رابط التسليم
📌 مننساش يا شباب نعمل البورتفوليو اللي بيجري ورانا دا 😪 علشان ما نجيش نتزنق قدام! 😅

عن عبدالله بن عباس رضي الله عنهما أن النبي صلى الله عليه وسلم قال: «ما من أيام العمل الصالح فيها أحب إلى الله من هذه الأيام» يعني أيام العشر. قالوا: يا رسول الله، ولا الجهاد في سبيل الله؟ قال: «ولا الجهاد في سبيل الله، إلا رجل خرج بنفسه وماله، فلم يَرْجِعْ من ذلك بشيء»

📌 فلا يفوتنكم الفضل والأجر يا شباب، أجر المذاكرة والعمل 🤍

Second year ✅


❗️فيديو تعمل ازاي تجمع الحجات دي كلها عشان تطبعها
https://t.me/Portfolio196/80


❗️Mentorship توزيعة ال
https://t.me/Portfolio196/1503


❗️Required in portfolio
https://t.me/Portfolio196/1518


❗️Submission link
https://t.me/Portfolio196/2346


❗️Deadline
20/6/2024
https://t.me/Portfolio196/2347


❗️Covers
https://t.me/Portfolio196/1519


❗️C.V.
https://t.me/Portfolio196/30
https://t.me/Portfolio196/31
https://t.me/Portfolio196/1524


❗️Self reflection
https://t.me/Portfolio196/1525
https://t.me/Portfolio196/2039


❗️C maps
https://t.me/Portfolio196/1527
https://t.me/Portfolio196/1566?single


❗️Integrated cases
Q: https://t.me/Portfolio196/1530
https://t.me/Portfolio196/2399
A: https://t.me/Portfolio196/1536
https://t.me/Portfolio196/2402


❗️Self assessment
Q: https://t.me/Portfolio196/1542
https://t.me/Portfolio196/2338
A: https://t.me/Portfolio196/1546
https://t.me/Portfolio196/2342

جدول المراجعة هيكون كالآتي:
P: PSY& Patho (inflamation, repair, Vascular) 3 days
H: Holiday 2 days
blue line: 205 module 8 days
R: Final Revesion before the exam 2 days

205 (NEU)
Day 1: Neuro Anatomy
           introduction in Physion
Day 2: Neuro Anatomy
            Sensory Physiology
Day 3: Head Anatomy
            Rest of sensory, motor part 1
Day 4: Head Anatomy
            Rest of motor
Day 5: Neck Anatomy
            Special senses 1
Day 6: Neck Anatomy + Cases
            Special senses 2
Day 7: Histology part 1 (neuro + 1st part of CNS)

Day 8: Rest of Histology

ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ
Last Revision
Day 9
Day 10

PSY

Files

Med Map's
Part 1
ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ
Dr Effat's
Department's book

Sources

1️⃣ Dr Nagi
PlayList in the order of Dr Effat's file
Playlist in the order of Department book
Task: 1st 4 Videoes
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2️⃣ MedMap
Ethics
Psychology 1

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Pathology

Files

Written Q For every chapter
Written Q Dr. Eman

Sources

Today's task: inflammation
DR. Eman
DR.Elnemr

I- Medical ethics

1- During Ramadan, we are faced in the Media by a lot of advertisements for fund
raising for the treatment of sick children. Many of these T.V. advertisements include those
sick children themselves.

a- What is the ethical dilemma behind this issue? (3marks)
b- How can you solve this dilemma through ethical means? (4marks)
c- How can you obtain consent from the children? (3marks)

Answers
———

a) The appearance of sick children in such advertisements creates a conflict between the
interest to do good for these children by encouraging people to help them vs the
commitment of confidentiality and respecting their privacy.
b) To solve this dilemma, we should ask ourselves 5 ques to know whether this action is
ethical or not:
- What benefits & what harms will this action produce?
- How does it advance the common good?
- Does it treat everyone the same?
- Does this action violate any of the moral rights of the affected parties?
- Is this action consistent with moral virtues?
The ethical action is the one that best fits with these 5 approaches.
c) Valid informed consent should meet these criteria:
- Patient should be fully informed about the condition.
- Patient must be competent to make the decision.
- Patient's decision should be voluntary.
Since these children are considered incompetent the decision should be made by substitute
decision maker as their parents or legal guardian.

