
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Get ready for a seductive episode of Pillow Talk! Host Ryan Pownall is joined by the alluring Lily Lou, known for her captivating personality and intriguing stories. Co-hosting this episode is the charismatic Ricky Johnson, adding his unique flair to the mix. Expect spicy conversations, lots of laughs, and some unforgettable moments. Tune in for a night of steamy fun and excitement with Lily Lou and Ricky Johnson on Pillow Talk!
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Episode 161
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Mourning doves, cicadas, and chirping birds during a July sunrise.
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Recorded July 18, 2023.
--- Support this podcast: https://podcasters.spotify.com/pod/show/soundsoftheshore/support -
When a 15-year-old girl vanishes on her way home from a friend’s quinceañera rehearsal in 1998, a California community holds its breath and hopes it’s a one-off. But when other young women in the community are targeted one by one, investigators have to ask if there’s a serial killer in their midst.
If you have any information about any of the cases discussed in this episode, please contact the Pittsburg Police Department at 925-252-4980.
Source materials for this episode cannot be listed here due to character limitations. For a full list of sources, please visit: crimejunkiepodcast.com/murdered-lisa-norrell
Did you know you can listen to this episode ad-free? Join the Fan Club! Visit crimejunkie.app/library/ to view the current membership options and policies.
Don’t miss out on all things Crime Junkie!
Instagram: @crimejunkiepodcast | @audiochuckTwitter: @CrimeJunkiePod | @audiochuckTikTok: @crimejunkiepodcastFacebook: /CrimeJunkiePodcast | /audiochuckllc
Crime Junkie is hosted by Ashley Flowers and Brit Prawat.
Instagram: @ashleyflowers | @britprawatTwitter: @Ash_Flowers | @britprawatTikTok: @ashleyflowerscrimejunkieFacebook: /AshleyFlowers.AF
Text Ashley at 317-733-7485 to talk all things true crime, get behind the scenes updates, and more!
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A vibrant young woman from North Carolina decides to spend the summer between her freshman and sophomore years clear across the country, in the Bay Area. But alarm bells start going off when she leaves her job at a coffee shop… and is never seen again.
If you know anything about the disappearance of Kristen Modafferi from the Bay Area in June of 1997, please contact the Oakland PD Missing Persons Unit at 510-238-3641.Help Find Kristen Modafferi Facebook Page.To listen to MISSING: Brandy Hall, please visit this link.
Source materials for this episode cannot be listed here due to character limitations. For a full list of sources, please visit: crimejunkiepodcast.com/missing-kristen-modafferi
You can learn more about The Good segment and even submit a story of your own by visiting The Good page on our website!
Did you know you can listen to this episode ad-free? Join the Fan Club! Visit crimejunkie.app/library/ to view the current membership options and policies.
Don’t miss out on all things Crime Junkie!
Instagram: @crimejunkiepodcast | @audiochuckTwitter: @CrimeJunkiePod | @audiochuckTikTok: @crimejunkiepodcastFacebook: /CrimeJunkiePodcast | /audiochuckllc
Crime Junkie is hosted by Ashley Flowers and Brit Prawat.
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Text Ashley at 317-733-7485 to talk all things true crime, get behind the scenes updates, and more!
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Join Sofia as she brings us along on this wonderful podcast series focused around Gastroenterology. In this episode, we dissect Crohn’s Disease and study it all the way from recognition to management, an important topic for a junior doctor as well as a final year medical student.
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When a beloved five-year-old falls victim to a brutal homicide, authorities quickly close in on a suspect no one could have predicted – a 12-year-old neighbor. But members of the community have their doubts, which are only heightened when prosecutorial misconduct is uncovered, leaving everyone to ask: did investigators go after the right person? Or did tunnel vision lead them to victimize yet another child?
If you have any information about the murder of Devan Duniver in June of 1998 in New Philadelphia, Ohio, please contact the NPPD at 330-343-4488.If you would like more information about the National Registry of Exonerations, or to join us in supporting them, please visit this link. You can find Anthony’s listing here as well.And if you or anyone you know struggles with suicidal ideation, please know that help is available. You can reach out to the Suicide & Crisis Lifeline at 988, or chat with them at www.988lifeline.org. You can also call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).
