
1
Fifth stage
Medicine
الفصل األول
المهمات
4/1/2016
Important topics in medicine lectures
Diagnostic approach to anemia:
Classification of anemia according to cell indices.
Simple laboratory test to evaluate anemia.
What should be done.
Iron deficiency anemia:
Factors influence iron absorption.
Symptoms.
Differential diagnosis.
Indication of parenteral iron therapy.
Ida criteria.
Megaloblastic anemia:
Clinical features (table).
Neurological findings in B12 deficiency.
Investigations (table page3).
Management and treatment (page4).
Hemolytic disorders:
Clinical features (page1).
Diagram (page2).
Laboratory investigations (very important).
DDx of hemolytic anemia.
Red cell membrane defects:
Diagnosis of hereditary spherocytosis.
Management of the splenectomised patient.
Precipitating factors (page5).
Treatment (page6).

2
Evaluation of neurologic patient:
Categories of pathophysiologic cause.
Diagnostic procedure.
Headache:
Migraine triggers.
Symptoms and signs.
Treatment.
Symptoms of cluster headache.
Introduction of tension headache.
Brain SOL:
Types (page1).
Space occupying effect.
Focal sign and symptoms.
False localizing signs.
Few points about treatment.
Meningiomas.
Major manifestations of rheumatologic diseases:
Major symptoms in joint disorders.
Stiffness.
Classification of joint disease.
Migratory arthritis (MCQ).
Acute mono arthritis history (MCQ).
Investigations in rheumatology:
Erosions.
CT vs MRI.
Rheumatoid factor.
Biochemistry.
Rheumatoid arthritis (lec3):
Definition.
Clinical characteristics of RA.

3
Hand characteristics in RA.
Ocular (page5).
Anti-CCP (page6).
XR-findings.
Prognosis.
Rheumatoid arthritis (lec4):
Nonpharmacologial therapy.
Risk factors for NSAID induced ulcers.
Principal indications (page3).
Methotrexate (page4).
Biological treatment (name of drug and target).
Gout:
Hyperuricemia (page2).
Gout risk factors.
Clinical features.
Indications for hypouricaemic drugs.
Seronegative spondylo arthropathies:
Seropostive vs seonegative.
Clinical features (page1).
Clinical features (page2).
Spine examination.
Skeletal presentation in reactive arthritis.
Keratoderma blennorhagica.
Course of disease (page7).
Characteristic XR findings (page9).
Osteoarthritis:
Introduction.
Risk factors.
Clinical features.
Clinical sings.
X-ray findings.
Surgical (page6).