———————————

2- A patient visits a doctor in a rural general practice clinic. The patient complains of
recurrent headaches. The doctor asks a few questions, and suspects a disorder. He cannot
find the appropriate medication in his available list so he prescribes a medication that
relieves spasmodic pain on a piece of paper and gives the prescription to the patient.

a) List the ethical principles that this doctor violated? (3marks)
b) Explain how were these principles violated? (3marks)
c) if you were in the doctor's place: How would you manage in a more ethical way for practice.
(4marks)

Answers
———

a) - non maleficence principle.
- Respect for autonomy.
- Beneficence principle.
- Professional competence principle.

b)
1. Violation of non- maleficence principle:
The doctor didn't respect the (not to harm) principle by giving the patient drug to
relive spasmodic pain while she has headache which may cause her a medical issue.
2. violation of patient's autonomy:
The doctor didn't respect his patient right in understanding the situation and making
her choice about the treatment she will take.
3. violation of beneficence principle:
The doctor hadn't made what's best for his patient. He just gave her the available drug
which may harm her or can't help with the symptoms.
4. violation of professional competence principle:
Doctor should recognize the limits of his professional competence then act according
to these limits. The doctor in this case recognized that he has limited options but he
acted as he did the best for the patient.

c) If I were the doctor, I would respect the patient's autonomy and explain the situation
to her in simple words so she can understand that the best treatment for her condition
wasn't available and made her choose whether she prefers to take the spasmodic pain
reliver or not. I would also recommend to refer her to another practical clinic or to
prescribe another drug that can be bought from a separate pharmacy other than the
clinic's one.

———————————

3- You are a psychiatrist, today in your clinic you examined a patient suffering from
severe depression, death wishes, hopelessness, and suicidal thoughts, and You guessed that
this patient might commit suicide.

a- What are the general rules for confidentiality? How can they be applied in such patient? (5
marks)
b- Give examples about violating ethical principles in medicine. (5 marks)

Answers
———

a) Confidentiality is to respect the patient's privacy and autonomy and to prevent the
harm that may result from information disclosure. It extends even after patient's
death. Confidentiality can be broken in certain conditions as:
1. Serious harm to others
2. Possible commitment of suicide
3. Abuse to victims who can't defend themselves ie. Kids.

In this case doctor must break confidentiality as the patient may commit suicide.

b)
– violation of boundaries: crossing the boundaries in the doctor- patient relationship
and having improper sexual or emotional relation with patients or personal financial
gain.
- Mistreatment of the patient: negligence or lack of knowledge and skills.
- Violation of confidentiality: disclose patient's personal information without
consent.
- Violation of the rules of ethical conduct with other members of the profession.
- Illegal activities: illegal abortion or illegal business.

———————————

4- A 26- years old was preparing for her wedding came to your clinic complaining
from a breast mass and was confirmed with the mammography. You advised her that you
should prepare for a surgical operation at once and that she should postpone her wedding
until she undergoes the surgery. 2 days later her fiancée came to your clinic asking about her
condition.

a- What are the ethical dilemmas that you are facing, and how would you solve them? (5 marks)

b- What are the points which you will discuss with her when you are taking the informed consent
from her? (5 marks)

Answers
———
The doctor is facing a conflict between the commitment of confidentiality and
respecting the patient's privacy vs obligation to do good to the patient who needs
immediate surgery.
To solve this dilemma, we should ask ourselves 5 ques to know whether this action is ethical
or not:
1- What benefit& what harm will this action produce?
2- How does it advance the common good?
3- Does it treat everyone the same?
4- Does this action violate any of the moral rights of the affected parties?
5- Is it consistent with the moral virtues?
The ethical action is the one that best fits with these ques.

b) To take a valid informed consent you should fully inform the patient about:
- Her diagnosis.
- The nature of the treatment.
- Possible alternatives for the intervention.
- The risks and benefits of each alternative.
- The prognosis of the intervention.
You should also make sure she is competent and able to make a decision and her decision is
totally voluntary not under any type of pressure.