Source materials for this episode cannot be listed here due to character limitations. For a full list of sources, please visit: https://crimejunkiepodcast.com/murdered-devan-duniver
Did you know you can listen to this episode ad-free? Join the Fan Club! Visit crimejunkie.app/library/ to view the current membership options and policies.
Don’t miss out on all things Crime Junkie!
Instagram: @crimejunkiepodcast | @audiochuckTwitter: @CrimeJunkiePod | @audiochuckTikTok: @crimejunkiepodcastFacebook: /CrimeJunkiePodcast | /audiochuckllc
Crime Junkie is hosted by Ashley Flowers and Brit Prawat.
Instagram: @ashleyflowers | @britprawatTwitter: @Ash_Flowers | @britprawatTikTok: @ashleyflowerscrimejunkieFacebook: /AshleyFlowers.AF
Text Ashley at 317-733-7485 to talk all things true crime, get behind the scenes updates, and more!
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حكايات التاروت
سلسلة ما وراء الطبيعة 20
عدد من الغربـاء .. وأوراق لعب .. وساحر غريب الأطوار .. من صنعها ؟!.. من لعب بها أول مرة ؟! لا أحد يدرى .. لكن هذه الأوراق ستحدد مصائرهم .. وستكون هذه المصائر شنيعة .. شنيعة إلى حدّ لا يوصف !!
مرحبًا عشاق البودكاست!
إذا كنت تحب ما تسمعه، فلماذا لا تعلن عن عملك معنا؟
انقر على الرابط أدناه، دعنا نوصل رسالتك إلى جمهورنا الرائع!
https://admanager.fm/client/podcasts/dr-ahmed-khaled-tawfiqميزات الإعلان على البودكاست الخاص بنا:
جمهور كبير ومتفاعل: لدينا جمهور كبير من المستمعين الذين يهتمون بالمحتوى الذي نقدمه.معدلات مشاركة عالية: يشارك مستمعونا بنشاط في المحتوى الذي نقدمه، مما يعني أن إعلانك سيصل إلى الكثير من الأشخاص.تكلفة معقولة: تقدم خدماتنا مجموعة متنوعة من الخيارات الإعلانية بأسعار معقولة.www.podcastrecord.co
Hey podcast fans!
If you love what you hear, why not advertise your business with us? Click the link below to get your message out to our awesome audience!
https://admanager.fm/client/podcasts/dr-ahmed-khaled-tawfiqFeatures of advertising on our podcast:
Large and engaged audience: We have a large audience of listeners who are interested in the content we provide.High engagement rates: Our listeners actively engage with the content we provide, which means your ad will reach a lot of people.Affordable cost: Our services offer a variety of advertising options at affordable priceswww.podcastrecord.co
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In this episode expert teacher Mark will practise the present perfect verb tense with you. It's the third most common verb tense in English. We use it a lot! And it can be tricky. Mark will make you feel confident by talking to you about the meaning of the present perfect, when to use it and how to create the question, negative and positive forms of the verb in everyday English.
And if you ever want a bit more practice before your English test, make sure you head to www.e2testprep.com and sign up for our free online English test prep courses for IELTS, PTE, OET, TOEFL, TOEIC and CELPIP.
Podcast Transcript available here: https://blog.e2school.com/ep-2-english-grammar-present-perfect-tense/
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It's important to make sure your pronunciation is as clear and natural as possible. You want to be easily understood in the world when you speak English. One of the hardest parts of English pronunciation are what's called 'consonant clusters'. These are when two or more consonants are joined together without a vowel like FR as in friend or BR as in brown etc. In this episode, Jay will take you through all the possible 'R' clusters making sure that you can say each of them perfectly clearly.
And if you ever want a bit more practice before your English test, make sure you head to www.e2testprep.com and sign up for our free online English test prep courses for IELTS, PTE, OET, TOEFL, TOEIC and CELPIP.
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