it's very good ❤❤❤ presentation

Zajhakallahu khair!!!! 🌸🌸 Awesome class!!!🔥🔥

Slide king. slide chara ei mal ochol.

Plz make vedíos in ful english so everyone can understand

osadaron❤❤

Plz supply the pdf file @genesisonline

Outstanding ❤

Visual aquity Field of vision Color vision Light reflex Fundoscopy

মাশাল্লাহ,,,, খুবই গোছানো ক্লাস!!!🔥💯

3rd lecture koi?

Masha Allah….… Awesome lecture for revision

how can i contact her?

❤

❤

Best ever alhamdullilah...

Bal er video Niner puja korte korte vedio ses

30:40

সিরিয়াল কিভাবে দিতে পারি

💙💙

A murderer from awami league.

Thank you, vaiya 😊.

Bcs question bank...ajker bisso Eng..bakoron .. Tike thakte hole pora must

Intern obosthai preli viva deoa positive Jokhon somoy pabo duty time e o...soft copy mobile e...mentally prepare to be atel but they win Sob topic touch (imp topic 1st) Coaching must for guideline .. Digest pora (assurance boi)+ lecture Special bcs e written nai mbbs hote 100 mark(ques patterns ta dekha)main heding gola (genesis sheet ba digest paoa jai)

Sir cellular jinista ki kharap jinis??? Ota hole ki kichu kharap position chole asbe?

best ecg class i have ever experienced

sera

Can i take part in fcps part 1 exam during my internship?

Can i take part in fcps part 1 exam during my internship?

12:39 Head neck 29:50 facial nerve 31:21 salivary gland,parotid gland,neck,face, thyroid 53:10 neuroanatomy 1:05:21 Abdomen 1:33:01 extremity 1:53:28 Thorax

Sir i want to meet you

Sir iam impressed

Thanks 😊

Rx failure hole re treatment dite hobe

256 ( 2 month por, 5 month por, 6 month por ) AFB stain kora hoy usually

Smear positive pul TB mane ki? Sputum stain/ C/S/ gene expert er jekono ekta positive ashle bola hoy New case kaderke boli? Je age never TB drug paini or < 1 month er jnno TB treatment paise taaake bola hoy Relapse Anti TB 6 month por, AFB stain neg, then abr TB hoy. Rx failure mane ki? 6 month anti TB dwr por AFB stain korar por positive pawa jay taake Rx failure bola hoy.

TB er Management niye next kono class hoyni? @genesisOnlineUniversity

Investigation of TB Routine: CBC High ESR Lymphocytosis Anemia Chest X ray P/A view te Patchy opacity usually in Apex Cavitation, collapse, consolidation, miliary TB te miliary Shadow Pleural effusion/ empyema te D/D Pulmonary TB Para pneumonic effusion Pulmonary infarction Bronchogenic Carcinoma Cavitation cause, D/D Pulmonary TB Lung abscess Lung cancer Pneumoniae ( specially Staph aureus, klebsiella pneumoniae) MT test , tuberculin element Intradermal injection diye 2-3 days wait kore induration> 10 mm hoy MT test positive, < 10 mm MT test Neg False positive pawa jay Atypical microorganisms False neg pawa jay, jeshb condition e: Severe M. TB Immunosuppressed pt HIV Malignancy Sputum for ( Zeihl Neilson stain/ AFB stain ( Acid Fast Bacteria, Culture, 🧬 expert ( modern) Confirmatory /Gold standard test: Sputum for culture Kon media? Solid media: Lowenstein Jensen Media( 4-6 w time lage) Liquid media: Mycobacterium Indicator Growth tube (MIGT) e 2 w time lage Modern test: Gene expert e 2 hours time lage Dx of extra pul TB Fluid aspiration in ascities, plural fluid, pericardial fluid, joint theke fluid , AFB stain, C/S, Gene expert Lymph node involve hole biopsy kore histopathology te granulomatous lesion peye thaki Disease kototuk progress korse, LFT Serum Electrolyte ( Adrenal gland involve hole hyponatremia, hyperkalemia, urea, creatinine X ray/ MRI in case of spine involvement USG of abdomen

