diff --git a/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/Mr5OFkzyiYs_raw.json b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/Mr5OFkzyiYs_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..ca8f13b4fe21b94f5be2ff0ab152c165217a5dc8 --- /dev/null +++ b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/Mr5OFkzyiYs_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4145, "start": 21.41, "end": 41.45, "text": "بسم الله الرحمن الرحيم بدأنا احنا في محاضرات ماضية في تفاعلات ال alkanes ويمكن لاحظنا ان الأمر في هذه المنطقة هو أمر سهل جدا مافيش فيه مشاكل الرابطة الزوجية من خلال تفاعل الإضافة بتصير رابطة أحدية", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 47525, 10721, 8315, 1975, 5016, 8315, 8978, 3714, 5016, 46958, 2288, 9307, 3714, 46958, 10632, 8978, 6055, 5172, 995, 30241, 9307, 2423, 419, 5225, 279, 4032, 32640, 19452, 20193, 5016, 19913, 8315, 16472, 16247, 29973, 8978, 29538, 9673, 1863, 9566, 28671, 31439, 5551, 29973, 8608, 3224, 1211, 10874, 28259, 19446, 41185, 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الحلقة الثلاثية هي حلقة مضغوطة is a strained ring ليش؟ لأن الزوايا فيها ضغطت إلى الستين الوضع المريح لزاوية ال carbon carbon carbon او ما شابه مية وتسعة و نص ولذلك أسهل تفاعل فيها اللي هو تفاعل ال ring opening فاحنا صح بنكون الحلقة", "tokens": [10721, 1829, 11242, 995, 12602, 4117, 11622, 8315, 15844, 8717, 47432, 3660, 14739, 29538, 21542, 1211, 28671, 6024, 104, 1211, 5718, 104, 10632, 39896, 11331, 1211, 28671, 3714, 11242, 17082, 2407, 9566, 3660, 307, 257, 2148, 2001, 4875, 32239, 8592, 22807, 5296, 33456, 6024, 110, 14407, 25528, 8978, 11296, 48812, 17082, 9566, 2655, 30731, 2423, 14851, 9957, 2423, 2407, 11242, 3615, 9673, 16572, 5016, 5296, 11622, 995, 2407, 10632, 2423, 5954, 5954, 5954, 1975, 2407, 19446, 13412, 16758, 3224, 3714, 10632, 34683, 3794, 27884, 4032, 8717, 9381, 35525, 8848, 23275, 5551, 3794, 3224, 1211, 6055, 5172, 995, 30241, 8978, 11296, 13672, 1829, 31439, 6055, 5172, 995, 30241, 2423, 4875, 5193, 6156, 39319, 8315, 20328, 5016, 44945, 30544, 21542, 1211, 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مضغوطة", "probability": 0.9844563802083334}, {"start": 115.5, "end": 115.66, "word": " is", "probability": 0.3330078125}, {"start": 115.66, "end": 115.86, "word": " a", "probability": 0.67919921875}, {"start": 115.86, "end": 116.72, "word": " strained", "probability": 0.688232421875}, {"start": 116.72, "end": 117.34, "word": " ring", "probability": 0.94677734375}, {"start": 117.34, "end": 118.24, "word": " ليش؟", "probability": 0.591552734375}, {"start": 118.24, "end": 118.44, "word": " لأن", "probability": 0.928466796875}, {"start": 118.44, "end": 119.02, "word": " الزوايا", "probability": 0.9017333984375}, {"start": 119.02, "end": 119.54, "word": " فيها", "probability": 0.948486328125}, {"start": 119.54, "end": 120.4, "word": " ضغطت", "probability": 0.916748046875}, {"start": 120.4, "end": 120.56, "word": " إلى", "probability": 0.763671875}, {"start": 120.56, "end": 121.12, "word": " الستين", "probability": 0.621337890625}, {"start": 121.12, "end": 121.52, "word": " الوضع", "probability": 0.8758544921875}, {"start": 121.52, "end": 122.12, "word": " المريح", "probability": 0.9931640625}, {"start": 122.12, "end": 122.84, "word": " لزاوية", "probability": 0.96806640625}, {"start": 122.84, "end": 123.32, "word": " ال", "probability": 0.56494140625}, {"start": 123.32, "end": 123.62, "word": " carbon", "probability": 0.7900390625}, {"start": 123.62, "end": 124.14, "word": " carbon", "probability": 0.61328125}, {"start": 124.14, "end": 124.72, "word": " carbon", "probability": 0.91259765625}, {"start": 124.72, "end": 125.4, "word": " او", "probability": 0.6900634765625}, {"start": 125.4, "end": 125.76, "word": " ما", "probability": 0.90673828125}, {"start": 125.76, "end": 126.64, "word": " شابه", "probability": 0.9471028645833334}, {"start": 126.64, "end": 127.0, "word": " مية", "probability": 0.5928955078125}, {"start": 127.0, "end": 127.46, "word": " وتسعة", "probability": 0.9064127604166666}, {"start": 127.46, "end": 127.6, "word": " و", "probability": 0.9814453125}, {"start": 127.6, "end": 127.82, "word": " نص", "probability": 0.87060546875}, {"start": 127.82, "end": 128.42, "word": " ولذلك", "probability": 0.8798828125}, {"start": 128.42, "end": 128.88, "word": " أسهل", "probability": 0.9659423828125}, {"start": 128.88, "end": 129.48, "word": " تفاعل", "probability": 0.9166259765625}, {"start": 129.48, "end": 130.02, "word": " فيها", "probability": 0.986083984375}, {"start": 130.02, "end": 130.76, "word": " اللي", "probability": 0.8125}, {"start": 130.76, "end": 130.94, "word": " هو", "probability": 0.98193359375}, {"start": 130.94, "end": 131.66, "word": " تفاعل", "probability": 0.93994140625}, {"start": 131.66, "end": 132.44, "word": " ال", "probability": 0.61572265625}, {"start": 132.44, "end": 132.7, "word": " ring", "probability": 0.94091796875}, {"start": 132.7, "end": 133.22, "word": " opening", "probability": 0.783203125}, {"start": 133.22, "end": 133.66, "word": " فاحنا", "probability": 0.86669921875}, {"start": 133.66, 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{"start": 164.61, "end": 165.41, "word": " سالم", "probability": 0.938232421875}, {"start": 165.41, "end": 166.25, "word": " سمينا", "probability": 0.6395263671875}, {"start": 166.25, "end": 167.21, "word": " نيوكليوفايل", "probability": 0.771240234375}, {"start": 167.21, "end": 168.09, "word": " هاجم", "probability": 0.8948567708333334}, {"start": 168.09, "end": 168.47, "word": " هنا", "probability": 0.4306640625}, {"start": 168.47, "end": 169.93, "word": " النتيجة", "probability": 0.932861328125}, {"start": 169.93, "end": 170.07, "word": " انه", "probability": 0.745361328125}, {"start": 170.07, "end": 170.49, "word": " هيكسر", "probability": 0.970703125}, {"start": 170.49, "end": 170.77, "word": " هذه", "probability": 0.67919921875}, {"start": 170.77, "end": 171.23, "word": " الرابطة", "probability": 0.9234619140625}, {"start": 171.23, "end": 171.35, "word": " مش", "probability": 0.8486328125}, {"start": 171.35, "end": 171.69, "word": " هيصير", "probability": 0.8580729166666666}, {"start": 171.69, "end": 172.47, "word": " عنده", "probability": 0.84326171875}, {"start": 172.47, "end": 173.07, "word": " خمس", "probability": 0.9778645833333334}, {"start": 173.07, "end": 173.65, "word": " روابط", "probability": 0.933837890625}, {"start": 173.65, "end": 174.23, "word": " فلما", "probability": 0.8544921875}, {"start": 174.23, "end": 174.57, "word": " ييجي", "probability": 0.9022216796875}, {"start": 174.57, "end": 174.83, "word": " اي", "probability": 0.863525390625}, {"start": 174.83, "end": 175.97, "word": " نيوكليوفايل", "probability": 0.98663330078125}], "temperature": 1.0}, {"id": 8, "seek": 20459, "start": 177.15, "end": 204.59, "text": "هاجم على هذا الكرمون هتنكسر الرابط أزواج الألكترونات هيكون مع الـ O O minus بياخد H غالبا الـ H هذه بتكون مع الـ nucleophile فهيصف ايش O H او احنا بنعمل catalysis للتفاعل بـ H plus يعني مثلا الميه فيها جزء ايه لو تشوفوا محصلة التفاعل O H اللي هي تمثل", "tokens": [3224, 26108, 2304, 15844, 23758, 33251, 2288, 2304, 11536, 8032, 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addition لما أخدنا إضافة ال PR2 أخدناها Anti addition مش Sin addition واضح؟ ولذلك لو مثلا جيبنا لكم مركب زي هذا", "tokens": [28814, 11242, 31845, 3660, 2423, 39184, 12697, 4032, 11933, 11242, 31845, 3660, 3714, 7435, 2304, 45367, 9307, 2423, 13931, 4724, 995, 14851, 25957, 6027, 2423, 8875, 76, 2197, 422, 19, 34051, 33251, 1829, 10943, 7649, 422, 19, 5296, 15042, 5551, 9778, 3215, 8315, 11933, 11242, 31845, 3660, 2423, 11568, 17, 5551, 9778, 3215, 8315, 11296, 27757, 4500, 5296, 15042, 5551, 9778, 3215, 8315, 11933, 11242, 31845, 3660, 2423, 11568, 17, 5551, 9778, 3215, 8315, 11296, 27757, 4500, 37893, 11187, 4500, 4032, 46958, 5016, 22807, 35525, 8848, 23275, 45164, 50113, 15040, 10874, 1829, 3555, 8315, 5296, 24793, 3714, 31747, 3555, 30767, 1829, 23758], "avg_logprob": -0.1727851990935872, "compression_ratio": 1.788659793814433, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 642.29, "end": 643.21, "word": "إضافة", "probability": 0.83038330078125}, {"start": 643.21, 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{"start": 667.67, "end": 668.55, "word": " جيبنا", "probability": 0.9345703125}, {"start": 668.55, "end": 668.81, "word": " لكم", "probability": 0.7548828125}, {"start": 668.81, "end": 669.31, "word": " مركب", "probability": 0.8971354166666666}, {"start": 669.31, "end": 669.57, "word": " زي", "probability": 0.90673828125}, {"start": 669.57, "end": 669.85, "word": " هذا", "probability": 0.982421875}], "temperature": 1.0}, {"id": 31, "seek": 68096, "start": 671.54, "end": 680.96, "text": "خلنا ناخد مثال Cyclopentane طبعا ك Cyclopentane شو عليها؟", "tokens": [9778, 1211, 8315, 8717, 47283, 3215, 50113, 6027, 10295, 66, 752, 22786, 1929, 23032, 3555, 3615, 995, 9122, 10295, 66, 752, 22786, 1929, 13412, 2407, 25894, 11296, 22807], "avg_logprob": -0.24986530172413793, "compression_ratio": 1.1081081081081081, "no_speech_prob": 0.0, "words": [{"start": 671.54, "end": 671.92, "word": "خلنا", "probability": 0.7109375}, {"start": 671.92, "end": 672.12, "word": " ناخد", "probability": 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double bond لتنتين C double bond O يعني بديكوا تتخيلوا", "tokens": [34, 3834, 6086, 422, 37037, 8315, 43242, 24793, 5995, 17, 11933, 1829, 8592, 20328, 9640, 2655, 9122, 2304, 7649, 383, 3834, 6086, 422, 35525, 2407, 37893, 4032, 46958, 5016, 9957, 34892, 14407, 3555, 9566, 6156, 3555, 3555, 3794, 41193, 3660, 6055, 5172, 995, 30241, 20449, 16247, 2407, 11622, 11536, 4032, 39182, 3224, 30767, 1863, 24793, 10632, 31439, 11331, 38436, 28671, 4724, 1829, 5016, 12610, 24976, 5954, 5954, 3834, 6086, 5296, 2655, 29399, 9957, 383, 3834, 6086, 422, 37495, 22653, 4724, 16254, 4117, 14407, 6055, 2655, 9778, 26895, 14407], "avg_logprob": -0.2210323006919261, "compression_ratio": 1.5829145728643217, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1049.79, "end": 1050.11, "word": "C", "probability": 0.2196044921875}, {"start": 1050.11, "end": 1050.39, "word": " double", "probability": 0.54443359375}, {"start": 1050.39, "end": 1050.91, "word": " bond", "probability": 0.91796875}, 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{"id": 84, "seek": 200239, "start": 1973.83, "end": 2002.39, "text": "الـ H plus واضح؟ كل مرحلة منهم بتتم حسب قاعدة ماركو بيه خلّينا نشوف هذا الكلام بالتفصيل بعض الإضافات بعض تفاؤلات الإضافة للالكينز لاحظوا هاي أول مثال addition of HX to alkynes هاي عندي كاربون بتحمل H وكاربون بتحمل إيش H وضفت ال HCl", "tokens": [6027, 39184, 389, 1804, 4032, 46958, 5016, 22807, 28242, 3714, 2288, 5016, 37977, 9154, 16095, 39894, 39237, 11331, 35457, 12174, 995, 22488, 3660, 3714, 9640, 4117, 2407, 4724, 1829, 3224, 16490, 1211, 11703, 9957, 995, 8717, 8592, 38688, 23758, 2423, 28820, 10943, 20666, 2655, 5172, 9381, 26895, 45030, 11242, 33688, 11242, 31845, 9307, 45030, 11242, 6055, 5172, 5718, 97, 1211, 9307, 33688, 11242, 31845, 3660, 24976, 6027, 4117, 9957, 11622, 20193, 5016, 19913, 14407, 8032, 47302, 5551, 12610, 50113, 6027, 4500, 295, 389, 55, 281, 37688, 2534, 279, 8032, 47302, 18871, 16254, 9122, 9640, 3555, 11536, 39894, 35571, 1211, 389, 4032, 4117, 9640, 3555, 11536, 39894, 35571, 1211, 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{"start": 2122.05, "end": 2122.31, "word": " بدأ", "probability": 0.7171630859375}, {"start": 2122.31, "end": 2122.99, "word": " تيجي", "probability": 0.9852294921875}, {"start": 2122.99, "end": 2123.57, "word": " ال", "probability": 0.921875}, {"start": 2123.57, "end": 2123.93, "word": " OH", "probability": 0.544921875}, {"start": 2123.93, "end": 2124.21, "word": " هاي", "probability": 0.4649658203125}, {"start": 2124.21, "end": 2124.55, "word": " الميه", "probability": 0.9752604166666666}, {"start": 2124.55, "end": 2124.67, "word": " اللي", "probability": 0.870361328125}, {"start": 2124.67, "end": 2125.25, "word": " ضفناها", "probability": 0.906982421875}], "temperature": 1.0}, {"id": 90, "seek": 214404, "start": 2126.16, "end": 2144.04, "text": "هذه إضافة حسب قاعدة ماركوف نيكوف و لا لأ الآن لاحظوا لو اتطلعت على المركب اللي اتكون عندى هذا مركب يحتوي على مجموعتين وظيفيتين المجموعة الوظيفة الوظيفية الأولى ال ال keen", "tokens": [3224, 24192, 11933, 11242, 31845, 3660, 11331, 35457, 12174, 995, 22488, 3660, 3714, 9640, 4117, 38688, 8717, 1829, 4117, 38688, 4032, 20193, 5296, 10721, 6024, 48506, 20193, 5016, 19913, 14407, 45164, 1975, 2655, 9566, 1211, 34268, 15844, 9673, 31747, 3555, 13672, 1829, 1975, 2655, 30544, 43242, 7578, 23758, 3714, 31747, 3555, 7251, 33753, 45865, 15844, 3714, 7435, 2304, 45367, 2655, 9957, 4032, 19913, 33911, 36081, 9957, 9673, 7435, 2304, 2407, 27884, 2423, 2407, 19913, 33911, 3660, 2423, 2407, 19913, 33911, 10632, 16247, 12610, 7578, 2423, 2423, 20297], "avg_logprob": -0.20010653984817592, "compression_ratio": 1.8106508875739644, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 2126.16, "end": 2126.62, "word": "هذه", "probability": 0.87353515625}, {"start": 2126.62, "end": 2127.34, "word": " إضافة", "probability": 0.9647216796875}, {"start": 2127.34, "end": 2128.04, "word": " حسب", "probability": 0.920166015625}, {"start": 2128.04, "end": 2128.62, "word": " قاعدة", "probability": 0.981689453125}, {"start": 2128.62, "end": 2129.02, "word": " ماركوف", "probability": 0.761627197265625}, {"start": 2129.02, "end": 2129.36, "word": " نيكوف", "probability": 0.9378662109375}, {"start": 2129.36, "end": 2129.48, "word": " و", "probability": 0.1405029296875}, {"start": 2129.48, "end": 2129.6, "word": " لا", "probability": 0.96923828125}, {"start": 2129.6, "end": 2129.88, "word": " لأ", "probability": 0.796142578125}, {"start": 2129.88, "end": 2131.34, "word": " الآن", "probability": 0.5252685546875}, {"start": 2131.34, "end": 2131.88, "word": " لاحظوا", "probability": 0.9132080078125}, {"start": 2131.88, "end": 2132.04, "word": " لو", "probability": 0.8896484375}, {"start": 2132.04, "end": 2132.6, "word": " اتطلعت", "probability": 0.89462890625}, {"start": 2132.6, "end": 2132.86, "word": " على", "probability": 0.79736328125}, {"start": 2132.86, "end": 2133.68, "word": " المركب", "probability": 0.8759765625}, {"start": 2133.68, "end": 2133.96, "word": " اللي", "probability": 0.767822265625}, {"start": 2133.96, "end": 2134.4, "word": " اتكون", "probability": 0.861328125}, {"start": 2134.4, "end": 2135.02, "word": " عندى", "probability": 0.782470703125}, {"start": 2135.02, "end": 2135.56, "word": " هذا", "probability": 0.8271484375}, {"start": 2135.56, "end": 2136.38, "word": " مركب", "probability": 0.9099934895833334}, {"start": 2136.38, "end": 2137.22, "word": " يحتوي", "probability": 0.96826171875}, {"start": 2137.22, "end": 2137.68, "word": " على", "probability": 0.884765625}, {"start": 2137.68, "end": 2138.76, "word": " مجموعتين", "probability": 0.8849283854166666}, {"start": 2138.76, "end": 2139.88, "word": " وظيفيتين", "probability": 0.96845703125}, {"start": 2139.88, "end": 2141.02, "word": " المجموعة", "probability": 0.87666015625}, {"start": 2141.02, "end": 2141.84, "word": " الوظيفة", "probability": 0.9845703125}, {"start": 2141.84, "end": 2142.92, "word": " الوظيفية", "probability": 0.92421875}, {"start": 2142.92, "end": 2143.34, "word": " الأولى", "probability": 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2156.32, "end": 2157.56, "word": " all", "probability": 0.556640625}, {"start": 2157.56, "end": 2158.44, "word": " فهذا", "probability": 0.9736328125}, {"start": 2158.44, "end": 2159.26, "word": " المركب", "probability": 0.8282877604166666}, {"start": 2159.26, "end": 2160.28, "word": " بنسميه", "probability": 0.869140625}, {"start": 2160.28, "end": 2160.5, "word": " in", "probability": 0.552734375}, {"start": 2160.5, "end": 2160.92, "word": " all", "probability": 0.80810546875}, {"start": 2160.92, "end": 2162.0, "word": " لأنه", "probability": 0.84814453125}, {"start": 2162.0, "end": 2162.38, "word": " متكون", "probability": 0.942138671875}, {"start": 2162.38, "end": 2162.62, "word": " من", "probability": 0.994140625}, {"start": 2162.62, "end": 2162.96, "word": " هدول", "probability": 0.810546875}, {"start": 2162.96, "end": 2163.86, "word": " الشغلتين", "probability": 0.86748046875}, {"start": 2163.86, "end": 2164.72, "word": " in", "probability": 0.77734375}, {"start": 2164.72, "end": 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الطبيعي في الاليفاتيك كومباونز they are unstable مركبات غير ثابتة بتعمل تحول بتتحول هذه المركبات شو التحول اللي بتعمله بتخلي ال double bond هذي تيجي هنا تصير هذي C double bond O و ال H تنتقل هنا لاحظوا تغيرين اللي بيصير فيها انتقال إلكترونات و انتقال", "tokens": [1211, 1211, 10721, 3794, 5172, 25124, 16254, 3215, 16472, 3224, 8978, 2423, 2407, 11242, 3615, 41950, 21292, 3615, 1829, 8978, 2423, 6027, 33911, 9307, 1829, 4117, 9122, 20498, 3555, 995, 11536, 11622, 436, 366, 23742, 3714, 31747, 3555, 9307, 32771, 13546, 38637, 16758, 2655, 3660, 39894, 25957, 1211, 6055, 5016, 12610, 39894, 2655, 5016, 12610, 29538, 9673, 31747, 3555, 9307, 13412, 2407, 16712, 5016, 12610, 13672, 1829, 39894, 25957, 43761, 39894, 9778, 20292, 2423, 3834, 6086, 8032, 8848, 1829, 6055, 1829, 7435, 1829, 34105, 6055, 9381, 13546, 8032, 8848, 1829, 383, 3834, 6086, 422, 4032, 2423, 389, 6055, 29399, 4587, 1211, 34105, 20193, 5016, 19913, 14407, 6055, 17082, 13546, 9957, 13672, 1829, 4724, 1829, 9381, 13546, 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{"start": 2176.37, "end": 2177.07, "word": " they", "probability": 0.1329345703125}, {"start": 2177.07, "end": 2177.55, "word": " are", "probability": 0.9521484375}, {"start": 2177.55, "end": 2178.53, "word": " unstable", "probability": 0.58837890625}, {"start": 2178.53, "end": 2179.75, "word": " مركبات", "probability": 0.859130859375}, {"start": 2179.75, "end": 2180.03, "word": " غير", "probability": 0.9970703125}, {"start": 2180.03, "end": 2180.81, "word": " ثابتة", "probability": 0.96728515625}, {"start": 2180.81, "end": 2182.29, "word": " بتعمل", "probability": 0.8390299479166666}, {"start": 2182.29, "end": 2182.93, "word": " تحول", "probability": 0.9344075520833334}, {"start": 2182.93, "end": 2183.81, "word": " بتتحول", "probability": 0.873046875}, {"start": 2183.81, "end": 2184.23, "word": " هذه", "probability": 0.88037109375}, {"start": 2184.23, "end": 2185.21, "word": " المركبات", "probability": 0.9603271484375}, {"start": 2185.21, "end": 2185.69, "word": " شو", "probability": 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"probability": 0.7442220052083334}, {"start": 2190.33, "end": 2190.53, "word": " C", "probability": 0.415771484375}, {"start": 2190.53, "end": 2190.77, "word": " double", "probability": 0.79150390625}, {"start": 2190.77, "end": 2191.07, "word": " bond", "probability": 0.953125}, {"start": 2191.07, "end": 2191.41, "word": " O", "probability": 0.94970703125}, {"start": 2191.41, "end": 2191.81, "word": " و", "probability": 0.5947265625}, {"start": 2191.81, "end": 2191.95, "word": " ال", "probability": 0.7529296875}, {"start": 2191.95, "end": 2192.21, "word": " H", "probability": 0.88330078125}, {"start": 2192.21, "end": 2192.83, "word": " تنتقل", "probability": 0.9820556640625}, {"start": 2192.83, "end": 2193.03, "word": " هنا", "probability": 0.98486328125}, {"start": 2193.03, "end": 2193.63, "word": " لاحظوا", "probability": 0.8682861328125}, {"start": 2193.63, "end": 2194.49, "word": " تغيرين", "probability": 0.7933349609375}, {"start": 2194.49, "end": 2194.59, "word": " اللي", 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الرحمن الرحيم بدأنا من محاضرة أو محاضرتين + +2 +00:00:24,730 --> 00:00:28,470 +في موضوع ال الديهيدس والكيتونز اتعرفنا عليهم ليش + +3 +00:00:28,470 --> 00:00:34,430 +اتصنفوا مع بعض تسمية ال الديهيدس والكيتونز طرق + +4 +00:00:34,430 --> 00:00:38,690 +صناعية لتحضير أشهر ال الديهيدس والكيتونز كان آخر + +5 +00:00:38,690 --> 00:00:44,270 +شيء اتكلمنا عنه الآن في المختبر الطرق العامة + +6 +00:00:44,270 --> 00:00:49,420 +لتحضير ال الديهيدس والكيتونز إذا بنستعرضها مع بعض + +7 +00:00:49,420 --> 00:00:53,560 +بنلاحظ أن هذه الأشياء مرت علينا الحقيقة يعني + +8 +00:00:53,560 --> 00:00:58,080 +الطريقة الأولى لتحضير ال aldehydes و ال ketones من + +9 +00:00:58,080 --> 00:01:03,300 +أجسدة الكحولات لما أخدنا ال alcohols قلنا أن ال + +10 +00:01:03,300 --> 00:01:06,880 +alcohols they are either primary, secondary or + +11 +00:01:06,880 --> 00:01:13,120 +tertiary وقلنا أن ال primary بصيروا باستعمال ال PCC + +12 +00:01:13,120 --> 00:01:16,960 +الديهيدز و ممكن يمدوا أكتر لو كان العامل مؤاكسد + +13 +00:01:16,960 --> 00:01:20,660 +أقوى بصيروا acids هذا مش الموضوع هنا ال secondary + +14 +00:01:20,660 --> 00:01:26,500 +alcohol باستعمال كيامانو 4 أو كيتو كروميون 2 + +15 +00:01:27,340 --> 00:01:33,400 +برمجانات البوتاسيوم كيتو كروميون 207 بوتاسيوم داي + +16 +00:01:33,400 --> 00:01:37,940 +كروميت أو كروميك أكسيد بيصيروا كيتون فهذا أكسد + +17 +00:01:37,940 --> 00:01:42,720 +بالالكوهولز هي طريقة في أنها لتحضير ال الديهايد + +18 +00:01:42,720 --> 00:01:45,520 +والكيتون من ال primer بناخد ال الديهايد ومن + +19 +00:01:45,520 --> 00:01:50,730 +السكندر بناخد الكيتون هذه طريقة مرت علينا سابقا + +20 +00:01:50,730 --> 00:01:58,450 +الاروماتيك كيتون أخدناهم كنا نحضر الاسيتوفينون + +21 +00:01:58,450 --> 00:02:06,640 +مثلا من استعمال ال acid halides R-C-O-C-L هذي C-O + +22 +00:02:06,640 --> 00:02:10,700 +معناها C double bond و C-L في وجود ألومنيوم + +23 +00:02:10,700 --> 00:02:14,400 +الكلورايد الألومنيوم الكلورايد بيسحب الكلور و + +24 +00:02:14,400 --> 00:02:18,280 +بيعمل عندنا الايون الموجب و بيصير Electrophilic + +25 +00:02:18,280 --> 00:02:22,920 +Substitution اللي سمناه Friedel Crafts Acylation + +26 +00:02:22,920 --> 00:02:26,700 +واضح سمناه Friedel Crafts Acylation أخدنا Friedel + +27 +00:02:26,700 --> 00:02:30,720 +Crafts Alkylation و Acylation في شبطر الاروماتيك + +28 +00:02:31,490 --> 00:02:38,470 +from alkynes أخدنا احنا أن ال alkynes بيضيفوا مية + +29 +00:02:38,470 --> 00:02:42,090 +المية اللي بيضيفوها ممكن تكون حسب قاعدة + +30 +00:02:42,090 --> 00:02:46,390 +Markovnikov يضيف HOO يصير اندي double bond او Anti + +31 +00:02:46,390 --> 00:02:51,070 +Markovnikov HOH و في كل الأحوال لما يصير اندي in + +32 +00:02:51,070 --> 00:02:55,810 +all يعني هذا ال alkyne لو ضفنا عليه HOOH بدو يصير + +33 +00:02:55,810 --> 00:03:03,290 +double bond Inol أخدنا أن Inol يعمل توتوميريزم + +34 +00:03:03,290 --> 00:03:08,550 +لكيتون أو لالديهيد سمناها keto inol توتوميريزم + +35 +00:03:08,550 --> 00:03:12,050 +يعني بهذا المثال لما نضيف الميه في وجود الحامض + +36 +00:03:12,050 --> 00:03:17,090 +فالإضافة بمرحلتها الأولى Markov-Nikov addition لما + +37 +00:03:17,090 --> 00:03:21,850 +نعمل التوتوميريزم ال COH بتصير C double bond O + +38 +00:03:21,850 --> 00:03:25,830 +يعني هذا بنرجع في الفصل التالت هذا بنرجع في الفصل + +39 +00:03:25,830 --> 00:03:30,800 +الرابع هذا بنرجع في الفصل السابق كل هذه طرق تحضير + +40 +00:03:30,800 --> 00:03:36,580 +الالديهيد والكيتون مرت معنا وهذه الميزة الحقيقة + +41 +00:03:36,580 --> 00:03:41,540 +موجودة في ال organ ال chemistry أنه أنا في اندي شي + +42 +00:03:41,540 --> 00:03:45,300 +اسمه functional group interconvergent يعني اتحول + +43 +00:03:45,300 --> 00:03:51,180 +من شغلة لشغلة من كحول لالديهيد من كحول الى كيتون + +44 +00:03:51,180 --> 00:03:57,130 +من الكاين الى كيتون الآن طالما صار عندى مسميين + +45 +00:03:57,130 --> 00:04:01,670 +طالما صار عندى مسميين اذا الشغل هتمر عندى مرتين + +46 +00:04:01,670 --> 00:04:04,150 +يعني لما أنا بقول ان أنا عندى كحول بده يصير + +47 +00:04:04,150 --> 00:04:07,530 +aldehyde أو كيتون هتلاقوا انحنا نذكرها لما بنحكي + +48 +00:04:07,530 --> 00:04:10,990 +عن ال alcohol كتفاعل و نذكرها لما بنحكي عن ال + +49 +00:04:10,990 --> 00:04:15,290 +aldehydes و ال ketones كطريقة للتحضير بعد شوية + +50 +00:04:15,290 --> 00:04:18,690 +هنيجي على ال aldehydes و ال ketones طالما هذه + +51 +00:04:18,690 --> 00:04:25,320 +العملية أكسدة طب لو رجعنا فيها رجوعهتصير تفاعل لل + +52 +00:04:25,320 --> 00:04:28,060 +الديهيد والكيتون هلاحظ ان ال reduction of + +53 +00:04:28,060 --> 00:04:31,700 +aldehydes and ketones produces ايش؟ alcohol + +54 +00:04:31,700 --> 00:04:36,960 +فالعملية عملية متعاكسة وعشان كده الكلام بنشوفه + +55 +00:04:36,960 --> 00:04:41,820 +باكثر من مكان alcohol صار الديهيد او كيتون بالاكسة + +56 +00:04:41,820 --> 00:04:48,000 +ده الآن طب الديهيد أو كيتون بالاختصار هيرجع ايش؟ + +57 +00:04:48,000 --> 00:04:53,740 +هيرجع لالكول وسبق احنا انه وضحنا معنى الأكسادة ان + +58 +00:04:53,740 --> 00:05:00,020 +هي في النهاية اما انها زيادة في المحتوى الاكسوجيني + +59 +00:05:00,020 --> 00:05:05,940 +أو نقص في محتوى الهيدروجيني الآن هذه ال aldehydes و + +60 +00:05:05,940 --> 00:05:10,920 +ال ketones خلينا نقول في النهاية هي و كل الكيميا + +61 +00:05:10,920 --> 00:05:15,680 +لازم نفهمها من منطق التطبيق العملي يعني هي بتبدأ + +62 +00:05:15,680 --> 00:05:19,680 +معناه ربوز لكن في النهاية بواقع الحياة بتنتهي انها + +63 +00:05:19,680 --> 00:05:25,170 +مركبات لها وجود في الحياة العملية، لها تطبيق على + +64 +00:05:25,170 --> 00:05:28,790 +سبيل المثال ال Benzaldehyde هذا Aldehyde + +65 +00:05:28,790 --> 00:05:33,670 +Benzaldehyde هذا هو عبارة عن ال oil of almonds هو + +66 +00:05:33,670 --> 00:05:39,600 +زيت اللوز واضح؟ في زيت مشهور اسمه زيت اللوز لو + +67 +00:05:39,600 --> 00:05:43,740 +أسرنا اللوز بيطلع منه زيت اللي هو ال benz aldehyde + +68 +00:05:43,740 --> 00:05:49,140 +هذا ال aldehyde اللي شايفينه C double bond OH مع + +69 +00:05:49,140 --> 00:05:54,000 +حلقة بنزين و double bond هذا مركب كامل هذا اسمه + +70 +00:05:54,000 --> 00:05:58,880 +cinnamaldehyde cinnamaldehyde جاية من ال cinnamon + +71 +00:05:58,880 --> 00:06:05,880 +cinnamon يعني جرفة واضح؟ فهو المركب الأساسي اللي + +72 +00:06:05,880 --> 00:06:10,360 +بيعطي الجرفة الريحة تبعتها لأن الجرفة اسمها + +73 +00:06:10,360 --> 00:06:16,560 +cinnamon هو سموه إيش؟ cinnamaldehyde مثلا بالالماني + +74 +00:06:16,560 --> 00:06:22,480 +الجرفة اسمها zimt فبيسموه zimt aldehyde واضح zimt + +75 +00:06:22,480 --> 00:06:27,300 +aldehyde هنا cinnamon cinnamaldehyde واضح فهذه + +76 +00:06:27,300 --> 00:06:31,620 +الجرفة اللي احنا بنتناولها في النهاية هي aldehyde + +77 +00:06:31,620 --> 00:06:36,180 +مر علينا سابقا ان الفانيلة هي عبارة عن aromatic + +78 +00:06:36,180 --> 00:06:40,600 +aldehyde عليه مجموعة هيدروكسي وميثوكسي الفانيلين + +79 +00:06:41,300 --> 00:06:47,120 +الآن كتير ناس بيحبوا زيت النعناع sperminate oil + +80 +00:06:47,120 --> 00:06:51,220 +اللي بدخل فى مشتقات كتيرة و لعلاج الزور هذا عبارة + +81 +00:06:51,220 --> 00:06:54,680 +عن كيتون هي فيه ال C double bond O اللي بنسميه + +82 +00:06:54,680 --> 00:06:59,960 +carbon المركب الكيميائي carbon لكن هذا ال carbon هو + +83 +00:06:59,960 --> 00:07:05,500 +ال sperm in it oil هو زيت النعمة واضح هذا المركب + +84 +00:07:05,500 --> 00:07:08,960 +لاحظوا بتلاحظوه مركب كبير لكن انا بهمن المجموعة + +85 +00:07:08,960 --> 00:07:12,280 +الوظيفية في نهاية المجموعة الوظيفية ايش فيه C + +86 +00:07:12,280 --> 00:07:17,240 +double bond O كيتون finally كيتون هذا ال camphor + +87 +00:07:17,240 --> 00:07:21,720 +الكفور واضح اللي بيستعملوه لعلاج الرجلين و ما إلى + +88 +00:07:21,720 --> 00:07:28,840 +ذلك الآن مش ضايل عندنا غير مينغير البحتري عاد + +89 +00:07:28,840 --> 00:07:34,560 +الربيع إلى الدنيا بموقبه فزينت واكتست بالسندس + +90 +00:07:34,560 --> 00:07:38,580 +الشجر اه الياسمين الياسمين خلال أسبوعين اللي عندهم + +91 +00:07:38,580 --> 00:07:44,570 +ياسمينة هيلاحظوا كل الياسمينة ايش تصير بيضة من ايش؟ + +92 +00:07:44,570 --> 00:07:50,590 +اه هي الياسمون كيتو واضح؟ ملاحظين مركب معين هذا + +93 +00:07:50,590 --> 00:07:56,910 +اللي هو الياسمون من ال oil of ياسمين من زيت + +94 +00:07:56,910 --> 00:08:01,190 +الياسمين بنطول هذا المركب الأساسي اللي بيعطيها + +95 +00:08:01,190 --> 00:08:04,790 +الريحة الكويسة سواء عملنا منه أطور أو الناس حتى + +96 +00:08:04,790 --> 00:08:11,500 +بيشموها و هي على الشجر ريحة جيدة فهذه المراكبات + +97 +00:08:11,500 --> 00:08:16,860 +الحقيقة يعني لها مجال كبير في التطبيق طبعا أكيد + +98 +00:08:16,860 --> 00:08:20,060 +لها مجالات في أشياء كتيرة غير هيك في أدوية في + +99 +00:08:20,060 --> 00:08:24,280 +الصناعة ولذلك احنا بندرسها بعنق و بنتعرف عليها + +100 +00:08:24,280 --> 00:08:31,560 +الآن لو بدنا نيجي بعد هيك لتفاعلات ال aldehydes و + +101 +00:08:31,560 --> 00:08:38,080 +ال ketones قلنا بشكل عام الأمر مختصر فيه كلمة واحدة + +102 +00:08:38,080 --> 00:08:43,900 +اللي هي addition واضح طبعا لو اجينا بدنا ندقق في + +103 +00:08:43,900 --> 00:08:48,540 +كلمة ال addition in eucleophilic addition بمعنى + +104 +00:08:48,540 --> 00:08:54,820 +المهاجم لازم يكون ايش؟ اليوكليوفايل ليش المهاجم + +105 +00:08:54,820 --> 00:08:59,660 +لازم يكون اليوكليوفايل لأن الالدهايد والكيتون فيهم + +106 +00:08:59,660 --> 00:09:03,060 +السيضة بالبوند او اللي موجودة لو اتطلعنا علي أي + +107 +00:09:03,060 --> 00:09:07,040 +مكان ارسمها بشكل أوضح السيضة بالبوند او لو اتطلع + +108 +00:09:07,040 --> 00:09:10,420 +السلبية هذا الطرف partially positive هذا partially + +109 +00:09:10,420 --> 00:09:16,870 +negative الآن اللي بدو يهاجم عادة اليوكليوفايل واضح + +110 +00:09:16,870 --> 00:09:21,210 +اللي بيهاجم عادة نيوكليوفايل لما يهاجم هنا زوج + +111 +00:09:21,210 --> 00:09:25,430 +الإلكترونات هذا بتتحرك بيصف النتيجة ان هي carbon + +112 +00:09:25,430 --> 00:09:33,470 +OH نيوكليوفايل الآن في عند اصلا مجموعتين تانين هنا + +113 +00:09:33,470 --> 00:09:37,350 +مش رسموهم دولة مافيش عليهم أي تغيير + +114 +00:09:38,710 --> 00:09:42,830 +الخلاصة أن التفاعل الأساسي لـ aldehydes و لـ + +115 +00:09:42,830 --> 00:09:48,430 +ketones كان هناك double bond و أصبحت تنتين single + +116 +00:09:48,430 --> 00:09:53,550 +bond واحدة OH واحدة نيوكليوفايل بكل الأحوال هنا + +117 +00:09:53,550 --> 00:09:57,690 +عدد الروابط أربعة و هنا عدد الروابط أربعة فال + +118 +00:09:57,690 --> 00:10:04,000 +double bond O تصبح بصير عنده رابطة جديدة مع ال + +119 +00:10:04,000 --> 00:10:09,580 +file واضح الفكرة هذا هو التفاعل اللي هيظل يتكرر + +120 +00:10:09,580 --> 00:10:17,260 +بناء على ذلك بصير الآن كل هذه المحاضرة هتحكي شغلة + +121 +00:10:17,260 --> 00:10:21,260 +واحدة بسيطة اللي بيفهمها بيقدر إذا مستعجل يروح + +122 +00:10:21,260 --> 00:10:24,640 +يمشي انه ايش أنواع الـ nucleophile اللي بتهاجم + +123 +00:10:24,640 --> 00:10:28,140 +أعطونا أمثلة بنقول نمروا واحد الميه، نمروا اتنين + +124 +00:10:28,140 --> 00:10:31,260 +الكحول، نمروا تلاتة الـ Cr، نمروا أربعة الـ H-, + +125 +00:10:31,260 --> 00:10:36,000 +نمروا خمسة كذا، نمروا ستة كذا فبكل المحاضرة هذه + +126 +00:10:36,000 --> 00:10:40,880 +فقط احنا بدنا نحتفظ بهذا ال frame إن هدول + +127 +00:10:40,880 --> 00:10:44,200 +المجموعتين في الأساس ماتغيروش الـ C double bond O + +128 +00:10:44,200 --> 00:10:51,110 +صارت OH انغير هذه المجموعة واضحة الفكرة؟ بمعنى لو + +129 +00:10:51,110 --> 00:10:55,370 +انا الآن بقولكم ان النيوكليوفايل كان ميه ايش + +130 +00:10:55,370 --> 00:11:01,110 +هنحط هنا؟ OH بيصير عائلة اسمها الهيدريت اللي فيها + +131 +00:11:01,110 --> 00:11:04,010 +كاربون حاملة انت نواتش بحكي بالتفصيل ماتستعجلوش + +132 +00:11:04,010 --> 00:11:11,350 +الآن طب لو ضفنا كحول؟ OR بيصير عائلة جديدة اسمها + +133 +00:11:11,350 --> 00:11:15,570 +سيانهيدريل شوف كيف البساطة طب لو ضفنا CM؟ + +134 +00:11:18,510 --> 00:11:26,090 +لحظة لو سمحتوا لو ضفنا OR بيصير عندنا عائلة اسمها + +135 +00:11:26,090 --> 00:11:29,570 +hemacetal أنا قلت cyanohedrin hemacetal طيب لو + +136 +00:11:29,570 --> 00:11:37,070 +ضفنا CN cyanohedrin بيسموها لو ضفنا H minus هذه + +137 +00:11:37,070 --> 00:11:46,110 +عملية الاختزال H برجعلك كحول واضح؟ لو ضفنا Amin + +138 +00:11:46,860 --> 00:11:53,400 +أمونيا أنا H2 متعودين انتوا لنيوترا ليوكليوفايل شو + +139 +00:11:53,400 --> 00:12:01,380 +هيصير هيفقد H و هكذا فكل الأمثلة اللي هنحكيها + +140 +00:12:01,380 --> 00:12:05,020 +هتكون ماخدة هذا الإطار العام كل الأمثلة اللي + +141 +00:12:05,020 --> 00:12:08,700 +هنحكيها هتاخد هذا الإطار العام البسيط + +142 +00:12:11,390 --> 00:12:18,850 +بفيد شغلة أن هذا التفاعل بشكل عام بتم له catalysis + +143 +00:12:18,850 --> 00:12:23,970 +يعني تسريع بإضافة H plus عشان هيك في معظم الحالات + +144 +00:12:23,970 --> 00:12:29,910 +هتلاحظوا على سهم التفاعل موجود عنده في وجود إيش؟ اتش + +145 +00:12:29,910 --> 00:12:37,090 +بلس وظيفتها أن تعمل تسريع للتفاعل لاحظوا لو أنا + +146 +00:12:37,090 --> 00:12:40,710 +كان عندي الديهيد أو كيتون وضفت عليه اتش بلس الأتش + +147 +00:12:40,710 --> 00:12:46,140 +بلس وين هتروح على الموجة ولا على الأكسجين السالب + +148 +00:12:46,140 --> 00:12:51,580 +الأكسجل موجب على سالب هتصير بهذا الشكل و لو حركنا + +149 +00:12:51,580 --> 00:12:54,860 +زوج الألكترونات تعملنا resonance هلاحظ أنه أنا + +150 +00:12:54,860 --> 00:12:59,720 +بصير عند الكاربون موجبة full positive charge الآن + +151 +00:12:59,720 --> 00:13:03,880 +قبل شوية لما رسمنا احنا كنا نقول هنا ايش شحنة إيش + +152 +00:13:03,880 --> 00:13:11,060 +مالها partial charge ال acid لما اجى اضاف ال H plus + +153 +00:13:11,060 --> 00:13:16,060 +هنا خلى هذا ال carbon موجب كامل الآن ال + +154 +00:13:16,060 --> 00:13:22,200 +nucleophile أنه افضل له اهاجم على موجب جزء ولا على + +155 +00:13:22,200 --> 00:13:26,900 +موجب كامل اهاجم على موجب كامل التجادب ايش بيكون + +156 +00:13:26,900 --> 00:13:31,320 +اقوى والتفاعل اسرع هاي بالظبط اللي بيعملوا ال acid + +157 +00:13:31,320 --> 00:13:37,720 +الآن الناتج النهائي مافيش فيه خلاف الناتج النهائي + +158 +00:13:37,720 --> 00:13:42,280 +هو نفس الناتج لكن دائما لما بتقرأوا التفاعل + +159 +00:13:42,280 --> 00:13:45,840 +هتلاحظوا انه على السهم في عندكم ايش اتش بلس اتش + +160 +00:13:45,840 --> 00:13:50,520 +بلس هذه الاتش بلس عبارة عن catalyst بتسرع ايش + +161 +00:13:50,520 --> 00:13:57,040 +التفاعل بالطريقة اللي حكيناها الآن لو بدأنا ناخد + +162 +00:13:57,040 --> 00:14:01,220 +امثلة هاي هذه ال carbon في ال aldehyde موجبة اجت + +163 +00:14:01,220 --> 00:14:07,400 +الميه تهاجم أول الـ Eucalyptus ناخد الميه الـ C + +164 +00:14:07,400 --> 00:14:13,760 +double bond O شو بتصير؟ OH نحطها بالأخضر و الميه + +165 +00:14:13,760 --> 00:14:16,280 +هتضيف + +166 +00:14:17,080 --> 00:14:23,100 +OH في النهاية واضح هاي صار عندنا استيظة بال bond O + +167 +00:14:23,100 --> 00:14:27,960 +صارت OH والمية كان يوكليوفال بتضيف OH الآن هنا + +168 +00:14:27,960 --> 00:14:34,580 +اتكون عندى مركب على نفس ذرة الكربون تبعته كم OH؟ + +169 +00:14:34,580 --> 00:14:40,480 +تلتين هذه المركبات اللي على نفس ذرة الكربون فيها + +170 +00:14:40,480 --> 00:14:47,840 +تلتين OH بنعطيها اسم hydrates واضح فال hydrate لو + +171 +00:14:47,840 --> 00:14:52,800 +قلتلكوا ارسمولي شكل عام لل hydrate معنى ذلك تحطوا + +172 +00:14:52,800 --> 00:14:59,420 +carbon على نفس ال carbon تنتين O H's يمكن انتوا + +173 +00:14:59,420 --> 00:15:05,340 +سابقا مر عليكم انه يكون عندى في المركب تنتين O H's + +174 +00:15:05,340 --> 00: + +223 +00:19:28,900 --> 00:19:34,800 +C اللي حاملة تلاتة كلور يعني CCLCLCL و تحط هنا + +224 +00:19:34,800 --> 00:19:41,420 +double bond O هذا مركب موازل ال acetaldehyde لكن + +225 +00:19:41,420 --> 00:19:46,160 +ابدلت تلت ذرات الهيدروجين فيه بكلور فبصير اسمه ايش + +226 +00:19:46,160 --> 00:19:53,340 +اكلورال اكلورال لما اعمل من ال اكلورال هيدريت + +227 +00:19:53,340 --> 00:20:01,450 +باضافة الميهبيصير ايش اسمه اكلورال هايدريت فانا ال + +228 +00:20:01,450 --> 00:20:05,770 +الديهايدي اللي عندي اكلورال لما اعمله اضافة ميه + +229 +00:20:05,770 --> 00:20:10,950 +بيصير اكلورال هايدريت واضح لما اعمله اضافة ميه + +230 +00:20:10,950 --> 00:20:15,530 +بيصير اكلورال هايدريت هذا ال اكلورال هايدريت مادة + +231 +00:20:15,530 --> 00:20:19,650 +تستعمل في التخدير و عادة في التخدير في الطب + +232 +00:20:19,650 --> 00:20:24,090 +البيطري يعني لما يعملوا عمليات جراحية للحيوانات + +233 +00:20:24,090 --> 00:20:28,860 +الكبيرة الضخمةبيعطوها chloral hydrate كمخدر فيلو + +234 +00:20:28,860 --> 00:20:36,660 +ما إلى ذلك واضح؟ فهذا بالنسبة لل hydrate الأن كتير + +235 +00:20:36,660 --> 00:20:40,160 +مرات بنيجي بنقول للطالب في الامتحان النهار or some + +236 +00:20:40,160 --> 00:20:44,420 +general structure of hydrate بشكل عام شو بده يحط + +237 +00:20:44,420 --> 00:20:53,080 +الليه؟ carbon حاملة تنتلؤ أدشز واضح؟طيب لو اتينا ل + +238 +00:20:53,080 --> 00:20:59,680 +ال alcohol كيف بتتفاعل برضه إضافة الآن على طول + +239 +00:20:59,680 --> 00:21:05,140 +السيباب البندقوس شو هتصير OH و ال nucleophile اللي + +240 +00:21:05,140 --> 00:21:12,520 +هيهاجم OR لاحظوا هنا صار عندى ذرة carbon بتحمل مش + +241 +00:21:12,520 --> 00:21:21,470 +تنتين OHOH و OR يعني كأن هذا المركب هو عبارة عن + +242 +00:21:21,470 --> 00:21:28,230 +كحول و إيثر بنفس الوقت كاربون بتحمل OH هذا ألكوهول + +243 +00:21:28,960 --> 00:21:36,180 +و carbon OR هذا ether واضح فهذا المركب كأنه كحول و + +244 +00:21:36,180 --> 00:21:40,680 +ether و هذه العملية إضافة ليش إضافة هذه العملية + +245 +00:21:40,680 --> 00:21:44,200 +لأن ال double bond صارت single bond هذه الإضافة + +246 +00:21:44,200 --> 00:21:47,900 +ببساطة ال double bond single bond إضافة خلصنا الآن + +247 +00:21:47,900 --> 00:21:53,240 +هذا اللي فيه ال carbon بتحمل OH و OR بنسميه + +248 +00:21:53,240 --> 00:22:00,690 +hemiacetalيعني إيش؟ نص أسيتال مش أسيتال كامل، الآن + +249 +00:22:00,690 --> 00:22:06,190 +لما أي شغل نقول هذا نص أسيتال حيصير التفكير عندكم + +250 +00:22:06,190 --> 00:22:12,030 +طب هو إيش الأسيتال؟ الكامل، إذا في بالدنيا نص + +251 +00:22:12,030 --> 00:22:17,430 +أسيتال، إذا أكيد في الدنيا في إيش؟ أسيتال كامل، + +252 +00:22:17,430 --> 00:22:21,750 +hemacetal نص أسيتال، طب وإيش الأسيتال الكامل؟ + +253 +00:22:24,180 --> 00:22:32,080 +إتنين إيثر لو هذا المركب نفسه الـ hemacetal فعلناه + +254 +00:22:32,080 --> 00:22:37,480 +مع زيادة من الكحول فعلناه مع زيادة من الكحول الآن + +255 +00:22:37,480 --> 00:22:41,960 +مرة تانية بيجي الكحول في هذه الحالة بيعمل تفاعل + +256 +00:22:41,960 --> 00:22:46,800 +تاني بيهاجم على الكربون الموجبة وبيطرد الـ OH الآن + +257 +00:22:46,800 --> 00:22:51,180 +هذا التفاعل مجموعة داخلة مجموعة طالعة شو بنسمي + +258 +00:22:51,180 --> 00:22:51,920 +احنا substitution + +259 +00:22:55,450 --> 00:22:58,630 +substitution هذا التفاعل double bond صارت single + +260 +00:22:58,630 --> 00:23:04,590 +bond شو كنا مسمينه addition الان بدلنا ال OH ب OR + +261 +00:23:04,590 --> 00:23:11,090 +شو صار موجود عندك على الكربون تنتين + +262 +00:23:11,090 --> 00:23:18,370 +OR داي إيثر هذا الأسيتال الكامل واضح هذا هو + +263 +00:23:18,370 --> 00:23:25,730 +الأسيتال الكامل اللي هو كربون بتحملTentenor و + +264 +00:23:25,730 --> 00:23:31,770 +التفاعل لتكوين الاسيتال يتم من خلال الهيمياسيتال + +265 +00:23:31,770 --> 00:23:36,870 +مع مزيد من الكحول فالتفاعل في هذه الحالة + +266 +00:23:36,870 --> 00:23:41,850 +substitution لاحظوا انا الان كم عائلة جديدة اتعرفت + +267 +00:23:41,850 --> 00:23:47,490 +عليها خدوهم بالتدريج Carbon Carbon Carbon Carbon + +268 +00:23:47,490 --> 00:23:48,990 +حاملة Tentenor + +269 +00:23:51,050 --> 00:23:57,350 +أه carbon حاملة OH و OR همي أسيتال carbon حاملة OR + +270 +00:23:57,350 --> 00:24:06,530 +و OR أسيتال شفتم كيف بالمقارنة hydrate أسيتال وهذا + +271 +00:24:06,530 --> 00:24:12,720 +اللي بين بينهيمي أسيتال هيدريت وهذا أسيتال وهذا + +272 +00:24:12,720 --> 00:24:18,320 +هيمي أسيتال الآن لو أجينا نسألكم الهيدريت كيف + +273 +00:24:18,320 --> 00:24:25,440 +بيتكون من إضافة الماء على ال الديهيد أو الكيتون + +274 +00:24:25,440 --> 00:24:29,300 +لحظوا الكلمات اللي باستعملها لما نفجر نسأل هيدريت + +275 +00:24:29,300 --> 00:24:30,260 +هيدريت هيدريت هيدريت هيدريت هيدريت هيدريت هيدريت + +276 +00:24:30,260 --> 00:24:31,960 +هيدريت هيدريت هيدريت هيدريت هيدريت هيدريت هيدريت + +277 +00:24:31,960 --> 00:24:32,140 +هيدريت هيدريت هيدريت هيدريت هيدريت هيدريت هيدريت + +278 +00:24:32,140 --> 00:24:34,240 +هيدريت هيدريت هيدريت هيدريت هيدby addition + +279 +00:24:34,240 --> 00:24:40,000 +reaction الـ hemacetal is formed also by addition + +280 +00:24:40,000 --> 00:24:43,760 +reaction على ال الديهيد والكيتون ال acetal + +281 +00:24:43,760 --> 00:24:51,340 +substitution reaction على ال hemacetal واضح ال + +282 +00:24:51,340 --> 00:24:55,480 +acetal هو عبارة عن عملية إبدال ال OH اللي موجودة + +283 +00:24:55,480 --> 00:25:00,120 +في ال hemacetal واضح هذه التفاعلات والعائلات + +284 +00:25:00,120 --> 00:25:01,740 +الجديدة والمسميات + +285 +00:25:07,510 --> 00:25:14,790 +الان هذا الحقيقة تفاعل الاسيتال والهيمياسيتال + +286 +00:25:14,790 --> 00:25:22,070 +تفاعل مهم جدا ممكن ايضا طالما المكونات تبعته كحول + +287 +00:25:22,070 --> 00:25:27,670 +بيهاجم على ايش الديهايد او كيتون الان لو انا + +288 +00:25:27,670 --> 00:25:31,150 +اتخيلت هي الديهايد او كيتون كحول هاجم عليه شو + +289 +00:25:31,150 --> 00:25:36,710 +الناتج؟Hemiacetal طيب السؤال لو ال الديهايد و ال + +290 +00:25:36,710 --> 00:25:40,930 +alcohol بنفس الجزئ يعني تخيلنا هيك جزئ سلسلة على + +291 +00:25:40,930 --> 00:25:46,330 +أحد أطرافها الديهايد و على الطرف التاني OH و إجت + +292 +00:25:46,330 --> 00:25:52,170 +فاعل هذه هاجمتها و السيطة بالبندق شو صارت OH هذا + +293 +00:25:52,170 --> 00:25:56,370 +التفاعل بنسميه Intermolecular ولا Intramolecular + +294 +00:25:57,570 --> 00:26:00,950 +Intramolecular شو يعني Intramolecular تفاعل بين + +295 +00:26:00,950 --> 00:26:06,430 +جزئين مفصولين تماما هذا جزء و هذا جزء جاء الجزئين + +296 +00:26:06,430 --> 00:26:10,150 +المفصولين تماما يتفاعلوا مع بعض هذا Intermolecular + +297 +00:26:10,150 --> 00:26:15,510 +بين جزئين مفصولين الان لو هذا الجزء و هذا الجزء + +298 +00:26:15,510 --> 00:26:21,430 +ممسكين بنفس السلسلة زي هذا المثال لاحظوا هذه سلسلة + +299 +00:26:21,430 --> 00:26:28,570 +واضح على أحد أطرافهاالديهايد وعلى الطرف الثاني + +300 +00:26:28,570 --> 00:26:32,790 +كحول فالجزئين اللي بدهم يتفاعلوا موجودين بنفس + +301 +00:26:32,790 --> 00:26:36,830 +المركب مش بمركبين مختلفين في هذه الحالة إذا + +302 +00:26:36,830 --> 00:26:40,730 +الجزئين اللي بتفاعلوا بنفس المركب على طول التفاعل + +303 +00:26:40,730 --> 00:26:47,380 +إيش أنا بأوصفه Intramolecular reactionفالـ + +304 +00:26:47,380 --> 00:26:51,120 +Intramolecular معناه ذلك أن الجزئين اللي بتفعلوا + +305 +00:26:51,120 --> 00:26:55,860 +بنفس الجزئ لكن الـ Intermolecular لأ جزئين مفصلين + +306 +00:26:55,860 --> 00:27:00,780 +و بيجوا يتفعلوا مع بعض واضح؟ هذا الأمر موجود كتير + +307 +00:27:00,780 --> 00:27:05,620 +الآن خلّيت الكحول و الالدهايد بنفس الجزئ التفاعل + +308 +00:27:05,620 --> 00:27:10,540 +أكيد إضافة الكحول بده يهاجم هنا و هاد السيطة بالـ + +309 +00:27:10,540 --> 00:27:16,270 +Bond O شو بده تصيرOH احنا قلنا في كل الأحوال دائما + +310 +00:27:16,270 --> 00:27:20,310 +ال C double bond O بتصير OH يمكن في كل الأمثلة + +311 +00:27:20,310 --> 00:27:25,690 +السابقة رسمناها بالأخضر و ال nucleophile هاجم بهذا + +312 +00:27:25,690 --> 00:27:32,110 +الشكل الآن هذا المركب اللي متكون عنده أيضا + +313 +00:27:32,110 --> 00:27:37,370 +hemacetal ولا لأ؟ أكيد لأن high carbon حاملة OH + +314 +00:27:41,220 --> 00:27:45,560 +هذا Hemacetal لكن التفاعل بهذه الحالة + +315 +00:27:45,560 --> 00:27:52,000 +Intramolecular reaction الان هذا التفاعل جزء من + +316 +00:27:52,000 --> 00:27:58,390 +أهميته انه في ال biochemistryإذا عندكم فكرة خفيفة + +317 +00:27:58,390 --> 00:28:03,190 +أو هيمر عليكم لما بناخد السكريات ال sugars احنا + +318 +00:28:03,190 --> 00:28:08,150 +قولنا ال sugars they are polyhydroxy aldehydes او + +319 +00:28:08,150 --> 00:28:12,890 +كيتون هى عبارة عن الديهيد او كيتون مع مجموعات + +320 +00:28:12,890 --> 00:28:17,510 +اوقاتش كبيرة الديهيد لحاله بيعملش sugar ومجموعات + +321 +00:28:17,510 --> 00:28:21,490 +اوقاتش كتيرة لحالها بتعملش ايش sugar فال sugar + +322 +00:28:21,490 --> 00:28:26,130 +عبارة عن ايشموجود فيه يا الديهايد يا كيتون + +323 +00:28:26,130 --> 00:28:31,290 +ومجموعات OH's الآن طالما وجد فيه على جهة معينة + +324 +00:28:31,290 --> 00:28:34,950 +الديهايد او كيتون هي C double bond او نتخيل هيك وع + +325 +00:28:34,950 --> 00:28:40,980 +الجهة التانيةأو أتشز ممكن هذه ال أو أتشز تسكر على + +326 +00:28:40,980 --> 00:28:45,600 +ال الديهايد أو ال كيتون أكيد بتعمل في هذه الحالة + +327 +00:28:45,600 --> 00:28:49,520 +hemeacetal بس لما تسكر بدل ما ال sugar كان عامل + +328 +00:28:49,520 --> 00:28:54,480 +سلسلة بهذا الشكل ال chain بيصير إيش in the cyclic + +329 +00:28:54,480 --> 00:28:58,440 +form كل كمار عليكوا أن السكر بيكون في ال chain + +330 +00:28:58,440 --> 00:29:06,430 +formكسلسلة و بيكون بـ Cyclic Form كحلقة الآن عملية + +331 +00:29:06,430 --> 00:29:12,090 +إغلاق السكر هي عملية تفاعل Hemacetal Formation + +332 +00:29:12,090 --> 00:29:17,890 +Hemacetal Formation هاي السكر اللي مسكر الجلوكوز + +333 +00:29:17,890 --> 00:29:22,650 +هذا منظر الجلوكوز اللي مسكر لاحظوا هذه ال carbon + +334 +00:29:22,650 --> 00:29:32,570 +تحديدا اللي هنا هي فيها OHو OR اللى هو alcohol و + +335 +00:29:32,570 --> 00:29:36,910 +ether طب لو قولنا لأى حد اذكرنا كيف هذه كانت قبل + +336 +00:29:36,910 --> 00:29:43,250 +التفاعل قبل ما يسكر كانت هذه C double bond O وكانت + +337 +00:29:43,250 --> 00:29:52,240 +هذه OH وماكنش فيه رابطةكانت هذه C double bond O L + +338 +00:29:52,240 --> 00:29:57,780 +D I و هذه O H فهذه ال O H سكرت هنا و C double bond + +339 +00:29:57,780 --> 00:30:05,240 +O صارتOH بهذا الشكل فلو اجينا سألناكوا سؤال + +340 +00:30:05,240 --> 00:30:10,260 +وقلنالكم cyclic glucose انتبهوا معايا هاي ال + +341 +00:30:10,260 --> 00:30:14,480 +glucose اللي مسكرة تكونوا فاهمين العائلات كويسة + +342 +00:30:14,480 --> 00:30:20,420 +cyclic glucose is a hydrate يعني في تنتين OH على + +343 +00:30:20,420 --> 00:30:21,140 +الكربون + +344 +00:30:25,890 --> 00:30:30,950 +cyclic glucose is a hydrate no cyclic glucose is + +345 +00:30:30,950 --> 00:30:38,450 +an acetal في تنتين OR برضه false cyclic glucose is + +346 +00:30:38,450 --> 00:30:48,340 +a hemacetal في OH و OR واضحة الفكرةالان ممكن نسأل + +347 +00:30:48,340 --> 00:30:54,180 +السؤال بطريقة تانية Cyclic glucose is formed by a + +348 +00:30:54,180 --> 00:30:55,960 +substitution reaction + +349 +00:30:58,930 --> 00:31:03,610 +by an addition reaction شوف كيف اللي بيفهم شغلة + +350 +00:31:03,610 --> 00:31:07,770 +بيحس انه ممكن نسأل عن الشغلة بقالف طريق أنا مش + +351 +00:31:07,770 --> 00:31:10,610 +الفكرة ان اخوفكم من الأسئلة و الانتحانات بقدر ما + +352 +00:31:10,610 --> 00:31:16,130 +اني بركز المعلومة عندكم ان هذه فعلا كانت C double + +353 +00:31:16,130 --> 00:31:20,430 +bond O و هذه فعلا كانت OH هذا alcohol و هذا + +354 +00:31:20,430 --> 00:31:23,750 +aldehyde الآن ال alcohol و ال aldehyde بيتفاعلوا + +355 +00:31:23,750 --> 00:31:31,560 +تفاعل ايش اضافة بكونه hemiacetalواضح؟ الآن بعد ما + +356 +00:31:31,560 --> 00:31:37,160 +اتكون الـ hemacetal هذا وصار هنا في OR و OH ممكن + +357 +00:31:37,160 --> 00:31:44,040 +يصير تفاعل تاني تبدل في ال OH ل OR مع كحول تاني + +358 +00:31:44,040 --> 00:31:48,260 +خارجي يعني افترضوا ناس جابوا ميثانول وفعلوا مع هذا + +359 +00:31:48,260 --> 00:31:55,530 +شو هيعمل الميثانول؟هيشيل ال OH يخليها OR صار عندكم + +360 +00:31:55,530 --> 00:32:01,890 +OR OR أسيتال بس ب substitution reaction تاني واضح + +361 +00:32:01,890 --> 00:32:06,350 +انما ال cyclic glucose في نص الطريق هو عبارة عن + +362 +00:32:06,350 --> 00:32:11,500 +ايش؟Hemiacetal Cyclic Glucose is Hemiacetal ممكن + +363 +00:32:11,500 --> 00:32:15,920 +تحويله ل Acetal بالتفاعل مع الكحول أكيد لأن احنا + +364 +00:32:15,920 --> 00:32:20,820 +قلنا التفاعل ع مرحلتين إضافة ثم إبدال أنا لما وصلت + +365 +00:32:20,820 --> 00:32:24,900 +ل Hemacetal عملت الإضافة الآن إذا الإنسان بيجيب + +366 +00:32:24,900 --> 00:32:30,860 +كحول و حامض و بيسخنه ممكن يعمل إيش الإبدال و يحوله + +367 +00:32:30,860 --> 00:32:37,360 +إلى Acetal كاملهنا في عندى على هذه النقطة كمان + +368 +00:32:37,360 --> 00:32:46,320 +مثال جميل انه انا جبت ال Acetone كيتون مع Ethylene + +369 +00:32:46,320 --> 00:32:51,740 +Glycol او اللى سميناه Ethanediol هذا المركب كام OH + +370 +00:32:51,740 --> 00:32:58,200 +فيهTintin يعني كأنه هذا Dialcohol الان لما فعلنا + +371 +00:32:58,200 --> 00:33:03,200 +اعطانا هذا المركب المغلق يمكن واحدة تقول طب كيف تم + +372 +00:33:03,200 --> 00:33:08,600 +هذا التفاعل؟ بنقول بهدوء ممكن نفهم كيف تم الان + +373 +00:33:08,600 --> 00:33:13,540 +نتعامل مع هذا كيتون و مع هذا الكهول كيف الكهول + +374 +00:33:13,540 --> 00:33:17,700 +بتفاعل على الكيتون او على الديهايد بال addition + +375 +00:33:17,700 --> 00:33:24,310 +هذه بتيجي تضيف هنا و هذه بتصيرOH إذا لو قلنا شو + +376 +00:33:24,310 --> 00:33:32,770 +الناتج اللي في هذه الحالة بيصير C OH CH3 CH3 هذا + +377 +00:33:32,770 --> 00:33:37,590 +الجزء اللي كان أسيتون والجزء التاني هو عبارة عن O + +378 +00:33:37,590 --> 00:33:48,890 +CH2 CH2 OH هاي كحول اتفاعل مع كيتون ال C double + +379 +00:33:48,890 --> 00:33:54,500 +bond O صارتOH والكحول اتفاعل هنا الان الكحول نفسه + +380 +00:33:54,500 --> 00:34:00,220 +في داخله OH تاني يعني كأن الكحول كحولين في بعض في + +381 +00:34:00,220 --> 00:34:04,740 +مجموعتين OH هذا المركب اللي هنا carbon حاملة OH و + +382 +00:34:04,740 --> 00:34:10,660 +OR شو عبارة عن ايش Himacetal الان ممكن يعمل كمان + +383 +00:34:10,660 --> 00:34:16,680 +تفاعل ان هذه تهاجم هنا و تحل محل هذه ابدال + +384 +00:34:17,800 --> 00:34:21,920 +و انت بتطلع عندى هذا المركب لحظة هذا المركب carbon + +385 +00:34:21,920 --> 00:34:27,680 +حاملة OR و OR اذا هذا عبارة عن ايش + +386 +00:34:30,910 --> 00:34:36,990 +Hemiacetal لاحظوا هنا اعملت التفاعل على مرتين لكن + +387 +00:34:36,990 --> 00:34:42,970 +مش من كحولين مفصلين لأ الكحولين موجودين بإيش؟ بنفس + +388 +00:34:42,970 --> 00:34:47,330 +الجزء نفس الجزء فيه تن تن و اتش يعني كأنه الجزء زي + +389 +00:34:47,330 --> 00:34:53,410 +ما بيقولوا اليوم في الدعايات إيش؟ two in oneطالما + +390 +00:34:53,410 --> 00:34:58,470 +في اتنين OH اذا صار عبارة عن كحولين في نفس الجزء + +391 +00:34:58,470 --> 00:35:03,710 +طالما مجمعتين OH الكحول OH هذا في OH OH صار كحولين + +392 +00:35:03,710 --> 00:35:09,650 +اتفاعل في المرة الأولى بالاضافة و في المرة الثانية + +393 +00:35:09,650 --> 00:35:15,380 +بالابدالةشوفنا كيف ادول التفاعلين تموا addition + +394 +00:35:15,380 --> 00:35:19,640 +followed by substitution الان هذا المركب اتجه من + +395 +00 + +445 +00:39:42,240 --> 00:39:45,020 +جدا .. الآن + +446 +00:39:46,660 --> 00:39:53,640 +بنجي لنيكليوفايل جديد هذا النيكليوفايل الجديد هو H + +447 +00:39:53,640 --> 00:40:01,080 +- متذكرين انتوا انه احنا لما حكينا عن الهيدروجين، + +448 +00:40:01,080 --> 00:40:07,580 +قولنا الهيدروجين بيدا تمر علينا بكم شكل؟ تلت أشكال + +449 +00:40:07,580 --> 00:40:10,700 +H plus وH + +450 +00:40:14,320 --> 00:40:19,580 +و أعطناهم أسماء الـ H بلس شو قلنا عنها البروتون + +451 +00:40:19,580 --> 00:40:25,480 +اللي بيفقد الحامض و الـ H هيدروجين أتم الـ H minus + +452 +00:40:25,480 --> 00:40:30,880 +هيدرايد أنيون الان مين في هدولة التلاتة + +453 +00:40:30,880 --> 00:40:38,080 +نيوكليوفاين الهيدرايد أنيون طيب انتهت الكلام طالما + +454 +00:40:38,080 --> 00:40:44,480 +الهيدرايد أنيوناليوكليوفايل لو أخدت الديهيد زي هذا + +455 +00:40:44,480 --> 00:40:48,040 +خلّيني أقول ال Acetaldehyde وهي ال H وحملة ال + +456 +00:40:48,040 --> 00:40:52,860 +minus وقلتلكوا أكمل المعادلة ال hydride بدو يتفعل + +457 +00:40:52,860 --> 00:40:59,320 +مع هذا شو هيعمل ال C double bond O هتصير O H هي + +458 +00:40:59,320 --> 00:41:03,480 +باللون الأخضر واليوكليوفايل بهذه الحالة هو عبارة + +459 +00:41:03,480 --> 00:41:12,270 +عن إيش ال Hما العائلة الجديدة اللتي تكونت هنا؟كحول + +460 +00:41:12,270 --> 00:41:17,650 +هذه عملية الاختزال الار بيصير السؤال هو بالدنيا + +461 +00:41:17,650 --> 00:41:23,870 +بينباع H- لحاله؟ لأ بينباع على شكل المراكبات + +462 +00:41:23,870 --> 00:41:29,970 +المراكبات اللي بتكون مصدر للhydride anion موجود + +463 +00:41:29,970 --> 00:41:33,930 +منها وتستعمل كعوامل مختزلة لحظوا هذه العملية + +464 +00:41:33,930 --> 00:41:38,410 +اختزال لأن C double bond O صارت OH واحدة نقص في + +465 +00:41:38,410 --> 00:41:44,610 +محتوىالأكسوجين وزيادة في محتوى الهيدروجين أنا زيدت + +466 +00:41:44,610 --> 00:41:49,430 +هنا H وزيدت هنا H هايهم تنتين هذا الاختزال بعينه + +467 +00:41:49,430 --> 00:41:54,690 +مظبوط ولا لأ الآن العوامل المختزلة عادة بتكون + +468 +00:41:54,690 --> 00:41:58,410 +هيدرايد أو ممكن الإنسان يعملها بإضافة الهيدروجين + +469 +00:41:58,410 --> 00:42:02,120 +هنا إحنا إيش اللي بنستعمله الهيدرايدلحظوا من + +470 +00:42:02,120 --> 00:42:06,320 +الهيدرايتز اللي مشهورة جدا هذا المركّب الليثيام + +471 +00:42:06,320 --> 00:42:12,340 +والألمنيوم اللي متصل ب 4H- لحظوا الألمنيوم بوضعه + +472 +00:42:12,340 --> 00:42:18,880 +الطبيعي بيكون ايش تلاتة موجة حطوا عليه 4H- كل ال + +473 +00:42:18,880 --> 00:42:23,920 +ايون شو هيصفاه minus عشان يطلع الجزية متعادلة + +474 +00:42:23,920 --> 00:42:31,420 +بحطله lithium plusهذا بيصير Lithium Tetrahydride + +475 +00:42:31,420 --> 00:42:39,180 +Aluminate طبعا الات هي نهاية إيش؟ الايون السالب مش + +476 +00:42:39,180 --> 00:42:43,440 +أخدنا احنا الايونات السالبة سولفات، كربونات، + +477 +00:42:43,440 --> 00:42:50,230 +نيترات، أسيتات، الآن هنا قولنا إيش؟ Aluminateكل + +478 +00:42:50,230 --> 00:42:57,290 +عمره بنقول سلفيت SO4 minus minus نيتريت NO3 minus + +479 +00:42:57,290 --> 00:43:03,170 +فال eight نهاية ال ايش ال ايون السالب الان هذا + +480 +00:43:03,170 --> 00:43:07,050 +الجزء متعادل لان عندي ليثيام plus والالمنيوم تلاتة + +481 +00:43:07,050 --> 00:43:12,770 +plus هاي أربعة موجب وال H أربعة minus صف الجزء كله + +482 +00:43:12,770 --> 00:43:18,190 +ايش ليثيام تترا هيدرايدو ألمينيت أو هذا من البورون + +483 +00:43:18,950 --> 00:43:26,130 +Sodium Tetrahydride من البرون بوريت مش من البروم + +484 +00:43:26,130 --> 00:43:31,350 +البرون لما تمشوا في أول الجدول الدوري العنصر + +485 +00:43:31,350 --> 00:43:35,890 +الخامس يعني تطلعوا على عناصر الجدول الدوري H بعدين + +486 +00:43:35,890 --> 00:43:41,590 +helium بعدين lithium بعدين beryllium بعدين boron + +487 +00:43:41,590 --> 00:43:48,520 +واضح؟ اه ال boronSodium tetrahydride borate الان + +488 +00:43:48,520 --> 00:43:52,160 +هذول الحقيقة بياخدوا كمان اسماء تانية لو سمعتهم + +489 +00:43:52,160 --> 00:43:55,700 +بأي اسمين هذول من أشهر العوامل المختز ل ال + +490 +00:43:55,700 --> 00:44:02,140 +hydrides هم ببساطة مصدر ل إيش ل H minus يعني احنا + +491 +00:44:02,140 --> 00:44:06,840 +بنفهمه مصدر ل H minus هذا بيسموه ال lithium + +492 +00:44:06,840 --> 00:44:13,460 +tetrahydride aluminate بيسموه lithium aluminum + +493 +00:44:13,460 --> 00:44:20,740 +hydrideالومينوم هايدرايد يعني نفسه ممكن تلاقوه تحت + +494 +00:44:20,740 --> 00:44:24,840 +اسم ليثيام ألومينوم هايدرايد أو ليثيام تيترا + +495 +00:44:24,840 --> 00:44:29,260 +هايدرايد و ألومينيت وهذا بيسموه صوديوم بورو + +496 +00:44:29,260 --> 00:44:35,230 +هايدرايد مش بورونBorohydride فإذا سمعتوا Sodium + +497 +00:44:35,230 --> 00:44:38,770 +Borohydride أو Sodium Tetrahydride و Borate نفس + +498 +00:44:38,770 --> 00:44:43,330 +الاسم Lithium Tetrahydride و Aluminate أو Lithium + +499 +00:44:43,330 --> 00:44:47,690 +Aluminum Hydride نفس الاسم و مرات كتير حتى الاسم + +500 +00:44:47,690 --> 00:44:52,530 +هذا Sodium Borohydride و عادة مش هيكونوا عاملينه + +501 +00:44:52,530 --> 00:44:57,310 +زيك هتلاعظوا على السهم مكتوب عندكم NABH4 + +502 +00:44:58,940 --> 00:45:05,980 +وهنا هتلاحظوا Lithium Aluminum H4 اذا شفتوا هذا او + +503 +00:45:05,980 --> 00:45:09,780 +هذا هذا Sodium Borohydride Lithium Aluminum + +504 +00:45:09,780 --> 00:45:16,560 +Hydride شوفوا مثلها Sodium Borohydride Lithium + +505 +00:45:16,560 --> 00:45:21,220 +Aluminum Hydride هدوله الشرعوه المختزلة هم في + +506 +00:45:21,220 --> 00:45:27,990 +النهاية مصدر لإيش؟لل H- الان ال H- لما هاجم على ال + +507 +00:45:27,990 --> 00:45:34,850 +aldehyde عملوا ايش؟ كحول وهذه عملية الاختزال عكس + +508 +00:45:34,850 --> 00:45:40,150 +عملية ايش؟ الاكسادة هذه عملية الاختزال عكس عملية + +509 +00:45:40,150 --> 00:45:47,190 +الاكسادة هي reducing agents طبعا لو ال H- هاجم على + +510 +00:45:47,190 --> 00:45:53,490 +كيتون هيعملوا ايش؟secondary alcohol اذا انتبهوا + +511 +00:45:53,490 --> 00:45:59,030 +معي جيدا انه لما الهجوم تم على ال الديهايد عادي + +512 +00:45:59,030 --> 00:46:06,550 +اتكول اه اذا هل جيتها بنصير نكتب reduction عشان + +513 +00:46:06,550 --> 00:46:11,950 +تكون واضحة الأمور معاكم قبل الديهايدs produces + +514 +00:46:11,950 --> 00:46:19,070 +primary alcoholreduction of aldehydes produces + +515 +00:46:19,070 --> 00:46:23,950 +primary alcohols الان تحتها هيصير reduction of + +516 +00:46:23,950 --> 00:46:28,890 +كيتون ايش + +517 +00:46:28,890 --> 00:46:35,050 +produces secondary alcohols هو كل درسنا aldehydes + +518 +00:46:35,050 --> 00:46:40,240 +او كيتون ولا في غيرهم؟أذا بدنا نكون عارفين ان ال + +519 +00:46:40,240 --> 00:46:45,240 +الديهايد لما بنعمله reduction بالهيدرايد بده يصير + +520 +00:46:45,240 --> 00:46:50,080 +عنده primary alcohol و ال ketone لما بنعمله + +521 +00:46:50,080 --> 00:46:54,240 +reduction بال الديهايد بده يصير عنده secondary + +522 +00:46:54,240 --> 00:46:58,940 +alcohol لاحظوا هذا الكلام بفيدكم سواء بجمل صح و + +523 +00:46:58,940 --> 00:47:03,820 +غلط بأكمل معادلة او حتى لو احنا سألناكوا سؤال how + +524 +00:47:03,820 --> 00:47:09,210 +can you prepare the following compoundواضح؟ لما + +525 +00:47:09,210 --> 00:47:12,610 +تشوفوا أن الناتج اللي عندكم primary alcohol إذا + +526 +00:47:12,610 --> 00:47:16,530 +بتقدروا تفكروا أنه ممكن يكون إيجا من وين لما + +527 +00:47:16,530 --> 00:47:19,930 +تشوفوا الناتج اللي عندكم secondary alcohol إذا + +528 +00:47:19,930 --> 00:47:25,430 +ممكن يكون إيجا من وين من كيتون واضح الفكرة؟ بنقف + +529 +00:47:25,430 --> 00:47:29,510 +عند هذه النقطة المرة القادمة إن شاء الله بنحكي عن + +530 +00:47:29,510 --> 00:47:34,690 +تفاعل الديهيدس والكيتون مع متفاعل اسمه green yard + +531 +00:47:34,690 --> 00:47:39,740 +reagent عمرنا حكينا عنه؟بنعرفه المرة الجاية وبنشوف + +532 +00:47:39,740 --> 00:47:44,440 +كيف بتفاعل ال الديهيد والكيتون مع ال green yard + +533 +00:47:44,440 --> 00:47:46,220 +reagent شكرا diff --git a/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/di-xbM-HbNU_postprocess.srt b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/di-xbM-HbNU_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..113e6db8580a7a6a78dd7c4cdb91328115f59e55 --- /dev/null +++ b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/di-xbM-HbNU_postprocess.srt @@ -0,0 +1,2096 @@ +1 +00:00:18,700 --> 00:00:22,900 +بسم الله الرحمن الرحيم، اليوم ان شاء الله هنبتدأ + +2 +00:00:22,900 --> 00:00:28,300 +الفصل الأخير في ال course اللي بأمل أن نكون يعني + +3 +00:00:28,300 --> 00:00:32,740 +استفدنا منه واستمتعنا فيه على مدى ثلاث أو أربع + +4 +00:00:32,740 --> 00:00:38,220 +شهور course الكيمياء الأضوية العامة والكيمياء يعني + +5 +00:00:38,220 --> 00:00:43,140 +مقدمة في الكيمياء الحيوية العامةالفصل هذا بعنوان + +6 +00:00:43,140 --> 00:00:49,360 +amino acids, peptides and proteins، طبعا هو مش تلت + +7 +00:00:49,360 --> 00:00:56,860 +عنوين، لأهي ال amino acids الأحماض الأمينية الوحدة + +8 +00:00:56,860 --> 00:01:02,640 +البسيطة إذا اتحد عندي عدد قليل من ال amino acids + +9 +00:01:02,640 --> 00:01:07,080 +بيعملوا ال peptides يعني أربعة، خمسة، عشرة، خمس، + +10 +00:01:07,080 --> 00:01:12,280 +تعش هدولة بيعملوا ال peptides الآن إذا صاروا بال + +11 +00:01:12,280 --> 00:01:17,880 +آلاف وأحيانا بعشرات الآلاف بصير الجزء كبير جدا + +12 +00:01:17,880 --> 00:01:23,530 +بنسمي إيش ال proteinفالبروتين الان كبير جدا لو بده + +13 +00:01:23,530 --> 00:01:28,690 +يتكسر بالعكس هيتكسر لpeptides و ال peptides لو + +14 +00:01:28,690 --> 00:01:34,670 +بدها تتكسر هتتكسر ل amino acids فالوحدة الأساسية + +15 +00:01:34,670 --> 00:01:42,480 +هتكون ال aminoو لذلك أمر طبيعي جدا ان نبدأ الفصل + +16 +00:01:42,480 --> 00:01:47,900 +هذا ان نتعرف على ال amino acids معنى amino acids + +17 +00:01:47,900 --> 00:01:54,220 +أحماض عضوية عادية لكن فيها مجموعة الأمين بشكل عام + +18 +00:01:54,220 --> 00:02:01,940 +مجموعة ال NH2 الآن من الناحية النظرية البحثة لو + +19 +00:02:01,940 --> 00:02:08,870 +انا بحكي عن حامض عضويوفي مجموعة امين معنا ذلك بقدر + +20 +00:02:08,870 --> 00:02:14,250 +اتوقع ان يكون عندى عدد لا نهائى من ال amino acids + +21 +00:02:14,250 --> 00:02:20,070 +واضح يعني لو بدى اقول قداش العدد النظري المتوقع من + +22 +00:02:20,070 --> 00:02:23,910 +ال amino acids لما انا اجي اقول هاي مجموعة الحامض + +23 +00:02:23,910 --> 00:02:29,470 +سيضة بال bond O OH و بعدين احط هنا carbons + +24 +00:02:31,380 --> 00:02:36,140 +الان حسب ما يكون في عندى و الله اذا في هنا مجموعة + +25 +00:02:36,140 --> 00:02:40,920 +amino ممكن يكون هنا مجموعة amino هنا هنا لاحظوا + +26 +00:02:40,920 --> 00:02:44,000 +معنى بتيجي نقطة كتير مهمه ان انا لما بحط amino + +27 +00:02:44,000 --> 00:02:50,200 +بكون في عندي كمان R groups واضح فنظريا ال amino + +28 +00:02:50,200 --> 00:02:56,730 +acids اكترالان بنجيب نتطلع وين مجموعة الأمين + +29 +00:02:56,730 --> 00:03:02,030 +مجموعة ال N H2 والله إذا كانت هذه مجموعة الأمين + +30 +00:03:02,030 --> 00:03:06,470 +على أول carbon بعد ال C double bond O احنا اتعلمنا + +31 +00:03:06,470 --> 00:03:11,090 +ان هذا ال carbon هي ال alpha carbon لكن بالتأكيد + +32 +00:03:11,090 --> 00:03:14,410 +ممكن ماتكونش على أول carbon ممكن تكون على ثاني + +33 +00:03:14,410 --> 00:03:20,940 +carbonوأجد عن إيش هنحكي؟ Beta Amino Acids على اللي + +34 +00:03:20,940 --> 00:03:26,940 +بعدها Gamma Delta فال Amino Acids ال Amino Acids + +35 +00:03:26,940 --> 00:03:33,780 +بهذا المنطق اكتار الآن اللي موجودين في البروتينات + +36 +00:03:41,580 --> 00:03:45,360 +اللي موجودين في البروتينات تحديدا هم ال alpha + +37 +00:03:45,360 --> 00:03:50,400 +amino acids يعني اللي فيهم مجموعة الأمين على ال + +38 +00:03:50,400 --> 00:03:54,000 +carbon alpha و احنا سبق عرفنا ال carbon alpha بال + +39 +00:03:54,000 --> 00:03:57,220 +acids و بال aldehydes و بال ketones قلنا هي ال + +40 +00:03:57,220 --> 00:04:01,400 +carbon المجاورة لل seed of the bond O لو كنا بنعد + +41 +00:04:01,400 --> 00:04:05,280 +بال ayobac بتكون ال alpha carbon هي ال carbon رقم + +42 +00:04:05,280 --> 00:04:09,320 +اتنين لأن احنا بنعد في ال ayobac من ال seed of the + +43 +00:04:09,320 --> 00:04:15,360 +bond Oيعني فال amino group موجودة على ال carbon + +44 +00:04:15,360 --> 00:04:19,800 +رقم اتنين او على ال carbon الفة هذا الكلام في وين؟ + +45 +00:04:19,800 --> 00:04:23,940 +في ال amino acids اللي موجودين في البروتينات لكن + +46 +00:04:23,940 --> 00:04:30,660 +لو قلنا لطالب في الامتحان الدروق general structure + +47 +00:04:30,660 --> 00:04:37,620 +for a beta amino acidهذا جيبنا سؤال مرة اوكي هي + +48 +00:04:37,620 --> 00:04:43,080 +انها C double bond O OH بنمشي بهذا الشكل هي alpha + +49 +00:04:43,080 --> 00:04:50,820 +هي beta اذا نحط ال amino group على ال carbon beta + +50 +00:04:50,820 --> 00:04:54,740 +هذا beta amino acid لو قلنا لغاها مابدوا يحطوا على + +51 +00:04:54,740 --> 00:04:59,400 +اللي بعدها واضح لكن اللي موجودين في البروتينات اي + +52 +00:04:59,400 --> 00:05:05,440 +نوع ال alpha amino acidsواضح؟ زي ما حكينا احنا ان + +53 +00:05:05,440 --> 00:05:10,080 +ال peptides عدت amino acids مع بعض و ال proteins + +54 +00:05:10,080 --> 00:05:16,040 +many amino acids مع بعض الان لما نيجي نكسر ال + +55 +00:05:16,040 --> 00:05:18,740 +protein زي ما قلنا ممكن يعطينا peptide و ال + +56 +00:05:18,740 --> 00:05:22,720 +peptide ممكن يكسره الوحدات الاولية هنصف بال ايش؟ + +57 +00:05:22,720 --> 00:05:26,700 +بال amino acids الان هذه ال amino acids ايش + +58 +00:05:26,700 --> 00:05:30,960 +مواصفاتها؟ المواصفة الاولى ان كلهم الف amino acids + +59 +00:05:31,860 --> 00:05:36,960 +الشغل التاني ان ال amino acids اللي بيطلعوا عندنا + +60 +00:05:36,960 --> 00:05:41,840 +they are optically active يعني فيهم chiral center + +61 +00:05:41,840 --> 00:05:46,140 +ما عدا واحد بيكونوا فيه المجموعتين زي بعض يعني + +62 +00:05:46,140 --> 00:05:50,480 +مافيش فيه أربع مجموعات مختلفة هذا الواحد اللي + +63 +00:05:50,480 --> 00:05:54,940 +هنتعرف عليه هو ال glycine فباقي ال amino acids + +64 +00:05:54,940 --> 00:05:59,880 +كلهم they areoptically active they contain chiral + +65 +00:05:59,880 --> 00:06:05,380 +centers فيهم chiral centers الآن بيجينا شغلة طالما + +66 +00:06:05,380 --> 00:06:09,380 +بدنا نقول chiral center متذكرين لما اتكلمنا عن ال + +67 +00:06:09,380 --> 00:06:13,620 +sugars واستبدلنا المصطلح يعني في ال biochemistry + +68 +00:06:13,620 --> 00:06:19,940 +ال R و ال S ب D و L فلما اتكلمنا عن ال sugars احنا + +69 +00:06:19,940 --> 00:06:25,630 +اتفقنا ان نحط اعلى مجموعة للأعلى اللي هي مجموعةالـ + +70 +00:06:25,630 --> 00:06:29,650 +aldehyde بعدين ال sugars بيميزها على الكربون اللى + +71 +00:06:29,650 --> 00:06:33,630 +باقى ده H و OH و بعدين بنحط rest of the molecule + +72 +00:06:33,630 --> 00:06:40,090 +الآن إذا حطينا ال OH على اليمين كنا نقول في عندنا + +73 +00:06:40,090 --> 00:06:45,150 +D و إذا حطينا على الشمال كنا نقول في عندنا L الآن + +74 +00:06:45,150 --> 00:06:49,450 +بنفس المنطق بنعمل ال amino acids لكن شو المجموعة + +75 +00:06:49,450 --> 00:06:55,600 +اللى بنحطها لأعلى؟بدل ال الديهايد مجموعة الحامض + +76 +00:06:55,600 --> 00:06:59,860 +يعني ال amino acids في حامض برسم المجموعة الحامض + +77 +00:06:59,860 --> 00:07:04,420 +هذه لأعلى الآن بعد مجموعة الحامض ال carbon Alpha + +78 +00:07:04,420 --> 00:07:11,080 +متصلة ب H و متصلة ب NH2 و متصلة ب R group تاني + +79 +00:07:11,080 --> 00:07:14,960 +يعني هي بتميز و بتخلي عدد ال amino acids infinity + +80 +00:07:14,960 --> 00:07:19,780 +ليش أنا بقول العدد infinity يعني هذا الجزء CO2 H + +81 +00:07:19,780 --> 00:07:25,700 +ثابتالـ H ثابتة، الآن الـ H2 ثابتة، الآن الـ Amino + +82 +00:07:25,700 --> 00:07:30,600 +acid عن التاني بتغيره بإيش؟ بالـ R طالما في عندي + +83 +00:07:30,600 --> 00:07:36,110 +متغيّد، الـ R ممكن تكون عدد لا نهائيواضح ال R ممكن + +84 +00:07:36,110 --> 00:07:40,210 +تكون عدد لا نهاية الان احنا بنيجي بنرسم بهذا الشكل + +85 +00:07:40,210 --> 00:07:44,470 +عشان الكل يفهم على بعضه اذا حطينا ال N H2 على + +86 +00:07:44,470 --> 00:07:49,230 +اليمين بنقول هذا D Amino Acid اذا حطينا ال N H2 + +87 +00:07:49,230 --> 00:07:54,890 +على اليسار بنقول هذا ايش ال Amino Acids الان ال + +88 +00:07:54,890 --> 00:07:59,770 +Amino Acids اللي بيطلعوا من ال proteins كلهم L مش + +89 +00:07:59,770 --> 00:08:07,980 +D هذا خلق اللههك ربنا خلقهم يعني لاحظوا أنه لما + +90 +00:08:07,980 --> 00:08:11,020 +بنيجي الحل للبروتين بنلاحظ أنه كل ال amino acids + +91 +00:08:11,020 --> 00:08:14,600 +اللي طلع عندنا Alpha amino acids وكل ال amino + +92 +00:08:14,600 --> 00:08:20,080 +acids اللي طلع عندنا ال amino acids واضح؟ الآن + +93 +00:08:20,080 --> 00:08:28,500 +بنيجي لنقطة تانية أنه طالما أن هذا ال R متغير + +94 +00:08:29,120 --> 00:08:32,920 +ممكن تاخد أي إشي أتش مثل إثالبروبيل إيزوبروبيل و + +95 +00:08:32,920 --> 00:08:37,160 +كبرو زي ما بدكم معناه ذلك من الناحية النظرية كده + +96 +00:08:37,160 --> 00:08:44,680 +اندي أمينو أسيد حتى ألفةعدد لانهائي لكن بالواقع + +97 +00:08:44,680 --> 00:08:48,680 +التجريبي لما بيعملوا hydrolysis ل ال proteins + +98 +00:08:48,680 --> 00:08:53,380 +وبيفصلوا ال amino acids اللي نشأت من تميق ال + +99 +00:08:53,380 --> 00:08:57,200 +protein و تكسره لوحدته الأولية لاحظوا ان في عندنا + +100 +00:08:57,200 --> 00:09:02,620 +عشرين amino acid هذا الكلام بسهل الشغل علينا يعني + +101 +00:09:02,620 --> 00:09:06,980 +تخيل لو كانوا الف و كل واحد بده تشخيص مشكلة لكن + +102 +00:09:08,010 --> 00:09:13,070 +بشكل عام كل بروتينات ملفة حوالين ال 20 amino acids + +103 +00:09:13,070 --> 00:09:20,010 +هدولة اللي بشكل عام موجودين في البروتينات الان من + +104 +00:09:20,010 --> 00:09:24,450 +هدولة ال amino acids العشرينعلى خلاف بسيط من + +105 +00:09:24,450 --> 00:09:29,330 +العلماء مش مشكلة خلّيني أتزم بالكلام في 12 amino + +106 +00:09:29,330 --> 00:09:33,530 +acid ممكن يتحضروا في الجسم يعني الإنسان ممكن + +107 +00:09:33,530 --> 00:09:38,390 +يحضرهم من نقطة السفر وفي 8 amino acids الجسم + +108 +00:09:38,390 --> 00:09:43,450 +بيحضرهمش طب هدولة اللي بيحضرهمش الجسم لازم ياخدهم + +109 +00:09:43,450 --> 00:09:48,890 +جاهزين من برا من وين هياخدهم؟ من الغذابةأنواع من + +110 +00:09:48,890 --> 00:09:52,750 +الغذاء فيها هذه ال amino acids الآن هدولة التمانية + +111 +00:09:52,750 --> 00:09:56,790 +amino acids that cannot be synthesized in the body + +112 +00:09:56,790 --> 00:10:00,610 +they are called essential amino acids الأحماض + +113 +00:10:00,610 --> 00:10:05,350 +الأمينية الأساسية فلما نقول إيش معنى essential + +114 +00:10:05,350 --> 00:10:09,730 +amino acids the amino acids that cannot be + +115 +00:10:09,730 --> 00:10:13,830 +synthesized in the body and must be obtained from + +116 +00:10:13,830 --> 00:10:18,390 +the dietin the form of protein لازم ناخدها من + +117 +00:10:18,390 --> 00:10:22,290 +الغذاء على شكل البروتينات، الغذاء الحيواني اللي + +118 +00:10:22,290 --> 00:10:25,850 +بنتغدأه، والغذاء النباتي، بروتينات حيوانية أو + +119 +00:10:25,850 --> 00:10:32,460 +نباتيةهدول ال amino acids العشرين بدنا نتعرف عليهم + +120 +00:10:32,460 --> 00:10:37,440 +جيدا، طبعا كل واحد له اسم، و دائما الناس بيحبوا + +121 +00:10:37,440 --> 00:10:41,920 +إيش؟ يختصروا الأسماء، يعني هيمروا علينا glycine, + +122 +00:10:41,980 --> 00:10:46,880 +alanine, cysteine, tryptophan, saline, valineاكتار + +123 +00:10:46,880 --> 00:10:52,960 +واضح؟ الان فى لهم نوعين من الاختصار فى اختصار لهم + +124 +00:10:52,960 --> 00:10:58,240 +بتلت حروف وفى اختصار لهم بحرف واحد بنسميه three + +125 +00:10:58,240 --> 00:11:03,100 +letter abbreviation اختصار الاسم لتلت حروف وفى + +126 +00:11:03,100 --> 00:11:08,140 +اننا نختصره لحرف واحد one letter abbreviation بشكل + +127 +00:11:08,140 --> 00:11:13,830 +عام اذا انا كنتربما المحاضرة السابقة قلتلكوا مشكلة + +128 +00:11:13,830 --> 00:11:20,310 +البروتينات ان they are not polymers فلازم اعمللهم + +129 +00:11:20,310 --> 00:11:24,650 +ايش؟ sequence ترتيب مين جاي اول واحد التاني التالت + +130 +00:11:24,650 --> 00:11:30,070 +الرابع الان اذا انا بدي ارسم peptide صغير يعني ال + +131 +00:11:30,070 --> 00:11:34,470 +peptide بيكون عادة تمانية تسعة عشرة خمستاشر amino + +132 +00:11:34,470 --> 00:11:39,920 +acid بستعمل three letter abbreviation واضح؟وإذا + +133 +00:11:39,920 --> 00:11:43,660 +بدى استعمل البروتين لبروتين بالمئات اللي لم يكن + +134 +00:11:43,660 --> 00:11:47,460 +بالألاف بستعمل ال one letter abbreviation فاللي + +135 +00:11:47,460 --> 00:11:52,320 +بدى يرسم ببتايد عادة بيستعمل اختصار تلت حروف اللي + +136 +00:11:52,320 --> 00:11:59,080 +بدى يرسم البروتين بيستخدم اختصار الحرف الواحد الان + +137 +00:11:59,080 --> 00:12:05,320 +لو اجينا بدنا نتعرف على هدول ال amino acids لاحظوا + +138 +00:12:05,320 --> 00:12:12,100 +ان احنا اتفقنا ان ال amino acidsفيهم أكتر من شيء + +139 +00:12:12,100 --> 00:12:16,080 +مشترك يعني مجموعة ال acid مشتركة ال carbon اللي + +140 +00:12:16,080 --> 00:12:20,960 +جنبها مشتركة و غالبا بتحمل H و أنا H2 و يمكن معادة + +141 +00:12:20,960 --> 00:12:25,420 +أمينو أسد واحد بيظل عندنا الاختلاف وين؟ في ال R + +142 +00:12:25,420 --> 00:12:30,100 +group بيظل عندنا الاختلاف في ال R group الآن بنيجي + +143 +00:12:30,100 --> 00:12:33,300 +إذا كانت ال R أبسط شيء عندنا في ال organ ال + +144 +00:12:33,300 --> 00:12:38,350 +chemistry اللي هي ال Hتمام؟ ال amino acid بيكون هو + +145 +00:12:38,350 --> 00:12:44,670 +ال glycine واضح؟ بياخد اختصارين ال gly او ال j + +146 +00:12:44,670 --> 00:12:50,930 +واضح؟ الان لاحظوا معي ال glycine تحديدا لو طلعنا + +147 +00:12:50,930 --> 00:12:55,110 +على ال carbon اللي هنا هذا ال carbon + +148 +00:12:58,040 --> 00:13:03,760 +في H و H مافيش في عليه four different groups عشان + +149 +00:13:03,760 --> 00:13:08,020 +هيك ال glycine does not contain a chiral center so + +150 +00:13:08,020 --> 00:13:12,620 +it is not a chiral molecule مش chiral optically + +151 +00:13:12,620 --> 00:13:20,990 +inactive مع ده ال glycine كلهم هيكونواthey contain + +152 +00:13:20,990 --> 00:13:24,670 +chiral centers and they are optically active الآن + +153 +00:13:24,670 --> 00:13:30,450 +نمشي بسرعة لو بدنا نشوف الحامض الأميني لبعده اللي + +154 +00:13:30,450 --> 00:13:35,850 +في مجموعة المثل أبسط المجموعات المثل بيصير اسمه + +155 +00:13:35,850 --> 00:13:38,590 +الانين لاحظوا ما تقولوش أنين + +156 +00:13:41,140 --> 00:13:45,340 +حاجة تانية في الـ aromatic compounds الانين الانين + +157 +00:13:45,340 --> 00:13:51,120 +بياخد الاختصار ال أو ا في مجموعة المثل لو كان في + +158 +00:13:51,120 --> 00:13:56,480 +مجموعة ال isopropyl بيصير اسمه valine لو كان في + +159 +00:13:56,480 --> 00:14:01,820 +مجموعة ال isobutyl بيصير اسمه ليوسين طبعا هذا ايه + +160 +00:14:01,820 --> 00:14:06,900 +الاختصار value في ال EU إذا كان في مجموعة ال + +161 +00:14:06,900 --> 00:14:13,600 +secondary butyl بيصير اسمه isoleucineواضح؟ لاحظوا + +162 +00:14:13,600 --> 00:14:17,100 +كل هذه المجموعات in principle they are simple + +163 +00:14:17,100 --> 00:14:20,560 +alkyl groups يعني كلها مرت علينا لما أخدنا ال + +164 +00:14:20,560 --> 00:14:25,240 +alkyl groups مثل بروبل مثل ايزو بروبل ايزو بيوتل + +165 +00:14:25,240 --> 00:14:29,540 +سكندر بيوتل they are simple alkyl groups هذه + +166 +00:14:29,540 --> 00:14:34,970 +المجموعة الأولى من ال amino acidsالان بعد هيك في + +167 +00:14:34,970 --> 00:14:40,950 +عندي amino acids ال R تبعتهم بتحمل OH يعني غير ال + +168 +00:14:40,950 --> 00:14:48,000 +amino و غير ال acid فيهم alcohol واضح؟فيهم ال + +169 +00:14:48,000 --> 00:14:52,160 +amino أكيد موجودة وال acid أكيد موجود هذا لا خلاف + +170 +00:14:52,160 --> 00:14:56,600 +فيه لكن يضاف اللي هو منه على ال R group في عنده + +171 +00:14:56,600 --> 00:15:04,400 +إيش ال alcohol فمنهم السيرين CH2OH ومنهم الثريونين + +172 +00:15:04,400 --> 00:15:13,350 +CHOHCH3 تمام؟بعد هيك بيجيني مجموعات فيهم كبريت + +173 +00:15:13,350 --> 00:15:21,230 +sulfur فيهم كبريت منهم الستين CH2SH ومنهم + +174 +00:15:21,230 --> 00:15:26,570 +الميثيونين CH2CH2SCH3 + +175 +00:15:26,570 --> 00:15:34,250 +طبعا هتقولوا هدولةاكتار هل يا تورا مطلوب نحفظ كلها + +176 +00:15:34,250 --> 00:15:39,850 +ال amino acids؟ لأ لكن انا بقدر اطلب منكم اي amino + +177 +00:15:39,850 --> 00:15:42,530 +acid يعني انا ممكن بعديك اجي اقولكوا ارسموا + +178 +00:15:42,530 --> 00:15:47,330 +بيبتايد من خمسة amino acids هنكون اتعلمنا انه في + +179 +00:15:47,330 --> 00:15:52,940 +هيكل مشترك و ان الاختلاف فقطفي الـ R group فلو + +180 +00:15:52,940 --> 00:15:57,740 +أتيت قلتلكوا مثلا الانين بين جثين الـR بتساوي مثل + +181 +00:15:57,740 --> 00:16:02,840 +خلاص ان عرف لإن الاختلاف بينهم بس بإيش بالمثل او + +182 +00:16:02,840 --> 00:16:09,660 +مثلا فالين R بتساوي isopropyl الأصل أنه يقدر + +183 +00:16:09,660 --> 00:16:14,960 +الإنسان يرسمه لكن على أقل تقدير على أقل تقدير بدنا + +184 +00:16:14,960 --> 00:16:21,130 +تكونوا بالتأكيد تعرفوا ال glycineالأول H الالانين + +185 +00:16:21,130 --> 00:16:31,050 +اللي هو المثل الستينالـ CH2SH الستين بالذات لأنه + +186 +00:16:31,050 --> 00:16:35,390 +بعد هيك هنلاحظ أنه له أهمية كبيرة في شكل البروتين + +187 +00:16:35,390 --> 00:16:39,610 +بيعمل داي سالفايد بونتز متذاكرين لما أخدنا الثيولز + +188 +00:16:39,610 --> 00:16:43,390 +كانوا يعملوا داي سالفايد بونتز الآن اللي مطلوبين + +189 +00:16:43,390 --> 00:16:47,530 +يعني ممكن أقولكوا أرسمولي ألانين سستين أو اعملولي + +190 +00:16:47,530 --> 00:16:51,290 +بيبتايد من السستين بدون ما أعطيكوا المجموعة خلاص + +191 +00:16:51,290 --> 00:16:54,030 +نكون عارفين أن السستين هو اللي فيه مجموعة + +192 +00:16:57,230 --> 00:17:05,070 +الألانين في مثل لجليسين في H ما عدا ذلك لو بدنا أي + +193 +00:17:05,070 --> 00:17:09,670 +شيء بس بنعطيكوا بين جثين ال R group بتقدروا تكملوا + +194 +00:17:09,670 --> 00:17:17,090 +رسم ال amino acidالآن بجينة حامض اسمه إبرولين هذا + +195 +00:17:17,090 --> 00:17:23,750 +شوية صغيرة بختلف عنهم انه مافيش فيه NH2 هو CH NH + +196 +00:17:23,750 --> 00:17:28,700 +ومسكر على ال NH2 يعني عامل حلقةيعني كل ال amino + +197 +00:17:28,700 --> 00:17:34,760 +acids لما ترسموهم هترسم مجموعة الحامض و بعدين CH و + +198 +00:17:34,760 --> 00:17:39,960 +NH2 مع ذا هذا البرولين بتكون ال NH مسكرة على باقى + +199 +00:17:39,960 --> 00:17:47,580 +الجزء بالشكل اللى موجود الان هذا البرولين ماخد + +200 +00:17:47,580 --> 00:17:51,860 +الاختصار برو او بي بجينة الفينلالانين + +201 +00:17:53,330 --> 00:17:58,250 +لاحظوا لو هذه كانت CH3، إيش اسم ال amino acid؟ + +202 +00:17:58,250 --> 00:18:03,070 +الالانين، شيلنا منها H و حطينا فينل، صار فينل + +203 +00:18:03,070 --> 00:18:08,230 +الالانين، واضح؟ يعني برضه ال فينل الالانين، لإنه + +204 +00:18:08,230 --> 00:18:13,940 +مختصر من الالانين، بصير مطلوب منهانعرفه، ليش؟ لأن + +205 +00:18:13,940 --> 00:18:18,720 +اللي عرف الألانين أن الـR تبعته CH3 لما أنا أقول + +206 +00:18:18,720 --> 00:18:23,380 +له فنل ألانين، بشيل H و بحط مجموعة الفنل، صار + +207 +00:18:23,380 --> 00:18:27,440 +الفنل ألانين، فاللي عرف الألانين وعارف من الكيميا + +208 +00:18:27,440 --> 00:18:35,530 +العامة مجموعة الفنل، بقدر يعرف الفنل ألانينبيجينا + +209 +00:18:35,530 --> 00:18:39,310 +الـ Tyrosine في هذه المجموعة CH2 في الـ OH لـ + +210 +00:18:39,310 --> 00:18:44,950 +tryptophan في حلقة كبيرة بنسميها Endol مع CH2 مش + +211 +00:18:44,950 --> 00:18:53,640 +مطموض نحفظهم طبعا، الآن في مجموعة أحماض فيهممجموعة + +212 +00:18:53,640 --> 00:18:58,660 +حمب تانية يعني غير ال acid group و ال amino group + +213 +00:18:58,660 --> 00:19:02,400 +اللي هم أساسيات هدولة لاحظوا اللي رسمينهم بالأزرق + +214 +00:19:02,400 --> 00:19:06,600 +في كل الرسمات يعني هدولة مشتركين بيجي في ال R + +215 +00:19:06,600 --> 00:19:11,460 +group نفسها مجموعة حمب تانية يعني غير هذه CO2H + +216 +00:19:11,460 --> 00:19:15,080 +تبعت ال amino acid في هنا كمان مجموعة تانية يعني + +217 +00:19:15,080 --> 00:19:19,380 +صار CH2COOH فصار في another + +218 +00:19:22,610 --> 00:19:28,750 +هدولة منهم الحمض الأول CH2COH اسمه Aspartic Acid و + +219 +00:19:28,750 --> 00:19:34,900 +لو كان مجمعتين CH ورا بعض بيصير Glutamic Acidلو + +220 +00:19:34,900 --> 00:19:39,280 +كان مشتق من الأحماض تذكروا لما أخدنا الأحماض قولنا + +221 +00:19:39,280 --> 00:19:43,580 +assets and their derivatives و منها الأمد و ما إلى + +222 +00:19:43,580 --> 00:19:49,060 +ذلك فلو كان بهذا الشكل ماخد شكل الأمد بيكون اسمه + +223 +00:19:49,060 --> 00:19:55,460 +أسبارجين و لو كان أمد بزيادة CH2 يعني بيصير + +224 +00:19:55,460 --> 00:20:00,700 +glutamine بيصير glutamine لحظةبتقدروا تشوفوا ال + +225 +00:20:00,700 --> 00:20:05,160 +glutamic acid كربونتين CH2 CH2 وبعدين حامض ل + +226 +00:20:05,160 --> 00:20:10,080 +glutamine CH2 CH2 وبعدين الأمد تبعه لذلك إيش سموه + +227 +00:20:10,080 --> 00:20:16,680 +glutamine إله اختصار الآن في أحماض تانية فيهم غير + +228 +00:20:16,680 --> 00:20:23,230 +ال NH2 هذه مجموعة NH2 تانية مش أمد أمينلحظوا الـ + +229 +00:20:23,230 --> 00:20:27,650 +NH2 الأمد بتخلف عن الأمين يعني هذه أمد وقلنا عنها + +230 +00:20:27,650 --> 00:20:33,050 +unreactive group متذكرين لما أخدنا الأمد قلنا انه + +231 +00:20:33,050 --> 00:20:38,230 +unreactive لأ في بيكون فيهم أمين عادية NH2 تانية + +232 +00:20:38,230 --> 00:20:44,640 +منهم اللايسين بالشكل اللي موجود منهم الارجينينفيه + +233 +00:20:44,640 --> 00:20:49,380 +أكثر من NH ومنهم الهستيدين هي أنا بتلاحظوا برضه + +234 +00:20:49,380 --> 00:20:58,080 +فيه NH NH NH أو NH2 هذي كلها amino acids فزي ما + +235 +00:20:58,080 --> 00:21:02,680 +بتلاحظوا انه بتصنيف ال amino acids التركيز على + +236 +00:21:02,680 --> 00:21:06,220 +إيش؟ على ال R group يعني ال R ممكن تكون simple + +237 +00:21:06,220 --> 00:21:10,960 +alkyl groupممكن تحتوي على OH ممكن تحتوي على + +238 +00:21:10,960 --> 00:21:16,680 +مجموعات aromatic ممكن تحتوي على مجموعة حمضية تانية + +239 +00:21:16,680 --> 00:21:22,480 +ممكن تحتوي على مجموعة قاعدية تانية واضح هذا + +240 +00:21:22,480 --> 00:21:31,670 +بالنسبة للتعريف بال amino acids بشكل عامالان لو + +241 +00:21:31,670 --> 00:21:36,310 +اجينا بدينا في ال acid-base properties لل amino + +242 +00:21:36,310 --> 00:21:45,450 +acids ال amino acids هم خليط من حمض و قاعدة ماشي + +243 +00:21:45,450 --> 00:21:51,850 +ال amino group is a basic group لما درسناها و أبسط + +244 +00:21:51,850 --> 00:21:57,700 +basic group منها ال ammoniaتحمل زوج إلكترونات + +245 +00:21:57,700 --> 00:22:05,040 +وجاهز إنها تستقبل إيش بروتون والأحماض acids الآن + +246 +00:22:05,040 --> 00:22:12,340 +لو أنا بشكل منفصل إجيت قلتلكم حمض زائد قاعدة يعني + +247 +00:22:12,340 --> 00:22:20,860 +HCL زائد أمونيا أو acetic acid زائد أمونياماشي + +248 +00:22:20,860 --> 00:22:26,360 +الحمض مع القاعدة بتفاعل وش بيعطوني ملح و ماء ممتاز + +249 +00:22:26,360 --> 00:22:32,060 +جدا الان في ال amino acids الحمض و القاعدة نوجدوا + +250 +00:22:32,060 --> 00:22:39,960 +في جزء واحد واضح ال amino group basic و ال COOH + +251 +00:22:39,960 --> 00:22:48,510 +acidic ال amino group بتحب تكتسببروتون هاي معناه + +252 +00:22:48,510 --> 00:22:54,950 +base و COH بتفقد بروتون طب هدول اتنين انحطوا في + +253 +00:22:54,950 --> 00:23:02,350 +جزء واحد اذا بالوضع الطبيعي تلقائيا بيعملوا تفاعل + +254 +00:23:02,350 --> 00:23:06,870 +داخلي طالما انه انوجد ال acidic group و ال basic + +255 +00:23:06,870 --> 00:23:11,110 +group بنفس الجزء بيعملوا التفاعل بينهم و بين بعض + +256 +00:23:11,110 --> 00:23:17,010 +المجموعة الحامضية بتفقد ال H و مين بيكتسبهالقاعدة + +257 +00:23:17,010 --> 00:23:24,310 +و لذلك بالوضع الطبيعي هذا الحامض بدل ما يكون C + +258 +00:23:24,310 --> 00:23:30,930 +double bond O OH بيفقد ال H بيصير CO2 minus يعني C + +259 +00:23:30,930 --> 00:23:35,870 +double bond O O minus لأن ال H اللي فقدها هنا مين + +260 +00:23:35,870 --> 00:23:42,730 +بده يتسبها القاعدة بدل ما هي NH2 بتصير NH3 plus + +261 +00:23:43,440 --> 00:23:49,180 +واضح؟ وبناء على ذلك في الوضع الطبيعي المتعدل ال + +262 +00:23:49,180 --> 00:23:56,460 +amino acids ما برسموهش بهذا الشكل يعني RCHC + +263 +00:23:56,460 --> 00:24:03,800 +double bond O OH هنا ال N H2بنرسمه مش زيك، بنقول + +264 +00:24:03,800 --> 00:24:08,220 +هذا حامض بده يفقد، هذه قاعدة بده تكتسب، وقاعدين + +265 +00:24:08,220 --> 00:24:11,920 +جان بعض، شو اللي بيمنعهم يفقدوا ويكتسبوا؟ بناء على + +266 +00:24:11,920 --> 00:24:17,380 +ذلك، بيتم إنه هذه بتفقد منها، وبتيجي وين؟ على هذا + +267 +00:24:17,380 --> 00:24:21,560 +الوضع، ففي ال neutral form حقيقة ما بنوجدش ال + +268 +00:24:21,560 --> 00:24:25,720 +amino acids بهذا الشكل، لأ بنوجد بهذا الشكل، فقد + +269 +00:24:25,720 --> 00:24:31,940 +لبروتون منها، واكتسبته إيش؟الـ Base واضح؟ و الآن + +270 +00:24:31,940 --> 00:24:37,460 +هذا الشكل بنقول عنه احنا Dipolar Ionic Form يعني + +271 +00:24:37,460 --> 00:24:43,820 +شكل فيه قطبين و بياخد اسم تاني جاي من الألماني + +272 +00:24:43,820 --> 00:24:47,900 +Zwitter Ionic Zwitter اش يعني Zwitter؟ + +273 +00:24:51,140 --> 00:24:57,060 +سفيتر ionic form هذا المصطلح بيمر معاكم كتير سفيتر + +274 +00:24:57,060 --> 00:25:04,310 +من svay svay بالالماني معناها إيش؟اتنين, zwei يعني + +275 +00:25:04,310 --> 00:25:08,630 +اتنين يعني لما احنا بنعد بالعرب ايش بنقول؟ واحد, + +276 +00:25:08,690 --> 00:25:12,970 +اتنين, تلاتة, اربعة و بالانجليزي one, two, three, + +277 +00:25:13,170 --> 00:25:17,870 +four بالالماني eins, zwei, drei, vier, fünf, + +278 +00:25:18,030 --> 00:25:22,690 +sechs, sieben, acht, neun, zehn ف zwei يعني اتنين + +279 +00:25:22,690 --> 00:25:29,300 +فمنها ايجاZwitter Ionic لحظة دي بتنقرق Z و هذه ال + +280 +00:25:29,300 --> 00:25:37,440 +W V مش Zwitter لأ Zwitter واضح ال W الألمان شو + +281 +00:25:37,440 --> 00:25:44,760 +بيقرؤوها V و ال V إيش بيقرؤوها F عشان هيك اللي + +282 +00:25:44,760 --> 00:25:47,760 +عندهم السيارة هذه ال Volkswagen + +283 +00:25:50,020 --> 00:25:53,000 +إذا بدهم يقرؤوها بلغة الإنجليز بدهم يقرؤوا + +284 +00:25:53,000 --> 00:25:59,240 +Volkswagen بس هي باللغة الألمانية Volkswagen ال V + +285 +00:25:59,240 --> 00:26:06,880 +تقرأ F و ال W V Volkswagen Volkswagen يعني سيارة و + +286 +00:26:06,880 --> 00:26:10,240 +Volkswagen شعب + +287 +00:26:10,240 --> 00:26:15,080 +يعني تاكس الشعب سيارة الشعب سيارة البسيطة عارفينهم + +288 +00:26:15,080 --> 00:26:19,870 +ال Volkswagen اللي منهم الباصات و ال ..هذه + +289 +00:26:19,870 --> 00:26:23,650 +السيارات الكتيرة Volkswagen هذي svitar ionic + +290 +00:26:23,650 --> 00:26:30,430 +structure فلو سألناكم ان ال amino acids are better + +291 +00:26:30,430 --> 00:26:35,710 +represented by a dipolar ion structure معناه + +292 +00:26:35,710 --> 00:26:39,970 +dipolar ion structure svitar ionic structure عرفنا + +293 +00:26:39,970 --> 00:26:43,610 +ايش معناه هذا المصطلح؟ بتكرر كتير معكم بالمناسبة + +294 +00:26:44,390 --> 00:26:49,590 +تمام هذا الوضع في الـ neutral form طيب لو اجينا ال + +295 +00:26:49,590 --> 00:26:54,550 +amino acid احنا حطينا عليه H plus يعني زدناله H + +296 +00:26:54,550 --> 00:27:00,050 +plus من الخارج يعني بدون ما نحطله لا H plus ولا OH + +297 +00:27:00,050 --> 00:27:05,510 +minus يعني نسيبه زي ما هو هو حل مشكلته لحاله فقد H + +298 +00:27:05,510 --> 00:27:10,170 +من جهة و حطه بجهة تانية واضح؟و هذا الكلام كله في + +299 +00:27:10,170 --> 00:27:13,190 +الـ neutral form ماضفناش عليه إش بالبرا طب لو ضفنا + +300 +00:27:13,190 --> 00:27:19,450 +له H plus إضافية وين هتروح الـ H plus؟ على ال O + +301 +00:27:19,450 --> 00:27:24,490 +minus و لذلك لو ضفنا H plus هيصير بهذا الشكل الآن + +302 +00:27:24,490 --> 00:27:29,250 +لاحظوا لما أنا ضفت له H plus هذا متعادل ليش؟ لأنه + +303 +00:27:29,250 --> 00:27:34,110 +في موجب و سالب جد بعض الآن متعادل زاد H plus + +304 +00:27:34,110 --> 00:27:40,700 +متعادل زاد موجبأيش المحصلة موجب فهي لما فعلنا إجت + +305 +00:27:40,700 --> 00:27:45,580 +ال H plus اللي ضفناها هنا H plus عدلة ال O minus + +306 +00:27:45,580 --> 00:27:51,640 +دلوا موجب فبال acidic form بيكون ال amino acids + +307 +00:27:52,780 --> 00:27:57,480 +موجبة إيش شحنتها موجبة لاحظوا هذه الأسئلة اللي + +308 +00:27:57,480 --> 00:28:00,980 +بتكونوا تسألوها انتوا بالصح و الغلط in acidic + +309 +00:28:00,980 --> 00:28:09,320 +medium the amino acids are positive واضح amino + +310 +00:28:09,320 --> 00:28:14,530 +acid at low pH ال low pH معناهاacidic ايش بيكونوا؟ + +311 +00:28:14,530 --> 00:28:19,170 +positive الان لو افترضنا هذا ال amino acid بعد ما + +312 +00:28:19,170 --> 00:28:23,670 +حطينا عليه حامض بزيادة وصار موجب اجينا بدينا بدنا + +313 +00:28:23,670 --> 00:28:28,510 +نسحب منه ال Hات كيف بنسحبهم؟ شو اللي بيسحب ال H + +314 +00:28:28,510 --> 00:28:33,870 +plus؟ OH minus فلو فعلت أنا مع OH minus هتيجي تسحب + +315 +00:28:33,870 --> 00:28:39,950 +هذه اللي اجت OH minus مع ال H؟ هتعطيني H2O و هيرجع + +316 +00:28:39,950 --> 00:28:49,700 +للوضع؟المتعادل طب لو زته كمان OH minus هياخد هذه + +317 +00:28:50,900 --> 00:28:55,760 +هياخد القدش اللي زي دهانة، شو هيصير؟ سالب فبناء + +318 +00:28:55,760 --> 00:29:01,180 +على ذلك بيصير عند أنا قاعدة بسيطة كتير ان ال amino + +319 +00:29:01,180 --> 00:29:08,940 +acids في الوسط الحامضي بيكونوا مجابين، في الوسط + +320 +00:29:08,940 --> 00:29:17,250 +القاعدي بيكونوا سالبين، واضح؟ سالبو طبعا بدون ما + +321 +00:29:17,250 --> 00:29:21,550 +نضيف عليهم من برا لا حمض ولا قاعدة بيكونوا إيش؟ + +322 +00:29:21,550 --> 00:29:30,150 +neutral بس في zwitterionic form واضح؟ في شكل ثنائي + +323 +00:29:30,150 --> 00:29:33,050 +القطبية، هاي معناه zwitterionic form + +324 +00:29:38,320 --> 00:29:43,320 +هي هنا كمان مثال تأكيدي تماما للمثال السابق هو + +325 +00:29:43,320 --> 00:29:50,620 +أعطاني amino acid موجة طبعا بدناش ننسا احنا شغلة + +326 +00:29:50,620 --> 00:29:54,440 +انه فيش اشي في الدنيا .. فيش اشي في الدنيا بنباع + +327 +00:29:55,130 --> 00:29:59,910 +موجب أو سالب يعني لما هنا كنا نقولكوا اضيفوا H + +328 +00:29:59,910 --> 00:30:04,390 +plus مافيش H plus بتنجب لحالها و بتلبعها عادة لما + +329 +00:30:04,390 --> 00:30:08,230 +نقول اضيف H plus من وين بنجيبها؟ من HCL يعني كان + +330 +00:30:08,230 --> 00:30:13,210 +في معاه CL minus وبناء على ذلك لما هذه عملة الايون + +331 +00:30:13,210 --> 00:30:20,210 +الموجب كل هذا الجزء الموجب كان فيله CL minus مرافق + +332 +00:30:21,300 --> 00:30:27,000 +واضح؟ لكن أنا كنت مختصر الـCl- كده لأن أنا مهتم + +333 +00:30:27,000 --> 00:30:30,860 +بجزء الـ amino acid مش بالجزء التاني، واضح؟ بس + +334 +00:30:30,860 --> 00:30:34,460 +مافيش H بلس في الكون بتلبع لحالها، يعني الـH بلس + +335 +00:30:34,460 --> 00:30:38,100 +جاية من وين؟ من acid، خلّيني أقول HCl، فلو كنت + +336 +00:30:38,100 --> 00:30:44,560 +أعطي الـHCl، حيكون هذا موجة ومعه Cl ثالث، الآن لو + +337 +00:30:44,560 --> 00:30:49,620 +أخدنا مثل، هاي الـ amino acid الالانينفى nh3 plus + +338 +00:30:49,620 --> 00:30:54,560 +cl minus لما نيجى نفعله مع ال N A O H شو اللى بدى + +339 +00:30:54,560 --> 00:31:03,480 +يصير ال O H minus بدى تاخد ال H شو عملت ليه H 2 O + +340 +00:31:03,480 --> 00:31:06,680 +ال N A plus مع ال C L minus + +341 +00:31:11,850 --> 00:31:20,330 +الحمض يبقى في وضعه نيوترال وليس جابوسالد الاسفتر + +342 +00:31:20,330 --> 00:31:25,170 +ايونيك نيوترال الان هذا نفسه نيوترال لو اجينا كمان + +343 +00:31:25,170 --> 00:31:34,480 +مرة زدناله NAOH شو حيصير ال OH- هتاخدوحدة من هدولة + +344 +00:31:34,480 --> 00:31:41,100 +ال H's هتعطيني H2O هيصير بناء على ذلك هذي أنا H2 + +345 +00:31:41,100 --> 00:31:45,860 +متعادلة بس أنا في عندى minus ال minus بالزمعيون + +346 +00:31:45,860 --> 00:31:46,620 +مرافق + +347 +00:31:50,390 --> 00:31:54,910 +فهذه المعادلات الحقيقة بلزم انكوا تتدربوا عليها + +348 +00:31:54,910 --> 00:31:58,710 +كيف ان ال amino acid بيكتسب بروتون كيف بيفقد + +349 +00:31:58,710 --> 00:32:02,870 +بروتون من خلال التفاعل مع حامض بيكتسب بروتونات من + +350 +00:32:02,870 --> 00:32:07,070 +خلال التفاعل مع القاعدة بيفقد بروتونات ما لم + +351 +00:32:07,070 --> 00:32:10,670 +تكتبوا و تتدربوا بهدوء على هذه المعادلات مش + +352 +00:32:10,670 --> 00:32:14,830 +هتتقنوا يعني مرات بنجيبلكوا أكمل المعادلات زي هيك + +353 +00:32:14,830 --> 00:32:20,270 +حطيلكوا amino acidع شكل Salt يعني كنا ضايفينله + +354 +00:32:20,270 --> 00:32:26,030 +أساسا HCL فعلوه مع NUH مرة أو مرتين يعني بنسبة + +355 +00:32:26,030 --> 00:32:31,490 +واحد او بنسبة اتنين اول NUH بتواصلنا لهنا تاني + +356 +00:32:31,490 --> 00:32:38,510 +فاعل واضح هذا الكلام وظيفة الطالب انه يتدرب عليه + +357 +00:32:38,510 --> 00:32:46,720 +الانمن الكلام هذا كله هنيجي لمحصلة مهمة جدا + +358 +00:32:46,720 --> 00:32:50,640 +المحصلة المهمة جدا احنا قلنا انه في ال acidic + +359 +00:32:50,640 --> 00:32:54,440 +condition + +360 +00:32:54,440 --> 00:33:00,560 +يعني في موضع حامض ال amino acid شو بيكون موجب و في + +361 +00:33:00,560 --> 00:33:09,680 +basic condition سالب طبعا معنى acidic low pHالان + +362 +00:33:09,680 --> 00:33:15,940 +كون ال amino acid صار ممكن يكون موجود + +363 +00:33:17,410 --> 00:33:22,230 +متعادل الـ zwitterionic يعني فيه الموجب والسالب أو + +364 +00:33:22,230 --> 00:33:28,450 +بس فيه كأمينو أسد الموجب أو بس فيه كأمينو أسد + +365 +00:33:28,450 --> 00:33:34,790 +السالب هذا الكلام بيوفرلي تقنية لفصل إيش ال amino + +366 +00:33:34,790 --> 00:33:41,670 +acids قبل ما نصل لهذا الكلام خلينا نقول ان ال BH + +367 +00:33:45,180 --> 00:33:50,480 +اللي بيكون عندها ال amino acid neutral سبعة .. + +368 +00:33:50,480 --> 00:33:54,360 +بنسميها .. لأ مش سبعة مختلفة .. مختلفة لأن ال + +369 +00:33:54,360 --> 00:33:59,320 +amino acid نفسه في مجموعات بتخليه acidic و basic + +370 +00:33:59,320 --> 00:34:04,060 +إضافية ال BH اللي بيكون عندها neutral ال amino + +371 +00:34:04,060 --> 00:34:08,120 +acid خلينا نقول هيك ال BH اللي بيكون عندها ال + +372 +00:34:08,120 --> 00:34:13,390 +amino acid إيش؟الـ neutral بتقول عنها الـ + +373 +00:34:13,390 --> 00:34:18,830 +isoelectric point واضح فال isoelectric point اللي + +374 +00:34:18,830 --> 00:34:24,550 +هي ال pH اللي بيكون عندها ال amino acid متعدل + +375 +00:34:24,550 --> 00:34:30,990 +isoelectric point الان كل amino acid له + +376 +00:34:30,990 --> 00:34:37,130 +isoelectric point خاصة فيه لكل ال amino acids + +377 +00:34:38,900 --> 00:34:43,840 +هتلاحظوا ان الـ isoelectric point تبعتهم موجودة في + +378 +00:34:43,840 --> 00:34:50,100 +الجدوة المحطوطة بين جثين يعني اتطلعوا للجليسين وين + +379 +00:34:50,100 --> 00:34:54,840 +بيكون ال amino acid متعادل بالسفتر ايونك and BH؟ + +380 +00:34:54,840 --> 00:35:01,320 +ستة للالانين ستة للفالين ستة للسيرين مثلا خمسة + +381 +00:35:01,320 --> 00:35:09,930 +وسبعة للستين خمسةمجيوسة الان لاحظوا لما يكون عند + +382 +00:35:09,930 --> 00:35:14,930 +انا بعض ال amino acids فيهم مجموعة حمضية تانية + +383 +00:35:14,930 --> 00:35:20,330 +بتصير ال isoelectric point منخفضة بتصير تلاتة يعني + +384 +00:35:20,330 --> 00:35:23,550 +بيقاتش تلاتة بيكونوا متعادلين لما يكون فيهم مجموعة + +385 +00:35:23,550 --> 00:35:27,350 +قاعدية تانية بتصير ال isoelectric point عقلهم عالي + +386 +00:35:27,350 --> 00:35:33,490 +عند تسعة وعند عشرة تقريبا واضح فكل amino acid الان + +387 +00:35:34,530 --> 00:35:39,990 +بنفهم ان هو له isoelectric point ال بي اتش اللى + +388 +00:35:39,990 --> 00:35:46,430 +بيكون عندها متعادل الان اقل من ال isoelectric + +389 +00:35:46,430 --> 00:35:54,210 +point هذه ال بي اتش ايش بيصير موجب اعلى منها سالب + +390 +00:35:54,210 --> 00:35:58,810 +يعني صار في عند انا ال isoelectric point لل amino + +391 +00:35:58,810 --> 00:36:08,130 +acid ال isoelectric pointالآن هذه neutral أقل منها + +392 +00:36:08,130 --> 00:36:17,310 +موجب أعلى منها سالف واضح؟ وبناء على ذلك لو أنا جيت + +393 +00:36:17,310 --> 00:36:22,750 +سألت مثلا للستين شو ال isoelectric point قبل شوية + +394 +00:36:22,750 --> 00:36:29,560 +حكيناها ستةلسستين ستة الان لو سألتكم و قولتلكم + +395 +00:36:29,560 --> 00:36:35,880 +السستين عند بي اتش اربعة شو بيكون موجب السستين عند + +396 +00:36:35,880 --> 00:36:41,620 +بي اتش تسعة او تمانية سالب واضحهذه معناه الكلام + +397 +00:36:41,620 --> 00:36:49,000 +يعني BH6 الستين ال neutral بيكون + +398 +00:36:49,000 --> 00:36:55,120 +موجب ال BH أعلى بيكون H سالب الآن هذا الموضوع أن + +399 +00:36:55,120 --> 00:37:00,200 +ال amino acid ممكن نتحكم فيه يعني الستين أنا + +400 +00:37:00,200 --> 00:37:05,620 +بتغيير ال BH قاعد بقدر أخليه مرة يكون موجب مرة + +401 +00:37:05,620 --> 00:37:10,240 +يكون متعادل مرة يكون سالب ولا لأأنا اللي بتحكم في + +402 +00:37:10,240 --> 00:37:13,400 +ال بي أتش كيف الواحد بتحكم في ال بي أتش بيحط حمض + +403 +00:37:13,400 --> 00:37:17,540 +أو قاعدة أو بزيدها أو بنجسها يعني قمر سهل عمليا + +404 +00:37:17,540 --> 00:37:24,940 +فكأنه ال بي أتش صار إلها إشي تابع إنه يكونموجب أو + +405 +00:37:24,940 --> 00:37:29,820 +سالب الآن جثة الموجب والسالب كتير بتفرج معناه ليش؟ + +406 +00:37:29,820 --> 00:37:35,560 +لأنه أخدوا منها .. من فكرتها تقنية عامة لفصل ال + +407 +00:37:35,560 --> 00:37:41,380 +amino acids عن بعضهم البعض الموجبلو حطيته في مجال + +408 +00:37:41,380 --> 00:37:45,780 +كهربائي، في موجة بوسالب، هيروح وين؟ على السالب، + +409 +00:37:45,780 --> 00:37:51,400 +والسالب هيروح وين؟ على الموجب، وبناء على ذلك هذا + +410 +00:37:51,400 --> 00:37:55,500 +الكلام بيصير أساس لطريقة، لفصل + +411 +00:37:58,240 --> 00:38:01,600 +الأمينو أسد هي أنا تعريف ال isoelectric point بس + +412 +00:38:01,600 --> 00:38:06,220 +عشان تكونوا متذكرينها is the pH at which the amino + +413 +00:38:06,220 --> 00:38:09,520 +acid will be dipolar and have in it its charge + +414 +00:38:09,520 --> 00:38:14,780 +equal to zero الأن لما يكون ديبولر و شحنته سفر لو + +415 +00:38:14,780 --> 00:38:18,920 +حطيته بوسط كهربا يعني حاطيت قطبين كهربا موجب و + +416 +00:38:18,920 --> 00:38:23,710 +سالبو ال بي اتش تبعته ع ال isoelectric point يعني + +417 +00:38:23,710 --> 00:38:28,710 +هو متعادل بيروح يمين ولا شمال ولا بيقعد مكانه الان + +418 +00:38:28,710 --> 00:38:34,550 +لو كانت ال بي اتش قليلة بمعنى كان موجب و وجدت وين + +419 +00:38:34,550 --> 00:38:38,830 +هيروح الموجب؟ على السالب على ال cathode و لو كانت + +420 +00:38:38,830 --> 00:38:43,990 +ال بي اتش عالية كان سالب وين هيروح السالب؟ على ال + +421 +00:38:43,990 --> 00:38:49,960 +anode مش ال anode هو القطبالموجب والكثود هو القطب + +422 +00:38:49,960 --> 00:38:55,600 +السالق وبناء على ذلك بتصير هذه طريقة يمكن من + +423 +00:38:55,600 --> 00:39:01,120 +خلالها ان نفصل ال amino acids عن بعض بنسميها ال ال + +424 +00:39:01,120 --> 00:39:03,260 +Electrophoresis + +425 +00:39:04,140 --> 00:39:07,140 +و هذه طريقة أساسية للناس اللي بيشتغلوا في الكيميا + +426 +00:39:07,140 --> 00:39:10,780 +في البروتينات و في ال amino acids بفصلوا من خلالها + +427 +00:39:10,780 --> 00:39:15,880 +هي فصل ال amino acids و فصل لبروتينات كهربيا + +428 +00:39:15,880 --> 00:39:22,080 +اعتمادا على ايش على شحنتهم الان شحنتهم تعتمد على + +429 +00:39:22,080 --> 00:39:28,540 +ال BH اذا انا بقدر اقول هو فصل كهربي لل amino + +430 +00:39:28,540 --> 00:39:33,400 +acids او لبروتينات اعتمادا على ال BH في المحصلة + +431 +00:39:34,600 --> 00:39:38,380 +واضح؟ هو الفصل اعتمادا على الشحنة انه يروح اشمال + +432 +00:39:38,380 --> 00:39:47,160 +او يمين، لكن الشحنة معتمدة على الـ BH ناخد مثالهذا + +433 +00:39:47,160 --> 00:39:50,120 +اللي سمناه الـ Electrophoresis is a method for + +434 +00:39:50,120 --> 00:39:53,620 +separating amino acids and proteins based on their + +435 +00:39:53,620 --> 00:39:58,380 +charge differences طبعا الـ isoelectric point عادة + +436 +00:39:58,380 --> 00:40:02,980 +بيعتور رمز بي لو قلنا ال isoelectric point + +437 +00:40:02,980 --> 00:40:10,460 +للأسبارتك أسد تلاتة تمام؟ الآن دائما جربوا أنتوا + +438 +00:40:10,460 --> 00:40:17,020 +ارسموا زي خط الأعدادتمام؟ الآن هذه الـ isoelectric + +439 +00:40:17,020 --> 00:40:24,380 +point للأسبارتك أسد اللي تلاتة عند BH تلاتة شو + +440 +00:40:24,380 --> 00:40:29,380 +بيكون الأسبارتك أسد؟ neutral بناء على ذلك لو حطينا + +441 +00:40:29,380 --> 00:40:35,640 +الأسبارتك أسد على BH3 و في وسطكهربائي كسودوانوت + +442 +00:40:35,640 --> 00:40:40,880 +هيتحرك؟ لأ هو الان بيجي بيسألني بيقول يا تورا على + +443 +00:40:40,880 --> 00:40:47,360 +BH5 وين هيروح؟ على الموجة الان انتبهوا معاه إيش + +444 +00:40:47,360 --> 00:40:51,840 +اللي عملوا قال طيب لو مخلوط عندي حامضين أسبارتك + +445 +00:40:51,840 --> 00:40:57,240 +أسد خلينا هيك نقول هذا الأسبارتك أسد ال BH ال + +446 +00:40:57,240 --> 00:41:02,900 +isoelectric point تبعته تلاتة مخلوط مع الألانين + +447 +00:41:05,540 --> 00:41:09,620 +القلانين عارفينه القلانين؟ قداش للقلانين ال + +448 +00:41:09,620 --> 00:41:18,120 +isoelectric point؟ ستة من الجدول ستة واضح؟ شفتوها؟ + +449 +00:41:19,750 --> 00:41:25,710 +الالانين عند ستة بيكون متعادل، بتفرج على حاله، صح؟ + +450 +00:41:25,710 --> 00:41:31,530 +والاسبارتك أسد عند تلاتة بيكون متعادل، بتفرج على + +451 +00:41:31,530 --> 00:41:36,390 +حاله، الآن لو إجيت قلت أطلع الاسبارتك أسد لوحده، + +452 +00:41:36,390 --> 00:41:43,230 +فوق التلاتة، شو بيكون؟ سالد، تحت التلاتة؟ موجب، لو + +453 +00:41:43,230 --> 00:41:45,250 +إجيت على الالانين + +454 +00:41:49,340 --> 00:41:56,080 +لو إجيت على الأنانين تحت الستة موجب فوق الستة سالب + +455 +00:41:56,080 --> 00:42:01,580 +الآن لو إجيت هدول الاتنين بدي أفصلهم عن بعض بضلني + +456 +00:42:01,580 --> 00:42:09,040 +أغير ال bh تغيير ذكي خليني أقول وصلت ال bh لخمسة + +457 +00:42:09,040 --> 00:42:15,340 +صار كل المحلول ال bh تبعته خمسة الآن قولولي أنتوا + +458 +00:42:15,340 --> 00:42:21,310 +عند خمسة شو بده يكون ال aspartic acid؟سالب فوق + +459 +00:42:21,310 --> 00:42:29,710 +التلاتة سالب واضح هيك موجب و عند ستة شو بده يكون + +460 +00:42:29,710 --> 00:42:34,150 +القلانين متعادل + +461 +00:42:34,150 --> 00:42:39,950 +عند ستة أقل من ستة موجب أعلى من ستة سالب الآن لما + +462 +00:42:39,950 --> 00:42:47,400 +أجي أقولكوا عند الخمسة هناتطلعوا معي الألانين موجب + +463 +00:42:47,400 --> 00:42:52,300 +الأسبارتك أسد سالب بناء على ذلك هذا الخليط لو + +464 +00:42:52,300 --> 00:42:56,500 +اتحكمت في ال بي اتش تبعته خليتها خمسة و حطيت له + +465 +00:42:56,500 --> 00:43:01,580 +قطبين كهربا وين هيروح الأسبارتك أسد على قطب الموجب + +466 +00:43:01,580 --> 00:43:05,700 +وين هيروح الألانين على قطب السالب انفصلوا عن بعض + +467 +00:43:05,700 --> 00:43:12,460 +ولا لأبنفصله طالما طلع هنا مختلف إذا بينفصله طيب + +468 +00:43:12,460 --> 00:43:17,780 +الآن انتبهوا معي جيدا حتى نفهم الطريقة بالظبط طبعا + +469 +00:43:17,780 --> 00:43:20,460 +احنا قولنا ال aspartic acid فوق التلاتة إيه شو بده + +470 +00:43:20,460 --> 00:43:26,040 +يكون؟ تلاتة و ال alanine تحت الستة شو بده يكون؟ + +471 +00:43:26,040 --> 00:43:32,160 +موجة موجة الآن الإنسان اللي مش ذكي و بده يفصل هدول + +472 +00:43:32,160 --> 00:43:42,040 +عن بعضبنقوله اخترنا بي اتش مناسبة للفصل اذا حد اجى + +473 +00:43:42,040 --> 00:43:46,600 +جال انا والله بدي اخلي ال بي اتش تبعتهم اتنين ايش + +474 +00:43:46,600 --> 00:43:51,020 +رأيكوا؟ اتطلعوا + +475 +00:43:51,020 --> 00:43:54,780 +عما عند التنين، التنين موجبين، مش هيفصلوا + +476 +00:43:57,210 --> 00:44:01,510 +الان لو اجه واحد قال لأ و الله انا بدي افصلهم عند + +477 +00:44:01,510 --> 00:44:07,370 +BH تمانية اتنين سالب اذا اللي بده يختار ال BH + +478 +00:44:07,370 --> 00:44:12,850 +المناسبة لفصلهم لازم يختارها بين إيش؟ في المنطقة + +479 +00:44:12,850 --> 00:44:16,620 +اللي بيختلفوا فيهاشفتوا كيف لما بنفصل two amino + +480 +00:44:16,620 --> 00:44:23,400 +acids عن بعض بحط خط الأعداد باجلة الأول بعمل موجب + +481 +00:44:23,400 --> 00:44:27,940 +أقل من ال isoelectric point سالب أكتر باجلة التاني + +482 +00:44:27,940 --> 00:44:32,700 +نفس الاشي هاي ال isoelectric point أقل منها موجب + +483 +00:44:32,700 --> 00:44:38,500 +أكتر منها سالب الآن ال BH اللي بتفصل اللي بيختلفوا + +484 +00:44:38,500 --> 00:44:45,010 +فيهايعني أي BH بين التلاتة والستة بيكون فيها هذا + +485 +00:44:45,010 --> 00:44:49,890 +سالب وبيكون فيها هذا موجب تصبح للفصل لكن لو قولت + +486 +00:44:49,890 --> 00:44:53,550 +أقل من التلاتة التانين موجبين لو قولت أعلى من + +487 +00:44:53,550 --> 00:44:59,590 +الستة التانين سالبين ولذلك لما نعطي مثال ونقول + +488 +00:44:59,590 --> 00:45:04,470 +choose the appropriate BH for separating this + +489 +00:45:04,470 --> 00:45:12,380 +mixtureبدي أرسم خط الأعداد بيصير الأمر سهل جدا، + +490 +00:45:12,380 --> 00:45:20,280 +واضح؟ خلّيني أخد مثال تاني، هذا المثال التاني قال + +491 +00:45:20,280 --> 00:45:27,840 +بدنا تفصلونا ل glycine و lycine، طبعا أنا أسهل إشي + +492 +00:45:27,840 --> 00:45:33,390 +عندىان اعمل خط الاعداد اتخيل اني بدي احط ال + +493 +00:45:33,390 --> 00:45:39,210 +glycine مثلا هنا وال glycine هنا الان هيلزمني من + +494 +00:45:39,210 --> 00:45:45,830 +الجداول جداش ال isoelectric point لل glycine احنا + +495 +00:45:45,830 --> 00:45:54,610 +احفظنا لل glycine 6 ممتاز طب لل glycine مين شفتلنا + +496 +00:45:54,610 --> 00:45:56,290 +إياها 9.7 + +497 +00:46:00,380 --> 00:46:05,780 +هذه تسعة و سبعة واضح؟ ارسموا بهذا الشكل و تحلوا + +498 +00:46:05,780 --> 00:46:08,860 +المسألة معاكم سهولة هاي ال glycine له ال + +499 +00:46:08,860 --> 00:46:12,480 +isoelectric point ستة ال glycine تسعة و سبعة الآن + +500 +00:46:12,480 --> 00:46:18,780 +بعد هيك هذه النقطة اللي بيكون عندها neutral أقل + +501 +00:46:18,780 --> 00:46:26,500 +منها أعلى منها سالم واضح؟ الآن بالنسبة لل glycine + +502 +00:46:26,500 --> 00:46:30,750 +هذه النقطة اللي بيكون عندها neutralneutral اقل + +503 +00:46:30,750 --> 00:46:35,030 +منها موجب + +504 +00:46:35,030 --> 00:46:42,010 +اعلى منها سالم الان لما اجي انا اقول لو انا بدي + +505 +00:46:42,010 --> 00:46:48,390 +افصلهم اي BH بتنفع معاه السبعة ممتازة التمانية + +506 +00:46:48,390 --> 00:46:54,440 +ممتازة بين الستةو التسعة و سبعة بين ال isoelectric + +507 +00:46:54,440 --> 00:46:59,160 +points تبعتهم واضح لكن لو أخدت أقل من الستة + +508 +00:46:59,160 --> 00:47:03,020 +التانين في موجبين مش هيفصلوا التانين موجب يعني + +509 +00:47:03,020 --> 00:47:06,380 +التانين هيروحوا على ال cathode و لو أخدت أكتر من + +510 +00:47:06,380 --> 00:47:09,660 +التسعة و سبعة تانين سالم التانين هيروحوا على ال + +511 +00:47:09,660 --> 00:47:13,190 +anode مع بعض مش هيفصلوافانا بتطلع وين بيكونوا + +512 +00:47:13,190 --> 00:47:17,670 +مختلفين باخد I BH مناسبة عادة بياخدوها ال between + +513 +00:47:17,670 --> 00:47:21,850 +الناس اللي بيشتغلوا طبعا بهذه الطريقة ممكن نفصل + +514 +00:47:21,850 --> 00:47:26,400 +كمان مش بس اتنيناكتر من اتنين تلاتة او اربعة او + +515 +00:47:26,400 --> 00:47:31,740 +خمسة احيانا لما بيعملوا الفصل بيفصلوا واحد بيودوه + +516 +00:47:31,740 --> 00:47:34,980 +على السالب و اتنين مع بعض على الموجة بعد ذلك + +517 +00:47:34,980 --> 00:47:39,000 +الاتنين اللي ودوه مع الموجة يعيدوا الفصل انا مش + +518 +00:47:39,000 --> 00:47:43,120 +هنحول احنا الى ايش الى مختبر يعني احنا بيكفينا + +519 +00:47:43,120 --> 00:47:47,860 +الفكرة العامة بتاعة الفكرة العامة صارت واضحة شهو + +520 +00:47:47,860 --> 00:47:52,640 +ال ال Electrophoresis هو طريقة لفصل ال amino acids + +521 +00:47:52,640 --> 00:47:59,580 +و البروتيناتاعتمادا على ال بي اتش ال بي اتش هي + +522 +00:47:59,580 --> 00:48:07,020 +اللي بتغير ايش الشحنات و بتوجه كل واحد باتجاه مجال + +523 +00:48:07,020 --> 00:48:12,640 +كهربي محدد ابهيك بننهي المرة اللي جاي بنبدأ في + +524 +00:48:12,640 --> 00:48:14,880 +تفاعلات ال amino acids + diff --git a/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/pdzlULxzAp0.srt b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/pdzlULxzAp0.srt new file mode 100644 index 0000000000000000000000000000000000000000..11690756b4ecd0b91893f998831fdd9e48b19e49 --- /dev/null +++ b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/pdzlULxzAp0.srt @@ -0,0 +1,1777 @@ +1 +00:00:20,770 --> 00:00:26,070 +بسم الله الرحمن الرحيم المرة الماضية بدأنا معكم في + +2 +00:00:26,070 --> 00:00:30,810 +الفصل الثاني بونوان ال alkanes and cycloalkanes + +3 +00:00:30,810 --> 00:00:37,130 +ربما حكينا فكرة في البداية عن تصنيفات ال alkanes + +4 +00:00:37,130 --> 00:00:41,350 +أو ال hydrocarbons ل saturated alkanes بقولنا + +5 +00:00:41,350 --> 00:00:46,350 +هدولة نوعين اللي همالالكينز والسايكلوالكينز و + +6 +00:00:46,350 --> 00:00:50,110 +unsaturated hydrocarbons اللي منها المراكبات اللي + +7 +00:00:50,110 --> 00:00:52,470 +فيها double bond و triple bond في الالكينز + +8 +00:00:52,470 --> 00:00:59,290 +والالكاينز بدنا نتعرف على الالكينز وقلنا هذه سلاسل + +9 +00:00:59,290 --> 00:01:05,200 +وممكن أن تكون مراكباتمتفرعة وهذا يؤدي الى تكون عدد + +10 +00:01:05,200 --> 00:01:11,340 +كبير جدا من ال isomers او المتشكلات ال isomers زى + +11 +00:01:11,340 --> 00:01:16,780 +ما اتفقنا فى ال alkanes بتبدأ تظهر وقتاش لما بنصل + +12 +00:01:16,780 --> 00:01:20,080 +لاربع ذرات كربون يعنى لو عندنا ذرة كربون واحدة + +13 +00:01:20,080 --> 00:01:24,480 +عندنا مركب واحد فقط ميثين بعدين ايثين بروبين هذا + +14 +00:01:24,480 --> 00:01:28,900 +منه مركب واحد لكن لما ابدي اجى احط اربع ذرات كربون + +15 +00:01:28,900 --> 00:01:34,130 +ارتبهمصار في عنده احتمالين لترتيبهم اما ان يرتبوا + +16 +00:01:34,130 --> 00:01:39,850 +بشكل متسلسل chain structure و بيكون اسم المركب + +17 +00:01:39,850 --> 00:01:45,210 +بيوتين او بشكل branch و بيكون اسم المركب ايزو + +18 +00:01:45,210 --> 00:01:48,770 +بيوتين و اتكلمنا بعد هيك عن البنتين انه بيكون + +19 +00:01:48,770 --> 00:01:53,930 +تلاتة isomers و بعد ذلك اعطيناكم واجب انكوا تجربوا + +20 +00:01:53,930 --> 00:02:00,170 +انتوا تتعبوا و ترسموا الخمسة structures of hexane + +21 +00:02:00,170 --> 00:02:06,010 +والمفروض يكون الأمر بالنسبة لكم مش صعب كثير انه + +22 +00:02:06,010 --> 00:02:10,830 +تجيبوا 6 ذرات كربون تجربوا ما لم تعملوا هذا الأمر + +23 +00:02:10,830 --> 00:02:14,230 +بالإيد و بالجلم لرصاص و بالورق و تتعبوا فيه كثير + +24 +00:02:14,230 --> 00:02:20,770 +مابفيدش ان انا اعمله بكل الأحوال هذه وجفنا + +25 +00:02:20,770 --> 00:02:26,630 +اخر شي عند ال structure ofميثين وقولنا ان الميثين + +26 +00:02:26,630 --> 00:02:32,290 +ماخد الـ tetrahedral structure اللي له أربعة أوجه + +27 +00:02:32,290 --> 00:02:38,390 +وهذا أفضل شئ نتعامل معه نرسمه بسهولة اننا نعمله + +28 +00:02:38,390 --> 00:02:41,810 +بالشكل اللي موجود بين اديكم تخيل انه عندنا مستويين + +29 +00:02:41,960 --> 00:02:48,200 +مستوى أفقي للأمام ومستوى متعامد عليه للخلف هذا + +30 +00:02:48,200 --> 00:02:51,960 +المستوى الأفقي للأمام بيكون فيه ذارتين هيدروجين في + +31 +00:02:51,960 --> 00:02:56,880 +زاوية 109.5 والمستوى الخلفي أيضا في ذارتين + +32 +00:02:56,880 --> 00:03:02,320 +هيدروجينبزاوية 109.5، الآن باقي الزاوية أيضًا 109 + +33 +00:03:02,320 --> 00:03:05,940 +.5، يعني لو واحد .. لو واحدة بدأ تاخد بين هذه + +34 +00:03:05,940 --> 00:03:08,260 +الهيدروجين اللي في المستوى الأمامي و اللي في + +35 +00:03:08,260 --> 00:03:14,100 +المستوى الخلفي و انقيس الزاوية 109.5اللي اتوقفنا + +36 +00:03:14,100 --> 00:03:19,020 +عنده كيف يرسم هذا الشكل بالفراغ كيف يرسم هذا الشكل + +37 +00:03:19,020 --> 00:03:23,860 +بالفراغ قولنا أفضل شيء أنه نرسمه بهذه الطريقة + +38 +00:03:23,860 --> 00:03:29,920 +نستعمل ال wedges أو الأسافير بحيث أنه الأشياء اللي + +39 +00:03:29,920 --> 00:03:34,400 +للأمام عادة بنعملها ب solid wedge و الأشياء اللي + +40 +00:03:34,400 --> 00:03:39,360 +للخلف عادة بنعملها ب dashed wedgeواضح؟ وهذا اللي + +41 +00:03:39,360 --> 00:03:43,860 +موجود عندنا الان اذا احنا بندقيق شوية في هذا الشكل + +42 +00:03:43,860 --> 00:03:49,360 +هنلاحظ ان الوجه له رأس head و له base قاعدة + +43 +00:03:49,360 --> 00:03:56,250 +القاعدة اللي هي عريضة زي هذه و الرأساللي بيكون + +44 +00:03:56,250 --> 00:04:02,030 +رفيع هل يا ترى هناك معنى لما انا اجي ارسم مثلا هذا + +45 +00:04:02,030 --> 00:04:07,370 +solid wedge تكون القاعدة فيه على جهة الهيدروجين و + +46 +00:04:07,370 --> 00:04:11,650 +الرأس على جهة الكاربون لما اجي ارسم ورا ال dashed + +47 +00:04:11,650 --> 00:04:16,690 +wedge تكون القاعدة على جهة الكاربون و الرأس على + +48 +00:04:16,690 --> 00:04:22,210 +جهة الهيدروجين هذا الكلام بالتأكيد له معنى شو + +49 +00:04:22,210 --> 00:04:27,730 +معنى؟ هذا تعبير عنالرسم في الفراغ دائما احنا + +50 +00:04:27,730 --> 00:04:32,070 +متعودين .. دائما احنا متعودين ان الشغلة اللى بتكون + +51 +00:04:32,070 --> 00:04:37,590 +قريبة علينا كبيرة بتبين كل ما بعدت عننا بتبين ايش + +52 +00:04:37,590 --> 00:04:41,150 +صغيرة يعني الناس اللى بيشوفوا الطائرة في المطار + +53 +00:04:41,150 --> 00:04:46,710 +طيارة كبيرة بتاخد خمسمية راكب واضح؟ لما بتبعد كتير + +54 +00:04:46,710 --> 00:04:53,610 +في السماء بتشوفوا الطائرة نقطة فكل شيء قريب علينا + +55 +00:04:54,670 --> 00:05:00,010 +كبير كلما بقعد صغر حتى لو انتوا بترسموا شارع مثلا + +56 +00:05:00,010 --> 00:05:02,950 +متعودين انكوا تقولوا هاي الإنسان هنا اللي بترسم + +57 +00:05:02,950 --> 00:05:09,970 +الشارع يبدأ الشارع عريض و كل ما بيبعد بيصير إيش؟ + +58 +00:05:10,790 --> 00:05:16,210 +يصغر الان هذه الأشياء أيضا تعبير عن هذا الأمر يعني + +59 +00:05:16,210 --> 00:05:20,590 +لو انا امسكت هذا الشكل زي هيك هاي اللي موجودين في + +60 +00:05:20,590 --> 00:05:25,670 +المستوى الأفقي الان ايش القريب عليكم ذرات + +61 +00:05:25,670 --> 00:05:31,710 +الهيدروجين و كل ما بتروحوا على الكاربون بتبتعدوا + +62 +00:05:32,390 --> 00:05:38,870 +واضح و لذلك الوجه لما رسمناه خلناه عريض من عند + +63 +00:05:38,870 --> 00:05:43,430 +الهيدروجين و كل ما راح الكربون بيبعد بيصير ماخد + +64 +00:05:43,430 --> 00:05:49,690 +ايش؟ رأس المثلث فلاحظوا قريب و بيبعد عشان هيك + +65 +00:05:49,690 --> 00:05:55,830 +رسمناه عريض و بيصغر لو اجيت على الهيدروجين اللي في + +66 +00:05:55,830 --> 00:06:01,480 +الخلفأيش القريب عليكم اكثر ال carbon ولا ال + +67 +00:06:01,480 --> 00:06:05,580 +hydrogen؟ ال carbon و كل ما بتروحوا باتجاه ال + +68 +00:06:05,580 --> 00:06:12,000 +hydrogen بتبعدوا و لذلك هذا قريب بيبتعد، اذا ال + +69 +00:06:12,000 --> 00:06:18,780 +wedge تبعه سيبدأ كبيرامن عند الكربون و يصغر فلو + +70 +00:06:18,780 --> 00:06:23,900 +رسمت هذا بشكل معاكس بتكونوا بتعملوا غلط وهذا بيصير + +71 +00:06:23,900 --> 00:06:28,120 +جزء لما بترسموا أشكال دائما الشيء القريب عليكم + +72 +00:06:28,120 --> 00:06:32,280 +اعملوا الوجه تبعه قاعدته باتجاهكم و كل ما بيبعد + +73 +00:06:32,280 --> 00:06:39,000 +بيصغر واضح هذه الفكرة فهذا أمر يجب ان ينتبه له شكل + +74 +00:06:39,000 --> 00:06:44,200 +الوجه اللي للأمام و اللي للخلف الان ابتيجي نقطة + +75 +00:06:44,200 --> 00:06:50,590 +كثير مهمةلما احنا اضطرنا اضطرارا نرسم الشكل بهذه + +76 +00:06:50,590 --> 00:06:55,830 +الطريقة ليش؟ لأنه في اللوح مافيش إمكانية لشيء + +77 +00:06:55,830 --> 00:07:00,490 +الفراغي يعني مافيش عندي إمكانية أطلع هدول للأمام و + +78 +00:07:00,490 --> 00:07:06,090 +أرجع هدول للخلف فهذه الرسمة غير حقيقية الآن لما + +79 +00:07:06,090 --> 00:07:10,310 +باجي بقولكوا بدي أقيس الزوايا مابتكونش تقيسوا + +80 +00:07:10,310 --> 00:07:15,560 +الزوايا على أساس الشكلاللي مبين عندكم تقيسوها على + +81 +00:07:15,560 --> 00:07:20,120 +أساس الشكل الفراغي اللي موجود في ذهنكم ولذلك لما + +82 +00:07:20,120 --> 00:07:25,420 +أقول الزاوية بين الهيدروجين والكاربون والهيدروجين + +83 +00:07:25,420 --> 00:07:36,470 +على الرسمة مبينة 180180 لكن هي حقيقة جديش 109.5 + +84 +00:07:36,470 --> 00:07:40,990 +كذلك الحال لو جيت قلتلكوا بدي الزاوية بين + +85 +00:07:40,990 --> 00:07:46,430 +الهيدروجين والكاربون والهيدروجين الآن على الرسمة + +86 +00:07:47,810 --> 00:07:54,230 +الزاوية كانت 180 لكنها حقيقة 109.5 فلو كنت معلم + +87 +00:07:54,230 --> 00:07:59,870 +بالأزرق و قلت له اكتبوا الزاوية ستكتبوها 109.5 مش + +88 +00:07:59,870 --> 00:08:06,040 +180 مابناش نخلط هذه الغلطةلو تخيلنا القاعدة ايضا + +89 +00:08:06,040 --> 00:08:11,680 +لو انا اجيت قلتلكم بدي الزاوية بين هذه الهيدروجين + +90 +00:08:11,680 --> 00:08:15,440 +اللي في المستوى الأفقي وهذه الهيدروجين الخلفية + +91 +00:08:15,440 --> 00:08:22,980 +الان هدولة هنا انبينين تسعين لكن هم حقيقة مية + +92 +00:08:22,980 --> 00:08:28,000 +وتسعة و نص ايضا واضح؟ + +93 +00:08:29,450 --> 00:08:35,470 +فيجب الانتباه لهذا الأمر أن هذا الشكل ليس في مستوى + +94 +00:08:35,470 --> 00:08:40,630 +واحد وانما شكل في الفراغ وعندما تحدد الزوايا تبعته + +95 +00:08:40,630 --> 00:08:44,790 +يجب أن تحدد من الذهن تبعكه اللي اتعلم ان جميع + +96 +00:08:44,790 --> 00:08:50,970 +زوايا الـ tetrahedral structure قيمتها 109.5 كل + +97 +00:08:50,970 --> 00:08:55,970 +ذرة بعيدة عن التانيةمن خلال الكربون بزاوية 109.5 + +98 +00:08:55,970 --> 00:09:03,410 +لا في زاوية شكل الميثين 90 ولا في زاوية 180 جميع + +99 +00:09:03,410 --> 00:09:07,510 +زاوية هيدروجين كربون هيدروجين من أي جهة بتاخدوها + +100 +00:09:07,510 --> 00:09:15,430 +قيمتها 109.5 هذا + +101 +00:09:15,430 --> 00:09:22,950 +بالنسبة لشكل الميثينإذا رجعنا لهذه ال slide اللي + +102 +00:09:22,950 --> 00:09:26,150 +اتكلمنا فيها عن ال الكانز بالتفصيل المميل قلنا + +103 +00:09:26,150 --> 00:09:30,690 +عندنا ميثين إيثين بروبين لحد البيوتين صار في عندنا + +104 +00:09:30,690 --> 00:09:36,330 +كام مركب اتنين الآن هدول بنسميهم الكانز من ال + +105 +00:09:36,330 --> 00:09:41,350 +الكانز بنطلع شغلة بنقولها ال kilogram لو يا ترى + +106 +00:09:41,350 --> 00:09:45,730 +احنا في نيتنا أنه بدنا نعمل تفاعل لما بدنا نعمل + +107 +00:09:45,730 --> 00:09:51,350 +التفاعل أول شيء أول شيء بدنا نعملهإنه بدنا نشيل + +108 +00:09:51,350 --> 00:09:58,870 +ذرة هيدروجين مثلا عشان نحط مكانها ذرة كلور الآن + +109 +00:09:58,870 --> 00:10:02,990 +لما أنا بشيل هيدروجين من الألكان يعني بدل ما + +110 +00:10:02,990 --> 00:10:12,030 +الميثين مثلا CH4 شو بده يصير CH3 وفي مكان سترتبط + +111 +00:10:12,030 --> 00:10:15,670 +به الذرة الجديدة نفترض اللي هي ذرة الكلور ممكن + +112 +00:10:15,670 --> 00:10:21,400 +نتخيل أنه لونها أخضرالان الالكين ناقص الهيدروجين + +113 +00:10:21,400 --> 00:10:27,180 +بسميه الكل جروب دائما الالكين ناقص الهيدروجين الكل + +114 +00:10:27,180 --> 00:10:32,520 +جروب فمن الميثين بطول مجموعة بسميها ايش مثل يعني + +115 +00:10:32,520 --> 00:10:40,940 +بستبدل ال N ب Y L بدل مثل N بصير مثل جروب دائما كل + +116 +00:10:41,530 --> 00:10:46,570 +نهاية اسم او شغلة فيها ال YL فانا بحكي عن الكلجروب + +117 +00:10:46,570 --> 00:10:52,330 +يعني ال cane مخصوم منه ذرة هيدروجين واضح؟ الان + +118 +00:10:52,330 --> 00:10:57,450 +لاحظوا لو هذه الذرة اتيت اعمل مركب طبعا المثل + +119 +00:10:57,450 --> 00:11:02,730 +مجموعة لكن لا تكون مركب يعني انا لما اخص منها + +120 +00:11:02,730 --> 00:11:07,290 +هيدروجينمباشرة مكانها الهيدروجين شو هتيجي تحط + +121 +00:11:07,290 --> 00:11:12,550 +اكلور نفترض الان لو كونت هذا المركب و بدي اعطيه + +122 +00:11:12,550 --> 00:11:19,010 +اسم باجي بسأل هذه المجموعة شو اسمها مثل وفي عند + +123 +00:11:19,010 --> 00:11:24,910 +اكلور فبقول المركب مثل اكلورايدبصير في ال common + +124 +00:11:24,910 --> 00:11:29,510 +nomenclature يعني التسمية المشهورة انه انا لو هنا + +125 +00:11:29,510 --> 00:11:34,110 +شيلت hydrogen و افترض و حطيت chlorine ايش هاسم + +126 +00:11:34,110 --> 00:11:41,070 +المركب اللي عندى مثل chloride هذه التسميةبنقول + +127 +00:11:41,070 --> 00:11:44,890 +عنها احنا ايش common nomenclature، ايش يعني + +128 +00:11:44,890 --> 00:11:49,350 +common؟ تسمية مشهورة، مش تسمية حسب القواعد، هناخد + +129 +00:11:49,350 --> 00:11:52,890 +نوعين من التسمية، في تسمية بنسميها IUPAC + +130 +00:11:52,890 --> 00:11:56,820 +Nomenclatureالتسمية لحسب القواعد اللي بنتعلمها + +131 +00:11:56,820 --> 00:12:00,620 +الآن وفيكم ال nomenclature التسمية المشهورة الان + +132 +00:12:00,620 --> 00:12:05,620 +التسمية المشهورة في مثل هذه المراكبات كيف بتتم من + +133 +00:12:05,620 --> 00:12:11,140 +خلال ذكر اسم المجموعة و بعد هيك بذكر اسم الهالوجين + +134 +00:12:11,140 --> 00:12:15,480 +فمن ال مثل لما شيلت هيدروجين صارت مثل حطيت بدلها + +135 +00:12:15,480 --> 00:12:20,380 +كلوه بيصير المراكب مثل كلورايد لو حطيت بدلها بروم + +136 +00:12:21,110 --> 00:12:27,190 +مثل البروميد و هكذا واضح؟ الان بنفس المنطق لو اجيت + +137 +00:12:27,190 --> 00:12:32,770 +على الاثين كام هيدروجين في الاثين بالمجمل؟ ستة + +138 +00:12:32,770 --> 00:12:37,170 +لاحظوا الست ذرات هيدروجين اللي في الاثين كلهم زي + +139 +00:12:37,170 --> 00:12:40,990 +بعض متكافئات يعني لو شيلت اي واحدة منهم هعمل + +140 +00:12:40,990 --> 00:12:47,670 +مجموعة شو هسميها؟ اثل زي ما انا شيلت من الميثين من + +141 +00:12:47,670 --> 00:12:53,840 +الأربع المتكافئات هدولةهيدروجينة وسميت المجموعة + +142 +00:12:53,840 --> 00:12:58,860 +مثل بقدر انا من ال اثين ايضا اشيل هيدروجينة الست + +143 +00:12:58,860 --> 00:13:01,880 +هيدروجينات زي بعض اي واحدة بنشيلها بتعطينا نفس + +144 +00:13:01,880 --> 00:13:07,080 +المجموعة هنكون مجموعة اثل لو افترضنا هذه المجموعة + +145 +00:13:07,080 --> 00:13:10,740 +مكان الهيدروجين اللي شيلناها حطينا كلور شو هيصير + +146 +00:13:10,740 --> 00:13:18,440 +مثلا مركبة اثل كلورايد و هكذا طيب لو اجينا بعد هيك + +147 +00:13:18,440 --> 00:13:24,620 +للبروبينوقلنا من مركب البروبين بدنا نشيل هيدروجين + +148 +00:13:24,620 --> 00:13:32,000 +ونعمل مجموعة بروبين مثل مثل اثان اثل بروبين بروبين + +149 +00:13:32,000 --> 00:13:39,000 +بيوتين بيوتل هتلاحظوا انه هيبدأ يصير عندى مشكلة + +150 +00:13:39,000 --> 00:13:46,610 +صغيرة انهالبروبين في كام هيدروجين؟ تمانية هي تلاتة + +151 +00:13:46,610 --> 00:13:50,870 +و تلاتة زي بعض وفي هنا الهيدروجينتين اللي اتفقنا + +152 +00:13:50,870 --> 00:13:56,470 +انه اختصرناهم في الكتابة اذا شكله العام CH3 CH2 + +153 +00:13:56,470 --> 00:14:02,830 +CH3 تمان هيدروجينات هذولة تمان هيدروجينات كام نوع؟ + +154 +00:14:04,020 --> 00:14:07,900 +عبارة عن نوعين التلاتة هذول والتلاتة هذول اللي على + +155 +00:14:07,900 --> 00:14:12,400 +الطرف زي بعض وهذه اللي موجودين في النص زي بعض فال + +156 +00:14:12,400 --> 00:14:16,960 +تمان هيدروجينات تعون لبروبين نوعين ستة زي بعض + +157 +00:14:16,960 --> 00:14:21,800 +وتنتين زي بعض لو شيلت أي واحدة من هان او من هان + +158 +00:14:21,800 --> 00:14:26,640 +هعمل مجموعة ولو شيلت واحدة من هان هعمل مجموعة + +159 +00:14:26,640 --> 00:14:30,880 +ولذلك بتلاحظوا انه لما باجي بشيل هيدروجين من + +160 +00:14:30,880 --> 00:14:35,460 +البروبين بعمل مجموعتيناذا شيلت من الطرف وهي جاهز + +161 +00:14:35,460 --> 00:14:39,420 +انه يشبك من هنا من هنا خصمة الهيدروجين هذه معناه + +162 +00:14:39,420 --> 00:14:44,140 +الكلام هذا بسميها مجموعة البروبيل ولو بدي اشيل من + +163 +00:14:44,140 --> 00:14:50,220 +النص بدي تصير ايزو بروبيل فلاحظوا معي لو بعد هيك + +164 +00:14:50,220 --> 00:14:56,360 +اجينا نعمل مركب نضيف كلور ممكن ناس يقولوا حطلي + +165 +00:14:56,360 --> 00:15:02,420 +كلور هانأو محل الهيدروجين اللي شلتها في الحالة + +166 +00:15:02,420 --> 00:15:06,600 +الأولى شو هيصير اسم المُركّب؟ Isopropyl chloride + +167 +00:15:06,600 --> 00:15:11,240 +في الحالة التانية إيش هيصير اسم المُركّب؟ + +168 +00:15:11,240 --> 00:15:13,020 +Isopropyl chloride + +169 +00:15:15,840 --> 00:15:20,340 +واضح؟ و لذلك بدكوا تكونوا منتبهين أن التلات + +170 +00:15:20,340 + +223 +00:19:50,190 --> 00:19:56,810 +carbons كم كان تلاتة ولذلك سمناها ايزو بروبل الان + +224 +00:19:56,810 --> 00:20:01,790 +carbon طالع منها مجموعتين مثل ايزو و العدد الكلي + +225 +00:20:01,790 --> 00:20:08,630 +اربعة اذا صارت ايزوبيوتل لو الان بدى اقولها واحدة + +226 +00:20:08,630 --> 00:20:13,050 +طيب ال ISO pentel مثلا او ال ISO hexel بتقدر + +227 +00:20:13,050 --> 00:20:21,410 +ترسمها اه ع طول بقول هي ال ISO CH3 CH3 + +228 +00:20:21,410 --> 00:20:26,290 +CH3 الان هكذا صار عندى ISO لو قولت ISO pentel جداش + +229 +00:20:26,290 --> 00:20:33,220 +بدى يكون عندى خمسة خمسة اذا بدي كمان هنا CH2CH2 و + +230 +00:20:33,220 --> 00:20:37,100 +من هنا شيلت الهيدروجين خليني هادي مثلا لو حطيت + +231 +00:20:37,100 --> 00:20:41,720 +كلور هنا كل + +232 +00:20:41,720 --> 00:20:51,680 +المركب ايش حيصير ايزو اربعة خمسة بنتل اكلورايد لو + +233 +00:20:51,680 --> 00:20:59,960 +حطيت الكلور هنا ايزو بيتل اكلورايد واضح بهذا الشكل + +234 +00:20:59,960 --> 00:21:00,300 +بيكون + +235 +00:21:03,730 --> 00:21:08,510 +جزء ال ISO التلاتة هدول، الآن إذا بس صفيت عليهم + +236 +00:21:08,510 --> 00:21:13,470 +بقول ISO Propyl، زيدت Carbon؟ ISO Butyl، زيدت + +237 +00:21:13,470 --> 00:21:17,810 +Carbon؟ ISO Bentyl، الآن هنا بدكوا تنتبهوا، إذا + +238 +00:21:17,810 --> 00:21:23,250 +كان عندي شئ بينتهي بالنهاية YL، بحكي عن مجموعة، + +239 +00:21:23,250 --> 00:21:28,110 +إذا كان عندي شئ بينتهي بالنهاية N؟ بحكي عن ال cane + +240 +00:21:28,110 --> 00:21:34,110 +يعني مثلا لو قلنا لطالبة بدنا رسمة ال ISO أكتين + +241 +00:21:34,110 --> 00:21:42,950 +اتخيلوا أجاكوا في الامتحان بدي ISO أكتين بتغلبش + +242 +00:21:42,950 --> 00:21:49,970 +مباشرة ال ISO كيف شكلها CH3 CH3 + +243 +00:21:50,800 --> 00:21:56,600 +الان هى صار عندى جزء ال ISO بدي اكمل ل ألكين كم + +244 +00:21:56,600 --> 00:22:01,280 +carbon بدى يصير المجموع الكله تمانية اذا هى تلاتة + +245 +00:22:01,280 --> 00:22:09,160 +اربعة خمسة ستة سبعة تمانية وهنا بكتب ايش CH3 مش + +246 +00:22:09,160 --> 00:22:15,190 +شايل ولا هيدروجينه منه ليش لأنه نهاية N الكين لكن + +247 +00:22:15,190 --> 00:22:19,130 +لو كنت بدي الـ iso-octal group من وين هشيل + +248 +00:22:19,130 --> 00:22:25,890 +الهيدروجينة؟ من هذه الأخيرة واضح؟ الآن إذا هاي تسع + +249 +00:22:25,890 --> 00:22:28,410 +هيدروجينات زي بعض لو شيلت منهم هيدروجينة بطلّق + +250 +00:22:28,410 --> 00:22:33,370 +مجموعة isobutyl طب لو شيلت هيدروجين من النص بطلّق + +251 +00:22:33,370 --> 00:22:38,270 +مجموعة فيها ذرة الكاربون هذه متصلة بتلت مجموعات + +252 +00:22:38,270 --> 00:22:46,250 +CH3 بنسميها tertiarybutyl Tertiarybutyl مرات + +253 +00:22:46,250 --> 00:22:51,210 +بيكتبوا ترت اختصارا و مرات بيحطوا T يعني ممكن + +254 +00:22:51,210 --> 00:22:59,700 +تلاقوا Tبيوتل أو تيرت بيوتل تيرتشار بيوتل في كل + +255 +00:22:59,700 --> 00:23:04,080 +الأحوال لما نحتاج نشوف هذه الأشياء من ناحية + +256 +00:23:04,080 --> 00:23:08,680 +alphabetical أي حرف اللي بنعتمده لأنه بعد شوية لما + +257 +00:23:08,680 --> 00:23:13,500 +نسمي المراكبات يلزمنا الترتيب ال alphabetical + +258 +00:23:13,500 --> 00:23:19,200 +لبيوتل حتى لو كنتي بتاعة بيوتل هي حرف إيش الـ + +259 +00:23:19,200 --> 00:23:23,400 +secondary butyl حرف بيه، ال tertiary butyl حرف + +260 +00:23:23,400 --> 00:23:30,960 +بيه، ال isobutyl حرف I، ال isobutyl حرف I مش حرف + +261 +00:23:30,960 --> 00:23:36,520 +بيه واضح ال isobutyl لو قلتلكوا alphabetically ايش + +262 +00:23:36,520 --> 00:23:40,760 +اول اشي باعتمدوا فيها I لكن tertiary butyl باهمل + +263 +00:23:40,760 --> 00:23:45,340 +ال T وتعامل على انه حرف الأول B من ناحية + +264 +00:23:45,340 --> 00:23:50,720 +alphabetical و لو حطينا هنا Chlor في شغلات مرات مش + +265 +00:23:50,720 --> 00:23:55,780 +بحاجة لفهم بحاجة انكم تحفظوها زي هيك تمام يعني مش + +266 +00:23:55,780 --> 00:23:58,600 +قصة tertiary butyl alphabetically + +267 +00:24:00,680 --> 00:24:09,180 +B Isobutyl خلصنا واضح؟ + +268 +00:24:09,180 --> 00:24:13,220 +مرات كتير في التسمية في ناس بصروا على ان بعض + +269 +00:24:13,220 --> 00:24:17,180 +الأشياء بدهم يفهموها مش كل شيء في التسمية مش كل + +270 +00:24:17,180 --> 00:24:22,020 +شيء في التسمية بيفهم يعني لما اجي اقول والله انت + +271 +00:24:22,020 --> 00:24:29,660 +اسمك هدا ليش سموكي هدا خلاص هدا خلاصواحدة تيجي + +272 +00:24:29,660 --> 00:24:36,640 +تقولي طب ليش سموه بروبين؟ كان سموه نوبا كلين، ليش + +273 +00:24:36,640 --> 00:24:43,120 +سموه بروبين؟ مش كل شيء في التسمية بالذات أحيانا + +274 +00:24:43,120 --> 00:24:46,900 +بتلاقوا إله منطق وقاعدة زي ما أنتوا أهلكوا سموكم + +275 +00:24:46,900 --> 00:24:52,280 +واضح؟ زي ما أهلكوا سموكم كان في شيء معين خلهم + +276 +00:24:52,280 --> 00:24:58,620 +يسموا مركب معين بنزين كان في شيء معين حادث صديق + +277 +00:24:58,620 --> 00:25:04,780 +اللي بيرجع لتاريخ العلوم أحيانا ممكن بلحظة من + +278 +00:25:04,780 --> 00:25:11,700 +اللحظات يلاقي هذا الأصلواللي بيرجع لتاريخ الأسماء + +279 +00:25:11,700 --> 00:25:16,280 +اللي بيرجع لتاريخ الأسماء ممكن يلاقي أصل لأسماءكم + +280 +00:25:16,280 --> 00:25:22,460 +حتى لو أنتم مش عارفينه يعني ممكن لمن ولدتوا كان + +281 +00:25:22,460 --> 00:25:26,860 +متوفي عامة إلكم اسمها هودا إكراما إليها سموكوا + +282 +00:25:26,860 --> 00:25:30,940 +هودا الآن أنا بالنسبة إيه هذه المعلومة؟ مابعرفاش + +283 +00:25:30,940 --> 00:25:35,220 +ولذلك خدوا تسمية العناصر مرة بتلاقي العنصر بيقوله + +284 +00:25:35,220 --> 00:25:41,090 +مسمى على اسم مدينةمر على اسم بني آدم اللي اكتشفه، + +285 +00:25:41,090 --> 00:25:46,550 +مر على اسم كذا، فأصل الاسم قد لا نعرفه، قد يكون له + +286 +00:25:46,550 --> 00:25:52,930 +أصل، لكن احنا ايش؟ ما بنعرفوش، الأن بالنسبة لنا + +287 +00:25:52,930 --> 00:25:58,990 +هذه سيارة مرسيدس، اسم، لكن يا تورا لو أعطيتكوا + +288 +00:25:58,990 --> 00:26:02,170 +واجب، ليش سموا ال مرسيدس مرسيدس؟ + +289 +00:26:05,190 --> 00:26:10,310 +فتشوا عليه و هتقولي الجواب المرة الجاية هتلاحظوا + +290 +00:26:10,310 --> 00:26:15,530 +إنه إله اسم ومسمى على اسم واحدة وكذا إله أصل بس مش + +291 +00:26:15,530 --> 00:26:18,150 +كتير بهمن الأصل في لحظة من لحظات بلاش نضيع وقت + +292 +00:26:18,150 --> 00:26:24,610 +كتير الآن هذه المجموعات يجب أن تتدربوا عليها يجب + +293 +00:26:24,610 --> 00:26:29,810 +أنكم تحفظوها بشكل جيد هذا الكلام كيف بيجي بالتدريب + +294 +00:26:29,810 --> 00:26:33,490 +كيف بيجي بالتدريب الآن + +295 +00:26:34,940 --> 00:26:39,940 +بعد ما أخدنا ال الكانز البسيطة و ال alkyl groups + +296 +00:26:39,940 --> 00:26:45,120 +البسيطة بدنا ناخد تسمية ال الكانز بال IUPAC system + +297 +00:26:45,120 --> 00:26:50,360 +حتى لو كبرت و صارت متفرعة واضح؟ يعني تسمية ال + +298 +00:26:50,360 --> 00:26:54,340 +الكانز الكبيرة اللي مامرتش علينا بال IUPAC system + +299 +00:26:54,730 --> 00:27:00,050 +ال ايوبك سيستم بيعتمد على ان نبحث عن اطول سلسلة + +300 +00:27:00,050 --> 00:27:05,330 +كربونية و اسم عليها يعني لو اطول سلسلة تلاتة نهاية + +301 +00:27:05,330 --> 00:27:11,110 +الاسم عندى ابروبين لو اربعة بيوتين تمانية اكتيل + +302 +00:27:12,590 --> 00:27:17,830 +فالشيء الأول بيقولنا choose the largest continuous + +303 +00:27:17,830 --> 00:27:23,090 +chain الان رجاء ماحدش يفهم السلسلة أن انتوا + +304 +00:27:23,090 --> 00:27:28,550 +بتكونوا تشوفوها مرسومة عدل بشكل أفقي أو بشكل عمودي + +305 +00:27:28,550 --> 00:27:33,350 +هذا الشيء ليس له معنى أنها تكون أفقي أو عمودي أو + +306 +00:27:33,350 --> 00:27:38,740 +مائلة معنى سلسلة ذرات كربون ورا بعض بأي طريقة انا + +307 +00:27:38,740 --> 00:27:43,180 +ارسمهم هذا الكلام لا معنى له كله ممكن يعني لو بدأ + +308 +00:27:43,180 --> 00:27:48,920 +احكي مثلا عن خمسة لو بدأ احكي عن خمسة هذه سلسلة من + +309 +00:27:48,920 --> 00:27:59,380 +خمسة تمام وهذه سلسلة من خمسة وممكن ناخد كمان هذه + +310 +00:27:59,380 --> 00:28:05,360 +بهذا الشكلسلسلة من الخمسة و ممكن نرسمها بطريقة + +311 +00:28:05,360 --> 00:28:12,440 +تانية سلسلة من خمسة فمعنى سلسلة ذرات متتالية وليس + +312 +00:28:12,440 --> 00:28:15,740 +الطريقة المرسومة بعض الناس بيقول سلسلة يعني بيشوفه + +313 +00:28:15,740 --> 00:28:21,800 +هيك حسب نظره أفقي أو عمودي لأ لأ معنى سلسلة كام + +314 +00:28:21,800 --> 00:28:25,360 +ذرة كربون متتالية فاهمنا إيش معنى سلسلة فلو قولت + +315 +00:28:25,360 --> 00:28:29,220 +هنا أما أطول سلسلة واحد اتنين تلاتة أربعة خمسة + +316 +00:28:29,220 --> 00:28:33,060 +واحد اتنين تلاتة أربعة خمسة واحد اتنين تلاتة أربعة + +317 +00:28:33,060 --> 00:28:36,580 +خمسة واحد اتنين تلاتة أربعة خمسة ابلاحظين مرسومين + +318 +00:28:36,580 --> 00:28:43,470 +بطرقمختلفة لكن بالنسبة لي معنى أطول سلسلة أطول عدد + +319 +00:28:43,470 --> 00:28:47,870 +متتالي من ذرات الكربون كيف يرتسموا مش مشكلة واضح و + +320 +00:28:47,870 --> 00:28:52,010 +لذلك بعد شوية اشوفوا مثلا هذا المركب هين اتكلمت عن + +321 +00:28:52,010 --> 00:28:58,190 +سلسلة اللي ماعطيها اللون الأحمر ولو مش مبينة بشكل + +322 +00:28:58,190 --> 00:29:04,370 +مستقيم بالنسبة لكم هذا شيء ما لهش معنى الآنحسب + +323 +00:29:04,370 --> 00:29:08,130 +أطول سلسلة بيكون اسم المُركّب لو كان عندنا تلاتة + +324 +00:29:08,130 --> 00:29:13,050 +نهاية المُركّب ابرو بين خمسة بينتين و هكذا طيب لما + +325 +00:29:13,050 --> 00:29:17,370 +بيصير في عندي سلسلة هذه السلسلة أكيد بيتفرع منها + +326 +00:29:17,370 --> 00:29:23,010 +شغلات هذه بسميها أنا الأشياء المتفرعة من السلسلة + +327 +00:29:23,010 --> 00:29:26,870 +اللي طالعة من أطول سلسلة carbon بقول عنها + +328 +00:29:26,870 --> 00:29:31,980 +substituent هذه كلمة هتصير اتمر عليكمكثير + +329 +00:29:31,980 --> 00:29:38,040 +Substituents اللي هي الأشياء المبدلة الان كام + +330 +00:29:38,040 --> 00:29:43,460 +Substituents على هذا المركب متفرع منه؟ اتنين هدولة + +331 +00:29:43,460 --> 00:29:48,920 +ال Substituents لازم انا اوضحهم او اوضح من اي نقطة + +332 +00:29:48,920 --> 00:29:53,060 +تفرعوا من اي مكان تفرعوا طب لما هذي بدي اعطيها اسم + +333 +00:29:53,060 --> 00:29:57,820 +هعطيها Chloro لما هذي بدي اعطيها اسم هعطيها Abromo + +334 +00:29:57,820 --> 00:30:02,830 +بعدين بدي اقول لك Chloro من وين اتفرعت؟ من أي موقع + +335 +00:30:02,830 --> 00:30:08,690 +لبرومو من وين اتفرعت اذا بالزمن ترقيم لهالسلسلة + +336 +00:30:08,690 --> 00:30:12,950 +طالما بحكي سلسلة إذا عندي احتمالين ترقيم ممكن أبدأ + +337 +00:30:12,950 --> 00:30:17,770 +من هنا واحد اتنين تلاتة أربعة خمسة أو من هنا واحد + +338 +00:30:17,770 --> 00:30:23,130 +اتنين تلاتة أربعة خمسة من أي جهة بدي أبدأ الجهة + +339 +00:30:23,130 --> 00:30:26,910 +اللي بتخلي ال substituents أرقامهم أقل ما يمكن + +340 +00:30:26,910 --> 00:30:30,230 +يعني لو بدأت من هنا زي ما احنا عاملين ال chlorine + +341 +00:30:30,230 --> 00:30:34,280 +على اتنين و ال brom على تلاتة اتنين و تلاتة خمسة لو + +342 +00:30:34,280 --> 00:30:38,600 +بدأت منها ان واحد اتنين تلاتة اربعة صارت هذه على + +343 +00:30:38,600 --> 00:30:43,840 +تلاتة وهذه على اربعة تلاتة واربعة اذا ماهو اقل + +344 +00:30:43,840 --> 00:30:50,900 +ترقيم هذا ولذلك لما بدي ارقم دائما عند احتمالين + +345 +00:30:50,900 --> 00:30:56,220 +الاحتمال اللي بدي اختاره الـ lowest possible + +346 +00:30:56,220 --> 00:31:00,780 +numbering أقل احتمال بيعطي الـ substituents أرقام + +347 +00:31:00,780 --> 00:31:05,640 +طب اعرفنا الأرقام و اعرفنا الآن انه صار عندنا على + +348 +00:31:05,640 --> 00:31:13,800 +موقع اتنين ذرة اكلورو مظبوط ولا لأ اكلورو و عن موقع + +349 +00:31:13,800 --> 00:31:20,410 +تلاتة ذرة ابروموبدي اكتب الاسم كامل الاسم عادة + +350 +00:31:20,410 --> 00:31:26,130 +بنبدأ في كتابته من الخلف للامام اول كلمة في الاسم + +351 +00:31:26,130 --> 00:31:30,970 +انه عندي خمسة اذا مركبه بنتين يعني اول شي بدي ابدأ + +352 +00:31:30,970 --> 00:31:36,070 +اكتبه بنتين هذا البنتين الان بيحمل برومو و كلورو + +353 +00:31:36,070 --> 00:31:41,630 +مين بدي اذكره في الاول ال alphabetical اللي بيظهر + +354 +00:31:41,630 --> 00:31:47,510 +اولا مين بيجي قبل ال B ولا ال C الـ B A B C D + +355 +00:31:47,510 --> 00:31:51,090 +شوفتوا قبل شوية ليش أنا نبهت كل ال alphabetical في + +356 +00:31:51,090 --> 00:31:58,010 +المجموعات أه إذا هذا هيكون three bromo two + +357 +00:31:58,010 --> 00:32:03,430 +chlorobentain واضح؟ لأن أنا عندي كام substituent؟ + +358 +00:32:03,430 --> 00:32:10,670 +هذه و هذه كيف بأذكرهم؟ list substituents + +359 +00:32:10,670 --> 00:32:15,830 +alphabetically أذكرهم alphabetically أذكر ال B قبل + +360 +00:32:15,830 --> 00:32:22,650 +ال C قبل ال D قبل ال E و هكذا طبعا هنا اجتمل الاسم + +361 +00:32:22,650 --> 00:32:26,930 +بضيف معلومة أنه لو من مجموعة معينة كان في عندي + +362 +00:32:26,930 --> 00:32:33,400 +تنتينبدي أستعمل لمضاي، لو كان في عندي تلاتة ا try، + +363 +00:32:33,400 --> 00:32:38,700 +لو عندي أربعة تترى، و هكذا، واضح؟ انشوف أمثلة + +364 +00:32:38,700 --> 00:32:46,820 +إضافية، انشوفأمثلة إضافية مثلا هاي مثال أصعب شغلة + +365 +00:32:46,820 --> 00:32:52,220 +أنه فعلا طول أطول سلسلة يعني لو إجيت بدي أطول + +366 +00:32:52,220 --> 00:32:57,460 +سلسلة ممكن أعد واحد اتنين تلاتة واحد اتنين تلاتة + +367 +00:32:57,460 --> 00:33:03,340 +أربعة خمسة واحد اتنين تلاتة أربعة خمسة احتمالات + +368 +00:33:03,340 --> 00:33:07,780 +كتيرة بدي أضلني أجرب لحد ما فعلا ألاقي أطول سلسلة + +369 +00:33:07,780 --> 00:33:14,930 +واحد اتنين تلاتة أربعة خمسة ستة سبعة إذا مركّب إيش؟ + +370 +00:33:14,930 --> 00:33:15,730 +هبتين + +371 +00:33:23,230 --> 00:33:37,450 +مثل مثل مثل مثل مثل مثل مثل مثل + +372 +00:33:46,950 --> 00:33:51,550 +إذا من هنا لازم أرقم فالمثلز اللي عندي وين موجودين + +373 +00:33:51,550 --> 00:33:57,350 +على اتنين واربعة هيصير مركبة two four dimethyl + +374 +00:33:57,350 --> 00:34:02,850 +heptane two four dimethyl heptane الان هاي مركب + +375 +00:34:02,850 --> 00:34:10,610 +تاني بتجارب كتير هتكتشف ان هاي أطول سلسلة سبعة ايش + +376 +00:34:10,610 --> 00:34:11,750 +بيتفرع منها + +377 +00:34:14,510 --> 00:34:24,070 +هذه المجموعة اللي مرت علينا ايزو بروبل و مثل الان + +378 +00:34:24,070 --> 00:34:30,410 +ايزو بروبل حرف I و المثل حرف M و المركب هبتين و I + +379 +00:34:30,410 --> 00:34:36,870 +قبل ال M اذا حيصير اسم المركب for aizobrobel انها + +380 +00:34:36,870 --> 00:34:38,530 +موجودة على موقع اربعة + +381 +00:34:41,630 --> 00:34:46,510 +لاحظوا في كل التسمية لو تطبعوا على الكمبيوتر في أي + +382 +00:34:46,510 --> 00:34:54,490 +فراغولا فراغ دائما قبل الرقم وبعد الرقم بتحطه شرطة + +383 +00:34:54,490 --> 00:34:58,330 +ما عدا إذا كنا بنحط في أول الإسم بتكون الشرطة فقط + +384 +00:34:58,330 --> 00:35:04,170 +بعد الرقم بدون أي فراغات يعني هذا كله متصل بعض + +385 +00:35:04,170 --> 00:35:08,830 +كتابة من هنا لهنا مافيش عندي فراغات لو بكتب اسم + +386 +00:35:08,830 --> 00:35:14,550 +هذا المركب على الكمبيوتر قبل الرقم شرطة وبعده شرطة + +387 +00:35:14,550 --> 00:35:21,380 +ما لم يكن الرقم في الأول فبس بيكون فيه بعده شرطة + +388 +00:35:22,430 --> 00:35:27,630 +الان في عندكم امثلة كتير بإمكانكوا تتدربوا عليها + +389 +00:35:27,630 --> 00:35:31,250 +ماعطيكوا انا في الواجبات بالذات في الامتحانات + +390 +00:35:31,250 --> 00:35:35,270 +السابقة اللي موجودة عندكم كل امتحان بتلاقي عليه + +391 +00 + +445 +00:40:27,150 --> 00:40:33,650 +وادي وادي زي بعض واحد تانين تلاتة أربعة خمسة ستة + +446 +00:40:33,650 --> 00:40:39,630 +سبعة اه الآن هي أطول سلسلة خليني أعلمها و بأنصحكوا + +447 +00:40:39,630 --> 00:40:44,630 +لو عندكم طلم فسفور أسفر اتعلموها هي أطول سلسلة + +448 +00:40:44,630 --> 00:40:51,050 +عشان نقدر نشوف كام تفرع طالع منها هذه السلسلة أربع + +449 +00:40:51,050 --> 00:41:01,330 +انا مع الكلور هذه CH3 وهذه CH3 وهذه CH3 وهنا + +450 +00:41:01,330 --> 00:41:06,010 +الكلور اربع تفرعات طالع منها طب لو بدى اعطيها اقل + +451 +00:41:06,010 --> 00:41:16,080 +ترقيم من فضل من فضل اكيد واحد تلاتة اربعة خمسة ستة + +452 +00:41:16,080 --> 00:41:21,160 +سبعة الان لو بدنا نكتب الاسم كاملا كيف بدنا نبدأ + +453 +00:41:21,160 --> 00:41:27,880 +نكتب الاسم؟ من الخلف للامام ايش مركب طالما سبعة؟ + +454 +00:41:27,880 --> 00:41:35,360 +هبتين الان هذا الهبتين كم نوع من المجموعات يحمل؟ + +455 +00:41:35,360 --> 00:41:44,910 +نوعين اكلوروومثل ومثل ومثل اتراي مثل اذا هذا حقيقة + +456 +00:41:44,910 --> 00:41:54,550 +الـ C في الأول الكلورو اتراي مثل الان الكلورو وين + +457 +00:41:54,550 --> 00:42:01,870 +موقعها على نمرة أربعة four شرطة كلورو ال اتراي مثل + +458 +00:42:01,870 --> 00:42:10,930 +وين موجودين على اتنينو اتنين و تلاتة لازم احدد + +459 +00:42:10,930 --> 00:42:15,330 +تلات ارقام طالما try مثل لازم التلات ارقام بينه + +460 +00:42:15,330 --> 00:42:21,090 +اذا هنا فعلا بدي اكتب شرطة اتنين اتنين تلاتة هدف + +461 +00:42:21,090 --> 00:42:27,650 +هذا الموقع ان انا اكتبها صح هتكون اتنين اتنين + +462 +00:42:27,650 --> 00:42:32,090 +تلاتة try مثل + +463 +00:42:37,340 --> 00:42:47,340 +4-chloro-2-2-3-trimethylheptane + +464 +00:42:52,160 --> 00:42:56,040 +ماحدش يغلط .. مرات كتير بعض الناس اللي بيحفظوا + +465 +00:42:56,040 --> 00:42:59,400 +مجموعات شو الغلط اللي بيجعوا فيه، مابيبحثوش عن + +466 +00:42:59,400 --> 00:43:02,480 +أطول سلسلة، بيجوا و بيقولوا اه هذه ال carbon اللي + +467 +00:43:02,480 --> 00:43:06,300 +حملة تلت مجموعات tertiary-butyl وهذه السلسلة + +468 +00:43:07,580 --> 00:43:11,460 +وبالتالي بيسموه hexane وحمل على نمرة 2 tertiary + +469 +00:43:11,460 --> 00:43:16,920 +butyl بالفعش أنا مابخدش أسماء المجموعات إلا بعد ما + +470 +00:43:16,920 --> 00:43:23,700 +أحدد أطول سلسلة دائما نمرة واحد حدده أطول سلسلة + +471 +00:43:23,700 --> 00:43:28,340 +بعض الناس بيغلط بيجي بيقول لأ هذه تعتبر مجموعة في + +472 +00:43:28,340 --> 00:43:32,830 +البداية يعني لو أنا هنا كنت كاتب CH3 بروح و بقول + +473 +00:43:32,830 --> 00:43:36,210 +ادي مجموعة مثل لأ دي جزء من السلسلة بنفعش اسميها + +474 +00:43:36,210 --> 00:43:41,110 +مجموعة هذه من الأخطاء الشائع لبعض الناس بيجي بعمل + +475 +00:43:41,110 --> 00:43:44,650 +الترقيم من هان و بعدين بيقول على نمر واحد في عندي + +476 +00:43:44,650 --> 00:43:50,950 +try مثل .. لأ مش هيك تأخذه لازم أفتش عليه أطول + +477 +00:43:50,950 --> 00:43:54,630 +سلسلة و بعدين أشوف إيش في عندي مجموعات حسب ما + +478 +00:43:54,630 --> 00:43:59,010 +اتعلمت بأعمل التسمية تبعي + +479 +00:44:04,700 --> 00:44:10,980 +هذه تقريبا فكرة عن ال الكنز بشكل عام لو اتكلمنا عن + +480 +00:44:10,980 --> 00:44:15,960 +ال physical properties of الكنز هنلاحظ القاتل اول + +481 +00:44:15,960 --> 00:44:23,940 +شئ ال الكنز هم water insoluble ليش؟ لان دائما ال + +482 +00:44:23,940 --> 00:44:31,440 +الكنز تتذكر انهم non polar والمية polar حسب قاعدة + +483 +00:44:31,440 --> 00:44:36,250 +like dissolves like الالكينز لا يدوبون في المياه + +484 +00:44:36,250 --> 00:44:40,590 +ولذلك من هؤلاء الالكينز على سبيل المثال البنزين + +485 +00:44:40,590 --> 00:44:44,890 +اللي هو أقود السيارات واضح هل يا تورا هذا بيدوب في + +486 +00:44:44,890 --> 00:44:49,090 +المياه ولا بيعمل طبقة تانية بيعمل طبقة تانية هنا + +487 +00:44:49,090 --> 00:44:54,810 +خليني أنبه لنقطة خطأ شائعلأنه احنا باللغة العربية + +488 +00:44:54,810 --> 00:44:59,330 +بنستعمل كلمة بنزين لما بنعب السيارة بنقول بنزين + +489 +00:44:59,330 --> 00:45:05,310 +فناس كتير بيخطئوا و بيفكروا انه احنا بنعب السيارة + +490 +00:45:05,310 --> 00:45:09,150 +البنزين هذا اللي مار عليكم اللي هو البنزين العطري + +491 +00:45:09,150 --> 00:45:16,230 +هذا الكلام خطأ طب ايش اسم هو بالانجليزي وقود + +492 +00:45:16,230 --> 00:45:23,650 +السيارات ال fuel اسمه جازولين احنا بالعربي هذا + +493 +00:45:23,650 --> 00:45:29,390 +الجازولين بنقول عنه بنزين لكن هو حقيقة خليط من + +494 +00:45:29,390 --> 00:45:35,870 +الالكينز بشكل أساسي مركبين من الالكينز هو خليط من + +495 +00:45:35,870 --> 00:45:40,190 +الهيبتين والايزو + +496 +00:45:40,190 --> 00:45:40,710 +أكتين + +497 +00:45:43,660 --> 00:45:48,340 +فالجازولين اللي هو وقود السيارات اللي احنا بنعبيه + +498 +00:45:48,340 --> 00:45:52,180 +باللغة العربية متعودين نقول عنه بنزين مالوش هذا ال + +499 +00:45:52,180 --> 00:45:56,020 +structure ولا له علاقة بهذا ال structure لأ + +500 +00:45:56,020 --> 00:46:02,000 +gasoline is a mixture of alkanes الجازولين وقود + +501 +00:46:02,000 --> 00:46:05,780 +السيارات اللي بنعبيه هو خليط من ال alkanes شو ما + +502 +00:46:05,780 --> 00:46:10,480 +دول ال alkanes؟ الهبتين وال ايزو اكتين و بتهيألي + +503 +00:46:10,480 --> 00:46:15,020 +اليوم احنا رسمنا شكل الهبتين سبع كربونات و رسمنا + +504 +00:46:15,020 --> 00:46:18,900 +شكل ال ايزو اكتين اللي فيه مجموعة ال ايزو و بنكمل + +505 +00:46:18,900 --> 00:46:24,500 +لكم كربونات تمانية الان هدولة الكنز لو أخدنا هذا + +506 +00:46:24,500 --> 00:46:29,880 +الجازولين وقود السيارات و حطناه فوق ميه بيخلط + +507 +00:46:29,880 --> 00:46:34,640 +معاها، بيدوب فيها؟ لأ، فإذا الالكينز they are + +508 +00:46:34,640 --> 00:46:39,880 +water insoluble، ليش؟ لأن هدول المركبات، القوة + +509 +00:46:39,880 --> 00:46:46,010 +اللي فيهم، London forces، بينما الميه الهيدروجين + +510 +00:46:46,010 --> 00:46:52,810 +بوندنج فيها الميّه بولر والالكينز نان بولر فالبولر + +511 +00:46:52,810 --> 00:46:57,370 +والنان بولر بخلطوش مع بعض are water insoluble طبعا + +512 +00:46:57,370 --> 00:47:02,000 +كونوا القوة اللي موجودة فيهم ضعيفة اللي هي أضعف نوع + +513 +00:47:02,000 --> 00:47:05,440 +من القوة الـ London Forces معناه ذلك الجزيئات + +514 +00:47:05,440 --> 00:47:10,880 +بتاعتهم ممسوقة ببعضها بقوة ولا بقوة ضعيفة؟ بقوة + +515 +00:47:10,880 --> 00:47:16,160 +ضعيفة، هذا بيقدر إلى إنها بتتبخر بشكل سريع وإلى أن + +516 +00:47:16,160 --> 00:47:22,000 +نقطة الغليان تبعتها أيضا منخفضة جدا ولذلك لو أنا + +517 +00:47:22,000 --> 00:47:25,380 +إجيت اتطلعت على ال canes اللي في الجدول هلاحظ ال + +518 +00:47:25,380 --> 00:47:32,540 +methane غاز الإيثين غاز، البروبين غاز، البيوتين + +519 +00:47:32,540 --> 00:47:36,600 +غاز، اللي هو الغاز المنزلي، غاز الطهي المنزلي، هو + +520 +00:47:36,600 --> 00:47:41,740 +البيوتين البنتين بيبدأ يصير سائل بنقطة غليان حوالي + +521 +00:47:41,740 --> 00:47:46,500 +36 درجة مؤوية، نقطة غليان منخفضة البنزين نفسه نقطة + +522 +00:47:46,500 --> 00:47:49,920 +غليانه منخفضة، ولذلك بيتبقر بسرعة وبيعمل حرائق + +523 +00:47:49,920 --> 00:47:56,570 +بسرعة واضح؟ كل هذا الكلام لأن القوة الترابط اللي + +524 +00:47:56,570 --> 00:48:01,070 +موجودة فيه هي ال London forces اللي هي أضعف أنواع + +525 +00:48:01,070 --> 00:48:05,550 +قوة الترابط فالجزيئات غير مترابطة بقوة و من هنا + +526 +00:48:05,550 --> 00:48:10,910 +بيكون ال alkanes لهم low boiling points بالتأكيد + +527 +00:48:10,910 --> 00:48:15,720 +ال cane من ذرة نقطة غليانه اقل من ذرتين اقل من + +528 +00:48:15,720 --> 00:48:20,460 +تلاتة وكل ما يبدو يزيدوا عدد ذرات الالكين ايش + +529 +00:48:20,460 --> 00:48:26,020 +بيصيلا نقطة الغليان بتزيد واضح؟ أخر نقطة اليوم + +530 +00:48:26,020 --> 00:48:31,560 +بنحكيها أن الالكينز لنفس المركب يعني لنفس العدد + +531 +00:48:31,560 --> 00:48:36,580 +الخمسة مثلا ممكن تكون chain متسلسلة و ممكن تكون + +532 +00:48:36,580 --> 00:48:39,900 +branched معناة chain مرة تانية أن الخمسة ورا بعض + +533 +00:48:39,900 --> 00:48:44,020 +branched هي عندي واحد اتنين تلاتة مثلا في البنتين + +534 +00:48:44,020 --> 00:48:49,800 +و من موقع اتنين اعملت تفرعينهنا خمس ذرات وهنا خمس + +535 +00:48:49,800 --> 00:48:53,560 +ذرات الخمس هذول جايين إيش؟ ورا بعض بقول عنهم chain + +536 +00:48:53,560 --> 00:49:00,140 +compounds هذول برانش دائما بنقول برانش الكنز have + +537 +00:49:00,140 --> 00:49:02,840 +lower boiling points than the corresponding long + +538 +00:49:02,840 --> 00:49:10,620 +chain of kens يعني هذا و هذا له نفس الصيغة C5H12 + +539 +00:49:10,620 --> 00:49:17,970 +لكن مين له نقطة غليان أعلى؟ الـ Chain أقل ال branch + +540 +00:49:17,970 --> 00:49:23,330 +ليش؟ لأن ال branch بيكون عامل زي الكورة الآن + +541 +00:49:23,330 --> 00:49:27,990 +تخيلوا لو حطيتوا أنتوا نفسكم تلت كورات هيك فوق بعض + +542 +00:49:27,990 --> 00:49:33,130 +بهذا الشكل هل يتورا بينهم مسافات ارتباط قوية كتير؟ + +543 +00:49:33,130 --> 00:49:37,620 +هاي بس سطح الارتباط واضحة الفكرة؟ فالجزء اللي + +544 +00:49:37,620 --> 00:49:42,220 +branched بصير أعمل زي الكورة، الآن الكورات بحطها + +545 +00:49:42,220 --> 00:49:45,880 +بشكل تستقر فوق بعض، يعني أنا بقدر أحطها دولة تلاتة + +546 +00:49:45,880 --> 00:49:51,610 +فوق بعض ويثبتوا؟ لأ ليش؟ لأنه مافيش سطح التقاء كبير + +547 +00:49:51,610 --> 00:49:55,730 +بينهم ولذلك الـ branched alkanes they have lower + +548 +00:49:55,730 --> 00:49:59,170 +boiling points than the corresponding long chain + +549 +00:49:59,170 --> 00:50:03,210 +alkanes هذه مبادئ عامة بال physical properties + +550 +00:50:03,210 --> 00:50:06,090 +للالكنز وبهيك بننهي اليوم ان شاء الله diff --git a/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/rNQZEu2DPCw_raw.srt b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/rNQZEu2DPCw_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..c11a5866ec6dedfb362293bcd4e72e976c35c72f --- /dev/null +++ b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/rNQZEu2DPCw_raw.srt @@ -0,0 +1,2172 @@ +1 +00:00:20,750 --> 00:00:25,750 +بسم الله الرحمن الرحيم بنستغنف اليوم في موضوع ما + +2 +00:00:25,750 --> 00:00:30,570 +ساقنا في الكيميا العضوية و الحيوية اعطينا احنا او + +3 +00:00:30,570 --> 00:00:35,850 +بدأنا في فصل مقدمة ذكر بمبادئ أساسية بتخدمنا في + +4 +00:00:35,850 --> 00:00:41,360 +مجال الكيميا العضويةكان عنوان الفصل اللى احنا + +5 +00:00:41,360 --> 00:00:44,700 +بدأنا فيه bonding and isomerism يعني بدنا نتكلم عن + +6 +00:00:44,700 --> 00:00:47,600 +أنواع الروابط اتكلمنا عنها ionic compounds, + +7 +00:00:47,740 --> 00:00:52,040 +covalent compounds فكرة عن الروابط الأحدية + +8 +00:00:52,040 --> 00:00:57,100 +الثنائية الثلاثية قوة الرابطة طول الرابطة كل هذا + +9 +00:00:57,100 --> 00:01:01,740 +الكلام اتكلمنا عنه ال valency التكافؤ كل عنصر من + +10 +00:01:01,740 --> 00:01:05,800 +العناص الأساسية اللى عندنا كام رابطة بيعمل عادة + +11 +00:01:05,800 --> 00:01:10,740 +لما احنا بدنا نكون جزء عضوىالـ polarity of bonds و + +12 +00:01:10,740 --> 00:01:15,860 +polarity of compounds اتكلمنا ايضا عنها جزء ثاني + +13 +00:01:15,860 --> 00:01:21,480 +المتشكلات لان الكيميا العضوية فكرة اساسية جدا فيها + +14 +00:01:21,480 --> 00:01:26,460 +انه مجموعة قليلة من الذرات لكن بتعمل عدد كبير جدا + +15 +00:01:26,460 --> 00:01:30,820 +من المركبات يعني اليوم نتكلم عن حوالي عشرين مليون + +16 +00:01:30,820 --> 00:01:36,740 +مركب عضوي معروف ومشخصلما نفكر هدول عشرين مليون فقط + +17 +00:01:36,740 --> 00:01:41,680 +من الكاربون الهيدروجين النيتروجين الاكسوجين معنى + +18 +00:01:41,680 --> 00:01:47,100 +ذلك ان هدول نتجوا نتيجة التشكل هل الكاربون اجت في + +19 +00:01:47,100 --> 00:01:50,300 +الاول الاكسوجين في الاول الكلور اجت على الموقع + +20 +00:01:50,300 --> 00:01:53,140 +واحد على الموقع اتنين على الموقع تلاتة بتصير أشكال + +21 +00:01:53,140 --> 00:01:57,820 +مختلفة بيصير عندنا ظاهرة ال isomers طبعا ال + +22 +00:01:57,820 --> 00:02:02,080 +isomers قلنا في منها نوع سهلهو الـ Structural + +23 +00:02:02,080 --> 00:02:06,000 +Isomers اللي الذرات بتختلف في ارتباطها والجزيات + +24 +00:02:06,000 --> 00:02:10,700 +بتختلف في تسميتها وفي نوع تاني بنفرضله فاصل كامل + +25 +00:02:10,700 --> 00:02:16,780 +أثناء شرحنا الـ Stereoisomersكذلك كيف نكتب الصياغ + +26 +00:02:16,780 --> 00:02:21,020 +في الكيميا العضوية اتكلمنا عنه وقولنا انه احنا في + +27 +00:02:21,020 --> 00:02:25,520 +الكيميا العضوية صح بإمكاننا نكتب الصياغ مفصلة + +28 +00:02:25,520 --> 00:02:29,160 +بأعداد الروابط اللي اتفقنا عليها اللي هي لل carbon + +29 +00:02:29,160 --> 00:02:32,480 +أربع روابط ال nitrogen تلاتة ال oxygen اتنين ال + +30 +00:02:32,480 --> 00:02:37,540 +hydrogen وال halogens واحد لكن بإمكاننا نكتب صياغ + +31 +00:02:37,540 --> 00:02:42,720 +مختصرة جدامثل الصياغ اللى أمامكم وناقشناها في + +32 +00:02:42,720 --> 00:02:49,640 +المرة الماضية وكل رأس اذا لم يكتب عليه شيء ويجب ان + +33 +00:02:49,640 --> 00:02:55,350 +يكمل الى اربع روابط في المجملالان بنجي لنقطة + +34 +00:02:55,350 --> 00:02:59,990 +إضافية بتلزمنا أثناء شرحنا في الكيميا العضوية و + +35 +00:02:59,990 --> 00:03:02,850 +يفترض أن الناس بيتعلموها أيضا في ال general + +36 +00:03:02,850 --> 00:03:07,110 +chemistry اللي هي ال formal charges أو أحيانا + +37 +00:03:07,110 --> 00:03:12,700 +بترجموها الشحنات ربما الظاهريةالـ formal charges + +38 +00:03:12,700 --> 00:03:18,080 +لو احنا رسمنا جزيء حتى لو كان هذا الجزيء covalent + +39 +00:03:18,080 --> 00:03:21,900 +او molecular molecule يعني الروابط اللي فيها + +40 +00:03:21,900 --> 00:03:27,540 +covalent bonds وجزيء متعادل بيقول على الذرات اللي + +41 +00:03:27,540 --> 00:03:32,900 +موجودة في داخل هذا الجزيء يوجد شحنات بنسميها ايش + +42 +00:03:32,900 --> 00:03:39,480 +احنا ال formal charges الان يفترض انه الجزيء ككل + +43 +00:03:40,150 --> 00:03:44,310 +يكون عليه شحنة لو كان متعادل معنى ذلك مجموعة + +44 +00:03:44,310 --> 00:03:48,190 +الشحنات هذه كلها بساوي سفر يعني لو انا مثلا بدأ + +45 +00:03:48,190 --> 00:03:52,090 +احكي عن جزيء زي ال carbon tetrachloride يعني + +46 +00:03:52,090 --> 00:03:56,970 +carbon و 4 ذرات كلور المفروض انه كل ذرة من هذه + +47 +00:03:56,970 --> 00:04:02,070 +الذرات عليها شحنة انا بسميها formal charge الان + +48 +00:04:02,070 --> 00:04:08,130 +الجزء بالمجملبكون مجموعة الشحنات يعني لو أنا قلت + +49 +00:04:08,130 --> 00:04:14,270 +CCl4 ذرة كربون وأربع ذرات كلور انبين هنا أي شحنة؟ + +50 +00:04:14,270 --> 00:04:18,810 +لأ، إذا المفروض يكون عندي شحنات على الكربون شحنات + +51 +00:04:18,810 --> 00:04:24,230 +على الكلور ومجموعة هذه الشحنات يساوي إيش؟ سفر لكن + +52 +00:04:24,230 --> 00:04:30,570 +لو مثلا أنا حكيت عن ايون زي ما أحكي مثلا CO3 minus + +53 +00:04:30,570 --> 00:04:32,290 +minus ايون الكربونين + +54 +00:04:36,100 --> 00:04:40,680 +الشحنات المفروضة على الكربون والأكسجين شحنات + +55 +00:04:40,680 --> 00:04:44,260 +ومجموعة من هذه الشحنات يسوى ما يعني؟ مايعني مايعني + +56 +00:04:44,260 --> 00:04:44,980 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +57 +00:04:44,980 --> 00:04:46,580 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +58 +00:04:46,580 --> 00:04:47,380 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +59 +00:04:47,380 --> 00:04:47,460 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +60 +00:04:47,460 --> 00:04:47,720 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +61 +00:04:47,720 --> 00:04:47,720 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +62 +00:04:47,720 --> 00:04:47,760 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +63 +00:04:47,760 --> 00:04:47,760 +مايعني مايعني مايعني مايعني مايعني مايعني مايعني + +64 +00:04:47,760 --> 00:04:53,390 +مايعني مايعنيبالنسبة لأ الشحنة اللي بتكون هنا هي + +65 +00:04:53,390 --> 00:04:57,650 +مجموع ال formal charges واضح يعني لما واحدة بتعمل + +66 +00:04:57,650 --> 00:05:01,270 +حسابة تقول احسب جداش فيه charge على الكاربون جداش + +67 +00:05:01,270 --> 00:05:04,730 +فيه على الأكسجين عملت جمعة ايه سوى شحنة لها جزء + +68 +00:05:04,730 --> 00:05:10,630 +متعادل هصير مجموعهمجزء مشحون مجموعهم الشحناء اللي + +69 +00:05:10,630 --> 00:05:15,270 +موجودة هنا الان كيف احنا بنحسب ال formality charge + +70 +00:05:15,270 --> 00:05:19,430 +ال formality charge بتساوي ال valence electrons + +71 +00:05:19,430 --> 00:05:23,160 +اللي هي الإلكترونات في المداري الأخيرممكن البعض + +72 +00:05:23,160 --> 00:05:27,460 +يقول طب و أنا بدأ أعمل توزيع إلكتروني عشان أعرف ال + +73 +00:05:27,460 --> 00:05:32,260 +Valence Electrons؟ بنقول لأ، بده يتذكر الإنسان إن + +74 +00:05:32,260 --> 00:05:36,960 +ال Valence Electrons بيساوي رقم المجموعة في الجدول + +75 +00:05:36,960 --> 00:05:42,120 +الدوري طبعا هيجي تساؤل تاني عندكم، هل يا ترى بدنا + +76 +00:05:42,120 --> 00:05:49,040 +نكون حافظين الجدول الدوري؟الجواب في منطقة معينة اه + +77 +00:05:49,040 --> 00:05:52,960 +بدنا نكون حافظين الجدول الدوري يعني يوم اتي احكي + +78 +00:05:52,960 --> 00:05:57,220 +مثلا على الهيدروجين بدنا نكون عارفين تماما ان + +79 +00:05:57,220 --> 00:06:02,380 +الهيدروجين في المجموعة الاولى يوم بحكي عن الذرات + +80 +00:06:02,380 --> 00:06:05,480 +الأساسية عندى في ال organ الchemistry اللى هى + +81 +00:06:05,480 --> 00:06:09,120 +تحديدا ال carbon بعد ال nitrogen ال oxygen ال + +82 +00:06:09,120 --> 00:06:14,110 +floorو تحت ال floor بيجوني ال halogens ال chlorine + +83 +00:06:14,110 --> 00:06:18,710 +البروم ال يولي تحت ال oxygen ال sulfur تقريبا هذه + +84 +00:06:18,710 --> 00:06:22,470 +هي ذرات الكيميا العضوية اللى بتمر عليها اكثر ما + +85 +00:06:22,470 --> 00:06:27,250 +يمكن الان بدي اكون عارف تماما ان ال carbon في + +86 +00:06:27,250 --> 00:06:29,930 +المجموعة الرابعة ال nitrogen في الخامسة ال oxygen + +87 +00:06:29,930 --> 00:06:33,790 +في السادسة ال floor في السابعةإذا الـ valence + +88 +00:06:33,790 --> 00:06:36,890 +electrons أو الإلكترونات الخارجية لأي ذرّة من + +89 +00:06:36,890 --> 00:06:42,370 +هدول، كم لمتهم؟ للأكسجون والسلفر، للنيتروجين، + +90 +00:06:42,370 --> 00:06:47,910 +خمسة، للكاربون، أربعة، واضح؟ هذا شيء يجب أن نعرفه + +91 +00:06:48,730 --> 00:06:51,570 +الأن الـ Formal Charge بتساوي الـ Valence + +92 +00:06:51,570 --> 00:06:56,690 +Electrons ناقص عدد الروابط اللي على الذرة المعينة + +93 +00:06:56,690 --> 00:07:01,990 +اللي أنا بحسبها ناقص أي عدد من الإلكترونات و غالبا + +94 +00:07:01,990 --> 00:07:05,790 +أزواج الإلكترونات موجودة على هذه الذرة مثلا لو + +95 +00:07:05,790 --> 00:07:10,290 +نظرت أنا لإيون الكربونات لو نظرت لإيون الكربونات + +96 +00:07:10,290 --> 00:07:13,850 +اعملتله Lewis Structure هذا الـ Lewis Structure + +97 +00:07:13,850 --> 00:07:19,490 +تبعه تماماالان لو جيت باسأل طب هذه ال carbon كام + +98 +00:07:19,490 --> 00:07:23,830 +شحنة عليها formal charge هقول ال valence electrons + +99 +00:07:23,830 --> 00:07:30,250 +بتاعونها أربعة ناقص الروابط اللي عاملهم أربعة ناقص + +100 +00:07:30,250 --> 00:07:35,230 +هل يظهر عليها أزواج إلكترونات لأ إذا ال formal + +101 +00:07:35,230 --> 00:07:41,850 +charge على هذه ال carbon سفر طب لو جيت لل oxygen + +102 +00:07:41,850 --> 00:07:49,310 +اللي جنبهاهأقول ال oxygen ستة ناقص كام رابطة ناقص + +103 +00:07:49,310 --> 00:07:55,370 +رابطتين ناقص كام إلكترون أربعة ستة ناقص اتنين ناقص + +104 +00:07:55,370 --> 00:08:01,440 +أربعةأيضا صفر طب لو جيت على ال oxygen هذي و هذي + +105 +00:08:01,440 --> 00:08:06,180 +زيها ست إلكترونات ال feelings electrons ناقص كام + +106 +00:08:06,180 --> 00:08:11,820 +رابطة واحد ناقص كام إلكترون نين أربعة ستة إذا هذي + +107 +00:08:11,820 --> 00:08:17,320 +minus one و هذي زيها minus one الآن هذي أربع ذرات + +108 +00:08:17,320 --> 00:08:21,270 +مكونين لهذا الايون كل واحدة لها شحنةالى formal + +109 +00:08:21,270 --> 00:08:26,470 +charge طب مجموع هذه الشحنات جديش minus اتنين احنا + +110 +00:08:26,470 --> 00:08:32,330 +طبعا عارفين ان ال CO3 two minus ايش فادتني ال + +111 +00:08:32,330 --> 00:08:36,430 +formal charge ايش فادتني ال formal charge فادتني + +112 +00:08:36,430 --> 00:08:42,390 +ان انا بقول هذا الايون المكون من اربع ذرات عليه + +113 +00:08:42,390 --> 00:08:46,950 +شحنتين سالبات طب لو سألنا السؤال where بالظبط + +114 +00:08:46,950 --> 00:08:52,560 +الشحنتين السالبات هدول اربع ذراتالـ CO3 أربع ذرات + +115 +00:08:53,330 --> 00:08:57,110 +شحنته العامة minus minus طب وين موجودين هدول + +116 +00:08:57,110 --> 00:09:01,850 +الشحنتين السالبات الان هذا الحساب اعطاني فكرة + +117 +00:09:01,850 --> 00:09:07,890 +موجودين على هذا ال oxygen و على هذا ال oxygen لو + +118 +00:09:07,890 --> 00:09:12,350 +الان انا بدي اجي اعمل تفاعل معين اجيب شيء موجب + +119 +00:09:12,350 --> 00:09:17,130 +يتفاعل وين بده يجي الموجب؟ تحديدا على هذه و هذه + +120 +00:09:17,130 --> 00:09:24,440 +يعني مثلا لو هذا ال ion بدي اجي افعله مع H plusوين + +121 +00:09:24,440 --> 00:09:28,120 +بدو ييجي ال H plus؟ الموجب بدو ييجي على السالب + +122 +00:09:28,120 --> 00:09:32,320 +عشان هيك الشكل اللي هيطلع عندك C ضب البند O، O + +123 +00:09:32,320 --> 00:09:37,940 +هتتفعل مع H، O هتتفعل مع H، هى الموجب اتفعل مع + +124 +00:09:37,940 --> 00:09:44,520 +السالب صار عند المركب H2CO3 اللى هو ال carbonic + +125 +00:09:44,520 --> 00:09:50,230 +acidواضح؟ اللي أنا عارفه، فهذه من فوائد ال formal + +126 +00:09:50,230 --> 00:09:56,090 +it charges إنها بتحدد لبالظبط لو في شحنات وين + +127 +00:09:56,090 --> 00:10:00,190 +موجودين، لو في شحنات بمجمل ال ion وين موجودين، + +128 +00:10:00,190 --> 00:10:07,570 +كذلكلو كان عندى الجزء متعادل يعنى بين شحنته سفر + +129 +00:10:07,570 --> 00:10:13,250 +ايضا كل ذرة فيه بتحمل شحنة يعنى مثلا لو أخدنا هذا + +130 +00:10:13,250 --> 00:10:20,430 +ال carbon tetrachloride CClClClCl + +131 +00:10:20,430 --> 00:10:27,410 +و توزيعه الإلكترونى بهذا الشكل و قلنا بدنا نجرب + +132 +00:10:27,410 --> 00:10:31,720 +نحسبله formal chargeالحالي يجي نقول ال carbon + +133 +00:10:31,720 --> 00:10:38,280 +أربعة ناقص أربع روابط مافيش أزواج إلكترونات إذا + +134 +00:10:38,280 --> 00:10:43,040 +هذه zero لو جيت ال chlorine كلهم يبينوا زي بعض ال + +135 +00:10:43,040 --> 00:10:51,520 +chlorine سبعة ناقص رابطة ناقص ستة + +136 +00:10:55,460 --> 00:11:04,560 +و المجموع تبعه صفر واضح؟ و المجموع تبعه صفر مرات + +137 +00:11:04,560 --> 00:11:09,540 +بيكون في عندكم على بعض الذرات موجب و سالب و + +138 +00:11:09,540 --> 00:11:12,760 +المجموع أيضا صفر يعني ممكن تلاقوا في حالة تانية + +139 +00:11:12,760 --> 00:11:20,610 +plus one و minus one و المجموع صفر الآنطالما عندي + +140 +00:11:20,610 --> 00:11:26,150 +أزواج إلكترونات و روابط بإمكاني أنا أحرك أزواج + +141 +00:11:26,150 --> 00:11:31,110 +الإلكترونات من مكانها و أعمل تغيير في الروابط يعني + +142 +00:11:31,110 --> 00:11:35,350 +مثلا لو إحنا إجينا و قولنا بدنا نحرك هذا زوج + +143 +00:11:35,350 --> 00:11:40,130 +الإلكترونات نجيبه على هذا الموقع بيصير؟ بنقدر + +144 +00:11:40,130 --> 00:11:43,050 +نجيبه لكن يا تورة هل معقول اللي كاربون تصير خمس + +145 +00:11:43,050 --> 00:11:47,370 +روابط؟ لأ وجدت هأ بدأت طار أحرك رابطة ما هي + +146 +00:11:47,370 --> 00:11:53,040 +الرابطة إلكترونيةوهذا إلكترونين وقت بدأ الطر أحرك + +147 +00:11:53,040 --> 00:11:58,240 +هذه الرابطة تيجي على ال oxygen هنا واضح؟ صار عندي + +148 +00:11:58,240 --> 00:12:02,500 +شكل جديد إيش الإختلاف بين الشكل الأول والشكل + +149 +00:12:02,500 --> 00:12:09,180 +التاني؟ تطلع عليهمفقط في مواقع الإلكترونات بمعنى + +150 +00:12:09,180 --> 00:12:13,380 +الذرات Carbon Oxygen Oxygen Oxygen Carbon Oxygen + +151 +00:12:13,380 --> 00:12:18,680 +Oxygen Oxygen لكن الإلكترونات تغير شكلها واضح + +152 +00:12:18,680 --> 00:12:22,940 +بإمكان أعمل كمان تغيير مثلا ممكن أجيب هذا زوج + +153 +00:12:22,940 --> 00:12:27,200 +الإلكترونات هان أخليها دي جهان صار عندي شكل جديد + +154 +00:12:27,200 --> 00:12:31,640 +الآن الشكل الأول التاني التالت شو بسميهم أنا + +155 +00:12:32,080 --> 00:12:36,300 +Resonance structures يعني أشكال رانيل بنقولها + +156 +00:12:36,300 --> 00:12:41,460 +بالعربي فال resonance كفكرة arises whenever we can + +157 +00:12:41,460 --> 00:12:44,320 +write two or more structures for a molecule with + +158 +00:12:44,320 --> 00:12:48,540 +different arrangement of electrons but identical + +159 +00:12:48,540 --> 00:12:52,020 +arrangement of atoms لاحظوا هذا بيجيبلنا مفهوم + +160 +00:12:52,020 --> 00:12:56,940 +كتير مهم عندنا أنه أنا ممكن أغير في الإلكترونات + +161 +00:12:56,940 --> 00:13:01,960 +بدون ما أغير الذراتهذه العملية اللى بغير فيها فقط + +162 +00:13:01,960 --> 00:13:09,300 +إلكترونات arrangement of إلكترون بدون ما أقترب من + +163 +00:13:09,300 --> 00:13:14,840 +الذرات شو بسميها أنا resonance structures الان ال + +164 +00:13:14,840 --> 00:13:18,840 +resonance structures بين شكل و التاني بنستعمل لهم + +165 +00:13:18,840 --> 00:13:23,500 +سهم زى ما انتوا شايفينهDouble Headed Arrow عشان + +166 +00:13:23,500 --> 00:13:29,800 +نقول ان هذا وهذا فقط يختلفوا في طريقة رسمنا + +167 +00:13:29,800 --> 00:13:35,200 +للإلكترونات بين الذرات ولكننا لم نغير في ايش في + +168 +00:13:35,200 --> 00:13:39,580 +مواقع الذرات يمكن مر عليكم هذا الكلام لما أخدت + +169 +00:13:39,580 --> 00:13:44,260 +أشكال البنزين متذكرين لما كنتوا تاخدوا البنزين + +170 +00:13:46,670 --> 00:13:51,890 +بهذا الشكل و كنتوا تقولوا ممكن يكون غيرنا الأشكال + +171 +00:13:51,890 --> 00:13:57,350 +بهذا الشكل الآن هذولا الشكلين تبعون البنزين عبارة + +172 +00:13:57,350 --> 00:14:01,530 +عن ايش resonance structures مرة أنا كان عندي رابطة + +173 +00:14:01,530 --> 00:14:05,130 +يعني إلكترونين مرة أنا رابطة زوجية يعني كأنها أربع + +174 +00:14:05,130 --> 00:14:09,090 +إلكترونات فأنا قاعد فقط بغير إلكترونات لكن هل + +175 +00:14:09,090 --> 00:14:14,070 +تغيرت الذراتولذلك هدول الشكلين بنستعملله ماذا + +176 +00:14:14,070 --> 00:14:21,210 +السهم اللي بعبر عن إيش ال resonance هذا الكلام + +177 +00:14:21,210 --> 00:14:24,710 +هيخلنا + +178 +00:14:24,710 --> 00:14:30,370 +ننتقل لشغلة الحقيقة مهمة في ال organ ال chemistry + +179 +00:14:30,370 --> 00:14:33,890 +انه في ال organ ال chemistry احنا بنستعمل أسهم + +180 +00:14:33,890 --> 00:14:40,860 +كتيركل سهم يستعمل له معنى واضح ويجب أن يعرف الطالب + +181 +00:14:40,860 --> 00:14:46,460 +يعني مش عشوائي ان الواحد يقعد يختار أسهم أو يرسمها + +182 +00:14:46,460 --> 00:14:50,460 +بطريقة معينة لأ الأسهم لها معنى في الكيمياء + +183 +00:14:50,460 --> 00:14:55,860 +العضوية من أهم الأسهم اللي احنا بنستعملها بعض + +184 +00:14:55,860 --> 00:15:01,170 +الأسهم اللي قارب نعطيكم إياها السهم الأولبنسميه + +185 +00:15:01,170 --> 00:15:05,630 +straight arrow يعني سهم بشكل مستقيم هذا السهم + +186 +00:15:05,630 --> 00:15:09,610 +بنستعمله في التعبير عن التفاعل والتفاعل زي ما + +187 +00:15:09,610 --> 00:15:14,930 +انتوا عارفين reactants بيعطوا products متفاعلات + +188 +00:15:14,930 --> 00:15:20,390 +بيعطوا نواتج الان بينهم اي سهم بستعمل ال straight + +189 +00:15:20,390 --> 00:15:24,950 +arrow يعني لو واحدة مثلا اتيت فكرت القمر مجرد ايش + +190 +00:15:24,950 --> 00:15:30,400 +مكان ترسم راحت في المعادلة كتبت زي هيكهل هذا هو + +191 +00:15:30,400 --> 00:15:33,920 +اللي موجود هناك؟ هذا سهم له معنى ثاني في ال + +192 +00:15:33,920 --> 00:15:37,540 +organic chemistry حتى لو ما شرحتش الآن فيجب أن + +193 +00:15:37,540 --> 00:15:42,700 +نلتزم بشكل السهم زي ما هو موجود هنا إذا أنا بأتكلم + +194 +00:15:42,700 --> 00:15:48,740 +عن تفاعل بدي أستعمل أي سهم ل straight arrow بشكل + +195 +00:15:48,740 --> 00:15:52,490 +اللي موجود عندنابعض التفاعلات أخدت هنا equilibrium + +196 +00:15:52,490 --> 00:15:56,990 +reaction يعني موجودين المتفاعلات والنواتج و أجيت + +197 +00:15:56,990 --> 00:16:02,610 +أبدأ أستعمل الأسهم الموجودة عندى اللى بسميها pair + +198 +00:16:02,610 --> 00:16:07,130 +of straight arrows with half heads زوج من الأسهم + +199 +00:16:07,130 --> 00:16:12,730 +المستقيمة بنصف رأس ربما كتير منكم لما كان يعبر عن + +200 +00:16:12,730 --> 00:16:20,280 +الاتزان كان يستعمل زى هى هذا الكلام غلطهذا الكلام + +201 +00:16:20,280 --> 00:16:29,900 +غلط الصح ان هذا بنصف رأس و هذا بنصف رأس هم لاحظين؟ + +202 +00:16:29,900 --> 00:16:34,120 +pair of straight arrows with half heads هذا يعبر + +203 +00:16:34,120 --> 00:16:39,100 +عن ايش؟ تفاعلات الاتزان equilibrium reactions يكون + +204 +00:16:39,100 --> 00:16:42,360 +عندكم ال reactants و ال products عند انتهاء + +205 +00:16:42,360 --> 00:16:48,700 +التفاعلالسهم هذا اسمه double headed straight arrow + +206 +00:16:48,700 --> 00:16:55,200 +سهم له رأسين هذا يستعمل لل resonance الان اتذكروا + +207 +00:16:55,200 --> 00:16:57,540 +معي ال resonance ايش قلنا عنه؟ + +208 +00:17:00,330 --> 00:17:04,270 +Structures with different arrangements of + +209 +00:17:04,270 --> 00:17:09,110 +electrons مرات بنيجي نسأل الطلاب بنقولهم this + +210 +00:17:09,110 --> 00:17:12,690 +arrow or double headed straight arrows are used + +211 +00:17:12,690 --> 00:17:15,670 +for structures with different arrangements of + +212 +00:17:15,670 --> 00:17:20,490 +atoms and electronsلأ different arrangement of + +213 +00:17:20,490 --> 00:17:24,490 +electrons فتكونوا متذكرين ان ال resonance فقط + +214 +00:17:24,490 --> 00:17:28,630 +اختلاف في ترتيب الالكترونات لكن ما بنقترب من + +215 +00:17:28,630 --> 00:17:32,030 +الذرات الذرات زي ما هم يعني اللي قاعد بيشتغل على + +216 +00:17:32,030 --> 00:17:37,050 +برنامج الرسم وحط الذرات في أول مرة زي المثال + +217 +00:17:37,050 --> 00:17:43,290 +السابق بيعمل نسخ و لصق و لصق مش هيغير ولا موقع ذرة + +218 +00:17:43,290 --> 00:17:49,200 +هوين بيصير يغير؟في الإلكترونات فقط واضح هذا الكلام + +219 +00:17:49,200 --> 00:17:53,720 +لازم يكون واضح بخصوص ال resonance من الأسهم كذلك + +220 +00:17:53,720 --> 00:17:59,360 +هذا السهم المنحني بسمي curved arrow يستعمل لتوضيح + +221 +00:17:59,360 --> 00:18:03,720 +حركة زوج من الإلكترونات وعشان هو يستعمل لتوضيح + +222 +00:18:03,720 --> 00:18:11,120 +حركة زوج من الإلكترونات بوضح في الرأسين هدولواضح؟ + +223 +00:18:11,120 --> 00:18:14,320 +تاوي لسه لما وضحنا ال resonance في المثال السابق + +224 +00:18:14,320 --> 00:18:19,100 +استعملناه متذكرين لما قلنا بدنا نحرك هذا الزوج من + +225 +00:18:19,100 --> 00:18:27,000 +الإلكترونات؟ إيش عملنا؟ high curved أقول لما قلنا + +226 +00:18:27,000 --> 00:18:30,300 +بدنا نحرك الرابط، طب ما هي الرابط أيضا إلكترونين، + +227 +00:18:30,300 --> 00:18:35,330 +نجيب إلكترونات هنا، كيف استعملنا؟Curved Arrow فالـ + +228 +00:18:35,330 --> 00:18:41,170 +Curved Arrow is used to indicate the movement of a + +229 +00:18:41,170 --> 00:18:45,290 +pair of electrons، two electrons، واضح؟ + +230 +00:18:50,240 --> 00:18:57,060 +أحيانا بنحرك بس إلكترون واحد مش إلكترونين وجدها + +231 +00:18:57,060 --> 00:19:03,620 +بنستعمل ال curved arrow هذا لكن برأس واحد يعني زي + +232 +00:19:03,620 --> 00:19:09,620 +هيك، هيك صار واضح لكم؟ الآن هذا بيشبه إيش؟ السنارة + +233 +00:19:09,620 --> 00:19:14,610 +تبعت الصيادصيدين السمك اللي بيصيدوا السمك زي هيك + +234 +00:19:14,610 --> 00:19:19,810 +شكل السنارة ولذلك هذا السهم بنسميه احنا ايش fish + +235 +00:19:19,810 --> 00:19:24,790 +hook يعني سهم السنارة fish hook arrow ف ال fish + +236 +00:19:24,790 --> 00:19:31,290 +hook arrow is used to indicate the movement of one + +237 +00:19:31,290 --> 00:19:36,520 +electronلاحظوا اللي كان two electrons كان له رأسين + +238 +00:19:36,520 --> 00:19:41,500 +اللي كان one electron له رأس واحد مثلا لو افترضنا + +239 +00:19:41,500 --> 00:19:46,780 +هذا جزء فيه رابطة، الرابطة كام electron؟ اتنين، + +240 +00:19:46,780 --> 00:19:51,120 +هاي في عندي electronين، الان انا بدي اكسر الرابطة + +241 +00:19:51,120 --> 00:19:56,240 +كسر متجانس اكسرها من النص، electron هان ييجي و + +242 +00:19:56,240 --> 00:20:00,640 +electron هان ييجي اي سهم بدي استعمل؟ ال fish hook + +243 +00:20:00,640 --> 00:20:06,660 +لو عملت زي هيكهيأجى هذا الإلكترون على CH3 صار CH3 + +244 +00:20:06,660 --> 00:20:14,860 +تحمل إلكترون واحد وهذا نفس الشيء واضح؟ اتخيلوا لو + +245 +00:20:14,860 --> 00:20:21,320 +مثلا في هذا الجزء نفسه كنت بدي أخلي الإلكترونين + +246 +00:20:21,320 --> 00:20:25,740 +يروحوا مع CH3 والتانية بدون إلكترونات أي سهم بدي + +247 +00:20:25,740 --> 00:20:32,470 +أستعمل السهم السابق وجدت لو بستعمل هذا السهمالـ + +248 +00:20:32,470 --> 00:20:39,970 +Curved Arrow هينتج عندي من هنا CH3 تحمل زوج + +249 +00:20:39,970 --> 00:20:46,930 +الإلكترونات كله والتانية CH3 + +250 +00:20:46,930 --> 00:20:51,970 +لا تحمل شيئا طبعا لو حسبته ال Formal Charge لهدول + +251 +00:20:51,970 --> 00:20:58,470 +القطعتين اللي طلعوا اتذكروا الكربون أربعة ناقص تلت + +252 +00:20:58,470 --> 00:21:05,890 +روابطناقص إلكترونيل شو هتكون minus ال carbon أربع + +253 +00:21:05,890 --> 00:21:14,590 +ناقص تلت روابط بس plus كأنه قسمت الجزء إلى قطعتين + +254 +00:21:14,590 --> 00:21:19,330 +إلى أيون سالب و أيون موجب لكن أنا قسمت إلى قطعتين + +255 +00:21:19,330 --> 00:21:24,610 +متعادلات فكل هذا الكلام إيش اللي بساعدني عليه أن + +256 +00:21:24,610 --> 00:21:30,460 +أكون فاهم معنى الأسهم اللي أنا بستعملهاو هذا + +257 +00:21:30,460 --> 00:21:34,680 +الكلام ما لم يتضرر بالطالب انه يحط السهم و يرسمه + +258 +00:21:34,680 --> 00:21:39,720 +بإيده و يكتب معناه بإيده بعد فترة هتلاقوه ايش نسيه + +259 +00:21:39,720 --> 00:21:43,480 +احنا دائما و ابدا مافيش امتحان الا بنسألكوا فيه عن + +260 +00:21:43,480 --> 00:21:49,180 +ايش الأسهم لابد الا يجيكم سؤال ايش معنى هذا السهم + +261 +00:21:49,180 --> 00:21:55,520 +لإيش يستعمل هذا السهم اخر + +262 +00:21:55,520 --> 00:22:02,160 +شغلة في هذا الفصلالكيميا العضوية قبل قليل خفتوا و + +263 +00:22:02,160 --> 00:22:08,460 +الأن نقطع الخوف و ننزل الخوف لماذا خفنا من الكيميا + +264 +00:22:08,460 --> 00:22:15,240 +العضوية لأن الكيميا العضوية عشرين مليون مركبأو + +265 +00:22:15,240 --> 00:22:19,560 +أكتر معروفين هدولة غير اللي مش معروفين طيب لما + +266 +00:22:19,560 --> 00:22:24,420 +الإنسان بتعامل مع عدد كبير من الأشياء و بده يقدر + +267 +00:22:24,420 --> 00:22:30,080 +يسيطر عليه كيف بيسيطر عليه؟ من خلال أنه يصنفوا إلى + +268 +00:22:30,080 --> 00:22:35,090 +مجموعات معينة يعمل classificationيعني حتى البشرية + +269 +00:22:35,090 --> 00:22:39,030 +الناس البشر اللي عايشين اليوم احنا بنعمللهم تصنفات + +270 +00:22:39,030 --> 00:22:43,210 +بتسهل علينا نتعامل معهم يعني بنقول والله ها السبعة + +271 +00:22:43,210 --> 00:22:46,810 +أو تمانية مليار بني آدم اللي موجودين ممكن نصنفهم + +272 +00:22:46,810 --> 00:22:54,270 +من زاوية انه ذكور واناث ممكن نصنفهم من زاوية انه + +273 +00:22:54,270 --> 00:23:01,170 +في منهم أغنياء ومتوسطي الحال وفقراءواضح؟ ممكن + +274 +00:23:01,170 --> 00:23:04,170 +نصورهم من زاوية ان في منهم اجسار و في منهم .. + +275 +00:23:04,760 --> 00:23:09,020 +إطوال، ممكن نصنفهم من زاوية الدين، نقول والله فيها + +276 +00:23:09,020 --> 00:23:12,680 +الجد نصارى، فيها الجد مسلمين، فيها الجد .. واضحة + +277 +00:23:12,680 --> 00:23:17,020 +الفكرة؟ كذلك الحالة لما أنا بتكلم عن عشرين مليون + +278 +00:23:17,020 --> 00:23:21,560 +مركب وبدأ أدرس organ ال chemistry و أفهم شيء عن كل + +279 +00:23:21,560 --> 00:23:26,060 +شيء فيهم، لابد أن أعمل تصنيف التصنيف اللي احنا + +280 +00:23:26,060 --> 00:23:31,680 +بنعمله .. فيه تصنيفات كتيرةيعني ممكن مراكبات + +281 +00:23:31,680 --> 00:23:36,420 +أصنفها حسب مصدرها، يعني منتجات طبيعية ولا منتجات + +282 +00:23:36,420 --> 00:23:41,680 +صناعية، ممكن حسب ريحتها، ممكن حسب طعمها، ممكن حسب + +283 +00:23:41,680 --> 00:23:47,040 +كيمياء حيوية، ممكن .. تصنيفات كتيرة، لكن جوا + +284 +00:23:47,040 --> 00:23:50,720 +الكيميا العضوية العادية عشان أسيطر على معظم + +285 +00:23:50,720 --> 00:23:54,980 +الأشياء الأساسية بنصنف حسب شيء بنسميه المجموعة + +286 +00:23:54,980 --> 00:24:01,830 +الوظيفيةشيء مميز في داخل مجموعة من المركبات بنسميه + +287 +00:24:01,830 --> 00:24:06,370 +functional group فال classification of organic + +288 +00:24:06,370 --> 00:24:09,450 +compounds بيكون according to functional groups + +289 +00:24:09,450 --> 00:24:15,250 +مثلا المركبات اللي كلها روابط أحادية بسميها + +290 +00:24:15,250 --> 00:24:19,690 +alkanesلو صار في عندى بين ال carbon و ال carbon + +291 +00:24:19,690 --> 00:24:25,190 +رابطة ثنائية بقول هذه عائلة ال alkenes لو صار + +292 +00:24:25,190 --> 00:24:31,070 +رابطة ثلاثية عائلة ال alkynes لو صار حلقة بروابط + +293 +00:24:31,070 --> 00:24:35,570 +زوجية بقول هدولة ال aromatic compounds لو صار + +294 +00:24:35,570 --> 00:24:41,400 +مركبات في مجموعة ال OHالكحولات وبيشتغ منها + +295 +00:24:41,400 --> 00:24:47,180 +الثيولات زي الكحولات بس بدل OH S H لو كان اكسوجين + +296 +00:24:47,180 --> 00:24:52,790 +بالكربونتينبقول الـ Ethers سلفر بين كربونتين ثيو + +297 +00:24:52,790 --> 00:24:57,570 +إيثرز الـ C double bond O في منها مجموعات كتيرة + +298 +00:24:57,570 --> 00:25:02,250 +الـ C double bond O اللي جنبها H و R بقول عنها + +299 +00:25:02,250 --> 00:25:06,290 +الديهيد لو كانت الـ C double bond O بين كربونتين + +300 +00:25:06,290 --> 00:25:12,080 +كيتون بين كربون و OHacid بين carbon و ore استر + +301 +00:25:12,080 --> 00:25:17,980 +وهكذا الان كل هذه المجموعات هنتعرف عليها في الجزء + +302 +00:25:17,980 --> 00:25:20,600 +الاول من هذا المساق اللي هو جزء ال organic + +303 +00:25:20,600 --> 00:25:25,280 +chemistry يعني كل ما تراونه امامكم على السبورة + +304 +00:25:25,280 --> 00:25:33,880 +هناخده بشكل مفصل و مختصر طبعا واضح ان اي انسان بده + +305 +00:25:33,880 --> 00:25:40,560 +يبتدئ هيبتدئ بأي جزءالالكينز اللي هي المركبات اللي + +306 +00:25:40,560 --> 00:25:46,460 +بتحتوي على روابط أحادية هذا بيكون بداية الفصل + +307 +00:25:46,460 --> 00:25:56,560 +التاني اللي احنا هنبدأ فيه مباشرة واضح؟ + +308 +00:25:58,420 --> 00:26:03,420 +الفصل الثاني اللى هنبدأ فيه بنسميه ال canes and + +309 +00:26:03,420 --> 00:26:09,740 +cycloalcanes يعني يمكن أن تكون هذه المركبات مركبات + +310 +00:26:09,740 --> 00:26:17,600 +متسلسلة و ممكن تكون سكرة على شكل حلقة لكن القاسم + +311 +00:26:17,600 --> 00:26:22,180 +المشترك في ال canes و ال cycloalcanes و الحقيقة + +312 +00:26:22,180 --> 00:26:28,070 +اللى بيعبر عنه هو هذا الحرف ال a اللى هناهو + +313 +00:26:28,070 --> 00:26:34,050 +الروابط الأحادية لو كانت ال الـ Keynes ال A صارت E + +314 +00:26:34,050 --> 00:26:38,130 +بدا أبدأ أحكي عن روابط ثنائية و لو بدا أحكي + +315 +00:26:38,130 --> 00:26:41,790 +Cycloalkynes هيصير فيها روابط ثنائية لو كانت فيها + +316 +00:26:41,790 --> 00:26:47,530 +Y الروابط الثلاثية فال ال Keynes وال Cycloalkynes + +317 +00:26:47,530 --> 00:26:52,310 +فيهم شئ مشترك أن كل الروابط اللي موجودة في الجزء + +318 +00:26:52,310 --> 00:26:54,830 +هي روابط أحادية + +319 +00:26:57,320 --> 00:27:04,960 +الان هذا الكلام بيجيبنا لتصنيف للاشياء الأساسية في + +320 +00:27:04,960 --> 00:27:07,260 +ال organ ال chemistry اللي أنا بسميها ال + +321 +00:27:07,260 --> 00:27:10,900 +hydrocarbons اللي بقصده بال hydrocarbons أبسط + +322 +00:27:10,900 --> 00:27:16,440 +المراكبات العضوية اللي فقط بتحتوي hydrogen و + +323 +00:27:16,440 --> 00:27:20,000 +carbon هاي معناه hydrocarbon hydrocarbons they + +324 +00:27:20,000 --> 00:27:23,980 +contain only carbon and hydrogen الان هدول + +325 +00:27:23,980 --> 00:27:30,000 +المراكباتبصنفهم لصنفين اما بيقول saturated او + +326 +00:27:30,000 --> 00:27:36,000 +unsaturated، saturated مشبع معناه مشبع جميع روابط + +327 +00:27:36,000 --> 00:27:41,360 +أحدية unsaturated في multiple bonds، يعني يا في + +328 +00:27:41,360 --> 00:27:46,710 +double bond يا فيالـ triple bonds الان المراكبات + +329 +00:27:46,710 --> 00:27:54,370 +اللى جميع روابطها أحدية هى ال الكينز والساكلو + +330 +00:27:54,370 --> 00:27:59,150 +الكينز هدول saturated اللى فيهم روابط ثنائية او + +331 +00:27:59,150 --> 00:28:02,830 +ثلاثية او اكتر ال الكينز اللى فيهم ال double bonds + +332 +00:28:02,830 --> 00:28:05,990 +ال الكينز اللى فيهم ال triple bonds و ال aromatic + +333 +00:28:05,990 --> 00:28:09,050 +compounds اللى هم المراكبات اللى بيشبهوا البنزين + +334 +00:28:09,050 --> 00:28:16,690 +فيهم حلقة زاد روابطزوجية فيهم حلقة زاد روابط زوجية + +335 +00:28:16,690 --> 00:28:22,630 +double bonds طبعا لما نيجي نتكلم عن ال alkanes + +336 +00:28:22,630 --> 00:28:28,650 +بنبدأ بمركب فيه carbon واحدة بعد هيك two carbons + +337 +00:28:28,650 --> 00:28:33,910 +three carbons four carbons و هكذا و بنكمل دائما و + +338 +00:28:33,910 --> 00:28:41,070 +أبدا لإيش لأقصى عدد بتحتمل ذرة ال carbon في هذه + +339 +00:28:41,070 --> 00:28:46,870 +الحالة هنكملبهيدروجينات هنكمل بهيدروجينات يعني + +340 +00:28:46,870 --> 00:28:52,310 +مثلا لو كنا بدنا ناخد الجزء الأبسط اللي هو جزء + +341 +00:28:52,310 --> 00:28:58,630 +الميثين هتلاحظوا انه فيه + +342 +00:28:58,630 --> 00:29:07,110 +اربع روابط وكل رابطة فيها هيدروجين اربع روابط وهي + +343 +00:29:07,110 --> 00:29:12,750 +مثلا الهيدروجين باللون نوعا ما ال orangeهذا اللي + +344 +00:29:12,750 --> 00:29:19,310 +هو جزيء الـ Methane الصيغة تبعته إيش بتكون CH4 + +345 +00:29:19,310 --> 00:29:24,170 +بنسميه Methane الآن من Carbon واحدة بقدر أعمل غير + +346 +00:29:24,170 --> 00:29:29,750 +هذا الجزيء؟ لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +347 +00:29:29,750 --> 00:29:30,490 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +348 +00:29:30,490 --> 00:29:31,510 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +349 +00:29:31,510 --> 00:29:31,510 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، + +350 +00:29:31,510 --> 00:29:33,410 +لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، ل + +351 +00:29:35,840 --> 00:29:40,560 +هيصير عنده جزء الـ E2 طب ذرتين الكربون هما اللي + +352 +00:29:40,560 --> 00:29:47,120 +هيشبكوا بعض في احتمالات كتيرة ممكن اعملها ايش هما + +353 +00:29:47,120 --> 00:29:54,040 +خليني استعمل روابط اقصر و اوضح اللون الأصفر هذا + +354 +00:29:54,040 --> 00:30:02,640 +هاي الجزء التاني و ربما تلاحظوا انه الكلام بياخدله + +355 +00:30:02,640 --> 00:30:05,520 +دقيقة واجت لكن لا بأس بذلك + +356 +00:30:09,830 --> 00:30:16,010 +هي هدول بلاش نحط ال hydrogens يفهموا ضمنها CH3 CH3 + +357 +00:30:16,010 --> 00:30:22,270 +دارتين كربون عندي إمكانية أعمل غير هذا الشكل لأاذا + +358 +00:30:22,270 --> 00:30:27,550 +كام isomer عندى من ال E2 ايضا isomer واحد مش قادر + +359 +00:30:27,550 --> 00:30:32,890 +اعمل غيره طيب الان ناس جابوا ذرة كربون جديدة ها + +360 +00:30:32,890 --> 00:30:36,630 +يوم مسكينها بدهم يضيفوها على هذا الجزء اكيد بدنا + +361 +00:30:36,630 --> 00:30:41,370 +نشيلها هيدروجين و نحط كربون يا بنحطها هنا او + +362 +00:30:41,370 --> 00:30:45,390 +بالجهات التانية نفس الاشي كام احتمال عندى عشان احط + +363 +00:30:45,390 --> 00:30:49,050 +ذرة الكربون الجديدة أبدا + +364 +00:30:50,460 --> 00:30:58,460 +فارجوني احتمال تاني و بنكمل هذه الذرة .. بنكمل هذه + +365 +00:30:58,460 --> 00:31:04,540 +الذرة هاي الجزء اللي من تلت كربونات ممكن تلت + +366 +00:31:04,540 --> 00:31:08,990 +كربونات احطه من غير هذا الاحتمال؟فكروا معي، لا + +367 +00:31:08,990 --> 00:31:13,930 +يمكن، إذا هذا الجزء اللي من تلات كربونات البروبين + +368 +00:31:13,930 --> 00:31:22,890 +اللي صيغته CH3 CH2 CH3 لا يوجد منه إلا شكل واحد، + +369 +00:31:22,890 --> 00:31:28,930 +متشكل واحد فقط لا غيرواضح؟ لحظة أنا بحط عدد ذرات + +370 +00:31:28,930 --> 00:31:34,110 +الكربون وال number of structural isomers فالميثان + +371 +00:31:34,110 --> 00:31:39,250 +والإيثان والبروبين لا يوجد منهم غير متشكل واحد + +372 +00:31:39,250 --> 00:31:43,490 +خلّيني أجيب في نص دقيقة الآن لو جينا واطلعنا على + +373 +00:31:43,490 --> 00:31:50,860 +الصيغ وقلنا إن الميثان CH4 والإيثان CH6لبروبين + +374 +00:31:50,860 --> 00:31:56,900 +C3H8 هذا الكلام هيرجعنا خطوة للوراء ان صيغة العامة + +375 +00:31:56,900 --> 00:32:05,180 +للالكينز CN H2N Plus 2 يعني لما تكون C1 تكون H 2X1 + +376 +00:32:05,180 --> 00:32:12,280 +اتنين زي اتنين اربعة لو كانت ال C3 اتنين في اتنين + +377 +00:32:14,820 --> 00:32:18,920 +إتنين في تلاتة ستة زاد اتنين تمانية شايفين + +378 +00:32:18,920 --> 00:32:23,760 +التمانية ولا لأ هايهم تلاتة و اتنين و تلاتة و هكذا + +379 +00:32:23,760 --> 00:32:28,820 +الآن لو بدنا نيجي على ال C4 المركب اللي من أربع + +380 +00:32:28,820 --> 00:32:35,480 +ذرات كربون طالما قلنا C4 إذا كم هيدروجينة هيكون + +381 +00:32:35,480 --> 00:32:40,380 +فيه حسب القاعدة أربعة في اتنين تمانية تمانية زاد + +382 +00:32:40,380 --> 00:32:52,020 +اتنين عشرة طيب خلينانحمل معنى ذرة كربون رباعية هاي + +383 +00:32:52,020 --> 00:32:58,160 +ذرة كربون و بدنا نضيف على هذا الجزءانتبهوا معي + +384 +00:32:58,160 --> 00:33:02,180 +الان بإمكاني اضيفها على الطرف يعني اعمل سلسلة + +385 +00:33:02,180 --> 00:33:07,140 +طويلة لو ضيفتها على هذه ال carbon صار مركب جديد + +386 +00:33:07,140 --> 00:33:11,980 +اربع ذرات متسلسلة لو ضيفتها هنا نفس الاشي اربع + +387 +00:33:11,980 --> 00:33:17,100 +ذرات متسلسلة لكن لو ضيفتها هناهيصير عندى مركب + +388 +00:33:17,100 --> 00:33:24,980 +متشعب branched molecule اذا لما بصل للاربعة بتبدأ + +389 +00:33:24,980 --> 00:33:32,080 +عند ظاهرة التشكل هنا بإمكانى ان احصل على مركبين + +390 +00:33:32,080 --> 00:33:39,240 +مركب بهذا الشكل مركب بهذا الشكل ونكمل هنا بالتأكيد + +391 +00:33:39,240 --> 00:33:42,840 +الهيدروجينات التلاتة + +392 +00:33:48,630 --> 00:33:54,350 +شايفينوا كيف؟ حيصير صيغته CH3 CH2 CH2 CH3 هذا + +393 +00:33:54,350 --> 00:33:57,790 +بتسميه بيوتين عادي، الآن هذا موجود عندنا بعد هيك + +394 +00:33:57,790 --> 00:34:03,090 +في الجدوللاحظوا بكربون واحدة قولت اندي ميثين + +395 +00:34:03,090 --> 00:34:10,070 +بتنتين ايه اتين بتلاتة بربين باربعة صار بإمكاني + +396 +00:34:10,070 --> 00:34:14,010 +اجيب الكربون الجديدة على الطرف هنا و اعمل مركب + +397 +00:34:14,010 --> 00:34:20,690 +متسلسل سميته ايش بيوتين طيب لو واحدة اجت و حطت + +398 +00:34:20,690 --> 00:34:26,730 +الكربون الجديدة في النص هنا عملت + +399 +00:34:26,730 --> 00:34:33,780 +branch compoundمركب متفرع هذا بسميه Isobutane شبيه + +400 +00:34:33,780 --> 00:34:39,160 +ل Butane Iso يعني شبيه واضح؟ Isobutane هاي ال + +401 +00:34:39,160 --> 00:34:43,680 +carbon الجديدة كان عندي تلاتة CH3 CH .. CH3 تلت + +402 +00:34:43,680 --> 00:34:48,880 +كربونات حطيت التفرع يا ترى من الطرف ولا حطيت + +403 +00:34:48,880 --> 00:34:54,200 +التفرع من النصهنا من النص وهنا من الطرف إذا من الـ + +404 +00:34:54,200 --> 00:35:01,600 +butane أو من الصيغة C4H10 كام isomers عندى؟ two + +405 +00:35:01,600 --> 00:35:06,960 +isomers إيش اسم هما دول ال two isomers؟ butane و + +406 +00:35:06,960 --> 00:35:11,140 +isobutane هذا الكلام بيجي بالتجريب الآن لو برجع + +407 +00:35:11,140 --> 00:35:17,680 +للخلف لاحظوا معاه لو بديت أحكي عن البنتين + +408 +00:35:19,430 --> 00:35:23,330 +هلاحر وهذا بدي اسيبه homework واجب عندكم انتوا + +409 +00:35:23,330 --> 00:35:27,590 +تتعبوا فيه شوية البنتين الهكسين الهبتين انه عدد + +410 +00:35:27,590 --> 00:35:35,050 +المركبات الممكنة لخمس ذرات كربون تلت مركبات تلت + +411 +00:35:35,050 --> 00:35:39,350 +مركبات طبعا واحدة بتقول طب انا كيف بدي اشتغل + +412 +00:35:39,350 --> 00:35:43,830 +الكلام صح؟كيف بدي أشغل الكلام صح؟ بنقولها بسيطة، + +413 +00:35:43,830 --> 00:35:48,310 +عشان تشتغليهم لوحدك، بدك تعمل القاتل، تقولي أربع + +414 +00:35:48,310 --> 00:35:51,950 +ذرات كربون، الهيكل اللي من أربع ذرات كربون، كام + +415 +00:35:51,950 --> 00:35:56,870 +احتمال له؟ إتنين، الآن بدي أزيد واحدة، خليني أنا + +416 +00:35:56,870 --> 00:36:01,450 +أمسي الجلم أحمر، هذه الواحدة اللي بدي أزيدها، يا + +417 +00:36:01,450 --> 00:36:06,470 +بدي أزيدها على هذا الشكل؟أو على هذا الشكل طب لو + +418 +00:36:06,470 --> 00:36:10,870 +بدأ أزيد carbon هنا وين ممكن أحطها؟ هذا الموقع و + +419 +00:36:10,870 --> 00:36:16,910 +هذا الموقع زي بعض هيطلعولي شكل و هذا الموقع و هذا + +420 +00:36:16,910 --> 00:36:23,250 +الموقع زي بعض هيطلعولي شكل واضح؟ يعني كإن هنا إجيت + +421 +00:36:23,250 --> 00:36:29,630 +و حطيت ال CH3H أو CH3H هاي صار عندى كام مركب + +422 +00:36:29,630 --> 00:36:37,380 +مركبين إجداد طب هناوين بتحط الكربونة الجديدة؟ يا + +423 +00:36:37,380 --> 00:36:41,480 +على الكربون الوسطانية هذه، يا على أي واحدة من + +424 +00:36:41,480 --> 00:36:44,160 +هدول، لحظوا دول زي بعض ولا لا؟ ملاحظين التماثل + +425 +00:36:44,160 --> 00:36:48,780 +اللي فيهم؟ فلو واحدة حطت على الكربون الوسطانية، هي + +426 +00:36:48,780 --> 00:36:54,620 +مركّب، و لو واحدة حطت على أي واحدة من هدولة، هي + +427 +00:36:54,620 --> 00:37:01,430 +مركّب، كم مركّب طلعوا؟لأ تلاتة، ليش؟ لما تتطلعوا + +428 +00:37:01,430 --> 00:37:07,630 +بعمق هذا المركب و هذا المركب نفس الاشياء تطلعوا + +429 +00:37:07,630 --> 00:37:12,630 +عليه carbon حاملة مجموعتين مثل، بعدين CH2 CH3 و + +430 +00:37:12,630 --> 00:37:18,390 +هذا carbon حاملة مجموعتين مثل، بعدين CH2 CH3 هذا و + +431 +00:37:18,390 --> 00:37:22,590 +هذا زي بعض، إذا لو قولت كام شكل طلع عندى من + +432 +00:37:22,590 --> 00:37:30,160 +البنتين، تلاتة، هذا واحد و هذا واحدو هذا واحد + +433 +00:37:30,160 --> 00:37:38,160 +واضح؟ الان هذا الشكل المتسلسل له اسم شو بسمي انا؟ + +434 +00:37:38,160 --> 00:37:45,820 +بنتين او انا بنتين انا بنتين بنتين + +435 +00:37:45,820 --> 00:37:53,020 +كام كربونة؟ واحد اتنين تلاتة اربعة خمسةبالشكل اللي + +436 +00:37:53,020 --> 00:37:57,200 +مرسوم هيك بنتين لما حطيت carbon على الفراغ، الآن + +437 +00:37:57,200 --> 00:38:04,800 +هذا الشكل إيش بسميه؟ ISO بنتين، شبيه البنتين، + +438 +00:38:04,800 --> 00:38:11,610 +لاحظوا معي كلمة ISO بدت إيش؟تتكرر توي اجاني ايزو + +439 +00:38:11,610 --> 00:38:17,610 +بيوتين من الايزو بيوتين عملت ايزو بنتين اذا وقت + +440 +00:38:17,610 --> 00:38:22,270 +ايش بشوف كلمة ايزو انا كلمة ايزو اللي بيميزها وجود + +441 +00:38:22,270 --> 00:38:28,600 +كاربون بتحملمجمعتين مثل يعني هذه الكربون اللى + +442 +00:38:28,600 --> 00:38:35,700 +بتحمل CH3 و كمان CH3 متفرع منها هذا الشكل بقوله + +443 +00:38:35,700 --> 00:38:41,120 +ايش انا ISO لما جيبت هنا كمان كربونا العدد الكلي + +444 +00:38:41,830 --> 00:38:47,830 +قداش صفة؟ اربعة واحد اتنين تلاتة اربعة فهذا المركب + +445 +00:38:47,830 --> 00:38:52,750 +شو سميته ايزو بيوتين لأنه عدده اربعة طب لو جبت + +446 +00:38:52,750 --> 00:38:58,370 +carbon تاني يعني خليته CH2 العدد الكل قداش صفة + +447 +00:38:58,370 --> 00:39:05,750 +عندى؟ خمسة هى هذا بيقولي ايزو و العدد الكل خمسة + +448 +00:39:05,750 --> 00:39:11,640 +بينتين طب لو الان قلت لو واحدة ايزو هكسينبدي أخلّي + +449 +00:39:11,640 --> 00:39:19,900 +هذه تنتين أزيد واحدة ايزو هبتين هذا الجزء بيقول لي + +450 +00:39:19,900 --> 00:39:25,260 +كلمة ايزو و العدد الكلي بيحدد اللي موجود عنده الان + +451 +00:39:25,260 --> 00:39:32,040 +هاي هذا الجزء موجود هنا هاي ايزو واحد اتنين تلاتة + +452 +00:39:32,040 --> 00:39:37,260 +اكملت اربعة خمسة اذا ايش صار عندك ايزو بنتين و هذا + +453 +00:39:37,260 --> 00:39:43,140 +نفسه ايزو بنتينمُركّبات البنتين هي البنتين والأيزو + +454 +00:39:43,140 --> 00:39:48,180 +بنتين وهذا المُركّب الأخير كاربون متفرع منها أربع + +455 +00:39:48,180 --> 00:39:51,660 +مجموعات مثل إسم الـ New بنتين + +456 +00:39:57,160 --> 00:40:00,800 +الـ isomers بتاعون البنتين، الخمسة isomers، لاحظوا + +457 +00:40:00,800 --> 00:40:06,980 +أنا قولت البنتين، خمس درات، عفوا التلاتة isomers، + +458 +00:40:06,980 --> 00:40:15,390 +كم isomers؟ إيش أسميهم؟ بنتين، iso-بنتين؟و نيو + +459 +00:40:15,390 --> 00:40:20,290 +بنتين بنتين ايزو بنتين نيو بنتين الان لو واحدة بدت + +460 +00:40:20,290 --> 00:40:25,170 +تعمل الستة بدت تجيب ورقة و جلم ارصاص وتجرب تاخد + +461 +00:40:25,170 --> 00:40:29,030 +لها ربع ساعة تلت ساعة من وين نقطة الانطلاق تبعتها + +462 +00:40:29,030 --> 00:40:34,870 +بدكون من هدولة التلاتة تعون البنتين وتصير تزيد + +463 +00:40:34,870 --> 00:40:41,070 +عليهم carbonواضح؟ لأن هدولة الخمس كربونات هي + +464 +00:40:41,070 --> 00:40:43,830 +أشكالهم، يا هذا، يا هذا، يا هذا، الآن بدي أزيد + +465 +00:40:43,830 --> 00:40:47,490 +عليهم كربون، بجرب كل احتمالاتهان، كل احتمالاتهان، + +466 +00:40:47,490 --> 00:40:51,590 +كل احتمالاتهان، و بشوف الأشكال المشتركة، و بطلع + +467 +00:40:51,590 --> 00:40:57,610 +الجواب، في النهاية، هلاحظ أن ال six كربونات، كم + +468 +00:40:57,610 --> 00:41:05,030 +مركب لهم؟ خمسة isomers، السبع كربوناتتسعة isomers + +469 +00:41:05,030 --> 00:41:10,670 +و هكذا طيب لو يا تورا سألنا سؤال و هذا أرجو أنكوا + +470 +00:41:10,670 --> 00:41:18,130 +تنتبهوا له هل هناك قاعدة عامة بتيجي بتقولي إذا + +471 +00:41:18,130 --> 00:41:21,950 +عندك هذا العدد من ال carbons معنى ذلك عندك هذا + +472 +00:41:21,950 --> 00:41:26,950 +العدد من ال isomers قاعدة رياضية حسابية بسيطة في + +473 +00:41:26,950 --> 00:41:33,420 +قاعدة بس لأول عشر مركباتالحقيقة مافيش قاعدة مافيش + +474 +00:41:33,420 --> 00:41:38,260 +قاعدة هذا كان أحيانا في أحد الكتب المدرسية محطوط + +475 +00:41:38,260 --> 00:41:42,580 +سؤال على الجانب هل توجد قاعدة وكثير من المدرسين + +476 +00:41:42,580 --> 00:41:48,140 +كانوا بيعملوا فيه اجتهادات كثيرة مافيش قاعدةإذا + +477 +00:41:48,140 --> 00:41:52,060 +أنا .. هذا الكلام كله بالتجريب بتم .. إذا أنا كان + +478 +00:41:52,060 --> 00:41:56,840 +في عندى .. إذا أنا كان في عندى عدد ال carbons إن + +479 +00:41:56,840 --> 00:42:00,320 +أقدر أعرف منها عدد ال isomers هذا الكلام بتم .. + +480 +00:42:00,320 --> 00:42:03,520 +بإيش؟ بالتجريب لكن لاحظوا كيف الكيميا العضوية + +481 +00:42:03,520 --> 00:42:09,710 +بتكبر كتير يعني مثلا لما نصل ل ..الـ 6 هكسين، 7 + +482 +00:42:09,710 --> 00:42:14,090 +هبتين، 8 أكتين، 9 نونين، 10 ديكين، 10 كربونات + +483 +00:42:14,090 --> 00:42:22,110 +بلاحظ أن العشر كربونات هدولة منهم 75 مركّب 75 + +484 +00:42:22,110 --> 00:42:29,610 +isomers يعني الصيغة C10H22 لأن عشرة في اتنين عشرين + +485 +00:42:29,610 --> 00:42:33,930 +زاد اتنين اتنين وعشرينفي بدها خمسة وسبعين مُركّب، + +486 +00:42:33,930 --> 00:42:37,690 +بهيك بنقدر نصير فاهمين ليش الكيميا العضوية كبيرة + +487 +00:42:37,690 --> 00:42:43,030 +في عدد مُركّباتها، انه من نفس العدد من الذرات عمال + +488 +00:42:43,030 --> 00:42:50,670 +بنعمل احنا عدد كبير جدا من المتشكلات، بنعمل عدد + +489 +00:42:50,670 --> 00:42:53,750 +كبير جدا من المتشكلات + +490 +00:42:55,530 --> 00:43:02,290 +هذا بالنسبة للألكنز الأساسية ومتشكلات هذه الألكنز + +491 +00:43:02,290 --> 00:43:07,590 +الأساسية المرة الماضية ونأكد عليك آخر شيء بدنا + +492 +00:43:07,590 --> 00:43:13,790 +نحكيه اتكلمنا عن جزء الميثين اللي هو الجزء الأول + +493 +00:43:13,790 --> 00:43:19,590 +وقلنا كيف شكله الميثين تتراهيدرال + +494 +00:43:19,590 --> 00:43:25,180 +CH4ومعنى tetrahedral أنه أبقله أربع وجوه يعني لو + +495 +00:43:25,180 --> 00:43:29,420 +أنا جيبت مثلث أو ممكن نستعمل الروابط الكبيرة عشان + +496 +00:43:29,420 --> 00:43:36,700 +نوضح الأمر خلال تلت دقائق تقريبا المتبقية هاي جزاء + +497 +00:43:36,700 --> 00:43:43,420 +الميثين هذا قولنا عنه إيش الشكل تبعه تتراهيدرال + +498 +00:43:43,420 --> 00:43:49,800 +رباعي الأوجه اللي بنقصده احنا برباعي الأوجه أنه + +499 +00:43:49,800 --> 00:43:56,940 +انا لو جيبتمثلث وجه زي هذا المثلث اللى موجود عندى + +500 +00:43:56,940 --> 00:44:04,100 +و سكرت هنا هى ايش عندى وجه طب لو عملت هان وجهين لو + +501 +00:44:04,100 --> 00:44:09,740 +عملت هان تلت أوجه لو عملت هان سكر الشكل شفتوا ليش + +502 +00:44:09,740 --> 00:44:14,600 +رباع الأوجه يعني لو أنا هذا بدي أسكره على شكل معين + +503 +00:44:14,600 --> 00:44:20,550 +بدي كام مثلث زي هذا أربعة أربعة أوجه هى وجهوهي + +504 +00:44:20,550 --> 00:44:28,910 +كمان وجه سكرت هان وهي كمان وجه معين سكرت هذه وهي + +505 +00:44:28,910 --> 00:44:33,870 +كمان الوجه الرابع سكرت هذه ولذلك ايش بنسمي الشكل + +506 +00:44:33,870 --> 00:44:40,390 +تبع الميثين تتراهيدرال واضح ان هذا الشكل في مستوى + +507 +00:44:40,390 --> 00:44:44,310 +واحد ولا بالفراغ يعني planner ولا three + +508 +00:44:44,310 --> 00:44:49,050 +dimensional بنسميه three dimensional بالفراغالان + +509 +00:44:49,050 --> 00:44:53,330 +لما بدى اعبر عن هذا الشكل كيف باعبر عنه افضل الطرق + +510 +00:44:53,330 --> 00:44:58,670 +للتعبير عنه ان انا امسكه بهذه الطريقة اتخيل ان + +511 +00:44:58,670 --> 00:45:04,050 +هدولة التنتين جايين في مستوى أفقي للامام لاحظوا + +512 +00:45:04,050 --> 00:45:08,050 +هاي المستوى هذا مستوى أفقي ولا لأ و بينهم زاوية + +513 +00:45:08,050 --> 00:45:11,930 +مية وتسعة و نصف و هدولة جايين في مستوى متعامد على + +514 +00:45:11,930 --> 00:45:16,610 +المستوى الأفقي للخلف اذا الجزء افضل طريقة لرسمه + +515 +00:45:16,610 --> 00:45:21,830 +اتخيله بهذا الشكلهي مستوى أفقي للأمام عمودي عليهم + +516 +00:45:21,830 --> 00:45:29,650 +تنتين في مستوى أفقي لوين؟ للخلف واضح؟ مستويين هي + +517 +00:45:29,650 --> 00:45:34,830 +مستوى أفقي ومستوى عمودي عليه الأفقي تنتين للأمام و + +518 +00:45:34,830 --> 00:45:40,010 +العمودي عليه تنتين للخلف طب هذا الكلام سهل أن + +519 +00:45:40,010 --> 00:45:44,750 +نشرحه لكن لو قلنا يا تورا بدنا نرسمه دائما الاشي + +520 +00:45:44,750 --> 00:45:50,670 +للخلف كيف برسمه أنا؟مُنَقَط أو شرطات dashes واللي + +521 +00:45:50,670 --> 00:45:56,030 +للأمام solid مسكّر واضح؟ أفضل الطرق اللي ممكن + +522 +00:45:56,030 --> 00:46:01,010 +نستعملها لرسم هذا الجزء هي هذه الطريقة ان اخلي + +523 +00:46:01,010 --> 00:46:06,870 +هدول ال hydrogens للأمام وبستعمل هذا المثلث أو + +524 +00:46:06,870 --> 00:46:13,850 +بنسمي احنا ايش wedge عارفين ايش يعني wedge؟ هذا + +525 +00:46:13,850 --> 00:46:22,930 +اللي زي هيكبنقول عنه wedge وتحديدا solid wedge ولو + +526 +00:46:22,930 --> 00:46:30,850 +كان للخلف التانية دولة للخلف بنعمله dashed wedge + +527 +00:46:30,850 --> 00:46:38,170 +wedge تترجم باللغة العربية بمعنى أسفيل الأسفيل + +528 +00:46:38,170 --> 00:46:42,930 +شغلة زي هذهشايفين هذه الخشبة؟ هذه إحنا إيش + +529 +00:46:42,930 --> 00:46:49,470 +بنسميها؟ أسفين ماروا عليكم هذا الإسم؟ حتى .. حتى + +530 +00:46:49,470 --> 00:46:53,890 +في اللغة .. حتى في اللغة الأدبية والإنسانية كلمة + +531 +00:46:53,890 --> 00:46:59,270 +أسفين بتمر معنى كتير اللي بيكون بيفرج اتنين أصدقاء + +532 +00:46:59,270 --> 00:47:04,440 +عن بعض إيش بنستعمله إحنا باللغة الأدبية؟بنقول و + +533 +00:47:04,440 --> 00:47:10,000 +جاء فلان و دق اسفينا بين الإخوة، فرجهم مع بعض، + +534 +00:47:10,000 --> 00:47:13,560 +يعني تخيلوا أنتوا، هاي هذه وهذه إخوة، الآن باجي + +535 +00:47:13,560 --> 00:47:16,840 +أنا بهذا الإسفين، بحطه، بصير بدوجي بهذا الشكل، + +536 +00:47:16,840 --> 00:47:22,390 +بهذا الشكل، شو بعمل؟ببعدهم عن بعض فكلمة دقة اسفينا + +537 +00:47:22,390 --> 00:47:27,190 +باللغة العربية والقصصية معناها بعادهم عن بعض هذا + +538 +00:47:27,190 --> 00:47:32,150 +اللي أنا بستعمله إيش بسميه أنا اسفين اللي للأمام + +539 +00:47:32,150 --> 00:47:37,610 +لازم يكون solid و اللي للخلف لازم يكون dash المرة + +540 +00:47:37,610 --> 00:47:41,910 +الجاية بنبدأ ان شاء الله من هذه النقطةوبنركز عليها + +541 +00:47:41,910 --> 00:47:47,150 +أكتر حتى نفهم هذا الشكل شكل الميثين بشكل جيد لأن + +542 +00:47:47,150 --> 00:47:55,930 +هو أساس فاهمنا لل organ ال chemistry المرة + +543 +00:47:55,930 --> 00:47:57,970 +الجاية كتير هفصل في الموضوع + diff --git a/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/tov4h-a7-Pc_raw.srt b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/tov4h-a7-Pc_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..91c49e04bd2fee9aa5bb5e7d3facf71209c8edc1 --- /dev/null +++ b/PL9fwy3NUQKwYFbBDsbzypuIGQeyRt9SbB/tov4h-a7-Pc_raw.srt @@ -0,0 +1,2376 @@ +1 +00:00:20,810 --> 00:00:27,390 +بسم الله الرحمن الرحيم بعد ما اتعرفنا في المرات + +2 +00:00:27,390 --> 00:00:37,590 +الماضية على الأحماض الأمينية و تفاعلاتها اليوم + +3 +00:00:37,590 --> 00:00:43,210 +ان شاء الله هنتعرف كيف هذه الأحماض الأمينية طبعا + +4 +00:00:43,210 --> 00:00:49,650 +بتتحد مع بعضها البعضبشكل متتابع لتكوين ال peptides + +5 +00:00:49,650 --> 00:00:56,850 +وأكبر منهم طبعا بيكونوا إيش ال proteins بالنسبة ل + +6 +00:00:56,850 --> 00:01:02,130 +ال proteins زي ما انتوا عارفين اللهم أهمية + +7 +00:01:02,130 --> 00:01:07,510 +بيولوجية جزيئات أساسيةمثلا في الأشياء اللي بنسميها + +8 +00:01:07,510 --> 00:01:12,150 +structural tissues، الأنسجة البنائية الأساسية، + +9 +00:01:12,150 --> 00:01:17,390 +العضلات، ال muscles، ال skin، الجلد، ال nails، + +10 +00:01:17,390 --> 00:01:23,070 +الأضافر، ال hair، الشعر، كل هذا يصنفوا على أنه + +11 +00:01:23,070 --> 00:01:27,150 +إيش؟ ال proteins and they are structural tissuesفي + +12 +00:01:27,150 --> 00:01:31,850 +عندنا transport molecules الجزيئات الناقلة من + +13 +00:01:31,850 --> 00:01:37,130 +أمثلتها مثلا ال hemoglobin في عندنا ال enzymes + +14 +00:01:37,130 --> 00:01:42,010 +اللي هي ال biological catalyst أيضا هذه ال + +15 +00:01:42,010 --> 00:01:47,970 +proteins الآن لما بنيجي نتكلم عن ال protein بشكل + +16 +00:01:47,970 --> 00:01:54,270 +عام بنتكلم الحقيقة عن أربع أشكال لل protein يعني + +17 +00:01:54,270 --> 00:01:58,560 +هيمروا معاكم مصطلحاتprimary structure of protein + +18 +00:01:58,560 --> 00:02:02,520 +secondary structure of protein tertiary structure + +19 +00:02:02,520 --> 00:02:06,000 +of protein and quaternary structure of protein + +20 +00:02:06,000 --> 00:02:11,740 +والمفروض فينا ان نفهم ايش معنى هذه الأشكال وهذا + +21 +00:02:11,740 --> 00:02:17,520 +تقريبا هيكون محور الدرس اليوم ايش معنى اللي هي + +22 +00:02:17,520 --> 00:02:20,940 +أشكال البروتين ال primary structure شو معنى ال + +23 +00:02:20,940 --> 00:02:27,410 +secondary tertiary quaternary الان لو بدنا نبدأأول + +24 +00:02:27,410 --> 00:02:32,070 +شيء في ال primary structure of proteins المقصود + +25 +00:02:32,070 --> 00:02:38,350 +فيه ال amino acid sequence يعني كيف الأحماض + +26 +00:02:38,350 --> 00:02:42,950 +الأمينية مرتبة في هذا ال protein أو في الأصغر منه + +27 +00:02:42,950 --> 00:02:48,010 +اللي هو إيش ال peptide طبعا إحنا اتفقنا سابقا إن + +28 +00:02:48,010 --> 00:02:52,510 +ال amino acid إلهtwo abbreviations three letter + +29 +00:02:52,510 --> 00:02:57,590 +abbreviation عادة بنستعمله للتعبير عن الـpeptide و + +30 +00:02:57,590 --> 00:03:00,530 +one letter abbreviation عادة بنستعمله للتعبير عن + +31 +00:03:00,530 --> 00:03:05,110 +البروتين طبعا + +32 +00:03:05,110 --> 00:03:11,490 +كيف بيحددوا ال primary structure of بروتين يعني + +33 +00:03:11,490 --> 00:03:19,010 +نفترض بروتين في الف amino acid الف وحدةقبعا هدولة + +34 +00:03:19,010 --> 00:03:25,790 +الألف واحدة هتلاحظوا ان هما في النهاية من عشرين + +35 +00:03:25,790 --> 00:03:31,770 +amino acid مش هيك احنا اتفقنا بمعنى انه مثلا amino + +36 +00:03:31,770 --> 00:03:37,590 +acid glycine نفترض فيه منه خمسين مرة متكررواضح؟ + +37 +00:03:37,590 --> 00:03:42,230 +أمينو أسد ليسين افترض تلاتين مرة أمينو أسد + +38 +00:03:42,230 --> 00:03:48,330 +تريبتوفان ممكن نقول ستين مرة الآن هدولة في النهاية + +39 +00:03:48,330 --> 00:03:54,470 +بيجمعوا ايش؟ بيجمعوا البروتين اللي مكون من الف + +40 +00:03:54,470 --> 00:03:59,850 +أمينو أسد واضح الفكرة؟ يعني لو انا يمكن اتعودنا + +41 +00:03:59,850 --> 00:04:03,850 +احنا ان نتخيل انه بهذا الشكل كأننا بنعمل ايش؟ + +42 +00:04:05,160 --> 00:04:11,400 +ببتايد او بروتين الان لو جيبت انا عشرين نوع من هذه + +43 +00:04:11,400 --> 00:04:15,560 +الاجلام من نوع اربعين من نوع خمسين من نوع سبعين من + +44 +00:04:15,560 --> 00:04:22,040 +نوع تمانين لحد ما كان المجموع الكل قداش الف وطلبت + +45 +00:04:22,040 --> 00:04:28,220 +من اي شخص انه تعالى يعمل اليهم سلسلة بروتين هل + +46 +00:04:28,220 --> 00:04:33,760 +عقلا بتتوقعوا انه ممكن اتنين يعملوا نفس الشيء + +47 +00:04:35,760 --> 00:04:40,900 +مستحيل، يعني هذه تعتبر صدفة مستحيلة، ليش؟ لأن كل + +48 +00:04:40,900 --> 00:04:46,400 +واحد بيحطهم بشكل معين، بيعمل sequence معينة، الآن + +49 +00:04:46,400 --> 00:04:51,220 +تخيلوا إنه في الدنياهذه الـ sequence لبروتين محدد + +50 +00:04:51,220 --> 00:04:55,780 +هي sequence ثابتة او لإنزايم محدد هي sequence + +51 +00:04:55,780 --> 00:05:00,160 +ثابتة يعني مانفعش نيجي نقول والله الانسولين و + +52 +00:05:00,160 --> 00:05:04,520 +بعدين كل انسولين مختلف عن التاني لأ لما نقول + +53 +00:05:04,520 --> 00:05:09,740 +انسولين هيكون له sequence ثابت الآن هذه ال + +54 +00:05:09,740 --> 00:05:15,530 +sequence الثابتة لازم يتعرفوا عليهابالمرحلة الأولى + +55 +00:05:15,530 --> 00:05:20,670 +و بعد هيك إذا و الله لازمهم انهم يقدروا يجمعوا ال + +56 +00:05:20,670 --> 00:05:24,290 +amino acids و يحضروها كان بها إذا حسوا ان القمر + +57 +00:05:24,290 --> 00:05:28,590 +فيه غلبة كتير و في عنده مصدر طبيعي ممكن يعطينا + +58 +00:05:28,590 --> 00:05:32,130 +انسليل زي الأبقار و ما إلى ذلك بروحوا بيجيبوه + +59 +00:05:32,130 --> 00:05:37,630 +المصدر الطبيعي محضر و جاهز فبتصير من أصعب الشغلات + +60 +00:05:37,630 --> 00:05:44,030 +في موضوعHow to determine the primary structure of + +61 +00:05:44,030 --> 00:05:49,890 +a protein يعني كيف انا بدي طرق اني احدد هذا الشكل + +62 +00:05:49,890 --> 00:05:56,430 +الان المرحلة الاولى لو انا حطيت ال protein بحمض + +63 +00:05:56,430 --> 00:06:03,110 +محرارة كسرتهلأ الأحماض اللي متكون منها طبعا مش + +64 +00:06:03,110 --> 00:06:06,610 +ضروري ال protein او ال peptide يكون من ال 20 amino + +65 +00:06:06,610 --> 00:06:13,050 +acid ممكن من اقل ممكن من 14 من 8 من 15 حسب نوعه + +66 +00:06:13,050 --> 00:06:17,930 +تمام؟ في هذه الحالة بدون حطوا ال protein يغلو مع + +67 +00:06:17,930 --> 00:06:25,290 +الحامض لمدة حوالي 24 ساعة بتتكسركل ايش؟ كل ال + +68 +00:06:25,290 --> 00:06:28,430 +peptide bonds و لاحظوا متذاكرين احنا لما أخدنا ال + +69 +00:06:28,430 --> 00:06:31,550 +amide bond قولنا ال amide bond بالتسخين الطويل + +70 +00:06:31,550 --> 00:06:35,750 +تتكسر و ال peptide bond is an amide bond في + +71 +00:06:35,750 --> 00:06:40,370 +النهاية اذا هيني انا كسرته طلع عندى من الأخضر مثلا + +72 +00:06:40,370 --> 00:06:45,050 +اتنين من الأسود تلاتة من الأحمر glycine واضح بعد + +73 +00:06:45,050 --> 00:06:52,770 +هيك ابقى جهزة معينةسهلة أجهزة كروماتوغرافي نمرر و + +74 +00:06:52,770 --> 00:06:56,590 +نعرف كم نوع amino acid عندك بقى لكل نوع amino acid + +75 +00:06:56,590 --> 00:06:57,470 +اللي بيعطي نبيك + +76 +00:07:02,690 --> 00:07:09,270 +الأطياف 1,2,3,4,5,6,7,8 يعني هذا بيبتايد مكون من + +77 +00:07:09,270 --> 00:07:13,930 +كام نوع من ال amino acids من تمانية الآن حسب كوبر + +78 +00:07:13,930 --> 00:07:18,470 +هذه بتكون هذه التعبير عن جداش عندي أعداد يعني + +79 +00:07:18,470 --> 00:07:23,080 +نفترضهذه بتمثل أربعة، وهذه بتمثل ستة، وهذه تمثل + +80 +00:07:23,080 --> 00:07:28,560 +تمانية، بجمعه حسب العدد الكلي، فالان صرنا عارفين + +81 +00:07:28,560 --> 00:07:33,560 +المكونات الفردية، يعني المكونات الفردية انها تنعرف + +82 +00:07:33,560 --> 00:07:40,420 +ليستأمرا صعبا بالنسبة للكيميا ايه واضح اطلاقا مش + +83 +00:07:40,420 --> 00:07:45,580 +امر صعب يعني انا بدي اسهل عليكم لو عملتلكم على + +84 +00:07:45,580 --> 00:07:54,480 +سبيل المثال هذا ال ال بروتيل او ال peptide واضح؟ + +85 +00:07:54,480 --> 00:08:00,310 +الآن و اجيت عملتله ال hydrolysis كسرتهو بعد هي + +86 +00:08:00,310 --> 00:08:04,270 +قلتلكوا اعملولي المكونات الفردية تبعته هتقولولي في + +87 +00:08:04,270 --> 00:08:08,290 +اتنين Glycine في واحد Alanine في واحد Tyrosine في + +88 +00:08:08,290 --> 00:08:15,070 +واحد Valine اربع انواع واضح؟ لكن السؤال الصعب لو + +89 +00:08:15,070 --> 00:08:20,330 +انا الآن بقولكم كيف كانوا هدولة مرتبين ولا حد فيكم + +90 +00:08:20,330 --> 00:08:25,020 +اتطلع و متأكد كيف كانوا مرتبين ولا حتى انايمكن في + +91 +00:08:25,020 --> 00:08:29,060 +عندنا الكاميرا لو كنا بنرجع بالتسجيل بنقدر نشوف + +92 +00:08:29,060 --> 00:08:33,420 +كيف كانوا مرتبين لكن ماحد فينا عارف واضح ماحد فينا + +93 +00:08:33,420 --> 00:08:37,520 +عارف كيف كانوا مرتبين ففكرة ان اكسرهم و اعرفهم + +94 +00:08:37,520 --> 00:08:41,740 +بالظبط جديش العدد الكلي تباعهم و العدد الكلي مكون + +95 +00:08:41,740 --> 00:08:47,080 +من اي amino acids هذه الفكرةممكن أو بسيطة + +96 +00:08:47,080 --> 00:08:53,760 +كيميائيا، لكن الفكرة الأصعب، الـ sequence تبعتهم + +97 +00:08:53,760 --> 00:08:57,720 +اللي كانت موجودة، هذه الفكرة الأصعب + +98 +00:08:59,850 --> 00:09:05,370 +اللي أخدت تجارب لحد ما قدروا يحددوا الـ sequences + +99 +00:09:05,370 --> 00:09:11,410 +من التجارب هذه من التجارب الأولية اللي بدأوا + +100 +00:09:11,410 --> 00:09:15,950 +يستعملوها لتحديد الـ sequences كان في عنده طريقة + +101 +00:09:15,950 --> 00:09:19,050 +سيد زانجر method زانجر method + +102 +00:09:21,560 --> 00:09:27,080 +اتذكروا معنا شغلة انه احنا لما اتكلمنا عن ال + +103 +00:09:27,080 --> 00:09:33,080 +بيبتايد اذا بتذكروا قلنا انه ال بيبتايد له + +104 +00:09:36,520 --> 00:09:42,560 +terminal و C terminal مظبوط ولا لا الآن ال method + +105 +00:09:42,560 --> 00:09:50,960 +زانجر ماعملتش شغل كتير لنا عملت شغلة بسيطة جدا بس + +106 +00:09:50,960 --> 00:09:57,260 +قال انا بقدر اساعدكم اقولكم مين اول amino acid and + +107 +00:09:57,260 --> 00:10:01,900 +terminal يعني بس بيقولي ان ال and terminal هو مثلا + +108 +00:10:01,900 --> 00:10:08,110 +نجليسين او tryptophan و بعد هيكبيعجز، الآن كيف + +109 +00:10:08,110 --> 00:10:13,270 +ممكن زانجر يعمل هذه الطريقة، يحدد لأي واحد، يعني + +110 +00:10:13,270 --> 00:10:17,510 +هم لما يتكسروا، بتقولوا هدولة خمسة، لكن مين كان + +111 +00:10:17,510 --> 00:10:24,470 +فيهم الـand terminal؟ مش عارفين، واضح؟ الآن method + +112 +00:10:24,470 --> 00:10:30,390 +زانجر بتعرف النيةواضح فزانجر method فقط بتقدر + +113 +00:10:30,390 --> 00:10:36,130 +تقولنا من ال N terminal ال N كفكرة بعيدا عن + +114 +00:10:36,130 --> 00:10:40,490 +المعادلات الكيميائية ايش اللي بيعمله زانجر زانجر + +115 +00:10:40,490 --> 00:10:46,130 +بيجي بيجيب مادة خارجية بتتفاعل مع ال N H2 ال N في + +116 +00:10:46,130 --> 00:10:52,330 +كل هذا الجزء وين موجود N H2في الـ Unterminal اللي + +117 +00:10:52,330 --> 00:10:56,810 +هنا Unetched Unreactive هذه Unetched هذه Unetched + +118 +00:10:56,810 --> 00:11:02,990 +هذه Unetched صارت Unreactive في فقط Unetched واحدة + +119 +00:11:02,990 --> 00:11:08,990 +الان بيجيب مادة كيميائية غريبة و بيعمل تفاعل لهذه + +120 +00:11:08,990 --> 00:11:14,070 +المادة مع ال Unetched بيصير ولا لأ هيجيب المادة و + +121 +00:11:14,070 --> 00:11:20,560 +هيعمللها تفاعل شبكهامع ال N H2 لاحظوا ال N + +122 +00:11:20,560 --> 00:11:24,720 +Terminal صار مشبوك فيه مادة و لا لأ مادة معينة ال + +123 +00:11:24,720 --> 00:11:32,060 +N بعد هيك بكسر ال protein كسرنا واحد اتنين تلاتة + +124 +00:11:33,070 --> 00:11:38,010 +وبيجي بيفحص الان هيلاجي هذا amino acid معروف عند + +125 +00:11:38,010 --> 00:11:42,390 +هذا amino acid صفات هذا هذا الان هيلاجي فيهم واحد + +126 +00:11:42,390 --> 00:11:47,710 +مرتبط بالمادة اللي عملت تفاعل معها اللي مرتبط + +127 +00:11:47,710 --> 00:11:51,830 +بالمادة هذه هو مين بيكون ال unterminal واضح + +128 +00:11:51,830 --> 00:11:56,410 +الفكرة؟بيظل اذا احنا هذا الكلام اللي عملناه بدون + +129 +00:11:56,410 --> 00:12:00,610 +ما نحكي اسماء مواد ان نعرف شو هي المادة اللي + +130 +00:12:00,610 --> 00:12:04,890 +بتتفاعل مع ال N-H2 بترتبط معها و لما يتكسر بيظلوا + +131 +00:12:04,890 --> 00:12:11,050 +مشابكين التنتين مع بعض، واضح الفكرة؟هذه المادة هي + +132 +00:12:11,050 --> 00:12:16,650 +2,4-dinitrofluorobenzene يعني لو انا طلعت على هذا + +133 +00:12:16,650 --> 00:12:20,850 +المركب الفلورو بنزين واحد اتنين تلاتة اربعة على + +134 +00:12:20,850 --> 00:12:25,490 +نمرة اتنين واربعة في عندى dinitrofluorobenzene لما + +135 +00:12:25,490 --> 00:12:31,720 +اجى افعله مع ال aminoترمينال لأنه مع الأشياء + +136 +00:12:31,720 --> 00:12:35,980 +التانية بتفعلش بتصل مكان ل floor بيحل محل ل floor + +137 +00:12:35,980 --> 00:12:41,820 +فلاحظوا هاي ال ال anterminal amino acid صار متصل + +138 +00:12:41,820 --> 00:12:48,880 +مع إيش؟ مع المادة الغريبة اللي جيبناها من برا هذه + +139 +00:12:48,880 --> 00:12:54,360 +المادة بنسميها Zangari agentهو الـ reagent اللي + +140 +00:12:54,360 --> 00:12:58,840 +استعملوه زنجاب الان لما بنيجي بنعمل عملية التكسر + +141 +00:12:58,840 --> 00:13:03,940 +كل ال amino acids بيطلعوا على شكل amino acids + +142 +00:13:03,940 --> 00:13:11,420 +عادية ما عدت ال unterminal بيطلع ملتصق في ال 2,4 + +143 +00:13:11,420 --> 00:13:16,740 +-dinitrobenzene فالملتصق بال 2,4-dinitrobenzene ع + +144 +00:13:16,740 --> 00:13:21,500 +طول بنقول هذا كان ال unterminal طبعا انتوا تخيلوا + +145 +00:13:23,180 --> 00:13:28,660 +إنه لو في عنده ميت أمينو أسد في بيبتايد و لا ألف + +146 +00:13:28,660 --> 00:13:33,920 +أمينو أسد في بروتين لناس بدوا يدرجوا في العلم إنه + +147 +00:13:33,920 --> 00:13:37,560 +بس يعرفوا مين أول واحد و بعد هيك اتكسر و خلاص + +148 +00:13:37,560 --> 00:13:43,020 +بطلنا جادرين نعرف لكن هذا بحد ذاته كان إنجاز في + +149 +00:13:43,020 --> 00:13:49,560 +وقته لكن مابكفيش يعني مابحنش الشكلواضح الشكل أني + +150 +00:13:49,560 --> 00:13:56,200 +بدي أعرف الألف مرتبين مش بس أعرف مين أول واحد فيهم + +151 +00:13:56,200 --> 00:14:03,680 +ولذلك إجت طريقة هذه المعادلة بتهيألي بشكل واضح هاي + +152 +00:14:03,680 --> 00:14:06,820 +اللي هو الـ 2,4-dinitrobenzene اللي هو الـ Zangar + +153 +00:14:06,820 --> 00:14:16,730 +reagent خلينا هيك نسميه ال Zangar reagentلما احنا + +154 +00:14:16,730 --> 00:14:21,650 +فعلنا مع البروتين فقط يتفاعل مع الـ unatched الـ + +155 +00:14:21,650 --> 00:14:26,670 +unterminal بيعطينا ده الشكل لما نكسر زي ما اتفقنا + +156 +00:14:26,670 --> 00:14:30,390 +فقط الـ unterminal ال amino acid بيكون متحد معاه + +157 +00:14:30,390 --> 00:14:36,860 +والباقي بيطلعوا amino acids اديينهذا الكلام بعد + +158 +00:14:36,860 --> 00:14:42,980 +ذلك اتطور بطريقة افضل كثير من خلال العالم Edman + +159 +00:14:42,980 --> 00:14:49,980 +عمل Edman's reagent الآن ال Edman's reagent الشغل + +160 +00:14:49,980 --> 00:14:55,140 +اللي اشتغله اجمل كثير يمكن ايش اللي اشتغله جاب + +161 +00:14:55,140 --> 00:15:01,720 +reagent بيجي يتفاعل ايضا مع ال unterminal amino + +162 +00:15:01,720 --> 00:15:07,120 +acidتمام خلّينا نفترض هذا ال reagent مرة تانية + +163 +00:15:07,120 --> 00:15:15,660 +اللي جابه السيد مين ادمان هيه اتفاعل وصار شابك مع + +164 +00:15:15,660 --> 00:15:23,080 +ال unterminal amino acid بعد هيك هذا ال reagent + +165 +00:15:23,080 --> 00:15:30,620 +تبعه بيكسر فقط هو ال unterminal amino acidو بيظل + +166 +00:15:30,620 --> 00:15:35,960 +باقي ال protein ممسوك، مابتكسرش كله واضح؟ إذ + +167 +00:15:35,960 --> 00:15:40,180 +هايدرولز خفيف بس بيكسر هذا مع هذا و بيطلع هذا على + +168 +00:15:40,180 --> 00:15:44,540 +شكل إيش حلقة، هنشوف كيف التفاصيل، الآن هذا اللي + +169 +00:15:44,540 --> 00:15:49,240 +طلع بنقدر ناخده و نحلله لحاله و نعرفه؟ أه، الآن + +170 +00:15:49,240 --> 00:15:55,290 +بنعيد التفاعلبنجيب الـ Edmund's reagent مرة تانية، + +171 +00:15:55,290 --> 00:15:59,570 +اذا احنا عرفنا أول واحد، بنعود الفعل الجزء المتبقى + +172 +00:15:59,570 --> 00:16:05,950 +مع Edmund's reagent، هيتحد معاه وكسربس ال + +173 +00:16:05,950 --> 00:16:10,450 +unterminal اللي عرفنا نمرة اتنين بعد هيك كمان مرة + +174 +00:16:10,450 --> 00:16:16,070 +بنعرف نمرة تلاتة لاحظوا تعريف Edman's reagent is a + +175 +00:16:16,070 --> 00:16:21,610 +reagent that clips off يعني بيقطع واضح؟ that clips + +176 +00:16:21,610 --> 00:16:26,350 +off just one amino acid at a time يعني في كل مرة + +177 +00:16:26,350 --> 00:16:31,170 +بتفاعل مع ال amino acid الطرفاني و بيقصه بس بيخلي + +178 +00:16:31,170 --> 00:16:35,650 +ايش ال protein مرة تانية تالتة رابعةفي النهاية + +179 +00:16:35,650 --> 00:16:43,470 +بنقدر ايش؟ بنعرف الترتيب تبعهم الان بالنسبة لفكرة + +180 +00:16:43,470 --> 00:16:49,390 +التفاعل الكيميائي هي في المحصلة فكرة كيميائية مش + +181 +00:16:49,390 --> 00:16:53,890 +صعبة كتير ال reagents اللي هو ال Edmans reagent + +182 +00:16:53,890 --> 00:17:01,330 +اسمه هين رسمينه بالأحمرفنل ايزو سيانيت ايش اسمه + +183 +00:17:01,330 --> 00:17:07,770 +فنل ايزو سيانيت ايش اللي بيميز الفنل ايزو سيانيت + +184 +00:17:07,770 --> 00:17:13,610 +هذا لاحظوا هذا الفنل ايزو سيانيت الكاربون تبعته + +185 +00:17:13,610 --> 00:17:21,050 +موجود بين ذرتين electronegative كبريتونيتروجين + +186 +00:17:21,050 --> 00:17:26,550 +عشان هيك هذه الكاربون is a highly positive carbon + +187 +00:17:28,170 --> 00:17:30,550 +هذا الكربون موجبة الكربون الكربون الكربون الكربون + +188 +00:17:30,550 --> 00:17:32,070 +الكربون الكربون الكربون الكربون الكربون الكربون + +189 +00:17:32,070 --> 00:17:32,150 +الكربون الكربون الكربون الكربون الكربون الكربون + +190 +00:17:32,150 --> 00:17:34,610 +الكربون الكربون الكربون الكربون الكربون الكربون + +191 +00:17:34,610 --> 00:17:35,090 +الكربون الكربون الكربون الكربون الكربون الكربون + +192 +00:17:35,090 --> 00:17:37,050 +الكربون الكربون الكربون الكربون الكربون الكربون + +193 +00:17:37,050 --> 00:17:38,850 +الكربون الكربون الكربون الكربون الكربون الكربون + +194 +00:17:38,850 --> 00:17:38,850 +الكربون الكربون الكربون الكربون الكربون الكربون + +195 +00:17:38,850 --> 00:17:38,850 +الكربون الكربون الكربون الكربون الكربون الكربون + +196 +00:17:38,850 --> 00:17:38,850 +الكربون الكربون الكربون الكربون الكربون الكربون + +197 +00:17:38,850 --> 00:17:39,070 +الكربون الكربون الكربون الكربون كربون كربون كربون + +198 +00:17:39,070 --> 00:17:53,490 +كربون كربون كربون كربون كربون كربون كربون + +199 +00:17:54,430 --> 00:17:59,630 +في زوج الالكترونات والكربون بصفتها محصورة بين + +200 +00:17:59,630 --> 00:18:05,030 +ذرتين سالبات إذا هي موجبة فلما هذا التفاعل بده يتم + +201 +00:18:05,030 --> 00:18:10,730 +بتقدروا تخيلوها إيه هذه هاجمت إجت وين؟ على الكربون + +202 +00:18:10,730 --> 00:18:14,890 +اللي هنا هذا زوج الالكترونات بتتحرك بيجي على الان + +203 +00:18:14,890 --> 00:18:20,730 +بتصير on minus هذا بتفقد H الان بتكتسبها واضح؟ + +204 +00:18:20,730 --> 00:18:26,190 +فبصير عند هذا الجزءلاحظوا التفاعل منطقي يعني لو + +205 +00:18:26,190 --> 00:18:32,810 +اتطلعتوا كان عندى phenyl NCS وكانت هذه NH2 نقيت + +206 +00:18:32,810 --> 00:18:38,010 +التفاعل هذه صارت NH و الـH انتقلت هنا في ذرات + +207 +00:18:38,010 --> 00:18:43,530 +اختفت كانت هذه NH2 وكانت هذه phenyl NCS هيوم + +208 +00:18:43,530 --> 00:18:50,190 +اتفاعلوا بهذا الشكل الان هذا لو فعلته مع HCl ومية + +209 +00:18:52,270 --> 00:19:00,010 +بيكسر بشكل معين ان هذا ال نيتروجين عليها + +210 +00:19:00,010 --> 00:19:03,470 +زوج إلكترونات بتهاجم على هذا ال C double bond و + +211 +00:19:03,470 --> 00:19:09,290 +بتعمل حلقة و بتكسرالجزء الأول بتطلع ع شكل حلقة الـ + +212 +00:19:09,290 --> 00:19:13,410 +C double bond O موجة بسيه وهذا النيتروجين عليه زوج + +213 +00:19:13,410 --> 00:19:16,770 +الإلكترونات فبتكسر و بتطلع هذا ع شكل حلقة لاحظوا + +214 +00:19:16,770 --> 00:19:22,550 +هنا إيش موجود عندى ال amino acid الأزرق الأول متحد + +215 +00:19:22,550 --> 00:19:29,130 +مع ال Edmans reagent الفينيليايزوسيانات وباقى + +216 +00:19:29,130 --> 00:19:36,850 +لبروتين زي ما هو فانا لما بفصل هذا بعرفأيش ال + +217 +00:19:36,850 --> 00:19:40,330 +amino acid طالما فصلته لحاله مش عملية صعبة الان + +218 +00:19:40,330 --> 00:19:44,730 +بعيد الكلام هيفصل ال amino acid اللي بعده مع انفنل + +219 +00:19:44,730 --> 00:19:52,940 +NCO كمان مرة كمان مرة بهيك بنقدر ايش نعملنعرف كل + +220 +00:19:52,940 --> 00:19:57,580 +ال sequence، بنقدر نعرف كل ال sequence، واضحة + +221 +00:19:57,580 --> 00:20:01,340 +الفكرة؟ من خلال ال Edmund's reagent لأنه بياخدهم + +222 +00:20:01,340 --> 00:20:05,300 +واحد واحد، الآن طبعا بإمكانكوا تتخيلوا أنتوا أن + +223 +00:20:05,300 --> 00:20:08,840 +هذا الكلام بده شخص في المختبر يقعد ويفصل ويشتغل + +224 +00:20:08,840 --> 00:20:11,780 +ويفصل ويعود ويعيد التفاعل ويفصل، كل هذا الكلام + +225 +00:20:11,780 --> 00:20:16,380 +الآن على أجهزة بنعمل automaticيعني بنحط ل protein + +226 +00:20:16,380 --> 00:20:21,320 +و عندنا أجهزة sequencing نفسها automatic بتضيف ال + +227 +00:20:21,320 --> 00:20:24,680 +reagent و بتعمل و بتفصل و بتتعرف على الأول بعدين + +228 +00:20:24,680 --> 00:20:27,360 +على التاني بعدين على التالت طبعا الدنيا كتير + +229 +00:20:27,360 --> 00:20:31,420 +متطورة في هذا المجال واضح؟ يعني مش شغل في المختبر + +230 +00:20:31,420 --> 00:20:36,780 +و أقعد فيه أشهر و سنين لأ كل شغل بنشغل automatic + +231 +00:20:36,780 --> 00:20:43,990 +بس هذه الفكرة الأساسية تبعته الآن هناما بنقدرش + +232 +00:20:43,990 --> 00:20:51,190 +نترك هذه الفكرة إلا نحكي عن نقطة يمكن كثير مهمة + +233 +00:20:51,190 --> 00:20:56,750 +مالهاش علاقة في موضوع البروتينات أو يمكن أقول لأ + +234 +00:20:56,750 --> 00:21:02,390 +إلها علاقة في موضوع البروتينات ابن عمه بس ابن عمه + +235 +00:21:02,390 --> 00:21:09,880 +الصغيرللفنل ايزو ثيو سيانات فنل ايزو ثيو سيانات + +236 +00:21:09,880 --> 00:21:14,280 +اللي هو ابن عم صغير ايش هذا ابن عم الصغير مين هو + +237 +00:21:14,280 --> 00:21:24,020 +CH3MCOO + +238 +00:21:24,020 --> 00:21:31,070 +هد مين بطلع؟ابن عمه الصغير طب لو بدنا نسميه هذه + +239 +00:21:31,070 --> 00:21:36,010 +ايزو سيانات هذه ايزو ثايو سيانات اللي فيها اكسجين + +240 +00:21:36,010 --> 00:21:41,090 +ايزو سيانات اللي فيها كبريت ايزو ثايو سيانات ثنل + +241 +00:21:41,090 --> 00:21:46,570 +ايزو ثايو سيانات مثل ايزو سيانات تعرفنا هذا ايش + +242 +00:21:46,570 --> 00:21:58,470 +اسمه مثل ايزو سيانات اذا المثل ايزو سياناتبكون ابن + +243 +00:21:58,470 --> 00:22:05,070 +عمه الصغير لمين؟ للفنل ايزوثيو سيانيت لأن جزء + +244 +00:22:05,070 --> 00:22:11,350 +الصغير لأن جزء الصغير المثل ايزو سيانيت بكون عبارة + +245 +00:22:11,350 --> 00:22:18,310 +عن غاز بكون عبارة عن غاز بتطير + +246 +00:22:20,680 --> 00:22:26,440 +هذا الغاز بيستعمله في مصانع المبيدات بيستعمله في + +247 +00:22:26,440 --> 00:22:31,880 +مصانع المبيدات الحشرية وغيرها وغيراتها طبعا + +248 +00:22:31,880 --> 00:22:40,060 +اتخيلوا لو هذا الغاز اجا على بروتين زي كل الأشياء + +249 +00:22:40,060 --> 00:22:44,780 +اللي موجودة في جسم الإنسان وين مصدر قوته لهذا + +250 +00:22:44,780 --> 00:22:53,220 +الغاز ال carbon ال carbonالموجبة والبروتينات اللي + +251 +00:22:53,220 --> 00:22:58,280 +في جسم الإنسان والجزيئات اللي في الجسم كلها فيها + +252 +00:22:58,280 --> 00:23:02,600 +نيتروجين إيش حيصير؟ هتتفاعل هالجزيئات هذه اللي في + +253 +00:23:02,600 --> 00:23:07,440 +جسم الإنسان مع هذا على الكاربون الموجبة هي فيها + +254 +00:23:07,440 --> 00:23:10,520 +نيتروجين سالبة على الكاربون الموجبة نفس الفكرة + +255 +00:23:10,520 --> 00:23:13,800 +نيتروجين سالبة على الكاربون الموجبة مش هذا بروتين + +256 +00:23:14,940 --> 00:23:18,640 +صح ولا لا؟ طب و البني آدم مافيش فيه بروتينات؟ فلو + +257 +00:23:18,640 --> 00:23:25,780 +بني آدم شم هذا الغاز إيش هيصير؟ هتيجي البروتينات + +258 +00:23:25,780 --> 00:23:28,780 +تتفاعل مع هذا، الآن البروتينات عشان البني آدم + +259 +00:23:28,780 --> 00:23:32,260 +يستفيد منها لازم تكون بصورتها الطبيعية، بنفع تكون + +260 +00:23:32,260 --> 00:23:36,220 +متفاعلة مع أشياء تانية، شو هيصير في البني آدم؟ + +261 +00:23:38,260 --> 00:23:43,840 +هيموت، هيتسمم، هيتسمم ويموت هذا اللي صار، هذا + +262 +00:23:43,840 --> 00:23:50,960 +الكلام بالظبط اللي صار في أكبر كارثة كيميائية تصنف + +263 +00:23:50,960 --> 00:23:56,740 +في التاريخ يعني خلال ساعات قليلة، ساعتين، تلاتة + +264 +00:23:56,740 --> 00:23:59,160 +قتلت عشرين ألف واحد + +265 +00:24:02,240 --> 00:24:10,120 +إنه مصنع للأسف الشديد في الهند حطوه قريب من السكان + +266 +00:24:10,120 --> 00:24:16,620 +في منطقة سكانية مزدحمة و المصنع مبيدات حشرية قريب + +267 +00:24:16,620 --> 00:24:21,320 +من السكان حطوه جنب أي مدينة في الهند جنب مدينة + +268 +00:24:21,320 --> 00:24:22,940 +بوبالي + +269 +00:24:24,330 --> 00:24:29,210 +حطوه جنب مدينة بوبال، بوبال مدينة وين موجودة؟ في + +270 +00:24:29,210 --> 00:24:37,330 +الهند وصهريش قديمة متآكلة انفجر صهريش، نفس غاز على + +271 +00:24:37,330 --> 00:24:38,050 +السكان + +272 +00:24:40,620 --> 00:24:45,840 +مات عشرين ألف غير الناس اللي أصيبوا بالعمى و + +273 +00:24:45,840 --> 00:24:53,060 +العهات و الأشياء الكثيرة هذا الكلام في يوم تلاتة + +274 +00:24:53,060 --> 00:25:00,060 +لأربعة ليلة تلاتة أربعة اتناشر الف تسعمية و تلاتة + +275 +00:25:00,060 --> 00:25:07,390 +و تمانية واضح؟ هذه كانت أكبر كارثة كيميائيةولذلك + +276 +00:25:07,390 --> 00:25:12,250 +لما بتتطلعوا على الناس الخضر تعون البيئة بيطلعوا + +277 +00:25:12,250 --> 00:25:17,810 +بمظاهرات بتلاقوهم دايما حاملين لافتات على أكبر + +278 +00:25:17,810 --> 00:25:25,030 +الكوارث اللي حصلت، الكوارث البيئية، تلت لافتات + +279 +00:25:25,030 --> 00:25:27,790 +أساسية بتنحمل، شو هي؟ + +280 +00:25:31,070 --> 00:25:34,890 +لافتة بتلاقي و مكتوب عليها بوبال شو معنى بوبال + +281 +00:25:34,890 --> 00:25:42,530 +نفهم لافتة تانية مكتوب عنها Chernobyl المفاعل اللي + +282 +00:25:42,530 --> 00:25:47,570 +عمل الكارثة البيئية في أوكرانيا واللافتة التالتة + +283 +00:25:47,570 --> 00:25:53,710 +مكتوب عليها نجازاكي وهيروشيما اه مين اللي عمل + +284 +00:25:53,710 --> 00:25:58,390 +نجازاكي وهيروشيما remember it + +285 +00:26:01,560 --> 00:26:08,900 +واضح؟ هذه أشهر الكوارث البيئية نجزاكي + +286 +00:26:08,900 --> 00:26:15,560 +وهيروشيما هذه كارثة صناعة متعمدة كارثة صناعة + +287 +00:26:15,560 --> 00:26:24,180 +متعمدة إبادة مدن كاملة يعني يمكن بوبال و تشيرنوبل + +288 +00:26:24,180 --> 00:26:30,340 +يصنفوا عليها كوارث إحمادلكن نجازاكي و هيروشيما هي + +289 +00:26:30,340 --> 00:26:37,100 +جرائم حرب جرائم حرب كاملة شوفتوا الجزيئات الصغيرة + +290 +00:26:37,100 --> 00:26:41,940 +كيف بتعملوا الأفكار العلمية كيف متصلة ببعض هالبعض + +291 +00:26:41,940 --> 00:26:48,000 +زي ما البروتين بتتحد على الكربونة تبعت الفينل ايزو + +292 +00:26:48,000 --> 00:26:52,960 +سيانيت البروتين تبع البني آدم اتحد على كربونة + +293 +00:26:52,960 --> 00:26:56,280 +الميثل ايزو سيانيت بس المشكلة ان الميثل ايزو + +294 +00:26:56,280 --> 00:27:05,970 +سيانيتغاز انتشر في الأجواء بسهولة ولذلك آذى ناس + +295 +00:27:05,970 --> 00:27:11,950 +كتير الفينال ايزوسيانيت سائل يعني بيضل فى منطقة + +296 +00:27:11,950 --> 00:27:16,430 +المختبر فى خزانة أبخرة بعمل التفاعل بتحكم فيه لكن + +297 +00:27:16,430 --> 00:27:22,270 +الميثل ايزوسيانيت غاز والغاز ايش بيعمل؟ بنتشر + +298 +00:27:22,270 --> 00:27:24,810 +بنتشر فى كل المختبر + +299 +00:27:26,680 --> 00:27:34,540 +الان بيجينا كمان شغلة مساعدة .. شغلة مساعدة لتحديد + +300 +00:27:34,540 --> 00:27:38,360 +ال sequence هذه الشغلة Eclavage of Selected + +301 +00:27:38,360 --> 00:27:43,100 +Peptide Bonds انه انا لما يكون عندى بروتيل كبير + +302 +00:27:43,100 --> 00:27:48,860 +ممكن البروتيل الكبير هذا اجسمه لاربع خمس قطع وكل + +303 +00:27:48,860 --> 00:27:53,960 +قطعة اقعد احلي لو بعدين بجمع المجموع تبعهم واضح؟ + +304 +00:27:54,420 --> 00:27:59,940 +يعني اتخيلوا مرة تانية ان هاي عندى نفترض بيبتايد + +305 +00:27:59,940 --> 00:28:04,980 +كبير لو انا اعملت القاتل اجيت اعملته مثلا قطعتين + +306 +00:28:04,980 --> 00:28:11,840 +وعرفتهم كسرتهم من مكان معين واضح؟ الآن بعد هيك + +307 +00:28:11,840 --> 00:28:15,020 +بحدد هذه ال sequence الأولى بحدد ال sequence + +308 +00:28:15,020 --> 00:28:19,760 +التانية بجمعهم بطلع إيش كل ال بيبتايد الفكرة بصير + +309 +00:28:19,760 --> 00:28:24,460 +أنه بدي أنزين معين يكسروا من مكان معينفي عند + +310 +00:28:24,460 --> 00:28:27,720 +انزيمات كل واحد فيها متخصص يكسر من مكان معين + +311 +00:28:27,720 --> 00:28:32,120 +هيتخيلوا انه في انزيم بيكون بيكسر من عند الأزراج + +312 +00:28:32,120 --> 00:28:38,200 +مع الأسود في هذه الحالة وين في أزراج مع أسود بس + +313 +00:28:38,200 --> 00:28:42,840 +هان بيكسروا من هان واضح؟ كذلك الحال في الانزيمات + +314 +00:28:42,840 --> 00:28:49,950 +اللي في الجسم يعني مثلا لتربسين لتربسينبيكسر من + +315 +00:28:49,950 --> 00:28:54,750 +عند الـ Carboxyl side of Lysine and Arginine من + +316 +00:28:54,750 --> 00:28:58,510 +عند الـ Carboxyl side يعني السيطرة بالـ Bond O تبع + +317 +00:28:58,510 --> 00:29:03,750 +الـ Lysine و الـ Arginine الـ Chemotrypsin بيكسر + +318 +00:29:03,750 --> 00:29:07,050 +من الـ Carboxyl side للفنلالانين والتيروسين + +319 +00:29:07,050 --> 00:29:09,270 +والتريبتوفان + +320 +00:29:10,090 --> 00:29:13,830 +السيانوجين برومايد بيكسر من الكربوكس الصيد + +321 +00:29:13,830 --> 00:29:19,350 +للميثيونين الكربوكس بيبتدز بيكسر من ال C-terminal + +322 +00:29:19,350 --> 00:29:25,930 +بيكسر ال C-terminal amino acid يعني بيطلع له آخر + +323 +00:29:25,930 --> 00:29:33,210 +واحد واضح؟ وبناء على ذلك لو احنا مثلا بدنا نيجي + +324 +00:29:33,210 --> 00:29:40,220 +نطلع هنا على مثال هاي في عندناببتايد مكوّن من عدة + +325 +00:29:40,220 --> 00:29:44,260 +amino acid طبعا دائما بتكون تتخيلوا أنه في ال + +326 +00:29:44,260 --> 00:29:49,360 +amino acid هذا الأن terminal وهنا ال C terminal + +327 +00:29:51,060 --> 00:29:56,400 +واضح؟ يعني كل amino acid مش بيبين الجزء تبعه N H C + +328 +00:29:56,400 --> 00:30:03,680 +H A C double bond O و متحد اذا هذا اللي على الشمال + +329 +00:30:03,680 --> 00:30:10,750 +ال N terminal هذا اللي على اليمينالـ C Terminal و + +330 +00:30:10,750 --> 00:30:13,930 +هكذا الـ Amino Acid اللي بعده و اللي بعده فلو احنا + +331 +00:30:13,930 --> 00:30:18,750 +اتينا و اتطلعنا على هذا ال Amino Acid Alanine, + +332 +00:30:18,830 --> 00:30:22,410 +Glycine, Tyrosine, Tryptophan, Serine, Glycine إلى + +333 +00:30:22,410 --> 00:30:26,630 +اخرها و اتينا و قلنا بدنا نشوف كيف تكسر مثلا مع + +334 +00:30:26,630 --> 00:30:31,130 +الـ Trypsin مع الـ Chemotrypsin مع الـ Cyanogen + +335 +00:30:31,130 --> 00:30:41,560 +Bromideيمكن المدى طيب لو اجينا ل .. لتربسيل من وين + +336 +00:30:41,560 --> 00:30:49,020 +بيكسل ال lycine نكتبهم هنا و ال arginine lycine و + +337 +00:30:49,020 --> 00:30:55,360 +arginine من عند ..الكاربوكسل سايد فانا الآن لو + +338 +00:30:55,360 --> 00:30:59,200 +اجيت اطلعت وين في عندي ليسين و وين في عندي أرغنين + +339 +00:30:59,200 --> 00:31:03,320 +الانينيجليسين تايروسين تريبتوفانسيرين ليسين هي + +340 +00:31:03,320 --> 00:31:12,520 +ليسين الان ايش له ليسين N و C هو بيكسر من وين اذا + +341 +00:31:12,520 --> 00:31:19,120 +هى ناتج تكسر له هيجيب لهذه القطة على وحدها وهذه + +342 +00:31:19,120 --> 00:31:24,460 +القطة على وحدهاواضح؟ فهتشوفوا الجزء الأول اللي هو + +343 +00:31:24,460 --> 00:31:27,520 +لحد اللايسين والجزء التاني اللايسين اليوسين + +344 +00:31:27,520 --> 00:31:33,480 +ميثيون، واضحة الفكرة؟ طيب ليش بيتنا مكسرة من + +345 +00:31:33,480 --> 00:31:37,450 +البروتين؟ يعني إيش الناس؟الان هذا التفصيل مش + +346 +00:31:37,450 --> 00:31:42,390 +موضوعنا يعني هذه انزيمات ربنا خلقها specific لغرض + +347 +00:31:42,390 --> 00:31:46,990 +معين انا ماعنديش فكرة اكثر انه ليش هذه الانتقائية + +348 +00:31:46,990 --> 00:31:52,650 +سؤالي تحديدا ليش هذه الانتقائية تمام ترجع ايش هو + +349 +00:31:52,650 --> 00:31:56,910 +شكل الانزيم وكيف الروابط بتكون متناسبة مع بعض انها + +350 +00:31:56,910 --> 00:32:00,990 +تكسر مش هي الموضوع احنا بناخد نتيجة الان كنتيجة + +351 +00:32:02,350 --> 00:32:08,230 +مثبتة لـ Trypsin من وين بيكسر من هذه النقطة الان + +352 +00:32:08,230 --> 00:32:11,290 +احنا + +353 +00:32:11,290 --> 00:32:16,070 +متفقين معاكم متفقين معاكم و احنا بنحكي ما تسألونيش + +354 +00:32:16,070 --> 00:32:22,290 +شو تحفظه للامتحان واضح؟ افهمتوا الفكرة العامة هان؟ + +355 +00:32:22,290 --> 00:32:27,360 +هي فكرة تجزئة للمساعدة في عمل إيش؟الـ sequence + +356 +00:32:27,360 --> 00:32:31,260 +الان في النهاية صرنا جادرين نقرا في ال sequences + +357 +00:32:31,260 --> 00:32:36,340 +ولا لأ بالتأكيد الان الناس اللي عملوا زي هيك جدروا + +358 +00:32:36,340 --> 00:32:42,460 +انهم يحددوا بعض الأشكال يعني على سبيل المثال هذا + +359 +00:32:42,460 --> 00:32:49,400 +الانسولين حددوا الشكل تبعه هو عبارة عن سلسلتين + +360 +00:32:49,400 --> 00:32:52,980 +هيوم متحدين و في مناطق معينة لما بيجي + +361 +00:32:56,210 --> 00:33:01,570 +60×60 سواء بيشبكوا السلسلتين ببعض أو بيعملوا حتى + +362 +00:33:01,570 --> 00:33:06,210 +ارتباط داخل يعني لاحظوا هذا 60×60 في نفس السلسلة + +363 +00:33:06,210 --> 00:33:12,830 +هذه عملوا die sulfide bond او او لو اجت 60×60 ببعض + +364 +00:33:12,830 --> 00:33:17,150 +برضه بيعملوا die sulfide bond الان هذا بيصير + +365 +00:33:17,150 --> 00:33:20,930 +السلسلتين اللي من 20 امينواسد و من 30 امينواسد + +366 +00:33:20,930 --> 00:33:24,370 +الشكل تبع ايش الانسونات + +367 +00:33:25,780 --> 00:33:32,000 +هذا اتكلمنا عنه المرة الماضية شكل الأوكزي توسين كل + +368 +00:33:32,000 --> 00:33:36,240 +هذا الكلام نتيجة تطور بهالعلم مابدناش ننسى شغله ان + +369 +00:33:36,240 --> 00:33:41,600 +انتوا الآن بتاخدوا مقدمة بسيطة جدا اللي بده بعد + +370 +00:33:41,600 --> 00:33:45,920 +هيك يشتغل بهذا الكلام بده ياخد biochemistry one و + +371 +00:33:45,920 --> 00:33:49,040 +two و three و analytical methods يتخصص + +372 +00:33:49,040 --> 00:33:55,090 +biochemistry ممكن البعض فيكمالان يبدأ يحب هذه + +373 +00:33:55,090 --> 00:34:00,330 +المنطقة و بالتالي يطلب انه يتخصص biochemistry و ال + +374 +00:34:00,330 --> 00:34:07,930 +biochemistry بالمناسبة من التخصصات العجيبة ليش؟ + +375 +00:34:07,930 --> 00:34:12,930 +انتبهوا معي لأن ال biochemistry ابتبنى على عدة + +376 +00:34:12,930 --> 00:34:15,990 +تخصصات يعني عادة ال chemistry اللى بده يعمل + +377 +00:34:15,990 --> 00:34:20,730 +ماجستير و دكتوراه في الكيميا لازم يكون مخلص كيميا + +378 +00:34:21,740 --> 00:34:25,080 +بيعمل ماجستير ودكتوراه في الكيميا الآن ال + +379 +00:34:25,080 --> 00:34:31,360 +biochemistry لأ خريج biology بيكمل biochemistry + +380 +00:34:31,360 --> 00:34:36,740 +خريج زراعة بيكمل biochemistry خريج تحاليل طبية + +381 +00:34:36,740 --> 00:34:39,800 +بيكمل biochemistry وفي جزء في التحاليل الطبية + +382 +00:34:39,800 --> 00:34:44,620 +biochemistry طبيب بيكمل biochemistry وفي جزء في + +383 +00:34:44,620 --> 00:34:49,810 +الطب biochemistry واضح؟كل هدولة ممكن انهم يكملوا + +384 +00:34:49,810 --> 00:34:52,770 +biochemistry عشانك حتى لو بتتطلعوا على الدكاترة + +385 +00:34:52,770 --> 00:34:55,610 +اللي عندهم biochemistry نفترض في الجامعة او في + +386 +00:34:55,610 --> 00:34:59,350 +الجامعات بشكل عام هتلاقوا ان فلان اصلا طبيب فلان + +387 +00:34:59,350 --> 00:35:04,170 +زراعة فلان تحاليل طبية الآن خلينا نقول ربع اللي + +388 +00:35:04,170 --> 00:35:09,260 +بيعملوا masterتحاليل طبية هم حقيقة بيكملوا + +389 +00:35:09,260 --> 00:35:13,060 +biochemistry جزء تاني بيروح بيكمل hematology او + +390 +00:35:13,060 --> 00:35:18,040 +microbiology واضح الفكرة فال biochemistry بتبنى + +391 +00:35:18,040 --> 00:35:23,560 +على اكتر من تخصص biology chemistry biochemistry + +392 +00:35:23,560 --> 00:35:30,200 +biotechnologyزراعة طب طب بيطري كله بيكمل ال + +393 +00:35:30,200 --> 00:35:34,780 +biochemistry و كلهم يعني بيشتغلوا في مجالات اللي + +394 +00:35:34,780 --> 00:35:37,900 +لها علاقة في ال biochemistry لأن هو في النهاية علم + +395 +00:35:37,900 --> 00:35:44,480 +واسع يعني علم إيش علم الحياة الآن بنيجي لل + +396 +00:35:44,480 --> 00:35:48,440 +secondary structure of proteins احنا الآن عرفنا ال + +397 +00:35:48,440 --> 00:35:54,760 +sequence ال sequence شو هي amino acidsمختلفة + +398 +00:35:54,760 --> 00:36:01,520 +متتالية لازم نعرفها هاي عملنا sequence + +399 +00:36:01,520 --> 00:36:07,440 +هذا peptideبتطلع عليه اعمله له sequence إجليسين + +400 +00:36:07,440 --> 00:36:12,160 +ألانين تيروسين كذا كذا كذا اعمله و خلصنا معرفة + +401 +00:36:12,160 --> 00:36:15,980 +الترتيب هو اللي بنسمي احنا ايش ال primary + +402 +00:36:15,980 --> 00:36:19,400 +structure اذا ال primary structure هو معرفة ال + +403 +00:36:19,400 --> 00:36:24,120 +sequence خلصنا منه الآن بعد هيك هذا كيف بده يصير + +404 +00:36:24,120 --> 00:36:28,180 +في الدنيا بده يظله على شكل خط ولا بده ياخد أشكال + +405 +00:36:28,180 --> 00:36:35,920 +تانيةهذا بيعمل نفسه بأشكال تانية منها ال secondary + +406 +00:36:35,920 --> 00:36:40,760 +structure of proteins في ال secondary structure of + +407 +00:36:40,760 --> 00:36:47,580 +protein هذا ممكن ياخد شكل ال helix و ممكن ياخد شكل + +408 +00:36:47,580 --> 00:36:52,920 +ال bladed sheath زي الدرج يا بيعمل حاله زي ال + +409 +00:36:52,920 --> 00:36:57,690 +helix تطلعوا كيف ال helix هيك بده يلف حالهHelix أو + +410 +00:36:57,690 --> 00:37:02,950 +زي الدرج يعني هيك طالع نازل طالع نازل واضح؟ هي + +411 +00:37:02,950 --> 00:37:07,630 +كأنه هي القاعدة هيك زي الدرج واضح؟ بنسميه إيش؟ + +412 +00:37:07,630 --> 00:37:14,610 +Ablated Sheet الآن ال helix نوعان إيش ماله ال + +413 +00:37:14,610 --> 00:37:19,410 +helix؟ نقوة ولا نوعين؟ Alpha و Beta مروا عليكم + +414 +00:37:19,410 --> 00:37:24,430 +وين؟في الأحياء تعرفوا تعملوهم في البيت لو قلنا + +415 +00:37:24,430 --> 00:37:30,850 +لكوا يعملوا Alpha و Beta كيف؟ + +416 +00:37:30,850 --> 00:37:37,030 +الآن هاي هدولة ال helixات لو أعطيتكوا إياهم مين + +417 +00:37:37,030 --> 00:37:41,770 +بده يعرف لمين ال Alpha ومين ال Beta اللي الدوران + +418 +00:37:41,770 --> 00:37:45,870 +تبعه إذا مشيت فيه مع أقارب الساعة بنسميه Alpha + +419 +00:37:45,870 --> 00:37:50,390 +helix اتطلعوا معاه هيك اتطلعوا كيف أنا بمشي + +420 +00:37:53,580 --> 00:37:59,700 +لاحظين كيف الدوران مع أقارب الساعة طبعا لو جلبته + +421 +00:37:59,700 --> 00:38:05,100 +برضه هيظل مع أقارب الساعة من أي شكل الآن لو مسكت + +422 +00:38:05,100 --> 00:38:13,620 +ال helix التاني طلعوا عكس أقارب الساعة هذا اللي مع + +423 +00:38:13,620 --> 00:38:18,380 +أقارب الساعة Alpha helix العكس أقارب الساعة Beta + +424 +00:38:18,380 --> 00:38:25,100 +helix واضح؟ الآن كيف بيكونوا موجودينالـ Amino + +425 +00:38:25,100 --> 00:38:31,280 +Acids لما بيلفوا على شكل Alpha Helix واضح؟ طبعا + +426 +00:38:31,280 --> 00:38:37,280 +أول ما بنقول Alpha Helix هنتواجه بمشكلة تقولولي + +427 +00:38:37,280 --> 00:38:42,420 +هاي زي حبل هالتليفون هذا واضح؟ فهذا شكله إيش حبل + +428 +00:38:42,420 --> 00:38:48,100 +التليفون Beta Helix المهم الآن ليش؟ لأنه انا لو + +429 +00:38:48,100 --> 00:38:52,240 +مسكت هاي ال Primary Structure وإجيت بدي أعمل و + +430 +00:38:52,240 --> 00:38:57,850 +ألفه Alpha Helixلاحظوا إيش اللي قاعد يصير؟ كل ما + +431 +00:38:57,850 --> 00:39:03,410 +بعمله بيوجع فوق بعضه جادر أنا الأن أعمله Alpha + +432 +00:39:03,410 --> 00:39:08,350 +Helix؟ طب إيش اللي بيثبته أنه يصير على شكل Alpha + +433 +00:39:08,350 --> 00:39:15,230 +Helix؟ أنه هنا بتيجي بين هذه و هذه و هذه و هذه و + +434 +00:39:15,230 --> 00:39:19,910 +هذه روابط هيدروجينية و disulfide bonds لو هذه + +435 +00:39:19,910 --> 00:39:25,120 +اتكسرت كله بيجي على بعضهواضح الفكرة؟ إذا اللي + +436 +00:39:25,120 --> 00:39:30,980 +بيثبت .. اللي بيثبت الشكل على شكل الـ Alpha Helix + +437 +00:39:30,980 --> 00:39:35,580 +هي حقيقة الروابط الهيدروجينية و الـ disulfide + +438 +00:39:35,580 --> 00:39:39,560 +bonds هتقولولي من وين الروابط الهيدروجينية؟ سهل مش + +439 +00:39:39,560 --> 00:39:44,420 +انتوا في عندكوا أماكن فيها C double bond O و أماكن + +440 +00:39:44,420 --> 00:39:51,600 +فيها N H في اللفات الآن لما هدولة بينوجدواالـ N H + +441 +00:39:51,600 --> 00:39:55,840 +مع الـ C double bond O شو بيعمله؟ الـ hydrogen + +442 +00:39:55,840 --> 00:40:00,460 +bonding فالـ hydrogen bonding هو حقيقة المثبت الـ + +443 +00:40:00,460 --> 00:40:05,260 +alpha helix واضح؟ هاي مثلا هنا إذا بتيجوا بتطلعوا + +444 +00:40:05,260 --> 00:40:08,720 +هاي C double bond O إحنا متعودين دائما اتفقنا + +445 +00:40:08,720 --> 00:40:13,140 +معاكم في الكيميا حتى عشان يفهموا الناس ع بعض إيش + +446 +00:40:13,140 --> 00:40:20,310 +بيعملوا؟ لما بيرسموا الـ Oxygen بيرسموه أحمرفي + +447 +00:40:20,310 --> 00:40:23,470 +الرسمات في ال molecular structures صار standard + +448 +00:40:23,470 --> 00:40:27,830 +يفهموا الكيميائين على بعض ال nitrogen ال oxygen + +449 +00:40:27,830 --> 00:40:34,330 +أحمر و ال nitrogen أزرق يعني لما تشوفوا ذره زرقه + +450 +00:40:34,330 --> 00:40:41,910 +قولوا هذه إيش نيتروجين و حمرة هذه oxygen الآن اللي + +451 +00:40:41,910 --> 00:40:45,770 +بتكون نوعا ما grey هيك سكنه و صغيرة هذه ال + +452 +00:40:45,770 --> 00:40:51,210 +hydrogen هي أنا فيه hydrogen إذاالخلاصة هي الشكل + +453 +00:40:51,210 --> 00:40:57,510 +هي Oxygen وهي نيتروجين وهي بينهم إيش ال hydrogen + +454 +00:40:57,510 --> 00:41:03,550 +bonding هي بينهم ال hydrogen bonding اللي هي بتكون + +455 +00:41:03,550 --> 00:41:12,070 +عادة ما بين ال Oxygen وهذه اللي ضعيفة هذه رابط + +456 +00:41:12,070 --> 00:41:17,240 +أصلية اللي مع ال nitrogen لأنه أساسا هي N Hفالـ + +457 +00:41:17,240 --> 00:41:25,640 +hydrogen bonding وينها؟ OH هذه الروابط بالاضافة لـ + +458 +00:41:25,640 --> 00:41:31,380 +disulfide bonds هم اللي بيعملولي إيش؟ الشكل الـ + +459 +00:41:31,380 --> 00:41:34,480 +alpha helix الآن لاحظوا هذا ال alpha helix درسينه + +460 +00:41:34,480 --> 00:41:39,200 +كويس يعني كل turn فيه عارفين إيش يعني turn؟ يعني + +461 +00:41:39,200 --> 00:41:44,250 +لو جيت من هذه النقطة لهذه النقطة لفة كاملةاسمها + +462 +00:41:44,250 --> 00:41:49,170 +ايش تيرن كل تيرن فيها تلاتة وستة من عشرة amino + +463 +00:41:49,170 --> 00:41:54,390 +acids يمكن البعض يقول طب ما هم ال amino acids مش + +464 +00:41:54,390 --> 00:41:59,610 +متساويات كيف بالظبط كل تيرن جد التانية مية في + +465 +00:41:59,610 --> 00:42:08,410 +المية مين تعطيني تفسير لأ + +466 +00:42:08,410 --> 00:42:11,410 +ليش كل تيرن جد التانية + +467 +00:42:14,220 --> 00:42:19,640 +رغم انه انا مابحكيش .. انا مابحكيش عن amino acid + +468 +00:42:19,640 --> 00:42:26,400 +واحد polymer عامل to the N واضحة الفكرة؟ انا بحكي + +469 +00:42:26,400 --> 00:42:29,420 +عن different .. different amino acids يعني هدولة + +470 +00:42:29,420 --> 00:42:33,340 +التلاتة وستة من عشرة ممكن يكونوا alanine، glycine، + +471 +00:42:33,340 --> 00:42:37,440 +tryptophan التلاتة وستة مع جزء من اللي بعده ممكن + +472 +00:42:37,440 --> 00:42:43,340 +يكونوا valine، كذا كذا لكن كل turn جدت تانية، ليش؟ + +473 +00:42:57,750 --> 00:43:03,530 +أه اتفقنا احنا انه لما بنكون ال peptide في عندى + +474 +00:43:03,530 --> 00:43:11,450 +جزء ثابت الجزء الثابت الجزء الثابت اللي هو ايش N C + +475 +00:43:11,450 --> 00:43:19,700 +C double bond Oوكمان N C C double bond O ال R هذه + +476 +00:43:19,700 --> 00:43:25,540 +انها تكون مثلا H انها تكون CH3 طال على برا فهذا + +477 +00:43:25,540 --> 00:43:30,940 +الجزء الثابت في الهيكل ثابت N C C double bond O + +478 +00:43:30,940 --> 00:43:35,020 +فكأنه عندي تلاتة وستة من عشرة N C C double bond O + +479 +00:43:35,020 --> 00:43:42,480 +ال R طال على برا مش داخلة في السلسلة واضح ال R + +480 +00:43:43,570 --> 00:43:49,610 +طالعة للخارج لكن المتكرر تلاتة و ستة من عشرة من + +481 +00:43:49,610 --> 00:43:55,370 +وحدة ال NCC double bond واضح الفكرة؟ و هدولة + +482 +00:43:55,370 --> 00:43:59,890 +معروفة طولهم كمان خمسة و أربعة من عشرة أنجستروم + +483 +00:43:59,890 --> 00:44:04,450 +بير تيرن يعني كل لفة خمسة و أربعة من عشرة أنجستروم + +484 +00:44:04,450 --> 00:44:10,170 +زي ما انتوا ملاحظين انه يعني ال alpha helix محدد + +485 +00:44:10,170 --> 00:44:16,780 +تماما و واضحعند الناس اللي بيشتغلوا فيه الان + +486 +00:44:16,780 --> 00:44:22,400 +الاحتمال التاني انه ممكن يكونوا ايش بـlated sheet + +487 +00:44:22,400 --> 00:44:28,260 +زي الدرج بهذا الشكل و ايضا محددين و بتمسكوا + +488 +00:44:28,260 --> 00:44:33,100 +بـhydrogen bonding و لاحظوا لما بيكونوا زي الدرج + +489 +00:44:33,100 --> 00:44:38,640 +بيكونوا سلسلتين اقبال بعض و بيشبكوا بـhydrogen + +490 +00:44:38,640 --> 00:44:44,690 +bonding اذا ال secondary structure لبروتينيا إما + +491 +00:44:44,690 --> 00:44:50,230 +Alpha Helix أو Pleated Sheet الآن اعرفنا ال + +492 +00:44:50,230 --> 00:44:54,250 +secondary structure نيجي على ال tertiary structure + +493 +00:44:54,250 --> 00:44:57,990 +قولنا Alpha Helix هي Alpha Helix يا ترها ال Alpha + +494 +00:44:57,990 --> 00:45:04,190 +Helix هذا كيف بيكون موجود هي هيك Alpha Helix ولا + +495 +00:45:04,190 --> 00:45:12,310 +لأ طب و هيك Alpha Helix ولا لأ يعني ببساطة اتخيلوا + +496 +00:45:12,310 --> 00:45:20,630 +الحياةعارفين الحياة؟ الصعبان الصعبان لما بيكون هيك + +497 +00:45:20,630 --> 00:45:28,490 +عدل بتخافوا منه ولا لأ طب و لما يكون ملف في حاله و + +498 +00:45:28,490 --> 00:45:34,190 +مكور هذا صعبان وهذا صعبان و في الحالتين بتخافوا + +499 +00:45:34,190 --> 00:45:38,530 +منه الآن ال alpha helix نفس الفكرة يا إما بيكون + +500 +00:45:38,530 --> 00:45:46,080 +مكور حاله بنقول عنه globular كراويأو بيكون بهذا + +501 +00:45:46,080 --> 00:45:52,640 +الشكل بنقول عنه fibrous خيطي واضح؟ فبعد ما انا + +502 +00:45:52,640 --> 00:45:56,220 +عملت ال alpha helix هل يا ترى ال alpha helix بيكون + +503 +00:45:56,220 --> 00:46:03,520 +زي الحيا العدلة ولا اللي في الشتاء امكورة حالها؟ + +504 +00:46:03,520 --> 00:46:07,360 +اذا بيصير عندى ال tertiary structure ان بعد ما انا + +505 +00:46:07,360 --> 00:46:13,960 +عرفت ال sequence ال primary اعملت helixsecondary + +506 +00:46:13,960 --> 00:46:20,040 +الان هذا ال helix يكون كراوي ولا خيطي هذا ايش بقول + +507 +00:46:20,040 --> 00:46:24,040 +عنه ال tertiary structure فعيصير عند ال tertiary + +508 +00:46:24,040 --> 00:46:28,920 +structure لل proteins is either fibrous or + +509 +00:46:28,920 --> 00:46:34,140 +globular نفس ال alpha helix بعد ما صار alpha helix + +510 +00:46:34,140 --> 00:46:38,620 +تخيلوه ببساطة زي حبل التليفون مكور على بعض ولا زي + +511 +00:46:38,620 --> 00:46:45,800 +الخيطfibrous or globular طبعا حسب نوع البروتينات + +512 +00:46:45,800 --> 00:46:51,920 +لاحظوا الفيبروس بيكونه water insoluble هي + +513 +00:46:51,920 --> 00:46:56,820 +البروتينات اللتي لا تدوب في الماء من أمثلتها + +514 +00:46:56,820 --> 00:47:03,620 +الكريتينز اللي هي ال protective tissues ال hair ال + +515 +00:47:03,620 --> 00:47:08,190 +nailsالـ Collagens اللي هي الـ connective tissues + +516 +00:47:08,190 --> 00:47:12,130 +لـ blood vessels الأوعية الدموية لاحظوا سبحان الله + +517 +00:47:12,130 --> 00:47:16,790 +كيف الـ Hemoglobin بروتين و الوعاء الدموي بروتين + +518 +00:47:16,790 --> 00:47:21,830 +الآن و بيمشي فيهم ميه ال Hemoglobin بدوب في الميه + +519 +00:47:21,830 --> 00:47:26,710 +الوعاء الدموي من يوم الإنسان ينولد لحد ما يموت و + +520 +00:47:26,710 --> 00:47:34,130 +الميه ماشية في قلبه و بيدوبش ماشي الدموسط ماء؟ من + +521 +00:47:34,130 --> 00:47:37,830 +يوم ما الإنسان ينولد لحد ما الإنسان يموت والدم + +522 +00:47:37,830 --> 00:47:42,510 +ماشي وهو الوعاء الدموي مش عماله إيش يدوب إذا + +523 +00:47:42,510 --> 00:47:46,030 +الوعاء الدموي ال blood vessel water soluble ولا + +524 +00:47:46,030 --> 00:47:52,150 +insoluble هذا من نوع إيش ال fibrous proteins بينما + +525 +00:47:52,150 --> 00:47:57,510 +ال hemoglobin مثلا globular protein water soluble + +526 +00:47:57,510 --> 00:48:03,230 +بيمشي مع ال إيش؟ مع الدمزي ال enzymes ال hormones + +527 +00:48:03,230 --> 00:48:07,770 +ل transport proteins storage proteins الآن هدول + +528 +00:48:07,770 --> 00:48:13,550 +ايش اللي بيميزهم في انه في الشكل الكراوي هذا بتكون + +529 +00:48:13,550 --> 00:48:17,790 +ال polar are groups outside يعني هذا لما بيعمل كرة + +530 +00:48:17,790 --> 00:48:23,490 +تمام مش في انا عندي are groups في ال globular هذي + +531 +00:48:23,490 --> 00:48:28,390 +ال are groups ال polar للخارج فلما تيجي مية polar + +532 +00:48:30,110 --> 00:48:34,570 +والميّه بولر Like Dissolve، Dissolves Like، اذا + +533 +00:48:34,570 --> 00:48:37,730 +صاروا بيدوبوا في الميّه، صاروا ايش بيعملوا؟ + +534 +00:48:37,730 --> 00:48:42,270 +بيدوبوا في الميّه، بينما في ال fibrous ال water .. + +535 +00:48:42,270 --> 00:48:47,070 +ال boiler للداخل، + +536 +00:48:47,070 --> 00:48:51,850 +بناء على ذلك هييجي الشكل العام يلاقي ميّه بولر لكن + +537 +00:48:51,850 --> 00:48:58,050 +هيتواجه ال non-polar groupsالان لاحظوا كيف جثة ال + +538 +00:48:58,050 --> 00:49:03,470 +polarity بتفرج لل texture بتخلي واحد كروي و يدوب + +539 +00:49:03,470 --> 00:49:10,130 +في الميه و يمشي و التاني يكون fibrous و water + +540 +00:49:10,130 --> 00:49:13,790 +insoluble فال hemoglobin بروتيل و الوعاء الدوموي + +541 +00:49:13,790 --> 00:49:18,630 +بروتيل ال hemoglobin دايم و الوعاء الدوموي مش دايم + +542 +00:49:18,630 --> 00:49:25,730 +الشعر و الأضافر و الجلدما بدوبوش ولا كان البني آدم + +543 +00:49:25,730 --> 00:49:34,650 +كل ما بتغسل بتلاشى اه ملاحظين هذا اذا احنا اللي + +544 +00:49:34,650 --> 00:49:38,630 +بنسمي ال tertiary structure of proteins is either + +545 +00:49:38,630 --> 00:49:45,650 +globular or fibrous بيجينا اخر شغلةطبعا و انا ما + +546 +00:49:45,650 --> 00:49:50,150 +اعطيكم نقطة بسيطة انه لو اتطلعتوا انتوا حتى على + +547 +00:49:50,150 --> 00:49:53,650 +الحبل اللي معي عشان هذا يصير يعمل كرة عشان هذا + +548 +00:49:53,650 --> 00:49:58,850 +يصير يعمل كرة بدوا يتن من اماكن معينة اتطلعوا هاي + +549 +00:49:58,850 --> 00:50:03,230 +من هذا المكان بيعمل turn من هذا المكان بيعمل turn + +550 +00:50:03,230 --> 00:50:08,290 +تاني من هنا بيعمل turn ثالث من اي نقطة تحديدا بيتن + +551 +00:50:09,810 --> 00:50:13,410 +واضح؟ مش هذا لما بيعمل الشكل ال globular قاعد + +552 +00:50:13,410 --> 00:50:17,910 +بيتنه؟ طلعوا شايفينه كيف؟ تلقاه بيتنه من هنا من أي + +553 +00:50:17,910 --> 00:50:23,450 +نقطة بيتنه؟ بيتنه من عند ال amino acid لبرولين + +554 +00:50:23,450 --> 00:50:31,150 +البرولين الوحيد اللي قلنا انه مافيش فيه NH2 فيه NH + +555 +00:50:32,660 --> 00:50:37,340 +و بناء على ذلك كل ال amino acids اللي فيها أساسا + +556 +00:50:37,340 --> 00:50:41,920 +un-H2 و في الوحيد البرولين فيه un-H هدول لما + +557 +00:50:41,920 --> 00:50:47,940 +بيعملوا ال peptide هيخسروا H، شو حيظل عنده هنا؟ un + +558 +00:50:47,940 --> 00:50:52,600 +-H هذا لما يعمل شو حيظل؟ من عند البرولين مفيش + +559 +00:50:52,600 --> 00:50:58,940 +hydrogen bonding هنا في hydrogen bonding مازال في + +560 +00:50:58,940 --> 00:51:03,770 +H، لحظة هي عند البرولينهذا الـ Peptide bond اللي + +561 +00:51:03,770 --> 00:51:10,210 +عند البرولين فيه un-etched؟ إذا لم يكن تاني، فهي + +562 +00:51:10,210 --> 00:51:15,970 +Amino Acid تاني، فهي un-etched؟ فهي un-etched، + +563 +00:51:15,970 --> 00:51:20,980 +كانت un-etched تمو، ضال، un-etched، هذا كانأنا + +564 +00:51:20,980 --> 00:51:25,360 +أكتر أنا فعند البرولين مافيش hydrogen bonding وين + +565 +00:51:25,360 --> 00:51:28,080 +مافيش hydrogen bonding الجثيات بتتنيه مش احنا + +566 +00:51:28,080 --> 00:51:31,860 +قولنا لماسك ال helix ال hydrogen bonding الآن عند + +567 +00:51:31,860 --> 00:51:36,200 +البرولين مافيش hydrogen bonding من عنده بيصير إيش + +568 +00:51:36,200 --> 00:51:40,580 +التانية عارفين الحديث اللي بيقول أو المقولة اللي + +569 +00:51:40,580 --> 00:51:46,940 +بتقول من هناتأتي إيش؟ الهزيمة مقولة صلاح الدين لما + +570 +00:51:46,940 --> 00:51:49,980 +لجى الخيمة اللى بتجرهاش القرآن الكريم قال من هنا + +571 +00:51:49,980 --> 00:51:54,720 +تأتي الهزيمة ومن أين يأتي الانثناء في ال globular؟ + +572 +00:51:54,720 --> 00:52:00,000 +من عند البرولين بسبب عدم وجود ال hydrogen bonding + +573 +00:52:00,000 --> 00:52:05,830 +أخر شغلةأخر slide، في عندنا شيء بنسميه + +574 +00:52:05,830 --> 00:52:09,910 +الـquaternary structure of proteins الـquaternary + +575 +00:52:09,910 --> 00:52:14,790 +structure of proteins هو عبارة عن aggregate تجمع + +576 +00:52:14,790 --> 00:52:22,150 +لعدة أشكال، يعني مثلا من أمثلته في ال .. ال + +577 +00:52:22,150 --> 00:52:26,170 +hemoglobin في ال hemoglobin، هين عملت أنا كرة، + +578 +00:52:26,170 --> 00:52:32,270 +globular structure تمام؟الـ Hemoglobin حقيقة عبارة + +579 +00:52:32,270 --> 00:52:33,770 +عن نوعين + +580 +00:52:35,830 --> 00:52:40,690 +نوعين من الكورات خلينا نتخيله بهذا الشكل طبعا فيهم + +581 +00:52:40,690 --> 00:52:44,850 +سلاسل amino acids واحدة بنسميها alpha unit فيها + +582 +00:52:44,850 --> 00:52:50,730 +141 amino acid وعملة كورة معينة والتانية ال beta + +583 +00:52:50,730 --> 00:52:57,690 +unit 146 amino acid فلاحظوا ال 141 عملالها كورة و + +584 +00:52:57,690 --> 00:53:02,010 +ال 146 عمل كورة واحدة سمينها alpha والتانية beta + +585 +00:53:02,010 --> 00:53:07,530 +الآن ال hemoglobin بالمجمل هو عبارة عن إيش؟سلسلتين + +586 +00:53:07,530 --> 00:53:13,930 +Alpha مع سلسلتين Beta موجودين على شكل tetrahedral + +587 +00:53:13,930 --> 00:53:20,850 +arrangement متذكرين التتراهيدرال اللي اتعلمناه زي + +588 +00:53:20,850 --> 00:53:28,010 +هيك هاي كرة تنتين نفترض Alpha و Alpha زي هيك يعني + +589 +00:53:28,010 --> 00:53:30,310 +ال Hemoglobin تنتين Alpha + +590 +00:53:38,910 --> 00:53:45,880 +الشيء الجميل ان احنا بدأنا ال courseفي المحاضرة + +591 +00:53:45,880 --> 00:53:51,220 +الأولى بال tetrahedral structure والان ننهي ال + +592 +00:53:51,220 --> 00:53:56,280 +course بال tetrahedral arrangement اللى موجودة في + +593 +00:53:56,280 --> 00:53:59,700 +ال hemoglobin الدرس القادم ان شاء الله بيكون + +594 +00:53:59,700 --> 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هو أهم من كل ما سمعت بعد بنيجي لسبعة تلاتة اللي هو ال exponential functions", "tokens": [2655, 1863, 3794, 33599, 20292, 21136, 9566, 2288, 16247, 9778, 13546, 13672, 1829, 31439, 5551, 16095, 9154, 28242, 19446, 8608, 2304, 34268, 39182, 4724, 22653, 7435, 1829, 5296, 35457, 27884, 6055, 1211, 9307, 3660, 13672, 1829, 31439, 2423, 21510, 6828], "avg_logprob": -0.4725609756097561, "compression_ratio": 1.3225806451612903, "no_speech_prob": 0.0, "words": [{"start": 1632.41, "end": 1633.49, "word": "تنساشلي", "probability": 0.489208984375}, {"start": 1633.49, "end": 1634.41, "word": " السطر", "probability": 0.6617533365885416}, {"start": 1634.41, "end": 1635.01, "word": " الأخير", "probability": 0.9205729166666666}, {"start": 1635.01, "end": 1635.19, "word": " اللي", "probability": 0.5594482421875}, {"start": 1635.19, "end": 1635.37, "word": " هو", "probability": 0.83203125}, {"start": 1635.37, "end": 1635.89, "word": " أهم", "probability": 0.90966796875}, {"start": 1635.89, "end": 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الاحتماليان وردات هذه بيسميها ال exponential function قبل ما نبدأ في ال exponential في نقطتين صغار بدنا نجيبهم في section 7-2 لهم الأساسيات عندنا في section 7", "tokens": [2407, 28543, 7251, 30544, 2423, 32277, 32277, 44650, 17082, 13546, 16070, 4587, 9381, 44650, 17082, 13546, 8978, 19753, 1863, 36764, 24401, 37495, 22653, 42963, 33753, 2304, 6027, 1829, 7649, 4032, 2288, 3215, 9307, 29538, 4724, 1829, 38251, 1829, 11296, 2423, 21510, 2445, 12174, 36150, 19446, 8717, 44510, 10721, 8978, 2423, 21510, 8978, 8717, 47432, 2655, 9957, 20328, 17082, 9640, 47525, 8315, 8717, 7435, 1829, 3555, 16095, 8978, 3541, 1614, 12, 17, 5296, 16095, 16247, 3794, 32277, 1829, 9307, 43242, 8315, 8978, 3541, 1614], "avg_logprob": -0.2793898873385929, "compression_ratio": 1.6435643564356435, "no_speech_prob": 0.0, "words": [{"start": 1695.92, "end": 1696.52, "word": "وقد", "probability": 0.6568603515625}, {"start": 1696.52, "end": 1697.1, "word": " يكون", "probability": 0.979248046875}, {"start": 1697.1, 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90, "seek": 209413, "start": 2064.45, "end": 2094.13, "text": "طيب يبقى أصبح عندك ال exponential function لل X هي EOSX وتساوم من لن انفرس X طبقا للتعريف اللي احنا كاتبينه إذا هذه دالة جديدة بدنا نشوف خواص هذه الدالة يبقى بقى دي بقول some properties of Y تساوي EOSX", "tokens": [9566, 1829, 3555, 7251, 3555, 4587, 7578, 5551, 9381, 49628, 43242, 4117, 2423, 21510, 2445, 24976, 1783, 39896, 462, 4367, 55, 34683, 3794, 995, 20498, 9154, 5296, 1863, 16472, 5172, 2288, 3794, 1783, 23032, 3555, 4587, 995, 24976, 2655, 3615, 16572, 5172, 13672, 1829, 1975, 5016, 8315, 9122, 9307, 3555, 9957, 3224, 11933, 15730, 29538, 11778, 6027, 3660, 10874, 16254, 41891, 47525, 8315, 8717, 8592, 38688, 16490, 2407, 33546, 29538, 32748, 6027, 3660, 7251, 3555, 4587, 7578, 4724, 4587, 7578, 11778, 1829, 4724, 39648, 512, 7221, 295, 398, 6055, 3794, 995, 45865, 462, 4367, 55], "avg_logprob": -0.2656250012417634, "compression_ratio": 1.4541284403669725, "no_speech_prob": 0.0, "words": [{"start": 2064.45, "end": 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"start": 3126.92, "end": 3150.72, "text": "بإيه؟ طيب هذا بده يقودنا إلى النقطة الرقم سبعة سبعة تكامل EOSXDX مشتقتها نفسها إذا تكاملها نفسها زي ما هو بضيف عليه كنصة C", "tokens": [3555, 28814, 1829, 3224, 22807, 23032, 1829, 3555, 23758, 47525, 3224, 7251, 4587, 23328, 8315, 30731, 28239, 47432, 3660, 34892, 4587, 2304, 8608, 3555, 27884, 8608, 3555, 27884, 6055, 4117, 10943, 1211, 462, 4367, 55, 35, 55, 37893, 2655, 38149, 11296, 8717, 36178, 11296, 11933, 15730, 6055, 4117, 10943, 1211, 11296, 8717, 36178, 11296, 30767, 1829, 19446, 31439, 4724, 11242, 33911, 47356, 9122, 1863, 9381, 3660, 383], "avg_logprob": -0.24264706189141555, "compression_ratio": 1.4861111111111112, "no_speech_prob": 0.0, "words": [{"start": 3126.92, "end": 3128.32, "word": "بإيه؟", "probability": 0.64130859375}, {"start": 3128.32, "end": 3129.1, "word": " طيب", "probability": 0.8036295572916666}, {"start": 3129.1, "end": 3130.02, "word": " هذا", "probability": 0.591796875}, {"start": 3130.02, "end": 3130.42, 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الدالة + +6 +00:00:38,590 --> 00:00:47,620 +الثانية وهي Y تساوي Cos Inverse X أو Arc Cos X الآن + +7 +00:00:47,620 --> 00:00:53,040 +القصة اللي رسمناها بالجهة المحصورة بين واحد و سالب + +8 +00:00:53,040 --> 00:00:57,460 +واحد وطالع و نزل على شكل موجات لو جيت رسمت أي + +9 +00:00:57,460 --> 00:01:01,720 +horizontal line هقطعها في العديد من النقاط أو + +10 +00:01:01,720 --> 00:01:07,270 +في مالانهاية من النقط وبالتالي الـ function ليست + +11 +00:01:07,270 --> 00:01:11,630 +one to one إذن مثل ما عملنا restriction على الـ + +12 +00:01:11,630 --> 00:01:14,410 +domain في حالة الـ sine هنعمل restriction على الـ + +13 +00:01:14,410 --> 00:01:18,950 +domain في حالة الـ cosine كيف؟ كالتالي، خلّي بالك + +14 +00:01:18,950 --> 00:01:24,790 +معاه هنا شوية يبقى هذا منحنى الـ cosine الأصلي هذا + +15 +00:01:24,790 --> 00:01:32,160 +محور x هذا محور y هذه نقطة الأصل اللي هي zero منحنى + +16 +00:01:32,160 --> 00:01:38,320 +الكوساين مثل منحنى الـ sine تماما لا بيزيد عن الواحد + +17 +00:01:38,320 --> 00:01:43,780 +ولا بينقص عن السالب واحد يبقى هذا واحد وهذا سالب + +18 +00:01:43,780 --> 00:01:49,320 +واحد بالشكل اللي أنا منحنى الكوساين لا يمر بنقطة + +19 +00:01:49,320 --> 00:01:54,700 +الأصل إن الكوساين صفر تبقى كده؟ واحد يبقى كوساين صفر + +20 +00:01:54,700 --> 00:02:04,210 +تساوي واحد إذا المنحنى يبدأ من أعلى طيب يبقى cosine + +21 +00:02:04,210 --> 00:02:10,050 +صفر تساوي واحد إذا بده يبدأ رسم من وين؟ من فوق من + +22 +00:02:10,050 --> 00:02:15,010 +عند الواحد كالتالي المنحنى هيجي نازل هيك ويجي نازل + +23 +00:02:15,010 --> 00:02:19,730 +هيك ويجي طالع وهيك كده ومن الناحية الثانية زيها + +24 +00:02:19,730 --> 00:02:24,240 +بالشكل اللي عندنا هذه وهيك كده النقطة هذه عبارة عن + +25 +00:02:24,240 --> 00:02:29,260 +zero النقطة هذه عبارة عن باي على اثنين النقطة هذه + +26 +00:02:29,260 --> 00:02:36,760 +هي الـ π اللي هي عبارة عن اللي هي باي وهكذا وهنا + +27 +00:02:36,760 --> 00:02:43,380 +اللي هو ثلاثة باي على اثنين وهذا الخط اللي هو + +28 +00:02:43,380 --> 00:02:47,060 +محور السينات أو الـ x axis بيبقى ماشي بالشكل اللي + +29 +00:02:47,060 --> 00:02:53,850 +أنا أنا الآن بدي أروح أحصر نفسي في منطقة بحيث أضمن + +30 +00:02:53,850 --> 00:02:58,430 +خلالها أن المنحنى يكون one to one لو شيلنا الجزء + +31 +00:02:58,430 --> 00:03:04,850 +اللي على الشمال هذا كله تمام؟ وجيت شيلت الجزء هذا + +32 +00:03:04,850 --> 00:03:10,850 +بالشكل عنده واكتفيت فقط بالفترة من عند الـ Zero + +33 +00:03:10,850 --> 00:03:16,150 +لغاية الـ Pi يبقى من الـ Zero لغاية الـ Pi المنحنى + +34 +00:03:16,150 --> 00:03:21,170 +هذا كل الخط الغامق اللي أنت شايفه هيوقف هنا عند + +35 +00:03:21,170 --> 00:03:26,050 +هذه النقطة الآن الخط الغامق هذا اللي أنت شايفه لو + +36 +00:03:26,050 --> 00:03:30,910 +روحت رسمت أي horizontal line على جيه هتلاقي فيه + +37 +00:03:30,910 --> 00:03:37,140 +نقطة واحدة فقط يبقى بضمن من وجود المعكوس إذا بقوله + +38 +00:03:37,140 --> 00:03:43,720 +هذا المنحنى اللي هو y تساوي cosine الـ x وعند الـ x + +39 +00:03:43,720 --> 00:03:50,100 +هذه أكبر من أو تساوي zero وأقل من أو تساوي y أو + +40 +00:03:50,100 --> 00:03:56,500 +الـ x في الـ closed interval بنانة عليها ضمنت بذلك + +41 +00:03:56,500 --> 00:04:02,100 +وجود الـ Main وجود المعكوس لهذه الدالة لو رسمنا + +42 +00:04:02,100 --> 00:04:07,680 +شكل المعكوس سيكون بالشكل لأن هذا هو محور X وهو + +43 +00:04:07,680 --> 00:04:12,480 +محور Y وهذه + +44 +00:04:12,480 --> 00:04:18,380 +هي نقطة الأصل اللي هي Zero الـ Range تبقى الكوساين + +45 +00:04:18,380 --> 00:04:23,480 +زي ما أنت شايف من سالب واحد إلى واحد وبالتالي + +46 +00:04:23,480 --> 00:04:28,200 +بيصير domain من سالب واحد إلى واحد هذه النقطة اللي + +47 +00:04:28,200 --> 00:04:33,700 +هي سالب واحد وهذه النقطة اللي هي من اللي هي واحد لو + +48 +00:04:33,700 --> 00:04:37,840 +جاءت تخيلت اللي هو الـ X تساوي واحد يبقى الخط + +49 +00:04:37,840 --> 00:04:42,400 +الرأسي اللي عندنا هذا والـ X تساوي سالب واحد الخط + +50 +00:04:42,400 --> 00:04:48,300 +الرأسي اللي عندنا هذا الآن النقطة هذه Zero واحد + +51 +00:04:48,300 --> 00:04:52,980 +بدأت تصير من أين؟ واحد و Zero بالنسبة للمعكوس واحد + +52 +00:04:52,980 --> 00:04:56,720 +و Zero هي النقطة هذه إذا بدأ يبدأ من النقطة اللي + +53 +00:04:56,720 --> 00:05:01,130 +عندنا هذه النقطة لأن هذه باي على اثنين و Zero ده + +54 +00:05:01,130 --> 00:05:05,590 +تصير Zero و باي على اثنين Zero باي على اثنين اللي + +55 +00:05:05,590 --> 00:05:10,790 +هي النقطة لأن هذه يبقى هذه Zero و باي على اثنين + +56 +00:05:10,790 --> 00:05:15,770 +النقطة لأن هذه الأخيرة هي باي وسالب واحد ده تصير + +57 +00:05:15,770 --> 00:05:20,300 +سالب واحد و باي هذه السالب واحد ستظهر هنا وهي + +58 +00:05:20,300 --> 00:05:24,920 +الاسم الوحيد باي يبقى هذه اللي هي النقطة باي يبقى + +59 +00:05:24,920 --> 00:05:30,360 +النقطة هذه اللي هي السالب واحد و باي إذا الأسفل + +60 +00:05:30,360 --> 00:05:35,660 +الـ excess ما عنديش بالمرة وإنما بدي يكون المنحنى + +61 +00:05:35,660 --> 00:05:43,980 +بالشكل هذا تماما ويجي طالع بالشكل اللي عنها يعني + +62 +00:05:43,980 --> 00:05:50,060 +كأنه حطينا الخط Y تساوي X وقلبنا المنحنى عبر هذا + +63 +00:05:50,060 --> 00:05:54,980 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and + +76 +00:07:20,410 --> 00:07:29,790 +الثانية الـ y تساوي cos inverse x is equivalent + +77 +00:07:33,630 --> 00:07:41,090 +تو يعني هذه المعادلة equivalent to كافة أثر لي على + +78 +00:07:41,090 --> 00:07:49,310 +الطرفين بكوساين يبقى كوساين الـ Y بدأ تساوي كوساين + +79 +00:07:49,310 --> 00:07:54,110 +لكوساين inverse X الكوساين بيلغي تأثير الكوساين + +80 +00:07:54,110 --> 00:08:00,290 +inverse على X ويبقى الـ X كما هو يبقى بده يساوي الـ + +81 +00:08:00,290 --> 00:08:04,990 +X بشرط الـ X تبقى في دومين مين؟ في دومين الـ Cos + +82 +00:08:04,990 --> 00:08:10,350 +Inverse يعني بشرط الـ X تكون محصورة بين سالب واحد + +83 +00:08:10,350 --> 00:08:17,470 +وواحد النقطة الثالثة، لو أخدت Cos Inverse ليه Cos + +84 +00:08:17,470 --> 00:08:24,770 +X؟ يساوي هذا كده؟ يساوي الـ X يساوي الـ X فقط إذا + +85 +00:08:24,770 --> 00:08:29,970 +كانت الـ X موجودة في دومين مين؟ والدومين الـ cosine + +86 +00:08:29,970 --> 00:08:34,950 +دومين الـ cosine يخلينا نقول أنه من 0 لـ π موجود + +87 +00:08:34,950 --> 00:08:43,230 +في الفترة من 0 لغاية π and لو أخدنا cosine لـ + +88 +00:08:43,230 --> 00:08:49,470 +cosine inverse x يبدو كان خطأ عنا بسيط المرة اللي + +89 +00:08:49,470 --> 00:08:54,650 +فاتت في الكتابة طلع لأنك مكتوب cosine x cosine + +90 +00:08:54,650 --> 00:09:00,390 +inverse هو sin طبعا المرة اللي فاتت sin x لصليح + +91 +00:09:00,390 --> 00:09:03,670 +حالي sin لـ sin inverse x + +92 +00:09:07,960 --> 00:09:13,640 +أقول لك هنا، احنا بشر وإن كنا بشر بنخطأ، ومش عيب + +93 +00:09:13,640 --> 00:09:18,260 +إنك تخطأ، لكن العيب هو الإصرار على الخطأ، اتعلم + +94 +00:09:18,260 --> 00:09:23,240 +هذا كلام في حياتك، الخطأ أو العيب هو الإصرار على + +95 +00:09:23,240 --> 00:09:28,870 +الخطأ لكن إذا بتعترف بالخطأ وبترجع عنه هذا شيء ممتاز + +96 +00:09:28,870 --> 00:09:34,030 +جدا يبقى لأن الـ cosine لـ cosine inverse X هذه + +97 +00:09:34,030 --> 00:09:39,650 +تساوي الـ X بشرط إن الـ X تكون في دومين مين؟ cosine + +98 +00:09:39,650 --> 00:09:43,290 +inverse دومين الـ cosine inverse اللي هو من وين؟ من + +99 +00:09:43,290 --> 00:09:50,310 +سالب واحد إلى واحد بهذا الشكل الخاصية الرابعة لو + +100 +00:09:50,310 --> 00:09:57,230 +بدي آخذ limit لـ cosine inverse X لما الـ X بدي تروح + +101 +00:09:57,230 --> 00:10:04,890 +للواحد من جهة الشمال للواحد من جهة الشمال يساوي + +102 +00:10:04,890 --> 00:10:11,150 +رايحين للواحد من جهة الشمال يبقى قيمة دل قدر أو + +103 +00:10:11,150 --> 00:10:17,490 +القيم اللي رايحة للـ limit لهذه دل قدر Zero and لو + +104 +00:10:17,490 --> 00:10:23,110 +بدنا limit لـ cosine inverse x لما الـ x بده تروح + +105 +00:10:23,110 --> 00:10:29,810 +لسالب واحد من جهة اليمين لسالب واحد من جهة اليمين + +106 +00:10:29,810 --> 00:10:37,060 +بل أجد دالة راحت لمين؟ إلى باي بالشكل لأن هذا الآن + +107 +00:10:37,060 --> 00:10:44,180 +بنروح لدالة رقم ثلاثة اليمين Y تساوي كتان inverse + +108 +00:10:44,180 --> 00:10:59,660 +X أو Arc كتان الـ X شكل إنها الآن + +109 +00:10:59,660 --> 00:11:06,270 +لو رجعنا لمنحنى التان تان خلّينا ناخد التان بالأول + +110 +00:11:06,270 --> 00:11:11,370 +وبعدين بنروح للكتان مشان بس الترتيب يبقى خلّينا + +111 +00:11:11,370 --> 00:11:16,070 +ناخد التان وبعدين بنروح للكتان فبقى آجي بقول تان + +112 +00:11:16,070 --> 00:11:25,430 +inverse X واللي بده يساوي Arc تان الـ X لو + +113 +00:11:25,430 --> 00:11:29,550 +رحنا لمنحنى تان بنعرف إن المنحنى تان من كاد كلصية + +114 +00:11:29,550 --> 00:11:36,210 +تكون من مجموعة قطع يعني أشبه بالقطع المتوازية طبعا + +115 +00:11:36,210 --> 00:11:40,010 +لو رسمت أي horizontal line هيقطعها في مالانهاية + +116 +00:11:40,010 --> 00:11:43,450 +من النقاط إذا بدنا نروح نعمل restriction على الـ + +117 +00:11:43,450 --> 00:11:47,450 +domain وناخد فترة نضمن من خلالها الدالة وانت واني + +118 +00:11:47,450 --> 00:11:53,270 +يعني بدنا ناخد قطعة واحدة من المنحنى لو رجعنا + +119 +00:11:53,270 --> 00:12:00,180 +لمنحنى تان بالشكل إن هذا هيك يبقى هذا محور X هذا محور + +120 +00:12:00,180 --> 00:12:05,980 +Y هذه نقطة الأصل هذا الخط اللي عندنا اللي هو π + +121 +00:12:05,980 --> 00:12:11,340 +على اثنين وهذا الخط المناظر اللي هو سالب باي على + +122 +00:12:11,340 --> 00:12:19,120 +اثنين وهذا الخط إلى ثلاثة باي على اثنين وهنا هذه + +123 +00:12:19,120 --> 00:12:25,080 +النقطة التي هي باي وهنا كمان سالب ثلاثة باي على + +124 +00:12:25,080 --> 00:12:31,260 +اثنين وهنا اللي هو سالب باي لو روحنا رسمنا + +125 +00:12:31,260 --> 00:12:35,780 +المنحنى لأن هنا بلاحظ المنحنى بيأخذ الشكل التالي + +126 +00:12:35,780 --> 00:12:42,020 +يبقى المنحنى بيجيني من فوق وبيجي نازل بيجي نازل + +127 +00:12:42,020 --> 00:12:48,560 +بهذا الشكل تمام؟ ومن هنا كمان بنفس الطريقة هذيك + +128 +00:12:48,560 --> 00:12:54,460 +وبيجي نازل بهذا الشكل ومن هنا بهذه الطريقة وبيجي + +129 +00:12:54,460 --> 00:12:58,920 +نازل بهذا الشكل وهكذا يمين وشمال بيضل إلى أن يغطي + +130 +00:12:58,920 --> 00:13:02,360 +الله بالأرض ومن عليها إذا احنا بدنا نعمل + +131 +00:13:02,360 --> 00:13:09,700 +restriction على the domain للدالة تبقى واحدة واحدة، + +132 +00:13:09,700 --> 00:13:14,660 +يبقى هذه القطعة واحدة من المنحنى، يبقى هذه القطعة + +133 +00:13:14,660 --> 00:13:19,860 +منقطة، يبقى دليل على أنها ليست موجودة، كأنها غير + +134 +00:13:19,860 --> 00:13:25,210 +موجودة تمامًا.وبدنا نحصر the domain فقط من عند + +135 +00:13:25,210 --> 00:13:29,730 +السالب π على 2 لغاية π لغاية ال π على + +136 +00:13:29,730 --> 00:13:34,090 +2 لما انحصرناه أروح ارسم أي horizontal line + +137 +00:13:34,090 --> 00:13:39,330 +هلاقي يقطع وين في نقطة واحدة فقط إذا انضمنت أن ال + +138 +00:13:39,330 --> 00:13:44,500 +function هذه صارت مالها 1 to 1 إذا the domain من + +139 +00:13:44,500 --> 00:13:47,440 +سالب π على 2 إلى π على 2 و the range من + +140 +00:13:47,440 --> 00:13:53,280 +−∞ إلى ∞ كويس الآن + +141 +00:13:53,280 --> 00:13:57,440 +بدنا نيجي نرسم رسمة المعكوس يبقى باجي بقول هي + +142 +00:13:57,440 --> 00:14:04,160 +المنحنى بالشكل أن هذا محور X هذا محور Y هذه نقطة + +143 +00:14:04,160 --> 00:14:10,080 +الأصل اللي هي الـ 0 the domain من سالب π على + +144 +00:14:10,080 --> 00:14:15,320 +2 لـ π على 2 بيصير the range لـ tan inverse يعني + +145 +00:14:15,320 --> 00:14:22,340 +هذا المنحنى اللي هو Y تساوي tan الـ X و الـ X هذه + +146 +00:14:22,340 --> 00:14:28,060 +موجودة في الفترة المفتوحة من سالب π على 2 + +147 +00:14:28,060 --> 00:14:35,720 +إلى π على 2 زي ما أنت شايف إذا the domain من + +148 +00:14:35,720 --> 00:14:38,960 +سالب π على 2 لـ π على 2 بيصير the range + +149 +00:14:38,960 --> 00:14:46,840 +لمن لـ tan inverse يبقى هنا هيجينا هيك الخط هذا بهذا + +150 +00:14:46,840 --> 00:14:54,440 +الشكل اللي هو π على 2 وبيجي الخط المناظر له + +151 +00:14:54,440 --> 00:14:59,640 +في الأسفل بهذا الشكل اللي هو سالب π على 2 + +152 +00:15:00,520 --> 00:15:05,840 +منحنى الـ tan بيمر بنقطة الأصل، إذا منحنى الـ tan + +153 +00:15:05,840 --> 00:15:11,040 +inverse كذلك بيمر بنقطة الأصل، يبقى لو جينا رسمنا + +154 +00:15:11,040 --> 00:15:18,920 +المنحنى هذا، هيأخد الشكل التالي بتنزل هيك وبتنزل + +155 +00:15:18,920 --> 00:15:25,700 +بهذا الشكل يبقى هذا المنحنى Y تساوي tan inverse X + +156 +00:15:25,700 --> 00:15:31,640 +و الـ X هذه موجودة في الفترة من سالب ∞ إلى + +157 +00:15:31,640 --> 00:15:36,900 +∞ يعني الـ tan inverse معرف على كل الـ real + +158 +00:15:36,900 --> 00:15:42,940 +line ما عدا بعض الخواص لهذا + +159 +00:15:42,940 --> 00:15:44,100 +المنحنى + +160 +00:15:47,240 --> 00:15:56,160 +بعدها بدي أقول له some properties of + +161 +00:15:56,160 --> 00:16:04,720 +Y تساوي tan inverse X الخاصية الأولى بدنا the domain ال + +162 +00:16:04,720 --> 00:16:10,880 +tan inverse X Y يساوي the domain من أين يا شباب؟ من + +163 +00:16:10,880 --> 00:16:19,400 +سالب ∞ لغاية ∞ and the range لـ tan + +164 +00:16:19,400 --> 00:16:25,940 +inverse X هو عبارة عن الفترة من سالب π على 2 إلى + +165 +00:16:25,940 --> 00:16:31,250 +π على 2 as an open interval مش زي الـ sine inverse + +166 +00:16:31,250 --> 00:16:35,670 +و الـ cosine inverse، قفلنا الفترة، لا هذه فترة مفتوحة، + +167 +00:16:35,670 --> 00:16:43,330 +open and طيب، بنعيش للنقطة الثانية، اليمين Y + +168 +00:16:43,330 --> 00:16:49,470 +تساوي tan inverse X is equivalent + +169 +00:16:52,300 --> 00:16:59,240 +بدي أثر على الطرفين بـ tan فبصير عندي tan الـ Y بده + +170 +00:16:59,240 --> 00:17:03,960 +يساوي X إذا المعادلتين هدول are the same in + +171 +00:17:03,960 --> 00:17:12,240 +تين متكافئتين بدي أخد tan inverse لـ tan الـ X هذا + +172 +00:17:12,240 --> 00:17:17,700 +الكلام بده يساوي الـ X إذا كانت الـ X موجودة في + +173 +00:17:17,700 --> 00:17:23,890 +the domain لـ tan من سالب π على 2 إلى π على 2 + +174 +00:17:23,890 --> 00:17:36,150 +as an open interval and tan لـ tan inverse X بد + +175 +00:17:36,150 --> 00:17:42,750 +يساوي قداش بدو يساوي X إذا كانت الـ X موجودة في + +176 +00:17:42,750 --> 00:17:46,530 +الفترة من سالب ∞ لـ ∞ اللي هو the domain + +177 +00:17:46,530 --> 00:17:51,740 +لـ tan inverse هذه الكلام باختصار وليس لتصلي يعني، + +178 +00:17:51,740 --> 00:17:56,360 +بعد قليل لما ناخد أمثلة هنشتغل على يحكي الـ domain + +179 +00:17:56,360 --> 00:18:00,860 +هذا وتتقيد فيها وما إلى ذلك، زي ما هنشوف بعد قليل + +180 +00:18:00,860 --> 00:18:06,860 +طيب النقطة الرابعة، لو روحت أخدت الـ limit لـ tan + +181 +00:18:06,860 --> 00:18:12,600 +inverse X لما الـ X tends to ∞ لما الـ X تروح + +182 +00:18:12,600 --> 00:18:16,860 +لـ ∞، الدالة بتطلع على أين؟ لـ π على 2 + +183 +00:18:16,860 --> 00:18:25,580 +تمام and بدنا الـ limit لـ tan inverse X لما الـ X بدها + +184 +00:18:25,580 --> 00:18:32,820 +تروح لـ −∞ يبقى نازلة إلى سالب π على + +185 +00:18:32,820 --> 00:18:37,260 +2 حد + +186 +00:18:37,260 --> 00:18:38,720 +اللي هو بيساوي هنا يا شباب + +187 +00:18:41,490 --> 00:18:46,710 +اللي بيطلع في باله أي سؤال يرفع يده ويسأل ونحن إن + +188 +00:18:46,710 --> 00:18:54,890 +شاء الله جاهزون للإجابة طيب + +189 +00:18:54,890 --> 00:19:00,310 +هذه الحالة الثالثة أو للتوضيح الودك الثالثة، تفضل + +190 +00:19:00,310 --> 00:19:06,290 +اتجهت the domain للـ tan نفسك، للـ tan من سالب π + +191 +00:19:06,290 --> 00:19:09,820 +على 2 لـ π على 2 مغلقة ولا مفتوحة؟ أيش رأيك أنت من + +192 +00:19:09,820 --> 00:19:14,940 +خلال الرسم عند الـ π على 2؟ بالرسم هيقيمة ولا + +193 +00:19:14,940 --> 00:19:20,480 +بتطلع لوين؟ اسمع يا شباب، خلي هو يحكي احنا + +194 +00:19:20,480 --> 00:19:25,020 +بناخدها as an example كواحد، أي واحد فيكوا يوم + +195 +00:19:25,020 --> 00:19:29,720 +بتروح لوين؟ وعند السنة اللي بيعتنا، بتنزل لوين؟ + +196 +00:19:29,720 --> 00:19:35,140 +ولذلك خلال هلك كلها فترات مفتوحة open interval + +197 +00:19:39,530 --> 00:19:43,910 +ماذا يعني equivalent بالعربية؟ مكافئة أو تبني على + +198 +00:19:43,910 --> 00:19:48,970 +اثنين نفس الشيء تمام؟ اثنين نفس الشيء عندك Y تساوي + +199 +00:19:48,970 --> 00:19:56,050 +tan inverse أثر لي على الطرفين بـ tan تصير أن tan Y تساوي + +200 +00:19:56,050 --> 00:20:01,610 +tan لـ tan inverse X الدالة لو معكوسة واحدة تلغي tan هو + +201 +00:20:01,610 --> 00:20:06,790 +يبقى من الـ X كأنه ما حصل له شيء تمام؟ يبقى بيصير + +202 +00:20:06,790 --> 00:20:12,890 +tan Y يساوي من؟ يساوي الـ X في تساوي ثاني؟ طيب أروح + +203 +00:20:12,890 --> 00:20:20,270 +للنقطة الرابعة النقطة الرابعة Y تساوي cot inverse + +204 +00:20:20,270 --> 00:20:30,850 +X أو R cot الـ X نيجي لمنحنى الـ cot بشكل عام لأن + +205 +00:20:30,850 --> 00:20:38,310 +أنا يبقى هذا محور X هذا هو محور Y بالشكل اللي لدينا + +206 +00:20:38,310 --> 00:20:45,570 +هنا يبقى هذا محور Y وهذا نقطة الأصل اللي هي 0 + +207 +00:20:50,520 --> 00:20:54,160 +قطع و بالتالي الـ horizontal line هيقطع في العديد + +208 +00:20:54,160 --> 00:21:00,480 +من القطع بإن ناخذ قطعة واحدة وهي على الشكل التالي + +209 +00:21:00,480 --> 00:21:05,600 +هذا النقطة اللي هي π وهذا النقطة اللي هي π على + +210 +00:21:05,600 --> 00:21:13,360 +2 من حد الـ cot بيجي من هنا مع محور Y و بيجي + +211 +00:21:13,360 --> 00:21:19,280 +بنزل على Y على 2 وبعدها بيظل ماشي صحبه و الخط X + +212 +00:21:19,280 --> 00:21:24,740 +يساوي Y بيظل الاثنين ماشي مع بعض لغاية ∞ + +213 +00:21:34,580 --> 00:21:41,460 +يبقى هنا Y تساوي cot X و الـ X موجودة في الفترة + +214 +00:21:41,460 --> 00:21:44,980 +المفتوحة من 0 لمين لغاية π + +215 +00:21:47,750 --> 00:21:53,490 +بنرسم منحنى الـ cot inverse يبقى هذا X و هذا Y و + +216 +00:21:53,490 --> 00:21:56,470 +هذا 0 لحظة من من من من من من من من من من من + +217 +00:21:56,470 --> 00:21:59,910 +من من من من من من + +218 +00:21:59,910 --> 00:22:00,610 +من من من من من من من من من من من من من من + +219 +00:22:08,310 --> 00:22:12,790 +يبقى π على 2 بدها تجي أين؟ هنا في النص هذا + +220 +00:22:12,790 --> 00:22:18,230 +النقطة اللي بقولها π على 2 إذا بالمنحنى لا + +221 +00:22:18,230 --> 00:22:24,070 +يمكن أن ننزل تحت محور X بضم أيه؟ أعلى محور X لو + +222 +00:22:24,070 --> 00:22:29,190 +حطينا الخط Y تساوي X وجلبنا الرسم عبر غير الخط + +223 +00:22:29,190 --> 00:22:35,760 +هتجي الرسم عندك كالتالي هيجي نازل هيك وهييجي بالشكل + +224 +00:22:35,760 --> 00:22:43,960 +اللي عندك هذا بس نعيد نقرصه أكثر دقة شوية يبقى + +225 +00:22:43,960 --> 00:22:48,600 +المنحنى هيجي نازل هيك وهييجي نازل بالشكل اللي عندك + +226 +00:22:48,600 --> 00:22:56,900 +هذا يبقى هذا اللي هو Y تساوي cot inverse X و الـ X + +227 +00:22:56,900 --> 00:23:02,780 +موجودة في الفترة اللي هو اللي وين من سالب ∞ + +228 +00:23:02,780 --> 00:23:10,540 +إلى ∞ شكل لعنة طيب بدنا نيجي الآن لبعض + +229 +00:23:10,540 --> 00:23:18,260 +الخواص لهذا المنحنيات يبقى بالدادية some properties + +230 +00:23:18,260 --> 00:23:30,850 +of Y تساوي cot inverse X بتيجي لـ the domain الخاصية الأولى + +231 +00:23:30,850 --> 00:23:41,230 +لمن؟ لـ cot inverse X the domain لـ cot inverse X يساوي + +232 +00:23:41,230 --> 00:23:46,810 +واضح الـ domain من −∞ إلى + +233 +00:23:46,810 --> 00:23:56,530 +∞ and the range لمن لـ cot inverse X يساوي من + +234 +00:23:56,530 --> 00:24:02,410 +−∞ إلى π as an open interval + +235 +00:24:02,410 --> 00:24:11,880 +النقطة الثانية Y تساوي اللي هو cot inverse X is + +236 +00:24:11,880 --> 00:24:22,400 +equivalent to cot الـ Y يساوي ما يعني؟ + +237 +00:24:22,400 --> 00:24:30,760 +يساوي X النقطة الثالثة بدنا cot inverse لـ cot الـ + +238 +00:24:30,760 --> 00:24:38,410 +X ويساوي اللي هو الـ X بشرط أن الـ X تبقى موجودة في ال + +239 +00:24:38,410 --> 00:24:43,410 +the domain للـ cot يعني من أولى وين؟ من 0 لغاية + +240 +00:24:43,410 --> 00:24:54,460 +π، من 0 لغاية π cot لـ cot inverse X بدو + +241 +00:24:54,460 --> 00:25:00,760 +يساوي الـ X إذا كانت الـ X موجودة في الـ interval من + +242 +00:25:00,760 --> 00:25:04,900 +سالب ∞ إلى ∞ + +243 +00:25:07,290 --> 00:25:13,290 +طب النقطة الرابعة لو روحت أخدت الـ limit لـ cot + +244 +00:25:13,290 --> 00:25:19,210 +inverse X لما الـ X بدها تروح لما للنهاية لما الـ X + +245 +00:25:19,210 --> 00:25:26,410 +بدها تروح لما للنهاية بتنزل لوين؟ للـ 0 تمام and + +246 +00:25:26,410 --> 00:25:33,450 +الـ limit لـ cot inverse X لما الـ X بدها تروح لـ سالب + +247 +00:25:33,450 --> 00:25:34,130 +∞ + +248 +00:25:39,870 --> 00:25:51,090 +π π π π π π π π π π + +249 +00:25:51,090 --> 00:25:59,960 +π π طيب الآن انتهينا من النقطة الرابعة وبنروح + +250 +00:25:59,960 --> 00:26:07,240 +للنقطة الخامسة من معكوسات الدوال المثلثية + +251 +00:26:21,960 --> 00:26:30,400 +يبقى النقطة الخامسة Y تساوي Sec Inverse X والتي + +252 +00:26:30,400 --> 00:26:40,500 +بدأت تساوي Arc Sec X شوف يا سيدي هذا منحنى الـ Sec هذا + +253 +00:26:40,500 --> 00:26:47,280 +محور X وهذا محور Y وهذا نقطة الأصل اللي هي Zero + +254 +00:26:48,680 --> 00:26:55,860 +الـ Sec ما بين الواحد والسالب واحد ما عنديش أي قيمة له + +255 +00:26:55,860 --> 00:27:00,660 +على الإطلاق يبقى هذا اللي هو الخط اللي هو السالب + +256 +00:27:00,660 --> 00:27:06,280 +واحد واحد المنحنى على الفترة من سالب واحد إلى واحد + +257 +00:27:06,280 --> 00:27:12,540 +لا نجد له أي قيمة الآن المنحنى عبارة عن عدة قطع + +258 +00:27:12,540 --> 00:27:13,900 +بالشكل اللي قاعدنا هذا + +259 +00:27:23,520 --> 00:27:29,820 +هذه zero وهذه π/2 وهذه π وهذه 3 + +260 +00:27:29,820 --> 00:27:35,020 +π/2 ونبقى مستمرين على هذه الشكلة ونشج + +261 +00:27:35,020 --> 00:27:40,320 +الشمال بنفس الطريقة -π/2 -π + +262 +00:27:40,320 --> 00:27:47,940 +-3π/2 and so onالمنحنى برا على + +263 +00:27:47,940 --> 00:27:54,300 +قد قطعة القطعة الأولى لهذا المنحنى بهذا الشكل تجين + +264 +00:27:54,300 --> 00:28:00,040 +بالشكل اللي عندنا هذا هيك وبتيجي هنا وبتيجي طالع + +265 +00:28:00,040 --> 00:28:06,690 +بالشكل هذاوبعد ذلك، سير فوق، وبعدها تحت، فوق، تحت، + +266 +00:28:06,690 --> 00:28:10,330 +ومن الشجرة الثانية ومن نفس الطريقة. لو جيت رسمة + +267 +00:28:10,330 --> 00:28:15,070 +horizontal line فوق، بتلاقي قطع المنحنى في نقطتين + +268 +00:28:15,070 --> 00:28:18,250 +وكمان نقطتين وكمان نقطتين، يبقى ملأ ليها من + +269 +00:28:18,250 --> 00:28:22,830 +النظام. يبقى الإنسان إن الدالة هذه one to one. طيب + +270 +00:28:22,830 --> 00:28:28,050 +احنا توسعنا في الـ Tan والـ Cot أخدنا قطعة واحدة وطلعت + +271 +00:28:28,050 --> 00:28:32,410 +one to one هل لو أخدنا قطعة واحدة بطلع one to one + +272 +00:28:32,410 --> 00:28:38,150 +يعني لو أخدت هذه على حدى بلقيها في نقطتين لو أخدت + +273 +00:28:38,150 --> 00:28:44,530 +هذه على حدى نقطتين فبطل تصير one to one إذا أنت + +274 +00:28:44,530 --> 00:28:49,670 +بدك تحصر نفسك في منطقة من الـ Domain تضمن من خلالها + +275 +00:28:49,670 --> 00:28:54,270 +أن الدالة تكون one to one لو جينا و قلنا لهذا الله + +276 +00:28:54,270 --> 00:28:59,310 +ييسهل عليك أنت مش لازم أنت و جينا لهالنص هذا و قلنا + +277 +00:28:59,310 --> 00:29:04,830 +له أنت زيه مش لازم و جينا لهذا و قلنا له أنت زيه + +278 +00:29:04,830 --> 00:29:10,710 +هيك مش لازم يعني كأنه حصرنا الدالة من عند النقطة + +279 +00:29:10,710 --> 00:29:17,930 +هذه zero لغاية جداش لغاية π عن طريق زرعية π من + +280 +00:29:17,930 --> 00:29:25,830 +نص القطعة الأولى لغاية + +281 +00:29:25,830 --> 00:29:31,610 +هنا بهذا الشكل تمام؟ عليني ارسم horizontal line فوق + +282 +00:29:31,610 --> 00:29:36,410 +ولا تحت، بتلاقي قطعة منحنى في نقطة واحدة يتجهى + +283 +00:29:36,410 --> 00:29:42,670 +الضمن أن الدالة هذه مالها صارت one to one مدام + +284 +00:29:42,670 --> 00:29:48,230 +صارت one to one، إذا المعكوس مالها موجود، ممتاز + +285 +00:29:48,230 --> 00:29:54,550 +مدام المعكوس موجود، بدنا نتعرف على شكل هذا المعكوس + +286 +00:29:55,110 --> 00:30:01,830 +يبقى هذا محور X هذا محور Y هذه نقطة الأصل اللي هي + +287 +00:30:01,830 --> 00:30:09,330 +Z لاحظ الخط هذا الرأسي هو X يساوي π/2 + +288 +00:30:09,330 --> 00:30:15,910 +لما نقل و نصير الخط Y تساوي π/2 إذا لو + +289 +00:30:15,910 --> 00:30:22,970 +جيت قلت هذه هي π/2 وهذه هي مين هذه هي + +290 +00:30:22,970 --> 00:30:30,170 +π تمام و روحت و قلت هاي الخط اللي عندنا Y تساوي Y + +291 +00:30:30,170 --> 00:30:36,090 +على 2 الشكل اللي عندنا هنا ابقى هذه النقطة اللي هي + +292 +00:30:36,090 --> 00:30:41,390 +0 و 1 شو بيصير 1 و 0 1 و 0 اللي هي + +293 +00:30:41,390 --> 00:30:45,770 +النقطة اللي عندنا هذه هذه النقطة 1 و 0 روحنا + +294 +00:30:45,770 --> 00:30:51,780 +جلبنا المنحنى عبر الخط Y تساوي X فأصبح شكله بهذا + +295 +00:30:51,780 --> 00:30:57,040 +الشكل. طيب هنتقل منها. بدنا نجي للنقطة هذه. هذه + +296 +00:30:57,040 --> 00:31:02,540 +النقطة اللي هي π و -1. تصير -1 و + +297 +00:31:02,540 --> 00:31:09,040 +π. وينك -1؟ هاي -1 و زيرة الـ - + +298 +00:31:09,040 --> 00:31:14,440 +1 و π، بدها تجي نوعيا فوق. والمنحنى بدريجي + +299 +00:31:14,440 --> 00:31:21,020 +نازل ويمشي هو محترم مع مين؟ مع الخط Y تساوي 2 هذا + +300 +00:31:21,020 --> 00:31:27,380 +الخط يمشي مع الـ X يساوي π/2 وهذا الخط يمشي + +301 +00:31:27,380 --> 00:31:33,100 +مع نفس الخط X يساوي π/2 الـ X صارت Y يبقى هذا + +302 +00:31:33,100 --> 00:31:37,180 +بيبقى ماشي مع نفس الخط Y تساوي Y عتنين وهذا ماشي + +303 +00:31:37,180 --> 00:31:42,680 +مع نفس الخط Y تساوي Y عتنين كيف حدث ذلك؟ حطينا + +304 +00:31:42,680 --> 00:31:47,760 +الخط Y تساوي X جلبنا هذا الرسم تحت وجلبنا هذا + +305 +00:31:47,760 --> 00:31:53,780 +الرسم فوق فصرت على الشكل لأن هذا إذا بدنا نيجي + +306 +00:31:53,780 --> 00:31:59,540 +لبعض الخواص لهذا الملحنة يبقى بدنا نيجي الـ + +307 +00:32:00,630 --> 00:32:12,610 +Properties of Y تساوي Sec Inverse X الخاصية + +308 +00:32:12,610 --> 00:32:21,430 +الأولى خاصية الأولى الـ Domain بتابع الـ Sec Inverse + +309 +00:32:21,430 --> 00:32:29,060 +X بده يساوي من وين لوين من الواحد تذهب لملنة هذا + +310 +00:32:29,060 --> 00:32:34,760 +ومن السالب واحد ترجع لسالب ملنة إذا من سالب + +311 +00:32:34,760 --> 00:32:40,400 +Infinity لسالب واحد وهي مغلقة من عند السالب واحد + +312 +00:32:40,400 --> 00:32:44,580 +لأن المدلة عند السالب واحد بتحطينا كم؟ π يعني + +313 +00:32:44,580 --> 00:32:52,840 +النقطة هذه -1 و π كنقطة كإحداثية نقطة + +314 +00:32:52,840 --> 00:32:58,580 +وليس كفترة إذا من سالب Infinity لغاية -1 + +315 +00:32:58,580 --> 00:33:05,940 +مضيف عليها الفترة من 1 لغاية Infinity هذا الـ + +316 +00:33:05,940 --> 00:33:13,160 +Domain نجي الـ Range الـ Range and الـ Range بتابع الـ + +317 +00:33:13,160 --> 00:33:19,540 +Sec Inverse X بده يساوي من 0 لغاية π بس بينا + +318 +00:33:19,540 --> 00:33:24,760 +نشيل منه Main π/2 لإنه هذا القيمة غير + +319 +00:33:24,760 --> 00:33:30,560 +موجودة يبقى بنيجي بنقوله ايه من عند الـ Closed + +320 +00:33:30,560 --> 00:33:35,160 +Interval 0 لغاية π/2 Open Interval + +321 +00:33:35,160 --> 00:33:42,950 +اتحاد π/2 و π بالشكل اللي عندنا واحد + +322 +00:33:42,950 --> 00:33:47,010 +أتي وقال لي أنا بقدر أصير هذه الـ Interval بطريقة + +323 +00:33:47,010 --> 00:33:53,270 +أخرى، بقوله كده، بقولي هذا بقول هي الـ Real Line + +324 +00:33:53,270 --> 00:33:58,390 +كلها، بدي أشيل منها بس الفترة المفتوحة من سالب + +325 +00:33:58,390 --> 00:34:03,180 +1 إلى 1 ليش انه عند الـ 1 و -1 يدلها + +326 +00:34:03,180 --> 00:34:08,700 +معرفة، يعني هذا راح قاللي هذه بدي اكتبها كل الـ + +327 +00:34:08,700 --> 00:34:13,900 +Real Line، بدي اشيل منه الفترة من -1 إلى + +328 +00:34:13,900 --> 00:34:19,710 +1 مظبوط؟ يا بجي هذا الصياغة صحيحة اجا واحد ثالث + +329 +00:34:19,710 --> 00:34:26,110 +جالي أنا ببصية هذا الكلام بصياغة أخرى بقولك ايه؟ + +330 +00:34:26,110 --> 00:34:31,430 +جالي Dominate Second Class كل العناصر X بحيث أن + +331 +00:34:31,430 --> 00:34:37,710 +Absolute Value لـ X أكبر من أو تساوي 1 صح؟ لما + +332 +00:34:37,710 --> 00:34:43,410 +نقول Absolute Value لـ X أكبر من أو تساوي الـ 1، + +333 +00:34:43,410 --> 00:34:50,350 +يعني الـ X أكبر من الـ 1 و أقل من ثالث 1، or + +334 +00:34:50,350 --> 00:34:55,050 +تمام؟ إما هذه وإما تلك، يبقى هي هذه ولا لا؟ يبقى + +335 +00:34:55,050 --> 00:35:00,270 +عندك صيرة تين تين ثلاثة كله بيأدى الى نفس مين + +336 +00:35:00,270 --> 00:35:05,150 +المعنى هذا مين ايه الدنيا واحد قال له بيداجي لل + +337 +00:35:05,150 --> 00:35:09,410 +Range هذا و بدي أصيبه بالصيرة الأخرى قلت له أيها + +338 +00:35:09,410 --> 00:35:15,450 +قال بيداجيه لـ Closed Interval من 0 لـ π نقص الـ + +339 +00:35:15,450 --> 00:35:20,330 +π as a set كيف يعني؟ يعني راح جالي هذه من 0 + +340 +00:35:20,330 --> 00:35:26,550 +لغاية الـ π في نقطة مش معرفة عندها اللي هو π/ + +341 +00:35:26,550 --> 00:35:34,250 +2 بقوله ناقص الـ π/2 as a set is + +342 +00:35:34,250 --> 00:35:38,130 +equivalent to + +343 +00:35:39,390 --> 00:35:46,390 +نشوف هذه مكافئة لمن؟ Sec الـ Y يساوي X نقطة ثالثة + +344 +00:35:46,390 --> 00:35:54,030 +بدنا Sec Inverse لـ Sec الـ X بد يساوي X إذا كانت الـ X + +345 +00:35:54,030 --> 00:36:01,100 +في Domain الـ Sec، Domain الـ Sec اشترقنا من وين لوين من عند + +346 +00:36:01,100 --> 00:36:06,440 +الـ 0 لغاية الـ π بس بنشيل منهم من الـ π إذا X + +347 +00:36:06,440 --> 00:36:12,560 +موجودة من عند الـ 0 لغاية الـ π/2 اتحاد + +348 +00:36:12,560 --> 00:36:17,280 +π/2 و π بالشكل هذا and + +349 +00:36:19,640 --> 00:36:29,020 +Sec لـ Sec Inverse X بدل تساوي X إذا كانت الـ X موجودة + +350 +00:36:29,020 --> 00:36:35,220 +في الـ Domain Sec Inverse من سالب Infinity لغاية + +351 +00:36:35,220 --> 00:36:45,080 +-1 اتحاد 1 و Infinity النقطة الرابعة لو + +352 +00:36:45,080 --> 00:36:51,520 +روحت قلت أخدت Limit لـ Sec Inverse X لما الـ X tends + +353 +00:36:51,520 --> 00:36:56,420 +to Infinity لما الـ X تروح الـ Infinity الدالة طالعة + +354 +00:36:56,420 --> 00:37:04,500 +لوين؟ ولو روحت أخدت الـ Limit لـ Sec Inverse X لما + +355 +00:37:04,500 --> 00:37:11,360 +الـ X بدها تروح لـ -Infinity دالة نازلة لمين؟ لنفس + +356 +00:37:11,360 --> 00:37:17,140 +الرقم اللي هو π/2 يبقى على كل الأمرين + +357 +00:37:17,140 --> 00:37:25,350 +اثنين بيعطوه نفس الإجابة تمام؟ الآن وصلنا للنقطة + +358 +00:37:25,350 --> 00:37:33,950 +السادسة والأخيرة Y تساوي Cosecant Inverse X اللي + +359 +00:37:33,950 --> 00:37:38,590 +هو Arc Cosecant LX + +360 +00:37:44,400 --> 00:37:50,120 +أه مرسومة عندك في الكتاب ويلا روح بدك تعمل الأربع + +361 +00:37:50,120 --> 00:37:55,740 +خواص لها، طبعا في الكتاب مش مساوية لخواصك، حكيتها + +362 +00:37:55,740 --> 00:37:59,780 +بأكل وأنت بكتب اعمل مالي واطلع عالي وترسمها + +363 +00:37:59,780 --> 00:38:03,060 +طبعا مرسومة عندك الـ Cosecant مرسومة ومرسومة الـ + +364 +00:38:03,060 --> 00:38:06,760 +Cosecant Inverse وبدك تروح وتطلع لخواصك، ايه + +365 +00:38:06,760 --> 00:38:10,740 +الوضع؟ رقم 1، 2، سارق 1، 1، 2، + +366 +00:38:10,740 --> 00:38:11,500 +2، 2، 2، 2، 2، 2، 2، + +367 +00:38:11,500 --> 00:38:12,320 +2، 2 كيف؟ + +368 +00:38:17,530 --> 00:38:22,470 +بينجي لك إني طلعتها؟ Open Interval هادي مش Closed + +369 +00:38:22,470 --> 00:38:27,610 +لو كانت Closed كان طلعتها صحيح لكن كانها Open يبقى + +370 +00:38:27,610 --> 00:38:32,550 +طلت في الـ Domain، مظبوط ولا لا؟ صح؟ عادة هو، دي + +371 +00:38:32,550 --> 00:38:37,260 +ربالة، صح صحيح كويس لو كتبتها كـ Closed Interval + +372 +00:38:37,260 --> 00:38:43,020 +بيصير كلاني غلط يعني بيصير كأن الشلت السالب 1 + +373 +00:38:43,020 --> 00:38:47,080 +والـ 1 من الـ Domain هذا لو حطيتها Closed طبعا لكن + +374 +00:38:47,080 --> 00:38:51,840 +كلها Open by لوين في الـ Domain فقلت لك هذه العبارة + +375 +00:38:51,840 --> 00:38:58,230 +تكافئها هذه العبارة تماما ماشي؟ احنا حتى لإن تبقى + +376 +00:38:58,230 --> 00:39:03,950 +نخلصنا الجزء الأول النظري تبع هذا الـ section لسه + +377 +00:39:03,950 --> 00:39:07,830 +فيه جزءين خليني ناخد شوية أمثلة على هذا الجزء + +378 +00:39:07,830 --> 00:39:13,930 +وبعدها إن شاء الله بنواصل في الأسبوع القادم بقية + +379 +00:39:13,930 --> 00:39:21,100 +هذه الأجزاء خليني ناخد بعض الأمثلة على ما درسناه + +380 +00:39:21,100 --> 00:39:27,480 +يبقى لسمعته تقوى نظرها بنا نحط عليه بعض الأسئلة + +381 +00:39:27,480 --> 00:39:38,220 +يبقى بنيجي لـ examples يبقى مثال الأول example one + +382 +00:39:38,220 --> 00:39:44,860 +بقول find the + +383 +00:39:44,860 --> 00:39:45,580 +domain + +384 +00:39:55,490 --> 00:40:03,470 +بتساوي cos inverse لـ اثنين أس إكس ناقص خمسة كله + +385 +00:40:03,470 --> 00:40:07,230 +مقسوم على ثلاثة + +386 +00:40:16,620 --> 00:40:24,820 +أو نمسح حاجة ما أعرفش لزوم بيقول + +387 +00:40:24,820 --> 00:40:29,300 +اهتلي domain هذه الدالة يبقى احنا بيروح نبحث على + +388 +00:40:29,300 --> 00:40:34,340 +domain الدالة هذه فبجي بقوله domain الدالة F هو + +389 +00:40:34,340 --> 00:40:40,160 +عبارة عن كل العناصر X بحيث إن لو رجعت لك cosine + +390 +00:40:40,160 --> 00:40:45,210 +inverse X domain تبعها من وين لوين عشان تكون الـ + +391 +00:40:45,210 --> 00:40:49,590 +cosine inverse X مُعرفة لازم تكون الزاوية تبعتها لـ + +392 +00:40:49,590 --> 00:40:54,050 +X محصورة بين سالب واحد وواحد لكن احنا ما عندناش X + +393 +00:40:54,050 --> 00:40:58,430 +عندنا اثنين أس اكس ناقص خمسة على ثلاثة إذا هذا كله + +394 +00:40:58,430 --> 00:41:02,990 +بيكون محصور بين من و اين؟ سالب واحد وواحد يبقى + +395 +00:41:02,990 --> 00:41:08,750 +الـ Such ده اللي هو لـ اثنين أس إكس ناقص خمسة على ثلاثة + +396 +00:41:08,750 --> 00:41:13,290 +يبقى أقل من اثنين يبقى ثيتا جداش بده تساوي + +397 +00:41:37,970 --> 00:41:44,350 +خلينا مع الفكرة هذه وناخد النقطة رقم B رقم B بيقول + +398 +00:41:44,350 --> 00:41:52,330 +إيش؟ بدي الـ Sin Inverse لـ Sin من سبعة باي على ثلاثة + +399 +00:41:52,330 --> 00:41:57,550 +الجواب + +400 +00:41:57,550 --> 00:42:01,730 +هادي، بتلغي هادي، والنتيجة سبعة باي على ثلاثة، مظبوط؟ + +401 +00:42:05,600 --> 00:42:11,040 +استنى شوية استنى شوية كل كلمة كتبناها بدنا نفهمها + +402 +00:42:11,040 --> 00:42:15,940 +لو رجعنا للـ sign inverse مشان تبقى هذه exist بجهة + +403 +00:42:15,940 --> 00:42:22,360 +في دومين الـ sign inverse دومين الـ sign inverse من + +404 +00:42:22,360 --> 00:42:29,700 +وين نوعيا؟ من سالب واحد لواحد. من سالب واحد لواحد. من + +405 +00:42:29,700 --> 00:42:29,960 +سالب واحد لواحد. من سالب واحد لواحد. من سالب واحد + +406 +00:42:29,960 --> 00:42:33,620 +لواحد. من سالب واحد لواحد. من سالب واحد لواحد. من + +407 +00:42:33,620 --> 00:42:41,800 +سالب واحد لواحد. من + +408 +00:42:41,800 --> 00:42:42,460 +واحد لواحد + +409 +00:42:48,240 --> 00:42:50,760 +يعني معناه احنا لم نفهمها لأن جزء من المقابل اللي + +410 +00:42:50,760 --> 00:42:54,920 +كاتبينه يبقى اشتراق ما عشان هذه الـ sign inverse + +411 +00:42:54,920 --> 00:43:00,020 +لـ sin الـ X يساوي X تكون الـ X في دومين الـ sin يعني من + +412 +00:43:00,020 --> 00:43:04,500 +سالب باي على 2 لـ باي على 2 لكن هذا ايش يجيبها دي أكثر برة + +413 +00:43:04,500 --> 00:43:09,570 +يبقى اللي مكتبلي سبعة باي على ثلاثة من كله Zero طيب + +414 +00:43:09,570 --> 00:43:16,670 +كيف؟ تدبري حالك نقول sign inverse لمن؟ للـ sign هذي + +415 +00:43:16,670 --> 00:43:20,070 +سبعة باي على تلاتة مش عبارة عن اثنين باي و تلت + +416 +00:43:20,070 --> 00:43:27,510 +باي و اثنين و تلت باي صح ولا لأ؟ سكت الشعب مش + +417 +00:43:27,510 --> 00:43:33,890 +عبارة عن الممتاز؟ يبقى هذي sign لـ اثنين باي زائد + +418 +00:43:33,890 --> 00:43:41,130 +باي على تلاتة مصبور؟ طيب نرجع بالذاكرة إلى الوراء لـ + +419 +00:43:41,130 --> 00:43:47,290 +Calculus A تان اكس والكتر تان اكس التان تان تان تان + +420 +00:43:47,290 --> 00:43:47,610 +تان تان تان تان تان تان تان تان تان تان تان + +421 +00:43:47,610 --> 00:43:54,490 +تان تان تان تان تان تان تان تان تان تان تان + +422 +00:44:06,760 --> 00:44:12,800 +يبقى هذا الكلام بيصير sign inverse لمن؟ لـ sign + +423 +00:44:12,800 --> 00:44:19,140 +باي على ثلاثة الآن باي على ثلاثة موجودة في الفترة من + +424 +00:44:19,140 --> 00:44:22,900 +سالب باي على اثنين لباي على اثنين؟ الإجابة صح، إذا + +425 +00:44:22,900 --> 00:44:28,000 +النتيجة جداً أيوة يا ربّ العالك، صح صح، يبقى هذه تساوي + +426 +00:44:28,000 --> 00:44:33,410 +باي على ثلاثة وليس السبعة. دي بالك بنجيبها في + +427 +00:44:33,410 --> 00:44:38,130 +الخيارات المتعددة. بنعطيك شغل زيك و بنحط هذا من + +428 +00:44:38,130 --> 00:44:41,430 +ضمن الإجابات. ولذا بنلاقي خمسين في المئة من + +429 +00:44:41,430 --> 00:44:46,030 +الطلاب يقعوا في هذا القطع. يبقى إياك ثم إياك. بدي + +430 +00:44:46,030 --> 00:44:51,270 +أعطيك كمان سؤال زيه بنفس الفكرة، بس شوف ليه كيف. + +431 +00:44:51,910 --> 00:44:53,010 +بدي أنهين. + +432 +00:44:56,880 --> 00:45:06,160 +بدي الـ sign inverse لمن؟ لـ sign تسعة باي على خمسة + +433 +00:45:06,160 --> 00:45:09,620 +تسعة + +434 +00:45:09,620 --> 00:45:14,960 +باي على خمسة ليست موجودة في الفترة اللي سالب باي + +435 +00:45:14,960 --> 00:45:21,640 +على اثنين اللي بقعت موجودة برا إذا تفضل، تفضل، + +436 +00:45:21,640 --> 00:45:26,820 +تفضل، تفضل، تفضل، تفضل، + +437 +00:45:26,820 --> 00:45:33,770 +تفضل أقل من اثنين باي هذه بس هذه كانت أكبر من اثنين + +438 +00:45:33,770 --> 00:45:37,790 +باي فدوس اثنين باي الذات طب ما تكتب هذه اثنين باي + +439 +00:45:37,790 --> 00:45:44,470 +ناقص مش بصير يعني مظبوط يبقى هذه كأنها تساوي sign + +440 +00:45:44,470 --> 00:45:49,950 +inverse لـ sign اثنين باي ناقص أبصر كدهش + +441 +00:45:53,280 --> 00:45:58,840 +وأنت بتعلمش يا ابني هذا؟ تعرفش تقرح عادي؟ باي على + +442 +00:45:58,840 --> 00:46:05,690 +خمسة يبقى اثنين ناقص خمسة كله في الـ pi بالشكل اللي + +443 +00:46:05,690 --> 00:46:10,670 +علناه هذا الآن هذه الـ sign inverse اللي هي الـ sign + +444 +00:46:10,670 --> 00:46:14,590 +اثنين بي الـ period تبعها الدالة مع السلامة يبقى + +445 +00:46:14,590 --> 00:46:20,370 +صارت سالب بي على خمسة صارت موجودة داخل الفترة من + +446 +00:46:20,370 --> 00:46:24,050 +سالب بي على اثنين لبي على اثنين إذا النتيجة تساوي + +447 +00:46:24,050 --> 00:46:32,170 +ناقص بي على خمسة لما ننتهي بعد لازلنا في نفس + +448 +00:46:32,170 --> 00:46:35,690 +الأمثلة للمرة القادمة إن شاء الله diff --git a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/8-mEeX3UIpw.srt b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/8-mEeX3UIpw.srt new file mode 100644 index 0000000000000000000000000000000000000000..aab1fa0711b7839e093f3d0dabd69aa7a7951488 --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/8-mEeX3UIpw.srt @@ -0,0 +1,2839 @@ +1 +00:00:00,000 --> 00:00:02,700 +موسيقى + +2 +00:00:11,730 --> 00:00:21,870 +بسم الله الرحمن الرحيم القطع + +3 +00:00:21,870 --> 00:00:27,650 +المخروطية في الإحداثيات القطبية قبل ما نبدأ في هذه + +4 +00:00:27,650 --> 00:00:33,160 +القطوع في بعض الشغلات نشير إليها، النقطة الأولى: ال + +5 +00:00:33,160 --> 00:00:38,800 +ellipse ممكن يأخذ شكل جديد تحت شروط معينة، فبجي + +6 +00:00:38,800 --> 00:00:41,880 +بقول: لو كان عندنا ellipse، we have النقطة الأولى: ال + +7 +00:00:41,880 --> 00:00:46,680 +Fc يساوي صفر، يعني إذا كان بعد البؤرة عن المركز + +8 +00:00:46,680 --> 00:00:50,740 +يساوي الصفر، يعني البؤرة وين بدها تيجي؟ على المركز + +9 +00:00:51,130 --> 00:00:55,450 +يبقى إذا كان البؤرة الأولى انطبقت على البؤرة + +10 +00:00:55,450 --> 00:00:59,790 +الثانية وانطبقت على المركز، يبقى ال ellipse يصبح على + +11 +00:00:59,790 --> 00:01:05,010 +شكل مين؟ على شكل دائرة، يبقى بصير ال ellipse عبارة + +12 +00:01:05,010 --> 00:01:09,470 +عن دائرة، بنحصل على هذا الكلام إذا كان اللي هو مين؟ + +13 +00:01:09,470 --> 00:01:12,650 +إذا كان البؤرة الأولى انطبقت على البؤرة الثانية + +14 +00:01:12,880 --> 00:01:18,060 +والاتنين انطبقوا على مين؟ انطبقوا على المركز، النقطة + +15 +00:01:18,060 --> 00:01:23,360 +الثانية: لو C ساوى A، يعني البؤرة اتحركت جهة اليمين و + +16 +00:01:23,360 --> 00:01:26,400 +اجت على ال vertex، والبؤرة الثانية اتحركت واجت + +17 +00:01:26,400 --> 00:01:31,260 +على مين؟ على ال vertex، ايش بيحصل؟ بصير ال ellipse + +18 +00:01:31,260 --> 00:01:36,420 +عبارة عن خط مستقيم، زي ولا تشبيه لو جيت بلون منفوخ + +19 +00:01:36,640 --> 00:01:40,780 +باللون، بكورة على شكل ellipse، امسك الطرف ده وامسك + +20 +00:01:40,780 --> 00:01:41,980 +الطرف ده وشد + +21 +00:02:06,640 --> 00:02:13,100 +وهنا C ساوت A، أجوا البؤرتين على ال vertices في + +22 +00:02:13,100 --> 00:02:18,140 +الحالة الأولى، ال L سيصبح دائرة بالشكل اللي عندنا + +23 +00:02:18,140 --> 00:02:23,860 +تمام؟ يبقى هذا الفرق ما بين الحالتين، بعد هيك، بدنا + +24 +00:02:23,860 --> 00:02:27,960 +نجي لحاجة جديدة، هذه ما سمعناش فيها من قبل، حاجة + +25 +00:02:27,960 --> 00:02:33,200 +بنسميها ال eccentricity أو بالعربي الاختلاف + +26 +00:02:33,200 --> 00:02:38,700 +المركزي، بقول ايش؟ بقول for the ellipse and + +27 +00:02:38,700 --> 00:02:41,960 +hyperbola، القطوع الاثنين هدول، the + +28 +00:02:41,960 --> 00:02:48,720 +eccentricity E is defined by، بنعرفها على انها ها، + +29 +00:02:48,720 --> 00:02:54,040 +the distance between فقعي، المسافة بين البؤرتين، + +30 +00:02:54,040 --> 00:02:58,810 +فلما نيجي نقول هذا ellipse مثلًا بالشكل اللي عندنا + +31 +00:02:58,810 --> 00:03:04,230 +هذا هيك وهذه بؤرة وهذه بؤرة، المسافة هذه C + +32 +00:03:04,230 --> 00:03:10,050 +والمسافة هذه كم؟ C، يبقى المسافة بين البؤرتين كم؟ + +33 +00:03:10,050 --> 00:03:17,370 +2C، هذا ال vertex A و 0، هذا ال vertex سالب A و 0 + +34 +00:03:17,370 --> 00:03:20,090 +يبقى ال major axis طوله كم؟ + +35 +00:03:22,590 --> 00:03:27,530 +يبقى المسافة بين البؤرتين مقسومة على المسافة بين + +36 +00:03:27,530 --> 00:03:34,190 +الرأسين، يبقى 2C على 2A وتساوي C على A، يبقى الآن + +37 +00:03:34,190 --> 00:03:39,130 +عمليا من الآن فصاعدا قيمة ال eccentricity بشوف + +38 +00:03:39,130 --> 00:03:44,830 +قداش البعد بين البؤرة والcenter بقسمه على المسافة + +39 +00:03:44,830 --> 00:03:48,300 +بين ال vertex والcenter، بيعطيني مقدار ال + +40 +00:03:48,300 --> 00:03:53,260 +eccentricity، طبعا؟ طب هذا الكلام احنا اتكلمنا عليه + +41 +00:03:53,260 --> 00:03:57,080 +بالنسبة لل ellipse و ال hyperbola، شو اخبار ال + +42 +00:03:57,080 --> 00:04:02,300 +parabola؟ بنقولك اه، الآن بدنا نحط remark، هنجيبلك + +43 +00:04:02,300 --> 00:04:10,440 +فيهم التلاتة مرة واحدة، نمر واحد: فالـ E تسوي واحد + +44 +00:04:10,440 --> 00:04:16,800 +صحيح، يبقى على طول الخط بقول له the conic section + +45 +00:04:16,800 --> 00:04:25,500 +is parabola، يقول لو حسبنا ال eccentricity تطلع + +46 +00:04:25,500 --> 00:04:29,720 +بواحد صحيح، يبقى القطع المخروطي عبارة عن قطع مكافئ + +47 +00:04:29,720 --> 00:04:37,080 +نمر اثنين: إذا الـ E أكبر من ال zero، أقل من واحد + +48 +00:04:37,080 --> 00:04:41,740 +يبقى قيمته موجبة وأقل من الواحد الصحيح، يبقى في هذه + +49 +00:04:41,740 --> 00:04:49,440 +الحالة the conic section is an ellipse + +50 +00:04:51,510 --> 00:04:57,270 +الحالة الثالثة والأخيرة: F على A greater than one + +51 +00:04:57,270 --> 00:05:02,790 +يبقى the conic section is hyperbola + +52 +00:05:09,110 --> 00:05:13,970 +يبقى الآن ممكن أحكم على القطع المخروطي، مين هو + +53 +00:05:13,970 --> 00:05:17,210 +القطع المخروطي، من خلال مين؟ من خلال + +54 +00:05:17,210 --> 00:05:21,130 +الـEccentricity، إذا حسبت الـEccentricity بأي + +55 +00:05:21,130 --> 00:05:25,530 +طريقة إن كانت، وطلعت واحد، صاحب الـConnection عبارة + +56 +00:05:25,530 --> 00:05:30,850 +عن parabola، إذا وجدت قيمته أقل من الواحد الصحيح وأكبر + +57 +00:05:30,850 --> 00:05:34,310 +من الـ0، يعني دائما وأبدا الـEccentricity موجبة + +58 +00:05:34,310 --> 00:05:38,410 +يبقى في هذه الحالة بقول إن الـConnection عبارة عن + +59 +00:05:38,410 --> 00:05:42,030 +Ellipse، إذا حسبت الـEccentricity ووجدت أكبر من + +60 +00:05:42,030 --> 00:05:44,770 +الواحد الصحيح، يبقى الـConnection عبارة عن + +61 +00:05:44,770 --> 00:05:48,920 +Hyperbola، هذه الأمور الثلاثة بحكم على ال + +62 +00:05:48,920 --> 00:05:52,100 +connection من خلال ال main، من خلال قيمة ال + +63 +00:05:52,100 --> 00:05:57,100 +eccentricity، طيب نيجي كمان لنقطة وعدناكوا فيها + +64 +00:05:57,100 --> 00:06:02,780 +سابقا واليوم بدنا نفي بوعدنا، لما في ال 11.6 أخدنا + +65 +00:06:02,780 --> 00:06:08,760 +ال parabola، قلنا vertex، focus، axis، directrix، هذه + +66 +00:06:08,760 --> 00:06:11,400 +الأربعة الشغلات بالنسبة لل ellipse و ال + +67 +00:06:11,400 --> 00:06:16,240 +hyperbola ما تكلمناش عن ال directrix، مظبوط؟ أيوة + +68 +00:06:16,240 --> 00:06:20,320 +تعال اطلعلك كويس، لو جيت لل ellipse اللي عندها + +69 +00:06:20,320 --> 00:06:25,180 +هذا، يبقى ال ellipse اللي عندها هذا، لو جيت من هنا + +70 +00:06:25,180 --> 00:06:31,330 +النص كته وشدته نص لليمين ونص للشمال، صار كأن هذا + +71 +00:06:31,330 --> 00:06:34,850 +parabola وهذا parabola، واتنين حبايب موجودين على + +72 +00:06:34,850 --> 00:06:40,390 +بعض، يبدأ صار كل واحد له directrix، تمام؟ إذا بده + +73 +00:06:40,390 --> 00:06:44,190 +يجيني ال directrix هنا على اليمين وبده يجيني هنا + +74 +00:06:44,190 --> 00:06:48,750 +directrix على الشمال، الشغلة دي، يبقى الصورة ال + +75 +00:06:48,750 --> 00:06:53,970 +ellipse إليها two directrices، و ال hyperbola + +76 +00:06:53,970 --> 00:06:59,510 +بالمثل، إليها two directrices، وهرسملك اثنين بعد قليل + +77 +00:06:59,510 --> 00:07:04,370 +بس بدي أعطيك تعريف لمن لل directrix في حالة ال + +78 +00:07:04,370 --> 00:07:09,290 +ellipse و ال hyperbola، يبقى definition بيقول ما + +79 +00:07:09,290 --> 00:07:18,680 +يأتي، بيقول ال Directrix of an ellipse، ال Directrix + +80 +00:07:18,680 --> 00:07:27,140 +of an ellipse أو + +81 +00:07:27,140 --> 00:07:34,340 +هاي parabola هذا + +82 +00:07:34,340 --> 00:07:41,200 +أو ذاك ال line perpendicular is the line + +83 +00:07:45,460 --> 00:07:57,780 +perpendicular، الخط العمودي to the focal axis على + +84 +00:07:57,780 --> 00:08:06,820 +المحور البؤري، and at distance، and at distance + +85 +00:08:06,820 --> 00:08:15,150 +وعلى بعد، يساوي زائد أو ناقص a على e from the center + +86 +00:08:15,150 --> 00:08:22,310 +من المركز + +87 +00:08:22,310 --> 00:08:29,670 +مرة + +88 +00:08:29,670 --> 00:08:36,010 +ثانية، directrix أو الدليل للإليبس هو اللي هاي + +89 +00:08:36,010 --> 00:08:42,970 +parabola، هو عذر عن خط عمودي على ال focal axis أو ال + +90 +00:08:42,970 --> 00:08:49,750 +polar axis، and ال distance، وعلى بعد يساوي زائد أو + +91 +00:08:49,750 --> 00:08:54,290 +ناقص a على e from the center، الآن هروح ارسم ال + +92 +00:08:54,290 --> 00:08:57,910 +ellipse والـ hyperbola، وبيّن الـ two + +93 +00:08:57,910 --> 00:09:03,150 +characteristics لكل منهما، يبقى لو جيت وبدي أخد ال + +94 +00:09:03,150 --> 00:09:07,770 +ellipse في الأول، يبقى هذا ال ellipse، هذا محور X + +95 +00:09:07,770 --> 00:09:14,930 +هذا محور Y، هذه نقطة الأصل، جيت رسمت ال ellipse فكان + +96 +00:09:14,930 --> 00:09:20,630 +ال ellipse على الشكل التالي، هو من هنا بهذا الشكل + +97 +00:09:21,780 --> 00:09:26,960 +هذا الـ ellipse، جينا رسمنا ال hyperbola فكان + +98 +00:09:26,960 --> 00:09:32,680 +ال hyperbola على الشكل التالي، هذا محور X، هذا + +99 +00:09:32,680 --> 00:09:40,650 +محور Y، هذه نقطة الأصل، يبقى قوس جهتي اليمين، الشكل + +100 +00:09:40,650 --> 00:09:46,230 +اللي عندنا هذا، ومن هنا على نفس البعد، قوس جهتي + +101 +00:09:46,230 --> 00:09:50,230 +الشمال بهذا الشكل، يبقى هاي ال hyperbola اللي + +102 +00:09:50,230 --> 00:09:56,010 +عندنا، بده يجي لمين؟ ال directrices، يبقى هنا هذا + +103 +00:09:56,010 --> 00:10:01,570 +لو مديته حاجة بسيطة هيك وهذا مديته من هنا حاجة + +104 +00:10:01,570 --> 00:10:06,690 +بسيطة، بده يجيني ال directrices اللي هو خبط في + +105 +00:10:06,690 --> 00:10:13,250 +الآخر في الناحية هذه هنا هيك، وخط ثاني من هنا بهذا + +106 +00:10:13,250 --> 00:10:22,250 +الشكل، المعادلة تبعته هذا X تساوي A على E، وهذا X + +107 +00:10:22,250 --> 00:10:29,780 +سالب تساوي سالب A على E، الـ A على E هي عبارة عن + +108 +00:10:29,780 --> 00:10:35,180 +المسافة من الـ Center لغاية ال Directrix، هي ال + +109 +00:10:35,180 --> 00:10:40,240 +Center وهذا عندنا ال Directrix، يبقى المسافة هذه هي + +110 +00:10:40,240 --> 00:10:46,100 +نفس المسافة هذه الـ A على E، والمسافة هذه كذلك اللي + +111 +00:10:46,100 --> 00:10:53,640 +هي A على E، فالمعادلة بصير X تساوي سالب A على E، يبقى + +112 +00:10:53,640 --> 00:10:59,080 +هي ال two directrices لمن؟ للإليبس، بنا نيجي لل + +113 +00:10:59,080 --> 00:11:05,160 +two directrices للهايبربولة، يبقى لو جيت قلت هذا + +114 +00:11:05,160 --> 00:11:12,710 +هو ال directrix الأول، يبقى X يساوي A على E، يبقى a + +115 +00:11:12,710 --> 00:11:17,850 +على e اللي هي المسافة اللي عندنا، هذا البعد ما بين + +116 +00:11:17,850 --> 00:11:22,810 +ال center و ال directrix، بديجينا ال directrix + +117 +00:11:22,810 --> 00:11:28,970 +الثاني بالشكل اللي عندنا هذا، يبقى هذا x يساوي + +118 +00:11:28,970 --> 00:11:36,210 +السالب a على e، يبقى المسافة هذه كذلك اللي هي من a + +119 +00:11:36,210 --> 00:11:43,210 +على e، بدأ أسأل سؤال وبدي الإجابة عليه في حالة ال + +120 +00:11:43,210 --> 00:11:48,850 +ellipse و ال hyperbola، هل المسافة لو جيت قلت هنا + +121 +00:11:48,850 --> 00:11:55,410 +هذي focus وجيت قلت هنا هذي focus ثانية، هذي سميتها + +122 +00:11:55,410 --> 00:12:01,490 +F1 اللي هي إحداثياتها سالب C و Zero، وهذي سميتها + +123 +00:12:01,490 --> 00:12:08,810 +F2 اللي هي C و Zero، سؤالي هو هل المسافة من ال focus + +124 +00:12:08,810 --> 00:12:15,470 +لل vertex تساوي المسافة من ال vertex لل directrix؟ + +125 +00:12:15,470 --> 00:12:18,890 +جد بعض؟ جد بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد + +126 +00:12:18,890 --> 00:12:19,650 +بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد + +127 +00:12:19,650 --> 00:12:22,170 +بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد + +128 +00:12:22,170 --> 00:12:23,950 +بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد + +129 +00:12:23,950 --> 00:12:24,610 +بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد بعض، جد + +130 +00:12:24,610 --> 00:12:32,930 +بعض، جد بعض، جد بعض، مش جاب بعض، لكن في ال Parabola + +131 +00:12:32,930 --> 00:12:38,130 +من خلال التعريف جال اتنين جاب بعض، بس لم يصر ذلك + +132 +00:12:38,130 --> 00:12:40,870 +لا في ال ellipse ولا في ال hyperbola، إيه + +133 +00:12:40,870 --> 00:12:44,650 +السؤال، كده؟ + +134 +00:12:45,570 --> 00:12:51,990 +إحنا بنشغل حتى الآن كلامي كارتيزيا ولا بنتكلم بولا + +135 +00:12:51,990 --> 00:12:56,450 +حطيت العنوان ده ولسه ما استخدمتش ويمكن ما أقدرش + +136 +00:12:56,450 --> 00:12:59,790 +أستخدمه إلا في نهاية المحاضرة أنا حتى الآن بنتكلم + +137 +00:12:59,790 --> 00:13:05,930 +كارتيزيا تمام؟ ماشي بنتكلم كارتيزيا لأن ال + +138 +00:13:05,930 --> 00:13:08,790 +directrix المرة في ال section اللي فات كنا + +139 +00:13:08,790 --> 00:13:13,230 +كارتيزيا لازم نتكلم كارتيزيا بس دخلنا المعلومة + +140 +00:13:13,230 --> 00:13:17,760 +الجديدة اللي هي ال eccentricity ماشي يا سيدي؟ طيب، + +141 +00:13:17,760 --> 00:13:22,900 +نكمل الآن، يبقى هي ال directrix كمان المسافة من + +142 +00:13:22,900 --> 00:13:29,880 +البؤرة لل vertex ليس بالضرورة جد المسافة من ال + +143 +00:13:29,880 --> 00:13:35,280 +vertex لمن؟ لل directrix، يبقى رسمناهم فيها أنا + +144 +00:13:35,280 --> 00:13:40,320 +حاجة جديدة يا شباب اسمها focus dielectric equation + +145 +00:13:40,320 --> 00:13:49,380 +يبقى focus dielectric equation بدنا نعرف شوي هذه + +146 +00:13:49,380 --> 00:13:54,150 +المعادلة بنقول لك بسيطة جداً عشان نعرف هذه المعادلة + +147 +00:13:54,150 --> 00:14:00,170 +انتبه معي كويس هروح آخذ أي نقطة جاية على محيط ال + +148 +00:14:00,170 --> 00:14:04,490 +ellipse أو على محيط ال hyperbola فلو جيت قلت هي + +149 +00:14:04,490 --> 00:14:13,010 +النقطة اللي عندنا مثلاً ل PX1 وصلت + +150 +00:14:13,010 --> 00:14:21,280 +منها ل PF1 وصلت منها ل PF2 زيادة على ذلك، من هذه + +151 +00:14:21,280 --> 00:14:27,380 +النقطة رسمت خط مستقيم يوازي فوق ال axis ومدّته + +152 +00:14:27,380 --> 00:14:32,900 +لغاية ما يتقاطع مع ال directrices يبقى مدّته من هنا + +153 +00:14:32,900 --> 00:14:38,220 +أفقي بالشكل اللي عندنا هذا وعلى استقامته من الجهة + +154 +00:14:38,220 --> 00:14:43,340 +الثانية لغاية ما يتقاطع مع هذا سميت هذه النقطة دي + +155 +00:14:43,340 --> 00:14:50,420 +one والنقطة دي دي two الـ Focus Direct Sequation + +156 +00:14:50,420 --> 00:14:56,460 +بتقول لي إن الـ PF1 يساوي الـEccentricity في + +157 +00:14:56,460 --> 00:14:57,700 +الـPD1 + +158 +00:14:59,610 --> 00:15:07,470 +وكذلك بتقول ال PF2 يساوي ال eccentricity في ال PD2 + +159 +00:15:07,470 --> 00:15:13,770 +تعال نشوف وين ال PF1 وين ال PD2 ولا الكلام ده + +160 +00:15:13,770 --> 00:15:19,470 +معقول ولا مش معقول طلع لي كويس هنا الآن PF1 اللي + +161 +00:15:19,470 --> 00:15:26,590 +هي المسافة الصغيرة هنا PD1 ظاهرها أكبر من هذه + +162 +00:15:26,590 --> 00:15:30,770 +الصحيحة ولا لا؟ لكن لما ال PD1 أضربها في ال + +163 +00:15:30,770 --> 00:15:36,110 +eccentricity في حالة ال ellipse يبقى ال E أقل من + +164 +00:15:36,110 --> 00:15:40,050 +الواحد الصحيح يبقى لما أضرب المسافة الكبيرة دي في + +165 +00:15:40,050 --> 00:15:43,730 +كسر أقل من واحد الصحيح بتصغر ولا بتكبر؟ بتظهر بصير + +166 +00:15:43,730 --> 00:15:53,110 +قبل PF1، بالمثل PF2 و PD2، PD2 أكبر من مين؟ من ال + +167 +00:15:53,110 --> 00:15:57,190 +PF2، يعني لو ضربت في كسر أقل من واحد الصحيح، بتظهر + +168 +00:15:57,190 --> 00:16:04,510 +بصير قبل مين؟ ال PF2 طب سؤالنا هو هل هذا الكلام هو + +169 +00:16:04,510 --> 00:16:09,330 +نفسه يبقى صحيحاً على ال hyperbola أم لا؟ الإجابة + +170 +00:16:09,330 --> 00:16:15,170 +نعم تعال نشوف كيف ذلك، يبقى هذه البؤرة بتسميها + +171 +00:16:15,170 --> 00:16:21,470 +اللي هي ال FY وهذه البؤرة الثانية بدي أسميها من ال + +172 +00:16:21,470 --> 00:16:28,630 +F2 بروح آخذ أي نقطة على محيط ال hyperbola نفترض + +173 +00:16:28,630 --> 00:16:35,190 +أخذنا النقطة هذه اللي هي النقطة P للإحداثيات X وY + +174 +00:16:35,190 --> 00:16:42,250 +جينا وصلنا ال P F1 ووصلنا ال P F2 بالشكل اللي + +175 +00:16:42,250 --> 00:16:48,880 +لعبنا هذابعد هيك روحنا من النقطة P نزلنا عمود على + +176 +00:16:48,880 --> 00:16:54,640 +two directories يبقى جينا من النقطة هذه نزلنا + +177 +00:16:54,640 --> 00:16:59,480 +العمود هذا أفقي بهذا الشكل الزاوية هذه قائمة + +178 +00:16:59,480 --> 00:17:04,260 +والزاوية هذه قائمة النقطة القريبة من F1 بدي أسميها + +179 +00:17:04,260 --> 00:17:11,260 +D1 والقريبة من F2 بدي أسميها D2 النقطة تعال + +180 +00:17:11,260 --> 00:17:11,780 +شوفني + +181 +00:17:15,230 --> 00:17:22,310 +PF1 يساوي الـ Eccentricity في الـ PDN يا شباب PF1 ما + +182 +00:17:22,310 --> 00:17:27,690 +أكبر و PDN أصغر منه كثير لكن الـ Eccentricity في + +183 +00:17:27,690 --> 00:17:31,810 +حالة اللي هي hyperbola لما لها أكبر من الواحد الصحيح + +184 +00:17:31,810 --> 00:17:34,710 +بكمية الصورة مضروبة في حتة أكبر من واحد صاحب مالها + +185 +00:17:34,710 --> 00:17:41,300 +تكبر، كلام معقول، والثانية هذه برضه بنفس الطريقة لو + +186 +00:17:41,300 --> 00:17:47,260 +P F2 يساوي ال eccentricity في مين؟ في ال P D2 و + +187 +00:17:47,260 --> 00:17:51,460 +هكذا طبعاً لو بدنا نروح للبرهان قصة هذه قصة طويلة + +188 +00:17:51,460 --> 00:17:55,420 +معناها شغلة يبقى أنا بدأت آخذ المعادلات وأشوف + +189 +00:17:55,420 --> 00:17:59,920 +كيفية تطبيقها طب لو كان إيه؟ لو كان Parabola + +190 +00:18:03,530 --> 00:18:07,370 +الـ E بيغيب واحد، يبقى بيصير الـ P F و الـ P D + +191 +00:18:07,370 --> 00:18:12,590 +بالضبط، اتنين جات بعض تماماً، تمام يبقى لحد هنا stop، + +192 +00:18:12,590 --> 00:18:17,410 +الآن خلصنا نصف الجزء النظري تبع هذا ال section، + +193 +00:18:17,410 --> 00:18:21,550 +بدنا ناخذ عليه مجموعة من الأمثلة، وبعد ذلك بنذهب + +194 +00:18:21,550 --> 00:18:23,530 +إلى النصف الثاني + +195 +00:18:31,940 --> 00:18:36,980 +بدك تعرف لي معادلة ال directrix ومعادلة ال + +196 +00:18:36,980 --> 00:18:44,780 +eccentricity E تساوي C على A و X تساوي A على E أو + +197 +00:18:44,780 --> 00:18:49,680 +سالب A على E حد يسأل أي سؤال قبل أن ندخل في + +198 +00:18:49,680 --> 00:18:55,100 +الأمثلة؟ حد بدي أسأل أي سؤال؟ إذا ما كنتش أنا + +199 +00:18:55,100 --> 00:19:05,830 +بسأل أسأل؟ السؤال هو طلع لي في الليلة بالسادة ما هي + +200 +00:19:05,830 --> 00:19:13,110 +معادلة ال directrices؟ Y تساوي زيادة أو نقص A على A + +201 +00:19:36,870 --> 00:19:41,830 +يبقى أول مثال مثال واحد + +202 +00:19:47,580 --> 00:19:52,400 +بقول find the standard form equation find the + +203 +00:19:52,400 --> 00:20:01,740 +standard form equation المعادلة في صيغتها المتعارف + +204 +00:20:01,740 --> 00:20:12,540 +عليها of the connection للقطع المخروطي with + +205 +00:20:12,540 --> 00:20:17,040 +eccentricity + +206 +00:20:17,950 --> 00:20:28,990 +with eccentricity اللي هي تلاتة and for chi and + +207 +00:20:28,990 --> 00:20:35,890 +for chi والبؤرتين اللي هو zero و زائد أو ناقص + +208 +00:20:35,890 --> 00:20:44,190 +تلاتة also وكذلك find وجدنا its + +209 +00:20:47,740 --> 00:20:55,000 +vertices بدنا الرأسين تبعاته and directrices and + +210 +00:20:55,000 --> 00:20:58,860 +directrices + +211 +00:20:58,860 --> 00:21:10,840 +نرجع + +212 +00:21:10,840 --> 00:21:16,720 +لسؤالنا مرة ثانية السؤال بيقول ما يأتيهات ال + +213 +00:21:16,720 --> 00:21:19,920 +standard for equation ل ال conic section يبقى بدنا + +214 +00:21:19,920 --> 00:21:25,280 +المعادلة تبعت القطع المخروطي ال eccentricity + +215 +00:21:25,280 --> 00:21:30,680 +تبعته تساوي تلاتة يبقى أول معلومة استفدتها إن إيه + +216 +00:21:30,680 --> 00:21:35,000 +يساويها بس ما جاليش مين هو ال conic section لكن أنا + +217 +00:21:35,000 --> 00:21:40,400 +بطلع تلاتة مالها أكبر من الواحد الصحيح مدام أكبر من + +218 +00:21:40,400 --> 00:21:47,710 +الواحد الصحيح يبقى the conic section is hyperbola + +219 +00:21:47,710 --> 00:21:56,430 +تمام التمام بعد هيك قال الفوكاي البورتين Zero وزادة + +220 +00:21:56,430 --> 00:22:02,410 +ونقص تلاتة يبقى البورتين جايت على مين؟ على محور Y + +221 +00:22:02,410 --> 00:22:08,710 +يبقى لو روحت Gold هاي المحاور وهذا محور X وهذا + +222 +00:22:08,710 --> 00:22:17,570 +محور Y النقطة Zero وتلاتة وهنا Zero وسالب تلاتة + +223 +00:22:20,260 --> 00:22:25,220 +الشكل اللي عندنا يبقى هدول بؤرتين يبقى المنحنى + +224 +00:22:25,220 --> 00:22:32,720 +هيكون مفتوح لأعلى ومن هنا المنحنى مفتوح لأسفل + +225 +00:22:32,720 --> 00:22:38,390 +بالشكل اللي عندنا هذا من خلال البؤرتين يبقى هل بقدر + +226 +00:22:38,390 --> 00:22:44,510 +أجيب الشكل المعادلة من خلال المعلومتين بقول الله + +227 +00:22:44,510 --> 00:22:50,490 +أعلم طب كيف؟ آه الله أعلم لكن علمنا علم الإنسان ما + +228 +00:22:50,490 --> 00:22:57,730 +لم يعلم إذا أنا عند هنا C تساوي 3 أول معلومة C ال + +229 +00:22:57,730 --> 00:23:03,690 +eccentricity تساوي و C كذلك تساوي 3 يبقى هنا C + +230 +00:23:03,690 --> 00:23:13,490 +تساوي 3 الـ E تساوي كده؟ C على A طيب الـ E جت ليها + +231 +00:23:13,490 --> 00:23:20,690 +بتلاتة و C بتلاتة على A يبقى الـ A كده تساوي واحد + +232 +00:23:20,690 --> 00:23:25,760 +يبقى الـ A تساوي واحد كويس هيعرفنا الـA معروفة + +233 +00:23:25,760 --> 00:23:30,540 +والـC معروفة بقدر أجيب له الـB يبقى باجي بقول له + +234 +00:23:30,540 --> 00:23:36,680 +الـB تساوي الجذر التربيعي لـ C تربيع ناقص A تربيع + +235 +00:23:36,680 --> 00:23:41,720 +لأنها Hyperbola يبقى هذا بدي يعطينا إن B تساوي + +236 +00:23:41,720 --> 00:23:49,120 +الجذر التربيعي لـC تربيع 9 ناقص A تربيع 1 يبقى بي + +237 +00:23:49,120 --> 00:23:55,220 +بدها تساوي لـsquare root لمين؟ لـ8 الـ focal axis هو + +238 +00:23:55,220 --> 00:24:02,240 +محور Y يبقى المعادلة Y تربيع على A تربيع ناقص X + +239 +00:24:02,240 --> 00:24:08,340 +تربيع على B تربيع تساوي واحد يبقى Y تربيع على واحد + +240 +00:24:08,340 --> 00:24:14,600 +ناقص X تربيع على B تربيع اللي هي بتمانية يساوي قداش + +241 +00:24:14,600 --> 00:24:18,820 +واحد يبقى هذه المعادلة اللي طلبها المطلوب الأول + +242 +00:24:18,820 --> 00:24:26,230 +جالي هات لي ال vertices ما دام أنا جبت له a يبقى هذه + +243 +00:24:26,230 --> 00:24:31,050 +a وهذه a يبقى ال vertices سهلة فبروح بقول له the + +244 +00:24:31,050 --> 00:24:40,350 +vertices are 0 وزائد أو ناقص 1 اللي هي + +245 +00:24:40,350 --> 00:24:46,660 +مقدار ال a جالي كمان هات لي ال directrices يبقى بدي + +246 +00:24:46,660 --> 00:24:50,780 +أروح أجيب له ال directrix اللي هنا وال directrix + +247 +00:24:50,780 --> 00:24:55,940 +اللي هنا أنا عندي ال directrices + +248 +00:24:59,310 --> 00:25:06,250 +بقول الشكل بقول هنا Y تساوي زيادة أو نقص A على E + +249 +00:25:06,250 --> 00:25:12,790 +يبقى ال Y تساوي زيادة أو نقص A بواحد و E بتلاتة + +250 +00:25:12,790 --> 00:25:18,610 +يبقى Y يساوي ثلث اللي هو الخط اللي عندنا الأزرق + +251 +00:25:18,610 --> 00:25:21,830 +هذا Y تساوي ثلث + +252 +00:25:24,890 --> 00:25:31,170 +والخط الثاني الأزرق الثاني اللي هو Y تساوي سالب + +253 +00:25:31,170 --> 00:25:37,290 +ثلث يبقى دول ال two directions انتهينا من المطلوب + +254 +00:25:37,290 --> 00:25:45,210 +نعم انتهينا من المطلوب بدنا نروح للمثال اللي يليه + +255 +00:25:54,950 --> 00:26:06,250 +يبقى example لرقم اثنين بيقول ما يقتل example + +256 +00:26:06,250 --> 00:26:13,830 +two بيقول find the eccentricity find the + +257 +00:26:13,830 --> 00:26:17,150 +eccentricity + +258 +00:26:17,150 --> 00:26:20,370 +و ال vertices + +259 +00:26:24,120 --> 00:26:31,440 +and the standard + +260 +00:26:31,440 --> 00:26:42,020 +form equation of an + +261 +00:26:42,020 --> 00:26:51,160 +ellipse with + +262 +00:26:51,160 --> 00:26:59,450 +center at the origin with center at the origin + +263 +00:26:59,450 --> 00:27:10,350 +المركز هو نقطة الأصل one focus إحدى + +264 +00:27:10,350 --> 00:27:17,790 +البؤرتين اللي هي أربعة و zero and the + +265 +00:27:17,790 --> 00:27:20,630 +corresponding directrix + +266 +00:27:28,720 --> 00:27:37,420 +directrix is x يساوي ستة عشر على ثلث + +267 +00:28:16,710 --> 00:28:22,350 +خلاص؟ طيب، نرجع لسؤالنا، سؤالنا على عكس السابق، + +268 +00:28:22,350 --> 00:28:24,990 +المرة هذه طالب الـ eccentricity المرة اللي فاتت + +269 +00:28:24,990 --> 00:28:29,980 +أعطاه هاليتانية اثنين طلب ال vertices المرة اللي + +270 +00:28:29,980 --> 00:28:34,240 +فجأة أعطاني البؤرتين وقال هات ال standard form + +271 +00:28:34,240 --> 00:28:37,420 +equation بديها كمان والمرة اللي فجأة طلبها ما عندناها + +272 +00:28:37,420 --> 00:28:41,940 +مشكلة جال ال center at the origin واحدة البؤرتين + +273 +00:28:41,940 --> 00:28:46,780 +أربعة وصفر وأعطاني ال directrix المناظر لها ماهي + +274 +00:28:46,780 --> 00:28:50,620 +كل بؤرة في القطع الناقص إذا هذه لها directrix قريبة + +275 +00:28:50,620 --> 00:28:54,510 +منها وهذه لها directrix قريبة منها يبقى الأربعة + +276 +00:28:54,510 --> 00:28:57,210 +والصفر اللي بيعطينا إياها ال direct قد يكون + +277 +00:28:57,210 --> 00:29:02,190 +القريب منها يعني لو روحنا رسمنا الرسمة هذه بنقول + +278 +00:29:02,190 --> 00:29:07,310 +هذه المحاور وهذا محور X وهذا محور Y وهذه النقطة + +279 +00:29:07,310 --> 00:29:13,270 +تمام الأصل قال لي إحدى البؤرتين أربعة وصفر يبقى + +280 +00:29:13,270 --> 00:29:18,930 +هذه الأربعة وصفر تمام؟ قال لي؟ و المركز هو ال + +281 +00:29:18,930 --> 00:29:23,490 +origin قال لي هو ال directrix اللي هو قداش 16 على + +282 +00:29:23,490 --> 00:29:30,390 +3 يبقى لو جيت قلت هذا ال directrix X يساوي 16 على + +283 +00:29:30,390 --> 00:29:33,970 +3 إذا ال ellipse يكون ناحية اليمين ولا ناحية + +284 +00:29:33,970 --> 00:29:40,610 +الشمال؟ يبقى كل جهة الشمال هذه بؤرة يبقى بدها + +285 +00:29:40,610 --> 00:29:45,510 +تجينا ال vertex هنا و يجينا بالشكل اللي عندنا هذا + +286 +00:29:45,510 --> 00:29:53,290 +هيك تمام يبقى هذا ال ellipse اللي عندنا نجي جالها ال + +287 +00:29:53,290 --> 00:29:58,150 +eccentricity بدي بقوله بسيطة احنا عندنا هذه + +288 +00:29:58,150 --> 00:30:03,860 +كلها عبارة عن مين؟ C يبقى ال C تساوي كده اش؟ أربعة + +289 +00:30:03,860 --> 00:30:10,040 +بقوله ال C تساوي أربعة هي المعلومة الأولى ناهيك على + +290 +00:30:10,040 --> 00:30:16,280 +أن ال eccentricity E تساوي C على A يعني معناه هذا + +291 +00:30:16,280 --> 00:30:22,940 +الكلام أن E اللي بديها تساوي أربعة على A هذه + +292 +00:30:22,940 --> 00:30:29,020 +المعلومة الأولى طيب عندنا ال directrix ال + +293 +00:30:29,020 --> 00:30:37,650 +directrix X يساوي الستة عشر على ثلاثة له A على E + +294 +00:30:38,390 --> 00:30:44,510 +مظبوط يعني معنى هذا الكلام أنه ثلاثة A بده يساوي + +295 +00:30:44,510 --> 00:30:50,230 +ستة عشر A إذا ال A هذه ممكن أشيلها فوق و أعوض + +296 +00:30:50,230 --> 00:30:56,610 +بها تحت بصير عندنا ايش ثلاثة A يساوي ستة عشر في + +297 +00:30:56,610 --> 00:31:03,510 +أربعة على A أو إن شئتم فقولوا ثلاثة A تربيع + +298 +00:31:03,510 --> 00:31:10,790 +يساوي أربعة وستين أو الـ A تربيع يساوي أربعة وستين + +299 +00:31:10,790 --> 00:31:22,710 +على ثلاثة أو الـ A بدها تساوي ثمانية على جذر ثلاثة + +300 +00:31:22,710 --> 00:31:28,210 +طلعت له A تساوي ثمانية على جذر ثلاثة وبالتالي بقدر + +301 +00:31:28,210 --> 00:31:31,630 +أجيب له من ال vertices طلب ال vertices هو + +302 +00:31:45,550 --> 00:31:52,250 +الزائد أو ناقص ثمانية على جذر ثلاثة وصفر احنا + +303 +00:31:52,250 --> 00:31:55,750 +جيبنا له ال vertices اللي هو الرأسين بعدين قال لي + +304 +00:31:55,750 --> 00:32:00,990 +بدي ال eccentricity بقوله بسيطة احنا عندنا A هو + +305 +00:32:00,990 --> 00:32:08,290 +عندنا ال eccentricity but و لكن A تساوي أربعة على + +306 +00:32:08,290 --> 00:32:18,570 +A هذا بده يعطيك أن E تساوي 4 على 8 على جذر ثلاثة + +307 +00:32:18,570 --> 00:32:25,470 +يبقى هذا بده يعطيك أن E تساوي من شكلها بيصير جذر + +308 +00:32:25,470 --> 00:32:34,390 +ثلاثة على اثنين يبقى جبت له + +309 +00:32:34,390 --> 00:32:39,470 +مقدار ال eccentricity يبقى جبت له ال eccentricity و + +310 +00:32:39,470 --> 00:32:43,710 +جبت له ال vertices ماذا ضايل عليا المعادلة؟ خلاص + +311 +00:32:43,710 --> 00:32:47,810 +نجيب له المعادلة بيكون خلصنا مشان أجيب له معادلة بدي + +312 +00:32:47,810 --> 00:32:53,550 +A و B أنا جبت A و C بس B لسه ما حسبتهاش إذا بروح + +313 +00:32:53,550 --> 00:33:01,150 +أحسب له B يبقى B يساوي الجذر التربيعي لمين؟ لا ال A + +314 +00:33:01,150 --> 00:33:08,330 +تربيع ناقص C تربيع يبقى الجذر التربيعي للـ A تربيع + +315 +00:33:08,330 --> 00:33:14,010 +اللي هي عبارة عن 64 على 3 ناقص C تربيع اللي هي + +316 +00:33:14,010 --> 00:33:21,410 +مقدار مربع الأربعة اللي هي 16 في 3 ب 48 بدي أشيلها + +317 +00:33:21,410 --> 00:33:31,490 +بال 64 بيظل 16 على 3 ومنها إذا ال B تساوي 4 على + +318 +00:33:31,490 --> 00:33:41,640 +جذر 3 يبقى بدي المعادلة بروح بقوله equation is + +319 +00:33:41,640 --> 00:33:48,220 +x تربيع على طبعا واضح أن ال major axis محور x يبقى + +320 +00:33:48,220 --> 00:33:57,610 +x تربيع على a تربيع ل 64 على 3 زائد y تربيع على B + +321 +00:33:57,610 --> 00:34:05,670 +تربيع اللي طلعت عندنا ل 16 على 3 16 على 3 يساوي 1 + +322 +00:34:05,670 --> 00:34:16,250 +أو ممكن نكتبها 3X تربيع على 64 زائد 3Y تربيع على + +323 +00:34:16,250 --> 00:34:23,510 +16 يساوي من 1 وهذه ال equation اللي عندنا هنا آجي + +324 +00:34:23,510 --> 00:34:27,930 +واحد ثاني يقول لي ايش؟ قال لي أنا بقدر أجيبها طريقة + +325 +00:34:27,930 --> 00:34:31,970 +ثانية قلت له كيف؟ قال لي احنا قبل شوية أخذنا ال + +326 +00:34:31,970 --> 00:34:35,970 +focus directed equation بقوله والله كلامك مظبوط + +327 +00:34:35,970 --> 00:34:40,470 +قال لي بتروح على ال focus directed equation وروح + +328 +00:34:40,470 --> 00:34:48,490 +أجيب المعادلة بقوله تمام راح قال لي حل آخر كويس؟ + +329 +00:34:48,490 --> 00:34:49,370 +solution + +330 +00:34:51,770 --> 00:34:56,810 +بس بدنا نأخذ بعض المعلومات اللي وجدناها هنا لتلزّمنا + +331 +00:34:56,810 --> 00:35:01,590 +بدنا نستخدمها هنا يعني جذر اللي استخدمته في الحل + +332 +00:35:01,590 --> 00:35:05,830 +الأول بدنا نستخدمه لكن ما بديش أروح أدور على الكلام + +333 +00:35:05,830 --> 00:35:09,430 +اللي هنا بقوله care قال لي هذا ال ellipse مرسومة + +334 +00:35:09,430 --> 00:35:16,530 +خالص إذا أنا بدي آخذ نقطة زي نقطة P و أقول الإحداث + +335 +00:35:16,530 --> 00:35:23,980 +تبعها XY وبعدين في ال focus directrix equation في + +336 +00:35:23,980 --> 00:35:31,340 +عندنا حاجة اسمها PF هذه تعتبر F2 وهذه اللي كانت + +337 +00:35:31,340 --> 00:35:37,600 +عندنا اليمين F1 وفي عندنا عمود على ال directrix + +338 +00:35:37,600 --> 00:35:44,680 +اسمه PD2 بقوله كويس قال لي إحداثي النقطة هذه جاهز + +339 +00:35:44,680 --> 00:35:51,600 +زيها وإحداثي النقطة هذه بدي إحداثي من D2 إذا إحداثي + +340 +00:35:51,600 --> 00:35:59,720 +D2 هذه النقطة D2 الإحداثي تبعها عبارة عن الأفق يبدي + +341 +00:35:59,720 --> 00:36:00,700 +أعرف كده + +342 +00:36:03,340 --> 00:36:09,820 +دي اثنين هذه النقطة الإحداثي الصينى إيها كم؟ ستة عشر + +343 +00:36:09,820 --> 00:36:15,900 +على ثلاثة يبقى هذه ستة عشر على ثلاثة والإحداثي الصعودي + +344 +00:36:15,900 --> 00:36:27,310 +إيها هذا Y هو نفس ال Y هذا، مظبوط؟ سكت الشعر Y هذه + +345 +00:36:27,310 --> 00:36:31,550 +هي Y هذه يبقى الصعبة النقاط كل إحداثياتها موجودة + +346 +00:36:31,550 --> 00:36:35,790 +يبقى باجي للحل الآخر بدي أجيبه من ال focus + +347 +00:36:35,790 --> 00:36:41,650 +birectric equation اللي بتقول P F2 بدي أساوي ال + +348 +00:36:41,650 --> 00:36:47,170 +eccentricity في P D2 يبقى من اللي فات بلزمني + +349 +00:36:47,170 --> 00:36:51,250 +باسمين ال eccentricity يبقى بدي أحسب ال + +350 +00:36:51,250 --> 00:36:54,630 +eccentricity من اللي فات بعد ذلك ما لي علاقة في + +351 +00:36:54,630 --> 00:37:03,370 +الباقي بيبقى F2 المسافة بين نقطتين يبقى X ناقص + +352 +00:37:03,370 --> 00:37:08,430 +أربعة الكل تربيع زائد Y ناقص Zero الكل تربيع تحت الجذر + +353 +00:37:08,430 --> 00:37:14,300 +التربيعي إذا هذه بدها تصير الجذر التربيعي لل X + +354 +00:37:14,300 --> 00:37:20,020 +ناقص أربعة الكل تربيع زائد Y ناقص Zero الكل تربيع + +355 +00:37:20,020 --> 00:37:24,260 +بده يساوي ال eccentricity اللي طلعت عندنا هنا قداش + +356 +00:37:24,260 --> 00:37:29,220 +اللي هي جذر ثلاثة على اثنين يبقى هذا ال square ال + +357 +00:37:29,220 --> 00:37:36,290 +root لثلاثة على اثنين بدنا نجي لل PD2 يبقى ال PD2 + +358 +00:37:36,290 --> 00:37:44,810 +يبقى X ناقص 16 على 3 يبقى هنا الجذر التربيعي لل X + +359 +00:37:44,810 --> 00:37:52,750 +ناقص 16 على 3 الكل تربيع زائد Zero Y ناقص Y الكل + +360 +00:37:52,750 --> 00:37:59,970 +تربيعهذه Y ناقص Y الكل تربيع يبقى Zero الكل تربيع + +361 +00:37:59,970 --> 00:38:05,170 +يبقى هذه المسألة اللي عملناها طيب تمام تمام إذا بدي + +362 +00:38:05,170 --> 00:38:10,110 +أروح أربع الطرفين بصير عندي X ناقص أربعة الكل تربيع + +363 +00:38:10,110 --> 00:38:16,950 +زائد Y تربيع يساوي ثلاثة على أربعة في X ناقص ستة عشر على + +364 +00:38:16,950 --> 00:38:22,700 +ثلاثة الكل تربيع بدا أفك التربيعات هذه يبقى x تربيع + +365 +00:38:22,700 --> 00:38:29,900 +ناقص ثمانية x زائد ستة عشر زائد y تربيع يساوي ثلاثة + +366 +00:38:29,900 --> 00:38:37,400 +على أربعة x تربيع ناقص هذه في اثنين لها اثنين وثلاثين على ثلاثة + +367 +00:38:37,400 --> 00:38:44,530 +بتروح مع الثلاثة بصير ناقص ثمانية x زائد + +368 +00:38:44,530 --> 00:38:52,110 +256 على ثلاثة في ثلاثة على أربعة 256 على ثلاثة بتروح + +369 +00:38:52,110 --> 00:39:00,210 +الثلاثة مع ثلاثة بيظل 256 على 4 يبقى + +370 +00:39:00,210 --> 00:39:06,750 +64 يبقى هذا من هذا اللي هو 64 مرة ثانية يا شباب + +371 +00:39:07,920 --> 00:39:12,200 +بقول ما يأتي فيها أشياء ما غلط بدنا نصلحها احنا + +372 +00:39:12,200 --> 00:39:15,820 +أين هذه صار الثلاثة تربيع هذه X تربيع يبقى ثلاثة تربيع + +373 +00:39:15,820 --> 00:39:20,960 +X تربيع ضعف حاصل ضرب الكميتين اثنين في ستة عشر على + +374 +00:39:20,960 --> 00:39:25,280 +ثلاثة يعني اثنين وثلاثين على ثلاثة في ثلاثة تربيع + +375 +00:39:25,280 --> 00:39:28,820 +بتروح الثلاثة مع ثلاثة واثنين وثلاثين مع أربعة + +376 +00:39:28,820 --> 00:39:36,960 +فيها الثمانية X مربع هدا 256 على 9 مضروبة في تلاتة + +377 +00:39:36,960 --> 00:39:43,740 +بيبقى الـ 8 على ثلاثة تمام؟ والـ 256 على أربع + +378 +00:39:43,740 --> 00:39:49,380 +لأربع وستين في أربع هكذا تمام؟ مئة ومئة مئة الحين + +379 +00:39:49,380 --> 00:39:52,740 +لو جبت المقدار هذا عند المقدار هذا بيصير بإشارة + +380 +00:39:52,740 --> 00:39:58,080 +مخالفة بينتهي بدي أجيب هذه بيصير X تربيع ناقص تلات + +381 +00:39:58,080 --> 00:40:04,300 +تربيع X تربيع بيبقى لجديد رابع X تربيع Y تربيع + +382 +00:40:04,300 --> 00:40:10,910 +مافيش غيرها يساوي هنا أربع و ستين على تلاتة بده + +383 +00:40:10,910 --> 00:40:16,390 +يجيب عندها مين الست عشر يبقى هذا الكلام بده يعطيك + +384 +00:40:16,390 --> 00:40:25,010 +رابع X تربيع زائد Y تربيع يساوي ثمانية و أربعين + +385 +00:40:25,010 --> 00:40:30,730 +بده أشيلها من الاربعة و الستين بظل 16 عالمين على 3 + +386 +00:40:30,730 --> 00:40:38,550 +بدنا نقسم كله على 16 على 3 بيصير 3X تربيع على 16 + +387 +00:40:38,550 --> 00:40:48,310 ++ 3Y تربيع على 16 يساوي 1 طلع في + +388 +00:40:48,310 --> 00:40:54,070 +المعادلة دي و طلع في المعادلة اللي فوق هييا الله + +389 +00:40:54,070 --> 00:40:59,650 +قولها الكلمتين اللي زنجاتك اه! هو اللي خدنا الجدر + +390 +00:40:59,650 --> 00:41:06,690 +هذا عمرك سمعت بقانون المسافة بين نقطتين؟ قانون + +391 +00:41:06,690 --> 00:41:16,670 +المسافة بين نقطتين، سمعت فيه ولا لا؟ سمعت فيه؟ + +392 +00:41:16,670 --> 00:41:21,610 +بالمرة النهائية، يا ريت أصدقنا الحديث، كل مرة علينا، + +393 +00:41:21,610 --> 00:41:24,890 +بس نسيته ومات، قولش بس بعد يمتع، يعني إيه؟ ده كتكذب + +394 +00:41:24,890 --> 00:41:30,230 +الناس كله؟خلاص؟ يبقى هذا خدناه في الإعدادية وخدناه + +395 +00:41:30,230 --> 00:41:33,070 +في الثانوية قانون المسافة بين نقطتين وخدناه في + +396 +00:41:33,070 --> 00:41:37,990 +calculus ايه؟ المسافة بين نقطتين يبقى الجذر + +397 +00:41:37,990 --> 00:41:42,930 +التربيعي بجد تقوله صد اتنين ناقص صد واحد لكل تربيع + +398 +00:41:42,930 --> 00:41:47,030 +زائد سين اتنين ناقص سين واحد لكل تربيع مظبوط هيك + +399 +00:41:47,030 --> 00:41:52,170 +بجد تقوله؟ يبقى هو اللي استخدمنا هذا وهذا خلاص ما؟ + +400 +00:41:52,170 --> 00:41:57,850 +حد لو يتساؤل ثاني؟ طب إذا المثال رقم تلاتة؟ + +401 +00:42:19,990 --> 00:42:25,730 +مثال رقم تلاتة بيقول ما يأتي تلاتة + +402 +00:42:25,730 --> 00:42:34,870 +بيقول find the eccentricity find the eccentricity + +403 +00:42:34,870 --> 00:42:39,610 +بدنا ال eccentricity وال vertices + +404 +00:42:42,220 --> 00:42:48,060 +والفيرتسيز and the + +405 +00:42:48,060 --> 00:42:58,600 +standard form equation of the hyperbola + +406 +00:43:10,480 --> 00:43:21,460 +with center at the origin و + +407 +00:43:21,460 --> 00:43:28,820 +ال focus إحدى البؤرتين الثانية اللي هي السالب ستة و + +408 +00:43:28,820 --> 00:43:34,340 +صفر and the corresponding directrix and the + +409 +00:43:34,340 --> 00:43:36,520 +corresponding + +410 +00:43:42,800 --> 00:43:51,940 +directrix الدليل المناظر اللي هو as x يساوي سالب + +411 +00:43:51,940 --> 00:44:00,940 +اثنين تمام + +412 +00:44:00,940 --> 00:44:05,320 +السؤال اللي فات كان سؤال ellipse هذا سؤال + +413 +00:44:05,320 --> 00:44:10,940 +hyperbola لكن بنفس المفهوم بعدين بقول لك كويسة أنا + +414 +00:44:10,940 --> 00:44:15,800 +بدي آخذ المحاور يبقى هي المحاور اللي عندنا وهذا X + +415 +00:44:15,800 --> 00:44:22,760 +يساوي Zero وهذا Y يعني هذا محور X وهذا محور Y قال + +416 +00:44:22,760 --> 00:44:28,120 +لي إحدى البؤرتين سالب ستة وزيرو يبقى سالب ستة + +417 +00:44:28,120 --> 00:44:33,960 +وصفر بدها تجي هنا هاي سالب ستة وصفر بهذا الشكل + +418 +00:44:33,960 --> 00:44:40,330 +طبعا إذا المنحنى معقول يكون مفتوح جهة اليمين؟ لا + +419 +00:44:40,330 --> 00:44:45,950 +لأن هذا هو ال center تمام؟ إذا بدي يكون وين جهة + +420 +00:44:45,950 --> 00:44:51,250 +الشمال بهذا الشكل و من الناحية الثانية بدي يصير + +421 +00:44:51,250 --> 00:44:55,850 +جهة اليمين بهذا الشكل يبقى هذا ال hyperbola + +422 +00:44:55,850 --> 00:45:01,750 +الامتحان جال ال center و جال اللي بيعطينا ال focus + +423 +00:45:01,750 --> 00:45:05,050 +جال اللي دي corresponding ال directrix x يساوي + +424 +00:45:05,050 --> 00:45:11,290 +سالب اثنين يبقى سالب اثنين تقريبا ثلث المسافة هنا + +425 +00:45:11,290 --> 00:45:19,400 +يبقى بالداخل ال x يساوي سالب اثنين يبقى هذا ال X + +426 +00:45:19,400 --> 00:45:25,120 +يساوي سالب اثنين بالشكل اللي عندنا ال Directrix + +427 +00:45:25,120 --> 00:45:30,690 +المناظر لمين للبؤرة اللي عندنا هذا البؤرة يبدأ + +428 +00:45:30,690 --> 00:45:33,610 +بالبؤرة الوحيدة ليست علاقة بالبؤرة الوحيدة ليست + +429 +00:45:33,610 --> 00:45:33,670 +علاقة بالبؤرة الوحيدة ليست علاقة بالبؤرة الوحيدة + +430 +00:45:33,670 --> 00:45:34,530 +ليست علاقة بالبؤرة الوحيدة ليست علاقة بالبؤرة + +431 +00:45:34,530 --> 00:45:36,450 +الوحيدة ليست علاقة بالبؤرة الوحيدة ليست علاقة + +432 +00:45:36,450 --> 00:45:37,350 +بالبؤرة الوحيدة ليست علاقة بالبؤرة الوحيدة ليست + +433 +00:45:37,350 --> 00:45:38,750 +علاقة بالبؤرة الوحيدة ليست علاقة بالبؤرة الوحيدة + +434 +00:45:38,750 --> 00:45:41,650 +ليست علاقة بالبؤرة الوحيدة ليست علاقة بالبؤرة + +435 +00:45:41,650 --> 00:45:46,310 +الوحيدة ليست علاقة بالبؤرة الوحيدة ليست علاقة + +436 +00:45:46,310 --> 00:45:52,680 +بالبؤرة الوحيدة ليست علاقة بالبؤرة بعد بين + +437 +00:45:52,680 --> 00:45:56,860 +البؤرة والسينتر اللي هو C يبقى بقى دي بقوله C + +438 +00:45:56,860 --> 00:46:04,440 +عمليا تساوي ستة تمام؟ الآن احنا عندنا E تساوي C + +439 +00:46:04,440 --> 00:46:11,780 +على A يبقى ال E أنا مش عارف أبي أديها C بستة على A + +440 +00:46:11,780 --> 00:46:15,180 +الآن نجي لل Directrix + +441 +00:46:17,270 --> 00:46:23,750 +المعادلة بتبعته X يساوي سالب اثنين يبقى سالب اثنين + +442 +00:46:23,750 --> 00:46:31,230 +بده يساوي سالب A على E معناه هذا الكلام أنه إيه؟ + +443 +00:46:31,230 --> 00:46:41,390 +أنه اثنين E بده يساوي ال A أو هذا بده يعطيك أن ال + +444 +00:46:41,390 --> 00:46:51,620 +A تساوي اثنين في E اليمين لستة على A يبقى صار عندي + +445 +00:46:51,620 --> 00:46:58,280 +هنا ال a تربيع يساوي قداش اثنا عشر إذا ال a تساوي + +446 +00:46:58,280 --> 00:47:03,920 +اثنين جذر تلاتة حصلتني على إذا بقدر أعطيه ال + +447 +00:47:03,920 --> 00:47:13,660 +vertices مباشرة يبقى هذه بده يعطينا the vertices a + +448 +00:47:15,150 --> 00:47:21,530 +زائد أو ناقص اثنين جذر تلاتة وقداش وصفر يبقى ال + +449 +00:47:21,530 --> 00:47:28,000 +vertex اللي عندنا اثنين جذر تلاتة وصفر الفيرتكس + +450 +00:47:28,000 --> 00:47:34,060 +الثاني السالب اثنين جذر تلاتة وهذه موجب اثنين جذر + +451 +00:47:34,060 --> 00:47:37,840 +تلاتة وهذه موجب اثنين جذر تلاتة وهذه موجب اثنين + +452 +00:47:37,840 --> 00:47:38,520 +جذر تلاتة وهذه موجب اثنين جذر تلاتة وهذه موجب + +453 +00:47:38,520 --> 00:47:38,620 +اثنين جذر تلاتة وهذه موجب اثنين جذر تلاتة وهذه + +454 +00:47:38,620 --> 00:47:38,700 +موجب اثنين جذر تلاتة وهذه موجب اثنين جذر تلاتة + +455 +00:47:38,700 --> 00:47:44,760 +تلاتة وهذه موجب اثنين جذر تلاتة وهذه موجب اثنين + +456 +00:47:44,760 --> 00:47:48,790 +جذر تلاتة وهذه موجب اثنين ما دام عرفت ال a بقدر + +457 +00:47:48,790 --> 00:47:57,150 +أعرف ال eccentricity يبقى e يساوي 6 على 2 جذر 3 + +458 +00:47:57,150 --> 00:48:06,160 +يبقى هذا بدي يعطيك أن ال e تساوي 3 على جذر 3 أضرب في + +459 +00:48:06,160 --> 00:48:13,880 +جذر ثلاثة على جذر ثلاثة هذا سيعطيك أن ال E يساوي + +460 +00:48:13,880 --> 00:48:18,900 +ال square root لثلاثة يبقى جبت له المطلوب + +461 +00:48:18,900 --> 00:48:20,900 +الأول ال eccentricity + +462 +00:48:23,430 --> 00:48:28,590 +بس بدي ال equation يبقى بدي ال a و ال b ال a حصلنا + +463 +00:48:28,590 --> 00:48:34,510 +عليها ليه باثنين طول عندي بيه يبقى بيه يساوي الجذر + +464 +00:48:34,510 --> 00:48:40,150 +التربيعي ل c تربيع ناقص a تربيع هذا بدي يعطيك أن + +465 +00:48:40,150 --> 00:48:45,810 +بيه يساوي الجذر التربيعي ل c تربيع ال c عندي بستة + +466 +00:48:45,810 --> 00:48:52,260 +ليه قداش؟ ستة و تلاتين ناقص ال a هو أربعة في تلاتة + +467 +00:48:52,260 --> 00:49:00,080 +بإثنا عشر ويساوي قداش جذر الاربعة و العشرين يعني اثنين + +468 +00:49:00,080 --> 00:49:05,590 +جذر ستة إذا بقدر أجيب له main ال equation يبقى ال + +469 +00:49:05,590 --> 00:49:10,430 +equation واضح ان فوق ال X هو محور X يبقى ال X + +470 +00:49:10,430 --> 00:49:16,010 +تربيع على A تربيع وين ال A هايها؟ اللي هو أربعة في + +471 +00:49:16,010 --> 00:49:23,090 +تلاتة بإثنا عشر ناقص Y تربيع على B تربيع، اللي يبقى + +472 +00:49:23,090 --> 00:49:31,430 +أربعة و عشرين بده يساوي كده؟ بده يساوي واحد جينا + +473 +00:49:31,430 --> 00:49:35,610 +الآن يا أحمد الفرع والكلام للسامعين مش أحمد برضه، + +474 +00:49:35,610 --> 00:49:39,550 +الآن بدي أحل المسألة بطريقة أخرى زي المرة اللي + +475 +00:49:39,550 --> 00:49:44,660 +فاتت يبقى بدي احلها بال focus directrix equation + +476 +00:49:44,660 --> 00:49:54,120 +هذه تعتبر F1 و لو روحت اخدت نقطة زي النقطة هذه PXY + +477 +00:49:54,120 --> 00:50:02,180 +و منها بدي اروح أوصل لل PF1 و نزل عمود على ال + +478 +00:50:02,180 --> 00:50:10,040 +directrix يبقى هذا D1 اللي يحدث نقطة تبعه قداش قداش + +479 +00:50:10,040 --> 00:50:15,080 +إحداثيات النقطة هذه؟ سالب + +480 +00:50:15,080 --> 00:50:21,820 +اثنين و واي. تمام؟ هذه معروفة الإحداثيات، هذه هذه، + +481 +00:50:21,820 --> 00:50:28,000 +ثم بندرجين المعادلة يبقى هنا another solution + +482 +00:50:32,050 --> 00:50:37,710 +بنا نكتب المعادلة بس و أخليك تحل لحالك يبقى PF1 + +483 +00:50:37,710 --> 00:50:44,310 +يساوي ال eccentricity في ال PDO من ال PF1 نجي + +484 +00:50:44,310 --> 00:50:49,790 +لقانون البعد بين نقطتين يا حمد والكلام للسامعين يبقى + +485 +00:50:49,790 --> 00:50:55,790 +هذا الجذر التربيعي وين ال PF1 هي يبقى X ناقص ناقص + +486 +00:50:55,790 --> 00:51:04,310 +ستة بيصير X زائد ستة لكل تربيع زائد Y ناقص Zero لكل + +487 +00:51:04,310 --> 00:51:09,510 +تربيع يبقى Y تربيع يساوي ال eccentricity E اللي + +488 +00:51:09,510 --> 00:51:17,320 +فلعنها بجذر تلاتة يبقى ال square root ل 3 في P هي + +489 +00:51:17,320 --> 00:51:25,120 +ال PD1 يبقى X ناقص ناقص اثنين يبقى الجذر التربيعي ل + +490 +00:51:25,120 --> 00:51:30,780 +X زائد اثنين لكل تربيع زائد Y ناقص Y اللي هي Zero + +491 +00:51:30,780 --> 00:51:35,520 +حل المعادلة هذه زي ما حلنا الأولانية قبل قليل وهي + +492 +00:51:35,520 --> 00:51:41,920 +الإجابة تمام؟ ربع الطرفين وفك بتكون وصلت لمين + +493 +00:51:41,920 --> 00:51:49,910 +للإجابة حتى الآن يا شباب احنا رافعين عنوان و بنتكلم + +494 +00:51:49,910 --> 00:51:56,070 +بشغلة ثانية، العنوان اللي احنا رافعينه اللي هو man + +495 +00:51:56,510 --> 00:52:00,370 +اللي هو ال conics in polar coordinates تمام؟ + +496 +00:52:00,370 --> 00:52:04,810 +وبنتحدث عن مين؟ عن كارتيزن، ما جيبناه سيرته مين؟ + +497 +00:52:04,810 --> 00:52:09,670 +يبقى لما بدنا نخش على ال polar لمن؟ أو ال conic + +498 +00:52:09,670 --> 00:52:14,210 +sections in polar coordinates يبقى بالداخل ال + +499 +00:52:14,210 --> 00:52:23,790 +conic sections in polar coordinates + +500 +00:52:25,940 --> 00:52:29,680 +الآن مش هنجيب معادلة ال connect sections في ال + +501 +00:52:29,680 --> 00:52:35,940 +polar coordinates بدنا نروح نخلي إحدى البقرتين في + +502 +00:52:35,940 --> 00:52:42,020 +ال origin يبغى بنكتب بس كلمتين صغيرة بساطرين + +503 +00:52:42,020 --> 00:52:48,080 +وبعدين بنبدأ الشغل تبعنا يبغى بقول ما يتيه if we + +504 +00:52:48,080 --> 00:52:59,740 +place we a place لو وضعنا و ن focus إحدى البقرتين + +505 +00:52:59,740 --> 00:53:05,100 +at the origin + +506 +00:53:05,100 --> 00:53:13,640 +في مكان نقطة الأصل and the corresponding directrix + +507 +00:53:20,870 --> 00:53:29,930 +والدليل اللي عندنا اللي هو ال X يساوي K is to the + +508 +00:53:29,930 --> 00:53:42,930 +right جهة اليمين of the origin of the origin على + +509 +00:53:42,930 --> 00:53:47,230 +يمين نقطة الأصل we have + +510 +00:53:59,190 --> 00:54:03,850 +الكلام اللى كتبناه بنروح نحطه على الطبيعة يبقى لو + +511 +00:54:03,850 --> 00:54:10,650 +جيت قولت هاي المحاور عندك هذا اللي هو θ تسوى zero + +512 +00:54:10,650 --> 00:54:16,670 +أو سابقا بجينا نقول عليه محور X هذا θ تسوى π على + +513 +00:54:16,670 --> 00:54:22,850 +اثنين أو محور Y حطينا إحدى البقرتين في ال origin + +514 +00:54:22,850 --> 00:54:24,510 +يبقى ال focus + +515 +00:54:27,640 --> 00:54:33,460 +origin إحدى البقرتين في نقطة وين؟ الأصل قال ال + +516 +00:54:33,460 --> 00:54:39,140 +directrix أجوا على اليمين يبقى لو جينا قولنا هذا + +517 +00:54:39,140 --> 00:54:46,940 +هو ال directrix اللي معادلته x يساوي k حسب ما عرفنا + +518 +00:54:46,940 --> 00:54:51,520 +ال directrix قبل ذلك اليوم بأن هو المسافة ما بين + +519 +00:54:51,520 --> 00:54:57,040 +المركز و مين و ال directrix يعني K هي المسافة اللي + +520 +00:54:57,040 --> 00:55:02,520 +عندنا هذه بالضبط تماما طب لو جينا رسمنا المنحنة + +521 +00:55:02,520 --> 00:55:08,260 +هذه البقرة وهذا ال directrix إذا ال vertex بتيجي + +522 +00:55:08,260 --> 00:55:12,460 +ما بين البقرة و بين ال directrix مصبوب لأن ال + +523 +00:55:12,460 --> 00:55:17,310 +directrix خلف ال vertex يبقى المنحنة بده يكون + +524 +00:55:17,310 --> 00:55:23,010 +بالشكل اللي عندنا هذا المنحنة هذا قد يكون ellipse + +525 +00:55:23,010 --> 00:55:28,270 +وقد يكون parabola وقد يكون hyperbola الآن هقولك + +526 +00:55:28,270 --> 00:55:32,650 +كيف نعرف هذا المنحنة يعني كيف هنفرج في ما بينهم + +527 +00:55:32,650 --> 00:55:36,990 +بقول كويس يبقى بالشكل اللي عندنا هذا بعدين بقول + +528 +00:55:36,990 --> 00:55:42,450 +بدنا نكتب معادلة هذا المنحنة مشان نكتب معادلة هذا + +529 +00:55:42,450 --> 00:55:48,430 +المنحنة بنروح ناخد نقطة واقعة عليه اللي هي النقطة + +530 +00:55:48,430 --> 00:55:55,890 +XY مثلا في حالة ال Cartesian أو R و θ في حالة ال + +531 +00:55:55,890 --> 00:56:02,170 +polar يبقى هذا الخط يعتبر مين؟ اللي هو R والزاوية + +532 +00:56:02,170 --> 00:56:06,510 +اللي عملها ليها دي مع الاتجاه الموجب هي الزاوية ال + +533 +00:56:06,510 --> 00:56:16,350 +theta تمام؟ وهذاها اللي هو بده أسميه PD يبقى هذا + +534 +00:56:16,350 --> 00:56:22,470 +النقطة اللي هي PD كويس بدنا نيجي لان نيجي لل focus + +535 +00:56:22,470 --> 00:56:27,790 +directed equation هدي بقرة يبقى هدي مين؟ اللي هي + +536 +00:56:27,790 --> 00:56:33,170 +ال F صحيح ولا لأ؟ focus نديها الرمز F يبقى من ال + +537 +00:56:33,170 --> 00:56:38,210 +focus directed equation ال P F يسوى ال + +538 +00:56:38,210 --> 00:56:46,610 +eccentricity في ال P D الـPF من هي يا شباب؟ R يبقى + +539 +00:56:46,610 --> 00:56:53,550 +الـR تساوي وهذا الـE فيه بدا يجي للـPD PD هي + +540 +00:56:53,550 --> 00:57:00,630 +المسافة من النقطة P لغاية D طيب لو جيت من هنا نزلت + +541 +00:57:00,630 --> 00:57:05,590 +عمود بالشكل اللي عندنا هذا يبقى هذا البعد مش هو + +542 +00:57:05,590 --> 00:57:10,720 +نفس البعد اللي عندنا هذا؟ البعد هذا هو نفس البعد + +543 +00:57:10,720 --> 00:57:16,420 +اللي عندنا طيب هذا كله عبارة عن كي بدأ أشيل منه + +544 +00:57:16,420 --> 00:57:21,560 +الجزء الصغير هذا الجزء الصغير هذا اللي هو مين + +545 +00:57:21,560 --> 00:57:28,120 +اعرفي جيب تمام الزاوية ثيتا يبقى هذا اعرفي كوصين + +546 +00:57:28,120 --> 00:57:36,070 +الزاوية ثيتا واضحة؟ طيب يبقى ال PD اللي هو ال K بدي + +547 +00:57:36,070 --> 00:57:43,230 +أطرح منه الجزء الصغير هنا اللي هو R في Cos الزاوية + +548 +00:57:43,230 --> 00:57:51,890 +ثيتا طيب هذا صار لو فك جد فكته E في K نقص E في R + +549 +00:57:51,890 --> 00:57:57,180 +في Cos الزاوية ثيتا يسوى R ماذا رايك؟ أنا بدي اجيب + +550 +00:57:57,180 --> 00:58:02,660 +هد على الشجة التانية و بدي اخد R عمل مشترك بظل + +551 +00:58:02,660 --> 00:58:09,620 +عندي 1 زائد E في cosine الزاوية ثيتا بده يساوي E + +552 +00:58:09,620 --> 00:58:15,660 +في K أو K في E ما عندنا مش مشكلة طيب أنا بديش هذه + +553 +00:58:15,660 --> 00:58:21,040 +المعادلة بدي R لوحدها جداش لإن في ال polar عندنا R + +554 +00:58:21,040 --> 00:58:28,100 +دايما function في θ يبجى هذه تساوي K على E في واحد + +555 +00:58:28,100 --> 00:58:35,320 +زائد E في cosine زاوية θ يبجى هذا معادة ال conic + +556 +00:58:35,320 --> 00:58:41,200 +section في ال polar cone السؤال ما هو يا ناس هذه + +557 +00:58:41,200 --> 00:58:45,140 +معادلة ellipse و لا parabola و لا hyperbola اللي + +558 +00:58:45,140 --> 00:58:50,680 +بتحكم فيها هذا المقدار قيمة ال E إذا ال E طلعت + +559 +00:58:50,680 --> 00:58:55,500 +بواحد صحيحة يبقى هذه معادلة parabola زي ما هي + +560 +00:58:55,500 --> 00:59:00,040 +مرسومة إذا والله ال E محصورة بين ال zero و الواحد + +561 +00:59:00,040 --> 00:59:06,530 +الصحيحة يبقى معادلة ellipse بنكملها إلى ellipse إذا + +562 +00:59:06,530 --> 00:59:11,830 +ال E أكبر من الواحد الصحيح بمعادلة I Parabola + +563 +00:59:11,830 --> 00:59:17,550 +بنكملها و بنرسم الـ X على الشكل الثاني تمام؟ يبقى + +564 +00:59:17,550 --> 00:59:22,890 +هذا الإشارة بالمجال طب لو كانت الإشارة بالسالم نفس + +565 +00:59:22,890 --> 00:59:27,330 +الرسمة بس ال dialectics بيجيني أين؟ على الشمال + +566 +00:59:27,330 --> 00:59:34,070 +يعني لو كان هي المحاور بهذا الشكلهذا θ تساوي zero + +567 +00:59:34,070 --> 00:59:41,010 +وهذا θ تساوي π على اثنين وهنا هاد ال focus at the + +568 +00:59:41,010 --> 00:59:47,110 +origin ال direct أجي على الشمال يبقى معادلة x + +569 +00:59:47,110 --> 00:59:55,290 +يساوي كداش سالب k إذا بدي يكون مفتوح جهة اليمين + +570 +00:59:55,290 --> 00:59:59,870 +بهذا الشكليبدأ إذا ال directrix أجعل الشمال + +571 +00:59:59,870 --> 01:00:07,010 +المعادلة كما هي كافية على واحد بس بدل الزائد نكتب + +572 +01:00:07,010 --> 01:00:15,170 +ناقص E في cosine الزاوية ثيتا طب لو حدث ان الفوق + +573 +01:00:15,170 --> 01:00:21,630 +لاكس ماهواش أفقي كما في الحالتين لو صار رأسي باجي + +574 +01:00:21,630 --> 01:00:27,290 +بقوله كويس لو صار رأسي ولا رأسك بدي يكون بالشكل + +575 +01:00:27,290 --> 01:00:32,570 +اللي عندنا هذا يبقى هذا theta تساوي zero و هذا + +576 +01:00:32,570 --> 01:00:37,530 +theta تساوي pi على اثنين لما اقول رأسك بقصدها مشان + +577 +01:00:37,530 --> 01:00:42,710 +تخليك متبقى معايا هنالأن أما الرأس بيطلع معلومة دي + +578 +01:00:42,710 --> 01:00:47,150 +هي أدخلش في راسك ومن ثم في قلب كلقوله تبارك وتعالى + +579 +01:00:47,150 --> 01:00:51,790 +لهم قلوب لا يعقلون بها، يبقى القلوب هي اللي بتعقل + +580 +01:00:51,790 --> 01:00:57,090 +و أنا بدي اكتعقل معايا، يبقى هنا شباب مهم ال focus + +581 +01:00:57,090 --> 01:01:03,930 +at the origin، بدي اخل ال directrix فوق، يبقى ال + +582 +01:01:03,930 --> 01:01:08,190 +directrix لو جاني بدي يجيني هك، هذا ال directrix، + +583 +01:01:08,190 --> 01:01:13,230 +بس ايش بصير معادلة هو؟ Y تساوي K، يبقى الملحانة + +584 +01:01:13,230 --> 01:01:17,970 +بصير مفتوح لوين؟ الأسفل لإنه ممنوع يقطع ال + +585 +01:01:17,970 --> 01:01:22,400 +bioelectrics بالشكل اللي عندنا هذالو حد ذلك + +586 +01:01:22,400 --> 01:01:29,200 +المعادلة R تساوي K في E على 1 زائد E في Sine + +587 +01:01:29,200 --> 01:01:35,560 +الزاوية ثيتا يبقى بس بدل ال cosine بالصير Sine + +588 +01:01:35,560 --> 01:01:39,860 +اللي هي المعادلة تبعتنا الأولى هذه طب لو ال + +589 +01:01:39,860 --> 01:01:45,260 +directus بدل مكان فوق نزل تحت يبقى المحاور بالصير + +590 +01:01:45,260 --> 01:01:52,320 +بالشكل اللي عندنا هذا هذا ال focus وهذا θ تساوي + +591 +01:01:52,320 --> 01:02:00,140 +zero وهذا θ تساوي باي على اثنين يبقى بده يجين ال + +592 +01:02:00,140 --> 01:02:06,400 +bioelectrics أسفل يبقى بده يصير هذا اللي هو y + +593 +01:02:06,400 --> 01:02:14,550 +يساوي قداش سالب K يبقى المنحنى يصير مانه مفتوح إلى + +594 +01:02:14,550 --> 01:02:20,530 +أعلى بهذا الشكل وبالتالي المعادلة هتصير K في E على + +595 +01:02:20,530 --> 01:02:26,310 +واحد ناقص E في Sine الزاوية ثيتا بالشكل اللي عندنا + +596 +01:02:26,310 --> 01:02:31,670 +هذا يبقى بديك تعرف بمجرد ما تنظر في المثلة Cos + +597 +01:02:31,670 --> 01:02:39,550 +يبقى فوق ال axis أفقي Sin يبقى الـFocal Axis راسي + +598 +01:02:39,550 --> 01:02:42,690 +كما في الحالة هذه أو في الحالة هذه إذا ولّا + +599 +01:02:42,690 --> 01:02:48,530 +الإشارة بالموجب يبقى ال DirectX جهتي اليمين مع ال + +600 +01:02:48,530 --> 01:02:52,670 +Cos وإذا الإشارة بالسلبي يبقى ال DirectX جهتي + +601 +01:02:52,670 --> 01:02:57,710 +المين جهتي الشمال هنا إذا الإشارة بالموجب مع ال + +602 +01:02:57,710 --> 01:03:01,310 +Sin يبقى ال DirectX home إذا الإشارة بالسلبي يبقى + +603 +01:03:01,310 --> 01:03:06,950 +ال DirectX لحد هنا انتهى الجزء المظري تبع ال conic + +604 +01:03:06,950 --> 01:03:11,210 +sections الثلاثة ببنا نعطي مثال مشان نثبت + +605 +01:03:11,210 --> 01:03:17,010 +هالمعلومات قبل أن ننصرف المثال بيقول المثال واحد + +606 +01:03:17,010 --> 01:03:22,970 +وبيكفي يبقى example مثال + +607 +01:03:22,970 --> 01:03:28,650 +اليوم ومثال بكرا يا شيخ طيب المثال بيقول ما ياتي + +608 +01:03:32,850 --> 01:03:44,330 +Find the polar equation المعادلة القطبية for the + +609 +01:03:44,330 --> 01:03:54,890 +following conic sections with + +610 +01:03:54,890 --> 01:04:05,960 +one focus at the origin one focus on the origin + +611 +01:04:05,960 --> 01:04:18,220 +نمرا a ال a تساوي واحد و ال vertex اللي من خمسة و + +612 +01:04:18,220 --> 01:04:25,440 +باية على اتنين نمرا b جلل eccentricity E يساوي + +613 +01:04:25,440 --> 01:04:30,060 +اثنين و بايركتريكس + +614 +01:04:30,060 --> 01:04:39,520 +اللي همين R تساوي اربعة سك تيتا نمرة C جلل + +615 +01:04:39,520 --> 01:04:49,880 +eccentricity E تساوي خمس و بايركتريكس Y تساوي سالب + +616 +01:04:49,880 --> 01:04:50,500 +عشرة + +617 +01:04:54,710 --> 01:05:20,770 +أسلة بسيطة خالص الحل ان شاء الله و نمشي أربعة + +618 +01:05:20,770 --> 01:05:27,550 +تساوي سك ثيتار تساوي اربعة سكتين يبقى solution و + +619 +01:05:27,550 --> 01:05:35,130 +بدنا نيجي للمرة eight خلي بالكم معانا هنا لما نيجي + +620 +01:05:35,130 --> 01:05:40,370 +للمرة اذا يعطينا ال E تساوي واحد يبقى ال E تساوي + +621 +01:05:40,370 --> 01:05:49,310 +واحد معناته that connect section is فرابل يبقى هذه + +622 +01:05:49,310 --> 01:05:57,180 +عرفناها من شكل مين من شكل ال .. ال ايه؟ ميعطيني one + +623 +01:05:57,180 --> 01:06:01,740 +vertex خمسة و by على اتنين يبقى لو روحت رسمت + +624 +01:06:01,740 --> 01:06:08,620 +الرسمة بقوله هذا اللي هو محور X وهذا Y وهذه ال + +625 +01:06:08,620 --> 01:06:19,330 +focus at the origin في نقطة القصيدة معطيني ال + +626 +01:06:19,330 --> 01:06:27,170 +vertex خمسة و باية على اثنين إذا بداني ل ال vertex + +627 +01:06:27,170 --> 01:06:32,110 +اللي مدينيها بدي أمشي زاوية مقدرها باية اثنين و + +628 +01:06:32,110 --> 01:06:38,970 +جيس هنا كده؟ خمسة يبقى هذه بده يجينا مفتوح إلى + +629 +01:06:38,970 --> 01:06:44,610 +أسفل ليش ان ال focus بتبقى دائما و أبدا و أين؟ في + +630 +01:06:44,610 --> 01:06:50,590 +الداخل و هذا المحور بيضل طالع لفوض اللي هو محور Y + +631 +01:06:51,190 --> 01:06:56,450 +في حالة ال Parabola ال Directrix على نفس البعد من + +632 +01:06:56,450 --> 01:07:00,890 +ال vertex كما ال focus بعيد عن ال vertex يبقى + +633 +01:07:00,890 --> 01:07:06,910 +مضيجين ال Directrix هذا بالضبط تماما يبقى معادلة Y + +634 +01:07:06,910 --> 01:07:14,550 +تساوي كم؟ خمسة لإن المسافة هذه خمسة وبعيد على اثنين + +635 +01:07:14,550 --> 01:07:21,190 +يبقى هذه خمسة هذه كذلك خمسة يبقى ال Directrix why + +636 +01:07:21,190 --> 01:07:29,670 +تساوي عشرة يبقى باجي بقوله the directrix why تساوي + +637 +01:07:29,670 --> 01:07:35,850 +خمسة زائد خمسة ويساوي عشرة معناته كده كده تساوي + +638 +01:07:38,190 --> 01:07:45,910 +عشرة يبقى إذا بد يعطيك ان ك تساوي عشرة لأن البعد ما + +639 +01:07:45,910 --> 01:07:51,290 +بين ال biorectrix و ال origin هو نقدر من اللي هو + +640 +01:07:51,290 --> 01:07:57,210 +بعد ال biorectrix عن ال origin طيب الآن مش هنجيب + +641 +01:07:57,210 --> 01:08:00,830 +المعادلة لأن هو طلب المعادلة مش هيك find a polar + +642 +01:08:00,830 --> 01:08:06,440 +equation ال E معروفة و ال K معروفة أيضًا خلصنا يبقى + +643 +01:08:06,440 --> 01:08:13,740 +بدي بقوله the question is R تساوي كيف إيه على الله + +644 +01:08:13,740 --> 01:08:19,280 +أعلم؟ واحد مش عارف زاد ولا ناقص، بدي بتطلع + +645 +01:08:19,280 --> 01:08:26,600 +directives وين؟ فوق، يبقى موجب زائد ال a فوق ال + +646 +01:08:26,600 --> 01:08:32,860 +axis محور Y يبقى sin θ التي هي من العلة الرسمى رقم + +647 +01:08:32,860 --> 01:08:39,460 +ثلاثة قبل قليل العوض يبقى R يساوي كله عشرة + +648 +01:09:03,610 --> 01:09:05,010 +عشرة عشرة عشرة عشرة عشرة عشرة عشرة عشرة عشرة عشرة + +649 +01:09:05,010 --> 01:09:11,740 +عشرة عشرة يبقى E تساوي اثنين أكبر من الواحد الصحيح + +650 +01:09:11,740 --> 01:09:19,080 +يبقى the conic section عبارة عن ايش is hyperbola + +651 +01:09:21,440 --> 01:09:25,800 +تمام تمام يبقى هذه المعلومة حدد ما هو ال + +652 +01:09:25,800 --> 01:09:29,980 +connection المعلومة الثانية بيقول ال directrix هو + +653 +01:09:29,980 --> 01:09:36,800 +X هو R تساوي أربعة sec ثيتا يبقى عندنا ال directrix + +654 +01:09:36,800 --> 01:09:43,500 +R تساوي أربعة في sec ثيتا بقوله أه هو مطنية في ال + +655 +01:09:43,500 --> 01:09:48,130 +polar وليست بالكارتيزيان، لكن احنا أول section + +656 +01:09:48,130 --> 01:09:51,810 +أخذنا في ال polar coordinates قدرت أحول المعاملة + +657 +01:09:51,810 --> 01:09:56,390 +من كارتيزيان إلى polar أو من polar إلى كارتيزيان، + +658 +01:09:56,390 --> 01:10:01,520 +إذا مش هنعرفها هذه هي X والله Y وهل هي فوق ولا + +659 +01:10:01,520 --> 01:10:06,380 +تحتها ولا الله أعلم أو ذات اليميني أو ذات الشمال + +660 +01:10:06,380 --> 01:10:11,820 +بقدر أقول له ال R تساوي أربعة على كوسين زاوية + +661 +01:10:11,820 --> 01:10:19,560 +ثيتا أو R كوسين ثيتا تساوي أربعة أو ال X يساوي + +662 +01:10:19,560 --> 01:10:24,860 +أربعة مدام ال X يساوي أربعة يبقى المعادلة بدلالة + +663 +01:10:24,860 --> 01:10:30,700 +الكوسين بس بدي أعرفها يمين والله شمال تعالوا نرسم، + +664 +01:10:30,700 --> 01:10:33,760 +قلنا ال connection أعمارها عن مين؟ ها ال + +665 +01:10:33,760 --> 01:10:39,560 +parabola، يبقى بقوله هذا المحاولة، هو هذه ال focus + +666 +01:10:40,770 --> 01:10:48,070 +At the origin وهذا θ تساوي صفر وهذا θ تساوي باي + +667 +01:10:48,070 --> 01:10:54,510 +على اثنين ال X يساوي أربعة يبقى هذه المعادلة ال X + +668 +01:10:54,510 --> 01:11:00,730 +يساوي أربعة X يساوي أربعة وهذه ال focus يبقى ال + +669 +01:11:00,730 --> 01:11:07,370 +course يكون جهة الشمال حتى تكون حتى تكون ال focus + +670 +01:11:07,370 --> 01:11:12,190 +في الداخل يبقى هذا الجزء الأول تبع ال hyperaula طب + +671 +01:11:12,190 --> 01:11:14,910 +الجزء الثاني وين بده يكون؟ في الناحية الثانية + +672 +01:11:14,910 --> 01:11:19,110 +المفتوحة على اليمين يبقى بده يجيني هذا هو ال + +673 +01:11:19,110 --> 01:11:24,930 +center وعلى نفس البعد من ال center بده يجيني من + +674 +01:11:24,930 --> 01:11:30,490 +الجزء الثاني يبقى هي رسمنا له الرسمة، بدنا مين؟ + +675 +01:11:30,490 --> 01:11:36,750 +بدنا المعادلة، مشان المعادلة إيه معروفة، يبقى ب .. + +676 +01:11:36,750 --> 01:11:41,190 +شو بقى إيه اللي عندي؟ كيه، آه بقوله بدنا كيه، + +677 +01:11:41,190 --> 01:11:47,520 +الحين كيه تساوي قداش عندي؟ أربعة والـ K كذلك تساوي + +678 +01:11:47,520 --> 01:11:54,880 +أربعة ليه مقدار ال X يبقى بناء عليه بالصيلة عندنا + +679 +01:11:54,880 --> 01:12:03,120 +R تساوي K في E على واحد ال direct X جاي وين؟ جهة + +680 +01:12:03,120 --> 01:12:10,720 +اليمين يبقى بالزائد و فوق ال axis أفقي يبقى كوسين + +681 +01:12:10,720 --> 01:12:17,830 +الزاوية θ تمام؟ يبقى ال R تساوي كيب أربعة وال E + +682 +01:12:17,830 --> 01:12:27,660 +ب اثنين تمام على واحد زائد اثنين في cosine زاوية ثيتا + +683 +01:12:27,660 --> 01:12:35,000 +يبقى بناء عليه سارة R تساوي ثمانية على واحد زائد + +684 +01:12:35,000 --> 01:12:40,940 +اثنين cosine ثيتا هذه المعادلة اللي لدينا آخر حاجة + +685 +01:12:40,940 --> 01:12:49,340 +نمر ال C نمر ال C ال A تساوي خمسة والخمسة أقل من + +686 +01:12:49,340 --> 01:12:58,760 +الواحد الصحيح يبقى باجي بقول the conic section is + +687 +01:12:58,760 --> 01:13:07,440 +an ellipse هبقى كويس ميعطيني ال directrix y تساوي + +688 +01:13:07,440 --> 01:13:12,420 +سالب عشرة إذا بقدر أرسم دوري يبقى لما أجي أقول هذه + +689 +01:13:12,420 --> 01:13:21,390 +المحاولة هذا الرسم وهذا محور ثيتا تساوي صفر وهذا + +690 +01:13:21,390 --> 01:13:28,070 +اللي هو ثيتا تساوي باي على اثنين وهذا ال focus at + +691 +01:13:28,070 --> 01:13:34,510 +the origin جلب directrix y تساوي عشرة يبقى لو مديت + +692 +01:13:34,510 --> 01:13:41,390 +هذا وروحت وقلت هذا ال y تساوي سالب عشرة إذا ال + +693 +01:13:41,390 --> 01:13:46,790 +vertex بدها تجينا هنا، بدها تجينا هنا، بد يكون ال + +694 +01:13:46,790 --> 01:13:51,550 +veil ellipse، و ellipse قلنا آية، بالشكل اللي + +695 +01:13:51,550 --> 01:13:55,430 +عندنا هذا هيك، يبقى هذا شكل ال ellipse + +696 +01:14:00,810 --> 01:14:07,990 +قال لي بدي المعادلة يبقى E عندي ضايل علينا بس K + +697 +01:14:07,990 --> 01:14:17,320 +المسافة اللي عندنا هذه عشرة يبقى البعد هدى كله K + +698 +01:14:17,320 --> 01:14:24,500 +تساوي عشرة يبقى ال equation صارت R تساوي K في E + +699 +01:14:24,500 --> 01:14:30,960 +على واحد البرنامج أجا تحت يبقى ماقص E فوق ال axis + +700 +01:14:30,960 --> 01:14:37,700 +محور Y يبقى ال sign الزاوية ثتا يبقى ال R تساوي ال + +701 +01:14:37,700 --> 01:14:46,240 +K بعشرة وال E بخمسة على مين على واحد ناقص خمسة في + +702 +01:14:46,240 --> 01:14:53,940 +ساين الزاوية ثيتا يبقى النتيجة R تساوي عشرة على + +703 +01:14:53,940 --> 01:15:02,860 +مين على خمسة ناقص ساين الزاوية ثيتا، مظبوط هك؟ يعني + +704 +01:15:02,860 --> 01:15:07,580 +لو ضربنا فوق في خمسة وقسمنا تحت على خمسة، خمسة + +705 +01:15:07,580 --> 01:15:11,680 +بتروح على خمسة بيظل عشرة، بيجي لك هنا خمسة، هنا + +706 +01:15:11,680 --> 01:15:15,560 +بتروح، بيظل المعادلة بالشكل اللي عندنا هذا، يبقى + +707 +01:15:15,560 --> 01:15:19,240 +هاي جيبنا المعادلة، غدًا إن شاء الله بدنا نعمل + +708 +01:15:19,240 --> 01:15:24,080 +العملية العكسية، بدنا نعطيك المعادلة هذه أو + +709 +01:15:24,080 --> 01:15:29,660 +المعادلة هذه أو المعادلة اللي نطلب الشغلات الأخرى + +710 +01:15:29,660 --> 01:15:31,120 +إن شاء الله تعالى diff --git a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/GFIdpUdWyYA_raw.json b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/GFIdpUdWyYA_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..c96caa3366087c632f3f123af11afa6303f177bd --- /dev/null +++ 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"word": " قيمة", "probability": 0.9749348958333334}, {"start": 57.81, "end": 58.11, "word": " او", "probability": 0.78955078125}, {"start": 58.11, "end": 58.73, "word": " بالنص", "probability": 0.9632161458333334}, {"start": 58.73, "end": 59.11, "word": " كان", "probability": 0.953125}, {"start": 59.11, "end": 59.99, "word": " كالتالي", "probability": 0.84228515625}, {"start": 59.99, "end": 62.49, "word": " Find", "probability": 0.172119140625}, {"start": 62.49, "end": 63.57, "word": " the", "probability": 0.86669921875}, {"start": 63.57, "end": 63.99, "word": " exact", "probability": 0.828125}, {"start": 63.99, "end": 64.43, "word": " value", "probability": 0.9580078125}, {"start": 64.43, "end": 64.67, "word": " of", "probability": 0.9541015625}, {"start": 64.67, "end": 64.97, "word": " each", "probability": 0.9453125}, {"start": 64.97, "end": 65.17, "word": " of", "probability": 0.955078125}, {"start": 65.17, "end": 65.37, "word": " the", "probability": 0.912109375}, {"start": 65.37, "end": 65.73, "word": " following", "probability": 0.73486328125}, {"start": 65.73, "end": 66.65, "word": " separations", "probability": 0.866455078125}, {"start": 66.65, "end": 67.51, "word": " if", "probability": 0.8642578125}, {"start": 67.51, "end": 68.11, "word": " it", "probability": 0.91064453125}, {"start": 68.11, "end": 68.87, "word": " exists", "probability": 0.66259765625}, {"start": 68.87, "end": 69.57, "word": " يعني", "probability": 0.774169921875}, {"start": 69.57, "end": 69.83, "word": " اذا", "probability": 0.763916015625}, {"start": 69.83, "end": 70.27, "word": " كانت", "probability": 0.944091796875}, {"start": 70.27, "end": 70.67, "word": " موجودة", "probability": 0.85858154296875}, {"start": 70.67, "end": 71.01, "word": " بدنا", "probability": 0.874755859375}, {"start": 71.01, "end": 71.27, "word": " هذه", "probability": 0.95361328125}, {"start": 71.27, "end": 71.59, "word": " القيمة", "probability": 0.9576822916666666}, {"start": 71.59, "end": 71.79, "word": " مش", 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"end": 87.78, "word": " السؤال", "probability": 0.9822591145833334}, {"start": 87.78, "end": 88.04, "word": " هو", "probability": 0.97998046875}, {"start": 88.04, "end": 88.96, "word": " هل", "probability": 0.947265625}, {"start": 88.96, "end": 89.28, "word": " هذه", "probability": 0.859375}, {"start": 89.28, "end": 89.84, "word": " تساوي", "probability": 0.9327392578125}, {"start": 89.84, "end": 90.22, "word": " أربعة", "probability": 0.9013671875}, {"start": 90.22, "end": 92.5, "word": " تلاتة؟", "probability": 0.8466796875}, {"start": 92.5, "end": 94.48, "word": " لأ", "probability": 0.6922607421875}, {"start": 94.48, "end": 95.28, "word": " لماذا؟", "probability": 0.887451171875}, {"start": 95.28, "end": 97.5, "word": " لأن", "probability": 0.851318359375}, {"start": 97.5, "end": 98.04, "word": " الأربعة", "probability": 0.9694010416666666}, {"start": 98.04, "end": 98.22, "word": " على", "probability": 0.8876953125}, {"start": 98.22, "end": 98.82, "word": " تلاتة", "probability": 0.9864501953125}, {"start": 98.82, "end": 99.68, "word": " ليست", "probability": 0.961669921875}, {"start": 99.68, "end": 99.94, "word": " في", "probability": 0.93603515625}, {"start": 99.94, "end": 100.36, "word": " domain", "probability": 0.70166015625}, {"start": 100.36, "end": 100.56, "word": " ال", "probability": 0.63916015625}, {"start": 100.56, "end": 100.96, "word": " cosine", "probability": 0.94921875}, {"start": 100.96, "end": 101.48, "word": " inverse", "probability": 0.9443359375}, {"start": 101.48, "end": 101.76, "word": " domain", "probability": 0.490966796875}, {"start": 101.76, "end": 101.96, "word": " ال", "probability": 0.93212890625}, {"start": 101.96, "end": 102.24, "word": " cosine", "probability": 0.96630859375}, {"start": 102.24, "end": 102.66, "word": " inverse", "probability": 0.9169921875}, {"start": 102.66, "end": 102.82, "word": " من", "probability": 0.90673828125}, {"start": 102.82, "end": 103.04, "word": " يولا", "probability": 0.5310465494791666}, 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"word": " period", "probability": 0.97900390625}, {"start": 114.23, "end": 114.85, "word": " تابعة", "probability": 0.7216796875}, {"start": 114.85, "end": 115.59, "word": " الدالة", "probability": 0.9518229166666666}, {"start": 115.59, "end": 116.59, "word": " تمام؟", "probability": 0.7548828125}, {"start": 116.59, "end": 117.19, "word": " وبالتالي", "probability": 0.88779296875}, {"start": 117.19, "end": 117.59, "word": " جيبنا", "probability": 0.9791259765625}, {"start": 117.59, "end": 118.17, "word": " مقدار", "probability": 0.9427083333333334}, {"start": 118.17, "end": 118.67, "word": " الزاوية،", "probability": 0.866943359375}, {"start": 118.67, "end": 118.85, "word": " بس", "probability": 0.950927734375}, {"start": 118.85, "end": 119.03, "word": " هنا", "probability": 0.93310546875}, {"start": 119.03, "end": 119.59, "word": " ماعنديش", "probability": 0.9537109375}, {"start": 119.59, "end": 120.09, "word": " period", "probability": 0.994140625}, {"start": 120.09, "end": 120.97, "word": " هنا", "probability": 0.62109375}, {"start": 120.97, "end": 121.51, "word": " أربعة،", "probability": 0.70001220703125}, {"start": 121.51, "end": 121.83, "word": " تلاتة", "probability": 0.948974609375}, {"start": 121.83, "end": 122.31, "word": " رقم", "probability": 0.8533528645833334}, {"start": 122.31, "end": 122.79, "word": " هذا،", "probability": 0.81396484375}, {"start": 122.79, "end": 123.59, "word": " كويس؟", "probability": 0.84619140625}, {"start": 123.59, "end": 123.93, "word": " إذا", "probability": 0.6826171875}, {"start": 123.93, "end": 124.49, "word": " هذا", "probability": 0.896484375}, {"start": 124.49, "end": 125.29, "word": " موجود", "probability": 0.9860026041666666}, {"start": 125.29, "end": 126.05, "word": " خارج", "probability": 0.9938151041666666}, {"start": 126.05, "end": 126.25, "word": " ال", "probability": 0.8203125}, {"start": 126.25, "end": 127.13, "word": " domain،", "probability": 0.7177734375}, {"start": 127.13, "end": 127.39, "word": " إذا", "probability": 0.928466796875}, {"start": 127.39, "end": 127.81, "word": " هذه", "probability": 0.974609375}, {"start": 127.81, "end": 128.47, "word": " القيمة", "probability": 0.9658203125}, {"start": 128.47, "end": 128.89, "word": " does", "probability": 0.658203125}, {"start": 128.89, "end": 129.45, "word": " not", "probability": 0.96728515625}, {"start": 129.45, "end": 130.31, "word": " exist", "probability": 0.97900390625}], "temperature": 1.0}, {"id": 7, "seek": 15544, "start": 130.69, "end": 155.45, "text": "يبقى الإجابة هذا المقدار does not exist السبب because أن الأربعة على تلاتة does not belong لل closed interval سالب واحد واحد اللي هو ال domain تبع ال cosine inverse", "tokens": [1829, 3555, 4587, 7578, 33688, 7435, 16758, 3660, 23758, 9673, 28543, 9640, 775, 406, 2514, 21136, 3555, 3555, 570, 14739, 16247, 25513, 27884, 15844, 6055, 1211, 9307, 3660, 775, 406, 5784, 24976, 5395, 15035, 8608, 6027, 3555, 36764, 24401, 36764, 24401, 13672, 1829, 31439, 2423, 9274, 6055, 3555, 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"text": "اللي اللي فوق يساوي. الكتان يساوي مان؟ مقلب التان. مظبوط؟ يبقى المجاور على المقابل. المجاور لبيته مين؟", "tokens": [6027, 20292, 13672, 1829, 6156, 30543, 7251, 3794, 995, 45865, 13, 33251, 2655, 7649, 7251, 3794, 995, 45865, 3714, 7649, 22807, 3714, 4587, 46152, 16712, 7649, 13, 3714, 19913, 3555, 2407, 9566, 22807, 7251, 3555, 4587, 7578, 9673, 7435, 995, 13063, 15844, 9673, 4587, 16758, 1211, 13, 9673, 7435, 995, 13063, 5296, 21292, 47395, 3714, 9957, 22807], "avg_logprob": -0.16487069042592212, "compression_ratio": 1.6666666666666667, "no_speech_prob": 0.0, "words": [{"start": 1776.31, "end": 1776.65, "word": "اللي", "probability": 0.685546875}, {"start": 1776.65, "end": 1776.87, "word": " اللي", "probability": 0.852783203125}, {"start": 1776.87, "end": 1777.33, "word": " فوق", "probability": 0.9833984375}, {"start": 1777.33, "end": 1778.91, "word": " يساوي.", "probability": 0.9520263671875}, {"start": 1779.33, "end": 1780.09, "word": " الكتان", "probability": 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cosine inverse وهكذا بالنسبة للي بعد هو ادل كل ال x اللي أكبر من 100 من 0", "tokens": [3555, 2655, 3555, 9640, 4117, 16472, 36764, 24401, 3660, 4724, 3794, 9154, 16712, 1211, 9307, 3660, 4032, 9307, 1863, 9957, 30767, 1829, 11296, 11331, 28480, 25528, 23032, 6027, 3615, 32239, 3224, 16472, 2423, 2309, 17340, 2031, 7251, 3555, 4587, 7578, 2423, 2031, 5551, 4117, 26890, 9154, 9154, 2423, 14407, 24401, 23032, 3555, 8032, 1211, 8032, 9307, 2514, 45164, 25961, 2655, 2031, 5551, 4117, 26890, 9154, 36764, 24401, 7251, 3555, 4587, 7578, 11778, 3224, 9122, 32277, 13546, 5551, 4587, 1211, 9154, 2423, 14407, 24401, 31767, 5016, 1829, 5016, 11933, 15730, 6156, 3615, 15040, 11778, 47283, 1211, 9274, 9154, 2423, 23565, 17340, 37037, 4117, 15730, 20666, 1863, 35457, 3660, 5296, 20292, 39182, 31439, 1975, 3215, 1211, 28242, 2423, 2031, 13672, 1829, 5551, 4117, 26890, 9154, 2319, 9154, 1958], "avg_logprob": -0.31471457866233166, "compression_ratio": 1.8380566801619433, "no_speech_prob": 0.0, "words": 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inverse", "probability": 0.908203125}, {"start": 2114.71, "end": 2115.77, "word": " وهكذا", "probability": 0.8216145833333334}, {"start": 2115.77, "end": 2116.29, "word": " بالنسبة", "probability": 0.9075927734375}, {"start": 2116.29, "end": 2116.53, "word": " للي", "probability": 0.627685546875}, {"start": 2116.53, "end": 2116.81, "word": " بعد", "probability": 0.91845703125}, {"start": 2116.81, "end": 2117.45, "word": " هو", "probability": 0.60546875}, {"start": 2117.45, "end": 2117.89, "word": " ادل", "probability": 0.5410970052083334}, {"start": 2117.89, "end": 2118.21, "word": " كل", "probability": 0.87109375}, {"start": 2118.21, "end": 2118.41, "word": " ال", "probability": 0.859375}, {"start": 2118.41, "end": 2118.65, "word": " x", "probability": 0.689453125}, {"start": 2118.65, "end": 2118.83, "word": " اللي", "probability": 0.5977783203125}, {"start": 2118.83, "end": 2119.23, "word": " أكبر", "probability": 0.9274088541666666}, {"start": 2119.23, "end": 2119.39, "word": " من", 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Cos inverse يبقى بناء عليه هل ال cosine odd inverse؟", "tokens": [3555, 1863, 7435, 1829, 24976, 2655, 7649, 10632, 13672, 1829, 39896, 8717, 2304, 25720, 363, 13, 15855, 17340, 7251, 3555, 4587, 7578, 44945, 16606, 47356, 8032, 1211, 2423, 23565, 7401, 17340, 22807], "avg_logprob": -0.5132575757575758, "compression_ratio": 1.1121495327102804, "no_speech_prob": 0.0, "words": [{"start": 2533.71, "end": 2534.41, "word": "بنجي", "probability": 0.46612548828125}, {"start": 2534.41, "end": 2535.07, "word": " للتانية", "probability": 0.7232666015625}, {"start": 2535.07, "end": 2535.21, "word": " اللي", "probability": 0.411102294921875}, {"start": 2535.21, "end": 2535.39, "word": " هي", "probability": 0.7529296875}, {"start": 2535.39, "end": 2535.75, "word": " نمرة", "probability": 0.69970703125}, {"start": 2535.75, "end": 2535.95, "word": " B.", "probability": 0.630859375}, {"start": 2536.27, "end": 2536.63, "word": " Cos", "probability": 0.094482421875}, {"start": 2536.63, "end": 2537.41, 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0000000000000000000000000000000000000000..99b696f51e28ae4f19d5dd53ba7964761499d5d6 --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/MKuELRILmMA.srt @@ -0,0 +1,1883 @@ +1 +00:00:00,000 --> 00:00:02,700 +موسيقى + +2 +00:00:11,190 --> 00:00:15,430 +بسم الله الرحمن الرحيم، المرة السابقة كنا بنتكلم آخر + +3 +00:00:15,430 --> 00:00:19,450 +حاجة عن limit comparison test، قولنا limit + +4 +00:00:19,450 --> 00:00:23,890 +comparison test هو عبارة عن ثلاث نقاط، في عندي + +5 +00:00:23,890 --> 00:00:28,950 +series أصلية، بختار series أقارن معاها الـ series + +6 +00:00:28,950 --> 00:00:34,570 +هذه بكون معروفة بالنسبالي مسبقا هل هي converge أو + +7 +00:00:34,570 --> 00:00:35,670 +diverge + +8 +00:00:38,100 --> 00:00:41,760 +السيريز اللي عندنا هذه بكون عارفين هل هي converge + +9 +00:00:41,760 --> 00:00:47,000 +أو diverge، وبالتالي بروح بجيب الـ two series الحد + +10 +00:00:47,000 --> 00:00:50,700 +النوني في الـ series الأولى على الحد النوني في التانية + +11 +00:00:50,700 --> 00:00:54,920 +و بروح باخد الـ limit لما الـ n بدها تروح لـ infinity + +12 +00:00:55,600 --> 00:01:01,200 +بنطلع الناتج قيمة عددية ليست Zero، يبقى في هذه + +13 +00:01:01,200 --> 00:01:05,760 +الحالة بقول الـ two series زي بعضهم، إذا تبعت المقام + +14 +00:01:05,760 --> 00:01:09,320 +converge يبقى تبعت الـ series converge، إذا تبعت المقام + +15 +00:01:09,320 --> 00:01:13,100 +diverge يبقى تبعت الـ series diverge، إن كان الناتج + +16 +00:01:13,100 --> 00:01:16,940 +يساوي Zero، تبعت المقام converge يبقى تبعت الـ series + +17 +00:01:16,940 --> 00:01:21,170 +converge، إن كان المقام النتيجة كانت تساوي + +18 +00:01:21,170 --> 00:01:27,550 +الـ infinity وتبعث المقام by there وخمسة + +19 +00:01:27,550 --> 00:01:35,070 +امثلة، وهذا هو المثال رقم ستة، طيب بنروح نختار series + +20 +00:01:35,070 --> 00:01:40,650 +نقارن معاها الـ series اللي عندنا هذه، يبقى بناء + +21 +00:01:40,650 --> 00:01:46,050 +عليه مين بتفضل نقارن معاه الـ series؟ طبعا واحد على + +22 +00:01:46,050 --> 00:01:51,690 +إيش على n قيمة اللي هي الـ converge صح؟ لو جربنا + +23 +00:01:51,690 --> 00:01:59,130 +واحد على n تربيع لأن هو واحد على n تكعيب convert + +24 +00:01:59,130 --> 00:02:04,850 +لما تقسم هذا يعني هتفضل n الكل تربيع عند infinity + +25 +00:02:04,850 --> 00:02:09,570 +بتطلع بـ infinity وبالتالي بيفشل اختبار اللي + +26 +00:02:09,570 --> 00:02:15,170 +عندنا، إذا من الخطأ جدا بمجرد النظر أنك تجيب على + +27 +00:02:15,170 --> 00:02:21,530 +واحد على n تكعيب لإن نتيجة اللي بتعطيك infinity ما لا + +28 +00:02:21,530 --> 00:02:27,290 +نهاية، يبقى بيفشل اختبار نتيجة للاختيار الخاطئ للـ + +29 +00:02:27,290 --> 00:02:30,670 +series اللي بنقارن معاها، لكن لو روحنا قارن على + +30 +00:02:30,670 --> 00:02:34,190 +واحد على n الأولي converge والتانية converge + +31 +00:02:34,350 --> 00:02:38,350 +وبالتالي ما عنديش إشكالية مادام الأولى ما جبتش نتيجة + +32 +00:02:38,350 --> 00:02:44,130 +التانية ممكن تجيب نتيجة، والله أعلم، يبقى احنا لو + +33 +00:02:44,130 --> 00:02:49,590 +جينا وقولنا هاي summation لو 1 على N تربيع هذي + +34 +00:02:49,590 --> 00:02:58,150 +convert في series السبب because أن P يساوي 2 أكبر + +35 +00:02:58,150 --> 00:03:03,090 +من الواحد الصحيح، يبقى بتروح آخد limit لما الـ N + +36 +00:03:03,090 --> 00:03:11,250 +tends to infinity لإن الـ N لكل تربيع على N قيمة 1 + +37 +00:03:11,250 --> 00:03:18,710 +على N تربيع يبقى limit لما الـ in tends to infinity + +38 +00:03:18,710 --> 00:03:25,890 +لإن تربيع لإن الـ in لكل تربيع على إن تكعيب + +39 +00:03:38,380 --> 00:03:42,580 +التعويض المباشر بيجيب لك infinity على infinity + +40 +00:03:42,580 --> 00:03:47,300 +بيجيب نستخدم قاعدة L'Hôpital يبقى هنا بيستوي الـ + +41 +00:03:47,300 --> 00:03:53,850 +limit لما الـ N tends to infinity لأن اتنين ln الـ N + +42 +00:03:53,850 --> 00:03:59,350 +في مشتقة ln الـ N اللي هي جداش واحد على n مشتقة + +43 +00:03:59,350 --> 00:04:04,390 +المقام جداش بواحد يبقى أسارة المسألة اتنين هذا + +44 +00:04:04,390 --> 00:04:08,610 +constant برا الـ limit وهي limit لما الـ N tends to + +45 +00:04:08,610 --> 00:04:16,890 +infinity للـ ln الـ N على N هذه الـ limit بـ infinity بـ infinity + +46 +00:04:16,890 --> 00:04:17,690 +الـ limit هذه + +47 +00:04:21,600 --> 00:04:27,280 +أول واحدة فيهم يبقى هذا الكلام بده يساوي اتنين في + +48 +00:04:27,280 --> 00:04:33,020 +زيرو ويساوي زيرو، الآن النتيجة زيرو تبعت المقام + +49 +00:04:33,020 --> 00:04:37,740 +converge يبقى بناء على الـ limit comparative test + +50 +00:04:37,740 --> 00:04:42,180 +الـ point الثانية منه الـ series مالها converge + +51 +00:04:42,180 --> 00:04:44,240 +فبجي بقوله bye + +52 +00:05:05,190 --> 00:05:07,410 +سؤال السابع + +53 +00:05:11,120 --> 00:05:16,960 +بيقول لي summation من n equal one to infinity + +54 +00:05:16,960 --> 00:05:27,240 +لواحد ناقص cosine واحد على n بنشوف + +55 +00:05:27,240 --> 00:05:32,660 +هل الـ series هذي converge ولا diverge نقررها مع + +56 +00:05:32,660 --> 00:05:38,020 +مين يا شباب؟ مع واحد على n أنا موافق، بس هل تجيب + +57 +00:05:38,020 --> 00:05:42,320 +نتيجة ولا ما تجيبش نتيجة؟ الله أعلم، طب لو جينا مع + +58 +00:05:42,320 --> 00:05:48,160 +واحد على n، واحد على n diverse مظبوط؟ وهنا واحد + +59 +00:05:48,160 --> 00:05:53,020 +ناقص cosine واحد على n على واحد على n لما الـ n بدأت + +60 +00:05:53,020 --> 00:05:59,260 +تروح للمال نهاية بصير cosine صفر اللي هو بيقول باشر + +61 +00:05:59,260 --> 00:06:06,780 +واحد ناقص واحد صفر تمام على صفر، بدنا نروح نشتق يبقى + +62 +00:06:06,780 --> 00:06:10,680 +لما نروح نشتق بصينا عند ايه cosine واحد على n في + +63 +00:06:10,680 --> 00:06:15,140 +سالب واحد على n تربيع على سالب واحد على n تربيع + +64 +00:06:15,140 --> 00:06:21,880 +وصار cosine واحد على n واحد على ما لا نهاية Zero cosine + +65 +00:06:21,880 --> 00:06:27,400 +Zero بـ Zero، إذا فشل الاختبار تمام؟ إذا لو روحنا + +66 +00:06:27,400 --> 00:06:33,240 +قارننا مع واحد على n بيفشل الاختبار، مظبوط؟ طيب، + +67 +00:06:33,240 --> 00:06:38,380 +لو روحنا لاختبار الحد النوني، limit لهذا المقدار + +68 +00:06:38,380 --> 00:06:43,840 +لما الـ n بتروح للما لا نهاية، لأنه بدنا اختبار + +69 +00:06:43,840 --> 00:06:48,660 +آخر، مظبوط؟ يبقى لو أخدت limit هذا لما الـ n بتروح + +70 +00:06:48,660 --> 00:06:50,480 +للما لا نهاية، بيصير واحد ما لا نهاية + +71 +00:06:54,310 --> 00:06:58,950 +فشل الاختبار الحد النوني تكامل + +72 +00:07:01,920 --> 00:07:06,540 +ولسه باك تبحث الأمور التلادة طب ليش؟ غير الـ + +73 +00:07:06,540 --> 00:07:09,820 +series سابعتك يعني هي القرآن نزل من السماء غير + +74 +00:07:09,820 --> 00:07:14,200 +summation 1 على n ليس بالضرورة يعني أنت ممكن تختار + +75 +00:07:14,200 --> 00:07:20,260 +series ويكون هذا الاختيار خاطئ تضطر إلى تغيير الـ + +76 +00:07:20,260 --> 00:07:24,400 +series اللي عندك وليس إلى تغيير الاختبار احنا + +77 +00:07:24,400 --> 00:07:28,890 +روحنا غيرنا الاختبار دغري وهذا ليس بالضرورة، طيب بدل + +78 +00:07:28,890 --> 00:07:31,430 +واحد على n تربيع لو جربت واحد على n تربيع إيش + +79 +00:07:31,430 --> 00:07:35,990 +بيصير يعني نجرب واحد على n تربيع يبقى هنا باجي + +80 +00:07:35,990 --> 00:07:41,610 +بقوله أن الـ summation واحد على n تربيع يبقى هذي + +81 +00:07:41,610 --> 00:07:51,420 +convert P series بسبب أن P يساوي 2 أكبر من + +82 +00:07:51,420 --> 00:07:56,860 +الواحد الصحيح، إذا إذا أنا أخد limit لما N تنزل + +83 +00:07:56,860 --> 00:08:05,040 +لـ infinity لمن؟ لما N تنزل لـ infinity لواحد ناقص + +84 +00:08:05,040 --> 00:08:11,340 +cosine واحد على N على واحد على N تربيع + +85 +00:08:14,690 --> 00:08:18,770 +التعويض المباشر بيجيب لي 0 على 0 إذا مشتقت البسط + +86 +00:08:18,770 --> 00:08:23,550 +على مشتقت المقام يبقى لو جينا اشتقينا البسط high + +87 +00:08:23,550 --> 00:08:28,910 +limit لما الـ N tends to infinity تمام اللي لما + +88 +00:08:28,910 --> 00:08:32,390 +تفضل واحد بزيرو تفضل cosine بسالب sine مع سالب + +89 +00:08:32,390 --> 00:08:38,920 +بيصير موجب sine واحد على N في تفاضل الزاوية سالب + +90 +00:08:38,920 --> 00:08:45,800 +واحد على N تربيع وهنا سالب اتنين على N تكعيب + +91 +00:08:47,790 --> 00:08:53,010 +بنختصر سالب واحد على N تربيع مع سالب واحد على N + +92 +00:08:53,010 --> 00:08:58,810 +تربيع بيظل في المقام اتنين على N يعني صارت المسألة + +93 +00:08:58,810 --> 00:09:04,070 +هي الـ limit لما الـ N tends to infinity للـ sine + +94 +00:09:04,070 --> 00:09:10,650 +واحد على N على اتنين على N سالب مع سالب واحد على N + +95 +00:09:10,650 --> 00:09:14,670 +تربيع مع واحد على N تربيع يبقى صارت المسألة بهذا + +96 +00:09:14,670 --> 00:09:19,780 +الشكل التعويض المباشر بيجيب لي ما لا نهاية Zero على Zero يبقى + +97 +00:09:19,780 --> 00:09:25,920 +L'Hôpital كمان مرة يبقى هادي بدها تساوي هيفوت limit + +98 +00:09:25,920 --> 00:09:31,240 +لما الـ in tends to infinity لمشتقة البسط بكوسين + +99 +00:09:31,240 --> 00:09:36,800 +واحد على in في مشتقة الزاوية بسالب واحد على in + +100 +00:09:36,800 --> 00:09:43,770 +تربية وسالب اتنين على in تربيع مقدار ثابت 1 على N + +101 +00:09:43,770 --> 00:09:48,290 +بـ-1 على N تربيع المشتقة تبعتها سالب واحد على N + +102 +00:09:48,290 --> 00:09:53,050 +تربيع مع سالب واحد على N تربيع بيبقى عندي النص في + +103 +00:09:53,050 --> 00:09:58,630 +limit لما الـ N tends to infinity لكوسين واحد على N + +104 +00:09:59,160 --> 00:10:05,000 +يبقى هذا الكلام يساوي نص كوسين صفر بقداش بواحد + +105 +00:10:05,000 --> 00:10:11,880 +يبقى الجواب يساوي نص، طيب تبعت المقام هنا converge + +106 +00:10:11,880 --> 00:10:17,480 +والنتيجة تساوي تمام قيمة عددية يبقى التنتين هذول زي + +107 +00:10:17,480 --> 00:10:25,150 +بعض يبقى باجي بقوله by the limit comparison test + +108 +00:10:25,150 --> 00:10:32,030 +the series اللي هي الـ summation لواحد ناقص cosine + +109 +00:10:32,030 --> 00:10:39,090 +واحد على N converge طلع لي + +110 +00:10:39,090 --> 00:10:45,250 +في السؤال كويس، الآن بدنا نشوف مين الـ series اللي + +111 +00:10:45,250 --> 00:10:50,360 +حبينا نقارن معاها يلا اقترحوا علينا عشان يرفع يدك + +112 +00:10:50,360 --> 00:10:55,600 +ويقول لي كذا حتى نقول لك غلط، يلا أيوة واحد يرفع + +113 +00:10:55,600 --> 00:11:02,000 +يده يلا يحكي، اتفضل يلا أيوة نشوف ولا واحد، طب أنت + +114 +00:11:02,000 --> 00:11:08,860 +بتحكي ثاني ولا عشان قلت غلط؟ أيوة اتفضل أنت أنت + +115 +00:11:08,860 --> 00:11:16,500 +اللي يقول لك ليش غلط الآن نجي مع 1 على N تربيع، 1 على + +116 +00:11:16,500 --> 00:11:20,980 +N تربيع converge لما نقارن معاه تطلع N تربيع فوق و + +117 +00:11:20,980 --> 00:11:27,220 +N و 3 على 2 بيبقى جذر الـ N، ln الـ N بـ infinity + +118 +00:11:27,220 --> 00:11:34,510 +يبقى فاشل الاختبار يلا، وأحد على نقص نص غلط يلا + +119 +00:11:34,510 --> 00:11:40,950 +يبقى هاي الـ N نص، نص بتطلع فوق بيصير ln الـ N على N + +120 +00:11:40,950 --> 00:11:46,210 +وواحد على نقص نص by vary و ln الـ N على N بـ Zero + +121 +00:11:46,210 --> 00:11:52,270 +يبقى فاشي يلا غلط، قول واحد على نقص كده تلتين + +122 +00:11:52,270 --> 00:11:54,590 +اتنين على تلتين، اتنين على تلتين، اتنين على تلتين + +123 +00:11:54,590 --> 00:11:54,970 +اتنين على تلتين، اتنين على تلتين، اتنين على تلتين + +124 +00:11:54,970 --> 00:11:58,000 +اتنين على تلتين، اتنين على تلتين، اتنين على طبعا يبقى + +125 +00:11:58,000 --> 00:12:02,660 +اتنين على ثلاثة بيصير هنا اتنين على ثلاثة، هنا واحد + +126 +00:12:02,660 --> 00:12:07,480 +ونص طبعًا اتنين على تلاتة تلتين بيبقى النص زي + +127 +00:12:07,480 --> 00:12:13,500 +التلت خمس أسداس صح ولا لأ؟ يبقى بيبقى الواحد على + +128 +00:12:13,500 --> 00:12:19,060 +إنص خمس أسداس في المقام وعلى انتكابه بيفشل، إيش ما + +129 +00:12:19,060 --> 00:12:25,040 +تقول بيفشل؟ اه ساتسات لإن الان ترفيه على انتكابه + +130 +00:12:25,640 --> 00:12:29,360 +لأن الـ interview ..يعني تبقى تقارن مع الأصليها دي؟ + +131 +00:12:29,360 --> 00:12:34,720 +السؤال اللي جابله يعني؟ اه ليه توجع رأسك؟ يعني أنت + +132 +00:12:34,720 --> 00:12:40,380 +لو هذه مش موجودة تقدر تقارن معاها؟ طيب احنا بيجيبك + +133 +00:12:40,380 --> 00:12:45,560 +واحدة تقارن معاه ويكون صحيح، بس أنت لو إنك دقيق + +134 +00:12:45,560 --> 00:12:52,520 +النظر شوية، كيف؟ النص نص فشلت، و أس تلتين فشلت، و + +135 +00:12:52,520 --> 00:12:56,060 +إيه؟ واحد عليّن فشلت، و واحد عليّن نقش واحد و نص + +136 +00:12:56,060 --> 00:13:00,380 +فشلت، و واحد عليّن تربية فشلت، و واحد عليّن نص خمسة + +137 +00:13:00,380 --> 00:13:03,620 +عليّن .. طب وأنت ليش بتمشي النص واحد واحد و نص + +138 +00:13:03,620 --> 00:13:07,590 +اتنين لاتنين؟ طب ما تخليها واحد وربع مثلًا يعني غير + +139 +00:13:07,590 --> 00:13:11,010 +أنصاف يعني هو القرآن نزل من السماء ليس بالضرورة + +140 +00:13:11,010 --> 00:13:14,730 +المهم رقم بدّكِ أكبر من الواحدة وأقل من الواحد + +141 +00:13:14,730 --> 00:13:20,150 +تمام؟ إذا أنا لو اتجربت واحد على إن أس واحد وربع + +142 +00:13:20,150 --> 00:13:24,510 +مثلًا، conversion or divation؟ طيب نشوف، انطلق + +143 +00:13:24,510 --> 00:13:28,650 +نتيجة صفر خلصنا، مظبوط؟ اه يعني أنت سغري مش إن أنا + +144 +00:13:28,650 --> 00:13:33,340 +أقول لك إيش ما تقول غلط من البدالة نسأل بدو تفكير + +145 +00:13:33,340 --> 00:13:38,440 +دقيق شوية يعني، يبقى احنا بنيجي بنقول إن summation + +146 +00:13:38,440 --> 00:13:45,390 +1 على N أس 1 وربع يعني جباش خمسة على أربع واحد + +147 +00:13:45,390 --> 00:13:52,170 +وأربع يعني series convert يفجأ هذه convert P + +148 +00:13:52,170 --> 00:14:01,190 +series السبب because إن P تساوي خمسة أربع أكبر من + +149 +00:14:01,190 --> 00:14:06,950 +الواحد الصحيح طيب بدأنا حاخد limit لما الـ N tends to + +150 +00:14:06,950 --> 00:14:13,130 +infinity لإن الـ N N أس ثلاثة على اتنين تقسم واحد + +151 +00:14:13,130 --> 00:14:18,660 +على N أس خمسة على أربعة limit لما الـ N tends to + +152 +00:14:18,660 --> 00:14:26,280 +infinity ل N أُس خمسة على أربعة على مين في لن الـ N + +153 +00:14:26,280 --> 00:14:32,400 +على N أُس ثلاثة على اتنين ويساوي limit لما الـ N + +154 +00:14:32,400 --> 00:14:37,820 +tends to infinity ل لن الـ N على N أُس ربع + +155 +00:14:41,160 --> 00:14:45,720 +خمسة على أربعة واحد وربع تلاتة على اتنين واحد ونص + +156 +00:14:45,720 --> 00:14:50,920 +من واحد ونص لواحدة ربع فارقها جداش ربع يبقى بصير N + +157 +00:14:50,920 --> 00:14:55,360 +أُس ربع تعاود المباشر بيجيب لجداش Infinity على + +158 +00:14:55,360 --> 00:14:59,380 +Infinity بدي استخدم قاعدة لوبيتال يبقى الـ limit + +159 +00:14:59,380 --> 00:15:05,680 +لما الـ N تنسوا Infinity لواحد على N أُس ربع N + +160 +00:15:05,680 --> 00:15:12,450 +أُس سالب تلاتة ربع يعني معنى هذا الكلام يساوي أربعة + +161 +00:15:12,450 --> 00:15:17,510 +تطلع برا وهذا الـ limit لما الـ N tends to infinity + +162 +00:15:17,510 --> 00:15:23,450 +وطلع هذه فوق بصير N أُس تلت تربع بالموجب وهذه بتنزل + +163 +00:15:23,450 --> 00:15:29,410 +N تحت بعد الحذف والاختصارات بتقول إلى limit لما الـ + +164 +00:15:29,410 --> 00:15:37,490 +N tends to infinity لواحد على N أُس ربع وحدة على + +165 +00:15:37,490 --> 00:15:42,770 +مالها نهاية يعني هذه بتصير أربعة في زيرو اللي هو + +166 +00:15:42,770 --> 00:15:47,750 +بتساوي جداش زيرو بالشكل اللي عنها طيب تبع في + +167 +00:15:47,750 --> 00:15:55,710 +المقام converge والنتيجة تساوي زيرو بقول له by the + +168 +00:15:55,710 --> 00:16:03,710 +limit comparison test the series اللي هي converge + +169 +00:16:04,520 --> 00:16:08,680 +على أي حال هذا السؤال يعتبر من المسائل الصعبة اللي + +170 +00:16:08,680 --> 00:16:14,740 +موجودة في التمرين يبقى وصلنا إلى exercises عشرة + +171 +00:16:14,740 --> 00:16:22,380 +أربعة المسائل التالية من عند الواحد لغاية أربعة و + +172 +00:16:22,380 --> 00:16:24,400 +خمسين الـ + +173 +00:16:42,430 --> 00:16:44,010 +هذا البرنامج موجود في مدينة مصر + +174 +00:16:47,600 --> 00:16:52,380 +بنجي لقى لـ section عشرة خمسة في عشرة خمسة هناخد + +175 +00:16:52,380 --> 00:16:56,160 +الاختبارين اللي بالعت علينا واحد اسمه اختبار + +176 +00:16:56,160 --> 00:17:01,260 +النسبة the ratio test والثاني اختبار الجذر النوني + +177 +00:17:01,260 --> 00:17:05,020 +مش الحد النوني الجذر النوني اللي هو الـ answer هو + +178 +00:17:05,020 --> 00:17:14,000 +الـ test يبقى عشرة خمسة اللي هو من the ratio + +179 +00:17:15,870 --> 00:17:26,610 +and in throat tests يبقى اختبار النسبة واختبار + +180 +00:17:26,610 --> 00:17:33,110 +الجذر النوني ناخد الاختبار الأول اللي هو the ratio + +181 +00:17:33,110 --> 00:17:39,810 +test بيقول + +182 +00:17:39,810 --> 00:17:44,330 +الـ net summation على a n + +183 +00:17:47,410 --> 00:17:55,170 +بسيريز with positive terms + +184 +00:17:55,170 --> 00:18:00,050 +سيريز + +185 +00:18:00,050 --> 00:18:11,470 +with positive terms and suppose that and + +186 +00:18:11,470 --> 00:18:12,630 +suppose that + +187 +00:18:17,430 --> 00:18:26,070 +limit لما الـ n tends to infinity لل a n plus one + +188 +00:18:26,070 --> 00:18:35,610 +على a n بده يساوي raw then نمرة واحد the series + +189 +00:18:35,610 --> 00:18:41,810 +summation على a n converge + +190 +00:19:06,430 --> 00:19:08,530 +نقطة التالتة + +191 +00:19:11,230 --> 00:19:17,970 +the test is inconclusive + +192 +00:19:17,970 --> 00:19:31,750 +أو fail بيفشل أفرض ساوي واحد نمرا اتنين the + +193 +00:19:31,750 --> 00:19:37,970 +inferred + +194 +00:19:37,970 --> 00:19:39,590 +test + +195 +00:19:45,280 --> 00:19:51,400 +انتروت تست بيقول + +196 +00:19:51,400 --> 00:19:57,480 +لات summation + +197 +00:19:57,480 --> 00:20:10,200 +على a n بـ a series بـ a series with + +198 +00:20:11,880 --> 00:20:21,380 +الـ a n greater than or equal to zero for n + +199 +00:20:21,380 --> 00:20:33,640 +greater than capital N and suppose that وافترض + +200 +00:20:33,640 --> 00:20:44,440 +أنه limit الجذري النوني للحد إنني لما الـ in tends + +201 +00:20:44,440 --> 00:20:46,980 +to infinity يساوي را + +202 +00:21:52,500 --> 00:22:01,700 +السؤال الأول summation من n equal one to infinity + +203 +00:22:02,360 --> 00:22:08,320 +للـ إن فاكتوريال على عشرة to the power N + +204 +00:22:50,790 --> 00:22:57,230 +طيب احنا حتى الآن أخذنا أربعة اختبارات اللي هي + +205 +00:22:57,230 --> 00:23:03,910 +اختبار التكامل واختبار الحد النوني واختبار الـ + +206 +00:23:03,910 --> 00:23:07,370 +comparison test واختبار الـ limit comparison test + +207 +00:23:07,660 --> 00:23:13,560 +وباقي اختباران اختباران هو موضوع الـ section اللي + +208 +00:23:13,560 --> 00:23:19,100 +تبقى عشرة خمسة الاختبار الأول اسمه the ratio test + +209 +00:23:19,100 --> 00:23:24,000 +اختبار النسبة والثاني اسمه الـ in through test + +210 +00:23:24,000 --> 00:23:30,950 +اختبار الجذر النوني لما نخلص الاتنين هدول بيكون + +211 +00:23:30,950 --> 00:23:35,230 +خلصنا كل اختبارات الستة زيدي التلاتة series + +212 +00:23:35,230 --> 00:23:38,990 +المشهورة وبالتالي يمكن الحكم على أي series + +213 +00:23:38,990 --> 00:23:44,050 +بتقابلنا هل هي converge أو diver لو نظرت + +214 +00:23:44,050 --> 00:23:47,970 +للاختبارين اللي هو الأول والثاني اللي هي الـ ratio + +215 +00:23:47,970 --> 00:23:53,090 +test والـ intro test بلاحظ إنه كمان هدول لـ series + +216 +00:23:53,090 --> 00:23:58,860 +with positive terms وبالتالي آخر خمسة اختبارات كلها + +217 +00:23:58,860 --> 00:24:02,680 +series with positive terms ما عدا الاختبار الأول + +218 +00:24:02,680 --> 00:24:06,580 +اللي هو nth term test بهمناش هل الـ series بالموجب + +219 +00:24:06,580 --> 00:24:12,400 +أو بالسالب نجي للاختبار الأول الـ ratio test بقول + +220 +00:24:12,400 --> 00:24:16,580 +let summation على a n بـ هي series with positive + +221 +00:24:16,580 --> 00:24:23,440 +terms الحدود كلها موجبة and suppose that وافترض إنه + +222 +00:24:23,440 --> 00:24:29,480 +limit لل a n plus one على a n يعني الحد النوني + +223 +00:24:29,480 --> 00:24:33,560 +زائد واحد مقسوم على مين على الحد النوني يعني الحد + +224 +00:24:33,560 --> 00:24:37,870 +العاشر مقسوم على الحد التاسع مثلًا الحد التلاتين + +225 +00:24:37,870 --> 00:24:42,750 +مقسومًا على الحد تسعة وعشرين إلى آخره يبقى جسمنا + +226 +00:24:42,750 --> 00:24:46,690 +الحد النوني زائد واحد على الحد النوني وأخذنا الـ + +227 +00:24:46,690 --> 00:24:51,310 +limit لما الـ entrance to infinity سمينا النتج raw + +228 +00:24:52,220 --> 00:24:57,740 +يبقى بالضبط روها دي قد تكون عدد وقد تكون infinity + +229 +00:24:57,740 --> 00:25:02,840 +إن كان عدد بنجي نطلع في هذا العدد إذا العدد هذا + +230 +00:25:02,840 --> 00:25:09,920 +كان أقل من واحد صحي طبعًا من صفر لغاية واحد صحي + +231 +00:25:09,920 --> 00:25:15,000 +طبعًا صفر لليمين السالب مافيش ليش إن الـ series with + +232 +00:25:15,000 --> 00:25:19,500 +positive terms الحد النوني زائد واحد موجب والحد + +233 +00:25:19,500 --> 00:25:23,980 +النوني موجب يبقى مافيش عندي سالب يبقى النتيجة أقل + +234 +00:25:23,980 --> 00:25:28,800 +حاجة بتبقى Zero فما فوق فإن كانت النتيجة من Zero + +235 +00:25:28,800 --> 00:25:33,620 +لغاية الواحد بس ما تساويش الواحد Zero ماعناه مشكلة + +236 +00:25:33,620 --> 00:25:38,060 +يبقى بقول الـ series مالها converged إن كانت + +237 +00:25:38,060 --> 00:25:43,320 +النتيجة أكبر من الواحد صحي أو ما لا نهاية بقول + +238 +00:25:43,320 --> 00:25:43,800 +الـ series + +239 +00:25:48,660 --> 00:25:53,840 +الاختبار بيفشل if the test is inconclusive أو فهل + +240 +00:25:53,840 --> 00:25:55,340 +إذا كانت رو تساوي واحدة + +241 +00:26:06,440 --> 00:26:10,320 +بأخذ الجذر النوني للحد النوني لما الـ N بده تروح + +242 +00:26:10,320 --> 00:26:15,520 +للملايين وبرضه بده يساوي رو، والله إذا رو كانت أقل + +243 +00:26:15,520 --> 00:26:18,900 +من واحد صحي بيجي الـ series converge أكبر من واحد + +244 +00:26:18,900 --> 00:26:23,550 +صحي أو infinity الـ diverge تساوي واحد صحي يبقى + +245 +00:26:23,550 --> 00:26:28,350 +الاختبار بيفشله معك خمسة اختبارات أخرى سابقة عليه + +246 +00:26:28,350 --> 00:26:33,110 +استخدام الذي تراه مناسبًا طبعًا هنعطيك العديد من + +247 +00:26:33,110 --> 00:26:37,530 +الأمثلة بعضهم يفشل وبعضهم مش هيفشل تمام؟ وإذا فشل + +248 +00:26:37,530 --> 00:26:42,570 +هنشوف كيف نتغلب على مين على هذه المشكلة أنا قسمت + +249 +00:26:42,570 --> 00:26:47,290 +الأمثلة لقسمين القسم الأول يعني الأسئلة المباشرة + +250 +00:26:47,290 --> 00:26:53,360 +القسم الثاني كل سؤال فيه فنبشوية نشوف كيف نتخلص من + +251 +00:26:53,360 --> 00:26:57,560 +المشكلة اللي اتحققتها بنا حد عنده أي استفسار قبل + +252 +00:26:57,560 --> 00:27:03,400 +ندخل إلى الأمثلة؟ حد يريد يسأل أي سؤال؟ طيب نجي + +253 +00:27:03,400 --> 00:27:07,700 +للسؤال الأول نشوف هل هذه الـ series converge أو + +254 +00:27:07,700 --> 00:27:13,070 +diverse بنحب نحط في دماغنا من حد ما تتطلع في الحد + +255 +00:27:13,070 --> 00:27:17,990 +أنه يتواجد الـ in factorial في الشمكانية تأخذ جذر + +256 +00:27:17,990 --> 00:27:23,650 +لكن سهل جدا تأخذ الـ ratio test يبقى من حد ما تشوف + +257 +00:27:23,650 --> 00:27:28,540 +الـ in factorial على ratio وأنت مغمض في الغالب + +258 +00:27:28,540 --> 00:27:34,680 +يعني 99% بتبقى حل المشكلة طيب إذا بروح آخذ روح + +259 +00:27:34,680 --> 00:27:39,580 +تساوي limit لما الـ n تؤول إلى infinity إلى الحد الـ n + +260 +00:27:39,580 --> 00:27:44,940 +يزيد واحد على الحد الـ n يبقى limit لما الـ n + +261 +00:27:44,940 --> 00:27:50,450 +تؤول إلى infinity للحد الـ n زائد واحد معناته بيدخل كل الـ n + +262 +00:27:50,450 --> 00:27:56,370 +وحق مكانها n زائد واحد يبقى بصير n زائد واحد + +263 +00:27:56,370 --> 00:28:03,430 +factorial على عشرة أس n زائد واحد الكلام هذا تقسيم + +264 +00:28:03,430 --> 00:28:09,510 +n factorial على عشرة to the power n يبقى هذا + +265 +00:28:09,510 --> 00:28:12,950 +الكلام بده يساوي الـ limit لما الـ n tends to + +266 +00:28:12,950 --> 00:28:17,900 +infinite الخطوة التالية نبدا نفك الحد النوني زائد واحد + +267 +00:28:17,900 --> 00:28:23,380 +ده يتوصل لشكل الحد النوني مشان يصير أن الاختصارات + +268 +00:28:23,380 --> 00:28:27,560 +نختصرها مع بعض يبقى الـ n زائد واحد factorial هو n + +269 +00:28:27,560 --> 00:28:34,340 +زائد واحد في مين؟ في الـ n factorial على عشرة مضروبة + +270 +00:28:34,340 --> 00:28:39,660 +في عشرة أس n القسم بحولها إلى ضربه من شجلة بصير + +271 +00:28:39,660 --> 00:28:46,320 +عندي عشرة أس n على n factorial ويسببن factorial مع + +272 +00:28:46,320 --> 00:28:52,040 +n factorial عشرة أس n على عشرة أس n يبقى هذا + +273 +00:28:52,040 --> 00:28:56,720 +الكلام يساوي عشرة في limit لما الـ n tends to + +274 +00:28:56,720 --> 00:29:03,340 +infinity للـ n plus one النتج كده يحطيني هذا؟ + +275 +00:29:03,340 --> 00:29:07,540 +مالانهاية يبقى لما قسمت الاتنين على بعض طلع النتج + +276 +00:29:07,540 --> 00:29:12,120 +مالانهاية يبقى series لأن هذه مالها by there يبقى + +277 +00:29:12,120 --> 00:29:21,730 +بروح بقوله by the ratio test the series هي + +278 +00:29:21,730 --> 00:29:28,110 +summation للـ n factorial على عشرة to the power n + +279 +00:29:28,110 --> 00:29:29,130 +by where + +280 +00:29:32,140 --> 00:29:38,880 +طبعا احنا الآن في الاختبار الخامس السؤال هو هل في + +281 +00:29:38,880 --> 00:29:44,260 +إمكانية أحله باختبار آخر؟ أقول نعم لو جيت على + +282 +00:29:44,260 --> 00:29:48,370 +اختبار الحد النوني اللي هو أول اختبار وأخذت الـ + +283 +00:29:48,370 --> 00:29:52,610 +limit لحد الـ n لما الـ n tends to infinity هذي + +284 +00:29:52,610 --> 00:29:57,530 +standard من الجدول رقم ستة في الجدول مظبوط بس مش + +285 +00:29:57,530 --> 00:30:01,950 +مقلوبة تمام؟ مدام مقلوبة هذيك السفر إذا هذي قداش + +286 +00:30:01,950 --> 0:30:05,250 +أما لنهاية بالـ n تقريبا بس الـ series is diverse + +287 +00:30:05,930 --> 00:30:08,970 +يبقى هاي كمان طريقة أخرى لحكم على الـ series + +288 +00:30:08,970 --> 00:30:11,770 +Conversion أو Divergence من غير الـ ratio لكن لما + +289 +00:30:11,770 --> 00:30:15,630 +كان موضوع من موضوع الـ ratio test حبينا نحل السؤال + +290 +00:30:15,630 --> 00:30:19,230 +بالـ ratio test لكن لو بيجي الكلام بتاعنا احنا + +291 +00:30:19,230 --> 00:30:24,010 +بنقيدكش حل بالطريقة التي تراها مناسبة يبقى + +292 +00:30:24,010 --> 00:30:32,570 +summation من n equal to infinity للـ n على ln الـ n + +293 +00:30:32,570 --> 00:30:34,530 +أس n + +294 +00:30:38,900 --> 00:30:44,680 +نطلع في الحد النوني إذا سهل أخذ الجذر النوني بروح + +295 +00:30:44,680 --> 00:30:48,500 +باستخدم اختبار الجذر النوني مش سهل بروح على مين + +296 +00:30:48,500 --> 00:30:54,260 +على ratio test طبعا بطلع هنا سهل أخذ الجذر النوني + +297 +00:30:54,260 --> 00:30:59,480 +وهنا سهل أخذ الجذر النوني تمام إذا بروح بأخذ + +298 +00:30:59,480 --> 00:31:07,620 +limit لما الـ n تؤول إلى infinity للجذر النوني للحد النوني لأن + +299 +00:31:07,620 --> 00:31:13,740 +الـ n كلها to the power n يساوي الـ limit لما الـ n + +300 +00:31:13,740 --> 00:31:22,200 +tends to infinity للـ n أس واحد على n كل هذا على ln + +301 +00:31:22,200 --> 00:31:32,320 +الـ n هذا الكلام يساوي limit البصر قداش يا شباب من + +302 +00:31:32,320 --> 00:31:39,420 +الجدول رقم اتنين و limit المقام طيب قداش النتج؟ و + +303 +00:31:39,420 --> 00:31:45,220 +Zero ماله؟ أقل من الواحد، مظبوط؟ يبقى الآن بروح + +304 +00:31:45,220 --> 00:31:57,720 +بقوله By the nth root test the series هي الـ + +305 +00:31:57,720 --> 00:32:04,520 +summation للـ n على ln الـ n كله to the power n + +306 +00:32:04,520 --> 00:32:05,820 +convert + +307 +00:32:09,490 --> 00:32:13,410 +يعني أنت بتتطلع في المثال إذا مناسب الـ ratio + +308 +00:32:13,410 --> 00:32:18,790 +test بناخذ الـ ratio test إذا مناسب أخذ الجذر + +309 +00:32:18,790 --> 00:32:26,130 +النوني بنروح ناخذ اختبار الجذر النوني طيب السؤال + +310 +00:32:26,130 --> 00:32:31,730 +الثالث بيقول ما يأتي نمرة تلاتة + +311 +00:32:34,490 --> 00:32:40,770 +Summation من n equal one to infinity للـ n + +312 +00:32:40,770 --> 00:32:48,570 +factorial تلاتة على n كله to the power n مرة جبنا + +313 +00:32:48,570 --> 00:32:54,770 +السؤال زي هذا في إحدى الامتحانات الجزء الأخير من + +314 +00:32:54,770 --> 00:32:59,190 +المثال سهل أخذ الجذر النوني بس الـ n factorial + +315 +00:32:59,190 --> 00:33:03,870 +بقدر آخده للجذر النوني يبقى الـ automatic على الـ + +316 +00:33:03,870 --> 00:33:05,090 +ratio test + +317 +00:33:31,480 --> 00:33:38,080 +لو n factorial تلاتة to the power n على n to the + +318 +00:33:38,080 --> 00:33:44,780 +power n يبقى هذا الكلام بدي يساوي الـ limit لما الـ + +319 +00:33:44,780 --> 00:33:50,820 +n tends to infinity للـ n زائد واحد في الـ n + +320 +00:33:50,820 --> 00:33:56,590 +factorial يبقى نفك الـ n زائد واحد factorial هذه + +321 +00:33:56,590 --> 00:34:04,170 +بقدر أكتبها تلاتة أس واحد في تلاتة أس n مقسومة على + +322 +00:34:04,170 --> 00:34:13,280 +n زائد واحد في n زائد واحد to the power n يبقى n + +323 +00:34:13,280 --> 00:34:17,840 +زائد واحد أس واحد مضروب في n زائد واحد أس n + +324 +00:34:17,840 --> 00:34:24,280 +هيبسط لنا من الحد النوني زائد واحد نجي للحد النوني + +325 +00:34:24,280 --> 00:34:31,620 +بصير n أس n على n factorial تلاتة to the power n + +326 +00:34:31,860 --> 00:34:37,100 +نختصر الاختصارات تلاتة أس n مع تلاتة أس n n + +327 +00:34:37,100 --> 00:34:43,120 +factorial مع n factorial n زائد واحد مع n مع + +328 +00:34:43,120 --> 00:34:49,900 +n زائد واحد يبقى النتيجة تساوي هي التلاتة خليها + +329 +00:34:49,900 --> 00:34:55,600 +برا وهي limit لما الـ n tends to infinity للـ n to + +330 +00:34:55,600 --> 00:35:01,260 +the power n على n plus one to the power n أو تلاتة + +331 +00:35:01,260 --> 00:35:07,090 +limit يلا بدنا نحسب الـ limit هذا، نشوف إيش رأيكم + +332 +00:35:07,090 --> 00:35:12,330 +فيه هذه شفتوها قبل هيك الـ limit هذه؟ شفناها عدة + +333 +00:35:12,330 --> 00:35:16,610 +مرات مش مرة واحدة، مش هيك؟ طب شافوا يا حد بيقدر + +334 +00:35:16,610 --> 00:35:24,690 +يقول لي قداش الناتج؟ يلا شافوا قداش الناتج لهذه؟ الـ + +335 +00:35:24,690 --> 00:35:27,430 +limit لهذا المقدار؟ قداش؟ + +336 +00:35:29,890 --> 00:35:36,670 +تسمع واحد بس يحكي يعطيني إجابة صحيحة ولا واحد هاي + +337 +00:35:36,670 --> 00:35:44,470 +هذه ها تلاتة واحد على e مظبوط high limit لما الـ + +338 +00:35:44,470 --> 00:35:50,330 +n tends to infinity لواحد على واحد زائد واحد على n + +339 +00:35:50,330 --> 00:35:56,610 +كله to the power n قسمنا البسط والمقام على مين؟ على + +340 +00:35:56,610 --> 00:36:00,750 +n بصير عندي واحد فوق واحد زائد واحد على n كله to + +341 +00:36:00,750 --> 00:36:05,710 +the power n هذا النتج بدي يساوي تلاتة برا وهذا جدا + +342 +00:36:05,710 --> 00:36:11,190 +دواشر واحد على e يبقى تلاتة على e أكبر من + +343 +00:36:11,190 --> 00:36:17,740 +واحدة صحيحة والله أكبر لأن الـ e ب 2.7 من 10 + +344 +00:36:17,740 --> 00:36:22,580 +يبقى هذا greater than one الآن استخدمنا من الـ + +345 +00:36:22,580 --> 00:36:32,780 +ratio فبجي بقوله by the ratio test the series اللي + +346 +00:36:32,780 --> 00:36:38,520 +هي summation للـ n factorial تلاتة على n to the + +347 +00:36:38,520 --> 00:36:47,070 +power n مالها by e نقدر نخلها converge هذه بتغيير + +348 +00:36:47,070 --> 00:36:56,430 +بسيط هكذا؟ نقدر؟ اه يعني بدل مكانها الـ diverge بدي + +349 +00:36:56,430 --> 00:37:03,330 +أخليها converge بتغيير بسيط في رأس المسألة ولا + +350 +00:37:03,330 --> 00:37:06,570 +اتنين و باب ده، بدي أشيل التلاتة وأحط مكانها + +351 +00:37:06,570 --> 00:37:12,130 +اتنين بس أحط اتنين، أحط واحد، أحط واحد ونص، بصير + +352 +00:37:12,130 --> 00:37:15,990 +convert بدل ما صحيح رب يفهم، ليش؟ لأن الأخير + +353 +00:37:15,990 --> 00:37:20,170 +طالع عندي هنا تلاتة على e بيش ما تحط هناك، + +354 +00:37:20,170 --> 00:37:23,850 +بيكون رقم عليه اتنين على e كسر أقل من الواحد + +355 +00:37:23,850 --> 00:37:28,730 +الصحيح، بيصير series ما لا نهاية convert وإيه كده هذا + +356 +00:37:28,730 --> 00:37:34,060 +السؤال الثالث، السؤال الرابع السؤال الرابع بيقول الـ + +357 +00:37:34,060 --> 00:37:39,640 +summation من n equal one to infinity للـ n + +358 +00:37:39,640 --> 00:37:46,550 +factorial على n to the power n طبعا هذه السؤال + +359 +00:37:46,550 --> 00:37:50,830 +شفناها قبل هيك بس ما حليناش بـ ratio بدنا نحل بالـ + +360 +00:37:50,830 --> 00:37:57,070 +ratio اليوم يبقى بدي اروح آخذ limit لما الـ n tends to + +361 +00:37:57,070 --> 00:38:03,470 +infinity للـ n plus one factorial مقسومة على n plus + +362 +00:38:03,470 --> 00:38:11,020 +one مرفوع للـ n plus one تقسيم n factorial على n to + +363 +00:38:11,020 --> 00:38:15,600 +the power n يساوي الـ limit لما الـ n tends to + +364 +00:38:15,600 --> 00:38:20,440 +infinity لما الـ n بدها تروح للـ infinity بدها تفك + +365 +00:38:20,440 --> 00:38:28,880 +هذا يبقى n زائد واحد في n factorial على n زائد + +366 +00:38:28,880 --> 00:38:35,040 +واحد في n زائد واحد to the power n في n to the + +367 +00:38:35,040 --> 00:38:41,610 +power n على n factorial نختصر تروح هاي مع هاي + +368 +00:38:41,610 --> 00:38:47,870 +والجزء هذا مع الجزء هذا يبقى آلة المسألة إلى الـ + +369 +00:38:47,870 --> 00:38:55,550 +limit لما الـ n tends to infinity نقص + +370 +00:38:55,550 --> 00:39:02,850 +n وهنا n زائد واحد أس n يبقى n على n زائد واحد + +371 +00:39:02,850 --> 00:39:10,440 +كله to the power n مظبوط؟ يبقى النتيجة from above + +372 +00:39:10,440 --> 00:39:15,140 +يساوي كده؟ واحد على e هي في الخطوة اللي قبلها، + +373 +00:39:15,140 --> 00:39:20,000 +السؤال اللي قبلها واحد على e مالها؟ أقل من الواحد + +374 +00:39:20,000 --> 00:39:27,400 +الصحيح استخدمنا الـ ratio فبجي بقوله by the ratio + +375 +00:39:27,400 --> 00:39:30,520 +test the series + +376 +00:39:43,210 --> 00:39:51,670 +السؤال الخامس بيقول summation من n equal one to + +377 +00:39:51,670 --> 00:39:59,170 +infinity لواحد ناقص واحد على n كله to the power n + +378 +00:39:59,170 --> 00:39:59,970 +تربيع + +379 +00:40:03,350 --> 00:40:07,050 +من أمس بحاجة لاختبار النسبة أو اختبار الجذر النوني + +380 +00:40:07,050 --> 00:40:13,950 +الجذر أنه سهل آخذ الجذر يبقى باجي بقوله r تساوي + +381 +00:40:13,950 --> 00:40:19,490 +limit لما الـ N tends to infinity للجذر النوني + +382 +00:40:19,490 --> 00:40:24,870 +لواحد ناقص واحد على N كله to the power N تربيع + +383 +00:40:24,870 --> 00:40:29,090 +يبقى هذا بده يساوي limit لما الـ N tends to + +384 +00:40:29,090 --> 00:40:35,330 +infinity لواحد ناقص واحد على N كله to the power n + +385 +00:40:35,330 --> 00:40:43,090 +أظن هذه الـ standard معروفة من الجدول، أيه السالب + +386 +00:40:43,090 --> 00:40:47,330 +واحد يعني واحد على أيه؟ واحد على اثنين وسبعة من + +387 +00:40:47,330 --> 00:40:53,050 +عشرة كسر ماله أقل من الواحد الصحيح يبقى باجي + +388 +00:40:53,050 --> 00:40:55,450 +بقوله by the + +389 +00:41:14,340 --> 00:41:23,100 +السؤال السادس بيقول summation من N equal one to + +390 +00:41:23,100 --> 00:41:30,060 +infinity لواحد ناقص واحد على ثلاثة N كله to the + +391 +00:41:30,060 --> 00:41:35,660 +power N مين؟ + +392 +00:41:35,660 --> 00:41:42,720 +أفضل اختبار الجذر ماشي الحال، هاي r تساوي الـ limit + +393 +00:41:42,720 --> 00:41:49,590 +لما الـ N tends to infinity للجذر النوني، فشل يبقى + +394 +00:41:49,590 --> 00:42:00,030 +باجي بقوله هنا the root test failed أو + +395 +00:42:00,030 --> 00:42:06,150 +inconclusive فشل، طيب دبل حالك نرجع أيه للاختبارات + +396 +00:42:06,150 --> 00:42:12,610 +ناخدهم بالدور، اختبار الحد النوني بيحل الإشكالية شفهًا + +397 +00:42:12,610 --> 00:42:20,580 +ومجرد النظر اه بحلها يبقى بروح باخد limit لما الـ in + +398 +00:42:20,580 --> 00:42:29,800 +tends to infinity للحد النوني، أقصى بطل يعني واحد + +399 +00:42:29,800 --> 00:42:38,900 +على أقصى بطل، طيب هذا بيساوي صفر في يوم من الأيام؟ + +400 +00:42:38,900 --> 00:42:48,310 +لا يمكن أن يساوي صفر، يبقى بروح بقوله by the + +401 +00:42:48,310 --> 00:42:57,170 +nth term دي الـ nth term وليس nth root، the nth + +402 +00:42:57,170 --> 00:43:04,410 +term test the series summation + +403 +00:43:04,410 --> 00:43:11,330 +لواحد ناقص واحد على ثلاثة n كله to the power n + +404 +00:43:11,330 --> 00:43:18,870 +by يبقى اختبار الجذر النوني فاشل، لكن اختبار الحد + +405 +00:43:18,870 --> 00:43:34,010 +النوني هو اللي حل الإشكالية اللي موجودة عندنا، طيب + +406 +00:43:34,010 --> 00:43:35,150 +السؤال السابع + +407 +00:43:40,230 --> 00:43:48,570 +Summation من N equal one to infinity لواحد ثلاثة + +408 +00:43:48,570 --> 00:43:58,110 +خمسة لغاية اثنين N ناقص واحد كله على اثنين أربعة + +409 +00:43:58,110 --> 00:44:05,790 +ستة لغاية اثنين N في ثلاثة أس N زائد واحد + +410 +00:44:11,180 --> 00:44:17,800 +الجذر على النسبة، جذر في الشمكانية يبقى على النسبة + +411 +00:44:17,800 --> 00:44:23,060 +دور يبقى r تساوي الـ limit لما الـ N tends to + +412 +00:44:23,060 --> 00:44:29,280 +infinity لواحد، ثلاثة، خمسة، يبدأ يشيل الـ N ويضع + +413 +00:44:29,280 --> 00:44:34,460 +مكانها جداش N زائد واحد يبقى لو حاطط N زائد واحد + +414 +00:44:34,460 --> 00:44:40,180 +اثنين يبدأ تنضرب في N زائد واحد تصيروا اثنين بصير + +415 +00:44:40,180 --> 00:44:46,640 +اثنين n زائد اثنين ونقص واحد يعني جداش اثنين n + +416 +00:44:46,640 --> 00:44:52,960 +زائد واحد يبقى بيبقى ماشي لغاية اثنين n زائد واحد + +417 +00:44:52,960 --> 00:45:00,520 +مقسوما على اثنين أربعة ستة وهذا بيصير جداش اثنين + +418 +00:45:00,520 --> 00:45:06,800 +n زائد اثنين، اثنين n زائد يتنام هنا هذا اللي بصد + +419 +00:45:06,800 --> 00:45:12,720 +خلاصنا منه المقام بدي يصير ثلاثة أس N زائد واحد + +420 +00:45:12,720 --> 00:45:20,110 +على واحد، شرايك أحول لضرب وشجل بدوري يبقى إيش بيصير؟ + +421 +00:45:20,110 --> 00:45:28,470 +اثنين أربعة ستة لغاية اثنين N في ثلاثة أس N زائد + +422 +00:45:28,470 --> 00:45:36,550 +واحد على واحد ثلاثة خمسة لغاية اثنين N ناقص واحد + +423 +00:45:36,550 --> 00:45:40,350 +طيب + +424 +00:45:40,350 --> 00:45:46,980 +بدي أسأل السؤال التالي وأشوف إيش رأيكم فيه، حد فيكم + +425 +00:45:46,980 --> 00:45:52,600 +بيقدر يجيب لي الـ term اللي جاب لي الـ term هذا، واحد + +426 +00:45:52,600 --> 00:45:56,280 +ثلاثة خمسة وصلنا اثنين n زي إنه بدي اللي جاب له + +427 +00:45:56,280 --> 00:46:00,600 +بدي أرفع عيدك بس وأحكي أيه اللي بدي أحكي أنا + +428 +00:46:00,600 --> 00:46:05,100 +بأفضل أنا ناقص واحد n، n ناقص واحد وليس اثنين n + +429 +00:46:05,100 --> 00:46:09,700 +لأن كل حد بيفرج عن اللي جاب له مقدار اثنين، إذا اللي + +430 +00:46:09,700 --> 00:46:14,000 +جاب له هنا بدي يكون اثنين n ناقص واحد، طب اللي جاب + +431 +00:46:14,000 --> 00:46:14,480 +الـ هذا + +432 +00:46:24,870 --> 00:46:31,290 +طب تعالوا نختصر الـ جش هدول كلهم مرة واحدة مع هدول و + +433 +00:46:31,290 --> 00:46:37,970 +هدول هك مع السلامة مع هدول يبقى بقى قصتنا صارت + +434 +00:46:37,970 --> 00:46:43,770 +بسيطة يبقى هذا الكلام بده يساوي limit لما الـ N + +435 +00:46:43,770 --> 00:46:51,330 +tends to infinity لـ 2N زائد 1 على 2N زائد 2 في + +436 +00:46:51,330 --> 00:46:57,290 +limit لما الـ N tends to infinity لـ 3 أس N زائد 1 3 + +437 +00:46:57,290 --> 00:47:04,190 +أس N زائد 1 زائد 1، إيش رأيك في الـ limit هذه كلها؟ + +438 +00:47:14,190 --> 00:47:19,650 +بقى limit اللي عندنا هذه limit tends to infinity + +439 +00:47:19,650 --> 00:47:23,270 +هذه بتجيب لي نهاية على نهاية، إن أشتق الـ بسط على + +440 +00:47:23,270 --> 00:47:27,930 +مشتقة اثنين مقام مش هنخلص، لكن بقدر أجسم كل من الـ + +441 +00:47:27,930 --> 00:47:34,760 +بسط والمقام على ثلاثة أس n زائد واحد لأكبر قيمة موجودة + +442 +00:47:34,760 --> 00:47:42,140 +في المقام، يبقى لو جسمت عليها تبقى هنا ثلث + +443 +00:47:42,140 --> 00:47:49,640 +وهنا تبقى واحد على ثلاثة أس n زائد واحد وهنا واحد + +444 +00:47:49,640 --> 00:47:54,360 +زائد واحد على ثلاثة أس n زائد واحد + +445 +00:47:57,050 --> 00:48:02,670 +جسمت كل من البسط والمقام على ثلاثة أس n زائد واحد + +446 +00:48:02,670 --> 00:48:10,470 +النتيجة صفر وهنا صفر يبقى جداش عندي ثلث على + +447 +00:48:10,470 --> 00:48:16,250 +واحد اللي هو جداش، والثلث ماله أقل من الواحد الصحيح + +448 +00:48:16,250 --> 00:48:25,070 +بروح بقول هنا by the ratio test the series + +449 +00:48:25,070 --> 00:48:26,350 +converge + +450 +00:48:29,560 --> 00:48:34,620 +طيب، هذا يا واحد ما عجبه الحل هذا، نفس السؤال، + +451 +00:48:34,620 --> 00:48:37,780 +بديش أعطيه حاجة جديدة، بدي أعطيك فكرة ثانية، بداكش + +452 +00:48:37,780 --> 00:48:45,210 +بلاشهذه واحد ثاني قال لي أنا بدي أفكر في السؤال + +453 +00:48:45,210 --> 00:48:50,710 +بالـ comparison test، قلنا له كيف؟ قال لي هي الحد 1 + +454 +00:48:50,710 --> 00:49:03,770 +3 5 2 N ناقص 1 2 4 6 2 N 3 أس N زيد 1، قلت له أيوة + +455 +00:49:03,770 --> 00:49:12,030 +قال لي طالع إن الـ comparison يبقى أقل منه، جينا قال + +456 +00:49:12,030 --> 00:49:17,350 +لي خلي المقام زي ما هو هذا اثنين أربعة ستة وظلنا + +457 +00:49:17,350 --> 00:49:23,830 +ماشيين لغاية اثنين n وهنا ثلاثة n زائد واحد، وروح + +458 +00:49:23,830 --> 00:49:30,650 +كتب لي هنا اثنين أربعة ستة اثنين n صحيح؟ + +459 +00:49:34,430 --> 00:49:39,770 +بظبط؟ المقام ثابت، الواحد كتب بداله اثنين، + +460 +00:49:39,770 --> 00:49:43,330 +الثلاثة كتب بداله أربعة، الخمسة كتب بداله ستة، + +461 +00:49:43,330 --> 00:49:46,710 +اثنين n ناقص واحد كتب بداله اثنين n، يبقى البسط اللي + +462 +00:49:46,710 --> 00:49:50,450 +عندي أقل من البسط هذا، إذا هذا الكسر أقل من الكسر + +463 +00:49:50,450 --> 00:49:55,610 +هذا، قلنا له تمام، قال لي هدول بيختصروا مع هدول يبقى + +464 +00:49:55,610 --> 00:50:01,970 +الناتج كم؟ واحد على ثلاثة أس N زائد واحد، جالي هذا + +465 +00:50:01,970 --> 00:50:07,630 +كمان أقل من واحد على ثلاثة أس N، قلنا له مظبوط يبقى + +466 +00:50:07,630 --> 00:50:15,720 +هذا ثلاثة أس N مين هي هذه؟ Geometric series converge + +467 +00:50:15,720 --> 00:50:20,140 +يبقى هذا الـ series لو واحد تعملها بتطلع converge + +468 +00:50:20,140 --> 00:50:24,540 +geometric series لأن الـ ratio أقل تقل من الواحد + +469 +00:50:24,540 --> 00:50:29,300 +الصحيح، بالـ comparison الأصلية مالها converge + +470 +00:50:49,520 --> 00:50:55,580 +يعني يمكن للسؤال أن يحل بعدة اختبارات + +471 +00:50:57,550 --> 00:51:00,350 +الاختبار المناسب، مرة جاي نكمل إن شاء الله diff --git a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/RUWtLhZpb-g_postprocess.srt b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/RUWtLhZpb-g_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..fdb37f56c1da2ac0722d1984d57a067a08658c97 --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/RUWtLhZpb-g_postprocess.srt @@ -0,0 +1,2040 @@ +1 +00:00:00,000 --> 00:00:02,680 +موسيقى + +2 +00:00:14,990 --> 00:00:19,870 +بنكمل ال section اللى ابتدأناه المرة الماضية وهو + +3 +00:00:19,870 --> 00:00:24,030 +ال hyperbolic functions طبعا عرفنا الدوالي + +4 +00:00:24,030 --> 00:00:26,910 +الزائدية الستة اللى هى ال hyperbolic functions + +5 +00:00:26,910 --> 00:00:30,830 +اللى هوا essential x, gaussial x, tensial x, + +6 +00:00:31,330 --> 00:00:35,610 +equotential x, sessial x, cotential x يبقى هم اللى + +7 +00:00:35,610 --> 00:00:41,130 +عرفناهم بدلات ال exponential function E و6 وEو-Xثم + +8 +00:00:41,130 --> 00:00:45,970 +رسمنا الرسومات الستة هذا آخر ما أخدنا المرة + +9 +00:00:45,970 --> 00:00:54,390 +الماضية الآن فينا بعض المتطابقات المرتبطة بالدوال + +10 +00:00:54,390 --> 00:01:00,370 +الزائدية يبقى بيننا نيجي هنا اللي هو some + +11 +00:01:00,370 --> 00:01:03,030 +identities + +12 +00:01:06,440 --> 00:01:21,700 +بعض الواقعات المتطابقات + +13 +00:01:21,700 --> 00:01:26,920 +المثلثية التي درسناها في Calculus Aأول متطابقة + +14 +00:01:26,920 --> 00:01:32,100 +كامة cosine تربيع ال X زي تصين تربيع ال X ساوي إذن + +15 +00:01:32,100 --> 00:01:38,240 +هنا في متطابقة مناظرة إلها تماماً أول متطابقة من + +16 +00:01:38,240 --> 00:01:44,180 +هذه المتطابقات وحنقول النقطة الأولى منها اللي هي + +17 +00:01:44,180 --> 00:01:51,760 +Gauss square X ماقصينش square X كله بده يساوي كده؟ + +18 +00:01:51,760 --> 00:01:56,720 +بده يساوي واحد صحيحاللي هناك تبع تتبع المثلثية + +19 +00:01:56,720 --> 00:02:02,600 +كانت بمين بالذات البرهان very easy كيف very easy؟ + +20 +00:02:02,600 --> 00:02:06,200 +أبدا المرة اللي فاتت كتبنا جداش اللي هو الجوش و + +21 +00:02:06,200 --> 00:02:10,800 +جداش الصنش فقلنا الصنش ال X هي E و ال 6 نقص E و S + +22 +00:02:10,800 --> 00:02:15,660 +نقص 6 على 2 و التاني E و 6 زادي E و S نقص 6 على 2 + +23 +00:02:15,660 --> 00:02:19,440 +رابع عادي و رابع عادي و اطرحهم من بعض بطلع منك + +24 +00:02:19,440 --> 00:02:26,660 +واحد صحيح يبقى very easyمن هذه سأخرج تنتين الأولى + +25 +00:02:26,660 --> 00:02:33,260 +فيهم شكل التالي أقسم على جوش square يبقى لو قسمت + +26 +00:02:33,260 --> 00:02:38,100 +على جوش square يبقى لدي واحد نخص سنش square على + +27 +00:02:38,100 --> 00:02:43,300 +جوش square واليمين تانش square يبقى هنا تانش + +28 +00:02:43,300 --> 00:02:49,380 +square X يسوى واحد على جوش square اللي هو مقلب من + +29 +00:02:49,380 --> 00:02:58,450 +سنش square Xكمان هطلع واحدة تالتة من الاصلية اللى + +30 +00:02:58,450 --> 00:03:04,590 +عندنا هذه قبل ما جسمت على جوش square هجسم على سنش + +31 +00:03:04,590 --> 00:03:09,450 +square يبقى لو جسمت على سنش square بصير جوش square + +32 +00:03:09,450 --> 00:03:17,020 +على سنش squareاللي هو cot²x ناقص واحد يساوي واحد + +33 +00:03:17,020 --> 00:03:22,620 +على سنش square اللي هو مان اللي يكسش square X + +34 +00:03:22,620 --> 00:03:28,340 +بالشكل اللي عندنا هذا يبقى دول ثلاث متطابقات لكن + +35 +00:03:28,340 --> 00:03:33,420 +في الحقيقة هي متطابقة واحدة مش تلاتة نقلت انترا + +36 +00:03:33,420 --> 00:03:38,820 +بالولدناهم من الاصلي اللي موجود عندنانمر اتنين في + +37 +00:03:38,820 --> 00:03:46,300 +عندنا كمان اللي هو سنش اتنين X يساوي اتنين سنش ال + +38 +00:03:46,300 --> 00:03:53,410 +X في جوش ال Xالي اثبات بسيطة جدا عند قيمة السنش + +39 +00:03:53,410 --> 00:03:57,530 +وعند قيمة الجوش تضربوا في بعض تضربوا في اتنين + +40 +00:03:57,530 --> 00:04:03,250 +بيطلع عندك سنش اتنين اكس اللي يتساوم من اي أس + +41 +00:04:03,250 --> 00:04:09,210 +اتنين اكس ناقص اي أس ناقص اتنين اكس على اتنين يعني + +42 +00:04:09,210 --> 00:04:11,430 +كل اكس بيجي مكان مجداش + +43 +00:04:21,500 --> 00:04:28,040 +تشبه تماما تبعت الدل المثلثية الو ال sin 2x يسوى 2 + +44 +00:04:28,040 --> 00:04:39,530 +sin x cos x نمر تلتة نقاش 2xجوش اتنين اكس اللي هي + +45 +00:04:39,530 --> 00:04:48,650 +عبارة عن جوش square X زائد سنش square X لأ بزايد + +46 +00:04:48,650 --> 00:04:53,910 +بناقص تبع اتنين كوصين اتنين X كوصين اتنين X تبع + +47 +00:04:53,910 --> 00:04:58,130 +الدالة المثلثية كانت كوصين اتنين X يساوي كوصين + +48 +00:04:58,130 --> 00:05:05,260 +تربيع X ناقص تربيع X هذا بمين؟ بالزايدفي كمان + +49 +00:05:05,260 --> 00:05:10,940 +صغتين أخرين لجوش اتنين اكس، شو الصغتين الأتنين + +50 +00:05:10,940 --> 00:05:16,000 +هدول؟ يساوي، هذه الصيغة الأولى مكتوبة بدلالة السنش + +51 +00:05:16,000 --> 00:05:20,280 +والجوش، أنا مرة بدي اكتبها بدلالة الجوشو مرة ثانية + +52 +00:05:20,280 --> 00:05:26,040 +بدي اكتبها بدل ال 8 سنش يبقى بدي ادى للأولى اده و + +53 +00:05:26,040 --> 00:05:27,860 +اده و اده و اده و اده و اده و اده و اده و اده و + +54 +00:05:27,860 --> 00:05:28,260 +اده و اده و اده و اده و اده و اده و اده و اده و + +55 +00:05:28,260 --> 00:05:29,540 +اده و اده و اده و اده و اده و اده و اده و اده و + +56 +00:05:29,540 --> 00:05:29,620 +اده و اده و اده و اده و اده و اده و اده و اده و + +57 +00:05:29,620 --> 00:05:30,960 +اده و اده و اده و اده و اده و اده و اده و اده و + +58 +00:05:30,960 --> 00:05:38,830 +اده و اده و اده و اده و اده و اده و ادهيبقى من هنا + +59 +00:05:38,830 --> 00:05:47,150 +من الأولى sin²x يساوي cos²x ناقص واحد إذا لو شيلت + +60 +00:05:47,150 --> 00:05:53,430 +sin² و حطيت بذلك cos² ناقص واحد بصير اتنين sin² + +61 +00:05:53,430 --> 00:05:59,890 +ناقص واحد يبقى هذه اتنين cos² + +62 +00:06:07,550 --> 00:06:16,040 +from one من الأولطيب هذا الصيغة التانية بدالي + +63 +00:06:16,040 --> 00:06:20,920 +للصيغة التالتة بدل ما كتبتها بدلالة الجوش بدي + +64 +00:06:20,920 --> 00:06:26,520 +اكتبها بدلالة two cinch اذا الجوش square هذه ليه + +65 +00:06:26,520 --> 00:06:32,360 +تساوي cinch square زائد واحد عندك cinch square و + +66 +00:06:32,360 --> 00:06:36,080 +عندك cinch square يبقى اتنين cinch square زائد + +67 +00:06:36,080 --> 00:06:42,950 +واحديبقى هذه اتنين sinh square x زائد واحد وهذا + +68 +00:06:42,950 --> 00:06:49,410 +كمان from one زي ما هى اذا اصبح عندى جوش اتنين اكس + +69 +00:06:49,410 --> 00:06:55,270 +لها تلات صيغ زي ما كوصين اتنين اكس لها تلات صيغ + +70 +00:06:55,270 --> 00:07:02,310 +تماما مع الفرق في الاشارات طب بدى اروح للمتطابق + +71 +00:07:02,310 --> 00:07:08,300 +الرابعة الرابعة بدى اطلعها من التلتةالرابعة نطلع + +72 +00:07:08,300 --> 00:07:15,980 +من التالتة كيف؟ بدها جيب جوش + +73 +00:07:15,980 --> 00:07:21,740 +square X بدلالة جوش 2X بنقول بسيطة انجل الواحد على + +74 +00:07:21,740 --> 00:07:27,520 +الشجة التانية و اجسم على مين؟ بتحصل على مين؟ على + +75 +00:07:27,520 --> 00:07:35,240 +جوش square X بده يساويتمام يبقى جوش square X هات + +76 +00:07:35,240 --> 00:07:41,640 +هات هنا بيصير جوش 2X زائد وكل جسمها اتنين يعني + +77 +00:07:41,640 --> 00:07:51,060 +النص في مين؟ في جوش 2X زائد 1 تمام هذه هي النقطة + +78 +00:07:51,060 --> 00:07:57,040 +الأولى النقطة الثانيةطبعا يجب ان يعملها بنفس + +79 +00:07:57,040 --> 00:08:01,560 +الطريقة يجب ان يجيب من هنا cinche square يبقى + +80 +00:08:01,560 --> 00:08:08,580 +cinche square x يساوي طبعا يجيب من هنا على الشاشة + +81 +00:08:08,580 --> 00:08:14,300 +التانية يجيب من شارة سالب وجسم على اتنين يبقى نصف + +82 +00:08:14,300 --> 00:08:21,900 +في جوش اتنين اكس ماقص واحد بالشكل اللي عندنالو + +83 +00:08:21,900 --> 00:08:26,860 +رجعنا بالذاكرة إلى الورق للدول المثلثية كان عندك + +84 +00:08:26,860 --> 00:08:32,220 +cos تربيه x يسوى النص في واحد زائد cos اتنين x + +85 +00:08:32,220 --> 00:08:39,440 +وكان عندك sin تربيه ال x نص في واحد ناقص cos اتنين + +86 +00:08:39,440 --> 00:08:43,780 +x الفرق بينهم إشارة ناقص وهذا الكمال الفرق بينهم + +87 +00:08:43,780 --> 00:08:48,240 +إشارة ناقص زي ما انت شايف هذا النقطة الرابعة نجي + +88 +00:08:48,240 --> 00:08:53,370 +للنقطة الخامسةالنقطة الخامسة بدي اياكوا ان تطلعوها + +89 +00:08:53,370 --> 00:08:58,830 +لحالكوا من تعريف الأتنين كيف؟ بدي هاي جوش ال X + +90 +00:08:58,830 --> 00:09:04,530 +زائد سنش ال X يساوي يلا اجمعلي شفة و عندك هي + +91 +00:09:04,530 --> 00:09:09,410 +مكتوبة معاك هي جيمة الجوش بدلات ال exponential و + +92 +00:09:09,410 --> 00:09:12,670 +جيمة السنش بدلات ال exponential و يلا اجمعوا و + +93 +00:09:12,670 --> 00:09:19,450 +اعطيني النتج يلا مين جمعها؟إيه إتنين إيه والإكس + +94 +00:09:19,450 --> 00:09:23,550 +على إتنين؟ يعني إيه والإكس بس يبقى النتيجة فعلا + +95 +00:09:23,550 --> 00:09:29,850 +إيه والإكس هذا النقطة من الأولى النقطة الثانية لو + +96 +00:09:29,850 --> 00:09:37,930 +قلت جوش ال X ماقصش ال X يالا أعطينا النتيجة سالب + +97 +00:09:37,930 --> 00:09:49,820 +إيه والسالب X يبقى إيه والسالب Xطبعا، يبقى دول + +98 +00:09:49,820 --> 00:09:53,280 +استنتاجهم استنتاج بكل بساطة جامع عادى جدا من + +99 +00:09:53,280 --> 00:09:58,620 +التعريف يبقى لكن هذه أفادنى انه تبصير المقدار هذا + +100 +00:09:58,620 --> 00:10:02,120 +كله بدل مكتب اذا لجيت اتنين بقدر أشيله محق بدلهم + +101 +00:10:02,120 --> 00:10:07,220 +واتنين هدول اذا لجيتهم بقدر أشيله محق بدلهم طيب + +102 +00:10:07,220 --> 00:10:12,360 +نمرى ستة بدخليك كمان انت اطلعها لحالك اطلعلي في + +103 +00:10:12,360 --> 00:10:17,630 +جوش عندك في التعريف يلا افتح على التعريف عندكجوش + +104 +00:10:17,630 --> 00:10:21,790 +ال X يُسمى E و ال 6 زي دي و صناعة ال 6 على 2 + +105 +00:10:21,790 --> 00:10:27,990 +مظبوط؟ بدي أشوف هذي odd و الله even يبقى بدي أشيل + +106 +00:10:27,990 --> 00:10:32,330 +كل X و أحط مكانها E و ال 6 يلا أشيل و أشوف هذي + +107 +00:10:32,330 --> 00:10:37,370 +تتغير و الله بيظن هي هي هي هي هي مظبوط؟ إذن الجوش + +108 +00:10:37,370 --> 00:10:43,810 +عبارة عن even function طيب فلا نلسشهو اللي هي + +109 +00:10:43,810 --> 00:10:49,210 +مقلوبة؟ طلع + +110 +00:10:49,210 --> 00:10:59,760 +فيها كويسeven زيها اذا انا عندي تنتين من هدول even + +111 +00:10:59,760 --> 00:11:06,180 +والباقي الأربعة odd كل الأربعة الباقية odd يبجي + +112 +00:11:06,180 --> 00:11:15,900 +هنا بجي بقول اللي هو سيش ال X and جوش ال X اللي هي + +113 +00:11:15,900 --> 00:11:19,040 +مقلوبة are even + +114 +00:11:23,120 --> 00:11:35,000 +but the others are odd لكن البقيات كله إيش؟ كله + +115 +00:11:35,000 --> 00:11:42,120 +oddيبقى تنتين even والاربعة الأخرى يتمالهم odd زي + +116 +00:11:42,120 --> 00:11:47,560 +تماما في الدوال المثلثية كان الكوصة عين X وسقل X + +117 +00:11:47,560 --> 00:11:51,600 +اتنين are even والاربعة odd بالشكل اللي قلنا هذا + +118 +00:11:51,600 --> 00:11:59,320 +نجي الأن لمشتقة الدوال الزائدية يرجى بالذات + +119 +00:11:59,320 --> 00:12:01,480 +لدريفاتيف + +120 +00:12:03,110 --> 00:12:08,870 +or high parabolic functions + +121 +00:12:11,780 --> 00:12:19,180 +مش تقت الدوالي زادية باجي بقوله if ال U is a + +122 +00:12:19,180 --> 00:12:27,100 +differentiable function of X then نمره واحد بدنا + +123 +00:12:27,100 --> 00:12:37,180 +دي على دي X لمن؟ ل essential U يساوي بدوش اكتبلك + +124 +00:12:37,180 --> 00:12:41,930 +الجواب بده اخليك انت تطلع الجوابتشوف التعريف + +125 +00:12:41,930 --> 00:12:47,270 +السُنش عندك يالا اللي هي نص في U ال 6 زي D و S + +126 +00:12:47,270 --> 00:12:48,930 +ناقص X اشتقها + +127 +00:12:53,510 --> 00:12:59,710 +نص زي ما هو واليو سكس زي ما هي وزاد او عندك هنا + +128 +00:12:59,710 --> 00:13:04,990 +ناقص يوس ناقص اكس لما اشتغل نفسه في سالب يصير موجب + +129 +00:13:04,990 --> 00:13:11,130 +يعني مين؟ جوش إذا انتفضل السنش بجوش يبقى هذه جوش + +130 +00:13:11,130 --> 00:13:17,830 +اليو في الدي يورو على دي اكس نمر اثنان بدنا دي على + +131 +00:13:17,830 --> 00:13:24,410 +دي اكس لجوش اليوسالب، سالب، سالب، سالب، سالب، + +132 +00:13:24,410 --> 00:13:27,750 +سالب، سالب، سالب، سالب، سالب + +133 +00:13:31,820 --> 00:13:36,840 +موجب، يعني مش زي الدول المثلثية، تفاضل قصان بيسالب + +134 +00:13:36,840 --> 00:13:42,200 +صين هنا الجوش، فاقلها بيطلع سنش، تمام؟ إذا تفاضل + +135 +00:13:42,200 --> 00:13:47,860 +السنش بيجوش و تفاضل الجوش بيسنش طيب، نمر تلاتة، + +136 +00:13:47,860 --> 00:13:57,160 +بيبنا دي على DX لتانش ال X يزاوييالا باختصار هيك + +137 +00:13:57,160 --> 00:14:01,920 +تانش هي سنش على جوش يالا المقام في مشتقة البص نقص + +138 +00:14:01,920 --> 00:14:06,460 +البص في مشتقة المقام على مربع المقام الأصلي علما + +139 +00:14:06,460 --> 00:14:12,220 +بإنما جوش square نقص سنش square يساوي واحد صحيح + +140 +00:14:12,220 --> 00:14:19,400 +يالا شوف هالي كده بتطلع يالا بسرعة أيوة كده؟ كده + +141 +00:14:19,400 --> 00:14:25,820 +يا راجل قوله غير تاج اللهبطلع واحد على جوش square + +142 +00:14:25,820 --> 00:14:31,300 +صح ولا لأ؟ واحد على جوش square يومين سيش square + +143 +00:14:31,300 --> 00:14:40,580 +إذا انت فاضل تنش بسيش square U في DU على DX الرابع + +144 +00:14:40,580 --> 00:14:49,980 +بدنا D على DX ل potential U potential U + +145 +00:14:49,980 --> 00:14:57,210 +و U الساوينفس الطريقة جوش فوق وجوش انش تحت يبقى + +146 +00:14:57,210 --> 00:15:06,750 +سالب كسش square U في الـ Du على DX ننتقل الآن إلى + +147 +00:15:06,750 --> 00:15:15,950 +النقطة الخامسة بدنا D على DX لمين؟ لسش الـU ويساوي + +148 +00:15:15,950 --> 00:15:23,300 +تفاضل السك بجدشسك X في تم ال X بس هذه السش بسالب + +149 +00:15:23,300 --> 00:15:33,180 +سش تانش يبقى هذه سالب سش ال X في تانش سش ال U سش + +150 +00:15:33,180 --> 00:15:40,120 +ال U في تانش ال U في DU على DX أخر حاجة نمره 6D + +151 +00:15:40,120 --> 00:15:47,760 +على DX لكو سش ال U سالب كو سش ال U كو تانش + +152 +00:16:01,270 --> 00:16:07,930 +أول تلاتة بالموجب وتاني تلاتة بالسالب موجب موجب + +153 +00:16:07,930 --> 00:16:09,690 +موجب سالب سالب سالب + +154 +00:16:23,680 --> 00:16:26,780 +بترجع الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +155 +00:16:26,780 --> 00:16:26,840 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +156 +00:16:26,840 --> 00:16:28,840 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +157 +00:16:28,840 --> 00:16:32,000 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +158 +00:16:32,000 --> 00:16:34,140 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +159 +00:16:34,140 --> 00:16:34,160 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +160 +00:16:34,160 --> 00:16:34,500 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +161 +00:16:34,500 --> 00:16:35,680 +الاصطناع الاصطناع الاصطناع الاصطناع الاصطناع + +162 +00:16:35,680 --> 00:16:37,180 +الاصطناع الاصطناع الاصطناع الاصطناع + +163 +00:16:40,990 --> 00:16:46,610 +لأ لأ مش السنش بتقول E أُس X ناقص E أُس ناقص X على + +164 +00:16:46,610 --> 00:16:51,370 +اتنين بده اشيل X وحط مكانه سالب X يعني هو بيصير E + +165 +00:16:51,370 --> 00:16:57,850 +أُس سالب X ناقص E أُس X على اتنين خد إشارة سلب برا + +166 +00:16:57,850 --> 00:17:01,050 +بيصير E أُس X ناقص E أُس ناقص X على اتنين يعني + +167 +00:17:01,050 --> 00:17:07,590 +سالب سنش ال X يعني أصبح F أُس سالب X يساوي سالب F + +168 +00:17:07,590 --> 00:17:12,220 +أُس X it is an odd functionمظبوط ولا لا؟ اتلخبط من + +169 +00:17:12,220 --> 00:17:15,160 +ال session. يا زماده خلاص هو اتلخبطون عدل يعني، هو + +170 +00:17:15,160 --> 00:17:20,560 +غلط فيه، هو غلط في المصحف. خلاص ليه؟ خلاص، خلاص. + +171 +00:17:21,040 --> 00:17:25,720 +الواحد يسأل امليه قال ولم تؤمن قال بلى، ولكن + +172 +00:17:25,720 --> 00:17:31,880 +ليطمئن قلبي، حابب اتأكد، وهذا حصل مع نبينا إبراهيم + +173 +00:17:31,880 --> 00:17:35,540 +عليه السلام مع الله سبحانه وتعالى. والراجل يا + +174 +00:17:35,540 --> 00:17:39,760 +عزيزي لما نيسأل سؤاله ونجاوب عليه.حابب يتأكد قال + +175 +00:17:39,760 --> 00:17:44,180 +لك ربما لكون أخطأنا فاجتهد فوجد نجتهده في غير محق + +176 +00:17:44,180 --> 00:17:49,900 +ليه ومن اجتهد فأصف له أجران ومن انتهد فأقطف له أجر + +177 +00:17:49,900 --> 00:17:54,160 +واحد يعني ماعناش مشكلة في هذه خليكم معنا خليكم + +178 +00:17:54,160 --> 00:17:58,980 +معنا خلاص بجدطيب، زي ما فيه مشتقات، معناته فيه + +179 +00:17:58,980 --> 00:18:04,720 +تكاملات، إذا بدنا نروح للتكاملات تانية، يبقى هنا + +180 +00:18:04,720 --> 00:18:10,780 +بدنا نيجي لأول تكامل من هذه التكاملة، خلّا معايا + +181 +00:18:10,780 --> 00:18:14,560 +كل سنة، طبعا زي ما تجيب في مستقبل، مشتقة السنش + +182 +00:18:14,560 --> 00:18:20,030 +بيجوش، إذا مشتقة الجوشمشتقت الجوش بالسنش إذا + +183 +00:18:20,030 --> 00:18:26,050 +متكامل السنش بجوش يبقى على كل الخط الان نمرة واحد + +184 +00:18:26,050 --> 00:18:32,830 +تكامل لسنش ال X DX بدي يعطيلك جوش ال X زائد + +185 +00:18:32,830 --> 00:18:39,810 +constant C نمرة اتنين بدنا تكامل لجوش ال X بدي + +186 +00:18:39,810 --> 00:18:48,410 +ساوي ال همين DXبدي يساوي اللي هو سنش LX زائد كل + +187 +00:18:48,410 --> 00:18:53,750 +صندسي، نمرة تلت طيب + +188 +00:18:53,750 --> 00:18:56,370 +شيفاه، لو بدنا تكامل التانش + +189 +00:19:01,670 --> 00:19:05,690 +سلشة على جوش البسطى مش ساقة المقارنة يبقى لنا + +190 +00:19:05,690 --> 00:19:09,050 +المقارنة مش هذا اللي بديه خلّيه مع الأسلحة اللي + +191 +00:19:09,050 --> 00:19:17,940 +بدك هيها بقول اه بدي تكامل لسشة square x dxتفاهم + +192 +00:19:17,940 --> 00:19:27,540 +التنش بسيش سكوير بمين؟ بتنش يبقى هنا تنش ال X زائد + +193 +00:19:27,540 --> 00:19:33,520 +كونستانسي نمرة أربعة بدي تكامل كسيش سكوير X + +194 +00:19:36,900 --> 00:19:42,680 +سالب كتانش يبقى سالب كتانش ال X + +195 +00:20:25,730 --> 00:20:34,320 +طيب يبقى ضال مين؟الاربع دوال زائدية الأخرى خليهم + +196 +00:20:34,320 --> 00:20:40,440 +مع الأمثلة ليه؟ فعليهم مع الأمثلة طيب هنشوف كيف + +197 +00:20:40,440 --> 00:20:44,800 +هنخليهم مع الأمثلة يبقى الأن نذهب إلى الأمثلة + +198 +00:20:44,800 --> 00:20:50,360 +لغاية هنا شباب احنا خلصنا الشطر الأول من الجزء + +199 +00:20:50,360 --> 00:20:55,870 +النظري في هذا ال sectionو لسه في جزء تاني اللي هو + +200 +00:20:55,870 --> 00:21:01,030 +معكوس الدول الزائدية لكن بنقول لك خدك راست شوية + +201 +00:21:01,030 --> 00:21:05,870 +هنا و خلينا نحل مجموعة من الأمثلة مجموعة من + +202 +00:21:05,870 --> 00:21:12,190 +الأمثلة على ما سبقت دراسته المثال الأول examples + +203 +00:21:12,190 --> 00:21:16,330 +أول + +204 +00:21:16,330 --> 00:21:27,560 +مثال بيقول ifجوش ال X بده يساوي تلتاشر على خمسة و + +205 +00:21:27,560 --> 00:21:34,480 +ال X greater than zero فاين اجد انه نمرة واحد او + +206 +00:21:34,480 --> 00:21:44,860 +نمرة A بدنا يا سيدي اللي هو مين تانش ال X and اللي + +207 +00:21:44,860 --> 00:21:55,130 +هو مين and سش ال Xالاتنين هدول نمرى بيه بدنا the + +208 +00:21:55,130 --> 00:21:59,210 +value of x + +209 +00:22:16,940 --> 00:22:21,640 +بنعطيني جداش القيمة العددية لجوش ال X اللي 13 على + +210 +00:22:21,640 --> 00:22:27,440 +5 ومن خلالها طلب مني تلت شغلات شغلة الأولى بده + +211 +00:22:27,440 --> 00:22:33,480 +جداش مقدار تانش X الثانية جداش قيمة سش X ثمانية + +212 +00:22:33,480 --> 00:22:38,920 +جداش القيمة الحقيقية ل X اللي خلتلي المقدار هذا + +213 +00:22:38,920 --> 00:22:42,920 +يسوى جداش 13 على 5 solution + +214 +00:22:45,390 --> 00:22:50,190 +يبقى بدنا نيجي للنقطة الأولى اللى هى نمرة A اظن فى + +215 +00:22:50,190 --> 00:22:57,150 +جزء منهم بقدر اجيبه مباشرة اللى هم سش بقول بسيطة + +216 +00:22:57,150 --> 00:23:07,700 +سش ال X بدي ساوي واحد على جوش ال Xفالجوش معروفة + +217 +00:23:07,700 --> 00:23:12,500 +اللي 13 على 5، ايه من ال social؟ يسوى خمسة على + +218 +00:23:12,500 --> 00:23:20,020 +تلتاشر، يبقى هذه بلغة سهلة جدا، الآن هيا عندنا صار + +219 +00:23:20,020 --> 00:23:27,020 +اللي هو ال social و بدنا الآن التانش بدنا التانش، + +220 +00:23:27,020 --> 00:23:34,160 +طبعا قدامك أكثر من طريقطريق الأول أنه أنا أخد قوش + +221 +00:23:34,160 --> 00:23:39,620 +square X ناقص سنش square X يسوي قداش واحد، من هذه + +222 +00:23:39,620 --> 00:23:44,900 +بحسب السنش، بصير السنش عندي و القوش عندي، بقدر + +223 +00:23:44,900 --> 00:23:49,760 +أجيبله التاني، هذا تفكير، تفكير آخر، بقول لأ أنت + +224 +00:23:49,760 --> 00:23:54,500 +حسبت السنش قداش يسوي، بقول له أيوة، قال احنا عنده + +225 +00:23:54,500 --> 00:24:00,740 +متفادقة، بتقول إن واحدنقص تانش سكوير يساوي من؟ سش + +226 +00:24:00,740 --> 00:24:04,260 +سكوير نقول الله كلامك مظبوط نقدر نجيب التانية + +227 +00:24:04,260 --> 00:24:11,580 +مباشرة يبقى باجي بقوله and ايش عندنا احنا؟ اللي هو + +228 +00:24:11,580 --> 00:24:22,440 +من واحد ناقص تانش سكوير تانش سكوير X بده يساوي سش + +229 +00:24:22,440 --> 00:24:30,690 +سكوير Xهذه النقطة الثانية في أول متطابقة أخذناها، + +230 +00:24:30,690 --> 00:24:35,290 +إذا بدنا نعود فيها مباشرة يبقى هاي الواحد ناقص + +231 +00:24:41,150 --> 00:24:46,890 +بدو يساوي الله أعلم تانش بدنا ياما سش سكوير هي + +232 +00:24:46,890 --> 00:24:54,170 +السش إذا الخمسة على تلتاشر الكل تربيه هذا بده + +233 +00:24:54,170 --> 00:25:01,710 +يعطيك ما يأتي انه تانش square X بده يساويهنا اللي + +234 +00:25:01,710 --> 00:25:09,870 +هو مين واحد ناقص واحد ناقص خمسة وعشرين تلتاش في + +235 +00:25:09,870 --> 00:25:16,710 +تلتاش بمية وتسعة وستين يبقى بناء عليه أصبح تانش + +236 +00:25:16,710 --> 00:25:21,550 +square X يساوي المضاعف المشترك لليه اتنين مية + +237 +00:25:21,550 --> 00:25:26,870 +وتسعة وستين بصير مية وتسعة وستين ناقص خمسة وعشرين + +238 +00:25:26,870 --> 00:25:33,800 +اللي هو مية واربعة واربعينكويس هذا بده يعطيلك ان + +239 +00:25:33,800 --> 00:25:42,280 +تانش ال X بده ساوي اتناشر على تلتاشر بإشارة موجبة + +240 +00:25:42,280 --> 00:25:47,480 +لإن في البداية اتاني X مالها greater than zero + +241 +00:25:47,480 --> 00:25:52,160 +كويس يبقى أصبح تانش X اللي بده إياها اللي عبارة عن + +242 +00:25:52,160 --> 00:25:55,420 +اتناشر على تلتاشر وبالتالي بكون انت هنا من المطلوب + +243 +00:25:55,420 --> 00:25:58,820 +الأول ايه هو الفرق يعني ممكن احنا طريقة المجاور + +244 +00:25:58,820 --> 00:26:07,760 +المقابلهذه دوالة مثلثة مثلثة مثلثة مثلثة مثلثة + +245 +00:26:07,760 --> 00:26:10,980 +مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة + +246 +00:26:10,980 --> 00:26:12,340 +مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة + +247 +00:26:12,340 --> 00:26:15,100 +مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة + +248 +00:26:15,100 --> 00:26:18,380 +مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة + +249 +00:26:18,380 --> 00:26:22,400 +مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة مثلثة + +250 +00:26:22,400 --> 00:26:26,960 +مثلثة مثل + +251 +00:26:28,760 --> 00:26:31,820 +أه يمكن يجربوا لبعض، بس يمكن يجربوا ليس لبعض، + +252 +00:26:31,820 --> 00:26:37,660 +تمام؟ احنا بنقول شكلًا تفرق عن بعض بالحرف إتش، لكن + +253 +00:26:37,660 --> 00:26:42,360 +هذا الفرق جعل فرق مفتاشة ما بين الأثنين طيب إذا + +254 +00:26:42,360 --> 00:26:46,580 +بتلاقي المثلث كل عنه، خلّيني أستفيد برضه، مش غلط، + +255 +00:26:46,580 --> 00:26:51,660 +ماشي؟ طيب، خلصوا المطلوب الأول إن هو نمرة A، بدنا + +256 +00:26:51,660 --> 00:26:58,660 +نيجي لنمرة Bنمر بيه ويقول هاتلي قيمة X التي جعلت + +257 +00:26:58,660 --> 00:27:05,140 +هذا المقدار يساوي تلات عشر على خمسة بقوله يبقى انت + +258 +00:27:05,140 --> 00:27:13,460 +عند جوش ال X بده يساويولو كنا ماخدين المعكوز كما + +259 +00:27:13,460 --> 00:27:17,260 +قلنا X يساوي جوش Inverse بس انا مااخدناش اللي ممكن + +260 +00:27:17,260 --> 00:27:21,960 +نعرفوش تمام لكن اخدنا ال exponential اللي الجوش + +261 +00:27:21,960 --> 00:27:26,760 +بدلات ال exponential E وال 6 زائد E و اصناق ال 6 + +262 +00:27:26,760 --> 00:27:33,260 +على 2 هذا اللي بده يساوي جداش اللي هو 13 على 5 + +263 +00:27:34,920 --> 00:27:41,280 +المعادلة اللى عندنا هذه حولنا مسألة بدلالة ال EOS + +264 +00:27:41,280 --> 00:27:45,560 +X ال EOS X هذه بقدر عليها بقدر اشتغل بيمين و شمال + +265 +00:27:45,560 --> 00:27:49,820 +زي ما بدى هذه المعادلة لو روح ضرب ضرب التبادل يبصى + +266 +00:27:49,820 --> 00:27:57,160 +لنا ايه؟ خمسة EOS X زائد خمسة EOS نقص X يسبج اداش + +267 +00:27:57,160 --> 00:28:03,650 +ستة و عشرينهذه الأس سالب والأس موجب لا أعجبني فهو + +268 +00:28:03,650 --> 00:28:06,870 +يريد أن يتخلص من السالب و يتعامل معاه يعني يريد أس + +269 +00:28:06,870 --> 00:28:12,490 +واحد يتعامل معاه إذا لو رحت ضربت طرفي المعادلة في + +270 +00:28:12,490 --> 00:28:20,310 +E أس X بس هنا لدينا خمسة E أس X لكل تربيع زائد + +271 +00:28:20,310 --> 00:28:27,180 +خمسة بده يساوي لهو ستة وعشرين E أس Xيبقى قربنا + +272 +00:28:27,180 --> 00:28:32,120 +الطرفين في E أس X وبالتالي تخلصنا من مين؟ من الأس + +273 +00:28:32,120 --> 00:28:37,980 +السالف طب بتعملها معادلة صفرية يبقى خمسة في E أس + +274 +00:28:37,980 --> 00:28:46,660 +اتنين X ماقص ستة وعشرين E أس X يبقى زائد خمسة زائد + +275 +00:28:46,660 --> 00:28:52,100 +خمسة كلها تساوي مين؟ تساوي Zero زي ما انت شايف هذه + +276 +00:28:52,100 --> 00:28:59,950 +أصبحت معادلة من الدرجة الثانيةفى المتغير E أُس X E + +277 +00:28:59,950 --> 00:29:04,070 +أُس X الكل تربيع كل صين في ال E أُس X وهنا كل صين + +278 +00:29:04,070 --> 00:29:07,790 +كله بده يساوي Zero يبقى بدنا نروح نحل معادلة + +279 +00:29:07,790 --> 00:29:12,700 +الدرجة الثانيةبتحللها تحليل، ماشي، بتقدرش بتروح + +280 +00:29:12,700 --> 00:29:17,200 +على القانون، بصبون؟ طب نشوف بنقدر نحللها و الله + +281 +00:29:17,200 --> 00:29:21,620 +إذا ما نقدرش علمونا في الإعدادية إنه ممكن تسوي مقص + +282 +00:29:21,620 --> 00:29:27,320 +أو ممكن تحلل على طول، تمام؟ لو جينا لهذه قلنا خمسة + +283 +00:29:27,320 --> 00:29:34,950 +في E وال6 وهنا E وال6 لوحدها فقطهذه اللي بعد خمسة + +284 +00:29:34,950 --> 00:29:39,010 +في واحد يبقى هذا الخمسة وهذا الواحد الإشارة زائد + +285 +00:29:39,010 --> 00:29:43,930 +اللي في النص بالنقص يبقى تنتين بالنقص تعالى نشوف + +286 +00:29:43,930 --> 00:29:49,230 +هل كلام هذا صحيح ولا لأ طبعا نقص في نقص بزائد خمسة + +287 +00:29:49,230 --> 00:29:55,790 +مظبوط هي زائد خمسة وهذه EO6 في خمسة EO6 بخمسة EO2 + +288 +00:29:55,790 --> 00:30:00,150 +نقص إذا المطلوب اللي في النص يكون جديش نقص ستة + +289 +00:30:00,150 --> 00:30:07,790 +وعشرين EO6أضرب لهك سالب خمسة وعشرين EO6 و سالب EO6 + +290 +00:30:07,790 --> 00:30:12,070 +يبقى سالب ستة وعشرين يمكن تحليلنا مصبوخ مائة + +291 +00:30:12,070 --> 00:30:17,690 +بالمائة يبقى المعادلة هذه صارت خمسة EO6 ناقص واحد + +292 +00:30:17,690 --> 00:30:23,910 +في EO6 ناقص خمسة كله بده يساوي Zero يبقى اما خمسة + +293 +00:30:23,910 --> 00:30:28,930 +في EO6 ناقص واحد بده يساوي Zero والتانية ال EO6 + +294 +00:30:28,930 --> 00:30:34,280 +ناقص خمسة بده يساوي Zeroهذه معناها ان ال E اقص X + +295 +00:30:34,280 --> 00:30:38,800 +بده يساوي خمس وهذه معناها ان ال E اقص X بده يساوي + +296 +00:30:38,800 --> 00:30:49,760 +كده؟ خمسة خذ للطرفين يبقى ال X يساوي للخمس للخمس + +297 +00:30:49,760 --> 00:30:56,720 +اللي هو كده؟ سالب للخمس يبقى هذا سالب للخمس ايه + +298 +00:30:56,720 --> 00:31:02,770 +ايش رأيك في الشغل هذا؟ مقبول هذا؟مش مقبول ليش انه + +299 +00:31:02,770 --> 00:31:07,410 +قال شرط علي X أكبر من ال zero هذا بيعطينا رقم أقل + +300 +00:31:07,410 --> 00:31:13,230 +من ال zero يبقى هذا الكلام مرفوض يبقى impossible + +301 +00:31:13,230 --> 00:31:21,010 +هذا كلام غير ممكن هشول ممكن خد ال len للتانية يبقى + +302 +00:31:21,010 --> 00:31:27,210 +X بدها تساوي قداش لن الخمسة هذه هي الإجابة الصحيحة + +303 +00:31:27,210 --> 00:31:29,790 +لهذه المسألة + +304 +00:31:36,970 --> 00:31:47,290 +المثال الثاني بيقول simplify the + +305 +00:31:47,290 --> 00:31:51,990 +following expressions + +306 +00:31:55,290 --> 00:32:01,370 +بسيط لي كله من الصيغة التالية الصيغة الأولى اللى + +307 +00:32:01,370 --> 00:32:10,550 +هو sin لمن لأتنين لإن الأكس أظن + +308 +00:32:10,550 --> 00:32:14,510 +أخدنا هذه الأشكال في معكوس الدول المثلثية فره + +309 +00:32:14,510 --> 00:32:19,770 +مظبوطوكنا بنجل المثلثة و بنرسمه و بنطلق القيام، + +310 +00:32:19,770 --> 00:32:24,310 +طبعا، بس أنا ماعنديش مثلثة، لكن عندي تعريف لمين؟ + +311 +00:32:24,310 --> 00:32:29,390 +للسنج، يبقى أنا الآن مشان أعرف هذه القيمة، بدي + +312 +00:32:29,390 --> 00:32:34,810 +أرجع لتعريف السنجسنش ال X هو E أس X ناقص E أس ناقص + +313 +00:32:34,810 --> 00:32:41,330 +X على اتنين مكان ال X كده شجاني يبقى E أس اتنين لن + +314 +00:32:41,330 --> 00:32:47,470 +ال X ناقص E أس ناقص اتنين لن ال X على اتنين يبقى + +315 +00:32:47,470 --> 00:32:53,710 +هذا يسوي E أس اتنين لن ال X ناقص E أس ناقص اتنين + +316 +00:32:53,710 --> 00:32:59,060 +لن ال X كل هذا على ايه؟ على اتنينبنرجع لـ + +317 +00:32:59,060 --> 00:33:04,840 +Exponential Function سبعة تلاتة نقول له اه يعني + +318 +00:33:04,840 --> 00:33:10,060 +هذا لو بسط بديش اشوف المسألة لا exponential ولا + +319 +00:33:10,060 --> 00:33:15,060 +حتى len مشان هيك بنقول بسيطة هذا رقم قبل ال len + +320 +00:33:15,060 --> 00:33:23,330 +إذا بيجي أسلمينلل X يبقى هذا E أس ل X تربية وهذا + +321 +00:33:23,330 --> 00:33:32,500 +ناقص E أس ل X أسالي باتنينهذا بيلغى التاني لإن هو + +322 +00:33:32,500 --> 00:33:38,120 +ده لو معكوسها بيبقى لاندي قداش X تربية ناقص X أس + +323 +00:33:38,120 --> 00:33:44,580 +ناقص اتنين على اتنين او ان شئتم فقولوا X square + +324 +00:33:44,580 --> 00:33:50,380 +ناقص واحد على X square كله على اتنين او بصيغة اخرى + +325 +00:33:50,380 --> 00:33:56,620 +لو وحدنا المقامات بيصير X أس اربعة ناقص واحد كله + +326 +00:33:56,620 --> 00:34:02,180 +على اتنين X تربيةيبقى هذه المثلة لا فيها Sing ولا + +327 +00:34:02,180 --> 00:34:06,380 +فيها Lin يبقى لما يقول لبسطها يعني اتخلص من كل + +328 +00:34:06,380 --> 00:34:11,420 +الكلكة اللي عندك واتهالي بدلالة من؟ بدلالة X طيب + +329 +00:34:11,420 --> 00:34:19,980 +نجي لنمر بيه اول نقطة ثانية اعتبر هذه A وهذه Bنمر + +330 +00:34:19,980 --> 00:34:30,400 +بيه بيقول بدي قداش لن لجوش ال X زائد سنش ال X زائد + +331 +00:34:30,400 --> 00:34:37,420 +لن جوش ال X ناقص سنش ال X ما شاء الله عليها يعني + +332 +00:34:37,420 --> 00:34:44,820 +مش صغيرةكبيرة خالص، طبعا؟ طيب، هذه بسيطة، بقوله + +333 +00:34:44,820 --> 00:34:49,620 +يستوي، إيش بتختارها علينا مشان نبسط قيمة المعرفة؟ + +334 +00:34:49,620 --> 00:34:54,680 +نسمع المقترح الأول نعمل هضر نعمل هضر، هذه وجهة نظر + +335 +00:34:54,680 --> 00:34:59,080 +سليمة، لما نشوف هل هناك وجهات نظر أخرى ولا لا، + +336 +00:34:59,080 --> 00:35:03,240 +خلينا نطبق اللي قال عنه، زميكو بيقول، شو اسمك أنت؟ + +337 +00:35:06,420 --> 00:35:12,040 +أخوك محمد حمدا بيقول ايه بيقول لن زائد ان لو + +338 +00:35:12,040 --> 00:35:16,540 +راجعنا ل section 7 اتنين بيقول هذا لن حاصل الضرب + +339 +00:35:16,540 --> 00:35:20,240 +لإن اللي لما بيدخل على الضرب بيحاوله إلى جامعة + +340 +00:35:20,240 --> 00:35:26,420 +بيقوله والله مظبوط يبقى لن جوش ال X زائد essential + +341 +00:35:26,420 --> 00:35:33,440 +X في جوش ال X ناقص essential X بيقوله والله كلامك + +342 +00:35:33,440 --> 00:35:41,870 +مظبوطللكل سؤال هو شرايك في الجثين هدول مش هو تحليل + +343 +00:35:41,870 --> 00:35:46,970 +فرق بين المربعين إذا بدي أرجعه إلى أصله قبل + +344 +00:35:46,970 --> 00:35:54,830 +التحليل يبقى هذا بده يساوي لان جوش square X ناقص + +345 +00:35:54,830 --> 00:36:00,650 +سنش square X ويساوي لان + +346 +00:36:01,300 --> 00:36:06,780 +قداش هذا من المتطابقات قبل شوية؟ واحد صحيح طب و + +347 +00:36:06,780 --> 00:36:11,060 +لإن الواحد صحيح فقداش؟ يعني هالكلكة علي كبيره ما + +348 +00:36:11,060 --> 00:36:15,460 +شاء الله عليه طلعت بالصفر طب هذا اقتراح محمد حمدا، + +349 +00:36:15,460 --> 00:36:20,490 +نسمع اقتراح، شو اسمك انت؟محمد أبو الخير محمد أبو + +350 +00:36:20,490 --> 00:36:23,730 +محمد أبو الخير هاتبنا من هذا الخير اللي عندك يالا + +351 +00:36:23,730 --> 00:36:26,870 +كلام + +352 +00:36:26,870 --> 00:36:31,170 +كويس يبقى هذا رجع لمين؟ محمد أبو الخير رجع + +353 +00:36:31,170 --> 00:36:38,250 +للمتطابقات اللي اتكلمنا عليها و راح لآخر متطابقتين + +354 +00:36:38,250 --> 00:36:43,490 +كتبناهم فمين؟ في مجموعة المتطابقات جالي هنا + +355 +00:36:43,490 --> 00:36:47,110 +another solution + +356 +00:36:48,400 --> 00:36:53,700 +شوف يا سيدي، أجي قال لي هذا الـLin الأولى هذي شلة + +357 +00:36:53,700 --> 00:36:59,260 +و حط بدلها مين؟ EO6، قلنا له والله كلامك مظبوط، و + +358 +00:36:59,260 --> 00:37:05,180 +أجي للتانية و قال لي لن هذي EO سالب X، و بعد ذلك + +359 +00:37:05,180 --> 00:37:10,820 +راح أستخدم صلاحيات الـLin، يبقى هذي بيصير X في لن + +360 +00:37:10,820 --> 00:37:17,000 +الـE، طب لن الـE بقداش؟بواحد يبقى بدل ال X وهذه + +361 +00:37:17,000 --> 00:37:21,600 +ناقص X في لن ال E اللي هي بواحد إلا لو هي طلعت + +362 +00:37:21,600 --> 00:37:27,120 +جداش Zero زي اللي جابلها يبقى الحل الأول أو الحل + +363 +00:37:27,120 --> 00:37:34,860 +الثاني كلاهما صحيح ولا اعتراب على أي منهما ولكن + +364 +00:37:34,860 --> 00:37:38,420 +الخيار عادل تشوفه أسهلك امشي فيه + +365 +00:37:48,770 --> 00:37:54,370 +طيب هذا كان المثال الثاني نذهب إلى المثال الثالث + +366 +00:37:54,370 --> 00:38:08,210 +تلاتة find y' for each of the following بدنا مشتقة + +367 +00:38:08,210 --> 00:38:20,150 +كل من الدوال التاليةY تساوي اتنين جذر ال X في تانش + +368 +00:38:20,150 --> 00:38:23,430 +لجذر ال X + +369 +00:38:32,010 --> 00:38:36,790 +لو نظرت لي هذه الدالة بلاحظ ان هذه تعتبر دالة و + +370 +00:38:36,790 --> 00:38:42,110 +هذه دالة اذا ان عندي مشتق تحاصل ضرب دلتين يبقى + +371 +00:38:42,110 --> 00:38:48,900 +باجي بقوله ال Y' يسوى الدالة الأولىفي مشتقة الدالة + +372 +00:38:48,900 --> 00:38:57,080 +الثانية تفاضل التانش جدر six squared جدر ال X ضرب + +373 +00:38:57,080 --> 00:39:02,140 +مشتقة من الجدر الزاوية مشتقة الجدر الواحد على + +374 +00:39:02,140 --> 00:39:08,460 +اتنين الجدر يبقى هذا الأولى في مشتقة التانية زائد + +375 +00:39:08,460 --> 00:39:16,690 +الدالة التانية اللي هي تانشجذر ال X في مشتقة + +376 +00:39:16,690 --> 00:39:21,250 +الأولى اتنين مالكش دعوة ومشتقة جذر ال X اللي هو + +377 +00:39:21,250 --> 00:39:29,630 +جداش واحد على اتنين جذر ال X يساويعظم ان اتنين جذر + +378 +00:39:29,630 --> 00:39:34,950 +ال X مع اتنين جذر ال X مع السلامة و اتنين هذه مع + +379 +00:39:34,950 --> 00:39:39,470 +السلامة مع اتنين هذه يبقى آلة المسألة الى الشكل + +380 +00:39:39,470 --> 00:39:48,150 +التالي سش Square لجذر ال X زائد تانش لجذر ال X كله + +381 +00:39:48,150 --> 00:39:55,230 +مقسوما عالميا على جذر ال X النقطة الثانية من ال + +382 +00:39:55,230 --> 00:40:05,690 +derivatives نمر اتنينبيقول لي Y تساوي لن سنش ال X + +383 +00:40:05,690 --> 00:40:17,110 +لن سنش ال X زائد كساش لمين للن تلاتة X الشكل عنها + +384 +00:40:17,110 --> 00:40:25,310 +بيبقى ال Y Prime تساويطبعا واضح هذه function و هذه + +385 +00:40:25,310 --> 00:40:30,830 +function و اتنين مجموعات مع بعض جامعة اذا احنا + +386 +00:40:30,830 --> 00:40:37,390 +بدنا مشتقة المجموع الجبري لدالتين يبقى مشتقة + +387 +00:40:37,390 --> 00:40:42,770 +الأولى زائد مشتقة الدالة الثانية + +388 +00:40:45,480 --> 00:40:53,260 +مشتقة لن ال U بواحد على U يبقى واحد على سنش ال X + +389 +00:40:53,260 --> 00:41:00,120 +في مين؟ في تفاضل السنش اللي هو بجوش يبقى جوش ال X + +390 +00:41:00,120 --> 00:41:09,380 +زائدالكسيش تفاضلها بالسالب سش تانش يبقى سالب سالب + +391 +00:41:09,380 --> 00:41:16,060 +كسيش كتانش قصدي سالب كسيش اللي هو لن تلاتة اكس + +392 +00:41:16,060 --> 00:41:26,080 +كتانش لمن للن تلاتة اكس لمشتقة من الزاوية يبقى هنا + +393 +00:41:26,080 --> 00:41:33,690 +واحدعلى تلاتة X في جداش فيه تلاتة طبعا في اختصارات + +394 +00:41:33,690 --> 00:41:39,470 +بنقدر نقول التلاتة هذه مع التلاتة هذه وبالتالي آلة + +395 +00:41:39,470 --> 00:41:44,970 +المشتقة إلى الشكل التالي جوش على سنشاللي هو + +396 +00:41:44,970 --> 00:41:53,690 +potential X وهذه ناقص وهذا قصش لمين لين تلاتة X + +397 +00:41:53,690 --> 00:42:01,730 +potential لين تلاتة X كله مقسوما على مين على X + +398 +00:42:01,730 --> 00:42:06,470 +الشكل اللي عندها النقطة + +399 +00:42:06,470 --> 00:42:12,610 +التالتة النقطة التالتة بيقول لي Y تساوي + +400 +00:42:15,690 --> 00:42:26,090 +جوش أُس خمسة جوش الجدري التربيعي لإي أُس تلاتة إكس + +401 +00:42:26,090 --> 00:42:27,430 +زائد اتنين + +402 +00:42:32,580 --> 00:42:38,740 +هذا كأنه قوس و القوس كل قوس كم؟ قوس خمسة يبقى من + +403 +00:42:38,740 --> 00:42:42,560 +ال share rule قولنا القوس في القوس مرفوع لنفس + +404 +00:42:42,560 --> 00:42:48,020 +القوس مطروح منه واحد في مشتقد ما داخل القوس يبقى + +405 +00:42:48,020 --> 00:42:54,440 +ال wire prime تساوي القوس في القوش مرفوع لنفس + +406 +00:42:54,440 --> 00:42:57,440 +القوس مطروح منه واحد + +407 +00:42:59,600 --> 00:43:06,620 +تمام؟ في مشتقة مداخل القوس مشتقة القوش الـ cinch + +408 +00:43:06,620 --> 00:43:13,940 +يبقى هذا cinch من الجدر التربيع إلى E أس ثلاثة X + +409 +00:43:13,940 --> 00:43:22,000 +زائد اتنين في مشتقة الجدر نفسه لسه قبل ما بدأ + +410 +00:43:22,000 --> 00:43:28,380 +مشتقة الجدر بقى واحد على اتنين الجدريبقى واحد على + +411 +00:43:28,380 --> 00:43:34,580 +اتنين الجذر التربيه الي E أس تلاتة X زائد اتنين + +412 +00:43:34,580 --> 00:43:41,720 +الان في مشتقة مداخل الجذر مشتقة ال X بننشل بال X + +413 +00:43:41,720 --> 00:43:48,180 +بننشل itself ضرب مشتقة الأس مشتقة اتنين F0 + +414 +00:43:48,180 --> 00:43:53,700 +اختصارات الحمد لله لا يوجد فيها اي اختصار يبقى + +415 +00:43:53,700 --> 00:43:55,000 +بنخليها زي ما هي + +416 +00:44:02,040 --> 00:44:17,740 +Y تساوي سنش لمن؟ لتان ال X سنش لتان ال X زائد كتان + +417 +00:44:17,740 --> 00:44:22,780 +inverse لمن؟ لسنش ال X + +418 +00:44:26,010 --> 00:44:33,910 +خلّي بالك معانا شايف كيف مكتوبة حرفيا رابط الدوال + +419 +00:44:33,910 --> 00:44:41,630 +المثلثية مع الدوال الزائدية قصدينها متعمدين طبعا + +420 +00:44:41,630 --> 00:44:46,350 +نهيك على أن هذه معرفة لأن السنش على كل ال real + +421 +00:44:46,350 --> 00:44:50,950 +line و ال cotton inverse على كل ال real line + +422 +00:44:52,770 --> 00:44:58,470 +متعملين وبالتالي ماعنا مشكلة في هذه الحالة يبقى Y' + +423 +00:44:59,010 --> 00:45:03,990 +يساوي هذه كلها تعتبر كيانها زي الزاوية بالنسبة + +424 +00:45:03,990 --> 00:45:12,110 +لمن؟ للسنش إذا انتفضل السنش بقداش؟ بجوشلتان ال X + +425 +00:45:12,110 --> 00:45:21,110 +في تفاضل تان سك تربيع يبقى سك تربيع ال X دي بالك و + +426 +00:45:21,110 --> 00:45:24,150 +احنا بمصحى في الامتحان الملاجئ كتير ال H هذي + +427 +00:45:24,150 --> 00:45:29,210 +بتنتقل و انه كله على كيفك زي اللي بنتقل من زهرة + +428 +00:45:29,210 --> 00:45:33,390 +الى زهرة النحل يعني انت مافيش انت جوش ممكن تبقى + +429 +00:45:33,390 --> 00:45:38,130 +جوش يعني cosine cosine يبقى هذي لكن اتفرج بين + +430 +00:45:38,130 --> 00:45:43,460 +الدوال الزائدية والدوالالمثلثية يبقى يخلصها من + +431 +00:45:43,460 --> 00:45:48,800 +مشتقت الأولى ال quotient inverse مشتقتها بالناقص + +432 +00:45:48,800 --> 00:45:53,320 +مظبوط quotient inverse بالزائد و quotient inverse + +433 +00:45:53,320 --> 00:46:01,740 +بالسالب سالب واحد على واحد زائد سنش square X في + +434 +00:46:01,740 --> 00:46:08,310 +تفاضل السنش اللي هو جداش بجوش ال Xيبقى الـ 10 + +435 +00:46:08,310 --> 00:46:14,730 +inverse x سالب واحد على واحد زائد x تربية في مشتقة + +436 +00:46:14,730 --> 00:46:22,390 +اللي هو ال .. اللي هي الجوش طيب الآن هذه عبارة عن + +437 +00:46:22,390 --> 00:46:29,430 +جوش لمين لتاني ال x كله مضروب في سيك تربية ال x + +438 +00:46:29,430 --> 00:46:36,100 +ناقص هذا ال term يا شباب موجدشواحد زي .. مين اللي + +439 +00:46:36,100 --> 00:46:43,060 +قال واحد؟ استعجل الزلمة يعني، ايوة يبقى إياك + +440 +00:46:43,060 --> 00:46:48,600 +والاستعجال في التأمن السلامة وفي العجلة الندابة، + +441 +00:46:48,600 --> 00:46:52,600 +مين اللي قال واحد توقفلي شوية انت؟ انت؟ طب بتقدر + +442 +00:46:52,600 --> 00:46:56,440 +تجيبلي آية فيها شغلة على الاستعجال هيك من كتاب + +443 +00:46:56,440 --> 00:47:03,730 +الله؟بتقدر؟ بالمرة؟ طب لو غششتك الصورة، بتقدر تجيب + +444 +00:47:03,730 --> 00:47:11,270 +الآية؟ صورة الإسراء اسمعك + +445 +00:47:11,270 --> 00:47:18,190 +وين؟ ويدعو الإنسان بالشر دعاه بالخير وكان الإنسان + +446 +00:47:18,190 --> 00:47:23,230 +عجولة، بيستعجل كتير، تمام؟ وهذا هو الذي حدث معاك + +447 +00:47:24,330 --> 00:47:25,850 +يبقى واطنة واطنة واطنة واطنة واطنة واطنة واطنة + +448 +00:47:25,850 --> 00:47:27,190 +واطنة واطنة واطنة واطنة واطنة واطنة واطنة واطنة + +449 +00:47:27,190 --> 00:47:29,890 +واطنة واطنة واطنة واطنة واطنة واطنة واطنة واطنة + +450 +00:47:29,890 --> 00:47:37,330 +واطنة واطنة واطنة واطنة + +451 +00:47:37,330 --> 00:47:39,630 +واطنة واطنة واطنة واطنة واطنة واطنة واطنة واطنة + +452 +00:47:39,630 --> 00:47:41,790 +واطنة واطنة واطنة واطنة واطنة واطنة واطنة واطنة + +453 +00:47:41,790 --> 00:47:44,930 +واطنة واطنة واطنة واطنة واطنة واطنة واطنة واطنة + +454 +00:47:44,930 --> 00:47:53,270 +واطنة واطنة واطنة واطنة + +455 +00:47:53,640 --> 00:48:04,220 +لمن؟ لتان ال X في سك تربيع ال X ناقص سش ال X + +456 +00:48:04,220 --> 00:48:11,380 +النقطة الخامسة النقطة + +457 +00:48:11,380 --> 00:48:17,960 +الخامسة عندك Y تساوي جوش ال X + +458 +00:48:33,320 --> 00:48:37,440 +واضح ان هذه عبارة عن اياشوهذه عبارة عن function + +459 +00:48:37,440 --> 00:48:43,020 +تانية إذاً هذه مشتقة حاصل ضرب دالتين بدنا نرجع إلى + +460 +00:48:43,020 --> 00:48:47,880 +مشتقة حاصل ضرب دالتين اللي هو الأولى في مشتقة + +461 +00:48:47,880 --> 00:48:55,180 +الثانية زائد الثانية في مشتقة الأولى يبقى هاي Y + +462 +00:48:55,180 --> 00:49:02,320 +يساوي جوش ال X اللي هو الأولىمشتقة 10 inverse هو 1 + +463 +00:49:02,320 --> 00:49:07,520 +على 1 زائد sinh square x في مشتقة ال sinh اللي هو + +464 +00:49:07,520 --> 00:49:14,230 +main بقاش ال x هذه لسه الأولى في مشتقة mainالثانية + +465 +00:49:14,230 --> 00:49:22,470 +زائد الثانية في مشتقة الأولى يبقى هنا tan inverse + +466 +00:49:22,470 --> 00:49:31,770 +لسنش ال X في مشتقة الجوش اللي هو main بسنش ال X حد + +467 +00:49:31,770 --> 00:49:37,170 +شافه يقدر يقولي كده المقدار هذا سيكون واحد صحيح + +468 +00:49:45,460 --> 00:49:53,360 +النتيجة تساوي واحد صحيح و هنا زائد اللي هو ten + +469 +00:49:53,360 --> 00:50:04,600 +inverse لسنش ال X في من في سنش ال Xطيب نروح للنقطة + +470 +00:50:04,600 --> 00:50:11,500 +السادسة والاخيرة من ال derivatives يقول + +471 +00:50:11,500 --> 00:50:17,620 +الحمد لله الراجل متضايق تنفذ السعاداء طيب يبقى ستة + +472 +00:50:17,620 --> 00:50:26,240 +Y تساوي ال X في جوش ال X مين قال فيك الحمد لله + +473 +00:50:26,240 --> 00:50:30,320 +خنشوف احنا ويا شغلنا مع المسألة هذه مين اللي قال + +474 +00:50:30,320 --> 00:50:36,500 +الحمد لله يعني ان انا متضايق او زهقانت؟ عم انت اسم + +475 +00:50:36,500 --> 00:50:41,420 +ابني هناك شو اسمك انت؟ item البنى item البنى بده + +476 +00:50:41,420 --> 00:50:46,100 +يبنينا الحل اللي هنا عندني هذه المثلة نشوف هل هو + +477 +00:50:46,100 --> 00:50:51,020 +بده يبني بناء صحيحا ولا بناء خاصة إذا كان من كلية + +478 +00:50:51,020 --> 00:50:56,060 +الهندسة يعني طيب ايش بدك تقترح علينا؟ + +479 +00:50:58,610 --> 00:51:02,850 +وجهة نظر سليمة جدا لما ناخد دل الطرفات + +480 +00:51:08,580 --> 00:51:14,400 +يبقى انا عندي طريقين و اي طريق نصركوا صحيح يا اما + +481 +00:51:14,400 --> 00:51:18,700 +باخد اللمن الطرفين ثم الاشتقاق و هذا اللي كنا + +482 +00:51:18,700 --> 00:51:26,260 +نسميه التفاضل اللغاريثمي يا اما يا اما بروح تمام + +483 +00:51:26,260 --> 00:51:31,640 +تمام يبقى بدى اكتب هذه بدلالة ال exponential يبقى + +484 +00:51:31,640 --> 00:51:39,030 +E أس جوش ال X لمن ال X بالشكل اللي عندهاأو بمن؟ + +485 +00:51:39,030 --> 00:51:43,990 +بطريقتنا الأولى طيب يبقى الآن بدأج أقوله ال Y' + +486 +00:51:44,570 --> 00:51:51,910 +يساوي ال exponential كما هي جوش ال X في لن ال X في + +487 +00:51:51,910 --> 00:51:56,270 +تفاضل الأس تبع ال exponential اللي هو حصل ضرب + +488 +00:51:56,270 --> 00:52:04,100 +دالتين يبقى جوش ال X في واحد على Xزائد لن ال X في + +489 +00:52:04,100 --> 00:52:09,220 +تفاضل الجوش اللي هو بسنش ال X الشكل اللي عندنا هنا + +490 +00:52:09,220 --> 00:52:16,580 +ممكن نرجعها إلى أصلها و نكتب X أس جوش ال X في مين؟ + +491 +00:52:16,580 --> 00:52:26,100 +في جوش ال X على X زائد لن ال X في سنش ال X آخر + +492 +00:52:26,100 --> 00:52:29,700 +سؤال اللي هو مثال 4 evaluate + +493 +00:52:32,250 --> 00:52:37,950 +the following integrals + +494 +00:52:37,950 --> 00:52:42,650 +سبل التكاملات التالية + +495 +00:52:44,700 --> 00:52:51,560 +النقطة الأولى اللى وعدناكوا فيها قبل قليل اللى هي + +496 +00:52:51,560 --> 00:53:01,140 +تكامل لمين؟ لتنش ال X DX و أيه السوء تكامل ليه؟ + +497 +00:53:01,140 --> 00:53:09,730 +تنش اللى هو سنش ال X على جوش ال X DXالبسطة فضل + +498 +00:53:09,730 --> 00:53:16,510 +المقام يبقى لإن absolute value في دعية كتبها لإن + +499 +00:53:16,510 --> 00:53:21,770 +الجوش من واحد فمفروض لغاية الملأ نهائية يبقى لإن + +500 +00:53:21,770 --> 00:53:30,430 +جوش ال X زاد كلص تلسي يبقى good exercise إلك تكامل + +501 +00:53:30,430 --> 00:53:32,610 +ل potential X + +502 +00:53:40,240 --> 00:53:51,840 +النقطة التانية بدنا تكامل لسش X DX Y ساوي يلّا + +503 +00:53:51,840 --> 00:53:55,940 +اتنين + +504 +00:53:55,940 --> 00:54:07,080 +على EOS X زائد EOS ناقص X DXوادرب في EO6 و اجسم + +505 +00:54:07,080 --> 00:54:19,380 +على EO6 بصير اتنين تكامل EO6 DX على EO2X زائد واحد + +506 +00:54:21,430 --> 00:54:30,710 +تمام؟ لو حطيت EO6 بvariable وليكن T تساوي EO6 يبقى + +507 +00:54:30,710 --> 00:54:41,250 +DT بEO6 DX إذا قالت المسألة الاتنين تكامل DT على T + +508 +00:54:41,250 --> 00:54:48,410 +تربية زائد واحداللي هو اتنين تان inverse T زائد + +509 +00:54:48,410 --> 00:54:55,950 +constant C يبقى اتنين تان inverse U of X زائد + +510 +00:54:55,950 --> 00:54:57,810 +constant C يعطيك العافية + diff --git 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"end": 2122.68, "word": " للأس", "probability": 0.5665690104166666}, {"start": 2122.68, "end": 2123.0, "word": " واحد", "probability": 0.990478515625}, {"start": 2123.0, "end": 2123.68, "word": " ونقسم", "probability": 0.95849609375}, {"start": 2123.68, "end": 2124.6, "word": " على", "probability": 0.892578125}, {"start": 2124.6, "end": 2125.16, "word": " الأس", "probability": 0.8525390625}, {"start": 2125.16, "end": 2126.06, "word": " الجديد", "probability": 0.98388671875}, {"start": 2126.06, "end": 2127.1, "word": " يبقى", "probability": 0.97607421875}, {"start": 2127.1, "end": 2127.48, "word": " هذه", "probability": 0.81201171875}, {"start": 2127.48, "end": 2128.36, "word": " تساوي", "probability": 0.964111328125}, {"start": 2128.36, "end": 2129.28, "word": " تلت", "probability": 0.77783203125}], "temperature": 1.0}, {"id": 95, "seek": 214657, "start": 2129.59, "end": 2146.57, "text": "سك تكيب ثيتا هذا ال term الأول والواحد تكمله بالنسبة لدي سك بسك يبقى ناقص سك ثيتا زائد constant C نرجع كيف؟", "tokens": [3794, 4117, 6055, 4117, 1829, 3555, 38637, 36081, 995, 23758, 2423, 1433, 16247, 12610, 16070, 14407, 24401, 6055, 24793, 43761, 20666, 1863, 35457, 3660, 5296, 16254, 8608, 4117, 4724, 3794, 4117, 7251, 3555, 4587, 7578, 8717, 995, 4587, 9381, 8608, 4117, 38637, 36081, 995, 30767, 16373, 3215, 5754, 383, 8717, 47341, 3615, 9122, 33911, 22807], "avg_logprob": -0.20186942469860827, "compression_ratio": 1.3432835820895523, "no_speech_prob": 0.0, "words": [{"start": 2129.59, "end": 2130.11, "word": "سك", "probability": 0.6756591796875}, {"start": 2130.11, "end": 2131.17, "word": " تكيب", "probability": 0.7855224609375}, {"start": 2131.17, "end": 2131.71, "word": " ثيتا", "probability": 0.80712890625}, {"start": 2131.71, "end": 2131.93, "word": " هذا", "probability": 0.5947265625}, {"start": 2131.93, "end": 2132.09, "word": " ال", "probability": 0.8095703125}, {"start": 2132.09, "end": 2132.35, "word": " term", "probability": 0.63818359375}, {"start": 2132.35, "end": 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{"start": 2142.23, "end": 2142.93, "word": " constant", "probability": 0.876953125}, {"start": 2142.93, "end": 2143.53, "word": " C", "probability": 0.46533203125}, {"start": 2143.53, "end": 2145.29, "word": " نرجع", "probability": 0.9148763020833334}, {"start": 2145.29, "end": 2146.57, "word": " كيف؟", "probability": 0.8318684895833334}], "temperature": 1.0}, {"id": 96, "seek": 215973, "start": 2147.17, "end": 2159.73, "text": "ماشي، ماشي، هو لا يهمك، حاضر، يلا حدود التكامل والعوض بقى، يبقى كونوستانسي مافيش، هذا كونوستانسي مافيش، وهذه حدود التكامل", "tokens": [2304, 33599, 1829, 12399, 3714, 33599, 1829, 12399, 31439, 20193, 7251, 16095, 4117, 12399, 11331, 46958, 2288, 12399, 7251, 15040, 11331, 3215, 23328, 16712, 4117, 10943, 1211, 16070, 3615, 2407, 11242, 4724, 4587, 7578, 12399, 7251, 3555, 4587, 7578, 9122, 11536, 2407, 14851, 7649, 3794, 1829, 19446, 41185, 8592, 12399, 23758, 9122, 11536, 2407, 14851, 7649, 3794, 1829, 19446, 41185, 8592, 12399, 37037, 24192, 11331, 3215, 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{"start": 2151.55, "end": 2152.13, "word": " بقى،", "probability": 0.660919189453125}, {"start": 2152.13, "end": 2152.57, "word": " يبقى", "probability": 0.980712890625}, {"start": 2152.57, "end": 2153.51, "word": " كونوستانسي", "probability": 0.6640101841517857}, {"start": 2153.51, "end": 2154.73, "word": " مافيش،", "probability": 0.779541015625}, {"start": 2154.73, "end": 2155.05, "word": " هذا", "probability": 0.765625}, {"start": 2155.05, "end": 2156.05, "word": " كونوستانسي", "probability": 0.9857003348214286}, {"start": 2156.05, "end": 2157.09, "word": " مافيش،", "probability": 0.911865234375}, {"start": 2157.09, "end": 2157.67, "word": " وهذه", "probability": 0.66650390625}, {"start": 2157.67, "end": 2158.49, "word": " حدود", "probability": 0.9910481770833334}, {"start": 2158.49, "end": 2159.73, "word": " التكامل", "probability": 0.995849609375}], "temperature": 1.0}, {"id": 97, "seek": 218242, "start": 2160.25, "end": 2182.43, "text": "طبعاً نرجع لحدود التكامل من خلال التعويضة، لو كانت ال X بي إيه لإن الإيه، مين الزاوية اللي ضلها يسوى واحد وخمسة واربعين درجة، مظبوط، يبقى هذا يصير باي على أربع", "tokens": [9566, 3555, 3615, 995, 14111, 8717, 2288, 7435, 3615, 5296, 24401, 23328, 16712, 4117, 10943, 1211, 9154, 16490, 1211, 6027, 16712, 3615, 45865, 11242, 3660, 12399, 45164, 25961, 2655, 2423, 1783, 4724, 1829, 11933, 1829, 3224, 5296, 28814, 1863, 33688, 1829, 3224, 12399, 3714, 9957, 6024, 110, 995, 2407, 10632, 13672, 1829, 48812, 1211, 11296, 7251, 3794, 2407, 7578, 36764, 24401, 4032, 9778, 2304, 3794, 3660, 4032, 9640, 3555, 3615, 9957, 11778, 47341, 3660, 12399, 3714, 19913, 3555, 2407, 9566, 12399, 7251, 3555, 4587, 7578, 23758, 7251, 9381, 13546, 4724, 47302, 15844, 5551, 25513, 3615], "avg_logprob": -0.2840169348443548, "compression_ratio": 1.6589595375722543, "no_speech_prob": 0.0, "words": [{"start": 2160.25, "end": 2160.95, "word": "طبعاً", "probability": 0.6727294921875}, {"start": 2160.95, "end": 2163.39, "word": " نرجع", "probability": 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"probability": 0.7721354166666666}, {"start": 2169.43, "end": 2170.89, "word": " الإيه،", "probability": 0.701171875}, {"start": 2170.89, "end": 2171.49, "word": " مين", "probability": 0.7529296875}, {"start": 2171.49, "end": 2172.31, "word": " الزاوية", "probability": 0.93818359375}, {"start": 2172.31, "end": 2172.57, "word": " اللي", "probability": 0.8935546875}, {"start": 2172.57, "end": 2172.99, "word": " ضلها", "probability": 0.7879231770833334}, {"start": 2172.99, "end": 2173.49, "word": " يسوى", "probability": 0.8675537109375}, {"start": 2173.49, "end": 2174.23, "word": " واحد", "probability": 0.78271484375}, {"start": 2174.23, "end": 2175.17, "word": " وخمسة", "probability": 0.758740234375}, {"start": 2175.17, "end": 2175.91, "word": " واربعين", "probability": 0.92919921875}, {"start": 2175.91, "end": 2176.77, "word": " درجة،", "probability": 0.910888671875}, {"start": 2176.77, "end": 2178.07, "word": " مظبوط،", "probability": 0.7765299479166666}, {"start": 2178.07, "end": 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"word": " اللي", "probability": 0.88818359375}, {"start": 2187.12, "end": 2187.48, "word": " ضلها", "probability": 0.70654296875}, {"start": 2187.48, "end": 2188.26, "word": " يساوي", "probability": 0.9774169921875}, {"start": 2188.26, "end": 2188.82, "word": " Zero", "probability": 0.285400390625}, {"start": 2188.82, "end": 2189.02, "word": " في", "probability": 0.82666015625}, {"start": 2189.02, "end": 2189.54, "word": " الفترة", "probability": 0.9900716145833334}, {"start": 2189.54, "end": 2189.74, "word": " اللي", "probability": 0.952880859375}, {"start": 2189.74, "end": 2190.16, "word": " عندنا", "probability": 0.92431640625}, {"start": 2190.16, "end": 2190.58, "word": " هذه", "probability": 0.75390625}, {"start": 2190.58, "end": 2191.82, "word": " يبقى", "probability": 0.9356689453125}, {"start": 2191.82, "end": 2192.12, "word": " هي", "probability": 0.7744140625}, {"start": 2192.12, "end": 2192.9, "word": " Zero", "probability": 0.91748046875}, {"start": 2192.9, "end": 2193.28, "word": " إذا", "probability": 0.72705078125}, {"start": 2193.28, "end": 2194.22, "word": " تحولت", "probability": 0.915771484375}, {"start": 2194.22, "end": 2194.92, "word": " المسألة", "probability": 0.963623046875}, {"start": 2194.92, "end": 2196.18, "word": " تكامل", "probability": 0.9632568359375}, {"start": 2196.18, "end": 2196.46, "word": " من", "probability": 0.994140625}, {"start": 2196.46, "end": 2196.92, "word": " Zero", "probability": 0.93310546875}, {"start": 2196.92, "end": 2197.58, "word": " لغاية", "probability": 0.9775390625}, {"start": 2197.58, "end": 2197.9, "word": " Pi", "probability": 0.67138671875}, {"start": 2197.9, "end": 2198.32, "word": " على", "probability": 0.56494140625}, {"start": 2198.32, "end": 2198.82, "word": " 4", "probability": 0.48486328125}], "temperature": 1.0}, {"id": 99, "seek": 221446, "start": 2199.28, "end": 2214.46, "text": "و من هنا من Zero لغاية Pi على 4 و من هنا ل Zero لغاية Pi على 4 و من هنا Zero لغاية Pi على 4 و من هنا Zero لغاية Pi على 4", "tokens": [2407, 9154, 34105, 9154, 17182, 5296, 17082, 995, 10632, 17741, 15844, 1017, 4032, 9154, 34105, 5296, 17182, 5296, 17082, 995, 10632, 17741, 15844, 1017, 4032, 9154, 34105, 17182, 5296, 17082, 995, 10632, 17741, 15844, 1017, 4032, 9154, 34105, 17182, 5296, 17082, 995, 10632, 17741, 15844, 1017], "avg_logprob": -0.2062832383399314, "compression_ratio": 2.8412698412698414, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2199.28, "end": 2199.72, "word": "و", "probability": 0.332275390625}, {"start": 2199.72, "end": 2199.94, "word": " من", "probability": 0.5205078125}, {"start": 2199.94, "end": 2200.26, "word": " هنا", "probability": 0.98046875}, {"start": 2200.26, "end": 2200.52, "word": " من", "probability": 0.55322265625}, {"start": 2200.52, "end": 2200.86, "word": " Zero", "probability": 0.1676025390625}, {"start": 2200.86, "end": 2201.58, "word": " لغاية", "probability": 0.98046875}, {"start": 2201.58, "end": 2201.96, "word": " Pi", "probability": 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"probability": 0.97119140625}, {"start": 2213.7, "end": 2214.0, "word": " على", "probability": 0.9189453125}, {"start": 2214.0, "end": 2214.46, "word": " 4", "probability": 0.99462890625}], "temperature": 1.0}, {"id": 100, "seek": 223653, "start": 2216.63, "end": 2236.53, "text": "بنعوض بالباية على أربعة طبعا السيك هو مقلوب ال cosine الخمسة وارعين بواحد على جذر اتنين اقلبها بتجيب السيك بصير جذر اتنين الكل تكيب له اتنين جذر اتنين يبقى هذا تلت", "tokens": [3555, 1863, 3615, 2407, 11242, 20666, 3555, 995, 10632, 15844, 5551, 25513, 27884, 23032, 3555, 3615, 995, 21136, 1829, 4117, 31439, 3714, 4587, 1211, 37746, 2423, 23565, 2423, 9778, 2304, 3794, 3660, 4032, 9640, 3615, 9957, 4724, 14407, 24401, 15844, 10874, 8848, 2288, 1975, 2655, 1863, 9957, 1975, 4587, 46152, 11296, 39894, 7435, 1829, 3555, 21136, 1829, 4117, 4724, 9381, 13546, 10874, 8848, 2288, 1975, 2655, 1863, 9957, 2423, 28820, 6055, 4117, 1829, 3555, 46740, 1975, 2655, 1863, 9957, 10874, 8848, 2288, 1975, 2655, 1863, 9957, 7251, 3555, 4587, 7578, 23758, 6055, 1211, 2655], "avg_logprob": -0.23881579417931406, "compression_ratio": 1.7682926829268293, "no_speech_prob": 0.0, "words": [{"start": 2216.63, "end": 2217.87, "word": "بنعوض", "probability": 0.6894775390625}, {"start": 2217.87, "end": 2218.31, "word": " بالباية", "probability": 0.554779052734375}, {"start": 2218.31, "end": 2218.47, "word": " على", "probability": 0.6279296875}, {"start": 2218.47, "end": 2218.93, "word": " أربعة", "probability": 0.6841634114583334}, {"start": 2218.93, "end": 2220.13, "word": " طبعا", "probability": 0.82452392578125}, {"start": 2220.13, "end": 2220.55, "word": " السيك", "probability": 0.4763590494791667}, {"start": 2220.55, "end": 2220.73, "word": " هو", "probability": 0.96435546875}, {"start": 2220.73, "end": 2221.27, "word": " مقلوب", "probability": 0.903076171875}, {"start": 2221.27, "end": 2221.45, "word": " ال", "probability": 0.6865234375}, {"start": 2221.45, "end": 2222.29, "word": " cosine", "probability": 0.73193359375}, {"start": 2222.29, "end": 2223.75, "word": " الخمسة", "probability": 0.6864990234375}, {"start": 2223.75, "end": 2224.25, "word": " وارعين", "probability": 0.91259765625}, {"start": 2224.25, "end": 2225.01, "word": " بواحد", "probability": 0.94677734375}, {"start": 2225.01, "end": 2225.79, "word": " على", "probability": 0.7880859375}, {"start": 2225.79, "end": 2226.13, "word": " جذر", "probability": 0.8484700520833334}, {"start": 2226.13, "end": 2226.47, "word": " اتنين", "probability": 0.954833984375}, {"start": 2226.47, "end": 2227.27, "word": " اقلبها", "probability": 0.7933349609375}, {"start": 2227.27, "end": 2227.85, "word": " بتجيب", "probability": 0.85986328125}, {"start": 2227.85, "end": 2228.29, "word": " السيك", "probability": 0.9573567708333334}, {"start": 2228.29, "end": 2228.71, "word": " بصير", "probability": 0.8440755208333334}, {"start": 2228.71, "end": 2229.37, "word": " جذر", "probability": 0.9755859375}, {"start": 2229.37, "end": 2230.01, "word": " اتنين", "probability": 0.9871826171875}, {"start": 2230.01, "end": 2230.63, "word": " الكل", "probability": 0.781494140625}, {"start": 2230.63, "end": 2231.49, "word": " تكيب", "probability": 0.7388916015625}, {"start": 2231.49, "end": 2232.05, "word": " له", "probability": 0.76220703125}, {"start": 2232.05, "end": 2232.97, "word": " اتنين", "probability": 0.9691162109375}, {"start": 2232.97, "end": 2233.67, "word": " جذر", "probability": 0.990234375}, {"start": 2233.67, "end": 2234.29, "word": " اتنين", "probability": 0.990966796875}, {"start": 2234.29, "end": 2235.35, "word": " يبقى", "probability": 0.9630126953125}, {"start": 2235.35, "end": 2235.77, "word": " هذا", "probability": 0.927734375}, {"start": 2235.77, "end": 2236.53, "word": " تلت", "probability": 0.9033203125}], "temperature": 1.0}, {"id": 101, "seek": 226571, "start": 2236.7, "end": 2265.72, "text": "وهذا اتنين جذري اتنين تغير من الأول ناقص اللي هو six اللي هو جذري اتنين دوري فقط ما غير يبقى جذري اتنين هيعوضه بالقيمة اللي فوق ناقص القيمة اللي تعالى six zero اب واحد في طول يبقى بناقص طول وهذا زائد وsix zero بقداش اب واحد", "tokens": [2407, 3224, 15730, 1975, 2655, 1863, 9957, 10874, 8848, 16572, 1975, 2655, 1863, 9957, 6055, 17082, 13546, 9154, 16247, 12610, 8717, 995, 4587, 9381, 13672, 1829, 31439, 2309, 13672, 1829, 31439, 10874, 8848, 16572, 1975, 2655, 1863, 9957, 11778, 13063, 1829, 6156, 47432, 19446, 32771, 13546, 7251, 3555, 4587, 7578, 10874, 8848, 16572, 1975, 2655, 1863, 9957, 39896, 3615, 2407, 11242, 3224, 20666, 4587, 32640, 3660, 13672, 1829, 6156, 30543, 8717, 995, 4587, 9381, 25062, 32640, 3660, 13672, 1829, 37279, 6027, 7578, 2309, 4018, 1975, 3555, 36764, 24401, 8978, 23032, 12610, 7251, 3555, 4587, 7578, 44945, 995, 4587, 9381, 23032, 12610, 37037, 15730, 30767, 16373, 3215, 4032, 35066, 4018, 4724, 28543, 33599, 1975, 3555, 36764, 24401], "avg_logprob": -0.22075320512820512, "compression_ratio": 2.098360655737705, "no_speech_prob": 0.0, "words": [{"start": 2236.7, "end": 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2252.04, "end": 2252.2, "word": " اللي", "probability": 0.860595703125}, {"start": 2252.2, "end": 2252.48, "word": " فوق", "probability": 0.92822265625}, {"start": 2252.48, "end": 2253.02, "word": " ناقص", "probability": 0.9708251953125}, {"start": 2253.02, "end": 2253.52, "word": " القيمة", "probability": 0.95947265625}, {"start": 2253.52, "end": 2253.58, "word": " اللي", "probability": 0.900634765625}, {"start": 2253.58, "end": 2254.24, "word": " تعالى", "probability": 0.5634765625}, {"start": 2254.24, "end": 2254.78, "word": " six", "probability": 0.5732421875}, {"start": 2254.78, "end": 2255.66, "word": " zero", "probability": 0.81005859375}, {"start": 2255.66, "end": 2256.34, "word": " اب", "probability": 0.48291015625}, {"start": 2256.34, "end": 2256.84, "word": " واحد", "probability": 0.979736328125}, {"start": 2256.84, "end": 2257.1, "word": " في", "probability": 0.93505859375}, {"start": 2257.1, "end": 2257.6, "word": " طول", "probability": 0.612548828125}, {"start": 2257.6, "end": 2258.72, "word": " يبقى", "probability": 0.9835205078125}, {"start": 2258.72, "end": 2260.04, "word": " بناقص", "probability": 0.86859130859375}, {"start": 2260.04, "end": 2260.62, "word": " طول", "probability": 0.991455078125}, {"start": 2260.62, "end": 2261.68, "word": " وهذا", "probability": 0.771484375}, {"start": 2261.68, "end": 2262.48, "word": " زائد", "probability": 0.9186197916666666}, {"start": 2262.48, "end": 2263.3, "word": " وsix", "probability": 0.721923828125}, {"start": 2263.3, "end": 2263.74, "word": " zero", "probability": 0.85205078125}, {"start": 2263.74, "end": 2264.66, "word": " بقداش", "probability": 0.5952962239583334}, {"start": 2264.66, "end": 2265.3, "word": " اب", "probability": 0.691162109375}, {"start": 2265.3, "end": 2265.72, "word": " واحد", "probability": 0.98974609375}], "temperature": 1.0}, {"id": 102, "seek": 227817, "start": 2266.16, "end": 2278.18, "text": "يبقى الصارع هذا تلتين جذري اتنين و سالب جذري اتنين مضل كده؟ سالب طول جذري اتنين", "tokens": [1829, 3555, 4587, 7578, 31767, 9640, 3615, 23758, 6055, 1211, 2655, 9957, 10874, 8848, 16572, 1975, 2655, 1863, 9957, 4032, 8608, 6027, 3555, 10874, 8848, 16572, 1975, 2655, 1863, 9957, 3714, 11242, 1211, 9122, 3215, 3224, 22807, 8608, 6027, 3555, 23032, 12610, 10874, 8848, 16572, 1975, 2655, 1863, 9957], "avg_logprob": -0.2351562437415123, "compression_ratio": 1.625, "no_speech_prob": 0.0, "words": [{"start": 2266.16, "end": 2266.78, "word": "يبقى", "probability": 0.8299560546875}, {"start": 2266.78, "end": 2267.28, "word": " الصارع", "probability": 0.48193359375}, {"start": 2267.28, "end": 2267.74, "word": " هذا", "probability": 0.75244140625}, {"start": 2267.74, "end": 2269.98, "word": " تلتين", "probability": 0.935302734375}, {"start": 2269.98, "end": 2270.62, "word": " جذري", "probability": 0.822265625}, {"start": 2270.62, "end": 2271.24, "word": " اتنين", "probability": 0.977294921875}, {"start": 2271.24, "end": 2272.28, "word": " و", "probability": 0.52001953125}, {"start": 2272.28, "end": 2272.8, "word": " سالب", "probability": 0.88720703125}, {"start": 2272.8, "end": 2273.26, "word": " جذري", "probability": 0.9724934895833334}, {"start": 2273.26, "end": 2273.6, "word": " اتنين", "probability": 0.99365234375}, {"start": 2273.6, "end": 2273.96, "word": " مضل", "probability": 0.3118489583333333}, {"start": 2273.96, "end": 2274.72, "word": " كده؟", "probability": 0.7601318359375}, {"start": 2274.72, "end": 2276.3, "word": " سالب", "probability": 0.96630859375}, {"start": 2276.3, "end": 2276.92, "word": " طول", "probability": 0.7158203125}, {"start": 2276.92, "end": 2277.58, "word": " جذري", "probability": 0.9728190104166666}, {"start": 2277.58, "end": 2278.18, "word": " اتنين", "probability": 0.9927978515625}], "temperature": 1.0}, {"id": 103, "seek": 229907, "start": 2279.05, "end": 2299.07, "text": "سالب تلت جدر اتنين يبقى الجواب تلتين ناقص جدر اتنين على تلاتة هذا قيمة التكامل اللي عندنا", "tokens": [3794, 6027, 3555, 6055, 1211, 2655, 10874, 3215, 2288, 1975, 2655, 1863, 9957, 7251, 3555, 4587, 7578, 25724, 14407, 3555, 6055, 1211, 2655, 9957, 8717, 995, 4587, 9381, 10874, 3215, 2288, 1975, 2655, 1863, 9957, 15844, 6055, 1211, 9307, 3660, 23758, 12174, 32640, 3660, 16712, 4117, 10943, 1211, 13672, 1829, 43242, 8315], "avg_logprob": -0.2446933939771832, "compression_ratio": 1.588235294117647, "no_speech_prob": 0.0, "words": [{"start": 2279.05, "end": 2280.03, "word": "سالب", "probability": 0.5013834635416666}, {"start": 2280.03, "end": 2281.17, "word": " تلت", "probability": 0.8732096354166666}, {"start": 2281.17, "end": 2282.27, "word": " جدر", "probability": 0.6481119791666666}, {"start": 2282.27, "end": 2282.81, "word": " اتنين", "probability": 0.954345703125}, {"start": 2282.81, "end": 2287.65, "word": " يبقى", "probability": 0.641448974609375}, {"start": 2287.65, "end": 2291.51, "word": " الجواب", "probability": 0.7415364583333334}, {"start": 2291.51, "end": 2292.45, "word": " تلتين", "probability": 0.9464111328125}, {"start": 2292.45, "end": 2293.53, "word": " ناقص", "probability": 0.9420166015625}, {"start": 2293.53, "end": 2293.97, "word": " جدر", "probability": 0.9694010416666666}, {"start": 2293.97, "end": 2294.61, "word": " اتنين", "probability": 0.98779296875}, {"start": 2294.61, "end": 2294.95, "word": " على", "probability": 0.8828125}, {"start": 2294.95, "end": 2295.71, "word": " تلاتة", "probability": 0.864013671875}, {"start": 2295.71, "end": 2296.05, "word": " هذا", "probability": 0.4482421875}, {"start": 2296.05, "end": 2296.61, "word": " قيمة", "probability": 0.9744466145833334}, {"start": 2296.61, "end": 2297.57, "word": " التكامل", "probability": 0.98193359375}, {"start": 2297.57, "end": 2298.45, "word": " اللي", "probability": 0.80078125}, {"start": 2298.45, "end": 2299.07, "word": " عندنا", "probability": 0.979248046875}], "temperature": 1.0}, {"id": 104, "seek": 233769, "start": 2317.92, "end": 2337.7, "text": "ننتقل الآن إلى السؤال السابع وما أدرك ما السؤال السابع السؤال السابع بيقول لي تكامل للجدرى التربية إلى أربعة ناقص X على X كله بالنسبة إلى DX", "tokens": [1863, 29399, 4587, 1211, 6024, 48506, 30731, 21136, 33604, 6027, 21136, 16758, 3615, 4032, 15042, 5551, 3215, 31747, 19446, 21136, 33604, 6027, 21136, 16758, 3615, 21136, 33604, 6027, 21136, 16758, 3615, 4724, 1829, 39648, 32239, 6055, 4117, 10943, 1211, 24976, 7435, 3215, 2288, 7578, 16712, 25513, 10632, 30731, 5551, 25513, 27884, 8717, 995, 4587, 9381, 1783, 15844, 1783, 28242, 3224, 20666, 1863, 35457, 3660, 30731, 48817], "avg_logprob": -0.2167677189876784, "compression_ratio": 1.8656716417910448, "no_speech_prob": 0.0, "words": [{"start": 2317.92, "end": 2319.16, "word": "ننتقل", "probability": 0.7999267578125}, {"start": 2319.16, "end": 2319.78, "word": " الآن", "probability": 0.70556640625}, {"start": 2319.78, "end": 2320.26, "word": " إلى", "probability": 0.67431640625}, {"start": 2320.26, "end": 2321.3, "word": " السؤال", "probability": 0.9915364583333334}, {"start": 2321.3, "end": 2322.54, 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a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/Vb1SioQWTPE.srt b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/Vb1SioQWTPE.srt new file mode 100644 index 0000000000000000000000000000000000000000..84c8c750f3405082ef8f55c87ad86abe2ea450de --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/Vb1SioQWTPE.srt @@ -0,0 +1,1811 @@ +1 +00:00:09,620 --> 00:00:16,980 +بسم الله الرحمن الرحيم هذا الـ section الأصل أن كل + +2 +00:00:16,980 --> 00:00:24,380 +واحد يكون مع الكتاب الأصلي اللي فيه على جلته 161 + +3 +00:00:24,380 --> 00:00:30,620 +تكامللا ندور فيهم، نحط السؤال ونذهب نبحث عن السؤال + +4 +00:00:30,620 --> 00:00:34,100 +في النيات الصيغة. هذا كلام احنا عفى عليه الزمن. + +5 +00:00:34,320 --> 00:00:39,320 +لأ، احنا زي ما هو كامل وعطاك النتيجة. طبعا هو بكتب + +6 +00:00:39,320 --> 00:00:42,640 +السؤال وبيكتب النتيجة. لأ، إنت بدنا نخليك تطلع + +7 +00:00:42,640 --> 00:00:49,310 +النتيجة مش هنطلعك جد حالك. وبالتالي يعتبر هذا + +8 +00:00:49,310 --> 00:00:54,710 +section مراجعة لما سبقت دراسته في التكاملات كلها + +9 +00:00:54,710 --> 00:01:01,130 +اللي دراستها قبل ذلك يبقى بيعطاني سؤال يقول يتكامل + +10 +00:01:01,130 --> 00:01:06,720 +لـ X على X الجذر التربيعي لـ X زائد 4 طبعا، لما + +11 +00:01:06,720 --> 00:01:10,400 +يعطيني سؤال من هذا القبيل، ممكن ألاقي السؤال ينحل + +12 +00:01:10,400 --> 00:01:14,560 +بطريقتين، بتلاتة، بأربعة، المهم انتهاء الطريقة + +13 +00:01:14,560 --> 00:01:18,920 +والله يعطيك العافية، كافي منها، جيد؟ يبقى ليه أول + +14 +00:01:18,920 --> 00:01:21,320 +وهلة هادسة كـ inverse + +15 +00:01:23,930 --> 00:01:31,410 +اللي عندك X وليست X تربيع، لو كانت هذي X تربيع، + +16 +00:01:31,410 --> 00:01:37,710 +هنقول لك وسيش inverse، بس هذي X وليست اللي هو X + +17 +00:01:37,710 --> 00:01:42,010 +تربيع، بسيطة بنخليها تربيع، نقدر نخليها تربيع، + +18 +00:01:42,010 --> 00:01:49,410 +كيف؟ بروح بحث يبقى جذر الـ X يساوي Y يبقى الـ X يساوي + +19 +00:01:49,410 --> 00:01:55,830 +كده؟ Y تربيع يبقى DX بصير 2YDY + +20 +00:02:02,050 --> 00:02:08,530 +بنجيب نقول مثلاتنا صارت على الشكل التالي dx بـ 2y + +21 +00:02:08,530 --> 00:02:17,310 +dy الـ x عندي من بـ y تربيع بـ y تربيع زائد 4 تحت + +22 +00:02:17,310 --> 00:02:23,660 +الجذر الاثنين خليك برا والـ Y بتروح مع الـ Y بظل + +23 +00:02:23,660 --> 00:02:32,520 +تكامل DY على Y الجذر التربيعي لـ Y تربيع زائد 4 هذه + +24 +00:02:32,520 --> 00:02:36,480 +الإنصارة اللي استعجلت عليها وقلت له هذه كوسيش + +25 +00:02:36,480 --> 00:02:41,000 +inverse بقول لك مظبوط يبقى اثنين اللي برا مالاش + +26 +00:02:41,000 --> 00:02:48,860 +علاقة وهذا سالب وهذا نص وهذه كوسيش inverse + +27 +00:02:48,860 --> 00:02:55,440 +لمين؟ الـ absolute value للـ Y على اثنين زائد + +28 +00:02:55,440 --> 00:03:02,500 +constant C بعدها يجب أن تضع الـ Y في مكانها جذر الـ X + +29 +00:03:02,500 --> 00:03:10,120 +يبقى صارت سالب كسش inverse absolute value لجذر الـ + +30 +00:03:10,120 --> 00:03:17,280 +X على 2 زائد constant C يبقى هذه الطريقة الأولى + +31 +00:03:17,280 --> 00:03:23,640 +للحل أو أول تفكير أجا في بال أحد الأخوة فيكم أن + +32 +00:03:23,640 --> 00:03:29,420 +أنا بدي أرجع لمشتقة معكوس الدوال المثلثية ومشتقة + +33 +00:03:29,420 --> 00:03:34,620 +معكوس الدوال الزائدية اللي فيها جذور يبقى لا تان + +34 +00:03:34,620 --> 00:03:40,000 +inverse ولا كتان inverse ولا تانش inverse ولا كتانش + +35 +00:03:40,000 --> 00:03:44,380 +inverse. يبقى أربعة هنا وأربعة هنا ويبقى هذه واحدة + +36 +00:03:44,380 --> 00:03:50,600 +منهم طلعت الحمد لله آخر واحدة. تمام؟ يبقى خلصنا + +37 +00:03:50,600 --> 00:03:55,260 +منها. أجي واحد ثاني قال لي لا أنا بفكر بطريقة أخرى، + +38 +00:03:55,260 --> 00:03:59,420 +بقوله كيف؟ احنا أخدنا الـ Trigonometric + +39 +00:03:59,420 --> 00:04:04,400 +Substitution يعني بدنا نكامل بطريقة التعويض بدالة + +40 +00:04:04,400 --> 00:04:11,060 +مثلثية بس لو عوضت بدالة مثلثية هنا نخلصش من هالشغل + +41 +00:04:11,060 --> 00:04:15,380 +يعني لشارة زادية يبقى التعويض تبعتنا تان مظبوط + +42 +00:04:15,380 --> 00:04:22,660 +بصير تان ثيتا زائد أربعة لكن لو كانت أربعة تان تربيع + +43 +00:04:22,660 --> 00:04:28,360 +ثيتا كان الجذر راح وخلصنا منه مظبوط يبقى هذا هو + +44 +00:04:28,360 --> 00:04:34,680 +التفكير الثاني إذا أنا ممكن أشيل الـ X وأحط مكانها + +45 +00:04:34,680 --> 00:04:40,900 +مش اثنين تان ثيتا بحط أربعة تان تربيع ثيتا مرة واحدة + +46 +00:04:40,900 --> 00:04:48,180 +إذا احنا لو رحنا حطينا الـ X يساوي أربعة تان تربيع + +47 +00:04:48,180 --> 00:04:54,090 +ثيتا وجيت حطيتها مكانها هنا صحيح أن تتخلص من الجذر + +48 +00:04:54,090 --> 00:05:00,570 +بهذه الطريقة بس إيه شكل الـ dx يبقى الـ dx بيساوي + +49 +00:05:00,570 --> 00:05:06,850 +ثمانية في تان ثيتا في تفاضل الـ tan بـ سيك تربيع + +50 +00:05:06,850 --> 00:05:13,010 +ثيتا في d ثيتا إذا أصبحت المسألة اللي عندنا هذا + +51 +00:05:13,010 --> 00:05:20,030 +بده يسميه حل آخر another solution يبقى هاي التكامل + +52 +00:05:20,030 --> 00:05:30,890 +الـ dx اللي هي 8 tan θ في sec تربيع θ في dθ كله + +53 +00:05:30,890 --> 00:05:37,130 +مقسوم على x اللي هي 4 tan تربيع θ في الجذر + +54 +00:05:37,130 --> 00:05:45,410 +التربيعي لـ 4 tan تربيع θ زائد 4 يبقى حولت المسألة + +55 +00:05:45,410 --> 00:05:50,860 +اللي عندي كلها بالشكل هذا طلع له هنا أربعة مع أربعة + +56 +00:05:50,860 --> 00:05:55,900 +تطلع برا بقداش باثنين اثنين في أربعة بتمانية و + +57 +00:05:55,900 --> 00:06:02,020 +ثمانية مع السلامة هاي واحدة الثانية تان ثيتا بده + +58 +00:06:02,020 --> 00:06:07,680 +تروح مع تان تربيع يبقى هاي ثمانية وهاي ثمانية و + +59 +00:06:07,680 --> 00:06:16,320 +هاي تكامل وضل عندي بس سيك تربيع ثيتا دي ثيتا على تان + +60 +00:06:16,320 --> 00:06:23,020 +ثيتا يبقى هنا إني جداش واحد زي الـ tan تربيع عليه مان + +61 +00:06:23,020 --> 00:06:30,740 +سيك تربيع تحت الجذر تطلع سيك يبقى فيه سيك ثيتا يبقى + +62 +00:06:30,740 --> 00:06:36,700 +بتقول المسألة إلى الشكل التالي integration لـ سيك + +63 +00:06:36,700 --> 00:06:44,630 +ثيتا على مين على تان ثيتا في دي ثيتا طيب، هذه لو + +64 +00:06:44,630 --> 00:06:50,530 +رجعناها بدلالة الـ Sin والـ Cos يبقى واحد على Cos θ + +65 +00:06:50,530 --> 00:06:57,050 +لسيك تان Sin على Cos تطلع الـ Cos فوق ويظهر لنا Sin + +66 +00:06:57,050 --> 00:07:05,050 +θ Dθ يبقى آلة المسألة إلى تكامل واحد على Sin θ Dθ + +67 +00:07:05,050 --> 00:07:13,370 +يعني تكامل لـ Cos θ Dθ هذه الـ Standard أخذناها في + +68 +00:07:13,370 --> 00:07:19,270 +الشرط الأولاني وأعطناها لك هنا أول ما بدأنا يبقى + +69 +00:07:19,270 --> 00:07:26,530 +هذا يسوى لن absolute value لكوسيكا ثيتا ناقص كتان + +70 +00:07:26,530 --> 00:07:33,150 +ثيتا زائد constant C طب مسألتنا بدأت بدلالة الـ X + +71 +00:07:33,150 --> 00:07:37,290 +وانتهينا بدلالة الـ θ إذا بدنا نرجع ونكتبها + +72 +00:07:37,290 --> 00:07:42,630 +بدلالة مين؟ بدلالة الـ X وأن التعويض اللي حطيناها + +73 +00:07:42,630 --> 00:07:42,970 +هي + +74 +00:07:45,850 --> 00:07:52,770 +بس حط لي جنبها θ أكبر من سالب π على 2 وأقل من + +75 +00:07:52,770 --> 00:07:57,110 +π على 2 يعني حصرناها في الربع الرابع والربع + +76 +00:07:57,110 --> 00:08:06,100 +الأول يبقى منها بقدر أقول ما يأتي تان تربيع ثيتا + +77 +00:08:06,100 --> 00:08:13,360 +بده يساوي X على أربعة أو تان ثيتا بده يساوي جذر الـ + +78 +00:08:13,360 --> 00:08:19,580 +X على مين؟ على اثنين لو روحنا رسمنا المثلث بالشكل + +79 +00:08:19,580 --> 00:08:25,630 +لأن هذا هي ثيتا وهي الزاوية القائمة الظل يساوي + +80 +00:08:25,630 --> 00:08:33,070 +المقابل على المجاور حسب فيه ثغور الوتر + +81 +00:08:40,520 --> 00:08:46,320 +كو سي كنتل هو الوتر على المقابل يبقى الجذر التربيعي + +82 +00:08:46,320 --> 00:08:52,860 +لـ X زائد أربعة على المقابل اللي هو جذر الـ X ناقص + +83 +00:08:52,860 --> 00:08:58,940 +كتاب ثيتا المجاور على المقابل اثنين على جذر الـ X + +84 +00:08:58,940 --> 00:09:06,460 +زائد constant C طبعا الجوابين شكلهم مختلف لكن + +85 +00:09:06,460 --> 00:09:10,980 +أخذنا أن مع كوسي الدوال الزادية بقدر أكتبها بدلالة + +86 +00:09:10,980 --> 00:09:16,180 +مين بدلالة لن إذا لو روحنا كتبناها بدلالة لن هتوصل + +87 +00:09:16,180 --> 00:09:29,220 +لشكل مثل هذا الشكل تماما أخذ + +88 +00:09:29,220 --> 00:09:34,740 +تكامل اللي كوسيكا كان ثيتا اللي هو إيه؟ سالب. آه + +89 +00:09:34,740 --> 00:09:37,800 +فهمت عليك يعني إيه السالب برا واللي جوا بالذات، + +90 +00:09:37,800 --> 00:09:40,220 +سيان، سواء الصيغة هذه ولا الصيغة هذه، أعطيتك + +91 +00:09:40,220 --> 00:09:45,320 +الصيغتين والله شوفهم أنت عندك كيف والله امسك من أنا + +92 +00:09:45,320 --> 00:09:49,340 +أعرف التنتين بسوا بعض يعني بدل الصلب هذا لو كتبته + +93 +00:09:49,340 --> 00:09:55,280 +برا وكتبت هنا cos ز كتان نفس النتيجة صحيح ولا لا؟ + +94 +00:09:55,280 --> 00:09:59,260 +هاي اللي احنا قولنا امسك قلمك وشوف هل هذه النتيجة + +95 +00:09:59,260 --> 00:10:03,280 +هي النتيجة هذه ولا لا يعني أنت عندك تكامل cos + +96 +00:10:03,280 --> 00:10:08,810 +واضرب في cos ز كتان وأقسم على cosecant زائد cotin + +97 +00:10:08,810 --> 00:10:15,150 +بصير البصوطة فاض المقام بس بده إشارة سالب تمام؟ + +98 +00:10:15,150 --> 00:10:19,750 +بصير السالب برا والباقي بالزائد جوا طيب ما علينا + +99 +00:10:19,750 --> 00:10:24,590 +هذا السؤال لو السؤال الثاني زي ما أنت ملاحظ حلنا + +100 +00:10:24,590 --> 00:10:29,370 +السؤال بأكثر من طريقة وهكذا كل واحد فيكم ممكن + +101 +00:10:29,370 --> 00:10:34,280 +يفكر تفكير شكل وكل واحد يحله بطريقة مخالفة للطريقة + +102 +00:10:34,280 --> 00:10:40,360 +اللي حلقبها زمان خد سؤالي الثاني بيقول لي تكامل + +103 +00:10:40,360 --> 00:10:47,460 +الجذر التربيعي لتسعة ناقص أربعة X كله على X تربيع + +104 +00:10:47,460 --> 00:10:52,080 +DX كويس + +105 +00:10:52,080 --> 00:10:56,520 +يبقى هذا زي اللي جاب له بس الفرق الجذر كان في + +106 +00:10:56,520 --> 00:11:02,840 +المقام ودخلنا الجذر وين؟ في البسط طيب أنا حابب أضيع + +107 +00:11:02,840 --> 00:11:11,240 +الجذر هذا دغري مباشرة إيش ممكن أحط الـ X بحيث الجذر + +108 +00:11:11,240 --> 00:11:18,220 +يطير هذا؟ يلا شوف لاحظ عندك جذر واللي تحت الجذر + +109 +00:11:18,220 --> 00:11:25,040 +إشارة سالبة والسالبة للمتغير وليس للمقدار الثابت + +110 +00:11:25,040 --> 00:11:26,980 +يبقاش التعويض اللي حطها + +111 +00:11:32,100 --> 00:11:46,500 +عشان نتناقش نتناقش نتناقش نتناقش نتناقش + +112 +00:11:46,500 --> 00:11:53,880 +نتناقش + +113 +00:11:53,880 --> 00:11:57,880 +نتناقش نتناقش + +114 +00:11:59,580 --> 00:12:04,760 +تسعة ساين تربيع تسعة ساين تربيع تسعة + +115 +00:12:04,760 --> 00:12:18,600 +ساين تربيع تسعة ساين + +116 +00:12:18,600 --> 00:12:23,440 +تربيع فعلا بتروح الأربعة مع الأربعة ويبقى تسعة + +117 +00:12:23,440 --> 00:12:26,640 +ساين تربيع تأخذ التسعة عامل مشترك تبقى واحد ناقص + +118 +00:12:26,640 --> 00:12:30,240 +ساين تربيع تكون ساين تربيع الجذر مع السلامة وثيتا + +119 +00:12:30,240 --> 00:12:36,780 +بحصرها أكبر من أو تساوي سالب π على اثنين وأقل + +120 +00:12:36,780 --> 00:12:43,110 +من أو تساوي π على اثنين بالشكل هذا تمام؟ إذا + +121 +00:12:43,110 --> 00:12:48,490 +انتقلت المسألة إلى الشكل التالي integration للجذر + +122 +00:12:48,490 --> 00:12:56,190 +التربيعي لمن؟ لتسعة ناقص تسعة sign تربيع تيتا + +123 +00:12:56,190 --> 00:13:00,250 +شيلنا الـ X حقنا بما يبقى تسعة أربعة بتروح + +124 +00:13:00,250 --> 00:13:05,110 +الأربعة مع الأربعة لتسعة sign تربيع تيتا على من؟ + +125 +00:13:06,020 --> 00:13:13,060 +على X تربيع الواحد و ثمانين على ستة عشر وهنا ال + +126 +00:13:13,060 --> 00:13:20,160 +sign أقصى أربعة ثانية بقي عند ال dx يبقى ال dx + +127 +00:13:20,160 --> 00:13:29,000 +بتساوي 9 على 2 sin θ في تفاضل ال sin ب cos θ في dθ + +128 +00:13:29,000 --> 00:13:36,980 +إذا بدي أشيل ال dx و أضع قيمتها ل 9 على 2 sin θ + +129 +00:13:36,980 --> 00:13:45,920 +cos θ dθ بعد ذلك يجب أن يكون الـsense برا يبقى هذا + +130 +00:13:45,920 --> 00:13:55,540 +الكلام يبدو يساوي 9 مع 9 تطلع برا ب 3 أي 3 في 9 + +131 +00:13:55,540 --> 00:14:04,820 +على 2 هذه في المقام يبقى 1 و 8 وتجيلك ال 16 فوق + +132 +00:14:04,820 --> 00:14:11,640 +وهي التكامل واحد ناقص sin تربيع لهمين cos تربيع + +133 +00:14:11,640 --> 00:14:22,400 +يطلع من تحت الجذر بcos θ في sin θ في cos θ في dθ + +134 +00:14:22,400 --> 00:14:30,950 +على sin أربعة ثيتا بالشكل اللي عندنا طيب نختصر + +135 +00:14:30,950 --> 00:14:35,890 +تلاتة في تسعة بسبعة وعشرين مع الواحد وتمانين بيظل + +136 +00:14:35,890 --> 00:14:41,770 +تلاتة وهادي مع هادي بتمانية يبقى تمانية على تلاتة + +137 +00:14:41,770 --> 00:14:47,690 +يبقى يساوي تمانية على تلاتة وهي التكامل ال sign مع + +138 +00:14:47,690 --> 00:14:54,510 +الأس أربعة بيصير تكامل لكو sign تربيع ثيتا على + +139 +00:14:54,510 --> 00:15:04,750 +sign تكعيب ثيتا في دي ثيتا طبعا يساوي تمانية تلاتة + +140 +00:15:04,750 --> 00:15:11,210 +برا وهي تكامل صين تكعيب بقدر أخليها واحد على صين + +141 +00:15:11,210 --> 00:15:16,990 +واحد على صين اللي هو بمين؟ كوسيكا ثيتا هاي كوسيكا + +142 +00:15:16,990 --> 00:15:22,270 +ثيتا أو بابا اللي عندي كسين تربيع على صين تربيع + +143 +00:15:22,270 --> 00:15:29,930 +اللي هو بمين؟ كتان تربيع يبقى كتان تربيع ثيتا في دي + +144 +00:15:29,930 --> 00:15:35,290 +ثيتا يبقى صارة المثل اللي عندي على الشكل التالي + +145 +00:15:35,290 --> 00:15:42,430 +طبعا يساوي تمانية على تلاتة تكامل لكوسيكان ثيتا + +146 +00:15:42,430 --> 00:15:48,830 +الكتان تربيع بقدر اكتبها بدلالة من الكوسيكانيبقى + +147 +00:15:48,830 --> 00:15:56,290 +هذه عبارة عن ايه؟ cos تربيع θ ناقص واحد في dθ يبقى + +148 +00:15:56,290 --> 00:16:03,930 +صارت تمانية ع تلاتة تكامل لcos تكعيب θ dθ ناقص + +149 +00:16:03,930 --> 00:16:14,710 +تمانية ع تلاتة تكامل لcos θ dθ هذه لقبل قليل لأن + +150 +00:16:14,710 --> 00:16:22,310 +كثيكان ناقص كتاب طب و هذه ايه رأيك في تكامل كثيكان + +151 +00:16:22,310 --> 00:16:30,060 +تاكين؟ مرت علينا هذه؟ good exercise كانت لك؟ حلتها + +152 +00:16:30,060 --> 00:16:34,180 +في الدار ولا لا؟ أنا ما قلتلك هي good exercise كمل + +153 +00:16:34,180 --> 00:16:38,860 +لك six تكعيب وبعد ما خلصت جدك بنفس الطريقة بيبقى + +154 +00:16:38,860 --> 00:16:44,700 +تروح تكمل هي و second تكعيب يبقى in the can حليتها + +155 +00:16:44,700 --> 00:16:50,780 +حط الحل هنا وهذا ال standard معروفة وخلص المثال + +156 +00:16:50,780 --> 00:16:54,100 +يبقى هنا أكمل الحل + +157 +00:17:19,400 --> 00:17:28,220 +سؤال التالت، سؤال التالت بيقول لي تكامل اللي هو من + +158 +00:17:28,220 --> 00:17:38,100 +ال X الجذر التربيعي لأربعة X ناقص X تربيع كله في + +159 +00:17:38,100 --> 00:17:46,040 +DX برضه هذا جذر لكن هذا الجذر يختلف عن الجذور + +160 +00:17:46,040 --> 00:17:51,900 +السابقة فكرلي في الموضوع كيف بينا نبدأ المسألة + +161 +00:17:51,900 --> 00:17:52,940 +تبعتنا هذه + +162 +00:18:16,440 --> 00:18:23,300 +كيف؟ صح هذا وجهة نظرك، طلق الكمية اللي تحت الجدر، + +163 +00:18:23,300 --> 00:18:28,720 +مش X تربيع زادة وناقص كونستان، لا، X تربيع وناقص + +164 +00:18:28,720 --> 00:18:33,150 +كونستان في X، ولا زاد كونستان في X يبقى من حد ما + +165 +00:18:33,150 --> 00:18:38,550 +أشوف مقبار بهذا الشكل أو X تربيع ناقص أو زايد + +166 +00:18:38,550 --> 00:18:43,430 +كونستان في X زايد كونستان تاني ماليش إلا أكمل + +167 +00:18:43,430 --> 00:18:50,070 +المربع تمام؟ يبقى بدنا نعمل أكمل المربع ونشوف يبقى + +168 +00:18:50,070 --> 00:18:55,750 +هذا بيسوي تكمل X الجدري التربيعي كده يشبه بمشان + +169 +00:18:55,750 --> 00:19:02,710 +أصير مربع كامل؟ أربعة أرفض أي أربعة و أي ناقص أربعة + +170 +00:19:02,710 --> 00:19:11,320 +وزائد أربعة اكس ناقص اكس تربية كله DX يساوي تكامل + +171 +00:19:11,320 --> 00:19:16,780 +لل X في الجدري التربيعي لأربعة سالب بدي أخد سالب + +172 +00:19:16,780 --> 00:19:22,840 +عام المشترك بيظل X تربيع ناقص أربعة X زائد أربعة + +173 +00:19:22,840 --> 00:19:29,040 +كله بالنسبة إلى DX يبقى X الجدري التربيعي لأربعة + +174 +00:19:29,400 --> 00:19:36,100 +طلع لي هذا المقدار يبقى + +175 +00:19:36,100 --> 00:19:43,690 +x ناقص اتنين لكل تربيع بالنسبة ل dx بعد ذلك ممكن + +176 +00:19:43,690 --> 00:19:50,570 +أبسطها أكثر لو حطيت ال y يساوي x ناقص اتنين يبقى + +177 +00:19:50,570 --> 00:19:58,830 +dy يساوي dx يبقى قلة المسألة لتكامل ال x لوب y + +178 +00:19:58,830 --> 00:20:05,750 +زائد اتنين يبقى أي y زائد اتنين وهي الجدر التربيعي + +179 +00:20:05,750 --> 00:20:13,420 +لاربع ناقص y تربيع dy يساوي، كيف نعمل في المسألة + +180 +00:20:13,420 --> 00:20:17,320 +هذه على الحين؟ + +181 +00:20:17,320 --> 00:20:24,980 +وين فرق المربعين هذه؟ وين بتلاقيها؟ يا زلم هذا تحت + +182 +00:20:24,980 --> 00:20:33,300 +الجدر يا راجل، تحت الجدر طب اشرك جزيها إلى تكاملين + +183 +00:20:35,250 --> 00:20:42,530 +يبقى هذا Y الجدر التربيه لاربع ناقص Y تربيه دي Y + +184 +00:20:42,530 --> 00:20:49,410 +زائد اتنين تكامل الجدر التربيه لاربع ناقص Y تربيه + +185 +00:20:49,410 --> 00:20:55,230 +دي Y وبعد كده كيف نكمل الأولى سيبك من التانية + +186 +00:20:55,230 --> 00:21:00,630 +خلينا مع الأولى بنفع نكملها ب Calculus A و الله ب + +187 +00:21:00,630 --> 00:21:01,710 +Calculus B + +188 +00:21:04,160 --> 00:21:09,840 +طيب بـ A و B تتكامل بالطريقتين تمام لإن اللي برا + +189 +00:21:09,840 --> 00:21:14,760 +هي مشتقة اللي جوا بس بدها سالب اتنين مظبوط يبقى + +190 +00:21:14,760 --> 00:21:17,040 +بصير اللي برا مشتقة اللي جوا بس بدها سالب اتنين + +191 +00:21:17,040 --> 00:21:18,140 +سالب اتنين مظبوط يبقى بصير اللي برا مشتقة اللي جوا + +192 +00:21:18,140 --> 00:21:22,160 +بس بدها سالب اتنين مظبوط يبقى بصير اللي برا مشتقة + +193 +00:21:22,160 --> 00:21:26,840 +اللي جوا بس بدها سالب اتنين مظبوط يبقى بصير اللي + +194 +00:21:26,840 --> 00:21:32,400 +برا مشتقة اللي جوا بس بدها سالب اتنين مظبوط + +195 +00:21:32,400 --> 00:21:37,980 +يبقى Sin لأن الإشارة السالب لمين؟ للمتغير وبنفع + +196 +00:21:37,980 --> 00:21:42,860 +التعويض اللي حط هنا حط هنا لإنه تاني نفسي الجدر + +197 +00:21:42,860 --> 00:21:50,660 +تمام إذا لو روحت حطيت ال Y تساوي Sin الزاوية ثيتا + +198 +00:21:50,660 --> 00:21:56,740 +وثيتا أكبر من أو تساوي سالب Y على اتنين و أقل من أو + +199 +00:21:56,740 --> 00:22:01,580 +تسوى πاية على اتنين إذا المسألة صارت على الشكل + +200 +00:22:01,580 --> 00:22:08,100 +التالي اه اتنين صح اتنين صين الزاوية ثيتا تمام + +201 +00:22:08,100 --> 00:22:14,500 +يبقى بصير اتنين صين الزاوية ثيتا في الجدر التربية + +202 +00:22:14,500 --> 00:22:20,800 +اللي اربعة ناقص اربعة صين تربيع ثيتا في الـ dy اللي + +203 +00:22:20,800 --> 00:22:27,020 +هو اتنين cosine ثيتا في d ثيتا زائد اتنين تكامل + +204 +00:22:27,020 --> 00:22:32,720 +الجدر التربية اللي اربعة ناقص اربعة sin تربيع ثيتا + +205 +00:22:32,720 --> 00:22:42,180 +في اتنين cosine ثيتا في d ثيتا من تحت الجبر يطلع + +206 +00:22:42,180 --> 00:22:48,000 +ليه اتنين وعندك اتنين وكمان اتنين يبقى تلت اتنينات + +207 +00:22:48,000 --> 00:22:53,360 +يبقى تمانية هي واحدة واحد مع cosine تربيع اللي و + +208 +00:22:53,360 --> 00:22:58,440 +cosine تربيع تطلع من تحت الجدر ب cosine وعندك + +209 +00:22:58,440 --> 00:23:05,560 +cosine يبقى cosine تربيع ثيتا في sin ثيتا في d + +210 +00:23:05,560 --> 00:23:12,580 +ثيتا هذا الجزء الأول الجزء الثاني زاد اربع مع اربع + +211 +00:23:12,580 --> 00:23:18,650 +تطلع برا باتنين في اتنين في اتنين يبقى كمان تمانية + +212 +00:23:18,650 --> 00:23:23,450 +ماحدش احسن من حد وضل واحد ناقص صين تربيع اللي بكو + +213 +00:23:23,450 --> 00:23:29,430 +صين تربيع تطلع من تحت الجدرب بكو صين في كو صين بكو + +214 +00:23:29,430 --> 00:23:35,840 +صين ثتا في دي ثتا نجم كامل الدالة الأولى يبقى + +215 +00:23:35,840 --> 00:23:40,880 +تمانية تكامل تفاضل ال sign ب cosine إذا ما بقدر + +216 +00:23:40,880 --> 00:23:46,920 +أحول المثلة كلها بدلالة ال cosine تربيع ثيتا هذا + +217 +00:23:46,920 --> 00:23:53,680 +مشتقة مين مشتقة ال cosine بس بده إشارة سالب يبقى + +218 +00:23:53,680 --> 00:24:01,920 +هاي السالب برا وهذا دي لا cosine الزاوية ثيتا يبقى + +219 +00:24:01,920 --> 00:24:08,360 +شيل تابع وكتبته سالب دي لكوصين الزاوية ثيتا هذه + +220 +00:24:08,360 --> 00:24:13,380 +كوصين تربيع عشانها كوصين تربيع صحيح يبقى زائد + +221 +00:24:13,380 --> 00:24:19,100 +تمانية هذه ما عرفش أكملها إلا أحولها بدلالة ضعف + +222 +00:24:19,100 --> 00:24:27,280 +الزاوية في الصين يبقى نص يتكمل واحد زائد كوصين + +223 +00:24:27,280 --> 00:24:36,330 +اتنين ثيتا في دي هذا يساوي ناقص تمانية على تلاتة + +224 +00:24:36,330 --> 00:24:43,590 +cosine تكعيب ثيتا وهذا زائد أربعة وهذا يقوس تكامل + +225 +00:24:43,590 --> 00:24:49,030 +الواحد بثيتا وتكامل ال cosine بالصين اتنين ثيتا + +226 +00:24:49,030 --> 00:24:56,710 +على اتنين وهذا زائد constant C طيب تعال اتطلعلى + +227 +00:24:56,710 --> 00:25:02,530 +للمقدار هذا المقدار هذا هو عبارة عن اتنين sine + +228 +00:25:02,530 --> 00:25:07,470 +theta في cosine الزاوية theta الاتنين مع الاتنين + +229 +00:25:07,470 --> 00:25:11,670 +بيظل لنا باسمين sine theta في cosine theta إذا + +230 +00:25:11,670 --> 00:25:17,250 +أصبحت النتيجة على الشكل التالف minus تمانية على + +231 +00:25:17,250 --> 00:25:25,690 +تلاتة لمين لا cosine تكعيب theta زائد أربعة ثيتا + +232 +00:25:25,690 --> 00:25:35,230 +زائد أربعة sin ثيتا cos ثيتا زائد constant C بعد + +233 +00:25:35,230 --> 00:25:41,810 +هيك بدين المسألة بدلالة ال X وانتهينا بالثيتا يبقى + +234 +00:25:41,810 --> 00:25:49,200 +هذا كلام لا بدنا ننهي المسألة بما ابتدأنا به أنا + +235 +00:25:49,200 --> 00:25:55,480 +حاطين التعويضة هنا sin θ يساوي أو اتنين sin θ + +236 +00:25:55,480 --> 00:26:04,700 +يساوي يبقى منها بقدر أقول sin θ يساوي جداش y على + +237 +00:26:04,700 --> 00:26:10,960 +اتنين يبقى بناء عليه بقدر أرسم المثلث وأقول + +238 +00:26:10,960 --> 00:26:17,090 +المثلث هذابالشكل أدى ده ثيتا وهي الزاوية القائمة + +239 +00:26:17,090 --> 00:26:24,590 +ال sign يسوى المقابل على ال water يبقى المقابل y و + +240 +00:26:24,590 --> 00:26:31,390 +ال water اتنين والضلع التالت له اربعة ناقص y + +241 +00:26:31,390 --> 00:26:37,200 +تربيعي يبقى بناء عليه أصبحت هذه ناقص تمانية على + +242 +00:26:37,200 --> 00:26:43,700 +تلاتة الكوصين المجاور على الوطر يبقى الجذر + +243 +00:26:43,700 --> 00:26:50,940 +التربيعي لمن؟ للأربع ناقص واي تربيع على الوطر اللي + +244 +00:26:50,940 --> 00:26:58,920 +هو اتنين لكل تكعيب اللي بعده زائد أربعة من هنا بقدر + +245 +00:26:58,920 --> 00:27:04,000 +أقول له theta لل sign inverse y على اتنين يبقى + +246 +00:27:04,000 --> 00:27:12,610 +sign inverse y على اتنين خلصنا منها اللي بعده زائد + +247 +00:27:12,610 --> 00:27:21,930 +أربع sin θ المقابل على الوتر يبقى y على اتنين cos + +248 +00:27:21,930 --> 00:27:27,790 +θ المجاور على الوتر في الجدرى التربية لأربع ناقص y + +249 +00:27:27,790 --> 00:27:33,970 +تربية على الوتر اللي هو اتنين زائد constant C يسوي + +250 +00:27:33,970 --> 00:27:40,850 +ناقص تمانية، التمانية بتروح، يبقى ناقص تلت، لأنه + +251 +00:27:40,850 --> 00:27:48,910 +اتنين تقريبا من ثمانية، بظل عندنا الأربعة ناقص اثنين + +252 +00:27:48,910 --> 00:27:55,710 +عندنا كوال، 100x ناقص 2، الكل تربيع أس 3 + +253 +00:27:55,710 --> 00:28:02,920 +على 2 الجذر يبقى 3 على 2 شيلت الـ y حطيت + +254 +00:28:02,920 --> 00:28:08,440 +قيمته بدلالة الـ x اللي هو x ناقص 2 لكل تربيع + +255 +00:28:08,440 --> 00:28:15,620 +يبقى زائد 4 sin inverse x ناقص 2 على + +256 +00:28:15,620 --> 00:28:21,440 +الاثنين الاثنين مع الاثنين مع الأربعة الله يسهل عليها + +257 +00:28:21,440 --> 00:28:28,240 +وظل عندنا زائد x ناقص 2 اللي هي الـ y في الجذر + +258 +00:28:28,240 --> 00:28:35,160 +التربيعي لـ 4 ناقص x ناقص 2 لكل تربيع زائد + +259 +00:28:35,160 --> 00:28:39,760 +constant c لو رحت على الكتاب تدور على الجواب + +260 +00:28:39,760 --> 00:28:41,080 +تلاقيهش بالشكل هذا + +261 +00:28:46,340 --> 00:28:54,380 +بالنسبة لـ x² + +262 +00:28:54,380 --> 00:29:02,090 +-4x - x² بصيروا يدخلوا الناقص ويقولوا ناقص 4 وزيد + +263 +00:29:02,090 --> 00:29:07,870 +4 مع بعض ويروح بيظل 4x ناقص x تربيع يبقى + +264 +00:29:07,870 --> 00:29:13,530 +لو رجعته لأصله بيصير 4x ناقص x تربيع كله + +265 +00:29:13,530 --> 00:29:19,090 +3 على 2 وهذا زائد 4 sign inverse x + +266 +00:29:19,090 --> 00:29:24,750 +ناقص 2 على 2 وهذا x ناقص 2 والجذر + +267 +00:29:24,750 --> 00:29:30,680 +التربيعي لـ 4x ناقص x تربيع زائد Constancy يبقى + +268 +00:29:30,680 --> 00:29:36,160 +بلاك الإجابة الشكل هذا وليست الشكل اللي فوق على أي + +269 +00:29:36,160 --> 00:29:42,300 +حال هي عندك 3 أمثلة مرة الجذر في المقام مرة + +270 +00:29:42,300 --> 00:29:48,380 +الجذر فوق مرة الجذر يحتاج إلى إكمال للمربع وقس على + +271 +00:29:48,380 --> 00:29:54,320 +ذلك بقية الأسئلة اللي موجودة في التمرين بنروح إلى + +272 +00:29:54,320 --> 00:30:00,800 +أنواع أخرى من الأسئلة اللي موجودة في التمرين فمثلا + +273 +00:30:00,800 --> 00:30:13,140 +جاء لي تكامل تكامل للـ x cos inverse x dx أحد مسائل + +274 +00:30:13,140 --> 00:30:17,980 +التمرين برضه السؤال اللي قدامنا هذا و بدنا ما هو + +275 +00:30:17,980 --> 00:30:25,780 +شكل الإجابة نقوله بسيطة يبقى هذا بمجرد النظر يحتاج + +276 +00:30:25,780 --> 00:30:31,260 +ليه integration by parts يبقى بدنا ناخد الـ u عبارة + +277 +00:30:31,260 --> 00:30:31,820 +عن ايه؟ + +278 +00:30:37,800 --> 00:30:45,920 +يبقى بروح بقوله تاخد الـ u يساوي cos inverse x و dv + +279 +00:30:45,920 --> 00:30:53,420 +كل اللي بيظل x dx بدنا نفاضل يبقى du بسالب واحد + +280 +00:30:53,420 --> 00:31:01,020 +على الجذر التربيعي لـ 1 ناقص x تربيع dx والـ v بنص + +281 +00:31:02,890 --> 00:31:10,210 +يبقى النتيجة تساوي u في v يبقى نص x تربيع cos + +282 +00:31:10,210 --> 00:31:17,590 +inverse x ناقص تكامل v وهي النص برا وهي الـ x تربيع + +283 +00:31:17,590 --> 00:31:24,970 +وهي الجذر التربيعي لـ 1 ناقص x تربيع dx يبقى + +284 +00:31:24,970 --> 00:31:29,750 +انتهينا من تكامل cos inverse ووصلنا إلى سؤال من + +285 +00:31:29,750 --> 00:31:36,900 +هذا القبيل لا أدري ما هي وجهة نظركم في حل هذا + +286 +00:31:36,900 --> 00:31:42,620 +السؤال ايش اللي ممكن نشتغله مشان نحل السؤال نطلع + +287 +00:31:42,620 --> 00:31:48,200 +باللحظة في جذر و تحت الجذر إشارة سالبة و السالبة + +288 +00:31:48,200 --> 00:31:52,380 +للمتغير و ليس للثابت يبقى هذا ال standard إلا + +289 +00:31:52,380 --> 00:31:58,260 +تعويضة معروفة ايش ليه مين؟ x سواء كده؟ كده؟ + +290 +00:32:00,360 --> 00:32:08,280 +يبقى بدنا نروح ونحط الـ x يساوي sin θ و الـ dx يساوي + +291 +00:32:08,280 --> 00:32:17,380 +cos θ dθ إذا قالت المسألة إلى نص x²cos inverse x + +292 +00:32:17,380 --> 00:32:25,430 +ناقص نص وهي تكامل x تربيع يبقى sin تربيع θ على + +293 +00:32:25,430 --> 00:32:31,810 +الجذر التربيعي لـ 1 ناقص sin تربيع ثيتا و dx هي + +294 +00:32:31,810 --> 00:32:35,090 +cosine theta d theta + +295 +00:32:37,450 --> 00:32:44,270 +هذا الكلام يساوي نص x تربيع cosine inverse x ناقص + +296 +00:32:44,270 --> 00:32:52,930 +نص خليك برا وهي تكامل 1 ناقص sin تربيع تطلع من + +297 +00:32:52,930 --> 00:32:59,550 +تحت الجذر بـ cos يبقى هادي و هادي مع بعض بيظل تكامل + +298 +00:32:59,550 --> 00:33:04,130 +لـ sin تربيع θ في d θ + +299 +00:33:06,950 --> 00:33:13,330 +هذه هي آلة المسألة إلى الشكل التالي يبقى نص x + +300 +00:33:13,330 --> 00:33:18,150 +تربيع cosine inverse x وهنا ناقص نص + +301 +00:33:23,520 --> 00:33:27,820 +خلي بالك، خلي بالك، اه هذه ناقصة، بتيجي هذه زائد، + +302 +00:33:27,820 --> 00:33:33,280 +صحيح، و هذه زائد و هذه زائد، ناقص تبعت القانون و + +303 +00:33:33,280 --> 00:33:36,080 +ناقص تبعت الاشتقاق، يبقى زائد + +304 +00:33:39,970 --> 00:33:47,470 +مظبوط يبقى ده بيصير نص x تربيع cosine inverse x + +305 +00:33:47,470 --> 00:33:56,390 +زائد نص وكمان نص وتكامل الواحد ناقص cosine 2 + +306 +00:33:56,390 --> 00:34:02,030 +theta كله بالنسبة لمين إلى d theta يبقى النتيجة + +307 +00:34:02,030 --> 00:34:09,170 +النهائية صارت عندنا تكامل للـ x cos inverse x dx + +308 +00:34:09,170 --> 00:34:17,610 +بدل يساوي النص x تربيع cosine inverse x وصلنا لزائد + +309 +00:34:17,610 --> 00:34:26,160 +ربع و بدنا نكمل الأولى بـ θ و الثانية بـ ناقص sin 2 + +310 +00:34:26,160 --> 00:34:35,860 +θ على 2 زائد constant c هذه مرة ثانية بـ 2 sin + +311 +00:34:35,860 --> 00:34:40,180 +θ cosine θ يبقى صارت المسألة + +312 +00:34:54,040 --> 00:34:59,820 +نرجع للتعويض اللي احنا عملناه هنا و نروح نعمل المثلث + +313 +00:34:59,820 --> 00:35:07,360 +يبقى هذا المثلث القائم الزاوية بهذا الشكل هذه θ + +314 +00:35:07,360 --> 00:35:11,980 +وهي الزاوية القائمة sin θ يساوي المقابل على + +315 +00:35:11,980 --> 00:35:18,720 +الوتر يبقى x 1 الجذر التربيعي لـ 1 ناقص x + +316 +00:35:18,720 --> 00:35:24,430 +تربيع يبقى النتيجة النهائية نص x تربيع cosine + +317 +00:35:24,430 --> 00:35:32,490 +inverse x الرابع هو هذه sin inverse x وهنا ناقص + +318 +00:35:32,490 --> 00:35:38,050 +ربع و الـ sin يساوي المقابل على الوتر و الـ cosine + +319 +00:35:38,050 --> 00:35:43,930 +المجاور على الوتر وهذا زائد constant c + +320 +00:35:47,090 --> 00:35:51,470 +هذا كان المثال رقم 4 و كلهم أسئلة موجودة في + +321 +00:35:51,470 --> 00:36:02,110 +التمرين كمان سؤال خامسة تكامل لـ tan inverse x + +322 +00:36:02,110 --> 00:36:11,010 +مقسوما على x تربيع dx أظن + +323 +00:36:11,010 --> 00:36:12,630 +هذا كله انتهينا منه هذا + +324 +00:36:17,870 --> 00:36:21,870 +قفل جوالك يا ابني، طب أول مرة سمحنا و الثانية، + +325 +00:36:21,870 --> 00:36:30,570 +قفل، أقول يا ابني أسهل؟ في + +326 +00:36:30,570 --> 00:36:35,310 +عندك طريقة أسهل؟ إذا عندك ايه تدلنا عليها؟ + +327 +00:36:37,780 --> 00:36:41,760 +لو أجاش؟ لو أجي بكرا زيك. لأ هذا بيجيش زيه، عارف + +328 +00:36:41,760 --> 00:36:46,500 +ليش؟ لأن هذا ال trigonometric substitution 8.3 + +329 +00:36:46,500 --> 00:36:51,200 +مش داخل في الامتحان، إذا لأ يمكن سؤال يجي + +330 +00:36:51,200 --> 00:36:57,850 +ينحل بالطريقة اللي بعد هيك لكن ممكن يحل بعدة طرق و + +331 +00:36:57,850 --> 00:37:01,630 +شيء من اللي بدك تاخده بعد كده و شيء يمكن أن يحل + +332 +00:37:01,630 --> 00:37:05,850 +بغيره و أنت تروح خلاص ما يجيش في بالك كل اللي بعدك + +333 +00:37:05,850 --> 00:37:08,650 +لكن ما يجيش في بالك كل اللي قبلك و الحين هوريك بعض + +334 +00:37:08,650 --> 00:37:15,550 +الشغلات طيب طلع عندك سؤال من هذا القبيل و قال لي + +335 +00:37:15,550 --> 00:37:19,750 +بدي تكامل هذه الدالة طبعا جبناها مرة في إحدى + +336 +00:37:19,750 --> 00:37:24,120 +الامتحانات دي ربنا يباركوا طيب، شوف ده اللي عملنا المثال + +337 +00:37:24,120 --> 00:37:31,280 +لهذه؟ طيب، + +338 +00:37:31,280 --> 00:37:36,100 +ومشتقتها بقداش؟ 1 على 1 زائد x تربيع موجودة + +339 +00:37:36,100 --> 00:37:41,040 +هنا، يبقى هذا احصف عشان يغيره، بالتجزئة ماشي + +340 +00:37:41,040 --> 00:37:49,390 +الحالة، يبقى مين بناخد اليوم؟ tan inverse x و dv + +341 +00:37:49,390 --> 00:37:56,730 +الواحد على x تربيع dx يبدأ الـ du 1 على 1 زائد x + +342 +00:37:56,730 --> 00:38:04,710 +تربيع dx والـ v بسالب 1 على x إذا يساوي الـ u في الـ v + +343 +00:38:04,710 --> 00:38:11,890 +سالب 1 على x tan inverse x ناقص تكامل مع ناقص + +344 +00:38:11,890 --> 00:38:19,190 +بالناقص زائد 1 على x 1 زائد x تربيع dx + +345 +00:38:24,890 --> 00:38:30,210 +شو اسمك أنت اللي وصلت للسؤال؟ غازي السجة غازي السجة + +346 +00:38:30,210 --> 00:38:33,530 +طرح سؤال بيقول إن افترض اجانا سؤال في الامتحان تبع + +347 +00:38:33,530 --> 00:38:40,210 +الغد وصار جزء منه منه من 8.3 أو 8 + +348 +00:38:40,210 --> 00:38:44,310 +.4 كيف نسوي في هذه الحالة؟ ما نقوله ليش تقيد + +349 +00:38:44,310 --> 00:38:48,250 +حالك بـ 8.3 أو 8.4 التكامل هذا + +350 +00:38:48,250 --> 00:38:54,440 +ممكن ينحل بعدة طرق طريقة الأولى هنعملوا partial + +351 +00:38:54,440 --> 00:38:59,940 +fractions محلل إلى أبسط العوامل الأولية، هذا من + +352 +00:38:59,940 --> 00:39:04,040 +الدرجة الأولى وهذا من الدرجة الثانية، توقع أنك + +353 +00:39:04,040 --> 00:39:08,980 +تشتغل بمين بالـ partial fractions و احنا مش داخلة + +354 +00:39:08,980 --> 00:39:11,820 +في الامتحان، صحيح أخذنا هات طريقة، بس مش داخلة في + +355 +00:39:11,820 --> 00:39:17,040 +الامتحان، نظيفة يبقى صف في هات طريقة على الشجرة يجي + +356 +00:39:17,040 --> 00:39:19,920 +واحد ثاني قال لأ أنا بدي أحلها بالـ trigonometric + +357 +00:39:19,920 --> 00:39:24,000 +substitution بقولنا ماعناش مشكلة قال بدي أحط الـ x + +358 +00:39:24,000 --> 00:39:29,060 +بـ tan θ يبقى 1 زائد tan تربيع بيصير sec تربيع + +359 +00:39:29,060 --> 00:39:35,640 +في tan وتفاضل الـ tan بـ sec تربيع فوق بيظل 1 على tan + +360 +00:39:35,640 --> 00:39:39,990 +اللي هو cot وبالتالي بيصير ايه؟ سهل بنقول له ماشي + +361 +00:39:39,990 --> 00:39:43,210 +احنا ما أخذناش الـ trigonometric substitution لكن لو + +362 +00:39:43,210 --> 00:39:49,210 +حلو صح ما صح ماعندناش مشكلة لكن أنا بدي أحله بالطرق + +363 +00:39:49,210 --> 00:39:55,050 +اللتي أخذناها قبل section 8.2 من 8.2 و رجع و + +364 +00:39:55,050 --> 00:39:59,110 +بطريقة أسهل من التعويضات اللي بتفكر فيها هذه لو + +365 +00:39:59,110 --> 00:40:02,090 +بتتحملها partial fraction بتطول و أنت في الامتحان + +366 +00:40:02,090 --> 00:40:07,130 +محتاج للدقيقة الواحدة تمام؟ إذا أنا بدي أحله بأسرع + +367 +00:40:07,130 --> 00:40:13,580 +من هيك كتير كيف؟ بنقوله كويس هذا سالب 1 على x في + +368 +00:40:13,580 --> 00:40:20,580 +tan inverse x زائد هاي تكامل سمعت واحد بيقول سالب + +369 +00:40:20,580 --> 00:40:26,880 +كسش هو في جذر يا ابني هنا؟ فيها جذر؟ لو في جذر + +370 +00:40:26,880 --> 00:40:31,790 +ماشي موافق معك بس مش فيها جذر ايش بدك تقول؟ خلاصنا + +371 +00:40:31,790 --> 00:40:38,070 +مسحوبة مسحوبة يلا طيب ايش رأيك؟ بتقول واحد بدي أخد + +372 +00:40:38,070 --> 00:40:43,750 +x تربيع عامل مشترك من الجوز بيصير هنا كده؟ x تكعيب + +373 +00:40:43,750 --> 00:40:48,330 +1 على x تربيع زائد 1 كله في dx + +374 +00:40:51,310 --> 00:40:57,230 +كل اللي بين الجوزين بدي أحطه بأي متغير إذا لو حطيت + +375 +00:40:57,230 --> 00:41:04,890 +الـ t تساوي 1 على x تربيع زائد 1 يبقى الـ dt بدي + +376 +00:41:04,890 --> 00:41:13,190 +أساوي سالب 2 على X تكعيب DX يعني سالب نص DT بدي + +377 +00:41:13,190 --> 00:41:19,390 +يساوي واحد على X تكعيب DX إذا هذا كله بقدر أشيله و + +378 +00:41:19,390 --> 00:41:26,170 +أتخلص منه و أحط بدله ناقص نص DT يبقى هذا ناقص واحد + +379 +00:41:26,170 --> 00:41:36,010 +على X وهنا 10 inverse X وهنا ناقص نص هي برا وصار + +380 +00:41:36,010 --> 00:41:42,810 +عندي DT على Tغير هو اللي كانت معقدة هيك و partial + +381 +00:41:42,810 --> 00:41:46,190 +fraction و trigonometric substitution غير هو طلعت + +382 +00:41:46,190 --> 00:41:49,690 +البسط فوق المقام يبقى لنا المقام و خلصنا أيوة لو + +383 +00:41:49,690 --> 00:41:53,210 +طلبنا سالب على سالب و عملنا لنا المقام سالب ايش؟ + +384 +00:41:53,210 --> 00:41:57,190 +سالب على سالب و عملنا لنا الـ ghost تقطع المشترك + +385 +00:41:57,190 --> 00:42:00,570 +دماغنا ويه لنا الـ ghost؟ الواحد على الـ .. مش عندك + +386 +00:42:00,570 --> 00:42:03,450 +هذا؟ اه ايش بتسوي فيه هذا؟ + +387 +00:42:08,350 --> 00:42:13,050 +هذه قصدك؟ ما في مشكلة أنت ما جبت شيء جديد يعني أبدًا + +388 +00:42:13,050 --> 00:42:18,410 +أنت كملت لنا شغلنا هذا، احنا الفكرة الأساسية أن أنا + +389 +00:42:18,410 --> 00:42:22,590 +أخذت X تربيع من هنا عامل مشترك برا وهذه لم تكن + +390 +00:42:22,590 --> 00:42:27,910 +لتخطر على بالي يبقى هذا يعطي ثالث ووجد مدتك + +391 +00:42:27,910 --> 00:42:32,190 +بتعتمدها دير بركة عليهم خلاص صار البسط فاضل + +392 +00:42:32,190 --> 00:42:40,110 +المقام يبقى يساوي سالب واحد على X تان inverse X + +393 +00:42:40,110 --> 00:42:47,930 +ناقص نص للـ absolute value التي زائد constant C + +394 +00:42:47,930 --> 00:42:54,820 +وبالتالي أصبح تكاملتان inverse X على X تربيع دي + +395 +00:42:54,820 --> 00:43:00,680 +اكس بده يساوي سالب واحد على X تان inverse X + +396 +00:43:00,680 --> 00:43:07,740 +ناقص نص للـ absolute value لـ T اللي واحد على X + +397 +00:43:07,740 --> 00:43:14,910 +تربيع زائد واحد زائد كنصة من C يبقى يساوي الكلام + +398 +00:43:14,910 --> 00:43:20,550 +للسامعين ممكن أحله بطريقة ما لهاش علاقة بالطرق + +399 +00:43:20,550 --> 00:43:25,130 +اللي درسناها بعد ذلك احنا بدنا الطرق اللي قبل ذلك + +400 +00:43:25,130 --> 00:43:29,610 +ودرسناها في ثاني section من الـ sections اللي + +401 +00:43:29,610 --> 00:43:37,390 +أخذناهم من أول هذا الفصل السؤال السادس بيقول يبدوا + +402 +00:43:37,390 --> 00:43:44,980 +تكامل من؟ لجذر الـ X على الجذر التربيعي لواحد ناقص + +403 +00:43:44,980 --> 00:43:50,560 +X DX اه + +404 +00:43:50,560 --> 00:43:56,920 +ماشي كلهم تحت الجذر ما جيبناش دي اعتبرهم تحت الجذر + +405 +00:43:56,920 --> 00:44:01,620 +اعتبرهم كلهم تحت الجذر يلا يلا نسمع اقتراح أيوة + +406 +00:44:05,050 --> 00:44:08,770 +بمشي الحالة و بعدين بصير كله تحت الجذر قسمة + +407 +00:44:08,770 --> 00:44:15,370 +المطولة و أعجزت أكثر صدقني أنني أتعجز أكثر لكن أنا + +408 +00:44:15,370 --> 00:44:20,390 +أول ما بفكر بضيع الجذور يبقى أول تفكير عندي كيف + +409 +00:44:20,390 --> 00:44:27,590 +أضيع الجذور تمام؟ يبقى بكل بساطة بكل بساطة لو شلت + +410 +00:44:27,590 --> 00:44:34,300 +جذر الـ X و حطيت بداله Y يبقى طار الجذر الأول مش + +411 +00:44:34,300 --> 00:44:40,000 +حاجات ديكو بس لو ربعت بصير X يساوي Y تربيع لو + +412 +00:44:40,000 --> 00:44:46,540 +اشتقت بصير DX يساوي 2YDY إذا صارت المسألة هذه + +413 +00:44:46,540 --> 00:44:54,460 +تكامل جذر الـ X اللي هو قد ايش؟ Y يبقى هذا الـ Y وهذا + +414 +00:44:54,460 --> 00:45:02,670 +اللي هو DX بـ 2YDY على الجذر التربيعي لواحد ناقص Y + +415 +00:45:02,670 --> 00:45:10,050 +تربيع تمام؟ يبقى المثل صارت اثنين خليك برا وهذا Y + +416 +00:45:10,050 --> 00:45:16,090 +تربيع على مين؟ على الجذر التربيعي لواحد ناقص Y + +417 +00:45:16,090 --> 00:45:22,250 +تربيع دي واحد يبقى فيه جذر يبدأ تخلص منه بدأ + +418 +00:45:22,250 --> 00:45:24,930 +المكان وجذرين صار جذر واحد يبقى مشكلتنا الحين + +419 +00:45:24,930 --> 00:45:31,230 +محلولة مش زي قبل يبقى مش بدي أحط الـ Y يبقى لو روحت + +420 +00:45:31,230 --> 00:45:38,950 +حطيت الـ y تساوي sin θ و θ حصرتها ما بين سالب باي + +421 +00:45:38,950 --> 00:45:45,310 +على اثنين و بين باي على اثنين يبقى dy بـ cos θ dθ + +422 +00:45:45,310 --> 00:45:52,330 +يبقى قالت المسألة إلى هي اثنين برا و الـ y تربيع + +423 +00:45:52,330 --> 00:45:57,850 +تعني الـ sin تربيع ثيتا و الجذر التربيعي لواحد ناقص + +424 +00:45:57,850 --> 00:46:07,360 +sin تربيع ثيتا وهذه بـ cos θ dθ يبقى هذا اثنين برا + +425 +00:46:07,360 --> 00:46:11,960 +وهي تكامل أظن أن هذا بيروح مع هذا كله و بظل بس + +426 +00:46:11,960 --> 00:46:17,280 +تكامل للـ sign تربيع theta في d theta هذه تبعت + +427 +00:46:17,280 --> 00:46:23,640 +calculus A مش calculus B يبقى اثنين في نص تكامل + +428 +00:46:23,640 --> 00:46:32,590 +واحد ناقص cosine اثنين theta كله في d theta النص + +429 +00:46:32,590 --> 00:46:39,570 +بيروح يبقى النتيجة ثيتا ناقص sign اثنين ثيتا على + +430 +00:46:39,570 --> 00:46:44,850 +اثنين زائد constant c وعملنا اختها قبل قليل هي + +431 +00:46:44,850 --> 00:46:50,530 +مظبوط يبقى هذه بتروح تكملها بس بتكتب theta بدلالة + +432 +00:46:50,530 --> 00:46:59,970 +من؟ بدلالة الـ X إن + +433 +00:46:59,970 --> 00:47:01,370 +شاء الله بتخلص يعني + +434 +00:47:04,430 --> 00:47:11,770 +بارفل عليك امتحان بكرا ما أنا بدي اسهلك برجع لك قاعد + +435 +00:47:11,770 --> 00:47:22,690 +يا راجل طيب سؤال سبعة تكامل لدي X على مين؟ على تان + +436 +00:47:22,690 --> 00:47:29,430 +الـ X في الجذر التربيعي لأربعة ناقص sign تربيع الـ + +437 +00:47:29,430 --> 00:47:35,010 +X الشكل عندنا أضع على وجهك في الامتحان بصيغة تقول + +438 +00:47:35,010 --> 00:47:40,110 +يا ساتر شغل + +439 +00:47:40,110 --> 00:47:40,770 +مخك + +440 +00:47:44,120 --> 00:47:52,840 +على طول الخط يبقى y تكامل لـ cos x dx على sin x في + +441 +00:47:52,840 --> 00:47:56,740 +الجذر التربيعي لـ أربعة ناقص sin تربيع الـ x + +442 +00:47:56,740 --> 00:48:04,080 +الحين لو حطيت الـ y تساوي الـ sin x يبقى dy بـ cos x + +443 +00:48:04,080 --> 00:48:11,640 +dx يبقى صارت المسألة تكامل لـ dy على Y الجذر التربيعي + +444 +00:48:11,640 --> 00:48:19,120 +لأربعة ناقص Y تربيع أظن صارت هذه سهلة خلصت يبقى + +445 +00:48:19,120 --> 00:48:32,170 +سالب نص ايش inverse يبقى + +446 +00:48:32,170 --> 00:48:41,170 +صار سالب نص سيش inverse يبقى صار سالب نص يبقى صار + +447 +00:48:41,170 --> 00:48:41,270 +سالب نص يبقى صار سالب نص يبقى صار + +448 +00:48:41,270 --> 00:48:44,750 +سالب نص يبقى صار سالب نص يبقى صار سالب نص يبقى + +449 +00:48:44,750 --> 00:48:49,350 +صار سالب نص يبقى صار + +450 +00:48:50,710 --> 00:49:00,970 +تكامل لمين لدي X على X الجذر التربيعي لثلاثة زائد + +451 +00:49:00,970 --> 00:49:07,530 +ظل الـ X الكل تربيع لازلنا في نفس الـ section و لما + +452 +00:49:07,530 --> 00:49:13,410 +ننتهي بعد للمرة القادمة إن شاء الله ننهي هذا الـ + +453 +00:49:13,410 --> 00:49:18,610 +section و ندخل بالـ section الآخر من هذا الـ chapter diff --git a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/Vb1SioQWTPE_raw.srt b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/Vb1SioQWTPE_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..e3b54f3db4abf9cd87b789ed6cae7f0abdb712f2 --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/Vb1SioQWTPE_raw.srt @@ -0,0 +1,1828 @@ +1 +00:00:09,620 --> 00:00:16,980 +بسم الله الرحمن الرحيم هذا ال section الأصل أن كل + +2 +00:00:16,980 --> 00:00:24,380 +واحد يكون مع الكتاب الأصلي اللي فيه على جلته 161 + +3 +00:00:24,380 --> 00:00:30,620 +تكامللا ندور فيهم، نحط السؤال ونذهب نبحث عن السؤال + +4 +00:00:30,620 --> 00:00:34,100 +في النيات الصيغة. هذا كلام احنا عفى عليه الزمن. + +5 +00:00:34,320 --> 00:00:39,320 +لأ، احنا زي ما هو كامل وعطاك النتيجة. طبعا هو بكتب + +6 +00:00:39,320 --> 00:00:42,640 +السؤال وبيكتب النتيجة. لأ، انت بدنا نخليك تطلع + +7 +00:00:42,640 --> 00:00:49,310 +النتيجة مش هنطلعك جد حالك.وبالتالي يعتبر هذا + +8 +00:00:49,310 --> 00:00:54,710 +section مراجعة لما سبقت دراسته في التكاملات كلها + +9 +00:00:54,710 --> 00:01:01,130 +اللي دراستها قبل ذلك يبقى بيعطاني سؤال يقول يتكامل + +10 +00:01:01,130 --> 00:01:06,720 +ل X على X الجدرى التربية ل X زائد 4طبعا، لما + +11 +00:01:06,720 --> 00:01:10,400 +يعطيني سؤال من هذا القبيل، ممكن ألاقي السؤال انحل + +12 +00:01:10,400 --> 00:01:14,560 +بطريقتين، بتلاتة، باربعة، المهم انتهاء الطريقة + +13 +00:01:14,560 --> 00:01:18,920 +والله يعطيك العافية، كافي منها، جيد؟ يبقى ليه أول + +14 +00:01:18,920 --> 00:01:21,320 +وهلة هادسة كإنفرس + +15 +00:01:23,930 --> 00:01:31,410 +اللي عندك X وليست X تربيع، لو كانت هذي X تربيع، + +16 +00:01:31,410 --> 00:01:37,710 +هنقول لك وسيش inverse، بس هذي X وليست اللي هو X + +17 +00:01:37,710 --> 00:01:42,010 +تربيع، بسيطة بنخليها تربيع، نقدر نخليها تربيع، + +18 +00:01:42,010 --> 00:01:49,410 +كيف؟ بروح بحثيبقى جذر ال X يساوي Y يبقى ال X يساوي + +19 +00:01:49,410 --> 00:01:55,830 +كده؟ Y تربية يبقى DX بصير 2YDY + +20 +00:02:02,050 --> 00:02:08,530 +بنجيب نقول مثلاتنا صارت على الشكل التالي dx ب 2y + +21 +00:02:08,530 --> 00:02:17,310 +dy ال x عندي من ب y تربيع ب y تربيع زاد 4 تحت + +22 +00:02:17,310 --> 00:02:23,660 +الجدرياثنين خلّيك برا و ال Y بتروح مع ال Y بظل + +23 +00:02:23,660 --> 00:02:32,520 +تكامل DY على Y الجدرى التربية ل Y تربية زائد 4هذه + +24 +00:02:32,520 --> 00:02:36,480 +الإنصارة اللي استعجلت عليها و قلت له هذه كوسيش + +25 +00:02:36,480 --> 00:02:41,000 +inverse بقول لك مظبوط يبقى اتنين اللي برا مالاش + +26 +00:02:41,000 --> 00:02:48,860 +علاقة و هذا سالب و هذا نص و هذه كوسيش inverse + +27 +00:02:48,860 --> 00:02:55,440 +لمين؟ ال absolute value لل Y على اتنين زائد + +28 +00:02:55,440 --> 00:03:02,500 +constant Cبعدها يجب ان تضع ال Y في مكانها جدر ال X + +29 +00:03:02,500 --> 00:03:10,120 +يبقى صارت سالب كسش inverse absolute value لجدر ال + +30 +00:03:10,120 --> 00:03:17,280 +X على 2 زائد constant Cيبقى هذه الطريقة الأولى + +31 +00:03:17,280 --> 00:03:23,640 +للحل أو أول تفكير أجا في بال أحد الأخوة فيكم إن + +32 +00:03:23,640 --> 00:03:29,420 +أنا بدي أرجع لمشتقة معكوس الدوال المثلثية ومشتقة + +33 +00:03:29,420 --> 00:03:34,620 +معكوس الدوال الزائدية اللي فيها جذوريبقى لا تان + +34 +00:03:34,620 --> 00:03:40,000 +انفرس ولا كتان انفرس ولا تانش انفرس ولا كتانش + +35 +00:03:40,000 --> 00:03:44,380 +انفرس. يبقى أربعة هنا وأربعة هنا ويبقى هذه واحدة + +36 +00:03:44,380 --> 00:03:50,600 +منهم طلعت الحمد لله آخر واحدة. تمام؟ يبقى خلصنا + +37 +00:03:50,600 --> 00:03:55,260 +منها.أجي واحد تاني قال لي لا أنا بفكر بطريقة أخرى، + +38 +00:03:55,260 --> 00:03:59,420 +بقوله كيف؟أحنا أخدنا الـ Trigonometric + +39 +00:03:59,420 --> 00:04:04,400 +Substitution يعني بدنا نكامل بطريقة التعويض بدالة + +40 +00:04:04,400 --> 00:04:11,060 +مثلثية بس لو عوضت بدالة مثلثية هنا نخلصش من هالشغل + +41 +00:04:11,060 --> 00:04:15,380 +يعني لشارة زادية يبقى التعويض تبعتنا تان مظبوط + +42 +00:04:15,380 --> 00:04:22,660 +بصير تان ثيتا زائد أربعة لكنلو كانت أربعتان تربية + +43 +00:04:22,660 --> 00:04:28,360 +ثيتا كان الجدراح وخلصنا منه مظبوط يبقى هذا هو + +44 +00:04:28,360 --> 00:04:34,680 +التفكير الثاني إذا أنا ممكن أشيل ال X و أحط مكانها + +45 +00:04:34,680 --> 00:04:40,900 +مش اتنين تان ثيتا بحط أربعتان تربية ثيتا مرة واحدة + +46 +00:04:40,900 --> 00:04:48,180 +إذا إحنا لو رحنا حطينا ال X يساوي أربعتان تربية + +47 +00:04:48,180 --> 00:04:54,090 +ثيتاو جيت حطيتها مكانها هنا صحيح ان تتخلص من الجدر + +48 +00:04:54,090 --> 00:05:00,570 +بهذه الطريقة بس ايه شكل ال dx يبقى ال dx بيساوي + +49 +00:05:00,570 --> 00:05:06,850 +تمانية في tan ثيتا في تفاضل ال tan ب سكتة ربيع + +50 +00:05:06,850 --> 00:05:13,010 +ثيتا في d ثيتا اذا اصبحت المسألة اللي عندنا هذا + +51 +00:05:13,010 --> 00:05:20,030 +بده يسميه حل اخر another solutionيبقى هاي التكامل + +52 +00:05:20,030 --> 00:05:30,890 +الـ dx اللي هي 8 tan θ في sec تربية θ في dθ كله + +53 +00:05:30,890 --> 00:05:37,130 +مقسوم على x اللي هي 4 tan تربية θ في الجدر + +54 +00:05:37,130 --> 00:05:45,410 +التربيهي ل 4 tan تربية θ زائد 4 يبقى حولت المسألة + +55 +00:05:45,410 --> 00:05:50,860 +اللي عندي كلها بالشكل هذاطلعله هنا اربعة مع اربعة + +56 +00:05:50,860 --> 00:05:55,900 +تقلع برا بقداش باتنين اتنين في اربعة بتمانية و + +57 +00:05:55,900 --> 00:06:02,020 +تمانية مع السلامة هاي واحدة التانية تان ثيتا بده + +58 +00:06:02,020 --> 00:06:07,680 +تروح مع تان تربيع يبقى هاي تمانية و هاي تمانية و + +59 +00:06:07,680 --> 00:06:16,320 +هاي تكامل وضل عندي بس تربيع ثيتا دي ثيتا على تان + +60 +00:06:16,320 --> 00:06:23,020 +ثيتابقى هنا اني جداش واحد زي التان تربية عليهمان + +61 +00:06:23,020 --> 00:06:30,740 +سك تربية تحت الجدر تطلع بسك يبقى فيه سك ثيتا يبقى + +62 +00:06:30,740 --> 00:06:36,700 +بتقول المسألة إلى الشكل التالي integration لسك + +63 +00:06:36,700 --> 00:06:44,630 +ثيتا على مين على تان ثيتا في دي ثيتاطيب، هذه لو + +64 +00:06:44,630 --> 00:06:50,530 +رجعناها بدلالة الـSin والـCos يبقى واحد على Cos θ + +65 +00:06:50,530 --> 00:06:57,050 +ليسك تان Sin على Cos تطلع الـCos فوق ويظهر لنا Sin + +66 +00:06:57,050 --> 00:07:05,050 +θ Dθ يبقى آلة المسألة إلى تكامل واحد على Sin θ Dθ + +67 +00:07:05,050 --> 00:07:13,370 +يعني تكامل لـCos θ Dθهذه الـ Standard نخدناها في + +68 +00:07:13,370 --> 00:07:19,270 +الشرطر الأولاني و أعطناها لك هنا أول ما بدنا يبقى + +69 +00:07:19,270 --> 00:07:26,530 +هذا يسوى لن absolute value لكوسيكا ثيتا ناقص كتان + +70 +00:07:26,530 --> 00:07:33,150 +ثيتا زائد constant Cطب مسألتنا بدأت بدلالة الـ X + +71 +00:07:33,150 --> 00:07:37,290 +وانتهينا بدلالة الـ θ إذا بدنا نرجع و نكتبها + +72 +00:07:37,290 --> 00:07:42,630 +بدلالة مين؟ بدلالة الـ X وان التعويض اللي حطناها + +73 +00:07:42,630 --> 00:07:42,970 +هي + +74 +00:07:45,850 --> 00:07:52,770 +بس حطلي جنبها theta أكبر من سالف pi على 2 وأقل من + +75 +00:07:52,770 --> 00:07:57,110 +pi على 2 يعني حصرناها في الرابع الرابع والربع + +76 +00:07:57,110 --> 00:08:06,100 +الأول يبقى منها بقدر اقول ما يأتيتان تربية ثيتا + +77 +00:08:06,100 --> 00:08:13,360 +بده يساوي X على أربع أو تان ثيتا بده يساوي جذر ال + +78 +00:08:13,360 --> 00:08:19,580 +X على مين؟ على اتنين لو روحنا رسمنا المثلث بالشكل + +79 +00:08:19,580 --> 00:08:25,630 +لأن هذا هي ثيتا وهي الزاوية القائمةالظل يساوي + +80 +00:08:25,630 --> 00:08:33,070 +المقابل على المجاور حسب فيه ثغور الوطر + +81 +00:08:40,520 --> 00:08:46,320 +كو سي كنتل هو الوطر على المقابل يبقى الجذر التربيه + +82 +00:08:46,320 --> 00:08:52,860 +ل X زائد أربعة على المقابل اللي هو جذر ال X ناقص + +83 +00:08:52,860 --> 00:08:58,940 +كتاب ثيتا المجاور على المقابل اتنين على جذر ال X + +84 +00:08:58,940 --> 00:09:06,460 +زائد constant Cطبعا الجوابين شكل هما له مختلف لكن + +85 +00:09:06,460 --> 00:09:10,980 +اخدنا انه مع كوسي الدول الزادية بقدر اكتبها بدلالة + +86 +00:09:10,980 --> 00:09:16,180 +مين بدلالة لن إذا لو روحنا كتبناها بدلالة لن هتوصل + +87 +00:09:16,180 --> 00:09:29,220 +لشكل مثل هذا الشكل تماما اخد + +88 +00:09:29,220 --> 00:09:34,740 +تكاملاللي كوسيكا كان ثيتا اللي هو إيه؟ سالب. أه + +89 +00:09:34,740 --> 00:09:37,800 +فهمت عليك يعني إيه السالب برا و اللي جوا بالذات، + +90 +00:09:37,800 --> 00:09:40,220 +سيان، سواء الصيغة هذه ولا الصيغة هذه، أعطيتك + +91 +00:09:40,220 --> 00:09:45,320 +الصيغتينوالله شوفهم انت عندك كيف والله امسك من انا + +92 +00:09:45,320 --> 00:09:49,340 +اعرف التنتين بسوا بعض يعني بدل الصلب هذا لو كتبته + +93 +00:09:49,340 --> 00:09:55,280 +برا و كتبت هنا cos ز كتان نفس النتيجة صحيح ولا لا؟ + +94 +00:09:55,280 --> 00:09:59,260 +هاي اللي احنا قولنا امسك قلمك وشوف هل هذه النتيجة + +95 +00:09:59,260 --> 00:10:03,280 +هي النتيجة هذه ولا لا يعني انت عندك تكامل cos + +96 +00:10:03,280 --> 00:10:08,810 +واضرب في cos ز كتانو اكسم على cosecant زائد cotin + +97 +00:10:08,810 --> 00:10:15,150 +بصير البصوطة فاض المقام بس بده إشارة سالب تمام؟ + +98 +00:10:15,150 --> 00:10:19,750 +بصير السالب برا و الباقي بالزائد جوا طيب ما علينا + +99 +00:10:19,750 --> 00:10:24,590 +هذا السؤال لو السؤال التاني زي ما انت ملاحظ حلنا + +100 +00:10:24,590 --> 00:10:29,370 +السؤال بأكثر من طريقة و هكذا كل واحد فيكم ممكن + +101 +00:10:29,370 --> 00:10:34,280 +يفكر تفكير شكل و كل واحد يحله بطريقة مخالفةلطريقة + +102 +00:10:34,280 --> 00:10:40,360 +اللى حلقبها زمان خد سؤالى التانى بيقولى تكامل + +103 +00:10:40,360 --> 00:10:47,460 +الجذر التربيع لتسعة ناقص اربعة X كله على X تربيع + +104 +00:10:47,460 --> 00:10:52,080 +DX كويس + +105 +00:10:52,080 --> 00:10:56,520 +يبقى هذا زى اللى جابله بس الفرق الجذر كان فى + +106 +00:10:56,520 --> 00:11:02,840 +المقامودخلنا الجذر وين؟ في البصد طيب انا حابب اضيع + +107 +00:11:02,840 --> 00:11:11,240 +الجذر هذا دغري مباشرة ايش ممكن احط ال X بحيث الجذر + +108 +00:11:11,240 --> 00:11:18,220 +يطير هذا؟ يلا شوف لاحظ عندك جذر و اللي تحت الجذر + +109 +00:11:18,220 --> 00:11:25,040 +إشارة سالبة و السالبة للمتغير و ليس للمقدار الثابت + +110 +00:11:25,040 --> 00:11:26,980 +يبقاش التعويض اللي حطها + +111 +00:11:32,100 --> 00:11:46,500 +عشان نتناقش نتناقش نتناقش نتناقش نتناقش + +112 +00:11:46,500 --> 00:11:53,880 +نتناقش + +113 +00:11:53,880 --> 00:11:57,880 +نتناقش نتناقش + +114 +00:11:59,580 --> 00:12:04,760 +تسعة عارفة صين تربية تسعة عارفة صين تربية تسعة + +115 +00:12:04,760 --> 00:12:18,600 +عارفة صين تربية تسعة عارفة + +116 +00:12:18,600 --> 00:12:23,440 +صين تربيةفعلا بتروح الاربعة مع الاربعة ويبقى تسعة + +117 +00:12:23,440 --> 00:12:26,640 +صين تربية تاخد التسعة عامة المشتركة تبقى واحد ناقص + +118 +00:12:26,640 --> 00:12:30,240 +صين تربية تكون صين تربية الجدرى مع السلامة وثيتا + +119 +00:12:30,240 --> 00:12:36,780 +بحصورها أكبر من أو تساوي سالب باي على اتنين وأقل + +120 +00:12:36,780 --> 00:12:43,110 +من أو تساوي باي على اتنين بالشكل هذاتمام؟ إذا + +121 +00:12:43,110 --> 00:12:48,490 +انقلت المسألة إلى الشكل التالي integration للجذر + +122 +00:12:48,490 --> 00:12:56,190 +التربيعي لمن؟ لتسعة ناقص تسعة sign تربيع تيتا + +123 +00:12:56,190 --> 00:13:00,250 +شيلنا ال Exo حقنا بما يبقى تسعة أربعة بتروح + +124 +00:13:00,250 --> 00:13:05,110 +الأربعة مع الأربعة لتسعة sign تربيع تيتا على من؟ + +125 +00:13:06,020 --> 00:13:13,060 +على اكس تربية الواحد و تمانين على ستة عشر وهنا ال + +126 +00:13:13,060 --> 00:13:20,160 +sign أقصى أربعة ثانيةبقى عند ال dx يبقى ال dx + +127 +00:13:20,160 --> 00:13:29,000 +بتساوي 9 على 2 sin θ في تفاضل ال sin ب cos θ في dθ + +128 +00:13:29,000 --> 00:13:36,980 +إذا بدي أشيل ال dx و أضع قيمتها ل 9 على 2 sin θ + +129 +00:13:36,980 --> 00:13:45,920 +cos θ dθبعد ذلك يجب أن يكون الـsense برا يبقى هذا + +130 +00:13:45,920 --> 00:13:55,540 +الكلام يبدو يساوي 9 مع 9 تطلع برا ب 3 أي 3 في 9 + +131 +00:13:55,540 --> 00:14:04,820 +على 2 هذه في المقام يبقى 1 و 8 وتجيلك ال 16 فوق + +132 +00:14:04,820 --> 00:14:11,640 +وهي التكاملواحد ناقص sin تربية لهمين cos تربية + +133 +00:14:11,640 --> 00:14:22,400 +يطلع من تحت الجذر بcos θ في sin θ في cos θ في dθ + +134 +00:14:22,400 --> 00:14:30,950 +على sin أربعة ثيتا بالشكل اللي عندناطيب نختصر + +135 +00:14:30,950 --> 00:14:35,890 +تلاتة في تسعة بسبعة وعشرين مع الواحد وتمانين بيظل + +136 +00:14:35,890 --> 00:14:41,770 +تلاتة وهادي مع هادي بتمانية يبقى تمانية على تلاتة + +137 +00:14:41,770 --> 00:14:47,690 +يبقى يساوي تمانية على تلاتة وهي التكامل ال sign مع + +138 +00:14:47,690 --> 00:14:54,510 +الأس أربعة بيصير تكامل لكو sign تربيع ثيتا على + +139 +00:14:54,510 --> 00:15:04,750 +sign تكييب ثيتا في دي ثيتاطبعا يساوي تمانية تلاتة + +140 +00:15:04,750 --> 00:15:11,210 +برا وهي تكامل صين تكييب بقدر أخليها واحد على صين + +141 +00:15:11,210 --> 00:15:16,990 +واحد على صين اللي هو بمين؟ كوسيكا ثيتا هاي كوسيكا + +142 +00:15:16,990 --> 00:15:22,270 +ثيتا او بابا اللي عندي كسين تربية على صين تربية + +143 +00:15:22,270 --> 00:15:29,930 +اللي هو بمين؟كتان تربيع يبقى كتان تربيع ثيتا في دي + +144 +00:15:29,930 --> 00:15:35,290 +ثيتا يبقى صارة المثل اللي عندي على الشكل التالي + +145 +00:15:35,290 --> 00:15:42,430 +طبعا يساوي تمانية على تلاتة تكامل لكوسيكان ثيتا + +146 +00:15:42,430 --> 00:15:48,830 +الكتان تربيع بقدر اكتبها بدلالة من الكوسيكانيبقى + +147 +00:15:48,830 --> 00:15:56,290 +هذه عبارة عن ايه؟ cos تربيه θ ناقص واحد في dθ يبقى + +148 +00:15:56,290 --> 00:16:03,930 +صارت تمانية ع تلاتة تكامل لcos تكيب θ dθ ناقص + +149 +00:16:03,930 --> 00:16:14,710 +تمانية ع تلاتة تكامل لcos θ dθ هذه لقبل قليللأن + +150 +00:16:14,710 --> 00:16:22,310 +كثيكان ناقص كتاب طب و هذه ايه رأيك في تكامل كثيكان + +151 +00:16:22,310 --> 00:16:30,060 +تاكين؟ مرت علينا هذه؟ good exercise كانت لك؟حلتها + +152 +00:16:30,060 --> 00:16:34,180 +في الدار ولا لا؟ انا ماقلتلك هي good exercise كمل + +153 +00:16:34,180 --> 00:16:38,860 +لك six تكييب وبعد ما خلصت جدك بنفس الطريقة بيبقى + +154 +00:16:38,860 --> 00:16:44,700 +تروح تكمل هي و second تكييب يبقى in the can حليتها + +155 +00:16:44,700 --> 00:16:50,780 +حط الحل هنا وهذا ال standard معروفة وخلص المثال + +156 +00:16:50,780 --> 00:16:54,100 +يبقى هنا أكمل الحل + +157 +00:17:19,400 --> 00:17:28,220 +سؤال التالت، سؤال التالت بيقول لي تكاملاللي هو من + +158 +00:17:28,220 --> 00:17:38,100 +ال X الجذر التربيعي لأربعة X ناقص X تربيع كله في + +159 +00:17:38,100 --> 00:17:46,040 +DX برضه هذا جذر لكن هذا الجذر يختلف عن الجذور + +160 +00:17:46,040 --> 00:17:51,900 +السابقة فكرلي في الموضوع كيف بينا نبدأ المسألة + +161 +00:17:51,900 --> 00:17:52,940 +تبعتنا هذه + +162 +00:18:16,440 --> 00:18:23,300 +كيف؟ صح هذا وجهة نظرك، طلّق الكمية اللي تحت الجدر، + +163 +00:18:23,300 --> 00:18:28,720 +مش X تربية زادة وناقص كونستان، لا، X تربية وناقص + +164 +00:18:28,720 --> 00:18:33,150 +كونستان في X، ولا زاد كونستان في Xيبقى من حد ما + +165 +00:18:33,150 --> 00:18:38,550 +اشوف مقبار بهذا الشكل او X تربية ناقص او زايد + +166 +00:18:38,550 --> 00:18:43,430 +كونستان في X زايد كونستان تاني ماليش الا اكمل + +167 +00:18:43,430 --> 00:18:50,070 +المربع تمام؟ يبقى بدنا نعمل اكمل المربع ونشوف يبقى + +168 +00:18:50,070 --> 00:18:55,750 +هذا بيسوي تكمل X الجدري التربيعي كده يشبه بمشان + +169 +00:18:55,750 --> 00:19:02,710 +أصير مربع كامل؟أربعة أرفض اي اربعة و اي ناقص اربعة + +170 +00:19:02,710 --> 00:19:11,320 +وزائد اربعة اكس ناقص اكس ترابية كله DXيساوي تكامل + +171 +00:19:11,320 --> 00:19:16,780 +لل X في الجدري التربيعي لأربعة سالب بدي أخد سالب + +172 +00:19:16,780 --> 00:19:22,840 +عام المشترك بيظل X تربيع ناقص أربعة X زائد أربعة + +173 +00:19:22,840 --> 00:19:29,040 +كله بالنسبة إلى DX يبقى X الجدري التربيعي لأربعة + +174 +00:19:29,400 --> 00:19:36,100 +طلع لي هذا المقدار يبقى + +175 +00:19:36,100 --> 00:19:43,690 +x ناقص اتنين لكل تربيع بالنسبة ل dxبعد ذلك ممكن + +176 +00:19:43,690 --> 00:19:50,570 +ابسطها اكتر لو حطيت ال y يساوي x ناقص اتنين يبقى + +177 +00:19:50,570 --> 00:19:58,830 +dy يساوي dx يبقى قلة المسألة لتكامل ال x لوب y + +178 +00:19:58,830 --> 00:20:05,750 +زائد اتنين يبقى اي y زائد اتنين وهي الجدر التربيعي + +179 +00:20:05,750 --> 00:20:13,420 +لاربع ناقص y تربيع dyيساوي، كيف نعمل في المسألة + +180 +00:20:13,420 --> 00:20:17,320 +هذه على الحين؟ + +181 +00:20:17,320 --> 00:20:24,980 +وين فرق المربعين هذه؟ وين بتلاقيها؟ يا زلم هذا تحت + +182 +00:20:24,980 --> 00:20:33,300 +الجدر يا راجل، تحت الجدر طب اشرك جزيها إلى تكاملين + +183 +00:20:35,250 --> 00:20:42,530 +يبقى هذا Y الجدر التربيه لاربع ناقص Y تربيه دي Y + +184 +00:20:42,530 --> 00:20:49,410 +زائد اتنين تكامل الجدر التربيه لاربع ناقص Y تربيه + +185 +00:20:49,410 --> 00:20:55,230 +دي Y وبعد كده كيف نكمل الأولى سيبك من التانية + +186 +00:20:55,230 --> 00:21:00,630 +خلينا مع الأولى بنفع نكملها ب Calculus A و الله ب + +187 +00:21:00,630 --> 00:21:01,710 +Calculus B + +188 +00:21:04,160 --> 00:21:09,840 +طيب بـ A و B تتكامل بالطريقتين تمام لإن اللي برا + +189 +00:21:09,840 --> 00:21:14,760 +هي مشتقة اللي جوا بس بدها سالب اتنين مظبوط يبقى + +190 +00:21:14,760 --> 00:21:17,040 +بصير اللي برا مشتقة اللي جوا بس بدها سالب اتنين + +191 +00:21:17,040 --> 00:21:17,040 +مظبوط يبقى بصير اللي برا مشتقة اللي جوا بس بدها + +192 +00:21:17,040 --> 00:21:18,140 +سالب اتنين مظبوط يبقى بصير اللي برا مشتقة اللي جوا + +193 +00:21:18,140 --> 00:21:22,160 +بس بدها سالب اتنين مظبوط يبقى بصير اللي برا مشتقة + +194 +00:21:22,160 --> 00:21:26,840 +اللي جوا بس بدها سالب اتنين مظبوط يبقى بصير اللي + +195 +00:21:26,840 --> 00:21:32,400 +برا مشتقة اللي جوا بس بدها سالب اتنين مظبوط + +196 +00:21:32,400 --> 00:21:37,980 +يبقSin لأن الإشارة السالب لمين؟ للمتغير وبنفع + +197 +00:21:37,980 --> 00:21:42,860 +التعويض اللي حط هنا حط هنا لإنه تاني نفسي الجدر + +198 +00:21:42,860 --> 00:21:50,660 +تمام إذا لو روحت حطيت ال Y تساوي Sin الزاوية ثيتا + +199 +00:21:50,660 --> 00:21:56,740 +وثيتا أكبر من أو تساوي سالب Y على اتنينو اقل من او + +200 +00:21:56,740 --> 00:22:01,580 +تسوى πاية على اتنين اذا المسألة صارت على الشكل + +201 +00:22:01,580 --> 00:22:08,100 +التالي اه اتنين صح اتنين صين الزاوية ثيتا تمام + +202 +00:22:08,100 --> 00:22:14,500 +يبقى بصير اتنين صين الزاوية ثيتا في الجدر التربية + +203 +00:22:14,500 --> 00:22:20,800 +اللي اربعة ناقص اربعة صين تربية ثيتافى الـ dy اللى + +204 +00:22:20,800 --> 00:22:27,020 +هو اتنين cosine ثيتا فى d ثيتا زائد اتنين تكامل + +205 +00:22:27,020 --> 00:22:32,720 +الجدر التربية اللى اربعة ناقص اربعة sin تربية ثيتا + +206 +00:22:32,720 --> 00:22:42,180 +فى اتنين cosine ثيتا فى d ثيتا من تحت الجبر يطلع + +207 +00:22:42,180 --> 00:22:48,000 +ليه اتنين و عندك اتنين وكمان اتنينيبقى تلت اتنينات + +208 +00:22:48,000 --> 00:22:53,360 +يبقى تمانية هي واحدة واحد مع cosine تربية اللي و + +209 +00:22:53,360 --> 00:22:58,440 +cosine تربية تطلع من تحت الجدر ب cosine و عندك + +210 +00:22:58,440 --> 00:23:05,560 +cosine يبقى cosine تربية ثيتا في sin ثيتا في d + +211 +00:23:05,560 --> 00:23:12,580 +ثيتا هذا الجزء الأول الجزء الثاني زاد اربع مع اربع + +212 +00:23:12,580 --> 00:23:18,650 +تطلع برا باتنينفى اتنين فى اتنين يبقى كمان تمانية + +213 +00:23:18,650 --> 00:23:23,450 +ماحدش احسن من حد وضل واحد ناقص صين تربية اللى بكو + +214 +00:23:23,450 --> 00:23:29,430 +صين تربية تطلع من تحت الجدرب بكو صين فى كو صين بكو + +215 +00:23:29,430 --> 00:23:35,840 +صين ثتا فى دي ثتانجم كامل الدالة الأولى يبقى + +216 +00:23:35,840 --> 00:23:40,880 +تمانية تكامل تفاضل ال sign ب cosine إذا ما بقدر + +217 +00:23:40,880 --> 00:23:46,920 +أحول المثلة كلها بدلالة ال cosine تربية ثيتا هذا + +218 +00:23:46,920 --> 00:23:53,680 +مشتقة مين مشتقة ال cosine بس بده إشارة سالب يبقى + +219 +00:23:53,680 --> 00:24:01,920 +هاي السالب برا وهذا دي لا cosine الزاوية ثيتايبقى + +220 +00:24:01,920 --> 00:24:08,360 +شيل تابع وكتبته سالب دي لكوصين الزاوية ثيتا هذه + +221 +00:24:08,360 --> 00:24:13,380 +كوصين تربية عشانها كوصين تربية صحيح يبقى زائد + +222 +00:24:13,380 --> 00:24:19,100 +تمانية هذه ماعرفش أكملها إلا أحولها بدلالة ضعف + +223 +00:24:19,100 --> 00:24:27,280 +الزاوية في الصين يبقى نص يتكمل واحد زائد كوصين + +224 +00:24:27,280 --> 00:24:36,330 +اتنين ثيتا في ديهذا يساوي ناقص تمانية على تلاتة + +225 +00:24:36,330 --> 00:24:43,590 +cosine تكييب ثيتا وهذا زائد اربعة وهذا يقوس تكامل + +226 +00:24:43,590 --> 00:24:49,030 +الواحد بثيتا وتكامل ال cosine بالصين اتنين ثيتا + +227 +00:24:49,030 --> 00:24:56,710 +على اتنين وهذا زائد constant Cطيب تعالى اتطلعلى + +228 +00:24:56,710 --> 00:25:02,530 +للمقدار هذا المقدار هذا هو عبارة عن اتنين sine + +229 +00:25:02,530 --> 00:25:07,470 +theta في cosine الزاوية theta الاتنين مع الاتنين + +230 +00:25:07,470 --> 00:25:11,670 +بيظل لنا باسمين sine theta في cosine theta اذا + +231 +00:25:11,670 --> 00:25:17,250 +اصبحت النتيجة على الشكل التالف minus تمانية على + +232 +00:25:17,250 --> 00:25:25,690 +تلاتة لمين لا cosine تكعيب thetaزائد أربعة ثيتا + +233 +00:25:25,690 --> 00:25:35,230 +زائد أربعة sin ثيتا cos ثيتا زائد constant C بعد + +234 +00:25:35,230 --> 00:25:41,810 +هيك بدين المسألة بدلالة ال X وانتهينا بالثيتا يبجى + +235 +00:25:41,810 --> 00:25:49,200 +هذا كلام لأ بدنا ننهي المسألة بما ابتدأنا بيهانا + +236 +00:25:49,200 --> 00:25:55,480 +حاطين التعويضة هنا sin θ يساوي او اتنين sin θ + +237 +00:25:55,480 --> 00:26:04,700 +يساوي يبقى منها بقدر اقول sin θ يساوي جداش y على + +238 +00:26:04,700 --> 00:26:10,960 +اتنين يبقى بناء عليه بقدر ارسم المثلث و اقول + +239 +00:26:10,960 --> 00:26:17,090 +المثلث هذابالشكل أدى ده ثيتا و هي الزاوية القائمة + +240 +00:26:17,090 --> 00:26:24,590 +ال sign يسوى المقابل على ال water يبقى المقابل y و + +241 +00:26:24,590 --> 00:26:31,390 +ال water اتنين و الضلع التالت له اربعة ناقص y + +242 +00:26:31,390 --> 00:26:37,200 +ثيربيايبقى بناء عليه أصبحت هذه ناقص تمانية على + +243 +00:26:37,200 --> 00:26:43,700 +تلاتة الكوصين المجاور على الوطر يبقى الجذر + +244 +00:26:43,700 --> 00:26:50,940 +التربيعي لمن؟ للأربع ناقص واي تربية على الوطر اللي + +245 +00:26:50,940 --> 00:26:58,920 +هو اتنين لكل تكييماللي بعده زائد أربعة من هنا بقدر + +246 +00:26:58,920 --> 00:27:04,000 +أقول له theta لل sign inverse y على اتنين يبقى + +247 +00:27:04,000 --> 00:27:12,610 +sign inverse y على اتنين خلصنا منها اللي بعدهزائد + +248 +00:27:12,610 --> 00:27:21,930 +أربع sin θ المقابل على الوتر يبقى y على اتنين cos + +249 +00:27:21,930 --> 00:27:27,790 +θ المجاور على الوتر في الجدرى التربية لأربع ناقص y + +250 +00:27:27,790 --> 00:27:33,970 +تربية على الوتر اللي هو اتنين زائد constant Cيسوي + +251 +00:27:33,970 --> 00:27:40,850 +ناقص تمانية، التمانية بتروح، يبقى ناقص تلت، لأنه + +252 +00:27:40,850 --> 00:27:48,910 +اتنين تقريب من بتمانية، بظل عندنا الأربع ناقص اشر + +253 +00:27:48,910 --> 00:27:55,710 +عيا كوال، مية اكس ناقص اتنين، الكل تربية أس تلاتة + +254 +00:27:55,710 --> 00:28:02,920 +على اتنينالجذر يبقى تلاتة على اتنين شيلت ال Y حطيت + +255 +00:28:02,920 --> 00:28:08,440 +قيمته بدلالة ال X اللي هو X ناقص اتنين لكل تربيع + +256 +00:28:08,440 --> 00:28:15,620 +يبقى زائد اربعة sin inverse X ناقص اتنين على + +257 +00:28:15,620 --> 00:28:21,440 +الاتنينإتنين مع اتنين مع الأربعة الله يسهل عليها + +258 +00:28:21,440 --> 00:28:28,240 +وضل عندنا زائد X ناقص اتنين اللي هي ال Y في الجدري + +259 +00:28:28,240 --> 00:28:35,160 +التربيهي لاربع ناقص X ناقص اتنين لكل تربيع زائد + +260 +00:28:35,160 --> 00:28:39,760 +constant C لو روحت على الكتاب تدور على الجواب + +261 +00:28:39,760 --> 00:28:41,080 +تلاقيش بالشكل هذا + +262 +00:28:46,340 --> 00:28:54,380 +بالنسبة لـ x² + +263 +00:28:54,380 --> 00:29:02,090 +-4x-x²بصيروا يدخلوا الناقص ويقولوا ناقص أربعة وزيد + +264 +00:29:02,090 --> 00:29:07,870 +أربعة مع بعض ويروح بيظل أربعة X ناقص X تربية يبقى + +265 +00:29:07,870 --> 00:29:13,530 +لو رجعته لأصله بيصير أربعة X ناقص X تربية كله + +266 +00:29:13,530 --> 00:29:19,090 +ثلاثة على اتنين وهذا زائد أربعة sign inverse X + +267 +00:29:19,090 --> 00:29:24,750 +ناقص اتنين على اتنين وهذا X ناقص اتنين والجدر + +268 +00:29:24,750 --> 00:29:30,680 +التربية لأربعة X ناقص X تربيةزائد Constancy يبقى + +269 +00:29:30,680 --> 00:29:36,160 +بلاك الإجابة الشكل هذا وليست الشكل اللي فوق على أي + +270 +00:29:36,160 --> 00:29:42,300 +حال هي عندك ثلاثة أمثلة مرة الجدر في المقام مرة + +271 +00:29:42,300 --> 00:29:48,380 +الجدر فوق مرة الجدر يحتاج إلى إكمال للمربع وقس على + +272 +00:29:48,380 --> 00:29:54,320 +ذلك بقية الأسلل اللي موجودة في التمرينبنروح الى + +273 +00:29:54,320 --> 00:30:00,800 +أنواع اخرى من الاسن اللى موجودة فى التمرين فمثلا + +274 +00:30:00,800 --> 00:30:13,140 +جالى تكامل تكامل لل x cos inverse x dxأحد مسائل + +275 +00:30:13,140 --> 00:30:17,980 +التمرين برضه السؤال اللي قدامنا هذا و بدنا ما هو + +276 +00:30:17,980 --> 00:30:25,780 +شكل الإجابة نقوله بسيطة يبقى هذا بمجرد النظر يحتاج + +277 +00:30:25,780 --> 00:30:31,260 +ليه integration by parts يبقى بدنا ناخد ال U عبارة + +278 +00:30:31,260 --> 00:30:31,820 +عن ايه؟ + +279 +00:30:37,800 --> 00:30:45,920 +يبقى بروح بقوله تاخد ال U يساوي Cos inverse X وDV + +280 +00:30:45,920 --> 00:30:53,420 +كل اللي بيظل X DX بدنا نفاضل يبقى DU بسالب واحد + +281 +00:30:53,420 --> 00:31:01,020 +على الجدرى التربية لواحد ناقص X تربية DX وال V بنص + +282 +00:31:02,890 --> 00:31:10,210 +يبقى النتيجة تساوي U في V يبقى نص X تربية Cos + +283 +00:31:10,210 --> 00:31:17,590 +inverse X لاقص تكامل V وهي النص برا وهي ال X تربية + +284 +00:31:17,590 --> 00:31:24,970 +وهي الجدر التربية لو واحد لاقص X تربية DX يبقى + +285 +00:31:24,970 --> 00:31:29,750 +انتهينا من تكامل Cos inverse ووصلنا إلى سؤال من + +286 +00:31:29,750 --> 00:31:36,900 +هذا القبيللا أدري ما هي وجهة نظركم في حل هذا + +287 +00:31:36,900 --> 00:31:42,620 +السؤال ايش اللي ممكن نشتغله مشان نحل السؤال نطلع + +288 +00:31:42,620 --> 00:31:48,200 +باللحظ في جذر و لتحت الجذر إشارة سالبة و السالبة + +289 +00:31:48,200 --> 00:31:52,380 +للمتغير و ليس للثابت يبقى هذا ال standard إلا + +290 +00:31:52,380 --> 00:31:58,260 +تعويضة معروفة إيش ليه مين؟ X سوى كده؟ كده؟ + +291 +00:32:00,360 --> 00:32:08,280 +يبقى بدنا نروح ونحط ال x يساوي sin θ و ال dx يساوي + +292 +00:32:08,280 --> 00:32:17,380 +cos θ dθ إذا قالت المسألة إلى نص x²cos inverse x + +293 +00:32:17,380 --> 00:32:25,430 +ناقص نص وهي تكامل x تربيع يبقى sin تربيع θعلى + +294 +00:32:25,430 --> 00:32:31,810 +الجذر التربية الى واحد ناقص sin تربية ثيتا و dx هي + +295 +00:32:31,810 --> 00:32:35,090 +cosine theta d theta + +296 +00:32:37,450 --> 00:32:44,270 +هذا الكلام يساوي نص x تربية cosine inverse x ناقص + +297 +00:32:44,270 --> 00:32:52,930 +نص خلّيك برا وهي تكامل واحد ناقص sin تربية تطلع من + +298 +00:32:52,930 --> 00:32:59,550 +تحت الجدر بcos يبقى هادي وهادي مع بعض بيظل تكامل + +299 +00:32:59,550 --> 00:33:04,130 +لsin تربية θ في d θ + +300 +00:33:06,950 --> 00:33:13,330 +هذه هي آلة المسألة إلى الشكل التالي يبقى نص X + +301 +00:33:13,330 --> 00:33:18,150 +تربية cosine inverse X وهنا ناقص نص + +302 +00:33:23,520 --> 00:33:27,820 +خلّي بالك، خلّي بالك، اه هذه ناقصة، بتيجي هذه زاد، + +303 +00:33:27,820 --> 00:33:33,280 +صحيح، و هذه زاد و هذه زاد، ناقص تبعت القانون و + +304 +00:33:33,280 --> 00:33:36,080 +ناقص تبعت الاشتقاء، يبقى زاد + +305 +00:33:39,970 --> 00:33:47,470 +مظبوط يبقى ده بيصير نص x تربية cosine inverse x + +306 +00:33:47,470 --> 00:33:56,390 +زائد نص وكمان نص وتكامل الواحد ناقص cosine اتنين + +307 +00:33:56,390 --> 00:34:02,030 +theta كله بالنسبة الى مين الى d thetaيبقى النتيجة + +308 +00:34:02,030 --> 00:34:09,170 +النهائية صارت عندنا تكامل لل x cos inverse x dx + +309 +00:34:09,170 --> 00:34:17,610 +بدل ساوي النص x تربية cosine inverse x وصلنا لزائد + +310 +00:34:17,610 --> 00:34:26,160 +رابعوبدنا نكمل الأولى بثيتا والتانية بناقص sin 2 + +311 +00:34:26,160 --> 00:34:35,860 +ثيتا على 2 زائد constant c هذه مرة تانية ب2 sin + +312 +00:34:35,860 --> 00:34:40,180 +theta cosine theta يبقى صارت المسألة + +313 +00:34:54,040 --> 00:34:59,820 +نرجع للتعويض اللي احنا عملنا هناوالروح نعمل المثلث + +314 +00:34:59,820 --> 00:35:07,360 +يبقى هذا المثلث القائم الزاوية بهذا الشكل هذه ثيتا + +315 +00:35:07,360 --> 00:35:11,980 +وهي الزاوية القائمة سين ثيتا يساوي المقابل على + +316 +00:35:11,980 --> 00:35:18,720 +الوتر يبقى X واحد الجدر التربية إلى واحد ناقص X + +317 +00:35:18,720 --> 00:35:24,430 +تربيةيبقى النتيجة النهائية نص x تربية cosine + +318 +00:35:24,430 --> 00:35:32,490 +inverse x الرابع هو هذه sin inverse x وهنا ناقص + +319 +00:35:32,490 --> 00:35:38,050 +ربع وال sin يسوى المقابل على ال water وال cosine + +320 +00:35:38,050 --> 00:35:43,930 +المجاور على ال water وهذا زائد constant C + +321 +00:35:47,090 --> 00:35:51,470 +هذا كان المثال رقم أربعة وكلهم أسئلة موجودة في + +322 +00:35:51,470 --> 00:36:02,110 +التمرين كمان سؤال خامسة تكامل لتان inverse X + +323 +00:36:02,110 --> 00:36:11,010 +مقسوما على X تربيع DX أظن + +324 +00:36:11,010 --> 00:36:12,630 +هذا كله انتهينا منه هذا + +325 +00:36:17,870 --> 00:36:21,870 +قفل جوالك يا ابنيا، طب أول مرة سمحنا و التانية، + +326 +00:36:21,870 --> 00:36:30,570 +قفل، أقول يا ابني أسهل؟ في + +327 +00:36:30,570 --> 00:36:35,310 +عندك طريقة أسهل؟ إذا عندك إيه تدلنا عليها؟ + +328 +00:36:37,780 --> 00:36:41,760 +لو أجياش؟ لو أجي بكرا زيك. لأ هذا بيجيش زيه، عارف + +329 +00:36:41,760 --> 00:36:46,500 +ليش؟ لأن هذا ال trigonometric substitution تمانية + +330 +00:36:46,500 --> 00:36:51,200 +تلاتة مواش داخل في الامتحان، إذا لأ يمكن سؤال يجي + +331 +00:36:51,200 --> 00:36:57,850 +ينحل بالطريقة اللي بعد هيكلكن ممكن يحل بعدة طرق و + +332 +00:36:57,850 --> 00:37:01,630 +إشي من اللي بدك تاخده بعد كده و إشي يمكن أن يحل + +333 +00:37:01,630 --> 00:37:05,850 +بغيره و أنت تروح خلاص ماجيش في بالك كل اللي بعدك + +334 +00:37:05,850 --> 00:37:08,650 +لكن ماجيش في بالك كل اللي قبلك و الحين هوريك بعض + +335 +00:37:08,650 --> 00:37:15,550 +الشغلات طيب طرد عندك سؤال من هذا القبيل و قال لي + +336 +00:37:15,550 --> 00:37:19,750 +بدي تكامل هذه الدالة طبعا جيبناها مرة في أحدى + +337 +00:37:19,750 --> 00:37:24,120 +الامتحانات دي رباركواطيب، شوف ده اللي عملنا المثال + +338 +00:37:24,120 --> 00:37:31,280 +لهذه؟ طيب، + +339 +00:37:31,280 --> 00:37:36,100 +ومشتقتها بقداش؟ واحد على واحد زادك التربية موجودة + +340 +00:37:36,100 --> 00:37:41,040 +هنا، يبقى هذا احصف عشان يغيره، بالتجزيم ماشي + +341 +00:37:41,040 --> 00:37:49,390 +الحالة، يبقى مين بناخد اليوم؟تان انفرست اكس وتي في + +342 +00:37:49,390 --> 00:37:56,730 +الواحد على اكس تربية DXيبدأ ال D U 1 على 1 زائد X + +343 +00:37:56,730 --> 00:38:04,710 +تربيع DX وال V بسالب 1 على X إذا يسوى ال U في ال V + +344 +00:38:04,710 --> 00:38:11,890 +سالب 1 على X تان inverse X ناقص تكامل مع ناقص + +345 +00:38:11,890 --> 00:38:19,190 +بالصين زائد 1 على X 1 زائد X تربيع DX + +346 +00:38:24,890 --> 00:38:30,210 +شو اسمك انت اللي توصلت السؤال؟ غاز السجة غاز السجة + +347 +00:38:30,210 --> 00:38:33,530 +طرح سؤال بيقول ان افترض اجانا سؤال في الامتحان تبع + +348 +00:38:33,530 --> 00:38:40,210 +الغد وصار جزء منه منه من تمانية تلاتة او تمانية + +349 +00:38:40,210 --> 00:38:44,310 +اربعة كيف نسوي في هذه الحالة؟ مانقوله ليش تقيد + +350 +00:38:44,310 --> 00:38:48,250 +حالك بتمانية تلاتة او تمانية اربعة التكامل هذا + +351 +00:38:48,250 --> 00:38:54,440 +ممكن انحله بعدة طرق طريقة الأولىهن يعملوا partial + +352 +00:38:54,440 --> 00:38:59,940 +fractions محلل إلى أبساط العوام الأولية، هذا من + +353 +00:38:59,940 --> 00:39:04,040 +الدرجة الأولى وهذا من الدرجة التانية، توقع انك + +354 +00:39:04,040 --> 00:39:08,980 +تشتغل بمين بال partial fractions و احنا مش داخلة + +355 +00:39:08,980 --> 00:39:11,820 +في الامتحان، صحيح أخدنا هات طريقة، بس مش داخلة في + +356 +00:39:11,820 --> 00:39:17,040 +الامتحان، نظيف يبقى صف في هات طريقة على الشجرةأجي + +357 +00:39:17,040 --> 00:39:19,920 +واحد تاني قال لأ انا بدي أحلها بال trigonometric + +358 +00:39:19,920 --> 00:39:24,000 +substitution بقولنا ماعناش مشكلة قال بدي أحط ال X + +359 +00:39:24,000 --> 00:39:29,060 +بتان ثيتا يبقى واحد زائد تان تربيع بيصير سك تربيع + +360 +00:39:29,060 --> 00:39:35,640 +في تان وتفاضل التان بسك تربيع فوق بيظل واحد ع تان + +361 +00:39:35,640 --> 00:39:39,990 +اللي هو كتان وبالتالي بيصير ايه؟ سهلبنقول له ماشي + +362 +00:39:39,990 --> 00:39:43,210 +احنا مااخدناش ال trigonometric substitution لكن لو + +363 +00:39:43,210 --> 00:39:49,210 +حلو صح ما صح ماعنداش مشكلة لكن انا بدي أحله بالطرق + +364 +00:39:49,210 --> 00:39:55,050 +اللتي أخدناها قبل section 8.2 من 8.2 و رجع و + +365 +00:39:55,050 --> 00:39:59,110 +بطريقة أسهل من التعويضات اللي بتفكر فيها هذه لو + +366 +00:39:59,110 --> 00:40:02,090 +بتتحملها partial fraction بتطول و انت في الامتحان + +367 +00:40:02,090 --> 00:40:07,130 +محتاج للدقيقة الواحدة تمام؟ اذا انا بدي أحله بأسرع + +368 +00:40:07,130 --> 00:40:13,580 +من هيك كتيركيف؟ بنقوله كويس هذا سالب واحد على X في + +369 +00:40:13,580 --> 00:40:20,580 +تان inverse X زاد هاي تكامل سمعت واحد بيقول سالب + +370 +00:40:20,580 --> 00:40:26,880 +كسش هو في جدر يا ابني هنا؟ فيها جدر؟ لو في جدر + +371 +00:40:26,880 --> 00:40:31,790 +ماشي موافق معك بس مش فيها جدر ايش بدك تقول؟خلاصنا + +372 +00:40:31,790 --> 00:40:38,070 +مسحوبة مسحوبة يلا طيب إيش رأيك؟ بتقول واحد بدي أخد + +373 +00:40:38,070 --> 00:40:43,750 +x تربيع عامل مشترك من الجوز بصير هنا كده؟ x تكيب + +374 +00:40:43,750 --> 00:40:48,330 +واحد على x تربيع زاد واحد كله في dx + +375 +00:40:51,310 --> 00:40:57,230 +كل اللي بين الجوسين بدي أحطه بأي متغير إذا لو حطيت + +376 +00:40:57,230 --> 00:41:04,890 +ال T تساوي 1 على X تربيع زائد 1 يبقى ال DT بدي + +377 +00:41:04,890 --> 00:41:13,190 +أساوي سالب 2 على X تكييف DXيعني سالب نص DT بدي + +378 +00:41:13,190 --> 00:41:19,390 +يسوي واحد على X تكييب DX إذا هذا كله بقدر أشيله و + +379 +00:41:19,390 --> 00:41:26,170 +أتخلص منه و أحط بدله ناقص نص DT يبقى هذا ناقص واحد + +380 +00:41:26,170 --> 00:41:36,010 +على X وهنا 10 inverse X وهنا ناقص نص هيه برا وصار + +381 +00:41:36,010 --> 00:41:42,810 +عندي DT على Tغير هو اللي كانت معجدة هيك و partial + +382 +00:41:42,810 --> 00:41:46,190 +fraction و trigonometric substitution غير هو طلعت + +383 +00:41:46,190 --> 00:41:49,690 +البصة فوق المقام يبقى لنا المقام و خلصنا ايوة لو + +384 +00:41:49,690 --> 00:41:53,210 +طلبنا سالب على سالب و عملنا لنا المقام سالب ايش؟ + +385 +00:41:53,210 --> 00:41:57,190 +سالب على سالب و عملنا لنا ال ghost تقطع المشترك + +386 +00:41:57,190 --> 00:42:00,570 +دماغنا ويه لنا ال ghost؟ الواحد على ال .. مش عندك + +387 +00:42:00,570 --> 00:42:03,450 +هذا؟ اه ايش بك تسوي فيه هذا؟ + +388 +00:42:08,350 --> 00:42:13,050 +هذه قصدك؟ مافيش مشكلة انت مجبتش شيء جديد يعني أبد + +389 +00:42:13,050 --> 00:42:18,410 +انت كملتنا شغلنا هذا، احنا الفكرة الأساسية ان انا + +390 +00:42:18,410 --> 00:42:22,590 +أخدت X تربية من هنا عامل مشترك برا وهذه لم تكن + +391 +00:42:22,590 --> 00:42:27,910 +لتخطرنك على بالييبقى هذا يعطي تالت وجد مدتك + +392 +00:42:27,910 --> 00:42:32,190 +بتعتمدها دير بركة عليهم خلاص صار البسطة فاضل + +393 +00:42:32,190 --> 00:42:40,110 +المقام يبقى يساوي سالب واحد على X تاني inverse X + +394 +00:42:40,110 --> 00:42:47,930 +ناقص نص لل absolute value التي زائد constant C + +395 +00:42:47,930 --> 00:42:54,820 +وبالتالي أصبح تكاملتان انفرست اكس على اكس تربيه دي + +396 +00:42:54,820 --> 00:43:00,680 +اكس بده يساوي سالب واحد على اكس تان انفرست اكس + +397 +00:43:00,680 --> 00:43:07,740 +ماقص نص لم absolute value ل T اللي واحد على اكس + +398 +00:43:07,740 --> 00:43:14,910 +تربيه زائد واحد زائد كنصة من Cيبقى يسجوا الكلام + +399 +00:43:14,910 --> 00:43:20,550 +للسامعين ممكن أحله بطريقة ما ليهاش علاقة بالطرق + +400 +00:43:20,550 --> 00:43:25,130 +اللي درسناها بعد ذلك احنا بدنا الطرق اللي قبل ذلك + +401 +00:43:25,130 --> 00:43:29,610 +ودرسناها في تاني section من ال sections اللي + +402 +00:43:29,610 --> 00:43:37,390 +أخدناهم من أول هذا الفصل السؤال السادس بيقول يبدوا + +403 +00:43:37,390 --> 00:43:44,980 +تكامللمن؟ لجذر ال X على الجذر التربيعي لواحد ناقص + +404 +00:43:44,980 --> 00:43:50,560 +X DX اه + +405 +00:43:50,560 --> 00:43:56,920 +ماشي كلهم تحت الجذر ماجيبناش دي اعتبرهم تحت الجذر + +406 +00:43:56,920 --> 00:44:01,620 +اعتبرهم كلهم تحت الجذر يلا يلا نسمع اقتراح أيوا + +407 +00:44:05,050 --> 00:44:08,770 +بمشي الحالة و بعدين بصير كله تحت الجذر قسمه + +408 +00:44:08,770 --> 00:44:15,370 +المطولة و أعجزت أكتر صدقني أنني أتعجز أكتر لكن انا + +409 +00:44:15,370 --> 00:44:20,390 +أول ما بفكر بضيع الجذور يبقى أول تفكير عندي كيف + +410 +00:44:20,390 --> 00:44:27,590 +أضيع الجذور تمام؟ يبقى بكل بساطة بكل بساطة لو شلت + +411 +00:44:27,590 --> 00:44:34,300 +جذر ال X و حطيت بداله Yيبقى طار الجدر الأول مش + +412 +00:44:34,300 --> 00:44:40,000 +حاجات ديكو بس لو ربعت بصير X يساوي Y تربية لو + +413 +00:44:40,000 --> 00:44:46,540 +اشتقت بصير DX يساوي 2YDY إذا صارت المسألة هذي + +414 +00:44:46,540 --> 00:44:54,460 +تكامل جدر ال X اللي هو قدشب Y يبقى هذا ال Y وهذا + +415 +00:44:54,460 --> 00:45:02,670 +اللي هو DX ب2YDYعلى الجدر التربيع لواحد ناقص Y + +416 +00:45:02,670 --> 00:45:10,050 +تربيع تمام؟ يبقى المثل صارت يتنين خلّيك برا وهذا Y + +417 +00:45:10,050 --> 00:45:16,090 +تربيع على مين؟ على الجدر التربيع لواحد ناقص Y + +418 +00:45:16,090 --> 00:45:22,250 +تربيع دي واحد يبقى فيه جدر يبدأ تخلص منه بدأ + +419 +00:45:22,250 --> 00:45:24,930 +المكان وجدرين صار جدر واحد يبقى مشكلتنا الحين + +420 +00:45:24,930 --> 00:45:31,230 +محلولة مش زي قبل يبقاش بدي أحط ال Yيبقى لو روحت + +421 +00:45:31,230 --> 00:45:38,950 +حطيت ال y تساوي sin θ و θ حصرتها ما بين سالب باي + +422 +00:45:38,950 --> 00:45:45,310 +على اتنينو بين باية على اتنين يبقى dy بcos θ dθ + +423 +00:45:45,310 --> 00:45:52,330 +يبقى قالة المسألة الى هى اتنين برا و ال y تربية + +424 +00:45:52,330 --> 00:45:57,850 +تعني ال sin تربية ثيتا و الجدر التربية لو احد ناقص + +425 +00:45:57,850 --> 00:46:07,360 +sin تربية ثيتا وهذه بcos θ dθيبقى هذا اتنين برا + +426 +00:46:07,360 --> 00:46:11,960 +وهي تكامل اظن ان هذا بروح مع هذا كله و بظل بس + +427 +00:46:11,960 --> 00:46:17,280 +تكامل لل sign تربيع theta في d theta هذه تبعت + +428 +00:46:17,280 --> 00:46:23,640 +calculus A مش calculus B يبقى اتنين في نص تكامل + +429 +00:46:23,640 --> 00:46:32,590 +واحد ناقص cosine اتنين theta كله في d thetaالنص + +430 +00:46:32,590 --> 00:46:39,570 +بروح يبقى النتيجة ثيتا ناقص sign اتنين ثيتا على + +431 +00:46:39,570 --> 00:46:44,850 +اتنين زايد constant c وعملنا اختها قبل قليل هي + +432 +00:46:44,850 --> 00:46:50,530 +مظبوط يبقى هذه بتروح تكملها بس بتكتب theta بدلالة + +433 +00:46:50,530 --> 00:46:59,970 +من؟ بدلالة ال X ان + +434 +00:46:59,970 --> 00:47:01,370 +شاء الله بتخلص يعني + +435 +00:47:04,430 --> 00:47:11,770 +بارفل عليك امتحان بكرا مااني بدي اسهلك برجعلك قاعد + +436 +00:47:11,770 --> 00:47:22,690 +يا راجل طيب سؤال سبعة تكامل لدي X على مين؟ على تان + +437 +00:47:22,690 --> 00:47:29,430 +ال X في الجذري التربيعي لأربعة ناقص sign تربيع ال + +438 +00:47:29,430 --> 00:47:35,010 +X الشكل عندناأضع على وجهك في الامتحان بصيغة تقول + +439 +00:47:35,010 --> 00:47:40,110 +يا ساتر شغل + +440 +00:47:40,110 --> 00:47:40,770 +مخك + +441 +00:47:44,120 --> 00:47:52,840 +على طول الخط يبقى y تكامل ل cos x dx على sin x في + +442 +00:47:52,840 --> 00:47:56,740 +الجدرى التربية اللى أربعة ناقص sin تربية ال x + +443 +00:47:56,740 --> 00:48:04,080 +الحين لو حطيت ال y تساوي ال sin x يبقى dy بcos x + +444 +00:48:04,080 --> 00:48:11,640 +dx يبقى صارت المثلة تكامل ل dyعلى Y الجدر التربية + +445 +00:48:11,640 --> 00:48:19,120 +لاربعة ناقص Y التربية اظن صارت هذه سهلة خلصت يبقى + +446 +00:48:19,120 --> 00:48:32,170 +سالب نصسيش انفرس يبقى + +447 +00:48:32,170 --> 00:48:41,170 +سارة سالب نص سيش انفرس يبقى سارة سالب نص يبقى سارة + +448 +00:48:41,170 --> 00:48:41,270 +سالب نص يبقى سارة سالب نص يبقى سارة سالب نص يبقى + +449 +00:48:41,270 --> 00:48:41,270 +سارة سالب نص يبقى سارة سالب نص يبقى سارة سالب نص + +450 +00:48:41,270 --> 00:48:41,270 +يبقى سارة سالب نص يبقى سارة سالب نص يبقى سارة سالب + +451 +00:48:41,270 --> 00:48:41,270 +نص يبقى سارة سالب نص يبقى سارة سالب نص يبقى سارة + +452 +00:48:41,270 --> 00:48:44,750 +سالب نص يبقى سارة سالب نص يبقى سارة سالب نص يبقى + +453 +00:48:44,750 --> 00:48:49,350 +سارة سالب نص يبقى سار + +454 +00:48:50,710 --> 00:49:00,970 +تكامل لمين لدي X على X الجدري التربيعي لتلاتة زائد + +455 +00:49:00,970 --> 00:49:07,530 +ذن ال X الكل تربيع لازلنا في نفس ال section و لما + +456 +00:49:07,530 --> 00:49:13,410 +ننتهي بعد للمرة القادمة ان شاء الله ننهي هذا ال + +457 +00:49:13,410 --> 00:49:18,610 +section و ندخل بال section الأخر من هذا ال chapter + diff --git a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/g42mXbCKncs_postprocess.srt b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/g42mXbCKncs_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..974082bbde3c5fac34cc12fa286cc6e4a5dc4256 --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/g42mXbCKncs_postprocess.srt @@ -0,0 +1,1760 @@ +1 +00:00:09,660 --> 00:00:15,660 +بسم الله الرحمن الرحيم نكمل ما ابتدأناه في + +2 +00:00:15,660 --> 00:00:20,000 +المحاضرة الماضية وهو موضوع integration by parts + +3 +00:00:20,750 --> 00:00:24,790 +طبعا عرفنا في قانون ال integration by parts + +4 +00:00:24,790 --> 00:00:29,790 +القانون او هذه القاعدة بتقول integration ل UDV + +5 +00:00:29,790 --> 00:00:36,670 +يساوي U في V ناقصة كامل V ده ال U واخدنا على ذلك + +6 +00:00:36,670 --> 00:00:41,690 +اللي هو خمسة أمثلة وهذا هو المثال السادس يبقى احنا + +7 +00:00:41,690 --> 00:00:48,870 +بدنا integration لsin inverse X شوف يا سيديالتكتيك + +8 +00:00:48,870 --> 00:00:52,370 +اللى نتابعه عند تكامل sin inverse x هو اللى نتابعه + +9 +00:00:52,370 --> 00:00:54,970 +عند ال cosine inverse وعند ال tan inverse و ال + +10 +00:00:54,970 --> 00:00:57,770 +cotan inverse يعني باقي معكوس الدول المتلاتية + +11 +00:00:57,770 --> 00:01:01,970 +الستة لو كان اى واحدة فيهم يبقى بدنا نعملها بنفس + +12 +00:01:01,970 --> 00:01:08,370 +الطريقة اللى بنعملها فهي تكامل sin inverse xطيب + +13 +00:01:08,370 --> 00:01:13,250 +بنجي ل sin inverse احنا الان بدنا نكاملها يبقى + +14 +00:01:13,250 --> 00:01:18,390 +احنا تكملها السابقة نعرفوش لكن مشتقتها نعرفها اذا + +15 +00:01:18,390 --> 00:01:27,750 +بدي اروح اخد U تساوي sin inverse Xوداخل الـ dv هي + +16 +00:01:27,750 --> 00:01:32,210 +عبارة عن dx اللى بظل فى المثلة يبقى لو جينا + +17 +00:01:32,210 --> 00:01:38,410 +اشتقناها بدى يصير du واحد على الجدرى التربية الى + +18 +00:01:38,410 --> 00:01:44,230 +واحد ناقص x تربية فى dx وهدى لو كاملناها ال V بدى + +19 +00:01:44,230 --> 00:01:52,270 +يساوي مى؟بدي يساوي ال X طلعلي هنا U في V يبقى X في + +20 +00:01:52,270 --> 00:01:59,870 +sin inverse X ناقص تكامل V اللي ب X ده ال U واحد + +21 +00:01:59,870 --> 00:02:06,630 +على الجذر التربيهي اللي واحد ناقص X تربيه DXإذا + +22 +00:02:06,630 --> 00:02:12,250 +استخدمنا integration by parts لتكامل sin inverse x + +23 +00:02:12,250 --> 00:02:17,790 +وصلنا إلى هذا الشكل ما انتهيناش إذا لسه ضايل عندنا + +24 +00:02:17,790 --> 00:02:25,240 +تكاملهذا التكامل هههههههههههههههههههههههههههههههه + +25 +00:02:38,930 --> 00:02:45,630 +إذا لو حطيت ال W يسوي واحد ناقص X تربيع DW ناقص + +26 +00:02:45,630 --> 00:02:51,170 +اتنين X DX لإن مشتاقة الكون أستغل ب Zero ماعنديش + +27 +00:02:51,170 --> 00:02:57,910 +اتنينات يبقى ممكن أخد ناقص نص DW اللي هو بدي يسوى + +28 +00:02:57,910 --> 00:03:05,290 +من ال X DX يبقى أنا هشيل ال X DX و أحط مكانها ناقص + +29 +00:03:05,290 --> 00:03:11,820 +نص DWإذا بدها تصير المسألة هي x في sin inverse x + +30 +00:03:11,820 --> 00:03:17,380 +ناقص تكامل هذه النُص برا بإشارة سالب بيصير هذا + +31 +00:03:17,380 --> 00:03:24,300 +موجة بيبقى زائد نُص تكامل dw على جذر w + +32 +00:03:27,380 --> 00:03:35,980 +هذا بده يساوي x في sin inverse x زائد نص وتكامل w + +33 +00:03:35,980 --> 00:03:43,450 +أص ناقص نص dwالهم من الكامل هذي يبقى نتيجة x في + +34 +00:03:43,450 --> 00:03:50,410 +sin inverse x زائد نص ال w هذي بدنا نضيف لل أس + +35 +00:03:50,410 --> 00:03:56,950 +واحد و نقسم على الأس الجديد يبقى بصير أن نص نص على + +36 +00:03:56,950 --> 00:04:04,340 +نص زائد constant cالإجابة عندي زي ما انت شايف فيها + +37 +00:04:04,340 --> 00:04:08,580 +two variables اللي هو ال X و ال W لكن رأس المثل + +38 +00:04:08,580 --> 00:04:14,630 +كان بدلالة X إذا بدنا نرجع و نكتب ال W بدلالةكويس + +39 +00:04:14,630 --> 00:04:20,690 +يبقى هذا الكلام بده يساوي x في sin inverse x زاد + +40 +00:04:20,690 --> 00:04:25,630 +نص مع نص الله سهل عليها و ال w اللي هي واحد نقص x + +41 +00:04:25,630 --> 00:04:31,890 +تربيه أقص نص يبقى تحت الجدر التربيهي زاد ميم زاد + +42 +00:04:31,890 --> 00:04:40,200 +constant cسؤال السابع سؤال السابع بيقول تكامل X + +43 +00:04:40,200 --> 00:04:50,500 +تربيه جوش اتنين X يبقى integration ل X square جوش + +44 +00:04:50,500 --> 00:04:52,800 +اتنين X في DX + +45 +00:04:56,150 --> 00:05:01,170 +يبقى مين بدنا نختار U ومين بدنا نختار DV ال U لو + +46 +00:05:01,170 --> 00:05:04,830 +أخدناها جوش يبقى نشتاقها و الله نكاملها بتفريقش + +47 +00:05:04,830 --> 00:05:09,950 +جوش سنش جوش سنش و موضل في هذه الدائرة المغلقة لكن + +48 +00:05:09,950 --> 00:05:15,550 +ال X يبقى لو بدي أخدها تكامل يبقى بتنتهيش X أربعة + +49 +00:05:15,550 --> 00:05:19,990 +X تكايم X أربعة ماعكوا نفسهم ماتفريقش عننا لكن لو + +50 +00:05:19,990 --> 00:05:25,320 +جيت فضلته بعد مرتينتنتهي مثلا اذا automatic بدي + +51 +00:05:25,320 --> 00:05:29,960 +اخد ال U هي X تربيعه والباقي هو مين اللي هو DV + +52 +00:05:33,620 --> 00:05:40,720 +تساوي X تربيع و بتاخد ال DV اللي هي جوش 2X في DX + +53 +00:05:40,720 --> 00:05:49,760 +بالشكل اللي عندنا نشتاق DU يبقى ب2X في DX وال V + +54 +00:05:49,760 --> 00:05:55,180 +اللي هو من نص في سنش 2X + +55 +00:05:56,990 --> 00:06:00,490 +يبقى تكامل جوش اتنين اكس هو سنش اتنين اكس على + +56 +00:06:00,490 --> 00:06:07,310 +اتنين يعني نص سنش اتنين اكس هذه ال U وهذه ال V + +57 +00:06:07,310 --> 00:06:17,740 +يبقى النتيجة بدها تساوي U في V اللي هو نصx² sinh + +58 +00:06:17,740 --> 00:06:31,400 +2x نقص تكامل v لبنص sinh 2x دالي 2x في dx إذا + +59 +00:06:31,400 --> 00:06:38,520 +أصبحت المثل على الشكل التالي integration ل x² cos + +60 +00:06:38,520 --> 00:06:48,110 +2x dx بده يساويالنتيجة اللى حصلنا عليها نص x² sinh + +61 +00:06:48,110 --> 00:06:57,290 +2x ناقص طلعلنا نص مع اتنين الله يسهل عليها يبقى + +62 +00:06:57,290 --> 00:07:05,670 +آلة المسألة الى تكمل ل xفي سنش اتنين X DX إذا هذا + +63 +00:07:05,670 --> 00:07:11,550 +التكامل يشبه الأصل مع الفارد بدل الجوش صارت سنش و + +64 +00:07:11,550 --> 00:07:15,150 +بدل X صار بيها نزلت الدرجة اللي افتتحتها إلى + +65 +00:07:15,150 --> 00:07:20,410 +الدرجة الأولى وهي X يبقى السنة اضطر إجباري إلى + +66 +00:07:20,410 --> 00:07:25,730 +استخدام integration by parts كمان مرة إذا بروح أخد + +67 +00:07:25,730 --> 00:07:35,540 +ال U تساوي من Xو ال dv بده ساوي sinh اتنين اكس في + +68 +00:07:35,540 --> 00:07:45,820 +dx يبقى du يساوي dx و ال v اللي هو نص جوش اتنين + +69 +00:07:45,820 --> 00:07:53,090 +اكسإذا النتيجة صارت على الشكل التالي integration ل + +70 +00:07:53,090 --> 00:08:08,420 +X² Gauge 2X DX يساوي النص X² Sin 2X ناقصU في الـ V + +71 +00:08:08,420 --> 00:08:17,860 +يبقى نقص X جوش اتنين X هذا الـ U في الـ V هذا + +72 +00:08:17,860 --> 00:08:22,120 +النقص بالشكل اللي عندنا هذا اللي برا يبقى بالشكل + +73 +00:08:22,120 --> 00:08:29,300 +اللي عندنا هذايبقى هذا U في V ناقص تكامل V دال U + +74 +00:08:29,300 --> 00:08:37,820 +يبقى نص غوش 2X دال U اللي يبدي X بالشكل اللي عندنا + +75 +00:08:37,820 --> 00:08:50,090 +هناإذا صرت النتيجة هي نص x² sinh 2x ناقص نص x gosh + +76 +00:08:50,090 --> 00:08:58,210 +2x ناقص فناقص بزايد النص هيبرة وتكامل ال gosh + +77 +00:08:58,210 --> 00:09:05,970 +بsinh 2x مقسوم على 2 زائد constant C + +78 +00:09:08,930 --> 00:09:15,410 +يبقى هذه كأنه قداش ربع سنش اتنان اكس يعني اضطرنا + +79 +00:09:15,410 --> 00:09:21,430 +في هذه المسألة نعمل ايه integration by parts مرتين + +80 +00:09:21,430 --> 00:09:26,610 +في نفس المسألة وقد يكون تلاتة وقد يكون اربع سيان + +81 +00:09:26,610 --> 00:09:31,810 +المهم بنضل نشتغل لما نكمليعني بعد ما نعمل التكامل + +82 +00:09:31,810 --> 00:09:36,230 +اول باي بارس اذا اضطريت استخدم نفس القلم كم مرة + +83 +00:09:36,230 --> 00:09:40,530 +باستخدمه اذا بدي ارجع تكامل بالتعويض بدي استخدم + +84 +00:09:40,530 --> 00:09:44,530 +تكامل بالتعويض يعني اي شغلة من الأشياء التي سبقت + +85 +00:09:44,530 --> 00:09:50,330 +دراستها طيب اشاركوا بدنا نقترح الاقتراح التكامل + +86 +00:09:50,330 --> 00:09:58,210 +كان مين؟ كان X²Goshen Xأخدناها U وفضلناها وصار + +87 +00:09:58,210 --> 00:10:03,510 +عندي X بدل X تربية فضلناها كمان مرة وانتهينا منها + +88 +00:10:03,510 --> 00:10:09,930 +ال gosh كملناها مرتين مرة سنش وكمان مرة طلعت gosh + +89 +00:10:09,930 --> 00:10:16,250 +وكمان مرة رجعت لسنش تمام طب ايش رأيكوا هنا نعمل + +90 +00:10:16,250 --> 00:10:20,110 +هالشغل ونشوف ايش رأيكوا فيها بدي اجي اقول اللي + +91 +00:10:20,110 --> 00:10:23,690 +خدتها derivatives بدي اكتبها بالشكل التالي + +92 +00:10:23,690 --> 00:10:30,330 +derivativesواللي كاملتها بدي اكتب عليها integrals + +93 +00:10:30,330 --> 00:10:36,810 +اللي فاضلتها هي X تربيع واللي كاملتها هي جوش اتنين + +94 +00:10:36,810 --> 00:10:42,290 +X اللي بدأت فيهم تمام؟ بدي ابدأ فاضل هذه لغاية + +95 +00:10:42,290 --> 00:10:49,990 +ماوصل لصفرةيبقى لو جيت فاضلة هذه بقداش 2x لو كملت + +96 +00:10:49,990 --> 00:10:58,410 +هذه بسنش 2x على 2 بدا فاضل هذه كمان مرة باتنين بدا + +97 +00:10:58,410 --> 00:11:05,410 +كامل هذه كمان مرة بجوش 2x على 2 وعندي اتنين بصير + +98 +00:11:05,410 --> 00:11:11,330 +اربعلو فضلت هذه كمان مرة بيصير zero لو كملت هذه + +99 +00:11:11,330 --> 00:11:18,090 +كمان مرة بيصير سنش اتنين اكس على تمانية تمام؟ بعدك + +100 +00:11:18,090 --> 00:11:24,630 +امسكلي سهم من الأولى للتانية و من التانية للتالتة + +101 +00:11:24,630 --> 00:11:30,120 +و من التالتة هنا للرابعة هنا الشكل هذاونبدأ نضع + +102 +00:11:30,120 --> 00:11:33,900 +قاعدة الإشارات قاعدة الإشارات بتقول بتبدأ بالموجب + +103 +00:11:33,900 --> 00:11:40,340 +سالب موجب سالب موجب لما تكمل يبقى السبت أول واحدة + +104 +00:11:40,340 --> 00:11:44,500 +على اليمين وسبت ال zero اللي هو اين على الشمال + +105 +00:11:44,500 --> 00:11:49,940 +تحتنا طب تعال نضرب هدول في بعض ونجمع ونشوف إيش + +106 +00:11:49,940 --> 00:11:58,160 +بيعطينا لو جيت لهنا نص X تربية سنش اتنين X هذا + +107 +00:12:00,530 --> 00:12:06,610 +تمام؟ طيب نضرب هدول في بعض اتنين في ربع بيعطيني نص + +108 +00:12:06,610 --> 00:12:12,770 +وعندي إشارة سالب يبقى سالب نص اكس قوش اتنين اكس + +109 +00:12:12,770 --> 00:12:18,970 +سالب نص اكس قوش اتنين اكس اللي بعدها اتنين في + +110 +00:12:18,970 --> 00:12:25,050 +ثومان بيعطيني الرابع سنش اتنين اكس يبقى الرابع سنش + +111 +00:12:25,050 --> 00:12:30,820 +اتنين اكس وبضيف لك نص تانييبقى لما أشتغل الشغل هذه + +112 +00:12:30,820 --> 00:12:36,280 +هتوصلني إلى نفس النتيجة اللي اشتغلتها قبل هيك + +113 +00:12:36,280 --> 00:12:43,580 +السؤال هو أيه ما أسهل نستخدم الجدول هذا و الله + +114 +00:12:43,580 --> 00:12:48,590 +نرجع لطريقتنا الأولانية هذه؟ الجدوليبقى الجدول، + +115 +00:12:48,590 --> 00:12:55,110 +بريحله بدم هيك، مظبوط؟ طيب السؤال هو سنة شوية، + +116 +00:12:55,110 --> 00:12:59,130 +هتجاوب على أسئلتك من دون بتسأل، هتجاوب على أسئلتك، + +117 +00:12:59,130 --> 00:13:04,740 +السؤال هوالنتيجة بهذه الجدول هي النتيجة اللي + +118 +00:13:04,740 --> 00:13:09,300 +اتبعناها في حل المثال integration by parts مرتين، + +119 +00:13:09,300 --> 00:13:15,020 +تلاتة، اربعة، قد ما يكون، تمام؟ السؤال هو هل هذه + +120 +00:13:15,020 --> 00:13:22,680 +الطريقة بتنفع لكل مثلة؟ الإجابة لا السؤال هو مرة + +121 +00:13:22,680 --> 00:13:26,940 +تانية، مين هي المثال اللي بتنفعلها الطريقة هذه؟ + +122 +00:13:35,930 --> 00:13:41,550 +طيب، على أي حال، هذه الطريقة بتنفي على ستة أنواع + +123 +00:13:41,550 --> 00:13:47,370 +من المسائل، كويس؟ الآن بدنا نكتب هذه الستة أنواع، + +124 +00:13:47,370 --> 00:13:52,330 +و برضه نسأل كمان تساوي بعد ما نخلصها، كويس؟ يفجأ + +125 +00:13:52,330 --> 00:13:57,470 +حق والكلام في صيغة ال remark التالية، remark + +126 +00:14:11,270 --> 00:14:20,210 +إذا كانت النتجة مفضلة مفضلة + +127 +00:14:20,210 --> 00:14:23,350 +نستخدم + +128 +00:14:31,980 --> 00:14:40,600 +the we use the tabular integration + +129 +00:14:40,600 --> 00:14:46,080 +integration + +130 +00:14:46,080 --> 00:14:56,300 +in the following cases in the following cases + +131 +00:14:56,300 --> 00:14:59,080 +يعني + +132 +00:15:00,040 --> 00:15:07,700 +لو كان الان عدد صحيح موجب بنستخدم طريقة الجدول هذه + +133 +00:15:07,700 --> 00:15:12,620 +لتابولار انتجريشن لطريقة الجدول اللي قدامنا هذه في + +134 +00:15:12,620 --> 00:15:15,800 +الحالات الستة التالية + +135 +00:15:24,280 --> 00:15:30,360 +اللي هو ax dx يعني زي المثال تبعنا هذا نمرة واحد + +136 +00:15:30,360 --> 00:15:39,260 +نمرة اتنين لو كان عندنا تكامل x أُس n في + +137 +00:15:39,260 --> 00:15:50,700 +سنج ال ax dxلو كان عندنا تكامل x أُس m cosine a x + +138 +00:15:50,700 --> 00:16:02,520 +dx 4 لو كان عندنا تكامل x أُس m sine a x dx 5 لو + +139 +00:16:02,520 --> 00:16:10,860 +كان عندنا تكامل x أُس n e أُس a x dx 6 لو كان + +140 +00:16:10,860 --> 00:16:13,120 +عندنا تكامل x أُس n + +141 +00:16:19,870 --> 00:16:29,190 +كفة طيب السؤال هو ليش هذه الأنواع من المسائل دون + +142 +00:16:29,190 --> 00:16:35,830 +أغيرها من هذه الأنواع اللي بنستخدمها طريقة الجدول + +143 +00:16:35,830 --> 00:16:44,670 +هذا السؤال الذي يحتاج إلى إجابة شوف ازايطلعلي في + +144 +00:16:44,670 --> 00:16:53,170 +كل دالة من الدوالي الستة اللي مع X أس M لو فاضلتها + +145 +00:16:53,170 --> 00:16:58,650 +والله كاملتها يا بضلها هي نفسهايا اما بتيجي مين + +146 +00:16:58,650 --> 00:17:04,210 +دالة تانية وبعد تالت مرة بتعود كما كانت فمثلا امسك + +147 +00:17:04,210 --> 00:17:09,550 +الأربع الأولانيات هدول كله sin cos sin cos طبعا + +148 +00:17:09,550 --> 00:17:12,410 +بتيجي اشارة صالح ماعناش مشكلة في مقدار ثابت + +149 +00:17:12,410 --> 00:17:18,670 +مايأثرش عندنا تمام يبقى sin cos sin cos sin gosh + +150 +00:17:18,670 --> 00:17:21,910 +sin gosh إلى اخرى تمام هذا بالنسبة للأربع + +151 +00:17:21,910 --> 00:17:26,260 +الأولانيات بالنسبة لل exponentialإذا اشتقيتها و + +152 +00:17:26,260 --> 00:17:28,640 +الله كملتها، تبقى اللي قاعدة زي ما هي، يا ابن اضغط + +153 +00:17:28,640 --> 00:17:32,000 +في كل نص أنت يا ابن اقسم على مين؟ على كل نص أنت + +154 +00:17:32,000 --> 00:17:36,060 +بالنسبة للدول اللي هو دي X زي ما هي، بس يا ابن + +155 +00:17:36,060 --> 00:17:40,420 +اضغط في لن الإيه، يا ابن اقسم على لن الإيه، لكن لو + +156 +00:17:40,420 --> 00:17:47,250 +جيت تختار دول أخرى، مثلاسين كو سين قول تان لو جان + +157 +00:17:47,250 --> 00:17:51,930 +فاضلة تان ايش بيطلع سكتر بيعة بيطلع فاضلة كمان مرة + +158 +00:17:51,930 --> 00:17:59,150 +بصير اتنين سكتر بيتان بترجعش تان كما كان تمام و من + +159 +00:17:59,150 --> 00:18:04,230 +هنا اجت الطريقة هذا للاسفبان بسبب التكرار الدوري + +160 +00:18:04,230 --> 00:18:11,150 +لمن لهذه الدول نعطيك مثال توضيح على ذلك احسب لي + +161 +00:18:11,150 --> 00:18:13,810 +example + +162 +00:18:19,860 --> 00:18:29,240 +Evaluate يحسب إنه تكامل لمن؟ لل X ترابيع X ترابيع + +163 +00:18:29,240 --> 00:18:35,460 +في تلاتة أُس X كله بالنسبة إلى DX + +164 +00:18:45,800 --> 00:18:51,520 +واضح ان هذه السؤالة على صيغة رقم 6 ال a بس أجب + +165 +00:18:51,520 --> 00:18:55,480 +أكانها main تلاتة و ال n أجب أكانها main اتنى اذا + +166 +00:18:55,480 --> 00:18:59,320 +انا بروح اعمله الجدول اذا لو روحت اعملسله الجدول + +167 +00:18:59,320 --> 00:19:04,340 +بدي اقوله هنا ال derivatives او هنا بدي اخدله ال + +168 +00:19:04,340 --> 00:19:10,970 +integralsطبعا ال derivative اللي فضلتها هي x تربية + +169 +00:19:10,970 --> 00:19:16,970 +و 3x هي ال main بدنا نكاملها لو فضلنا هذه بطلع + +170 +00:19:16,970 --> 00:19:25,610 +جداشي 2x لو كاملنا هذه 3 أُس x تقسيم لل 3 لأنها + +171 +00:19:25,610 --> 00:19:31,240 +بنكامل تكاملإن فابل هذه كمان مرة بطلع اتنين، إن + +172 +00:19:31,240 --> 00:19:35,280 +كامل هذه كمان مرة واحد على لن التلاتة مقدار ثابت + +173 +00:19:35,280 --> 00:19:39,720 +مالوش دعوة، يبقى بدي أكمل تلاتة والست كمان مرة + +174 +00:19:39,720 --> 00:19:46,060 +تطلع تلاتة والست على لن تلاتة وعندي لن تلاتة بصير + +175 +00:19:46,060 --> 00:19:53,280 +لن تلاتة تربيةنشتغل كمان مرة Zero نكمل كمان مرة + +176 +00:19:53,280 --> 00:20:00,440 +تلاتة والست تقسيم للان تلاتة جداش تكايم هذه الأولى + +177 +00:20:00,440 --> 00:20:04,040 +في التانية هذه التانية في التالتة التالتة في + +178 +00:20:04,040 --> 00:20:09,570 +الرابعة زائد ناقص زائديبقى نتيجة هذه التكمل على + +179 +00:20:09,570 --> 00:20:16,270 +الشكل التالي اللي هو واحد على الان تلاتة في X + +180 +00:20:16,270 --> 00:20:20,350 +تربية في تلاتة أُص X + +181 +00:20:22,860 --> 00:20:29,820 +جينا لبعديها ناقص اتنين على لن تلاتة لكل تربية + +182 +00:20:29,820 --> 00:20:36,760 +اتنين على لن تلاتة لكل تربية في X في تلاتة و سكس + +183 +00:20:38,250 --> 00:20:44,950 +زائد ال term التالت لهولي اتنية على لين تلاتة الكل + +184 +00:20:44,950 --> 00:20:51,090 +تكيب في مين في تلاتة و سكس و بنروح نضيف مين ال + +185 +00:20:51,090 --> 00:20:53,690 +constant اللي عندنا هذا + +186 +00:20:56,750 --> 00:20:59,730 +خلاصنا النقطة الأولى من هذا ال section بدنا نروح + +187 +00:20:59,730 --> 00:21:05,570 +للنقطة الثانية النقطة الثانية أحيانا ماجيش أستخدم + +188 +00:21:05,570 --> 00:21:12,510 +integration by parts مباشرة ربما هضطر أعمل تعويضة + +189 +00:21:12,510 --> 00:21:18,250 +قبل إيه قبل اللي هو عملية ال integration by parts + +190 +00:21:18,250 --> 00:21:22,830 +يعني ليس بالضرورة مباشرة كيف كانت تالية؟ بدي أكتب + +191 +00:21:22,830 --> 00:21:25,610 +هذا كمان في الملاحظة التالية remark + +192 +00:21:47,540 --> 00:21:55,000 +أحيانا نستخدم التعويض ومن + +193 +00:21:55,000 --> 00:21:58,040 +ثم نستخدم + +194 +00:21:59,640 --> 00:22:11,200 +نستخدم integration by parts ومن + +195 +00:22:11,200 --> 00:22:22,180 +ثم بروح نستخدم التكامل بالتجزير نعطي مثال example + +196 +00:22:22,180 --> 00:22:25,400 +احسبلي + +197 +00:22:25,400 --> 00:22:28,260 +تكاملات التالية + +198 +00:22:39,330 --> 00:22:48,430 +أول تكامل من هذه التكاملات تكامل X لأن X كل تربيع + +199 +00:22:48,430 --> 00:22:49,490 +DX + +200 +00:22:56,240 --> 00:23:00,800 +لا يبقى الواضح إذا بدأ أخد يو بدأ أخد المقدار هذا + +201 +00:23:00,800 --> 00:23:05,460 +لكن لما أجى الشق بصير اتنين لإن ال X في واحدة على + +202 +00:23:05,460 --> 00:23:11,140 +X وهذه كمان X تبقى تتكلك على المثل شوية لكن لو جيت + +203 +00:23:11,140 --> 00:23:16,020 +لهذه الدالية اللى قلت اللى مصعبة شوية هيك هو مين؟ + +204 +00:23:16,560 --> 00:23:20,800 +إذا بدي أشيل لن ال X و أضعه بأي variable أخر إذا + +205 +00:23:20,800 --> 00:23:29,980 +لو قلت حطلي T تساوي لن ال X بالذنب لنا مين؟ ال D X + +206 +00:23:29,980 --> 00:23:35,040 +لذلك بدي أتخلص من لن و أخلي ال X لحالها في شجة + +207 +00:23:35,040 --> 00:23:41,960 +يبقى لو جت أتخلص منها بصير عند مين؟ E أُس T يساوي + +208 +00:23:41,960 --> 00:23:48,570 +E أُس لن ال X اللي هو بمين؟ ب Xطبعا الحين بشتقها + +209 +00:23:48,570 --> 00:23:54,670 +بكون جيب DX إذا لو جينا اشتقنا بصير E أس T DT بده + +210 +00:23:54,670 --> 00:24:00,230 +يسوى ميهم DX إذا المسألة هذه أصبحت على الشكل + +211 +00:24:00,230 --> 00:24:07,170 +التالي بده أشيل ال X و أحط مكانها E أس T و أشيل + +212 +00:24:07,170 --> 00:24:13,930 +لنه ال X و أحط مكانها T تربيه و ال DX اللي هو E أس + +213 +00:24:13,930 --> 00:24:15,190 +T DT + +214 +00:24:25,180 --> 00:24:33,380 +يبدو كأن المسألة أصبحت هي تكامل تتربيع E أس اتنين + +215 +00:24:33,380 --> 00:24:34,380 +T DT + +216 +00:24:37,830 --> 00:24:43,330 +طيب طلعلي هل هذه تشبه اي واحدة من الستة اللي هما + +217 +00:24:43,330 --> 00:24:48,290 +الخالصة يبقى بروح بعملي لهال جدول يبقى بروح بقوله + +218 +00:24:48,290 --> 00:24:54,510 +هنا بدي اخد جزء derivatives و بدي اخد الجزء التاني + +219 +00:24:54,510 --> 00:25:00,710 +integralsيبقى ال derivatives هي main هي T تربية + +220 +00:25:00,710 --> 00:25:06,630 +وال derivatives هي E أس اتنين T انفضل يبقى 2T + +221 +00:25:06,630 --> 00:25:15,090 +انكمل نص E أس اتنين T انفضل ب2 انكمل رابع E أس + +222 +00:25:15,090 --> 00:25:23,040 +اتنين T انفضل ب0إن كامل تمن E أس اتنين T يبقى هذه + +223 +00:25:23,040 --> 00:25:27,600 +في هذه بشرة زائد هذه في هذه بشرة ناقص وهذه بشرة + +224 +00:25:27,600 --> 00:25:34,280 +مان زائد إذن النتيجة أصبحت على الشكل التالي يبقى + +225 +00:25:34,280 --> 00:25:43,900 +نص T ترابيع E أس اتنين Tنقص اتنين على اربعة اللي + +226 +00:25:43,900 --> 00:25:51,100 +هو بنص T E أس اتنين T وزائد اتنين في تمان تاني + +227 +00:25:51,100 --> 00:25:58,820 +رابع E أس اتنين T زائد كنستان C الآن بدي اشيل كل T + +228 +00:25:58,820 --> 00:26:03,520 +واحط مكان التعييد اللي حاطناها ليهما لإن من الاكس + +229 +00:26:03,520 --> 00:26:12,520 +يبقى صارة النتيجة نصلن ال X الكل تربية E أس اتنين + +230 +00:26:12,520 --> 00:26:21,840 +لن ال X ناقص نص لن ال X E أس اتنين لن ال X زائد + +231 +00:26:21,840 --> 00:26:29,920 +رابع E أس اتنين لن ال X زائد constant Cهذا الكلام + +232 +00:26:29,920 --> 00:26:36,380 +يساوي نص مالكش دعوة هذي يا شباب على درع المين E أس + +233 +00:26:36,380 --> 00:26:41,880 +لن X تربية الأس ده هدخل جوا ال E و ال لن بيلغوا + +234 +00:26:41,880 --> 00:26:48,760 +بعض و قداش X تربية يبقى نص X تربية لن ال X الكل + +235 +00:26:48,760 --> 00:26:55,610 +تربيةنجي للترمي التاني ناقص نص لن ال X هذا كمان + +236 +00:26:55,610 --> 00:27:02,770 +بقداش ب X تربية يبقى لو بس مشان الترتيب نص X تربية + +237 +00:27:02,770 --> 00:27:11,770 +في لن ال X وهذه زائد رابع X تربية زائد constant C + +238 +00:27:11,770 --> 00:27:17,910 +بالشكل اللي قدامنا هذاإذا بعض المسائل سنضطر إلى + +239 +00:27:17,910 --> 00:27:24,990 +عملها أو تكاملها أو تحويلها بالتعويض إلى مسألة + +240 +00:27:24,990 --> 00:27:29,810 +تكامل بعد ذلك بمهم بالتجزيه، يقوله ال integration + +241 +00:27:29,810 --> 00:27:34,650 +by pathيبقى انت بدك تكون دقيقة نظرة في المسألة + +242 +00:27:34,650 --> 00:27:38,590 +اللى عندك اذا تعوض و سهلها بتروح اعوض و بعد هيك + +243 +00:27:38,590 --> 00:27:44,510 +بتروح اعمل تكامل بالتجزير بنعطيك مثال اخر بتالي + +244 +00:27:44,510 --> 00:27:51,710 +اتنين بدنا تكامل ل cosine main اللى هو الجذر + +245 +00:27:51,710 --> 00:27:53,910 +التالت ل X DX + +246 +00:27:59,260 --> 00:28:03,120 +أحنا اللي مار علينا تكمل ل cosine ال X، بس الجذر + +247 +00:28:03,120 --> 00:28:08,020 +التالت ل X هذي أول مرة بنشوفها، مظبوط؟ إذا هي هذه + +248 +00:28:08,020 --> 00:28:12,580 +الوضع غير طبيعي أو هي المصعبة المثل، يبقى لو داجها + +249 +00:28:12,580 --> 00:28:16,060 +أكملها بالتجزيه الدوري مباشرة، ده ان شاء الله + +250 +00:28:16,060 --> 00:28:20,830 +عليها بصيرة في غاية التعقيد، تمام؟لكن بسيطة الشغلة + +251 +00:28:20,830 --> 00:28:26,590 +في دينها، اعمل تعويضة لهذه المثلة مثلا بدي اقول حط + +252 +00:28:26,590 --> 00:28:33,620 +ال Y تساوي الجذر التالت ل Xكعب الطرفين بيصير y + +253 +00:28:33,620 --> 00:28:40,380 +تكيب يساوي x يبقى سهل جدا لان بقول تلاتة y تربية + +254 +00:28:40,380 --> 00:28:46,380 +dy بده يساوي dx اللي عندنا هذه لكن لو جيت اجيب dy + +255 +00:28:46,380 --> 00:28:51,060 +من هنا بدل و احولها بدل ال dx بصير معقدة يبقى اول + +256 +00:28:51,060 --> 00:28:55,260 +شغل اذا قابلك سؤال من هذا القبيل بتخلص من الجذر + +257 +00:28:55,260 --> 00:28:59,830 +وبعدين بروح بشتق زي ما عملنا هنا بالضبط تمامطب هذه + +258 +00:28:59,830 --> 00:29:06,130 +حولتلي لمثلة بالشكل التالي طلعلي هنا هذا اللي هو + +259 +00:29:06,130 --> 00:29:13,250 +cosine و الجذر التالت انا حاطيته بY و ال DX هي + +260 +00:29:13,250 --> 00:29:20,270 +تلاتة Y تربية في DY طب التلاتة هذا مقتار ثابت خليك + +261 +00:29:20,270 --> 00:29:29,020 +برا تظل تكامل ل Y تربية Cos Y Dyأتحولت المثلة + +262 +00:29:29,020 --> 00:29:34,080 +تبعتي من مثلة مكلقة أو شكل غير شكل إلى مثلة شكلة + +263 +00:29:34,080 --> 00:29:42,040 +مقبول وهي من الجدولهذه الحل على الجدول اللي هي + +264 +00:29:42,040 --> 00:29:46,340 +النقطة رقم تلاتة بنقوله بسيطة يبقى بنروح نعمل + +265 +00:29:46,340 --> 00:29:52,520 +الجدول بناخد هنا derivatives وبناخد هنا integrals + +266 +00:29:52,520 --> 00:30:05,110 +تمام؟ هنا Y تربية هنا cosine Yانفضل كمان + +267 +00:30:05,110 --> 00:30:12,230 +مرة باتنين انفضل كمان مرة باتنين انفضل كمان مرة + +268 +00:30:12,230 --> 00:30:14,070 +باتنين انفضل كمان مرة باتنين انفضل كمان مرة باتنين + +269 +00:30:14,070 --> 00:30:18,250 +انفضل كمان مرة باتنين انفضل كمان مرة باتنينهذه في + +270 +00:30:18,250 --> 00:30:23,950 +هذه بالموجة هذه في هذه بالسالب هذه في هذه بالموجة + +271 +00:30:23,950 --> 00:30:30,010 +إذا انقلت المسألة إلى الشكل التالي اللي هو Y تربية + +272 +00:30:30,010 --> 00:30:37,630 +في sign ال Y تمام؟ و هنا ناقص مع ناقص بالصير زائد + +273 +00:30:37,630 --> 00:30:38,910 +كيف؟ + +274 +00:30:41,890 --> 00:30:47,490 +أه في تلاتة برا طيب مش مشكلة لما نخلص هي يساوي وهي + +275 +00:30:47,490 --> 00:30:57,050 +التلاتة للكل كمان و هنا زائد اتنين y في cosine ال + +276 +00:30:57,050 --> 00:31:04,550 +y و هنا ناقص اتنين sine ال y ناقص اتنين sine ال y + +277 +00:31:04,550 --> 00:31:12,130 +كله زائد constant Cهذا الكلام بده يساوي تلاتة فيه + +278 +00:31:12,130 --> 00:31:16,310 +بدنا نيجي لل Y تربيع بدنا نشيل ال Y و نحطه مكان + +279 +00:31:16,310 --> 00:31:22,550 +أمام الجدر يعني هذا X أس طلت الكل تربيع يعني X أس + +280 +00:31:22,550 --> 00:31:31,090 +طلتين يبقى تلاتة X أس طلتين نيجي لهذه ال sign ال Y + +281 +00:31:31,090 --> 00:31:37,010 +طلع لهناش اللي عملنا احناوين حطينا التعويض؟ احطينا + +282 +00:31:37,010 --> 00:31:45,530 +ال Y يساوي X كايب يعني Y اماشي خليها زي مين طيب + +283 +00:31:45,530 --> 00:31:51,410 +طلعلي للمثل اللي عندنا هذا الان بدي ارجع ال Y + +284 +00:31:51,410 --> 00:31:57,410 +اكتبه بدلالة من؟ بدلالة ال X يبقى هذه بصير ال sign + +285 +00:31:57,410 --> 00:32:06,150 +لمن؟ للجذر التالت ال X نجي لبعدها زائدتلاتة فى + +286 +00:32:06,150 --> 00:32:12,010 +اتنين بستة و ال Y اللى هى الجذر التالت ل X و Cos + +287 +00:32:12,010 --> 00:32:21,350 +الجذر التالت ل X وصلنا للسالب من اتنين ساين الجذر + +288 +00:32:21,350 --> 00:32:28,130 +التالت ل X زائد constant C وهى ضربناها فى تلاتة + +289 +00:32:28,130 --> 00:32:31,070 +بالصين احنا مقدش هنا ستة + +290 +00:32:33,840 --> 00:32:39,860 +طيب هذا كان المثال الثاني المثال الثالث بدنا تكامل + +291 +00:32:39,860 --> 00:32:50,060 +لمين ل sin inverse x sin inverse x لكل تربيع dx + +292 +00:32:50,060 --> 00:32:57,000 +هذا السؤال جبناه مرة في إحدى الامتحاناتبرضه + +293 +00:32:57,000 --> 00:33:02,300 +integration by substitution في الأول وبتحول بعدها + +294 +00:33:02,300 --> 00:33:08,170 +إلى مثل الله أعلم بهاإذا لو جينا قولنا هنا حطلي + +295 +00:33:08,170 --> 00:33:14,570 +مثلا ال y تساوي ال sign inverse x يبقى ال sign ال + +296 +00:33:14,570 --> 00:33:20,510 +y هي اللي بدها تساوي x مش هكت يبقى الفاضل يبقى cos + +297 +00:33:20,510 --> 00:33:27,790 +y dy بدها تساوي من dx يبقى آلة المسألة إلى الشكل + +298 +00:33:27,790 --> 00:33:31,030 +التالي هذه y تربيع + +299 +00:33:46,450 --> 00:33:56,450 +سؤال الرابع سؤال الرابع بيقول تكامل x أُس خمسة e + +300 +00:33:56,450 --> 00:34:05,510 +أُس x تربية dxهذه على الجدول؟ لأ. ليش؟ لأ لأ لأ لأ + +301 +00:34:05,510 --> 00:34:07,190 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +302 +00:34:07,190 --> 00:34:09,030 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +303 +00:34:09,030 --> 00:34:11,630 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +304 +00:34:11,630 --> 00:34:12,090 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +305 +00:34:12,090 --> 00:34:17,730 +لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ + +306 +00:34:17,730 --> 00:34:26,310 +لأ + +307 +00:34:26,310 --> 00:34:31,100 +لأ لالإكسوس خامسة ليه إكسوس أربعة في إكس؟ والإكسوس + +308 +00:34:31,100 --> 00:34:39,580 +أربعة هي X تربيه تربيه في X في E أُس X تربيه في DX + +309 +00:34:40,430 --> 00:34:44,370 +أذا كتبت المثل على الشكل الجديد اللي قدامنا هذا + +310 +00:34:44,370 --> 00:34:49,950 +لمصعب المثل ايه؟ إذا بدي أشيل ال X تربيع و أحطها + +311 +00:34:49,950 --> 00:34:57,270 +بأي متغير آخر، إذا لو جيت حطيتي T تساوي X تربيع + +312 +00:34:57,610 --> 00:35:04,650 +يبقى دي تي باتنين اكس دي اكس ماعنديش اتنينات بنجسم + +313 +00:35:04,650 --> 00:35:09,810 +على اتنين بيصير نص دي تي بده يساوي الاكس دي اكس + +314 +00:35:09,810 --> 00:35:13,790 +يبقى الاكس مع الدي اكس هذه كلها بشيل اجهات مكان + +315 +00:35:13,790 --> 00:35:22,210 +امامنص DT يبقى نص تكامل X تربية ب T في تربية برة + +316 +00:35:22,210 --> 00:35:33,270 +يبقى T تربية وهذا يصبح E أس T وX DX بنص DT على + +317 +00:35:33,270 --> 00:35:39,390 +الجدول؟ عملنا واحدة زيها اختتوا؟ يبقى هذه زيها + +318 +00:35:41,770 --> 00:35:48,590 +طيب، بروح على رقم خمسة، خمسة، بيقول ال integration + +319 +00:35:48,590 --> 00:35:56,190 +من zero لغاية واحد على جدر اتنين للاتنين X sine + +320 +00:35:56,190 --> 00:36:01,170 +inverse لمين؟ لل X تربيها كله في DX + +321 +00:36:04,280 --> 00:36:08,580 +لمصحى بالمثل امين او لوضعها مش طبيعى امين اكس + +322 +00:36:08,580 --> 00:36:14,560 +تربيع طيب اذا بدنا نشيلها و نحطها بحط لي θ تساوي + +323 +00:36:14,560 --> 00:36:22,890 +اكس تربيع يبقى d θ يساوي اتنين اكس dxإذا اتنين اكس + +324 +00:36:22,890 --> 00:36:26,870 +مع الدي اكس هذه كلها بدي اشيلها و اكتبها دلها مين؟ + +325 +00:36:26,870 --> 00:36:35,610 +دي ثيتا يبقى صار تكامل ل sign inverse ثيتا دي ثيتا + +326 +00:36:35,610 --> 00:36:42,380 +وبقيت مين؟حدود التكامل لما تبقى X بواحد على الجذر + +327 +00:36:42,380 --> 00:36:49,540 +يتنين بصير تيتا بقداش نصف و لما تبقى X بزيره بصير + +328 +00:36:49,540 --> 00:36:54,720 +تيتا اف زيره هذا السؤال اللي حلناه قبل شوية اول + +329 +00:36:54,720 --> 00:37:00,760 +مبدأ محاضرتنا اليوم فيه تمام؟ يبقى كمان هذا زيه + +330 +00:37:00,760 --> 00:37:09,460 +طيب بلاش زيه كتبنا الجواب كده طالع عندكهذا يساوي + +331 +00:37:09,460 --> 00:37:18,980 +كده؟ يبقى هذا theta sin inverse theta ناقص الجذر + +332 +00:37:18,980 --> 00:37:23,720 +التربية، لاحظ ناقص theta تربية ناقص ولا زاد، + +333 +00:37:23,720 --> 00:37:29,000 +تأكدلي، زاد؟ طب الخطية فارقة بتأكد، تمام؟ هذا + +334 +00:37:29,000 --> 00:37:34,700 +الكلام الحين من وين لوين، من zero لغاية نص يبقى + +335 +00:37:34,700 --> 00:37:43,470 +هذا previousExample يعني مثال سابق أول ما بدأنا هي + +336 +00:37:43,470 --> 00:37:48,330 +المحاضرة اليوم طب + +337 +00:37:48,330 --> 00:37:52,540 +بس لما نوصلها يا رايد حلقش تحليك لسه ماوصلناكيا + +338 +00:37:52,540 --> 00:37:57,960 +ابن آدم أنا لم أطالبك بعملي غد، فكيف تطالبني + +339 +00:37:57,960 --> 00:38:01,560 +برزقه؟ يقول الله تبارك الله في الحديث القدسي، + +340 +00:38:01,560 --> 00:38:06,700 +جايينك الحين بصنوصر، يبقى هذا الكلام بصير جداش نص + +341 +00:38:06,700 --> 00:38:15,200 +sign inverse نص زائد الجدري التربيهي لاحد ناقص + +342 +00:38:15,200 --> 00:38:20,880 +ربع، يبقى هي عوضنا بمين؟ بالقيم اللي فوت، ناقص + +343 +00:38:30,350 --> 00:38:38,710 +بادر بدر بدر بدر بدر بدر بدر بدر + +344 +00:38:41,120 --> 00:38:46,780 +هل ملحانة sign inverse يمر بنقطة الاصل؟ يعني sign + +345 +00:38:46,780 --> 00:38:52,740 +inverse zero مقدش، بواحد لما يمر بنقطة الاصل، دي + +346 +00:38:52,740 --> 00:39:00,160 +اخسارةيبقى هنا بصير Zero يبقى ناقص Zero زاد الجدر + +347 +00:39:00,160 --> 00:39:03,820 +التربية لواحد ناقص Zero خلاص انتوا يا عزيزي خلاص + +348 +00:39:03,820 --> 00:39:12,880 +يبقى هذا الكلام اللي فوق هيخلصه منه ناقص Zero ناقص + +349 +00:39:12,880 --> 00:39:19,200 +الجدر شكله عندنا يساوي نص Sin inverse نص الزاوية + +350 +00:39:19,200 --> 00:39:25,200 +اللي جيبها نص تلاتين درجة يبقى Boy على ستةتمام؟ + +351 +00:39:25,200 --> 00:39:30,620 +وهذا زي الجذر التربية واحد ناقص رابعة تلت تربعة + +352 +00:39:30,620 --> 00:39:36,380 +وهنا ناقص واحد يبقى صارت النتيجة باية على اتناشر + +353 +00:39:36,380 --> 00:39:44,720 +زي الجذر تلاتة على اتنين ناقص واحد رقم ستة بيقول + +354 +00:39:44,720 --> 00:39:52,880 +لما يأتي ستة بدنا تكامل لمين؟ لستك كيبة + +355 +00:39:59,060 --> 00:40:03,580 +XDX هذا السؤال مش تبقى تعويض هنا مش واضح أنه + +356 +00:40:03,580 --> 00:40:09,020 +بتبتعويض إذا بدي أكامل دوري بس بدي أدبر حالي أن + +357 +00:40:09,020 --> 00:40:14,820 +أخدت U مشتقته صعبة و أن أخدت DV طب هو احنا أصلا + +358 +00:40:14,820 --> 00:40:21,050 +بدنا نتكامل لكنيمكن كتابته على الشكل التالي تكامل + +359 +00:40:21,050 --> 00:40:28,230 +لسك ال X في سك تربيع ال X في DX يبقى هذي جزاية + +360 +00:40:28,230 --> 00:40:34,290 +المسألة إلى جزين يبقى جزر يخد تفاضل هذا سهل جدا + +361 +00:40:34,290 --> 00:40:40,210 +ناخده تكامل هذا اشتقاق سهل إذا لو رحت أخدت ال U + +362 +00:40:40,210 --> 00:40:49,860 +تساوي سك X وDV ليه سك تربيع ال X DXيبقى الـ du بسك + +363 +00:40:49,860 --> 00:40:58,160 +ال X في تان ال X في dx وال V اللي بتان ال X يبقى + +364 +00:40:58,160 --> 00:41:05,500 +هذه U وهذه V إذن النتيجة مباشرة تساوي U في V يبقى + +365 +00:41:05,500 --> 00:41:12,680 +سك ال X في تان ال Xناقص تكامل ذي اللي هي بتان ال X + +366 +00:41:12,680 --> 00:41:18,640 +ده ال U اللي هي بسك يبقى بصير سك ال X في تان + +367 +00:41:18,640 --> 00:41:25,940 +تاربيع ال X في DX طيب هذا السؤال ايش اللي حشره مع + +368 +00:41:25,940 --> 00:41:30,700 +المجموعة هذه من المسائل انت بتقول بدنا نعوض في + +369 +00:41:30,700 --> 00:41:35,120 +الأول و بعدين نعمل integration by parts هذه + +370 +00:41:35,120 --> 00:41:44,020 +المجموعة كان زي هيكانتظر قليل، انتظر قليل، انتظر + +371 +00:41:44,020 --> 00:41:45,400 +قليل، انتظر قليل، انتظر قليل، انتظر قليل، انتظر + +372 +00:41:45,400 --> 00:41:45,700 +قليل، انتظر قليل، انتظر قليل، انتظر قليل، انتظر + +373 +00:41:45,700 --> 00:41:47,920 +قليل، انتظر قليل، انتظر قليل، انتظر قليل، انتظر + +374 +00:41:47,920 --> 00:41:53,200 +قليل، انتظر قليل، انتظر قليل، انتظر قليل، انتظر + +375 +00:41:53,200 --> 00:41:56,880 +قليل، انتظر قليل، انتظر قليل، انتظر قليل، انتظر + +376 +00:41:56,880 --> 00:42:06,360 +قليل، انتظر قليل، + +377 +00:42:06,760 --> 00:42:14,900 +واحد ناقص والعكس صحيح سك تربيه ناقص واحد تمام يبقى + +378 +00:42:14,900 --> 00:42:23,000 +هذه سك ال X تان ال X ناقص + +379 +00:42:23,000 --> 00:42:31,080 +تكامل سك ال X تان تربيه لسك تربيه ال Xنقص واحد كله + +380 +00:42:31,080 --> 00:42:38,980 +في dx إذا صارت المسألة تكامل لسك تكييب x dx بده + +381 +00:42:38,980 --> 00:42:45,040 +يساوي سك ال x في تاني ال x ناقص تكامل سك في سك + +382 +00:42:45,040 --> 00:42:53,660 +تربيع بقداش بسك تكييب ال x في dx وناقص فناقص بزائد + +383 +00:42:53,660 --> 00:43:03,090 +تكامل سك ال x في dxطلع لي لهذه الاسم يرسل مثلًا؟ + +384 +00:43:03,090 --> 00:43:08,570 +بدي أشيلها بسلامة و أجيب عندها بصير كده؟ اتنين سك + +385 +00:43:08,570 --> 00:43:16,210 +تكييب يبقى بصير اتنين تكامل لسك تكييب ال X DX بدي + +386 +00:43:16,210 --> 00:43:25,970 +يسوى سك X في تان ال X زائد تكامل لسك X DX + +387 +00:43:28,820 --> 00:43:32,360 +تنين هذا مش لازمالي، بديش تنين انا بدي اتكمل سك + +388 +00:43:32,360 --> 00:43:40,480 +تكيب، بنجسم سك تكيب لكس، هذه سك تكيب صحيح، هذه سك + +389 +00:43:40,480 --> 00:43:45,300 +تكيب، ونجلناها، فهذه سك تكيب، وهذه كل شيء تمام + +390 +00:43:52,480 --> 00:44:00,900 +تكامل سك تكيب x دي x يسوى نص سك ال x بتان ال x + +391 +00:44:00,900 --> 00:44:03,100 +زائد نص + +392 +00:44:05,410 --> 00:44:12,970 +خدناها قبلك يبقى الان absolute value لسك ال X زائد + +393 +00:44:12,970 --> 00:44:19,750 +تاني ال X زائد كونستانسيك كيف تسيبها؟ مطلوب تكمل + +394 +00:44:19,750 --> 00:44:26,010 +المثلة حتى النهاية ومشان تمرنيدك good exercise إلك + +395 +00:44:26,010 --> 00:44:31,930 +بدنا تكامل كوسيكا تكييب ال X DX يظهر + +396 +00:44:35,680 --> 00:44:45,940 +طيب خدلي كمان سؤال بيقوللي ايش؟ بيقوللي بدنا تكامل + +397 +00:44:45,940 --> 00:44:52,540 +E أس اتنين X ل cosine تلاتة X DX + +398 +00:44:58,190 --> 00:45:03,990 +هذا السؤال ايش بتاخد صح كله مظبوط مش فيه مشكلة + +399 +00:45:03,990 --> 00:45:10,010 +يبقى انا لو أخدت ال U تساوي E أس اتنين X واخدت ال + +400 +00:45:10,010 --> 00:45:18,130 +DV ليه Cos تلاتة X DX يبقى DU يساوي اتنين E أس + +401 +00:45:18,130 --> 00:45:27,150 +اتنين X DX و V يساوي تلت ساين تلاتة Xيبقى النتيجة + +402 +00:45:27,150 --> 00:45:35,550 +تساوي U في V يبقى تلت E أس اتنين X في sign تلاتة X + +403 +00:45:35,550 --> 00:45:44,630 +ماقص تكامل V اللي تلت sign تلاتة X دال U اتنين E + +404 +00:45:44,630 --> 00:45:52,530 +أس اتنين X DXيبقى هذا بده نزله زي ما هو وهذا ناقص + +405 +00:45:52,530 --> 00:45:59,970 +تلتين تكامل E أس اتنين X Sine تلاتة X DX + +406 +00:46:08,850 --> 00:46:18,710 +يبقى ال U تساوي E أس اتنين X وDV تساوي Sine تلاتة + +407 +00:46:18,710 --> 00:46:26,850 +X DX يبقى DU باتنين E أس اتنين X DX و V بطول + +408 +00:46:26,850 --> 00:46:34,370 +Cosine تلاتة X بس بإشارةثالث طيب صار عندنا مين؟ + +409 +00:46:34,370 --> 00:46:47,190 +تكامل لل E أُس 2X Cos 3X DX يساوي طول E أُس 2X Sin + +410 +00:46:47,190 --> 00:46:55,970 +3X هنا وصلنا مين؟ ناقص طول 2 وهيقصنرى بالك، لو + +411 +00:46:55,970 --> 00:47:00,250 +جالك سؤال زي هيك، ستخلق، سالم تلتين باخد مرة و + +412 +00:47:00,250 --> 00:47:05,010 +بفتح الجزء، هذا الان integration by parts جديد U + +413 +00:47:05,010 --> 00:47:15,220 +في V يبقى سالم تلت E قوس اتنين X كوسينتلاتة Xسالب + +414 +00:47:15,220 --> 00:47:23,680 +تكامل V اللي بسالب تلت cosine تلت اكس داليه اتنين + +415 +00:47:23,680 --> 00:47:31,300 +اقص اتنين اكس DX جفلنا يبقى هذا الكلام يساوي تلت + +416 +00:47:31,300 --> 00:47:41,520 +اقص اتنين اكس sine تلت اكس زائد اتنين على تسعةE أس + +417 +00:47:41,520 --> 00:47:51,420 +اتنين X كوسين تلاتة X ناقص ناقص ناقص يبقى بتلاتة + +418 +00:47:51,420 --> 00:47:58,680 +يبقى بصير الناقص نيجي عندك هنا هنا تلتين وهنا عندك + +419 +00:47:58,680 --> 00:48:08,400 +تلتين يبقى أربعة ساعةأربعة ساعة تكامل لإي أس اتنين + +420 +00:48:08,400 --> 00:48:15,860 +اكس قصين تلاتة اكس دي اكس اتطلع في ال term هذا هو + +421 +00:48:15,860 --> 00:48:22,040 +ال term هذانفسه؟ نفسه يبقى بده أشيله و أديه عنده + +422 +00:48:22,040 --> 00:48:29,600 +بطول قداش واحد زائد أربعة تسعة يعني قداش تلتاشر + +423 +00:48:29,600 --> 00:48:36,040 +على تسعة. إذن بصير عندي تلتاشر على تسعة تكامل E أس + +424 +00:48:36,040 --> 00:48:44,620 +اتنين X Cos تلاتة X DX يساوي بمسك هذا بنزله هنا زي + +425 +00:48:44,620 --> 00:48:49,430 +ما هوأنا ما بديش اللي هو تلتاشر على تسعة بدي + +426 +00:48:49,430 --> 00:48:54,610 +التكامل إذا بضرب كله في جداش في تسعة على تلتاشر + +427 +00:48:54,610 --> 00:49:04,170 +يبقى صار تكامل لل E أس اتنين X Cos تلت X DX يساوي + +428 +00:49:04,170 --> 00:49:12,930 +تسعة على تلتاشر بيصير تلتة على تلتاشر E أس اتنين X + +429 +00:49:12,930 --> 00:49:19,500 +Sin تلت Xتسعة بصير اتنين على تلتاشر يبقى زائد + +430 +00:49:19,500 --> 00:49:27,820 +اتنين على تلتاشر اقصى اتنين اكس قصاين تلت اكس و + +431 +00:49:27,820 --> 00:49:33,920 +بروح بضيف زايد اش زائد constant good exercise لك + +432 +00:49:33,920 --> 00:49:34,500 +كمان + +433 +00:49:52,180 --> 00:50:02,260 +تكامل كوساين لن ال X DX يبقى حط لي ثيتا تساوي لن + +434 +00:50:02,260 --> 00:50:10,500 +ال X E أس ثيتا يساوي Xيبقى E أس ثيتا D ثيتا يبدو + +435 +00:50:10,500 --> 00:50:19,320 +سوى من DX يبقى صار التكامل cosine ثيتا E أس ثيتا D + +436 +00:50:19,320 --> 00:50:24,840 +ثيتا يبقى صاف زي السؤال اللي قبله ولا لا؟يبقى هذا + +437 +00:50:24,840 --> 00:50:33,260 +as example 7 يبقى هذا زيه بالضبط تماما وهذا زي سكت + +438 +00:50:33,260 --> 00:50:38,720 +كايب يعني بعد ما وصلنا بعد تكملين طلع رأس المسألة + +439 +00:50:38,720 --> 00:50:44,300 +نجلناها على الشجرة الثانية نكتفي بهذا القدر و + +440 +00:50:44,300 --> 00:50:47,840 +بنكمل ان شاء الله المحاضرة القادمة + diff --git a/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/nj2fWhokPK4_raw.srt b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/nj2fWhokPK4_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..bf2594ab17e12c511123e5b3fb5c1cab57df7205 --- /dev/null +++ b/PL9fwy3NUQKwasVXkhUjp6LPUI_sOpX-0N/nj2fWhokPK4_raw.srt @@ -0,0 +1,1976 @@ +1 +00:00:00,000 --> 00:00:02,700 +موسيقى + +2 +00:00:10,120 --> 00:00:15,060 +بسم الله الرحمن الرحيم فدأنا من المرة الماضية من + +3 +00:00:15,060 --> 00:00:19,740 +موضوع ال power series بنذكر بما قلناه لأنه بناء + +4 +00:00:19,740 --> 00:00:24,440 +عليه بنبدأ ناخد أمثلة فقلنا ال power series عبارة + +5 +00:00:24,440 --> 00:00:30,020 +عن summation على a على cin x ناقص ال a to the + +6 +00:00:30,020 --> 00:00:35,460 +power nالسيريز هذه قد تكون converge وقد تكون + +7 +00:00:35,460 --> 00:00:41,620 +diverge تفاصيلات كتالة اي power series لها احد + +8 +00:00:41,620 --> 00:00:46,760 +ثلاثة احتمالات الاحتمال الاول ان السيريز تكون + +9 +00:00:46,760 --> 00:00:51,160 +converge عند نقطة واحدة وdiverge على باق ال real + +10 +00:00:51,160 --> 00:00:56,120 +line كله ان حدث ذلك يبقى ال radius of convergence + +11 +00:00:56,120 --> 00:01:00,910 +نصف قطرة تقارب r يساوي zeroممكن تبقى ال series + +12 +00:01:00,910 --> 00:01:05,990 +converge absolutely على كل real line بلا استثناء + +13 +00:01:05,990 --> 00:01:10,150 +يبقى في هذه الحالة بقول ال interval of convergence + +14 +00:01:10,150 --> 00:01:14,930 +هي من سلب infinity إلى infinity وال radius of + +15 +00:01:14,930 --> 00:01:20,230 +convergence R بده يساوي infinity الاحتمال الثالث + +16 +00:01:20,230 --> 00:01:24,330 +والاخير ان ال series تبقى converge على فترة و + +17 +00:01:24,330 --> 00:01:29,820 +diverge خارج هذه الفترةلما تبقى converge على + +18 +00:01:29,820 --> 00:01:33,520 +الفترة هذه و diverge خارجها بيظلوا طرفي ال + +19 +00:01:33,520 --> 00:01:38,320 +interval طرفي ال interval ممكن عند الطرفين تبقى ال + +20 +00:01:38,320 --> 00:01:42,500 +series converge عند الطرفين او ممكن تبقى diverge + +21 +00:01:42,500 --> 00:01:45,660 +عند الطرفين او ممكن تبقى ال convergence عند احد + +22 +00:01:45,660 --> 00:01:51,580 +الأطراف و diverge عند الطرف الثاني يبقى هذا + +23 +00:01:51,580 --> 00:01:56,580 +الاتكلمة ضال نصف القطر اللى يسوى طول نصف الفترة + +24 +00:01:56,740 --> 00:01:59,720 +بتبعت التقارب تبعت ال series تبعت التقارب تبعت ال + +25 +00:01:59,720 --> 00:02:02,140 +series تبعت التقارب تبعت ال series تبعت التقارب + +26 +00:02:02,140 --> 00:02:02,600 +تبعت التقارب تبعت التقارب تبعت التقارب تبعت + +27 +00:02:02,600 --> 00:02:04,100 +التقارب تبعت التقارب تبعت التقارب تبعت التقارب + +28 +00:02:04,100 --> 00:02:08,040 +تبعت التقارب تبعت التقارب تبعت التقارب تبعت + +29 +00:02:08,040 --> 00:02:14,140 +التقارب تبعت التقارب تبعت التقارب تبعت التقارب + +30 +00:02:14,140 --> 00:02:16,180 +تبعت التقارب تبعت التقارب تبعت التقارب تبعت + +31 +00:02:16,180 --> 00:02:16,740 +التقارب تبعت التقارب تبعت التقارب تبعت التقارب + +32 +00:02:16,740 --> 00:02:20,520 +تبعت التقارب تبعت التقارب تبعت التقارب تبعت + +33 +00:02:20,520 --> 00:02:25,480 +التقارب تبعت التقأخذ الـ absolute value للـ series + +34 +00:02:25,480 --> 00:02:31,820 +لكي نستطيع ان نطبق اي اختبار من الاختبارات السابقة + +35 +00:02:31,820 --> 00:02:35,580 +يبقى السؤال بيجيك حتى في الامتحان النهائي بيقول لي + +36 +00:02:35,580 --> 00:02:40,180 +هات ال interval of convergence and the radius of + +37 +00:02:40,180 --> 00:02:44,680 +convergence لل power series وبيعطيني اي power + +38 +00:02:44,680 --> 00:02:48,540 +series مثل ال power series اللي قدناها باجي بطلع + +39 +00:02:48,540 --> 00:02:54,140 +انامن الاختبار المناسب لهذه ال power series بطلع + +40 +00:02:54,140 --> 00:02:58,280 +لطبيعتها اذا سهل اخد الجذر النوني باخد الجذر + +41 +00:02:58,280 --> 00:03:02,520 +النوني مش سهل اوتوماتيك بروح عالميا على ال ratio + +42 +00:03:02,520 --> 00:03:07,260 +يبقى لما نطلع في المثل هذه سهل انه ناخد من الجذر + +43 +00:03:07,260 --> 00:03:13,330 +النوني اذا بروح بقوله ال road تساوي ال limitلما ال + +44 +00:03:13,330 --> 00:03:17,750 +N تنسب في دي لل absolute value، ال absolute قد لك + +45 +00:03:17,750 --> 00:03:21,950 +بسبب وجود ال X اللي أنا مش عارف هل هي سالب أو + +46 +00:03:21,950 --> 00:03:29,870 +موجبة، لمن؟ للجذر النوني للحد النوني N على 2 أُس N + +47 +00:03:29,870 --> 00:03:34,150 +في X ناقص ثلاثة to the power N وهي ال absolute + +48 +00:03:34,150 --> 00:03:39,040 +valueيبقى هذا الكلام بدي يساوي ال limit لما ال N + +49 +00:03:39,040 --> 00:03:46,320 +tends to infinity لمين؟ لل N على 2 في ال X ناقص 3 + +50 +00:03:46,320 --> 00:03:52,100 +هو أيه ال absolute value طلّالي كويس في المثلة، ال + +51 +00:03:52,100 --> 00:03:58,140 +X ناقص 3 تعتبر constant بالنسبة لمين؟ لل M، إذا + +52 +00:03:58,140 --> 00:04:02,840 +أنا دي فيش فيه N، مالعيش دعوة بطلعها براالمقال + +53 +00:04:02,840 --> 00:04:07,640 +اللي عندنا يبقى يادة absolute value لل X ناقص + +54 +00:04:07,640 --> 00:04:14,880 +تلاتة limit + +55 +00:04:14,880 --> 00:04:20,960 +لل X ناقص تلاتة في مين؟ في limit لما ال N tends to + +56 +00:04:20,960 --> 00:04:25,000 +infinity لل N على اتنين + +57 +00:04:27,210 --> 00:04:33,690 +هذا الـ Limit ممكن يتساوي 0 وممكن يتساوي مقالة + +58 +00:04:33,690 --> 00:04:34,170 +نهائية + +59 +00:04:43,240 --> 00:04:48,520 +في الـ Limit يبقى بيعطينا Zero على طول الخط ما خل + +60 +00:04:48,520 --> 00:04:53,240 +ذلك يبقى هذا لا يمكن أن يساوي Zero وهذا مقالة + +61 +00:04:53,240 --> 00:04:57,820 +نهاية على طول الخط يبقى بده يساوي قداش مقالة نهاية + +62 +00:04:57,820 --> 00:05:03,360 +يبقى هذا بده يساوي مرة واحدة في التاريخ صفر لما ال + +63 +00:05:03,360 --> 00:05:07,960 +X بده يساوي قداش تلاتة وغيرها بده تكون Infinity + +64 +00:05:08,470 --> 00:05:19,490 +يبقى هذا الكلام بده يساوي Zero او X ناقص تلاتة في + +65 +00:05:19,490 --> 00:05:25,130 +Zero اللي هو بده يساوي Zero اقل من الواحد only + +66 +00:05:25,130 --> 00:05:32,950 +when اللي هو ال X يساوي تلاتةيبقى فقط لغير ابعد عن + +67 +00:05:32,950 --> 00:05:37,250 +التلاتة يمين او شمال بصير النتيجة infinity + +68 +00:05:37,250 --> 00:05:41,590 +وبالتالي ال series مالها diverged لحظة الكلام اللي + +69 +00:05:41,590 --> 00:05:44,730 +مكتوب عندك والنظر المرة اللي فات هو اللي أشرت اليه + +70 +00:05:44,730 --> 00:05:50,790 +قبل قليل أول نقطة بيقول ال series converge only at + +71 +00:05:50,790 --> 00:05:56,630 +x يساوي aوDiverge على يمين الـA وعلى شمال الـA + +72 +00:05:56,630 --> 00:06:01,550 +يعني لو كان عندنا real number وقلنا هذه النقطة + +73 +00:06:01,550 --> 00:06:06,210 +اللي هي تلاتة عند تلاتة النتيجة تساوي Zero + +74 +00:06:06,210 --> 00:06:10,840 +وبالتالي SeriesConverted عند النقطة هذه بتكون + +75 +00:06:10,840 --> 00:06:16,180 +Converted لكن غيرها على يمينها Diverged وعلى + +76 +00:06:16,180 --> 00:06:22,080 +شمالها مالها Diverged طبعا الـ Zero أقل من الواحد، + +77 +00:06:22,080 --> 00:06:25,680 +مدام أقل من واحد يبقى الـ Series لأن هذه مالها + +78 +00:06:25,680 --> 00:06:36,270 +Converted فبروح بقوله The Seriesconverge only at x + +79 +00:06:36,270 --> 00:06:45,410 +يسوى تلاتة and diverge elsewhere في أي مكان آخر + +80 +00:06:45,410 --> 00:06:49,850 +وفي هذه الحالة the radius + +81 +00:06:51,850 --> 00:07:02,250 +of convergence is R تساوي كده؟ تساوي Zero ايوة + +82 +00:07:02,250 --> 00:07:06,630 +تمام + +83 +00:07:06,630 --> 00:07:11,490 +استنى + +84 +00:07:11,490 --> 00:07:18,850 +شوية هذا الكلام بده يساوي هذا بده يساوي + +85 +00:07:36,680 --> 00:07:41,480 +وانت لما توصل تلاتة لما ال X توصل تلاتة بتكون N + +86 +00:07:41,480 --> 00:07:48,780 +وصلت لما لنهايةمين اللي بوصل في الأول؟ تعرفش؟ يعني + +87 +00:07:48,780 --> 00:07:51,340 +واحد، اتنين، تلاتة، التلاتة بتيجي بعد ما لنهاية + +88 +00:07:51,340 --> 00:07:53,960 +ولا قبلها؟ طيب خلاصنا + +89 +00:07:57,970 --> 00:08:02,530 +يبقى في مثل هذه الحالة بقول ان ال limit ساوي zero + +90 +00:08:02,530 --> 00:08:07,890 +only فقط إذا كانت x يساوي تلتة ما خلال ذلك كله ب + +91 +00:08:07,890 --> 00:08:11,130 +infinity عن ال series by values على يمين التلاتة + +92 +00:08:11,130 --> 00:08:16,110 +وعلى مين على شمال التلاتة يعني الأسئلة كلها سهلة + +93 +00:08:16,110 --> 00:08:21,890 +وبسيطة بالشكل هذا طبعا لأ مثال اتنين هذا من أبسط + +94 +00:08:21,890 --> 00:08:27,810 +أنواع الأمثلة summationمن M equal one to infinity + +95 +00:08:27,810 --> 00:08:35,710 +لل N factorial X to the power N على اتنين N + +96 +00:08:35,710 --> 00:08:41,330 +factorial واضح + +97 +00:08:41,330 --> 00:08:47,720 +ان عنده إياشفكتوريا يبقى بدي أخد اختبار ال ratio + +98 +00:08:47,720 --> 00:08:52,800 +بدي أقوله هنا ال raw تساوي ال limit لما ال int + +99 +00:08:52,800 --> 00:08:58,660 +tends to infinity لل absolute value للحد النوني + +100 +00:08:58,660 --> 00:09:04,320 +زائد واحد على الحد النونييبقى هذا الكلام بده يساوي + +101 +00:09:04,320 --> 00:09:08,520 +ال limit لما ال N tends to infinity هو هذا ال + +102 +00:09:08,520 --> 00:09:13,360 +absolute value الحد النوني زائد واحد اللي هو ال N + +103 +00:09:13,360 --> 00:09:22,540 +زائد واحد factorial X أس N زائد واحد على اتنين في + +104 +00:09:22,540 --> 00:09:30,490 +N زائد واحد كله factorial تقسيمن فاكتوريال X to + +105 +00:09:30,490 --> 00:09:35,330 +the power of N على اتنين N فاكتوريال وهي ال + +106 +00:09:35,330 --> 00:09:42,330 +absolute value نبدأ نحلل ونختصر يبجع را تساوي + +107 +00:09:42,330 --> 00:09:49,050 +limit لما ال N tends to infinity وهي ال absolute + +108 +00:09:49,050 --> 00:09:57,980 +value N زائد واحد في N فاكتوريالفى ال X فى X to + +109 +00:09:57,980 --> 00:10:03,220 +the power N المقام هذا اتنين في N زائد واحد يعني + +110 +00:10:03,220 --> 00:10:11,850 +اتنين N زائد اتنين يبقى اتنينزائد اتنين اتنين in + +111 +00:10:11,850 --> 00:10:18,930 +زائد واحد اتنين in factorial القسم هحوله الى ضرب + +112 +00:10:18,930 --> 00:10:24,050 +ونشقلب المقام اللى عندنا هيصير bust و ال bust + +113 +00:10:24,050 --> 00:10:30,980 +هيصير مقام بالشكل ان هذا هو ال absolute valueنختصر + +114 +00:10:30,980 --> 00:10:36,660 +الاختصارات N factorial مع N factorial X to the + +115 +00:10:36,660 --> 00:10:42,900 +power N مع X to the power N 2 N factorial مع 2 N + +116 +00:10:42,900 --> 00:10:51,610 +factorial هذا الجزء هو عبارة عن 2 في N زائد 1ن + +117 +00:10:51,610 --> 00:10:57,030 +زائد واحد مع ن زائد واحد الله يسهل عليها يبقى هيك + +118 +00:10:57,030 --> 00:11:01,270 +بيصير عندي absolute value ل X على اتنين هذا مالوش + +119 +00:11:01,270 --> 00:11:06,430 +دعوة بال M و هذا ال limit لما ال N tends to + +120 +00:11:06,430 --> 00:11:10,310 +infinity نجي ال bus ال bus كله مش ضايق فيه الا + +121 +00:11:10,310 --> 00:11:20,700 +واحد صحيح المقام ضايق لنا من اتنين N زائد واحدطيب + +122 +00:11:20,700 --> 00:11:27,480 +قداش ال limit لهذا المقدار؟ Zero تمام فال absolute + +123 +00:11:27,480 --> 00:11:33,180 +value ل X على 2 يبقى هذا absolute value ل X على 2 + +124 +00:11:33,180 --> 00:11:39,100 +في Zero اللي هو بده يسوى Zero أقل من الواحد for + +125 +00:11:39,100 --> 00:11:47,680 +all Xماذا يعني for all x؟ يعني هل يمكن ل x إنه لو + +126 +00:11:47,680 --> 00:11:52,700 +أخدت قيمة محددة من سلب infinity إلى infinity تغير + +127 +00:11:52,700 --> 00:11:58,000 +هذه النتيجة؟ لأ، إذن النتيجة تساوي zero for all x + +128 +00:11:58,450 --> 00:12:03,090 +يعني النتيجة تساوي Zero على كل real line من سالب + +129 +00:12:03,090 --> 00:12:07,990 +infinity إلى infinity طبعا ال Zero ما لها أقل من + +130 +00:12:07,990 --> 00:12:12,410 +الواحد وانا استخدمت ال ratio test يبقى معنا هذا + +131 +00:12:12,410 --> 00:12:16,430 +الكلام من ال series ما لها converge يبقى باجي + +132 +00:12:16,430 --> 00:12:26,950 +بقوله by the ratio test the series converge + +133 +00:12:28,050 --> 00:12:35,030 +for all x ترجمة + +134 +00:12:35,030 --> 00:12:46,460 +بتقول لي the intervalof convergence is من سالب + +135 +00:12:46,460 --> 00:12:50,920 +infinity إلى infinity بدنا ال radius of + +136 +00:12:50,920 --> 00:12:58,640 +convergence فبروح بقوله the radius of convergence + +137 +00:12:58,640 --> 00:13:09,450 +is R تسوى كدهش infinityسؤال الاتنين هدول من عندما + +138 +00:13:09,450 --> 00:13:15,590 +حسبنا ال limit تجب المثال خلصت دايما المثال هيك؟ + +139 +00:13:15,590 --> 00:13:20,870 +لا مش دايما هيك تعالى ناخد المثال رقم تلاتة ونشوف + +140 +00:13:20,870 --> 00:13:26,090 +هل هي دايما بهذا الشكل؟ والله ما هياش بهذا الشكل + +141 +00:13:26,090 --> 00:13:32,930 +سؤال التالت بيقول summation من n equal zero to + +142 +00:13:32,930 --> 00:13:41,810 +infinity لل NX to the power M على 4 to the power M + +143 +00:13:41,810 --> 00:13:46,670 +في M تربيع زائد واحد بهذا الشكل + +144 +00:13:51,670 --> 00:13:56,430 +سهل ناخد الجذر النوني؟ سهل، سهل، بس الـ GOS يبقى + +145 +00:13:56,430 --> 00:14:01,930 +أفضل اختباره اختبار مين؟ اختبار الـ Ratio Test + +146 +00:14:01,930 --> 00:14:10,390 +فبروح بقوله solution راتو ساوي، limit لما ال N + +147 +00:14:10,390 --> 00:14:15,820 +tends to infinity وهي absolute valueبنشيل كل N + +148 +00:14:15,820 --> 00:14:26,060 +ونحط مكانها N زائد واحد على أربع أس N زائد واحد N + +149 +00:14:26,060 --> 00:14:35,220 +زائد واحد لكل تربية زائد واحد تقسيم N X أس N على + +150 +00:14:35,220 --> 00:14:41,440 +أربع أس N N تربية زائد واحد وهي ال absolute value + +151 +00:14:43,400 --> 00:14:47,880 +هذه الترتيبة يبقى limit لما ال in tends to + +152 +00:14:47,880 --> 00:14:55,100 +infinity in زائد واحد هو يد x في x to the power in + +153 +00:14:55,100 --> 00:15:01,490 +هو يد اربع في اربع to the power inهذه الشباب اللي + +154 +00:15:01,490 --> 00:15:06,130 +ان تربية زيدي اتنين ان زيدي واحد وزيدي واحد يبقى + +155 +00:15:06,130 --> 00:15:14,070 +زيدي اتنين يبقى ان تربية زيدي اتنين ان زيدي اتنين + +156 +00:15:14,070 --> 00:15:20,390 +هذه أربعة to the power of n في الان تربية plus one + +157 +00:15:20,390 --> 00:15:25,310 +على ان في x to the power of n وهي ال absolute + +158 +00:15:25,310 --> 00:15:31,290 +valueنبدأ عملية الاختصارات ونشوف هذه بدأ تصف معنا + +159 +00:15:31,290 --> 00:15:36,850 +لحد وين يبقى هذا الكلام بده يساوي ال limit لما ال + +160 +00:15:36,850 --> 00:15:41,410 +N tends to infinity خلي بالك هنا أربعة to the + +161 +00:15:41,410 --> 00:15:46,470 +power N مع أربعة to the power N X to the power N + +162 +00:15:46,470 --> 00:15:55,780 +مع X to the power Nفى كمان ولا حاجة خلصنا يبقى هذا + +163 +00:15:55,780 --> 00:16:00,520 +الكلام بدى يساوي ال limit لل absolute value لمن؟ + +164 +00:16:00,520 --> 00:16:11,270 +لل N زائد واحد N زائد واحد على M8 في N تربيع زائد + +165 +00:16:11,270 --> 00:16:19,690 +واحد على N تربيع زائد اتنين N زائد اتنين وضعي اللي + +166 +00:16:19,690 --> 00:16:26,410 +عندنا هنا قداش ربع يبقى يساوي الربع في ال limit + +167 +00:16:26,410 --> 00:16:30,270 +اللي عندنا تمام؟ وهذه ال absolute + +168 +00:16:34,920 --> 00:16:38,940 +يبقى absolute value للـ X على 4 + +169 +00:16:48,210 --> 00:16:54,670 +أبسلوت فالي لل X على أربعة في limit لما ال N turns + +170 +00:16:54,670 --> 00:16:59,970 +to infinity و هذا كله مالوش دعوة في ال absolute + +171 +00:16:59,970 --> 00:17:06,720 +value لأن كله موجبه. يبقى النتيجةهذا الـ limit له + +172 +00:17:06,720 --> 00:17:11,980 +بقداش؟ واحد. وهذا بقداش؟ واحد. واحد زيه؟ لأن درجة + +173 +00:17:11,980 --> 00:17:15,940 +البسقى درجة المقام والمعامل هنا واحد والمعامل هنا + +174 +00:17:15,940 --> 00:17:21,520 +واحد. يبقى هذه ال limit كلها مرة واحدة بتقنى قداش؟ + +175 +00:17:21,520 --> 00:17:27,630 +واحد. يبقى النتيجة absolute value لل X على أربع.لو + +176 +00:17:27,630 --> 00:17:31,530 +طلعل إلى النتيجة هنا اختلفت عن النتيجة في كل من + +177 +00:17:31,530 --> 00:17:40,170 +السؤالين السابقين يبقى هذه تمثل رو لو كانت هذه اقل + +178 +00:17:40,170 --> 00:17:46,120 +من الواحد ال seriesوإذا كانت أكبر من واحد، وإذا + +179 +00:17:46,120 --> 00:17:49,800 +كانت تسوى من واحد، فهو يفشل الاختبار، انه ال ratio + +180 +00:17:49,800 --> 00:17:53,860 +test. مظبوط؟ فبروح بقوله ماتي من حد ما توصل + +181 +00:17:53,860 --> 00:17:59,260 +للنتيجة التي بتقول ماتي. The series converge. + +182 +00:18:01,400 --> 00:18:08,660 +absolutely إذا كان absolute value لل X على 4 أقل + +183 +00:18:08,660 --> 00:18:16,340 +من 1 and diverge إذا كان ال absolute value لل X + +184 +00:18:16,340 --> 00:18:20,240 +على 4 أكبر من 1 + +185 +00:18:40,730 --> 00:18:45,210 +مرة تانية استخدمنا ال ratio test و وصلنا الى + +186 +00:18:45,210 --> 00:18:49,450 +absolute value ل X على 4 هي قيمة ال limit فبعدين + +187 +00:18:49,450 --> 00:18:52,630 +بقول ان ال series converge absolutely اذا كان + +188 +00:18:52,630 --> 00:18:56,690 +absolute value ل X على 4 اقل من 1 و diverge اذا + +189 +00:18:56,690 --> 00:19:02,400 +اكبر من 1 لو حلنا ال inequality هذهيكون حلنا + +190 +00:19:02,400 --> 00:19:05,900 +لانقلة التانية واحنا مش دارين عن أنفسنا. إذا جيبنا + +191 +00:19:05,900 --> 00:19:09,340 +فترة التقارب، يبقى اللي بضل هو فترة مين؟ فترة + +192 +00:19:09,340 --> 00:19:14,000 +التباعة، تباعة المتسلسلة. يبقى باجي بقوله The + +193 +00:19:14,000 --> 00:19:22,660 +SeriesConverge F إذا كان ال absolute value ل X أقل + +194 +00:19:22,660 --> 00:19:29,340 +من 4 يعني إيش عمل ضربت الطرفين في أربع يعني هذا + +195 +00:19:29,340 --> 00:19:35,780 +معناه إن ال X أقل من أربع و أكبر من مين؟ من سالب + +196 +00:19:35,780 --> 00:19:41,320 +أربعبنأخد القمتين الأثنين اللي عندنا هدول فبجي + +197 +00:19:41,320 --> 00:19:46,440 +بقوله لو كانت ال X على سبيل المثال تساوي سالب + +198 +00:19:46,440 --> 00:19:54,300 +أربعة the series becomes يعني إيش بدك تسوي بالظبط؟ + +199 +00:19:54,300 --> 00:19:59,260 +أه بدي أقول أن ده طرفي ال interval تبعد التقارب له + +200 +00:19:59,260 --> 00:20:03,040 +سالب أربعة و أربعة هل ال series converge؟ والله + +201 +00:20:03,040 --> 00:20:07,330 +diverse إذا diverse بكتب له open intervalوإذا كنت + +202 +00:20:07,330 --> 00:20:10,290 +فارغ فأخبره بـ Close and Tear وإذا كنت فارغ فأخبره + +203 +00:20:10,290 --> 00:20:10,450 +بـ Close and Tear وإذا كنت فارغ فأخبره بـ Close + +204 +00:20:10,450 --> 00:20:12,010 +and Tear وإذا كنت فارغ فأخبره بـ Close and Tear + +205 +00:20:12,010 --> 00:20:13,790 +وإذا كنت فارغ فأخبره بـ Close and Tear وإذا كنت + +206 +00:20:13,790 --> 00:20:14,010 +فارغ فأخبره بـ Close and Tear وإذا كنت فارغ فأخبره + +207 +00:20:14,010 --> 00:20:14,530 +بـ Close and Tear وإذا كنت فارغ فأخبره بـ Close + +208 +00:20:14,530 --> 00:20:16,410 +and Tear وإذا كنت فارغ فأخبره بـ Close and Tear + +209 +00:20:16,410 --> 00:20:21,550 +وإذا كنت فارغ فأخبره بـ Close and Tear وإذا كنت + +210 +00:20:21,550 --> 00:20:26,210 +فارغ فأخبره + +211 +00:20:26,210 --> 00:20:34,130 +بـ Close and Tear وإذا كنت فارغ فأخبره بـ + +212 +00:20:35,250 --> 00:20:41,990 +لمن؟ لل N سالب أربعة to the power N على أربعة to + +213 +00:20:41,990 --> 00:20:47,130 +the power N N تربية زائد واحد اللي هي ال summation + +214 +00:20:47,130 --> 00:20:51,310 +من N equal zero to infinityهذا يا شباب اللي هو + +215 +00:20:51,310 --> 00:20:56,550 +سالب واحد في أربعة يعني كأنه سالب واحد to the + +216 +00:20:56,550 --> 00:21:03,230 +power N في ال N في الأربعة to the power N على + +217 +00:21:03,230 --> 00:21:09,070 +أربعة to the power N في ال N تربية زائد واحد أربعة + +218 +00:21:09,070 --> 00:21:14,230 +to the power Nمع أربعة to the power N يبقى صارت + +219 +00:21:14,230 --> 00:21:19,410 +summation من N equal zero to infinity لسالب واحد + +220 +00:21:19,410 --> 00:21:28,550 +to the power N لل N على N تربية زائد واحد.إذن لما + +221 +00:21:28,550 --> 00:21:34,270 +كانت ال X ساوية سلب أربعة تحولت المسألة من power + +222 +00:21:34,270 --> 00:21:39,600 +series إلىالسيريز المتعاملين يبقى بدنا نروح كأن + +223 +00:21:39,600 --> 00:21:44,440 +هذه مسألة جديدة تمام؟ نروح نبحث السيريز هذه هل هي + +224 +00:21:44,440 --> 00:21:49,700 +converged او diverged فقوله والله كويس تعالى نشوف + +225 +00:21:49,700 --> 00:21:53,920 +يبقى بدي اخد السيريز of absolute value زي ما كنا + +226 +00:21:53,920 --> 00:22:00,940 +بنعمل في ال section السابق فبروح بقوله ايش هنا؟of + +227 +00:22:00,940 --> 00:22:08,280 +absolute values as summation من N equal zero to + +228 +00:22:08,280 --> 00:22:14,960 +infinity لل N على N تربيع زائد واحد شفوي لو بدى + +229 +00:22:14,960 --> 00:22:19,840 +استخدم الحد النوني كداش ال limit؟ زير يبقى بفش + +230 +00:22:19,840 --> 00:22:24,940 +الاختبار الحد النوني تكامل بتيجيان البسطى فضل مقام + +231 +00:22:24,940 --> 00:22:30,140 +بس بده جداش اتنين بس بتروح ادور على مين على الشروط + +232 +00:22:30,140 --> 00:22:33,420 +تلاقى وفه دي قصة بتطول اذا بتروح ادور على الشروط + +233 +00:22:33,420 --> 00:22:37,480 +تلاقى وبعدين هو هكامل لأ شوف لك اختبار تاني بقوله + +234 +00:22:37,480 --> 00:22:41,280 +اه لو بده اجي لل comparison بقولش اللي واحد بيضل + +235 +00:22:41,280 --> 00:22:46,510 +ال N على N تاربية يعني جداشعن طريق بيوجي هارمونيك + +236 +00:22:46,510 --> 00:22:51,850 +يبقى بدنا نمشي من اكبر والله اقل اكبر من فاجي + +237 +00:22:51,850 --> 00:22:58,570 +بقوله الحد انه نقول N على N تربية زائد واحد اكبر + +238 +00:22:58,570 --> 00:23:07,640 +من N على N تربية صحيةغلط هذا أجل طيب إذا بدي أكتب + +239 +00:23:07,640 --> 00:23:13,720 +الواحد بدلالة N تربيع مشان نجمعه نختصر يبقى زائد N + +240 +00:23:13,720 --> 00:23:20,400 +تربيع التساوي هذا ممكن ينفعبالشكل اللي عندنا هذا + +241 +00:23:20,400 --> 00:23:27,560 +طبعا عندي ال zero غير معرفة يبقى سيب الحد رقم zero + +242 +00:23:27,560 --> 00:23:33,940 +عند الواحد بيحدث التساوي يبقى من هنا كتبنا يبقى + +243 +00:23:33,940 --> 00:23:39,720 +هذا أكبر من هذا لو بده يساوي ال N على 2 N تربيع + +244 +00:23:39,720 --> 00:23:45,720 +يعني 1 على 2 N لكل ال N اللي أكبر من أو تساوي من + +245 +00:23:46,090 --> 00:23:51,090 +واحد يعني اهملنا أول حد من ال series وهذا لا يؤثر + +246 +00:23:51,090 --> 00:23:55,670 +لا على ال convergence ولا على ال divergence بقوله + +247 +00:23:55,670 --> 00:24:04,590 +but ولكن مص summation لواحد على n اللي هو diverge + +248 +00:24:04,590 --> 00:24:07,850 +harmonic series + +249 +00:24:09,700 --> 00:24:19,860 +by the comparison test, the series of absolute + +250 +00:24:19,860 --> 00:24:28,140 +values لصميمة لإن على إن تربية زائد واحد ما لها، + +251 +00:24:28,140 --> 00:24:35,730 +بيكفيش؟ بيكفيش، بدك تروح على الشروط التلاتةيبقى + +252 +00:24:35,730 --> 00:24:42,550 +باجي بقوله الشرط الأولاني AN اللي هو بتسوى N على N + +253 +00:24:42,550 --> 00:24:50,630 +تربية زائد واحد أكبر من ال zero لكل ال N اللي أكبر + +254 +00:24:50,630 --> 00:24:57,890 +من أو تسوى واحد هذا إيش معناه؟ معناه إن كل ال AN's + +255 +00:24:57,890 --> 00:24:59,130 +are positive + +256 +00:25:02,010 --> 00:25:04,830 +مظبوط؟ ال condition الأول اتحقق، بدا يجي لل + +257 +00:25:04,830 --> 00:25:10,110 +condition التانيالـ condition كان البص متغير + +258 +00:25:10,110 --> 00:25:16,210 +والمقام متغير يبقى مافي إمكانية إلا الاشتقاق يبقى + +259 +00:25:16,210 --> 00:25:22,050 +باجي بقوله ال F of X بدي يساوي ال X على X تربية + +260 +00:25:22,050 --> 00:25:27,430 +زائد واحد هذا بدي يطيلك ان F prime of X يساوي + +261 +00:25:27,430 --> 00:25:35,210 +المقام في مشتقة البص اللي بواحد ناقصالبسط اللي هو + +262 +00:25:35,210 --> 00:25:42,070 +ال X في مشتقتي المقام اللي هو ب2X كله على مربع + +263 +00:25:42,070 --> 00:25:47,190 +المقام الأصلي تربية بالشكل اللي عندنا هذا يبقى هذا + +264 +00:25:47,190 --> 00:25:53,490 +يبدو السبب هذي ناقص 2X تربية وعندي X تربية يبقى + +265 +00:25:53,490 --> 00:26:00,870 +بتضل X تربية واحدة على X تربية زائد واحد لكل تربية + +266 +00:26:00,870 --> 00:26:06,020 +علي بالا كدهاللي هو لما أطلع للنتيجة المقام دائما + +267 +00:26:06,020 --> 00:26:10,720 +و أبدا موجب ماعناه مشكلة فيه يبقى اللي بده يحدد + +268 +00:26:10,720 --> 00:26:15,100 +الإشارة لهذا المقدار هو أمام الـBus عند الواحد + +269 +00:26:15,100 --> 00:26:20,080 +بيصير الناتج بـ0 لكن عند اتنين، تلاتة، أربعة، + +270 +00:26:20,080 --> 00:26:26,080 +خمسة، أيه فما فوق يقوله بيصير سالم يبقى هذا أقل من + +271 +00:26:26,080 --> 00:26:32,300 +الـ0 لكل الـX اللي أكبر من أو تسوى منإتنين + +272 +00:26:32,300 --> 00:26:38,100 +وبالتالي كأنه إحنا أهملنا مين حدين وليس حد واحدة، + +273 +00:26:38,100 --> 00:26:43,560 +بأثرش هندي، مدام طلع أقل من ال zero يبقى ال series + +274 +00:26:43,560 --> 00:26:50,300 +اللي عندها دماغها decreasingيبقى السواء ال F is + +275 +00:26:50,300 --> 00:27:00,440 +decreasing for all x أكبر من او تسوى من اتنين تمام + +276 +00:27:00,440 --> 00:27:07,280 +تمام يبقى بالداجلة الشرق التالف بتروح اخد limit + +277 +00:27:07,280 --> 00:27:09,840 +لما ال intends to infinity + +278 +00:27:13,500 --> 00:27:20,160 +يبقى لل N على N تربيه الزاد واحد طبعا في صمم أمن + +279 +00:27:20,160 --> 00:27:23,800 +للمثلة تتطلع في ال polynomial في ال bus و ال + +280 +00:27:23,800 --> 00:27:27,460 +polynomial اللي في المقام إذا ضرية ال bus أقل من + +281 +00:27:27,460 --> 00:27:31,580 +ضرية المقام فإن الناتج يساويزيرو لكن احنا مش حالة + +282 +00:27:31,580 --> 00:27:36,320 +ملهات بنقول infinity على infinity يا اما بتجسم + +283 +00:27:36,320 --> 00:27:40,360 +البسط والمقام على ان المرفوع اللي اكبر قصف المقام + +284 +00:27:40,360 --> 00:27:44,920 +يا بتشتق البسط على مشتقة المقام اذا لو اشتقنا + +285 +00:27:44,920 --> 00:27:49,860 +البسط واحد على اتنين ان واحد على ما لنهاية بزيرو + +286 +00:27:49,860 --> 00:27:58,740 +يبقى تحقق الشروط التلاتة so the series converge + +287 +00:28:03,520 --> 00:28:09,280 +Conditionally at x يساوي سالم أربع + +288 +00:28:16,620 --> 00:28:21,140 +إذا الـ X تساوي أربعة، إيش بدي يكون شكل الـ + +289 +00:28:21,140 --> 00:28:28,020 +Series؟ The Series becomes تصبح على الشكل التالي + +290 +00:28:28,020 --> 00:28:32,820 +summation من N equal zero to infinityبالدرجة على + +291 +00:28:32,820 --> 00:28:38,640 +رأس المثال اللي موجود عندنا يبقى بيصير N أربعة to + +292 +00:28:38,640 --> 00:28:45,040 +the power N على أربعة to the power N تربيع زائد + +293 +00:28:45,040 --> 00:28:50,800 +واحد نختصر يبقى صارت summation من N equal zero to + +294 +00:28:50,800 --> 00:28:57,160 +infinity لل N على N تربيع زائد واحد أظن هي هذه + +295 +00:28:57,160 --> 00:29:03,140 +التي كنا بنشتغل عليها هناتمام؟ ليش كانت؟ بروحش + +296 +00:29:03,140 --> 00:29:09,300 +أعيد الكلام تاني بقول له هذا diverged from above + +297 +00:29:09,300 --> 00:29:16,780 +أثبتنا أعلاه يبقى خلاص ماروحش بكرره يبقى أصبح بناء + +298 +00:29:16,780 --> 00:29:20,520 +عليه the interval + +299 +00:29:21,380 --> 00:29:30,760 +of convergence is سالب أربعة وأربعة من عند الأربعة + +300 +00:29:30,760 --> 00:29:37,680 +بيبقى open من عند سالب أربعة بيبقى closed + +301 +00:29:44,600 --> 00:29:53,060 +of convergence is R تساوي مص الفترة هذه من سالب + +302 +00:29:53,060 --> 00:29:58,460 +اربع على اربع كده اش؟ تمانية نصها اربع على طول + +303 +00:29:58,460 --> 00:30:04,100 +الخط يبقى هذا النتيجة الان حد يلو يتساول هنا عاد + +304 +00:30:04,100 --> 00:30:09,380 +يبقى هذا ههلما نقول لك very important هذا الموضوع + +305 +00:30:09,380 --> 00:30:14,940 +لإنه عبارة عن ثلاثة أسئلة وليس سوال واحد، بتستخدم + +306 +00:30:14,940 --> 00:30:18,660 +فيه ال ratio test أو ال entrope و بعد هيك ممكن + +307 +00:30:18,660 --> 00:30:26,200 +أستخدم اختبار أو اتنين لحال بقية المثلة، + +308 +00:30:26,200 --> 00:30:29,460 +قالي كويس، احنا طلعنا + +309 +00:30:31,990 --> 00:30:37,030 +طلعنا الـRow تساوي القيمة اللي عندنا هذه بدي بقول + +310 +00:30:37,030 --> 00:30:40,630 +هذه قيمة روب تبقى ال series converge إذا كان هذا + +311 +00:30:40,630 --> 00:30:46,230 +الكلام أقل من الواحد الصحيح و by vary لو كان أكبر + +312 +00:30:46,230 --> 00:30:51,950 +من وين من الواحد الصحيح تمام؟ جينا مسكنا الانقلة + +313 +00:30:51,950 --> 00:30:56,150 +هذه وجينا نحلها ضربنا كله في أربعة ووصلنا لمين + +314 +00:30:56,150 --> 00:31:01,250 +للانقلة اللي عندنابروح أفحص لو كانت ال X تساوي + +315 +00:31:01,250 --> 00:31:06,950 +سالب أربعة يبقى كأنه احنا بدأنا سيريز جديدة زي + +316 +00:31:06,950 --> 00:31:11,890 +اللي جابه هذا ال section Alternating, Ratio + +317 +00:31:11,890 --> 00:31:16,150 +Tester, Intrude, Comparison, Limit Comparison, + +318 +00:31:16,550 --> 00:31:21,450 +Integral, Interval أي واحد فيهم يبقى صورة السيريز + +319 +00:31:21,450 --> 00:31:25,190 +على الشكل اللي عندنا هذا لما شيلنا ال X هذه و + +320 +00:31:25,190 --> 00:31:31,530 +حطينا مكان هجداشسالب أربعة أيها اختصرنا فوصلنا إلى + +321 +00:31:31,530 --> 00:31:35,250 +الشكل اللي عندنا هذا روحنا صارت هذه alternating + +322 +00:31:35,250 --> 00:31:38,670 +series فروحت أخدت ال series of absolute values + +323 +00:31:38,670 --> 00:31:42,530 +بالشكل هذا ابحث عن ال series هذه وجدتها by virg + +324 +00:31:42,820 --> 00:31:48,140 +يبقى بدى أروح على مين؟ على الشروط التلاتة، لإن ال + +325 +00:31:48,140 --> 00:31:51,340 +series of absolute values diverged من الsection + +326 +00:31:51,340 --> 00:31:55,340 +الماضي، قولنا بتروح على ثلاثة شروط، روحنا على + +327 +00:31:55,340 --> 00:31:59,860 +ثلاثة شروط ونجيناهم محققات، مدام تحققت الشروط + +328 +00:31:59,860 --> 00:32:02,280 +التلاتة، إذن عند ال X يساوي + +329 +00:32:08,020 --> 00:32:11,320 +خلصنا اذا عند النقطة x يساوي سالب اربعة بدنا نروح + +330 +00:32:11,320 --> 00:32:17,520 +لمين للنقطة التانية لل x يساوي اربعة شيلت ال x و + +331 +00:32:17,520 --> 00:32:22,250 +حطيت مكانها اربعةسرعت على الشكل هذا، اختصرنا طلعت + +332 +00:32:22,250 --> 00:32:25,890 +بالشكل هذا، من الجزء الأول في الحل هذا الـserious + +333 +00:32:25,890 --> 00:32:30,390 +-divergent بخلصناه يبقى فترة التقارب الفترة هذه و + +334 +00:32:30,390 --> 00:32:33,750 +radius of convergence نصف الفترة اللي هو الجزء + +335 +00:32:33,750 --> 00:32:39,250 +اللي عندنا هذا حد الويتس أو الآخر؟ كمان سؤال على + +336 +00:32:39,250 --> 00:32:40,170 +هذا الموضوع + +337 +00:33:12,350 --> 00:33:20,640 +سؤال الرابعبقول الـ summation ل-1 to the power n + +338 +00:33:20,640 --> 00:33:34,120 +2x-3 to the power n على 2n-1 بعد بطلع في المثلة + +339 +00:33:34,120 --> 00:33:43,120 +برضه ال ratio و لا ال inputالـ Ratio برضه لأن + +340 +00:33:43,120 --> 00:33:46,580 +المشكلة في المقام و ليس في الـ Bus يبقى بجي بقوله + +341 +00:33:46,580 --> 00:33:51,960 +هنا ال summation من عند ال N تساوي واحد لغاية + +342 +00:33:51,960 --> 00:33:57,400 +Infinity من عند ال N تساوي واحد لغاية Infinity + +343 +00:33:57,400 --> 00:34:03,950 +يبقى بجي بقوله رو تساوي ال limitلما انت تستخدم الـ + +344 +00:34:03,950 --> 00:34:04,990 +absolute value لإنفانيتي للإنفانيتي للإنفانيتي + +345 +00:34:04,990 --> 00:34:05,590 +للإفانيتي للإفانيتي للإفانيتي للإفانيتي للإفانيتي + +346 +00:34:05,590 --> 00:34:07,590 +للإفانيتي للإفانيتي للإفانيتي للإفانيتي للإفانيتي + +347 +00:34:07,590 --> 00:34:12,110 +للإفانيتي للإفانيتي للإفانيتي للإفانيتي للإفانيتي + +348 +00:34:12,110 --> 00:34:16,090 +للإفانيتي للإفانيتي للإفانيتي للإفانيتي للإفانيتي + +349 +00:34:16,090 --> 00:34:16,690 +للإفانيتي للإفانيتي للإفانيتي للإفانيتي للإفانيتي + +350 +00:34:16,690 --> 00:34:17,970 +للإفانيتي للإفانيتي للإفانيتي للإفانيتي للإفانيتي + +351 +00:34:17,970 --> 00:34:27,120 +للإفانيتي للإفاني2 في N زائد 1 ناقص 1 تقسيم 2X + +352 +00:34:27,120 --> 00:34:34,660 +ناقص 3 كله to the power N 2N ناقص 1 بهذا الشكل + +353 +00:34:39,000 --> 00:34:48,220 +ن زائد واحد يبقى هذا الكلام يبدو يساوي limit لما + +354 +00:34:48,220 --> 00:34:52,760 +ال N tends to infinity ل absolute value اتنين X + +355 +00:34:52,760 --> 00:34:58,700 +ناقص تلاتة اتنين X ناقص تلاتة كله to the power N + +356 +00:34:58,700 --> 00:35:05,340 +هذا عبارة عن اتنين N زائد واحدتنين ن ناقص واحد + +357 +00:35:05,340 --> 00:35:12,220 +تنين ن ناقص واحد تنين ن ناقص واحد تنين ن ناقص واحد + +358 +00:35:12,220 --> 00:35:14,260 +تنين ن ناقص واحد تنين ن ناقص واحد تنين ن ناقص واحد + +359 +00:35:14,260 --> 00:35:14,540 +تنين ن ناقص واحد تنين ن ناقص واحد تنين ن ناقص واحد + +360 +00:35:14,540 --> 00:35:15,400 +تنين ن ناقص واحد تنين ن ناقص واحد تنين ن ناقص واحد + +361 +00:35:15,400 --> 00:35:17,040 +تنين ن ناقص واحد تنين ن ناقص واحد تنين ن ناقص واحد + +362 +00:35:17,040 --> 00:35:17,040 +تنين ن ناقص واحد تنين ن ناقص واحد تنين ن ناقص واحد + +363 +00:35:17,040 --> 00:35:21,000 +تنين ن ن ناقص واحد تنين ن ن ناقص واحد تنين ن ن + +364 +00:35:21,000 --> 00:35:27,450 +ناقص واحد تيبقى هذا الكلام بدرساوي absolute value + +365 +00:35:27,450 --> 00:35:31,870 +للإتنين x ناقص ثلاثة بطلعها برا لإنها مالهاش علاقة + +366 +00:35:31,870 --> 00:35:37,110 +بال N في ال limit لما ال N tends to infinity + +367 +00:35:37,110 --> 00:35:43,830 +للإتنين N ناقص واحد على الإتنين N زائد واحد ال + +368 +00:35:43,830 --> 00:35:50,610 +limit هذه كلها مقداشيبقى النتيجة تساوي absolute + +369 +00:35:50,610 --> 00:35:57,830 +value لإتنين X ناقص ثلاثة بروح بقول له the series + +370 +00:35:57,830 --> 00:36:01,230 +converge + +371 +00:36:01,230 --> 00:36:09,880 +absolutelyلو كانت 2x ناقص 3 ك absolute value أقل + +372 +00:36:09,880 --> 00:36:16,980 +من واحد, and diverge إذا كان absolute value لل 2x + +373 +00:36:16,980 --> 00:36:24,090 +ناقص 3 greater than 1الآن الـ Series Convey + +374 +00:36:24,090 --> 00:36:29,330 +Absolutely إذا كام بده و هحل ال Inquality لأن هذا + +375 +00:36:29,330 --> 00:36:35,090 +يبقى شبه سيرة أن اتنين X ناقص ثلاثة أقل من واحد و + +376 +00:36:35,090 --> 00:36:41,450 +أكبر من مين من سالب واحد ضيف ثلاثة للثلاثة أطراف + +377 +00:36:41,450 --> 00:36:49,190 +بصير اتنين أقل من اتنين Xأقل من مين؟ من أربعة هالي + +378 +00:36:49,190 --> 00:36:55,210 +شو بتديلك؟ لو قسمت على اتنين بصير واحد أقل من X + +379 +00:36:55,210 --> 00:37:02,470 +أقل من الإتنين كويس يبقى بدنا نروح نبحث عن كل نقطة + +380 +00:37:02,470 --> 00:37:07,790 +من هذه النقاط هالي ال series بتبقى converge و الله + +381 +00:37:07,790 --> 00:37:08,410 +diverse + +382 +00:37:18,690 --> 00:37:24,150 +بعدين بقوله لو كانت ال X تساوي واحد the series + +383 +00:37:24,150 --> 00:37:27,410 +becomes + +384 +00:37:27,410 --> 00:37:37,330 +تصبح على الشكل التاليequal one to infinity يبقى + +385 +00:37:37,330 --> 00:37:44,170 +هنا ناقص واحد to the power n يبقى + +386 +00:37:44,170 --> 00:37:52,790 +هنا ناقص واحد + +387 +00:37:52,790 --> 00:37:58,600 +to the power nعلى الاتنين N ناقص واحد يبقى + +388 +00:37:58,600 --> 00:38:03,700 +summation من N equal one to infinity إلى ناقص واحد + +389 +00:38:03,700 --> 00:38:10,780 +to the power two N على two N ناقص واحد يبقى هذه ال + +390 +00:38:10,780 --> 00:38:13,080 +series أظن alternating series + +391 +00:38:19,250 --> 00:38:24,750 +ما هيش alternating هذه series with positive terms + +392 +00:38:24,750 --> 00:38:29,570 +لإن الأس اللي عندي أس زوجي وبالتالي كل الحدود + +393 +00:38:29,570 --> 00:38:35,390 +موجبة بالاستثناء يبقى هذه هي ليست alternating + +394 +00:38:35,390 --> 00:38:41,710 +وإنما بتصبح واحد على اتنين إن ناقص واحد مباشرة + +395 +00:38:41,710 --> 00:38:43,570 +تمام؟ + +396 +00:38:45,680 --> 00:38:50,670 +السالب واحد في السالب واحد ولا تجيبوه؟سالب واحد + +397 +00:38:50,670 --> 00:38:56,510 +لكل تربيع كل اس ان جداش بصير واحد واس ان يعني + +398 +00:38:56,510 --> 00:39:01,010 +بواحد على المقام ماشي كتبت هالك جملت مش اول مرة + +399 +00:39:01,010 --> 00:39:06,630 +يعني كتبت لك سالب واحد اس اتنين ان يساوي موجب على + +400 +00:39:06,630 --> 00:39:11,290 +طول الخط وكتبت لك سالب واحد اس اتنين ان ناقص واحد + +401 +00:39:11,290 --> 00:39:16,310 +او زائد واحد وهذه سالبة كل الحدود على طول الخط بلا + +402 +00:39:16,310 --> 00:39:20,010 +استثناءكتبتك النقطة تانية دول راجع ما هو مكتوب + +403 +00:39:20,010 --> 00:39:23,290 +معاك طيب بدي اجي ال series الان هذي اشوفها + +404 +00:39:23,290 --> 00:39:31,350 +converge و لا diverse شو نستخدمها؟ مين؟ comparison + +405 +00:39:31,350 --> 00:39:37,810 +و ال limit comparison بنفع؟ بنفع بدي اخد summation + +406 +00:39:37,810 --> 00:39:41,740 +المعادلة ان diverse و اجلب عليها تطلع n foldوتحت + +407 +00:39:41,740 --> 00:39:44,560 +اتنين الناقص واحدة باكسم كل الوصفة المقارنة لها + +408 +00:39:44,560 --> 00:39:48,380 +تطلع نص تطلع ال comparative يعني ال comparison وال + +409 +00:39:48,380 --> 00:39:53,040 +limit comparison والتكامل كمعنى بيجيبها كل ما على + +410 +00:39:53,040 --> 00:39:57,380 +الحد النوني هذا بيجيبهاشالـ ratio بيجيبها بس بيفشل + +411 +00:39:57,380 --> 00:40:01,240 +ال in through يبقى اتنقل لإيش ان ال limit لما + +412 +00:40:01,240 --> 00:40:04,680 +تقوله تطلع واحد صحيح بيقول بس بيفشل يبقى عندك + +413 +00:40:04,680 --> 00:40:09,140 +ثلاثة اختبارات أي واحد تستخدم منها بيجيبك الإجابة + +414 +00:40:09,140 --> 00:40:12,060 +ال integral test لسه بكتب حد الشروط التلاتة + +415 +00:40:12,060 --> 00:40:15,160 +positive and continuous equation بتطول الجثة هذه + +416 +00:40:15,160 --> 00:40:18,580 +لكن احنا بال comparison او ال limit comparison + +417 +00:40:18,580 --> 00:40:23,640 +بجيبها على طول الخط فلو جيت قلتله اتنين ان ناقص + +418 +00:40:23,640 --> 00:40:26,620 +واحداكبر من واحد على اتنين in + +419 +00:40:30,020 --> 00:40:34,940 +مش صحيح؟ تأكد منها صحيح و الله ما هو مش صحيح صحيح + +420 +00:40:34,940 --> 00:40:40,900 +مائة بالمائة و هذه اكبر من اتنين ان لكل الان اللي + +421 +00:40:40,900 --> 00:40:47,340 +اكبر من او تساوي جداش واحد صحيح تمام؟ يبقى هذا + +422 +00:40:47,340 --> 00:40:54,660 +معناه بطء ولكن summation او نص summation واحد على + +423 +00:40:54,660 --> 00:40:58,520 +ان diverse harmonic + +424 +00:41:00,510 --> 00:41:13,650 +بروح بقوله by the comparison test the series ال + +425 +00:41:13,650 --> 00:41:19,440 +summation واحد على اتنين N نقص واحدمن n equal one + +426 +00:41:19,440 --> 00:41:24,660 +to infinity مالها ضعيفة ضعيفة يجب أن أنتهينا منها + +427 +00:41:24,660 --> 00:41:30,060 +بدأ أروح أخد لو كانت ال X يساوي اتنين للنقطة + +428 +00:41:30,060 --> 00:41:35,880 +الثانية the series becomes + +429 +00:41:35,880 --> 00:41:41,840 +تصبح على الشكل التالي summation من n equal one to + +430 +00:41:41,840 --> 00:41:45,640 +infinity فاللي عليه كويس بدي أشيل X و أحط ما كان + +431 +00:41:45,640 --> 00:41:52,020 +اتنين اتنين في اتنيننقص ثلاثة بظل واحد اقص ان يبقى + +432 +00:41:52,020 --> 00:41:57,980 +في عندي برة سالب واحد to the power in واحد على + +433 +00:41:57,980 --> 00:42:03,840 +اتنين in ناقص واحديبقى هذه فعلا alternating مش زي + +434 +00:42:03,840 --> 00:42:08,500 +اللي قبلها يبقى مادام alternating بدنا نبدأ شغل ال + +435 +00:42:08,500 --> 00:42:17,960 +alternating بقول له the series of absolute values + +436 +00:42:17,960 --> 00:42:25,090 +as summation من n equal oneنقص واحد لواحد على + +437 +00:42:25,090 --> 00:42:31,050 +اتنين ان ناقص واحد طبعا لتحت بظل بتبينش ال + +438 +00:42:31,050 --> 00:42:34,950 +absolute ليش؟ لما عند الواحد فم فوق لا تأخذ إلا + +439 +00:42:34,950 --> 00:42:38,810 +قيما موجة بيبقى مكتوبش اللي ال absolute value + +440 +00:42:38,810 --> 00:42:44,010 +والسينازان ال diverge هي بينها فوق يبقى هذه + +441 +00:42:44,010 --> 00:42:48,410 +diverge from above + +442 +00:42:50,630 --> 00:42:55,690 +طبعا يبقى الشرف + +443 +00:42:55,690 --> 00:43:05,310 +الأول يعني كل الحدود are positive الشرف الثانيالحد + +444 +00:43:05,310 --> 00:43:12,030 +النوني اللي هو واحد على اتنين N ناقص واحد اكبر من + +445 +00:43:12,030 --> 00:43:20,170 +الحد النوني زائد واحد اللي هو واحد على اتنين في N + +446 +00:43:20,170 --> 00:43:27,130 +زائد واحد ناقص واحد يعني واحد على اتنين N زائد + +447 +00:43:27,130 --> 00:43:30,410 +واحد يبقى هنا decreasing + +448 +00:43:32,430 --> 00:43:39,750 +for all n أكبر من أو تساوي واحد الشرط التالت بدأ + +449 +00:43:39,750 --> 00:43:46,450 +يأخذ limit لان لما ال N tends to infinity يبقى + +450 +00:43:46,450 --> 00:43:54,390 +limit لما ال N tends to infinity لمن؟ لواحد على + +451 +00:43:54,390 --> 00:44:00,870 +اتنين N ناقص واحد ويساوي Zeroيبقى بناء عليه تحقق + +452 +00:44:00,870 --> 00:44:05,310 +الشروط التلاتة يبقى بروح بقوله the series converge + +453 +00:44:05,310 --> 00:44:11,490 +conditionally هذا بدي يعطيلك انه the series + +454 +00:44:11,490 --> 00:44:17,670 +summation من n equal one to infinity لواحد على + +455 +00:44:17,670 --> 00:44:24,650 +اتنين ان ناقص واحد converge conditionally + +456 +00:44:28,310 --> 00:44:38,250 +أصبحت the interval of convergence + +457 +00:44:38,250 --> 00:44:47,580 +is من عند الواحد لغاية اتنينعند الواحد في الأول + +458 +00:44:47,580 --> 00:44:53,000 +فلهت ال series عندنا نعلها diverge harmonic series + +459 +00:44:53,000 --> 00:44:57,100 +يبقى diverge مفتوحة مين عندي اتنين converge + +460 +00:44:57,100 --> 00:45:03,000 +conditionally يبقى هيقفلناها بهذا الشكلالان the + +461 +00:45:03,000 --> 00:45:09,700 +radius of convergence + +462 +00:45:09,700 --> 00:45:19,360 +is R تساوي نص الفترة هذه اتنين ناقص واحد على اتنين + +463 +00:45:19,360 --> 00:45:26,300 +يبقى ال R تساوي نصحتى الآن يا شباب احنا انتهينا من + +464 +00:45:26,300 --> 00:45:38,080 +نصف هذا section وباقية نصف الآخر الآن + +465 +00:45:38,080 --> 00:45:47,120 +بدنا نيجي للنصف الآخر لهذا section ايوة اه + +466 +00:45:47,120 --> 00:45:55,110 +هذه مش كاتبينها هاي سالب واحدهاي سالب واحد كله to + +467 +00:45:55,110 --> 00:45:57,970 +the power n، very conditional صحيح + +468 +00:46:01,490 --> 00:46:05,610 +يبقى بناء عليه حددنا فترة التقارب من الواحد + +469 +00:46:05,610 --> 00:46:10,010 +للاثنين وحددنا ال radius of convergence اللي هو R + +470 +00:46:10,010 --> 00:46:17,070 +يساوي كده اش يساوي نص الان يا شباب في عندنا نقطتين + +471 +00:46:17,070 --> 00:46:19,930 +ضايلات في هذا ال section اللي هو الجزء الثاني من + +472 +00:46:19,930 --> 00:46:23,470 +هذا ال section حاجة بنسميها اللي هو + +473 +00:46:23,470 --> 00:46:28,640 +differentiation term by term يعني ايش؟يعني ال + +474 +00:46:28,640 --> 00:46:32,420 +power series لما نكون كاتبينها بتروح أشتقها + +475 +00:46:32,420 --> 00:46:38,300 +وبالتالي بيده أشتق كل term من هذه ال terms والنقطة + +476 +00:46:38,300 --> 00:46:43,130 +الثانية اسمها integration terms by termsيعني + +477 +00:46:43,130 --> 00:46:49,790 +اكتكامل كمان كل حد من الحدود اللي عندنا لو رجعنا + +478 +00:46:49,790 --> 00:46:54,210 +لليه اشتقاق لو قلنا series تبدأ منها summation من + +479 +00:46:54,210 --> 00:46:59,250 +n equal zero to infinity لو كان الحد الأول + +480 +00:46:59,250 --> 00:47:04,490 +constant واشتقت يبقى الحد الأول اللي بده يطير لأن + +481 +00:47:04,490 --> 00:47:08,280 +مشتقة المقدمة ثابتة تبقى دائرةوبالتالي ال series + +482 +00:47:08,280 --> 00:47:13,220 +الأصلية هي ال series الجديدة بس ال summation بدل + +483 +00:47:13,220 --> 00:47:17,140 +من كان عند zero بده يصير من وين؟ من عند ال واحد + +484 +00:47:17,140 --> 00:47:21,160 +إذا ال series الأصلية converge على فترة يبقى ال + +485 +00:47:21,160 --> 00:47:26,680 +series المشتقة converge على نفس الفترة لو جينا + +486 +00:47:26,680 --> 00:47:30,500 +تكامل term by term هل ال index اللي تحت ال + +487 +00:47:30,500 --> 00:47:36,140 +summation بتغير؟الاندكس تحت ال summation تغير فان + +488 +00:47:36,140 --> 00:47:40,580 +هو ولا حد ولا term بطير بصير الاولاني بدل ما بصير + +489 +00:47:40,580 --> 00:47:44,440 +constant fixed والتاني كان constant fixed بصير + +490 +00:47:44,440 --> 00:47:49,240 +constant fixed تربيه على اتنين وهكذا يعني ولا حد + +491 +00:47:49,240 --> 00:47:53,760 +بينشطب من من من ال series وبالتالي ال summation + +492 +00:47:53,760 --> 00:47:56,340 +يبقى كما هو من صفر لغاية + +493 +00:48:12,110 --> 00:48:15,090 +النقطة الأولى يسمى differentiation term by term + +494 +00:48:15,090 --> 00:48:18,370 +النقطة الثانية يسمى integration term by term + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/0q0Dxua-zNQ_raw.json b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/0q0Dxua-zNQ_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..864b2e94e9756f54378da9c4bb9f4b4a46131a10 --- /dev/null +++ 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25.61, "word": " القدس", "probability": 0.9798177083333334}, {"start": 25.61, "end": 25.95, "word": " في", "probability": 0.91650390625}, {"start": 25.95, "end": 26.37, "word": " نهاية", "probability": 0.990234375}, {"start": 26.37, "end": 26.73, "word": " العصر", "probability": 0.9708658854166666}, {"start": 26.73, "end": 27.55, "word": " العباسي", "probability": 0.926025390625}, {"start": 27.55, "end": 28.13, "word": " ثم", "probability": 0.936279296875}, {"start": 28.13, "end": 28.67, "word": " في", "probability": 0.95068359375}, {"start": 28.67, "end": 29.19, "word": " العصر", "probability": 0.9791666666666666}, {"start": 29.19, "end": 30.07, "word": " الفاطمي", "probability": 0.91845703125}, {"start": 30.07, "end": 30.37, "word": " ثم", "probability": 0.924560546875}, {"start": 30.37, "end": 31.11, "word": " ننتقل", "probability": 0.9635009765625}, {"start": 31.11, "end": 32.01, "word": " للعنوان", "probability": 0.8796875}, {"start": 32.01, "end": 32.57, "word": " الرئيس", 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سدة الحكم بعد وفاة أحمد بن طولون ابنه", "tokens": [3555, 22488, 12174, 20292, 1211, 39182, 5551, 35571, 3215, 44945, 23032, 12610, 11536, 4032, 36520, 30731, 8608, 41891, 21542, 24793, 39182, 4032, 5172, 995, 3660, 5551, 35571, 3215, 44945, 23032, 12610, 11536, 48127, 1863, 3224], "avg_logprob": -0.1368272594279713, "compression_ratio": 1.4827586206896552, "no_speech_prob": 0.0, "words": [{"start": 318.13, "end": 318.75, "word": "بعد", "probability": 0.778076171875}, {"start": 318.75, "end": 319.77, "word": " قليل", "probability": 0.9737955729166666}, {"start": 319.77, "end": 320.13, "word": " بعد", "probability": 0.3798828125}, {"start": 320.13, "end": 320.57, "word": " أحمد", "probability": 0.8802083333333334}, {"start": 320.57, "end": 320.73, "word": " بن", "probability": 0.755859375}, {"start": 320.73, "end": 321.19, "word": " طولون", "probability": 0.9222005208333334}, {"start": 321.19, "end": 321.99, "word": " وصل", "probability": 0.7313232421875}, {"start": 321.99, "end": 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هذه الحفريات + +6 +00:00:31,130 --> 00:00:35,890 +طبعا نقسم الحفريات إلى مرحلتين مرحلة أولى ومرحلة + +7 +00:00:35,890 --> 00:00:40,830 +ثانية وكل مرحلة من هذه المراحل تنقسم إلى عدة أقسام + +8 +00:00:40,830 --> 00:00:48,330 +ثم سنتحدث عن مميزات كل مرحلة وبعد ذلك إن شاء الله + +9 +00:00:48,330 --> 00:00:55,340 +سنتحدث عن آثار الحفريات في مدينة القدس والمسجد + +10 +00:00:55,340 --> 00:01:00,320 +الأقصى ثم النقطة الأخيرة مقاومة الفلسطينيين + +11 +00:01:00,320 --> 00:01:07,020 +للحفريات كيف يقاوم الفلسطيني الحفريات إلى التفاصيل + +12 +00:01:07,020 --> 00:01:10,300 +الحفريات + +13 +00:01:10,300 --> 00:01:20,920 +في مدينة القدس تنقسم إلى مرحلتين المرحلة الأولى هي + +14 +00:01:20,920 --> 00:01:28,760 +من 1838 إلى 1967 إذا المرحلة الأولى من 1838 إلى + +15 +00:01:28,760 --> 00:01:36,600 +1967 حتى عام 1967 عام 1967 هو تاريخ مهم بالمناسبة + +16 +00:01:36,600 --> 00:01:42,000 +هذا التاريخ هو احتلال الكيان الصهيوني لغزة وشرق + +17 +00:01:42,000 --> 00:01:47,870 +القدس واحتلاله للضفة الفلسطينية وباقي فلسطين لذلك + +18 +00:01:47,870 --> 00:01:53,830 +احفظوا جيدا المرحلة الأولى من عام 1838 إلى عام + +19 +00:01:53,830 --> 00:02:02,090 +1967 المرحلة الثانية من عام 1967 إلى عام 1900 إلى + +20 +00:02:02,090 --> 00:02:06,850 +2012 مرحلتين سنتحدث في المرحلة الأولى المرحلة + +21 +00:02:06,850 --> 00:02:12,050 +الأولى بدأت الحفريات الأثرية في القدس في بداية + +22 +00:02:12,050 --> 00:02:15,970 +القرن التاسع عشر وبدأ من المؤسسات والجمعيات + +23 +00:02:15,970 --> 00:02:19,550 +الصهيونية هذه المرحلة كانت بدأ من المؤسسات + +24 +00:02:19,550 --> 00:02:24,090 +والجمعيات الصهيونية للبحث عن أي معلم أثري حول + +25 +00:02:24,090 --> 00:02:28,590 +الهيكل المزعوم ونتيجة لذلك توالت البعثات الأثرية + +26 +00:02:28,590 --> 00:02:34,680 +التي زاد عددها عن ثلاثين بعثة ثلاثين بعثة في بداية + +27 +00:02:34,680 --> 00:02:43,100 +القرن التاسع عشر هذه البعثات كلها تبحث عن أي أثر + +28 +00:02:43,100 --> 00:02:49,500 +أي قطعة أثرية تدلل أن للصهاينة آثار للصهاينة حضارة + +29 +00:02:49,500 --> 00:02:53,920 +في مدينة القدس وفي المسجد الأقصى لنرى هذه البعثات + +30 +00:02:53,920 --> 00:02:58,320 +ثلاثين بعثة تقريبا بعثة العالم الأمريكي Edward + +31 +00:02:58,320 --> 00:03:06,250 +Robinson في عام 1867 والتي قامت بعمل مسح طبوغرافي + +32 +00:03:06,250 --> 00:03:11,750 +للمدينة حيث اكتشف مقطعا من قوس عريض بارز في الجزء + +33 +00:03:11,750 --> 00:03:16,290 +الجنوبي في الحائط الغربي وسمي فيما بعد بقوس + +34 +00:03:16,290 --> 00:03:22,330 +Robinson وهو مكان يقع بجوار حائط البراق كما يدعون + +35 +00:03:22,330 --> 00:03:29,150 +هو حائط البراق بعثة البعثة الثانية هي بعثة + +36 +00:03:29,150 --> 00:03:37,730 +Charles Wilson وبعثة Charles Warren في عام 1867 + +37 +00:03:37,730 --> 00:03:43,050 +هذه البعثة كانت بتمويل من صندوق الاستكشاف + +38 +00:03:43,050 --> 00:03:49,760 +الفلسطيني طبعا تابع تابع للحركة الصهيونية وباستخدام + +39 +00:03:49,760 --> 00:03:53,400 +الرشاوى والعلاقات الشخصية تم التنقيب باتجاه + +40 +00:03:53,400 --> 00:03:57,560 +الجدران الشرقية والجنوبية والغربية للمسجد الأقصى + +41 +00:03:57,560 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+ +53 +00:05:04,310 --> 00:05:09,050 +الأقاليم في الدولة العثمانية ليصلوا إلى أهدافهم + +54 +00:05:09,050 --> 00:05:18,490 +طيب بعثة الـ Captain Barker الذي حول بعثته عام 1909 + +55 +00:05:18,490 --> 00:05:21,570 +بالادعاء أنه يبحث عن كنوز سليمان ومن أجل ذلك + +56 +00:05:21,570 --> 00:05:25,030 +استخدم الرشاوى للسماح له بالتنقيب هذه البعثة جاءت + +57 +00:05:25,030 --> 00:05:31,130 +وقال نحن نبحث عن نريد أن نصل إلى كنوز سليمان عليه + +58 +00:05:31,130 --> 00:05:38,320 +السلام وبدأ هذه الذريعة التي تذرع بها بقفة Hamilton + +59 +00:05:38,320 --> 00:05:44,900 +عام 1931 اكتشف أساسات باب العمود الرومانية وخندقا + +60 +00:05:44,900 --> 00:05:50,720 +عند باب الساهرة وشارعا مبلطا وقنوات مائية رومانية + +61 +00:05:52,200 --> 00:05:58,180 +اتصفت تلك الفترة بما يليه هذه المرحلة المرحلة + +62 +00:05:58,180 --> 00:06:02,700 +الأولى من التنقيبات والحفريات من عام ألف ثمانية + +63 +00:06:02,700 --> 00:06:07,740 +وثمانية وثلاثين حتى عام ألف تسعمائة وسبعة عام ألف + +64 +00:06:07,740 --> 00:06:14,590 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الآن لم يتنبهوا + +76 +00:07:07,720 --> 00:07:11,580 +إلى أهداف هذه العمليات كانوا يعتقدوا فعلا أنها + +77 +00:07:11,580 --> 00:07:18,210 +عمليات تنقيب علمية الثلاثة رغم طول الفترة الزمنية + +78 +00:07:18,210 --> 00:07:27,820 +من 1838 إلى 1967 فترة زمنية طويلة جدا رغم طول + +79 +00:07:27,820 --> 00:07:31,480 +الفترة الزمنية لهذه المرحلة التي تجاوزت القرن إلا + +80 +00:07:31,480 --> 00:07:36,360 +أن نتائجها كانت محدودة لا يوجد نتائج حقيقية لا + +81 +00:07:36,360 --> 00:07:42,160 +يوجد اكتشفوا بعض الآثار بعض الآثار الرومانية + +82 +00:07:42,160 --> 00:07:48,080 +الكنعانية الإسلامية لم يجدوا أي شيء له قيمة عند + +83 +00:07:48,080 --> 00:07:54,340 +الصهاينة كذلك لو لاحظتم أن هذه الحفريات بعيدة عن + +84 +00:07:54,340 --> 00:07:58,580 +المسجد الأقصى لم تدخل تحت المسجد الأقصى معظم + +85 +00:07:58,580 --> 00:08:01,900 +الحفريات تمت حول المسجد الأقصى حيث لم يسمح + +86 +00:08:01,900 --> 00:08:07,840 +بالتنقيب أسفله نقطة أخرى ظلت بعثات التنقيب على + +87 +00:08:07,840 --> 00:08:11,240 +شكل بعثات صغيرة وبتمويل من مؤسسات صهيونية غير + +88 +00:08:11,240 --> 00:08:16,960 +رسمية في ظاهرها مثل صندوق استكشاف فلسطين دائما + +89 +00:08:16,960 --> 00:08:23,050 +تحمل يافطة أخرى دائما تحمل يافطة أخرى لم تفسح عن + +90 +00:08:23,050 --> 00:08:28,730 +أهداف هذه الحملات الاستكشافية بالمطلق تشكلت في + +91 +00:08:28,730 --> 00:08:33,470 +مدينة القدس أدت مدارس أثرية تُعنى بالبحث والتنقيب + +92 +00:08:33,470 --> 00:08:37,230 +مثل المدرسة الألمانية للآثار في هذه المرحلة + +93 +00:08:37,230 --> 00:08:42,170 +والمدرسة الفرنسية والأمريكية والبريطانية في هذه + +94 +00:08:42,170 --> 00:08:45,670 +المرحلة نجد أن في مدينة القدس تم تأسيس عدد من + +95 +00:08:45,670 --> 00:08:49,550 +المدارس التي تهتم بالتنقيب عن الآثار المدرسة + +96 +00:08:49,550 --> 00:08:53,070 +الأمريكية للآثار المدرسة البريطانية للتنقيب عن + +97 +00:08:53,070 --> 00:08:56,750 +الآثار المدرسة الفرنسية للتنقيب عن الآثار وهكذا + +98 +00:08:58,240 --> 00:09:03,040 +كانت هذه المرحلة بداية لعمليات التنقيب عن الآثار + +99 +00:09:03,040 --> 00:09:07,900 +ومهدت الطريق لبعثات تالية هذه تعتبر بداية وتمهيد + +100 +00:09:07,900 --> 00:09:12,440 +كانت هي التي وضعت الأساسات الأولى لعمليات التنقيب + +101 +00:09:12,440 --> 00:09:19,110 +في مدينة القدس المرحلات الثانية وهذه المرحلة هي + +102 +00:09:19,110 --> 00:09:24,170 +الأخطر من ألف وتسعمائة وسبعة وستين حتى ألفين و + +103 +00:09:24,170 --> 00:09:30,250 +اثنا عشر سبعة وستين إسرائيل احتلت احتلت باقي فلسطين + +104 +00:09:30,250 --> 00:09:35,130 +احتلت شرق مدينة القدس كل مدينة القدس في يد + +105 +00:09:35,130 --> 00:09:40,250 +الصهاينة طيب لنرى ماذا حدث في هذه في هذه المرحلة + +106 +00:09:40,250 --> 00:09:45,030 +طبعا هذه المرحلة تتكون من عدة مراحل بالمناسبة هذه + +107 +00:09:45,030 --> 00:09:49,030 +المرحلة تتكون من عدة مراحل لنرى منذ احتلال مدينة + +108 +00:09:49,030 --> 00:09:52,550 +القدس بالكامل في 1967 بدأت الحكومة الصهيونية بأعمال + +109 +00:09:52,550 --> 00:09:56,730 +الحفر والتنقيب تحت المسجد الأقصى وحوله حيث مرت هذه + +110 +00:09:56,730 --> 00:10:03,790 +الفترة بعدة مراحل المرحلة الأولى والثانية + +111 +00:10:03,790 --> 00:10:11,750 +مع بعضهم البعض بدأت في أواخر عام 1917 واستكملت سنة + +112 +00:10:11,750 --> 00:10:19,130 +1969 إذن المرحلة الأولى والثانية من 1917 إلى 1969 + +113 +00:10:19,130 --> 00:10:23,270 +بتمويل من الجامعة العبرية وبرئاسة لبروفيسور بن + +114 +00:10:23,270 --> 00:10:29,230 +يامين مازار وقد تركزت الحفريات بعمق 14 مترا نزولا + +115 +00:10:29,790 --> 00:10:34,650 +تحت الأرض عند الحائط الجنوبي للمسجد الأقصى يقتربوا + +116 +00:10:34,650 --> 00:10:39,510 +من المسجد الأقصى والجزء الجنوبي من الحائط الغربي + +117 +00:10:39,510 --> 00:10:43,450 +حتى باب المغاربة حيث تم الكشف عن آثار رومانية + +118 +00:10:43,450 --> 00:10:50,000 +وبيزنطية وإسلامية قصور أموية ونتيجة للحفريات تصدعت + +119 +00:10:50,000 --> 00:10:54,220 +بعض الأبنية الإسلامية فقام الاحتلال بتجريفها إذا + +120 +00:10:54,220 --> 00:10:59,200 +المرحلة الأولى والثانية من عام 1917 من وعد بلفور + +121 +00:10:59,200 --> 00:11:04,900 +وحتى عام 1969 هذه المرحلة أشرفت عليها جامعة + +122 +00:11:04,900 --> 00:11:09,300 +الجامعة العبرية وبقيادة أحد البروفيسورات الجامعة + +123 +00:11:09,300 --> 00:11:13,650 +المتخصصين بروفيسور بن يامين مازار تركزت الحفريات + +124 +00:11:13,650 --> 00:11:20,270 +14 مترا عمقا كانت الحفريات تتركز عند الحائط الجنوبي + +125 +00:11:20,270 --> 00:11:25,310 +للمسجد الأقصى والجزء الجنوبي من الحائط الغربي حتى + +126 +00:11:25,310 --> 00:11:32,890 +باب المغاربة نتائجها كشفت عن آثار رومانية وبيزنطية + +127 +00:11:32,890 --> 00:11:38,850 +رومانية يعني قبل البيزنطيين، بيزنطية يعني الدولة + +128 +00:11:38,850 --> 00:11:43,830 +الرومانية الشرقية اللي أصبحت عاصمتها القسطنطينية + +129 +00:11:43,830 --> 00:11:54,590 +ثم آثار إسلامية أموية للدولة الأموية المرحلة + +130 +00:11:54,590 --> 00:11:58,210 +الثالثة، إذا حكينا عن المرحلة الأولى والثانية + +131 +00:11:58,210 --> 00:12:05,790 +الحفريات تنقسم إلى مرحلتين، مرحلة أولى ألف وتمنمية + +132 +00:12:05,790 --> 00:12:10,390 +وتمانية وثلاثين لألف وتسعمائة وسبعة وستين، مرحلة + +133 +00:12:10,390 --> 00:12:14,610 +الأولى، حكينا أن هذه المرحلة كانت تتسطر وكانت بشرف + +134 +00:12:14,610 --> 00:12:20,530 +وبدعم صندوق الاستكشاف في فلسطين وبعثات أجنبية بحجة + +135 +00:12:20,530 --> 00:12:25,850 +أنها جاءت لإجراء أبحاث علمية، تحدثنا عن ذلك، المرحلة + +136 +00:12:25,850 --> 00:12:34,110 +الثانية هي المرحلة من عام 1967 إلى 2012، يعني للعصر + +137 +00:12:34,110 --> 00:12:39,150 +اللي إحنا فيه، هذه المرحلة تنقسم إلى عدة مراحل + +138 +00:12:39,150 --> 00:12:43,870 +حكينا عن المرحلة الأولى والثانية، الأولى والثانية + +139 +00:12:43,870 --> 00:12:49,110 +المرحلة الأولى والثانية اللي تقريبا استمر لعام + +140 +00:12:49,110 --> 00:12:54,370 +1969، وحكينا الآن المرحلة الثالثة، المرحلة الثالثة + +141 +00:12:54,370 --> 00:13:01,240 +بدأت 1970 ولليوم مستمرة، امتدت الحفريات فيها لمسافة + +142 +00:13:01,240 --> 00:13:06,820 +180 متر، 180 متر وبعمق يتراوح ما بين 10 إلى 14 + +143 +00:13:06,820 --> 00:13:11,540 +متر أسفل أبواب الجدار الغربي للمسجد الأقصى، لاحظوا وين + +144 +00:13:11,540 --> 00:13:16,700 +دايما المركزين هم الناحية الغربية للمسجد الأقصى، دائما + +145 +00:13:16,700 --> 00:13:20,400 +ومجموعة من الأبنية الدينية والحضارية مثل سوق + +146 +00:13:20,400 --> 00:13:23,380 +القطانين، كما قامت السلطات الاحتلال ببناء الكنس + +147 +00:13:23,380 --> 00:13:28,340 +اليهودية أسفل المحكمة الشرعية والمدرسة التنكزية + +148 +00:13:28,340 --> 00:13:36,240 +هذه كلها آثار إسلامية، طيب المرحلة الثالثة بدأت + +149 +00:13:36,240 --> 00:13:45,680 +1970 ومستمرة لليوم، هذه المرحلة 180 متر، التسعة و + +150 +00:13:45,680 --> 00:13:52,860 +عمق من عشرة إلى أربعة عشر متر، هذه المرحلة ركزت أسفل + +151 +00:13:52,860 --> 00:13:57,820 +أبواب الجدار الغربي + +152 +00:13:57,820 --> 00:14:05,210 +للمسجد الأقصى ناحية الغرب وأسفل مجموعة الأبنية + +153 +00:14:05,210 --> 00:14:10,170 +الدينية والحضرية مثل القطانين، سوق القطانين، + +154 +00:14:10,170 --> 00:14:14,590 +المدارس، المدرسات، المحكمة الشرعية والمدرسة + +155 +00:14:14,590 --> 00:14:19,630 +التنكزية وهكذا، المرحلة الرابعة أو الخامسة تمت خلال + +156 +00:14:19,630 --> 00:14:25,990 +عامين من 1973 إلى 1974، من الـ 73 إلى 74 حيث تركزت + +157 +00:14:25,990 --> 00:14:31,370 +الحفريات خلف الحائط الجنوبي للمسجد الأقصى بمسافة + +158 +00:14:31,370 --> 00:14:37,050 +تزيد عن 80 متر، أسفل محراب المسجد الأقصى، تحت المسجد + +159 +00:14:37,050 --> 00:14:41,750 +الأقصى وجامع عمر والأبواب الثلاثة، الأروقة السفلية + +160 +00:14:41,750 --> 00:14:48,540 +للمسجد الأقصى بعمق 13 متر، يعرض الصور والمسجد الأقصى + +161 +00:14:48,540 --> 00:14:54,790 +للانهيار تحت المحراب، بعمق 13 متر تحت المحراب تحت + +162 +00:14:54,790 --> 00:15:00,870 +قواعد المسجد الأقصى بـ 13 متر، هذا خلق صدوع في جدر + +163 +00:15:00,870 --> 00:15:06,170 +المسجد الأقصى وفي جدران المسجد الأقصى وفي أروقة + +164 +00:15:06,170 --> 00:15:10,550 +المسجد الأقصى، هذا سبب التشققات والتصدعات في المسجد + +165 +00:15:10,550 --> 00:15:14,270 +الأقصى، مرحلة خطيرة جدا، هذه الرابعة والخامسة اللي + +166 +00:15:14,270 --> 00:15:18,330 +من الـ 73 إلى 74، طيب + +167 +00:15:20,720 --> 00:15:25,800 +المرحلة السادسة في 1975 بدأت بالقرب من منتصف + +168 +00:15:25,800 --> 00:15:30,240 +الحائط الشرقي لصور المدينة والمسجد الأقصى لتهدد + +169 +00:15:30,240 --> 00:15:34,700 +بإزالة القبور الإسلامية التي تحتوي على رفات العديد + +170 +00:15:34,700 --> 00:15:38,800 +من الصحابة، منهم عبادة بن الصامت وشداد بن أوس + +171 +00:15:38,800 --> 00:15:44,540 +الأنصاري وعملت على مصادرتها لصالح منتزه إسرائيل + +172 +00:15:44,540 --> 00:15:51,730 +الوطنية، هذه المرحلة السادسة في الـ 1975 بالقرب من + +173 +00:15:51,730 --> 00:15:57,530 +الحائط الشرقي لصور المدينة والمسجد الأقصى، هذه عملت + +174 +00:15:57,530 --> 00:16:05,370 +على إزالة القبور الإسلامية التي تحوي على رفات كبار + +175 +00:16:05,370 --> 00:16:09,650 +الصحابة الذين عاشوا في مدينة القدس مثل عبادة بن + +176 +00:16:09,650 --> 00:16:15,870 +الصامت وشداد بن أوس الأنصاري وأصادرت هذه المناطق + +177 +00:16:18,040 --> 00:16:23,560 +وحولتها إلى منتزه وطني للصهاينة، المرحلة السابعة + +178 +00:16:23,560 --> 00:16:28,000 +هذه المرحلة استهدفت توسيع وتعميق ساحة البوراق + +179 +00:16:28,000 --> 00:16:34,060 +البوراق الشريف بضم أجزاء إضافية من الأراضي العربية + +180 +00:16:34,060 --> 00:16:39,950 +المجاورة للساحة وهدم عليها من مباني، المرحلة الثامنة + +181 +00:16:39,950 --> 00:16:43,650 +تعد استكمالا للمرحلتين الرابعة والخامسة، حيث تركزت + +182 +00:16:43,650 --> 00:16:47,810 +الحفريات خلف جدران المسجد الأقصى الجنوبية مما يهدد + +183 +00:16:47,810 --> 00:16:52,630 +ومما هدد بتصدع هذه الجدران، حيث أن الهدف منها كشف + +184 +00:16:52,630 --> 00:17:00,330 +مدافن الملوك لإسرائيل في مدينة داود، المرحلة + +185 +00:17:00,330 --> 00:17:06,770 +التاسعة، بدأت الحفريات فيها في 1981 أسفل الحائط + +186 +00:17:06,770 --> 00:17:10,290 +الغربي ما بين باب السلسلة والقطانين باتجاه الشرق + +187 +00:17:10,290 --> 00:17:14,830 +لمسافة 25 متر، عمق 6 متر وصولا إلى أسفل سبيل قايت + +188 +00:17:14,830 --> 00:17:20,960 +باي، وقد كانت محاولات لحفر فتحة، فتحة رأسية للنفق + +189 +00:17:20,960 --> 00:17:27,220 +كبوابة ثانية لتوفير التهوية ولإضاءة وتسهيل صلاة + +190 +00:17:27,220 --> 00:17:31,240 +اليهود فيه، وهذه الحفريات أدت إلى حدوث تصدعات في + +191 +00:17:31,240 --> 00:17:37,440 +الأروقة والأبنية الموجودة فوقها، العاشرة وهي أخطر + +192 +00:17:37,440 --> 00:17:42,520 +المراحل لاستمراريتها وتشعب عمليات الحفر والتنقيب + +193 +00:17:42,520 --> 00:17:46,280 +وتفريغ الأتربة والصخور من تحت المسجد الأقصى، تحت + +194 +00:17:46,280 --> 00:17:51,140 +المسجد الأقصى، العاشرة وقبة الصخرة مما يعرضها + +195 +00:17:51,140 --> 00:17:56,700 +للتصدع والانهيار، وأجريات الحفريات أسفل سور المسجد + +196 +00:17:56,700 --> 00:18:01,900 +الغربي وصولا إلى باب الغوانمة بطول 450 متر، نصف + +197 +00:18:01,900 --> 00:18:07,120 +كيلو، وقد استكملت الحفريات عقب ذلك في النفق حيث تم + +198 +00:18:07,120 --> 00:18:12,540 +إقامة كنيس في أوسع أجزائه ومدينة سياحية يهودية + +199 +00:18:12,540 --> 00:18:16,540 +أسفل المسجد الأقصى، يؤدي إلى الزاوية الجنوبية + +200 +00:18:16,540 --> 00:18:20,860 +الغربية منه وإقامة ما يعرف بالهيكل الصغير في موقع + +201 +00:18:20,860 --> 00:18:25,780 +رباط الكرد، الجدار الغربي للأقصى في هذه المرحلة + +202 +00:18:25,780 --> 00:18:34,650 +حفروا نفق طويل جدا، أسسوا كنيس يهودي تحت المسجد + +203 +00:18:34,650 --> 00:18:44,090 +الأقصى، أسسوا هيكلة مصغرة، أسسوا متحف تحت المسجد + +204 +00:18:44,090 --> 00:18:49,070 +الأقصى، أخطر المراحل، المرحلة العاشرة لأنها توسعت + +205 +00:18:49,070 --> 00:18:53,610 +بشكل كبير جدا واستهدفت المسجد الأقصى بشكل واضح + +206 +00:18:53,610 --> 00:18:59,680 +ومباشر، مميزة الفترة، نشوف مميزات الفترة الثانية أو + +207 +00:18:59,680 --> 00:19:03,840 +المرحلة الثانية من التنقيب اللي .. اللي قلنا من .. + +208 +00:19:03,840 --> 00:19:10,640 +من الـ 67 إلى 2012، ما هي مميزاتها، خطيرة المرحلة + +209 +00:19:10,640 --> 00:19:16,700 +الأولى، طويلة، نتائجها ضعيفة، الفلسطينية لم يعرفوا + +210 +00:19:16,700 --> 00:19:22,740 +بوجهتها وبأهدافها، كانت بدعمها صندوق الاستكشاف في + +211 +00:19:22,740 --> 00:19:26,710 +فلسطين التابع للحركة الصهيونية، كانوا دائما بيبعتوا + +212 +00:19:26,710 --> 00:19:32,350 +علماء ومستكشفين وبحجة إنهم جايين يعملوا أبحاث + +213 +00:19:32,350 --> 00:19:39,190 +ودراسات علمية، طيب جميع الحفريات في المرحلة الأولى + +214 +00:19:39,190 --> 00:19:43,970 +بعيدة قليلا عن المسجد الأقصى، لم تستهدف المسجد + +215 +00:19:43,970 --> 00:19:48,890 +الأقصى، المرحلة الثانية من ال 67 إلى 2012 لاحظوا + +216 +00:19:48,890 --> 00:19:53,770 +مميزاتها، أخذت عمليات التنقيب طابعا رسميا بإقرار + +217 +00:19:53,770 --> 00:19:59,330 +حكومي من خلال مصلحة الآثار الصهيونية، الأولى كانت + +218 +00:19:59,330 --> 00:20:05,650 +يعني أكثر شيء بتدعمها مؤسسة، جامعة، مؤسسات + +219 +00:20:05,650 --> 00:20:13,220 +لكن هذا قرار حكومي، سياسة الدولة، تواصل عمليات البحث + +220 +00:20:13,220 --> 00:20:16,560 +والتنقيب خاصة تحت أساسات المسجد الأقصى وأروقته + +221 +00:20:16,560 --> 00:20:20,880 +استهدفت أساسات الأقصى والأروقة، ثلاثة، تركزت + +222 +00:20:20,880 --> 00:20:25,520 +الحفريات أسفل الحائطين الغربي والجنوبي، دائما + +223 +00:20:25,520 --> 00:20:30,440 +الغربي والجنوبي، الغربي والجنوبي، أعتقد أن هناك + +224 +00:20:30,440 --> 00:20:38,590 +لهم آثار، هل وجدوا آثار؟ لم يجدوا أي شيء، أدت نتاج + +225 +00:20:38,590 --> 00:20:41,830 +الحفريات إلى حدوث تصدعات وانهيارات في العديد من + +226 +00:20:41,830 --> 00:20:44,650 +الأروقة ومباني المسجد الأقصى والأحياء المجاورة له + +227 +00:20:44,650 --> 00:20:51,170 +هذه المرحلة هي المسؤولة عن تصدع جدران المسجد + +228 +00:20:51,170 --> 00:20:55,090 +الأقصى وانهيار بعض الجدران، الإعلان عن اكتشافات + +229 +00:20:55,090 --> 00:20:58,530 +جديدة تتعلق بالتاريخ اليهودي لخلق الذرائع لمواصلة + +230 +00:20:58,530 --> 00:21:01,610 +أعمال الحفر تحت المسجد، لقصة وقبة الصخرة في هذه + +231 +00:21:01,610 --> 00:21:06,050 +المرحلة، المرحلة الثانية والخطيرة من الـ67 إلى 2012 + +232 +00:21:06,050 --> 00:21:12,490 +أعلنوا أنهم وجدوا بعض الآثار اليهودية وهذا كذب + +233 +00:21:12,490 --> 00:21:18,490 +وافتراض، هذا كذب وافتراض، أصلا لماذا أعلنوا؟ لكي + +234 +00:21:18,490 --> 00:21:23,690 +ينشطوا الهجرة من أوروبا ومن الأمم ومن أمريكا إلى + +235 +00:21:23,690 --> 00:21:29,030 +إسرائيل ويثبتوا المجتمع الصهيوني الذي يريد أن يفر + +236 +00:21:29,030 --> 00:21:34,280 +ويرجع إلى بلده الأصلي، السكان الصهاينة الذين يسكنوا + +237 +00:21:34,280 --> 00:21:37,940 +في فلسطين كل يوم تسول لهم أنفسهم أن يعودوا إلى + +238 +00:21:37,940 --> 00:21:41,400 +بلدانهم الأصلية، خصوصا أن الشعب الفلسطيني صامد و + +239 +00:21:41,400 --> 00:21:46,020 +بطور في مقاومته، فالآن هم أصبحوا بحاجة لأن يعلنوا + +240 +00:21:46,020 --> 00:21:51,470 +للعالم أنهم اكتشفوا أشياء، يا يهود يا صهاينة في + +241 +00:21:51,470 --> 00:21:56,370 +فلسطين، لقد اكتشفنا أشياء لكم علاقة بفلسطين، هذه + +242 +00:21:56,370 --> 00:22:02,050 +المنطقة مقدسة لكم، هذه المنطقة جديرة بأن تبقوا + +243 +00:22:02,050 --> 00:22:08,350 +عليها، جديرة بأن تتحملوا قليلا قليلا من الفلسطينيين + +244 +00:22:08,350 --> 00:22:13,090 +لأن تاريخكوا في هذه المنطقة طبعا كله كذب وافتراض + +245 +00:22:13,090 --> 00:22:19,480 +التوزيع الجغرافي للحفريات الأثرية في القدس، وقد + +246 +00:22:19,480 --> 00:22:24,000 +تركزت أعمال الحفر في عدة مناطق ممثلة فيه، نشوف + +247 +00:22:24,000 --> 00:22:30,600 +الجغرافية تبع الحفر، أين كانوا يركزوا؟ دائما يركزوا + +248 +00:22:30,600 --> 00:22:35,180 +في أماكن معينة، لماذا يركزوا في هذه الأماكن؟ لاحظوا + +249 +00:22:35,180 --> 00:22:43,080 +معاه أولا الحائط الغربي للبراق، طيب الحائط الجنوبي + +250 +00:22:43,080 --> 00:22:55,760 +قرية سلوان، الحائط الشرقي، الحائط الشمالي، لنرى + +251 +00:22:55,760 --> 00:23:01,500 +الحائط + +252 +00:23:01,500 --> 00:23:07,100 +الغربي يعني حائط البراق أطلق عليه اليهود اسم حائط + +253 +00:23:07,100 --> 00:23:13,100 +المبكى قالوا عنه الحائط المبكى هو الحائط الجدار + +254 +00:23:13,790 --> 00:23:20,310 +الذين يقومون بتنفيذ ممارسة بعض الشعائر اليهودية + +255 +00:23:20,310 --> 00:23:25,170 +يقومون بمارسة بعض الشعائر ومن أجل إنشاء ساحة واسعة + +256 +00:23:25,170 --> 00:23:29,390 +لإقامة الطقوس الدينية اليهودية عند هذا الحائط حائط + +257 +00:23:29,390 --> 00:23:33,590 +يعتبرونه مقدسًا طبعًا يريدون الساحة يحطوا كراسي + +258 +00:23:33,590 --> 00:23:40,550 +يجلسوا يرتاحوا يلقوا خطاب وماذا فعلوا؟ + +259 +00:23:42,120 --> 00:23:47,300 +عمد الاحتلال إلى تدمير حارة المغاربة، شوف الساحة + +260 +00:23:47,300 --> 00:23:53,560 +اللي بجوار مقابلة لحارة البوراق، هذه حارة المغاربة + +261 +00:23:53,560 --> 00:23:57,780 +في الـ67 بعد أسبوعين من احتلال الصهاينة للقدس، + +262 +00:23:57,780 --> 00:24:04,240 +مسحوها، دمروها إلى تدمير حارة المغاربة وتسويتها + +263 +00:24:04,240 --> 00:24:10,220 +بالأرض وتهجير سكانها وقد كشفت أعمال الحفر عن أساسات + +264 +00:24:10,220 --> 00:24:14,320 +حائط البوراق وعن آثار إسلامية ورومانية بينما لم + +265 +00:24:14,320 --> 00:24:19,020 +يعثر الصهاينة على أي معلم أثري يدلل على الوجود + +266 +00:24:19,020 --> 00:24:22,920 +اليهودي في فلسطين لذلك يخطط الاحتلال للإزالة + +267 +00:24:24,290 --> 00:24:29,290 +للإزالة لتلك الآثار بحجة توسيع ساحة الصلاة + +268 +00:24:29,290 --> 00:24:33,090 +لليهود وتسهيل اقتحام اليهود المتطرفين للمسجد الأقصى + +269 +00:24:33,090 --> 00:24:40,210 +كل ما بفحروا حوالين البراق تطلع لهم آثار إسلامية + +270 +00:24:41,000 --> 00:24:48,600 +آثار إسلامية فعمدوا إلى تدمير كل المنطقة بحجة أنه + +271 +00:24:48,600 --> 00:24:52,740 +حائط البراق وبدنا نوسع حوالين حائط البراق اللي هو + +272 +00:24:52,740 --> 00:24:59,540 +بيسموه حائط المبكة لكي يتخلصوا من هذه الآثار + +273 +00:24:59,540 --> 00:25:06,540 +الحائط الجنوبي ليش مستهدفين الحائط الجنوبي أو لِ + +274 +00:25:06,540 --> 00:25:11,490 +بإثارة الآثار الحائط الجنوبي اهتمامًا كبيرًا ولكن + +275 +00:25:11,490 --> 00:25:16,550 +النتائج كانت أفضت إلى آثار بيزنطية وإسلامية + +276 +00:25:16,550 --> 00:25:20,530 +بلاقوا آثار بيزنطية وإسلامية فِيش اللي هم آثار فقد + +277 +00:25:20,530 --> 00:25:25,950 +تمّت الآثار على قصور أموية ملاصقة لهذا الجدار وحاولت + +278 +00:25:25,950 --> 00:25:29,370 +دائرة الآثار الصهيونية تمويه هذه المعالم بنقل الردم + +279 +00:25:29,370 --> 00:25:36,630 +وإقامة درجتين ومصطبتين وخاميتين فوقها أمام الأبواب + +280 +00:25:37,280 --> 00:25:41,280 +الثنائي والثلاثي والمفرد صاروا يحطوا يعملوا درج + +281 +00:25:41,280 --> 00:25:47,540 +ويحطوا رمل ويغطوا فيها من أول ويغطوها لكي يطمسوا + +282 +00:25:47,540 --> 00:25:51,740 +آثار الحضارة الإسلامية في هذه المنطقة كما قال + +283 +00:25:51,740 --> 00:25:56,660 +غوستاف لوبون إن حضارة اليهود إن دور اليهود في + +284 +00:25:56,660 --> 00:26:00,880 +الحضارة الإنسانية يساوي صفر ليس لهم أي حضارة أنا + +285 +00:26:00,880 --> 00:26:06,320 +أتحدى في أي منطقة في الكورة الأرضية أن تأتوني بأي + +286 +00:26:06,320 --> 00:26:15,530 +معلم أثري له علاقة باليهود لا يوجد لا يوجد ثالثًا + +287 +00:26:15,530 --> 00:26:19,150 +قرية سلوان تعرضت هذه القرية لأعمال حفر وتنقيب + +288 +00:26:19,150 --> 00:26:22,390 +مكثفة ومستمرة حيث تم الكشف عن نظام معقد لنقل + +289 +00:26:22,390 --> 00:26:29,250 +المياه يعود إلى 1800 سنة قبل الميلاد وبقايا برجين + +290 +00:26:29,250 --> 00:26:33,890 +حجريين استُخدِمَا لتدعيم شبكة المياه وقطع فخارية + +291 +00:26:33,890 --> 00:26:39,770 +اقترنت بالعهد الكنعاني وجدوا آثار كنعانية كما قامت + +292 +00:26:39,770 --> 00:26:43,290 +سلطة الآثار الصهيونية عام 2007 بحفر نفق جديد يبدأ + +293 +00:26:43,290 --> 00:26:47,970 +أسفل منطقة عين سلوان بمحاذاة مسجد عين سلوان متجهة + +294 +00:26:47,970 --> 00:26:51,510 +نحو الزاوية الجنوبية الغربية من المسجد الأقصى أسفل + +295 +00:26:51,510 --> 00:26:55,990 +مبنى المتحف الإسلامي بطول 800 متر حتى يصل المدينة + +296 +00:26:55,990 --> 00:27:01,850 +السياحية أسفل قبة الصخرة ومتوضأ الكأس وبعمق 20 متر + +297 +00:27:01,850 --> 00:27:08,410 +وعرض 5 متر وهذا أدى إلى حدوث انهيارات أدى قرية + +298 +00:27:08,410 --> 00:27:13,250 +سلوان كانوا يعتقدون أن قرية سلوان هي المكان اللي + +299 +00:27:13,250 --> 00:27:17,970 +كان فيه داود عليه السلام وسيدنا سليمان وكذا عندما + +300 +00:27:17,970 --> 00:27:24,130 +حفروا وتعمقوا وجدوا آثار كنعانية ماذا يعني ذلك؟ + +301 +00:27:24,130 --> 00:27:29,430 +أول من سكن فلسطين هم الكنعانيون إذا وصلت للآثار + +302 +00:27:29,430 --> 00:27:32,990 +الكنعانية في هذه المنطقة معناه الكلام لا يوجد شيء + +303 +00:27:32,990 --> 00:27:38,190 +تحتها لا يوجد شيء تحتها إذا أنت وصلت لآخر الآثار + +304 +00:27:38,190 --> 00:27:44,750 +إذا لك شيء أنت آثار ممكن يكون فوق الآثار + +305 +00:27:44,750 --> 00:27:51,120 +الكنعانية لكن لم يجدوا فبالتالي انتهى أقدم آثار في + +306 +00:27:51,120 --> 00:27:54,760 +فلسطين هي الآثار الكنعانية لأن الكنعانيين أكثر أول + +307 +00:27:54,760 --> 00:27:58,600 +الناس اللي سكنوا في فلسطين وسكنوا قبل 2500 سنة + +308 +00:27:58,600 --> 00:28:04,480 +قبل الميلاد الحائط الشرقي من أبرز الآثار المكتشفة + +309 +00:28:04,480 --> 00:28:10,890 +لما حفروا حول الحائط الشرقي للمسجد الأقصى وجدوا + +310 +00:28:10,890 --> 00:28:14,410 +مقبرة الرحمة التي تعرضت لأعمال النبش والحفر + +311 +00:28:14,410 --> 00:28:17,810 +والتدمير حيث تم تجريف المئات من قبور الصحابة + +312 +00:28:17,810 --> 00:28:21,430 +والتابعين وشهداء المعارك ضد الصليبيين بذريعة + +313 +00:28:21,430 --> 00:28:24,610 +التطوير والإعمار وتحويل المقبرة لمنتزه وطني لطمس + +314 +00:28:24,610 --> 00:28:29,830 +أي معالم ثرية جدار الشرق عنده مقبرة الرحمة عنده + +315 +00:28:29,830 --> 00:28:33,030 +قبور الصحابة كبار الصحابة والتابعين والعلماء + +316 +00:28:33,030 --> 00:28:39,690 +جرفوها وعملوها منتزهًا الحائط الشمالي الحائط الشمالي + +317 +00:28:39,690 --> 00:28:43,810 +بدأت الحفريات الصهيونية عند باب الأسباط عام 1982 + +318 +00:28:43,810 --> 00:28:50,510 +بحجة وجود بركة إسرائيل وانتهت الحفريات في 1984 دون + +319 +00:28:50,510 --> 00:28:55,350 +أن يعثر أو يعثروا على أي معلم أثري لليهود في هذا + +320 +00:28:55,350 --> 00:29:02,910 +المكان ولا أن يعثروا مشاريع مرتبطة بالحفريات مشروع + +321 +00:29:02,910 --> 00:29:07,210 +واجهة القدس الاستيطانية يمثل في مجموعة من المرافق + +322 +00:29:07,210 --> 00:29:10,090 +السياحية والجسور والأنفاق والساحات الترفيهية في + +323 +00:29:10,090 --> 00:29:13,530 +البلدة القديمة وحولها وذلك لتعزيز ربط اليهود بأرض + +324 +00:29:13,530 --> 00:29:19,690 +الأجداد لما هم بدأوا في عمليات الحفر والتنقيب + +325 +00:29:19,690 --> 00:29:23,950 +والحفريات تحت المسجد الأقصى كانوا يقومون بمشاريع + +326 +00:29:23,950 --> 00:29:28,690 +ممولة مشاريع زي مشروع واجهة القدس الاستيطاني متحف + +327 +00:29:28,690 --> 00:29:33,590 +الأجيال عملوا متحفًا فقد أقام اليهود مدينة سياحية + +328 +00:29:33,590 --> 00:29:40,290 +أسفل مسجد قبة الصخرة تحت الأرض ومتوضأ الكأس تحت + +329 +00:29:40,290 --> 00:29:44,590 +مسجد القبة الصخرة ومتوضأ الكأس تلتقي عندها الأنفاق + +330 +00:29:44,590 --> 00:29:51,380 +المحفورة حيث تضم كنيسة يهودية ومعهد ومتحف يهودي كل + +331 +00:29:51,380 --> 00:29:56,300 +الخطوط والأنفاق التي تحت المسجد الأقصى تلتقي في + +332 +00:29:56,300 --> 00:30:00,480 +هذا المكان تحت قبة الصخرة في هذا المكان عملوا متحف + +333 +00:30:00,480 --> 00:30:05,060 +وعملوا كنيس وعملوا معهد وعملوا كذا عاملين عالم + +334 +00:30:05,060 --> 00:30:08,960 +آخر تحت المسجد الأقصى عالم آخر عاملين تحت المسجد + +335 +00:30:08,960 --> 00:30:15,440 +الأقصى الآثار المترتبة على الحفريات من المنطق + +336 +00:30:15,440 --> 00:30:19,100 +والعقل، ماذا يقول حفريات ليل نهار تحت أساسات + +337 +00:30:19,100 --> 00:30:24,420 +المدرسة الأقصى ومعالم المدرسة الأقصى؟ أولًا، حدوث + +338 +00:30:24,420 --> 00:30:28,200 +انهيارات وتصدعات أرضية للعديد من المعالم التاريخية + +339 +00:30:28,200 --> 00:30:31,280 +والحضرية مثل انهيار الطريق المؤدي إلى باب + +340 +00:30:31,280 --> 00:30:35,060 +المغاربة، حدوث هبوط في المدرسة التنكزية وسبيل قايت + +341 +00:30:35,060 --> 00:30:42,910 +بايبدت الشوارع تجع، بدت الجدران تتصدع وبعضها و + +342 +00:30:42,910 --> 00:30:49,730 +بعضها ينهار وهكذا قيام شركات صهيونية بانتزاع + +343 +00:30:49,730 --> 00:30:52,630 +أحجار الصور في البلد القديمة واستبدالها بأحجار + +344 +00:30:52,630 --> 00:30:56,350 +جديدة بحجة الحفاظ على الصور ولكن هدفها من ذلك + +345 +00:30:56,350 --> 00:31:02,430 +تزوير التاريخ وتويتر أقول لكم هل تعلموا أن الجامعة + +346 +00:31:02,430 --> 00:31:08,330 +العبرية صنع الصهاينة صور الجامعة العبرية من أحجار + +347 +00:31:08,330 --> 00:31:14,430 +المدن الكنعانية القديمة وكذلك مستشفى هداسا صنع + +348 +00:31:14,430 --> 00:31:16,230 +الصهاينة من أحجار المدن الكنعانية + +349 +00:31:19,330 --> 00:31:23,170 +يضمنوا إذا جاءت بعثات أثرية أو يهود من الخارج + +350 +00:31:23,170 --> 00:31:28,050 +مهاجرين لإسرائيل عندما ينظروا لهذه الأحجار و + +351 +00:31:28,050 --> 00:31:31,950 +الأسوار يظنوا أنها من آلاف السنين وتاريخ لليهود + +352 +00:31:31,950 --> 00:31:38,350 +أه إصابة العائلات المقدسية بحالة من الخوف والقلق + +353 +00:31:38,350 --> 00:31:42,710 +خشية تصدع أو انهيار منازلهم في أي لحظة ممكن منزلك + +354 +00:31:42,710 --> 00:31:47,770 +ينهار لأنه بفحر تحته توقفت حركة البيع والشراء + +355 +00:31:47,770 --> 00:31:51,970 +بمحلات التحف الشرقية في البلد القديمة منذ افتتاح + +356 +00:31:51,970 --> 00:31:55,930 +نفق البوراق في الـ96 بسبب مرور السياح عبر هذا + +357 +00:31:55,930 --> 00:32:01,690 +النفق وتجنب المرور عبر الأسواق العربية في أسواق + +358 +00:32:01,690 --> 00:32:07,190 +الأسواق في البلد القديمة السياح يأتوا ليشتروا من + +359 +00:32:07,190 --> 00:32:12,650 +هذه الأسواق ماذا فعل الصهاينة؟ قاموا بعمل نفق كبير + +360 +00:32:13,400 --> 00:32:20,160 +تحت البلد القديمة ويقسم القدس لشطرين فبالتالي + +361 +00:32:20,160 --> 00:32:24,220 +السياح لا يدخلوا من هذه الأسواق يدخلوا من هذا + +362 +00:32:24,220 --> 00:32:29,620 +النفق فتعطلت الحياة الاقتصادية والأسواق دمروا + +363 +00:32:29,620 --> 00:32:36,540 +لماذا؟ لماذا؟ لكي يفقروا الفلسطيني ويجبروا + +364 +00:32:36,540 --> 00:32:43,110 +الفلسطيني على بيع بيته وبيع محلاته التجارية هي + +365 +00:32:43,110 --> 00:32:47,850 +السياسة الضغط خلق + +366 +00:32:47,850 --> 00:32:50,550 +ضغط على الأرض عزز الوجود اليهودي في المدينة + +367 +00:32:50,550 --> 00:32:55,030 +ومضايقة العرب لدفعهم نحو ترك المدينة لم يتمكن + +368 +00:32:55,030 --> 00:32:58,070 +اليهود من إيجاد أي معلم أثري يثبت حقيتهم بمدينة + +369 +00:32:58,070 --> 00:33:04,930 +القدس المقاومة الفلسطينية للحفريات رفض الفلسطينيون + +370 +00:33:04,930 --> 00:33:07,430 +عمليات البحث والتنقيب التي تقوم بها البعثات + +371 +00:33:07,430 --> 00:33:11,930 +الأجنبية في القدس طيب اشتعال فتيل ثورة البوراق هي + +372 +00:33:11,930 --> 00:33:15,030 +أصلًا ثورة البوراق في الـ29 لماذا قامت؟ لماذا + +373 +00:33:15,030 --> 00:33:20,170 +اندلعت؟ هي مقاومة للحفريات التي حدثت في منطقة + +374 +00:33:20,170 --> 00:33:23,930 +البوراق لأن الصهاينة يريدون أن يسيطروا على حائط + +375 +00:33:23,930 --> 00:33:31,510 +البوراق وقبل قليل كانوا قد ... هي محاولات والتي جاءت + +376 +00:33:31,510 --> 00:33:36,010 +رفضا للمحاولات الصينية التي تهدف لتهويد الحرم + +377 +00:33:36,010 --> 00:33:40,330 +ثلاث قامت الهيئة الإسلامية المشرفة على المسجد + +378 +00:33:40,330 --> 00:33:43,370 +الأقصى بتوجيه رسائل لكافة الجهات المعنية للمطالبة + +379 +00:33:43,370 --> 00:33:47,030 +بوقف أعمال الحفر أسفل المسجد الأقصى ومحيطه لما + +380 +00:33:47,030 --> 00:33:52,460 +ترتب عليها من تصدع وانهيار للمسجد، بعده انتفاضة + +381 +00:33:52,460 --> 00:33:57,680 +النفق، انتفاضة الـ 29، انتفاضة النفق في الـ 96، + +382 +00:33:57,680 --> 00:34:03,480 +لما حفروا النفق اللي عطل الأسواق، قامت انتفاضة + +383 +00:34:03,480 --> 00:34:08,470 +وقدم الفلسطينيون مئات الشهداء، اندلعت بسبب افتتاح + +384 +00:34:08,470 --> 00:34:12,090 +انتفاضة النفق بسبب افتتاح نفق أسفل المباني وأروقة + +385 +00:34:12,090 --> 00:34:15,270 +المسجد الأقصى حيث اشتعلت كافة الأراضي الفلسطينية + +386 +00:34:15,270 --> 00:34:19,650 +احتجاجا وصدامات مع الاحتلال أدت إلى استشهاد 44 + +387 +00:34:19,650 --> 00:34:24,690 +فلسطينيا وإصابة 700 فلسطيني، انتفاضة النفق في ال 96 + +388 +00:34:26,310 --> 00:34:29,770 +برز دور الشيخ رائد صلاح الذي تمكن من التصدي + +389 +00:34:29,770 --> 00:34:34,250 +لمخططات الصهاينة لهدم المسجد الأقصى وإقامة الهيكل + +390 +00:34:34,250 --> 00:34:37,610 +المزعوم على أنقاضه، وإبراز المخاطرة التي تهدد + +391 +00:34:37,610 --> 00:34:43,410 +المسجد محليا وعالميا، والقيام بفعاليات وأنشطة + +392 +00:34:43,410 --> 00:34:48,350 +متعددة، كترميم المصلى المرواني وإحياء ليالي رمضان في + +393 +00:34:48,350 --> 00:34:52,150 +المسجد الأقصى، وذلك لتعزيز الحضور الدائم والمكثف + +394 +00:34:52,150 --> 00:34:58,350 +للمسلمين في ساحات وأروقة المسجد الأقصى، إلى هنا + +395 +00:34:58,350 --> 00:35:04,090 +نكتفي بهذا القدر، ونلتقي المرة القادمة في اللقاء + +396 +00:35:04,090 --> 00:35:09,470 +القادم إن شاء الله مع موضوع جديد من موضوعات تاريخ + +397 +00:35:09,470 --> 00:35:10,850 +مدينة القدس diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/5JqTVk29sW4_raw.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/5JqTVk29sW4_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..61fbff6f694a9788d34e48bc770cd6317dd1c617 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/5JqTVk29sW4_raw.srt @@ -0,0 +1,1588 @@ +1 +00:00:05,470 --> 00:00:09,150 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:09,150 --> 00:00:12,190 +والصلاة والسلام على قائد المجاهدين محمد صلى الله + +3 +00:00:12,190 --> 00:00:18,050 +عليه وسلم اليوم ان شاء الله سنتحدث في موضوع جديد + +4 +00:00:18,050 --> 00:00:23,810 +هو بعنوان الحفريات في مدينة القدس والمسجد الأقصى + +5 +00:00:23,810 --> 00:00:31,130 +سنتحدث طبعا عن تاريخ الحفرياتومراحل هذه الحفريات + +6 +00:00:31,130 --> 00:00:35,890 +طبعا نقسم الحفريات إلى مرحلتين مرحلة أولى ومرحلة + +7 +00:00:35,890 --> 00:00:40,830 +ثانية وكل مرحلة من هذه المراحل تنقسم إلى عدة أخسام + +8 +00:00:40,830 --> 00:00:48,330 +ثم سنتحدث عن مميزات كل مرحلة وبعد ذلك ان شاء الله + +9 +00:00:48,330 --> 00:00:55,340 +سنتحدث عن آثارالحفريات في مدينة القدس والمسجد + +10 +00:00:55,340 --> 00:01:00,320 +الأقصى ثم النقطة الأخيرة مقاومة الفلسطينيين + +11 +00:01:00,320 --> 00:01:07,020 +للحفريات كيف يقاوم الفلسطيني الحفريات إلى التفاصيل + +12 +00:01:07,020 --> 00:01:10,300 +الحفريات + +13 +00:01:10,300 --> 00:01:20,920 +في مدينة القدس تنقسم إلى مرحلتين المرحلة الأولىهي + +14 +00:01:20,920 --> 00:01:28,760 +من 1838 إلى 1967 إذا المرحلة الأولى من 1838 إلى + +15 +00:01:28,760 --> 00:01:36,600 +1967 حتى عام 1967 عام 1967 هو تاريخ مهم بالمناسبة + +16 +00:01:36,600 --> 00:01:42,000 +هذا التاريخ هو احتلال الكيان الصهيون إلى غزة وشرق + +17 +00:01:42,000 --> 00:01:47,870 +القدس واحتلاله للضفة الفلسطينية باقي فلسطينلذلك + +18 +00:01:47,870 --> 00:01:53,830 +احفظوا جيدا المرحلة الأولى من عام 1838 إلى عام + +19 +00:01:53,830 --> 00:02:02,090 +1967 المرحلة الثانية من عام 1967 إلى عام 1900 إلى + +20 +00:02:02,090 --> 00:02:06,850 +2012مرحلتين سنتحدث في المرحلة الأولى المرحلة + +21 +00:02:06,850 --> 00:02:12,050 +الأولى بدأت الحفريات الأثرية في القدس في بداية + +22 +00:02:12,050 --> 00:02:15,970 +القرن التاسع عشر وبدأ من المؤسسات والجمعيات + +23 +00:02:15,970 --> 00:02:19,550 +الصهيونية هذه المرحلة كانت بدأ من المؤسسات + +24 +00:02:19,550 --> 00:02:24,090 +والجمعيات الصهيونية للبحث عن أي معلم أثري حول + +25 +00:02:24,090 --> 00:02:28,590 +الهيكل المزعوم ونتيجة لذلك توالت البعثات الأثرية + +26 +00:02:28,590 --> 00:02:34,680 +التي زادة أددها عن تلاتين بعثة تلاتين بعثةفي بداية + +27 +00:02:34,680 --> 00:02:43,100 +القرن التاسع عشر هذه البعثات كلها تبحث عن أي أثر + +28 +00:02:43,100 --> 00:02:49,500 +أي قطعة أثرية تدلل أن للصهاينة آثار للصهاينة حضارة + +29 +00:02:49,500 --> 00:02:53,920 +في مدينة القدس وفي المسجد الأقصى لنرا هذه البعثات + +30 +00:02:53,920 --> 00:02:58,320 +تلاتين بعثة تقريبا بعثة العالم الأمريكي Edward + +31 +00:02:58,320 --> 00:03:06,250 +Robinsonفي عام 1867 والتي قامت بعمل مسح دوبغرافي + +32 +00:03:06,250 --> 00:03:11,750 +للمدينة حيث اكتشف مقطعا من قوس عريض بارز في الجزء + +33 +00:03:11,750 --> 00:03:16,290 +الجنوبي في الحائط الغربي وسمي فيما بعد بقوس + +34 +00:03:16,290 --> 00:03:22,330 +Robinson وهو مكان يقع بجوار حائط المبكة كما يدعون + +35 +00:03:22,330 --> 00:03:29,150 +هو حائط البراقبعثنا البعثة التي الثانية هي بعثة + +36 +00:03:29,150 --> 00:03:37,730 +Charles Wilson وبعثة Charles Warren في عام 1867 + +37 +00:03:37,730 --> 00:03:43,050 +هذه البعثة كانت بتمويل من صندوق الاستكشاف + +38 +00:03:43,050 --> 00:03:49,760 +الفلسطيني طبعا تابعتابع للحركة الصهيونية وباستخدام + +39 +00:03:49,760 --> 00:03:53,400 +الرشاوة والعلاقات الشخصية تم التنقيب باتجاه + +40 +00:03:53,400 --> 00:03:57,560 +الجدران الشرقية والجنوبية والغربية للمسجد الأقصى + +41 +00:03:57,560 --> 00:03:59,840 +خاصة عند باب السلسلة والقطانين + +42 +00:04:04,020 --> 00:04:07,640 +بعثة العالم الأمريكي البعثة الأولى في هذه المرحلة + +43 +00:04:07,640 --> 00:04:13,880 +قلنا هذه المرحلة فيها تلاتين بعثة علمية كانت تبحث + +44 +00:04:13,880 --> 00:04:19,280 +وتنقب وتقوم بالحفريات في مدينة القدس وحول المسجد + +45 +00:04:19,280 --> 00:04:23,360 +الأقصاءأول بعثة على سبيل المثال من هذه البعثات + +46 +00:04:23,360 --> 00:04:28,220 +بعثت العالم الأمريكي Edward Robinson في عام 1867 + +47 +00:04:28,220 --> 00:04:33,440 +البعثة التانية بعثت Charles Wilson و Charles Warn + +48 +00:04:33,440 --> 00:04:39,160 +في عام 1867 كانت بتمويل من الصندوق الاستكشاف + +49 +00:04:39,160 --> 00:04:45,780 +الفلسطيني استخدم الرشاوة هذا هؤلاء استخدموا + +50 +00:04:45,780 --> 00:04:53,650 +الرشاوة من أجل الوصولإلى المناطق الحساسة كي يقوموا + +51 +00:04:53,650 --> 00:04:57,850 +بالتنقيب في هذه المناطق طبعا فلسطين كانت في ذلك + +52 +00:04:57,850 --> 00:05:04,310 +الوقت تحت الحكم العثماني فهم رشوا بعض الولاء وحكام + +53 +00:05:04,310 --> 00:05:09,050 +الأقاليم في الدولة العثمانية ليصلوا إلى أهدافهم + +54 +00:05:09,050 --> 00:05:18,490 +طيببعثة الـ Captain Barker الذي حول بعثته عام 1909 + +55 +00:05:18,490 --> 00:05:21,570 +بالادعاء أنه يبحث عن كنوز سليمان ومن أجل ذلك + +56 +00:05:21,570 --> 00:05:25,030 +استخدم الرشاوة للسماح له بالتنقيد هذه البعثة جاءت + +57 +00:05:25,030 --> 00:05:31,130 +وقال نحن نبحث عن نريد أن نصل إلى كنوز سليمان عليه + +58 +00:05:31,130 --> 00:05:38,320 +السلاموبدأ هذه الذريعة التي تذرع بها بقفة Hamilton + +59 +00:05:38,320 --> 00:05:44,900 +عام 1931 اكتشف أساسات باب العمود الرومانية وخندقا + +60 +00:05:44,900 --> 00:05:50,720 +عند باب الساهرة وشارعا مبلطا وقنوات مائية رومانية + +61 +00:05:52,200 --> 00:05:58,180 +اتصفت تلك الفترة بما يليه هذه المرحلة المرحلة + +62 +00:05:58,180 --> 00:06:02,700 +الأولى من التنقيبات والحفريات من عام الف تمانية + +63 +00:06:02,700 --> 00:06:07,740 +وتمانية وتلاتين حتى عام الف تمانية وسبعة عام الف + +64 +00:06:07,740 --> 00:06:14,590 +تسعمائة وسبعة وستين اتصفت بعددبعدد من المميزات من + +65 +00:06:14,590 --> 00:06:18,890 +المواصفات واحد كانت بأثات التنقيب تتم تحت غطاء + +66 +00:06:18,890 --> 00:06:23,900 +علمي بذريع الدراسات التاريخية في المدينة هكذاهكذا + +67 +00:06:23,900 --> 00:06:29,700 +كانوا يدّعوا دائما يدّعوا دائما أنهم جاءوا لينقبوا + +68 +00:06:29,700 --> 00:06:34,140 +عن الآثار عن الآثار وبطريقة علمية يدّعوا العلمية + +69 +00:06:34,140 --> 00:06:38,260 +زي بأثة Charles Wilson و Charles Warren و بأثة + +70 +00:06:38,260 --> 00:06:44,400 +Ward Robinson في 1867 كلها كانوا يدّعوا أنهم جاءوا + +71 +00:06:44,400 --> 00:06:50,160 +من أجل العلم وتقديم خدمة للعلم عدم وضوح من الملاحظ + +72 +00:06:50,160 --> 00:06:54,320 +أن هذه المرحلة الأولىأولاً اتصفت أنهم كانوا + +73 +00:06:54,320 --> 00:06:58,980 +يتسطروا بالعلم ثانياً عدم مضوح أهداف عمليات البحث + +74 +00:06:58,980 --> 00:07:01,960 +والتنقيب في المدينة لدى المسؤولين والمجتمع المحلي + +75 +00:07:01,960 --> 00:07:07,720 +الفلسطينيين كانوا لم يلتفتوا لحد الآن لم يتنبهوا + +76 +00:07:07,720 --> 00:07:11,580 +إلى أهداف هذه العمليات كانوا يعتقدوا فعلاً أنها + +77 +00:07:11,580 --> 00:07:18,210 +عمليات تنقيب علميةالتلاتة رغم طول الفترة الزمنية + +78 +00:07:18,210 --> 00:07:27,820 +من 1838 إلى 1967 فترة زمنية طويلة جدارغم طول + +79 +00:07:27,820 --> 00:07:31,480 +الفترة الزمنية لهذه المرحلة التي تجاوزت القرن إلا + +80 +00:07:31,480 --> 00:07:36,360 +أن نتائجها كانت محدودة لا يوجد نتائج حقيقية لا + +81 +00:07:36,360 --> 00:07:42,160 +يوجد اكتشفوا بعض الآثار بعض الآثار الرومانية + +82 +00:07:42,160 --> 00:07:48,080 +الكنعانية الإسلامية لم يجدوا أي شيء له قيمة عند + +83 +00:07:48,080 --> 00:07:54,340 +الصهاينةكذلك لو لاحظتم أن هذه الحفريات بعيدة عن + +84 +00:07:54,340 --> 00:07:58,580 +المسجد الأقصى لم تدخل تحت المسجد الأقصى معظم + +85 +00:07:58,580 --> 00:08:01,900 +الحفريات تمت حول المسجد الأقصى حيث لم يسمح + +86 +00:08:01,900 --> 00:08:07,840 +بالتنقيب أسفله نقطة أخرى، ظلت بعثات التنقيب على + +87 +00:08:07,840 --> 00:08:11,240 +شكل بعثات صغيرة وبتمويل من مؤسسات صهيونية غير + +88 +00:08:11,240 --> 00:08:16,960 +رسمية في ظاهرها مثل صندوق استكشاف فلسطين دائما + +89 +00:08:16,960 --> 00:08:23,050 +تحمل يافطة أخرىدائما تحمل يافطة أخرى لم تفسح عن + +90 +00:08:23,050 --> 00:08:28,730 +أهداف هذه الحملات الاستكشافية بالمطلق تشكلت في + +91 +00:08:28,730 --> 00:08:33,470 +مدينة القدس أدت مدارس أثرية تُعنى بالبحث والتنقيب + +92 +00:08:33,470 --> 00:08:37,230 +مثل المدرسة الألمانية للآثار في هذه المرحلة + +93 +00:08:37,230 --> 00:08:42,170 +والمدرسة الفرنسية والأمريكية والبريطانيةفي هذه + +94 +00:08:42,170 --> 00:08:45,670 +المرحلة نجد أن في مدينة القدس تم تأسيس عدد من + +95 +00:08:45,670 --> 00:08:49,550 +المدارس التي تهتم بالتنقيب عن الآثار المدرسة + +96 +00:08:49,550 --> 00:08:53,070 +الأمريكية للآثار المدرسة البريطانية للتنقيب عن + +97 +00:08:53,070 --> 00:08:56,750 +الآثار المدرسة الفرنسية للتنقيب عن الآثار و هكذا + +98 +00:08:58,240 --> 00:09:03,040 +كانت هذه المرحلة بداية لعمليات التنقيب عن الآثار + +99 +00:09:03,040 --> 00:09:07,900 +ومهدت الطريق لبعثات تالية هذه تعتبر بداية وتمهيد + +100 +00:09:07,900 --> 00:09:12,440 +كانت هي التي وضعت الأساسات الأولى لعمليات التنقيب + +101 +00:09:12,440 --> 00:09:19,110 +في مدينة القدسالمرحلات الثانية وهذه المرحلة هي + +102 +00:09:19,110 --> 00:09:24,170 +الأخطر من الف وتسعمائة و سبعة و ستين حتى الفين و + +103 +00:09:24,170 --> 00:09:30,250 +اتناشر سبعة و ستين اسرائيل احتلتاحتلت باقي فلسطين + +104 +00:09:30,250 --> 00:09:35,130 +احتلت شرق مدينة القدس كل مدينة القدس في يد + +105 +00:09:35,130 --> 00:09:40,250 +الصهاينة طيب لنرا ماذا حدث في هذه في هذه المرحلة + +106 +00:09:40,250 --> 00:09:45,030 +طبعا هذه المرحلة تتكون من عدة مراحل بالمناسبة هذه + +107 +00:09:45,030 --> 00:09:49,030 +المرحلة تتكون من عدة مراحل لنرامنذ احتلال مدينة + +108 +00:09:49,030 --> 00:09:52,550 +القدس بالكامل في 1967 بدأت الحكومة الصهيرية بأعمال + +109 +00:09:52,550 --> 00:09:56,730 +الحفر والتنقيب تحت المسجد الأقصى وحوله حيث مرت هذه + +110 +00:09:56,730 --> 00:10:03,790 +الفترة بعدة مراحل المرحلة الأولى والثانية + +111 +00:10:03,790 --> 00:10:11,750 +مع بعضهم البعض بدأت في أواخر عام 1917 واستكملت سنة + +112 +00:10:11,750 --> 00:10:19,130 +1969أذن المرحلة الأولى والتانية من 1917 إلى 1969 + +113 +00:10:19,130 --> 00:10:23,270 +بتمويل من الجامعة الإبريه وبرئاسة لبروفيسور بن + +114 +00:10:23,270 --> 00:10:29,230 +يامين مازار وقد تركزت الحفريات بعمق 14 متر نزولا + +115 +00:10:29,790 --> 00:10:34,650 +تحت الأرض عند الحائط الجنوبي للمسجد الأقصى يقتربوا + +116 +00:10:34,650 --> 00:10:39,510 +من المسجد الأقصى والجزء الجنوبي من الحائط الغربي + +117 +00:10:39,510 --> 00:10:43,450 +حتى باب المغاربة حيث تم الكشف عن آثار رومانية + +118 +00:10:43,450 --> 00:10:50,000 +وبيزانطية وإسلامية قصور أمويةونتيجة للحفريات تصدعت + +119 +00:10:50,000 --> 00:10:54,220 +بعض الأبناء الإسلامية فقام الاحتلال بتجريفها إذا + +120 +00:10:54,220 --> 00:10:59,200 +المرحلة الأولى والثانية من عام 1917 من وعد بيلفور + +121 +00:10:59,200 --> 00:11:04,900 +وحتى عام 1969 هذه المرحلة أشرفت عليها جامعة + +122 +00:11:04,900 --> 00:11:09,300 +الجامعة الإبرياء و بقيادة أحد البروفيسورات الجامعة + +123 +00:11:09,300 --> 00:11:13,650 +المتخصصين لبروفيسور بن يامين مازارتركزت الحفريات + +124 +00:11:13,650 --> 00:11:20,270 +14 متر عمقا كانت الحفريات تتركز عند الحائط الجنوبي + +125 +00:11:20,270 --> 00:11:25,310 +للمسجد الأقصى والجزء الجنوبي من الحائط الغربي حتى + +126 +00:11:25,310 --> 00:11:32,890 +باب المغاربةنتائجها كشفة عن آثار رومانية وبيزانطية + +127 +00:11:32,890 --> 00:11:38,850 +رومانية يعني قبل البيزانطيين بيزانطية يعني الدولة + +128 +00:11:38,850 --> 00:11:43,830 +الرومانية الشرقية اللي أصبحت عاصمتها القستنطينية + +129 +00:11:43,830 --> 00:11:54,590 +ثم آثار إسلامية أموية للدولة الأموية المرحلة + +130 +00:11:54,590 --> 00:11:58,210 +الثالثةإذا حكينا عن المرحلة الأولى والتانية + +131 +00:11:58,210 --> 00:12:05,790 +الحفريات تنقسم إلى مرحلتين مرحلة أولى الف وتمنمية + +132 +00:12:05,790 --> 00:12:10,390 +وتمانية وتلاتين لألف وتسعمائة وسبعة وستين مرحلة + +133 +00:12:10,390 --> 00:12:14,610 +الأولى حكينا أن هذه المرحلة كانت تتسطر وكانت بشرف + +134 +00:12:14,610 --> 00:12:20,530 +وبدعم صندوق الاستكشاف في فلسطين وبعثات أجنبية بحجة + +135 +00:12:20,530 --> 00:12:25,850 +أنها جاءت لإجراء أبحاث علميةتحدثنا عن ذلك المرحلة + +136 +00:12:25,850 --> 00:12:34,110 +الثانية هي المرحلة من عام 1967 ل 2012 يعني للعصر + +137 +00:12:34,110 --> 00:12:39,150 +اللي احنا فيه هذه المرحلة تنقسم إلى عدة مراحل + +138 +00:12:39,150 --> 00:12:43,870 +حكينا عن المرحلة الأولى والتانيةالأولى والتانية + +139 +00:12:43,870 --> 00:12:49,110 +المرحلة الأولى والتانية اللى تقريبا استمر لعام + +140 +00:12:49,110 --> 00:12:54,370 +1969 وحكينا الآن المرحلة الثالثة المرحلة الثالثة + +141 +00:12:54,370 --> 00:13:01,240 +بدأت 1970و لليوم مستمرة امتدت الحفريات فيها لمسافة + +142 +00:13:01,240 --> 00:13:06,820 +180 متر 180 متر و بعمق التراوح ما بين 10 الى 14 + +143 +00:13:06,820 --> 00:13:11,540 +أسفل أبواب الجدار الغربي للمسجد الأقصى لاحظوا وين + +144 +00:13:11,540 --> 00:13:16,700 +دايما المركزين هم الناحي الغربي للمسجد الأقصىدائما + +145 +00:13:16,700 --> 00:13:20,400 +ومجموعة من الأبنية الدينية والحضارية مثل سوق + +146 +00:13:20,400 --> 00:13:23,380 +القطانين كما قامت السلطات الاحتلال ببناء الكنس + +147 +00:13:23,380 --> 00:13:28,340 +اليهودية أسفل المحكمة الشرعية والمدرسة التنكزية + +148 +00:13:28,340 --> 00:13:36,240 +هذه كلها آثار إسلامية طيب المرحلة الثالثة بدأت + +149 +00:13:36,240 --> 00:13:45,680 +1970و مستمرة لليوم هذه المرحلة 180 متر التسعة و + +150 +00:13:45,680 --> 00:13:52,860 +عمق من عشرة لاربعتاشر متر هذه المرحلة ركزت أسفل + +151 +00:13:52,860 --> 00:13:57,820 +أبواب الجدار الغربي + +152 +00:13:57,820 --> 00:14:05,210 +للمسجد الأقصى ناحية الغرب و أسفلمجموعة الأبناء + +153 +00:14:05,210 --> 00:14:10,170 +الدينية والحضرية مثل القطانين، سوق القطانين، + +154 +00:14:10,170 --> 00:14:14,590 +المدارس، المدرسات، المحكمة الشرعية والمدرسة + +155 +00:14:14,590 --> 00:14:19,630 +التنكزية وهكذا المرحلة الرابعة أو الخامسةتمت خلال + +156 +00:14:19,630 --> 00:14:25,990 +عامين من 1973 لـ 1974 من الـ 73 لـ 74 حيث تركزت + +157 +00:14:25,990 --> 00:14:31,370 +الحفريات خلف الحائط الجنوبي للمسجد الأقصى بمسافة + +158 +00:14:31,370 --> 00:14:37,050 +تزيد عن 80 متر أسفل محراب المسجد الأقصى تحت المسجد + +159 +00:14:37,050 --> 00:14:41,750 +الأقصى وجامع عمر والأبواب الثلاثة الأروقة السفلية + +160 +00:14:41,750 --> 00:14:48,540 +للمسجد الأقصى بعمق 13 متريعرض الصور والمسجد الأقصى + +161 +00:14:48,540 --> 00:14:54,790 +للانهيار تحت المحرابوبفحر 13 متر تحت المحراب تحت + +162 +00:14:54,790 --> 00:15:00,870 +قواعد المسجد الأقصى بـ 13 متر هذا خلق صدوع في جدر + +163 +00:15:00,870 --> 00:15:06,170 +المسجد الأقصى وفي جدران المسجد الأقصى وفي أروقة + +164 +00:15:06,170 --> 00:15:10,550 +المسجد الأقصى هذا سبب التشققات والتصدعات في المسجد + +165 +00:15:10,550 --> 00:15:14,270 +الأقصى مرحلة خطيرة جدا هذه الرابعة والخامسة اللي + +166 +00:15:14,270 --> 00:15:18,330 +من الـ 73 لـ 74 طيب + +167 +00:15:20,720 --> 00:15:25,800 +المرحلة السادسة في 1975 بدأت بالقرب من منتصف + +168 +00:15:25,800 --> 00:15:30,240 +الحائط الشرقي للصور المدينة والمسجد الأقصى لتهدد + +169 +00:15:30,240 --> 00:15:34,700 +بإزالة القبور الإسلامية التي تحتوي على رفات العديد + +170 +00:15:34,700 --> 00:15:38,800 +من الصحابة منهم عبادة بن الصامت وشداد بن أوس + +171 +00:15:38,800 --> 00:15:44,540 +الأنصاري وعملت على مصادرتها لصالح منتزه إسرائيل + +172 +00:15:44,540 --> 00:15:51,730 +الوطنيهذه المرحلة السادسة في الـ 1975 بالقرب من + +173 +00:15:51,730 --> 00:15:57,530 +الحائط الشرقي لصور المدينة والمسجد الأقصى هذه عملت + +174 +00:15:57,530 --> 00:16:05,370 +على إزالة القبور الإسلامية التي تحوي على رفات كبار + +175 +00:16:05,370 --> 00:16:09,650 +الصحابة الذين عاشوا في مدينة القدس مثل عبادة بن + +176 +00:16:09,650 --> 00:16:15,870 +الصامت وشداد بن أوس الأنصاري وأصادرت هذه المناطق + +177 +00:16:18,040 --> 00:16:23,560 +وحولتها إلى منتزه وطني للصهاينة المرحلة السابعة + +178 +00:16:23,560 --> 00:16:28,000 +هذه المرحلة استهدفت توسيع وتعميق ساحة البوراق + +179 +00:16:28,000 --> 00:16:34,060 +البوراق الشريف بضم أجزاء إضافية من الأراضي العربية + +180 +00:16:34,060 --> 00:16:39,950 +المجاورة للساحة وهدم عليها من مبانيالمرحلة التامنة + +181 +00:16:39,950 --> 00:16:43,650 +تعد استكملا للمرحلتين الرابعة والخامسة حيث تركزت + +182 +00:16:43,650 --> 00:16:47,810 +الحفريات خلف جدران المسجد الأقصى الجنوبية مما يهدد + +183 +00:16:47,810 --> 00:16:52,630 +ومما هدد بتصدع هذه الجدران حيث أن الهدف منها كشف + +184 +00:16:52,630 --> 00:17:00,330 +مداف الملوك إسرائيل في مدينة داوود المرحلة + +185 +00:17:00,330 --> 00:17:06,770 +التاسعةبدأت الحفريات فيها في 1981 أسفل الحائط + +186 +00:17:06,770 --> 00:17:10,290 +الغربي ما بين باب السلسلة والقطانين باتجاه الشرق + +187 +00:17:10,290 --> 00:17:14,830 +لمسافة 25 متر عمق 6 متر وصولا إلى أسفل سبيل قايت + +188 +00:17:14,830 --> 00:17:20,960 +باي وقد كانت محاولات لحفر فتحتفتحة رأسية للنفق + +189 +00:17:20,960 --> 00:17:27,220 +كبوابة ثانية لتوفير التهوية ولإضاءة وتسهيل صلاة + +190 +00:17:27,220 --> 00:17:31,240 +اليهود فيه وهذه الحفريات أدت إلى حدوث تصدعات في + +191 +00:17:31,240 --> 00:17:37,440 +الأروق والأبناء الموجودة فوقهاالعاشرة وهي أخطر + +192 +00:17:37,440 --> 00:17:42,520 +المراحل لاستمراريتها وتشعب عمليات الحفر والتنقيب + +193 +00:17:42,520 --> 00:17:46,280 +وتفريغ الأتربة والسخور من تحت المسجد الأقصى تحت + +194 +00:17:46,280 --> 00:17:51,140 +المسجد الأقصى العاشرة وقبة الصخرة مما يعرضها + +195 +00:17:51,140 --> 00:17:56,700 +للتصدع والانهيار وأجريات الحفريات أسفل سور المسجد + +196 +00:17:56,700 --> 00:18:01,900 +الغربي وصولا إلى باب الغوانمة بطولة 450 متر نص + +197 +00:18:01,900 --> 00:18:07,120 +كيلووقد استكملت الحفريات عقب ذلك في النفق حيث تم + +198 +00:18:07,120 --> 00:18:12,540 +إقامة كنيس في أوسع أجزائه ومدينة سياحية يهودية + +199 +00:18:12,540 --> 00:18:16,540 +أسفل المسجد الأقصى يؤدي إلى الزاوية الجنوبية + +200 +00:18:16,540 --> 00:18:20,860 +الغربية منه وإقامة ما يعرف بالهيكل الصغير في موقع + +201 +00:18:20,860 --> 00:18:25,780 +رباط الكرد الجدار الغربي للأقصى في هذه المرحلة + +202 +00:18:25,780 --> 00:18:34,650 +حفروا نفق طويل جداأسسوا كنيس يهودي تحت المسجد + +203 +00:18:34,650 --> 00:18:44,090 +الأقصى أسسوا هيكلة مصغرة أسسوا متحف تحت المسجد + +204 +00:18:44,090 --> 00:18:49,070 +الأقصى أخطر المراحل المرحلة العاشرة لأنها توسعت + +205 +00:18:49,070 --> 00:18:53,610 +بشكل كبير جدا واستهدفت المسجد الأقصى بشكل واضح + +206 +00:18:53,610 --> 00:18:59,680 +ومباشرتميزة الفترة نشوف مميزات الفترة التانية أو + +207 +00:18:59,680 --> 00:19:03,840 +المرحلة التانية من التنقيب اللي .. اللي قلنا من .. + +208 +00:19:03,840 --> 00:19:10,640 +من الـ 67 لـ 2012 ما هي مميزاتها خطيرة المرحلة + +209 +00:19:10,640 --> 00:19:16,700 +الأولى طويلة نتائجها ضعيفة الفلسطينية لم يعرفوا + +210 +00:19:16,700 --> 00:19:22,740 +بوجهتها وبأهدافها كانت بدعمها صندوق الاستكشاف في + +211 +00:19:22,740 --> 00:19:26,710 +فلسطين التابع للحركة الصهيونيةكانوا دايما بيبعتوا + +212 +00:19:26,710 --> 00:19:32,350 +علماء ومستكشفين وبحجة إنهم جايين يعملوا أبحاث + +213 +00:19:32,350 --> 00:19:39,190 +ودراسات علمية طيب جميع الحفريات في المرحلة الأولى + +214 +00:19:39,190 --> 00:19:43,970 +بعيدة قليلا عن المزيد الأقصى لم تستهدف المزيد + +215 +00:19:43,970 --> 00:19:48,890 +الأقصى المرحلة الثانية من ال 67 ل 2012 لاحظوا + +216 +00:19:48,890 --> 00:19:53,770 +مميزاتهاأخذت عمليات التنقيب طابعا رسميا بإقرار + +217 +00:19:53,770 --> 00:19:59,330 +حكومي من خلال مصلحة الآثار الصيونية الأولى كانت + +218 +00:19:59,330 --> 00:20:05,650 +يعني أكثر شيء بتدعمها مؤسسة جامعة مؤسسات + +219 +00:20:05,650 --> 00:20:13,220 +لكن هذا قرار حكومي سياسة الدولةتواصل عمليات البحث + +220 +00:20:13,220 --> 00:20:16,560 +والتنقيب خاصة تحت أساسات المسجد الأقصى وأروقته + +221 +00:20:16,560 --> 00:20:20,880 +استهدفت أساسات الأقصى والأروقة تلاتة تركزت + +222 +00:20:20,880 --> 00:20:25,520 +الحفريات أسفل الحائطين الغربي والجنوبي دايما + +223 +00:20:25,520 --> 00:20:30,440 +الغربي والجنوبي، الغربي والجنوبي باعتقده أن هناك + +224 +00:20:30,440 --> 00:20:38,590 +لهم آثار هل وجدوا آثار؟ لم يجدوا أي شيءأدت نتاج + +225 +00:20:38,590 --> 00:20:41,830 +الحفريات إلى حدوث تصدؤات وانهيارات في العديد من + +226 +00:20:41,830 --> 00:20:44,650 +أرواق ومباني المسجد الأقصى والأحياء المجاورة له + +227 +00:20:44,650 --> 00:20:51,170 +هذه المرحلة هي المسئولة عن تصدع جدران المسجد + +228 +00:20:51,170 --> 00:20:55,090 +الأقصى وانهيار بعد الجدرانالإعلان عن اكتشافات + +229 +00:20:55,090 --> 00:20:58,530 +جديدة تتعلق بالتاريخ اليهودي لخلق الذرائع لمواصلة + +230 +00:20:58,530 --> 00:21:01,610 +أعمال الحفر تحت المسجد لقصة وقبة الصخرة في هذه + +231 +00:21:01,610 --> 00:21:06,050 +المرحلة، المرحلة التانية والخطيرة من الـ67 ل 2012 + +232 +00:21:06,050 --> 00:21:12,490 +أعلنوا أنهم وجدوا بعض الآثار اليهودية وهذا كذب + +233 +00:21:12,490 --> 00:21:18,490 +وافتراضهذا كذب وافتراض أصلا لماذا أعلنوا لكي + +234 +00:21:18,490 --> 00:21:23,690 +ينشطوا الهجرة من أوروبا ومن الأمم ومن أمريكا إلى + +235 +00:21:23,690 --> 00:21:29,030 +إسرائيل ويثبتوا المجتمع الصهيوني الذي يريد أن يفر + +236 +00:21:29,030 --> 00:21:34,280 +ويعود إلى بلده الأصليالسكان الصهاين الذين يسكنوا + +237 +00:21:34,280 --> 00:21:37,940 +في فلسطين كل يوم تسول لهم أنفسهم أن يعودوا إلى + +238 +00:21:37,940 --> 00:21:41,400 +بلدانهم الأصلية خصوصا أن الشعب الفلسطيني صامد و + +239 +00:21:41,400 --> 00:21:46,020 +بطور في مقاومته فالآن هم أصبحوا بحاجة لأن يعلنوا + +240 +00:21:46,020 --> 00:21:51,470 +للعالم أنهم اكتشفوا أشياءيا يهود يا صهاينة في + +241 +00:21:51,470 --> 00:21:56,370 +فلسطين لقد اكتشفنا أشياء لكم علاقة بفلسطين هذه + +242 +00:21:56,370 --> 00:22:02,050 +المنطقة مقدسة لكم هذه المنطقة جديرة بأن تبقوا + +243 +00:22:02,050 --> 00:22:08,350 +عليها جديرة بأن تتحملوا قليلا قليلا من الفلسطينيين + +244 +00:22:08,350 --> 00:22:13,090 +لأن تاريخكوا في هذه المنطقة طبعا كله كذب وافتراض + +245 +00:22:13,090 --> 00:22:19,480 +التوزيع الجيографي للحفريات الأثرية في القدسوقد + +246 +00:22:19,480 --> 00:22:24,000 +تركزت أعمال الحفر في عدة مناطق ممثلة فيه نشوف + +247 +00:22:24,000 --> 00:22:30,600 +الجغرافية تبع الحفر أين كانوا يركزوا دائما يركزوا + +248 +00:22:30,600 --> 00:22:35,180 +في أماكن معينة لماذا يركزوا في هذه الأماكن؟ لاحظوا + +249 +00:22:35,180 --> 00:22:43,080 +معاه أولا الحائط الغربي للبراق طيب الحائط الجنوبي + +250 +00:22:43,080 --> 00:22:55,760 +قرية سلوانالحائط الشرقي الحائط الشمالي لنرى + +251 +00:22:55,760 --> 00:23:01,500 +الحائط + +252 +00:23:01,500 --> 00:23:07,100 +الغربي يعني حائط البراق أطلق عليه اليهود اسم حائط + +253 +00:23:07,100 --> 00:23:13,100 +المبكى قالوا عنه الحائط المبكى هو الحائط الجدار + +254 +00:23:13,790 --> 00:23:20,310 +الذين يقوموا بتنفيذ ممارسة بعض الشعائر اليهود + +255 +00:23:20,310 --> 00:23:25,170 +يقوموا بمارسة بعض الشعائر ومن أجل إنشاء ساحة واسعة + +256 +00:23:25,170 --> 00:23:29,390 +لإقامة الطقوس الدينية اليهودية عند هذا الحائط حائط + +257 +00:23:29,390 --> 00:23:33,590 +يعتبرونه مقدس طبعاً يريدون الساحة يحطوا كراسي + +258 +00:23:33,590 --> 00:23:40,550 +يجلسوا يرتاحوا يلقوا خطاب وماذا فعلوا؟ + +259 +00:23:42,120 --> 00:23:47,300 +عامد الاحتلال إلى تدمير حارة المغاربة، شوف الساحة + +260 +00:23:47,300 --> 00:23:53,560 +اللي بجوار مقابلة لحارة البوراق، هذه حارة المغاربة + +261 +00:23:53,560 --> 00:23:57,780 +في الـ67 بعد أسبوعين من احتلال الصهاينة للقدس، + +262 +00:23:57,780 --> 00:24:04,240 +مسحوها، دمروها إلى تدمير حارة المغاربة وتسويتها + +263 +00:24:04,240 --> 00:24:10,220 +بالأرض وتهجير سكانهاوقد كشفت أعمال الحفر عن أساسات + +264 +00:24:10,220 --> 00:24:14,320 +حائط البوراق وعن آثار إسلامية ورومانية بينما لم + +265 +00:24:14,320 --> 00:24:19,020 +يعثر الصهاينة على أي معلم أثر يدلل على الوجود + +266 +00:24:19,020 --> 00:24:22,920 +اليهودي في فلسطين لذلك يخطط الاحتلال للإزالة + +267 +00:24:24,290 --> 00:24:29,290 +للإزالة لتلك الآثار بحجة التوزيح ساحة الصلاة + +268 +00:24:29,290 --> 00:24:33,090 +لليهود وتسهيل اقتحام اليهود المتطرفين لمجلد الأقصى + +269 +00:24:33,090 --> 00:24:40,210 +كل ما بفحروا حوالين البراق تطلع لهم آثار إسلامية + +270 +00:24:41,000 --> 00:24:48,600 +أثار إسلامية فعمدوا إلى تدمير كل المنطقة بحجة أنه + +271 +00:24:48,600 --> 00:24:52,740 +حائط البراق و بدنا نوسح حوالين حائط البراق اللي هو + +272 +00:24:52,740 --> 00:24:59,540 +بيسموه حائط المبكة لكي يتخلصوا من هذه الأثار تنين + +273 +00:24:59,540 --> 00:25:06,540 +الحائط الجنوبي ليش مستهدفين الحائط الجنوبي أو لك + +274 +00:25:06,540 --> 00:25:11,490 +بإثارة الأثار الحائط الجنوبي اهتماما كبيراولكن + +275 +00:25:11,490 --> 00:25:16,550 +النتائج كانت أفضت إلى أثار بيزانطية وإسلامية + +276 +00:25:16,550 --> 00:25:20,530 +بلاقوا أثار بيزانطية وإسلامية فيش اللي هم أثار فقد + +277 +00:25:20,530 --> 00:25:25,950 +تم الأثور على قصور أموية ملاسقة لهذا الجدار وحاولت + +278 +00:25:25,950 --> 00:25:29,370 +دائرة الأثار الصهيونية تمس هذه المعالم بنقل الردم + +279 +00:25:29,370 --> 00:25:36,630 +وإقامت درجتين ومصطبتين وخاميتين فوقها أمام الأبواب + +280 +00:25:37,280 --> 00:25:41,280 +الثنائي والثلاثي والمفرد صاروا يحطوا يعملوا درج + +281 +00:25:41,280 --> 00:25:47,540 +ويحطوا رمل ويغطوا فيها من أول ويغطوها لكي يطمسوا + +282 +00:25:47,540 --> 00:25:51,740 +أثار الحضارة الإسلامية في هذه المنطقة كما قال + +283 +00:25:51,740 --> 00:25:56,660 +غستاف لوبونإن حضارة اليهود إن دور اليهود في + +284 +00:25:56,660 --> 00:26:00,880 +الحضارة الإنسانية يساوي صفر ليس لهم أي حضارة أنا + +285 +00:26:00,880 --> 00:26:06,320 +أتحدى في أي منطقة في الكورة الأرضية أن تأتوني بأي + +286 +00:26:06,320 --> 00:26:15,530 +معلم أثري له علاقة باليهود لا يوجد لا يوجدثالثًا + +287 +00:26:15,530 --> 00:26:19,150 +قرية سلوان تعرضت هذه القرية لأعمال حفر وتنقيب + +288 +00:26:19,150 --> 00:26:22,390 +مكثفة ومستمرة حيث تم الكشف عن نظام معقد لنقل + +289 +00:26:22,390 --> 00:26:29,250 +المياه يعود إلى 1800 سنة قبل الميلاد وبقايا برجين + +290 +00:26:29,250 --> 00:26:33,890 +حجريين استخدمة لتدعيم شبكة المياه وقطع فخرية + +291 +00:26:33,890 --> 00:26:39,770 +اقترنت بالعهد الكنعاني وجدوا آثار كنعانيةكما قامت + +292 +00:26:39,770 --> 00:26:43,290 +سلطة الأثار الصهيونية عام 2007 بحفر نفق جديد يبدأ + +293 +00:26:43,290 --> 00:26:47,970 +أسفل منطقة عين سلوان بمحاذاة مسجد عين سلوان متجهة + +294 +00:26:47,970 --> 00:26:51,510 +نحو الزاوية الجنوبية الغربية من المسجد الأقصى أسفل + +295 +00:26:51,510 --> 00:26:55,990 +مبنى المتحف الإسلامي بطول 800 متر حتى يصل المدينة + +296 +00:26:55,990 --> 00:27:01,850 +السياحية أسفل قبة الصخرة ومتوضأ الكأس وبعمق 20 متر + +297 +00:27:01,850 --> 00:27:08,410 +وعرض 5 متر وهذا أدى إلى حدوث انهيارات أدىقرية + +298 +00:27:08,410 --> 00:27:13,250 +سلوان كانوا باعتقده انه قرية سلوان هي المكان اللي + +299 +00:27:13,250 --> 00:27:17,970 +كان فيه داود عليه السلام وسيدنا سليمان وكذا عندما + +300 +00:27:17,970 --> 00:27:24,130 +حفروا وتعمقوا وجدوا آثار كنعانية ماذا يعني ذلك؟ + +301 +00:27:24,130 --> 00:27:29,430 +أول من سكن فلسطين هم الكنعانيين إذا وصلت للأثار + +302 +00:27:29,430 --> 00:27:32,990 +الكنعانية في هذه المنطقة معناة الكلام لا يوجد شيء + +303 +00:27:32,990 --> 00:27:38,190 +تحتهالا يوجد شيء تحتها إذا أنت وصلت إلى آخر الأثار + +304 +00:27:38,190 --> 00:27:44,750 +إذا إلك شيء أنت أثار ممكن يكون فوق الأثار + +305 +00:27:44,750 --> 00:27:51,120 +الكنعانية لكن لم يجدوافبالتالي انتهى أقدم آثار في + +306 +00:27:51,120 --> 00:27:54,760 +فلسطين هي الآثار الكنعانية لأن الكنعانيين أكثر أول + +307 +00:27:54,760 --> 00:27:58,600 +الناس اللي سكنوا في فلسطين و سكنوا قبل 2500 سنة + +308 +00:27:58,600 --> 00:28:04,480 +قبل الميلاد الحائط الشرقي من أبرز الآثار المكتشفة + +309 +00:28:04,480 --> 00:28:10,890 +لما حفروا حول الحائط الشرقي للمسجد الأقصىوجدوا + +310 +00:28:10,890 --> 00:28:14,410 +مقبرة الرحمة التي تعرضت لأعمال النبش والحفر + +311 +00:28:14,410 --> 00:28:17,810 +والتدمير حيث تم تجريف المئات من قبور الصحابة + +312 +00:28:17,810 --> 00:28:21,430 +والتابعين وشهداء المعارك ضد الصليبيين بذريعة + +313 +00:28:21,430 --> 00:28:24,610 +التطوير والإعمار وتحويل المقبرة لمنتزه وطني لطمس + +314 +00:28:24,610 --> 00:28:29,830 +أي معالم ثري جدار الشرق عنده مقبرة الرحمة عنده + +315 +00:28:29,830 --> 00:28:33,030 +قبور الصحابة كبار الصحابة والتابعين والعلماء + +316 +00:28:33,030 --> 00:28:39,690 +جرفوها وعملوها منتزةالحائط الشمالي الحائط الشمالي + +317 +00:28:39,690 --> 00:28:43,810 +بدأت الحفريات الصهيونية عند باب الأصباط عام 1982 + +318 +00:28:43,810 --> 00:28:50,510 +بحجة وجود بركة إسرائيل وانتهت الحفريات في 1984 دون + +319 +00:28:50,510 --> 00:28:55,350 +أن يعثر أو يعثروا على أي معلم أثري لليهود في هذا + +320 +00:28:55,350 --> 00:29:02,910 +المكان ولا أن يعثروا مشاريع مرتبطة بالحفريات مشروع + +321 +00:29:02,910 --> 00:29:07,210 +واجهة القدس الاستيطانييتمثل في مجموعة من المرافق + +322 +00:29:07,210 --> 00:29:10,090 +السياحية والجسور والأنفاق والساحات الترفيهية في + +323 +00:29:10,090 --> 00:29:13,530 +البلدة القديمة وحولها وذلك لتعزيز ربط اليهود بأرض + +324 +00:29:13,530 --> 00:29:19,690 +الأجداد لما هم بدأوا في عمليات الحفر والتنقيب + +325 +00:29:19,690 --> 00:29:23,950 +والحفريات تحت المسجد الأقصى كانوا يقوموا بمشاريع + +326 +00:29:23,950 --> 00:29:28,690 +ممولة مشاريع زي مشروع واجهة القدس الاستيطاني متحف + +327 +00:29:28,690 --> 00:29:33,590 +الأجيال عملوا متحففقد أقام اليهود مدينة سياحية + +328 +00:29:33,590 --> 00:29:40,290 +أسفل مسجد قبة الصخرة تحت الأرض ومتوضأ الكأس تحت + +329 +00:29:40,290 --> 00:29:44,590 +مسجد القبة الصخرة ومتوضأ الكأس تلتقي عندها الأنفاق + +330 +00:29:44,590 --> 00:29:51,380 +المحفورة حيث تضم كنيسة يهودية ومعهد ومتحف يهوديكل + +331 +00:29:51,380 --> 00:29:56,300 +الخطوط والأنفاق التي تحت المسجد الأقصى تلتقي في + +332 +00:29:56,300 --> 00:30:00,480 +هذا المكان تحت قبة الصخرة في هذا المكان عملوا متحف + +333 +00:30:00,480 --> 00:30:05,060 +و عملوا كنيس و عملوا معهد و عملوا كذا عاملين عالم + +334 +00:30:05,060 --> 00:30:08,960 +آخر تحت المسجد الأقصى عالم آخر عاملين تحت المسجد + +335 +00:30:08,960 --> 00:30:15,440 +الأقصى الأثار المترتبة على الحفرياتمن المنطق + +336 +00:30:15,440 --> 00:30:19,100 +والعجل، ماذا يقول حفريات ليل نار تحت أساسات + +337 +00:30:19,100 --> 00:30:24,420 +المدرسة الأقصى ومعالم المدرسة الأقصى؟ أولا، حدوث + +338 +00:30:24,420 --> 00:30:28,200 +انهيارات وتصدعات أرضية للعديد من المعالم التاريخية + +339 +00:30:28,200 --> 00:30:31,280 +والحضرية مثل انهيار الطريق المؤدى إلى باب + +340 +00:30:31,280 --> 00:30:35,060 +المغاربة، حدوث هبوط في المدرسة التنكزية وسبيل قايت + +341 +00:30:35,060 --> 00:30:42,910 +بايبدت الشوارع تجع، بدت الجدران تتصدع وبعضها و + +342 +00:30:42,910 --> 00:30:49,730 +بعضها ينهار و هكذا قيام شركات صغيونية بانتزاع + +343 +00:30:49,730 --> 00:30:52,630 +أحجار الصور في البلد القديمة واستبدالها بأحجار + +344 +00:30:52,630 --> 00:30:56,350 +جديدة بحجة الحفاظ على الصور ولكن هدفها من ذلك + +345 +00:30:56,350 --> 00:31:02,430 +تزوير التاريخ وتويتر أقول لكمهل تعلموا أن الجامعة + +346 +00:31:02,430 --> 00:31:08,330 +العبرية صنع الصهاينة صور الجامعة العبرية من أحجار + +347 +00:31:08,330 --> 00:31:14,430 +المدن الكنعانية القديمة وكذلك مستشفى هداسة صنع + +348 +00:31:14,430 --> 00:31:16,230 +الصور من أحجار المدن الكنعانية + +349 +00:31:19,330 --> 00:31:23,170 +يضمنوا إذا جاءت بعثات أثرية أو يهود من الخارج + +350 +00:31:23,170 --> 00:31:28,050 +مهاجرين لإسرائيل عندما ينظروا إلى هذه الأحجار و + +351 +00:31:28,050 --> 00:31:31,950 +الأسوار يظنوا أنها من آلاف السنين و تاريخ لليهود + +352 +00:31:31,950 --> 00:31:38,350 +أه إصابة العائلات المقدسية بحالة من الخوف و القلق + +353 +00:31:38,350 --> 00:31:42,710 +خشية تصدع أو انهيار منازلهم في أي لحظة ممكن منزلك + +354 +00:31:42,710 --> 00:31:47,770 +ينهار لأنه بفحر تحتيهتوقفت حركة البيع والشراء + +355 +00:31:47,770 --> 00:31:51,970 +بمحلات التحف الشرقية في البلد القديمة منذ افتتاح + +356 +00:31:51,970 --> 00:31:55,930 +نفق البوراق في الـ 96 بسبب مرور السياح عبر هذا + +357 +00:31:55,930 --> 00:32:01,690 +النفق وتجنب المرور عبر الأسواق العربية في أسواق + +358 +00:32:01,690 --> 00:32:07,190 +الأسواق في البلد القديمة السياح يأتوا ليشتروا من + +359 +00:32:07,190 --> 00:32:12,650 +هذه الأسواق ماذا فعل الصهاينة؟ قاموا بعمل نفق كبير + +360 +00:32:13,400 --> 00:32:20,160 +تحت البلد القديمة ويشتر القدس إلى شطرين فبالتالي + +361 +00:32:20,160 --> 00:32:24,220 +السياح لا يدخلوا من هذه الأسواق يدخلوا من هذا + +362 +00:32:24,220 --> 00:32:29,620 +النفق فتعطلت الحياة الاقتصادية والأسواق دمروا + +363 +00:32:29,620 --> 00:32:36,540 +لماذا؟ لماذا؟ لكي يفقروا الفلسطيني ويجبروا + +364 +00:32:36,540 --> 00:32:43,110 +الفلسطيني على بيع بيته وبيع محلاته التجاريةهي + +365 +00:32:43,110 --> 00:32:47,850 +السياسة الضغط خلق + +366 +00:32:47,850 --> 00:32:50,550 +وقاء على الأرض عزز الوجود اليهودي في المدينة + +367 +00:32:50,550 --> 00:32:55,030 +ومضايقت العرب لدفعهم نحو ترك المدينة لم يتمكن + +368 +00:32:55,030 --> 00:32:58,070 +اليهود من إيجاد أي معلم أثري يثبت حقيتهم بمدينة + +369 +00:32:58,070 --> 00:33:04,930 +القدس المقاومة الفلسطينية للحفرياترفض الفلسطينيون + +370 +00:33:04,930 --> 00:33:07,430 +عمليات البحث والتنقيب التي تقوم بها البعثات + +371 +00:33:07,430 --> 00:33:11,930 +الأجنبية في القدس طيب اشتعال فتيل ثورة البوراق هي + +372 +00:33:11,930 --> 00:33:15,030 +أصلا ثورة البوراق في الـ29 لماذا قامت؟ لماذا + +373 +00:33:15,030 --> 00:33:20,170 +اندلعت؟ هي مقاومة للحفريات التي حدثت في منطقة + +374 +00:33:20,170 --> 00:33:23,930 +البوراق لأن الصهاين يريدوا أن يسيطروا على حائط + +375 +00:33:23,930 --> 00:33:31,510 +البوراق وقبل قليل كانوا قد .. هي محاولاتوالتي جاءت + +376 +00:33:31,510 --> 00:33:36,010 +رفضا للمحاولات الصينية التي تهدف لتهويد الحاط + +377 +00:33:36,010 --> 00:33:40,330 +تلاتة قامت الهيئة الإسلامية المشرفة على المسجد + +378 +00:33:40,330 --> 00:33:43,370 +الأقصى بتوجيه رسائل لكافة الجهات المعنية للمطالب + +379 +00:33:43,370 --> 00:33:47,030 +بوقف أعمال الحفر أسفل المسجد الأقصى ومحيطه لما + +380 +00:33:47,030 --> 00:33:52,460 +ترتب عليها من تصدع وانهيار للمسجدبعده، انتفاضة + +381 +00:33:52,460 --> 00:33:57,680 +النفق، انتفاضة الـ 29، انتفاضة النفق في الـ 96، + +382 +00:33:57,680 --> 00:34:03,480 +لما حفروا النفق اللي عطل الأسواق، قامت انتفاضة + +383 +00:34:03,480 --> 00:34:08,470 +وقدم الفلسطينيون مئات الشغداءاندلعت بسبب افتتاح + +384 +00:34:08,470 --> 00:34:12,090 +انتفاط النفق بسبب افتتاح نفق أسفى المباني وأروقة + +385 +00:34:12,090 --> 00:34:15,270 +المسجد الأقصى حيث اشتاعت كافة الأراضي الفلسطينية + +386 +00:34:15,270 --> 00:34:19,650 +احتجاجا وصدامات مع الاحتلال أدت إلى استشهاد 44 + +387 +00:34:19,650 --> 00:34:24,690 +فلسطين وإصابة 700 فلسطيني انتفاط النفق في ال 96 + +388 +00:34:26,310 --> 00:34:29,770 +برزة دور الشيخ رأد صلاح الذي تمكن من التصدي + +389 +00:34:29,770 --> 00:34:34,250 +لمخططات الصهاينة لهدم المسجد رقصة وإقامة الهيكل + +390 +00:34:34,250 --> 00:34:37,610 +المزعوم على أنقاضه وإبراز المخاطرة التي تهدد + +391 +00:34:37,610 --> 00:34:43,410 +المسجد محليا وعالميا والقيام بفعاليات وأنشطة + +392 +00:34:43,410 --> 00:34:48,350 +متعددةكترميم المصلى المرواني وإحياء ليالي رمضان في + +393 +00:34:48,350 --> 00:34:52,150 +المسجد الأقصى وذلك لتعزيز الحضور الدائم والمكثف + +394 +00:34:52,150 --> 00:34:58,350 +للمسلمين في ساحات وأروقة المسجد الأقصى إلى هنا + +395 +00:34:58,350 --> 00:35:04,090 +نكتفي بهذا القدر ونلتقي المرة القادمة في اللقاء + +396 +00:35:04,090 --> 00:35:09,470 +القادم ان شاء الله مع موضوع جديد من موضوعات تاريخ + +397 +00:35:09,470 --> 00:35:10,850 +مدينة القدس + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/D36pgWMaTmQ_postprocess.