Extrapulmonary site Lymph node GIT, Pleural effusion Pericardial effusion/ constrictive pericarditis Tuberculous meningitis TB in Spine ( Pott's disease, lower thoracic and lumber region e involve kore mainly, feature: chronic low back pain D/D of another chronic low back pain Pathophysiology: Intervertebral disc involve kore, curvature angulation hoy, kyphosis ( height loss ) hobe in Potts disease Bony metastasis e vertebral body involve kore, spinal cord e compression kore, spinal cord compression syndrome niye ashe, X-ray 🩻 te bujha jabe, intervertebral disc destroy hoy ( Potts disease e) Bony metastatic tumor e - vertebral body te destroy hoy

Cervical lymphadenopathy er D/D 1. TB ( consistency: firm, matted , mane ekibhuto hobe lymph node, collar stud abscess) 2. Lymphoma ( Rubber in consistency) 3. Bronchogenic Carcinoma ( 2° metastasis) ( Hard in consistency, fixed with underlying structure) How to differentiate b/W them, Most common site of GIT TB? Ileocaecal junction Feature of git tb Abdominal pain Altered bowel habit Mass in right iliac fossa pabo, etar D/D ki ki? Serially bolte hobe Abdominal TB Appendicular lump Ca of Caecum Chron's disease Diagnosis kora hoy, Colonoscopy kore biopsy niye Histopathology te pathabo

Kothay kothay TB hoyna? ( Rarely hoy) 1. Cardiac tissue 2. Skeletal Tissue 3. Spleen 4.Thyroid gland Extrapulmonary TB er commonest site? Ans: Lymph node specially cervical Lymph node, then mediastinal, supraclavicular ,femoral lymph node

C/F of Pul TB 1.Chronic cough 🥶😷 more than 3 week 2.Fever 🤒 ( long time history, evening rise of Temp) 3.Anorexia 4.Unresolved pneumonia 5.Spontaneous pneumothorax hote pare ( NTK: another, Traumatic spontaneous)

Pul TB 3 types A. 1° pul TB, new infection, age kokhnoi hoyni B.Miliary TB C. Post 1° pul TB Fate of 1° pul TB 1.Hilar/ mediastinal lymph node te spread hoye, spontaneous resolution 2.Lung tissue te progressive hoy 3.Pleural recession, 4.Hematogenous, bones, git,lungs, gu system e jay Miliary Tb: 1° pul TB hematogenous route Hoye bilateral lungs ke involve kore, Chest X ray P/A ,Lung shadow te,miliary shadow, মটরশুটির 🫛 er kalo kalo spot pawa jay D/D of miliary Shadow 1. Miliary TB 2. Sarcoidosis Histoplasmosis Pneumoconiosis Silicosis Asbestosis 2° metastatis Miliary TB Pele medical emergency, karon hematogenous route e spread kore rapid adrenal gland ke invade korle Adrenal insufficiency hoy So etar immediate Rx dorkar Post 1° Pul TB, jader ekbar 1° TB hoise, body te dormant obosthay thakbe ,then pt jokhn e immunosuppressed hoy kono karone, tokhn abr TB hoy,( endogenous source, re activation of organisms ) Post pul 1° TB abr exogenous source theke re infection diyeo hote pare

Classification of TB 1.Pulmonary TB, lung parenchyma te hoy, 2.Extrapulmonary TB , pleura and body er jekono jaygay hoy Numerous Tubercular granuloma lung e aggregation hole 1• complex hoy, etake Ghon's focus (Ghon's focus+ Lymphangitis+ Lymphadenopathy/ Lymphadenitis --- ei 3 ta ke primary complex and Ghon's complex

Aerobic 🦠, M. Tuberculosis Pulmonary TB apex e beshi hoy, karon apex e 02 beshi thake Milk thikmoto pasteurizion na hole M.bovis diye infection hote pare, Koto % er disease hoy? (10%) Shobar keno hoyna? - defense mechanism strong Tuberculosis infection- only droplet nuclei diye infection TB disease - infection er por S/S produce korle disease kore. Pathophysiology Organism airway diye alveoli te jay, macrophage and lymphocytes er recruitment hoy, macrophage theke epithelioid cell and langhans cell e convert hoy. Er sorround e lymphocyte thake, Center e caseous necrosis, etake tuberculous granuloma Example of 5 granulomatous disease 1. TB ( caseating) 2.M. leprae 3. Syohilis Histoplasmosis Sarcoidosis Chron's disease Cat scratch disease

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12:35 lab diagnosis 39:00 IDA 46:36 thalassemia 1:09:27 hemoglobinopathy 1:10:13 hemolytic anaemia 1:19:21 osmotic fragility test

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