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/D36pgWMaTmQ_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..c69565dd58e69c617b2e3c6d7480221a5eb8c333 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/D36pgWMaTmQ_postprocess.srt @@ -0,0 +1,1116 @@ +1 +00:00:05,180 --> 00:00:08,520 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:08,520 --> 00:00:11,980 +والصلاة والسلام على قائد المجاهدين محمد صلى الله + +3 +00:00:11,980 --> 00:00:18,140 +عليه وسلم أهلا وسهلا بكم في هذا اللقاء المتجدد مع + +4 +00:00:18,140 --> 00:00:23,620 +تاريخ مدينة القدسفي اللقاءات الماضية تحدثنا عن + +5 +00:00:23,620 --> 00:00:27,280 +تاريخ مدينة القدس في العصر الإسلامي أي في الأسور + +6 +00:00:27,280 --> 00:00:31,580 +الوسطى وتحدثنا عن تاريخ مدينة القدس وكيف فتحت + +7 +00:00:31,580 --> 00:00:36,700 +مدينة القدس بالإسلام ثم في العصر الراشدي والعصر + +8 +00:00:36,700 --> 00:00:42,180 +الأموي والعصر العباسي وتحدثنا عن القدس في عصر + +9 +00:00:42,180 --> 00:00:47,760 +الصلاجقة والأيوبيين والمماليك والفاطميين وغيرهم + +10 +00:00:47,760 --> 00:00:53,720 +اليوم ان شاء الله سنتحدثعن تاريخ مدينة القدس في + +11 +00:00:53,720 --> 00:00:59,720 +العصر الحديث في العصر الحديث سنبدأ بالعصر العثماني + +12 +00:00:59,720 --> 00:01:06,760 +كما هو معلوم أن الامبراطورية العثمانية قامت في + +13 +00:01:06,760 --> 00:01:12,720 +آسيا الصغرى أي في تركيا هذه الامبراطورية كانت + +14 +00:01:12,720 --> 00:01:17,880 +تتمددتتمدد في أوروبا كل تمدد الامبراطورية + +15 +00:01:17,880 --> 00:01:21,680 +العثمانية كان في أوروبا حتى وصلت إلى أسوار مدينة + +16 +00:01:21,680 --> 00:01:27,960 +فيينا وأرغمت النمسا على دفع الجزية لكن حدثت بعض + +17 +00:01:27,960 --> 00:01:31,700 +الأحداث أجبرت العثمانيين أن يتجهوا إلى الشرق أي + +18 +00:01:31,700 --> 00:01:39,130 +للعالم الإسلامي للعالم العربيومثل الدولة الصفوية + +19 +00:01:39,130 --> 00:01:43,470 +التي تنشر المذهب الشيعي الإسماعيلي والتي تعتدي على + +20 +00:01:43,470 --> 00:01:48,890 +أرواح وأعراض المسلمين السنة في العراق وفي إيران + +21 +00:01:49,720 --> 00:01:54,160 +والخطر البرتغالي البرتغاليون الذين دخلوا المحيط + +22 +00:01:54,160 --> 00:02:02,920 +الأطلسي ثم إلى البحر + +23 +00:02:02,920 --> 00:02:09,780 +الأحمر ثم وصلوا إلى عدن ودجلة ومدينة + +24 +00:02:09,780 --> 00:02:14,420 +جدّة و أرادوا أن يسيطروا على روفية النبي محمد صلى + +25 +00:02:14,420 --> 00:02:18,840 +الله عليه وسلموهناك أسباب كثيرة جدا ونظريات كثيرة + +26 +00:02:18,840 --> 00:02:25,160 +جدا في أسباب تحول العثمانيون من الفتح من الغربي + +27 +00:02:25,160 --> 00:02:29,230 +إلى الشرق على أي حالما نريد أن نقوله هو أن + +28 +00:02:29,230 --> 00:02:33,910 +العثمانيون في عام 1514 توجهوا إلى الشرق الإسلامي + +29 +00:02:33,910 --> 00:02:39,450 +وتواجهوا مع الصفويون في معركة جالد إيران وانتصروا + +30 +00:02:39,450 --> 00:02:42,810 +على الصفويون في معركة جالد إيران وهزموا الصفويون + +31 +00:02:42,810 --> 00:02:46,430 +ونتائج هذه المعركة أنهم سيطروا على العراق وإيران + +32 +00:02:46,430 --> 00:02:51,690 +ثم تركوا إيران وبقوا + +33 +00:02:51,690 --> 00:02:57,110 +في العراق ولذلكبدأوا ينشروا المذهب السني في العراق + +34 +00:02:57,110 --> 00:03:01,670 +ثم بعد ذلك توجهوا إلى بلاد الشام بلاد الشام الآن + +35 +00:03:01,670 --> 00:03:08,190 +كانت في ذلك الوقت 1514 كانت بلاد الشام جميعها تحت + +36 +00:03:08,190 --> 00:03:13,770 +سلطة الدولة المملوكيةتحت سلطة الدولة المملكية + +37 +00:03:13,770 --> 00:03:18,230 +اصطدم العثمانيون في المماليك في لقاء عسكري مهم + +38 +00:03:18,230 --> 00:03:23,370 +ومشهور في التاريخ معركة مارشدابق هذه المنطقة هي + +39 +00:03:23,370 --> 00:03:27,850 +شمال حلب شمال مدينة حلب انتصر العثمانيونعلى + +40 +00:03:27,850 --> 00:03:33,810 +المماليك في هذه المعركة ولم يكن هناك توازن في + +41 +00:03:33,810 --> 00:03:38,130 +القوة لأن العثمانيون قد اكتشفوا البارود والمدافع + +42 +00:03:38,130 --> 00:03:44,210 +والنيران والبنادق والعذر والمماليك ما زالوا + +43 +00:03:44,210 --> 00:03:50,460 +يقاتلوا بالأسلحة البيضاءفانتصر العثمانيون بقيادة + +44 +00:03:50,460 --> 00:03:54,960 +سليم الأول السلطان السليم الأول ثم بعد ذلك اتجه + +45 +00:03:54,960 --> 00:03:58,780 +سليم الأول إلى بلاد الشام وسيطر على كل بلاد الشام + +46 +00:03:58,780 --> 00:04:02,220 +ووصل إلى فلسطين وسيطر على فلسطين ووصل إلى مدينة + +47 +00:04:02,220 --> 00:04:06,160 +القدس وسيطر على مدينة القدس واستقبله العلماء + +48 +00:04:06,160 --> 00:04:09,760 +وأهالي مدينة القدس بالأفراح والمهرجانات وأعدوا + +49 +00:04:09,760 --> 00:04:14,580 +الطعام وأطعموا السلطان العثماني سليم الأول الطعام + +50 +00:04:15,030 --> 00:04:19,230 +وابتهجوا بقدومه وفما كان منه إلا أن أسقط عنهم + +51 +00:04:19,230 --> 00:04:28,370 +الضرائب وقام بالعديد من الإعمار والتعديلات وتعمير + +52 +00:04:28,370 --> 00:04:32,790 +مدينة القدس ثم + +53 +00:04:32,790 --> 00:04:40,590 +بعد ذلك ماذا حدث اتجه العثمانيون إلى مصر وتواجهوا + +54 +00:04:40,590 --> 00:04:45,890 +مع المماليك في معركة الريدانية 1517وهزم المماليك + +55 +00:04:45,890 --> 00:04:51,770 +وبذلك انتهت دولة المماليك 1517 انتهى ما يسمى في + +56 +00:04:51,770 --> 00:04:55,070 +التاريخ بدولة المماليك وبدأت الامبراطورية + +57 +00:04:55,070 --> 00:05:01,970 +العثمانية تضمتضم مصر وبلاد الشام والعراق وتزحف في + +58 +00:05:01,970 --> 00:05:07,090 +شمال أفريقيا وكثير من الدول دخلت سلما تحت راية + +59 +00:05:07,090 --> 00:05:10,710 +العثمانيين خصوصا أن الدولة العثمانية هي دولة + +60 +00:05:10,710 --> 00:05:14,870 +إسلامية وترفع راية الدفاع عن الإسلام وعن المقدسات + +61 +00:05:14,870 --> 00:05:19,130 +وعن القدس وعن مكة وعن المدينة وهكذا فبالتالي لم + +62 +00:05:19,130 --> 00:05:25,030 +يكن هناك مقاومة للعثمانيين عند حكمهم وسيطرتهم على + +63 +00:05:25,030 --> 00:05:31,500 +الوطنالعربي استمر حكم العثمانيين للقدس منذ ذلك + +64 +00:05:31,500 --> 00:05:38,580 +الوقت من 1516 حتى عام 1917 ما هو هذا التاريخ من + +65 +00:05:38,580 --> 00:05:45,320 +1516 إلى 1917 أنا أقول لكم هذا التاريخ هوالتاريخ + +66 +00:05:45,320 --> 00:05:48,820 +الأول هو معركة مارشدابق التي هزم فيها المماليك + +67 +00:05:48,820 --> 00:05:51,960 +وانتصرها العثمانيون وسيطروا على مدينة القدس + +68 +00:05:51,960 --> 00:05:56,520 +وسيطروا على بلاد الشام التاريخ الثاني 1917 هو + +69 +00:05:56,520 --> 00:06:03,480 +الحرب العالمية الأولى عندما دخلت جенерال إلمبي من + +70 +00:06:03,480 --> 00:06:09,240 +مصر إلى سيناء إلى العريش إلى رفح إلى فلسطين وسيطر + +71 +00:06:09,240 --> 00:06:14,470 +على فلسطين وسيطر على القدس واحتل القدس فبذلكنقول + +72 +00:06:14,470 --> 00:06:18,470 +أن الحكم العثماني لفلسطين ولمدينة القدس خصوصا + +73 +00:06:18,470 --> 00:06:25,670 +استمر من 1516 إلى 1917 هذا التاريخ هذه الحقبة مهمة + +74 +00:06:25,670 --> 00:06:31,350 +فنتمنى أن تحفظوا هذه التواريخ جيدا لذلك نستطيع أن + +75 +00:06:31,350 --> 00:06:34,710 +نقسم مرحلة الحكم العثماني إلى مدينة القدس إلى ثلاث + +76 +00:06:34,710 --> 00:06:39,370 +مراحل المرحلة الأولى امتدت من دخول العثمانيين إلى + +77 +00:06:39,370 --> 00:06:48,070 +فلسطين حتى حكم إبراهيم باشامن 1516 ل 1831 التاريخ + +78 +00:06:48,070 --> 00:06:55,770 +على الشاشة في خطأ 31 وليس 13 الآن المرحلة الثانية + +79 +00:06:55,770 --> 00:07:00,310 +امتدت من خروج الحكم المصري من خروج الحكم المصري من + +80 +00:07:00,310 --> 00:07:02,970 +1840 حتى 1917 + +81 +00:07:06,720 --> 00:07:20,460 +المرحلة الأولى امتدت من 1516 إلى 1831 + +82 +00:07:20,460 --> 00:07:28,030 +والمرحلة الثانية من ال 31الى عام 40 .. 1840 مرحلة + +83 +00:07:28,030 --> 00:07:32,030 +الحكم المصري والمرحلة الثالثة من عام 1840 وحتى عام + +84 +00:07:32,030 --> 00:07:39,230 +1917 هذه المراحل الثالثة .. الثلاثة اللي نراها أهم + +85 +00:07:39,230 --> 00:07:44,390 +ما يميز كل مرحلة من هذه المراحل القدس ما بين 1516 + +86 +00:07:44,390 --> 00:07:52,430 +لـ 1831 تحت الحكم العثماني المباشر القدس + +87 +00:07:54,280 --> 00:08:01,000 +ضمت فلسطين خمسة ألوية أي سناجق وهذا كان في عهد + +88 +00:08:01,000 --> 00:08:09,160 +المماليك واستمر في عهد العثمانيون واصبحت لواء + +89 +00:08:09,160 --> 00:08:13,240 +القدس تابعا إلى ولاية الشام دمشق + +90 +00:08:15,600 --> 00:08:20,240 +و نالت القدس في عهد السلطان سليمان القانون 1566 + +91 +00:08:20,240 --> 00:08:26,260 +اهتمام فائق فقد قام بتجديد قبة الصخرةوقام بإبداء + +92 +00:08:26,260 --> 00:08:31,100 +الفسيفساء على جدران القبة بالقشاني وقام بتركيب + +93 +00:08:31,100 --> 00:08:35,860 +معظم الرخام الذي يكسل جدران الخارجية من الأسفل + +94 +00:08:35,860 --> 00:08:40,020 +وقام بتجديد النوافذ والأبواب وكسوة قبة السلسلة + +95 +00:08:40,020 --> 00:08:47,260 +بالقشاني كما بنى صور القدس من 1547 + +96 +00:08:47,260 --> 00:08:54,380 +إلى 1540 من أجل أن يحمل مدينة من أي اعتداء خارجي + +97 +00:08:55,020 --> 00:09:00,360 +كذلك رمّم السلطان سليمان القانون القاعة عام 1531 + +98 +00:09:00,360 --> 00:09:05,360 +وانجأ البرج الكائن عند باب الخليل 1538 وعمر بركة + +99 +00:09:05,360 --> 00:09:09,340 +السلطان والسبيل والكائن بباب السلسلة أمام المدرسة + +100 +00:09:09,340 --> 00:09:14,160 +التنكزيةوفي طريق الواد وفي ساحة الحرم وقرب باب + +101 +00:09:14,160 --> 00:09:18,820 +الناظر وباب الأصباط عام 1536 قام بإصلاحات كبيرة + +102 +00:09:18,820 --> 00:09:23,700 +جدا في كل هذه المناطق المندسة التنكزية باب الواب + +103 +00:09:23,700 --> 00:09:27,700 +ساحة الحرم باب الناظر باب الأصباط كل هذه المناطق + +104 +00:09:27,700 --> 00:09:32,300 +نالت إصلاحات وتعمير وحركة عمران من قبل الدولة + +105 +00:09:32,300 --> 00:09:39,570 +العثمانيةوفي عهده سلطان سليمان القانوني طبعا أنشئت + +106 +00:09:39,570 --> 00:09:44,650 +تكية خاسكي سلطان وقد أنشئتها زوجة السلطان وهي من + +107 +00:09:44,650 --> 00:09:50,970 +أصل روسي بالمناسبة في عام 1552 التكية هي مكان مخصص + +108 +00:09:50,970 --> 00:09:55,110 +لإطعام الفقراء والمساكين الطعام بالمناسبةوالمدرسة + +109 +00:09:55,110 --> 00:10:00,610 +الرصاصية أيضا انشئت بحارة الواد عام 1540 كما انشئ + +110 +00:10:00,610 --> 00:10:04,310 +المسجد القميري وقبة الأرواح وقبة الخضر وحمامات + +111 +00:10:04,310 --> 00:10:08,230 +ومقام النبي داود ومئذنة مسجد القلعة ومحراب قبة + +112 +00:10:08,230 --> 00:10:13,370 +النبي محمد ورباط بإبراهيم + +113 +00:10:13,370 --> 00:10:20,270 +جاويشهذا إحصاء يدل لنا على نسبة سكان مدينة القدس + +114 +00:10:20,270 --> 00:10:29,150 +في ذلك العصر المسلمون 9873 + +115 +00:10:30,530 --> 00:10:34,650 +نسبتهم كانت تمانية وسبعين وربع في المية من نسبة + +116 +00:10:34,650 --> 00:10:38,990 +سكان مدينة القدس يعني ثلثية سكان مدينة القدس كانوا + +117 +00:10:38,990 --> 00:10:42,850 +من المسلمين المسيحيون ألف وخمسمية وسبعة واربعين + +118 +00:10:42,850 --> 00:10:48,090 +نسبتهم اتناشر وربع اليهود ألف ومية وسبعة وتسعين + +119 +00:10:48,090 --> 00:10:54,390 +يعني ألف و متين صهيوني أو يهودي كان نسبتهم تسعة و + +120 +00:10:54,390 --> 00:11:03,380 +نص في المية و هكذا إذا مرة أخرىمرة أخرى المسلمون + +121 +00:11:03,380 --> 00:11:16,980 +78.4% المسيحيون 12.4% اليهود 9.5% و هكذا تذكر + +122 +00:11:16,980 --> 00:11:19,720 +المراجعة أن الفترة ما بعد وفاة السلطان سليمان + +123 +00:11:19,720 --> 00:11:24,420 +القانوني حتى تسلم مراد الرابع لم تحظى مدينة القدس + +124 +00:11:24,420 --> 00:11:31,690 +بأي اهتمام كيف نرد؟ و هذا غير دقيق لأن هناكموجود + +125 +00:11:31,690 --> 00:11:35,750 +وشاهد عدد من الإصلاحات في مدينة القدس هذا مردود + +126 +00:11:35,750 --> 00:11:41,110 +الكلام بعض المصادر لم توفق في ذلك ثورة نقيب + +127 +00:11:41,110 --> 00:11:47,310 +الأشراف هذه ثورة جرت في مدينة القدس حدثت أحداثها + +128 +00:11:47,310 --> 00:11:51,980 +في مدينة القدسفي أواخر القرن السابع عشر كان لواء + +129 +00:11:51,980 --> 00:11:57,460 +غزة والرمل التابعين لول القدس الذي يضطهد هذه + +130 +00:11:57,460 --> 00:12:03,720 +الألواء مما دفعهم للثورة والذي + +131 +00:12:03,720 --> 00:12:10,120 +دفع أكثر هو تزايد الهجمات البدو على الحجاجمما دفع + +132 +00:12:10,120 --> 00:12:14,280 +السلطة أن تركز على الناحية الأمنية وخصصة الدرائب + +133 +00:12:14,280 --> 00:12:23,220 +لحفظ أمن القوافل ودفع ذلك الثورة من قبل الأهالي في + +134 +00:12:23,220 --> 00:12:27,720 +مدينة القدس عندما سمحت السلطنة للقنصل الفرنسي + +135 +00:12:27,720 --> 00:12:31,580 +بالإقامة في القدس اعتبر العلماء ذلك عودة للحروب + +136 +00:12:31,580 --> 00:12:36,700 +الصليبية لبلادهم إذا سبب ثورة نقيب الأشراف أولا + +137 +00:12:37,750 --> 00:12:44,590 +زيادة الدرائب المعاملة القاسية استماح للقنصل + +138 +00:12:44,590 --> 00:12:48,110 +الفرنسي بالإقامة في مدينة القدس حيث اعتبر العلماء + +139 +00:12:48,110 --> 00:12:53,490 +أن ذلك تدخلا واحتلالا جديدا وعودة للحروب الصليبية + +140 +00:12:53,490 --> 00:13:00,130 +وأمام احتجاجهم أبطلت + +141 +00:13:00,130 --> 00:13:05,850 +أقامته في القدس وفي أعقاب ذلك قام محافظ القدسمحمد + +142 +00:13:05,850 --> 00:13:09,050 +باشا بحملة عسكرية ضد أهالي القدس وفرضت درائب + +143 +00:13:09,050 --> 00:13:12,610 +الباهظة وتطاول جنده على المواطنين فثار أهالي القدس + +144 +00:13:12,610 --> 00:13:16,190 +بزعامة نقيب الأشراف وحاصروا قاد القدس وقائد + +145 +00:13:16,190 --> 00:13:20,310 +الحامية العسكرية فتم عزل المحافظ وعين محافظ جديد + +146 +00:13:20,310 --> 00:13:25,750 +وانتهت الثورة 1703هذه الثورة كان سببها هو الدرائب + +147 +00:13:25,750 --> 00:13:31,190 +الباهظة الاعتداء على أهالي القدس الاعتداء على + +148 +00:13:31,190 --> 00:13:36,650 +أهالي القدس تم هناك اشتباكات بين الأهالي وبين + +149 +00:13:36,650 --> 00:13:42,210 +الحامية العسكرية وكانت الثورة بقيارة نقيب الأشراف + +150 +00:13:42,210 --> 00:13:48,940 +الآن خضعت الحكومة وقامت بإصلاحاتفي مدينة القدس و + +151 +00:13:48,940 --> 00:13:53,940 +تم عزل المحافظ وعين محافظة جديدة وبذلك تكون قد + +152 +00:13:53,940 --> 00:13:58,980 +انتهت الثورة 1703 في عهد السلطان محمود الأول تجدد + +153 +00:13:58,980 --> 00:14:03,540 +بناء حائط البراق الخندق بالقدس سنة 1731 + +154 +00:14:07,440 --> 00:14:12,960 +وحدثت هناك اشتباكات بين الروم الارثوذكس والفرنج + +155 +00:14:12,960 --> 00:14:17,580 +ووقفت الدولة العثمانية إلى جانب الارثوذكس وقامت + +156 +00:14:17,580 --> 00:14:23,640 +بتسليمهم جميع الأماكن المسيحية في مدينة القدسعندما + +157 +00:14:23,640 --> 00:14:31,680 +بدأت الحملة الفرنسية بقيادة نابليون 1799 وذهب + +158 +00:14:31,680 --> 00:14:36,500 +و اراد بعد ان احتل نابليون مصر اراد ان يتوجه الى + +159 +00:14:36,500 --> 00:14:40,790 +بلاد الشام ليحتل بلاد الشامنابليون بونابارطا دخل + +160 +00:14:40,790 --> 00:14:45,550 +إلى بلاد الشام ودخل إلى فلسطين عندها طلب وجهاء + +161 +00:14:45,550 --> 00:14:48,350 +القدس من وال الشام تزويدهم بالسلاح للدفاع عن + +162 +00:14:48,350 --> 00:14:52,150 +المدينة وامر الوالج جميع الرجال القادرين على حملة + +163 +00:14:52,150 --> 00:14:57,130 +السلاح للتحاق بالجيش لكن نابليون لم يصطدم بمدينة + +164 +00:14:57,130 --> 00:15:01,070 +القدس أو يمر بمدينة القدس لأنه قال أنها ليس ضمن + +165 +00:15:01,070 --> 00:15:08,920 +المخطط في خطته التوسعيةكذلك نشب حريق في كنيسة + +166 +00:15:08,920 --> 00:15:11,780 +القيامة فأقام رؤوساء الطواقف المسيحية الخيام + +167 +00:15:11,780 --> 00:15:15,180 +لحفظها من النهب وشاركهم في ذلك علماء المسلمين + +168 +00:15:15,180 --> 00:15:18,760 +وعيانهم وسمحها وسمح لهم الوالي بالترميم + +169 +00:15:21,150 --> 00:15:29,130 +في عام 1825 إلى 1826 فرأ أهالي القدس ضد الوالي + +170 +00:15:29,130 --> 00:15:32,470 +العثماني بسبب الدرائب الباهظة التي فرضها الوالي + +171 +00:15:32,470 --> 00:15:37,130 +عليهم وبسبب القصوى في جبايتها فوصلت حملة قدرت + +172 +00:15:37,130 --> 00:15:41,200 +بحوالي 5000 جندي لإجبار الأهالي على دفع الدرائبفار + +173 +00:15:41,200 --> 00:15:44,880 +الأهالي وسيطر الثوار على القدس وسجنوا عشرات العسكر + +174 +00:15:44,880 --> 00:15:51,080 +وأداروا المدينة + +175 +00:15:51,080 --> 00:15:55,540 +بأنفسهم ومعمرون الوقت أخذ العلماء يحسبون حساب + +176 +00:15:55,540 --> 00:15:59,220 +الانتقام والشام فأرسلوا الرسائل يعرضون فيها أسباب + +177 +00:15:59,220 --> 00:16:03,040 +الثورة وتم الاتفاق وانتهت الثورة وعاد الجيش إلى + +178 +00:16:03,040 --> 00:16:10,400 +القدس 1826ثورة من أهل القدس على الوالي في مدينة + +179 +00:16:10,400 --> 00:16:16,480 +القدس في عام 1825 انتهت في 1826 بتسوية بتسوية + +180 +00:16:16,480 --> 00:16:21,020 +عندما تفاوض العلماء والثوار مع والي الشام الذي + +181 +00:16:21,020 --> 00:16:26,120 +تتبع له مدينة القدس وانتهت بذلك الثورة طيب القدس + +182 +00:16:26,120 --> 00:16:32,750 +تحت الحكم المصري إذا انتهينا من المرحلة الأولىمن + +183 +00:16:32,750 --> 00:16:41,010 +عام 1516 إلى 1831 الآن هذه الحقبة الثانية المرحلة + +184 +00:16:41,010 --> 00:16:46,590 +الثانية من 1831 إلى 1840 ما يميز هذه الحقبة هو + +185 +00:16:46,590 --> 00:16:51,290 +الحكم المصري لمدينة القدس و لبلاد الشام عندما أرسل + +186 +00:16:51,290 --> 00:16:55,850 +محمد علي باشا ابنه إبراهيم باشا ليسيطر على بلاد + +187 +00:16:55,850 --> 00:17:00,470 +الشام واحتل الشاماحتل الشام قريبا عشر سنوات وكان + +188 +00:17:00,470 --> 00:17:07,490 +حكمه جبري وقاسي وتسلط على الناس في جمع الدرائب + +189 +00:17:07,490 --> 00:17:14,470 +والتجنيد الإجباري لكن كان له بعض الإصلاحات للحقيقة + +190 +00:17:14,470 --> 00:17:19,320 +والموضوعية والتاريخسيطرت قوات إبراهيم باشا بن محمد + +191 +00:17:19,320 --> 00:17:22,700 +علي القادمة من نصر على غزة ويافا وحيفا والقدس + +192 +00:17:22,700 --> 00:17:26,960 +ومنطقة الجليل دون مقاومة وكان دخول القدس في كانون + +193 +00:17:26,960 --> 00:17:32,100 +أول 1831 وعلى المصريين إلغاء كل الدرائب والعوائد + +194 +00:17:32,100 --> 00:17:34,660 +التي كانت المفروضة على الطواقف المسيحية واليهودية + +195 +00:17:34,660 --> 00:17:38,280 +وعلى الأماكن المقدسة كما وعد محمد علي القناص + +196 +00:17:38,280 --> 00:17:45,790 +للأوروبيين قبل خروج الحملةلكن هذه السياسة فزت + +197 +00:17:45,790 --> 00:17:49,170 +العلماء وعيال المسلمين فانتشرت التململ في القدس + +198 +00:17:49,170 --> 00:17:54,630 +وكان جند الحملة المصرية غير كبير مما أدى إلى تعزيز + +199 +00:17:54,630 --> 00:17:58,550 +الجيش في القدس في عام 34 قامت الثورة على الحكم + +200 +00:17:58,550 --> 00:18:01,170 +المصري في فلسطين وبلاد الشام بسبب الضريبة التي + +201 +00:18:01,170 --> 00:18:06,130 +فرضت على السكان والتجنيد الإجباري لعشر فالمئة من + +202 +00:18:06,130 --> 00:18:08,830 +الأهالي كان قانون عشر فالمئة من الأهالي لازم + +203 +00:18:08,830 --> 00:18:12,560 +يكونوا في الجيشوبسبب جمع السلاح من الأهالي المنعين + +204 +00:18:12,560 --> 00:18:15,780 +من مقاومة السياسة المصرية في جمع الضرائب والتجنيد + +205 +00:18:15,780 --> 00:18:19,960 +الإجباريانطلقت الثورة في الـ 34 في القدس وهاجم + +206 +00:18:19,960 --> 00:18:23,800 +الثوار الجيش المصري فلاجأ إلى القلعة وأنجدهم + +207 +00:18:23,800 --> 00:18:27,700 +إبراهيم باشا وهزم الثوار عدة مرات لكنهم أحكموا + +208 +00:18:27,700 --> 00:18:30,560 +سيطرتهم على الطرق المؤدية للقدس لمنع النجدات ثم + +209 +00:18:30,560 --> 00:18:37,660 +تدخلت وساطات بعد أن أرهق جيشه وشحت الذخيرة وعاد + +210 +00:18:37,660 --> 00:18:45,660 +إبراهيم باشا إلى القدس وإلى يافاإذن في الـ 34 حدثت + +211 +00:18:45,660 --> 00:18:49,760 +ثورة ضد الحكم المصري السبب هو الدرائب الباهظة + +212 +00:18:49,760 --> 00:18:53,760 +السبب هو التجنيد الإجباري السبب هو القصوى في + +213 +00:18:53,760 --> 00:18:58,720 +معاملة الأهالي والسكان والسكان و هذه الثورة لم + +214 +00:18:58,720 --> 00:19:01,860 +تستمر كثيرا و تم تسوية الأمور وعاد ابراهيم باشا + +215 +00:19:01,860 --> 00:19:05,700 +إلى مدينة القدس إلى مدينة القدس في عاد الحكم + +216 +00:19:05,700 --> 00:19:11,140 +المصري انشئتبعض الإصلاحات التي أنشأها الحكم المصري + +217 +00:19:11,140 --> 00:19:17,840 +في مدينة القدسطاحونة الهواء غربي القدس وهي أول + +218 +00:19:17,840 --> 00:19:26,080 +طاحونة لطحن طحن فيها المقدسيون قمحهم وكذلك في أهد + +219 +00:19:26,080 --> 00:19:30,660 +المصريين بنيت الزاوية الإبراهيمية وعمرت قلعة في + +220 +00:19:30,660 --> 00:19:34,420 +واد الجوز والغيت دريبة الخمس على الحاصلات الزراعية + +221 +00:19:34,420 --> 00:19:38,300 +ووزعت البذور على الفلاحين وشجع الناس على غرز + +222 +00:19:38,300 --> 00:19:42,960 +الثمار ومع ذلك تنفس أهل القدس الصعوداءعندما أعيدت + +223 +00:19:42,960 --> 00:19:48,040 +بلاد الشام للحكم العثماني ثانية لهم العديد من + +224 +00:19:48,040 --> 00:19:54,680 +الإصلاحات لكن كان حكما جبريا قاسيا لذلك رفضه ولفظه + +225 +00:19:54,680 --> 00:19:59,940 +أهالي القدس وأهالي الشام القدس + +226 +00:19:59,940 --> 00:20:04,840 +تحت الحكم العثماني الثاني من 1941 إلى 1917 المرحلة + +227 +00:20:04,840 --> 00:20:08,520 +الثالثة خلال تلك المرحلة قام السلطان عبدالعزيز + +228 +00:20:08,520 --> 00:20:10,560 +الذي كان مبذرا + +229 +00:20:12,380 --> 00:20:17,700 +السلطان عبدالعزيز بترميم وإعمار في المسجد الأقصى + +230 +00:20:17,700 --> 00:20:24,160 +وأنشئت الطريقة التي تربط بينها فهو القدس في 1867 + +231 +00:20:24,160 --> 00:20:29,440 +والطريقة التي تربط القدس بنابلس ورصفة شوارع القدس + +232 +00:20:29,440 --> 00:20:33,800 +القديمة وأسواقها هذه أهم الإنجازات في مدينة القدس + +233 +00:20:33,800 --> 00:20:38,240 +كذلك في سعاهة السلطان عبد الحميد الثانيأخر + +234 +00:20:38,240 --> 00:20:42,360 +الصلاطين أو أخر الخلفاء العثمانيين الرسميين + +235 +00:20:42,360 --> 00:20:47,200 +الرسميين الذين لم يفرضوا على الدولة فرض السلطان + +236 +00:20:47,200 --> 00:20:50,540 +عبد الحميد في عهد السلطان عبد الحميد الثاني تمت + +237 +00:20:50,540 --> 00:20:53,980 +إصلاحات في قبة الصخرة وكتبت صورة ياسين بكاملة + +238 +00:20:53,980 --> 00:20:58,060 +حولها مثمن قبة الصخرة وفرشة الصخرة ومسجد الأقصى + +239 +00:20:58,060 --> 00:21:02,580 +بالسجاد وجدد سبيل قايتباي في ساحة الحرم وتم رصف + +240 +00:21:02,580 --> 00:21:06,880 +شوارع القدس وانشاءمجاري لها وفتحت عيادة طبية + +241 +00:21:06,880 --> 00:21:12,780 +مجانية لعموم الناس تقرر بناء مسرح تمثل فيه روايات + +242 +00:21:12,780 --> 00:21:19,240 +وبدأ بناء مدارس القرى و أُسس المسجد التابع لبلدية + +243 +00:21:19,240 --> 00:21:24,570 +القدس في حي الشيخ بدر وأنشئ منتزهعام لكل الناس + +244 +00:21:24,570 --> 00:21:28,350 +وسكة حديد بين القدس ويافا وانشئ مشفى عسكري في + +245 +00:21:28,350 --> 00:21:33,570 +القدس وفرقة مطافى وبنى وبنى برج الساعة وانشئ سبيل + +246 +00:21:33,570 --> 00:21:38,450 +برج الساعة هذا البرج الذي سلبه البريطانيون والان + +247 +00:21:38,450 --> 00:21:42,030 +موجود هو في قلب لندن برج الساعة الساعة اللي في + +248 +00:21:42,030 --> 00:21:46,140 +داخل البرجوبني برج الساعة وانشي أسابيع باب الخليل + +249 +00:21:46,140 --> 00:21:50,960 +وافتتح حمض حفل الأثار وقرر رشيد بيك متصرف القدس + +250 +00:21:50,960 --> 00:21:55,940 +ببناء المدرسة الرشيدية وتقرر منع البناء دون ترخيص + +251 +00:21:56,520 --> 00:21:59,780 +اهتمام كبير في مدينة القدس في عهد السلطان عبد + +252 +00:21:59,780 --> 00:22:04,420 +الحميد اندلقت الحرب العالمية الأولى في 1914 ووصلت + +253 +00:22:04,420 --> 00:22:08,240 +القوات البريطانية مشارف القدس واضطرت المدينة + +254 +00:22:08,240 --> 00:22:15,200 +للاستسلام ونصت وثيقة التسليم التي أرسلها متصرف + +255 +00:22:15,200 --> 00:22:18,060 +القدس للقوات البريطانية أن الحكومة العثمانية قررت + +256 +00:22:18,060 --> 00:22:21,460 +سحب قوات وامن المدينة رغبة منها في المحافظة على + +257 +00:22:21,460 --> 00:22:23,480 +الأماكن المقدسة من الخراب + +258 +00:22:30,180 --> 00:22:37,160 +الاطماع الأوروبية والصهيونية في مدينة القدس القرن + +259 +00:22:37,160 --> 00:22:44,440 +التاسع عشر ومطلق القرن العشرين هذا شهد بداية + +260 +00:22:44,440 --> 00:22:48,500 +التنافس الأوروبي في الحصول على الامتيازات والنفوذ + +261 +00:22:48,500 --> 00:22:54,240 +في مدينة القدس في فترة الحكم المصري انشئت أول + +262 +00:22:54,240 --> 00:22:57,280 +قنصلية أوروبية في القدس في عام الف تمانية تلاتة + +263 +00:22:57,280 --> 00:23:03,150 +واربعين وهذه مهمةوالنمسا وباقي الدول الأوروبية وفي + +264 +00:23:03,150 --> 00:23:07,630 +تلك المرحلة نشطت المؤسسات التنصيرية فزادت هجرتهم + +265 +00:23:07,630 --> 00:23:13,410 +إلى القدس خاصة من هولندا والمانيا حيث قدمت الحماية + +266 +00:23:13,410 --> 00:23:17,890 +لليهود في القدس مما ساعد على زيادتهم حيث توالت + +267 +00:23:17,890 --> 00:23:26,710 +توالى إنشاء الأحياء السكنية لليهود وبلغت 8 أحياء + +268 +00:23:30,880 --> 00:23:36,800 +القدس تحت الاحتلال البريطاني سلم متصرف القدس عزة + +269 +00:23:36,800 --> 00:23:40,520 +بيت كل من مفتي القدس كامل حسيني ورئيس بلديتها حسين + +270 +00:23:40,520 --> 00:23:48,650 +الحسينيقاموا بتسليم القدس وكلفهم بإيصالهم للإنجليز + +271 +00:23:48,650 --> 00:23:54,050 +ودخلت القوات المدينة في 11 من الشهر ذاته حيث دخلت + +272 +00:23:54,050 --> 00:23:58,050 +جنرال ال M.B القدس ماشيا على الأقدام من باب الخليل + +273 +00:23:58,050 --> 00:24:03,330 +وقع أن الأحكام العرفية وأن الأماكن المقدسة ستصانوا + +274 +00:24:03,330 --> 00:24:06,550 +ويحافظ عليها ووضع القدس تحت الإدارة العسكرية باسم + +275 +00:24:06,550 --> 00:24:11,210 +إدارة بلاد العدوالمحتلة الجنوبية وكانت القدس مقرا + +276 +00:24:11,210 --> 00:24:15,310 +للإدارة الأسكرية البريطانية ما بين 17 إلى 20 1900 + +277 +00:24:15,310 --> 00:24:19,670 +ثم للإدارة المدنية من عام 1920 إلى 2022 ثم + +278 +00:24:19,670 --> 00:24:24,610 +للانتداب البريطاني حتى عام 1948 نكتفي بهذا القدر + +279 +00:24:24,610 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457.43, "end": 457.55, "word": " اللي", "probability": 0.84375}, {"start": 457.55, "end": 458.61, "word": " نراها", "probability": 0.8824869791666666}, {"start": 458.61, "end": 459.23, "word": " أهم", "probability": 0.9228515625}, {"start": 459.23, "end": 459.61, "word": " ما", "probability": 0.97216796875}, {"start": 459.61, "end": 460.21, "word": " يميز", "probability": 0.986328125}, {"start": 460.21, "end": 460.49, "word": " كل", "probability": 0.9921875}, {"start": 460.49, "end": 460.93, "word": " مرحلة", "probability": 0.993896484375}, {"start": 460.93, "end": 461.11, "word": " من", "probability": 0.99365234375}, {"start": 461.11, "end": 461.37, "word": " هذه", "probability": 0.98974609375}, {"start": 461.37, "end": 462.15, "word": " المراحل", "probability": 0.9761962890625}, {"start": 462.15, "end": 462.95, "word": " القدس", "probability": 0.9767252604166666}, {"start": 462.95, "end": 463.15, "word": " ما", "probability": 0.64892578125}, {"start": 463.15, "end": 463.39, "word": " بين", "probability": 0.99169921875}, {"start": 463.39, "end": 464.39, "word": " 1516", "probability": 0.919189453125}, {"start": 464.39, "end": 464.65, "word": " لـ", "probability": 0.5107421875}, {"start": 464.65, "end": 466.55, "word": " 1831", "probability": 0.910400390625}, {"start": 466.55, "end": 467.93, "word": " تحت", "probability": 0.991455078125}, {"start": 467.93, "end": 468.47, "word": " الحكم", "probability": 0.9775390625}, {"start": 468.47, "end": 470.09, "word": " العثماني", "probability": 0.98427734375}, {"start": 470.09, "end": 471.27, "word": " المباشر", "probability": 0.9908447265625}, {"start": 471.27, "end": 472.43, "word": " القدس", "probability": 0.9611002604166666}], "temperature": 1.0}, {"id": 22, "seek": 49324, "start": 474.28, "end": 493.24, "text": "ضمت فلسطين خمسة ألوية أي سناجق وهذا كان في عهد المماليك واستمر في عهد العثمانيون واصبحت لواء القدس تابعا إلى ولاية الشام دمشق", "tokens": [11242, 2304, 2655, 6156, 1211, 3794, 9566, 9957, 16490, 2304, 3794, 3660, 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وسلم اهتم بمدينة القدس + +11 +00:01:03,560 --> 00:01:08,400 +اهتماما كبيرا وهناك عشرات الأحاديث للنبي صلى الله + +12 +00:01:08,400 --> 00:01:13,640 +عليه وسلم وهو يحث الأمة الإسلامية على أهمية القدس + +13 +00:01:13,640 --> 00:01:16,940 +والدفاع عن القدس والرباط في القدس والانفاق على + +14 +00:01:16,940 --> 00:01:21,820 +القدس وارسال الأموال والزيوت لتشعل بها قناديل + +15 +00:01:21,820 --> 00:01:27,440 +القدسمن الناحية العملية النبي ﷺ اهتم في مدينة + +16 +00:01:27,440 --> 00:01:31,360 +القدس وكان حريصا أن يفتح ويحرر مدينة القدس من + +17 +00:01:31,360 --> 00:01:37,860 +الاحتلال الرومانيونريد أن نذكر أن مدينة القدس كانت + +18 +00:01:37,860 --> 00:01:42,380 +محتلة من قبل الاحتلال الروماني من عام تلاتة و ستين + +19 +00:01:42,380 --> 00:01:46,380 +قبل الميلاد وحتى ستمية و ستة و تلاتين ميلادي تلاتة + +20 +00:01:46,380 --> 00:01:49,640 +و ستين قبل الميلاد أي قبل أن يولد عيسى عليه السلام + +21 +00:01:49,640 --> 00:01:53,420 +وحتى ستمية و ستة و تلاتين ميلادي يعني يعني في + +22 +00:01:53,420 --> 00:01:57,780 +خمستاشر هجري يعني معركة اليارموك وتحرير عمر بن + +23 +00:01:57,780 --> 00:02:01,160 +الخطاب لمدينة القدس الآن + +24 +00:02:03,460 --> 00:02:08,840 +أيضًا أذكركم أن النبي صلى الله عليه وسلم ولد في + +25 +00:02:08,840 --> 00:02:13,160 +خمسمية وسبعين ميلادي وبعث في ستمية وعشرة أي عندما + +26 +00:02:13,160 --> 00:02:18,740 +أصبح عمره أربعون عاما ضع أربعون عاما على خمسمية + +27 +00:02:18,740 --> 00:02:22,320 +وسبعين ميلادي يصبح ستمية وعشرة وهي البعثة النبوية + +28 +00:02:22,320 --> 00:02:26,140 +النبي صلى الله عليه وسلم هاجر من مكة إلى المدينة + +29 +00:02:26,140 --> 00:02:30,540 +وأسس دولة في المدينة كان اهتمام النبي واضح في + +30 +00:02:30,540 --> 00:02:36,810 +مدينة القدس فنجدفنجد غير الأحاديث وغير الآيات وغير + +31 +00:02:36,810 --> 00:02:41,090 +الحث نجد من الناحية العملية أن النبي صلى الله عليه + +32 +00:02:41,090 --> 00:02:49,030 +وسلم في بمجرد موقع اتفاق صلح الحديبية نجده مباشرة + +33 +00:02:49,030 --> 00:02:53,790 +يهتم بمدينة القدس وتحرير مدينة القدس من الاحتلال + +34 +00:02:53,790 --> 00:02:54,470 +الروماني + +35 +00:02:57,190 --> 00:03:00,630 +صلح الحديبية كان في خمسة هجري في ستة هجري نجد + +36 +00:03:00,630 --> 00:03:04,390 +النبي صلى الله عليه وسلم يرسل كتب لهراقل + +37 +00:03:04,390 --> 00:03:08,270 +الامبراطور الروماني الذي يحتل مدينة القدس وملخص + +38 +00:03:08,270 --> 00:03:13,730 +الكتاب ارفعوا أيديكم عن مدينة القدس بعد أشهر قليلة + +39 +00:03:13,730 --> 00:03:19,470 +نجد النبي صلى الله عليه وسلم يفتح + +40 +00:03:19,470 --> 00:03:23,840 +خيبر وفدكوخيبر وفدك هي في الطريق من الجزيرة + +41 +00:03:23,840 --> 00:03:27,660 +العربية في الطريق إلى مدينة القدس في الطريق إلى + +42 +00:03:27,660 --> 00:03:34,100 +فلسطين هو يمهد الطريق خيبر وفدك هي في أقصى شمال + +43 +00:03:34,100 --> 00:03:39,570 +الجزيرة العربية أقصى جنوب فلسطينبعد أشهر قليلة نجد + +44 +00:03:39,570 --> 00:03:43,210 +النبي صلى الله عليه وسلم أعتقد شهر و نص تقريبا + +45 +00:03:43,210 --> 00:03:48,190 +يرسل جيشا إلى فلسطين من أجل تحرير فلسطين و القدس و + +46 +00:03:48,190 --> 00:03:53,110 +هو جيش مؤتة و المشهور في سبعة هجري بعد أشهر قليلة + +47 +00:03:53,110 --> 00:04:01,400 +نجد النبي صلى الله عليه وسلم بعد مؤتةنجد في + +48 +00:04:01,400 --> 00:04:07,420 +الترتيب العسكري تأتي معرك التبوك وهذه المعركة التي + +49 +00:04:07,420 --> 00:04:12,760 +قادها النبي ﷺ بنفسه في تساعهجر وزحف إلى جنوب + +50 +00:04:12,760 --> 00:04:18,200 +فلسطين وبلاد الشام وحقق انتصارات سياسية ودبلومسية + +51 +00:04:18,200 --> 00:04:22,860 +تحدثنا عنها كيف أن النبي ﷺ أمن الحدود وعقد + +52 +00:04:22,860 --> 00:04:27,850 +اتفاقيات مع أهل فلسطين والقبائل العربية11 يجري + +53 +00:04:27,850 --> 00:04:30,550 +النبي صلى الله عليه وسلم يعد جيشا كبيرا بقيادة + +54 +00:04:30,550 --> 00:04:34,830 +أسامة بن زيد لتحرير فلسطين ومدينة القدس النبي صلى + +55 +00:04:34,830 --> 00:04:37,390 +الله عليه وسلم على فراش الموت النبي صلى الله عليه + +56 +00:04:37,390 --> 00:04:44,210 +وسلم يحثه ويؤكد على أبو بكر الصديق أن ينفذ وصيته + +57 +00:04:44,210 --> 00:04:48,770 +وهو إرسال جيش أسامة توفي النبي صلى الله عليه وسلم + +58 +00:04:48,770 --> 00:04:53,420 +أبو بكر الصديق يرسل الجيوشيرسل الجيوش إلى بلاد + +59 +00:04:53,420 --> 00:05:02,480 +الشام نجد أن هذه الجيوش خدت معركة عربى ودافنة في + +60 +00:05:02,480 --> 00:05:06,480 +فلسطين في مدينة غزة في وسط مدينة غزة على تراب مخيم + +61 +00:05:06,480 --> 00:05:13,080 +المغازي وهذه الجيوش تحرر فلسطين تحرر عفوا تحرر + +62 +00:05:13,080 --> 00:05:19,920 +مدينة غزة هذه الجيوشيدخل على أيديها أهل غزة في + +63 +00:05:19,920 --> 00:05:24,160 +الإسلام وتصبح مدينة غزة قد نالت شرف أنها أول مدينة + +64 +00:05:24,160 --> 00:05:27,820 +في كل فلسطين وكل بلاد الشام تدخل في الإسلام وأنها + +65 +00:05:27,820 --> 00:05:33,060 +أول مدينة أيضا تتحرر من الاحتلال الروماني الذي + +66 +00:05:33,060 --> 00:05:38,750 +استمر مئات السنين قريبا سبعة قرونهذه الجيوش نجدها + +67 +00:05:38,750 --> 00:05:43,430 +تصطدم في معركة كبيرة، معركة أجنادين وهذه المعركة + +68 +00:05:43,430 --> 00:05:46,810 +بقيرت خالد بن الوليد الذي انتقل من العراق إلى + +69 +00:05:46,810 --> 00:05:51,030 +فلسطين واتحدثنا في اللقاء الماضي كيف عملية + +70 +00:05:51,030 --> 00:05:55,250 +الانتقال المعقدة التي نفذها خالد بن الوليد وقطع + +71 +00:05:55,250 --> 00:05:59,110 +مئات الكيلومترات في خمسة أيام فقط وعبر صحراء + +72 +00:05:59,110 --> 00:06:02,930 +السماوة هذه الصحراء التي لم يشهد التاريخ أن جيشا + +73 +00:06:02,930 --> 00:06:08,310 +عسكريا عبر هذه الصحراء من قبلبعد انتصار معركة + +74 +00:06:08,310 --> 00:06:14,750 +أجنادين 13 هجري الجيوش الإسلامية تزحف + +75 +00:06:14,750 --> 00:06:20,530 +من جنوب البحر الميت وتزحف إلى شمال بلاد الشام + +76 +00:06:20,530 --> 00:06:26,930 +وكانت نظرية خالد أو خطة خالد تهدف إلى ضرب رأس + +77 +00:06:26,930 --> 00:06:33,260 +العدو رأسالاحتلال الروماني لأن دمشق مدينة دمشق + +78 +00:06:33,260 --> 00:06:38,220 +ومدينة بعلبك ومدينة حلب ومدينة حماء وكل هذه المدن + +79 +00:06:38,220 --> 00:06:43,640 +الشامية كانت هي مركز القيادة مركز التموين بالسلاح + +80 +00:06:43,640 --> 00:06:49,680 +مركز الدفع بالمال والسلاح والمؤن والتخطيط وكل شيء + +81 +00:06:49,680 --> 00:06:53,520 +فأراد خالد بالوليد أن يضرب هذه المراكز الأساسية + +82 +00:06:53,520 --> 00:06:58,500 +ليضرب العدو في الرأسفي الطريق إلى مدينة دمشق خالد + +83 +00:06:58,500 --> 00:07:02,580 +بالوليد يصطدم بجيش كبير من الجيش الاحتلال الروماني + +84 +00:07:02,580 --> 00:07:07,460 +قدره ب 150 ألف جند تقريبا في سهول مرج الصفر هذه + +85 +00:07:07,460 --> 00:07:12,620 +السهول التي تبعد عن جنوب دمشق 38 كيلو ينتصر خالد + +86 +00:07:12,620 --> 00:07:17,560 +بالوليد يزحف خالد بالوليد إلى دمشق يحاصر دمشقيدك + +87 +00:07:17,560 --> 00:07:23,600 +دمشق فتنهار دمشق أمام ضربات خالد بن الوليد ويدخل + +88 +00:07:23,600 --> 00:07:29,430 +مدينة دمشق ثم حماء ثم حلب ثم بعلبككل هذه المدن + +89 +00:07:29,430 --> 00:07:33,990 +تنهار أمام سنابك خيول جيش خالد بن الوليد وخالد بن + +90 +00:07:33,990 --> 00:07:38,910 +الوليد قلنا أنه أرسل بشارة النصر للخليفة أبو عبيد + +91 +00:07:38,910 --> 00:07:42,430 +بن الجراح في هذا الوقت عندما وصل الرسول رسول خالد + +92 +00:07:42,430 --> 00:07:46,250 +بن الوليد إلى أبو بكر الصديق في المدينة المنورة + +93 +00:07:46,250 --> 00:07:50,310 +كان أبو بكر الصديق على فراش الموت توفي أبو بكر + +94 +00:07:50,310 --> 00:07:57,270 +الصديقتسلم زمام القيادة عمرو بن الخطاب فقرأ رسالة + +95 +00:07:57,270 --> 00:08:01,450 +خالد التي تحتوي على البشريات يا أمير المؤمنين بفضل + +96 +00:08:01,450 --> 00:08:05,710 +الله ومنته لقد اجتزنا الصحراء من العراقي إلى الشام + +97 +00:08:05,710 --> 00:08:11,850 +وقدنا معركة أجنادين وانتصرنا على العدو ثم زحفنا + +98 +00:08:11,850 --> 00:08:15,370 +إلى بلاد الشام وانتصرنا في مرج السفر ثم فتحنا دمشق + +99 +00:08:15,370 --> 00:08:22,710 +وبعلبك وحمام وكل هذه المدنعمر بن الخطاب مباشرة + +100 +00:08:22,710 --> 00:08:26,430 +يصدر قرارا بعزل خالد بن الوليد وتولية أبو عبيد بن + +101 +00:08:26,430 --> 00:08:30,690 +الجراح القيادة على الجيوش الإسلامية في بلاد الشام + +102 +00:08:32,270 --> 00:08:38,430 +لماذا فعل عمر بن الخطاب ذلك، هذا سنناقشه لاحقا + +103 +00:08:38,430 --> 00:08:42,490 +بإذن الله ما الدوافع، ما نظرية عمر، ما وجهة نظر + +104 +00:08:42,490 --> 00:08:47,070 +عمر، ما مبررات عمر بن الخطاب، وهل عمر بن الخطاب + +105 +00:08:47,070 --> 00:08:52,780 +كان صائبا في ذلك، هذا سنناقشه لاحقا بإذن اللهعلى + +106 +00:08:52,780 --> 00:08:58,840 +أي حال عمر بن الخطاب يرسل رسالة لأبو عبيد بن + +107 +00:08:58,840 --> 00:09:03,080 +الجراح يولّين فيها قيانة الجيوش ابو عبيد بن الجراح + +108 +00:09:03,080 --> 00:09:08,080 +يستلم الخيادة نجد أن الرومان يحضروا إلى معركة + +109 +00:09:08,080 --> 00:09:11,840 +كبيرة وفاصلة في بلاد الشام وهي معركة اليارموك 15 + +110 +00:09:11,840 --> 00:09:17,420 +هجرس 636 ميلاديوتزحف الجيوش الرومانية بقيادة رقل + +111 +00:09:17,420 --> 00:09:21,100 +الامبراطور الروماني إلى بلاد الشام وتزحف من + +112 +00:09:21,100 --> 00:09:27,320 +أنطاقيا قرابة نصف مليون جندي والجيش الإسلامي كان + +113 +00:09:27,320 --> 00:09:32,180 +تعداده تقريبا 36000 جندي الآن أبو عبيد بن الجراح + +114 +00:09:32,180 --> 00:09:36,260 +لم يجد مناصة من أن يعيد القيادة إلى خالد بن الوليد + +115 +00:09:36,260 --> 00:09:39,980 +فيخوض خالد بن الوليد معركة اليارموك 15 هجريا 636 + +116 +00:09:39,980 --> 00:09:45,400 +ميلادي بأمر من أبو عبيد بن الجراحوالتي جرت على + +117 +00:09:45,400 --> 00:09:49,940 +الحدود السورية الأردنية الفلسطينية في شمال فلسطين + +118 +00:09:49,940 --> 00:09:54,380 +في شمال فلسطين وينتصر خالد انتصارا صاحقا على + +119 +00:09:54,380 --> 00:09:58,500 +الجيوش الاحتلال الروماني ويبيض الجيوش الرومانية + +120 +00:09:58,500 --> 00:10:05,100 +لدرجة أنه صاحق قرابة 300 ألف جندي300 ألف جندي، هذا + +121 +00:10:05,100 --> 00:10:08,760 +يحتاج إلى تفصيل كثير معركة اليرموك تدرس بالمناسبة + +122 +00:10:08,760 --> 00:10:14,960 +في الكليات العسكرية لقادة الجيوش ويدرسوا عبقرية + +123 +00:10:14,960 --> 00:10:19,580 +خالد بن الوليد المذهلة التي فاق بها كل القادة + +124 +00:10:19,580 --> 00:10:23,380 +العسكريين في التاريخ الإنساني فهذا يحتاج إلى كثير + +125 +00:10:23,380 --> 00:10:30,390 +من الحديث والتفصيل على أي حالالان خالد بن وليد + +126 +00:10:30,390 --> 00:10:34,290 +ينتصر في معركة اليارموك بعد معركة اليارموك بدأت + +127 +00:10:34,290 --> 00:10:39,650 +تنفتح تنفتح كل الأبواب وتحطمت الصخرة الكبيرة أمام + +128 +00:10:39,650 --> 00:10:45,710 +الجيوش الإسلامية تحطمت حقيقة الصخور الصخرة الكبيرة + +129 +00:10:45,710 --> 00:10:46,630 +تحطمت + +130 +00:10:55,320 --> 00:10:59,160 +تحطمت الصخرة الكبيرة أمام الجيوش الإسلامية + +131 +00:10:59,160 --> 00:11:04,900 +والرومان انسحبوا الآن من بلاد الشام إلى تركيا ومن + +132 +00:11:04,900 --> 00:11:08,600 +تركيا إلى القوستنطينيا انسحبوا الآن وبدأ الجيش + +133 +00:11:08,600 --> 00:11:14,130 +الإسلامي يلاحق الرومان وجيوب المقاومة الرومانيةوتم + +134 +00:11:14,130 --> 00:11:18,170 +السيطرة في وقت قليل على بلاد الشام كاملة وتحدثنا + +135 +00:11:18,170 --> 00:11:21,930 +في اللقاء الماضي أن أبو عبيد بن الجراح استلم + +136 +00:11:21,930 --> 00:11:27,710 +القيادة مرة أخرى وكلف قائدة الجيوش الإسلامية أن + +137 +00:11:27,710 --> 00:11:33,650 +ينجزوا ما أنيط بهم من مهام عندما انطلقوا من + +138 +00:11:33,650 --> 00:11:37,830 +العاصمة الإسلامية من المدينة المنورة بأوامر أبو + +139 +00:11:37,830 --> 00:11:43,970 +بكر الصديق وهيأن يحرر كلفة أبو عميد بن الجراح + +140 +00:11:43,970 --> 00:11:47,230 +بتحرير القاطع الشمالي لبلاد الشام حمص وما شمالها + +141 +00:11:47,230 --> 00:11:52,850 +وكلفة يزيد بن أبي صفيان بتحرير القاطع الساحلي كل + +142 +00:11:52,850 --> 00:11:56,990 +المدن الساحلية الشامية وكلفة شرحابيل بن حسنة + +143 +00:11:56,990 --> 00:12:01,590 +بتحرير القاطع الشرقي وهي الأردن وعمرو بن العاص كان + +144 +00:12:01,590 --> 00:12:06,210 +مكلفا بتحرير جنوب بلاد الشام ومدينة القدس وجنوب + +145 +00:12:06,210 --> 00:12:12,330 +فلسطين تماماالجميع انطلق والجميع بدأ يحرر الآن + +146 +00:12:12,330 --> 00:12:15,930 +عمرو بن العاص انطلق إلى مدينة القدس وبدأ يحاصر + +147 +00:12:15,930 --> 00:12:20,010 +مدينة القدس واستمر في حصار مدينة القدس بعد بضعة + +148 +00:12:20,010 --> 00:12:24,810 +أيام تقريبا اجتمعت كل الجيوش التي أنهت المهام + +149 +00:12:24,810 --> 00:12:28,830 +المهام التي كلفت بها واجتمعوا حول مدينة القدس + +150 +00:12:28,830 --> 00:12:34,440 +وبدأوا يدكوا في مدينة القدسانهارت قوى الرومان + +151 +00:12:34,440 --> 00:12:38,120 +وأرادوا الاستسلام وأرادوا أن يسلموا مدينة القدس + +152 +00:12:38,120 --> 00:12:41,220 +فطلبوا من أبو عبيد بن الجراح أن يسلموا مدينة القدس + +153 +00:12:41,220 --> 00:12:48,180 +ولكن لهم شرط وهذا الشرط كما أسلفنا هو أن يأتيلتسلم + +154 +00:12:48,180 --> 00:12:52,500 +مفاتيح مدينة القدس الامبراطور الإسلامي بنفسه + +155 +00:12:52,500 --> 00:12:57,100 +المتواجد في المدينة المنورة وهو عمر بن الخطاب أبو + +156 +00:12:57,100 --> 00:13:00,440 +أبيض بن الجراح قال لهم لا يوجد لدينا امبراطور يوجد + +157 +00:13:00,440 --> 00:13:05,700 +لدينا أمير للمؤمنين هو في المدينة المنورة وسنرسل + +158 +00:13:05,700 --> 00:13:10,330 +له وإن وافقةفلا بأس في ذلك، لا بأس في ذلك فأرسل + +159 +00:13:10,330 --> 00:13:14,750 +لعمر بن الخطاب فوافق عمر بن الخطاب وانطلق عمر بن + +160 +00:13:14,750 --> 00:13:18,750 +الخطاب كما تحدثنا في اللقاء الماضي انطلق من + +161 +00:13:18,750 --> 00:13:24,310 +المدينة المنورة يستحب خادما له ودب واحدة واتفق مع + +162 +00:13:24,310 --> 00:13:28,090 +هذا الخادم أن يركب هو مرة والخادم يركب مرة وتستريح + +163 +00:13:28,090 --> 00:13:34,410 +الدب مرة وها كذا وفي كل مرة يقرأ صورة ياسينيقرأوا + +164 +00:13:34,410 --> 00:13:37,250 +صورة ياسين وهكذا وعندما وصلوا إلى مشارف مدينة + +165 +00:13:37,250 --> 00:13:42,450 +القدس كانت كان هناك مشهدا مذهلا عندما كان عمرو بن + +166 +00:13:42,450 --> 00:13:48,170 +الخطاب هو الذي يقود الداب وحافي القدمين لأنه عبر + +167 +00:13:48,170 --> 00:13:55,130 +مخاضة قبل قليل مخاضةوحل و الخادم كان يركب على ظهر + +168 +00:13:55,130 --> 00:13:59,250 +الدب و يقود به عمرو بن الخطاب فأبو عبيد بن الجراح + +169 +00:13:59,250 --> 00:14:03,130 +قال لعمرو بن الخطاب و ويحك يا أمير المؤمنين لقد + +170 +00:14:03,130 --> 00:14:08,370 +أحدثت أمرا عظيما وقولنا أن عمرو بن الخطاب غضب غضبا + +171 +00:14:08,370 --> 00:14:14,390 +شديدا و أحمر وجهه وقبض على أبو عبيد بن الجراح من + +172 +00:14:14,390 --> 00:14:18,730 +تلابيب جلبابه وقال له هذه العبارة التي دخلت + +173 +00:14:18,730 --> 00:14:28,560 +التاريخلو أن غيرك قالها يا أبا عبيدة كنتم أذل + +174 +00:14:28,560 --> 00:14:33,880 +الناس وأحقر الناس وأقل الناس أعزكم الله بالإسلام + +175 +00:14:33,880 --> 00:14:40,780 +وإن ابتغيتم العزة بغيره أذلكم الله درس لكل الأمة + +176 +00:14:40,780 --> 00:14:46,580 +الإسلامية ولكل القادة لكل الأمة الإسلاميةالعزة + +177 +00:14:46,580 --> 00:14:50,880 +للأمة الإسلامية هي تأتي من طريق واحد فقط هو طريق + +178 +00:14:50,880 --> 00:14:55,640 +الإسلام نحن كنا كانوا يسمون العرب في التاريخ في + +179 +00:14:55,640 --> 00:15:01,000 +التاريخ قبل الإسلام كلاب الصحراء سكان الخيام سكان + +180 +00:15:01,000 --> 00:15:07,470 +البادية هكذا الفرس والروم ما الذي حدثوبعد سنوات + +181 +00:15:07,470 --> 00:15:11,850 +قليلة تقريبا في أقل من نصف قرن نجد الإسلام يسيح + +182 +00:15:11,850 --> 00:15:15,630 +على أكثر من نص الكورة الأرضية ما الذي حدث؟ اللذي + +183 +00:15:15,630 --> 00:15:19,970 +حدث أن الإسلام جاء أصبح العرب الحفاء العراع سكان + +184 +00:15:19,970 --> 00:15:24,170 +الخيام كلاب الصحراء أصبحوا أساتذة الأرض وأساتذة + +185 +00:15:24,170 --> 00:15:28,050 +العالم ما الذي حدث؟ هو الإسلام على أي حال أمرب + +186 +00:15:28,050 --> 00:15:31,130 +الخطاب يدخل مدينة القدس ويتجول في مدينة القدس + +187 +00:15:31,130 --> 00:15:35,670 +وأمرب الخطاب يرفض أن يهدم أو ينسكنيسة القيامة + +188 +00:15:35,670 --> 00:15:41,230 +وأقرمت كنيسة القيامة وكتب بخط يده للنصارى في + +189 +00:15:41,230 --> 00:15:46,330 +فلسطين العهدة العمرية التي ما زالت موجودة حتى الآن + +190 +00:15:46,330 --> 00:15:50,210 +معلقة على أسطار كنيسة القيامة في مدينة القدس حتى + +191 +00:15:50,210 --> 00:15:54,250 +الآن والتي تنص على هذا ما أعطى أمير المؤمنين عمرو + +192 +00:15:54,250 --> 00:15:57,410 +بالخطاب أهل إيلياء من الأمان على أنفسهم وعلى + +193 +00:15:57,410 --> 00:16:03,380 +صلبانهم وعلى كنائسهموعلى أرضهم وحيطانهم وإلى آخره + +194 +00:16:03,380 --> 00:16:08,840 +أمنهم قمة .. قمة الروعة في حماية حقوق الإنسان + +195 +00:16:08,840 --> 00:16:14,180 +لهؤلاء .. لهذه الأقلية تحت الحكم الإسلامي على أي + +196 +00:16:14,180 --> 00:16:17,580 +حال عمرو بن الخطاب تجول في مدينة القدس وتفقد مدينة + +197 +00:16:17,580 --> 00:16:22,720 +القدس وأمر أن يبنى المسجد الأقصى من الخشب ليتسع + +198 +00:16:22,720 --> 00:16:27,540 +لتلاتة آلاف مصلي وأما عمرو بن الخطاب .. أما عمرو + +199 +00:16:27,540 --> 00:16:34,530 +بن الخطاب الصحابةقرابة 3000 صحابي أماهم بركعتين في + +200 +00:16:34,530 --> 00:16:40,030 +المسجد الأقصى صلى ركعتين عندما فرش عباءته وأما بهم + +201 +00:16:40,030 --> 00:16:46,830 +ثم بدأ عمر بالخطاب يتجول في المدينة وينظم أحوال + +202 +00:16:46,830 --> 00:16:51,530 +مدينة القدس وينظم أحوال بلاد الشام ومكث في مدينة + +203 +00:16:51,530 --> 00:16:56,370 +القدس قرابة عشرة أيامماذا فعل عمر من الناحية + +204 +00:16:56,370 --> 00:17:02,350 +الإدارية ماذا فعل عمر من كل النواحي لنرى ذلك لنرى + +205 +00:17:02,350 --> 00:17:07,630 +ذلك الآن بالتفصيل طيب أقام عمرو الخطاب في القدس + +206 +00:17:07,630 --> 00:17:11,090 +عشرة أيام زار خلالها السخرة وأمر ببناء الحرم فبني + +207 +00:17:11,090 --> 00:17:17,990 +من الخشب وكان يتسل حوالي 3000 مصلن وقبل مغادرة + +208 +00:17:17,990 --> 00:17:23,310 +القدس خطب بالمسلمين ودعاهم لشكر اللهطيب من النهية + +209 +00:17:23,310 --> 00:17:27,390 +الإدارية عمرو بن الخطاب قسم فلسطين إلى قسمين وجعل + +210 +00:17:27,390 --> 00:17:34,230 +على كل قسم حاكما فأعطى علقما بن حكيم قسما وأنزله + +211 +00:17:34,230 --> 00:17:40,170 +الرمل علقما هذا كلام مهم الآن موضع أسهل علقما قسم + +212 +00:17:40,170 --> 00:17:44,970 +فلسطين إلى قسمين قسم بقيادة علقما بن حكيم إداريا + +213 +00:17:44,970 --> 00:17:49,980 +طبعا وأنزله الرمل مقر الحكم الرملوالقسم الآخر إلى + +214 +00:17:49,980 --> 00:17:54,460 +علقمة بن جذر، الاتنين اسمهم علقمة، علقمة بن جذر + +215 +00:17:54,460 --> 00:17:57,480 +وأنزله القدس، كما نظّم الدواوين ورتب البريد + +216 +00:17:57,480 --> 00:18:01,500 +والحسبة، هذه أهم عمال عمرو بن الخطاب الإدارية، + +217 +00:18:01,500 --> 00:18:04,940 +وعين يزيد بنبي سفيان عاملا على إدارة بيت المقدس + +218 +00:18:06,780 --> 00:18:13,440 +وسلامة بن قيصر الحضرمي إماما لو قلنا في سؤال عينا + +219 +00:18:13,440 --> 00:18:18,540 +عمرو بن الخطاب إماما للمسجد الأقصى للصلاة فراغ + +220 +00:18:18,540 --> 00:18:24,120 +وسلامة بن قيصر الحضرمي إماما للصلاة فيها وعبادة بن + +221 +00:18:24,120 --> 00:18:30,460 +الصامت أول قاضي في مدينة القدس إذا من أول قاضي في + +222 +00:18:30,460 --> 00:18:36,980 +مدينة القدس هوعبادة بن الصحابة ومع الفتح الإسلامي + +223 +00:18:36,980 --> 00:18:40,360 +وفد عدد كبير من المسلمين إلى مدينة القدس وعدا + +224 +00:18:40,360 --> 00:18:44,700 +طابعها العرب الأصيل وقد زارها عدد كبير من الصحابة + +225 +00:18:44,700 --> 00:18:49,700 +والتابعين والعلماء والفقهاء والمحدثين ومجرد ما + +226 +00:18:49,700 --> 00:18:54,560 +تحرّبت مدينة القدس بدأ يندفع لمدينة القدس الألاف + +227 +00:18:54,560 --> 00:18:59,920 +المؤلفة من الصحابة الجميع يريد أن يرابط في مدينة + +228 +00:18:59,920 --> 00:19:04,560 +القدسأن يعيش في مدينة القدس أن يموت في مدينة القدس + +229 +00:19:04,560 --> 00:19:09,200 +أن يُدفن .. أن يُدفن في تراب مدينة القدس لأنهم + +230 +00:19:09,200 --> 00:19:13,180 +يعلموا جيدا ماذا يعني الرباط ماذا تعني مدينة القدس + +231 +00:19:13,180 --> 00:19:18,280 +فهي أقدس مقدسات العالم الإسلامي عثمان بن عفان توفي + +232 +00:19:18,280 --> 00:19:26,970 +عمر بالخطاب طبعا لكي نرتب التواريخجيدًا عندما تحفظ + +233 +00:19:26,970 --> 00:19:31,130 +ترتيب التواريخ أنت تستطيع أن تقبض على التاريخ + +234 +00:19:31,130 --> 00:19:37,470 +جيدًا فلنراجع معاهم النبي صلى الله عليه وسلم حكم + +235 +00:19:37,470 --> 00:19:46,220 +من 11 إلى 13 أجريأبو بكر الصديق من 11 إلى 13، + +236 +00:19:46,220 --> 00:19:49,620 +النبي صلى الله عليه وسلم من 1 هجري إلى 11 هجري، + +237 +00:19:49,620 --> 00:19:52,520 +توفي النبي صلى الله عليه وسلم، أبو بكر الصديق من + +238 +00:19:52,520 --> 00:19:58,460 +11 إلى 13، عمر بن الخطاب من 13 إلى 23، عثمان بن + +239 +00:19:58,460 --> 00:20:06,680 +عفان من 23 إلى 35،علي بن أبي طالب من 35 إلى 40 هذه + +240 +00:20:06,680 --> 00:20:12,120 +التواريخ جدا مهمة جدا مهمة طيب عثمان بن عفان عندما + +241 +00:20:12,120 --> 00:20:18,060 +توفي عمر بالخطاب في 23 هجري وصل إلى سدة الخلافة + +242 +00:20:18,060 --> 00:20:22,960 +عثمان بن عفار رضي الله عنه اهتم بالقدس فأوقف أراضي + +243 +00:20:22,960 --> 00:20:28,740 +سلوان على ضعفاء المدينةالخليفة الذي أوقف أراضي + +244 +00:20:28,740 --> 00:20:34,580 +سلوان على ضعفاء مدينة القدس وفقرائها هو عثمان بن + +245 +00:20:34,580 --> 00:20:42,480 +أفان القدس في العصر الأموي أبو + +246 +00:20:42,480 --> 00:20:48,220 +بكر عمر عثمان عليه اربعين هجري واحد واربعين هجري + +247 +00:20:48,220 --> 00:20:55,670 +دخلت القدس تحت الحكم الأموي قامتالدولة الأموية + +248 +00:20:55,670 --> 00:21:05,290 +الإسلامية العربية وحكمت كل ما كان يحكم الخلفاء + +249 +00:21:05,290 --> 00:21:15,330 +الراشدون بل توسعت أكثر فأخذت مساحات كبيرة جدا من + +250 +00:21:15,330 --> 00:21:22,070 +شمال أفريقياأسبانيا والبرتغال ووصلت حدود + +251 +00:21:22,070 --> 00:21:26,690 +الامبراطورية الأموية الإسلامية إلى توربوته جنوب + +252 +00:21:26,690 --> 00:21:33,150 +باريس 30 كيلو ووصلت إلى حدود الصين والهند وفتحت + +253 +00:21:33,150 --> 00:21:39,130 +مناطق كبيرة جدا من آسيا طيب نجد اهتم خلفاء بني + +254 +00:21:39,130 --> 00:21:45,410 +أمية بالقدس اهتماما خاصا لسببين الأول المكان + +255 +00:21:45,410 --> 00:21:50,260 +الدنيا التي حظيت بها القدس2- قرب هذه المدينة من + +256 +00:21:50,260 --> 00:21:55,400 +دمشق عاصمة الخلافة الأموية قريبة من دمشق مقر + +257 +00:21:55,400 --> 00:22:03,190 +الخلفاء عبدالملك من مروان اللي حكمسنة باشرة عبد + +258 +00:22:03,190 --> 00:22:07,930 +الملك بن مروان سنة 69 هجري يعني 688 ميلادي بناء + +259 +00:22:07,930 --> 00:22:12,770 +مسجد قبة الصخرة والمسجد الأقصى ورصد عبد الملك بن + +260 +00:22:12,770 --> 00:22:19,610 +مروان بعد استشارة العلماء خراج مصر لسبع سنين وقد + +261 +00:22:19,610 --> 00:22:25,950 +بقي المال الذي رصده للبناء مبلغ من المال فاض عن + +262 +00:22:25,950 --> 00:22:34,380 +البناءقرابة 100 ألف دينار فكتب رجاء بن حيوة و يزيد + +263 +00:22:35,110 --> 00:22:39,550 +بن سلام هؤلاء المهندسين الإثنين من المهندسين + +264 +00:22:39,550 --> 00:22:44,930 +الفلسطينيين هؤلاء رجاء بن حيوى ويزيد بن سلام هم + +265 +00:22:44,930 --> 00:22:49,270 +الذين هندسوا المسجد الأقصى هم الذين رسموا الخرائط + +266 +00:22:49,270 --> 00:22:52,430 +وأشرفوا على بناء المسجد الأقصى في العهد الأموي + +267 +00:22:52,430 --> 00:22:58,010 +بالمناسبة وهم فلسطينيين ورجاء بن حيوى من مدينة + +268 +00:22:58,010 --> 00:23:05,650 +بيسان الفلسطينية هذه معلومات مهمةورجاء ويزيد إلى + +269 +00:23:05,650 --> 00:23:10,290 +الخليفة كتبوا له أنه زاد قرابة 100 ألف دينار دهب + +270 +00:23:10,290 --> 00:23:16,230 +فأمر أن يصرف جائزة لهما قال لهم هذه خلوها إلكم + +271 +00:23:16,230 --> 00:23:20,750 +أنتم بذلتم مجهود كبير إلا أنهم رفضوا قبولها فأمر + +272 +00:23:20,750 --> 00:23:28,410 +عبد الملك أن تسبك النقود تسيح الذهبوتفرج في القبة + +273 +00:23:28,410 --> 00:23:33,590 +كما خصص عبد الملك ثلاثة ماءت مملوك لخدمة المسجد + +274 +00:23:33,590 --> 00:23:37,750 +الأقصى عندما في العصر الأموي كنت تدخل المسجد + +275 +00:23:37,750 --> 00:23:44,750 +الأقصى ومدينة القدس كنت تشوم رائحة عطرة في كل مكان + +276 +00:23:44,750 --> 00:23:51,690 +خدمة 24 أقول لكم الروايات التاريخية تقول أن من كان + +277 +00:23:51,690 --> 00:23:56,310 +يزور مدينة القدس من أندونسيا مثلاثم يغادر القدس + +278 +00:23:56,310 --> 00:23:59,710 +إلى أندونسيا عندما يصل إلى أندونسيا بعد عدة أيام + +279 +00:23:59,710 --> 00:24:04,230 +الناس هناك كانوا يقولوا له أنت كنت في القدس كيف + +280 +00:24:04,230 --> 00:24:10,850 +عرفتم؟ من الرائحة من رائحة المسك الطيبة الطيبة و + +281 +00:24:10,850 --> 00:24:14,610 +هكذا انتهى + +282 +00:24:14,610 --> 00:24:21,970 +بدا قبة الصخرة في 72 هجري والمسجد الأقصى حوالي 90 + +283 +00:24:21,970 --> 00:24:28,750 +هجريوقد تأكد ذلك بعد اكتشاف رسائل قُرّى بن شرايك + +284 +00:24:28,750 --> 00:24:36,570 +أمير مصر الأموي إلى حاكم إقليم فريديتو في الصعيد + +285 +00:24:36,570 --> 00:24:40,670 +وهي الرسائل التي طلب فيها قُرّى إرسال عمال وصناع + +286 +00:24:40,670 --> 00:24:48,520 +للقدسكشفت التنقيبات الأثرية التي أجرها الصهاينة في + +287 +00:24:48,520 --> 00:24:51,900 +القدس عن ستة مباني ضخمة في الزاوية الجنوبية + +288 +00:24:51,900 --> 00:24:56,180 +الغربية للحرم القدسي من الخارج ترجع إلى العصر + +289 +00:24:56,180 --> 00:25:01,000 +الأموي ما هو المشكلة وين الصهاينة ينقبوا ينقبوا + +290 +00:25:01,000 --> 00:25:07,600 +ينقبوا إمكانيات وعلماء وحفريات ويأتوا بالآلات + +291 +00:25:09,100 --> 00:25:14,580 +ولكنهم في النهاية يصطدموا بأن هناك آثار وقصور ضخمة + +292 +00:25:14,580 --> 00:25:19,760 +ضخمة ضخمة جدا بناها الأمويون في القدس لم يجدوا أي + +293 +00:25:19,760 --> 00:25:24,680 +قطعة فخار تدلل أن الصهاينة كان لهم أي شيء في مدينة + +294 +00:25:24,680 --> 00:25:30,640 +القدس معظم هذه الأمور اكتشفها الصهاينة وهم ينقبوا + +295 +00:25:30,640 --> 00:25:36,190 +سليمان بن عبد الملكبعد عبد الملك بن مروان جاء + +296 +00:25:36,190 --> 00:25:39,350 +الوليد بن عبد الملك بعد الوليد بن عبد الملك جاء + +297 +00:25:39,350 --> 00:25:47,890 +للخلافة سليمان أخوه سليمان بن عبد الملك تولى بعد + +298 +00:25:47,890 --> 00:25:51,670 +وفاة أخيه الوليد سنة ستة وتسعين هجري سبعمائه + +299 +00:25:51,670 --> 00:25:56,710 +وخمستاشر وكان حينها في مشارف البلقاء فتوجه إلى بيت + +300 +00:25:56,710 --> 00:26:04,170 +المقدس وكاد أن يتخذوها عاصمة ومنزلاهذا سليمان بن + +301 +00:26:04,170 --> 00:26:10,030 +عبد الملك كان يعشق مدينة القدس ويعشق فلسطين كان + +302 +00:26:10,030 --> 00:26:17,290 +عندما تم مباعته بالخلافة كان أصلا في فلسطين فاكرين + +303 +00:26:17,290 --> 00:26:20,530 +معظم + +304 +00:26:20,530 --> 00:26:27,530 +القصور في فلسطين سليمان لأنه كان بحكم فلسطين أيام + +305 +00:26:27,530 --> 00:26:31,970 +أبوه و أيام أخوه الوليد فكان مولع بفلسطين ومدينة + +306 +00:26:31,970 --> 00:26:37,280 +القدستير من العمران كمسئول عنه سليمان هذا سليمان + +307 +00:26:37,280 --> 00:26:42,920 +عندما وصل إلى سدته للخلافة كاد أن يأخذ القدس عاصمة + +308 +00:26:42,920 --> 00:26:48,360 +له ويحكم العالم من القدس وفي + +309 +00:26:48,360 --> 00:26:53,240 +أهد أمر بن عبدالعزيز طلب من ولاته التوجه للقدس + +310 +00:26:53,240 --> 00:26:58,860 +لزيارتها و لأداء قسم العدل والطاعة في المعاملة بين + +311 +00:26:58,860 --> 00:27:04,490 +الناس وأمر بإخراج اليهود الذين تسللوا إليهاالخلفاء + +312 +00:27:04,490 --> 00:27:08,430 +الأمويين ماذا كانوا يفعلوا؟ كانوا يأتوا بالأمراء + +313 +00:27:08,430 --> 00:27:14,310 +وبالولاء من كل العالم اللي وليهم وفي قبة الصخرة + +314 +00:27:14,310 --> 00:27:20,430 +وفي المسجد الأقصى يبايعوا الخليفة ويتأهدوا ويقسموا + +315 +00:27:20,430 --> 00:27:26,390 +أن يحكموا بين الناس بالعدل لاحظوا؟ لأن القدس تعتبر + +316 +00:27:26,390 --> 00:27:31,550 +من أقدس مقدسات العالم الإسلامي فلها مكانة لها + +317 +00:27:31,550 --> 00:27:37,930 +مكانةأنشأ لماويون دارا للسكة يعني للنقود وكانت + +318 +00:27:37,930 --> 00:27:42,110 +النقود المضروبة في القدس تحمل اسم إيلياء اسم + +319 +00:27:42,110 --> 00:27:46,210 +إيلياء أذكركم هو الاسم الذي حملته مدينة القدس بعد + +320 +00:27:46,210 --> 00:27:52,590 +135 ميلادي في أهد الامبراطور إيلياء هدريان الذي + +321 +00:27:52,590 --> 00:27:56,510 +حطم مدينة القدس وبنى على أنقاضها مدينة إيلياء + +322 +00:27:56,510 --> 00:28:02,840 +واطلق عليها هذا الاسم نسبة إليهالقدس في العهد + +323 +00:28:02,840 --> 00:28:10,500 +العباسي العباسيين لنرتب التاريخ مرة أخرى العصر + +324 +00:28:10,500 --> 00:28:16,580 +الراشدي يبدأ من 11 ل 40 أتمنى أن تحفظوا ذلك جيدا + +325 +00:28:16,580 --> 00:28:27,000 +لأن ذلك مهم جدا جدا جدا من 11 ل 40الراشدي من 41 ل + +326 +00:28:27,000 --> 00:28:39,080 +132 هو العصر الأموي من 132 إلى 656 العصر العباسي + +327 +00:28:39,080 --> 00:28:45,740 +من 132 إلى 656، 500 سنة العصر العباسي ماذا فعل + +328 +00:28:45,740 --> 00:28:49,840 +العباسيون في مدينة القدس؟ أبو العباس الخليفة الأول + +329 +00:28:51,870 --> 00:28:55,990 +تمكن من القضاء على الدولة الأموية وبدأ عهد الدولة + +330 +00:28:55,990 --> 00:29:01,530 +الأباسية التي اتخذت العراق بدل الشام مركزا وبذلك + +331 +00:29:01,530 --> 00:29:07,150 +تحول اهتمام الدولة عن الشام لاحظوا لاحظوا ركزوا + +332 +00:29:07,150 --> 00:29:15,770 +هيك شغل بسيطة الدولة الأموية عاصمتها من القدس دمشق + +333 +00:29:15,770 --> 00:29:23,090 +دمشق أين توجد قريبة من المتوسطلاحظوا عندما تغلب + +334 +00:29:23,090 --> 00:29:28,510 +العباسيون على الأمويون راحوا نجلوا العاصمة من دمشق + +335 +00:29:28,510 --> 00:29:38,130 +إلى وين إلى بغداد بغداد بغداد في الشرقدماش في + +336 +00:29:38,130 --> 00:29:43,070 +الغرب جريبة من البحر بغداد عندها بحر لأ بغداد برية + +337 +00:29:43,070 --> 00:29:47,270 +بغداد قريبة من بلاد فارس قريبة من آسيا بغداد في + +338 +00:29:47,270 --> 00:29:51,710 +آسيا في قلب آسيا فبالتالي نقول أن الدولة الأموية + +339 +00:29:51,710 --> 00:29:57,300 +دولة بحريةغربية والدولة العباسية هي دولة شرقية + +340 +00:29:57,300 --> 00:30:02,900 +برية فبالتالي اهتمام الأمويين كان في الغرب عشان + +341 +00:30:02,900 --> 00:30:06,520 +هيك بنلاقي الأمويين راحوا ايش؟ راحوا فتحوا شمال + +342 +00:30:06,520 --> 00:30:10,460 +أفريقيا و بعدين راحوا فتحوا أسبانيا والبرتغالي + +343 +00:30:10,460 --> 00:30:14,840 +الأندلس كل تركيزهم غربة لكن العباسيين التحول + +344 +00:30:14,840 --> 00:30:20,950 +التركيز داروا ظاهرهم لغربةواتجه وين؟ شرقه فكل + +345 +00:30:20,950 --> 00:30:25,210 +فتوحات العباسيين وشغل العباسيين وأداء العباسيين + +346 +00:30:25,210 --> 00:30:30,250 +كان فيه إيش لذلك أنا أقول وبصراحة العباسيون لم + +347 +00:30:30,250 --> 00:30:36,090 +يعطوا مدينة القدس لاهتمام الكافي مقارنة بالأمويين + +348 +00:30:36,090 --> 00:30:40,370 +مقارنة بالخلفاء الراشدين وهكذا لم يعطوا لماذا؟ لأن + +349 +00:30:40,370 --> 00:30:44,850 +القدس أصبحت في الغرب كان المدرسة الأقصى قد أصيب + +350 +00:30:44,850 --> 00:30:51,550 +بخرابعلى أثر الزلزال الذي ضرب مدينة القدس فلمّا + +351 +00:30:51,550 --> 00:30:54,950 +قالت الخلافة إلى أبو أبو جعفر المنصور تاني خليفة + +352 +00:30:54,950 --> 00:30:58,950 +بعد أخوه أبو العباسأبو جعفر المنصور اتجه إلى القدس + +353 +00:30:58,950 --> 00:31:02,590 +ولم يكن لديه ما يكفي من المال لإعمار المسجد الأقصى + +354 +00:31:02,590 --> 00:31:06,970 +فأمر بنزع صفائح الذهب أي صفائح اللي حطوها الأموين + +355 +00:31:06,970 --> 00:31:12,170 +عبدالملك من المروان والفضة التي على الأبواب فضربت + +356 +00:31:12,170 --> 00:31:19,740 +دنانير وأنفقت على إعمار المسجد الأقصى إذن رمّمبعد + +357 +00:31:19,740 --> 00:31:23,540 +ثلاث سنوات حدث زلزال آخر ضرب على مسجد الأقصى وكان + +358 +00:31:23,540 --> 00:31:29,220 +مدمرا و أصبح محمد المهدي خليفة محمد المهدي خليفة + +359 +00:31:30,050 --> 00:31:34,330 +وأصبح محمد المهدي خليفة أمر بإعمار ما خلفه الزلزال + +360 +00:31:34,330 --> 00:31:38,430 +ولم يكن لديه ما يكفي من المال فكتب إلى عماله فأبوه + +361 +00:31:38,430 --> 00:31:43,650 +فلبوا النداء وتم إعماره وفي عهديه تم إبعاد ال + +362 +00:31:43,650 --> 00:31:49,310 +Patriarch إلياس الثالث إلى بلاد فارس وأمر أن يسكن + +363 +00:31:49,310 --> 00:31:57,270 +النصارى في حي واحد وأن تجبى منهم الفدية نعم + +364 +00:31:58,970 --> 00:32:03,450 +شهدت خلافة هارون الرشيد علاقة حسنة بين الدولة + +365 +00:32:03,450 --> 00:32:07,250 +الإسلامية والامبراطورية الرومانية فقد سمح هارون + +366 +00:32:07,250 --> 00:32:13,010 +الرشيد لشارلمان بترميم الكنائس وبناء كنيسة العذراء + +367 +00:32:13,010 --> 00:32:18,750 +وكنيسة الدباغاووديرا بجانبها يأوي إليه النصارى + +368 +00:32:18,750 --> 00:32:24,230 +اللاتين على جبل الزيتون ومكتبة وبيمارستان لخدمة + +369 +00:32:24,230 --> 00:32:28,130 +الحجاج كما أرسل إليه الخليفة مفاتيح كنيسة القيامة + +370 +00:32:28,130 --> 00:32:32,990 +والقبر المقدس وكان شارلمان يبعث كل عام وفدا إلى + +371 +00:32:32,990 --> 00:32:36,350 +القدس يحمل الهدايا إلى الخليفة والأموال للفقراء + +372 +00:32:37,250 --> 00:32:41,870 +الخليفة هارونا الرشيد في .. في وقت .. في .. في + +373 +00:32:41,870 --> 00:32:46,310 +معلومات صغيرة كانت علاقته جيدة مع شرلمان + +374 +00:32:46,310 --> 00:32:51,410 +الامبراطور الروماني الامبراطور ال .. الامبراطورية + +375 +00:32:51,410 --> 00:32:58,890 +الرومانية الغربية يا بنات الغربية فكان + +376 +00:32:58,890 --> 00:33:04,130 +قد اتفق معاه أن يرمم من حين إلى آخر مدينة القدس + +377 +00:33:04,130 --> 00:33:10,970 +ويرمم كنيسة القيامةوأعطاه مفاتيح الدريح المقدس + +378 +00:33:10,970 --> 00:33:17,110 +وسمح ببناء عدد من الكنس ومن الكناز في أواخر العصر + +379 +00:33:17,110 --> 00:33:22,290 +العباسي زار القدس العالم المعروف Bernard حكيم + +380 +00:33:22,290 --> 00:33:25,930 +ووصفها بقوله أن المسلمين والمسيحين فيها على تفاهم + +381 +00:33:25,930 --> 00:33:31,590 +تام وأن الأمن العام مستطيب للغاية وإذا سافرت من + +382 +00:33:31,590 --> 00:33:40,370 +بلد إلى بلدو نفقة جملي او حماري يعني اذا راح جملي + +383 +00:33:40,370 --> 00:33:46,310 +او حماري هذا بيحكي هذا الرحالة هو اللي بيحكي ال + +384 +00:33:46,310 --> 00:33:54,280 +Bernardوطركت أمتعتي مكانها وذهبت لإكتراء دابا من + +385 +00:33:54,280 --> 00:34:00,240 +البلد المجاورة عدت فوجدت كل شيء على حالي لم يمس + +386 +00:34:00,240 --> 00:34:07,900 +هذا دليل عليش استقرار أمن الأمن نعم هذا في أواخر + +387 +00:34:07,900 --> 00:34:11,980 +العصر العباسي عالم معروف Bernard Hakim + +388 +00:34:14,550 --> 00:34:18,770 +طيب، تعرضت مدينة القدس في أهد المعمون لزلزال فأصاب + +389 +00:34:18,770 --> 00:34:21,710 +الخراب قبة الصخرة والمسجد الأقصى فكلف المعمون + +390 +00:34:21,710 --> 00:34:26,910 +عبدالله بن طاهر بالإشراف على ترميم المسجد وقبة + +391 +00:34:26,910 --> 00:34:31,870 +الصخرة وانتهت ترميم سنة 216 هجري اللي بساوي 831 + +392 +00:34:31,870 --> 00:34:38,460 +تقريبا وقد شهدت تلك الإصلاحاتتزوير لأقدم نقش يعود + +393 +00:34:38,460 --> 00:34:42,680 +إلى عهد عبد الملك بن مروان الأموي فقد تم تغيير اسم + +394 +00:34:42,680 --> 00:34:48,460 +الخليفة لكن سنة الإعمار بقيت 72 هذه قضية خطيرة + +395 +00:34:48,460 --> 00:34:59,400 +الآن عبد الله بن طاهر اللي رمّم المسجد الأقصى وقبة + +396 +00:34:59,400 --> 00:35:08,330 +الصخرة بعد الزلزال في 2016راح كتب .. راح كتب إن + +397 +00:35:08,330 --> 00:35:15,430 +الإصلاحات .. إن الإصلاحات تمت والبناء تم في عهد + +398 +00:35:15,430 --> 00:35:22,690 +الخليفةفي عهد الخليفة المأمون لكنه نسيى التاريخ + +399 +00:35:22,690 --> 00:35:31,230 +فخلى التاريخ 72 طب المأمون المأمون في مجاله 16 كيف + +400 +00:35:31,230 --> 00:35:38,610 +72 هذا يدلل على أنهم رمّموا ولكن لم يبنوا ويؤسسوا + +401 +00:35:38,610 --> 00:35:44,150 +الذي أسس هو عبدالملك من مروان واضحة؟أجى يزور + +402 +00:35:44,150 --> 00:35:49,090 +اليافطة أو المكتوبة لجيابه شهادة القدس حركة علمية + +403 +00:35:49,090 --> 00:35:51,530 +نشطة في العصر العباسي وكان من المشاهد والعلماء + +404 +00:35:51,530 --> 00:35:55,910 +الذين وفدوا إلى القدس الاوزاعل امام الاوزاعل فقيه + +405 +00:35:55,910 --> 00:35:59,030 +اهل الشام والامام صوفيان الثوري امام اهل العراق + +406 +00:35:59,030 --> 00:36:03,770 +والليث بن سعد ومقاتل بن سليمان المفسر ومحمد بن + +407 +00:36:03,770 --> 00:36:08,150 +إدريس الشافعي وراب على دوي وغيرهم الكثير الكثير كل + +408 +00:36:08,150 --> 00:36:16,850 +العلماء كانوا يأتوا إلى مدينة القدسطيب نكتفي اليوم + +409 +00:36:16,850 --> 00:36:23,770 +بهذا القدر لنواصل في اللقاء القادم ان شاء الله إلى + +410 +00:36:23,770 --> 00:36:24,170 +اللقاء + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/XP1FWR0xX38.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/XP1FWR0xX38.srt new file mode 100644 index 0000000000000000000000000000000000000000..acf66ca18d0266ab8016b49bea1cf1bbd22a74da --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/XP1FWR0xX38.srt @@ -0,0 +1,1523 @@ +1 +00:00:05,630 --> 00:00:09,870 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:09,870 --> 00:00:12,950 +والصلاة والسلام على قائد المجاهدين محمد صلى الله + +3 +00:00:12,950 --> 00:00:20,650 +عليه وسلم نواصل إن شاء الله معكم في لقاء جديد في + +4 +00:00:20,650 --> 00:00:27,690 +مساق تاريخ مدينة القدس اليوم إن شاء الله سنتحدث عن + +5 +00:00:27,690 --> 00:00:34,930 +الموقف الدولي لمدينة القدس موقف الولايات المتحدة + +6 +00:00:34,930 --> 00:00:40,330 +الأمريكية موقف الاتحاد الأوروبي موقف الاتحاد + +7 +00:00:40,330 --> 00:00:46,870 +السوفيتي أو روسيا من مدينة القدس تحدثنا سابقا عن + +8 +00:00:46,870 --> 00:00:50,290 +موقف الولايات المتحدة الأمريكية وتدرجنا في هذا + +9 +00:00:50,290 --> 00:00:59,190 +الموقف منذ وقت بالفوروبدأنا نتحدث عن قر رئيس في + +10 +00:00:59,190 --> 00:01:03,510 +الولايات المتحدة الأمريكية كيف كان موقف قر رئيس من + +11 +00:01:03,510 --> 00:01:10,290 +مدينة القدس خلال حقبة حكمه اليوم سنتحدث عن إدارة + +12 +00:01:10,290 --> 00:01:14,910 +الرئيس بيل كلينتون والذي حكم من 93 ل 2001 من عام + +13 +00:01:14,910 --> 00:01:22,270 +1993 حتى عام 2001 وأنا في اعتقادي أن هذه الحقبة هي + +14 +00:01:22,270 --> 00:01:28,190 +من أسوأ حقب الموقف الأمريكي من مدينة القدس من أسوأ + +15 +00:01:28,190 --> 00:01:31,730 +رؤساء الولايات المتحدة الأمريكية هو بيل كلينتون + +16 +00:01:31,730 --> 00:01:40,390 +وطبعا ياليه بوش وغيره اللي نراه نقول طرأ تطور خطير + +17 +00:01:40,390 --> 00:01:44,130 +على الموقف الأمريكي من قضية القدس خلال إدارة + +18 +00:01:44,130 --> 00:01:48,750 +الرئيس بيل كلينتون إذ وعد خلال حملة الانتخابية + +19 +00:01:48,750 --> 00:01:52,110 +بنقل السفارة الأمريكية إلى القدس والاعتراف بالقدس + +20 +00:01:52,110 --> 00:01:55,530 +عاصمة للكيان الصهيوني هذا موقف جديد للإدارة + +21 +00:01:55,530 --> 00:01:59,710 +الأمريكية في مدينة القدس أكد على أنها يجب أن تظل + +22 +00:01:59,710 --> 00:02:03,030 +المدينة غير مجزأة دائما الولايات المتحدة الأمريكية + +23 +00:02:03,030 --> 00:02:11,010 +تقول أن مدينة القدس موحدة يجب أن تكون موحدة و .. و + +24 +00:02:11,010 --> 00:02:16,110 +هذا شيء سلبي بالمناسبة وليس إيجابي لأن الأمريكان + +25 +00:02:16,110 --> 00:02:19,530 +هم يريدون المدينة القدس أن تكون موحدة وفي + +26 +00:02:19,530 --> 00:02:23,890 +المستقبل تصبح هي عاصمة الكيان الصهيوني وللصهاينة + +27 +00:02:23,890 --> 00:02:29,810 +وليس لأحد فيها أي شيء لكنه أوصى بعدم نقل السفارة + +28 +00:02:29,810 --> 00:02:32,350 +إلى القدس آنذاك بينما المفاوضات الفلسطينية + +29 +00:02:32,350 --> 00:02:37,210 +الصهيونية جارية ما قد يخله بتقدم العملية السلمية + +30 +00:02:37,210 --> 00:02:43,530 +بطريقة تهزم بطريقة تخدم الهدف الذي تسعى إليه + +31 +00:02:43,530 --> 00:02:49,990 +الإدارة الأمريكية هو يريد أن ينقل السفارة لكن + +32 +00:02:49,990 --> 00:02:55,030 +الزمان لا يخدم هذا الهدف أما فيما يتعلق بالاستيطان + +33 +00:02:55,030 --> 00:03:00,870 +أثناء إدارة كلينتون الموقف كان خطير حيث لم تولي هذه + +34 +00:03:00,870 --> 00:03:04,810 +الإدارة أي معارضة للمصادرة لمصادرة الأراضي + +35 +00:03:04,810 --> 00:03:09,810 +والنشاطات الاستيطانية في القدس أول إدارة لا تولي + +36 +00:03:09,810 --> 00:03:13,110 +أو لا تعارض مصادرة الأراضي والتهام الأرض + +37 +00:03:13,110 --> 00:03:17,370 +الفلسطينية في مدينة القدس ورفضت أن تصف الاستمرار + +38 +00:03:17,370 --> 00:03:20,790 +ببناء المستوطنات في القدس على أنه عمل أحدى الجانب + +39 +00:03:22,360 --> 00:03:25,340 +كما كانت قصفه الإدارة الأمريكية السابقة بل ذهب + +40 +00:03:25,340 --> 00:03:28,380 +الموقف الأمريكي إلى تأييد توسيع المستوطنات القائمة + +41 +00:03:28,380 --> 00:03:33,000 +ومن + +42 +00:03:33,000 --> 00:03:37,280 +أجل النمو الطبيعي للمستوطنين حسب ادعاء الإدارة + +43 +00:03:37,280 --> 00:03:42,740 +الأمريكية عبرة عنه طبعا مساعد وزير خارجية Edward + +44 +00:03:42,740 --> 00:03:48,390 +de Gerban بلغ الموقف الأمريكي قمة التطور في السلب + +45 +00:03:48,390 --> 00:03:52,270 +بإعطاء أضواء خضراء للكيان الصهيوني في سياسة تتضمن + +46 +00:03:52,270 --> 00:03:59,470 +فعلا مدينة القدس في عام في أعقاب بعد اتفاق أوسلو في + +47 +00:03:59,470 --> 00:03:59,910 +1993 + +48 +00:04:03,080 --> 00:04:06,000 +صرح بعض المسؤولين في الإدارة الأمريكية بأن بناء + +49 +00:04:06,000 --> 00:04:09,000 +المستوطنات وما يتصل بها من مصادرة الأراضي في القدس + +50 +00:04:09,000 --> 00:04:13,600 +ينبغي ألا يتم التعامل معها من قبل مجلس الأمن ليس + +51 +00:04:13,600 --> 00:04:17,020 +له علاقة مجلس الأمن، هم يقولون كذلك وإنما ضمن + +52 +00:04:17,020 --> 00:04:22,840 +المفاوضات الثنائية بين الكيان والسلطة الفلسطينية + +53 +00:04:22,840 --> 00:04:26,100 +وإدارة + +54 +00:04:26,100 --> 00:04:28,100 +الرئيس كلينتون تقول + +55 +00:04:30,720 --> 00:04:34,820 +وتدافع تقول أن المستوطنات يجب أن لا تثار في مجلس + +56 +00:04:34,820 --> 00:04:38,160 +الأمن هي شأن داخلي بين الفلسطينيين والصهاينة + +57 +00:04:38,160 --> 00:04:42,520 +والمستوطنات تقول مرة أخرى المستوطنات يجب أن تنمو + +58 +00:04:42,520 --> 00:04:47,520 +هو نمو طبيعي للمستوطنات هي تتوسع هذا ليس لا يعتبر + +59 +00:04:47,520 --> 00:04:56,560 +انتهاكا للأرض ومناقضا للأعراف والقوانين الدولية فمن + +60 +00:04:56,560 --> 00:05:01,340 +أسوأ كما أسلفنا هي من أسوأ الإدارات إذن إدارة + +61 +00:05:01,340 --> 00:05:08,820 +الأمريكية للرئيس كلينتون أولا وافقت على نقل + +62 +00:05:08,820 --> 00:05:15,260 +السفارة من تل أبيب إلى القدس اثنين كانت تدعم تدعم + +63 +00:05:15,260 --> 00:05:18,760 +بناء المستوطنات وتدافع عن بناء المستوطنات + +64 +00:05:19,260 --> 00:05:27,140 +والمستوطنات ليست غير شرعية تقول مرة بعد توقيع Oslo + +65 +00:05:27,140 --> 00:05:33,600 +.. بعد توقيع Oslo ظهر الموقف الأمريكي في قمة + +66 +00:05:33,600 --> 00:05:39,610 +التطور السلبي والسيء في سياسة الضم الفعلي لمدينة + +67 +00:05:39,610 --> 00:05:44,190 +القدس فقد أعطوا الضوء الأخضر للكيان الصهيوني حيث + +68 +00:05:44,190 --> 00:05:47,070 +أصرح بعض المسؤولين في الإدارة الأمريكية بأن بناء + +69 +00:05:47,070 --> 00:05:50,010 +المستوطنات وما يتصل بها من مصادرة الأراضي في القدس + +70 +00:05:50,010 --> 00:05:53,010 +ينبغي أن لا يتم معها من قبل مجلس الأمن وإنما ضمن + +71 +00:05:53,010 --> 00:06:00,830 +المفاوضات الثنائية بين الصهيوني والفلسطينيين وهذا في + +72 +00:06:00,830 --> 00:06:04,670 +نفس السياق عملت الإدارة الأمريكية بقوة لتحيد الأمم + +73 +00:06:04,670 --> 00:06:08,230 +المتحدة ومنظماتها فيما يخص القضية الفلسطينية دائما + +74 +00:06:08,230 --> 00:06:13,390 +تبعد الأمم المتحدة عن القضية الفلسطينية لماذا؟ لكي + +75 +00:06:13,390 --> 00:06:18,950 +لا تتخذ الأمم المتحدة أي قرار دائما هي تشكل لجنة + +76 +00:06:23,000 --> 00:06:27,780 +تزج بالأمور دائما في المفاوضات وتعتبر المفاوضات هي + +77 +00:06:27,780 --> 00:06:32,640 +الستار التي تعلق عليها كل شيء هناك مفاوضات هذه + +78 +00:06:32,640 --> 00:06:35,880 +القضية قضية بناء المستوطنات هناك مفاوضات + +79 +00:06:35,880 --> 00:06:40,680 +فالمفاوضات تنهي ذلك يتفق الفلسطينيون فيما بينهم هم + +80 +00:06:40,680 --> 00:06:46,620 +هم والإسرائيليون هناك تغيير ديموغرافي وتغيير لمعالم + +81 +00:06:46,620 --> 00:06:49,420 +مدينة القدس وهذا لا يجوز في قانون الدول الإنساني + +82 +00:06:49,420 --> 00:06:53,560 +خصوصا أن منطقة شرق القدس أنت يا الولايات المتحدة + +83 +00:06:53,560 --> 00:06:57,480 +الأمريكية تقولين عنها هي منطقة محتلة هناك مفاوضات + +84 +00:06:57,480 --> 00:07:02,020 +ويتفق الفلسطينيون والصهاينة فيما يتفقوا ونحن + +85 +00:07:02,020 --> 00:07:08,980 +جاهزون وهذا هو .. هذا يشكل .. هذا يعد حماية حماية + +86 +00:07:08,980 --> 00:07:14,320 +للصهاينة حماية وستار للصهاينة ومظلة لحماية + +87 +00:07:14,320 --> 00:07:19,810 +الصهاينة أكدت الإدارة الأمريكية على لسان ممثلة + +88 +00:07:19,810 --> 00:07:22,430 +الولايات المتحدة الأمريكية في الأمم المتحدة + +89 +00:07:22,430 --> 00:07:26,370 +السابقة Madeleine Albright بأنها لا تؤيد وصف + +90 +00:07:26,370 --> 00:07:29,410 +الأراضي الفلسطينية المحتلة بأنها أرض محتلة لأن هذه + +91 +00:07:29,410 --> 00:07:34,230 +اللغة قد تفسر على أنها تعطي سيادة فلسطينية عليها + +92 +00:07:36,800 --> 00:07:42,900 +موقف سيء للإدارة الأمريكية في زمن .. في زمن + +93 +00:07:42,900 --> 00:07:46,960 +كلينتون وتعزيزا لموقف الكيان الصهيوني في بناء + +94 +00:07:46,960 --> 00:07:51,440 +توسيع المستوطنات في مدينة القدس أكد نائب الرئيس + +95 +00:07:51,440 --> 00:07:57,660 +الأمريكي آل غور في مارس 94 أنا موقف إدارة + +96 +00:07:57,660 --> 00:08:00,540 +كلينتون والتي تعترف بالقدس الموحدة عاصمة للكيان + +97 +00:08:00,540 --> 00:08:05,240 +الصهيوني أو بحجور موقف الولايات المتحدة من امتناعها عن + +98 +00:08:05,240 --> 00:08:08,620 +التصويت واستعمالها لحق النقض الـVeto على قرارات + +99 +00:08:08,620 --> 00:08:14,060 +مجلس الأمن التي تشير إلى أن القدس هي أرض محتلة وأن + +100 +00:08:14,060 --> 00:08:17,780 +ذلك قد يعيق استئناف المفاوضات وقد بررت الإدارة + +101 +00:08:17,780 --> 00:08:23,420 +الأمريكية موقفها هذا بدعوى أن اتفاق أوسلو جاري هناك + +102 +00:08:23,420 --> 00:08:27,780 +اتفاقيات كي + +103 +00:08:27,780 --> 00:08:33,080 +تعلموا كم أوسلو أرجعت القضية الفلسطينية للوراء أرجع + +104 +00:08:33,080 --> 00:08:36,640 +موضوع النظر في قضية القدس والمستوطنات حتى بداية + +105 +00:08:36,640 --> 00:08:38,860 +العام الثالث من الفترة الانتقالية للسلطة + +106 +00:08:38,860 --> 00:08:42,120 +الفلسطينية كذلك أكد وزير الخارجية الأمريكي + +107 +00:08:42,120 --> 00:08:47,520 +كريستوفر أن موضوع القدس مؤجل للمرحلة النهائية من + +108 +00:08:47,520 --> 00:08:50,920 +المفاوضات وأن استباق الحكم حوله في قرار للأمم + +109 +00:08:50,920 --> 00:08:52,980 +المتحدة سلوك الرفض من الولايات المتحدة + +110 +00:08:57,590 --> 00:09:02,010 +أوسلو أخذت القضية الفلسطينية عشرات السنوات إلى + +111 +00:09:02,010 --> 00:09:06,770 +الوراء إلى الوراء لأن الولايات المتحدة الأمريكية + +112 +00:09:06,770 --> 00:09:14,210 +تذرعت بأوسلو تذرعت بالمفاوضات تذرعت في كل شيء حجبت + +113 +00:09:14,210 --> 00:09:20,190 +الأمم المتحدة عن القضية الفلسطينية بوش هذا بوش + +114 +00:09:20,190 --> 00:09:30,180 +الإبن جورج دبليو بوش يُعرف والذي حكم قرابة 8 سنوات من 2001 + +115 +00:09:30,180 --> 00:09:39,620 +ل 2009 رجل دموي بامتياز رجل يؤمن بالحرب هو يحمل + +116 +00:09:39,620 --> 00:09:46,460 +ماجستير حروب صليبية يدرس الحروب الصليبية يتعامل مع + +117 +00:09:46,460 --> 00:09:54,430 +قضية فلسطين أنها عداء بين الصليبية والإسلام من جديد + +118 +00:09:54,430 --> 00:10:01,120 +هذا بوش هو الذي دمر العراق بوش هو الذي دمر + +119 +00:10:01,120 --> 00:10:06,300 +أفغانستان بوش هو الذي أعلن الحرب على العرب والأمة + +120 +00:10:06,300 --> 00:10:12,160 +الإسلامية عبّر وزير الخارجية الأمريكي كولن باول + +121 +00:10:12,160 --> 00:10:15,860 +عن موقف الإدارة الأمريكية الجديدة برئاسة بوش الابن + +122 +00:10:15,860 --> 00:10:19,020 +في خطاب له أمام لجنة العلاقات الدولية في مجلس + +123 +00:10:19,020 --> 00:10:23,720 +النواب في ثمانية مارس 2001 بالالتزام بنقل السفارة + +124 +00:10:24,460 --> 00:10:29,620 +إلى عاصمة الكيان الصهيوني التي هي القدس هذه واحدة + +125 +00:10:29,620 --> 00:10:36,960 +رقم واحدة أول خروج يقول في ثمانية مارس سننقل نتعهد + +126 +00:10:36,960 --> 00:10:43,440 +بنقل السفارة إلى القدس وقد كان الحيازكان أنهياز + +127 +00:10:43,440 --> 00:10:46,460 +هذه الإدارة واضحاً بشكل غير مسبوق عندما قام الرئيس + +128 +00:10:46,460 --> 00:10:49,060 +بوش بالتوقيع على قرار للكونجرس الأمريكي باعتبار + +129 +00:10:49,060 --> 00:10:53,400 +القدس موحدة العاصمة الأبدية لدولة الكيان الصهيوني + +130 +00:10:53,400 --> 00:10:59,900 +وذلك في 30 سبتمبر 2002 ، 2002 يوقع أو الرئيس يوقع + +131 +00:10:59,900 --> 00:11:05,140 +رسمياً على أن القدس عاصمة الكيان الصهيوني وهي + +132 +00:11:05,140 --> 00:11:10,680 +موحدة، ثلاثة، ولتخفيف حدّ رد الفعل العربي على هذا + +133 +00:11:10,680 --> 00:11:15,400 +الإجراء أكد بوش أن سياسة بلاده بشأن القدس لم تتغير + +134 +00:11:15,400 --> 00:11:23,680 +رغم توقيعه على القرار المشهر إليه سابقاً يمطس + +135 +00:11:23,680 --> 00:11:28,780 +دائماً يمطس العرب ببعض الوعودات والكلمات الكاذبة + +136 +00:11:28,780 --> 00:11:33,000 +ركز على أن قضية القدس يتم في إطار مفاوضات السلام + +137 +00:11:33,000 --> 00:11:39,060 +نفس الموقف، نفس كلينتون، والخطورة في هذه التفاهمات + +138 +00:11:39,060 --> 00:11:41,240 +بين الولايات المتحدة الأمريكية والكيان تكمن في + +139 +00:11:41,240 --> 00:11:45,520 +موافقة الولايات المتحدة على سياسة التوقيع + +140 +00:11:45,520 --> 00:11:49,840 +الاستيطانية على سياسة التوسع الاستيطانية في القدس + +141 +00:11:49,840 --> 00:11:53,460 +هذا التواطؤ يدل على قول كبير في سياسة الولايات + +142 +00:11:53,460 --> 00:11:58,440 +المتحدة التي كانت هي حتى إدارة جيمي كارتر ترى أن + +143 +00:11:58,440 --> 00:12:02,180 +جميع الأنشطة الاستيطانية بما في ذلك في القدس غير + +144 +00:12:02,180 --> 00:12:06,270 +شرعية وتشكل انتهاك الاتفاقية جنيف 4، كل الإدارات + +145 +00:12:06,270 --> 00:12:09,250 +الولايات المتحدة الأمريكية كانت تعتبر كل ما يحدث + +146 +00:12:09,250 --> 00:12:14,630 +في مدينة القدس هو مخالف للشرعية الدولية وانتهاك + +147 +00:12:14,630 --> 00:12:23,180 +لاتفاقية جنيف الرابعة، لكن بوش قلب الطاولة، إذا + +148 +00:12:23,180 --> 00:12:25,740 +أردنا أن نلخص موقف الولايات المتحدة الأمريكية في + +149 +00:12:25,740 --> 00:12:29,160 +عدد من النقاط، نستطيع أن نقول الموقف الأمريكي فيما + +150 +00:12:29,160 --> 00:12:33,460 +يتعلق بهمية القدس وقدسيتها من رعاية ديانات ثلاث + +151 +00:12:33,460 --> 00:12:36,400 +تعتبر الإدارة الأمريكية مدينة القدس واحدة من أقدس + +152 +00:12:36,400 --> 00:12:40,080 +المدن في العالم، بعتبر مدينة القدس مقدسة، طيب اثنين + +153 +00:12:40,080 --> 00:12:44,370 +بالنسبة لتأثير هذه القدسية على مركزها القانوني في + +154 +00:12:44,370 --> 00:12:46,610 +القانون الدولي، فإن الولايات المتطرفة أن القسم + +155 +00:12:46,610 --> 00:12:49,770 +الشرقي من مدينة القدس اللي احتلوا الكيان الصهيوني + +156 +00:12:49,770 --> 00:12:56,130 +في الـ 67 هو منطقة محتلة تخضع تخضع لقانون الاحتلال + +157 +00:12:56,130 --> 00:13:00,130 +الحربي، ولا يجوز لدولة الاحتلال أن تدخل فيها أي + +158 +00:13:00,130 --> 00:13:03,650 +تغيرات، لذا فإن التغيرات التي أدخلها الكيان + +159 +00:13:03,650 --> 00:13:09,480 +الصهيوني على المدينة باطلة، ولا تمثل حكماً مسبقاً على + +160 +00:13:09,480 --> 00:13:12,100 +البطء النهائي والدائم للمدينة في رأي الولايات + +161 +00:13:12,100 --> 00:13:17,280 +المتحدة، كما اهتمت أمريكا دائماً ببقاء مدينة القدس + +162 +00:13:17,280 --> 00:13:17,800 +موحدة + +163 +00:13:20,310 --> 00:13:25,510 +يقولوا أن المدينة مقدسة، 2. مدينة القدس يجب أن + +164 +00:13:25,510 --> 00:13:29,330 +تكون موحدة، 3. الجزء الشرقي من مدينة القدس هو محتل + +165 +00:13:29,330 --> 00:13:33,790 +ويجري عليه قانون الاحتلال، وبالتالي هذا لا يؤثر كل + +166 +00:13:33,790 --> 00:13:37,230 +ما يغيره الاحتلال، لن يؤثر على المفاوضات النهائية + +167 +00:13:37,230 --> 00:13:39,370 +بالتالي السيادة على المدينة وتقنية المستقبل + +168 +00:13:39,370 --> 00:13:45,340 +النهائي فهو أمر لا يمكن البدء فيه، لم تتحدث مطلقاً + +169 +00:13:45,340 --> 00:13:54,340 +مدينة الأمريكا أن القدس هي ملك ومن حق المسلمين، لم + +170 +00:13:54,340 --> 00:14:02,020 +تتحدث دائماً كلام عموميات، تترك الفصل للمفاوضات إلا + +171 +00:14:02,020 --> 00:14:08,940 +على ضوء الحل النهائي الذي سيتطرق + +172 +00:14:08,940 --> 00:14:13,280 +لمشكلة الشرق الأوسط كله، عن طريق المفاوضات المباشرة + +173 +00:14:13,280 --> 00:14:16,340 +بين العرب والكيان الصهيوني، وأن حل مشكلة ال .. + +174 +00:14:16,340 --> 00:14:19,520 +المشكلة يجب أن يتم في إطار مفاوضات مباشرة موضوعة + +175 +00:14:19,520 --> 00:14:24,020 +مبادلة الأرض بالسلم على أساس قرار مجلس الأمن 242 + +176 +00:14:24,020 --> 00:14:28,840 +وهذا .. وهكذا يختلف الموقف الأمريكي عن مختلف القوى + +177 +00:14:28,840 --> 00:14:33,420 +الدولية في أنه لا يحدد صاحب الحق النهائي في مدينة + +178 +00:14:33,420 --> 00:14:39,240 +القدس ومن له السيادة عليها، ويترك للمفاوضات، هذا + +179 +00:14:39,240 --> 00:14:46,180 +للمفاوضات أن تقرر ذلك، وإن اتفق مع معظم القوى + +180 +00:14:46,180 --> 00:14:49,620 +العالمية في أن القسم الشرقي من مدينة القدس هو تحت + +181 +00:14:49,620 --> 00:14:53,440 +الاحتلال، أعتقد واضح موقف الولايات المتحدة الملكية + +182 +00:14:53,440 --> 00:14:59,690 +المدينة مقدسة، دائماً تحدثوا عن وحدة المدينة، يعتبروا + +183 +00:14:59,690 --> 00:15:04,070 +كباقي دول العالم أن القسم الشرقي هو محتل ويجري + +184 +00:15:04,070 --> 00:15:09,690 +عليه قانون الاحتلال، وبالتالي كل تغيرات التي تقيمها + +185 +00:15:09,690 --> 00:15:13,770 +دولة الكيان الصهيوني هي لا تؤثر على الحل النهائي + +186 +00:15:13,770 --> 00:15:17,990 +لم يتحدثوا مطلقاً عن المالك وصاحب الشرعي لمدينة + +187 +00:15:17,990 --> 00:15:22,830 +القدس، يتركوا دائماً ذلك للمفاوضات وللحل النهائي + +188 +00:15:22,830 --> 00:15:29,010 +دائماً يعوموا القضية، اعتبار القدس عاصمة العاصمة + +189 +00:15:29,010 --> 00:15:31,310 +الموحدة للكيان الصهيوني، امتنعت الولايات المتحدة + +190 +00:15:31,310 --> 00:15:34,030 +الأمريكية في عهد إدارة الرئيس ريغان عن التصويت على + +191 +00:15:34,030 --> 00:15:41,630 +قرار مجلس الأمن رقم 476 + +192 +00:15:41,630 --> 00:15:44,710 +478 + +193 +00:15:44,710 --> 00:15:53,870 +476، قرارين 478 و 476، صدر في 1980، نعم + +194 +00:16:02,000 --> 00:16:06,900 +القرارين اعتبروا القانون الأساسي الصادر بضم القدس + +195 +00:16:06,900 --> 00:16:12,540 +قراراً باطلاً، وطالبت الكيان الصهيوني بإلغائه، ولكن + +196 +00:16:14,510 --> 00:16:18,570 +ولكن يمكن القول بأن فكرة نقل السفارة الأمريكية + +197 +00:16:18,570 --> 00:16:22,230 +للقدس قد أكسبت الكيان الصهيوني تأييداً من إدارة + +198 +00:16:22,230 --> 00:16:25,770 +ريغان الذي وقع اتفاقية مع الكيان الصهيوني بشأن + +199 +00:16:25,770 --> 00:16:29,190 +شراء أراضٍ في القدس، على الرغم من التمسك باعتبار + +200 +00:16:29,190 --> 00:16:34,570 +القدس من بين الأراضي المحتلة، بعد ذلك بداية تطور + +201 +00:16:34,570 --> 00:16:38,050 +جديد في الموقف الأمريكي، تبعه التأكيد على فكرة + +202 +00:16:38,050 --> 00:16:40,910 +العاصمة الموحدة للكيان الصهيوني، فقد أصدر الـ + +203 +00:16:40,910 --> 00:16:47,010 +Congress في عهد بوش، لائحة تهنئ للكيان الصهيوني في + +204 +00:16:47,010 --> 00:16:53,210 +1992 بمناسبة مرور 15 عاماً على توحيد القدس، حيث أكد + +205 +00:16:53,210 --> 00:16:56,970 +الكونجرس أنه من الواجب أن تظل المدينة موحدة مع + +206 +00:16:56,970 --> 00:17:00,810 +حماية حقوق جميع الأديان، وتبع ذلك تأكيد على السياسة + +207 +00:17:00,810 --> 00:17:02,610 +نفسها في عهد الرئيس بوش + +208 +00:17:05,430 --> 00:17:09,770 +قرار نقل السفارة .. قرار الـ Congress الأمريكي نقل + +209 +00:17:09,770 --> 00:17:13,190 +السفارة إلى القدس، الـ Congress الأمريكي في 13 + +210 +00:17:13,190 --> 00:17:19,230 +أكتوبر 1995 قرر .. قرر قراراً يقضي بنقل السفارة + +211 +00:17:19,230 --> 00:17:23,090 +الأمريكية إلى القدس، وذلك بناءً على أن لكل دولة ذات + +212 +00:17:23,090 --> 00:17:28,590 +سيادة الحق في أن تحدد عاصمتها، وجاء هذا القرار + +213 +00:17:28,590 --> 00:17:32,510 +استناداً على أن الكيان الصهيوني منذ عام 1950 كان + +214 +00:17:32,510 --> 00:17:35,330 +يعتبر مدينة القدس، ولا يزال عاصمة دولة إله + +215 +00:17:35,330 --> 00:17:41,010 +واستناداً على أن المقر الرئيسي الصهيوني والبرلماني + +216 +00:17:41,010 --> 00:17:44,990 +والمحكمة العليا والعديد من الوزارات والمؤسسات + +217 +00:17:44,990 --> 00:17:49,230 +الاجتماعية والثقافية موجودة في القدس، واستناد لقرار + +218 +00:17:51,300 --> 00:17:55,120 +واستند القرار أيضاً على أن المدينة كانت مقسمة من + +219 +00:17:55,120 --> 00:18:00,660 +1948 إلى 1967، ولم تكن الإدارة تسمح للمواطنين + +220 +00:18:00,660 --> 00:18:04,540 +الصهيوني بدخول إلى الأماكن المقدسة، لكن عندما تم + +221 +00:18:04,540 --> 00:18:08,400 +إعادة توحيد المدينة في 1967 أصبحت منذ هذا التاريخ + +222 +00:18:08,400 --> 00:18:11,660 +مدينة موحدة يديرها الكيان الصهيوني ويكفل الحقوق + +223 +00:18:11,660 --> 00:18:16,320 +الكاملة لكل أتباع الديانات بدخول الأماكن المقدسة + +224 +00:18:16,320 --> 00:18:20,100 +داخل المدينة، كما استندت الولايات المتحدة إلى تبرير + +225 +00:18:20,100 --> 00:18:24,700 +آخر جاء بالقرار أن الولايات المتحدة تقيم بسفاراتها + +226 +00:18:24,700 --> 00:18:28,360 +في العاصمة الفعلية لكل دولة فيما عدا دولة الكيان + +227 +00:18:28,360 --> 00:18:31,440 +مع أنها الصديق الاستراتيجي والديمقراطي لها في + +228 +00:18:31,440 --> 00:18:34,920 +المنطقة، كما أن الولايات المتحدة قد أجرت العديد من + +229 +00:18:34,920 --> 00:18:37,560 +اللقاءات والأعمال الأخرى في مدينة القدس على أساس + +230 +00:18:37,560 --> 00:18:42,620 +الاعتراف الواقعي لمركزها كعاصمة لكيان للكيان + +231 +00:18:42,620 --> 00:18:49,010 +الصهيوني، يعني الولايات المتحدة الأمريكية في 95، 13 + +232 +00:18:49,010 --> 00:18:55,970 +أكتوبر، أخذت قرار أنه نقل العاصمة لمدينة القدس + +233 +00:18:55,970 --> 00:19:00,780 +مبرراتهم، ما هي المبررات؟ أن الكيان الصهيوني في + +234 +00:19:00,780 --> 00:19:06,360 +العام 1948-1950 لم يكن يعتبر أن القدس هي العاصمة + +235 +00:19:06,360 --> 00:19:13,080 +والكيان الصهيوني ناجل فيها مقر الرئيس ومقر الحكومة + +236 +00:19:13,080 --> 00:19:20,440 +ومقر البرلمان ومقر الوزارات ومقر كل كل المقار + +237 +00:19:20,440 --> 00:19:23,960 +السيادية في الدولة هي في مدينة القدس، وما زالت + +238 +00:19:23,960 --> 00:19:28,420 +الولايات المتحدة الأمريكية السفارة ساكنتها في تل + +239 +00:19:28,420 --> 00:19:34,840 +أبيب، وتقول في تبريرها للقرار أن كل العالم سفاراتنا + +240 +00:19:34,840 --> 00:19:39,960 +في العواصم، ما عدا إسرائيل، مع أن إسرائيل حليف + +241 +00:19:39,960 --> 00:19:44,160 +استراتيجي لنا، فبالتالي يجب أن ننقل السفارة إلى + +242 +00:19:44,160 --> 00:19:50,000 +العاصمة، وبرّرت أنه .. أنه كانت مدينة القدس من الـ + +243 +00:19:50,000 --> 00:19:56,200 +48 إلى 67 مجسمة، لكن عندما أصبحت تحت الكيان الصهيوني + +244 +00:19:56,200 --> 00:20:02,200 +و تم توحيدها، من الممكن الآن أن ننقل السفارة، هذا + +245 +00:20:02,200 --> 00:20:07,720 +الموضوع، في الحقيقة هذا القرار باطل لأنه لم يراعي + +246 +00:20:07,720 --> 00:20:10,740 +القواعد القانونية أو قواعد العدل والإنصاف، حيث أنه + +247 +00:20:10,740 --> 00:20:14,180 +من حق الدولة اختيار عاصمتها والتي لابد أن تكون + +248 +00:20:14,180 --> 00:20:17,300 +مملوكة لها، وكافة المواقف الرسمية للولايات المتحدة + +249 +00:20:17,300 --> 00:20:21,380 +الأمريكية ولكل الدول وللأمم المتحدة تؤكد أن القدس + +250 +00:20:21,380 --> 00:20:24,940 +مدينة محتلة، ومن ثم لا تنتقل سيادة المحتل عليها + +251 +00:20:24,940 --> 00:20:29,190 +لأي سبب هذا أمر مسلم به قانونًا إضافة إلى أن + +252 +00:20:29,190 --> 00:20:33,730 +الاستيلاء بالقوة على الأراضي ممنوع قانونًا وهذا أمر + +253 +00:20:33,730 --> 00:20:36,650 +مسلم به كذلك في القانون الدولي وقرارات المملكة + +254 +00:20:36,650 --> 00:20:40,630 +والقدس مدينة عربية وبقيت السيادة الإسلامية حوالي + +255 +00:20:40,630 --> 00:20:47,630 +1300 عام احتلتها المجموعات الصهيونية الآن سنتحدث عن + +256 +00:20:47,630 --> 00:20:53,150 +الاتحاد الأوروبي نريد أن نستعرض موقف الاتحاد + +257 +00:20:53,150 --> 00:20:58,720 +الأوروبي من مدينة القدس مع مراعاة الأهمية الخاصة + +258 +00:20:58,720 --> 00:21:02,340 +التي تتمتع بها مدينة القدس لدى الدول الأوروبية + +259 +00:21:02,340 --> 00:21:10,620 +نريد أن نلاحظ أن دول أوروبا نصرانية دول أوروبا دول + +260 +00:21:10,620 --> 00:21:17,320 +أوروبية تنظر إلى كنيسة القيامة دول أوروبا دول + +261 +00:21:17,320 --> 00:21:22,790 +نصرانية لنرى لم تكن مواقف الاتحاد الأوروبي دائمًا + +262 +00:21:22,790 --> 00:21:28,410 +موحدة إزاء هذه المدينة إذ كانت تنظم هذه المواقف + +263 +00:21:28,410 --> 00:21:32,130 +عن عناوين عامة مثل رفض الاعتراف بالقدس عاصمة الكيان + +264 +00:21:32,130 --> 00:21:36,650 +الصهيوني والميل إلى إيجاد حل عبر المفاوضات ولا + +265 +00:21:36,650 --> 00:21:41,090 +يمكن فصل مواقف وسياسات الاتحاد الأوروبي اتجاه هذه + +266 +00:21:41,090 --> 00:21:45,950 +المدينة المقدسة عن مواقفه من مجمل الصراع العربي + +267 +00:21:45,950 --> 00:21:51,060 +الصهيوني أيدت الدول الأوروبية تحت تأثير من الكنيسة + +268 +00:21:51,060 --> 00:21:57,740 +الكاثوليكية والفاتيكان قرار تقسيم فلسطين 1947 الذي + +269 +00:21:57,740 --> 00:22:03,600 +صدر في 29 نوفمبر 1947 والذي ينص على تدويل مدينة + +270 +00:22:03,600 --> 00:22:09,090 +القدس ولم توافق على ممارسات الصهيونية في القدس ولا + +271 +00:22:09,090 --> 00:22:13,150 +على اعتبارها عاصمة للكيان الصهيوني لأن الموقف + +272 +00:22:13,150 --> 00:22:17,310 +الأوروبي تراجع عن تأييده لتدويل القدس بسبب توقف + +273 +00:22:17,310 --> 00:22:22,110 +الفاتيكان عن تبني فكرة التدويل طبقًا للبيان الصادر + +274 +00:22:22,110 --> 00:22:27,070 +عن أمانة سر دولة الفاتيكان في 6 نوفمبر 1969 بعد + +275 +00:22:27,070 --> 00:22:31,270 +حرب 67 يعني وطالب فيه البابا طالب فيه البابا و + +276 +00:22:31,270 --> 00:22:34,890 +لأول مرة بعدم تدويل مدينة القدس وأكد البيان على أن + +277 +00:22:34,890 --> 00:22:41,870 +تكون يكون للقدس وضع خاص من خلال أمانة دولية و + +278 +00:22:41,870 --> 00:22:47,480 +حماية مناسبة للأماكن المقدسة وأن يأهد إلى ممثلي + +279 +00:22:47,480 --> 00:22:52,340 +الطوائف اليهودية والمسيحية والإسلامية القاطنة في + +280 +00:22:52,340 --> 00:22:56,160 +المدينة إدارة الحي القديم القسم التاريخي في + +281 +00:22:56,160 --> 00:23:02,020 +المدينة وقت إشراف الكيان الصهيوني شكل ذلك تحولًا + +282 +00:23:02,020 --> 00:23:07,880 +خطيرًا في مواقف سياسة دولة الفاتيكان وهكذا دول + +283 +00:23:07,880 --> 00:23:12,890 +الاتحاد الأوروبي تجاه القدس أيدت الدول الأوروبية + +284 +00:23:12,890 --> 00:23:18,490 +قرار مجلس الأمن 242 والذي لا يجيز احتلال الأراضي + +285 +00:23:18,490 --> 00:23:22,850 +الأخرين بالقوة العسكرية الذي صدر في 1967 بعد + +286 +00:23:22,850 --> 00:23:25,730 +احتلال الصهاينة لباقي فلسطين بما في ذلك القسم + +287 +00:23:25,730 --> 00:23:29,690 +الشرقي لمدينة القدس وطالب القرار الكيان بالانسحاب + +288 +00:23:29,690 --> 00:23:31,470 +من تلك الأراضي وعدم + +289 +00:23:33,940 --> 00:23:38,640 +اتخاذ أي إجراء من شأنه التأثير على نتائج + +290 +00:23:38,640 --> 00:23:43,680 +المفاوضات المزمع إجراءها حول القدس وطرأت تغيرات + +291 +00:23:43,680 --> 00:23:46,400 +تدريجية على المواقف الأوروبية بالمدينة القدس مع + +292 +00:23:46,400 --> 00:23:50,440 +انطلاق الحوار العربي الأوروبي بعد حرب أكتوبر في + +293 +00:23:50,440 --> 00:23:56,120 +1973 حيث صدر عام 1978 بيان مشترك عن اللجنة العامة + +294 +00:23:56,120 --> 00:23:59,700 +للحوار طالب الكيان الصهيوني بالتوقف الفوري عن + +295 +00:23:59,700 --> 00:24:03,020 +القيام بأي عمل من شأنه أن يؤدي إلى تغيير في الوضع + +296 +00:24:03,020 --> 00:24:08,950 +القانوني أو الصيغة الأوروبية أو الجغرافي أو التركيب + +297 +00:24:08,950 --> 00:24:12,190 +السكاني للأراضي المحتلة بما في ذلك مدينة القدس + +298 +00:24:12,830 --> 00:24:17,030 +أصدرت دول المجموعة الأوروبية في عام 1980 بيان + +299 +00:24:17,030 --> 00:24:22,010 +البندقية الذي أكد على الدور المهم الذي تكتسبه قضية + +300 +00:24:22,010 --> 00:24:25,550 +القدس بالنسبة لجميع الأطراف المعنية وأكد البيان + +301 +00:24:25,550 --> 00:24:29,930 +على عدم قبول أي مبادرة تتخذ من جانب واحد تهدف إلى + +302 +00:24:29,930 --> 00:24:34,150 +تغيير وضع مدينة القدس وأن على الكيان الصهيوني وقف + +303 +00:24:34,150 --> 00:24:38,170 +احتلال الأراضي العربية بما فيها القدس اعتبرت بعض + +304 +00:24:38,170 --> 00:24:42,510 +الأطراف العربية الموقف الأوروبي تطورًا كبيرًا فيما نظر + +305 +00:24:42,510 --> 00:24:46,390 +إليه آخرون على أنه غير كافٍ خاصة فيما يتعلق بالقدس + +306 +00:24:46,390 --> 00:24:52,170 +انتقد الكيان الصهيوني الدول الأوروبية التي لا تظهر + +307 +00:24:52,170 --> 00:24:57,270 +خيارًا كاملًا خاصة بعد قيام عدد من المبعوثين + +308 +00:24:57,270 --> 00:25:02,270 +الأوروبيين والصفراء بالاجتماع مع فيصل الحسيني + +309 +00:25:02,270 --> 00:25:05,830 +ومسؤولين فلسطينيين آخرين في بيت الشرق في القدس حيث + +310 +00:25:05,830 --> 00:25:09,110 +أرسلت الحكومة الصهيونية مذكرة إلى رئاسة الاتحاد + +311 +00:25:09,110 --> 00:25:11,890 +الأوروبي اعتبرت فيها القدس عاصمة موحدة للكيان + +312 +00:25:14,340 --> 00:25:18,520 +الموقف الأوروبي تراجع بعد مؤتمر مدريد للسلام 1991 + +313 +00:25:18,520 --> 00:25:22,220 +بسبب تعنت الكيان الصهيوني في التعامل مع مطالب دول + +314 +00:25:22,220 --> 00:25:24,560 +المجموعة الأوروبية وعدم استماعه لولايات المتحدة + +315 +00:25:24,560 --> 00:25:29,040 +الأمريكية لأن + +316 +00:25:29,040 --> 00:25:35,440 +أمريكا لم تسمح ولم تعطي لأوروبا أن تلعب أي دور في + +317 +00:25:35,440 --> 00:25:39,460 +المفاوضات وكذلك بسبب تأجيل قضية القدس حسب اتفاق + +318 +00:25:39,460 --> 00:25:45,650 +أوسلو 1993 أجلت قضية القدس إلى مفاوضات الحل النهائي + +319 +00:25:45,650 --> 00:25:49,030 +بين الفلسطينيين والصهاينة إلا أن الاتحاد الأوروبي + +320 +00:25:49,030 --> 00:25:52,050 +كان يرى أن الوضع النهائي للقدس لابد أن يتحدد في + +321 +00:25:52,050 --> 00:25:58,870 +المباحثات النهائية دون أن يحدد طرف واحد في 1995، + +322 +00:25:58,870 --> 00:26:01,810 +رفض الأوروبيون المشاركة في احتفالات القدس في 3000 + +323 +00:26:01,810 --> 00:26:06,070 +عام التي أقامتها صهيونية في القدس وقال ممثلون الاتحاد + +324 +00:26:06,070 --> 00:26:08,450 +الأوروبي إن المشاركة الأوروبية في الاحتفالات قد + +325 +00:26:08,450 --> 00:26:13,450 +تفسر على أنها دعم للسياسة الصهيونية تجاه القدس يمكن + +326 +00:26:13,450 --> 00:26:19,350 +تلخيص الموقف الأوروبي من القدس كما تلاحظوا الموقف + +327 +00:26:19,350 --> 00:26:24,230 +الأوروبي أفضل بكثير من الموقف الأمريكي واحد الموقف + +328 +00:26:24,230 --> 00:26:27,890 +الأوروبي رفض الاعتراف بالقدس عاصمة للكيان والتأكيد + +329 +00:26:27,890 --> 00:26:32,230 +على أنها مدينة محتلة وتعليق نقل السفارة سفارات دول + +330 +00:26:32,230 --> 00:26:34,510 +الاتحاد الأوروبي إلى القدس إلى حين التوصل إلى + +331 +00:26:34,510 --> 00:26:38,380 +تسوية نهائية بشأن المدينة من خلال المفاوضات رفض + +332 +00:26:38,380 --> 00:26:43,340 +الاعتراف بالقدس عاصمة رفض نقل السفارة رفض نقل + +333 +00:26:43,340 --> 00:26:46,980 +السفارة إلى القدس امتنعت الدول الأوروبية من القيام + +334 +00:26:46,980 --> 00:26:49,660 +بأي عمل من شأنه أن يفسر على أنه اعتراف ضمني + +335 +00:26:49,660 --> 00:26:53,880 +بالاحتلال الصهيوني للقدس ويضفي الشرعية ثانيًا تأكيد + +336 +00:26:53,880 --> 00:26:56,160 +على ضرورة انسحاب الصهاينة من الأراضي العربية + +337 +00:26:56,160 --> 00:26:59,540 +المحتلة ومقدمتها القدس وحق الشعب الفلسطيني في + +338 +00:26:59,540 --> 00:27:04,840 +تقرير مصيره وإقامة دولته واحد الموقف الأوروبي رفض + +339 +00:27:04,840 --> 00:27:08,900 +الاعتراف بالقدس رفض أن تكون عاصمة للكيان الصهيوني + +340 +00:27:08,900 --> 00:27:14,940 +رفض نقل السفارة لم يدم الاتحاد الأوروبي حساسًا بأن + +341 +00:27:14,940 --> 00:27:20,320 +يقوم بأي تصرف أي سلوك يُفهم من خلاله أنه يدعم + +342 +00:27:20,320 --> 00:27:26,600 +الاحتلال الصهيوني ويدعم ويقر ويضفي شرعية لاحتلال + +343 +00:27:26,600 --> 00:27:30,600 +الصهيوني لمدينة القدس وأنها عاصمة ومن حق الصهاينة + +344 +00:27:31,550 --> 00:27:34,730 +دائمًا يؤكد على انسحاب الاحتلال الصهيوني من الأراضي + +345 +00:27:34,730 --> 00:27:38,210 +الفلسطينية المحتلة ومن حق الشعب الفلسطيني تقرير + +346 +00:27:38,210 --> 00:27:42,890 +مصيره، دائمًا يكرر هذه العبارات، ودائمًا رفض السياسة + +347 +00:27:42,890 --> 00:27:46,050 +الصهيونية في تهويد مدينة القدس مع إدانة الكيان + +348 +00:27:46,050 --> 00:27:49,290 +الصهيوني بسبب مواصلة تهويد المدينة والدعوة + +349 +00:27:49,290 --> 00:27:51,950 +للامتثال التام لجميع قرارات الأمم المتحدة + +350 +00:27:51,950 --> 00:27:56,150 +بالطابع التاريخي الخاصة بالطابع التاريخي للقدس، + +351 +00:27:56,150 --> 00:28:00,710 +دائمًا يدين الصهاينة، عدم الاعتراف بقرارات الكنيسة + +352 +00:28:00,710 --> 00:28:04,010 +الصهيونية اعتبار مدينة القدس موحدة وأنها عاصمة + +353 +00:28:04,010 --> 00:28:08,050 +للكيان تأييد القرارات الصادرة عن الأمم المتحدة + +354 +00:28:08,050 --> 00:28:12,050 +التي تطالب الدول الأعضاء التي لها سفارات في القدس + +355 +00:28:12,050 --> 00:28:16,470 +بسحبها وتؤكد على عدم شرعية الإجراءات الصهيونية + +356 +00:28:16,470 --> 00:28:21,090 +الخاصة في القدس والقرارات التي تشجب دائمًا نقل بعض + +357 +00:28:21,090 --> 00:28:30,800 +الدول لسفاراتها للقدس هذا موقف الاتحاد الأوروبي إذا + +358 +00:28:30,800 --> 00:28:35,800 +الموقف الاتحاد الأوروبي هو موقف هو موقف أفضل بكثير + +359 +00:28:35,800 --> 00:28:38,560 +من موقف الولايات المتحدة الأمريكية موقف الاتحاد + +360 +00:28:38,560 --> 00:28:43,320 +الأوروبي نلخصه نستطيع أن نلخصه أنه يرفض احتلال + +361 +00:28:43,320 --> 00:28:47,880 +القدس يرفض الاحتلال الأوروبي أن القدس عاصمة يرفض + +362 +00:28:47,880 --> 00:28:51,660 +التوسع في مدينة القدس والسيطرة والسيطرة على الأراضي + +363 +00:28:51,660 --> 00:28:56,700 +الاتحاد الأوروبي لن ينقل سفاراته إلى القدس ويرفض + +364 +00:28:56,700 --> 00:28:59,920 +نقل السفارات إلى القدس دائمًا الاتحاد الأوروبي راعي + +365 +00:29:00,030 --> 00:29:03,970 +عدم القيام بأي سلوك بأي تصرف دبلوماسي سياسي قد + +366 +00:29:03,970 --> 00:29:12,310 +يفهم منه أنه يشرعن سيطرة الاحتلال على مدينة القدس + +367 +00:29:12,310 --> 00:29:15,770 +دائمًا الاتحاد الأوروبي يدعم حق الشعب الفلسطيني في + +368 +00:29:15,770 --> 00:29:21,800 +تقرير مصيره لكن نقول وبكل صراحة أن أوسلو ومؤتمر + +369 +00:29:21,800 --> 00:29:25,120 +مدريد للسلام قَطَعَا الطريق على الاتحاد الأوروبي هم + +370 +00:29:25,120 --> 00:29:30,760 +الذين عملوا على إعاقة التعبير عن موقف الاتحاد + +371 +00:29:30,760 --> 00:29:34,720 +الأوروبي أضعفوا موقف الاتحاد الأوروبي يعني كان + +372 +00:29:34,720 --> 00:29:40,760 +موقف الاتحاد الأوروبي أفضل من أوسلو بالنسبة للقضية + +373 +00:29:40,760 --> 00:29:44,620 +الفلسطينية فنحن الذين جمدنا موقف الاتحاد الأوروبي + +374 +00:29:44,620 --> 00:29:49,380 +ودفعناه إلى الضعف وبالتالي لعلنا من خلال هذا + +375 +00:29:49,380 --> 00:29:56,640 +الاستعراض نعرف أو نشير إلى خطورة أوسلو كيف أوسلو + +376 +00:29:56,640 --> 00:30:00,000 +أضرت بالقضية الفلسطينية + +377 +00:30:03,660 --> 00:30:10,800 +نكتفي اليوم بهذا القدر، اللقاء القادم إن شاء الله + +378 +00:30:10,800 --> 00:30:17,460 +سنتحدث عن الموقف الروسي تجاه مدينة القدس، الموقف + +379 +00:30:17,460 --> 00:30:23,620 +الاتحاد السوفيتي من قضية القدس وسنقوم + +380 +00:30:23,620 --> 00:30:30,060 +بتلخيص الموقف الأمريكي والموقف الأوروبي أيضًا إلى + +381 +00:30:30,060 --> 00:30:30,400 +اللقاء diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/byC38XuSUbs_raw.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/byC38XuSUbs_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..ab091110b1982b93b7c4a7032fbf405d710438b8 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/byC38XuSUbs_raw.srt @@ -0,0 +1,772 @@ +1 +00:00:05,210 --> 00:00:09,370 +بسم الله الرحمن الرحيم الحمد لله رب العالمين و + +2 +00:00:09,370 --> 00:00:12,590 +الصلاة والسلام على قائد المجاهدين محمد صلى الله + +3 +00:00:12,590 --> 00:00:19,770 +عليه وسلم أهلا وسهلا بكم في لقاء جديد من تاريخ + +4 +00:00:19,770 --> 00:00:26,270 +مدينة القدس اليوم سنتحدث ان شاء الله عن الاستيطان + +5 +00:00:26,270 --> 00:00:31,200 +في مدينة القدس الاستيطان الصهيوني في مدينة القدسفي + +6 +00:00:31,200 --> 00:00:37,220 +المحاضرة السابقة تحدثنا عن الاحتلال البريطاني وكيف + +7 +00:00:37,220 --> 00:00:45,440 +ما هدت بريطانيا وساعدت بريطانيا الصهاينة في ترسيخ + +8 +00:00:45,440 --> 00:00:52,800 +وجودهم في مدينة القدس وفي فلسطين وتحدثنا كيف كانت + +9 +00:00:52,800 --> 00:00:58,370 +نكبة فلسطين وكيف كان دور بريطانياالتي أعطت وعد + +10 +00:00:58,370 --> 00:01:02,970 +بلفور والتي احتلت فلسطين قرابة ثلاثون عاما والتي + +11 +00:01:02,970 --> 00:01:07,650 +رفعت القضية للأمم المتحدة حتى صدر قرار تقسيم + +12 +00:01:07,650 --> 00:01:13,370 +فلسطين في قرار 181 في 29 نوفمبر 22 1947 + +13 +00:01:15,730 --> 00:01:22,050 +وكيف كانت بريطانيا داعما قويا للصهاين والإسابات + +14 +00:01:22,050 --> 00:01:26,690 +الصهيونية أثناء حرب النكبة 1948 وكيف كانت بريطانيا + +15 +00:01:26,690 --> 00:01:31,690 +أيضا مؤسسة لجامعة الدول العربية التي كان لها دور + +16 +00:01:31,690 --> 00:01:39,070 +حقيقة حافظة على الكيان الصهيوني الذي ولد حديثا في + +17 +00:01:39,070 --> 00:01:46,300 +عام 1948 وبعدها على أي حالفي عام 1948 الصهاينة + +18 +00:01:46,300 --> 00:01:52,200 +احتلوا أجزاء من مدينة القدس احتلوا الجزء الغربي من + +19 +00:01:52,200 --> 00:01:58,500 +مدينة القدس وفي عام 1967 احتلوا الجزء الشرقي من + +20 +00:01:58,500 --> 00:02:02,220 +مدينة القدس أي احتلوا كل مدينة القدس الآن في عام + +21 +00:02:02,220 --> 00:02:10,080 +1967 بدأت عمليات الاستيطان بشكل قوي وملحوظ وواضح + +22 +00:02:10,080 --> 00:02:17,530 +ومدعومة بالقوانينمدعومة بالأنظمة للدولة مدعومة + +23 +00:02:17,530 --> 00:02:24,290 +بالميزانيات الضخمة والمخططات وهكذا كل رئيس وزراء + +24 +00:02:24,290 --> 00:02:28,930 +رئيس حكومة لهذه الدولة كان يأتي كان إذا أراد أن + +25 +00:02:28,930 --> 00:02:35,450 +يثبت جدارته كان يقوم بتنفيذ عدد من المخططات في + +26 +00:02:35,450 --> 00:02:39,150 +مدينة القدس للاستحواذ على هذه المدينة وقبل أن أخد + +27 +00:02:39,150 --> 00:02:45,110 +في التفاصيل أريدأن أشرح لكم قضية مهمة وهذه القضية + +28 +00:02:45,110 --> 00:02:53,310 +تلخص كل ما سنتحدثه اليوم الصهاينة يدعوا للعالم أن + +29 +00:02:53,310 --> 00:02:58,130 +مدينة القدس هي عاصمة الكيان الصهيوني وهي لهم ولهم + +30 +00:02:58,130 --> 00:03:07,330 +فيها إرث تاريخي وهذا باطل كيف سيروجو ذلكومدينة + +31 +00:03:07,330 --> 00:03:14,350 +القدس أغلب سكانها من العرب الفلسطينيين فهذا مناقض + +32 +00:03:14,350 --> 00:03:21,130 +لترويجهم ودعايتهم فبالتالي الهدف الأساس لهم هو + +33 +00:03:21,130 --> 00:03:27,270 +إفراغ المدينة من سكانها وأصحابها الشرعيين + +34 +00:03:27,270 --> 00:03:34,170 +واستبدالهم بالصهاينة الذين يأتوا من خارج فلسطين + +35 +00:03:35,170 --> 00:03:41,090 +يريدوا أن تكون الغلبة والأغلبية في مدينة القدس + +36 +00:03:41,090 --> 00:03:48,810 +للصهاينة و هكذا كيف يحدث ذلك؟ هنا التفاصيل كيف + +37 +00:03:48,810 --> 00:03:54,690 +يحدث ذلك على سبيل المثال الصهاينة لديهم قاعدة تقول + +38 +00:03:54,690 --> 00:04:02,330 +مزيدا من الأرض مزيدا من الأرض قليل من العرب كثير + +39 +00:04:02,330 --> 00:04:07,340 +من اليهودمزيدا من الأرض في مدينة القدس نوسع مدينة + +40 +00:04:07,340 --> 00:04:12,260 +القدس و لكن هل نوسع مدينة القدس و نضم لها القرى + +41 +00:04:12,260 --> 00:04:19,020 +الفلسطينية و العربية المجاورة لا نوسع مدينة القدس + +42 +00:04:19,020 --> 00:04:25,520 +و نضم لها المستوطنات التي يتواجد فيها الصهاينة و + +43 +00:04:25,520 --> 00:04:32,040 +هكذا مزيدا من الأرض القدس الكبرى ال metropolitan + +44 +00:04:33,630 --> 00:04:40,910 +قليل من العرب كثير من اليهود لذلك تجد أن المدينة + +45 +00:04:40,910 --> 00:04:48,790 +الوحيدة في التاريخ التيالتي حدودها متعرجة غريبة + +46 +00:04:48,790 --> 00:04:54,430 +متعرجة حدودها تجد أن مدينة القدس الحدود تتعرج + +47 +00:04:54,430 --> 00:04:59,090 +الحدود التي صنعها الاحتلال طبعا تتعرج لماذا لأن + +48 +00:04:59,090 --> 00:05:03,370 +الصهاينة أنشأوا عدد من البقع الاستيطانية حول مدينة + +49 +00:05:03,370 --> 00:05:11,560 +القدس وأسكنوا فيها آلاف الصهاينة الآن عندماوماذا + +50 +00:05:11,560 --> 00:05:16,960 +يفعلوا يوسعوا مدينة القدس وتأتي أسوار مدينة وحدود + +51 +00:05:16,960 --> 00:05:22,180 +مدينة القدس إلى هذه المستوطنات وتضمها إلى المدينة + +52 +00:05:22,180 --> 00:05:29,400 +وهنا لدينا قرية عربية فهذه الحدود هذه الحدودتخرج + +53 +00:05:29,400 --> 00:05:33,060 +عن القرية العربية تلتف حول القرية العربية ولا + +54 +00:05:33,060 --> 00:05:38,060 +تدخلها في مدينة القدس الهدف نريد أن ندخل الصهاينة + +55 +00:05:38,060 --> 00:05:42,040 +في تعداد السكان في مدينة القدس نريد أن نخرج العرب + +56 +00:05:42,040 --> 00:05:47,520 +من تعداد السكان في مدينة القدس هذا هو القانون هذا + +57 +00:05:47,520 --> 00:05:53,440 +نظرة شاملة لما يحدث لمدينة القدس فلا تستغربواان + +58 +00:05:53,440 --> 00:05:58,760 +قلت لكم هناك قوانين في مدينة القدس غريبة قوانين + +59 +00:05:58,760 --> 00:06:04,660 +سحب الهويات قوانين الطرد قوانين الاستملاك قوانين + +60 +00:06:04,660 --> 00:06:10,000 +كثيرة يعني على سبيل المثال من يتخيل من يعيش يعيش + +61 +00:06:10,000 --> 00:06:18,180 +خارج مدينة القدس سبع سنوات يتم سحب الهوية منهمن + +62 +00:06:18,180 --> 00:06:23,400 +يتخيل ذلك؟ من يتخيل من حصل على إقامة في بلد آخر + +63 +00:06:23,400 --> 00:06:32,110 +يتم سحب جنسيته المقدسية؟ من يتخيل ذلك؟وهكذا عشرات + +64 +00:06:32,110 --> 00:06:38,330 +مئات القوانين التي وضعت وفُصلت على مقاس الصهاينة + +65 +00:06:38,330 --> 00:06:44,530 +بالضبط من أجل جعل الصهاينة أغلبية في مدينة القدس + +66 +00:06:44,530 --> 00:06:48,970 +وطرد الفلسطيني صاحب الأرض الشرعية إلى التفاصيل + +67 +00:06:52,390 --> 00:06:58,110 +من المعلوم أنه سقط الجزء الشرقي من مدينة القدس في + +68 +00:06:58,110 --> 00:07:04,390 +قبضة الاحتلال عام 67 كما أسلفنا وخلال الثلاث + +69 +00:07:04,390 --> 00:07:07,810 +أسابيع الأولى التي تلت الاحتلال وقبل ضم المدينة + +70 +00:07:07,810 --> 00:07:12,530 +رسميا قامت السلطات الصهيونية بدمج شطري المدينة + +71 +00:07:12,530 --> 00:07:17,920 +بإزالة بوابةمن دول باوم ومدت شبكة الباصات + +72 +00:07:17,920 --> 00:07:21,520 +الإسرائيلية خطوطها بين قسمي المدينة وجراء توحيد + +73 +00:07:21,520 --> 00:07:25,700 +البنية التحتية بينهما واضيفة اللغة العبرية على + +74 +00:07:25,700 --> 00:07:31,580 +أسماع الشوارع بمجرد ما احتلوا مدينة القدس في ال 67 + +75 +00:07:31,580 --> 00:07:39,240 +الجزء الشرقي فتحواالجزء الشرقي على الغربي ووحدوا + +76 +00:07:39,240 --> 00:07:46,400 +الخدمات الصحية ووحدوا كل شيء ومدوا شركة الباصات + +77 +00:07:46,400 --> 00:07:54,360 +تدخل هنا و هناك وكل شيء وحده هذا .. هذا بداية + +78 +00:07:54,360 --> 00:07:59,640 +للانقضاط على المدينة للانقضاط على المدينة وبداية + +79 +00:07:59,640 --> 00:08:04,370 +لمشروع القدس الكبرىبدأت إجراءات السيطرة الرسمية + +80 +00:08:04,370 --> 00:08:07,270 +على المدينة من خلال إجراء إحصاء سكاني للمناطق التي + +81 +00:08:07,270 --> 00:08:13,790 +سيتم ضمها نعم أجروا إحصاءا سكانيا ليعرفوا كم هنا + +82 +00:08:13,790 --> 00:08:18,970 +من اليهود كم هنا من المستوطنات كم هنا لو أضفنا + +83 +00:08:18,970 --> 00:08:23,030 +هؤلاء إلى المدينة كم تصبح نسبة اليهود من سكان + +84 +00:08:23,030 --> 00:08:30,410 +المدينة تم اصداف ثلاث قوانين بتاريخ 27.6.67 وهي + +85 +00:08:30,410 --> 00:08:35,490 +قانون أنظمة السلطةوالقضاء قانون تعديل قانون + +86 +00:08:35,490 --> 00:08:40,510 +البلديات قانون المحافظة على الأماكن المقدسة كلها + +87 +00:08:40,510 --> 00:08:47,830 +قوانين تهدف للسيطرة على مدينة القدس ثم صدرت سلسلة + +88 +00:08:47,830 --> 00:08:53,570 +قوانين أخرى لاستكمال السيطرة السياسية والقانونية + +89 +00:08:53,570 --> 00:09:01,340 +على المدينة تأمل قانون أملاك الغائبينيعني الأراضي + +90 +00:09:01,340 --> 00:09:06,300 +التي أصحابها غير متواجدين في مدينة القدس يسيطر + +91 +00:09:06,300 --> 00:09:13,220 +عليها الصهاينة قانون التعويض هو تعويض الصهاينة عن + +92 +00:09:13,220 --> 00:09:20,700 +أملاكهمقبل عام 1948 في مدينة القدس قانون استرجاع + +93 +00:09:20,700 --> 00:09:25,600 +اليهود لعقاراتهم في البلدة القديمة صدر في 68 1968 + +94 +00:09:25,600 --> 00:09:30,260 +قانون الإشراف على المنازل الذي صدر في عام 1969 + +95 +00:09:30,260 --> 00:09:37,960 +قانون الاستملاك الاستملاك يعني الدولة تستطيع أن + +96 +00:09:37,960 --> 00:09:44,260 +تضع يدها على أي قطعة أرض رغم أن صاحب هذه القطعة + +97 +00:09:45,580 --> 00:09:52,560 +بحجة أنها تريد تريد هذه القطعة أن تنشئ فيها مرفقا + +98 +00:09:52,560 --> 00:09:59,360 +يخدم الدولة وهكذا قانون الدخول إلى إسرائيل 1952 + +99 +00:09:59,360 --> 00:10:06,280 +وكأن الصهاينة هم الذين كأن الفلسطيني هو الذي جاء + +100 +00:10:06,280 --> 00:10:14,860 +إلى فلسطين هو الدخيلعكس الآية هم الدخلاء ينظم من + +101 +00:10:14,860 --> 00:10:19,740 +يدخل ومن يخرج وكيف تخرج وكيف تنظم كل ذلك من أجل + +102 +00:10:19,740 --> 00:10:24,760 +الطرد الفلسطيني من مدينة القدس قانون العودة قانون + +103 +00:10:24,760 --> 00:10:32,200 +العودة بوضع تلك القوانين من قبل حزب العمل طبعا هو + +104 +00:10:32,200 --> 00:10:37,920 +الذي كان يحكم في تلك الحقبةهذه القوانين التي وضعها + +105 +00:10:37,920 --> 00:10:43,900 +حزب العمل تم بها وضع اللبن الأولى للسيطرة على + +106 +00:10:43,900 --> 00:10:51,180 +المدينة أسسوا للسيطرة كل ما يأتي بعد ذلك هويُبنى + +107 +00:10:51,180 --> 00:10:56,140 +على هذه القوانين حيث أصدرت مرسوما يستند إلى قانون + +108 +00:10:56,140 --> 00:11:00,680 +أنظمة السلطة والقضاء لسنة 48 ويسري بموجبه قانون + +109 +00:11:00,680 --> 00:11:05,140 +الدولة وقضاؤها وإدارتها على مساحة تبلغ نحو 72 ألف + +110 +00:11:05,140 --> 00:11:12,080 +دنم منها 6 كيلومتر مربع كانت ضمن حدود أمانة القدس + +111 +00:11:12,580 --> 00:11:15,340 +وتضم تلك المساحة القدس القديمة بالإضافة إلى + +112 +00:11:15,340 --> 00:11:18,600 +المناطق المحيطة بها والتي تمتد من سورباهر جنوبا + +113 +00:11:18,600 --> 00:11:26,360 +إلى مطار قالنديا شمالا رسمت حدود المنطقة بناء هذه + +114 +00:11:26,360 --> 00:11:33,760 +الحدود رسمت بناء على منظور أمني ودمجرافيأصدر وزير + +115 +00:11:33,760 --> 00:11:36,460 +داخلية الاحتلال أعلانا في الجريدة الرسمية يقضي + +116 +00:11:36,460 --> 00:11:40,320 +بإلحاق منطقة القدس الموسعة بمنطقة صلاحية مجلس + +117 +00:11:40,320 --> 00:11:45,700 +بلدية القدس اليهودي وبذلك توسعت منطقة الصلاحية + +118 +00:11:45,700 --> 00:11:47,340 +ثلاث أضعاف + +119 +00:11:50,710 --> 00:11:55,410 +زادت المساحة ثلاث أضعاف من مجموع مساحة يعني ما + +120 +00:11:55,410 --> 00:11:59,210 +يمثل تقريبا ما يمثل تقريبا 20% من مساحة الضفة + +121 +00:11:59,210 --> 00:12:04,510 +الغربية قررت حكومة الاحتلال أن تفوض إلى رئيسها + +122 +00:12:04,510 --> 00:12:08,130 +تسريع عمليات البناء والاسكان في القدس الكبراء تبع + +123 +00:12:08,130 --> 00:12:16,800 +ذلك مباشرة حل أمانة القدس العربية في عام 80 1980تم + +124 +00:12:16,800 --> 00:12:23,300 +إصدار قانون أساسي القدس عاصمة إسرائيل قانون كبير + +125 +00:12:23,300 --> 00:12:31,600 +من عدة مواد القدس عاصمة إسرائيل 1980 المادة الأولى + +126 +00:12:31,600 --> 00:12:37,100 +منه تقول أن القدس الكامل الموحدة عاصمة إسرائيل + +127 +00:12:37,920 --> 00:12:43,480 +المادة الثانية تقول القدس هي مقر رئيس الدولة + +128 +00:12:43,480 --> 00:12:49,080 +والكنيسة والحكومة والمحكمة العليا بدأوا يجعلوا من + +129 +00:12:49,080 --> 00:12:54,160 +هذا أمرا واقعا ينقلوا كل المرافق الحكومية + +130 +00:12:54,160 --> 00:13:00,520 +والسيادية في دولة الاحتلال إلى مدينة القدسالمادة + +131 +00:13:00,520 --> 00:13:05,780 +الرابعة تخصص الحكومة موارد خاصة من أجل تطوير القدس + +132 +00:13:05,780 --> 00:13:10,730 +بما فيها منحة العاصمة و هي منحة سنويةفرضوا ما يسمى + +133 +00:13:10,730 --> 00:13:16,170 +بمنحة العاصمة أي ميزانيات إضافية لمدينة القدس من + +134 +00:13:16,170 --> 00:13:22,310 +أجل التطوير هو من أجل تنفيذ مشاريع الطرد للفلسطيني + +135 +00:13:22,310 --> 00:13:28,110 +والاستحواذ على أرض الفلسطينيين واستيطان الصهاينة + +136 +00:13:28,110 --> 00:13:31,810 +كانت الكنيسة مواقف دائمة لضم المدينة واستيطان كل + +137 +00:13:31,810 --> 00:13:38,460 +جزء منها واعتبارها عاصمة الدولةالاستيطان ومخططاته + +138 +00:13:38,460 --> 00:13:43,440 +في القدس بعد سبعة وستين شكلت القدس نقطة استقطاب + +139 +00:13:43,440 --> 00:13:47,060 +وتنافس بين الهيئات والوزارات الإسرائيلية العاملة + +140 +00:13:47,060 --> 00:13:51,640 +في مجال التخطيط والاستيطان نعم الكل يتنافس الكل + +141 +00:13:51,640 --> 00:13:56,520 +يريد أن ينهش يسرق ينفذ مخططاته في مدينة القدس كل + +142 +00:13:56,520 --> 00:14:00,540 +الوزارات وزارة الأديان وضعت يدها على ممتلكات + +143 +00:14:00,540 --> 00:14:06,000 +البلدية العربيةوبدأت وحدة إسكان القدس التي أقيمت + +144 +00:14:06,000 --> 00:14:10,520 +بعد الحرب بالتخطيط لإقامة مستوطنات جديدة وعتبرت + +145 +00:14:10,520 --> 00:14:15,040 +أجهزة وسلطات الاحتلال القدس مجالا لتحقيق أهدافها + +146 +00:14:15,040 --> 00:14:22,170 +المختلفة مما شوّه طابع المدينة التاريخيجاء + +147 +00:14:22,170 --> 00:14:26,730 +الاندفاع الاستيطاني الحكومي مبكرا ففي أول جلسة + +148 +00:14:26,730 --> 00:14:31,210 +للحكومة بعد الحرب بيوم وقبل قرار ضم المدينة رسميا + +149 +00:14:31,210 --> 00:14:36,330 +اتخذت الحكومة الاحتلال قارانا ببدء استيطان المدينة + +150 +00:14:36,330 --> 00:14:45,610 +وطالة من وزير المالية تخصيص عشرة مليون ليرة على + +151 +00:14:45,610 --> 00:14:50,960 +الفور لهذا الغرض بدأت ترصد الميزانيات فورابدأت + +152 +00:14:50,960 --> 00:14:54,680 +الميزانيات تُرصد فورًا وتخصص الميزانيات فورًا من + +153 +00:14:54,680 --> 00:14:58,220 +أجل الاستيطان في مدينة القدس وتغيير الديمографيا + +154 +00:14:58,220 --> 00:15:02,860 +في مدينة القدس في 10 يوليو 1967 عين رئيس الحكومة + +155 +00:15:02,860 --> 00:15:15,140 +أشكول يهود تعمير نائب المدير + +156 +00:15:15,140 --> 00:15:18,380 +العام لوزارة الإسكان مسئول عن توطين القدس الشرقية + +157 +00:15:18,960 --> 00:15:22,300 +في 18 أغسطس من نفس العام اتخذت الحكومة قرار آخر + +158 +00:15:22,300 --> 00:15:25,900 +يفوض رئيس الحكومة تسريع عمليات البناء والاسكان في + +159 +00:15:25,900 --> 00:15:30,280 +القدس الكبرى وهو ما تم التعبير عنه بحقائق + +160 +00:15:30,280 --> 00:15:36,360 +استيطانية على الأرض وبدأت بلدية الاحتلال في القدس + +161 +00:15:36,360 --> 00:15:42,680 +القديمة في تهويد القدس القديمة والقدس الشرقية في + +162 +00:15:42,680 --> 00:15:47,310 +سياق ذلك أعلنشابيرة وزير الداخلية توسيق حدود + +163 +00:15:47,310 --> 00:15:57,770 +المدينة القدس من 37 ألف دنوم إلى 110 ألف دنوم قدم + +164 +00:15:57,770 --> 00:16:03,050 +شموئيل نامير عام 1971 مشروعا أمام الكنيسة تسميها + +165 +00:16:03,050 --> 00:16:06,730 +مشروع القدس الكبرى لتشمل بالإضافة إلى القدس ثلاث + +166 +00:16:06,730 --> 00:16:12,010 +مدن و 27 قرية فلسطينية + +167 +00:16:14,970 --> 00:16:22,670 +مشروع نامير 1971 هو مشروع القدس الكبرى لتصبح القدس + +168 +00:16:22,670 --> 00:16:30,610 +تشمل تلت مدن و 27 قرية فلسطينية كل ذلك من أجل + +169 +00:16:30,610 --> 00:16:34,770 +توسيع مدينة القدس وتغيير الديمографيا في مدينة + +170 +00:16:34,770 --> 00:16:41,470 +القدس التخطيط الاستيطاني للقدس الإدارية لعمليات + +171 +00:16:42,460 --> 00:16:46,020 +الاستراتيجية والجغرافية اعتمد السلطات الاحتلال + +172 +00:16:46,020 --> 00:16:50,260 +جملة من المحددات السياسية التخطيط والتنظيم الخاص + +173 +00:16:50,260 --> 00:17:00,060 +بالقدس كان من أهمها هناك قواعد قواعد للصهاينة تهدف + +174 +00:17:00,060 --> 00:17:06,060 +كل هذه العمليات لبناء هذه القواعد، دعم هذه القواعد + +175 +00:17:06,060 --> 00:17:10,920 +ضمان وحدة المدينة أول قاعدة يريد أن تكون مدينة + +176 +00:17:10,920 --> 00:17:15,520 +واحدةمدينة واحدة لماذا؟ لكي يستحوذوا على كل هذه + +177 +00:17:15,520 --> 00:17:20,320 +المدينة اتنين سياسة سياسية لإسرائيل الاعتبار القدس + +178 +00:17:20,320 --> 00:17:26,720 +الموحد والموسعة ضرورة جيو سياسية لإسرائيل وتلاتة + +179 +00:17:26,720 --> 00:17:30,620 +توسيع ممر القدس إنشاء مراكز استيطانية لليهود في + +180 +00:17:30,620 --> 00:17:33,280 +شرق القدس واعادة بناء الحي اليهودي في البلدة + +181 +00:17:33,280 --> 00:17:36,940 +القديمة إحاطة القدس بعدد من الأطواق الاستيطانية + +182 +00:17:36,940 --> 00:17:44,240 +المتداخلة سياسة أو مشروع الـ Metropolitanتمكن + +183 +00:17:44,240 --> 00:17:47,520 +يهودة نامير نائب المدير العام لوزارة الإسكان + +184 +00:17:47,520 --> 00:17:51,740 +منبلورة أول خطوة استيطانية شاملة للقدس بخصوص توطين + +185 +00:17:51,740 --> 00:17:54,740 +اليهود في شرقية القدس بعد عام واحد من احتلال + +186 +00:17:54,740 --> 00:18:01,980 +المدينة ثم توالت بعد ذلك الخطط التي كان منها ومن + +187 +00:18:01,980 --> 00:18:06,760 +أخطرها على الإطلاق المخطط الرئيس للقدس وقد تم في + +188 +00:18:06,760 --> 00:18:11,260 +عهد حزب العمل حتى صيف سبعة وسبعين وضع الأساسات + +189 +00:18:11,260 --> 00:18:19,220 +اللازمةللاستيطان في القدس وتهويد المدينة ورسّخت + +190 +00:18:19,220 --> 00:18:27,200 +التواصل الاستيطاني بين قسمي القدس وكان مهما لصياغة + +191 +00:18:27,200 --> 00:18:33,420 +القدس وإنتاج فيما بعد القدس الكبرى نكتفي اليوم + +192 +00:18:33,420 --> 00:18:39,180 +بهذا القدر ونواصل ان شاء الله في اللقاء القادم + +193 +00:18:39,180 --> 00:18:39,960 +بإذن الله + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/eCStA69gXcc_raw.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/eCStA69gXcc_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..f4a9c0fa0ec2f133ed35585fd5228165032e0632 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/eCStA69gXcc_raw.srt @@ -0,0 +1,976 @@ +1 +00:00:03,290 --> 00:00:06,190 +أعوذ بالله السماء العليم من الشيطان الرجيم بسم + +2 +00:00:06,190 --> 00:00:10,010 +الله الرحمن الرحيم الحمد لله رب العالمين والصلاة + +3 +00:00:10,010 --> 00:00:14,570 +والسلام على قائد المجاهدين محمد صلى الله عليه وسلم + +4 +00:00:14,570 --> 00:00:23,110 +طلاب طالباتنا الأعزاء أهلا وسهلا بكم في هذا اللقاء + +5 +00:00:23,110 --> 00:00:27,270 +الطيب المبارك نسأل الله سبحانه وتعالى أن يكتبه في + +6 +00:00:27,270 --> 00:00:32,820 +ميزان حسناتنا وحسناتكم يوم القيامةاليوم إن شاء + +7 +00:00:32,820 --> 00:00:39,860 +الله هو اللقاء الأول لمثاق تاريخ مدينة القدس هذا + +8 +00:00:39,860 --> 00:00:47,210 +المثاق هو من أجمل وأروع المثاقاتفي المصاقات + +9 +00:00:47,210 --> 00:00:51,110 +المقررة في الجامعة الإسلامية في غزة خصوصا أنه + +10 +00:00:51,110 --> 00:00:56,090 +يتحدث عن مدينة القدس ومدينة القدس هي من أقدس + +11 +00:00:56,090 --> 00:01:00,430 +مقدسات العالم الإسلامي وجديرا بنا أن نتعلم عن + +12 +00:01:00,430 --> 00:01:04,640 +مدينة القدس ونعرف تاريخ هذه المدينةالتي تعدّه الآن + +13 +00:01:04,640 --> 00:01:11,260 +هي محور الصراع بيننا وبين الصهاينة أولا أنا سأريكم + +14 +00:01:11,260 --> 00:01:18,680 +الكتاب المقرر الذي سنعتمده لهذا المصاق الكتاب هذا + +15 +00:01:18,680 --> 00:01:25,380 +هو الكتاب المقرر هو كتاب تم تأليفه من قبل مجموعة + +16 +00:01:25,380 --> 00:01:29,400 +من الباحثين والمؤرخين وأشرف على التأليف وزارة + +17 +00:01:29,400 --> 00:01:32,960 +التربية والتعليم العالي في فلسطين + +18 +00:01:36,100 --> 00:01:40,600 +هذا الكتاب يحتوي على عدد من النقاط على عدد من + +19 +00:01:40,600 --> 00:01:46,220 +الفصول يعني لو استعرضنا استعراض سريع لكي نعرف + +20 +00:01:46,220 --> 00:01:53,240 +الكتاب ونتعرف على المادة التي سيتم دراستها خلال + +21 +00:01:53,240 --> 00:01:58,580 +هذا الفصل أولا الفصل الأول الأهمية الدينية لمدينة + +22 +00:01:58,580 --> 00:02:03,850 +القدس سنتحدث عن أهمية القدس في الإسلامفي القرآن في + +23 +00:02:03,850 --> 00:02:08,950 +السنة أقوال الصحابة العلماء التابعين أهم الداخلين + +24 +00:02:08,950 --> 00:02:12,950 +الذين دخلوا إلى مدينة القدس وعاشوا في مدينة القدس + +25 +00:02:12,950 --> 00:02:18,610 +ثم مكانة القدس عند النصارى ثم المبحث الثالث مكانة + +26 +00:02:18,610 --> 00:02:23,970 +القدس عند اليهود إذا كان هناك مكانة حقيقية ثم + +27 +00:02:23,970 --> 00:02:29,110 +الفصل الثاني هو سيبحث في الجغرافيا الجغرافيا + +28 +00:02:29,110 --> 00:02:35,050 +الطبيعية لمدينة القدس أولاجغرافية مدينة القدس أولا + +29 +00:02:35,050 --> 00:02:39,930 +الجغرافية الطبيعية ثانيا الجغرافية البشرية الفصل + +30 +00:02:39,930 --> 00:02:44,430 +الثالث سيتحدث عن تاريخ مدينة القدس في الحقب + +31 +00:02:44,430 --> 00:02:52,020 +المختلفة تاريخ مدينة القدس في العصر القديموتاريخ + +32 +00:02:52,020 --> 00:02:56,820 +ثم المبحث الثاني تاريخ مدينة القدس في العصر + +33 +00:02:56,820 --> 00:03:00,560 +الإسلامي أو العصور الوسطى وعندما أقول العصور + +34 +00:03:00,560 --> 00:03:06,820 +الوسطى نحن نعي أنه العصر الإسلامي القدس المبحث + +35 +00:03:06,820 --> 00:03:10,400 +الثالث القدس في العصر الحديث ثم الفصل الرابع + +36 +00:03:10,400 --> 00:03:14,560 +سنتحدث ان شاء الله عن الاحتلال الصهيوني وسياسة + +37 +00:03:14,560 --> 00:03:21,710 +التهويد لمدينة القدسهذا ثم انتقلنا مباشرة إلى + +38 +00:03:21,710 --> 00:03:26,050 +العصر الحديث واحتلال الصهاينا لمدينة القدس وسياسة + +39 +00:03:26,050 --> 00:03:30,690 +التهويد التي يتبعها الكيان الصهيوني تجاه مدينة + +40 +00:03:30,690 --> 00:03:34,150 +القدس أولا الاستيطان المبحث الأول الاستيطان في + +41 +00:03:34,150 --> 00:03:37,870 +مدينة القدس المبحث التاني الحفريات نسمع كثيرا عن + +42 +00:03:37,870 --> 00:03:42,350 +الحفرياتما المقصود بالحفريات؟ متى بدأت الحفريات؟ + +43 +00:03:42,350 --> 00:03:47,330 +ماذا يفعل الصهاينة الآن في مدينة القدس؟ المبحث + +44 +00:03:47,330 --> 00:03:54,870 +الثالث جدار الضم العنصري الذي نفذته حكومة الكيان + +45 +00:03:54,870 --> 00:04:00,770 +الصهيوني حول مدينة القدس والدفة الفلسطينية المبحث + +46 +00:04:00,770 --> 00:04:04,870 +الرابع السياسات والإجراءات الصهيونية في مدينة + +47 +00:04:04,870 --> 00:04:11,880 +القدس الفصل الخامسأثر الاحتلال على المجتمع المقدسي + +48 +00:04:11,880 --> 00:04:19,870 +أثر الاحتلال على المجتمع المقدسيعلى التعليم المبحث + +49 +00:04:19,870 --> 00:04:25,290 +الأول نتحدث عن التعليم كيف هي سياسة الاحتلال مع + +50 +00:04:25,290 --> 00:04:28,330 +التعليم كيف المناهج كيف يتعاملوا مع المدارس + +51 +00:04:28,330 --> 00:04:33,770 +الفلسطينية العربية الإسلامية المبحث الثاني الوضع + +52 +00:04:33,770 --> 00:04:37,370 +الاقتصادي والسياحي كيف يتعاملوا في السياحة + +53 +00:04:37,370 --> 00:04:41,750 +والاقتصاد الفصل السادس السياسات الدولية تجاه مدينة + +54 +00:04:41,750 --> 00:04:47,930 +القدسهذا فصل مهم سندرس في المبحث الأول القرارات + +55 +00:04:47,930 --> 00:04:52,530 +الدولية والأممية تجاه مدينة القدس الموقف الدولي من + +56 +00:04:52,530 --> 00:04:55,910 +قضية مدينة القدس المبحث الثاني المبحث الثالث + +57 +00:04:55,910 --> 00:05:00,270 +الموقف العربي والإسلامي من قضية القدس ثم ننتقل إلى + +58 +00:05:00,270 --> 00:05:05,970 +الفصل السابع وهو واجب الأمة تجاه مدينة القدس أولا + +59 +00:05:05,970 --> 00:05:10,710 +يحتوي على مبحثين المبحث الأول القدس في وجدان الأمة + +60 +00:05:11,540 --> 00:05:18,900 +القدس في القصائد في الثقافة في الأدب في القدس في + +61 +00:05:18,900 --> 00:05:25,540 +ال drama الإسلامية والعربية ثم المبحث الثاني + +62 +00:05:25,540 --> 00:05:30,680 +والأخير في هذا الكتاب واجب الأمة تجاه مدينة القدس + +63 +00:05:30,680 --> 00:05:37,520 +واجب الأمة تجاه مدينة القدس هذه أهم أهم عناصر + +64 +00:05:39,910 --> 00:05:48,090 +الكتاب لهذا المصاق لو تحدثنا في الفصل الأول مكانة + +65 +00:05:48,090 --> 00:05:54,210 +القدس في الإسلام و نأتي الفصل الأول المكانة + +66 +00:05:54,210 --> 00:05:58,310 +الدينية لمدينة القدس المبحث الأول مكانة القدس في + +67 +00:05:58,310 --> 00:06:01,670 +الإسلام ثم مكانة القدس عند النصارى ثم مكانة القدس + +68 +00:06:01,670 --> 00:06:07,530 +عند اليهود نتحدث في مكانة القدس في الإسلامألا + +69 +00:06:07,530 --> 00:06:15,570 +تلاحظوا معي أنا لمدينة القدس أهمية كبيرة جدا في + +70 +00:06:15,570 --> 00:06:22,910 +الإسلام وشغلت مدينة القدس حيزا كبير في القرآن + +71 +00:06:22,910 --> 00:06:29,650 +والسنة والسنة النبوية وهذا يدلل على أهمية مدينة + +72 +00:06:29,650 --> 00:06:34,050 +القدس عندما نقول أن مدينة القدس ذُكرت في القرآن + +73 +00:06:34,050 --> 00:06:39,440 +أثنى عشر مرةعندما نقول أن عشرات الأحاديث تحدثت عن + +74 +00:06:39,440 --> 00:06:43,220 +فلسطين ومدينة القدس عن النبي صلى الله عليه وسلم + +75 +00:06:43,220 --> 00:06:49,620 +عندما نقول أن عشرات الصحابة عشرات الصحابة تحدثوا + +76 +00:06:49,620 --> 00:06:55,380 +في فضل مدينة القدس كابن عباس وابن عمر ووهب بن منبه + +77 +00:06:55,380 --> 00:07:02,760 +وغيرهم وغيرهمعندما نقول أن مئات التابعين تحدثوا في + +78 +00:07:02,760 --> 00:07:07,260 +أفضلية مدينة القدس وفي بركة وقدسية مدينة القدس + +79 +00:07:07,260 --> 00:07:14,220 +عندما نقول أن كثير من الأنبياء .. كثير من الأنبياء + +80 +00:07:14,220 --> 00:07:24,120 +.. كثير من الصحابة هم زاروا مدينة القدس نعمسيدنا + +81 +00:07:24,120 --> 00:07:31,600 +إبراهيم سيدنا إسماعيل وإسحاق ويعقوب ويوسف أنبياء + +82 +00:07:31,600 --> 00:07:41,620 +سيدنا زكريا ويحيا وعيسى عليهم السلام وحزقيا + +83 +00:07:41,620 --> 00:07:47,040 +وأشعيا وستنا مريم جميعهم عاشوا في مدينة القدس + +84 +00:07:47,040 --> 00:07:54,350 +وتربوا في مدينة القدسلذلك مدينة القدس لها أهمية + +85 +00:07:54,350 --> 00:08:04,770 +كبيرة في الإسلام تخيلوا اعطوني بقعة في الأرض ذكرها + +86 +00:08:04,770 --> 00:08:09,490 +القرآن الكريم 12 مرة بقعة في الكرة الأرضية ذكرها + +87 +00:08:09,490 --> 00:08:14,970 +القرآن الكريم 12 مرة لا يوجد الا فلسطين والقدس + +88 +00:08:16,910 --> 00:08:23,870 +أعطوني بقعة من العالم الله سبحانه وتعالى وثّق + +89 +00:08:23,870 --> 00:08:31,790 +قضيتها من الألف إلى الياء قضية فلسطين والقدس وثقت + +90 +00:08:31,790 --> 00:08:38,370 +في القرآنوخصوصا فلنأخذ نموذج على سبيل المثال صورة + +91 +00:08:38,370 --> 00:08:42,670 +الإسراء عن ماذا تتحدث صورة الإسراء والتي هي صورة + +92 +00:08:42,670 --> 00:08:46,810 +بني إسرائيل عن ماذا تتحدث عن صراع الحق والباطل على + +93 +00:08:46,810 --> 00:08:53,610 +أرض فلسطين وعلى تراب مدينة القدس تتحدث أن هذا + +94 +00:08:53,610 --> 00:08:59,610 +المكان هو مكان مبارك مقدس وأن الذين سيسكنوا هذا + +95 +00:08:59,610 --> 00:09:06,430 +المكانهم أناس يمتازوا بالبركة والصلاح والثبات + +96 +00:09:06,430 --> 00:09:13,590 +والقوة أي المسلمون الفلسطينيون ثم سيأتي الصهاينة + +97 +00:09:13,590 --> 00:09:20,390 +بني إسرائيل ويحتلوا أرضكم ويغتصبوا مقدساتكم + +98 +00:09:20,390 --> 00:09:27,710 +ويقتلوا نساءكم ويقتلوا أولادكم ويغتصبوا ممتلكاتكم + +99 +00:09:27,710 --> 00:09:33,590 +وتكون بينكم وبينهم جولاتجولات عديدة بينكم وبينهم + +100 +00:09:33,590 --> 00:09:39,970 +لكن الله سبحانه وتعالى وثّق نتيجة هذا الصراع أخر + +101 +00:09:39,970 --> 00:09:44,050 +مرحلة في هذا الصراع وجدنا أن الله سبحانه وتعالى + +102 +00:09:44,050 --> 00:09:50,710 +ماذا يقول أننا سندخل المسجد ونتبر ما علو تتبيره أي + +103 +00:09:50,710 --> 00:09:55,370 +أن أهل الحقأن الفلسطينيين أن المسلمون سيدخلوا + +104 +00:09:55,370 --> 00:10:01,730 +ويمسحوا كل ما على الاحتلال الصهيوني وعبثة ودم + +105 +00:10:01,730 --> 00:10:10,890 +وكوّنة وجمعة من معدات وعمارة وبناء وصواريخ وأسلحة + +106 +00:10:10,890 --> 00:10:20,150 +كله سيتم تتبيره تتبيرا لاحظوا معي أنا سأضرب لكم + +107 +00:10:20,150 --> 00:10:26,870 +مثلاإذا أردتم أن نستعرض الآيات التي ذُكرت فيها + +108 +00:10:26,870 --> 00:10:31,030 +مدينة القدس فهي كثيرة جدا، هي كثيرة سبحان الذي + +109 +00:10:31,030 --> 00:10:34,210 +أسرع بعبده ليلا من المسجد الحرام إلى المسجد الأقصى + +110 +00:10:34,210 --> 00:10:41,370 +الذي باركنا حوله، مطلع صورة الإسراء، كثير من + +111 +00:10:41,370 --> 00:10:46,490 +الآيات وكما أسلفت12 مرة يا قوم ادخلوا الأرض + +112 +00:10:46,490 --> 00:10:52,190 +المقدسة التي كتب الله لكم ولا ترتدوا على أدباركم + +113 +00:10:52,190 --> 00:10:58,450 +فتنقلبوا خاسرين وغيرها وغيرها وغيرها 12 مرة ذُكرت + +114 +00:10:58,450 --> 00:11:08,310 +القدس لكن هناك سؤال حقيقة أولا القدس مقدسة لأن بها + +115 +00:11:08,310 --> 00:11:14,490 +المسجد المسجد الأقصىما المقصود بالمسجد الأقصى؟ ما + +116 +00:11:14,490 --> 00:11:21,750 +المقصود بالمسجد الأقصى؟ هل المسجد الأقصى هو قبة + +117 +00:11:21,750 --> 00:11:27,070 +الصخرة؟ هي المسجد الجميل ذو القبة الصفراء الذي + +118 +00:11:27,070 --> 00:11:36,950 +دائما صوره ولوحاته تملأ الأماكن؟هل المسجد الأقصى + +119 +00:11:36,950 --> 00:11:40,650 +هو المسجد القبلي؟ هل المسجد الأقصى هو المسجد + +120 +00:11:40,650 --> 00:11:47,720 +المرواني؟ أنا أقول لكم المسجد الأقصى هومية وأربعة + +121 +00:11:47,720 --> 00:11:52,940 +وأربعين دنم هو المستطيل كل المستطيل هذا المستطيل + +122 +00:11:52,940 --> 00:11:58,940 +وأنا سأريكم على ظهر الكتاب هذه الصورة هذا المستطيل + +123 +00:11:58,940 --> 00:12:03,180 +كل هذا المستطيل مية وأربعة وأربعين دنم هو المسجد + +124 +00:12:03,180 --> 00:12:09,570 +الأخصى بما يحتوي بما يحتويمن مساجد بما يحتوي من + +125 +00:12:09,570 --> 00:12:15,390 +مآذن بما يحتوي من مصطبات بما يحتوي من أسبلة من + +126 +00:12:15,390 --> 00:12:24,370 +أروقة من ساحات من رباطات من متاحف من مدارس كل ما + +127 +00:12:24,370 --> 00:12:29,290 +يحتوي عليه هذا المكان هذا المستطيل 144 دنوم هو + +128 +00:12:29,290 --> 00:12:34,570 +المسجد الأقصىهو المسجد الأقصى والذي يصلي في أي + +129 +00:12:34,570 --> 00:12:41,850 +مكان في الـ 144 دُنم هو له .. له تحسب صلاته بـ 250 + +130 +00:12:41,850 --> 00:12:47,270 +صلاة يقينا على حديث النبي صلى الله عليه وسلم هذا + +131 +00:12:47,270 --> 00:12:51,350 +هو المسجد الأقصى بما يحتوي من كل .. من كل هذه + +132 +00:12:51,350 --> 00:12:56,590 +الأشياء التي .. التي .. التي ذكرتها وأنا أذكركم + +133 +00:12:56,590 --> 00:13:00,070 +المسجد + +134 +00:13:00,070 --> 00:13:07,430 +الأقصىالمسجد الأقصى يحتوي على الأروقة، يحتوي على + +135 +00:13:07,430 --> 00:13:15,150 +الرباطات، يحتوي على المصاطب، يحتوي على الساحات، + +136 +00:13:15,150 --> 00:13:18,850 +يحتوي على عدد من المساجد، عدد من المساجد، يعني + +137 +00:13:18,850 --> 00:13:24,130 +الآن المساجد + +138 +00:13:24,130 --> 00:13:30,060 +والمصلياتالمسجد القبلي، مسجد قبة الصخرة، مسجد + +139 +00:13:30,060 --> 00:13:36,570 +البراق، المسجد المرواني، كل هذه مساجدالأثار + +140 +00:13:36,570 --> 00:13:42,330 +والمعالم المقامة في الأعلى غير المساجد مثل المتحف + +141 +00:13:42,330 --> 00:13:46,890 +الإسلامي أيضًا داخل المسجد الأقصى المدارس، مدارس + +142 +00:13:46,890 --> 00:13:51,310 +القرآن ومدارس الأحاديث ومدارس .. كله يُعتبر مسجد + +143 +00:13:51,310 --> 00:13:59,010 +أقصى الأروقة، وهي الممرات ذات الأقواس التي يتبعها + +144 +00:13:59,010 --> 00:14:07,020 +غرفتعدوا ضمن الساحات المبلطة والغير مبلطة والمشجرة + +145 +00:14:07,020 --> 00:14:12,540 +والغير مشجرة ضمن المسجد النقصى المساطب وهي الأماكن + +146 +00:14:12,540 --> 00:14:17,980 +المبلطة المرتفعة ويوجد في بعضها أشجار كان يستظل + +147 +00:14:17,980 --> 00:14:24,080 +فيها المصلون أثناء صلاوات الجمعة وغيرها الأسبلا + +148 +00:14:24,080 --> 00:14:32,330 +وعندما نقول أسبلايعني كلمة أسبلة مفردها أو تعني من + +149 +00:14:32,330 --> 00:14:41,550 +السبيل يعني الأماكن التي خُصصت أو صُنِعت أو صُمّمت + +150 +00:14:41,550 --> 00:14:48,050 +لثقاية الناس .. لثقاية الناس وهي بالمجان .. وهي + +151 +00:14:48,050 --> 00:14:54,490 +بالمجان سبيل فلان .. فلان أعدى .. أعدى + +152 +00:14:57,140 --> 00:15:03,140 +مكان ليشرب منه الناس وجعله سبيل يعني من ابن .. هي + +153 +00:15:03,140 --> 00:15:07,760 +الأصل من ابن السبيل يعني الإنسان المحتاج .. محتاج + +154 +00:15:07,760 --> 00:15:12,840 +لمساعدة فهذه كانت ثقافة في الحضارة الإسلامية أنه + +155 +00:15:12,840 --> 00:15:19,860 +الأسبلةهي الأماكن التي يشرب منها الناس الناس وهي + +156 +00:15:19,860 --> 00:15:25,080 +بالمجان طبعا الرباطات وهي الأماكن التي كان يرابط + +157 +00:15:25,080 --> 00:15:29,680 +فيها بعض الصالحين لعبادة الله وطاعته وأشهرها رباط + +158 +00:15:29,680 --> 00:15:34,700 +الكرب الرباطات كان يأتي العلماء والمجاهدون + +159 +00:15:34,700 --> 00:15:41,810 +والصالحون من الهند من تركستانمن الصين من أندونسيا + +160 +00:15:41,810 --> 00:15:48,870 +من مصر من الاندلس كانوا يأتوا إلى مدينة القدس + +161 +00:15:49,880 --> 00:15:54,360 +ويرابطوا هناك ليموتوا هناك ويدفنوا هناك لأنهم + +162 +00:15:54,360 --> 00:16:00,420 +يعلموا فضل العيش على تراب فلسطين ومدينة القدس هكذا + +163 +00:16:00,420 --> 00:16:07,880 +فكانوا دائما يتواجدوا في أماكن معينة فكانوا يقولوا + +164 +00:16:07,880 --> 00:16:11,980 +عنها رباط وأشهرها رباط الأكراد أو رباط الكرد + +165 +00:16:12,490 --> 00:16:17,570 +المؤاذن وعدد المؤاذن أربع مؤاذن وهي مأذنة باب + +166 +00:16:17,570 --> 00:16:21,290 +الأصباط ومأذنة باب الغوانم ومأذنة باب السلسلة + +167 +00:16:21,290 --> 00:16:26,970 +ومأذنة باب المغاربة الأبواب + +168 +00:16:27,640 --> 00:16:34,080 +وعدد الأبواب خمسة عشرة بابا عشرة منها مفتوحة وخمسة + +169 +00:16:34,080 --> 00:16:39,900 +أبواب مغلقة القباب هناك عدد من القباب في المسجد + +170 +00:16:39,900 --> 00:16:48,410 +الأخصى البوائك وهكذاالان لماذا يعني سؤال بطرح نفسه + +171 +00:16:48,410 --> 00:16:53,810 +لماذا سمى المسجد الأقصى بهذا الإسم لماذا سمى + +172 +00:16:53,810 --> 00:17:00,890 +المسجد الأقصى بهذا الإسم يعني سؤال العلماء ذكروا + +173 +00:17:00,890 --> 00:17:09,010 +ثلاث أقوال نص تعرض هذه الأقوال واحدأن بناء المسجد + +174 +00:17:09,010 --> 00:17:13,510 +الأقصى المبارك في أبعد مسافة في الأرض عن المسجد + +175 +00:17:13,510 --> 00:17:18,090 +الحرام بمكة المكرمة باتجاه الشمال الغربي يعني + +176 +00:17:18,090 --> 00:17:24,030 +اعتبره أنه في أبعد مكان في أقصى الأماكن بالنسبة + +177 +00:17:24,030 --> 00:17:27,950 +إلى المسجد الحرام اللي في الجزيرة العربية القول + +178 +00:17:27,950 --> 00:17:33,360 +الثاني أن هذا المسجد كان في أقصى الأرض في زمانهفي + +179 +00:17:33,360 --> 00:17:38,200 +زمان بناءه في أبعد مكان في الأرض اعتبره والقول + +180 +00:17:38,200 --> 00:17:44,640 +الثالث أنه مكان بعيد عن الآثام وعن الدنس فهو مكان + +181 +00:17:44,640 --> 00:17:50,720 +متحر مبارك بنص القرآن الكريم وهكذا فثلاث أقوال + +182 +00:17:50,720 --> 00:17:57,220 +لماذا سمي المسجد الأقصى كلها تتمحور حول مصطلح + +183 +00:17:57,220 --> 00:18:09,330 +الأقصى نعمالان يعني اذا عرفناأن القدس لها مكانة + +184 +00:18:09,330 --> 00:18:13,990 +كبيرة في الإسلام ذُكرت في القرآن إثنى عشر مرة هناك + +185 +00:18:13,990 --> 00:18:20,410 +عشرات الأحاديث ذُكرت في أفضلية مدينة القدس والمسجد + +186 +00:18:20,410 --> 00:18:27,190 +الأقصى هناك أقوال للصحابة أقوال للتابعين إلى آخره + +187 +00:18:27,190 --> 00:18:29,270 +الآن يعني + +188 +00:18:33,630 --> 00:18:39,410 +الأحاديث على سبيل المثال الأحاديث النبوية يعني + +189 +00:18:39,410 --> 00:18:42,990 +الحديث المشهور عن الصحابي أبو ذر رضي الله عنه + +190 +00:18:42,990 --> 00:18:49,490 +عندما سأل النبي ﷺ يا رسول الله أي بيت أي مسجد وضع + +191 +00:18:49,490 --> 00:18:53,250 +في الأرض أولا قال المسجد الحرام قال ثم أيه؟ قال + +192 +00:18:53,250 --> 00:18:57,130 +المسجد الأقصى كم بينهما يا رسول الله؟ قال أربعون + +193 +00:18:57,130 --> 00:19:05,820 +عاماأربعون عاما كان الصحابة يسألوا دائما عن المسجد + +194 +00:19:05,820 --> 00:19:06,480 +الأقصى + +195 +00:19:11,300 --> 00:19:16,700 +هناك حديث مشهورة عن المسجد الأقصى وعن مدينة القدس + +196 +00:19:16,700 --> 00:19:24,740 +أن فيها الفئة الثابتة الفئة المنصورة وغيره + +197 +00:19:24,740 --> 00:19:36,120 +طيب، الأن نستعرض أهم أقوال الصحابة والتابعين في + +198 +00:19:36,120 --> 00:19:39,120 +أفضلية القدس والمسجد الأقصى + +199 +00:19:41,840 --> 00:19:45,180 +على سبيل المثال قال عبد الله بن عمر رضي الله عنه + +200 +00:19:45,180 --> 00:19:49,800 +عبد الله بن عمر إن الحرم لمحرم في السماوات السبع + +201 +00:19:49,800 --> 00:19:54,200 +وبمقداره في الأرض عبد الله بن عمر عبد الله بن عمر + +202 +00:19:54,200 --> 00:19:59,360 +هو من أعلم أهل الأرض بالمناسبة من أعلم أهل الأرض + +203 +00:19:59,360 --> 00:20:06,500 +من علماء الإسلام الكباروهكذا وله قول آخر بيته + +204 +00:20:06,500 --> 00:20:11,320 +المقدس بنته الأنبياء عليهم الصلاة والسلام معمرته + +205 +00:20:11,320 --> 00:20:17,780 +وما فيه شبر إلا وقد سجد عليه ملك أو نبي فلعل جبهتك + +206 +00:20:17,780 --> 00:20:24,250 +توافي جبهة ملك أو نبيوهناك حديث عن .. و هناك قول + +207 +00:20:24,250 --> 00:20:29,390 +لأنس بن مالك إن الجنة لتحنه شوقا إلى بيت المقدس و + +208 +00:20:29,390 --> 00:20:34,210 +هناك قول لمعاذ بن جبل أنه أتى إلى بيت المقدس فأقام + +209 +00:20:34,210 --> 00:20:38,470 +فيه ثلاث أيام و لياليها يصوم و يصلي فلما خرج .. + +210 +00:20:38,470 --> 00:20:44,370 +خرج منه و كان على الشرف و هو مكان مرتفع ثم أقبل + +211 +00:20:44,370 --> 00:20:51,310 +على الصحابة فقال أما ما مضىأما ما مضى من ذنوبكم + +212 +00:20:51,310 --> 00:20:57,630 +فقد غفر الله .. غفر الله تعالى لكم فانظروا ما أنتم + +213 +00:20:57,630 --> 00:21:03,530 +صانعون فيما بقي من أعمار أي أن هذا المكان تغفر فيه + +214 +00:21:03,530 --> 00:21:07,590 +.. تغفر فيه الذنوب كثير يعني كثير من الصحابة + +215 +00:21:07,590 --> 00:21:11,630 +تحدثوا عن المسجد الأقصى و عن مدينة القدس و أفضلية + +216 +00:21:11,630 --> 00:21:15,290 +المسجد الأقصى و مدينة القدس كثير من التابعين + +217 +00:21:15,290 --> 00:21:21,150 +تحدثواالأن ممكن نستعرض أهم الداخلين لمدينة القدس + +218 +00:21:21,150 --> 00:21:25,230 +سيدنا إبراهيم عليه السلام، سيدنا إسماعيل، سيدنا + +219 +00:21:25,230 --> 00:21:30,350 +إسحاق، سيدنا يعقوب، سيدنا زكريا، سيدنا يحيا، سيدنا + +220 +00:21:30,350 --> 00:21:34,330 +عيسى عليهم السلام جميعا، ستنا مريم، جميع هؤلاء + +221 +00:21:34,330 --> 00:21:40,950 +تواجدوا في بيت المقدس وفي فلسطين، وكثير منهم عاشوا + +222 +00:21:40,950 --> 00:21:47,950 +جزء كبير من حياتهماللقاء القادم ان شاء الله سنتحدث + +223 +00:21:47,950 --> 00:21:52,950 +عن مكانة القدس عند النصارى مكانة القدس عند النصارى + +224 +00:21:52,950 --> 00:21:57,590 +الخلاصة التي خرجنا فيها في هذا اللقاء أن مدينة + +225 +00:21:57,590 --> 00:22:03,430 +القدس تشغل حيزا كبيرافي العقيدة في الشريعة + +226 +00:22:03,430 --> 00:22:07,910 +الإسلامية لها مكانة كبيرة هي من أقدس مقدسات العالم + +227 +00:22:07,910 --> 00:22:12,950 +الإسلامي تعده وذلك بنص القرآن الكريم خصوصا أنها + +228 +00:22:12,950 --> 00:22:16,970 +كانت القبلة الأولى وصلى عليها المسلمون باتجاه + +229 +00:22:16,970 --> 00:22:22,200 +مدينة القدس صلواما يقارب 65% من عمر الدعوة + +230 +00:22:22,200 --> 00:22:28,900 +الإسلامية في الأهد النبوي 17 شهرا + +231 +00:22:28,900 --> 00:22:32,220 +في المدينة المنورة وكل الفترة المكية كانوا يصلوا + +232 +00:22:32,220 --> 00:22:36,680 +باتجاه مدينة القدس فبالتالي نخرج أن مدينة القدس هي + +233 +00:22:36,680 --> 00:22:42,840 +مقدسة ولها مكانة عظيمة عند المسلمون وفي الشريعة + +234 +00:22:42,840 --> 00:22:48,370 +الإسلاميةاللقاء القادم سنتحدث عن مكانة القدس عند + +235 +00:22:48,370 --> 00:22:53,250 +النصارى، هل القدس مكانة عند النصارى؟ ومن المعلوم + +236 +00:22:53,250 --> 00:23:03,870 +أن مهد الدين النصراني هو في فلسطينومن المعلوم أن + +237 +00:23:03,870 --> 00:23:07,350 +عيسى عليه السلام ولد في فلسطين كنيسة البشارة في + +238 +00:23:07,350 --> 00:23:15,330 +الناصرة أن سيدنا عيسى عليه السلام ولد في مدينة بيت + +239 +00:23:15,330 --> 00:23:19,470 +لحم وأن سيدنا عيسى عليه السلام كما يعتقد النصارى + +240 +00:23:19,470 --> 00:23:25,820 +يظن النصارى ويعتقد النصارى أنه صلبة وقتلة ودفنةفي + +241 +00:23:25,820 --> 00:23:31,620 +مدينة القدس في كنيسة الدريح المقدس أو القبر المقدس + +242 +00:23:31,620 --> 00:23:39,380 +التي سميت بعد ذلك كنيسة القيامة هل القدس مقدسة لها + +243 +00:23:39,380 --> 00:23:45,560 +مكانة عند نصارى هذا ما سنتناوله + +244 +00:23:45,560 --> 00:23:47,760 +اللقاء القادم ان شاء الله + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/idpuE-v7vOE_raw.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/idpuE-v7vOE_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..bb61c62bd241f4cb419ae4451a05270cc8724826 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/idpuE-v7vOE_raw.srt @@ -0,0 +1,1520 @@ +1 +00:00:05,800 --> 00:00:10,080 +أعوذ بالله السماعي العليم من الشيطان الرجيم بسم + +2 +00:00:10,080 --> 00:00:13,080 +الله الرحمن الرحيم الحمد لله رب العالمين والصلاة + +3 +00:00:13,080 --> 00:00:16,660 +والسلام على قائد المجاهدين محمد صلى الله عليه وسلم + +4 +00:00:16,660 --> 00:00:22,320 +أهلا وسهلا بكم في هذا اللقاء المتجدد + +5 +00:00:23,710 --> 00:00:28,770 +تاريخ مدينة القدس اليوم ان شاء الله سنتحدث عن + +6 +00:00:28,770 --> 00:00:33,430 +تاريخ مدينة القدس في العصر القديم وعندما نقول + +7 +00:00:33,430 --> 00:00:41,230 +العصر القديم نحن نقصد أنه ما قبل الإسلام فما قبل + +8 +00:00:41,230 --> 00:00:47,210 +الإسلام يعدوا العصور القديمة والعصور الوسطى هي + +9 +00:00:47,210 --> 00:00:52,470 +عصور الإسلام ثم بعد ذلك العصور الحديثة على أي حال + +10 +00:00:54,320 --> 00:01:00,560 +العصور القديمة العلماء يقسموا العصور القديمة + +11 +00:01:00,560 --> 00:01:06,880 +لفلسطين ولمدينة القدس إلى عدد من العصور العصر + +12 +00:01:06,880 --> 00:01:15,840 +الحجري القديم العصر الحجري الوسيط العصر الحجري + +13 +00:01:15,840 --> 00:01:26,270 +الحديث العصر الحجري النحاسي العصرالبرونز القديم ثم + +14 +00:01:26,270 --> 00:01:33,710 +العصر البرونزي الوسيط ثم البرونزي الحديث ثم العصر + +15 +00:01:33,710 --> 00:01:38,010 +الحديدي وبعض العلماء يقسم العصر الحديدي إلى ثلاث + +16 +00:01:38,010 --> 00:01:44,530 +عصور وسيطه قديم وسيطه حديث علي اتهال العصر الحجر + +17 +00:01:44,530 --> 00:01:48,410 +القديم يمتد من 500 ألف سنة إلى 14 ألف سنة قبل + +18 +00:01:48,410 --> 00:01:53,940 +الميلادثم العصر الحجري الوسيط يمتد من 14000 سنة + +19 +00:01:53,940 --> 00:02:01,780 +إلى 8000 سنة قبل الميلاد ثم العصر الحجري الحديث من + +20 +00:02:01,780 --> 00:02:08,680 +8000 سنة إلى 4500 قبل الميلاد ثم العصر الحجري + +21 +00:02:08,680 --> 00:02:16,920 +النحاسي من 4500 إلى 3200 قبل الميلاد ثم بعد ذلك + +22 +00:02:17,850 --> 00:02:21,710 +العصر البرونز القديم من 3200 قبل الميلاد إلى 2000 + +23 +00:02:21,710 --> 00:02:27,630 +ثم البرونز الوسيط من 2000 إلى 1550 قبل الميلاد ثم + +24 +00:02:27,630 --> 00:02:33,210 +البرونز الحديث من 1550 إلى 1200 قبل الميلاد ثم + +25 +00:02:33,210 --> 00:02:38,510 +العصر الحديدي من 1200 إلى 330 قبل الميلاد الآن + +26 +00:02:38,510 --> 00:02:44,810 +عندما نركب هذه العصور على تاريخ مدينة القدس سنجد + +27 +00:02:44,810 --> 00:02:45,350 +التالي + +28 +00:02:49,710 --> 00:02:56,270 +في الـ 1300 قبل الميلاد كما أسلفنا في اللقاءات + +29 +00:02:56,270 --> 00:03:02,010 +الماضية قلنا أن الكنانيون هاجروا من الجزيرة + +30 +00:03:02,010 --> 00:03:09,790 +العربية ووصلوا إلى فلسطين والكنانيون كما قلنا هم + +31 +00:03:09,790 --> 00:03:15,720 +عدد من البطون عدد من البطونعدد من الأقسام + +32 +00:03:15,720 --> 00:03:22,760 +كانعانيون، فينيقيون، يابوسيون، عموريون أو أموريون + +33 +00:03:22,760 --> 00:03:29,480 +نريد أن نتحدث عن مدينة القدس الآن فرق من فروق + +34 +00:03:29,480 --> 00:03:34,480 +الكانعانيين وهم اليابوسيون وهم فرق من فروق + +35 +00:03:34,480 --> 00:03:40,420 +الكانعانيين وصلوا إلى فلسطين وفي قلب فلسطين قبالة + +36 +00:03:40,420 --> 00:03:46,650 +البحر الميت من جهة الغرب في منتصف فلسطينأرسى هؤلاء + +37 +00:03:46,650 --> 00:03:50,350 +اليابوسيون الكنانيون العرب الأخهاح قواعد أعظم + +38 +00:03:50,350 --> 00:03:54,150 +مدينة في التاريخ الإنساني وأطلقوا عليها أول اسم في + +39 +00:03:54,150 --> 00:04:01,770 +التاريخ مدينة يابوس إذن هذه هي أحداث التأسيس الذين + +40 +00:04:01,770 --> 00:04:04,890 +أسسوا مدينة القدس 3000 سنة قبل الميلاد هم + +41 +00:04:04,890 --> 00:04:10,140 +اليابوسيون العربباقي الكنعانيون الذين وصلوا إلى + +42 +00:04:10,140 --> 00:04:14,560 +فلسطين أسسوا عشرات المدن أسسوا قرابة 200 مدينة هم + +43 +00:04:14,560 --> 00:04:21,290 +الذين أسسوا مدينة وتحدثنا بذلك سابقا أعتقدهم الذين + +44 +00:04:21,290 --> 00:04:25,270 +أسسوا عكو، هم الذين أسسوا أريحا، هم الذين أسسوا + +45 +00:04:25,270 --> 00:04:30,330 +بيشان، هم الذين أسسوا مدينة حيفا، مدينة يافا، + +46 +00:04:30,330 --> 00:04:35,170 +مدينة أشدود، مدينة أسقلان، مدينة عزة، مدينة رفح، + +47 +00:04:35,170 --> 00:04:40,070 +كل هذه المدن الذين أسسوها الكنعانيون نأتي إلى + +48 +00:04:40,070 --> 00:04:46,910 +القدس مرة أخرى الكنعانيون حكموا مدينة القدس وجعلوا + +49 +00:04:46,910 --> 00:04:55,500 +لها أسواروحماية وكان لها ملك واحد ملوك القدس + +50 +00:04:55,500 --> 00:05:02,640 +للكنعنيين يدعى ملكي صادق وعاشوا + +51 +00:05:02,640 --> 00:05:08,620 +وأسسوا حضارة في مدينة القدس واستمرت + +52 +00:05:08,620 --> 00:05:14,540 +وهكذا كل المدن كل مدن فلسطين كل مدينة لها ملك ولها + +53 +00:05:14,540 --> 00:05:22,070 +أسوار وكأنها دولة مستقلةلذلك يطلق المؤرخون على هذا + +54 +00:05:22,070 --> 00:05:28,810 +العصر العصر البرونزي القديم وهو عصر تأسيس مدينة + +55 +00:05:28,810 --> 00:05:35,690 +القدس وعصر وصول الكنانيون إلى فلسطين يطلقوا عليه + +56 +00:05:35,690 --> 00:05:43,490 +عصر دويلات المدن لماذا؟ لأن هذا العصر تميز في + +57 +00:05:43,490 --> 00:05:52,380 +فلسطينبوجود عدد من الدويلات للمدن أي كل مدينة صنعت + +58 +00:05:52,380 --> 00:06:00,380 +من نفسها دويلةولم يصل الكنانيون في التقدم السياسي + +59 +00:06:00,380 --> 00:06:06,360 +في السياسة إلى مرحلة متقدمة وهي مرحلة توحيد كل هذه + +60 +00:06:06,360 --> 00:06:11,840 +المدن في دولة واحدة في دولة واحدة لذلك نطلق على + +61 +00:06:11,840 --> 00:06:16,880 +هذا العصر عصر دويلات المدن وهذه معلومة مهمة العصر + +62 +00:06:16,880 --> 00:06:23,940 +البرونزي القديم هو عصر دويلات المدن على أي حال عاش + +63 +00:06:23,940 --> 00:06:24,700 +الكنانيون + +64 +00:06:27,110 --> 00:06:33,410 +ومضت السنوات ومئات السنوات ومضى قرابة أكثر من ألف + +65 +00:06:33,410 --> 00:06:36,530 +عام ماذا شهدت القدس؟ + +66 +00:06:39,180 --> 00:06:43,500 +انتهى عصر دويلات المدن انتهى العصر البرنزي القديم + +67 +00:06:43,500 --> 00:06:49,280 +نذهب إلى العصر البرنزي الوسيط والذي يمتد من 2000 + +68 +00:06:49,280 --> 00:06:54,900 +إلى 1550 ماذا حدث في هذا العصر في مدينة القدس وفي + +69 +00:06:54,900 --> 00:07:00,180 +فلسطين بشكل عام أنا أقول لكم حدث هو هو وصول سيدنا + +70 +00:07:00,180 --> 00:07:06,270 +إبراهيم عليه السلام من العراقوصل إلى حران ثم إلى + +71 +00:07:06,270 --> 00:07:13,570 +الرها ثم وصل إلى فلسطين وزار القدس والتقى بملك + +72 +00:07:13,570 --> 00:07:17,390 +صادق وبعض الروايات التاريخية تقول أن كان له علاقة + +73 +00:07:17,390 --> 00:07:22,010 +طيبة وجيدة مع ملك صادق وحدثت أحداث قصة سيدنا + +74 +00:07:22,010 --> 00:07:26,870 +إبراهيم كل أحداث قصة سيدنا إبراهيم في العصر + +75 +00:07:26,870 --> 00:07:31,840 +البرونزي الوسيطولنتذكر ذلك جيدًا هذا العصر يمتد من + +76 +00:07:31,840 --> 00:07:36,600 +2000 إلى 1550 سيدنا ابراهيم وصل إلى فلسطين 1900 + +77 +00:07:36,600 --> 00:07:43,260 +سيدنا ابراهيم وصل إلى فلسطين من العراق انطلق وكلنا + +78 +00:07:43,260 --> 00:07:47,700 +يعلم أحداث قصة سيدنا ابراهيم وقصته مع النمرود + +79 +00:07:47,700 --> 00:07:53,860 +وقصته عندما أرادوا إحراقه بأكوان من الحطب من + +80 +00:07:53,860 --> 00:07:58,780 +النيران والله سبحانه وتعالىالله سبحانه وتعالى هنا + +81 +00:07:58,780 --> 00:08:03,940 +قدم له معجزة كبيرة جدا عندما نجاه من النار يا نار + +82 +00:08:03,940 --> 00:08:07,900 +كوني بردا وسلاما على إبراهيم ونجى سيدنا إبراهيم + +83 +00:08:07,900 --> 00:08:13,840 +وهاجر من من أور في العراق هو وزوجه وابن أخيه لوت + +84 +00:08:13,840 --> 00:08:18,560 +هاجروا إلى حران وحران هي جنوب تركيا على الحدود بين + +85 +00:08:18,560 --> 00:08:23,260 +تركيا وسوريا وكانت في القديم يطلق عليها حران في + +86 +00:08:23,260 --> 00:08:27,570 +العصور الوسطى أطلق عليها الرها وهي التيأسس + +87 +00:08:27,570 --> 00:08:33,770 +الصليبيون على أرضها مملكة لهم، إمارة لهم، مستعمرة + +88 +00:08:33,770 --> 00:08:39,370 +لهم، دويلة لهم في الأسر الوسطى قبل .. وهي الرغا + +89 +00:08:39,370 --> 00:08:45,270 +التي دمرها وحررها عماد الدين زنكي فال .. فال .. + +90 +00:08:45,270 --> 00:08:52,890 +يعني كي نربط الأحداث جيدا، 1144 ميلاديعلى اي حال + +91 +00:08:52,890 --> 00:08:56,450 +وصل سيدنا إبراهيم إلى فلسطين كما أسلفنا والتقى + +92 +00:08:56,450 --> 00:09:05,830 +بملك صادق ثم تجول في المدن في فلسطين زار عدد من + +93 +00:09:05,830 --> 00:09:11,750 +المدن زار غزة أيضا والتقى بأبو مالك حاكم غزة وكان + +94 +00:09:11,750 --> 00:09:16,110 +ذو علاقة طيبة معاه ثم انتقلق إلى مصروهناك في مصر + +95 +00:09:16,110 --> 00:09:20,390 +حدثت أحداث كثيرة بينه وبين فرعو المصر الذي أعجب + +96 +00:09:20,390 --> 00:09:24,390 +بصارى وأراد أن يأخذ صارى من سيدنا إبراهيم ولكن + +97 +00:09:24,390 --> 00:09:29,890 +الله سبحانه وتعالى منعه بذلك من ذلك عدة مرات يكاد + +98 +00:09:29,890 --> 00:09:35,170 +كل ما يقترب من صارى كان تشل كل أركانه فأيقن في + +99 +00:09:35,170 --> 00:09:42,110 +النهاية أن إبراهيم خلفه قوةفوق قوة البشر أن + +100 +00:09:42,110 --> 00:09:47,530 +إبراهيم إنسان ممنوع محفوظ فأصبح صديقًا لسيدنا + +101 +00:09:47,530 --> 00:09:51,870 +إبراهيم وأهدى سيدنا إبراهيم هاجر وهي أميرة من + +102 +00:09:51,870 --> 00:09:56,370 +الأميرات وبعض الروايات تقول أنها أخت فرعون انطلق + +103 +00:09:56,370 --> 00:09:59,610 +بها إلى فلسطين وتزوجها هناك سيدنا إبراهيم وأنجب + +104 +00:09:59,610 --> 00:10:05,570 +منها إسماعيل عليه السلامونجدد الآن ونذكر أن سيدنا + +105 +00:10:05,570 --> 00:10:09,690 +إسماعيل هو أكبر من سيدنا إسحاق بـ13 عامة الله + +106 +00:10:09,690 --> 00:10:15,070 +سبحانه وتعالى أمر سيدنا إبراهيم أن يأخذ زوجه وابنه + +107 +00:10:15,070 --> 00:10:20,310 +الطفل الرضيع ويضعهم في منطقة في الحجاز تسمى مكة في + +108 +00:10:20,310 --> 00:10:25,170 +ذلك الوقت وبالفعل وصلوا إلى هناك وتركهم هناك وقاد + +109 +00:10:25,770 --> 00:10:30,630 +وعاد وكان وهو عائد يدعي ويدعو الله ويتوجه إلى الله + +110 +00:10:30,630 --> 00:10:37,670 +سبحانه وتعالى رب إني تركته في واد غير ذي ذرع اجعل + +111 +00:10:37,670 --> 00:10:43,810 +أفئدة من الناس تهوي إليهميا الله أحميهم اجعل الناس + +112 +00:10:43,810 --> 00:10:50,990 +يقتربوا منهم لكي يأنسوا بهم على أي حال سيدنا + +113 +00:10:50,990 --> 00:10:56,370 +ابراهيم تردد إلى الهجاز قدت مرات الروايات تقول + +114 +00:10:56,810 --> 00:11:02,310 +وكلنا نعرف أحداث الصفة والمروة وكيف تفجرت زمزم بين + +115 +00:11:02,310 --> 00:11:05,310 +أصابع هذا الطفل الرضيء سيدنا إسماعيل عليه السلام + +116 +00:11:05,310 --> 00:11:10,450 +وقاشى سيدنا إسماعيل في الهجاز وتزوج من قبيلة جورهم + +117 +00:11:10,450 --> 00:11:15,460 +العربيةسيدنا ابراهيم عد إلى فلسطين والرويات تقول + +118 +00:11:15,460 --> 00:11:18,460 +أنه انتقل من الحجاز إلى فلسطين ومن فلسطين إلى + +119 +00:11:18,460 --> 00:11:23,740 +الحجاز عدة مرات حتى المنطق يقول ذلك ذات أحد المرات + +120 +00:11:23,740 --> 00:11:30,380 +وضع زوجه وابنه في الصحراء المرة الثانية ذهب هناك + +121 +00:11:30,380 --> 00:11:36,080 +للزيارةولكي يؤسس البيت الحرام، يرفع القواعد، + +122 +00:11:36,080 --> 00:11:43,300 +المرثة، و هكذا، عدة مرات ذهب و ذات مرة عندما أراد + +123 +00:11:43,300 --> 00:11:48,840 +أن يذبح سيدنا إسماعيل عليه السلام سيدنا إبراهيم في + +124 +00:11:48,840 --> 00:11:56,580 +فلسطين عاش 175 سنة تقريبا و عندما اقترب الموتقام + +125 +00:11:56,580 --> 00:12:01,360 +بشراء مغارة المكفيلية من عفرون حاكم الخليل + +126 +00:12:01,360 --> 00:12:05,260 +الكنعاني باربعمائة شيق الكنعاني وبالمناسبة هذه + +127 +00:12:05,260 --> 00:12:08,360 +الرواية تنص عليها التوراة حرفيا + +128 +00:12:10,920 --> 00:12:14,620 +وكأنهم يقولوا لنا أن أصحاب الأرض هم الكنعانيين + +129 +00:12:14,620 --> 00:12:20,120 +ويتم الشراء من الكنعانيين وعملة الكنعانيين هي + +130 +00:12:20,120 --> 00:12:26,480 +الشيقل ويقولوا لنا ويخبرونا بأن الصهاين اليوم + +131 +00:12:26,480 --> 00:12:32,860 +ودولة إسرائيل اليوماعتمدت الشيخ العملة لهم وهي + +132 +00:12:32,860 --> 00:12:37,680 +العملة الكنعانية القديمة والتي سرقوها من + +133 +00:12:37,680 --> 00:12:42,100 +الفلسطينيين فهم يسرقوا التراث يسرقوا التاريخ + +134 +00:12:42,100 --> 00:12:46,520 +يسرقوا كل شيء من الفلسطينيين يريدوا أن يحلوا محل + +135 +00:12:46,520 --> 00:12:50,980 +الفلسطينيين في كل شيء في كل شيء الصهاينة حتى + +136 +00:12:50,980 --> 00:12:56,480 +الأطعمة والتراث واللباس يسرقوا يقدموا في المعارض + +137 +00:12:56,480 --> 00:13:03,230 +الدوليةللتراث يقدموا الفلافل والشكشوكة ويقدموا + +138 +00:13:03,230 --> 00:13:08,310 +كثير من الأطعمة على أنها أطعمة توراتية بل أنه هناك + +139 +00:13:08,310 --> 00:13:11,170 +يعني من الغريب اللي أنا استغرب ان قلت لكم أن + +140 +00:13:11,170 --> 00:13:16,510 +مضيفات الطيران في شركة العال الصهيونية يلبسنا + +141 +00:13:16,510 --> 00:13:20,950 +الثوب، ثوب النساء الفلسطينية، ثوب القرى الفلسطينية + +142 +00:13:22,290 --> 00:13:29,130 +قبل مدة قصيرة الصهاينة بدأوا .. بدأوا يعتمدوا + +143 +00:13:29,130 --> 00:13:33,890 +الكوفية الفلسطينية في اللباس وفي الأزياء وفي .. + +144 +00:13:33,890 --> 00:13:41,410 +وفي لباس ميدعو أنها طراف توراتيص صهيوني يهودي هذه + +145 +00:13:41,410 --> 00:13:46,450 +القضية على أي تهال سيدنا + +146 +00:13:46,450 --> 00:13:52,880 +إبراهيمتوفي ودفن سيدنا إسحاق عليه السلام أنجب + +147 +00:13:52,880 --> 00:14:01,660 +يعقوب يعقوب هاجر من الفلسطين إلىحران الرغا جنوب + +148 +00:14:01,660 --> 00:14:06,660 +تركيا وتزوج هناك وأنجب احد عشر ولدا من ضمنهم سيدنا + +149 +00:14:06,660 --> 00:14:10,520 +يوسف عليه السلام سيدنا يوسف عاد سيدنا يعقوب + +150 +00:14:10,520 --> 00:14:15,120 +بأولاده إلى منطقة وسكن منطقة إلى الشرق من الخليل + +151 +00:14:15,120 --> 00:14:18,600 +تسمى سعير هذه المنطقة التي فيها البئر على ملتقة + +152 +00:14:18,600 --> 00:14:24,620 +طرق التجارة بين الشام ومصر وهناك أنجب ابنه الاثنى + +153 +00:14:24,620 --> 00:14:30,970 +عشر بن يمين وعلى اي حالبعد قليل سنجد .. سنجد بعد + +154 +00:14:30,970 --> 00:14:35,070 +قليل أن أحداث قصة سيدنا يوسف كاملة انجرت في هذا + +155 +00:14:35,070 --> 00:14:42,370 +المكان عندما أخوانه كادوا له و ألقوه في البئر ثم + +156 +00:14:42,370 --> 00:14:47,330 +بعد ذلك جاء التجار و أخدوا سيدنا يوسف و باعوه في + +157 +00:14:47,330 --> 00:14:51,990 +مصر واشتراه عزيز مصر رئيس وزراء مصر بلغة العصر + +158 +00:14:51,990 --> 00:15:00,170 +بوتيفار اشتراه بدراهم معدودةوأعجبت به زليخة زوجته + +159 +00:15:00,170 --> 00:15:04,810 +زوجة بوتيفار عزيز مصر وأشرفت على تربيته واتخذته + +160 +00:15:04,810 --> 00:15:11,010 +ولداً وعندما شبه أعجبت به وأرادت وأرادته إلى نفسها + +161 +00:15:11,010 --> 00:15:16,890 +الآن عقابا له عندما استعصم عقابا له ألقط به في + +162 +00:15:16,890 --> 00:15:19,930 +السجن وهذه الأحداث معروفة للجميع وخصوص سيدنا يوسف + +163 +00:15:19,930 --> 00:15:25,160 +معروفة للجميع بالمناسبةوأريد أن أذكر أن قصة سيدنا + +164 +00:15:25,160 --> 00:15:30,220 +يوسف الله سبحانه وتعالى قال عنها أحسن القصص أحسن + +165 +00:15:30,220 --> 00:15:35,300 +القصص أجمل قصة في التاريخ الإنسان قصة سيدنا يوسف + +166 +00:15:35,300 --> 00:15:41,520 +بدايتها محرقة فكانت نهايتها مشرقة قصة سيدنا يوسف + +167 +00:15:41,520 --> 00:15:48,120 +إذا أردتإذا أردت الغيرة والحسد في قصة سيدنا يوسف + +168 +00:15:48,120 --> 00:15:56,920 +إذا أردت محبة الأب لولده قصة سيدنا يوسف غيرة الكيد + +169 +00:15:56,920 --> 00:16:01,630 +والغيرة والحسد بين الإخوة في قصة سيدناإذا أردت + +170 +00:16:01,630 --> 00:16:05,650 +الإدارة والسجون والدعوة إلى الله في قصة سيدنا يوسف + +171 +00:16:05,650 --> 00:16:09,450 +إذا أردت العشق والحب والإخلاص في قصة سيدنا يوسف + +172 +00:16:09,450 --> 00:16:12,450 +إدارة الدولة في قصة سيدنا يوسف الاقتصاد في قصة + +173 +00:16:12,450 --> 00:16:18,170 +سيدنا يوسف فهي أحسن القصص علي اتحال سيدنا يوسف + +174 +00:16:18,170 --> 00:16:22,730 +عليه السلام توفي وطبعا سيدنا يوسف كان رافعت خير + +175 +00:16:22,730 --> 00:16:28,260 +لكل أهلهلكل أهله في مصر جلب كل بني إسرائيل من + +176 +00:16:28,260 --> 00:16:32,240 +فلسطين إلى مصر أتوني بأهليكم أجمعين وأسكنهم في مصر + +177 +00:16:32,240 --> 00:16:37,520 +وأصلحهم وأستصلحهم عندما توفي يوسف و توفي يعقوب + +178 +00:16:37,520 --> 00:16:44,060 +عليه السلام انحرفوا بني إسرائيل بعد ذلك بعد هذا + +179 +00:16:44,060 --> 00:16:48,280 +العصر إذا بني إسرائيل أنا أريد أن أقول لكم بني + +180 +00:16:48,280 --> 00:16:53,010 +إسرائيل انتقلوا من فلسطين إلى مصروبعد سيدنا يوسف + +181 +00:16:53,010 --> 00:16:58,030 +عليه السلام انحرفوا عن الجادة وأصبح بني إسرائيل + +182 +00:16:58,030 --> 00:17:06,210 +يمارسوا عبادة الأصنام تركوا عبادة الله وبدأوا + +183 +00:17:06,210 --> 00:17:12,410 +يمارسوا الفواحش والربا والقتل والكذب والزنا + +184 +00:17:12,410 --> 00:17:16,850 +واللواط، كل هذه الفواحش الله سبحانه وتعالى أرسل + +185 +00:17:16,850 --> 00:17:25,550 +لهم نبيًا مرة أخرىبل أن الفراعناء استعبدوا بني + +186 +00:17:25,550 --> 00:17:31,470 +إسرائيل استعبدوهم وكانوا يعذبوهم الله صلت الفراعن + +187 +00:17:31,470 --> 00:17:35,670 +عليهم ماذا + +188 +00:17:35,670 --> 00:17:40,270 +حدث؟ الله سبحانه وتعالى أرسل لبني إسرائيل نبي آخر + +189 +00:17:40,270 --> 00:17:46,030 +نبي آخر لكي يعطيهم فرصة أخرى وهو النبي موسى عليه + +190 +00:17:46,030 --> 00:17:53,280 +السلام في هذا الظرف المعقدجبروت من الفرائن تعذيب + +191 +00:17:53,280 --> 00:18:02,040 +لبني إسرائيل كانوا يقتلوا الأطفال يعذبوا + +192 +00:18:02,040 --> 00:18:07,340 +الرجال يخطفوا النساء الله سبحانه وتعالى أرسل لبني + +193 +00:18:07,340 --> 00:18:12,780 +إسرائيل نبيا جديدا هو موسى عليه السلام وكان فرعون + +194 +00:18:12,780 --> 00:18:18,980 +مصر في في كل سنة في سنة يقتل فيها الأطفال وسنة لا + +195 +00:18:18,980 --> 00:18:24,820 +يقتل فيها الأطفالفولد موسى في السنة التي يقتل فيها + +196 +00:18:24,820 --> 00:18:28,300 +الأطفال وولد هارون في السنة التي لا يقتل فيها + +197 +00:18:28,300 --> 00:18:33,940 +الأطفال فكان من المقرر أن يقتل موسى ارتأبت أمه + +198 +00:18:33,940 --> 00:18:37,280 +فأوحى لها الله سبحانه وتعالى إن خفتي عليه فألقيه + +199 +00:18:37,280 --> 00:18:42,420 +في اليمر ارميه في البقى ارميه في نهر النيل وبالفعل + +200 +00:18:42,420 --> 00:18:47,800 +وضعته في صندوق أخته وألقته في النهر الله سبحانه + +201 +00:18:47,800 --> 00:18:52,810 +وتعالى جلب هذا الصندوق إلى بيت فرعونوأخذ الحرس هذا + +202 +00:18:52,810 --> 00:19:00,230 +الصندوق وقدّموه لزوجة فرعون فاتخذته ولدا لها وتربى + +203 +00:19:00,230 --> 00:19:06,370 +موسى في بيت فرعون وكلنا نعلم أن سيدنا موسى عليه + +204 +00:19:06,370 --> 00:19:11,590 +السلام عندما بعث نبيا دع الله سبحانه وتعالى لأخوه + +205 +00:19:11,590 --> 00:19:17,310 +هارون اجعل لي وزيرا من أهلي هارون أخي أشركه في + +206 +00:19:17,310 --> 00:19:23,540 +أمري أشدد به أذري وأشركه في أمريفأفضل الأخوة في + +207 +00:19:23,540 --> 00:19:30,080 +التاريخ الإنساني كانت أخوة سيدنا موسى لهارون تمنا + +208 +00:19:30,080 --> 00:19:36,020 +لهارون ما تمناه لنفسه علي اتهال أرسل لهم الله + +209 +00:19:36,020 --> 00:19:39,820 +سبحانه وتعالى أوحى لهم أن يذهب موسى إلى فرعون + +210 +00:19:39,820 --> 00:19:47,140 +ويلقم فرعون الحجةويدعوه إلى الله فكان اللقاء طلب + +211 +00:19:47,140 --> 00:19:51,700 +فرعون أن يكون اللقاء أمام الناس وجمع كل الناس وجيء + +212 +00:19:51,700 --> 00:19:59,180 +بالسحرة وبدأوا يلقوا ويسحروا ويلقوا بالأفاعي وهكذا + +213 +00:19:59,180 --> 00:20:03,000 +الله سبحانه وتعالى أوحى لسيدنا موسى ألقي بعصاك + +214 +00:20:03,000 --> 00:20:09,520 +فألقى بعصاه وإذا هي ثعبان كبير ضخم حي تسعة والتقمت + +215 +00:20:09,520 --> 00:20:10,760 +كل ما يأفكون + +216 +00:20:13,260 --> 00:20:18,740 +الصحراء انكبوا سجدا و آمنوا برب موسى لأنهم يعلموا + +217 +00:20:18,740 --> 00:20:25,240 +أن هذا ليس سحر هذا واقع هذا ليس سحر فرعون الأن + +218 +00:20:25,240 --> 00:20:31,060 +لاحقهم أراد و بدأ يلاحقهم و هددهم قال سأقطعن + +219 +00:20:31,060 --> 00:20:37,700 +أيديكم و أرجلكم من خلاف الرجل اليمينمع اليد اليسار + +220 +00:20:37,700 --> 00:20:43,820 +واليد اليمين مع الساق اليسار وها كذا تمت الملاحقة + +221 +00:20:43,820 --> 00:20:48,240 +وبدأ فرعون يلاحق سيدنا موسى وكل من معه وصل سيدنا + +222 +00:20:48,240 --> 00:20:54,220 +موسى انطلق من مصر متجها إلى الشرق عندما وصل سيدنا + +223 +00:20:54,220 --> 00:21:00,840 +موسى إلى البحر الأحمر وتخيلوا معي عندما نرسم البحر + +224 +00:21:00,840 --> 00:21:05,150 +الأحمر على الخارطة نرسمه بهذه الطريقةالبحر الأحمر + +225 +00:21:05,150 --> 00:21:10,330 +له فرعان هذا الفرع يسمى القريب من مصر فرق السويس + +226 +00:21:10,330 --> 00:21:16,730 +وهذا الفرق فرق العقبةخليج السويس خليج العقبة الآن + +227 +00:21:16,730 --> 00:21:22,150 +سيدنا موسى وصل إلى خليج السويس وأراد أن يجتاز + +228 +00:21:22,150 --> 00:21:25,590 +البحر الأحمر فاصطدم في البحر الله سبحانه وتعالى + +229 +00:21:25,590 --> 00:21:30,190 +أوحله ألقي بعصاكا فعندما ألقى بعصاه انفلق البحر + +230 +00:21:30,190 --> 00:21:35,390 +إلى إثنى عشر طريقا يبسا طريق وانطلق موسى بقومه + +231 +00:21:35,390 --> 00:21:40,620 +انطلق يسير في هذه الطرقات فرعون توقفقال لا + +232 +00:21:40,620 --> 00:21:47,140 +تلاحقوهم لعل البحر يبتلعهم الآن أما إذا نجوا إلى + +233 +00:21:47,140 --> 00:21:52,380 +الضفة الأخرى فنستطيع أن نلاحقهم وبالفعل عندما + +234 +00:21:52,380 --> 00:21:57,900 +تخطوا إلى الضفة الأخرى إلى الضفة الأخرى يعني صحراء + +235 +00:21:57,900 --> 00:22:01,660 +سيناء دخلوا صحراء سيناء انطلق فرعون خلفهم + +236 +00:22:04,300 --> 00:22:10,200 +هو وجيشه الجرار وعندما وصل إلى قلب البحر الأحمر في + +237 +00:22:10,200 --> 00:22:13,800 +المنتصف أغلق عليها الله سبحانه وتعالى وانتهى فرعه + +238 +00:22:13,800 --> 00:22:22,480 +اليوم ننجيك ببدنك لتكون لمن خلفك آيةالله قال نجّى + +239 +00:22:22,480 --> 00:22:31,860 +بدنه ليكون لمن خلفه آية ليس لينا نتفاخر بأننا + +240 +00:22:31,860 --> 00:22:39,820 +لدينا مهارة وتقنية التحنيط ونذهب بجثة فرعون وممياء + +241 +00:22:39,820 --> 00:22:44,580 +فرعون إلى متحف الـ Lofar ومتحف الـ Hermitage في + +242 +00:22:44,580 --> 00:22:50,590 +روسيا ومتحف الـ Metropolitan في أمريكاوإنما هناك + +243 +00:22:50,590 --> 00:22:55,850 +آية لا نغفل عنها لتكون لمن خلفك آية ولكن أكثر + +244 +00:22:55,850 --> 00:23:04,030 +الناس عن آياتنا لغافلون هذه المشكلة أخواننا + +245 +00:23:04,030 --> 00:23:09,010 +المصريين غفلوا عن هذه الآية غفلوا والله سبحانه + +246 +00:23:09,010 --> 00:23:14,710 +وتعالى أراد أن تكون هذه آية عبرة على أي حال الآن + +247 +00:23:17,960 --> 00:23:22,740 +لو تحدثنا عن العصر البرونز القديم قلنا تأسسة القدس + +248 +00:23:22,740 --> 00:23:28,180 +تحدثنا عن العصر البرونز الوسيط سيدنا إبراهيم عليه + +249 +00:23:28,180 --> 00:23:36,500 +السلام وإن جابه لإسماعيل وإن جابه لإسحاق ويعقوب كل + +250 +00:23:36,500 --> 00:23:41,580 +هذه الأحداث وأحداث سيدنا يوسف في العصر البرونز + +251 +00:23:41,580 --> 00:23:50,550 +الوسيط البرونزي الحديث هو أنأن الفرائنة طردوا + +252 +00:23:50,550 --> 00:23:54,430 +الهكسوس من الهكسوس الهكسوس هم الذين كانوا يحكموا + +253 +00:23:54,430 --> 00:23:59,150 +مصر حكموا مصر 200 عام وكل أحداث سيدنا يوسف عليه + +254 +00:23:59,150 --> 00:24:03,710 +السلام حدثت أيام الهكسوسكان الذين يحكموا مصر هم + +255 +00:24:03,710 --> 00:24:07,370 +الهكسوس لأن القرآن يدلل على ذلك في قصة سيدنا يوسف + +256 +00:24:07,370 --> 00:24:11,970 +القرآن يستخدم مصطلح عزيز مصر يا أيها الملك أما في + +257 +00:24:11,970 --> 00:24:15,030 +قصة سيدنا موسى عليه السلام القرآن يستخدم مصطلح + +258 +00:24:15,030 --> 00:24:20,230 +عندما يريد أن يتحدث عن ملك عن رئيس مصر رئيس مصر + +259 +00:24:20,230 --> 00:24:27,810 +يقول فرعونوالتاريخ يقول إنهم حكموا مصر 200 عام + +260 +00:24:27,810 --> 00:24:33,410 +وهؤلاء الـ Exos هم أمة من قلب آسيا استطاعوا أن + +261 +00:24:33,410 --> 00:24:38,290 +يخترعوا سلاحة نوعيا جديدا في ذلك العصر وهو العربة + +262 +00:24:38,290 --> 00:24:42,890 +التي يجرها الحصان فتميزوا عن الباقين تميزوا عن + +263 +00:24:42,890 --> 00:24:46,390 +الدول المجاورة جميعها أنهم يستطيعوا أن ينقلوا + +264 +00:24:46,390 --> 00:24:51,900 +القوات الأسكرية الخاصة بهمفي وقت قياسي في وقت قصير + +265 +00:24:51,900 --> 00:24:55,300 +ينقلوها من جبهة إلى جبهة لذلك سيطروا على بلاد + +266 +00:24:55,300 --> 00:24:59,240 +الشام وسيطروا على مصر وحكموا مصر 200 عاما في العصر + +267 +00:24:59,240 --> 00:25:07,000 +البرونزي المتأخر الفرائنة طردوا الهكسوس الحديدي + +268 +00:25:07,000 --> 00:25:11,100 +وهذا العصر من 1200 ل 330 ماذا حدث في هذا العصر أنا + +269 +00:25:11,100 --> 00:25:16,680 +أقول لكم في هذا العصركانت قصة سيدنا موسى عليه + +270 +00:25:16,680 --> 00:25:19,660 +السلام أراد أن يدخل فلسطين ولم يتمكن من دخول + +271 +00:25:19,660 --> 00:25:24,500 +فلسطين ودخل سيناء ودخل سيناء في هذا العصر في هذا + +272 +00:25:24,500 --> 00:25:29,320 +العصر أيضًا سيدنا موسى عليه السلام سيدنا موسى عليه + +273 +00:25:29,320 --> 00:25:35,680 +السلام كُتب على بني إسرائيل الذين مع سيدنا موسى + +274 +00:25:35,680 --> 00:25:41,080 +اتّيه واتاهوا في صحراء سيناء أربعون عامةوقصة الـ T + +275 +00:25:41,080 --> 00:25:44,820 +أربعون عامًا هذه لها قصة طويلة جدًا لماذا أربعون؟ + +276 +00:25:44,820 --> 00:25:48,200 +لماذا لم يكن الـ T ثلاثون؟ لماذا لم يكن خمسون + +277 +00:25:48,200 --> 00:25:53,740 +عامًا؟ وهكذا لأن الجيل الذي بصحبة سيدنا موسى هو + +278 +00:25:53,740 --> 00:26:00,210 +جيل ضعيفومن الذي ضعف هذا الجيل هو الفرائن الذين + +279 +00:26:00,210 --> 00:26:05,250 +تجبروا ونكلوا بهذا الجيل فالنفس البشرية كما هو + +280 +00:26:05,250 --> 00:26:10,930 +معروف إذا تعرضت للتعذيب والإهانة والتجريح لمدة + +281 +00:26:10,930 --> 00:26:17,510 +طويلةفتفسد هذه النفس وتصبح ضعيفة مترددة ضعيفة لا + +282 +00:26:17,510 --> 00:26:22,130 +تصلح للقيادة وهذا ما حدث في جيل في الجيل الذي كان + +283 +00:26:22,130 --> 00:26:25,910 +يقوده سيدنا موسى فالله سبحانه وتعالى أراد أن يزيح + +284 +00:26:25,910 --> 00:26:32,110 +هذا الجيل بكليته فزاعه تماما خلال أربعين عام توفي + +285 +00:26:32,110 --> 00:26:36,350 +سيدنا موسى توفي سيدنا هارون انتهى هذا الجيل بأكمله + +286 +00:26:36,350 --> 00:26:43,810 +خرج جيل جديد هذا الجيل بقيادةفتى سيدنا موسى يوشع + +287 +00:26:43,810 --> 00:26:50,810 +بن نون وهو نبي وهو نبي يوشع بن نون عبر سيناء وعبر + +288 +00:26:50,810 --> 00:26:56,230 +إلى الأردن وعبر إلى الأردن وصعد شمالا من الأردن + +289 +00:26:56,230 --> 00:27:03,970 +ومن أراضي الأردن دخلىإلى أريحة وانتصر في معركة على + +290 +00:27:03,970 --> 00:27:08,690 +الكنعانيين في أريحة وسيطر على أريحة وحكم أريحة + +291 +00:27:08,690 --> 00:27:14,110 +والقرآن يوثق هذه الأحداث بالتفصيل حتى في هذه + +292 +00:27:14,110 --> 00:27:17,730 +المعركة الله سبحانه وتعالى أوقف لهذا النبي يوشع بن + +293 +00:27:17,730 --> 00:27:23,270 +نون الشمس أوقفها له لأن المعركة حدثت حدثت يوم + +294 +00:27:23,270 --> 00:27:29,870 +الجمعة أوقف له الشمس كي يستمر النصربنوا إسرائيل + +295 +00:27:29,870 --> 00:27:34,770 +عندما مات يوشع بن نون بعد ذلك انحرفوا عن الجدة + +296 +00:27:34,770 --> 00:27:40,130 +وبدؤوا يعبدوا الأصنام الله سبحانه وتعالى سلط عليهم + +297 +00:27:40,130 --> 00:27:48,430 +الكنانيين الكنانيين كانوا لهم العذابواحتلوا بيوتهم + +298 +00:27:48,430 --> 00:27:55,730 +واختطفوا نساءهم واستعبدوهم وأخذوا التابوت المقدس + +299 +00:27:55,730 --> 00:28:00,270 +التابوت المقدس الذي فيه ملابس سيدنا موسى وملابس + +300 +00:28:00,270 --> 00:28:06,910 +سيدنا هارون وعصى موسى وبعض الألواح الآن من شدة + +301 +00:28:06,910 --> 00:28:13,290 +التعذيب والتنكيل والإهانةبنوا إسرائيل ذهبوا لنبي + +302 +00:28:13,290 --> 00:28:18,990 +لهم الله سبحانه وتعالى كلما مات نبي كان يبعث لهم + +303 +00:28:18,990 --> 00:28:24,850 +نبي يعطيهم فرص متتالية فذهبوا لنبي لهم يتجاوز عمره + +304 +00:28:24,850 --> 00:28:30,730 +تسعون عاما يدعى سمائيل قالوا له أنت نبي قال نعم + +305 +00:28:31,710 --> 00:28:39,590 +قالوا له نريد أن تدعو ربك أن يرسل لنا ملكا يوحد + +306 +00:28:39,590 --> 00:28:46,510 +صفوفنا وننتصر وننتصر لقد هزمنا فقال لهم أنتم لا + +307 +00:28:46,510 --> 00:28:52,050 +تصلحوا لأي شيء وحدثت هناك مناظرة مجادلة بينه و + +308 +00:28:52,050 --> 00:28:58,770 +بينهم أنتم لا تستطيعوا أنتم لا تقووا على القتال + +309 +00:29:00,150 --> 00:29:04,150 +أنتم لا تعرفوا السماء والطاعة قالوا له أنتم لا + +310 +00:29:04,150 --> 00:29:07,490 +تصلحوا للقتال قالوا له وكيف لا نقاتل وقد أخرجنا من + +311 +00:29:07,490 --> 00:29:12,990 +ديارنا ونسائنا واطفال هذا موجود في القرآن على أي + +312 +00:29:12,990 --> 00:29:17,090 +حال قالوا + +313 +00:29:17,090 --> 00:29:24,630 +له جربنا هذه المرة بعد ذلك قال لهم اتركوني وعودوا + +314 +00:29:24,630 --> 00:29:27,810 +ليه بعد ذلك فتركوه + +315 +00:29:29,170 --> 00:29:32,830 +وعادوا له فقال لهم الله سبحانه وتعالى يأمركم أن + +316 +00:29:32,830 --> 00:29:38,250 +تتخذوا من طالوت ذلك الرجل الصالح الذي زاده الله + +317 +00:29:38,250 --> 00:29:44,510 +سبحانه وتعالى بسطة في العلم والجسم ملكا عليكم هو + +318 +00:29:44,510 --> 00:29:52,570 +سيوحدكم وستنتصروا قالوا له أنت كاذب أنت كاذب لأن + +319 +00:29:52,570 --> 00:30:01,130 +طالوت رجل فقيروطالوت هو ليس من فرع يهوذة هذا الفرع + +320 +00:30:01,130 --> 00:30:08,170 +الذي يخرج الملوك فقال لهم وما .. وما علاقة .. وما + +321 +00:30:08,170 --> 00:30:12,830 +علاقة الفروع بالقيادة وما علاقة الغنى والفقر + +322 +00:30:12,830 --> 00:30:19,220 +بالقيادة أقول لكم زاده بسطة في العلم والجسمإذا + +323 +00:30:19,220 --> 00:30:24,540 +شروط القيادة هي البسطة في العلم والجسم، هكذا + +324 +00:30:24,540 --> 00:30:30,530 +تستطيع أن تكون قائد مميز، هكذا القرآن يقولعلى أي + +325 +00:30:30,530 --> 00:30:37,030 +حال هم لم يصدقوا فقال لهم هذا النبي سمائيل ما + +326 +00:30:37,030 --> 00:30:41,550 +رأيكم أن نقدم لكم معجزة من الله سبحانه وتعالى + +327 +00:30:41,550 --> 00:30:47,250 +قالوا لهم هذه المعجزة وإذ بالملائكة تأتي بأجنحتها + +328 +00:30:47,250 --> 00:30:51,950 +تحمل التابوت المقدس جاءت بالتابوت المقدس من مدينة + +329 +00:30:51,950 --> 00:30:58,810 +القدس إلى ريحة ووضعته بين يدي بني إسرائيل الملائكة + +330 +00:31:02,680 --> 00:31:14,500 +ألا تلاحظوا أن بني إسرائيل جوبلوا على الشك طبيعة + +331 +00:31:14,500 --> 00:31:19,020 +بني إسرائيل تختلف عن طبيعة أمة محمد أمة محمد تؤمن + +332 +00:31:19,020 --> 00:31:24,060 +بالغيبيات وهذا من أركان الإيمان أن نؤمن بالله و + +333 +00:31:24,060 --> 00:31:30,990 +بالغيبنؤمن بالملائكة والرسل كل الرسل لكنهم لا + +334 +00:31:30,990 --> 00:31:35,150 +يؤمنوا بالغيبيات هم يؤمنوا فقط بالمحسوس عندما تقول + +335 +00:31:35,150 --> 00:31:39,970 +له يوجد ملائكة يقول لك دعني أراها + +336 +00:31:43,610 --> 00:31:46,870 +أمسكها هناك الله سبحانه وتعالى خالق السماوات + +337 +00:31:46,870 --> 00:31:52,250 +والأرض يقول لك لا لا أصدق دعني أرى الله هكذا وهذا + +338 +00:31:52,250 --> 00:31:58,010 +ما يميز أمة محمد عن هذه الأمم نحن لم نرى النبي صلى + +339 +00:31:58,010 --> 00:32:00,930 +الله عليه وسلم ولم نرى الملائكة ولم نرى أي شيء + +340 +00:32:00,930 --> 00:32:06,810 +ولكننا الآن نؤمنونسير تحت راية محمد ونقدم الأرواح + +341 +00:32:06,810 --> 00:32:12,490 +والمهج والدماء والبيوت والبيوت والأبناء والدماء من + +342 +00:32:12,490 --> 00:32:15,930 +أجل هذا الدين من أجل هذا الدين مع أننا لم نرى + +343 +00:32:15,930 --> 00:32:20,610 +الأنبياء ولم نرى محمد ولم نرا ولم نرى ملائكة فهذا + +344 +00:32:20,610 --> 00:32:24,230 +هو الإيمان الذي تحدث عنه النبي صلى الله عليه وسلم + +345 +00:32:24,230 --> 00:32:31,140 +العصر الحديدي حدثت في فلسطينمن 1200 إلى 330 حدثت + +346 +00:32:31,140 --> 00:32:37,280 +أحداث كثيرة حدثت في فلسطين في العصر الحديد الحديدي + +347 +00:32:37,280 --> 00:32:45,860 +أحداث طالوت ثم أحداث إمارة يهودا وإسرائيل إمارة + +348 +00:32:45,860 --> 00:32:50,040 +يهودا وإسرائيل وإمارة يهودا وإسرائيل لم تؤمر طويلا + +349 +00:32:50,040 --> 00:32:53,920 +إمارة يهودا .. إمارة إسرائيل في سنة .. من ألف + +350 +00:32:53,920 --> 00:32:58,930 +وأربعة لتسعمية وتلات أو لسبعمية وواحدة وعشرينمن + +351 +00:32:58,930 --> 00:33:02,290 +ألف وأربعة إلى تسعمائة وتلاتة وعشرين سيدنا دوود + +352 +00:33:02,290 --> 00:33:04,430 +عليه السلام من تسعمائة وتلاتة وعشرين قبل الميلاد + +353 +00:33:04,430 --> 00:33:08,350 +طبعا إلى تسعمائة من تسعمائة وتلاتة وستين قبل + +354 +00:33:08,350 --> 00:33:10,690 +الميلاد تسعمائة وتلاتة وعشرين قبل الميلاد سيدنا + +355 +00:33:10,690 --> 00:33:14,750 +سليمان عليه السلام ثم بعد ذلك انقسم بني إسرائيل + +356 +00:33:14,750 --> 00:33:19,970 +إلى قسمين يهودة وإسرائيل إسرائيل إمارة إسرائيل + +357 +00:33:20,490 --> 00:33:27,270 +انهارت مباشرة في 721 على يد الأشوريين إمارة يهودا + +358 +00:33:27,270 --> 00:33:35,050 +من 923 امتدت ل 586 وانهارت على يد نبو خدنصر + +359 +00:33:35,050 --> 00:33:40,350 +الكلداني السبي البابل الثاني في 586 عندما أخذ 40 + +360 +00:33:40,350 --> 00:33:45,670 +ألف من اليهود وألقى بهم في العراق الآن كل ذلك في + +361 +00:33:45,670 --> 00:33:51,590 +العصر الحديديالان فلسطين خضعت للاحتلال الاشوري + +362 +00:33:51,590 --> 00:34:01,230 +للاحتلال الاشوري ثم بعد ذلك جاء الاحتلال الاحتلال + +363 +00:34:01,230 --> 00:34:08,270 +العراقي الكلداني واستمر الاحتلال الكلداني العراقي + +364 +00:34:08,270 --> 00:34:15,860 +حتى خمسمية وتسعة وتلاتينوجاء بعد ذلك الاحتلال + +365 +00:34:15,860 --> 00:34:20,120 +الفارسي والاحتلال الفارس احتلى القدس وفلسطين من + +366 +00:34:20,120 --> 00:34:28,660 +935 من 539 وحتى 332 من جاء جاء الاحتلال اليوناني + +367 +00:34:28,660 --> 00:34:36,680 +والاحتلال اليوناني من 332 حتى 59 + +368 +00:34:36,680 --> 00:34:44,270 +قبل الميلاد ثم بعد ذلك جاء الرومان الرومانالرومان + +369 +00:34:44,270 --> 00:34:49,510 +من تسعة و ستين من تلاتة و ستين قبل الميلاد وحتى + +370 +00:34:49,510 --> 00:34:53,830 +ستمية و ستة و تلاتين ميلادي و ستمية و ستة و تلاتين + +371 +00:34:53,830 --> 00:34:58,470 +ميلادي هذا التاريخ هو يساوي خمستاشر هجري خمستاشر + +372 +00:34:58,470 --> 00:35:02,350 +هجري اليارموك خمستاشر هجري عمرو بن الخطاب يفتح + +373 +00:35:02,350 --> 00:35:07,490 +القدسأذا أريد أن أقول أن مدينة القدس بقيت تحت + +374 +00:35:07,490 --> 00:35:12,870 +الاحتلال الروماني من 63 قبل الميلاد وحتى 636 + +375 +00:35:12,870 --> 00:35:16,330 +ميلادي كل هذه الحقبة بقيت القدس تحت الاحتلال + +376 +00:35:16,330 --> 00:35:22,370 +الروماني في 636 ميلادي ماذا حدث الفتح الإسلامي + +377 +00:35:22,370 --> 00:35:28,030 +وتدخل مدينة القدس مرحلة جديدة وهي مرحلة العصور + +378 +00:35:28,030 --> 00:35:33,990 +الوسطى والتي تميزتبظهور الإسلام وفتح القدس + +379 +00:35:33,990 --> 00:35:38,430 +بالإسلام وفتح القدس بالإسلام إلى هنا إلى اللقاء + +380 +00:35:38,430 --> 00:35:40,810 +نواصل ان شاء الله في اللقاء القادم + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/knWuHTsmP7k.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/knWuHTsmP7k.srt new file mode 100644 index 0000000000000000000000000000000000000000..ed83cbee1287bc466a83e78617ba3a29e2afd7f9 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/knWuHTsmP7k.srt @@ -0,0 +1,2043 @@ +1 +00:00:05,350 --> 00:00:09,490 +أعوذ بالله من الشيطان الرجيم بسم + +2 +00:00:09,490 --> 00:00:12,710 +الله الرحمن الرحيم الحمد لله رب العالمين والصلاة + +3 +00:00:12,710 --> 00:00:16,490 +والسلام على قائد المجاهدين محمد صلى الله عليه وسلم + +4 +00:00:16,490 --> 00:00:22,490 +نواصل إن شاء الله مشوارنا مع تاريخ القدس اليوم + +5 +00:00:22,490 --> 00:00:29,950 +سنتحدث عن الموقف الدولي من قضية القدس أي سنتحدث عن + +6 +00:00:29,950 --> 00:00:35,720 +موقف الولايات المتحدة الأمريكية من القدس وقضايا + +7 +00:00:35,720 --> 00:00:42,780 +القدس سنتحدث أيضا عن موقف الاتحاد الأوروبي ودول + +8 +00:00:42,780 --> 00:00:47,600 +أوروبا من قضية القدس ثم نتحدث عن موقف روسيا + +9 +00:00:47,600 --> 00:00:54,000 +والاتحاد السوفيتي من قضية القدس تاريخيا لنرى + +10 +00:00:54,000 --> 00:00:59,520 +التفاصيل الولايات + +11 +00:00:59,520 --> 00:01:05,320 +المتحدة الأمريكية موقف الولايات المتحدة الأمريكية + +12 +00:01:05,320 --> 00:01:12,860 +من القدس يختلف عن موقف أي دولة أخرى في العالم فهذه + +13 +00:01:12,860 --> 00:01:19,160 +الدولة منحازة انحياز كامل للكيان الصهيوني فلقد + +14 +00:01:19,160 --> 00:01:25,110 +أسهمت الولايات المتحدة الأمريكية بشكل كبير في إصدار + +15 +00:01:25,110 --> 00:01:32,910 +قرار التقسيم 181 في 29 نوفمبر 1947 فقد + +16 +00:01:32,910 --> 00:01:37,750 +ضغطت على عدد من الدول على عدد من الدول كي يصدر هذا + +17 +00:01:37,750 --> 00:01:41,810 +القرار قرار التقسيم ضغطت على هايتي وبعض الدول + +18 +00:01:41,810 --> 00:01:46,930 +الضعيفة وهددتها إلى أن أعيد التصويت على هذا القرار + +19 +00:01:46,930 --> 00:01:52,000 +وتم إصدار القرار من الأمم المتحدة وذلك من خلال + +20 +00:01:52,000 --> 00:01:54,900 +الضغط على العديد من الدول الأعضاء في الجمعية الأمن + +21 +00:01:54,900 --> 00:01:59,720 +للأمم المتحدة من أجل تأييد القرار وقد صوتت هي + +22 +00:01:59,720 --> 00:02:05,160 +الأخرى إلى جانب القرار والذي يحدد أن مدينة القدس + +23 +00:02:06,680 --> 00:02:12,500 +تخضع لنظام دولي خاص تتولى الأمم المتحدة الإشراف + +24 +00:02:12,500 --> 00:02:17,120 +عليه من خلال مجلس وصاية يقوم بإدارة مدينة القدس + +25 +00:02:17,120 --> 00:02:22,500 +ومع تطور الأحداث عام 48 وما نتج عنها من احتلال + +26 +00:02:22,500 --> 00:02:27,140 +الصهاينة لما يقرب 78% من مدينة القدس تقريبا من + +27 +00:02:27,140 --> 00:02:36,000 +مساحة فلسطين بما في ذلك القسم الغربي من مدينة القدس + +28 +00:02:36,000 --> 00:02:43,860 +فقد احتله الصهاينة في عام 1948 فقد فرض هذا واقعا + +29 +00:02:43,860 --> 00:02:50,140 +جديدا على المدينة وهذا أدى إلى توجه جديد للولايات + +30 +00:02:50,140 --> 00:02:54,860 +المتحدة اتجاه مدينة القدس حيث دعت إلى وحدة مدينة + +31 +00:02:54,860 --> 00:02:58,640 +القدس وتدويل الأماكن المقدسة وتشكيل لجنة توفيق + +32 +00:02:58,640 --> 00:03:06,420 +دولية عام 1949 واقترحت إنشاء مجلس عربي صهيوني + +33 +00:03:06,420 --> 00:03:12,920 +مشترك ليدير المدينة وتعيين مفوض عام من قبل الأمم + +34 +00:03:12,920 --> 00:03:18,410 +المتحدة لإدارة الأماكن المقدسة وهذا يؤكد تراجع موقف + +35 +00:03:18,410 --> 00:03:21,130 +الولايات المتحدة عن فكرة تدويل المدينة والدعوة + +36 +00:03:21,130 --> 00:03:28,090 +لإبقائها موحدة أريد أن أقول أن الولايات المتحدة + +37 +00:03:28,090 --> 00:03:31,450 +الأمريكية هي تعمل دائما لصالح الكيان الصهيوني هي + +38 +00:03:31,450 --> 00:03:39,200 +تحمل كيان صهيوني في كل مكان لذلك كخطوة أولى كخطوة + +39 +00:03:39,200 --> 00:03:43,780 +أولى أرادت الولايات المتحدة الأمريكية خطوة أولى + +40 +00:03:43,780 --> 00:03:50,520 +لانتزاع القدس من الفلسطينيين دعمت تدويل مدينة + +41 +00:03:50,520 --> 00:03:55,660 +القدس أصلا قرار 181 هو يتحدث في نقطتين النقطة + +42 +00:03:55,660 --> 00:04:01,640 +الأولى إقامة إقامة دولتين دولة عربية ودولة يهودية + +43 +00:04:01,640 --> 00:04:04,900 +أي الولايات المتحدة الأمريكية عندما دعمت هذا + +44 +00:04:04,900 --> 00:04:10,200 +القرار هي جلبت للصهاينة اعترافا دوليا من الأمم + +45 +00:04:10,200 --> 00:04:16,920 +المتحدة بدولة يهودية يهودية ونكرر يهودية المقطع + +46 +00:04:16,920 --> 00:04:25,080 +الثاني الذي يتحدث عنه القرار 181 هو أن القدس تصبح + +47 +00:04:25,080 --> 00:04:32,080 +دولية أي ليس للفلسطينيين وهذا يعد خطوة خطوة لصالح + +48 +00:04:32,080 --> 00:04:39,300 +الصهاينة بامتياز الدولة اليهودية القدس ليس للعرب + +49 +00:04:39,300 --> 00:04:44,540 +القدس ليس للمسلمين كخطوة أولى الخطوة التي تليها + +50 +00:04:46,000 --> 00:04:50,440 +الصهاينة يديروا ويشاركوا في إدارة القدس الخطوة + +51 +00:04:50,440 --> 00:04:54,280 +التي تليها أن الصهاينة يحتلوا كل مدينة القدس + +52 +00:04:54,280 --> 00:04:58,880 +الخطوة التي تليها أن مدينة القدس موحدة ويجب أن + +53 +00:04:58,880 --> 00:05:04,880 +تبقى موحدة لماذا؟ لكي تكون عاصمة للكيان الصهيوني + +54 +00:05:04,880 --> 00:05:11,100 +وليس للفلسطينيين فيها أي شيء هكذا هو يتدرج موقف + +55 +00:05:11,100 --> 00:05:12,620 +الولايات المتحدة الأمريكية + +56 +00:05:17,570 --> 00:05:23,410 +طبعاً ودّعى إلى إبقائها موحدة فقط تدويل القدس + +57 +00:05:23,410 --> 00:05:30,510 +والأماكن المقدسة يعني القدس الولايات المتحدة قالت + +58 +00:05:30,510 --> 00:05:35,910 +أن القدس + +59 +00:05:35,910 --> 00:05:42,590 +يتم تدويل الأماكن المقدسة فقط طيب قامت في 9 + +60 +00:05:42,590 --> 00:05:48,340 +ديسمبر تسعة وأربعين بالتصويت ضد قرار الجمعية العامة + +61 +00:05:48,340 --> 00:05:52,260 +303 للولايات المتحدة الأمريكية صوتت ضد + +62 +00:05:52,260 --> 00:05:56,240 +القرار 303 والذي أكد على أن تكون القدس + +63 +00:05:56,240 --> 00:06:03,580 +تحت نظام دولي دائم بدأت تتنصل تتراجع عن الدعوة إلى + +64 +00:06:03,580 --> 00:06:11,180 +أن تكون القدس دولية وإعادة التأكيد على ما ورد في + +65 +00:06:11,180 --> 00:06:15,420 +قرار التقسيم 181 بشأن إقامة كيان منفصل القدس تحت + +66 +00:06:15,420 --> 00:06:19,200 +حكم دولي خاص تقوم على إدارته الأمم المتحدة بينما + +67 +00:06:19,200 --> 00:06:23,660 +كان الكيان الصهيوني يقوم بنقل مؤسساته إلى القدس ما + +68 +00:06:23,660 --> 00:06:26,740 +يعني موافقة ضمنية من الولايات المتحدة الأمريكية + +69 +00:06:26,740 --> 00:06:31,560 +على ذلك استفراد الكيان الصهيوني بالقدس ولقد عملت + +70 +00:06:31,560 --> 00:06:34,240 +الإدارة الأمريكية في هذه المرحلة من الصراع العربي + +71 +00:06:34,240 --> 00:06:37,980 +الصهيوني على حصر هذا النزاع في أضيق الحدود وذلك + +72 +00:06:37,980 --> 00:06:45,180 +لمنع تدخل الدول الأخرى الولايات المتحدة كما أسلفت + +73 +00:06:45,180 --> 00:06:49,820 +هي موقفها متدرج ويخدم المصلحة الصهيونية بامتياز + +74 +00:06:49,820 --> 00:06:54,640 +الولايات المتحدة أولا كانت تدعو إلى تدويل مدينة + +75 +00:06:54,640 --> 00:07:02,820 +القدس بعد ذلك بدأت تدعو إلى تدويل فقط الأماكن + +76 +00:07:02,820 --> 00:07:07,060 +المقدسة بعد ذلك تجد تجد الولايات المتحدة الأمريكية + +77 +00:07:07,060 --> 00:07:13,080 +تصوت ضد قرار 303 اللي في 49 في ديسمبر 49 لماذا + +78 +00:07:13,080 --> 00:07:18,380 +لأن هذا القرار يتحدث عن تدويل مدينة القدس ويؤكد ما + +79 +00:07:18,380 --> 00:07:23,600 +ورد في قرار 181 لم يعد يهمها قرار 181 هي أخذت ما + +80 +00:07:23,600 --> 00:07:29,060 +يلزمها بقرار 181 الآن ماذا تفعل الولايات المتحدة + +81 +00:07:29,060 --> 00:07:33,480 +الأمريكية الولايات المتحدة الأمريكية تدعم سيطرة + +82 +00:07:33,480 --> 00:07:39,200 +صهيونية على القدس كامل القدس هي تدعم هذا التوجه هي + +83 +00:07:39,200 --> 00:07:43,500 +تقف في وجه الأمم المتحدة ودول العالم هي تعطي + +84 +00:07:43,500 --> 00:07:49,700 +مجالا للصهاينة كي + +85 +00:07:49,700 --> 00:07:53,660 +يستفردوا في مدينة القدس والصهاينة ينقلوا مؤسساتهم + +86 +00:07:53,660 --> 00:07:59,040 +إلى مدينة القدس استعدادا لإعلانها + +87 +00:07:59,040 --> 00:08:07,180 +عاصمة للكيان الصهيوني الولايات المتحدة أيضًا تحاول + +88 +00:08:07,180 --> 00:08:12,700 +حجز ومنع أي دولة من التدخل في الصراع بين الصهاينة + +89 +00:08:12,700 --> 00:08:18,000 +والفلسطينيين لماذا؟ لأنها تعلم أن الكفة راجحة + +90 +00:08:18,000 --> 00:08:26,440 +لصالح الصهاينة هذه خريطة خرائط تدلل + +91 +00:08:28,220 --> 00:08:36,980 +تدلل كيف كانت خريطة فلسطين في عام 1945 الخريطة + +92 +00:08:36,980 --> 00:08:45,060 +التي على يمين الشاشة 1945 هذا اللون الأخضر هذا + +93 +00:08:45,060 --> 00:08:50,080 +اللون الأخضر هو الوجود الفلسطيني لاحظوا تماما في + +94 +00:08:50,080 --> 00:08:53,060 +عام 1947 هي قرار التقسيم + +95 +00:08:56,030 --> 00:09:01,610 +اللون الأبيض هو ما يسيطر عليه الصهاينة اللون + +96 +00:09:01,610 --> 00:09:08,620 +الأخضر ما يسيطر عليه الفلسطينيين في عام من 1949 إلى + +97 +00:09:08,620 --> 00:09:14,780 +1967 الخارطة رقم 3 لاحظوا ينحصر الوجود الفلسطيني + +98 +00:09:14,780 --> 00:09:21,720 +تضيع المناطق الشمالية من فلسطين ويتقلص حجم الضفة + +99 +00:09:21,720 --> 00:09:28,170 +الفلسطينية ويتقلص حجم مدينة غزة قطاع غزة لاحظوا في + +100 +00:09:28,170 --> 00:09:32,530 +عام 2000 ماذا يحدث تصبح الدفة الفلسطينية مقطعة + +101 +00:09:32,530 --> 00:09:42,610 +عبارة عن بؤر مقطوعة ليس بينها تواصل غزة مهشمة + +102 +00:09:43,210 --> 00:09:48,290 +متآكلة وهكذا تمدد المشروع الصهيوني على أرض الشعب + +103 +00:09:48,290 --> 00:09:55,150 +الفلسطيني لاحظوا الفرق بين الخارطة + +104 +00:09:55,150 --> 00:10:02,710 +الأولى رقم 1 في عام 45 وخارطة رقم 4 عام 2000 هنا + +105 +00:10:02,710 --> 00:10:11,090 +تظهر جريمة الصهيونية واضحة للعيان نريد أن نتحدث عن + +106 +00:10:11,090 --> 00:10:18,850 +رؤساء الولايات المتحدة الأمريكية هذا الرئيس جونسون + +107 +00:10:18,850 --> 00:10:23,990 +هذا الرئيس حكم الولايات المتحدة الأمريكية من + +108 +00:10:23,990 --> 00:10:28,090 +1963 إلى 1969 كيف + +109 +00:10:28,090 --> 00:10:36,440 +كانت سياسة جونسون؟ في هذه الحقبة 63 إلى 69 لم تبدأ + +110 +00:10:36,440 --> 00:10:42,260 +الإدارة الأمريكية موقفا واضحا عقب بعد حرب الخامس + +111 +00:10:42,260 --> 00:10:47,560 +من حزيران 67 واحتلال الصهاينة لما تبقى من فلسطين + +112 +00:10:47,560 --> 00:10:52,020 +بما في ذلك القسم الشرقي لمدينة القدس مادام الصهاينة + +113 +00:10:52,020 --> 00:10:58,190 +الكفة راجحة لصالحهم الولايات المتحدة لا تتدخل لما + +114 +00:10:58,190 --> 00:11:02,510 +تحدث لرئيس الأمريكي في ذلك الوقت جونسون في خطابه + +115 +00:11:02,510 --> 00:11:07,510 +بتاريخ 19 يونيو 67 عن الوضع في القدس الذي عرض فيه + +116 +00:11:07,510 --> 00:11:14,110 +مشروع للسلام يتكون من خمس نقاط لا يلزم أن يتحدث + +117 +00:11:14,110 --> 00:11:17,790 +الآن لأن الصهاينة هم الذين يسيطرون هم الذين يحتلون + +118 +00:11:17,790 --> 00:11:21,930 +الأرض الصهاينة خرجوا من حرب السبعين وستين وقد + +119 +00:11:21,930 --> 00:11:26,730 +احتلوا غزة والضفة واحتلوا الجزء الشرقي من مدينة + +120 +00:11:26,730 --> 00:11:35,110 +القدس فبالتالي هو لا يحتاج للحديث هو يريد من + +121 +00:11:35,110 --> 00:11:40,430 +الصهاينة أن يستفردوا بالقدس ويسيطرون على كل القدس + +122 +00:11:43,530 --> 00:11:47,470 +ووفقا لهذا المشروع اللي طرحه جونسون من خمس نقاط + +123 +00:11:47,470 --> 00:11:52,670 +مشروع السلام حدد + +124 +00:11:52,670 --> 00:11:58,770 +السياسة الخارجية لهذا الصراع بمطالبة الدول المعنية + +125 +00:11:58,770 --> 00:12:02,310 +بالاعتراف ببعضها البعض ضمن حدود معترف بها والله + +126 +00:12:02,310 --> 00:12:09,630 +أكبر اعترفوا بإسرائيل هكذا يريد اعتراف بالاحتلال + +127 +00:12:09,630 --> 00:12:14,730 +الصهيوني أن له حق في فلسطين وترتيبات خاصة بالقدس + +128 +00:12:14,730 --> 00:12:17,770 +تعترف بالمصالح الخاصة للأديان السماوية في الأماكن + +129 +00:12:17,770 --> 00:12:22,810 +المقدسة وكرر ممثل الولايات المتحدة الأمريكية في الأمم + +130 +00:12:22,810 --> 00:12:29,500 +المتحدة Arthur Goldberg مبادئ المشروع جنسه للتسوية + +131 +00:12:29,500 --> 00:12:33,040 +أمام الجامعية العامة في اجتماعها المنعقد في 20 + +132 +00:12:33,040 --> 00:12:38,140 +يونيو 67 وكان مشروع القرار الذي طرحه للجامعية + +133 +00:12:38,140 --> 00:12:43,140 +العامة للتصويت عليه خاليا من أي إشارة لمستقبل + +134 +00:12:43,140 --> 00:12:46,980 +مدينة القدس طبعا هذا يدل على أن الولايات المتحدة + +135 +00:12:46,980 --> 00:12:50,120 +الأمريكية ترفض عودة الكيان الصهيوني إلى حدود ما قبل + +136 +00:12:50,120 --> 00:12:57,440 +67 هي ترفض المكاسب التي حققتها من جراء الحرب لا + +137 +00:12:57,440 --> 00:13:01,080 +يمكن التخلي عنها وهذا يتوافق مع التصور الصهيوني + +138 +00:13:01,080 --> 00:13:04,360 +هذا + +139 +00:13:04,360 --> 00:13:10,560 +ممثل الولايات المتحدة الأمريكية في الأمم المتحدة يتضح + +140 +00:13:10,560 --> 00:13:14,420 +الموقف الأمريكي تجاه قضية القدس في الإعلان الذي + +141 +00:13:14,420 --> 00:13:18,580 +أصدرته وزارة الخارجية الأمريكية في اليوم نفسه الذي + +142 +00:13:18,580 --> 00:13:22,380 +أعلنت فيه سلطات الاحتلال الصهيوني ضمها للقسم + +143 +00:13:22,380 --> 00:13:29,190 +الشرقي من مدينة القدس في 28 يونيو 67 نص الإعلان على + +144 +00:13:29,190 --> 00:13:33,390 +أن العمل الإداري الذي اتخذه الكيان الصهيوني + +145 +00:13:33,390 --> 00:13:40,150 +هم يدافعون عن أفعال الصهاينة يوم أن احتل الصهاينة + +146 +00:13:40,150 --> 00:13:44,670 +القدس يوم أن أعلنوا في 28 يونيو أنهم ضموا مدينة + +147 +00:13:44,670 --> 00:13:49,540 +القدس للكيان الصهيوني رسميا الولايات المتحدة تقول + +148 +00:13:49,540 --> 00:13:55,620 +إن التغيرات التي قامت بها دولة إسرائيل في مدينة + +149 +00:13:55,620 --> 00:14:03,120 +القدس هي لا تعني أي شيء يعني هي تهون هي تبنج إنجاز + +150 +00:14:03,120 --> 00:14:08,200 +التعبير تخدير الرأي العام العالمي تخدير الأمم + +151 +00:14:08,200 --> 00:14:12,470 +المتحدة نص الإعلان على أن العمل الإداري الذي اتخذ + +152 +00:14:12,470 --> 00:14:15,270 +من قبل الكيان الصهيوني لا يمكن اعتباره على أنه + +153 +00:14:15,270 --> 00:14:19,790 +يتحكم بمستقبل الأماكن المقدسة أو بوضع القدس أو + +154 +00:14:19,790 --> 00:14:23,310 +أن الولايات المتحدة الأمريكية لا تعتبر مثل هذه + +155 +00:14:23,310 --> 00:14:27,670 +الأعمال الأحادية الجانب من قبل أي من الدول المنطقة + +156 +00:14:27,670 --> 00:14:31,990 +على أنها تتحكم أو تلغي موضوع تدوير القدس يا سلام + +157 +00:14:31,990 --> 00:14:35,490 +تخدير + +158 +00:14:35,490 --> 00:14:43,680 +تخدير للعالم يعني ببساطة بقول للعالم احنا على موقفنا + +159 +00:14:43,680 --> 00:14:50,180 +احنا بدنا الـ goods مدولة لأ لأ خلهم يعملوا عادي ما + +160 +00:14:50,180 --> 00:14:56,920 +تقوم به إسرائيل من تجريف حي المغاربة واعتبار حائط + +161 +00:14:56,920 --> 00:15:02,820 +البراق وحائط المبكى ومكان مقدس للصهاينة واحتلوه وضم + +162 +00:15:02,820 --> 00:15:09,640 +.. ضم كل الأماكن لبلدية القدس وإصدار القوانين + +163 +00:15:09,640 --> 00:15:12,800 +والسيطرة على الأراضي والسيطرة على الأراضي البلدية + +164 +00:15:12,800 --> 00:15:18,400 +والسيطرة وتخطيط مدينة القدس من جديد والبدء بمشروع + +165 +00:15:18,400 --> 00:15:23,580 +تغيير الديموغرافيا وتغيير كل شيء في مدينة القدس + +166 +00:15:23,580 --> 00:15:29,700 +والتخطيط هي مشاريع يعني هامشية لن تغير في الوضع + +167 +00:15:32,140 --> 00:15:36,280 +الولايات المتحدة الأمريكية مطمئنة إلى ذلك هذا يعني + +168 +00:15:36,280 --> 00:15:43,700 +ما يريدون أن يقولوا للعالم يعني لا تهيجوا لا + +169 +00:15:43,700 --> 00:15:48,300 +تهيجوا على إسرائيل هكذا هي تريد ساعة الإدارة + +170 +00:15:48,300 --> 00:15:51,000 +الأمريكية اللي منأ صدور قرارات عن الأمم المتحدة + +171 +00:15:51,000 --> 00:15:54,320 +تدين موقف الكيان الصهيوني ولذلك امتنعت عن التصويت + +172 +00:15:54,320 --> 00:16:03,200 +على قرار 2253 وامتنعت عن التصويت على قرار 2254 هذه + +173 +00:16:03,200 --> 00:16:05,900 +القرارات التي صدرت في الدورة الطارئة للجمعية + +174 +00:16:05,900 --> 00:16:10,680 +العامة للأمم المتحدة في يوليو 67 هذه القرارات + +175 +00:16:10,680 --> 00:16:14,340 +طالبة الكيان الصهيوني بإلغاء جميع ما قام به من + +176 +00:16:14,340 --> 00:16:18,060 +إجراءات في القدس وتوقف عن أي إجراء يغير من وضعها + +177 +00:16:18,060 --> 00:16:28,000 +قرار 2253 وقرار 2254 في 1967 لما إسرائيل احتلت + +178 +00:16:28,000 --> 00:16:33,060 +القدس وبدأت تغير في الديموغرافيا تغير في كل شيء في + +179 +00:16:33,060 --> 00:16:38,800 +القدس تصدر قوانين تسحب هويات تهدم بيوت تدمر حارات + +180 +00:16:38,800 --> 00:16:45,580 +وتفتح ساحات وتسيطر على حائط البراق الأمم المتحدة + +181 +00:16:45,580 --> 00:16:49,700 +قالت لإسرائيل قف، لكن الولايات المتحدة الأمريكية + +182 +00:16:49,700 --> 00:16:54,180 +الولايات المتحدة الأمريكية امتنعت أو لم تصوت لصالح هذه + +183 +00:16:54,180 --> 00:16:54,940 +القرارات + +184 +00:16:58,460 --> 00:17:03,060 +لتوضيح موقف بلادها وللتخفيف من الانتقادات التي + +185 +00:17:03,060 --> 00:17:06,520 +تعرضت لها الولايات المتحدة الأمريكية بسبب امتناعها + +186 +00:17:06,520 --> 00:17:15,600 +عن التصويت على القرارين السابقين صرح ممثل الولايات + +187 +00:17:15,600 --> 00:17:17,880 +المتحدة الأمريكية في الأمم المتحدة + +188 +00:17:20,140 --> 00:17:24,980 +Goldberg ببيان ألقاه أمام الجمعية العامة في + +189 +00:17:24,980 --> 00:17:31,100 +يوليو 67 يقول فيه بأن الأساليب التي ممكن أن تغير + +190 +00:17:31,100 --> 00:17:35,140 +وضع مدينة القدس والتي اتبعتها حكومة الكيان + +191 +00:17:35,140 --> 00:17:39,860 +الصهيوني في 28 يونيو لا تعترف بها الولايات المتحدة + +192 +00:17:39,860 --> 00:17:45,720 +الأمريكية أيضا عملية تخدير جديدة + +193 +00:17:48,030 --> 00:17:53,930 +أبدى بيرج أسف الإدارة الأمريكية للكيان + +194 +00:17:53,930 --> 00:17:58,070 +الصهيوني لاتخاذ الكيان الصهيوني مثل هذه الإجراءات + +195 +00:17:58,070 --> 00:18:00,910 +مؤكدا في الوقت نفسه على أن الأساليب المتبعة لا + +196 +00:18:00,910 --> 00:18:07,770 +يمكن اعتبارها أكثر من مجرد أوضاع مؤقتة بغيروا + +197 +00:18:07,770 --> 00:18:16,570 +الديموغرافيا في القدس هجروا العرب والفلسطينيين من + +198 +00:18:16,570 --> 00:18:25,190 +بيوتهم من أراضيهم دمروا الأماكن المقدسة وحولوها إلى + +199 +00:18:25,190 --> 00:18:33,430 +أماكن مقدسة توراتية وتقول ليه هذه مؤقتة قبل + +200 +00:18:33,430 --> 00:18:40,850 +انتهاء فترة رئاسة الرئيس جونسون في عام 68 هو في 69 + +201 +00:18:40,850 --> 00:18:46,450 +خلص طيب في 68 تشوف كان برنامج الاستيطان الصهيوني في + +202 +00:18:46,450 --> 00:18:50,810 +القدس في مراحله الأولى صرح الرئيس جونسون بأنهى على + +203 +00:18:50,810 --> 00:18:55,210 +الحكومات العربية أن تقنع الكيان الصهيوني والمجتمع + +204 +00:18:55,210 --> 00:18:59,890 +الدولي أنها قد تخلت عن فكرة تدمير الكيان الصهيوني + +205 +00:18:59,890 --> 00:19:08,550 +يونوكباك مجرم وكأنه بدى يقول للعالم انتبهوا + +206 +00:19:09,690 --> 00:19:13,990 +الدول العربية هدفها تدمير الكيان الصهيوني وتعمل + +207 +00:19:13,990 --> 00:19:20,010 +على تدمير الكيان تيقظ أيها العالم هذه اللي طلع + +208 +00:19:20,010 --> 00:19:26,330 +معاه وأيضا يقول على الكيان الصهيوني أن يقنع الدول + +209 +00:19:26,330 --> 00:19:28,050 +العربية أنه + +210 +00:19:31,040 --> 00:19:35,380 +يقنع العرب والمجتمع الدولي أنه ليس لديه مخططات + +211 +00:19:35,380 --> 00:19:38,120 +توسعية في الأراضي الفلسطينية والعربية المجاورة + +212 +00:19:38,120 --> 00:19:42,800 +يعني يقول يا إسرائيل العرب لا يريدون احتلال مصر + +213 +00:19:42,800 --> 00:19:47,760 +ولا يريدون احتلال السعودية لا يريد احتلال هذه + +214 +00:19:47,760 --> 00:19:57,740 +الدول دعم واضح وتنظير لصالح الكيان الصهيوني لقد كان + +215 +00:19:57,740 --> 00:20:00,880 +موقف الإدارة الأمريكية من ضمن الكيان الصهيوني للقدس + +216 +00:20:00,880 --> 00:20:04,540 +أكثر وضوحا عندما صرح الرئيس جونسون في 10 سبتمبر + +217 +00:20:04,540 --> 00:20:10,800 +1968 بأن لا أحد يرغب بأن يرى المدينة المقدسة مقسمة + +218 +00:20:10,800 --> 00:20:14,360 +مرة أخرى وأن على جميع الأطراف أن تفكر في حل يضمن + +219 +00:20:14,360 --> 00:20:19,750 +مصالحهم ومصالح العالم كله في القدس الآن بدأ موقف + +220 +00:20:19,750 --> 00:20:23,990 +الولايات المتحدة الأمريكية يظهر أكثر سوءا لأنهم + +221 +00:20:23,990 --> 00:20:33,130 +يدعون إلى عدم تقسيم المدينة وهذا عسل داخله سم يعني + +222 +00:20:33,130 --> 00:20:41,550 +المدينة واحدة يعني عندما أعلن الكيان الصهيوني توحيد + +223 +00:20:41,550 --> 00:20:45,770 +مدينة القدس بشطريها الشرقي والغربي هو ما فعله + +224 +00:20:45,770 --> 00:20:49,650 +الولايات المتحدة الأمريكية أصبحت توافق عليه أن + +225 +00:20:49,650 --> 00:20:53,890 +توحيد الكيان الصهيوني لشبكات الصرف الصحي والمياه + +226 +00:20:53,890 --> 00:21:00,290 +والكذا وما يمهد له الكيان الصهيوني من إعلان مدينة + +227 +00:21:00,290 --> 00:21:04,930 +القدس مدينة موحدة والقدس الكبرى عاصمة الاحتلال + +228 +00:21:04,930 --> 00:21:09,510 +عاصمة الكيان الصهيوني هو توافق عليه الولايات + +229 +00:21:09,510 --> 00:21:17,880 +المتحدة الأمريكية عندما نقول مدينة موحدة عارض + +230 +00:21:17,880 --> 00:21:24,940 +التقسيم في داخل هذه العبارة يعني إنجاز التعبير + +231 +00:21:24,940 --> 00:21:25,960 +نطلق عليها + +232 +00:21:32,760 --> 00:21:37,780 +كلمة حق أريد بها باطل إنجاز التعبير كلمة حق أريد + +233 +00:21:37,780 --> 00:21:42,300 +بها باطل هم يدعون إلى وحدة القدس لكن لماذا؟ ما + +234 +00:21:42,300 --> 00:21:47,000 +الهدف؟ ما الهدف إن الاحتلال الصهيوني سيطر على + +235 +00:21:47,000 --> 00:21:53,620 +القدس كاملة ولا ينقص منها شبر واحد يكون خارج سيطرة + +236 +00:21:53,620 --> 00:21:54,800 +الكيان الصهيوني + +237 +00:21:57,660 --> 00:22:03,540 +وبالتالي القدس كاملة تكون من حق الصهاينة هذا هو + +238 +00:22:03,540 --> 00:22:08,280 +الباطل الذي داخل هذه العبارات كانت الولايات + +239 +00:22:08,280 --> 00:22:12,000 +المتحدة الأمريكية قد وافقت على قرار مجلس الأمن 242 + +240 +00:22:12,000 --> 00:22:18,240 +هذا القرار اللي بعد حرب 67 242 لما إسرائيل احتلت + +241 +00:22:18,240 --> 00:22:24,100 +غزة والضفة والجولان واحتلت كل الدنيا ديال الولايات + +242 +00:22:24,100 --> 00:22:29,400 +المتحدة الأمريكية القرار بيقول على إسرائيل أن تخرج + +243 +00:22:29,400 --> 00:22:35,720 +من الأراضي التي احتلتها راحوا لما ترجموه للغة + +244 +00:22:35,720 --> 00:22:42,160 +الإنكليزية كتبوا على إسرائيل أن تخرج من أراضٍ من + +245 +00:22:42,160 --> 00:22:48,080 +أراضٍ يعني أربعة متر انطلعوا من خمس دلوم خلاص هي + +246 +00:22:48,080 --> 00:22:54,890 +طبقنا القرار تلاعب في القرارات طيب في حين امتنعت + +247 +00:22:54,890 --> 00:23:00,150 +عن التصويت عن قرار على قرار مجلس الأمن 252 الذي + +248 +00:23:00,150 --> 00:23:03,810 +أكد على ما جاء في قراري الجمعية العامة للأمم + +249 +00:23:03,810 --> 00:23:11,030 +المتحدة 2253 و 2254 ودعى إلى إلغاء جميع الإجراءات + +250 +00:23:11,030 --> 00:23:17,200 +التي اتخذها الكيان الصهيوني في مدينة القدس وأن يمنع + +251 +00:23:17,200 --> 00:23:23,240 +عن اتخاذ أي إجراء يعمل، إجراء يعمل على تغيير وضع + +252 +00:23:23,240 --> 00:23:34,100 +مدينة القدس هذا الرئيس ريتشارد نيكسون مجرم آخر بحق + +253 +00:23:34,100 --> 00:23:42,610 +الإنسانية، حكم من الـ 69 للـ 74 ريتشارد نيكسون طيب، + +254 +00:23:42,610 --> 00:23:47,710 +شوف في عصر، في عهد ريتشارد نيكسون كيف كان موقف + +255 +00:23:47,710 --> 00:23:54,850 +الولايات المتحدة الأمريكية هل تغير؟ هل أنصف القدس؟ + +256 +00:23:54,850 --> 00:23:58,890 +لنرى، أكدت الولايات المتحدة الأمريكية أمام مجلس + +257 +00:23:58,890 --> 00:24:03,190 +الأمن في الـ 69 وعلى لسان مندوبها الدائم لدى الأمم + +258 +00:24:03,190 --> 00:24:08,850 +المتحدة Charles Post قال إن القدس التي وقعت تحت + +259 +00:24:08,850 --> 00:24:17,510 +سيطرة الكيان الصهيوني تعتبر منطقة محتلة حسب + +260 +00:24:17,510 --> 00:24:23,750 +قوانين أو نصوص قانون الدولي الذي ينظم حقوق + +261 +00:24:23,750 --> 00:24:30,340 +والتزامات دول الاحتلال التي تقضي بأن دولة الاحتلال + +262 +00:24:30,340 --> 00:24:36,480 +لا يحق لها أن تحدث تغيرات في القوانين والإدارة طيب + +263 +00:24:36,480 --> 00:24:40,400 +ده نشوف، استمر الموقف الأمريكي في عهد الرئيس + +264 +00:24:40,400 --> 00:24:46,920 +ريتشارد نيكسون كامتداد للمواقف في إدارة جونسون، فقد + +265 +00:24:46,920 --> 00:24:52,660 +أكد وزير الخارجية الأمريكي لذلك William Rogers في + +266 +00:24:52,660 --> 00:24:58,200 +خطته التي أطلقها مشروع Rogers في 9 ديسمبر 1969 أن + +267 +00:24:58,200 --> 00:25:03,040 +وضع القدس يمكن أن يتحدد فقط من خلال اتفاق الأطراف + +268 +00:25:03,040 --> 00:25:07,040 +المعنية وعلى وجه الخصوص الكيان الصهيوني والأردن + +269 +00:25:07,040 --> 00:25:11,500 +أساساً، أخذين بالاعتبار مصالح دول أخرى في المنطقة + +270 +00:25:11,500 --> 00:25:17,260 +والمجتمع الدولي، يعني يقعدوا مع بعض، يقعدوا مع بعض + +271 +00:25:17,260 --> 00:25:22,700 +وشوفوا الصهاينة ماذا يريدون، اعترفوا بإسرائيل يعني + +272 +00:25:22,700 --> 00:25:35,740 +طيب هذه صور بعض المجرمين بحق الإنسانية، المندوب + +273 +00:25:35,740 --> 00:25:43,300 +الولايات المتحدة الدائم ووزير الخارجية الأمريكي طيب + +274 +00:25:50,860 --> 00:25:54,320 +التأكيد على تقديم الطار عادل لتسوية القضية + +275 +00:25:54,320 --> 00:25:57,800 +الفلسطينية على أن تكون مدينة موحدة ولا تكون فيها + +276 +00:25:57,800 --> 00:26:01,680 +أي قيود على حركة الأفراد والسلاق بحيث تكون المدينة + +277 +00:26:01,680 --> 00:26:05,140 +موحدة مفتوحة لكل الأشخاص من كل الأديان والجنسيات + +278 +00:26:06,200 --> 00:26:09,420 +كما أن الترتيبات الإدارية للمدينة الموحدة يجب أن + +279 +00:26:09,420 --> 00:26:13,660 +تأخذ باعتبارها مصالح كل سكانها والجماعات اليهودية + +280 +00:26:13,660 --> 00:26:17,820 +والإسلامية والمسيحية مع وجود دور لكل من الكيان + +281 +00:26:17,820 --> 00:26:20,580 +والأردن في الحياة المدنية والاقتصادية + +282 +00:26:22,930 --> 00:26:27,470 +قد وافقت بعض الدول العربية على هذا المشروع، ما أدى + +283 +00:26:27,470 --> 00:26:32,850 +إلى نتائج سلبية جدا على الواقع العربي وخصوصا لأن + +284 +00:26:32,850 --> 00:26:36,750 +هذا المشروع يربط وضع القدس بقرار مجلس الأمن 242 + +285 +00:26:36,750 --> 00:26:40,650 +الذي يثير الجدل، وذلك الاختلاف أطراف الصراع في + +286 +00:26:40,650 --> 00:26:46,280 +تفسيره، هذا اللي حدثناه اللي هو مشروع Rogers كانت + +287 +00:26:46,280 --> 00:26:49,900 +النظرة إلى القدس مشابهة لأوضاع كافة المناطق + +288 +00:26:49,900 --> 00:26:53,580 +المحتلة الأخرى، لكن هذه التصريحات لـ Rogers أقرت + +289 +00:26:53,580 --> 00:26:57,480 +بضرورة بقاء القدس موحدة بينما أيدت الولايات + +290 +00:26:57,480 --> 00:27:03,240 +المتحدة الأمريكية قرار مجلس الأمن 298 في عام 1971 + +291 +00:27:03,240 --> 00:27:09,200 +بشأن وضع القدس الذي أكد هذا القرار بطلان التصرفات + +292 +00:27:09,200 --> 00:27:15,280 +التي قامت قام بها الكيان الصهيوني وتغيير الوضع في + +293 +00:27:15,280 --> 00:27:19,200 +القدس، ومطالبا إياها بإلغاء كل الإجراءات التي + +294 +00:27:19,200 --> 00:27:24,000 +أخذتها في المدينة، اجتمع مجلس الأمن بناء على طلب من + +295 +00:27:24,000 --> 00:27:27,220 +الأردن بسبب إقدام الكيان الصهيوني بسلسلة من + +296 +00:27:27,220 --> 00:27:35,040 +الصادرات المصادرة، قام الكيان الصهيوني بمصادرة كميات + +297 +00:27:35,040 --> 00:27:40,280 +ضخمة من الأراضي الفلسطينية وبدأ + +298 +00:27:40,280 --> 00:27:44,160 +يشرع في إنشاء مستوطنات، فاجتمع مجلس الأمن بناء على + +299 +00:27:44,160 --> 00:27:48,820 +طلب الأردن، الأردن، جالت بين اجتماعنا كان موقف + +300 +00:27:48,820 --> 00:27:54,290 +الولايات المتحدة الأمريكية، أنا ذاك كان جورج بوش + +301 +00:27:54,290 --> 00:27:59,850 +اللي أصبح رئيس بأنصر حامة مجلس الأمن للولايات + +302 +00:27:59,850 --> 00:28:04,310 +المتحدة الأمريكية تأسف لفشل الكيان الصهيوني في + +303 +00:28:04,310 --> 00:28:08,750 +احترام التزامه بميثاق جينيفر الرابع وكذلك الأعمال + +304 +00:28:08,750 --> 00:28:15,160 +المخالفة لمضمون وروح هذا الميثاق، كلام جيد وقد أكد + +305 +00:28:15,160 --> 00:28:17,540 +هذا الموقف المستشار القانوني لولايات المتحدة + +306 +00:28:17,540 --> 00:28:25,660 +الأمريكية في إبريل 73 مؤكدا أن الكيان الصهيوني + +307 +00:28:25,660 --> 00:28:30,680 +كدولة محتلة للمناطق 67 ملتزمة بتطبيق ميثاق جينيف + +308 +00:28:30,680 --> 00:28:35,580 +الرابع الذي نُص على حماية المدنيين، ولكن الكيان ما + +309 +00:28:35,580 --> 00:28:40,560 +زال يرفض تطبيق الميثاق، تطبيق الميثاق 2 + +310 +00:28:46,560 --> 00:28:57,920 +إدارة الرئيس جيرلاد فورد من ال 74 ل 77 + +311 +00:28:57,920 --> 00:29:02,140 +يعني حكم 4 سنوات ولاي واحد يعني + +312 +00:29:04,770 --> 00:29:08,010 +استمروا، موقف الولايات المتحدة الأمريكية أيضًا في + +313 +00:29:08,010 --> 00:29:11,530 +عهد الرئيس Ford والرافض للاستيطان في الأراضي + +314 +00:29:11,530 --> 00:29:16,630 +المحتلة في الـ 67 بما فيها القدس وقد عبّر عن هذا + +315 +00:29:16,630 --> 00:29:21,310 +الموقف ممثل الولايات المتحدة الأمريكية William + +316 +00:29:21,310 --> 00:29:27,290 +Scranton في اجتماع مجلس الأمن في الـ 67، عند مجتمع + +317 +00:29:27,290 --> 00:29:30,930 +لمناقشة بناء مستوطنة يهودية جديدة في الضفة الغربية + +318 +00:29:30,930 --> 00:29:36,230 +وصرح بأن الاستيطان في المناطق المحتلة بما في ذلك + +319 +00:29:36,230 --> 00:29:40,190 +القدس غير قانوني وفق لميثاق جينيفر 4 ولا يمكن + +320 +00:29:40,190 --> 00:29:44,490 +اعتبار هذه المستوطنات على أنها ملزمة للمفاوضات في + +321 +00:29:44,490 --> 00:29:49,190 +المستقبل ما بين الأطراف على حدود دول الشرق الأوسط + +322 +00:29:49,830 --> 00:29:53,170 +إن وجود هذه المستوطنات النمو تعتبره الإدارة + +323 +00:29:53,170 --> 00:29:59,350 +الأمريكية عائقا في إنجاح مفاوضات السلام والحل + +324 +00:29:59,350 --> 00:30:06,660 +النهائي والعادل ما بين الصهاينة وجيرانهم، هذا أنا + +325 +00:30:06,660 --> 00:30:13,960 +أعتقد أنه هذا أفضل موقف لكن برضه موقف يعني يعني + +326 +00:30:13,960 --> 00:30:19,040 +موقف ما فيه خطوات إيجابية هو موقف يعني بيقول + +327 +00:30:19,040 --> 00:30:27,310 +سكرنتون بيقول في اجتماع مجلس الأمن في مارس 76، بيقول + +328 +00:30:27,310 --> 00:30:32,230 +إنه الاستيطان احنا ضد الاستيطان وكل اللي غيرته + +329 +00:30:32,230 --> 00:30:35,990 +إسرائيل في مدينة القدس غير قانوني واحنا بنقولكوا + +330 +00:30:35,990 --> 00:30:42,950 +هذا التغيير والأرض اللي سيطرت عليها لا يمكن أن + +331 +00:30:42,950 --> 00:30:47,990 +تكون أوراق ضغط في المفاوضات، يصيروا الصهاينة يقولوا + +332 +00:30:47,990 --> 00:30:52,750 +هذه معنى لأ هو بيقول إذا صارت مفاوضات نهائية بين + +333 +00:30:52,750 --> 00:30:54,730 +العرب والصهاينة + +334 +00:30:56,460 --> 00:31:04,340 +بنتفاوض على كل شيء وكأنه لم تحدث إسرائيل أي تغيير + +335 +00:31:04,340 --> 00:31:11,400 +هذا هو ما يريد أن يقوله، طيب السفير الولايات + +336 +00:31:11,400 --> 00:31:15,140 +المتحدة الأمريكية إلى الأمم المتحدة في 15 مارس + +337 +00:31:15,140 --> 00:31:22,840 +جيمي كارتر من ال 77 لل 81، الرئيس جيمي كارتر + +338 +00:31:22,840 --> 00:31:30,060 +بالمناسبة، هذا الرئيس عايش لليوم موجود واختلفت + +339 +00:31:30,060 --> 00:31:38,020 +مواقفه الآن عن ما كان سابقاً، الآن هو يعد باحث + +340 +00:31:38,020 --> 00:31:47,900 +ومفكر أمريكي وكثير من مواقفه أصبحت جيدة وهو ضد + +341 +00:31:47,900 --> 00:31:54,140 +إسرائيل الآن، ضد إسرائيل، ولكنه عندما كان رئيسا لم + +342 +00:31:54,140 --> 00:32:03,150 +يكن كذلك، ربما هناك ضغوطات كانت يتعرض لها، استمر + +343 +00:32:03,150 --> 00:32:05,890 +الموقف السياسي للولايات المتحدة الأمريكية تجاه + +344 +00:32:05,890 --> 00:32:09,950 +مدينة القدس في عهد الرئيس كارتر باعتبارها منطقة + +345 +00:32:09,950 --> 00:32:16,210 +محتلة، باعتبروها محتلة، كويس، ولكن مع اقتراب نهاية + +346 +00:32:16,210 --> 00:32:20,570 +عهد كارتر تحولت السياسة الأمريكية تجاه القدس إلى + +347 +00:32:20,570 --> 00:32:25,270 +موقف مشابه للموقف الصهيوني، ركزت الإدارة الأمريكية + +348 +00:32:25,270 --> 00:32:29,710 +على إبقاء مدينة القدس موحدة دون تقسيم، وعبّر عن ذلك + +349 +00:32:29,710 --> 00:32:35,430 +الرئيس كارتر في 3 مارس 80 مؤكدا أن مدينة القدس يجب + +350 +00:32:35,430 --> 00:32:38,310 +أن تبقى موحدة مع توفير حرية الوصول إلى الأماكن + +351 +00:32:38,310 --> 00:32:41,890 +المقدسة لجميع الأديان، وأن وضع القدس يجب أن يتم + +352 +00:32:41,890 --> 00:32:45,550 +تحديده من خلال مفاوضات لإحلال السلام دائم، شامل + +353 +00:32:47,100 --> 00:32:51,740 +رجعنا زي ما اليهود والصهاينة بدهم، بدهم إياها تظل + +354 +00:32:51,740 --> 00:32:58,320 +موحدة في ديهم وهم مسيطرين على كل مدينة القدس اللي + +355 +00:32:58,320 --> 00:33:04,000 +بده يزور القدس من المسلمين تسريح بنخليه واحنا + +356 +00:33:04,000 --> 00:33:08,560 +بنحدد العمر واحنا بنحدد الأشخاص، اتفضلوا + +357 +00:33:11,150 --> 00:33:16,290 +هذا موقف للإدارة الأمريكية في نهاية كارتر، طيب جاء + +358 +00:33:16,290 --> 00:33:18,730 +هذا الموقف بناء على ضعف الموقف العربي في تلك + +359 +00:33:18,730 --> 00:33:22,250 +الفترة وخصوصا بعد أن استطاع الكيان الصهيوني تغييب + +360 +00:33:22,250 --> 00:33:25,470 +قضية القدس عن المناقشات ومفاوضات تجارية في Camp + +361 +00:33:25,470 --> 00:33:34,170 +David هذا الكلام في الـ 78 وفي الـ 80، شو كان؟ كانت + +362 +00:33:34,170 --> 00:33:42,470 +مصر بتتفاوض مع إسرائيل، مصر واجعة، مصر مسلمة كل شيء + +363 +00:33:42,470 --> 00:33:49,310 +فموقف إسرائيل جوي أقوى دولة عربية وأقوى دولة + +364 +00:33:49,310 --> 00:33:55,990 +عربية تخرج من حلبة الصراع مع الكيان الصهيوني، إذا + +365 +00:33:55,990 --> 00:34:01,490 +هذا يقوّل كيان الصهيوني، فبالتالي بدأ يتراجع موقف + +366 +00:34:01,490 --> 00:34:05,510 +الولايات المتحدة الأمريكية، لكن المستشار القانوني + +367 +00:34:05,510 --> 00:34:09,670 +للإدارة الأمريكية Herbert Hansel وكذلك وزير الخارجية + +368 +00:34:09,670 --> 00:34:13,310 +الأمريكي France عبر عن الموقف من الاستيطان في تلك + +369 +00:34:13,310 --> 00:34:20,810 +الفترة بأنه قامت مستوطنات مدنية في المناطق المحتلة + +370 +00:34:20,810 --> 00:34:26,870 +مخالف للقانون، دائما + +371 +00:34:26,870 --> 00:34:35,830 +في جديتين هم المركزيات للاستيطان أنهم يأخذوا أرض + +372 +00:34:35,830 --> 00:34:41,290 +ويسرقوا أرض أكتر ويطردوا أهلها ويحفوا الصهاينة + +373 +00:34:41,290 --> 00:34:49,010 +اتنين الهجرة، قضيتين مركزيات أصلا كل قضيتنا أجوا + +374 +00:34:49,010 --> 00:34:54,910 +الصهاينة من 91 دولة وقعدوا فوق أرضنا بيجيبوا ناس + +375 +00:34:54,910 --> 00:35:01,690 +من برا ويقعدوهم في أرضك وانت بتردوك من أرضك هذه + +376 +00:35:01,690 --> 00:35:07,850 +القضيتين المركزيتين أكد أن سياسة الولايات المتحدة + +377 +00:35:07,850 --> 00:35:11,950 +الأمريكية تجاه إقامة المستوطنات الصينية في المناطق + +378 +00:35:11,950 --> 00:35:18,250 +المحتلة واضحة عجلة لا لمس فيها لحتى + +379 +00:35:18,250 --> 00:35:26,150 +1980، أمريكا ضد الاستيطان تقول أن المستوطنات غير + +380 +00:35:26,150 --> 00:35:29,950 +شرعية، مخالفة للقانون الدولي والأمم المتحدة + +381 +00:35:31,330 --> 00:35:34,610 +فإن إقامة مستوطنات في الأراضي المحتلة مخالف للقانون الدولي + +382 +00:35:34,610 --> 00:35:43,030 +ويعوق في التوصل لعملية السلام يعيق يعيق إتمام عملية + +383 +00:35:43,030 --> 00:35:46,390 +السلام ناجحة في الشرق الأوسط وتم التأكيد على أن + +384 +00:35:46,390 --> 00:35:50,690 +البند 49 من الفقرة السادسة من ميثاق جنيف الرابع + +385 +00:35:50,690 --> 00:35:54,850 +يشير إلى أن المستوطنات غير قانونية وأن ميثاق جنيف + +386 +00:35:54,850 --> 00:35:59,490 +الرابع ينطبق على المناطق المحتلة الفلسطينية كلام + +387 +00:35:59,490 --> 00:36:13,080 +جيدريجان من الـ 1981 للـ 1989 من أسوأ الشخصيات قد + +388 +00:36:13,080 --> 00:36:16,680 +ترى تغير واضح على السياسة الأمريكية اتجاه القدس + +389 +00:36:16,680 --> 00:36:19,920 +عندما أعلن المرشح للرئاسة آنذاك رونالد ريجان + +390 +00:36:19,920 --> 00:36:24,420 +أثناء حملة انتخابية عام 1980 أن مدينة القدس غير + +391 +00:36:24,420 --> 00:36:27,660 +المجزأة عن السيادة الصهيونية لهذه المدينة + +392 +00:36:31,050 --> 00:36:36,430 +مرشح للانتخابات ريجان للصهاينة نقطة سطرة جديدة + +393 +00:36:36,430 --> 00:36:42,010 +Reagan كمطارح تغير أيضًا على السياسة الأمريكية + +394 +00:36:42,010 --> 00:36:47,630 +تجاه الاستيطان في عهد ولايته عندما صرح في عام 1981 + +395 +00:36:47,630 --> 00:36:54,210 +المستوطنات غير ضرورية لكنها ليست شرعية ولكنها ليست + +396 +00:36:54,210 --> 00:37:00,490 +غير شرعية بشرع الـ Reagan الاستيطان أول رئيس يجرؤ + +397 +00:37:01,150 --> 00:37:09,030 +أنه شرعاً لاستيطان ريجان من أسوأ الشخصيات وعندما + +398 +00:37:09,030 --> 00:37:12,510 +تسلم الرئيس ريجان الإدارة الأمريكية رسميًا لم يتغير + +399 +00:37:12,510 --> 00:37:17,210 +موقفه تجاه القدس عن موقف أسلافه حيث صرح في سبتمبر + +400 +00:37:17,210 --> 00:37:21,430 +82 بأن القدس يجب أن تبقى موحدة وأن وضعها النهائي + +401 +00:37:21,430 --> 00:37:26,820 +ستم تحدده من خلال المفاوضات كذلك صرح نائب الرئيس + +402 +00:37:26,820 --> 00:37:30,280 +الوفد الأمريكي لدى الأمم المتحدة أمام مجلس الأمن + +403 +00:37:30,280 --> 00:37:36,860 +عام 1986 بأن موقف أمريكا لم يتغير تجاه تطبيق + +404 +00:37:36,860 --> 00:37:39,640 +اتفاقية جنيف الرابع على المناطق التي تحتلها + +405 +00:37:39,640 --> 00:37:47,060 +الكيان الصهيوني كلام عام جورج بوش الأب + +406 +00:37:49,060 --> 00:37:55,320 +أسوأ رئيسين في تاريخ أمريكا بعد Reagan الأب + +407 +00:37:55,320 --> 00:38:01,740 +والابن لاحظوا ناس + +408 +00:38:01,740 --> 00:38:11,580 +دمويين ناس مجرمين حروب قتال دمار انطلق موقف + +409 +00:38:11,580 --> 00:38:16,940 +الإدارة الأمريكية من قيادة القدس في عهد جورج بوش من + +410 +00:38:16,940 --> 00:38:21,060 +البحث عن تسوية للصراع العربي الصهيوني عبر عن ذلك + +411 +00:38:21,060 --> 00:38:25,100 +الرئيس بوش في 31 مارس تسعين برسالة بعثها إلى رئيس + +412 +00:38:25,100 --> 00:38:28,720 +بلدية القدس اليهودي تيدي كوليك مؤكدة فيه أنه يجب + +413 +00:38:28,720 --> 00:38:34,040 +تقسيم القدس ثانية هكذا كانت وما تزال سياسة الدولة + +414 +00:38:34,040 --> 00:38:40,650 +المتّبعة الأمريكية وتلك سياستي هو بقول جاء موقف + +415 +00:38:40,650 --> 00:38:44,190 +الرئيس بوش الأب بعد تقديم عدد من أعضاء مجلس الشيوخ + +416 +00:38:44,190 --> 00:38:47,310 +الأمريكي في خطوة استباقية مشروع قرار يدعو الكونجرس + +417 +00:38:47,310 --> 00:38:52,630 +الأمريكي بالاعتراف بالقدس عاصمة للكيان الصهيوني + +418 +00:38:52,630 --> 00:38:57,630 +هذا + +419 +00:38:57,630 --> 00:39:03,230 +رئيس بلدية القدس تيري كوليك في الاحتلال الصهيوني + +420 +00:39:05,370 --> 00:39:10,170 +حيث استصدر مجلس الشيوخ الأمريكي في 22 مارس تسعين + +421 +00:39:10,170 --> 00:39:14,410 +قرارًا نص على بقاء القدس عاصمة موحدة للكيان الصهيوني + +422 +00:39:14,410 --> 00:39:18,850 +محافظًا على حقوق الآخرين في 24 مارس أصدر الـ Congress + +423 +00:39:18,850 --> 00:39:24,700 +الأمريكي قرارًا مماثلًا للقرار المذكور من خلال استعراض + +424 +00:39:24,700 --> 00:39:28,080 +السابق لمواقف الحكومات الأمريكية من وضع القدس في + +425 +00:39:28,080 --> 00:39:32,540 +هذه الفترة الزمنية نجدها قد ركزت على تأكيد جميع + +426 +00:39:32,540 --> 00:39:35,120 +الإدارات الأمريكية على بقاء القدس موحدة وعدم + +427 +00:39:35,120 --> 00:39:38,940 +الاعتراف فيها بحق الشعب الفلسطيني في القدس وترك + +428 +00:39:38,940 --> 00:39:44,850 +مناقشة هذا الحق لتقرره المفاوضات ولاحظ أن موقف + +429 +00:39:44,850 --> 00:39:48,050 +الإدارة الأمريكية من الاستيطان قد تطور سلبًا حيث + +430 +00:39:48,050 --> 00:39:52,530 +كانت تؤكد بعد حرب 67 مباشرة أنه غير شرعي وتدعو إلى + +431 +00:39:52,530 --> 00:39:55,850 +وقف كافة الإجراءات الاستيطانية في القدس بوصفها + +432 +00:39:55,850 --> 00:40:00,110 +تتناقض مع اتفاقية جنيف بعد ذلك اتغير تطور هذا + +433 +00:40:00,110 --> 00:40:05,270 +الموقف في زمن إدارة ريجان ليعتبر الاستيطان شرعيًا + +434 +00:40:05,270 --> 00:40:09,350 +من خلال التلاعب بالألفاظ هنا ما وصفت المستوطنات + +435 +00:40:09,350 --> 00:40:21,470 +بأنها ليست غير شرعية ليست غير شرعية، يعني شرعية في + +436 +00:40:21,470 --> 00:40:24,110 +اللحظة التي عانى منها الموقف العربي من القضية بعد + +437 +00:40:24,110 --> 00:40:29,190 +توقيع مصر للصلح Camp David في الـ78، منفردًا مع + +438 +00:40:29,190 --> 00:40:33,860 +الكيان، وخروج من ساحة المواجهة في عهد إدارة مجتمع + +439 +00:40:33,860 --> 00:40:38,320 +الاعتراف ضمنيًا بالمستوطنات القائمة حين نادت إدارته + +440 +00:40:38,320 --> 00:40:42,620 +بعدم إقامة مستوطنات جديدة وكانت ضعف العربي قد بلغ + +441 +00:40:42,620 --> 00:40:46,080 +أوجه في هذه الفترة خصوصًا بعد حرب الخليج الثانية + +442 +00:40:46,080 --> 00:40:51,420 +تدمير القوة العسكرية العراقية من قبل قوات أمريكا + +443 +00:40:51,420 --> 00:40:54,880 +وحلفائها ومن ثم تهيئة الساحة العربية للدخول في + +444 +00:40:54,880 --> 00:40:58,100 +مفاوضات سياسية مع الكيان الصهيوني للتوصل لحل + +445 +00:40:58,100 --> 00:41:04,130 +النزاع من انقاض مؤتمر مدريد للسلام أسوأ فترات العرب + +446 +00:41:04,130 --> 00:41:09,690 +أضعف فترات العرب مصر تخرج من المواجهة الإقليمية + +447 +00:41:09,690 --> 00:41:14,430 +بتدميرها بستفردو + +448 +00:41:14,430 --> 00:41:19,250 +في الجدية الفلسطينية وفي + +449 +00:41:19,250 --> 00:41:25,650 +الـ 74 أصلاً الأردن دخلت سلام زي كامب ديفيد ودي عربية + +450 +00:41:25,650 --> 00:41:38,270 +مع إسرائيل طيب بيل كلينتون الصورة دي عندما + +451 +00:41:38,270 --> 00:41:45,410 +جمعهم بيل كلنتون عرفات واسحق رابين واعترف عرفات + +452 +00:41:45,410 --> 00:41:56,870 +بإسرائيل وبأن عندما نقول اعترفت منظمة التحرير + +453 +00:41:56,870 --> 00:42:05,640 +الفلسطينية على لسان زعيمها ياسر عرفات بإسرائيل ماذا + +454 +00:42:05,640 --> 00:42:14,600 +يعني؟ أنا أقول لكم هو نحن نقر .. نقر أن إسرائيل + +455 +00:42:14,600 --> 00:42:27,000 +لها حق شرعي وتاريخي وديني في هذه الأراضي أيوة على + +456 +00:42:27,000 --> 00:42:36,340 +أي تهان كلنتون من 93 ل 2001 دورتين + +457 +00:42:36,340 --> 00:42:43,860 +حكم هذا كلينتون أجي على قاعة رشاد الشوا في غزة + +458 +00:42:43,860 --> 00:42:49,480 +بالمناسبة وهو موجود طلب من المجلس الوطني الفلسطيني + +459 +00:42:49,480 --> 00:42:59,490 +في غزة كلهم يأيدوا إلغاء الميثاق الفلسطيني كلهم + +460 +00:42:59,490 --> 00:43:05,410 +وكلهم رفعوا أيديهم ووافقوا على إلغاء الميثاق الفلسطيني + +461 +00:43:05,410 --> 00:43:13,970 +في قلب مدينة غزة طرأ تطور خطير على الموقف الأمريكي + +462 +00:43:13,970 --> 00:43:17,030 +من قضية القدس خلال إدارة الرئيس بيلي كلينتون إذ + +463 +00:43:17,030 --> 00:43:21,390 +وعد خلال حملة انتخابية بنقل السفارة الأمريكية إلى + +464 +00:43:21,390 --> 00:43:27,130 +القدس والاعتراف بالقدس عاصمة للكيان الصهيوني منتصر + +465 +00:43:28,970 --> 00:43:32,910 +أكد لها أنها يجب أن تظهر مدينة غير مجزأة لكنه أوصى + +466 +00:43:32,910 --> 00:43:36,390 +بعدم نقل السفارة إلى القدس آنذاك بينما المفاوضات + +467 +00:43:36,390 --> 00:43:42,730 +الفلسطينية الإسرائيلية جارية ما قد يخل بتقدم + +468 +00:43:42,730 --> 00:43:44,450 +العملية السلمية بطريقة + +469 +00:43:47,600 --> 00:43:51,480 +تهزم الهدف الذي تسعى إليه الإدارة الأمريكية أما + +470 +00:43:51,480 --> 00:43:55,540 +فيما يتعلق بالاستيطان أثناء إدارة كلينتون فالموقف + +471 +00:43:55,540 --> 00:44:00,980 +كان خطيرًا حيث لم تول هذه الإدارة أي معارضة لمصادرة + +472 +00:44:00,980 --> 00:44:08,380 +الأراضي والنشاطات الاستيطانية في القدس أسوأ + +473 +00:44:08,380 --> 00:44:12,960 +عهود الإدارة الأمريكية للقضية الفلسطينية والقدس في + +474 +00:44:12,960 --> 00:44:21,370 +هذا الرجل أعطاهم غطاء اللي جابله جال المستوطنات غير + +475 +00:44:21,370 --> 00:44:30,230 +شرعية ليست غير شرعية وهو لم يعارض إقامة أي + +476 +00:44:30,230 --> 00:44:34,070 +مستوطنة أعطى الضوء الأخضر للتوسع في المستوطنات + +477 +00:44:34,070 --> 00:44:40,050 +وسرقة الأرض طيب ورفض أن + +478 +00:44:42,680 --> 00:44:46,680 +يُوصف الاستمرار ببناء المستوطنات في القدس على + +479 +00:44:46,680 --> 00:44:52,480 +أنه عمل أحادي الجانب رفض كما كانت تصفه الإدارة + +480 +00:44:52,480 --> 00:44:55,340 +الأمريكية السابقة بل ذهب الموقف الأمريكي لتأييد + +481 +00:44:55,340 --> 00:45:01,120 +توثيق المستوطنات القائمة القائمة لتتوافق مع أنه + +482 +00:45:01,120 --> 00:45:03,900 +الطبيعي للمستوطنين حسب الدعاء الإدارة الأمريكية + +483 +00:45:03,900 --> 00:45:08,980 +التي عبّر عنها مساعد وزير خارجية إدوارد جورجيام + +484 +00:45:10,980 --> 00:45:15,080 +بقول لك يا عم المستوطنة ضرورية الناس بتكاثروا + +485 +00:45:15,080 --> 00:45:19,080 +الصهاينة بتكاثروا بزيدوا بدهم يسكنوا الناس بدهم + +486 +00:45:19,080 --> 00:45:24,750 +يعيشوا يعيشوا يعني يسرقوا أرض الفلسطيني ويهجروا + +487 +00:45:24,750 --> 00:45:31,090 +الفلسطيني قسرًا تحت النار ويحتلوا أرضه بلغ الموقف + +488 +00:45:31,090 --> 00:45:34,170 +الأمريكي قمة التطور السلبي باختصار الدولة أخذت الكيان + +489 +00:45:34,170 --> 00:45:37,250 +الصهيوني في سياسة الدم الفعلي لمدينة القدس في أعقاب + +490 +00:45:37,250 --> 00:45:43,510 +توقيع اتفاق أوسلو في سبتمبر 93 دالوا + +491 +00:45:43,510 --> 00:45:50,270 +للصهاينة لموا القدس خلاص لماذا منظمة التحرير خلصت + +492 +00:45:51,280 --> 00:45:57,400 +هنا ملهين منظمة التحرير وبدنا نعطيهم حاجة حاجة + +493 +00:45:57,400 --> 00:46:02,760 +يلتهيوا فيها نعطيهم أوسلو يلهيوا فيها منه بنوقف + +494 +00:46:02,760 --> 00:46:10,220 +انتفاضة الحجارة اللي فضحتنا أمام العالم ومنه بنطلع + +495 +00:46:10,220 --> 00:46:16,080 +منظمة التحرير برا الصراع وبتصير السلطة اللي بنتفج + +496 +00:46:16,080 --> 00:46:22,320 +نعمل عليها هي تحرسوك إسرائيل أنتم خلاص خدوا الـ + +497 +00:46:22,320 --> 00:46:25,640 +Goods خدوا الـ Goods ما فيش حد هيقولكوا أن أنتم + +498 +00:46:25,640 --> 00:46:29,200 +حيث + +499 +00:46:29,200 --> 00:46:31,780 +أصرح بعض المسؤولين في الإدارة الأمريكية بأن بناء + +500 +00:46:31,780 --> 00:46:34,760 +المستوطنات هو يتصل بها من مصادرة الأراضي في القدس + +501 +00:46:34,760 --> 00:46:37,740 +ينبغي أن لا يتم التعامل معها من قبل مجلس الأمن + +502 +00:46:37,740 --> 00:46:43,360 +صاروا يقولوا أن أعمل مستوطنات ليش ترفعوا موضوع على + +503 +00:46:43,360 --> 00:46:47,380 +الأمن لمجلس الأمن، يعمل موضوع بسيط على الموضوع + +504 +00:46:47,380 --> 00:46:55,820 +داخله ليس له علاقة بمجلس الأمن وإنما + +505 +00:46:55,820 --> 00:46:59,460 +يحل ضمن المفاوضات الثنائية بين الكيان الصهيوني + +506 +00:46:59,460 --> 00:47:04,200 +والسلطة الفلسطينية وجددت إدارة كلينتون دفاعها عن + +507 +00:47:04,200 --> 00:47:09,620 +سياسة دعم النمو الطبيعي للمستوطنات الله أكبر الله + +508 +00:47:09,620 --> 00:47:12,820 +أكبر طيب + +509 +00:47:13,780 --> 00:47:19,160 +نكتفي اليوم بهذا القدر ونواصل إن شاء الله في + +510 +00:47:19,160 --> 00:47:23,500 +اللقاء القادم مع الموقف الأمريكي ثم ننتقل إلى + +511 +00:47:23,500 --> 00:47:29,960 +الموقف الأوروبي وموقف الاتحاد السوفيتي إلى اللقاء diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/knWuHTsmP7k_postprocess.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/knWuHTsmP7k_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..6a72fcff1d3dc769ff65b5d832e441e6ed62e000 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/knWuHTsmP7k_postprocess.srt @@ -0,0 +1,2044 @@ +1 +00:00:05,350 --> 00:00:09,490 +أعوذ بالله السماء العليم من الشيطان الرجيم بسم + +2 +00:00:09,490 --> 00:00:12,710 +الله الرحمن الرحيم الحمد لله رب العالمين والصلاة + +3 +00:00:12,710 --> 00:00:16,490 +والسلام على قائد المجاهدين محمد صلى الله عليه وسلم + +4 +00:00:16,490 --> 00:00:22,490 +نواصل إن شاء الله مشوارنا مع تاريخ القدس اليوم + +5 +00:00:22,490 --> 00:00:29,950 +سنتحدث عن الموقف الدولي من قضية القدس أي سنتحدث عن + +6 +00:00:29,950 --> 00:00:35,720 +موقف الولايات المتحدة الأمريكية من القدسوقضايا + +7 +00:00:35,720 --> 00:00:42,780 +القدس سنتحدث أيضا عن موقف الاتحاد الأوروبي دول + +8 +00:00:42,780 --> 00:00:47,600 +أوروبا من قضية القدس ثم نتحدث عن موقف روسيا + +9 +00:00:47,600 --> 00:00:54,000 +الاتحاد السوفيتي من قضية القدس تاريخيا لنرى + +10 +00:00:54,000 --> 00:00:59,520 +التفاصيل الولايات + +11 +00:00:59,520 --> 00:01:05,320 +المتحدة الأمريكيةموقف الولايات المتحدة الأمريكية + +12 +00:01:05,320 --> 00:01:12,860 +من القدس يختلف عن موقف أي دولة أخرى في العالم فهذه + +13 +00:01:12,860 --> 00:01:19,160 +الدولة منحازة انهياز كامل للكيان الصهيوني فلقد + +14 +00:01:19,160 --> 00:01:25,110 +أسهمت الولايات المتحدة الأمريكية بشكل كبيرفي إصدار + +15 +00:01:25,110 --> 00:01:32,910 +قرار قرار التقسيم 181 في 29 نوفمبر 22 1947 فقد + +16 +00:01:32,910 --> 00:01:37,750 +ضغطت على عدد من الدول على عدد من الدول كي يصدر هذا + +17 +00:01:37,750 --> 00:01:41,810 +القرار قرار التقسيم ضغطت على هايتي وبعض الدول + +18 +00:01:41,810 --> 00:01:46,930 +الضعيفة وهددتها إلى أن أعيد التصويت على هذا القرار + +19 +00:01:46,930 --> 00:01:52,000 +وتم إصدار القرار من الأمم المتحدةوذلك من خلال + +20 +00:01:52,000 --> 00:01:54,900 +الضغط على العديد من الدول الأعضاء في الجمعية الأمن + +21 +00:01:54,900 --> 00:01:59,720 +للأمم المتحدة من أجل تأييد القرار وقد صوتت هي + +22 +00:01:59,720 --> 00:02:05,160 +الأخرى إلى جانب القرار والذي يحدد أن مدينة القدس + +23 +00:02:06,680 --> 00:02:12,500 +تخضع لنظام دولي خاص تتولى الأمم المتحدة الإشراف + +24 +00:02:12,500 --> 00:02:17,120 +عليه من خلال مجلس وصاية يقوم بإدارة مدينة القدس + +25 +00:02:17,120 --> 00:02:22,500 +ومع تطور الأحداث عام 48 وما نتج عنها من احتلال + +26 +00:02:22,500 --> 00:02:27,140 +الصهاينة لما يقرب 78% من مدينة القدس تقريبا من + +27 +00:02:27,140 --> 00:02:36,000 +مساحة فلسطينبما في ذلك القسم الغربي من مدينة القدس + +28 +00:02:36,000 --> 00:02:43,860 +فقد احتله الصهاينة في عام 1948 فقد فرض هذا واقعا + +29 +00:02:43,860 --> 00:02:50,140 +جديدا على المدينة وهذا أدى إلى توجهجديد للولايات + +30 +00:02:50,140 --> 00:02:54,860 +المتحدة اتجاه مدينة القدس حيث دعت إلى وحدة مدينة + +31 +00:02:54,860 --> 00:02:58,640 +القدس وتدويل الأماكن المقدسة وتشكيل لجنة توفيق + +32 +00:02:58,640 --> 00:03:06,420 +دولية عام 1949 واقترحت إنشاء مجلس عربي صهيوني + +33 +00:03:06,420 --> 00:03:12,920 +مشترك ليدير المدينة وتعيين مفوض عام من قبل الأمم + +34 +00:03:12,920 --> 00:03:18,410 +المتحدة لإدارة الأماكن المقدسةوهذا يؤكد تراجع موقف + +35 +00:03:18,410 --> 00:03:21,130 +الولايات المتحدة عن فكرة تدوير المدينة والدعوة + +36 +00:03:21,130 --> 00:03:28,090 +لإبقائها موحدة أريد أن أقول أن الولايات المتحدة + +37 +00:03:28,090 --> 00:03:31,450 +الأمريكية هي تعمل دائما لصالح الكيان الصهيوني هي + +38 +00:03:31,450 --> 00:03:39,200 +تحمل كيان صهيوني في كل مكان لذلك كخطوة أولىكخطوة + +39 +00:03:39,200 --> 00:03:43,780 +أولى أرادت الولايات المتحدة الأمريكية خطوة أولى + +40 +00:03:43,780 --> 00:03:50,520 +لانتزاع القدس من الفلسطينيين دعمت تدوير مدينة + +41 +00:03:50,520 --> 00:03:55,660 +القدس أصلا قرار 181 هو يتحدث في نقطتين النقطة + +42 +00:03:55,660 --> 00:04:01,640 +الأولىاقامت اقامت دولتين دولة عربية ودولة يهودية + +43 +00:04:01,640 --> 00:04:04,900 +أي الولايات المتحدة الأمريكية عندما دعمت هذا + +44 +00:04:04,900 --> 00:04:10,200 +القرار هي جلبت للصهاين اعترافا دوليا من الأمم + +45 +00:04:10,200 --> 00:04:16,920 +المتحدة بدولة يهودية يهودية ونكرر يهودية المقطع + +46 +00:04:16,920 --> 00:04:25,080 +الثاني الذي يتحدث عنه القرار 181 هوأن القدس تصبح + +47 +00:04:25,080 --> 00:04:32,080 +دولية أي ليس للفلسطينيين وهذا يعد خطوة خطوة لصالح + +48 +00:04:32,080 --> 00:04:39,300 +الصهاينة بامتياز الدولة اليهودية القدس ليس للعرب + +49 +00:04:39,300 --> 00:04:44,540 +القدس ليس للمسلمين كخطوة أولى الخطوة التي تليها + +50 +00:04:46,000 --> 00:04:50,440 +الصهاينة يديروا ويشاركوا في إدارة القدس الخطوة + +51 +00:04:50,440 --> 00:04:54,280 +التي تليها أن الصهاينة يحتلوا كل مدينة القدس + +52 +00:04:54,280 --> 00:04:58,880 +الخطوة التي تليها أن مدينة القدس موحدة ويجب أن + +53 +00:04:58,880 --> 00:05:04,880 +تبقى موحدة لماذا؟ لكي تكون عاصمة للكيان الصهيوني + +54 +00:05:04,880 --> 00:05:11,100 +وليس للفلسطينيين فيها أي شيء هكذا هو يتدرج موقف + +55 +00:05:11,100 --> 00:05:12,620 +الولايات المتحدة الأمريكية + +56 +00:05:17,570 --> 00:05:23,410 +طبعاً ودّوى إلى إبقائها موحدة فقط تدويل القدس + +57 +00:05:23,410 --> 00:05:30,510 +والأماكن المقدسة يعني القدس الولايات المتحدة قالت + +58 +00:05:30,510 --> 00:05:35,910 +أن القدس + +59 +00:05:35,910 --> 00:05:42,590 +يتم التدويل للأماكن المقدسة فقط طيب قامت في 9 + +60 +00:05:42,590 --> 00:05:48,340 +ديسمبرتسعة وأربعين بالتصويت ضد قرار الجمعية العامة + +61 +00:05:48,340 --> 00:05:52,260 +تلاتمية و تلاتة للولايات المتحدة الأمريكية صوتت ضد + +62 +00:05:52,260 --> 00:05:56,240 +القرار تلاتمية و تلاتة والذي أكد على أن تكون القدس + +63 +00:05:56,240 --> 00:06:03,580 +تحت نظام دولي دائم بدأت تتنصل تتراجع عن الدعوة إلى + +64 +00:06:03,580 --> 00:06:11,180 +أن تكون القدس دوليةوإعادة التأكيد على ما ورد في + +65 +00:06:11,180 --> 00:06:15,420 +قرار التقسيم 181 بشأن إقامة كيان منفصل القدس تحت + +66 +00:06:15,420 --> 00:06:19,200 +حكم دولي خاص تقوم على إدارته الأمم المتحدة بينما + +67 +00:06:19,200 --> 00:06:23,660 +كان الكيان الصيني يقوم بنقل مؤسساته إلى القدسما + +68 +00:06:23,660 --> 00:06:26,740 +يعني موافقة ضمنية من الولايات المتحدة الأمريكية + +69 +00:06:26,740 --> 00:06:31,560 +على ذلك استفراد الكيان الصهيوني بالقدس ولقد عملت + +70 +00:06:31,560 --> 00:06:34,240 +الإدارة الأمريكية في هذه المرحلة من الصراع العربي + +71 +00:06:34,240 --> 00:06:37,980 +الصهيوني على حصر هذا النزاع في أضيق الحدود وذلك + +72 +00:06:37,980 --> 00:06:45,180 +لمن تدخل الدول الأخرى الولايات المتحدة كما أسلفت + +73 +00:06:45,180 --> 00:06:49,820 +هي موقفها متدرج ويخدم المصلحة الصهيونية بامتياز + +74 +00:06:49,820 --> 00:06:54,640 +الولايات المتحدة أولا كانت تدعو إلىتدوير مدينة + +75 +00:06:54,640 --> 00:07:02,820 +القدس بعد ذلك بدأت تدعوالى تدويل فقط الأماكن + +76 +00:07:02,820 --> 00:07:07,060 +المقدسة بعد ذلك تجد تجد الولايات المتحدة الأمريكية + +77 +00:07:07,060 --> 00:07:13,080 +تصوّت ضد قرار 303 اللي في 49 في ديسمبر 49 لماذا + +78 +00:07:13,080 --> 00:07:18,380 +لأن هذا القرار يتحدث عن تدويل مدينة القدس ويؤكد ما + +79 +00:07:18,380 --> 00:07:23,600 +ورد في قرار 181 لم يعد يهمها قرار 181 هي أخذت ما + +80 +00:07:23,600 --> 00:07:29,060 +يلزمها بقرار 181الان ماذا تفعل الولايات المتحدة + +81 +00:07:29,060 --> 00:07:33,480 +الأمريكية الولايات المتحدة الأمريكية تدعم سيطرة + +82 +00:07:33,480 --> 00:07:39,200 +صهيونية على القدس كامل القدس هي تدعم هذا التوجه هي + +83 +00:07:39,200 --> 00:07:43,500 +تقف في وجه الولايات المتحدة هي في وجه الأمم + +84 +00:07:43,500 --> 00:07:49,700 +المتحدة ودول العالم هي تعطيمجالاً للصحيين كي + +85 +00:07:49,700 --> 00:07:53,660 +يستفردوا في مدينة القدس والصحيين ينقلوا مؤسساتهم + +86 +00:07:53,660 --> 00:07:59,040 +إلى مدينة القدس استعدادا لإعلانها + +87 +00:07:59,040 --> 00:08:07,180 +عاصمة للكيان الصحيونالولايات المتحدة أيضًا تحاول + +88 +00:08:07,180 --> 00:08:12,700 +حجز ومنع أي دولة من التدخل في الصراع بين الصهاينة + +89 +00:08:12,700 --> 00:08:18,000 +والفلسطينيين لماذا؟ لأنها تعلم أن الكفة راجحة + +90 +00:08:18,000 --> 00:08:26,440 +لصالح الصهاينة هذه خريطة خرائط تدلل + +91 +00:08:28,220 --> 00:08:36,980 +تدلل كيف كانت خريطة فلسطين في عام 1945 الخريطة + +92 +00:08:36,980 --> 00:08:45,060 +التي على اليمين الشاشة 1945 هذا اللون الأخضر هذا + +93 +00:08:45,060 --> 00:08:50,080 +اللون الأخضر هو الوجود الفلسطيني لاحظوا تماما في + +94 +00:08:50,080 --> 00:08:53,060 +عام 1947 هي قرار التقسيم + +95 +00:08:56,030 --> 00:09:01,610 +اللون الأبيض هو ما يشيطر عليه الصهاينة اللون + +96 +00:09:01,610 --> 00:09:08,620 +الأخضر ما يشيطر عليه الفلسطينيينفي عام من 1949 إلى + +97 +00:09:08,620 --> 00:09:14,780 +1967 الخارطة رقم 3 لاحظوا ينحصر الوجود الفلسطيني + +98 +00:09:14,780 --> 00:09:21,720 +تضيع المناطق الشمالية من فلسطين ويتقلص حجم الضفة + +99 +00:09:21,720 --> 00:09:28,170 +الفلسطينية ويتقلص حجم مدينة غزة قطع غزةلاحظوا في + +100 +00:09:28,170 --> 00:09:32,530 +عام 2000 ماذا يحدث تصبح الدفة الفلسطينية مقطعة + +101 +00:09:32,530 --> 00:09:42,610 +عبارة عن بؤر مقطوعة ليس بينها تواصل غزة مهشمة + +102 +00:09:43,210 --> 00:09:48,290 +متآكلة وهكذا تمدد المشروع الصهيوني على أرض الشعب + +103 +00:09:48,290 --> 00:09:55,150 +الفلسطيني لاحظوا الفرق بين الخارطة + +104 +00:09:55,150 --> 00:10:02,710 +الأولى رقم 1 في عام 45 وخارطة رقم 4 عام 2000 هنا + +105 +00:10:02,710 --> 00:10:11,090 +تظهر جريمة الصهيينة واضحة للعياننريد أن نتحدث عن + +106 +00:10:11,090 --> 00:10:18,850 +رؤساء الولايات المتحدة الأمريكية هذا الرئيس جونسون + +107 +00:10:18,850 --> 00:10:23,990 +هذا الرئيس حكم الولايات المتحدة الأمريكية من الـ + +108 +00:10:23,990 --> 00:10:28,090 +1963 إلى 1969 كيف + +109 +00:10:28,090 --> 00:10:36,440 +كانت سياسة جونسون؟في هذه الحقبة 63 إلى 69 لم تبدأ + +110 +00:10:36,440 --> 00:10:42,260 +الإدارة الأمريكية موقفا واضحا عقبة بعد حرب الخامس + +111 +00:10:42,260 --> 00:10:47,560 +من حزيران 67 واحتلال الصهاينة لما تبقى من فلسطين + +112 +00:10:47,560 --> 00:10:52,020 +بما في ذلك القسم الشرقي لمدينة القدس مدام الصهاينة + +113 +00:10:52,020 --> 00:10:58,190 +الكفة راجحة لصالحهم الولايات المتحدة لا تتدخللما + +114 +00:10:58,190 --> 00:11:02,510 +تحدث لرئيس الأمريكي في ذلك الوقت جينسون في خطابه + +115 +00:11:02,510 --> 00:11:07,510 +بتاريخ 19 يونيو 67 عن الوضع في القدس الذي عرض فيه + +116 +00:11:07,510 --> 00:11:14,110 +مشروع للسلام يتكون من خمس نقاطلا يلزم أن يتحدث + +117 +00:11:14,110 --> 00:11:17,790 +الآن لأن الصهاينة هم الذين يسيطروا هم الذين يحتلوا + +118 +00:11:17,790 --> 00:11:21,930 +الأرض الصهاينة خرجوا من حرب السبعة وستين وقد + +119 +00:11:21,930 --> 00:11:26,730 +احتلوا غزة والدفة واحتلوا الجزء الشرقي من مدينة + +120 +00:11:26,730 --> 00:11:35,110 +القدس فبالتالي هو لا يحتاج للحديث هو يريد من + +121 +00:11:35,110 --> 00:11:40,430 +الصهاينة أن يستفردوا بالقدس ويسيطروا على كل القدس + +122 +00:11:43,530 --> 00:11:47,470 +ووفقًا لهذا المشروع اللي طرحه جونسون من خمس نقاط + +123 +00:11:47,470 --> 00:11:52,670 +مشروع السلام حدد + +124 +00:11:52,670 --> 00:11:58,770 +السياسة الخارجية لهذا الصراع بمطالبة الدول المعنية + +125 +00:11:58,770 --> 00:12:02,310 +بالاعتراف ببعضها البعض ضمن حدود معترف بها الله + +126 +00:12:02,310 --> 00:12:09,630 +أكبر اعترفوا بإسرائيلهكذا يريد اعترفه بالاحتلال + +127 +00:12:09,630 --> 00:12:14,730 +الصهيوني أن له حق في فلسطين وترتيبات خاصة بالقدس + +128 +00:12:14,730 --> 00:12:17,770 +تعترف بالمسالح الخاصة للأديان السماوية في الأماكن + +129 +00:12:17,770 --> 00:12:22,810 +المقدسة وكرر ممثل ولاية المتحدة الأمريكية في الأمم + +130 +00:12:22,810 --> 00:12:29,500 +المتحدة ArthurGoldberg مبادئ المشروع جنسه للتسوية + +131 +00:12:29,500 --> 00:12:33,040 +أمام الجامعية العامة في اجتماعها المنعقد في 20 + +132 +00:12:33,040 --> 00:12:38,140 +يونيو 67 وكان مشروع القرار الذي طرحه للجامعية + +133 +00:12:38,140 --> 00:12:43,140 +العامة للتصويت عليه خاليا من أي اشارة لمستقبل + +134 +00:12:43,140 --> 00:12:46,980 +مدينة القدس طبعا هذا يدلل أن الولايات المتحدة + +135 +00:12:46,980 --> 00:12:50,120 +الأمريكية ترفض عودة الكيان الصهنين إلى حدود ما قبل + +136 +00:12:50,120 --> 00:12:57,440 +67 هي ترفضفالمكاسب التي حققتها من جراء الحرب لا + +137 +00:12:57,440 --> 00:13:01,080 +يمكن التخلي عنها وهذا يتوافق مع التصور الصهيوني + +138 +00:13:01,080 --> 00:13:04,360 +هذا + +139 +00:13:04,360 --> 00:13:10,560 +ممثل ولاية المتحدة الأمريكية في الأمم المتحدةيتضح + +140 +00:13:10,560 --> 00:13:14,420 +الموقف الأمريكي تجاه قضية القدس في الإعلان الذي + +141 +00:13:14,420 --> 00:13:18,580 +أصدرته وزارة الخارجية الأمريكية في اليوم نفسه الذي + +142 +00:13:18,580 --> 00:13:22,380 +أعلنت فيه سلطات الاحتلال الصيوني ضمنها للقسم + +143 +00:13:22,380 --> 00:13:29,190 +الشرقي من مدينة القدس في 28 يونيو 67نص الإعلان على + +144 +00:13:29,190 --> 00:13:33,390 +أن العمل الإداري الذي اتخذ من قبل الكيانة الصهيوني + +145 +00:13:33,390 --> 00:13:40,150 +هم يدافعوا عن أفعال الصهاينة يوم أن احتل الصهاينة + +146 +00:13:40,150 --> 00:13:44,670 +القدس يوم أن أعلنوا في 28 يونيو أنهم ضموا مدينة + +147 +00:13:44,670 --> 00:13:49,540 +القدسللكيان الصهيوني رسميا الولايات المتحدة تقول + +148 +00:13:49,540 --> 00:13:55,620 +إن التغيرات التي قام بها دولة إسرائيل في مدينة + +149 +00:13:55,620 --> 00:14:03,120 +القدس هي لا تعني أي شيء يعني هي تهون هي تبنج إنجاز + +150 +00:14:03,120 --> 00:14:08,200 +التعبير تخدر الرأي العام العالمي تخدر الأمم + +151 +00:14:08,200 --> 00:14:12,470 +المتحدةنص الإعلان على أن العمل الإداري الذي اتخذ + +152 +00:14:12,470 --> 00:14:15,270 +من قبل الكيان الصهيوني لا يمكن اعتباره على أنه + +153 +00:14:15,270 --> 00:14:19,790 +يتحكم بالمستقبل الأماكن المقدسة أو بوضع القدس أو + +154 +00:14:19,790 --> 00:14:23,310 +أن الولايات المتحدة الأمريكية لا تعتبر مثل هذه + +155 +00:14:23,310 --> 00:14:27,670 +الأعمال الأحادية الجانب من قبل أي من الدول المنطقة + +156 +00:14:27,670 --> 00:14:31,990 +على أنها تتحكم أو تلغي موضوع تدوير القدس يا سلام + +157 +00:14:31,990 --> 00:14:35,490 +تخدير + +158 +00:14:35,490 --> 00:14:43,680 +تخدير للعالميعني ببساطة بقول للعالم احنا ع موقفنا + +159 +00:14:43,680 --> 00:14:50,180 +احنا بدنا ال goods مدولة لأ لأ خلهم يعملوا عادي ما + +160 +00:14:50,180 --> 00:14:56,920 +تقوم به اسرائيل من تجريف حي المغاربة واعتبار حائط + +161 +00:14:56,920 --> 00:15:02,820 +البراقو وحائط المبكة ومكان مقدس للصهاينة واحتلوهضم + +162 +00:15:02,820 --> 00:15:09,640 +.. ضم كل الأماكن لبلدية القدس وأصدار القوانين + +163 +00:15:09,640 --> 00:15:12,800 +والسيطرة على الأراضي والسيطرة على الأراضي الميرية + +164 +00:15:12,800 --> 00:15:18,400 +والسيطرة وتخطيط مدينة القدس من جديد والبدأ بمشروع + +165 +00:15:18,400 --> 00:15:23,580 +تغيير الديمقرافيا وتغيير كل شيء في مدينة القدس + +166 +00:15:23,580 --> 00:15:29,700 +والتخطيط هي مشاريع يعني هامشية لن تغير في الوضع + +167 +00:15:32,140 --> 00:15:36,280 +الولايات المتحدة الأمريكية مطمئنة إلى ذلك هذا يعني + +168 +00:15:36,280 --> 00:15:43,700 +ما يريدوا أن يقولوا للعالم يعني لا تهيجوا لا + +169 +00:15:43,700 --> 00:15:48,300 +تهيجوا على إسرائيل هكذا هي تريدساعة الإدارة + +170 +00:15:48,300 --> 00:15:51,000 +الأمريكية اللي منأ صدور قرارات عن الأمم المتحدة + +171 +00:15:51,000 --> 00:15:54,320 +تدين موقف الكيان الصهيوني ولذلك امتنعت عن التصويت + +172 +00:15:54,320 --> 00:16:03,200 +على قرار 2253 وامتنعت عن تصويت على قرار 2254هذه + +173 +00:16:03,200 --> 00:16:05,900 +القرارات التي صدرت في الدورة الطارقة للجمعية + +174 +00:16:05,900 --> 00:16:10,680 +العامة للأمم المتحدة في يوليو 67 هذه القرارات + +175 +00:16:10,680 --> 00:16:14,340 +طالبة الكيان الصيوني بإلغاء جميع ما قام بيه من + +176 +00:16:14,340 --> 00:16:18,060 +إجراءات في القدس وتوقف عن أي إجراء يغير من وضاها + +177 +00:16:18,060 --> 00:16:28,000 +قرار2253 وقرار 2254 في 1967 لما إسرائيل احتلت + +178 +00:16:28,000 --> 00:16:33,060 +القدس وبدأت تغير في الديمغرافيا تغير في كل شيء في + +179 +00:16:33,060 --> 00:16:38,800 +القدس تصدر قوانين تسحب هويات تهدم بيوت تدمر حارات + +180 +00:16:38,800 --> 00:16:45,580 +وتفتح ساحات وتسيطر على حائط البراقالأمم المتحدة + +181 +00:16:45,580 --> 00:16:49,700 +قالت لإسرائيل قف، لكن الولايات المتحدة المتحدة + +182 +00:16:49,700 --> 00:16:54,180 +المتحدة الأمريكية منعت أو لم تسوت لصالح هذه + +183 +00:16:54,180 --> 00:16:54,940 +القرارات + +184 +00:16:58,460 --> 00:17:03,060 +لتوضيح موقف بلاده وللتخفيف من الانتقادات التي + +185 +00:17:03,060 --> 00:17:06,520 +تعرضت لها الولايات المتحدة الأمريكية بسبب امتناعها + +186 +00:17:06,520 --> 00:17:15,600 +عن التصويت على القرارين السابقين صرح ممثل الولايات + +187 +00:17:15,600 --> 00:17:17,880 +المتحدة الأمريكية في الأمم المتحدة + +188 +00:17:20,140 --> 00:17:24,980 +Goldenberg ببيان ألقاه أمام الجمعية العامة في + +189 +00:17:24,980 --> 00:17:31,100 +يوليو 67 يقول فيه بأن الأساليب التي ممكن أن تغير + +190 +00:17:31,100 --> 00:17:35,140 +وضع مدينة القدس والتي اتبعتها حكومة الكيان + +191 +00:17:35,140 --> 00:17:39,860 +الصهيوني في 28 يونيو لا تعترف بها الولايات المتحدة + +192 +00:17:39,860 --> 00:17:45,720 +الأمريكية أيضا عملية تخدير جديدة + +193 +00:17:48,030 --> 00:17:53,930 +أبدا بيرج أسف الإدارة الأمريكية لاتحاد الكيار + +194 +00:17:53,930 --> 00:17:58,070 +الصهيوني لاتخاذ الكيار الصهيوني مثل هذه الإجراءات + +195 +00:17:58,070 --> 00:18:00,910 +مؤكدا في الوقت نفسه على أن الأساليب المتبعة لا + +196 +00:18:00,910 --> 00:18:07,770 +يمكن اعتبارها أكثر من مجرد أوضاع مؤقتة بغيروا + +197 +00:18:07,770 --> 00:18:16,570 +الديمغرافيا في القدس هجروا العرب والفلسطينيين من + +198 +00:18:16,570 --> 00:18:25,190 +بيوتهممن أراضيهم دمروا الأماكن المقدسة وحولوها إلى + +199 +00:18:25,190 --> 00:18:33,430 +أماكن مقدسة توراتية وتقول ليه هذه مؤقتة قبل + +200 +00:18:33,430 --> 00:18:40,850 +انتهاء فترة رئاسة الرئيس جونسون في عام 68 هو في 69 + +201 +00:18:40,850 --> 00:18:46,450 +خلص طيب في 68 تشوفكان برنامج الاستيطار الصهيوني في + +202 +00:18:46,450 --> 00:18:50,810 +القدس في مراحله الأولى صرح الرئيس جنسه المأنهى على + +203 +00:18:50,810 --> 00:18:55,210 +الحكومات العربية أن تقنع الكيان الصهيوني والمجتمع + +204 +00:18:55,210 --> 00:18:59,890 +الدولي أنها قد تخلت عن فكرة تدمير الكيان الصهيوني + +205 +00:18:59,890 --> 00:19:08,550 +يو نوكباك مجرم وكأنه بدى يقول للعالم انتبهوا + +206 +00:19:09,690 --> 00:19:13,990 +الدول العربية هدفها تدمير الكيان الصهيوني وتعمل + +207 +00:19:13,990 --> 00:19:20,010 +على تدمير الكيان تيقظ أيها العالم هذه اللي طلع + +208 +00:19:20,010 --> 00:19:26,330 +معاه وأيضا يقول على الكيان الصهيوني أن يقنع الدول + +209 +00:19:26,330 --> 00:19:28,050 +العربية أنه + +210 +00:19:31,040 --> 00:19:35,380 +يقنع العرب والمجتمع الدولي أنه ليس لديه مخططات + +211 +00:19:35,380 --> 00:19:38,120 +توسعية في الأراضي الفلسطينية والعربية المجاورة + +212 +00:19:38,120 --> 00:19:42,800 +يعني يقول يا إسرائيل العرب لا يريدون إحتلال مصر + +213 +00:19:42,800 --> 00:19:47,760 +ولا يريدون إحتلال السعودية لا أريد إحتلال هذه + +214 +00:19:47,760 --> 00:19:57,740 +الدول دعم واضح وتنظير لصالح الكيان الصهيونيلقد كان + +215 +00:19:57,740 --> 00:20:00,880 +موقف الإدارة الأمريكية من ضمن الكيان الصيوني للقدس + +216 +00:20:00,880 --> 00:20:04,540 +أكثر وضوحا عندما صر على الرئيس جونسول في 10 سبتمبر + +217 +00:20:04,540 --> 00:20:10,800 +1968 بأن لا أحد يرغب بأن يرى المدينة المقدسة مقسمة + +218 +00:20:10,800 --> 00:20:14,360 +مرة أخرى وأن على جميع الأطراف أن يفكروا في حل يضمن + +219 +00:20:14,360 --> 00:20:19,750 +مصالحهم ومصالح العالم كله في القدسالآن بدأ موقف + +220 +00:20:19,750 --> 00:20:23,990 +الولايات المتحدة الأمريكية يظهر أكثر سوءًا لأنهم + +221 +00:20:23,990 --> 00:20:33,130 +يدعوا إلى عدم تقسيم المدينة وهذا عسل داخله سم يعني + +222 +00:20:33,130 --> 00:20:41,550 +المدينة واحدة يعنيعندما أعلن الكيان الصيوني توحيد + +223 +00:20:41,550 --> 00:20:45,770 +مدينة القدس بشطرية الشرق والغربي هو ما فعله + +224 +00:20:45,770 --> 00:20:49,650 +الولايات المتحدة الأمريكية أصبحت توافق عليه أن + +225 +00:20:49,650 --> 00:20:53,890 +توحيد الكيان الصيوني لشبكات الصرف الصحي والمياه + +226 +00:20:53,890 --> 00:21:00,290 +والكذاوما يمهد له الكيان الصيوني من إعلان مدينة + +227 +00:21:00,290 --> 00:21:04,930 +القدس مدينة موحدة والقدس الكبرى عاصمة الاحتلال + +228 +00:21:04,930 --> 00:21:09,510 +عاصمة الكيان الصيوني هو توافق عليه الولايات + +229 +00:21:09,510 --> 00:21:17,880 +المتحدة الأمريكية عندما نقول مدينة موحدةعارض + +230 +00:21:17,880 --> 00:21:24,940 +التقسيم في داخل هذه العبارة يعني إنجاز التعبير + +231 +00:21:24,940 --> 00:21:25,960 +نطلق عليها + +232 +00:21:32,760 --> 00:21:37,780 +كلمة حق أريد بها باطل إنجاز التعبير كلمة حق أريد + +233 +00:21:37,780 --> 00:21:42,300 +بها باطل هم يدعو إلى وحدة القدس لكن لماذا؟ ما + +234 +00:21:42,300 --> 00:21:47,000 +الهداف؟ ما الهداف إن الاحتلال الصهيوني سيطر على + +235 +00:21:47,000 --> 00:21:53,620 +القدس كاملة ولا ينقص منها شبر واحد يكون خارج سيطرة + +236 +00:21:53,620 --> 00:21:54,800 +للكيان الصهيوني + +237 +00:21:57,660 --> 00:22:03,540 +وبالتالي القدس كاملة تكون من حق الصهاينة هذا هو + +238 +00:22:03,540 --> 00:22:08,280 +الباطل الذي داخل هذه العبارات كانت الولايات + +239 +00:22:08,280 --> 00:22:12,000 +المتحدة الأمريكية قد وافقت على قرار مجلس الأمن 242 + +240 +00:22:12,000 --> 00:22:18,240 +هذا القرار اللي بعد حرب 67 242 لما إسرائيل احتلت + +241 +00:22:18,240 --> 00:22:24,100 +غزة والضفة والجولان واحتلت كل الدنيا ديالولايات + +242 +00:22:24,100 --> 00:22:29,400 +المتحدة الأمريكية القرار بيقول على إسرائيل أن تخرج + +243 +00:22:29,400 --> 00:22:35,720 +من الأراضي اللي احتلتها راحوا لما ترجموه لللغة + +244 +00:22:35,720 --> 00:22:42,160 +الإنقليزية كتبوا على إسرائيل أن تخرج من أراضٍ من + +245 +00:22:42,160 --> 00:22:48,080 +أراضٍ يعني أربعة متر انطلعوا من خمس دلوم خلاص هيا + +246 +00:22:48,080 --> 00:22:54,890 +طبقنا القرار تلاعب في القراراتطيب في حين امتنعت + +247 +00:22:54,890 --> 00:23:00,150 +أنا التصويت عن قرار على قرار مجلس الأمل 252 الذي + +248 +00:23:00,150 --> 00:23:03,810 +أكد على ما جاء في قراري الجامعية العامة للأمم + +249 +00:23:03,810 --> 00:23:11,030 +المتحدة 2253 و 2254 ودعي إلى إلغاء جميع الإجراءات + +250 +00:23:11,030 --> 00:23:17,200 +التي اتخذها الكيان الصيوني في مدينة القدسوأن يمنع + +251 +00:23:17,200 --> 00:23:23,240 +عن اتخاذ أي إجراء يعمل إجراء يعمل على تغيير وضع + +252 +00:23:23,240 --> 00:23:34,100 +مدينة القدس هذا الرئيس ريتشارد نيكسون مجرم آخر بحق + +253 +00:23:34,100 --> 00:23:42,610 +الإنسانيةحكم من الـ 69 للـ 74 ريتشارد نيكسون طيب، + +254 +00:23:42,610 --> 00:23:47,710 +شوف في عصر، في عهد ريتشارد نيكسون كيف كان موقف + +255 +00:23:47,710 --> 00:23:54,850 +الولايات المتحدة الأمريكية هل تغير؟ هل أنصف القدس؟ + +256 +00:23:54,850 --> 00:23:58,890 +لنرى أكدت الولايات المتحدة الأمريكية أمام مجلس + +257 +00:23:58,890 --> 00:24:03,190 +الأمن في الـ 69 وعلى لسان مندوبها الدائم لدى الأمم + +258 +00:24:03,190 --> 00:24:08,850 +المتحدةCharles Post قال إن القدس التي وقعت تحت + +259 +00:24:08,850 --> 00:24:17,510 +سيطرة الكيانة الصيوني تعتبر منطقة محتلة حسب + +260 +00:24:17,510 --> 00:24:23,750 +قوانين أو نصوص قانون الدولي الذي ينظم حقوق + +261 +00:24:23,750 --> 00:24:30,340 +والتزامات دول الاحتلال التيتقضي بأن دولة الاحتلال + +262 +00:24:30,340 --> 00:24:36,480 +لا يحق لها أن تحدث تغيرات في القوانين والإدارة طيب + +263 +00:24:36,480 --> 00:24:40,400 +ده نشوف استمر الموقف الأمريكي في أهد الرئيس + +264 +00:24:40,400 --> 00:24:46,920 +ريتشارد نيكسون كامتداد للمواقف في إدارة جونسونفقد + +265 +00:24:46,920 --> 00:24:52,660 +أكد وزير الخارجية الأمريكية لذلك William Rogers في + +266 +00:24:52,660 --> 00:24:58,200 +خطته التي أطلقها مشروع Rogers في 9 ديسمبر 1969 أن + +267 +00:24:58,200 --> 00:25:03,040 +وضع القدس يمكن أن يتحدد فقط من خلال اتفاق الأطراف + +268 +00:25:03,040 --> 00:25:07,040 +المعنية وعلى وجه الخصوص الكيان الصيوني والأردن + +269 +00:25:07,040 --> 00:25:11,500 +أساساً أخذين بالاعتبار مصالح دول أخرى في المنطقة + +270 +00:25:11,500 --> 00:25:17,260 +والمجتمع الدولي يعني يقعدوا مع بعضوقعدوا مع بعض + +271 +00:25:17,260 --> 00:25:22,700 +وشوفوا الصهاين ماذا يريدون اعترفوا بإسرائيل يعني + +272 +00:25:22,700 --> 00:25:35,740 +طيب هذه صور بعض المجرمين بحق الإنسانية المندوب + +273 +00:25:35,740 --> 00:25:43,300 +الولايات المتحدة الدائم ووزير الخارجي الأمريكي طيب + +274 +00:25:50,860 --> 00:25:54,320 +التأكيد على تقديم الطار عادل لتسوية القضية + +275 +00:25:54,320 --> 00:25:57,800 +الفلسطينية على أن تكون مدينة موحدة ولا تكون فيها + +276 +00:25:57,800 --> 00:26:01,680 +أي قيود على حركة الأفراد والسلاق بحيث تكون المدينة + +277 +00:26:01,680 --> 00:26:05,140 +موحدة مفتوحة لكل الأشخاص من كل الأديان والجنسيات + +278 +00:26:06,200 --> 00:26:09,420 +كما أن الترتيبات الإدارية للمدينة الموحدة يجب أن + +279 +00:26:09,420 --> 00:26:13,660 +تأخذ باعتبارها مصالح كل سكانها والجماعات اليهودية + +280 +00:26:13,660 --> 00:26:17,820 +والإسلامية والمسيحية مع وجود دور لكل من الكيان + +281 +00:26:17,820 --> 00:26:20,580 +والأردن في الحياة المدنية والاقتصادية + +282 +00:26:22,930 --> 00:26:27,470 +قد وافقت بعض الدول العربية على هذا المشروع ما أدى + +283 +00:26:27,470 --> 00:26:32,850 +إلى نتائج سلبية جدا على الواقع العربي وخصوصا لأن + +284 +00:26:32,850 --> 00:26:36,750 +هذا المشروع يربط وضع القدس بقرار مجلس الأمن 242 + +285 +00:26:36,750 --> 00:26:40,650 +الذي يثير الجدل وذلك الاختلاف أطراف الصراع في + +286 +00:26:40,650 --> 00:26:46,280 +تفسيره هذا اللي حدثناه اللي هو مشروع Rogersكانت + +287 +00:26:46,280 --> 00:26:49,900 +النظرة إلى القدس مشابهة لأوضاع كافة المناطق + +288 +00:26:49,900 --> 00:26:53,580 +المحتلة الأخرى لكن هذه التصريحات لـ Rogers أقرت + +289 +00:26:53,580 --> 00:26:57,480 +بضرورة بقاء القدس موحدة بينما أيدت الولايات + +290 +00:26:57,480 --> 00:27:03,240 +المتحدة الأمريكية قرار مجلس الأمن298 في عام 1971 + +291 +00:27:03,240 --> 00:27:09,200 +بشأن وضع القدس الذي أكد هذا القرار بطلانة التصرفات + +292 +00:27:09,200 --> 00:27:15,280 +التي قامت قام بها الكيان الصيوني والتغيير الوضع في + +293 +00:27:15,280 --> 00:27:19,200 +القدس ومطالبا إياها بإلغاء كل الإجراءات التي + +294 +00:27:19,200 --> 00:27:24,000 +أخذتها في المدينةاجتبع مجلس الأمن بناء على طلب من + +295 +00:27:24,000 --> 00:27:27,220 +الأردن بسبب إقدام الكيان الصيوني بسلسلة من + +296 +00:27:27,220 --> 00:27:35,040 +الصادرات المصادرة قام الكيان الصيوني بمصادرة كميات + +297 +00:27:35,040 --> 00:27:40,280 +ضخمة من الأراضي الفلسطينية وبدأ + +298 +00:27:40,280 --> 00:27:44,160 +يشرع في إنشاء مستوطنات فاجتبع مجلس الأمن بناء على + +299 +00:27:44,160 --> 00:27:48,820 +طلب الأردن الأردن جالت بين اجتماعنا كان موقف + +300 +00:27:48,820 --> 00:27:54,290 +الولايات المتحدة الأمريكيةأنا ذاك كان جورج بوش + +301 +00:27:54,290 --> 00:27:59,850 +اللي أصبح رئيس بأنصر حامة مجلس الأمن للولايات + +302 +00:27:59,850 --> 00:28:04,310 +المتحدة الأمريكية تأسف لفشل الكيان الصهيوني في + +303 +00:28:04,310 --> 00:28:08,750 +احترام اتزامه بميثاق جينيفر الرابع وكذلك الأعمال + +304 +00:28:08,750 --> 00:28:15,160 +المخالفة لمضمون وروح هذا الميثاقكلام جيد وقد أكد + +305 +00:28:15,160 --> 00:28:17,540 +هذا الموقف المستشار القانوني لولايات المتحدة + +306 +00:28:17,540 --> 00:28:25,660 +الأمريكية في إبريل 73 مؤكدا أن الكيان الصهيوني + +307 +00:28:25,660 --> 00:28:30,680 +كدولة محتلة للمناطق 67 ملتزمة بتطبيق ميثاق جينيف + +308 +00:28:30,680 --> 00:28:35,580 +الرابع الذي نُص على حماية المدنيين ولكن الكيان ما + +309 +00:28:35,580 --> 00:28:40,560 +زال يرفض تطبيق الميثاق تطبيق الميثاق 2 + +310 +00:28:46,560 --> 00:28:57,920 +إدارة الرئيس جيرلاد فورد من ال 74 ل 77 + +311 +00:28:57,920 --> 00:29:02,140 +يعني حكم 4 سنوات ولاي واحد يعني + +312 +00:29:04,770 --> 00:29:08,010 +استمروا موقف الولايات المتحدة الأمريكية أيضًا في + +313 +00:29:08,010 --> 00:29:11,530 +أهد الرئيس Ford والرافض للاستيطان في الأراضي + +314 +00:29:11,530 --> 00:29:16,630 +المحتلة في الـ67 بما فيها القدس وقد عبّر عن هذا + +315 +00:29:16,630 --> 00:29:21,310 +الموقف ممثل الولايات المتحدة الأمريكية William + +316 +00:29:21,310 --> 00:29:27,290 +Scranton في اجتماع مجلس الأمن في الـ67عند مجتمع + +317 +00:29:27,290 --> 00:29:30,930 +لمناقشة بناء مستوطنة يهودية جديدة في الضفة الغربية + +318 +00:29:30,930 --> 00:29:36,230 +وصرح بيننا الإستيطان في المناطق المحتلة بما في ذلك + +319 +00:29:36,230 --> 00:29:40,190 +القدس غير قانوني وفق لميثاق جينيفر 4 ولا يمكن + +320 +00:29:40,190 --> 00:29:44,490 +اعتبار هذه المستوطنات على أنها ملزمة للمفاوضات في + +321 +00:29:44,490 --> 00:29:49,190 +المستقبل ما بين الأطراف على حدود دول الشرق الأوسط + +322 +00:29:49,830 --> 00:29:53,170 +إن وجود هذه المستوطنات النمو تعتبره الإدارة + +323 +00:29:53,170 --> 00:29:59,350 +الأمريكية عائقا في إنجاح مفاوضات السلام والحل + +324 +00:29:59,350 --> 00:30:06,660 +النهائي والعادل ما بين الصهاينة وجيرانهمهذا أنا + +325 +00:30:06,660 --> 00:30:13,960 +أعتقد إنه هذا أفضل موقف لكن برضه موقف يعني يعني + +326 +00:30:13,960 --> 00:30:19,040 +موقف ما فيه خطوات إيجابية هو موقف يعني بيقول + +327 +00:30:19,040 --> 00:30:27,310 +سكرنتون بيقول في اجتماع مجلس الأمن في مارس 76بقول + +328 +00:30:27,310 --> 00:30:32,230 +إنه الاستيطان احنا ضد الاستيطان وكل اللي غيرته + +329 +00:30:32,230 --> 00:30:35,990 +إسرائيل في مدينة القدس غير قانوني واحنا بنقولكوا + +330 +00:30:35,990 --> 00:30:42,950 +هذا التغيير والأرض اللي سيطرت عليها لا يمكن أن + +331 +00:30:42,950 --> 00:30:47,990 +تكون أوراق ضغط في المفاوضات يصيروا الصهاين يقولوا + +332 +00:30:47,990 --> 00:30:52,750 +هذه معنى لأ هو بيقول إذا صارت مفاوضات نهائية بين + +333 +00:30:52,750 --> 00:30:54,730 +العرب والصهاين + +334 +00:30:56,460 --> 00:31:04,340 +بنتفاوض على كل شيء وكأنه لم تحدث إسرائيل أي تغيير + +335 +00:31:04,340 --> 00:31:11,400 +هذا هو ما يريد أن يقوله طيب السفير الولايات + +336 +00:31:11,400 --> 00:31:15,140 +المتحدة الأمريكية إلى الأمم المتحدة في 15 مارس + +337 +00:31:15,140 --> 00:31:22,840 +جيمي كارتر من ال 77 لل 81 الرئيس جيمي كارتر + +338 +00:31:22,840 --> 00:31:30,060 +بالمناسبةهذا الرئيس عايش لليوم موجود واختلفت + +339 +00:31:30,060 --> 00:31:38,020 +مواقفه الآن عن ما كان سابقاً الان هو يعد باحث + +340 +00:31:38,020 --> 00:31:47,900 +ومفكر أمريكي وكثير من مواقفه أصبحت جيدة وهو ضد + +341 +00:31:47,900 --> 00:31:54,140 +إسرائيل الآن ضد إسرائيل ولكنه عندما كان رئيسا لم + +342 +00:31:54,140 --> 00:32:03,150 +يكن كذلكربما هناك ضغوطات كانت يتعرض لها استمر + +343 +00:32:03,150 --> 00:32:05,890 +الموقف السياسي للولايات المتحدة الأمريكية تجاه + +344 +00:32:05,890 --> 00:32:09,950 +مدينة القدس في عهد الرئيس كارتر باعتبارها منطقة + +345 +00:32:09,950 --> 00:32:16,210 +محتلة باعتبروها محتلة، كويس ولكن مع اقتراب نهاية + +346 +00:32:16,210 --> 00:32:20,570 +عهدكارتر تحولت السياسة الأمريكية تجاه القدس إلى + +347 +00:32:20,570 --> 00:32:25,270 +موقف مشابه للموقف الصهيوني ركزت الإدارة الأمريكية + +348 +00:32:25,270 --> 00:32:29,710 +على إبقاء مدينة القدس موحدة دون تقسيم وعبّر عن ذلك + +349 +00:32:29,710 --> 00:32:35,430 +الرئيس كارتر في 3 مارس 80 مؤكدا أن مدينة القدس يجب + +350 +00:32:35,430 --> 00:32:38,310 +أن تبقى موحدة مع توفير حرية الوصول إلى الأماكن + +351 +00:32:38,310 --> 00:32:41,890 +المقدسة لجميع الأديان وأن وضع القدس يجب أن يتم + +352 +00:32:41,890 --> 00:32:45,550 +تحديده من خلال مفاوضات لإحلال السلام دائم مشامل + +353 +00:32:47,100 --> 00:32:51,740 +رجعنا زي ما اليهود والصهايني بدهم بدهم إياها تظل + +354 +00:32:51,740 --> 00:32:58,320 +موحدة في ديهم و هم مسيطرين على كل مدينة القدس اللي + +355 +00:32:58,320 --> 00:33:04,000 +بده يزور القدس من المسلمين تسريح بنخليه و احنا + +356 +00:33:04,000 --> 00:33:08,560 +بنحدد العمر و احنا بنحدد الأشخاص اتفضلوا + +357 +00:33:11,150 --> 00:33:16,290 +هذا موقف للإدارة الأمريكية في نهاية كارتر طيب جاء + +358 +00:33:16,290 --> 00:33:18,730 +هذا الموقف بناء على ضعف الموقف العربي في تلك + +359 +00:33:18,730 --> 00:33:22,250 +الفترة وخصوصا بعد أن استطاع الكيان الصيوني تغييب + +360 +00:33:22,250 --> 00:33:25,470 +قضية القدس عن المناقشات ومفاوضات تجارية في Camp + +361 +00:33:25,470 --> 00:33:34,170 +David هذا الكلام في الـ78 وفي الـ80 شو كان؟ كانت + +362 +00:33:34,170 --> 00:33:42,470 +مصر بتتفاوض مع اسرائيل مصر واجعةمصر مسلمة كل شيء + +363 +00:33:42,470 --> 00:33:49,310 +فموقف إسرائيل جوي أقوى دولة عربية و أقوى دولة + +364 +00:33:49,310 --> 00:33:55,990 +عربية تخرج من حلبة الصراع مع الكيان الصهيوني إذا + +365 +00:33:55,990 --> 00:34:01,490 +هذا يقوّل كيان الصهيوني فبالتالي بدأ يتراجع موقف + +366 +00:34:01,490 --> 00:34:05,510 +الولايات المتحدة الأمريكية لكن المستشار القانوني + +367 +00:34:05,510 --> 00:34:09,670 +للإدارة الأمريكية Herbert Hanselوكذلك وزير الخارجي + +368 +00:34:09,670 --> 00:34:13,310 +الامريكي France عبر عن الموقف من الاستيطان في تلك + +369 +00:34:13,310 --> 00:34:20,810 +الفترة بأنه قامت مستوطنات مدنية في المناطق المحتلة + +370 +00:34:20,810 --> 00:34:26,870 +مخالف للقانون دائما + +371 +00:34:26,870 --> 00:34:35,830 +في جديتين هم المركزياتلاستيطان أنهم يأخذوا أرض + +372 +00:34:35,830 --> 00:34:41,290 +ويسرقوا أرض أكتر ويطردوا أهلها ويزحفوا الصهاينة + +373 +00:34:41,290 --> 00:34:49,010 +اتنين الهجرة قضيتين مركزيات أصلا كل قضيتنا أجوا + +374 +00:34:49,010 --> 00:34:54,910 +الصهاينة من 91 دولة وقعدوا فوق أرضنا بيجيبوا ناس + +375 +00:34:54,910 --> 00:35:01,690 +من برا ويقعدوهم في أرضك وانت بتردوك من أرضك هذه + +376 +00:35:01,690 --> 00:35:07,850 +القضيتين المركزياتأكد أن سياسة الولايات المتحدة + +377 +00:35:07,850 --> 00:35:11,950 +الأمريكية تجاه إقامة المستوطنات الصينية في المناطق + +378 +00:35:11,950 --> 00:35:18,250 +المحتلة واضح عجلية لا لمس فيها لحتى + +379 +00:35:18,250 --> 00:35:26,150 +1980، أمريكا ضد الاستيطان تقول أن المستوطنات غير + +380 +00:35:26,150 --> 00:35:29,950 +شرعية، مخالفة للقانون الدولي والأمم المتحدة + +381 +00:35:31,330 --> 00:35:34,610 +فلسنتران في الأراضي المحتلة مخالف للقانون الدولي + +382 +00:35:34,610 --> 00:35:43,030 +وعاق في التوصل لعملية السلام يعيق يعيق إتمام عملية + +383 +00:35:43,030 --> 00:35:46,390 +السلام ناجحة في الشرق الأوسط وتم التأكيد على أن + +384 +00:35:46,390 --> 00:35:50,690 +البند 49 من الفقرة السادسة من ميثاق جينيز الرابع + +385 +00:35:50,690 --> 00:35:54,850 +يشير إلى أن المسلطنات غير قانونية وأن ميثاق جينيف + +386 +00:35:54,850 --> 00:35:59,490 +الرابع ينطبق على المناطق المحتلة الفلسطينية كلام + +387 +00:35:59,490 --> 00:36:13,080 +جيدريجان من الـ 1981 للـ 1989 من أسوأ الشخصيات قد + +388 +00:36:13,080 --> 00:36:16,680 +ترى تغير واضح على السياسة الأمريكية اتجاه القدس + +389 +00:36:16,680 --> 00:36:19,920 +عندما أعلن المرشح للرئاسة أنا ذاك رونالد ريجان + +390 +00:36:19,920 --> 00:36:24,420 +أثناء حملة انتخابية عام 1980 أن مدينة القدس غير + +391 +00:36:24,420 --> 00:36:27,660 +المجزقة عن السيادة الصهيونية لهذه المدينة + +392 +00:36:31,050 --> 00:36:36,430 +مرشح للانتخابات الجدس للصهاينة نقطة سطرة جديدة + +393 +00:36:36,430 --> 00:36:42,010 +Reagan كمطارع تغير أيضًا على السياسة الأمريكية + +394 +00:36:42,010 --> 00:36:47,630 +تجاه الاستيطان في عهد ولايته عندما صرح في عام 1981 + +395 +00:36:47,630 --> 00:36:54,210 +المستوطنات غير ضرورية لكنها ليست شرعية ولكنها ليست + +396 +00:36:54,210 --> 00:37:00,490 +غير شرعية بشرع ال Reagan الاستيطان أول رئيس يجرؤ + +397 +00:37:01,150 --> 00:37:09,030 +أنه شرعاً لاستيطان ريجان من أسوأ الشخصيات وعندما + +398 +00:37:09,030 --> 00:37:12,510 +تسلم الرئيس ريجان الإدارة الأمريكية رسميا لم يتغير + +399 +00:37:12,510 --> 00:37:17,210 +موقفه تجاه القدس عن موقف أسلافي حيث صرح في سبتمبر + +400 +00:37:17,210 --> 00:37:21,430 +82 بأن القدس يجب أن تبقى موحدة وأن وضعها النهائي + +401 +00:37:21,430 --> 00:37:26,820 +ستم تحدده من خلال المفاوضاتكذلك صرح نائب الرئيس + +402 +00:37:26,820 --> 00:37:30,280 +الوفد الأمريكي لدى الأمم المتحدة أمام مجلس الأمن + +403 +00:37:30,280 --> 00:37:36,860 +عام 1986 بأن موقف أمريكا لم يتغير تجاه تطبيق + +404 +00:37:36,860 --> 00:37:39,640 +اتفاقية جينيف الرابع على المناطق التي تحتلها + +405 +00:37:39,640 --> 00:37:47,060 +الكيان الصهيوني كلام عام جورج بوش الأب + +406 +00:37:49,060 --> 00:37:55,320 +أسوأ رئيسين في تاريخ أمريكا بعد Reagan الأبو + +407 +00:37:55,320 --> 00:38:01,740 +والابن لاحظوا ناس + +408 +00:38:01,740 --> 00:38:11,580 +دمويين ناس مجرمين حروب قتال دمار انطلق موقف + +409 +00:38:11,580 --> 00:38:16,940 +الإدارة الأمريكية من قيادة القدس في أهدجورج بوش من + +410 +00:38:16,940 --> 00:38:21,060 +البحث عن تسوية للصراع العربي الصهيوني عبر عن ذلك + +411 +00:38:21,060 --> 00:38:25,100 +الرئيس بوش في 31 مارس تسعين برسالة بعتها إلى رئيس + +412 +00:38:25,100 --> 00:38:28,720 +بلدية القدس اليهودي تيدي كلك مؤكدة فيه أنه يجب + +413 +00:38:28,720 --> 00:38:34,040 +تقسيم القدس ثانية هكذا كانت وما تزال سياسة الدولة + +414 +00:38:34,040 --> 00:38:40,650 +المتحركة الأمريكية وتلك سياستي هو بقولجاء موقف + +415 +00:38:40,650 --> 00:38:44,190 +الرئيس بو الشادة بعد تقديم عدد من أعضاء مجلس الشيخ + +416 +00:38:44,190 --> 00:38:47,310 +الأمريكي في خطوة الصيدية مشروع قرار يدعو الكونجرس + +417 +00:38:47,310 --> 00:38:52,630 +الأمريكي بالاعتراف بالقدس عاصمة للكيان الصهيوني + +418 +00:38:52,630 --> 00:38:57,630 +هذا + +419 +00:38:57,630 --> 00:39:03,230 +رئيس بلدية الجدس تيري كوليك في الاحتلال الصهيوني + +420 +00:39:05,370 --> 00:39:10,170 +حيث استصدر مجلس الشيوخ الأمريكي في 22 مارس تسعين + +421 +00:39:10,170 --> 00:39:14,410 +قرار نص على بقاء القدس عاصمة موحدة للكيام الصيوني + +422 +00:39:14,410 --> 00:39:18,850 +محافظ حقوق الآخرين في 24 مارس أصدر ال Congress + +423 +00:39:18,850 --> 00:39:24,700 +الأمريكي قرار مماثل للقرار المذكورمن خلال الاستراد + +424 +00:39:24,700 --> 00:39:28,080 +السابق لمواقف الحكومات الأمريكية من وضع القدس في + +425 +00:39:28,080 --> 00:39:32,540 +هذه الفترة الزمنية نجدها قد ركزت على تأكيد جميع + +426 +00:39:32,540 --> 00:39:35,120 +الإدارات الأمريكية على بقاء القدس موحدة وعدم + +427 +00:39:35,120 --> 00:39:38,940 +اعتراف فيها بحق الشعب الفلسطيني في القدس وترك + +428 +00:39:38,940 --> 00:39:44,850 +مناقشة هذا الحق لتقرره المفاوضاتولاحظ أن موقف + +429 +00:39:44,850 --> 00:39:48,050 +الإدارة الأمريكية من الاستيطان قد تطور سلبًا حيث + +430 +00:39:48,050 --> 00:39:52,530 +كانت تؤكد بعد حرب 67 مباشرة أنه غير شرعي وتدعو إلى + +431 +00:39:52,530 --> 00:39:55,850 +وقف كافة الإجراءات الاستيطانية في القدس بوصفها + +432 +00:39:55,850 --> 00:40:00,110 +تتناقض مع اتفاقية جينيث بعد ذلك اتغير تطور هذا + +433 +00:40:00,110 --> 00:40:05,270 +الموقف في زمن إدارة ريجان ليعتبر الاستيطان شرعيًا + +434 +00:40:05,270 --> 00:40:09,350 +من خلال التلاعب بالألفاظ هنا ما وصفت المستوطنات + +435 +00:40:09,350 --> 00:40:21,470 +بأنها ليست غير شرعيةليست غير شرعية، يعني شرعية في + +436 +00:40:21,470 --> 00:40:24,110 +اللحظة التي عانى منها الموقف العربي من القسام بعد + +437 +00:40:24,110 --> 00:40:29,190 +توقيع مصر للصُلح Camp David في الـ78، منفرد مع + +438 +00:40:29,190 --> 00:40:33,860 +الكيان، وخروج من ساحة المواجهةفي عد إدارة مجتمع + +439 +00:40:33,860 --> 00:40:38,320 +الاعتراف ضمنيا بالمستوطنات القائمة حين نادت إدارته + +440 +00:40:38,320 --> 00:40:42,620 +بعد مقامة مستوطنات جديدة وكانت ضعف العربي قد بلغ + +441 +00:40:42,620 --> 00:40:46,080 +أوجهه في هذه الفترة خصوصا بعد حرب الخليج تانية + +442 +00:40:46,080 --> 00:40:51,420 +تدمير قوة الأسكارية العراقية من قبل قوات أمريكا + +443 +00:40:51,420 --> 00:40:54,880 +حلفائها ومن ثم تهيئة السحر العربية للدخول في + +444 +00:40:54,880 --> 00:40:58,100 +مفاوضات سياسية مع الكيان الصهيوني للتوصل لحل + +445 +00:40:58,100 --> 00:41:04,130 +النزاع من انقاض مؤتمر مدريد للسلامأسوأ فترات العرب + +446 +00:41:04,130 --> 00:41:09,690 +أضعف فترات العرب مصر تطلع من المواجهة الإعراج + +447 +00:41:09,690 --> 00:41:14,430 +بدمروها بستفردو + +448 +00:41:14,430 --> 00:41:19,250 +في الجدية الفلسطينية وفي + +449 +00:41:19,250 --> 00:41:25,650 +ال 74 أصلا الأردن دخلت سلام زي كام ديفيد ودي عربا + +450 +00:41:25,650 --> 00:41:38,270 +مع اسرائيل طيب بيل كلينتونصورة دي عندما + +451 +00:41:38,270 --> 00:41:45,410 +جمعهم بيل كلنتون عرفات واسحاق رابين واعترف عرفات + +452 +00:41:45,410 --> 00:41:56,870 +بإسرائيل وبأن عندما نقول اعترفت منظمة التحرير + +453 +00:41:56,870 --> 00:42:05,640 +الفلسطينية على لسان زعيمها ياسر عرفاتبإسرائيل ماذا + +454 +00:42:05,640 --> 00:42:14,600 +يعني؟ أنا أقول لكم هو نحن نقر .. نقر أن إسرائيل + +455 +00:42:14,600 --> 00:42:27,000 +لها حق شري و تاريخي و ديني في هذه الأراضي أيوة على + +456 +00:42:27,000 --> 00:42:36,340 +أي تهانكلينتون من 93 ل 2001 دورتين + +457 +00:42:36,340 --> 00:42:43,860 +حكام هذا كلينتون أجى على قاعة رشاد الشوة في غزة + +458 +00:42:43,860 --> 00:42:49,480 +بالمناسبة وهو موجود طلب من المجلس الوطن الفلسطيني + +459 +00:42:49,480 --> 00:42:59,490 +في غزة كلهم يأيدوا إلغاء الميثاق الفلسطينيكلهم + +460 +00:42:59,490 --> 00:43:05,410 +وكلهم رفع أديهم ووافقوا على إلغاء المثاق الفلسطيني + +461 +00:43:05,410 --> 00:43:13,970 +في قلب مدينة غزة طرع تطور خطير على الموقف الأمريكي + +462 +00:43:13,970 --> 00:43:17,030 +من قضية القدس خلال إدارة الرئيس بيلي كلينتون إذ + +463 +00:43:17,030 --> 00:43:21,390 +وعد خلال حملة انتخابية بنقل السفارة الأمريكية إلى + +464 +00:43:21,390 --> 00:43:27,130 +القدس والاعتراف بالقدس عاصما للكيان الصهيوني منتصر + +465 +00:43:28,970 --> 00:43:32,910 +أكد لها أنها يجب أن تظهر مدينة غير مجزأة لكنه أوصى + +466 +00:43:32,910 --> 00:43:36,390 +بعدم نقل السفارة إلى القدس أنذاك بينما الفواضات + +467 +00:43:36,390 --> 00:43:42,730 +الفلسطينية السعودية جارية ما قد يخلوا بتقدم + +468 +00:43:42,730 --> 00:43:44,450 +العملية السلمية بطريقة + +469 +00:43:47,600 --> 00:43:51,480 +تهزم الهدف الذي تسعى إليه الإدارة الأمريكية أما + +470 +00:43:51,480 --> 00:43:55,540 +فيما يتعلق بالاستيطان أثناء إدارة كلينتون فالموقف + +471 +00:43:55,540 --> 00:44:00,980 +كان خطير حيث لم تول هذه الإدارة أي معارضة لمصادرة + +472 +00:44:00,980 --> 00:44:08,380 +الأراضي والنشاطات الاستيطانية في القدس أسوأ + +473 +00:44:08,380 --> 00:44:12,960 +عهود الإدارة الأمريكية للقضية الفلسطينية والقدس في + +474 +00:44:12,960 --> 00:44:21,370 +هذا الرجل أعطاهم غطاءاللي جابله جال المستوطنات غير + +475 +00:44:21,370 --> 00:44:30,230 +شرعية ليست غير شرعية و هو لم يعارض إقامة أي + +476 +00:44:30,230 --> 00:44:34,070 +مستوطنة أعطى الضوء الأخضر للتوسع في المستوطنات + +477 +00:44:34,070 --> 00:44:40,050 +وسرقة الأرض طيب ورفض ان + +478 +00:44:42,680 --> 00:44:46,680 +أن يُصف الاستمرار ببناء المستوطنات في القدس على + +479 +00:44:46,680 --> 00:44:52,480 +أنه عمل أحادي الجانب رفض كما كانت تصفه الإدارة + +480 +00:44:52,480 --> 00:44:55,340 +الأمريكية السابقة بل ذهب الموقف الأمريكي لتأييد + +481 +00:44:55,340 --> 00:45:01,120 +توثيق المستوطنات القائمة القائمة لتتوافق مع أنه + +482 +00:45:01,120 --> 00:45:03,900 +الطبيعي للمستوطنين حسب الدعاء الإدارة الأمريكية + +483 +00:45:03,900 --> 00:45:08,980 +التي عبّر عنها مساعد وزير خارجية أودوارد جيرجيام + +484 +00:45:10,980 --> 00:45:15,080 +بقول لك يا عم المستوطنة ضرورية الناس بتكاثروا + +485 +00:45:15,080 --> 00:45:19,080 +الصهاين بتكاثروا بزيدوا بدهم يسكنوا الناس بدهم + +486 +00:45:19,080 --> 00:45:24,750 +يعيشوا يعيشوا يعنييسرقوا أرض الفلسطيني ويهجروا + +487 +00:45:24,750 --> 00:45:31,090 +الفلسطيني قصرا تحت النار ويحتلوا أرضه بلغ الموقف + +488 +00:45:31,090 --> 00:45:34,170 +الأمريكي قمة تطور السلبي باقتها الدولة أخدت الكيان + +489 +00:45:34,170 --> 00:45:37,250 +الصيوني في سياسة الدم الفعلي لمدينة القدس في أعقاب + +490 +00:45:37,250 --> 00:45:43,510 +توقيع أتفاق أوفلو في سبتمبر 93 دالوا + +491 +00:45:43,510 --> 00:45:50,270 +للصهاينة لموا القدس خلاص لماذا منظمة التحريق خلصت + +492 +00:45:51,280 --> 00:45:57,400 +هنا ملهين منظمة التحرير وبدنا نعطيهم حاجة حاجة + +493 +00:45:57,400 --> 00:46:02,760 +يلتهيوا فيها نعطيهم أوسلو يلتهيوا فيها منه بنوقف + +494 +00:46:02,760 --> 00:46:10,220 +انتفارة الحجارة اللي فضحتنا أمام العالم ومنه بنطلع + +495 +00:46:10,220 --> 00:46:16,080 +منظمة التحرير برا الصراع وبتصير السلطة اللي بنتفج + +496 +00:46:16,080 --> 00:46:22,320 +نعمل عليها هي تحرسوك إسرائيلأنتوا خلاص خدوا الـ + +497 +00:46:22,320 --> 00:46:25,640 +Goods خدوا الـ Goods مافيش حد هيقولكوا أن أنتوا + +498 +00:46:25,640 --> 00:46:29,200 +حيث + +499 +00:46:29,200 --> 00:46:31,780 +أصرح بعض المسئولين في الإدارة الأمريكية بأن بناء + +500 +00:46:31,780 --> 00:46:34,760 +المستوطنات هو يتصل بيها من مصادرة الأراضي في القدس + +501 +00:46:34,760 --> 00:46:37,740 +ينبغي أن لا يتم التعامل معها من قبل مجلس الأمن + +502 +00:46:37,740 --> 00:46:43,360 +صاروا يقولوا أن أعمل مستوطنات ليش ترفعوا موضوع على + +503 +00:46:43,360 --> 00:46:47,380 +الأمن لمجلس الأمن، يعمل موضوع بسيط على الموضوع + +504 +00:46:47,380 --> 00:46:55,820 +داخلهاليس له علاقة بمجلس الأمن وإنما + +505 +00:46:55,820 --> 00:46:59,460 +يحل ضمن المفاوضات الثنائية بين الكيان السوريوني + +506 +00:46:59,460 --> 00:47:04,200 +والسلطة الفلسطينية وجددت إدارة كلينتون دفاعها عن + +507 +00:47:04,200 --> 00:47:09,620 +سياسة دعم النمو الطبيعي للمستوطنات الله أكبر الله + +508 +00:47:09,620 --> 00:47:12,820 +أكبر طيب + +509 +00:47:13,780 --> 00:47:19,160 +نكتفي اليوم بهذا القدر ونواصل ان شاء الله في + +510 +00:47:19,160 --> 00:47:23,500 +اللقاء القادم مع الموقف الأمريكي ثم ننتقل إلى + +511 +00:47:23,500 --> 00:47:29,960 +الموقف الأوروبي وموقف الاتحاد الصوفيتي إلى اللقاء + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo.srt new file mode 100644 index 0000000000000000000000000000000000000000..4bfde88276a06e6b557ac5951a472366254ccb8c --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo.srt @@ -0,0 +1,1751 @@ +1 +00:00:05,200 --> 00:00:08,140 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:08,140 --> 00:00:11,360 +والصلاة والسلام على قائد المجاهدين محمد صلى الله + +3 +00:00:11,360 --> 00:00:17,660 +عليه وسلم نواصل إن شاء الله مشوارنا مع مساق تاريخ + +4 +00:00:17,660 --> 00:00:22,900 +مدينة القدس اليوم إن شاء الله سنتحدث عن الجغرافيا + +5 +00:00:22,900 --> 00:00:30,710 +الطبيعية لمدينة القدس لو تأملنا الآن هذه الصورة هذه + +6 +00:00:30,710 --> 00:00:36,790 +الشريحة التي أمامنا ستجد أولاً أن مدينة القدس تتوسط + +7 +00:00:37,380 --> 00:00:43,900 +فلسطين سواء في الشمال شمال جنوب أو شرق غرب وستجد + +8 +00:00:43,900 --> 00:00:50,780 +أن القدس تتمتع بموقع استراتيجي متميز سواء بين شمال + +9 +00:00:50,780 --> 00:00:55,340 +الكرة الأرضية وجنوب وجنوبها وشرقها وغربها وبين + +10 +00:00:55,340 --> 00:00:59,940 +مدن فلسطين نفسها وبين مدن العالم العربي والإسلامي + +11 +00:00:59,940 --> 00:01:04,570 +على حد سواء على أي حال من المعلوم أن مدينة القدس + +12 +00:01:04,570 --> 00:01:09,450 +عندما أسست أسسها العرب الكنعانيون اليابوسيون العرب + +13 +00:01:09,450 --> 00:01:13,950 +الأقحاح هم أسسوها في قلب فلسطين على ربوة مثلثة + +14 +00:01:13,950 --> 00:01:19,570 +الشكل في قلب فلسطين قبالة البحر الميت من جهة الغرب + +15 +00:01:19,570 --> 00:01:24,530 +لذلك فهي تتوسط فلسطين تماماً وتتوسط تقريباً الوطن + +16 +00:01:24,530 --> 00:01:32,120 +العربي وهي تقع في أماكن مناسبة بين العواصم العربية + +17 +00:01:32,120 --> 00:01:38,440 +المهمة فتجد أن مدينة القدس قريبة من عمان وقريبة من + +18 +00:01:38,440 --> 00:01:42,400 +دمشق وقريبة من بيروت وقريبة من القاهرة قريبة من + +19 +00:01:42,400 --> 00:01:46,480 +البحر المتوسط قريبة من البحر الميت ارتفاعها مناسب + +20 +00:01:46,480 --> 00:01:52,340 +فدعونا نرى الآن تبعد مدينة القدس 52 كيلو عن البحر + +21 +00:01:52,340 --> 00:01:56,680 +المتوسط ومدينة القدس تبعد 250 كيلو عن البحر الأحمر + +22 +00:01:56,680 --> 00:02:02,140 +في الجنوب البحر الأحمر على الحدود بين مصر والمملكة + +23 +00:02:02,140 --> 00:02:06,580 +العربية السعودية تبعد أيضاً مدينة القدس 22 كيلو عن + +24 +00:02:06,580 --> 00:02:11,440 +البحر الميت وتبعد مدينة القدس 140 كيلو عن الحدود + +25 +00:02:11,440 --> 00:02:15,960 +الشمالية الفلسطينية أما مدينة القدس بالنسبة + +26 +00:02:15,960 --> 00:02:22,880 +للعواصم العربية فدعونا نرى 88 كيلو تبعد عن عمان + +27 +00:02:22,880 --> 00:02:32,930 +380 كيلو عن بيروت 192 كيلو أو 300 كيلو عن دمشق 528 + +28 +00:02:32,930 --> 00:02:38,590 +كيلو عن القاهرة كذلك مدينة القدس هي مدينة مرتفعة + +29 +00:02:38,590 --> 00:02:43,950 +عن مستوى سطح البحر تقريباً 750 متر ترتفع عن مستوى + +30 +00:02:43,950 --> 00:02:51,010 +سطح البحر أما عن البحر الميت فهي مرتفعة 1150 متر + +31 +00:02:51,010 --> 00:02:57,670 +تقريباً ما أهمية هذا الموقع؟ وهذا سؤال يعني مشروع + +32 +00:02:57,670 --> 00:03:05,110 +أهمية هذا الموقع أن مدينة القدس سهلة التواصل مع + +33 +00:03:05,110 --> 00:03:10,290 +جميع مناطق فلسطين وهناك تواصل مريح مع الدول + +34 +00:03:10,290 --> 00:03:14,750 +العربية والعواصم العربية هذا يعطيها في حالة السلم + +35 +00:03:14,750 --> 00:03:18,830 +والحرب هذا يعطيها ميزة في الاقتصاد هذا يعطيها ميزة + +36 +00:03:18,830 --> 00:03:22,950 +في السياسة هذا يعطيها ميزة في الاستراتيجية + +37 +00:03:22,950 --> 00:03:30,430 +العسكرية على أي حال، لنرى الآن تضاريس مدينة القدس + +38 +00:03:30,430 --> 00:03:36,350 +مدينة القدس كما نعلم وكما أسلفنا أنها بُنيت على + +39 +00:03:36,350 --> 00:03:41,230 +تلال فمدينة القدس بُنيت في أول نشأتها على تلال + +40 +00:03:41,230 --> 00:03:45,170 +الظهور أو أوفل، نفس الاسم، التي تقع إلى الغرب من + +41 +00:03:45,170 --> 00:03:50,000 +قرية سلوان وقرية سلوان تقع إلى الجنوب الشرقي من + +42 +00:03:50,000 --> 00:03:55,680 +المسجد الأقصى وفي أسفل الظهور تقع عين أم الدرج وهو + +43 +00:03:55,680 --> 00:04:00,660 +الوحيد الذي يقع في القدس القديمة وكان البناء الأول + +44 +00:04:00,660 --> 00:04:05,980 +محاط بثلاثة أودية حماية طبيعية عن المدينة وهي إذن + +45 +00:04:06,460 --> 00:04:15,100 +نريد أن نذكر الأودية المحيطة + +46 +00:04:15,100 --> 00:04:20,500 +بمدينة القدس واحد وادي جهنم هذا الوادي يُعرف باسم + +47 +00:04:20,500 --> 00:04:28,840 +له اسم قديم وادي قدرون أو وادي النار أو ولد مريم في + +48 +00:04:28,840 --> 00:04:33,740 +القرن الثالث أو الرابع الميلادي أصبح يعرف بوادي + +49 +00:04:33,740 --> 00:04:42,060 +يهوشفات وقدرون هو اسم جدول الماء الذي يجري عند + +50 +00:04:42,060 --> 00:04:47,790 +قاعه عندما تسقط الأمطار تتجمع الأمطار في هذه + +51 +00:04:47,790 --> 00:04:51,670 +المنطقة ويقع هذا الوادي للشرق من المدينة ويطلق + +52 +00:04:51,670 --> 00:04:56,250 +عليه اسم الوادي الشرقي هناك وادي آخر وادي الربابة + +53 +00:04:56,250 --> 00:05:03,470 +اسمه القديم وادي هنوم واديها النوم وهناك وادي أطلق + +54 +00:05:03,470 --> 00:05:08,650 +عليه اسم الواد واد الواد ويطلق عليه اسم وادي الروث + +55 +00:05:08,650 --> 00:05:15,770 +وهذا الوادي يقسم يشطر أرض مدينة القدس لقسمين + +56 +00:05:15,770 --> 00:05:22,250 +مكونتين من هضمتين مستطيلتين بشكل طولي هضبة شرقية + +57 +00:05:22,250 --> 00:05:27,950 +وهضبة غربية كانت الأودية الثلاثة التي تحيط بالمدينة + +58 +00:05:27,950 --> 00:05:31,290 +من جهاتها الشرقية والجنوبية والغربية تؤلف خطوط + +59 +00:05:31,290 --> 00:05:35,310 +دفاعية يصعب اقتحامها بينما الجهة الشمالية + +60 +00:05:35,310 --> 00:05:37,490 +والشمالية الغربية مكشوفتين + +61 +00:05:39,680 --> 00:05:45,180 +نريد أن نقف هنا قليلاً تابعوا معي كل الذين غزوا + +62 +00:05:45,180 --> 00:05:49,880 +مدينة القدس كل الفاتحين سواء إسلاميين أو غيرهم كل + +63 +00:05:49,880 --> 00:05:53,920 +الذين دخلوا مدينة القدس هم دخلوا من الجهة الشمالية + +64 +00:05:53,920 --> 00:05:58,930 +والشمالية الغربية لماذا؟ لأن هذه الجهة الجغرافية + +65 +00:05:58,930 --> 00:06:04,990 +فيها ... لا يوجد حواجز طبيعية بين مدينة القدس وبين + +66 +00:06:04,990 --> 00:06:08,210 +... وبين هذه الجهة في هذه الجهة لا يوجد حواجز + +67 +00:06:08,210 --> 00:06:12,550 +طبيعية فهي الجهة الأضعف ... الأضعف استراتيجياً + +68 +00:06:12,550 --> 00:06:14,030 +بالمناسبة وعسكرياً + +69 +00:06:16,460 --> 00:06:19,820 +كل المدينة غزو مدينة القدس غزوها يعني صلاح الدين + +70 +00:06:19,820 --> 00:06:26,960 +غزها من هذه المنطقة وفتحها كذلك في الـ 636 خالد بن + +71 +00:06:26,960 --> 00:06:31,540 +الوليد وعبد عبيد بن الجراح والفاتحين الأوائل من + +72 +00:06:31,540 --> 00:06:36,140 +هذه المنطقة كذلك الرومان والجميع غزوا هذه المدينة + +73 +00:06:36,140 --> 00:06:43,740 +من هذه الجهة وكذلك نبوخذ نصر وغيرهم وغيرهم المدينة + +74 +00:06:43,740 --> 00:06:49,140 +أقيمت على خمس تلال وعد تل موريا أو الصخرة وهو يقع + +75 +00:06:49,140 --> 00:06:53,800 +على المسجد الأقصى ويعد أعلى تلال مدينة القدس ويعرف + +76 +00:06:53,800 --> 00:06:59,020 +بجبل بيت المقدس أو جبل الحرم اثنين تل الظهور أو + +77 +00:06:59,020 --> 00:07:02,780 +الظهرة البعض يطل على قرية سلوان الجنوب الشرقي من + +78 +00:07:02,780 --> 00:07:07,640 +المسجد الأقصى ثلاثة جبل صهيون يطل على بركة السلطان + +79 +00:07:07,640 --> 00:07:10,720 +في الزاوية الجنوبية الغربية لمدينة القدس كانت توجد + +80 +00:07:10,720 --> 00:07:15,910 +عليها القلعة المسمى بمدينة داود أربعة تلزيتة ممتدة + +81 +00:07:15,910 --> 00:07:21,870 +من باب الساهرة إلى باب العمود خمسة أكرة وله تسمية + +82 +00:07:21,870 --> 00:07:26,750 +أخرى عكرة وتقع بالقرب من كنيسة القيامة عند حارة + +83 +00:07:26,750 --> 00:07:34,370 +النصارى وأقيمت عليها قلعة أكرة دعونا نرى أهم الجبال + +84 +00:07:34,370 --> 00:07:39,600 +أو جبال مدينة القدس جبل مدينة القدس أول جبل هو جبل + +85 +00:07:39,600 --> 00:07:44,980 +تل العصور هذا الجبل يقع بين قريتين جارير وسلوان + +86 +00:07:44,980 --> 00:07:51,140 +يرتفع 1016 متر فوق مستوى سطح البحر وهو رابع جبل في + +87 +00:07:51,140 --> 00:07:54,880 +فلسطين من حيث الارتفاع أولاً الجبل الأول هو جبل + +88 +00:07:54,880 --> 00:08:00,030 +الجرمة كما نعلم جبل النبي سمائيل هذا يقع في شمال + +89 +00:08:00,030 --> 00:08:06,290 +غرب مدينة القدس ارتفاعه 885 متر فوق سطح البحر جبل + +90 +00:08:06,290 --> 00:08:12,110 +الزيتون يسمى جبل الطور أربعة جبل المشارف سمي بذلك + +91 +00:08:12,110 --> 00:08:16,590 +لأنه يشرف على مدينة القدس يقع إلى الشمال الشرقي من + +92 +00:08:16,590 --> 00:08:20,330 +المدينة ويُعرف أيضاً بجبل باسم جبل المشهد وجبل + +93 +00:08:20,330 --> 00:08:28,710 +الصوانة 819 متر يرتفع جبل الباطن يرتفع 803 متر فوق + +94 +00:08:28,710 --> 00:08:33,050 +مستوى سطح البحر جبل المكبر جبل مشهور جبل المكبر + +95 +00:08:33,050 --> 00:08:37,470 +يقع جنوب مدينة القدس يُعرف باسم جبل النوري يفصل + +96 +00:08:37,470 --> 00:08:42,010 +بينه وبينه جبل صهيون ووادي الربابة ويفصل بينه جبل + +97 +00:08:42,010 --> 00:08:48,010 +الطور ووادي سلوان 700 أو تقريباً 800 متر يقع يعني + +98 +00:08:48,010 --> 00:08:54,310 +ارتفاعه فوق سطح البحر 795، 800 متر، هكذا جبل بطن + +99 +00:08:54,310 --> 00:09:00,290 +الهواء، جبل المنطار، جبل الناسية، وهكذا + +100 +00:09:01,940 --> 00:09:11,300 +لدينا تسع جبال رئيسة هي تحيط بمدينة القدس التركيب + +101 +00:09:11,300 --> 00:09:15,800 +الجيولوجي لمدينة القدس، تركيب الصخور، تركيب التربة + +102 +00:09:15,800 --> 00:09:20,560 +لمدينة الصخور عندما نقول أن النواة الأولى شيدت + +103 +00:09:20,560 --> 00:09:26,220 +لمدينة القدس في موضع ديموغرافي من جبال القدس والذي + +104 +00:09:26,220 --> 00:09:31,760 +يمثل ربوة أو رابية أرضية بارزة بين منحدرات صحيحة + +105 +00:09:32,030 --> 00:09:40,830 +يعني الملاحظ أن مدينة القدس هي في مكان مرتفع ألخص + +106 +00:09:40,830 --> 00:09:45,850 +هذه الفكرة في ثواني سريعة مدينة القدس في مكان + +107 +00:09:45,850 --> 00:09:52,850 +مرتفع هذا المكان ينحدر تدريجياً باتجاه الغرب هذا + +108 +00:09:52,850 --> 00:10:01,450 +المكان ينحدر بصورة صحيحة باتجاه الشرق ترتب على ذلك + +109 +00:10:01,450 --> 00:10:05,790 +كثير التواصل مع الغرب أسهل من التواصل مع المنطقة + +110 +00:10:05,790 --> 00:10:10,870 +الشرقية ثانياً كمية الأمطار التي تسقط على الجهة + +111 +00:10:10,870 --> 00:10:14,690 +الغربية لمدينة القدس أكثر من الجهة الشرقية لأنها + +112 +00:10:14,690 --> 00:10:19,190 +وقعت في ظل المطر إنجاز التعبير على أي حال يمثل هذا + +113 +00:10:19,190 --> 00:10:23,830 +الموضوع فجوة أرضية بين كتلتي جبال نابلس في الشمال + +114 +00:10:23,830 --> 00:10:28,730 +وجبال الخليل في الجنوب طبعاً لو تأملنا الجبال فلسطين + +115 +00:10:28,730 --> 00:10:32,590 +من شمالها إلى جنوبها سلاسل من الجبال في قلب فلسطين + +116 +00:10:32,590 --> 00:10:37,130 +وسط فلسطين من الشمال إلى الجنوب سلاسل جبالية متصلة + +117 +00:10:37,130 --> 00:10:42,390 +هنا هذه المنطقة الجبانية مدينة القدسية التي تفصل + +118 +00:10:42,390 --> 00:10:47,510 +تفصل بين جبال الخليل في الجنوب وجبال نابلس في + +119 +00:10:47,510 --> 00:10:53,270 +الشمال وهذه الفجوة سهلت الاتصال بين البحر والداخل + +120 +00:10:53,270 --> 00:10:57,310 +قديماً وحديثاً وأيضاً يمثل هذا الموضوع لحد الفاصل بين + +121 +00:10:57,310 --> 00:11:03,960 +الأراضي الجافة شرقاً والأرض المزروعة غرباً إذاً هذا + +122 +00:11:03,960 --> 00:11:09,480 +التواصل وجود مدينة القدس في هذا المكان جعل مدينة + +123 +00:11:09,480 --> 00:11:14,380 +القدس تسهل التواصل بين القرب والشرق هذه نقطة جعل + +124 +00:11:14,380 --> 00:11:21,480 +مدينة القدس واصلة بين الجهة الشرقية الجافة وبين + +125 +00:11:21,480 --> 00:11:26,440 +الجهة الخصبة الخصبة غزيرة الأمطار في الغرب في الغرب + +126 +00:11:26,440 --> 00:11:32,240 +شرقا قلة أمطار غربا كثافة أمطار تعدّ جبال القدس + +127 +00:11:32,240 --> 00:11:37,000 +هاترابا مرتفعة تتكون من عدد من الطيات المحدبة + +128 +00:11:37,000 --> 00:11:43,880 +والصعود نعم وصدوع تشكل منطقة القدس الفجوة بين + +129 +00:11:43,880 --> 00:11:47,420 +محدّب الخليل الإقليمي في الجنوب وطيّات نابلس في + +130 +00:11:47,420 --> 00:11:51,900 +الشمال حيث يزداد ارتفاع جبال الخليل ونابلس عن جبال + +131 +00:11:51,900 --> 00:11:56,880 +القدس ما بين 100 ل 200 متر في الجانب الشرقي للقدس + +132 +00:11:56,880 --> 00:12:03,670 +تعرضت الطيّات الصخرية للتصدع بعدد من الصدوع و يترتب + +133 +00:12:03,670 --> 00:12:07,890 +عليها ظهور عدد من الحافات الصدعية حيث تهبط الأرض + +134 +00:12:07,890 --> 00:12:15,390 +تباعا من منسوب 800 فوق سطح البحر لأكثر من 400 سطح + +135 +00:12:15,390 --> 00:12:23,170 +البحر في الأغوار والبحر الميت يعني المجسّد أنه في + +136 +00:12:23,170 --> 00:12:28,110 +مدينة القدس الأرض مرتفعة تقريبًا 800 متر عن مستوى + +137 +00:12:28,110 --> 00:12:34,090 +سطح البحر كلما اتجهنا إلى منطقة الشرق تنخفض انحدار + +138 +00:12:34,090 --> 00:12:40,530 +تدريجي انحدار يجري تدريجي حتى نصل إلى غور البحر + +139 +00:12:40,530 --> 00:12:47,450 +الميت فنجد أنه تحت مستوى سطح البحر 400 متر + +140 +00:12:47,450 --> 00:12:51,650 +يعني ناقص 400 في الجانب الغربي للقدس فالأشكال + +141 +00:12:51,650 --> 00:12:56,130 +الأرضية تشمل صفوح الحطاطية الصفوح الصفلية للجبال إذا + +142 +00:12:56,130 --> 00:12:59,990 +تحبط الأرض تدريجيا باتجاه الساحل فلا يزيد ارتفاع + +143 +00:12:59,990 --> 00:13:05,050 +هذه الصفوح عن 300 متر فوق سطح البحر ارتفاع انحدار + +144 +00:13:05,050 --> 00:13:09,940 +تدريجي في جهة الغرب التكوينات الصخرية في منطقة + +145 +00:13:09,940 --> 00:13:15,980 +القدس يطغى عليها الكلس نعم والذي يرجع للعصر + +146 +00:13:15,980 --> 00:13:21,140 +الكريتاسي الأعلى ويتخلل الطبقات وتكوينات التباشير + +147 +00:13:21,140 --> 00:13:26,660 +لو سؤلنا سؤال تعدّ تربة القدس أو تميل تربة القدس + +148 +00:13:26,660 --> 00:13:33,320 +للون الأحمر لأن لوجود المعادن بها والكلس بكثافة + +149 +00:13:33,710 --> 00:13:39,250 +فهي خصبة هذا الذي يخصّ بتربة مدينة القدس تتعرض هذه + +150 +00:13:39,250 --> 00:13:43,290 +التكوينات بسبب تفاوت صلاحيتها للتجوية التي أعطت + +151 +00:13:43,290 --> 00:13:47,690 +السفوح المظهر السلمي السلمي لذلك استغل هذا الوضع + +152 +00:13:47,690 --> 00:13:50,890 +في إنشاء المساطب الزراعية والمدرجات لحماية التربة + +153 +00:13:50,890 --> 00:13:55,850 +من الانجراف من يذهب إلى مدينة القدس يجد أن حول + +154 +00:13:55,850 --> 00:14:01,210 +مدينة القدس هناك مصاطب أو الزراعة + +155 +00:14:01,210 --> 00:14:08,050 +بالمدرجات لأن هذا الانحدار سمح بهذه الزراعة نشطة + +156 +00:14:08,050 --> 00:14:14,130 +عمليات خلال العصر المطير ما أدى للتكون الدلمائية + +157 +00:14:14,130 --> 00:14:22,250 +والكرستية واتصالها مع نعم هذا أعطى ميزة لتربة + +158 +00:14:22,250 --> 00:14:29,450 +مدينة القدس تكون تربة طبيعية غنية بالمواد اللازمة + +159 +00:14:29,450 --> 00:14:36,240 +للنباتات خصوصا الحديد ومكوناته رابعا عن التربة + +160 +00:14:36,240 --> 00:14:40,680 +والنباتات الطبيعية تختلف التربة حسب الصخر الأصلي + +161 +00:14:40,680 --> 00:14:44,780 +الذي اشتقت منه فحيث يسود الكالس ترتفع مركبات + +162 +00:14:44,780 --> 00:14:50,420 +الكالسيوم في التربة وحيث يسود الدولوميت ترتفع + +163 +00:14:50,420 --> 00:14:53,780 +مركبات المغنسيوم ومكربونات الكالسيوم يوجد في + +164 +00:14:53,780 --> 00:15:02,840 +القدس واحد التربة المتوسطية الحمراء التي تتكون من + +165 +00:15:02,840 --> 00:15:06,720 +السلكية ومركبات الألمونيوم والحديد والحديد الذي + +166 +00:15:06,720 --> 00:15:11,660 +يعطيها اللون الأحمر وهنا سؤال لو .. لو .. لو + +167 +00:15:11,660 --> 00:15:15,400 +تعرضنا إلى سؤال تتميز تربَة مدينة القدس باللون + +168 +00:15:15,400 --> 00:15:18,880 +الأحمر لغناها بالحديد والمعادن الأخرى + +169 +00:15:21,040 --> 00:15:25,740 +هكذا فهناك بعض التربة أيضًا في مدينة القدس لها + +170 +00:15:25,740 --> 00:15:31,420 +اللون البني والأسفر أو اللون الأبيض الرمادي وهذه + +171 +00:15:31,420 --> 00:15:36,000 +التربة غنية بالكالسيوم والمواد العضوية لذلك هي خصبة + +172 +00:15:36,630 --> 00:15:39,810 +النباتات الطبيعية في مدينة القدس في المناطق التي + +173 +00:15:39,810 --> 00:15:44,970 +ترتفع أكثر من 300 متر فوق مستوى سطح البحر وهي + +174 +00:15:44,970 --> 00:15:50,150 +تؤدّي نموذج لإحراج البحر المتوسط بأشجاره الدائمة + +175 +00:15:50,150 --> 00:15:55,150 +الخضرة مثل أشجار البلّوط والبطم الفلسطيني هذه أشجار + +176 +00:15:55,150 --> 00:16:02,140 +مشهورة في فلسطين وفي غابات فلسطين إذن المناطق التي + +177 +00:16:02,140 --> 00:16:08,260 +ترتفع أكثر من 300 متر نجد هناك البلوط والبطم في + +178 +00:16:08,260 --> 00:16:12,200 +المناطق التي يقلّ منسوبها عن 300 متر التسدود هناك + +179 +00:16:12,200 --> 00:16:18,200 +نجد أشجار الخروب وشجيرات كثيفة مثل اللبّيد + +180 +00:16:18,200 --> 00:16:23,080 +والنباتات الشوكية يشكل نبات الشيح سلسلة من + +181 +00:16:23,080 --> 00:16:26,180 +الشجيرات القصيرة التي تغطي مساحات واسعة من برية + +182 +00:16:26,180 --> 00:16:32,190 +القدس وتتداخل مع نباتات السّدر لاحظوا معي .. لاحظوا + +183 +00:16:32,190 --> 00:16:37,330 +المناطق الغربية ستجد هناك كثافة و .. و .. وعظم في + +184 +00:16:37,330 --> 00:16:42,650 +الأشجار والأشجار كبيرة وضخمة لأن الأرض خصبة و لأن + +185 +00:16:42,650 --> 00:16:46,960 +كمية الأمطار كبيرة فلاحظوا فلاحظوا أشجار البلّوط + +186 +00:16:46,960 --> 00:16:52,560 +والبطم المناطق التي أقلّ المناطق التي يقلّ منسوبها + +187 +00:16:52,560 --> 00:16:59,300 +عن 300 ملي فتسود بها أشجار أشجار الخروب وشجيرات + +188 +00:16:59,300 --> 00:17:03,320 +يعني المناسبة + +189 +00:17:03,320 --> 00:17:08,060 +العالية في سقوط الأمطار أكثر من 300 ملي هناك أشجار + +190 +00:17:08,060 --> 00:17:15,170 +ضخمة عندما يقلّ منسوب الأمطار نلاحظ أن صغر حجم + +191 +00:17:15,170 --> 00:17:20,510 +الأشجار إلى أن نصل إلى المناطق التي ندر فيها + +192 +00:17:20,510 --> 00:17:23,870 +الأمطار وخصوصاً المناطق الشرقية ستجد هناك الشيح + +193 +00:17:23,870 --> 00:17:30,410 +وهو نبات شوك أو نبات صحراوي هو يتحمل + +194 +00:17:30,410 --> 00:17:37,160 +قلة الأمطار بشكل واضح جداً ف أمطار مدينة القدس + +195 +00:17:37,160 --> 00:17:47,620 +تتناسب تناسبًا طرديًا مع كمية الأمطار طيب الموارد + +196 +00:17:47,620 --> 00:17:51,880 +المائية اعتمدت مدينة القدس منذ عهودها السابقة على + +197 +00:17:51,880 --> 00:17:56,740 +مصدرين رئيسيين للتزويد بالمياه واحد جمع مياه + +198 +00:17:56,740 --> 00:18:02,820 +الأمطار في برك وآبار اثنين يا أما بنجمع الأمطار في + +199 +00:18:02,820 --> 00:18:06,760 +البرك والآبار مياه الينابيع والعيون القليلة + +200 +00:18:06,760 --> 00:18:16,360 +القريبة منها لاحظوا لأن مدينة القدس مرتفعة مرتفعة + +201 +00:18:16,360 --> 00:18:22,260 +هذا يصعب في عملية الحصول على المياه المناطق + +202 +00:18:22,260 --> 00:18:29,030 +المنخفضة أنت تستطيع أن تحفر آبارا وستجد المياه + +203 +00:18:29,030 --> 00:18:33,790 +بسهولة و لكن المناطق المرتفعة الجبلية من أين ستحفر + +204 +00:18:33,790 --> 00:18:42,450 +الآبار لذلك مدينة القدس هناك موردين للمياه المورد + +205 +00:18:42,450 --> 00:18:46,150 +الأول جمع مياه الأمطار من البرك والآبار عشان هيك + +206 +00:18:46,150 --> 00:18:51,790 +ستجد أن هناك كثرة في البرك كلمة بركة ما معنى برك + +207 +00:18:51,790 --> 00:18:57,290 +سليمان برك كذا كثير من البرك على مر العصور جميع من + +208 +00:18:57,290 --> 00:19:01,650 +حكموا مدينة القدس كانوا يصنعون البرك لكي يجمعوا + +209 +00:19:01,650 --> 00:19:06,670 +فيها المياه مياه الينابيع والعيون القليلة القريبة + +210 +00:19:06,670 --> 00:19:10,190 +منها ولكن الزيادة السكانية المتسارعة أوجبت + +211 +00:19:10,190 --> 00:19:13,850 +الاستعانة بموارد إضافية للمياه فجلب الرومان ماء + +212 +00:19:13,850 --> 00:19:17,730 +العيون المجاورة والنائية في قنوات وظلت المدينة + +213 +00:19:17,730 --> 00:19:21,110 +تشرب من العيون لفترة طويلة جدا ومن أهم العيون التي + +214 +00:19:21,110 --> 00:19:27,300 +تشرب منها المدينة ازدياد متسارع في السكان مدينة + +215 +00:19:27,300 --> 00:19:32,520 +القدس مدينة مركزية مدينة في في كل العصور دائما + +216 +00:19:32,520 --> 00:19:38,040 +دائما تتمحور الحياة السياسية والعسكرية والدينية في + +217 +00:19:38,040 --> 00:19:42,640 +هذه المدينة فبالتالي يزداد عدد السكان دائما هذا + +218 +00:19:42,640 --> 00:19:48,960 +يؤدي إلى نقص المياه فلذلك اتجهوا إلى مصادر أخرى + +219 +00:19:48,960 --> 00:19:52,750 +غير غير المصدرين غير مصدر الينابيع والعيون وغير + +220 +00:19:52,750 --> 00:19:58,870 +مصدر جمع مياه الأمطار بالبرق وغيرها فأهم العيون + +221 +00:19:58,870 --> 00:20:04,050 +التي تشرب منها مدينة القدس مثلا واحد عيون سلوان + +222 +00:20:04,050 --> 00:20:11,200 +عيون مجموعة من العيون تسمى عيون سلوان عيون واحد عين + +223 +00:20:11,200 --> 00:20:14,880 +أم الدرج كانت المصدر الوحيد لمياه القدس منذ القدم + +224 +00:20:14,880 --> 00:20:21,080 +اثنين بركة سليمان تقع جنوب عين أم الدرج ثلاثة + +225 +00:20:21,080 --> 00:20:25,080 +البركة التحتانية أو التحتية عرفت باسم البرك + +226 +00:20:25,080 --> 00:20:30,020 +الحمراء و أطلق عليها المؤرخ اليهودي يوسفوس اسم + +227 +00:20:30,020 --> 00:20:35,570 +بحيرة سليمان ليُثبت حق اليهود فيها بئر أيوب ماءه + +228 +00:20:35,570 --> 00:20:39,750 +أعظم من ماء عين أم الدرج ولا يوجد فيه نبع بل يأتيه + +229 +00:20:39,750 --> 00:20:45,310 +رشح و رشح قليل من الماء من عين أم الدرج عين اللوزة + +230 +00:20:45,310 --> 00:20:50,770 +ماءه عذب وتجري فيها ماء الأمطار إذا في عنا عين أم + +231 +00:20:50,770 --> 00:20:54,590 +الدرج بركة سلوان البركة التحتية ببئر أيوب عين + +232 +00:20:54,590 --> 00:21:02,300 +اللوزة هناك لدينا خمسة عيون كمصدر + +233 +00:21:02,300 --> 00:21:06,420 +للمياه لمدينة القدس عين أم الدرج، عين أم الدرج، + +234 +00:21:06,420 --> 00:21:11,980 +بركة سلوان، البركة التحتانية، بئر أيوب، عين اللوزة + +235 +00:21:11,980 --> 00:21:18,800 +هذه تحتاج إلى حفظ كانت القدس تشرب من مياه الأمطار + +236 +00:21:18,800 --> 00:21:24,180 +التي تتجمع في البركة التي من أهمها أيضًا البرك نريد + +237 +00:21:24,180 --> 00:21:29,400 +أن نتحدث عن البرك الآن البرك التي يتم تصنع هذه + +238 +00:21:29,400 --> 00:21:34,120 +البرك كبيرة جدا ضخمة كل أمطار القدس يعني مدينة + +239 +00:21:34,120 --> 00:21:40,280 +القدس مدينة مرتفعة على جبال عندما تسقط الأمطار على + +240 +00:21:40,280 --> 00:21:46,380 +الجبال فبالتالي هذه الأمطار يجب أن تنحدر بقوة + +241 +00:21:46,380 --> 00:21:55,920 +تنحدر بقوة الآن يعني لنقرب الصورة الآن لو رأينا أي + +242 +00:21:55,920 --> 00:22:03,890 +نهر في الدنيا من أين مياه الأنهار؟ مباشرة .. مباشرة + +243 +00:22:03,890 --> 00:22:09,970 +مياه الأمطار .. المياه الأنهار أصلها هي مياه أمطار + +244 +00:22:09,970 --> 00:22:14,250 +نزلت على مجموعة من الجبال تسقط على مجموعة من + +245 +00:22:14,250 --> 00:22:20,110 +الجبال والجبال .. مياه الجبال تجري في قنوات تسمى + +246 +00:22:20,110 --> 00:22:24,310 +أودية الوديان .. تسمى الوديان هذه الوديان عندما + +247 +00:22:24,310 --> 00:22:31,330 +تتجمع في واد واحد نطلق عليها اسم النهر وهكذا إذا أي + +248 +00:22:31,330 --> 00:22:37,810 +مكان مرتفع يجب أن يكون هناك وادي حوله لتسير فيه و + +249 +00:22:37,810 --> 00:22:42,310 +تتجمع فيه مياه الأمطار لو سألنا سؤال وادي غزة + +250 +00:22:42,310 --> 00:22:47,070 +المشهور في مدينة غزة والذي يصب والذي يأتي من شرق + +251 +00:22:47,070 --> 00:22:51,650 +مدينة غزة يقطع غزة إلى نصفين من الشرق إلى الغرب + +252 +00:22:51,650 --> 00:22:56,150 +ويصب في البحر المتوسط من أين مياهه؟ مياهه من جبال + +253 +00:22:56,150 --> 00:23:00,330 +الخليل أصلاً مياه هذا الوادي من جبال الخليل وهي + +254 +00:23:00,330 --> 00:23:06,230 +مياه عذبة على أي حال وكانت القدس كما أسلفنا تشرب + +255 +00:23:06,230 --> 00:23:09,890 +من مياه الأمطار التي تتجمع في البرك أهم هذه + +256 +00:23:09,890 --> 00:23:14,960 +البرك بركة ماملة هذه البركة مهمة ولها تاريخ كبير + +257 +00:23:14,960 --> 00:23:21,580 +بركة ماملة أكبر البرك حجماً وأقدمها لها تاريخ كل + +258 +00:23:21,580 --> 00:23:26,300 +الغزاة لهم تاريخ مع بركة ماملة فيها عسكر الأشوريون + +259 +00:23:26,300 --> 00:23:31,120 +عندما هاجموا مدينة القدس في الـ721 قبل الميلاد + +260 +00:23:31,120 --> 00:23:37,940 +عندما هاجموا القدس وألقوا الفرس جثث جثث النصارى + +261 +00:23:37,940 --> 00:23:44,150 +الذين قتلوهم وكذلك عسكر صلاح الدين الأيوبي هنا خطأ + +262 +00:23:44,150 --> 00:23:53,390 +في الطباعة جثث الرومان النصارى وليس جثث المسلمين + +263 +00:23:53,390 --> 00:23:58,970 +وعسكر أيضا صلاح الدين الأيوبي عند هذه البركة عندما + +264 +00:23:58,970 --> 00:24:04,390 +جاء لفتح مدينة القدس في 583 هجر 1187 ميلادي + +265 +00:24:04,390 --> 00:24:12,170 +وبالمناسبة نحن نتحدث اليوم في ذكرى تحرير في مثل هذه + +266 +00:24:12,170 --> 00:24:16,750 +الأيام بالضبط من شهر أكتوبر 1187 حرر صلاح الدين + +267 +00:24:16,750 --> 00:24:22,350 +مدينة القدس من الاحتلال الصليبي الذي قارب قرابة 90 + +268 +00:24:22,350 --> 00:24:29,510 +عاماً على مدينة القدس ودفن عدد كبير من الصحابة أثناء + +269 +00:24:29,510 --> 00:24:34,570 +فتح الإسلام الأول كثير من الصحابة دفنوا حول بركة + +270 +00:24:34,570 --> 00:24:38,690 +ماملة الفاتحين الأوائل الذين فتحوا مدينة القدس في + +271 +00:24:38,690 --> 00:24:44,170 +636 ميلادي 15 هجر الذين جاءوا مع أبي عبيد بن + +272 +00:24:44,170 --> 00:24:47,510 +الجراح وعمر بن العاص وخالد بن الوليد وهؤلاء الذين + +273 +00:24:47,510 --> 00:24:52,650 +أرسلهم عمر بن الخطاب في عهد عمر بن الخطاب اثنين + +274 +00:24:52,650 --> 00:24:57,170 +بركة حزقيا تُعرف باسم بركة حارة النصارى ثلاث بركة + +275 +00:24:57,170 --> 00:25:02,590 +السلطان تقع غرب سور المدينة طيب الينابيع الواقعة + +276 +00:25:02,590 --> 00:25:07,770 +على طريق القدس الخليل هناك ينابيع أخرى تقع على + +277 +00:25:07,770 --> 00:25:14,910 +طريق القدس الخليل يعني تقع في المنطقة الجنوبية من + +278 +00:25:14,910 --> 00:25:20,790 +مدينة القدس وادي العروب فيه عيون تصب في بركة الشط + +279 +00:25:20,790 --> 00:25:23,850 +ثلاث عيون هي في فريدس + +280 +00:25:25,780 --> 00:25:30,180 +المزرعة والفوار عيون لا تصب في بركة الشط أربع عيون + +281 +00:25:30,180 --> 00:25:36,540 +وهي عين البص وعين البرابرة عين قوزيبة وعين الدلبة + +282 +00:25:36,540 --> 00:25:41,680 +وادي البيار وهناك خمس ينابيع غزيرة ينبع منها الماء + +283 +00:25:41,680 --> 00:25:47,220 +صيفاً وشتاءً ثلاث البلوع يسمى عين الخضر وهذه + +284 +00:25:47,220 --> 00:25:52,860 +الينابيع الثلاثة صب ماءها في برك سليمان عيون أرتاص + +285 +00:25:52,860 --> 00:25:59,990 +وهي أربع عيون عطاف والفروج وصالح وعين البرك برك + +286 +00:25:59,990 --> 00:26:06,750 +سليمان تسمى برك المرجيع وهي الثلاث برك وهي البركة + +287 +00:26:06,750 --> 00:26:10,030 +الفوجة والوسطى والتحتى والقناة التي يسيل فيها + +288 +00:26:10,030 --> 00:26:14,150 +الماء قبل وصوله للقدس هي قناة رومانية كانت تسمى + +289 +00:26:14,150 --> 00:26:23,350 +قناة السبيل نعم الأودية أودية مدينة القدس منها ما + +290 +00:26:23,350 --> 00:26:26,590 +يتجه ناحية الشرق باتجاه البحر الميت ومنها ما يتجه + +291 +00:26:26,590 --> 00:26:34,210 +ناحية الغرب باتجاه البحر المتوسط هناك أودية هذه + +292 +00:26:34,210 --> 00:26:39,400 +الأمطار التي تنزل على جبال مدينة القدس تنحدر في + +293 +00:26:39,400 --> 00:26:44,000 +أودية بعض الأودية تتجه إلى الشرق بعض الأودية تتجه + +294 +00:26:44,000 --> 00:26:49,680 +إلى الغرب وبعضها جافة لا تجري فيها المياه إلا قليلاً + +295 +00:26:49,680 --> 00:26:55,520 +والأودية هي وادي جهنم هذه تحتاج إلى حفظ وادي جهنم + +296 +00:26:55,520 --> 00:27:02,120 +وادي الجوز وادي القلط النار المكللة المكوك مقطعة جاس وادي + +297 +00:27:02,120 --> 00:27:08,750 +زيتا وادي عين كارم وادي التعامر الوادي الكبير ويُعرف + +298 +00:27:08,750 --> 00:27:17,730 +بوادي أيلول أيضاً إذا الأودية التي تحيط بمدينة + +299 +00:27:17,730 --> 00:27:21,870 +القدس أو التي تنحدر من مدينة القدس وادي جهنم هي + +300 +00:27:21,870 --> 00:27:26,650 +وادي جهنم، وادي الجوز، وادي القلق، وادي النار، + +301 +00:27:26,650 --> 00:27:30,790 +وادي المكللة، وادي المكوك، وادي مقطع الجاس، وادي + +302 +00:27:30,790 --> 00:27:38,060 +زيتا، عين كارم، التعامل الكبير، نعم مناخ مدينة + +303 +00:27:38,060 --> 00:27:42,380 +القدس هو + +304 +00:27:42,380 --> 00:27:47,020 +مناخ معتدل بالمناسبة هو مناخ البحر المتوسط مناخ + +305 +00:27:47,020 --> 00:27:53,220 +معتدل، مناخ البحر المتوسط، مناخ تسقط عليه الأمطار + +306 +00:27:53,220 --> 00:27:57,800 +بغزارة طيب لن أرى ينتمي مناخ مدينة القدس لمناخ + +307 +00:27:57,800 --> 00:28:03,620 +البحر المتوسط المعتدل الجبلي المعتدل الجبلي وهو + +308 +00:28:03,620 --> 00:28:10,390 +أجمل المناخات في العالم بكل مميزاته وصفاته ثنين، + +309 +00:28:10,390 --> 00:28:15,150 +معدلات الأمطار في مدينة القدس مرتفعة نسبياً من أكثر + +310 +00:28:15,150 --> 00:28:18,310 +المناطق في فلسطين تسقط عليها الأمطار مدينة القدس + +311 +00:28:18,310 --> 00:28:22,290 +كمية الأمطار بين السفوح الشرقية والغربية لمدينة + +312 +00:28:22,290 --> 00:28:26,230 +القدس تتغير فمعدل الأمطار في السفوح الشرقية أقل من + +313 +00:28:26,230 --> 00:28:29,590 +السفوح الغربية وقلنا لماذا؟ لأنها تقع في ظل + +314 +00:28:29,590 --> 00:28:34,730 +المطر والسبب أن السفوح الشرقية تقع في الظل والرياح + +315 +00:28:34,730 --> 00:28:39,250 +فتصلها الرياح شبه جافة لأنها أسقطت حمولتها من + +316 +00:28:39,250 --> 00:28:42,450 +الأمطار على السفوح الغربية وقمم الجبال بينما + +317 +00:28:42,450 --> 00:28:45,130 +السفوح الغربية تقع في مواجهة الرياح الجنوبية + +318 +00:28:45,130 --> 00:28:47,750 +الغربية القادمة من البحر المتوسط محملة بالأمطار + +319 +00:28:47,750 --> 00:28:54,450 +وبخار الماء شيء لا يحتاج إلى تحليل كثير السفوح + +320 +00:28:54,450 --> 00:28:59,470 +الغربية التي تقع في مواجهة الرياح الغربية الممطرة + +321 +00:28:59,470 --> 00:29:03,630 +القادمة من البحر المتوسط المحملة ببخار الماء والتي + +322 +00:29:03,630 --> 00:29:08,350 +تحتاج لأي شيء لأي حاجز تصطدم فيه تصطدم به عندما + +323 +00:29:08,350 --> 00:29:13,590 +تصطدم بسفوح القدس الغربية تسقط حمولتها من الأمطار + +324 +00:29:13,590 --> 00:29:20,300 +ولكنها تستمر تستمر فعندما تصل إلى السفوح الشرقية من + +325 +00:29:20,300 --> 00:29:26,040 +مدينة القدس تكون قد جفت وبقايا الأمطار تسقط على + +326 +00:29:26,040 --> 00:29:32,680 +السفوح الشرقية لذلك المطر أقل بكثير في الشرق عنه + +327 +00:29:32,680 --> 00:29:38,820 +في الغرب في جبال مدينة القدس تسقط أعلى معدلات + +328 +00:29:38,820 --> 00:29:43,940 +مدينة القدس الشهرية للمطر في القدس في شهر ديسمبر + +329 +00:29:45,240 --> 00:29:49,120 +الأشهر التي فيها غزارة في الأمطار ديسمبر ويناير + +330 +00:29:49,120 --> 00:29:54,060 +وفبراير اثنا عشر واحد اثنين فيسقط في هذه الشهور + +331 +00:29:54,060 --> 00:30:01,140 +ثلاثة مايو عادل 63% من مجمل الأمطار السنوية اثنا عشر + +332 +00:30:01,140 --> 00:30:05,560 +واحد اثنين ثلثية الأمطار تسقط على مدينة القدس في + +333 +00:30:05,560 --> 00:30:09,680 +هذه الأشهر ثم تبدأ الأمطار السنوية بالتناقص تدريجياً + +334 +00:30:09,680 --> 00:30:14,540 +ابتداءً من شهر مارس إلى أبريل وتتوقف كلياً في شهر + +335 +00:30:14,540 --> 00:30:19,730 +يونيو لتعاود الهطول في شهر أكتوبر في شهر أكتوبر شهر + +336 +00:30:19,730 --> 00:30:23,670 +عشرة تهطل بعض الأمطار يعني لكنها ليست .. يبلغ + +337 +00:30:23,670 --> 00:30:27,910 +متوسط مدة الإشعاع الشمسي في مدينة القدس معدلات + +338 +00:30:27,910 --> 00:30:34,150 +مثالية جداً فسماء المدينة مشمسة على مدار العام إلا + +339 +00:30:34,150 --> 00:30:38,070 +في أيام قليلة من فصل الشتاء شيء غاية في الروعة + +340 +00:30:38,070 --> 00:30:46,450 +مناخ معتدل غزير الأمطار مشمس شمس صحية ليس بقاسية + +341 +00:30:46,450 --> 00:30:54,540 +جداً ولا حارقة فهو المناخ المثالي إنجاز التعبير + +342 +00:30:54,540 --> 00:30:58,060 +درجات الحرارة يصل متوسطها في مدينة القصر لأدنى + +343 +00:30:58,060 --> 00:31:03,060 +مستوى خلال العام خلال شهر يناير واحد من سبعة إلى + +344 +00:31:03,060 --> 00:31:08,450 +ثمان درجات prior من ثلاث إلى أربع ثم ديسمبر تصل + +345 +00:31:08,450 --> 00:31:15,350 +إلى درجة واحدة هو أعلىها في شهر أغسطس شهر أغسطس + +346 +00:31:15,350 --> 00:31:20,650 +قارب ثمانية من سبعة وثلاثين ونصف تقريباً ثم يليه + +347 +00:31:20,650 --> 00:31:26,270 +شهر يوليو 37 درجة وشرطين لذلك تتصف مدينة القدس + +348 +00:31:26,270 --> 00:31:31,650 +بفصل الشتاء بارد رطب تنخفض فيه درجات الحرارة لما + +349 +00:31:31,650 --> 00:31:35,810 +دون الصفر وتتساقط الثلوج على رؤوس الجبال في معظم + +350 +00:31:35,810 --> 00:31:43,210 +السنوات وتتميز بفصل صيف معتدل جاف أي لا يوجد فيه + +351 +00:31:43,210 --> 00:31:44,470 +أمطار جاف + +352 +00:31:47,380 --> 00:31:52,620 +مدينة القدس مناخها مناخ البحر المتوسط المعتدل + +353 +00:31:52,620 --> 00:31:59,580 +الجبلي مدينة القدس شتاءها شتاءها ممطر بارد شتاء + +354 +00:31:59,580 --> 00:32:03,380 +جاف معتدل صيفاً + +355 +00:32:05,870 --> 00:32:09,690 +تبلغ الرطوبة النسبية في المدينة معدلات متوسطة غير + +356 +00:32:09,690 --> 00:32:15,030 +متطرفة أعلى هذه المعدلات في الشهر يناير، واحد، ثم + +357 +00:32:15,030 --> 00:32:19,010 +ديسمبر، ثم فبراير، أدنها شهر مايو، ثم يونيو، ثم + +358 +00:32:19,010 --> 00:32:23,250 +أبريل ترتفع معدلات التبخر الكلي في المدينة لتصل إلى + +359 +00:32:23,250 --> 00:32:27,830 +أعلى مستوى خلال شهر يوليو، ثم أغسطس، ثم يونيو، + +360 +00:32:27,830 --> 00:32:32,210 +تنخفض لأدنى مستوى خلال أشهر الشتاء متوسط سرعة + +361 +00:32:32,210 --> 00:32:35,690 +الرياح معتدلة جداً فنادراً ما تهب على المدينة رياح + +362 +00:32:35,690 --> 00:32:39,990 +عاصفة أو قوية فعلى سرعة الرياح خلال أشهر الصيف + +363 +00:32:39,990 --> 00:32:47,590 +وأدنى سرعة خلال أشهر الشتاء أحياء مدينة القدس + +364 +00:32:50,560 --> 00:32:56,840 +نقول أن مدينة القدس ظلت النواة الأولى لمدينة القدس + +365 +00:32:56,840 --> 00:33:05,680 +التي كانت على التل أوفل إلى أن الهجرة وانتقال + +366 +00:33:05,680 --> 00:33:16,390 +السكان من مكان إلى مكان آخر مثل جبل بزتة ومرتفع بعض + +367 +00:33:16,390 --> 00:33:22,590 +الارتفاعات الأخرى أثر هذا على أحياء مدينة القدس + +368 +00:33:22,590 --> 00:33:29,310 +نقول أن مدينة القدس أحيطت بالأسوار حتى أنه بنى + +369 +00:33:29,310 --> 00:33:32,850 +السلطان العثماني سليمان القانوني السور المشهور + +370 +00:33:32,850 --> 00:33:39,440 +لليوم السور سليمان وكان وكان الصور بمثابة الحدود + +371 +00:33:39,440 --> 00:33:45,660 +الجغرافية للقدس القديمة نعم الصور سليمان ليس سيدنا + +372 +00:33:45,660 --> 00:33:48,700 +سليمان عليه السلام ولكن المقصود هو سليمان القانوني + +373 +00:33:48,700 --> 00:33:53,820 +السلطان العثماني المشهور بإحاطة السور للبلدة + +374 +00:33:53,820 --> 00:33:57,340 +القديمة للقدس تم تحديد الخط التركيبي والوظيفي + +375 +00:33:57,340 --> 00:34:01,560 +للمدينة بمحورين رئيسيين متعمدين حيث يبدأ المحور من + +376 +00:34:01,560 --> 00:34:04,260 +باب الخليل حتى باب السلسلة المفتوعة على الحرم + +377 +00:34:04,260 --> 00:34:08,020 +الثاني من باب العمود لينتهي قرب باب النبي داود + +378 +00:34:08,020 --> 00:34:14,520 +وهذان المحوران يقسمان المدينة البلدة القديمة إلى + +379 +00:34:14,520 --> 00:34:19,870 +أربع أحياء غير متساوية وهذا المهم نريد أن نذكر + +380 +00:34:19,870 --> 00:34:25,410 +أحياء مدينة القدس: واحد حي نصارى حول كنيسة القيامة + +381 +00:34:26,090 --> 00:34:31,630 +حي الأرمن، 2 حي الأرمن، 3 حي المغاربة وأطلق + +382 +00:34:31,630 --> 00:34:36,950 +القيادة الصهيونية عليه الحي الصهيوني 4 والجزء + +383 +00:34:36,950 --> 00:34:41,710 +الأكبر من المدينة هو الحي المسلمون أو الحي + +384 +00:34:41,710 --> 00:34:46,750 +الإسلامي نتيجة للزيادة السكانية في أحياء مدينة + +385 +00:34:46,750 --> 00:34:52,970 +القدس نتيجة لأسوار + +386 +00:34:52,970 --> 00:34:58,370 +مدينة القدس وجغرافية مدينة القدس تم تقسيم المدينة + +387 +00:34:58,370 --> 00:35:02,850 +قسمت المدينة إلى أربع أحياء رئيسة الحي الأول حي + +388 +00:35:02,850 --> 00:35:07,450 +النصارى بعدين حي الأرمن بعدين حي المغاربة الذي + +389 +00:35:07,450 --> 00:35:13,030 +أطلق عليه الكيان الصهيوني بعد عام 1967 بعد + +390 +00:35:13,030 --> 00:35:18,250 +الاحتلال الحي الصهيوني وباقي مدينة القدس هي + +391 +00:35:18,250 --> 00:35:23,150 +للمسلمين الحي الإسلامي نتيجة للزيادة السكانية في + +392 +00:35:23,150 --> 00:35:25,990 +أواخر القرن التاسع عشر والعشرين بدأت توسع العمران + +393 +00:35:25,990 --> 00:35:29,570 +خارج الحدود الجغرافية للصور وظهرت أحياء جديدة التي + +394 +00:35:29,570 --> 00:35:32,230 +تُعرف باسم القدس الجديدة والضواحي المرتبطة + +395 +00:35:32,230 --> 00:35:35,770 +بالمدينة التي كانت وما زالت تابعة لها اتخذ + +396 +00:35:35,770 --> 00:35:40,190 +الامتداد العمراني اتجاهين إحداهما شمالي غربي + +397 +00:35:40,190 --> 00:35:45,290 +والآخر جنوبي أما العمران من الناحية الغربية امتدت + +398 +00:35:45,290 --> 00:35:48,830 +عدة كيلومترات بينما من الجهة الجنوبية والشرقية بضعة + +399 +00:35:48,830 --> 00:35:54,750 +مئات من الأمتار وأحيانا توقف عند خط الحدود والتوسط + +400 +00:35:54,750 --> 00:35:58,510 +العمران للمدينة داخل القرى العربية للقدس ذلك من + +401 +00:35:58,510 --> 00:36:01,650 +أجل الإعداد لإنشاء الضواحي نعم + +402 +00:36:05,670 --> 00:36:12,290 +نريد أن نقول امتداد مدينة القدس العمراني كان بسبب + +403 +00:36:12,290 --> 00:36:16,750 +الاحتلال الاحتلال يريد أن يضم إذا لاحظنا جيدا + +404 +00:36:16,750 --> 00:36:22,530 +الاحتلال يحاول أن يضم المستوطنات الصهيونية دائما + +405 +00:36:22,530 --> 00:36:27,510 +إلى مدينة القدس لماذا؟ هو يزحف بمدينة القدس ويوسع + +406 +00:36:27,510 --> 00:36:30,270 +مدينة القدس باتجاه المستعمرات الصهيونية + +407 +00:36:30,270 --> 00:36:35,430 +والمستوطنات لماذا؟ لأنه يسعى إلى هدف كبير هو توسعة + +408 +00:36:35,430 --> 00:36:41,890 +مدينة القدس لتصبح القدس الكبرى كما يدعون وهذه + +409 +00:36:41,890 --> 00:36:48,550 +القدس الكبرى مزيدا من الأرض قليل من العرب + +410 +00:36:48,550 --> 00:36:54,680 +والفلسطينيين كثير من اليهود والصهاينة قليل من العرب + +411 +00:36:54,680 --> 00:36:58,660 +لذلك ستجد أن حدود القدس غريبة جدا هي حدود متعرجة + +412 +00:36:58,660 --> 00:37:02,980 +أينما توجد مستوطنة أو حي صهيوني هم يذهبون إليه + +413 +00:37:02,980 --> 00:37:06,760 +بحدود القدس ويقومون بضمه والسبب هم يريدون أن + +414 +00:37:06,760 --> 00:37:10,720 +يكثروا ويضاعفوا عدد الصهاينة على حساب عدد + +415 +00:37:10,720 --> 00:37:15,630 +الفلسطينيين ضمت سلطة فنجد مثلًا ضمت سلطات الاحتلال + +416 +00:37:15,630 --> 00:37:20,330 +أحياء وظلت هذه الأحياء داخل الحدود الجغرافية + +417 +00:37:20,330 --> 00:37:25,610 +للمدينة وهذه الأحياء مثل بيت حنينا مخيم شعفاط، + +418 +00:37:25,610 --> 00:37:28,830 +شعفاط، العيسوية، الشيخ جراح، وادي الجوز، باب + +419 +00:37:28,830 --> 00:37:33,010 +الساهرة، الطور، القدس، الشياع، رأس العمود، الثوري، + +420 +00:37:33,010 --> 00:37:42,420 +جبل المكبر كل هذه وهي ما تُعرف بمنطقة G1 أو ذلك + +421 +00:37:42,420 --> 00:37:46,080 +الجزء من محافظة القدس الذي ضمته إسرائيل عنوان بعد + +422 +00:37:46,080 --> 00:37:50,540 +احتلالها لما تبقى من القدس عام 67 أما التجمعات + +423 +00:37:50,540 --> 00:37:53,680 +السكانية والمناطق التي أخرجتها سلطات الاحتلال خارج + +424 +00:37:53,680 --> 00:37:58,480 +حدود الجغرافية لمدينة القدس فتتشمل مناطق يُطلق + +425 +00:37:58,480 --> 00:38:03,720 +عليها اسم G2 وتشمل باقي المنطقة والمحافظة تضم + +426 +00:38:03,720 --> 00:38:09,950 +التجمعات مخماس، قلنديا، التجمع البدوي، النبي + +427 +00:38:09,950 --> 00:38:15,950 +صموئيل، خربة أم اللحم، أبو ديس، السواحرة الشرقية، + +428 +00:38:15,950 --> 00:38:19,730 +الشيخ سعد، إلى آخره هم يحاولون أن يطردوا + +429 +00:38:19,730 --> 00:38:24,310 +الفلسطيني من حدود مدينة القدس ويدمجوا الأحياء + +430 +00:38:24,310 --> 00:38:28,090 +والمستوطنات والمستعمرات الصهيونية لكي يضاعفوا عدد + +431 +00:38:28,090 --> 00:38:34,140 +الصهاينة نريد في عجالة أن نتحدث عن أبواب مدينة القدس + +432 +00:38:34,140 --> 00:38:39,640 +يحيط بمدينة القدس سور أثر قديم فيه أبواب وللمدينة + +433 +00:38:39,640 --> 00:38:44,580 +سبعة أبواب مستعملة وأربعة مغلقة والأبواب السبعة + +434 +00:38:44,580 --> 00:38:48,520 +المستعملة على عجالة باب العمود، باب الساهرة، باب + +435 +00:38:48,520 --> 00:38:51,580 +الأسباط، باب النبي داود، باب الخليل، باب المغاربة، + +436 +00:38:51,580 --> 00:38:57,320 +باب الحديد هذه الأبواب المفتوحة أبواب المسجد الأقصى + +437 +00:38:57,320 --> 00:39:03,140 +نكتفي بهذا القدر في هذا اللقاء نواصل إن شاء الله + +438 +00:39:03,140 --> 00:39:05,540 +في اللقاء القادم إلى اللقاء diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo_raw.json b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..f405eef79007c76a4c60b61f2b0cb54581b43a6c --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2568, "start": 5.2, "end": 25.68, "text": "بسم الله الرحمن الرحيم الحمد لله رب العالمين والصلاة والسلام على قائد المجاهدين محمد صلى الله عليه وسلم نواصل ان شاء الله مشوارنا مع مساق تاريخ مدينة القدس اليوم ان شاء الله سنتحدث عن الجغرافيا الطبيعية لمدينة القدس", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21542, 2304, 3215, 24976, 3224, 12602, 3555, 18863, 45340, 9957, 16070, 9381, 15040, 3660, 16070, 3794, 37440, 15844, 12174, 16373, 3215, 9673, 7435, 40294, 3215, 9957, 3714, 35571, 3215, 20328, 23942, 21984, 47356, 46952, 19528, 8717, 2407, 33546, 1211, 16472, 13412, 16606, 21984, 37893, 2407, 9640, 8315, 20449, 47524, 995, 4587, 6055, 9640, 1829, 9778, 3714, 3215, 9957, 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"duration_after_vad": 2302.087499999994} \ No newline at end of file diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo_raw.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..15b1d44a155ba11babdd4e8171dfce246a7faf5f --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/nwfWHCMDiBo_raw.srt @@ -0,0 +1,1752 @@ +1 +00:00:05,200 --> 00:00:08,140 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:08,140 --> 00:00:11,360 +والصلاة والسلام على قائد المجاهدين محمد صلى الله + +3 +00:00:11,360 --> 00:00:17,660 +عليه وسلم نواصل ان شاء الله مشوارنا مع مساق تاريخ + +4 +00:00:17,660 --> 00:00:22,900 +مدينة القدس اليوم ان شاء الله سنتحدث عن الجغرافيا + +5 +00:00:22,900 --> 00:00:30,710 +الطبيعية لمدينة القدسلو تأملنا الآن هذه الصورة هذه + +6 +00:00:30,710 --> 00:00:36,790 +الشريحة التي أمامنا ستجد أولا أن مدينة القدس تتوسط + +7 +00:00:37,380 --> 00:00:43,900 +فلسطين سواء في الشمال شمال جنوب أو شرق غرب وستجد + +8 +00:00:43,900 --> 00:00:50,780 +أن القدس تتمتع بموقع استراتيجي متميز سواء بين شمال + +9 +00:00:50,780 --> 00:00:55,340 +الكورة الأرضية وجنوب وجنوبها وشرقها وغربها وبين + +10 +00:00:55,340 --> 00:00:59,940 +مدن فلسطين نفسها وبين مدن العالم العربي والإسلامي + +11 +00:00:59,940 --> 00:01:04,570 +على حد سواءعلى أي حال من المعلوم أن مدينة القدس + +12 +00:01:04,570 --> 00:01:09,450 +عندما أسست أسسها العرب الكنعانيون اليابوسيون العرب + +13 +00:01:09,450 --> 00:01:13,950 +الأقحاح هم أسسوها في قلب فلسطين على برابوة مثلثة + +14 +00:01:13,950 --> 00:01:19,570 +الشكل في قلب فلسطين قبالة البحر الميت من جهة الغرب + +15 +00:01:19,570 --> 00:01:24,530 +لذلك فهي تتوسط فلسطين تماما وتتوسط تقريبا الوطن + +16 +00:01:24,530 --> 00:01:32,120 +العربي وهي تقع في أماكنمناسبة بين العواصم العربية + +17 +00:01:32,120 --> 00:01:38,440 +المهمة فتجد أن مدينة القدس قريبة من عمان وقريبة من + +18 +00:01:38,440 --> 00:01:42,400 +دمشق وقريبة من بيروت وقريبة من القاهرة قريبة من + +19 +00:01:42,400 --> 00:01:46,480 +البحر المتوسط قريبة من البحر الميت ارتفاعها مناسب + +20 +00:01:46,480 --> 00:01:52,340 +فدعونا نرى الآن تبعد مدينة القدس 52 كيلو عن البحر + +21 +00:01:52,340 --> 00:01:56,680 +المتوسطومدينة القدس تبعد 250 كيلو عن البحر الأحمر + +22 +00:01:56,680 --> 00:02:02,140 +في الجنوب البحر الأحمرعلى الحدود بين مصر والمملكة + +23 +00:02:02,140 --> 00:02:06,580 +العربية السعودية تبعد أيضًا مدينة القدس 22 كيلو عن + +24 +00:02:06,580 --> 00:02:11,440 +البحر الميت وتبعد مدينة القدس 140 كيلو عن الحدود + +25 +00:02:11,440 --> 00:02:15,960 +الشمالية الفلسطينية أما مدينة القدس بالنسبة + +26 +00:02:15,960 --> 00:02:22,880 +للعواصم العربية فدعونا نرا 88 كيلو تبعد عن عمان + +27 +00:02:22,880 --> 00:02:32,930 +380 كيلو عن بيروت192 كيلو أو 300 كيلو عن دمشق 528 + +28 +00:02:32,930 --> 00:02:38,590 +كيلو عن القاهرة كذلك مدينة القدس هي مدينة مرتفعة + +29 +00:02:38,590 --> 00:02:43,950 +عن مستوى سطح البحر تقريبا 750 متر ترتفع عن مستوى + +30 +00:02:43,950 --> 00:02:51,010 +سطح البحر أما عن البحر الميت فهي مرتفعة 1150 متر + +31 +00:02:51,010 --> 00:02:57,670 +تقريبا ما أهمية هذا الموقع؟وهذا سؤال يعني مشروع + +32 +00:02:57,670 --> 00:03:05,110 +أهمية هذا الموقع أن مدينة القدس سهلة التواصل مع + +33 +00:03:05,110 --> 00:03:10,290 +جميع مناطق فلسطين وهناك تواصل مريح مع الدول + +34 +00:03:10,290 --> 00:03:14,750 +العربية والعواصم العربية هذا يعطيها في حالة السلم + +35 +00:03:14,750 --> 00:03:18,830 +والحرب هذا يعطيها ميزة في الاقتصاد هذا يعطيها ميزة + +36 +00:03:18,830 --> 00:03:22,950 +في السياسة هذا يعطيها ميزة في الاستراتيجية + +37 +00:03:22,950 --> 00:03:30,430 +العسكريةعلى أي حال، لنرى الآن تضاريث مدينة القدس + +38 +00:03:30,430 --> 00:03:36,350 +مدينة القدس كما نعلم وكما أسلفنا أنها بُنيت على + +39 +00:03:36,350 --> 00:03:41,230 +تلال فمدينة القدس بُنيت في أول نشأتها على تلال + +40 +00:03:41,230 --> 00:03:45,170 +الظهور أو أوفل، نفس الإسم، التي تقع إلى الغرب من + +41 +00:03:45,170 --> 00:03:50,000 +قرية سلوانوقرية سلوان تقع إلى الجنوب الشرقي من + +42 +00:03:50,000 --> 00:03:55,680 +المسجد الأقصى وفي أسفل الظهور تقع عين أم الدرج وهو + +43 +00:03:55,680 --> 00:04:00,660 +الوحيد الذي يقع في القدس القديمة وكان البناء الأول + +44 +00:04:00,660 --> 00:04:05,980 +محاط بثلاثة أودي حماية طبيعية عن المدينة وهي إذن + +45 +00:04:06,460 --> 00:04:15,100 +نريد أن نذكر الأودية المحيطة + +46 +00:04:15,100 --> 00:04:20,500 +بمدينة القدس واحد وادي جهنم هذا الوادي يُعرف باسم + +47 +00:04:20,500 --> 00:04:28,840 +له اسم قديم وادي قدرون أو وادي النارأو ولد مريم في + +48 +00:04:28,840 --> 00:04:33,740 +القرن الثالث أو الرابع الميلادي أصبح يعرف بوادي + +49 +00:04:33,740 --> 00:04:42,060 +يهوشفات وقدرون هو اسم جدول الماء الذي يجري عند + +50 +00:04:42,060 --> 00:04:47,790 +قاعهعندما تسقط الأمطار تتجمع الأمطار في هذه + +51 +00:04:47,790 --> 00:04:51,670 +المنطقة ويقع هذا الوادي للشرق من المدينة ويطلق + +52 +00:04:51,670 --> 00:04:56,250 +عليه اسم الوادي الشرقي هناك وادي آخر وادي الربابة + +53 +00:04:56,250 --> 00:05:03,470 +اسمه القديم وادي هنومواديها النوم وهناك وادي أطلق + +54 +00:05:03,470 --> 00:05:08,650 +عليه اسم الواد واد الواد ويطلق عليه اسم وادي الروث + +55 +00:05:08,650 --> 00:05:15,770 +وهذا الوادي يقسم يشطر أرض مدينة القدس لقسمين + +56 +00:05:15,770 --> 00:05:22,250 +مكونتين من هضمتين مستطيلتين بشكل طولي هضبة شرقية + +57 +00:05:22,250 --> 00:05:27,950 +وهضبة غربيةكانت الأودية الثلاثة التي تحيط بالمدينة + +58 +00:05:27,950 --> 00:05:31,290 +من جهاتها الشرقية والجنوبية والغربية تؤلف خطوط + +59 +00:05:31,290 --> 00:05:35,310 +دفاعية يصعب اقتحامها بينما الجهة الشمالية + +60 +00:05:35,310 --> 00:05:37,490 +والشمالية الغربية مكشوفتين + +61 +00:05:39,680 --> 00:05:45,180 +نريد أن نقف هنا قليلا تابعوا معي كل الذين غزوا + +62 +00:05:45,180 --> 00:05:49,880 +مدينة القدس كل الفاتحين سواء إسلاميين أو غيرهم كل + +63 +00:05:49,880 --> 00:05:53,920 +الذين دخلوا مدينة القدس هم دخلوا من الجهة الشمالية + +64 +00:05:53,920 --> 00:05:58,930 +والشمالية الغربية لماذا؟ لأن هذه الجهةالجغرافية + +65 +00:05:58,930 --> 00:06:04,990 +فيها .. لا يوجد حواجز طبيعية بين مدينة القدس وبين + +66 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من + +78 +00:07:02,780 --> 00:07:07,640 +المسجد الأقصى تلات جبل صهيون يطل على بركة السلطان + +79 +00:07:07,640 --> 00:07:10,720 +في الزاوية الجنوبية الغربية لمدينة القدس كانت توجد + +80 +00:07:10,720 --> 00:07:15,910 +عليها القلعة المسمى بمدينة داودأربعة تلزيتة ممتدة + +81 +00:07:15,910 --> 00:07:21,870 +من باب السهرة إلى باب العمود خمسة أكرة وله تسمية + +82 +00:07:21,870 --> 00:07:26,750 +أخرى عكرة وتقع بالقرب من كنيسة القيامة عند حارة + +83 +00:07:26,750 --> 00:07:34,370 +النصارى وقيمت عليها قلعة أكرة دعونا نرى أهم الجبال + +84 +00:07:34,370 --> 00:07:39,600 +أو جبال مدينة القدسجبل مدينة القدس أول جبل هو جبل + +85 +00:07:39,600 --> 00:07:44,980 +تل العصور هذا الجبل يقع بين قريتين جارير وسلوان + +86 +00:07:44,980 --> 00:07:51,140 +يرتفع 1016 متر فوق مستوى سطح البعر وهو رابع جبل في + +87 +00:07:51,140 --> 00:07:54,880 +فلسطين من حيث الارتفاع أولا الجبل الأول هو جبل + +88 +00:07:54,880 --> 00:08:00,030 +الجرمة كما نعلمجبل النبي سمائيل هذا يقع في شمال + +89 +00:08:00,030 --> 00:08:06,290 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+ +101 +00:09:11,300 --> 00:09:15,800 +الجيولوجي لمدينة القدس، تركيب الصخور، تركيب التربة + +102 +00:09:15,800 --> 00:09:20,560 +لمدينة الصخور عندما نقول أن النواة الأولى شيدت + +103 +00:09:20,560 --> 00:09:26,220 +لمدينة القدس في موضع ديمографي من جبال القدس والذي + +104 +00:09:26,220 --> 00:09:31,760 +يمثل ربوة أو رابية أرضية بارزة بين منحدرات صحيحة + +105 +00:09:32,030 --> 00:09:40,830 +يعني الملاحظ أن مدينة القدس هي في مكان مرتفع ألخص + +106 +00:09:40,830 --> 00:09:45,850 +هذه الفكرة في ثواني سريعة مدينة القدس في مكان + +107 +00:09:45,850 --> 00:09:52,850 +مرتفع هذا المكان ينحدر تدريجيا باتجاه الغرب هذا + +108 +00:09:52,850 --> 00:10:01,450 +المكان ينحدر بصورة صحيقة باتجاه الشرقترتب على ذلك + +109 +00:10:01,450 --> 00:10:05,790 +كثير التواصل مع الغرب أسهل من التواصل مع المنطقة + +110 +00:10:05,790 --> 00:10:10,870 +الشرقية ثانيا كمية الأمطار التي تسقط على الجهة + +111 +00:10:10,870 --> 00:10:14,690 +الغربية لمدينة القدس أكثر من الجهة الشرقية لأنها + +112 +00:10:14,690 --> 00:10:19,190 +وقعت في ظل المطر إنجاز التعبير على أي حال يمثل هذا + +113 +00:10:19,190 --> 00:10:23,830 +الموضوع فجوة أرضية بين كتلتي جبال نابلس في الشمال + +114 +00:10:23,830 --> 00:10:28,730 +وجبال الخليل في الجنوب طبعالو تأملنا الجبال فلسطين + +115 +00:10:28,730 --> 00:10:32,590 +من شمالها إلى جنوبها سلاسل من الجبال في قلب فلسطين + +116 +00:10:32,590 --> 00:10:37,130 +وسط فلسطين من الشمال إلى الجنوب سلاسل جبالية متصلة + +117 +00:10:37,130 --> 00:10:42,390 +هنا هذه المنطقة الجبانية مدينة القدسية التي تفصل + +118 +00:10:42,390 --> 00:10:47,510 +تفصل بين جبال الخليل في الجنوب وجبال نبلس في + +119 +00:10:47,510 --> 00:10:53,270 +الشمال وهذه الفجوة سهلت الاتصال بين البحروالداخل + +120 +00:10:53,270 --> 00:10:57,310 +قديما وحديثا وأيضا يمثل هذا الموضوع لحد الفاصل بين + +121 +00:10:57,310 --> 00:11:03,960 +الأراضي الجافة شرقا والأرض المزروعة غرباإذاً هذا + +122 +00:11:03,960 --> 00:11:09,480 +التواصل وجود مدينة القدس في هذا المكان جعل مدينة + +123 +00:11:09,480 --> 00:11:14,380 +القدس تسهل التواصل بين القرب والشرق هذه نقطة جعل + +124 +00:11:14,380 --> 00:11:21,480 +مدينة القدس واصلة بين الجهة الشرقية الجافة وبين + +125 +00:11:21,480 --> 00:11:26,440 +الجهة الخصبةالخصبة غزيرة الأمطار في الغرب في الغرب + +126 +00:11:26,440 --> 00:11:32,240 +شرقا قلة أمطار غربا كثافة أمطار تعدوا جبال القدس + +127 +00:11:32,240 --> 00:11:37,000 +هاترابا مرتفعة تتكون من عدد من الطيات المحدبة + +128 +00:11:37,000 --> 00:11:43,880 +والصعود نعم وصدوع عفواتشكل منطقة القدس الفجواء بين + +129 +00:11:43,880 --> 00:11:47,420 +محدّب الخليل الإقليمي في الجنوب وطيّات نابلس في + +130 +00:11:47,420 --> 00:11:51,900 +الشمال حيث يزداد ارتفاع جبال الخليل ونابلس عن جبال + +131 +00:11:51,900 --> 00:11:56,880 +القدس ما بين 100 ل 200 متر في الجانب الشرقي للقدس + +132 +00:11:56,880 --> 00:12:03,670 +تعرضت الطيّات الصخرية للتصدع بعدد من الصدوعويترتب + +133 +00:12:03,670 --> 00:12:07,890 +عليها ظهور عدد من الحفات الصدعية حيث تهبط الأرض + +134 +00:12:07,890 --> 00:12:15,390 +تباعا من منسوب 800 فوق سطح البحر لأكثر من 400 سطح + +135 +00:12:15,390 --> 00:12:23,170 +البحر في الأغوار والبحر الميت يعني المجسودإنه في + +136 +00:12:23,170 --> 00:12:28,110 +مدينة القدس الأرض مرتفعة تقريبًا 800 متر عن مستوى + +137 +00:12:28,110 --> 00:12:34,090 +سطح البحر كلما اتجهنا إلى منطقة الشرق تنخفض انحناق + +138 +00:12:34,090 --> 00:12:40,530 +تدريجي انحدار تجري تدريجي حتى نصل إلى غور البحر + +139 +00:12:40,530 --> 00:12:47,450 +الميت فنجد أنه تحت تحت مستوى سطح البحر 400 متر + +140 +00:12:47,450 --> 00:12:51,650 +يعني ناقص 400في الجانب الغربي للقدس فالأشكال + +141 +00:12:51,650 --> 00:12:56,130 +الأرضية تشمل صفوح الحطيد الصفوح الصفلية للجبال إذا + +142 +00:12:56,130 --> 00:12:59,990 +تحبط الأرض تدريجيا باتجاه الساحل فلا يزيد ارتفاع + +143 +00:12:59,990 --> 00:13:05,050 +هذه الصفوح عن 300 متر فوق سطح البحر ارتفاع انحدار + +144 +00:13:05,050 --> 00:13:09,940 +تدريجي في جهة الغربالتكوينات الصخرية في منطقة + +145 +00:13:09,940 --> 00:13:15,980 +القدس يطغى عليها الكلس نعم والذي يرجع للعصر + +146 +00:13:15,980 --> 00:13:21,140 +الكريتاسي الأعلى ويتخلّى الطبقات وتكوينات التباشير + +147 +00:13:21,140 --> 00:13:26,660 +لو سؤلنا سؤال تعد تربة القدس أو تميل تربة القدس + +148 +00:13:26,660 --> 00:13:33,320 +لللون الأحمر لأن لوجود المعادن بها والكلس بكثافة + +149 +00:13:33,710 --> 00:13:39,250 +فهي خصبة هذا الذي يخص بتربة مدينة القدس تتعرض هذه + +150 +00:13:39,250 --> 00:13:43,290 +التكوينات بسبب تفاوت صلاحيتها للتجوية التي أعطت + +151 +00:13:43,290 --> 00:13:47,690 +السفوح المظهر السلمي السلمي لذلك استغل هذا الوضع + +152 +00:13:47,690 --> 00:13:50,890 +في إنشاء المساطب الزراعية والمدرجات لحماية التربة + +153 +00:13:50,890 --> 00:13:55,850 +من الانجرافمن يذهب إلى مدينة القدس يجد أن حول + +154 +00:13:55,850 --> 00:14:01,210 +مدينة القدس هناك مصاطب إنجاز التعبير أو الزراعة + +155 +00:14:01,210 --> 00:14:08,050 +بالمدرجات لأن هذا الانحدار سمح بهذه الزراعة نشطة + +156 +00:14:08,050 --> 00:14:14,130 +عمليات خلال العصر المطير ما أدى للتكونالدلمائية + +157 +00:14:14,130 --> 00:14:22,250 +والكرستية واتصالها مع النعم هذا أعطى ميزة لتربة + +158 +00:14:22,250 --> 00:14:29,450 +مدينة القسل تكون تربة طبيعية غنية بالمواد اللازمة + +159 +00:14:29,450 --> 00:14:36,240 +للنباتات خصوصا الحديد ومكوناتهرابع عن التربة + +160 +00:14:36,240 --> 00:14:40,680 +والنباتات الطبيعية تختلف التربة حسب الصخر الأصلي + +161 +00:14:40,680 --> 00:14:44,780 +الذي اشتقت منه فحيث يسود الكالس ترتفع مركبات + +162 +00:14:44,780 --> 00:14:50,420 +الكالسيوم في التربة وحيث يسود الدولوميت ترتفع + +163 +00:14:50,420 --> 00:14:53,780 +مركبات المغنيوسوم ومكربونات الكالسيوم يوجد في + +164 +00:14:53,780 --> 00:15:02,840 +القدس واحد التربة المتوسطية الحمراءالتي تتكون من + +165 +00:15:02,840 --> 00:15:06,720 +السلكية ومركبات الألمونيو والحديد والحديد الذي + +166 +00:15:06,720 --> 00:15:11,660 +يعطيها اللون الأحمر وهنا سؤال لو .. لو .. لو + +167 +00:15:11,660 --> 00:15:15,400 +تعرضنا إلى سؤال تتميز تربط مدينة القدس باللون + +168 +00:15:15,400 --> 00:15:18,880 +الأحمر لغناها بالحديد والمعادن الأخرى + +169 +00:15:21,040 --> 00:15:25,740 +هكذا فهناك بعض التربة أيضًا في مدينة القدس لها + +170 +00:15:25,740 --> 00:15:31,420 +اللون البني والأسفر أو اللون الأبيض الرمادي وهذه + +171 +00:15:31,420 --> 00:15:36,000 +التربة غنية بالكالسوم والمواد العضوية لذلك هي خصبة + +172 +00:15:36,630 --> 00:15:39,810 +النباتات الطبيعية في مدينة القدس في المناطق التي + +173 +00:15:39,810 --> 00:15:44,970 +ترتفع أكتر من 300 متر فوق مستوى سطح البعارض وهي + +174 +00:15:44,970 --> 00:15:50,150 +تؤد نموذج لإحراج البحر المتوسط بأشجاره الدائمة + +175 +00:15:50,150 --> 00:15:55,150 +الخضرة مثل أشجار البلوت والبطم الفلسطيني هذه أشجار + +176 +00:15:55,150 --> 00:16:02,140 +مشهورة في فلسطين وفي غابات فلسطينإذن المناطق التي + +177 +00:16:02,140 --> 00:16:08,260 +ترتفع أكثر من 300 متر نجد هناك البلوط والبطن في + +178 +00:16:08,260 --> 00:16:12,200 +المناطق التي يقل منسوبة عن 300 متر التسدود هناك + +179 +00:16:12,200 --> 00:16:18,200 +نجد أشجار الخروب وشجيرات كثيفة مثل اللبيد + +180 +00:16:18,200 --> 00:16:23,080 +والنباتات الشوكية يشكل نبات الشيح سلسلة من + +181 +00:16:23,080 --> 00:16:26,180 +الشجيرات القصيرة التي تغطي مساحات واسعة من برية + +182 +00:16:26,180 --> 00:16:32,190 +القدس وتتداخل مع نباتات السدرلاحظوا معين .. لاحظوا + +183 +00:16:32,190 --> 00:16:37,330 +المناطق الغربية ستجد هناك كثافة و .. و .. وعظم في + +184 +00:16:37,330 --> 00:16:42,650 +الأشجار والأشجار كبيرة وضخمة لأن الأرض خصبة و لأن + +185 +00:16:42,650 --> 00:16:46,960 +كمية الأمطار كبيرة فلاحظوافلاحظوا أشجار البلوت + +186 +00:16:46,960 --> 00:16:52,560 +والبطن المناطق التي أقل المناطق التي يقل منسوبها + +187 +00:16:52,560 --> 00:16:59,300 +عن 300 ملي فتسود بها أشجار أشجار الخروب وشجيرات + +188 +00:16:59,300 --> 00:17:03,320 +يعني المناسبة + +189 +00:17:03,320 --> 00:17:08,060 +العالية في سقوط الأمطار أكتر من 300 ملي هناك أشجار + +190 +00:17:08,060 --> 00:17:15,170 +ضخمة عندما يقل منسوب الأمطارنلاحظ أن صغر حجم + +191 +00:17:15,170 --> 00:17:20,510 +الأشجار إلى أن نصل إلى المناطق التي ندرى فيها + +192 +00:17:20,510 --> 00:17:23,870 +الأمطار وخصوصاً المناطق الشرقية ستجد هناك الشيح + +193 +00:17:23,870 --> 00:17:30,410 +وهو نبات شوك أو نبات سحراوي إنجاز التعبير هو يتحمل + +194 +00:17:30,410 --> 00:17:37,160 +قلة الأمطار بشكل واضح جداًفأمطار مدينة القدس + +195 +00:17:37,160 --> 00:17:47,620 +تتناسب تناسبا ترضيا مع كمية الأمطار طيب الموارد + +196 +00:17:47,620 --> 00:17:51,880 +المائية اعتمدت مدينة القدس منذ عهودها السابقة على + +197 +00:17:51,880 --> 00:17:56,740 +مصدرين رئيسيين للتزويد بالمياهواحد جمع مياه + +198 +00:17:56,740 --> 00:18:02,820 +الأمطار في برك وآبار اتنين يا أما بنجمع الأمطار في + +199 +00:18:02,820 --> 00:18:06,760 +البرك والآبار مياه الينابيع والعيون القليلة + +200 +00:18:06,760 --> 00:18:16,360 +القريبة منها لاحظوا لأن مدينة القدس مرتفعة مرتفعة + +201 +00:18:16,360 --> 00:18:22,260 +هذا يصعب في عملية الحصول على المياهالمناطق + +202 +00:18:22,260 --> 00:18:29,030 +المنخفضة أنت تستطيع أن تفحر آباروستجد المياه + +203 +00:18:29,030 --> 00:18:33,790 +بسهولة و لكن المناطق المرتفعة الجبلية من أين ستفحر + +204 +00:18:33,790 --> 00:18:42,450 +الأبار لذلك مدينة القدس هناك موردين للمياه المورد + +205 +00:18:42,450 --> 00:18:46,150 +الأول جمع مياه الأمطار من البرك والأبار عشان هيك + +206 +00:18:46,150 --> 00:18:51,790 +ستجد أن هناك كثرة في البرك كلمة بركة ماملة برك + +207 +00:18:51,790 --> 00:18:57,290 +سليمان برك كذاكثير من البراك على مر العصور جميع من + +208 +00:18:57,290 --> 00:19:01,650 +حكموا مدينة القدس كانوا يصنعوا البراك لكي يجمعوا + +209 +00:19:01,650 --> 00:19:06,670 +فيها المياه مياه الينابيع والعيون القليلة القريبة + +210 +00:19:06,670 --> 00:19:10,190 +منها ولكن الزيادة السكانية المتسائدة أوجبت + +211 +00:19:10,190 --> 00:19:13,850 +الاستعانة بموارد إضافية للمياه فجلب الرومان ماء + +212 +00:19:13,850 --> 00:19:17,730 +العيون المجاورة والنائية في قنوات وظلت المدينة + +213 +00:19:17,730 --> 00:19:21,110 +تشرب من العيون لفترة طويلة جدا ومن أهم العيون التي + +214 +00:19:21,110 --> 00:19:27,300 +تشرب منها المدينةإزدياد متساعد في السكان مدينة + +215 +00:19:27,300 --> 00:19:32,520 +القدس مدينة مركزية مدينة في في كل العصور دائما + +216 +00:19:32,520 --> 00:19:38,040 +دائما تتمحور الحياة السياسية والعسكرية والدينية في + +217 +00:19:38,040 --> 00:19:42,640 +هذه المدينة فبالتالي يزداد عدد السكان دائما هذا + +218 +00:19:42,640 --> 00:19:48,960 +يؤدي إلى نقص المياه فلذلك اتجهوا إلى مصادر أخرى + +219 +00:19:48,960 --> 00:19:52,750 +غيرغير المصدرين غير مصدر الينابيع والعيون وغير + +220 +00:19:52,750 --> 00:19:58,870 +مصدر جمع مياه الأمطار بالبرق وغيرها فأهم العيون + +221 +00:19:58,870 --> 00:20:04,050 +التي تشرب منها مدينة القدس مثلا واحد عيون سلوان + +222 +00:20:04,050 --> 00:20:11,200 +عيون مجموعة من العيون تسمى عيون سلوان عيونواحد عين + +223 +00:20:11,200 --> 00:20:14,880 +أم الدرج كانت المصدر الوحيد لمياه القدس منذ القدم + +224 +00:20:14,880 --> 00:20:21,080 +اتنين بركة سليمان تقع جنوب عين أم الدرج تلاتي + +225 +00:20:21,080 --> 00:20:25,080 +البركة التحتانية أو التحتية عرفت باسم البرك + +226 +00:20:25,080 --> 00:20:30,020 +الحمراء واطلق عليها المؤرخ اليهودي يوسفوس اسم + +227 +00:20:30,020 --> 00:20:35,570 +بحيرة سليمان ليثبت حق اليهود فيهابئر أيوب ماءه + +228 +00:20:35,570 --> 00:20:39,750 +أعظم من ماء عين أم الدرج ولا يوجد فيه نبع بل يأتيه + +229 +00:20:39,750 --> 00:20:45,310 +رشح ورشح قليل من الماء من عين أم الدرج عين اللوزة + +230 +00:20:45,310 --> 00:20:50,770 +ماءه عذب وتجري فيها ماء الأمطار إذا في عنا عين أم + +231 +00:20:50,770 --> 00:20:54,590 +الدرج بركة سلوان البركة التحتية ببئر أيوب عين + +232 +00:20:54,590 --> 00:21:02,300 +اللوزةهناك لدينا خمسة عيون كمصادر + +233 +00:21:02,300 --> 00:21:06,420 +للمياه لمدينة القدس عين أم الدرج، عين أم الدرج، + +234 +00:21:06,420 --> 00:21:11,980 +بركة سلوان، البركة التحتانية، بئر أيوب، عين اللوزة + +235 +00:21:11,980 --> 00:21:18,800 +هذه تحتاج إلى حفظ كانت القدس تشرب من مياه الأمطار + +236 +00:21:18,800 --> 00:21:24,180 +التي تتجمع في البركة التي من أهمهاأيضًا البرك نريد + +237 +00:21:24,180 --> 00:21:29,400 +أن نتحدث عن البرك الآن البرك التي يتم تصنع هذه + +238 +00:21:29,400 --> 00:21:34,120 +البرك كبيرة جدًا ضخمة كل أمطار القدس يعني مدينة + +239 +00:21:34,120 --> 00:21:40,280 +القدس مدينة مرتفعة على جبال عندما تسقط الأمطار على + +240 +00:21:40,280 --> 00:21:46,380 +الجبال فبالتالي هذه الأمطار يجب أن تنحدر بقوة + +241 +00:21:46,380 --> 00:21:55,920 +تنحدر بقوة الآن يعني لنقرب الصورةالآن لو رأينا أي + +242 +00:21:55,920 --> 00:22:03,890 +نهر في الدنيامن أين مياه الأنهار؟ مباشرة .. مباشرة + +243 +00:22:03,890 --> 00:22:09,970 +مياه الأمطار .. المياه الأنهار أصلها هي مياه أمطار + +244 +00:22:09,970 --> 00:22:14,250 +نزلت على مجموعة من الجبال تسقط على مجموعة من + +245 +00:22:14,250 --> 00:22:20,110 +الجبال والجبال .. مياه الجبال تجري في قنوات تسمى + +246 +00:22:20,110 --> 00:22:24,310 +واد الوديان .. تسمى الوديان هذه الوديان عندما + +247 +00:22:24,310 --> 00:22:31,330 +تتجمع في واد واحدنطلق عليها اسم النهر وهكذا إذا أي + +248 +00:22:31,330 --> 00:22:37,810 +مكان مرتفع يجب أن يكون هناك وادي حوله لتسير فيه و + +249 +00:22:37,810 --> 00:22:42,310 +تتجمع فيه مياه الأمطار لو سألنا سؤال وادي غزة + +250 +00:22:42,310 --> 00:22:47,070 +المشهور في مدينة غزة والذي يصب والذي يأتي من شرق + +251 +00:22:47,070 --> 00:22:51,650 +مدينة غزة يقطع غزة إلى نصفين من الشرق إلى الغرب + +252 +00:22:51,650 --> 00:22:56,150 +ويصب في البحر المتوسط من أين مياهه؟مياهه من جبال + +253 +00:22:56,150 --> 00:23:00,330 +الخليل أصلاً مياه هذا الوادي من جبال الخليل وهي + +254 +00:23:00,330 --> 00:23:06,230 +مياه عذبة على أي حال وكانت القدس كما أسلفنا تشرب + +255 +00:23:06,230 --> 00:23:09,890 +من مياه الأمطار التي تتجمع في البراك أهم هذه + +256 +00:23:09,890 --> 00:23:14,960 +البراكبركة ماملة هذه البركة مهمة ولها تاريخ كبير + +257 +00:23:14,960 --> 00:23:21,580 +بركة ماملة أكبر البرك حجما وأقدمها لها تاريخ كل + +258 +00:23:21,580 --> 00:23:26,300 +الغزاة لهم تاريخ مع بركة ماملة فيها أسكر الأشوريون + +259 +00:23:26,300 --> 00:23:31,120 +عندما هاجموا مدينة القدس في الـ721 قبل الميلاد + +260 +00:23:31,120 --> 00:23:37,940 +عندما هاجموا القدس وألقوا الفرس جثث جثث النصارى + +261 +00:23:37,940 --> 00:23:44,150 +الذين قتلوهموكذلك عسكر صلاح الدين الأيوبي هنا خطأ + +262 +00:23:44,150 --> 00:23:53,390 +في الطباعة جثث الرومان النصارى وليس جثث المسلمين + +263 +00:23:53,390 --> 00:23:58,970 +وعسكر أيضا صلاح الدين الأيوبي عند هذه البركة عندما + +264 +00:23:58,970 --> 00:24:04,390 +جاء لفتح مدينة القدس في 583 هجر 1187 ميلادي + +265 +00:24:04,390 --> 00:24:12,170 +وبالمناسبة نحن نتحدث اليوم في ذكرى تحريرفي مثل هذه + +266 +00:24:12,170 --> 00:24:16,750 +الأيام بالضبط من شهر أكتوبر 1187 حرر صلاح الدين + +267 +00:24:16,750 --> 00:24:22,350 +مدينة القدس من الاحتلال الصليبي الذي قارب قرابة 90 + +268 +00:24:22,350 --> 00:24:29,510 +عاما على مدينة القدسودفن عدد كبير من الصحابة أثناء + +269 +00:24:29,510 --> 00:24:34,570 +فتح الإسلام الأول كثير من الصحابة دفنوا حول بركة + +270 +00:24:34,570 --> 00:24:38,690 +ماملة الفاتحين الأوائل الذين فتحوا مدينة قدس في + +271 +00:24:38,690 --> 00:24:44,170 +636 ميلادي 15 هجر الذين جاءوا مع أبو عبيد بن + +272 +00:24:44,170 --> 00:24:47,510 +الجراح وعمر بن العاص وخالد بن الوليد وهؤلاء الذين + +273 +00:24:47,510 --> 00:24:52,650 +أرسلهم عمر بن الخطاب في عهد عمر بن الخطاباتنين + +274 +00:24:52,650 --> 00:24:57,170 +بركة حُزقيا تُعرف باسم بركة حارة النصارىتلات بركة + +275 +00:24:57,170 --> 00:25:02,590 +السلطان تقع غرب سور المدينة طيب الينابيع الواقعة + +276 +00:25:02,590 --> 00:25:07,770 +على طريق القدس الخليل هناك ينابيع أخرى تقع على + +277 +00:25:07,770 --> 00:25:14,910 +طريق القدس الخليل يعني تقع في المنطقة الجنوبية من + +278 +00:25:14,910 --> 00:25:20,790 +مدينة القدس وادي العروب فيه عيون تصب في بركة الشط + +279 +00:25:20,790 --> 00:25:23,850 +ثلاث عيون هي في فريدس + +280 +00:25:25,780 --> 00:25:30,180 +المزرعة والفوار عيول لا تصب في بركة الشط أربع عيون + +281 +00:25:30,180 --> 00:25:36,540 +وهي عين البص وعين البرابرة عين قوزيبة وعين الدلبة + +282 +00:25:36,540 --> 00:25:41,680 +واد البياروهناك خمس ينابيع غزيرة ينبع منها الماء + +283 +00:25:41,680 --> 00:25:47,220 +صيف و شتاء تلاتة البلوع يسمى عين الخضر وهذه + +284 +00:25:47,220 --> 00:25:52,860 +الينابيع الثلاثة صب ماءها في برك سليمان عيون أرتاص + +285 +00:25:52,860 --> 00:25:59,990 +وهي أربع عيون عطّاف والفروج وصالح وعين البركبرك + +286 +00:25:59,990 --> 00:26:06,750 +سليمان تسمى برك المرجيع وهي الثلاث برك وهي البركة + +287 +00:26:06,750 --> 00:26:10,030 +الفوجة والوسطى والتحتى والقناة التي يسيل فيها + +288 +00:26:10,030 --> 00:26:14,150 +الماء قبل وصوله للقدس هي قناة رومانية كانت تسمى + +289 +00:26:14,150 --> 00:26:23,350 +قناة السبيل نعم الأوضية أوضية مدينة القدس منها ما + +290 +00:26:23,350 --> 00:26:26,590 +يتجه ناحية الشرق باتجاه البحر الميت ومنها ما يتجه + +291 +00:26:26,590 --> 00:26:34,210 +ناحية الغرب باتجاه البحر المتوسطهناك أودية هذه + +292 +00:26:34,210 --> 00:26:39,400 +الأمطار التي تنزل على جبال مدينة القدستنحدر في + +293 +00:26:39,400 --> 00:26:44,000 +أوديا بعض الأوديا تتجه إلى الشرق بعض الأوديا تتجه + +294 +00:26:44,000 --> 00:26:49,680 +إلى الغرب وبعضها جافة لا تجري فيها المياه إلا قليل + +295 +00:26:49,680 --> 00:26:55,520 +والأوديا هي ودي جهنم هذه تحتاج إلى حفظ ودي جهنم + +296 +00:26:55,520 --> 00:27:02,120 +ودي الجوز القلط النار المكللة المكوك مقطعة جس ودي + +297 +00:27:02,120 --> 00:27:08,750 +زيتا ودي عين كارم ودي التعامر الودي الكبيرويُعرف + +298 +00:27:08,750 --> 00:27:17,730 +بوادي أيلول أيضًا إذا الأودية التي تحيط بمدينة + +299 +00:27:17,730 --> 00:27:21,870 +القدس أو التي تنحدر من مدينة القدس وادي جهنم هي + +300 +00:27:21,870 --> 00:27:26,650 +وادي جهنم، وادي الجوز، وادي القلق، وادي النار، + +301 +00:27:26,650 --> 00:27:30,790 +وادي المكللة، وادي المكوك، وادي مقطع الجاس، وادي + +302 +00:27:30,790 --> 00:27:38,060 +زيتا، عين كارم، التعامل الكبير، نعممناخ مدينة + +303 +00:27:38,060 --> 00:27:42,380 +القدس هو + +304 +00:27:42,380 --> 00:27:47,020 +مناخ معتدل بالمناسبة هو مناخ البحر المتوسطمناخ + +305 +00:27:47,020 --> 00:27:53,220 +معتدل، مناخ البحر المتوسط، مناخ تسقط عليه الأمطار + +306 +00:27:53,220 --> 00:27:57,800 +بغزارة طيب لن أرى ينتمي مناخ مدينة القدس لمناخ + +307 +00:27:57,800 --> 00:28:03,620 +البحر المتوسط المعتدل الجبلي المعتدل الجبلي وهو + +308 +00:28:03,620 --> 00:28:10,390 +أجمل المناخات في العالم بكل مميزاته وصفاتهتنين، + +309 +00:28:10,390 --> 00:28:15,150 +معدلات الأمطار في مدينة القدس مرتفعة نسبيا من أكثر + +310 +00:28:15,150 --> 00:28:18,310 +المناطق في فنستين تسقط عليها الأمطار مدينة القدس + +311 +00:28:18,310 --> 00:28:22,290 +كمية الأمطار بين الصفوح الشرقية والغربية لمدينة + +312 +00:28:22,290 --> 00:28:26,230 +القدس تتغير فمعدل الأمطار في الصفوح الشرقية أقل من + +313 +00:28:26,230 --> 00:28:29,590 +الصفوح الغربية وقولنا لماذا؟ لأنها تقع في ذل + +314 +00:28:29,590 --> 00:28:34,730 +المطاروالسبب أن السفوح الشرقية تقع في الذل والرياح + +315 +00:28:34,730 --> 00:28:39,250 +فتصلها الرياح شبه جافة لأنها أسقطت حمولتها من + +316 +00:28:39,250 --> 00:28:42,450 +الأمطار على السفوح الغربية وقمم الجبال بينما + +317 +00:28:42,450 --> 00:28:45,130 +السفوح الغربية تقع في مواجهة الرياح الجنوبية + +318 +00:28:45,130 --> 00:28:47,750 +الغربية القادمة من البحر المتوسط محملة بالأمطار + +319 +00:28:47,750 --> 00:28:54,450 +وبخار الماءشيء لا يحتاج إلى تحليل كثير السفوح + +320 +00:28:54,450 --> 00:28:59,470 +الغربية التي تقع في مواجهة الرياح الغربية الممطرة + +321 +00:28:59,470 --> 00:29:03,630 +القادمة من البحر المتوسط المحملة بنخار الماء والتي + +322 +00:29:03,630 --> 00:29:08,350 +تحتاج لأي شيء لأي حاجز تصطدم فيه تصطدم به عندما + +323 +00:29:08,350 --> 00:29:13,590 +تصطدم بسفوح القدس الغربية تسقط حمولتها من الأمطار + +324 +00:29:13,590 --> 00:29:20,300 +ولكنها تستمر تستمرفعندما تصل إلى السفوح الشرقية من + +325 +00:29:20,300 --> 00:29:26,040 +مدينة القدس تكون قد جفت وبقايا الأمطار تسقط على + +326 +00:29:26,040 --> 00:29:32,680 +السفوح الشرقية لذلك المطر أقل بكثير في الشرق عنه + +327 +00:29:32,680 --> 00:29:38,820 +في الغرب في جبال مدينة القدس تسقط أعلى معدلات + +328 +00:29:38,820 --> 00:29:43,940 +مدينة القدس الشهرية للمطر في القدس في شهر ديسمبر + +329 +00:29:45,240 --> 00:29:49,120 +الأشهر التي فيها غزارة في الأمطار ديسمبر ويناير + +330 +00:29:49,120 --> 00:29:54,060 +وفبراير اتناشر واحد اتنين فيسقط في هذه الشهور + +331 +00:29:54,060 --> 00:30:01,140 +ثلاثة مايو عادل 63% من مجمل الأمطار السنوية اتناشر + +332 +00:30:01,140 --> 00:30:05,560 +واحد اتنين ثلثية الأمطار تسقط على مدينة القدس في + +333 +00:30:05,560 --> 00:30:09,680 +هذه الأشهرثم تبدأ الأمطار السنوية بالتناقص تدرجين + +334 +00:30:09,680 --> 00:30:14,540 +ابتداء من شهر مارس إلى أبريل وتتوقف كليا في شهر + +335 +00:30:14,540 --> 00:30:19,730 +يونيو لتعاود الهطول في شهر أكتوبرفي شهر أكتوبر شهر + +336 +00:30:19,730 --> 00:30:23,670 +عشرة تهطل بعض الأمطار يعني لكنها ليست .. يبلغ + +337 +00:30:23,670 --> 00:30:27,910 +متوسط مدة الإشعاء الشمسي في مدينة القدس معدلات + +338 +00:30:27,910 --> 00:30:34,150 +مثالية جدا فسماء المدينة مشمس على مدار العام إلا + +339 +00:30:34,150 --> 00:30:38,070 +في أيام قليلة من فصل الشتاء شيء غاية في الروعة + +340 +00:30:38,070 --> 00:30:46,450 +مناخ معتدل غزير الأمطار مشمس شمس صحية ليس بقاسية + +341 +00:30:46,450 --> 00:30:54,540 +جدا ولا حارقةفهو المناخ المثالي إنجاز التعبير + +342 +00:30:54,540 --> 00:30:58,060 +درجات الحرارة يصل متوسطها في مدينة القصر لأدنى + +343 +00:30:58,060 --> 00:31:03,060 +مستوى خلال العام خلال شهر يناير واحد من سبعة إلى + +344 +00:31:03,060 --> 00:31:08,450 +تمان درجات priorمن تلاتة إلى أربعة ثم ديسمبر تصل + +345 +00:31:08,450 --> 00:31:15,350 +إلى درجة واحدة هو أعليها في شهر أغسطس شهر أغسطس + +346 +00:31:15,350 --> 00:31:20,650 +قاب تمانية من سبعة و تلاتين و نص تقريبا ثم يليه + +347 +00:31:20,650 --> 00:31:26,270 +شهر يوليو37 درجة و شرطين لذلك تتصف مدينة القدس + +348 +00:31:26,270 --> 00:31:31,650 +بفصل الشتاء بارد رطب تنخفض فيه درجات الحرارة لما + +349 +00:31:31,650 --> 00:31:35,810 +دون الصفر وتتساقط الثلوج على رؤوس الجبال في معظم + +350 +00:31:35,810 --> 00:31:43,210 +السنوات وتتميز بفصل صيف معتدل جاف أي لا يوجد فيه + +351 +00:31:43,210 --> 00:31:44,470 +أمطار جاف + +352 +00:31:47,380 --> 00:31:52,620 +مدينة القدس مناخها مناخ البحر المتوسط المعتدل + +353 +00:31:52,620 --> 00:31:59,580 +الجبلي مدينة القدس شتاءها شتاءها ممطر بارد شتاء + +354 +00:31:59,580 --> 00:32:03,380 +جاف معتدل صيفا + +355 +00:32:05,870 --> 00:32:09,690 +تبلغ الرطوبة النسبية في المدينة معدلات متوسطة غير + +356 +00:32:09,690 --> 00:32:15,030 +متطرفة أعلى هذه المعدلات في الشهر يناير، واحد، ثم + +357 +00:32:15,030 --> 00:32:19,010 +ديسمبر، ثم فبراير، أدنها شهر مايو، ثم يونيو، ثم + +358 +00:32:19,010 --> 00:32:23,250 +بريل ترتفع معدلات التبخر الكلي في المدينة لتصل إلى + +359 +00:32:23,250 --> 00:32:27,830 +أعلى مستوى خلال شهر يوليو، ثم أغسطس، ثم يونيو، + +360 +00:32:27,830 --> 00:32:32,210 +تنخفض لأدنى مستوى خلال أشهر الشتاءمتوسط سرعة + +361 +00:32:32,210 --> 00:32:35,690 +الرياح مؤتدلة جدا فنادرا ما تهب على المدينة رياح + +362 +00:32:35,690 --> 00:32:39,990 +حوجا أو عاصفة فعلى سرعة الرياح خلال أشهر الصيف + +363 +00:32:39,990 --> 00:32:47,590 +وأدنى سرعة خلال أشهر الشتاء أحياء مدينة القدس + +364 +00:32:50,560 --> 00:32:56,840 +نقول أن مدينة القدس ظلت النواة الأولى لمدينة القدس + +365 +00:32:56,840 --> 00:33:05,680 +التي كانت على التل أوفل إلى أن الهجرة وانتقال + +366 +00:33:05,680 --> 00:33:16,390 +السكان من مكان إلى مكان آخر مثل جبل بزتةومرتفع بعض + +367 +00:33:16,390 --> 00:33:22,590 +المرتفعات الأخرى أثر هذا على أحياء مدينة القدس + +368 +00:33:22,590 --> 00:33:29,310 +نقول أن مدينة القدس أحيطت بالأسوار حتى أنه بنى + +369 +00:33:29,310 --> 00:33:32,850 +السلطان الأثماني سليمان القانون السور المشهور + +370 +00:33:32,850 --> 00:33:39,440 +لليوم السور سليمان وكانوكان الصور بمثابة الحدود + +371 +00:33:39,440 --> 00:33:45,660 +الجغرافية للقدس القديمة نعم الصور سليمان ليس سيدنا + +372 +00:33:45,660 --> 00:33:48,700 +سليمان عليه السلام ولكن المقصود هو سليمان القانوني + +373 +00:33:48,700 --> 00:33:53,820 +السلطان العثماني المشهوربإحاطة السور للبلدة + +374 +00:33:53,820 --> 00:33:57,340 +القديمة للقدس تم تحديد الخط التركيبي والوظيفي + +375 +00:33:57,340 --> 00:34:01,560 +للمدينة بمحورين رئيسيين متعمدين حيث يبدأ المحور من + +376 +00:34:01,560 --> 00:34:04,260 +باب الخليل حتى باب السلسلة المفتوعة على الحرم + +377 +00:34:04,260 --> 00:34:08,020 +الثاني من باب العمود لينتهي قرب باب النبي داود + +378 +00:34:08,020 --> 00:34:14,520 +وهذان المحوران يقسمان المدينة البلدة القديمة إلى + +379 +00:34:14,520 --> 00:34:19,870 +أربع أحياء غير متهساوية وهذا المهم نريدأن نذكر + +380 +00:34:19,870 --> 00:34:25,410 +أحياء مدينة القدس واحد حي نصارى حول كنيسة القيامة + +381 +00:34:26,090 --> 00:34:31,630 +حي الأرمن، 2 حي الأرمن، 3 حي المغاربة وأطلق + +382 +00:34:31,630 --> 00:34:36,950 +القيادة الصهيونية عليها الحي الصهيوني 4 والجزء + +383 +00:34:36,950 --> 00:34:41,710 +الأكبر من المدينة هو الحي المسلمين أو الحي + +384 +00:34:41,710 --> 00:34:46,750 +الإسلامي نتيجة للزيادة السكانية في أحياء مدينة + +385 +00:34:46,750 --> 00:34:52,970 +القدس نتيجة لأسوار + +386 +00:34:52,970 --> 00:34:58,370 +مدينة القدسوجغرافة مدينة القدس تم تقسيم المدينة + +387 +00:34:58,370 --> 00:35:02,850 +قسمت المدينة إلى أربع أحياء رئيسة الحي الأول حي + +388 +00:35:02,850 --> 00:35:07,450 +النصارى بعدين حي الأرمن بعدين حي المغاربة اللي + +389 +00:35:07,450 --> 00:35:13,030 +أطلق عليه الكيان الصهيوني بعد عام 1967 بعد + +390 +00:35:13,030 --> 00:35:18,250 +الاحتلال الحي الصهيوني وباقي مدينة القدس هي + +391 +00:35:18,250 --> 00:35:23,150 +للمسلمين الحي الإسلامينتيجة للزيارة السكانية في + +392 +00:35:23,150 --> 00:35:25,990 +أوار القرن التاسع عشر والعشرين بدأت توسع العمران + +393 +00:35:25,990 --> 00:35:29,570 +خارج الحدود الجغرافية للصور وظهرت أحياء جديدة التي + +394 +00:35:29,570 --> 00:35:32,230 +تُعرف باسم القدس الجديدة والضواحي المرتبطة + +395 +00:35:32,230 --> 00:35:35,770 +بالمدينة التي كانت وما زالت تابعة لها اتخذ + +396 +00:35:35,770 --> 00:35:40,190 +الامتداد العمراني اتجاهين إحداهما شمالي غربي + +397 +00:35:40,190 --> 00:35:45,290 +والآخر جنوبيأما العمران من الناحية الغربية امتدت + +398 +00:35:45,290 --> 00:35:48,830 +عدة كيلوات بينما من الجهة الجنوبية والشرقية بضأ + +399 +00:35:48,830 --> 00:35:54,750 +مئات من الأمطار وأحيانا توقف عند خط الحدود والتوسط + +400 +00:35:54,750 --> 00:35:58,510 +العمران للمدينة داخل القورة العربية للقدس ذلك من + +401 +00:35:58,510 --> 00:36:01,650 +أجل الإعداد لإنشاء الضواحي نعم + +402 +00:36:05,670 --> 00:36:12,290 +نريد أن نقول إمتداد مدينة القدس العمراني كان بسبب + +403 +00:36:12,290 --> 00:36:16,750 +الاحتلال الاحتلال يريد أن يضم إذا لاحظنا جيدا + +404 +00:36:16,750 --> 00:36:22,530 +الاحتلال يحاول أن يضم المستوطنات الصهيونية دائما + +405 +00:36:22,530 --> 00:36:27,510 +إلى مدينة القدس لماذا؟ هو يزحف بمدينة القدس ويوسع + +406 +00:36:27,510 --> 00:36:30,270 +مدينة القدس باتجاه المستعمرات الصهيونية + +407 +00:36:30,270 --> 00:36:35,430 +والمستوطنات لماذا؟ لأنه يسعى إلى هدف كبيرهو توسعة + +408 +00:36:35,430 --> 00:36:41,890 +مدينة القدس لتصبح القدس الكبرى كما يدعون وهذه + +409 +00:36:41,890 --> 00:36:48,550 +القدس الكبرى مزيدا من الأرض قليل من العرب + +410 +00:36:48,550 --> 00:36:54,680 +والفلسطينيينكثير من اليهود والصهاينة قليل من العرب + +411 +00:36:54,680 --> 00:36:58,660 +لذلك ستجد أن حدود القدس غريبة جدا هي حدود متعرجة + +412 +00:36:58,660 --> 00:37:02,980 +أين ما توجد مستوطنة أو حي صهيوني هم يذهبوا اليه + +413 +00:37:02,980 --> 00:37:06,760 +بحدود القدس ويقوموا بضمه والسبب هم يريدوا أن + +414 +00:37:06,760 --> 00:37:10,720 +يكثروا ويضاعفوا عدد الصهاينة على حساب عدد + +415 +00:37:10,720 --> 00:37:15,630 +الفلسطينيينضمت سلطة فنجد مثلًا ضمت سلطات الاحتلال + +416 +00:37:15,630 --> 00:37:20,330 +أحياء وظلت هذه الأحياء داخل الحدود الجغرافية + +417 +00:37:20,330 --> 00:37:25,610 +للمدينة وهذه الأحياء مثل بيت حنينة مخيم شعفات، + +418 +00:37:25,610 --> 00:37:28,830 +شعفات، العيساوية، الشيخ جراح، واد الجوز، باب + +419 +00:37:28,830 --> 00:37:33,010 +الساهرة، الطور، القدس، الشياع، رأس العمود، الثوري، + +420 +00:37:33,010 --> 00:37:42,420 +جبل المكبر كل هذهوهي ما تُعرف بمنطقة G1 أو ذلك + +421 +00:37:42,420 --> 00:37:46,080 +الجزء من محافظة القدس الذي ضمته إسرائيل عنوان بعد + +422 +00:37:46,080 --> 00:37:50,540 +احتلالها لما تبقى من القدس عام 67 أما التجمعات + +423 +00:37:50,540 --> 00:37:53,680 +السكانية والمناطق التي أخرجتها سلطات الاحتلال خارج + +424 +00:37:53,680 --> 00:37:58,480 +حدود الجغرافي لمدينة القدس فتتشمل مناطق يُطلَق + +425 +00:37:58,480 --> 00:38:03,720 +عليها اسم G2 وتشمل باقي المنطقة والمحافظة تضم + +426 +00:38:03,720 --> 00:38:09,950 +التجمعاتمخماس، قلنديا، التجمع البدوي، النبي + +427 +00:38:09,950 --> 00:38:15,950 +صومييل، خربة أم اللحم، أبو ديس، السواحر الشرقية، + +428 +00:38:15,950 --> 00:38:19,730 +الشيخ السعد، إلى آخره هم يحاولوا أن يطردوا + +429 +00:38:19,730 --> 00:38:24,310 +الفلسطيني من حدود مدينة القدس ويدموا الأحياء + +430 +00:38:24,310 --> 00:38:28,090 +والمستوطنات والمستعمرات الصهيونية لكي يضاعفوا عدد + +431 +00:38:28,090 --> 00:38:34,140 +الصهينةنريد في عجالة أن نتحدث عن أبواب مدينة القدس + +432 +00:38:34,140 --> 00:38:39,640 +يحيط بمدينة القدس سور أثر قديم فيه أبواب وللمدينة + +433 +00:38:39,640 --> 00:38:44,580 +سبعة أبواب مستعملة وأربعة مغلقة والأبواب السابعة + +434 +00:38:44,580 --> 00:38:48,520 +المستعملة على عجالة باب العمود، باب الساهرة، باب + +435 +00:38:48,520 --> 00:38:51,580 +الأصباط، باب النبي داود، باب الخليل، باب المغاربة، + +436 +00:38:51,580 --> 00:38:57,320 +باب الحديد هذه الأبواب المفتوحةأبواب المسجد الأقصى + +437 +00:38:57,320 --> 00:39:03,140 +نكتفي بهذا القدر في هذا اللقاء نواصل ان شاء الله + +438 +00:39:03,140 --> 00:39:05,540 +في اللقاء القادم إلى اللقاء + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/olqVpD-ql4Q.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/olqVpD-ql4Q.srt new file mode 100644 index 0000000000000000000000000000000000000000..3e9ec6732cd11490ae9b24d0e3cef1d6b855ec49 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/olqVpD-ql4Q.srt @@ -0,0 +1,1103 @@ +1 +00:00:05,670 --> 00:00:11,450 +بسم الله الرحمن الرحيم أهلا وسهلا بكم في لقاء جديد + +2 +00:00:11,450 --> 00:00:18,390 +من سلسلة لقاءات تاريخ مدينة القدس في اللقاء الماضي + +3 +00:00:18,390 --> 00:00:24,210 +تحدثنا عن موقف الولايات المتحدة الأمريكية من + +4 +00:00:24,210 --> 00:00:29,750 +القدس ثم تحدثنا عن موقف الاتحاد الأوروبي من مدينة + +5 +00:00:29,750 --> 00:00:37,670 +القدس اليوم سنتحدث إن شاء الله عن موقف روسيا أي + +6 +00:00:37,670 --> 00:00:43,130 +الاتحاد السوفيتي سابقا وروسيا حاليا من مدينة + +7 +00:00:43,130 --> 00:00:48,890 +القدس طبعا هذه الأطراف الثلاثة هي الأطراف الأكثر + +8 +00:00:48,890 --> 00:00:53,970 +تأثيرا في السياسة الدولية والعالمية وفي مجلس + +9 +00:00:53,970 --> 00:00:57,650 +الأمن وفي المحافل الدولية الولايات المتحدة + +10 +00:00:57,650 --> 00:01:04,120 +الأمريكية الاتحاد السوفيتي روسيا الاتحاد الأوروبي + +11 +00:01:04,120 --> 00:01:09,780 +ومعظم هذه الأطراف تتمتع بحق الفيتو في مجلس الأمن + +12 +00:01:09,780 --> 00:01:16,080 +الأهم اللي نرى موقف الاتحاد السوفيتي سابقا وروسيا + +13 +00:01:16,080 --> 00:01:21,240 +الحالي فيما بعد نعتبر + +14 +00:01:21,240 --> 00:01:26,880 +روسيا أو الاتحاد السوفيتي سابقا عنصرا مهما من عناصر + +15 +00:01:26,880 --> 00:01:33,960 +المعادلة السياسية في فلسطين بسبب موقعه القانوني في + +16 +00:01:33,960 --> 00:01:40,060 +مجلس الأمن الدولي ومشاركة + +17 +00:01:40,060 --> 00:01:45,740 +الاتحاد السوفيتي في صياغة القرارات الدولية المهمة + +18 +00:01:46,340 --> 00:01:51,600 +مثل قرار مجلس الأمن 242 اللي صدر في الـ 67 واللي + +19 +00:01:51,600 --> 00:01:59,220 +يلخص بدرورة خروج الصهاينة من الأراضي التي احتلوها + +20 +00:01:59,220 --> 00:02:06,780 +في عام 1967 وقرار 338 وبسبب قرب الاتحاد السوفيتي + +21 +00:02:06,780 --> 00:02:12,740 +الجغرافي من المنطقة من الوطن العربي وبسبب علاقاته + +22 +00:02:12,740 --> 00:02:17,510 +الدولية مع الولايات المتحدة الأمريكية وأيضا بسبب + +23 +00:02:17,510 --> 00:02:21,970 +قدرته على تمهيد الطريق للإسراع بعملية التسوية + +24 +00:02:21,970 --> 00:02:27,390 +السياسية الشاملة في المنطقة وحل الصراع العربي + +25 +00:02:27,390 --> 00:02:33,590 +الصهيوني كما كان للاتحاد السوفيتي موقفا مميزا تجاه + +26 +00:02:33,590 --> 00:02:38,830 +العالم العربي وإن كان بسبب ربما كان هذا الموقف + +27 +00:02:38,830 --> 00:02:42,110 +دائما يعني كثيرا ما سند العرب في المحافل + +28 +00:02:42,110 --> 00:02:48,340 +الدولية ربما يكون ذلك بسبب حماية مصالح الاتحاد + +29 +00:02:48,340 --> 00:02:54,180 +السوفيتي في المنطقة أو ربما بسبب أن عددا من الأنظمة + +30 +00:02:54,180 --> 00:02:59,780 +العربية رفعت شعار الاشتراكية وفكر والفكر الاشتراك + +31 +00:02:59,780 --> 00:03:06,540 +ي اليساري وحاولت تطبيقه في بلدانها بسبب + +32 +00:03:06,540 --> 00:03:10,020 +مصالحه في الشرق الأوسط أو التوافق الأيدلوجي مع بعض + +33 +00:03:10,020 --> 00:03:12,800 +الأنظمة العربية التي تبنت الفكر الشيوعي ونادت + +34 +00:03:12,800 --> 00:03:16,970 +بالاشتراكية في بلادها مع ذلك فإن الاتحاد السوفيتي + +35 +00:03:16,970 --> 00:03:21,670 +كان من السباقين للاعتراف بدولة الكيان الصهيوني هو + +36 +00:03:21,670 --> 00:03:26,930 +ثاني دولة اعترفت بإسرائيل في عام 1948 وأيد وجود + +37 +00:03:26,930 --> 00:03:32,550 +وطن قومي لليهود على أرض فلسطين ولكن الجدير بالذكر أن + +38 +00:03:32,550 --> 00:03:36,990 +طرأت تغيرات كبيرة على موقف الاتحاد السوفيتي ربما + +39 +00:03:36,990 --> 00:03:44,340 +لعدم التقاء المصالح مع الكيان الصهيوني وكان أبرز + +40 +00:03:44,340 --> 00:03:49,560 +مواقف الاتحاد السوفيتي إعلانه أن للفلسطينيين الحق + +41 +00:03:49,560 --> 00:03:56,300 +الكامل في الأرض الفلسطينية المحتلة وإقامة دولة + +42 +00:03:56,300 --> 00:04:02,720 +فلسطينية مستقلة عاصمتها القدس وقد جاء ذلك في بيان + +43 +00:04:02,720 --> 00:04:10,260 +صادر على لسان الزعيم السوفيتي الشهير بريجنيف عام + +44 +00:04:10,260 --> 00:04:16,020 +1982 وظل هذا الموقف ثابتا دون تغيير أو تبديل حتى + +45 +00:04:16,020 --> 00:04:22,920 +انهيار الاتحاد السوفيتي في 1990 إذا نستطيع أن نلخص + +46 +00:04:22,920 --> 00:04:28,620 +ونقول الاتحاد السوفيتي دولة مهمة في السياسة + +47 +00:04:28,620 --> 00:04:33,760 +الدولية بسبب موقعها الجغرافي القريب من العرب من + +48 +00:04:33,760 --> 00:04:38,460 +الوطن العربي موقعها القانوني في مجلس الأمن فلها حق + +49 +00:04:38,460 --> 00:04:44,600 +الفيتو دولة قوية كانت دولة شاركت في صياغة أهم + +50 +00:04:44,600 --> 00:04:48,960 +القرارات الدولية التي لها علاقة بفلسطين وبالقدس + +51 +00:04:48,960 --> 00:04:57,280 +242 338 فكل هذه الأمور الاتحاد السوفيتي كان ثاني + +52 +00:04:57,280 --> 00:05:02,500 +دولة تعترف بالكيان الصهيوني في عام 1948 وكان يؤيد + +53 +00:05:02,500 --> 00:05:05,220 +إقامة وطن قومي لليهود على أرض فلسطين + +54 +00:05:07,940 --> 00:05:14,150 +ولكن تغير موقف الاتحاد السوفيتي كثيرا ربما بعد قيام + +55 +00:05:14,150 --> 00:05:18,510 +دولة إسرائيل ربما أنه وجد أن إسرائيل لا تخدم مصالح + +56 +00:05:18,510 --> 00:05:21,690 +الاتحاد السوفيتي إسرائيل انحازت بالكامل إلى + +57 +00:05:21,690 --> 00:05:24,810 +الولايات المتحدة الأمريكية تعرضت مصالح الاتحاد + +58 +00:05:24,810 --> 00:05:28,610 +السوفيتي مع إسرائيل فلذلك بدأ يدعم العرب بدأ يدعم + +59 +00:05:28,610 --> 00:05:33,030 +العرب بدأ يدعم العرب سياسيا في المحافل الدولية + +60 +00:05:33,030 --> 00:05:39,850 +وأحيانا يدعمهم بالسلاح طبعا يبيعهم السلاح السبب أن + +61 +00:05:39,850 --> 00:05:43,620 +الاتحاد السوفيتي يحافظ على مصالحه الاتحاد السوفيتي + +62 +00:05:43,620 --> 00:05:47,640 +يحافظ على مصالحه بعض الدول العربية رفعت شعار + +63 +00:05:47,640 --> 00:05:54,320 +الشيوعية وحاولت تطبيق الفكر الشيوعي في أراضيها على + +64 +00:05:54,320 --> 00:05:58,440 +أي حال موقف الاتحاد السوفيتي نستطيع أن نلخصه + +65 +00:05:58,440 --> 00:06:05,760 +بالبيان الذي أصدره بريجنيف في عام 1982 وهو يقول + +66 +00:06:05,760 --> 00:06:15,240 +أن من حق الفلسطينيين ودعونا نقرأ حرفيا إن + +67 +00:06:15,240 --> 00:06:18,500 +للفلسطينيين الحق الكامل في الأرض الفلسطينية + +68 +00:06:18,500 --> 00:06:23,500 +المحتلة ومن حقهم إقامة الدولة الفلسطينية مستقلة + +69 +00:06:23,500 --> 00:06:32,300 +وعاصمتها القدس هذا ورد في بيان الزعيم السوفيتي + +70 +00:06:32,300 --> 00:06:39,160 +الشهير بريجنيف في عام 1982 وبقي الاتحاد السوفيتي + +71 +00:06:39,160 --> 00:06:44,320 +على ذلك حتى انهيار الاتحاد السوفيتي في عام 1990 + +72 +00:06:44,320 --> 00:06:47,780 +الاتحاد + +73 +00:06:47,780 --> 00:06:51,000 +السوفيتي نادى دائما بضرورة انسحاب صهيوني كامل من + +74 +00:06:51,000 --> 00:06:55,980 +الأراضي العربية المحتلة وفق قرار 242 الذي صدر في + +75 +00:06:55,980 --> 00:07:03,040 +1967 موقف الاتحاد السوفيتي كان دائما قاطعا وليس فيه + +76 +00:07:03,040 --> 00:07:07,480 +إشارة لانسحاب صهيوني جزئي أو لتعديلات الحدود كما + +77 +00:07:07,480 --> 00:07:11,420 +هو مطروح في التصور الصهيوني والأمريكي وقد تمثل + +78 +00:07:11,420 --> 00:07:15,840 +الموقف السوفيتي في مشروع بريجنيف الذي أشرنا + +79 +00:07:15,840 --> 00:07:20,780 +له قبل قليل في عام 1982 والذي نص على أن كل الأراضي + +80 +00:07:20,780 --> 00:07:25,400 +التي احتلتها دولة إسرائيل منذ عام 67 بما فيها + +81 +00:07:25,400 --> 00:07:29,750 +القدس يجب أن تعود للعرب بشكل واضح لا تبديل، لا + +82 +00:07:29,750 --> 00:07:33,610 +تغيير، كان الاتحاد السوفيتي موقفه أقوى بكثير من + +83 +00:07:33,610 --> 00:07:40,730 +موقف روسيا اليوم، لا مقارنة، لا نستطيع أن نقارن، + +84 +00:07:40,730 --> 00:07:47,850 +غير أن الانسحاب الفوري بل يمكن أن يكون على مراحل + +85 +00:07:47,850 --> 00:07:53,520 +حيث أن النتيجة النهائية تكون الانسحاب الكامل وهكذا + +86 +00:07:53,520 --> 00:07:56,340 +فإن رأي الاتحاد السوفيتي أن القدس المحتلة يجب أن + +87 +00:07:56,340 --> 00:07:59,940 +تعود للعرب وأن تصبح جزءا من الدولة الفلسطينية على + +88 +00:07:59,940 --> 00:08:05,700 +أن تكفل لأتباع كل الديانات الزيارة، يعني زيارات + +89 +00:08:05,700 --> 00:08:10,180 +الدينية مكفولة، وهذا جزء من ديننا أنه ما نمنع أحدا + +90 +00:08:10,180 --> 00:08:15,930 +يزور القدس ويصلي في كنيسة القيامة مدينة دينية هكذا + +91 +00:08:15,930 --> 00:08:20,330 +ديننا أيام الصحابة أو أيام العهد الراشدي والأموي + +92 +00:08:20,330 --> 00:08:24,650 +والعباسي كان كل الأمم تزور مدينة القدس بل كان + +93 +00:08:24,650 --> 00:08:29,810 +الخليفة هارون الرشيد هو يرسل للإمبراطور البيزنطي + +94 +00:08:29,810 --> 00:08:34,950 +أنه في مشكلة في كنيسة القيامة أبعث لنا المهندسين + +95 +00:08:34,950 --> 00:08:39,790 +والبنائين والحرفيين يقوموا بإصلاحها واحنا نوفر لهم + +96 +00:08:39,790 --> 00:08:40,650 +الأمن والحماية + +97 +00:08:43,240 --> 00:08:47,960 +أن تكفل لأتباع الديانات الثلاث حرية زيارة الأماكن + +98 +00:08:47,960 --> 00:08:51,480 +المقدسة في جميع أنحاء مدينة القدس مع وجود ضمانات + +99 +00:08:51,480 --> 00:08:55,120 +للأمن ولتطوير الدولة الفلسطينية بدأ الاتحاد + +100 +00:08:55,120 --> 00:08:58,640 +السوفيتي يؤيد فكرة إقامة دولة فلسطينية مستقلة بعد + +101 +00:08:58,640 --> 00:09:05,120 +حرب 73 أكتوبر فقد أرسل الاتحاد السوفيتي رسالة إلى + +102 +00:09:05,120 --> 00:09:11,930 +منظمة التحرير الفلسطينية يبلور فيها أو يؤكد فيها + +103 +00:09:11,930 --> 00:09:15,810 +على فكرة إقامة دولة فلسطينية في الضفة وغزة في + +104 +00:09:15,810 --> 00:09:23,190 +الضفة وغزة غير أن المنظمة لم ترد أهملت هذه الرسالة + +105 +00:09:23,190 --> 00:09:28,730 +لأنها لا تريد الالتزام نفسها بهذه الاقتراحات + +106 +00:09:28,730 --> 00:09:32,710 +وبالتالي تجاهلت هذه الرسالة الحقيقة أن الموقف + +107 +00:09:32,710 --> 00:09:38,590 +السوفيتي طرأ عليه تحول كبير في مطلع السبعينات فقد + +108 +00:09:38,590 --> 00:09:46,150 +تحول من تأييد قرار التقسيم 181 في عام 1947 كأساس + +109 +00:09:46,150 --> 00:09:50,870 +لإقامة دولة فلسطينية كأساس لإقامة الدولة الفلسطينية + +110 +00:09:50,870 --> 00:09:55,630 +إلى التأكيد على حدود عام 1967 كأساس لإقامة الدولة + +111 +00:09:55,630 --> 00:10:00,310 +الفلسطينية مستقلة وكان نادرا ما يشار إلى مدينة + +112 +00:10:00,310 --> 00:10:05,530 +القدس عند الحديث عن أراضي الدولة الفلسطينية لأن + +113 +00:10:05,530 --> 00:10:08,910 +الاتحاد السوفيتي وجه العديد من الانتقادات للكيان + +114 +00:10:08,910 --> 00:10:13,610 +الصهيوني فيما يتعلق بوضع القدس لعدم التزام الكيان + +115 +00:10:13,610 --> 00:10:20,950 +بقرار الأمم المتحدة رقم 181 الذي يقضي بتدويل القدس + +116 +00:10:20,950 --> 00:10:26,430 +غير أنه بعد توقيع اتفاق كامب ديفيد بين مصر + +117 +00:10:26,430 --> 00:10:34,730 +وإسرائيل عام 1978 بدأ الاتحاد السوفيتي يتعرض لوضع + +118 +00:10:34,730 --> 00:10:42,930 +القدس وأوضح بل أصبح يدعو لضم الجزء الشرقي من + +119 +00:10:42,930 --> 00:10:47,270 +المدينة إلى الدولة الفلسطينية المقترحة ما يعني + +120 +00:10:47,270 --> 00:10:55,470 +التخلي عن فكرة التدويل لكنه دعا إلى اتخاذ ترتيبات + +121 +00:10:55,470 --> 00:11:01,210 +تضمن حرية زيارة الأماكن المقدسة لكل الديانات هذا + +122 +00:11:01,210 --> 00:11:03,970 +يعني أن الاتحاد السوفيتي يعارض تدويل القدس سياسيا + +123 +00:11:03,970 --> 00:11:09,170 +ويدعو إلى تدويل القدس دينيا بعد + +124 +00:11:09,170 --> 00:11:14,710 +انهيار الاتحاد السوفيتي حاولت روسيا جاهدة أن تبقى + +125 +00:11:14,710 --> 00:11:19,270 +لها دورا في المحافل الدولية وخاصة حول القضية + +126 +00:11:19,270 --> 00:11:23,890 +الفلسطينية فهل نجحت؟ أنا أقول لكم مواقف روسيا + +127 +00:11:23,890 --> 00:11:29,590 +ضبابية مواقف روسيا لا ترقى لمواقف الاتحاد السوفيتي + +128 +00:11:29,590 --> 00:11:38,160 +هناك فرق كبير لأن روسيا الحديثة لا تستطيع أن تقف + +129 +00:11:38,160 --> 00:11:45,020 +موقفا حازما تجاه ذلك فهي تتخذ موقفا متحفظا يتمثل في + +130 +00:11:45,020 --> 00:11:48,260 +أنها دائما موقف روسيا نحن نؤكد على القرارات + +131 +00:11:48,260 --> 00:11:51,140 +الدولية ندعو الأطراف إلى الالتزام بالقرارات + +132 +00:11:51,140 --> 00:11:56,930 +الدولية. لماذا؟ لأن روسيا لها مصالح مع الكيان + +133 +00:11:56,930 --> 00:12:00,630 +الصهيوني لأن روسيا لها مصالح مع أمريكا الداعم + +134 +00:12:00,630 --> 00:12:05,470 +الأول للكيان الصهيوني وروسيا لا تريد أن تخسر العرب + +135 +00:12:05,470 --> 00:12:11,330 +بالكلية والمسلمين فهي متأرجحة تحاول أن تمسك العصا + +136 +00:12:11,330 --> 00:12:12,370 +من المنتصف + +137 +00:12:14,760 --> 00:12:18,600 +وأنه يتوجب على كل الطرفين الفلسطيني والصهيوني + +138 +00:12:18,600 --> 00:12:23,260 +الالتزام بالقرارات الدولية على حد سواء فهي تحاول + +139 +00:12:23,260 --> 00:12:26,720 +إرضاء وكسب حلفاء لها في الشرق الأوسط حفاظا على + +140 +00:12:26,720 --> 00:12:30,460 +مصالحها بينما تتجنب إدانة الموقف الصهيوني بشكل + +141 +00:12:30,460 --> 00:12:36,380 +كبير وواضح كي لا تثير غضب رؤوس الأموال اليهودية في + +142 +00:12:36,380 --> 00:12:43,080 +روسيا الذين لهم تأثير فعلي على الاقتصاد الروسي. رؤوس + +143 +00:12:43,080 --> 00:12:47,600 +الأموال الروسية اليهودية في روسيا هي تخشى من ذلك + +144 +00:12:47,600 --> 00:12:51,500 +وهذا الموقف المتذبذب يأتي أيضا في سياق الحفاظ على + +145 +00:12:51,500 --> 00:12:58,700 +مواصلة الدعم الاقتصادي من أمريكا التي تحمي الموقف + +146 +00:12:58,700 --> 00:13:05,680 +الصهيوني على الصعيد الدولي. وبعد اتصالات فلسطينية + +147 +00:13:05,680 --> 00:13:10,860 +روسية عام 2011 طبعا دائما بنضلنا ذاكرين بريجنيف + +148 +00:13:10,860 --> 00:13:17,620 +أصدر بيانه في 82 الزعيم للاتحاد السوفيتي وظل موقف + +149 +00:13:17,620 --> 00:13:22,260 +الاتحاد السوفيتي موقف واضح وقوي يساند القضية + +150 +00:13:22,260 --> 00:13:26,200 +الفلسطينية ويساند العرب في المحافل الدولية لحد + +151 +00:13:26,200 --> 00:13:31,230 +1990 عند انهيار الاتحاد السوفيتي. خلفت روسيا للاتحاد + +152 +00:13:31,230 --> 00:13:36,210 +السوفيتي مواقف روسيا متذبذبة، مواقف روسيا ضبابية، + +153 +00:13:36,210 --> 00:13:42,490 +مواقف روسيا ضعيفة. لأن هناك عوامل عديدة تحكم ذلك + +154 +00:13:42,490 --> 00:13:45,530 +مصالحها من الاتحاد السوفيتي، مصالحها مع الكيان + +155 +00:13:45,530 --> 00:13:50,050 +الصهيوني، مصالحها وخشيتها + +156 +00:13:50,050 --> 00:13:54,410 +من رؤوس الأموال اليهودية في روسيا ومصالحها مع + +157 +00:13:54,410 --> 00:13:58,910 +العرب والمسلمين في المنطقة فبالتالي كل ذلك يجعل + +158 +00:13:58,910 --> 00:14:04,030 +ويدفع من روسيا أن يكون موقفها متذبذب ودائما موقفها + +159 +00:14:04,030 --> 00:14:08,880 +مش واضح. ودائمًا تقول ندعو الأطراف إلى الالتزام + +160 +00:14:08,880 --> 00:14:13,600 +بالقرارات الدولية. بعد اتصالات فلسطينية روسية عام + +161 +00:14:13,600 --> 00:14:18,660 +2011 واطلاع السفير روسيا لدى السلطة الفلسطينية على + +162 +00:14:18,660 --> 00:14:22,160 +آخر المستجدات والأوضاع السياسية في المدينة مدينة + +163 +00:14:22,160 --> 00:14:25,900 +القدس والانتهاكات الصهيونية بحق المواطنين + +164 +00:14:25,900 --> 00:14:30,020 +الفلسطينيين في المدينة. وأوضاع القطاعات المختلفة + +165 +00:14:30,020 --> 00:14:34,020 +فيها والتي تعاني من مشاكل اجتماعية وصحية واقتصادية + +166 +00:14:34,020 --> 00:14:38,360 +وتعليمية بسبب الاحتلال. بحثت طرفان سبل التعاون + +167 +00:14:38,360 --> 00:14:42,980 +وتوطيد العلاقات بين الجانبين وقد أبدت الحكومة + +168 +00:14:42,980 --> 00:14:48,140 +الروسية جاهزية للتعاون مع القضايا الفلسطينية + +169 +00:14:48,140 --> 00:14:54,550 +والعمل على تحقيق إنجازات ملموسة. في تصريح لوزير + +170 +00:14:54,550 --> 00:14:59,350 +الخارجية الروسي Lavrov في 2011 أشار إلى أهمية + +171 +00:14:59,350 --> 00:15:01,870 +مسألة القدس في تسوية النزاع العربي الإسرائيلي + +172 +00:15:01,870 --> 00:15:08,930 +مؤكدا على أن تكون القدس عاصمة لدولتين فلسطين + +173 +00:15:08,930 --> 00:15:14,770 +والكيان الصهيوني. يعني جزء من القدس للفلسطيني وجزء + +174 +00:15:14,770 --> 00:15:18,270 +لليهود. أما الأماكن المقدسة فيمكن أن تكون تحت + +175 +00:15:18,270 --> 00:15:21,170 +رعاية دولية مثل هيئة الأمم المتحدة أو منظمة + +176 +00:15:21,170 --> 00:15:29,390 +اليونسكو. وأشار لافروف أن قضية القدس يجب أن تحل ضمن + +177 +00:15:29,390 --> 00:15:35,150 +التسوية الشاملة عندما يتفق الفلسطينيون والصهاينة + +178 +00:15:35,150 --> 00:15:44,230 +على تسوية. هذا هو موقف الاتحاد السوفيتي. ملخص موقف + +179 +00:15:44,230 --> 00:15:51,090 +الاتحاد السوفيتي. نستطيع الآن أن نقوم بتلخيص إجمالي + +180 +00:15:51,090 --> 00:15:58,910 +لمواقف الأطراف الثلاثة أمريكا الاتحاد الأوروبي + +181 +00:15:58,910 --> 00:16:01,970 +والاتحاد + +182 +00:16:01,970 --> 00:16:04,510 +السوفيتي وأمريكا + +183 +00:16:11,340 --> 00:16:16,440 +أمريكا أولا بتعتبر القدس مقدسة من أقدس مقدسات + +184 +00:16:16,440 --> 00:16:18,420 +العالم ومقدسة عند كل الديانات + +185 +00:16:27,760 --> 00:16:33,120 +أمريكا كانت في البداية تقول أن القسم الشرقي من + +186 +00:16:33,120 --> 00:16:37,620 +القدس الذي احتلته إسرائيل في ال 67 هو هذا محتل و + +187 +00:16:37,620 --> 00:16:42,640 +كل إجراءات إسرائيل هي إجراءات غير قانونية + +188 +00:16:45,360 --> 00:16:50,500 +ويجب عند الحل النهائي والمفاوضات التي تؤثر هذه + +189 +00:16:50,500 --> 00:16:55,040 +الإجراءات والتغييرات التي تجريها إسرائيل على القدس + +190 +00:16:55,040 --> 00:17:00,540 +في المفاوضات النهائية. أما عن السيادة على المدينة + +191 +00:17:00,540 --> 00:17:03,680 +وتقرير مستقبلها نهائي فهو أمر لا يمكن البت فيه من + +192 +00:17:03,680 --> 00:17:07,520 +وجهة نظر الولايات المتحدة الأمريكية على ضوء الحل + +193 +00:17:07,520 --> 00:17:10,780 +النهائي الذي سيقرر مشكلة الشرق الأوسط + +194 +00:17:16,640 --> 00:17:21,660 +وأمريكا دائما موقفها + +195 +00:17:21,660 --> 00:17:27,520 +مساند للكيان الصهيوني. دائما أمريكا تقول أن القدس + +196 +00:17:27,520 --> 00:17:32,180 +يجب أن تكون موحدة وامتنعت الولايات المتحدة + +197 +00:17:32,180 --> 00:17:34,800 +الأمريكية في عهد إدارة الرئيس ريغان عن التصويت على + +198 +00:17:34,800 --> 00:17:38,980 +قرار مجلس الأمن 407 + +199 +00:17:38,980 --> 00:17:48,890 +476 و478 الذي صدر عام 80. بعتبر القرارين قانون + +200 +00:17:48,890 --> 00:17:59,950 +أساسي صادر بضم القدس وطالبت + +201 +00:17:59,950 --> 00:18:04,250 +هذه القرارات الكيان الصهيوني بإلغاء القوانين التي + +202 +00:18:04,250 --> 00:18:06,390 +تتخذها بضم القدس + +203 +00:18:08,940 --> 00:18:17,460 +لكن فكرة نقل السفارة نقول إن موقف أمريكا كان كان + +204 +00:18:17,460 --> 00:18:21,460 +دائما دائما + +205 +00:18:21,460 --> 00:18:26,780 +كان للرئيس الأمريكي الموجود له تأثير على الموقف + +206 +00:18:26,780 --> 00:18:31,260 +الأمريكي. مثلا الرئيس ريغان كان موقف الاتحاد + +207 +00:18:31,260 --> 00:18:38,870 +الأمريكي كان منحازا تماما بقوة بقوة للكيان الصهيوني + +208 +00:18:38,870 --> 00:18:46,210 +وكذلك في عهد بوش بوش الأب والأبن وهكذا + +209 +00:18:46,210 --> 00:18:53,250 +ولكن الرؤساء الذين سبقوهم كانوا الموقف الأمريكي + +210 +00:18:53,250 --> 00:19:03,630 +أقل حدة من ذلك. أما الاتحاد الأوروبي دائما نقول + +211 +00:19:05,360 --> 00:19:11,400 +الاتحاد الأوروبي يدعو إلى أن مدينة القدس هي مدينة + +212 +00:19:11,400 --> 00:19:17,560 +... مدينة دينية، مدينة يجب أن تكون هذه المدينة + +213 +00:19:17,560 --> 00:19:23,920 +لجميع ... لجميع الديانات. الدول الأوروبية أيّنت الدول + +214 +00:19:23,920 --> 00:19:28,020 +الأوروبية تحت تأثير من الكنيسة الكاثوليكية ودولة + +215 +00:19:28,020 --> 00:19:32,300 +الفاتيكان. قرار تقسيم فلسطين الصادر 181 الذي نص + +216 +00:19:32,300 --> 00:19:36,820 +على تدويل القدس وهكذا + +217 +00:19:37,650 --> 00:19:41,030 +ويمكن تلخيص الموقف الأوروبي من قضية القدس في عدة + +218 +00:19:41,030 --> 00:19:45,070 +نقاط. رفض الاعتراف بالقدس عاصمة الكيان الصهيوني + +219 +00:19:45,070 --> 00:19:48,730 +التأكيد على أنها مدينة محتلة وتعليق نقل السفارة + +220 +00:19:48,730 --> 00:19:54,460 +سفارات الدول الاتحاد الأوروبي إلى مدينة القدس. إلا + +221 +00:19:54,460 --> 00:19:59,820 +إلى حين التوصل إلى تسوية نهائية بشأن مدينة القدس + +222 +00:19:59,820 --> 00:20:03,480 +امتنع الدول الأوروبية من القيام بأي عمل من شأن + +223 +00:20:03,480 --> 00:20:10,340 +يفسر على أنه اعتراف ضمني بسلطة + +224 +00:20:10,340 --> 00:20:16,320 +وبأن القدس عاصمة للكيان الصهيوني. ثالثا التأكيد + +225 +00:20:16,320 --> 00:20:18,680 +على ضرورة الانسحاب الصهيوني من الأراضي العربية + +226 +00:20:18,680 --> 00:20:22,060 +المحتلة في مقدمتها القدس وحق الشعب الفلسطيني في + +227 +00:20:22,060 --> 00:20:27,400 +تقرير مصيره وإقامة دولته. هذه الثلاث نقاط مهمة + +228 +00:20:27,400 --> 00:20:31,580 +رابعا رفض السياسة الصهيونية في تهويد المدينة مع + +229 +00:20:31,580 --> 00:20:34,540 +إدانة الكيان الصهيوني بسبب مواصلة التهويد والدعوة + +230 +00:20:34,540 --> 00:20:40,150 +للالتزام التام بجميع قرارات الأمم المتحدة الخاصة + +231 +00:20:40,150 --> 00:20:43,570 +بالطبع التاريخي للقدس. خامسا عدم الاعتراف بقرار + +232 +00:20:43,570 --> 00:20:48,210 +الكنيست الذي يعتبر القدس عاصمة الكيان الصهيوني. سادسا + +233 +00:20:48,210 --> 00:20:51,490 +تأييد القرارات الصادرة عن الأمم المتحدة والتي + +234 +00:20:51,490 --> 00:20:55,710 +تطالب الدول الأعضاء التي لها سفارات في القدس بسحبها + +235 +00:20:55,710 --> 00:20:59,770 +وتؤكد على عدم شرعية الإجراءات الصهيونية الخاصة في + +236 +00:20:59,770 --> 00:21:07,330 +القدس وتشجب نقل بعض الدول سفاراتها للقدس. هذا ملخص + +237 +00:21:07,330 --> 00:21:12,330 +الموقف الأوروبي. إذن الموقف الأوروبي أفضل بكثير من + +238 +00:21:12,330 --> 00:21:16,390 +الموقف الأمريكي المنحاز. رفض الاعتراف بالقدس عاصمة + +239 +00:21:16,390 --> 00:21:20,590 +الكيان الصهيوني. إقناع الدول من نقل سفاراتها. تأكيد + +240 +00:21:20,590 --> 00:21:25,330 +على ضرورة الانسحاب من الأراضي المحتلة عام 67. رفض + +241 +00:21:25,330 --> 00:21:28,130 +السياسة الصهيونية في تهويد القدس. كل الإجراءات التي + +242 +00:21:28,130 --> 00:21:31,490 +نرفضها. عدم الاعتراف بقرار الكنيست التي تأخذ + +243 +00:21:31,490 --> 00:21:35,010 +القدس عاصمة. تأييد القرارات الصادرة للأمم المتحدة + +244 +00:21:35,010 --> 00:21:37,530 +التي تقول يجب يجب + +245 +00:21:40,370 --> 00:21:44,170 +يجب أن تخرج إسرائيل من الأراضي التي احتلتها في + +246 +00:21:44,170 --> 00:21:52,300 +الـ67. الاتحاد السوفيتي كان موقفه قوي عندما كان + +247 +00:21:52,300 --> 00:21:55,140 +الاتحاد السوفيتي. عندما كان الاتحاد السوفيتي على + +248 +00:21:55,140 --> 00:21:58,060 +الرغم من أن الاتحاد السوفيتي ثاني دولة اعترفت + +249 +00:21:58,060 --> 00:22:02,480 +بإسرائيل لكن تعارض المصالح اختلف اختلف و سياسته + +250 +00:22:02,480 --> 00:22:05,900 +اختلفت. خصوصا أن الدول العربية أصبحت منحازة لاتحاد + +251 +00:22:05,900 --> 00:22:08,680 +السوفيتي وفي علاقات وفي توافق في الفكر الـ + +252 +00:22:08,680 --> 00:22:13,320 +Ideology في دول عربية رفعت شعار الشيوعية + +253 +00:22:13,320 --> 00:22:16,540 +والاشتراكية وبدأت تطبيقها يعني في توافق بينهم + +254 +00:22:16,540 --> 00:22:19,880 +بالاتحاد السوفيتي فكان موقف الاتحاد السوفيتي إيجابي + +255 +00:22:20,600 --> 00:22:25,500 +ويساند القضية الفلسطينية خصوصا .. لاحظوا .. خصوصا + +256 +00:22:25,500 --> 00:22:31,700 +أن بيان .. بيان 1982 الذي صدر عن .. بلسان بريجينيف + +257 +00:22:31,700 --> 00:22:37,440 +القائد السوفيتي الشهير الذي يقول .. الذي يقول أنه + +258 +00:22:37,440 --> 00:22:45,200 +.. يعني نلخصه بالحرف أن للفلسطينيين الحق الكامل في + +259 +00:22:45,200 --> 00:22:47,920 +الأرض الفلسطينية المحتلة وإقامة دولة فلسطينية + +260 +00:22:47,920 --> 00:22:53,820 +مستقلة وعاصمتها القدس وهذا ما جاء في بيان بريجينيف + +261 +00:22:53,820 --> 00:22:59,180 +في 1982 لكن بعد .. طبعا الاتحاد السوفيتي نادى + +262 +00:22:59,180 --> 00:23:04,120 +بضرورة الالتزام بقرار 242 وقراراته وكان دائما يدين + +263 +00:23:04,120 --> 00:23:08,180 +الكيان الصهيوني لكن بعد ذلك عندما انهار الاتحاد + +264 +00:23:08,180 --> 00:23:14,600 +السوفيتي في عام 1990 وأصبح هناك دولة جديدة هي دولة + +265 +00:23:14,600 --> 00:23:19,200 +روسيا هذه الدولة أضعف من الاتحاد السوفيتي لكن لها + +266 +00:23:19,200 --> 00:23:26,720 +حق الفيتو ماذا حدث سنجد أن مواقف روسيا ضعيفة، + +267 +00:23:26,720 --> 00:23:32,680 +ضبابية، غير حاسمة، غير مساندة مساندة واضحة للقضية + +268 +00:23:32,680 --> 00:23:37,640 +الفلسطينية وقرارات الأمم المتحدة وللقدس لماذا؟ + +269 +00:23:37,640 --> 00:23:40,880 +لأنها تخشى رؤوس الأموال اليهودية في روسيا التي + +270 +00:23:40,880 --> 00:23:45,180 +تؤثر على الاقتصاد الروسي تخشى من تضرر مصالحها مع + +271 +00:23:45,180 --> 00:23:48,820 +الولايات المتحدة الأمريكية تخشى من تضرر مصالحها مع + +272 +00:23:48,820 --> 00:23:53,790 +الكيان الصهيوني أيضا تخشى من تضرر مصالحها مع العرب + +273 +00:23:53,790 --> 00:23:58,130 +والمسلمين لذلك مواقفها دائما ضبابية ودائما بتقول + +274 +00:23:58,130 --> 00:24:02,850 +دائما عبارة بتكررها ندعو جميع الأطراف على حد سواء + +275 +00:24:02,850 --> 00:24:08,470 +على الالتزام بقرارات الأمم المتحدة نكتفي بهذا + +276 +00:24:08,470 --> 00:24:09,810 +القدر إلى اللقاء diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/olqVpD-ql4Q_raw.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/olqVpD-ql4Q_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..a1ca5537dac7d38ab41fc9523b008770e2f9ddfc --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/olqVpD-ql4Q_raw.srt @@ -0,0 +1,1104 @@ +1 +00:00:05,670 --> 00:00:11,450 +بسم الله الرحمن الرحيم أهلا وسهلا بكم في لقاء جديد + +2 +00:00:11,450 --> 00:00:18,390 +من سلسلة لقاءة تاريخ مدينة القدس في اللقاء الماضي + +3 +00:00:18,390 --> 00:00:24,210 +تحدثنا عن الموقف الولايات المتحدة الأمريكية من + +4 +00:00:24,210 --> 00:00:29,750 +القدس ثم تحدثنا عن موقف الاتحاد الأوروبي من مدينة + +5 +00:00:29,750 --> 00:00:37,670 +القدس اليوم سنتحدث ان شاء الله عن موقفروسيا أي + +6 +00:00:37,670 --> 00:00:43,130 +الاتحاد السوفيتي سابقًا وروسيا حاليًا من مدينة + +7 +00:00:43,130 --> 00:00:48,890 +القدس طبعًا هذه الأطراف الثلاثة هي الأطراف الأكثر + +8 +00:00:48,890 --> 00:00:53,970 +تأثيرًا في السياسة الدولية والعالمية وفي مجلس + +9 +00:00:53,970 --> 00:00:57,650 +الأمن وفي المحافل الدولية الولايات المتحدة + +10 +00:00:57,650 --> 00:01:04,120 +الأمريكية الاتحاد السوفيتي روسياالاتحاد الأوروبي + +11 +00:01:04,120 --> 00:01:09,780 +ومعظم هذه الأطراف تتمتع بحق ال veto في مجلس الأمن + +12 +00:01:09,780 --> 00:01:16,080 +الأقل اللي نرى موقف الاتحاد السوفيتي سابقا وروسيا + +13 +00:01:16,080 --> 00:01:21,240 +الحالي فيما بعد تعتبر + +14 +00:01:21,240 --> 00:01:26,880 +روسيا أو الاتحاد السوفيتي سابقا عنصر مهم من عناصر + +15 +00:01:26,880 --> 00:01:33,960 +المعادلة السياسية في فلسطين بسببموقعه القانوني في + +16 +00:01:33,960 --> 00:01:40,060 +مجلس الأمن الدولي ومشاركة + +17 +00:01:40,060 --> 00:01:45,740 +الاتحاد السوفيتي في صياغة القرارات الدولية المهمة + +18 +00:01:46,340 --> 00:01:51,600 +مثل قرار مجلس الأمن 242 اللي صدر في الـ 67 واللي + +19 +00:01:51,600 --> 00:01:59,220 +يلخص بدرورة خروج الصهاينة من الأراضي اللي احتلوها + +20 +00:01:59,220 --> 00:02:06,780 +في عام 1967 وقرار 338 وبسبب قرب الاتحاد السوفيتي + +21 +00:02:06,780 --> 00:02:12,740 +الجغرافي من المنطقة من الوطن العربي وبسبب علاقاته + +22 +00:02:12,740 --> 00:02:17,510 +الدولية مع الولايات المتحدة الأمريكيةوأيضًا بسبب + +23 +00:02:17,510 --> 00:02:21,970 +قدرته على تمهيد الطريق للإصراع بعملية التسوية + +24 +00:02:21,970 --> 00:02:27,390 +السياسية الشاملة في المنطقة وحل الصراع العرب + +25 +00:02:27,390 --> 00:02:33,590 +الصهيوني كما كان للاتحاد السوفيتي موقف مميز تجاه + +26 +00:02:33,590 --> 00:02:38,830 +العالم العربي وإن كان بسبب ربما كان هذا الموقف + +27 +00:02:38,830 --> 00:02:42,110 +دائمًا يعني كثيرًا ما سند العرب في المحافلة + +28 +00:02:42,110 --> 00:02:48,340 +الدولية ربما يكون ذلك بسببالحماية مصالح الاتحاد + +29 +00:02:48,340 --> 00:02:54,180 +السوفيتي في المنطقة أو ربما بسبب أن عدد من الأنظمة + +30 +00:02:54,180 --> 00:02:59,780 +العربية رفعت شعار الاشتراكية وفكر والفكر الاشتراك + +31 +00:02:59,780 --> 00:03:06,540 +اليساري وحاولت تطبيقه في بلدانها بسبب + +32 +00:03:06,540 --> 00:03:10,020 +مصالحه في الشرق الأوسط أو التوافق الايتلوجي مع بعض + +33 +00:03:10,020 --> 00:03:12,800 +الأنظمة العربية التي تمنت الفكر الشوعي ونادت + +34 +00:03:12,800 --> 00:03:16,970 +بالاشتراكية في بلادهامع ذلك فإن الاتحاد السوفيتي + +35 +00:03:16,970 --> 00:03:21,670 +كان من السبقين للاعتراف بدولة الكيان الصهيوني هو + +36 +00:03:21,670 --> 00:03:26,930 +تاني دولة اعترفت بإسرائيل في عام 1948 وأيد وجود + +37 +00:03:26,930 --> 00:03:32,550 +وطن قومي لليهود على أرض فلسطين ولكن الجدير أنه + +38 +00:03:32,550 --> 00:03:36,990 +طرأت تغيرات كبيرة على موقف الاتحاد السوفيتي ربما + +39 +00:03:36,990 --> 00:03:44,340 +لعدم التقاء المصالح مع الكيان الصهيونيوكان أبرز + +40 +00:03:44,340 --> 00:03:49,560 +مواقف الاتحاد السوفيتي إعلانه أن للفلسطينيين الحق + +41 +00:03:49,560 --> 00:03:56,300 +الكامل في الأرض الفلسطينية المحتلة وإقامة دولة + +42 +00:03:56,300 --> 00:04:02,720 +فلسطينية مشتقلة عاصمتها القدس وقد جاء ذلك في بيان + +43 +00:04:02,720 --> 00:04:10,260 +صادر على لسان الزئيم السوفيتي الشهير بريجينيف عام + +44 +00:04:10,260 --> 00:04:16,020 +82وظل هذا الموقف ثابتًا دون تغيير أو تبديل حتى + +45 +00:04:16,020 --> 00:04:22,920 +انهيار الاتحاد السوفيتي في 1990 إذا نستطيع أن نلخص + +46 +00:04:22,920 --> 00:04:28,620 +ونقول الاتحاد السوفيتي دولة مهمة في السياسة + +47 +00:04:28,620 --> 00:04:33,760 +الدولية بسبب موقعها الجغرافي قريب من العرب من + +48 +00:04:33,760 --> 00:04:38,460 +الوطن العربي موقعها القانوني في مجلس الأمن فلها حق + +49 +00:04:38,460 --> 00:04:44,600 +ال vetoدولة قوية كانت دولة شاركت في صياغة أهم + +50 +00:04:44,600 --> 00:04:48,960 +القرارات الدولية التي لها علاقة بفلسطين وبالقدس + +51 +00:04:48,960 --> 00:04:57,280 +242338 فكل هذه الأمور الاتحاد السوفيتي كان تاني + +52 +00:04:57,280 --> 00:05:02,500 +دولة تعترف بالكيان الصهيوني في عام 1948 وكان يؤيد + +53 +00:05:02,500 --> 00:05:05,220 +إقامة وطن قوم لليهود على أرض فلسطين + +54 +00:05:07,940 --> 00:05:14,150 +ولكن تغير موقف الاتحاد السوفيتي كثيراربما بعد قيام + +55 +00:05:14,150 --> 00:05:18,510 +دولة إسرائيل ربما أنه وجد أن إسرائيل لا تخدم مصالح + +56 +00:05:18,510 --> 00:05:21,690 +الاتحاد السوفيتي إسرائيل انحازت بالكامل إلى + +57 +00:05:21,690 --> 00:05:24,810 +الولايات المتحدة الأمريكية تعرضت مصالح الاتحاد + +58 +00:05:24,810 --> 00:05:28,610 +السوفيتي مع إسرائيل فلذلك بدأ يدعم العرب بدأ يدعم + +59 +00:05:28,610 --> 00:05:33,030 +العرب بدأ يدعم العرب سياسيا في المحافظة الدولية + +60 +00:05:33,030 --> 00:05:39,850 +وأحيانا يدعمهم بالسلاح طبعا يبيعهم السلاح السبب أن + +61 +00:05:39,850 --> 00:05:43,620 +الاتحاد السوفيتي بحافظ على مصالحهالاتحاد السوفيتي + +62 +00:05:43,620 --> 00:05:47,640 +بحافظ على مصالحه بعض الدول العربية رفعت شعار + +63 +00:05:47,640 --> 00:05:54,320 +الشوعية وحاولت تطبيق الفكر الشوعي في أراضيها على + +64 +00:05:54,320 --> 00:05:58,440 +أي اتحال موقف الاتحاد السوفيتي نستطيع أن نلخصه + +65 +00:05:58,440 --> 00:06:05,760 +بالبيان الذي أصدره بريجي نيف في عام 1982 وهو يقول + +66 +00:06:05,760 --> 00:06:15,240 +أن من حق الفلسطينيين ودعونا نقرأ حرفياأنا + +67 +00:06:15,240 --> 00:06:18,500 +للفلسطينيين الحق الكامل في الأرض الفلسطينية + +68 +00:06:18,500 --> 00:06:23,500 +المحتلة ومن حقهم إقامة الدولة الفلسطينية مستقلة + +69 +00:06:23,500 --> 00:06:32,300 +وعاصمتها القدس هذا ورد في بيانالزعيم السوفيتي + +70 +00:06:32,300 --> 00:06:39,160 +الشهير بريجينيف في عام 1982 وبقي الاتحاد السوفيتي + +71 +00:06:39,160 --> 00:06:44,320 +على ذلك حتى انهيارلس الاتحاد السوفيتي في عام 1990 + +72 +00:06:44,320 --> 00:06:47,780 +الاتحاد + +73 +00:06:47,780 --> 00:06:51,000 +السوفيتي نادى دائما بضرورة انسحاب صيون الكامل من + +74 +00:06:51,000 --> 00:06:55,980 +الأراضي العربية المحتلة وفق قرار 242 اللي صدر في + +75 +00:06:55,980 --> 00:07:03,040 +1967موقف الاتحاد السوفيتي كان دائما قاطع وليس فيه + +76 +00:07:03,040 --> 00:07:07,480 +إشارة لانسحاب صهيوني جزءي أو لتعديلات الحدود كما + +77 +00:07:07,480 --> 00:07:11,420 +هو مطروح في التصور الصهيوني والأمريكي وقد تمثل + +78 +00:07:11,420 --> 00:07:15,840 +الموقف السوفيتي في مشروع Bridge-Nevre اللي أشرنا + +79 +00:07:15,840 --> 00:07:20,780 +له قبل قليل في عام 1982 والذي نص على أن كل الأراضي + +80 +00:07:20,780 --> 00:07:25,400 +اللي احتلتها دولة إسرائيل منذ عام 67 بما فيها + +81 +00:07:25,400 --> 00:07:29,750 +القدس يجب أن تعود للعرب بشكل واضحلا تبديل، لا + +82 +00:07:29,750 --> 00:07:33,610 +تغيير، كان الاتحاد السوفيتي موقفه أقوى بكثير من + +83 +00:07:33,610 --> 00:07:40,730 +موقف روسيا اليوم، لا مقارنة، لا نستطيع أن نقارن، + +84 +00:07:40,730 --> 00:07:47,850 +غير أن الانسحاب الفوري بل يمكن أن يكون على مراحل + +85 +00:07:47,850 --> 00:07:53,520 +حيث أن النتيجة النهائية تكون الانسحاب الكاملوهكذا + +86 +00:07:53,520 --> 00:07:56,340 +فإن رأي الاتحاد السوفيتي أن القدس المحتلة يجب أن + +87 +00:07:56,340 --> 00:07:59,940 +تعود للعرب وأن تصبح جزء من الدولة الفلسطينية على + +88 +00:07:59,940 --> 00:08:05,700 +أن تكفل لأتباع كل الديانات زيارة، يعني زيارات + +89 +00:08:05,700 --> 00:08:10,180 +الدينية مكفولة، وهذا جزء من ديننا أنه ما نمنع حد + +90 +00:08:10,180 --> 00:08:15,930 +يزور القدس ويصلي في كنيسة القيامةمدينة دينية هكذا + +91 +00:08:15,930 --> 00:08:20,330 +دينا أيام الصحابة أو أيام العهد الراشدي والأموي + +92 +00:08:20,330 --> 00:08:24,650 +والعباسي كان كل الأمم تزور مدينة القدس بل كان + +93 +00:08:24,650 --> 00:08:29,810 +الخليفة هارون الرشيد هو يرسل للامبراطور البيزانتي + +94 +00:08:29,810 --> 00:08:34,950 +انه في مشكلة في كنيسة القيامة ابعت لنا المهندسين + +95 +00:08:34,950 --> 00:08:39,790 +والبنائين والحرافيين يقوموا باصلاحة واحنا نوفر لهم + +96 +00:08:39,790 --> 00:08:40,650 +الأمن والحماية + +97 +00:08:43,240 --> 00:08:47,960 +أن تكفل لأتباع الدينات الثلاث حرية زيارة الأماكن + +98 +00:08:47,960 --> 00:08:51,480 +المقدسة في جميع أنحاء مدينة القدس مع وجود ضمانات + +99 +00:08:51,480 --> 00:08:55,120 +للأمن ولتطوير الدولة الفلسطينية بدأ الاتحاد + +100 +00:08:55,120 --> 00:08:58,640 +السوفيتي يؤيد فكرة إقامة دولة فلسطينية مستقلة بعد + +101 +00:08:58,640 --> 00:09:05,120 +حرب 73 أكتوبر فقد أرسل الاتحاد السوفيتي رسالة إلى + +102 +00:09:05,120 --> 00:09:11,930 +منظمة التحرير الفلسطينيةيبلور فيها أو يؤكد فيها + +103 +00:09:11,930 --> 00:09:15,810 +على فكرة إقامة دولة فلسطينية في الضفة وغزة في + +104 +00:09:15,810 --> 00:09:23,190 +الضفة وغزة غير أن المنظمة لم ترد أهملت هذه الرسالة + +105 +00:09:23,190 --> 00:09:28,730 +لأنها لا تريد التلزم نفسها بهذه الأقتراحات + +106 +00:09:28,730 --> 00:09:32,710 +وبالتالي تجاهلت هذه الرسالة الحقيقة أن الموقف + +107 +00:09:32,710 --> 00:09:38,590 +السوفيتي طرح عليه تحول كبير في مطلع السبعيناتفقد + +108 +00:09:38,590 --> 00:09:46,150 +تحول من تأييد قرار التقسيم 181 في عام 1947 كأساس + +109 +00:09:46,150 --> 00:09:50,870 +لقامة دولة فلسطينيةكأساس لإيقام الدولة الفلسطينية + +110 +00:09:50,870 --> 00:09:55,630 +إلى التأكيد على حدود عام 1967 كأساس لإيقام الدولة + +111 +00:09:55,630 --> 00:10:00,310 +الفلسطينية مستقلة وكان نادرا ما يشار إلى مدينة + +112 +00:10:00,310 --> 00:10:05,530 +القدس عند الحديث عن أراضي الدولة الفلسطينية لأن + +113 +00:10:05,530 --> 00:10:08,910 +الاتحاد السوفيتي وجه العديد من الانتقادات للكيان + +114 +00:10:08,910 --> 00:10:13,610 +الصهيونيفيما يتعلق بوضع القدس لعدم التزام الكيان + +115 +00:10:13,610 --> 00:10:20,950 +بقرار الأمم المتحدة رقم 181 الذي يقضي بتدوير القدس + +116 +00:10:20,950 --> 00:10:26,430 +غير أنه بعد توقيع اتفاق Camp David بين مصر + +117 +00:10:26,430 --> 00:10:34,730 +واسرائيل عام 1978 بدأ الاتحاد السوفيتي يتعرض لوضع + +118 +00:10:34,730 --> 00:10:42,930 +القدسوأوضح بل أصبح يدعو لضم الجزء الشرقي من + +119 +00:10:42,930 --> 00:10:47,270 +المدينة إلى الدولة الفلسطينية المقترحة ما يعني + +120 +00:10:47,270 --> 00:10:55,470 +التخلي عن فكرة التدوين لكنه دعا إلى اتخاذ ترتيبات + +121 +00:10:55,470 --> 00:11:01,210 +تضمن حرية زيارة الأماكن المقدسة لكل الدياناتهذا + +122 +00:11:01,210 --> 00:11:03,970 +يعني أن الاتحاد السوفيتي يعارض التدوير السياسي + +123 +00:11:03,970 --> 00:11:09,170 +للقدس ويدعو إلى التدوير الديني لمدينة القدسبعد + +124 +00:11:09,170 --> 00:11:14,710 +انهيار الاتحاد السوفيتي حاولت روسيا جاهدة أن تبقى + +125 +00:11:14,710 --> 00:11:19,270 +لها دور في المحافظة الدولية وخاصة حول القضية + +126 +00:11:19,270 --> 00:11:23,890 +الفلسطينية فهل نجحت؟ أنا أقول لكم مواقف روسيا + +127 +00:11:23,890 --> 00:11:29,590 +ضبابية مواقف روسيا لا ترقع لمواقف الاتحاد السوفيتي + +128 +00:11:29,590 --> 00:11:38,160 +هناك فرق كبير لأن روسيا الحديثةلا تستطيع أن تقف + +129 +00:11:38,160 --> 00:11:45,020 +موقفا حازما اتجاه ذلك فهي تتخذ موقف متحفظ يتمثل في + +130 +00:11:45,020 --> 00:11:48,260 +أنها دائما موقف روسيا نحن نؤكد على القرارات + +131 +00:11:48,260 --> 00:11:51,140 +الدولية ندعو الأطراف إلى الالتزام بالقرارات + +132 +00:11:51,140 --> 00:11:56,930 +الدوليةلماذا؟ لأن روسيا لها مصالح مع الكيان + +133 +00:11:56,930 --> 00:12:00,630 +الصهيوني لأن روسيا لها مصالح مع أمريكا الداعم + +134 +00:12:00,630 --> 00:12:05,470 +الأول للكيان الصهيوني وروسيا لا تريد أن تخسر العرب + +135 +00:12:05,470 --> 00:12:11,330 +بالكلية والمسلمين فهي متأرجحة تحاول أن تمسك العصا + +136 +00:12:11,330 --> 00:12:12,370 +من المنتصف + +137 +00:12:14,760 --> 00:12:18,600 +وأنه يتوجب على كل الطرفين الفلسطيني والصهيوني + +138 +00:12:18,600 --> 00:12:23,260 +الإتزام بالقرارات الدولية على حد السواء فهي تحاول + +139 +00:12:23,260 --> 00:12:26,720 +إرضاء وكسب حلفاء لها في الشرق الأوسط حفاظا على + +140 +00:12:26,720 --> 00:12:30,460 +مصالحها بينما تتجنب إدانة الموقف الصهيوني بشكل + +141 +00:12:30,460 --> 00:12:36,380 +كبير وواضح كي لا تثير غضب الرأس ماليين اليهود في + +142 +00:12:36,380 --> 00:12:43,080 +روسيا الذين لهم تأثير فعلي على الاقتصاد الروسيرؤوس + +143 +00:12:43,080 --> 00:12:47,600 +الأموال الروسية اليهودية في روسيا هي تخشى من ذلك + +144 +00:12:47,600 --> 00:12:51,500 +وهذا الموقف المتذبذب يأتي أيضا في سياق الحفاظ على + +145 +00:12:51,500 --> 00:12:58,700 +مواصلة الدعم الاقتصادي من أمريكا التي تحمي الموقف + +146 +00:12:58,700 --> 00:13:05,680 +الصهيوني على الصعيد الدوليوبعد اتصالات فلسطينية + +147 +00:13:05,680 --> 00:13:10,860 +روسية عام 2011 طبعا دايما بنضلنا ذاكرين إبريجينيف + +148 +00:13:10,860 --> 00:13:17,620 +أصدر بيانه في 82 الزعيم للاتحاد السوفيتي وظل موقف + +149 +00:13:17,620 --> 00:13:22,260 +الاتحاد السوفيتي موقف واضح وقوي يساند القضية + +150 +00:13:22,260 --> 00:13:26,200 +الفلسطينية ويساند العرب في المحافظة الدولية لحد + +151 +00:13:26,200 --> 00:13:31,230 +1990 عند منهار الاتحاد السوفيتيخلفت روسيا للاتحاد + +152 +00:13:31,230 --> 00:13:36,210 +السوفيتي مواقف روسيا متذبذبة، مواقف روسيا ضبابية، + +153 +00:13:36,210 --> 00:13:42,490 +مواقف روسيا ضعيفةلأن هناك عوامل عديدة تحكم ذلك + +154 +00:13:42,490 --> 00:13:45,530 +مصالحها من الاتحاد السوفيتي، مصالحها مع الكيان + +155 +00:13:45,530 --> 00:13:50,050 +الصهيوني، مصالحها وخشيتها + +156 +00:13:50,050 --> 00:13:54,410 +من رؤوس الأموال اليهودية في روسيا ومصالحها مع + +157 +00:13:54,410 --> 00:13:58,910 +العرب والمسلمين في المنطقة فبالتالي كل ذلك يجعل + +158 +00:13:58,910 --> 00:14:04,030 +ويدفع من روسيا أن يكون موقفها متذبذب ودائما موقفها + +159 +00:14:04,030 --> 00:14:08,880 +مش واضحودائمًا تقول ندعو الأطراف إلى الالتزام + +160 +00:14:08,880 --> 00:14:13,600 +بالقرارات الدولية بعد اتصالات فلسطينية روسية عام + +161 +00:14:13,600 --> 00:14:18,660 +2011 واطلاع السفير روسيا لدى السلطة الفلسطينية على + +162 +00:14:18,660 --> 00:14:22,160 +آخر المستجدات والأوضاع السياسية في المدينة مدينة + +163 +00:14:22,160 --> 00:14:25,900 +الجدس والانتهاكات الصهيونية بحق المواطنين + +164 +00:14:25,900 --> 00:14:30,020 +الفلسطينيين في المدينةوأوضاع القطاعات المختلفة + +165 +00:14:30,020 --> 00:14:34,020 +فيها والتي تعاني من مشاكل اجتماعية وصحية واقتصادية + +166 +00:14:34,020 --> 00:14:38,360 +وتعليمية بسبب الاحتلال بحثت طرفان سبل التعاون + +167 +00:14:38,360 --> 00:14:42,980 +وتوطيد العلاقات بين الجانبين وقد أبدت الحكومة + +168 +00:14:42,980 --> 00:14:48,140 +الروسية جاهزية للتعاون مع القضايا الفلسطينية + +169 +00:14:48,140 --> 00:14:54,550 +والعمل على تحقيق إنجازات ملموسةفي تصريح لوزير + +170 +00:14:54,550 --> 00:14:59,350 +الخارجية الروسي Lavrov في 2011 أشار إلى أهمية + +171 +00:14:59,350 --> 00:15:01,870 +مسألة القدس في تسوية النزاع العربي الإسرائيلي + +172 +00:15:01,870 --> 00:15:08,930 +مؤكدا على أن تكون القدس عاصمة لدولتين فلسطين + +173 +00:15:08,930 --> 00:15:14,770 +والكيان الصهيونييعني جزء من القدس للفلسطيني وجزء + +174 +00:15:14,770 --> 00:15:18,270 +لليهود أما الأماكن المقاطسة فيمكن أن تكون تحت + +175 +00:15:18,270 --> 00:15:21,170 +رعاية دولية مثل هيئة الأمم المتحدة أو منظمة + +176 +00:15:21,170 --> 00:15:29,390 +اليونسكو وأشارة لفروف أن قضية القدس يجب أن تحل ضمن + +177 +00:15:29,390 --> 00:15:35,150 +التسوية الشاملة عندما يتفق الفلسطينيون والصهاينة + +178 +00:15:35,150 --> 00:15:44,230 +على مستوطهذا هو موقف الاتحاد السوفيتي ملخص موقف + +179 +00:15:44,230 --> 00:15:51,090 +الاتحاد السوفيتي نستطيع الآن أن نقوم بتلخيص إجمالي + +180 +00:15:51,090 --> 00:15:58,910 +لمواقف الأطراف الثلاثة أمريكا الاتحاد الأوروبي + +181 +00:15:58,910 --> 00:16:01,970 +الاتحاد + +182 +00:16:01,970 --> 00:16:04,510 +السوفيتي أمريكا + +183 +00:16:11,340 --> 00:16:16,440 +أمريكا أولا بتعتبر القدس مقدسة من أقدس مقدسات + +184 +00:16:16,440 --> 00:16:18,420 +العالم ومقدسة عند كل الديانات + +185 +00:16:27,760 --> 00:16:33,120 +أمريكا كانت في البداية تقول أن القسم الشرقي من + +186 +00:16:33,120 --> 00:16:37,620 +القدس اللي احتلته اسرائيل في ال 67 هو هذا محتل و + +187 +00:16:37,620 --> 00:16:42,640 +كل إجراءات اسرائيل هي إجراءات غير قانونية + +188 +00:16:45,360 --> 00:16:50,500 +ويجب عند الحل النهائي والمفاوضات اللي تؤثر هذه + +189 +00:16:50,500 --> 00:16:55,040 +الإجراءات والتغييرات التي تجريها إسرائيل على القدس + +190 +00:16:55,040 --> 00:17:00,540 +في المفاوضات النهائية أما عن السيادة على المدينة + +191 +00:17:00,540 --> 00:17:03,680 +وتقرير مستقبلها نهائي فهو أمر لا يمكن البد فيه من + +192 +00:17:03,680 --> 00:17:07,520 +وجهة نظر ولاية المتحدة الأمريكية على ضوء الحل + +193 +00:17:07,520 --> 00:17:10,780 +النهائي الذي سيقرر مشكلة الشرق الأوسط + +194 +00:17:16,640 --> 00:17:21,660 +وأمريكا دائما موقفها + +195 +00:17:21,660 --> 00:17:27,520 +مساند للكيان الصهيوني دائما أمريكا تقول أن القدس + +196 +00:17:27,520 --> 00:17:32,180 +يجب أن تكون موحدة وامتنعت الولايات المتحدة + +197 +00:17:32,180 --> 00:17:34,800 +الأمريكية في أهد إدارة الرئيس ريجان عن التصويت على + +198 +00:17:34,800 --> 00:17:38,980 +قرار مجلس الأمن 407 + +199 +00:17:38,980 --> 00:17:48,890 +476 و478 اللي صدره عام 80باعتبر القرارين القانون + +200 +00:17:48,890 --> 00:17:59,950 +الأساسي الصادر بضم القدس وطالبت + +201 +00:17:59,950 --> 00:18:04,250 +هذه القرارات الكيان الصهيوني بإلغاء القوانين التي + +202 +00:18:04,250 --> 00:18:06,390 +تتخذها بضم القدس + +203 +00:18:08,940 --> 00:18:17,460 +لكن فكرة نقل السفارة نقول إن موقف أمريكا كان كان + +204 +00:18:17,460 --> 00:18:21,460 +دائما دائما + +205 +00:18:21,460 --> 00:18:26,780 +كان للرئيس الأمريكي الموجود له تأثير على الموقف + +206 +00:18:26,780 --> 00:18:31,260 +الأمريكي مثلا الرئيس ريجان كان موقف الاتحاد + +207 +00:18:31,260 --> 00:18:38,870 +الأمريكي كان منحازا تماما بقوةبقوة للكيان الصهيوني + +208 +00:18:38,870 --> 00:18:46,210 +و كذلك في عهد بوش بوش الأب والاب والابن و هكذا + +209 +00:18:46,210 --> 00:18:53,250 +ولكن الرؤساء الذين سبقوهم كانوا الموقف الأمريكي + +210 +00:18:53,250 --> 00:19:03,630 +أقل حد من ذلك أما الاتحاد الأوروبي دائما نقول + +211 +00:19:05,360 --> 00:19:11,400 +الاتعاد الأوروبي يدعو إلى أن مدينة القدس هي مدينة + +212 +00:19:11,400 --> 00:19:17,560 +.. مدينة دينية، مدينة يجب أن تكون هذه المدينة + +213 +00:19:17,560 --> 00:19:23,920 +لجميع .. لجميع الدياناتالدول الأوروبية أيّنت الدول + +214 +00:19:23,920 --> 00:19:28,020 +الأوبريا تحت تأثير من الكنيسة الكاتوليوكية ودولة + +215 +00:19:28,020 --> 00:19:32,300 +الفاتيكان قرار تقسيم فلسطين الصادر 181 اللي بنُص + +216 +00:19:32,300 --> 00:19:36,820 +على تدوير القدس وهكذا + +217 +00:19:37,650 --> 00:19:41,030 +ويمكن تلخيص الموقف الأوروبي من قضية القدس في عدة + +218 +00:19:41,030 --> 00:19:45,070 +نقاط رفض الاعتراف بالقدس عاصما الكيان الصهيوني + +219 +00:19:45,070 --> 00:19:48,730 +التأكيد على أنها مدينة محتلة وتعليق نقل السفارة + +220 +00:19:48,730 --> 00:19:54,460 +سفارات الدول الاتحاد الأوروبي إلى مدينة القدسإلا + +221 +00:19:54,460 --> 00:19:59,820 +إلى حين التوصل إلى تسوية نهائية بشأن مدينة القدس + +222 +00:19:59,820 --> 00:20:03,480 +امتنع الدول الأوروبية من القيام بأي عمل من شأن + +223 +00:20:03,480 --> 00:20:10,340 +يفسر على أنه اعتراف ضمني بسلطة + +224 +00:20:10,340 --> 00:20:16,320 +وبأن القدس عاصمة للكيان الصهيونيالتلاتة التأكيد + +225 +00:20:16,320 --> 00:20:18,680 +على ضرورة الانسحاب الصهيوني من الأراضي العربية + +226 +00:20:18,680 --> 00:20:22,060 +المحتلة في مقدمتها القدس وحق الشعب الفلسطيني في + +227 +00:20:22,060 --> 00:20:27,400 +تقرير مصيره وإقامة دولته هذه التلاتة نقاط مهمة + +228 +00:20:27,400 --> 00:20:31,580 +أربعة رفض السياسة الصهيونية في تهويد المدينة مع + +229 +00:20:31,580 --> 00:20:34,540 +إدانة الكيان الصهيوني بسبب مواصلة التهويد والدعوة + +230 +00:20:34,540 --> 00:20:40,150 +للانتثال للتام لجميع قرارات الأمم المتحدةالخاصة + +231 +00:20:40,150 --> 00:20:43,570 +بالطبع التاريخي للقدس خمسة عدم الاعتراف بقرار + +232 +00:20:43,570 --> 00:20:48,210 +الكنيسة اللي بيعتبر القدس عاصم الكيان الصهيوني ستة + +233 +00:20:48,210 --> 00:20:51,490 +تأييد القرارات الصادرة عن الأمم المتحدة والتي + +234 +00:20:51,490 --> 00:20:55,710 +تطالب الدول الأعضاء التي لها سفرات في القدس بسحبها + +235 +00:20:55,710 --> 00:20:59,770 +وتؤكد على عدم شرعية الإجارات الصهيونية الخاصة في + +236 +00:20:59,770 --> 00:21:07,330 +القدس وتشجب نقل بعض الدول سفراتها للقدس هذا ملخص + +237 +00:21:07,330 --> 00:21:12,330 +الموقف الأوروبيإذن الموقف الأوروبي أفضل بكثير من + +238 +00:21:12,330 --> 00:21:16,390 +الموقف الأمريكي المنحاس رفض الاعتراف بالقدس عاصما + +239 +00:21:16,390 --> 00:21:20,590 +الكيان الصهيوني امناء الدول من نقل سفراتها تأكيد + +240 +00:21:20,590 --> 00:21:25,330 +على ضرورة الانسحاب من الأراضي المحتلة عام 67 رفض + +241 +00:21:25,330 --> 00:21:28,130 +السياسة الصهيونية في تهويد القدس كل الإجراءات اللي + +242 +00:21:28,130 --> 00:21:31,490 +بنرفضها عدم الاعتراف بقرار الكنيست اللي بتاخذ + +243 +00:21:31,490 --> 00:21:35,010 +القدس عاصمة تأييد القرارات الصادرة للأمم المتحدة + +244 +00:21:35,010 --> 00:21:37,530 +اللي بتقول يجب يجب + +245 +00:21:40,370 --> 00:21:44,170 +يجب أن تخرج إسرائيل من الأراضي اللي احتلتها في + +246 +00:21:44,170 --> 00:21:52,300 +الـ67 الاتحاد السوفيتي كان موقفه قويعندما كان + +247 +00:21:52,300 --> 00:21:55,140 +الاتحاد السوفيتي عندما كان الاتحاد السوفيتي على + +248 +00:21:55,140 --> 00:21:58,060 +الرغم من أن الاتحاد السوفيتي تاني دولة اعترفت + +249 +00:21:58,060 --> 00:22:02,480 +بإسرائيل لكن تعارض المصالح اختلف اختلف و سياسته + +250 +00:22:02,480 --> 00:22:05,900 +اختلفت خصوصا أن الدول العربية أصبحت منحازة لاتحاد + +251 +00:22:05,900 --> 00:22:08,680 +السوفيتي وفي علاقات وفي توافق في الفكر الـ + +252 +00:22:08,680 --> 00:22:13,320 +Ideology في دول عربية رفعت شعار الشيوعية + +253 +00:22:13,320 --> 00:22:16,540 +والاشتراكية وبدأت تطبيقها يعني في توافق بينهم + +254 +00:22:16,540 --> 00:22:19,880 +بالاتحاد السوفيتي فكان موقف الاتحاد السوفيتي جوي + +255 +00:22:20,600 --> 00:22:25,500 +ويساند القضية الفلسطينية خصوصا .. لاحظوا .. خصوصا + +256 +00:22:25,500 --> 00:22:31,700 +أن بيان .. بيان 1982 اللي صدر عن .. بلسان بريجينيف + +257 +00:22:31,700 --> 00:22:37,440 +القائد السوفيت الشهير اللي بيقول .. اللي بيقول أنه + +258 +00:22:37,440 --> 00:22:45,200 +.. يعني نلخصه بالحرف أن للفلسطينيين الحق الكامل في + +259 +00:22:45,200 --> 00:22:47,920 +الأرض الفلسطينية المحتلة وإقامة دولة فلسطينية + +260 +00:22:47,920 --> 00:22:53,820 +مستقلة وعاصمتها القدسوهذا ما جاء في بيان بريجينيف + +261 +00:22:53,820 --> 00:22:59,180 +في 1982 لكن بعد .. طبعا الاتحاد السوفيتي نادى + +262 +00:22:59,180 --> 00:23:04,120 +بضرورة الالتزام بقرار 242 وقراراته كان دائما يدين + +263 +00:23:04,120 --> 00:23:08,180 +الكيان الصيوني لكن بعد ذلك عندما انهار الاتحاد + +264 +00:23:08,180 --> 00:23:14,600 +السوفيتي في عام 1990 واصبح هناك دولة جديدة هي دولة + +265 +00:23:14,600 --> 00:23:19,200 +روسيا هذه الدولة أضعف من الاتحاد السوفيتيلكن لها + +266 +00:23:19,200 --> 00:23:26,720 +حق الفيتو ماذا حدث سنجد أن مواقف روسياضعيفة، + +267 +00:23:26,720 --> 00:23:32,680 +ضبابية، غير حاسمة، غير مساندة مساندة واضحة للقضية + +268 +00:23:32,680 --> 00:23:37,640 +الفلسطينية وقرارات الأمم المتحدة وللقدس لماذا؟ + +269 +00:23:37,640 --> 00:23:40,880 +لأنها تخشى رؤوس الأموال اليهودية في روسيا التي + +270 +00:23:40,880 --> 00:23:45,180 +تؤثر على الاقتصاد الروسي تخشى من تضرر مصالحها مع + +271 +00:23:45,180 --> 00:23:48,820 +الولايات المتحدة الأمريكية تخشى من تضرر مصالحها مع + +272 +00:23:48,820 --> 00:23:53,790 +الكيان الصهيوني أيضا تخشى من تضرر مصالحهامع العرب + +273 +00:23:53,790 --> 00:23:58,130 +والمسلمين لذلك مواقفها دايما ضباضية ودايما بتقول + +274 +00:23:58,130 --> 00:24:02,850 +دايما عبارة بتكررها ندعو جميع الأطراف على حد سواء + +275 +00:24:02,850 --> 00:24:08,470 +على الالتزام بالقرارات الأمم المتحدة نكتفي بهذا + +276 +00:24:08,470 --> 00:24:09,810 +القدر إلى اللقاء + diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/rXo_6qdm4Co.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/rXo_6qdm4Co.srt new file mode 100644 index 0000000000000000000000000000000000000000..5ba8e89f0d27d2a09e8038064676ea58aedb0b96 --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/rXo_6qdm4Co.srt @@ -0,0 +1,1431 @@ +1 +00:00:04,930 --> 00:00:07,870 +أعوذ بالله الصمد العليم من الشيطان الرجيم بسم + +2 +00:00:07,870 --> 00:00:11,670 +الله الرحمن الرحيم الحمد لله رب العالمين والصلاة + +3 +00:00:11,670 --> 00:00:15,450 +والسلام على قائد المجاهدين محمد صلى الله عليه وسلم + +4 +00:00:15,450 --> 00:00:22,390 +أهلا وسهلا بكم في لقاء جديد وموضوع جديد من موضوعات + +5 +00:00:22,390 --> 00:00:27,310 +تاريخ مدينة القدس اليوم إن شاء الله سنتحدث في + +6 +00:00:27,310 --> 00:00:30,990 +السياسات والإجراءات الصهيونية في مدينة القدس + +7 +00:00:34,640 --> 00:00:39,360 +على الرغم من أن الاحتلال يسيطر سيطرة كاملة على + +8 +00:00:39,360 --> 00:00:44,840 +مدينة القدس إلا أنه يتخذ عدة إجراءات في هذه المدينة + +9 +00:00:44,840 --> 00:00:49,120 +من أجل تهويد هذه المدينة من أجل تغيير الديموغرافيا + +10 +00:00:49,120 --> 00:00:54,220 +من أجل السيطرة الكاملة على مدينة القدس وطرد أهلها + +11 +00:00:54,220 --> 00:01:00,420 +الشريعيين منها أول هذه السياسات سياسة التمييز سنجد + +12 +00:01:00,420 --> 00:01:05,320 +أن الاحتلال يميز في كل في كل شيء يميز في التعليم + +13 +00:01:05,320 --> 00:01:11,900 +يميز في الـ .. في الـ ..في ناحية السكن، في البناء، + +14 +00:01:11,900 --> 00:01:16,620 +في كل شيء سنرى الآن في سياسة التمييز يمارس + +15 +00:01:16,620 --> 00:01:20,220 +الاحتلال سياسة التمييز في عدة جوانب وهي التعليم + +16 +00:01:20,220 --> 00:01:25,680 +ومؤشر الدخل وحرية العبادة وكثافة السكان وغيرها + +17 +00:01:25,680 --> 00:01:36,000 +سياسة التمييز في التعليم لنرَ أولاً يعاني أهل القدس + +18 +00:01:36,000 --> 00:01:42,660 +من نقص في غرف التدريس عندما قمنا بإجراء عملية أو + +19 +00:01:42,660 --> 00:01:47,280 +دراسة على التعليم وجدنا أن أكثر من أربعين طالبًا + +20 +00:01:47,280 --> 00:01:51,760 +أكثر من أربعين طالبًا فلسطينيًا في الغرفة الواحدة في + +21 +00:01:51,760 --> 00:01:56,160 +مدينة القدس أما الصهاينة فهو قرابة عشرين طالبًا إلى + +22 +00:01:56,160 --> 00:02:02,320 +النصف تقريبًا كل تقريبًا سبعين ثمانين طالبًا لهم لهم + +23 +00:02:02,320 --> 00:02:08,860 +حمامًا لهم حمام نسبة وتناسب فيعني المدارس كثير من + +24 +00:02:08,860 --> 00:02:14,700 +المدارس هي ليسوا بمدارس مخصصة وإنما أنشئت كمدارس ولكن هي + +25 +00:02:14,700 --> 00:02:21,480 +بيوت تم استئجارها لتخصيصها + +26 +00:02:21,480 --> 00:02:25,200 +للمدارس فهي غير مصممة لتكون مدارس غير مؤهلة لتكون + +27 +00:02:25,200 --> 00:02:30,060 +هي مكان للعملية التعليمية هذا حال السبب أن + +28 +00:02:30,060 --> 00:02:34,040 +الاحتلال يمنع إقامة المدارس السبب أن الاحتلال هو + +29 +00:02:34,040 --> 00:02:41,100 +يضيق على الفلسطينيين بكل السبل على المستوى العملي + +30 +00:02:41,100 --> 00:02:44,940 +التطبيقي سلطات الاحتلال تمارس تمييزًا فاضحًا بين + +31 +00:02:44,940 --> 00:02:49,400 +مدارس الشرق والغرب على مستوى الميزانية المخصصة على + +32 +00:02:49,400 --> 00:02:54,600 +مستوى كل شيء لأن الغرب يسكنها الصهاينة أغلبهم + +33 +00:02:54,600 --> 00:02:58,960 +صهاينة في الشرق الفلسطينيون تعاني المدارس العربية + +34 +00:02:58,960 --> 00:03:03,160 +من الاكتظاظ الشديد في الغرف وكما أسلفت أكثر من 40 + +35 +00:03:03,160 --> 00:03:06,280 +طالبًا في الغرفة الواحدة تفتقر المدارس إلى الوسائل + +36 +00:03:06,280 --> 00:03:09,600 +التعليمية والمختبرات وأجهزة الحاسوب طبعًا المدارس + +37 +00:03:09,600 --> 00:03:13,700 +العربية لا يوجد فيها كل هذه المقدرات بل هذه + +38 +00:03:13,700 --> 00:03:18,700 +المقدرات كلها وضخ الميزانيات في المدارس الصهيونية + +39 +00:03:18,700 --> 00:03:24,970 +أصدرت دائرة المعارف الإسرائيلية قرارًا بمنع التعليم + +40 +00:03:24,970 --> 00:03:31,350 +المجاني بمنع التعليم المجاني لماذا لكي تبقى + +41 +00:03:31,350 --> 00:03:35,930 +السلطات الصهيونية سلطات الاحتلال هي المسيطرة على + +42 +00:03:35,930 --> 00:03:41,030 +كل شيء في التعليم في كل شيء مسيطرة في المنهاج في + +43 +00:03:41,030 --> 00:03:46,550 +طرق التدريس في في الأماكن، في الامتحانات، في كل شيء + +44 +00:03:46,550 --> 00:03:52,690 +تريد أن تقوم بعملية أدلجة لعقول الفلسطينيين من أجل + +45 +00:03:52,690 --> 00:03:58,500 +ترويضهم وإخضاعهم ثاني سياسة من سياسات التمييز وهي + +46 +00:03:58,500 --> 00:04:02,700 +مؤشر الدخل لو نظرنا تأملنا على مؤشر الدخل عند + +47 +00:04:02,700 --> 00:04:06,400 +الفلسطيني وعند الصهيوني في مدينة القدس ستجد أن + +48 +00:04:06,400 --> 00:04:13,540 +هناك تمييزًا تمييزًا واضحًا نوعية العمل الأجور مستوى + +49 +00:04:13,540 --> 00:04:18,700 +الدخل السنوي للصهيوني + +50 +00:04:18,700 --> 00:04:24,210 +يقارب على 30 ألف دولار تقريبًا مستوى الدخل لنرى + +51 +00:04:24,210 --> 00:04:30,790 +تتراوح نسبة الدخل الصهيوني حوالي 23 ألف دولار + +52 +00:04:30,790 --> 00:04:33,870 +وهناك دراسة تقول 27 ألف دولار أمريكي بينما لا + +53 +00:04:33,870 --> 00:04:39,830 +يتجاوز دخل العربي ثلث متوسط دخل اليهود لا يتجاوز + +54 +00:04:39,830 --> 00:04:44,670 +دخل الفلسطيني في مدينة القدس السنوي 7000 دولار + +55 +00:04:44,670 --> 00:04:48,930 +سنوي يعيش أكثر من 80% من الفلسطينيين تحت خط الفقر + +56 +00:04:52,070 --> 00:04:57,590 +سياسة من سياسات التمييز وهي كثافة البناء لو قمنا + +57 +00:04:57,590 --> 00:05:03,410 +بإطلالة بإطلالة هيك تأمل المنطقة التي يسكنها + +58 +00:05:03,410 --> 00:05:06,230 +الصهاينة والمنطقة التي يسكنها الفلسطينيون شرق + +59 +00:05:06,230 --> 00:05:10,610 +القدس وغرب القدس على كثافة البناء كثافة السكان + +60 +00:05:10,610 --> 00:05:18,430 +تأملوا تقل كثافة البناء للأراضي المسموح ببنائها على + +61 +00:05:18,430 --> 00:05:22,270 +أي قطعة أرض إلى النصف أو أقل من ذلك مقارنة مع + +62 +00:05:22,270 --> 00:05:24,910 +الأحياء والمستعمرات اليهودية + +63 +00:05:28,690 --> 00:05:34,570 +الآن الصهاينة مسموح لهم أن يبنوا كيف ما شاء ومتى + +64 +00:05:34,570 --> 00:05:42,030 +شاء وبالطريقة التي يريدونها مساحة البناء ارتفاع + +65 +00:05:42,030 --> 00:05:48,500 +البناء وهكذا لو تحدثنا عن البناء هناك هناك فضائح + +66 +00:05:48,500 --> 00:05:53,500 +وانتهاكات واضحة لحقوق الإنسان في مدينة القدس + +67 +00:05:53,500 --> 00:05:57,720 +تمارسها سلطات الاحتلال الصهيوني الفلسطيني ممنوع أن + +68 +00:05:57,720 --> 00:06:02,640 +يبني حتى يحصل على ترخيص ومعدل الحصول على ترخيص + +69 +00:06:02,640 --> 00:06:07,280 +يمكن ثلاث سنوات في المتوسط ممكن خمس سنوات وممكن + +70 +00:06:07,280 --> 00:06:14,010 +ثلاث سنوات وهكذا يدفع مبالغ طائلة للحصول على + +71 +00:06:14,010 --> 00:06:18,290 +الترخيص ممنوع الفلسطيني أن يعلي البناء لكن الصهيون + +72 +00:06:18,290 --> 00:06:24,680 +يعلي كيف ما شاء رفاهية السكن للفرد العربي في القدس + +73 +00:06:24,680 --> 00:06:29,840 +لا تتعدى 49% من رفاهية السكن للفرد اليهودي وذلك من + +74 +00:06:29,840 --> 00:06:34,040 +خلال مقارنة معدلات الازدحام للغرفة الواحدة يعني + +75 +00:06:34,040 --> 00:06:40,320 +الصهيوني في كل غرفة بيطلع فرد أما الفلسطيني تسعة + +76 +00:06:40,320 --> 00:06:44,720 +أفراد تقريبًا في الغرفة الواحدة معدل يعني رخص + +77 +00:06:44,720 --> 00:06:49,900 +البناء سياسة من سياسات التمييز وهي مؤشر السكن تحدث + +78 +00:06:49,900 --> 00:06:53,560 +عن السكن رخص البناء التي تتم الموافقة عليها سنويًا + +79 +00:06:53,560 --> 00:06:58,180 +لا تزيد عن مئة رخصة بناء بينما عند اليهود 3000 + +80 +00:06:58,180 --> 00:07:05,920 +رخصة بناء طيب الأراضي المخطط والمعدل البناء العربي + +81 +00:07:05,920 --> 00:07:10,060 +المحدود تقدر بالنسبة 13% من الأراضي الشرقية بمساحة + +82 +00:07:10,060 --> 00:07:16,580 +تقدر 92 ألف دونم بينما عند اليهود قريبًا 90% أو 87% + +83 +00:07:16,580 --> 00:07:22,510 +من الأراضي تمت مصادرتها لإقامة مشاريع عليها انخفاض + +84 +00:07:22,510 --> 00:07:26,270 +نسبة البناء إذ لا تتعدى 70% من مساحة الأرض في + +85 +00:07:26,270 --> 00:07:30,830 +القدس ولا يسمح ببناء أربع طوابق عند العرب ممنوعة + +86 +00:07:30,830 --> 00:07:34,910 +ببناء أربع طوابق بينما عند الصهاينة يتعدى عدد + +87 +00:07:34,910 --> 00:07:38,490 +الطوابق إلى ثمان طوابق متوسط البناء ثمان طوابق + +88 +00:07:38,490 --> 00:07:42,650 +البناء يتطلب ترخيصًا لازمة قد تستغرق أكثر من ثلاث + +89 +00:07:42,650 --> 00:07:46,770 +سنوات للشقة الواحدة فضلًا عن الإجراءات المطلوبة من + +90 +00:07:46,770 --> 00:07:50,150 +صاحب البناء لإثبات ملكية البناء + +91 +00:07:52,140 --> 00:07:59,780 +سياسة من سياسات التمييز هي حرية العبادة تبرز + +92 +00:07:59,780 --> 00:08:04,240 +سياسة انتهاك حرية العبادة لدى الفلسطينيين وذلك من + +93 +00:08:04,240 --> 00:08:12,120 +النقاط التالية تحديد الأعمار المسموح لها بالصلاة + +94 +00:08:12,120 --> 00:08:19,480 +داخل المسجد مرة بعمر أربعين ومرة بعمر خمس وأربعين + +95 +00:08:19,480 --> 00:08:24,340 +في أي قانون هذا في أي قانون ممنوع دخول المسجد + +96 +00:08:24,340 --> 00:08:27,660 +الأقصى إلى أكثر من خمس وأربعين عامًا أن تكون خمس + +97 +00:08:27,660 --> 00:08:32,780 +وأربعين عامًا يعني الأطفال ممنوع أن يدخلوا الشباب + +98 +00:08:32,780 --> 00:08:41,180 +ممنوع أن يدخلوا هذا تمييز طبقي هل هذا يجري القانون على + +99 +00:08:41,180 --> 00:08:46,100 +الصهاينة لأ أطفال المدارس يدخلوا في أي مكان مع أن + +100 +00:08:46,100 --> 00:08:51,500 +ليس لهم أي مكان مقدس في المسجد الأقصى بينما يسمح + +101 +00:08:51,500 --> 00:08:56,220 +للمتطرفين الصهاينة بالدخول والتجول تحت ما يسمى + +102 +00:08:56,220 --> 00:09:04,140 +السياحة الأجنبية داخل الحرم تحت حماية الجيش طيب + +103 +00:09:05,230 --> 00:09:09,630 +ثاني هذه الإجراءات وهو سحب الهويات وهنا الفضائح + +104 +00:09:09,630 --> 00:09:15,350 +وسياسة التهجير القسري إن الحقيقة المؤكدة بالنسبة + +105 +00:09:15,350 --> 00:09:16,710 +لهذا الكيان الصهيوني + +106 +00:09:19,620 --> 00:09:24,500 +الصهيونية بدون استيطان ولا دولة يهودية بدون القدس + +107 +00:09:24,500 --> 00:09:28,760 +كل الدولة قائمة على الاستيطان والسيطرة على الأرض + +108 +00:09:28,760 --> 00:09:33,760 +وطرد الأرض وطرد أصحاب هذه الأرض من على أرضهم هذه + +109 +00:09:33,760 --> 00:09:37,740 +فكرة كل الاحتلال الصهيوني أكد رئيس الوزراء أو + +110 +00:09:37,740 --> 00:09:40,540 +رئيس وزراء للكيان الصهيوني ديفيد بن غوريون أنه + +111 +00:09:40,540 --> 00:09:45,240 +لا معنى لإسرائيل دون القدس ولا معنى للقدس دون + +112 +00:09:45,240 --> 00:09:51,560 +الهيكل وضعت سلطات الاحتلال الصهيوني خطة مبرمجة + +113 +00:09:51,560 --> 00:09:54,780 +لعملية التهجير القسري من خلال سحب الهويات وإلغاء + +114 +00:09:54,780 --> 00:10:03,080 +حق الإقامة ومنع لمشم للعائلات المقدسية هناك عشرات + +115 +00:10:03,080 --> 00:10:09,120 +القوانين لأصحاب الهويات بالمناسبة وكما أسلفت في + +116 +00:10:09,120 --> 00:10:15,320 +حلقات ماضية أي فلسطيني يخرج من مدينة القدس ست + +117 +00:10:15,320 --> 00:10:19,950 +سنوات متتالية تسحب هويته أي فلسطيني يحصل على إقامة + +118 +00:10:19,950 --> 00:10:24,150 +من أي بلد آخر تسحب هويته من مدينة القدس أي فلسطيني + +119 +00:10:24,150 --> 00:10:29,310 +يحصل على جنسية في أي بلد آخر تسحب هويته أي فلسطيني + +120 +00:10:29,310 --> 00:10:33,250 +يتزوج من خارج القدس يجب أن يخرج من مدينة القدس + +121 +00:10:33,250 --> 00:10:38,030 +وهكذا عشرات عشرات لهم تمارس وزارة الداخلية في + +122 +00:10:38,030 --> 00:10:42,810 +القدس أدت أساليبها أنها تقليص عدد المقدسيين وذلك + +123 +00:10:42,810 --> 00:10:46,830 +من خلال سحب طاقة المواطنة من كل مقدسي + +124 +00:10:51,780 --> 00:10:55,560 +وهناك قانون يحصر الحالات التي يتم بموجبها سحب أصحاب + +125 +00:10:55,560 --> 00:10:59,740 +الهويات لنرى كيف يسحب الهويات الحالة الأولى إذا + +126 +00:10:59,740 --> 00:11:04,740 +تواجد الشخص فترة سبع سنوات خارج حدود مدينة القدس2. + +127 +00:11:05,380 --> 00:11:09,660 +إذا حصل الفرد على إقامة من دولة ثانية 3. إذا حصل + +128 +00:11:09,660 --> 00:11:14,960 +على جنسية بسبب التجنس أو بسبب الزواج وعلى سعيد عدد + +129 +00:11:14,960 --> 00:11:18,520 +البطاقات التي تم سحبها من السكان العرب في القدس من + +130 +00:11:18,520 --> 00:11:26,480 +عام 67 حتى 2010 تجاوزت 14000 + +131 +00:11:26,480 --> 00:11:31,920 +تقريبا 15000 هوية بطاقة هوية ويمثل هذا الرقم هويات + +132 +00:11:31,920 --> 00:11:40,130 +أرباب الأسر لاحظوا كيف تسحب هوية رب الأسرة يعني + +133 +00:11:40,130 --> 00:11:44,550 +يُطرد من مدينة القدس ما هو حال الأسرة بعد ذلك هذه + +134 +00:11:44,550 --> 00:11:50,130 +الأسرة تيتمت كما منحت السكان المقدسيين الهوية + +135 +00:11:50,130 --> 00:11:53,170 +الزرقاء وهي وثيقة التعريف التي يملكها المواطن + +136 +00:11:53,170 --> 00:11:56,430 +المقدسي ولكنها لا تعني من الناحية القانونية سواء + +137 +00:11:56,430 --> 00:12:02,740 +بطاقات إقامة لا تتجدد إلا كل عشر سنوات لا تظنوا أن + +138 +00:12:02,740 --> 00:12:08,040 +الهوية الزرقاء التي يحملها المقدسي هي هوية رسمية + +139 +00:12:08,040 --> 00:12:15,280 +هي بطاقة إقامة تجدد كل عشر سنوات يعني بطاقة أنه + +140 +00:12:15,280 --> 00:12:21,660 +مقيم في مدينة القدس لكن هل تعني أنه من أنه أحد + +141 +00:12:21,660 --> 00:12:30,230 +أصحاب مدينة القدس أو هو أو هو يقيم على وطنه أو على + +142 +00:12:30,230 --> 00:12:35,890 +أرضه أو أن مدينة القدس له علاقة بها، ليس لها + +143 +00:12:35,890 --> 00:12:43,750 +علاقة، هي بطاقة زرقاء تعني إقامة، إقامة مؤقتة كما + +144 +00:12:43,750 --> 00:12:46,810 +أن هناك أكثر من 120 ألف فلسطيني مهددين بفقدان + +145 +00:12:46,810 --> 00:12:51,990 +هوياتهم بسبب جدار الضم والتوسع العنصري ومن جهة + +146 +00:12:51,990 --> 00:12:55,230 +أخرى فإن سلطات الاحتلال عمدت إلى تجميد طلبات لم + +147 +00:12:55,230 --> 00:13:00,130 +تشمل الأسر وفق قانون المواطنة والدخول إلى إسرائيل + +148 +00:13:00,130 --> 00:13:00,730 +منذ + +149 +00:13:03,370 --> 00:13:07,850 +بعد اندلاع انتفاضة الأقصى بعامين قررت وزارة + +150 +00:13:07,850 --> 00:13:12,710 +الداخلية تجميد النظر في الطلبات التي قدمت لها بحق + +151 +00:13:12,710 --> 00:13:19,030 +المواطنة ولم شمل العائلة أحيانا في نظام في كل + +152 +00:13:19,030 --> 00:13:28,230 +العالم لم شمل يقدم الإنسان طلب إنه له ابن أو أحد + +153 +00:13:28,230 --> 00:13:34,570 +أفراد العائلة من خارج البلد فيقدم له لم شمل ويأتي + +154 +00:13:34,570 --> 00:13:40,350 +ويصبح يعني جزء من هذه العائلة هذا رفضته وجمدته + +155 +00:13:40,350 --> 00:13:44,980 +قوات الاحتلال الصهيونية ووفقا لهذه السياسات فقد + +156 +00:13:44,980 --> 00:13:49,080 +تحاول إسرائيل زيادة عدد اليهود في القدس وتقليص عدد + +157 +00:13:49,080 --> 00:13:52,480 +المقدسيين فيها من خلال تهجير المقدسيين وبناء + +158 +00:13:52,480 --> 00:13:57,500 +المستعمرات اليهودية وجلب السكان اليهود كل الهدف + +159 +00:13:57,500 --> 00:14:02,280 +نكرر مرة أخرى كل الهدف هو طرد الفلسطيني من مدينة + +160 +00:14:02,280 --> 00:14:06,400 +القدس كل الهدف هو تغيير الديموغرافيا في مدينة + +161 +00:14:06,400 --> 00:14:11,750 +القدس السيطرة على الأرض السيطرة على الأرض وترديد + +162 +00:14:11,750 --> 00:14:19,530 +الفلسطيني من أرضه سياسة هدم البيوت في هذه الأثناء + +163 +00:14:19,530 --> 00:14:23,630 +بالمناسبة يعني في هذه الأيام تقوم سلطات الاحتلال + +164 +00:14:23,630 --> 00:14:28,130 +بهدم البيوت بهدم البيوت في مدينة القدس حتى الآن + +165 +00:14:28,130 --> 00:14:32,830 +تهدم البيوت أي بيت لا يوجد به ترخيص يتم هدمه طيب + +166 +00:14:32,830 --> 00:14:38,060 +كيف نحصل على ترخيص من الصعب أن تحصل على ترخيص + +167 +00:14:38,060 --> 00:14:43,660 +فبالتالي بيتك محكوم عليه بالهدم وهكذا وهكذا وهكذا + +168 +00:14:43,660 --> 00:14:45,900 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +169 +00:14:45,900 --> 00:14:45,980 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +170 +00:14:45,980 --> 00:14:47,760 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +171 +00:14:47,760 --> 00:14:48,660 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +172 +00:14:48,660 --> 00:14:49,720 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +173 +00:14:49,720 --> 00:14:51,760 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +174 +00:14:51,760 --> 00:14:52,720 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +175 +00:14:52,720 --> 00:15:00,640 +وهكذا وهكذا وهكذا وهكذا وهكذا + +176 +00:15:00,640 --> 00:15:04,480 +وهكذا هدم البيوت في مدينة القدس هي مخالفة للقانون + +177 +00:15:04,480 --> 00:15:09,060 +الدولي والإنساني وهي مهددة للسلام وهي لا تجوز مطلقا + +178 +00:15:09,060 --> 00:15:14,500 +ويستنكر الاتحاد الأوروبي ذلك سياسة التضييق على + +179 +00:15:14,500 --> 00:15:19,920 +السكان بحجة البناء بلا ترخيص طب يعطوه ترخيص؟ مش + +180 +00:15:19,920 --> 00:15:23,740 +ممكن يفعل ابقى أكثر من ألف مقدسي في ظروف معيشية + +181 +00:15:23,740 --> 00:15:30,580 +صعبة كالعيش في أكواخ أو كهوف ممنوع ممنوع يرمى بيته + +182 +00:15:31,840 --> 00:15:37,660 +والبيت عمره أكثر من ألف عام البيت قايل للسقوط أريد + +183 +00:15:37,660 --> 00:15:41,740 +أن أرمّم ممنوع أرمّم طب أريد أن أبني من جديد + +184 +00:15:41,740 --> 00:15:46,540 +ممنوع أتبني من جديد طب ماذا تريدون أخرج من مدينة + +185 +00:15:46,540 --> 00:15:51,440 +القدس وحسب البيانات الإحصائية فقد قامت سلطات + +186 +00:15:51,440 --> 00:15:58,760 +الاحتلال بهدم 958 مبنى تتضمن 1501 وحدة سكنية منذ + +187 +00:15:58,760 --> 00:16:06,070 +عام 67 ل 2010 من 2010 إلى 2021 تم هدم تقريبا + +188 +00:16:06,070 --> 00:16:09,910 +تقريبا ألف منزل أيضًا ويشير تقرير خاص بالمباني + +189 +00:16:09,910 --> 00:16:14,790 +أعدته الحكومة الصهيونية ضد هدم البيوت إلى أن ما + +190 +00:16:14,790 --> 00:16:20,470 +يقوم بهدمه هو واقع ضمن المخطط الهيكلي وتقوم وزارة + +191 +00:16:20,470 --> 00:16:26,310 +الداخلية بهدم البيوت خارج هذا المخطط هم وضعوا + +192 +00:16:26,310 --> 00:16:32,210 +مخططاتهم جعلوا من القدس الشرقية منطقة يمنع فيها + +193 +00:16:32,210 --> 00:16:37,410 +البناء محظور فيها البناء لماذا؟ هي مناطق خضراء لأن + +194 +00:16:37,410 --> 00:16:41,850 +الفلسطيني يسكن في هذه المنطقة طب المنطقة الغربية + +195 +00:16:41,850 --> 00:16:47,490 +هي منطقة صالحة للسكن والتطوير والمشاريع التطويرية + +196 +00:16:47,490 --> 00:16:54,340 +أي أنه يريد أن يطرد الفلسطيني من الشرق يعزز الوجود + +197 +00:16:54,340 --> 00:17:00,420 +الصهيوني في الغرب هذه هي النظرية بشكل واضح كما + +198 +00:17:00,420 --> 00:17:05,400 +تفرض سلطات الاحتلال مبالغ باهظة جدا على المواطنين + +199 +00:17:05,400 --> 00:17:08,840 +المقدسيين بحجة البناء دون ترخيص تقدر بحوالي خمسين + +200 +00:17:08,840 --> 00:17:15,860 +مليون دولار منذ عام 2004 ل 2008 شيء لا يُعقل حرب + +201 +00:17:15,860 --> 00:17:22,950 +شرسة على الفلسطينيين ودائمًا نقول هذه العبارة لو أن + +202 +00:17:22,950 --> 00:17:27,090 +شعبًا تعرض لعشر ما تعرض له الشعب الفلسطيني لتحلل + +203 +00:17:27,090 --> 00:17:33,230 +واندثر وزال أثره وأصبح جزء من التاريخ لكن الشعب + +204 +00:17:33,230 --> 00:17:38,150 +الفلسطيني ما زال ما زال منتصب قوي يجد في الطلب + +205 +00:17:38,150 --> 00:17:47,430 +يدافع عن حقه متمسك بأرضه أوامر الإخلاء أحيانًا + +206 +00:17:48,610 --> 00:17:53,590 +أحيانا بعض البيوت يتم + +207 +00:17:53,590 --> 00:18:01,050 +هدمها بعض البيوت يرسلوا طلب أمر إخلاء بعض البيوت + +208 +00:18:01,050 --> 00:18:09,090 +يطلبوا من صاحب البيت أن يقوم بهدم بيته وإن لم ينفذ + +209 +00:18:09,090 --> 00:18:16,710 +يقوموا بهدم البيت وهو يدفع ثمن الهدم أو هو يهدم + +210 +00:18:16,710 --> 00:18:24,650 +بيته بيده كسر للإرادة كسر لإرادة الفلسطيني أوامر + +211 +00:18:24,650 --> 00:18:29,510 +الإخلاء تسليم 1900 مقدسي يسكنون 120 عقارا في حي + +212 +00:18:29,510 --> 00:18:34,090 +البستان وحي العباسية أوامر إخلاء منازلهم كما تجري + +213 +00:18:34,090 --> 00:18:37,930 +محاولات حثيثة لتهجير سكان حي الشيخ جراح الذي يحتوي + +214 +00:18:37,930 --> 00:18:43,310 +على 28 عقارا يسكنها 500 مقدسي هذا بالإضافة إلى + +215 +00:18:43,310 --> 00:18:46,690 +أوامر الهدم الجماعي في تل الفول وخلة العين + +216 +00:18:46,690 --> 00:18:51,530 +والعباسية ووادي الجوز كما أصدرت بلدية الاحتلال قرار + +217 +00:18:51,530 --> 00:18:55,430 +بموجبه هدم كل المباني في حي البستان لصالح بناء + +218 +00:18:55,430 --> 00:18:59,830 +حديقة عامة تسمى حديقة النبي داود يهدموا بيوت + +219 +00:18:59,830 --> 00:19:04,460 +الفلسطينيين ويصنعوا حدائق عامة ومنطقة الغرب هي + +220 +00:19:04,460 --> 00:19:08,840 +للبناء وللتطوير يعاني السكان من نقص حاد في المساكن + +221 +00:19:08,840 --> 00:19:11,860 +وذلك بسبب فشل بلدية الاحتلال في توفير التخطيط + +222 +00:19:11,860 --> 00:19:17,420 +المناسب للأحياء الفلسطينية تفاقمت حدة السكن بشكل + +223 +00:19:17,420 --> 00:19:20,880 +كبير بسبب المقدسين الذين عادوا إلى أماكن إقامتهم + +224 +00:19:20,880 --> 00:19:26,060 +بسبب جدار الضم خوفا من فقدان مكان إقامتهم جدار + +225 +00:19:26,060 --> 00:19:32,430 +الضم أخذ جزء أخذت جزء من أراضي الفلسطينيين وطردها + +226 +00:19:32,430 --> 00:19:38,290 +بره خارج مدينة القدس وجزء ليس له علاقة بالقدس ضمه + +227 +00:19:38,290 --> 00:19:42,030 +إلى مدينة القدس الذي يتواجد فيه اليهود والصهاينة + +228 +00:19:42,030 --> 00:19:46,570 +كثير من الفلسطينيين عادوا إلى بيوتهم الآن حدث + +229 +00:19:46,570 --> 00:19:51,170 +ازدحام في السكن ازدحام في كل شيء ويشير تقرير للأمم + +230 +00:19:51,170 --> 00:19:55,960 +المتحدة أن 28% على الأقل من مجموع البيوت العربية قد + +231 +00:19:55,960 --> 00:19:59,860 +بنيت مخالفة لشروط التنظيم الإسرائيلي أو بناء على + +232 +00:19:59,860 --> 00:20:04,160 +هذه المعطيات السكانية فإن هذه النسبة تهدد أكثر من + +233 +00:20:04,160 --> 00:20:11,400 +60 إلى 80 ألف فلسطيني في القدس بخطر الهدم من 80 + +234 +00:20:11,400 --> 00:20:19,440 +إلى 60 ألف فلسطيني سوف تهدم بيوتهم تردي البناء + +235 +00:20:19,440 --> 00:20:23,420 +التحتية بصفة خاصة في البلدة القديمة وفي القدس بصفة + +236 +00:20:23,420 --> 00:20:23,960 +عامة + +237 +00:20:28,360 --> 00:20:33,420 +كل الميزانيات طبعا تذهب إلى غرب القدس أما المناطق + +238 +00:20:33,420 --> 00:20:37,280 +المقدسية و المناطق التي يعيش فيها الفلسطيني هي + +239 +00:20:37,280 --> 00:20:46,580 +تتعرض للإهمال بل و الحرب الشرسة و دائما المنع و + +240 +00:20:46,580 --> 00:20:52,560 +الهدم و هكذا رابعا معاناة سكان القدس و الصعوبات + +241 +00:20:52,560 --> 00:20:59,000 +التي يواجهونها كثير من الصعوبات إن من أبرز ما يعانيه + +242 +00:20:59,000 --> 00:21:03,940 +المقدسيين في انتهاك حقوقهم الاقتصادية والاجتماعية + +243 +00:21:03,940 --> 00:21:09,540 +مما شكل ظروفا نفسية ومعنوية ومادية صعبة لديهم + +244 +00:21:09,540 --> 00:21:15,260 +فقدان حقوقهم في السكن والإقامة فقدان حقوقهم في + +245 +00:21:15,260 --> 00:21:20,140 +مجال الخدمة التعليمية والصحية لا يتلقون علاجا + +246 +00:21:20,140 --> 00:21:26,250 +مناسبا كباقي شعوب الأرض لا يتلقون تعليما مناسبا + +247 +00:21:26,250 --> 00:21:32,650 +كباقي شعوب الأرض إسقاط حق الإقامة وسحب الهويات أنا + +248 +00:21:32,650 --> 00:21:38,270 +في أرضي، في وطني في وطني مسحوب الهوية في وطني .. في + +249 +00:21:38,270 --> 00:21:43,550 +وطني معاه بطاقة زرقاء بطاقة إقامة وليس مواطنة + +250 +00:21:43,550 --> 00:21:47,310 +بالإضافة إلى حرمان الأطفال من الجنسية المقدسية + +251 +00:21:47,310 --> 00:21:53,410 +وإضافتهم إلى هوية والدهم إذا كان أحد الأبوين من + +252 +00:21:53,410 --> 00:21:56,790 +مواطني الضفة الغربية وقطاع غزة أدى إلى حرمان + +253 +00:21:56,790 --> 00:22:00,670 +الأطفال من كافة حقوقهم الاجتماعية والصحية وغيرها + +254 +00:22:05,060 --> 00:22:11,080 +إذا كان رجل في القدس قد تزوج من امرأة في الضفة + +255 +00:22:11,080 --> 00:22:17,480 +الفلسطينية أولا عليه أن يخرج من مدينة القدس ويذهب + +256 +00:22:17,480 --> 00:22:25,060 +إلى حيث الزوجة ثانيا الأبناء يضافوا إلى هوية + +257 +00:22:25,060 --> 00:22:33,120 +الزوجة أي ليسوا مقدسيين يصبحون ليسوا مقدسيين كما + +258 +00:22:33,120 --> 00:22:36,040 +يشير تقرير خلال الأربع سنوات الماضية إلى ارتفاع عدد + +259 +00:22:36,040 --> 00:22:40,140 +الشكاوى المقدمة ضد مؤسسة التأمين الوطني الصهيوني + +260 +00:22:40,140 --> 00:22:46,440 +جميع هذه الشكاوى تخص العلاج والدخل والحياة + +261 +00:22:46,440 --> 00:22:50,600 +الاقتصادية والاجتماعية ومعونات السكان ارتفاع + +262 +00:22:50,600 --> 00:22:53,940 +معدلات البطالة وأن الوضع الاقتصادي على حافة + +263 +00:22:53,940 --> 00:22:57,920 +الانهيار بسبب جدار الضم وبناء المستوطنات سوق العمل + +264 +00:22:57,920 --> 00:23:00,320 +الإسرائيلي لم يعد خيارًا لكثير من المواطنين + +265 +00:23:00,320 --> 00:23:04,390 +المقدسيين بسبب التدابير التي تضعها السلطات + +266 +00:23:04,390 --> 00:23:08,650 +الصهيونية ضعف الاستثمار والنشاط التجاري في القدس + +267 +00:23:08,650 --> 00:23:12,870 +وفي التمويل والاقتصـاد طبعًا أنها التجارية + +268 +00:23:12,870 --> 00:23:17,450 +والاقتصادية في القدس ضعيفة لأنها محاربة يعني أضرب + +269 +00:23:17,450 --> 00:23:24,250 +لكم مثال عندما كان المقدسيون يترزقون من السياح + +270 +00:23:24,250 --> 00:23:32,330 +الذين يمرون في البلدة المقدسة ماذا حدث في 1996 قام + +271 +00:23:32,330 --> 00:23:36,870 +الاحتلال الصهيوني بإنشاء ما يسمى بالنفق تحت المسجد + +272 +00:23:36,870 --> 00:23:43,150 +الأقصى يمر تحت المسجد الأقصى ويمر السياح من هذا + +273 +00:23:43,150 --> 00:23:48,070 +النفق فبالتالي حرم المقدسيين من مرور السياح + +274 +00:23:48,070 --> 00:23:56,060 +والاسترزاق منهم ضعف عدم وجود مصارف فلسطينية في شرقي + +275 +00:23:56,060 --> 00:23:59,260 +القدس بالرغم من وجود عدد قليل من فروع البنوك + +276 +00:23:59,260 --> 00:24:04,580 +الصهيونية ممنوع أصلاً يكون فيه بنوك صعوبات ومشاكل + +277 +00:24:04,580 --> 00:24:09,960 +تواجه خطر على الحياة الاقتصادية في القدس القضاء + +278 +00:24:09,960 --> 00:24:12,720 +على الأنشطة الاقتصادية والتجارية في القدس من خلال + +279 +00:24:12,720 --> 00:24:18,290 +التضييق على التجار والمستثمرين ممنوع تستورد، ممنوع + +280 +00:24:18,290 --> 00:24:22,070 +تتاجر اتباع سياسة ضريبة قائمة على تحجيم الاقتصاد + +281 +00:24:22,070 --> 00:24:26,550 +المحلي الضريبة اللي بدفعها الفلسطيني في القدس ضعف + +282 +00:24:26,550 --> 00:24:34,910 +الضريبة اللي بدفعها الصهيوني مع أن الصهيوني + +283 +00:24:34,910 --> 00:24:42,030 +أرباحه أكثر إلا أن ضريبة الفلسطيني أكثر التبعية + +284 +00:24:42,030 --> 00:24:46,670 +الاقتصادية ومن أبرزها التبعية التجارية لا يمكن لا + +285 +00:24:46,670 --> 00:24:51,310 +يمكن أن تبيع وتشتري إلا بواسطة الصهاينة خلق حالة + +286 +00:24:51,310 --> 00:24:54,710 +من الشلل التام في المرافق العامة إهمال البنية + +287 +00:24:54,710 --> 00:24:59,510 +التحتية للمدينة كل شيء له علاقة بالفلسطينيين في + +288 +00:24:59,510 --> 00:25:04,030 +مدينة القدس لا تقوم سلطات الاحتلال بترميمه البنية + +289 +00:25:04,030 --> 00:25:11,110 +التحتية الصرف الصحي الكهرباء الماء الاتصالات كلها + +290 +00:25:11,110 --> 00:25:16,140 +مهملة في الجانب الشرقي من يدخل شرق القدس سيقول هذه + +291 +00:25:16,140 --> 00:25:22,500 +مخيم من مخيمات من مخيمات اللجوء في لبنان ومن يدخل + +292 +00:25:22,500 --> 00:25:27,680 +غرب القدس سيقول هذه قطعة من أوروبا قطعة من أوروبا + +293 +00:25:27,680 --> 00:25:32,540 +هكذا تبدو الصورة تدمير أكثر من 90% من المحلات + +294 +00:25:32,540 --> 00:25:36,640 +التجارية بسبب جدار الضم دمروا كل محلات الفلسطينيين + +295 +00:25:36,640 --> 00:25:41,380 +فدمروا اقتصادهم الوضع السياسي غير المستقر في مناطق + +296 +00:25:41,380 --> 00:25:44,680 +السلطة الفلسطينية أثر بشكل كبير على تدني الاستثمار + +297 +00:25:44,680 --> 00:25:51,260 +في القدس معاناة السكان من قلة المساكن السكان + +298 +00:25:51,260 --> 00:25:56,560 +يعيشون في مساكن أشبه بالكهوف أو الخيام الفلسطينيون + +299 +00:25:56,560 --> 00:26:01,060 +طبعًا الظروف الصحية غير ملائمة للعيش الاستحمام + +300 +00:26:01,060 --> 00:26:05,080 +الشديد حسب حيث يعيش أكثر من 30% من المقدسيين في + +301 +00:26:05,080 --> 00:26:12,710 +المدينة الكثافة السكانية المرتفعة بواقع 3.2 شخص أو + +302 +00:26:12,710 --> 00:26:17,230 +أكثر في الغرفة الواحدة كل أربعة أشخاص في غرفة واحدة + +303 +00:26:17,230 --> 00:26:21,770 +أكثر من 17% من السكان المقدسيين يعيشون داخل أسوار + +304 +00:26:21,770 --> 00:26:26,430 +المدينة أكثر من 19% من الأسر الفلسطينية لم تتصل + +305 +00:26:26,430 --> 00:26:30,510 +مساكنها بشبكات الصرف الصحي الله أكبر + +306 +00:26:34,480 --> 00:26:41,620 +نأخذ مجموعة من الأسئلة الآن تتراوح مساحة الغرف في + +307 +00:26:41,620 --> 00:26:50,180 +المدارس العربية ما بين ما بين 6 إلى 9 متر لكل طالب + +308 +00:26:50,180 --> 00:26:53,380 +الإجابة + +309 +00:26:53,380 --> 00:27:00,260 +خطأ من 5 إلى 9 في عام 2008 أصدرت مؤسسة التأمين + +310 +00:27:00,260 --> 00:27:03,080 +الصهيونية في القدس تعليمات بالسماح بالتعليم + +311 +00:27:03,080 --> 00:27:08,420 +المجاني خطأ وزارة المعارف الصهيونية عام 2009 منعت + +312 +00:27:08,420 --> 00:27:12,840 +التعليم المجاني فرضت المؤسسات الصهيونية سيطرتها + +313 +00:27:12,840 --> 00:27:17,660 +المطلقة بنسبة 80% على قطاع التعليم هذا كلام صحيح + +314 +00:27:17,660 --> 00:27:21,820 +يعيش أكثر من 80% من المقدسيين تحت خط الفقر هذا + +315 +00:27:21,820 --> 00:27:27,020 +كلام صحيح تزيد رخص البناء عن 200 رخصة للمقدسيين + +316 +00:27:27,020 --> 00:27:32,240 +بينما عند اليهود تقل عن 3000 خطأ هي تقل عن 200 + +317 +00:27:32,240 --> 00:27:38,000 +وتزيد عن 3000 إمكانية الحصول على رخصة بالكاد تكون + +318 +00:27:38,000 --> 00:27:44,180 +سهلة وميسرة للمقدسيين خطأ في تاريخ 23/3/2003 + +319 +00:27:44,180 --> 00:27:51,540 +تم تجميد طلبات لم شمل الأسر خطأ في تاريخ 31/3/ + +320 +00:27:51,540 --> 00:27:57,060 +2003 أكد رئيس الوزراء شارون على مقولة لا معنى + +321 +00:27:57,060 --> 00:28:00,520 +لإسرائيل دون القدس ولا معنى للهيكل دون القدس خطأ + +322 +00:28:00,520 --> 00:28:03,560 +من + +323 +00:28:03,560 --> 00:28:07,760 +الصعب تسجيل الأطفال في بطاقة هوية والدهم إذا كان + +324 +00:28:07,760 --> 00:28:10,220 +أحد الأبوين من مواطني الضفة أو غزة + +325 +00:28:13,640 --> 00:28:18,400 +عشرة تدمير أكثر من 90% من المحلات التجارية في شارع + +326 +00:28:18,400 --> 00:28:27,200 +القدس بسبب جدار الضم والتوسع صحيح يكرس + +327 +00:28:27,200 --> 00:28:30,700 +الاحتلال + +328 +00:28:30,700 --> 00:28:37,080 +سياسة التمييز ضد المقدسيين في المدينة ليش + +329 +00:28:37,080 --> 00:28:38,880 +بيستخدم سياسة التمييز + +330 +00:28:49,010 --> 00:28:53,210 +أحسنت لأن الاحتلال يهدف إلى التضييق على + +331 +00:28:53,210 --> 00:28:57,510 +الفلسطينيين من أجل طردهم وتغيير الديموغرافيا في + +332 +00:28:57,510 --> 00:29:07,410 +القدس تعاني القدس من نقص في غرف التدريس أحسنت + +333 +00:29:09,070 --> 00:29:15,870 +لأن الاحتلال يمنع إنشاء مدارس جديدة يمنع إنشاء + +334 +00:29:15,870 --> 00:29:19,750 +مدارس جديدة وأهمل الاحتلال التعليم في القدس اتخذت + +335 +00:29:19,750 --> 00:29:22,770 +إسرائيل سياسات ممنهجة تحاول فيها زيادة عدد اليهود + +336 +00:29:22,770 --> 00:29:27,750 +في المدينة لكي تغير الديموغرافيا لأنها تدعي أن + +337 +00:29:27,750 --> 00:29:33,270 +القدس هي عاصمة إسرائيل يعاني سكان القدس من نقص حاد + +338 +00:29:33,270 --> 00:29:41,040 +في المساكن الرخص وممنوع البناء تضييق على البناء + +339 +00:29:41,040 --> 00:29:46,320 +وعطاء الرخص تفرض سلطات الاحتلال غرامات مالية باهظة + +340 +00:29:46,320 --> 00:29:47,320 +على المقدسيين + +341 +00:29:49,790 --> 00:29:55,290 +للتضييق كي يتم طردهم وإخراجهم وفرارهم من مدينة + +342 +00:29:55,290 --> 00:29:59,930 +القدس تكلم في نقاط موجزة مؤشر التعليم في القدس + +343 +00:29:59,930 --> 00:30:05,630 +مؤشر التعليم هناك تمييز واضح نوعية التعليم الخدمات + +344 +00:30:05,630 --> 00:30:10,610 +المقدمة المدارس عدد الطلبة في الفصل الواحد عدد + +345 +00:30:10,610 --> 00:30:13,990 +الطلبة في الميزانيات المقدمة معظم مدارس + +346 +00:30:13,990 --> 00:30:17,190 +الفلسطينيين هي ليست مدارس هي وإنما بيوت تم + +347 +00:30:17,190 --> 00:30:22,920 +استئجارها حرية العبادة حرية العبادة الممنوعة + +348 +00:30:22,920 --> 00:30:26,840 +الفلسطيني الذي يدخل المسجد هو أكثر من 45 عام بينما + +349 +00:30:26,840 --> 00:30:30,360 +الصهاينة في أي .. أي شخص يستطيع أن يدخل بحماية + +350 +00:30:30,360 --> 00:30:33,620 +قوات الاحتلال القانون الذي يحصر الحالات التي + +351 +00:30:33,620 --> 00:30:39,440 +بموجبها يجوز سحب بطاقة الهوية إذا كانت أمكنا من + +352 +00:30:39,440 --> 00:30:42,360 +الضفة أو أحد الأشخاص الماليين من الضفة إذا + +353 +00:30:42,360 --> 00:30:44,260 +اتراجع ستة نهار في الخارج + +354 +00:30:47,660 --> 00:30:55,380 +أو إقامة في بلد آخر أوامر الإخلاء هي أوامر الإخلاء + +355 +00:30:55,380 --> 00:31:04,250 +أنه يخلي يخلي البيت ومن ثم يتم هدمه أه يتم هدم + +356 +00:31:04,250 --> 00:31:10,630 +البيت طيب نكتفي بهذا القدر ونواصل إن شاء الله في + +357 +00:31:10,630 --> 00:31:15,850 +اللقاء القادم مع الفصل الخامس إن شاء الله من تاريخ + +358 +00:31:15,850 --> 00:31:17,130 +مدينة القدس diff --git a/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/rXo_6qdm4Co_postprocess.srt b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/rXo_6qdm4Co_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..15cf5fc34e2905b077b1c56eb382c8add355d89a --- /dev/null +++ b/PL9fwy3NUQKway-Wb-3cA7l8kAYEtfIQe3/rXo_6qdm4Co_postprocess.srt @@ -0,0 +1,1432 @@ +1 +00:00:04,930 --> 00:00:07,870 +أعوذ بالله السمين العليم من الشيطان الرجيم بسم + +2 +00:00:07,870 --> 00:00:11,670 +الله الرحمن الرحيم الحمد لله رب العالمين والصلاة + +3 +00:00:11,670 --> 00:00:15,450 +والسلام على قائد المجاهدين محمد صلى الله عليه وسلم + +4 +00:00:15,450 --> 00:00:22,390 +أهلا وسهلا بكم في لقاء جديد وموضوع جديد من موضوعات + +5 +00:00:22,390 --> 00:00:27,310 +تاريخ مدينة القدس اليوم إن شاء الله سنتحدث في + +6 +00:00:27,310 --> 00:00:30,990 +السياسات والإجراءات الصهيونية في مدينة القدس + +7 +00:00:34,640 --> 00:00:39,360 +على الرغم من أن الاحتلال يسيطر سيطرة كاملة على + +8 +00:00:39,360 --> 00:00:44,840 +مدينة القدس إلا أنه يتخذ عدة إجراءاتفي هذه المدينة + +9 +00:00:44,840 --> 00:00:49,120 +من أجل تهويد هذه المدينة من أجل تغيير الديمقرافيا + +10 +00:00:49,120 --> 00:00:54,220 +من أجل السيطرة الكاملة على مدينة القدس وطرد أهلها + +11 +00:00:54,220 --> 00:01:00,420 +الشريعيين منها أول هذه السياسات سياسة التمييز سنجد + +12 +00:01:00,420 --> 00:01:05,320 +أن الاحتلال يميز في كل في كل شيء يميز في التعليم + +13 +00:01:05,320 --> 00:01:11,900 +يميز في ال .. في ال ..في ناحية السكن، في البناء، + +14 +00:01:11,900 --> 00:01:16,620 +في كل شيء سنرى الآن في سياسة التمييز يمارس + +15 +00:01:16,620 --> 00:01:20,220 +الاحتلال سياسة التمييز في عدة جوانب وهي التعليم + +16 +00:01:20,220 --> 00:01:25,680 +ومؤشر الدخل وحرية العبادة وكثافة السكان وغيرها + +17 +00:01:25,680 --> 00:01:36,000 +سياسة التمييز في التعليم لنراأولا يعاني أهل القدس + +18 +00:01:36,000 --> 00:01:42,660 +من نقص في غرف التدريسعندما قمنا بإجراء عملية أو + +19 +00:01:42,660 --> 00:01:47,280 +دراسة على التعليم وجدنا أن أكثر من أربعين طالب + +20 +00:01:47,280 --> 00:01:51,760 +أكثر من أربعين طالب فلسطيني في الغرفة الواحدة في + +21 +00:01:51,760 --> 00:01:56,160 +مدينة القدس أما الصهاينة فهو قرابة عشرين طالب إلى + +22 +00:01:56,160 --> 00:02:02,320 +النصف تقريبا كل تقريبا سبعين تمانين طالب لهم لهم + +23 +00:02:02,320 --> 00:02:08,860 +حمام لهم حمام نسبة وتناسبفيعني المدارس كثير من + +24 +00:02:08,860 --> 00:02:14,700 +المدارس هي ليسوا بمدارس مخصصة وانشت كمدارس ولكن هي + +25 +00:02:14,700 --> 00:02:21,480 +بيوت تم استئجارها لتخصيصها + +26 +00:02:21,480 --> 00:02:25,200 +لمدارس فهي غير مصممة لتكون مدارس غير مؤهلة لتكون + +27 +00:02:25,200 --> 00:02:30,060 +هي مكان للعملية التعليمية هذا حال السبب أن + +28 +00:02:30,060 --> 00:02:34,040 +الاحتلال يمنع إقامة المدارس السبب أن الاحتلالهو + +29 +00:02:34,040 --> 00:02:41,100 +يضيق على الفلسطينيين بكل السبل على المستوى العملي + +30 +00:02:41,100 --> 00:02:44,940 +التطبيقي سلطات الاحتلال تمارس تمييزا فاضحا بين + +31 +00:02:44,940 --> 00:02:49,400 +مدارس الشرق والغرب على مستوى الميزانية المخصصة على + +32 +00:02:49,400 --> 00:02:54,600 +مستوى كل شيء لأن الغرب يسكنها الصهاينة أغلبهم + +33 +00:02:54,600 --> 00:02:58,960 +صهاينة في الشرق الفلسطينيينتعاني المدارس العربية + +34 +00:02:58,960 --> 00:03:03,160 +من الابتثاض الشديد في الغرف وكما أسلفت أكثر من 40 + +35 +00:03:03,160 --> 00:03:06,280 +طالب في الغرفة الواحدة تفتقر المدارس إلى الوسائل + +36 +00:03:06,280 --> 00:03:09,600 +التعليمية والمختبرات وأجهزة الحسوب طبعا المدارس + +37 +00:03:09,600 --> 00:03:13,700 +العربية لا يوجد فيها كل هذه المقدرات بل هذه + +38 +00:03:13,700 --> 00:03:18,700 +المقدرات كلها وضخ الميزانيات في المدارس الصهيونية + +39 +00:03:18,700 --> 00:03:24,970 +أصدرت دائرة المآرف الإسرائيلية قرار بمنعالتعليم + +40 +00:03:24,970 --> 00:03:31,350 +المجاني بمنع التعليم المجاني لماذا لكي تبقى + +41 +00:03:31,350 --> 00:03:35,930 +السلطات الصهيونية سلطات الاحتلال هي المسيطرة على + +42 +00:03:35,930 --> 00:03:41,030 +كل شيء في التعليم في كل شيء مسيطرة في المنهاج في + +43 +00:03:41,030 --> 00:03:46,550 +طرق التدريس فيفي الأماكن، في الامتحانات، في كل شيء + +44 +00:03:46,550 --> 00:03:52,690 +تريد أن تقوم بعملية أدلجة لعقول الفلسطينيين من أجل + +45 +00:03:52,690 --> 00:03:58,500 +ترويضهم وإخضاعهمثاني سياسة من سياسات التمييز وهي + +46 +00:03:58,500 --> 00:04:02,700 +مؤشر الدخل لو نظرنا تأملنا على مؤشر الدخل عند + +47 +00:04:02,700 --> 00:04:06,400 +الفلسطيني وعند الصهيوني في مدينة القدس ستجد أن + +48 +00:04:06,400 --> 00:04:13,540 +هناك تمييزا تمييزا واضحا نوعية العمل الأجور مستوى + +49 +00:04:13,540 --> 00:04:18,700 +الدخل السنوي للصهيوني + +50 +00:04:18,700 --> 00:04:24,210 +يقارب على 30 ألف دولار تقريبا مستوى الدخللنرى + +51 +00:04:24,210 --> 00:04:30,790 +تتراوح نسبة الدخل الصهيوني حوالي 23 ألف دولار + +52 +00:04:30,790 --> 00:04:33,870 +وهناك دراسة تقول 27 ألف دولار أمريكا بينما لا + +53 +00:04:33,870 --> 00:04:39,830 +يتجاوز دخل العربي ثلث متوسط دخل اليهود لا يتجاوز + +54 +00:04:39,830 --> 00:04:44,670 +دخل الفلسطيني في مدينة القدس السنوي 7000 دولار + +55 +00:04:44,670 --> 00:04:48,930 +سنوي يعيش أكثر من 80% من الفلسطينيين تحت خط الفقر + +56 +00:04:52,070 --> 00:04:57,590 +سياسة من سياسات التمييز وهي كثافة البناء لو قمنا + +57 +00:04:57,590 --> 00:05:03,410 +باطلالة باطلالة هيك تأمل المنطقة التي يسكنها + +58 +00:05:03,410 --> 00:05:06,230 +الصهاينة والمنطقة التي يسكنها الفلسطينيين شرق + +59 +00:05:06,230 --> 00:05:10,610 +القدس وغرب القدس على كثافة البناء كثافة السكان + +60 +00:05:10,610 --> 00:05:18,430 +تأملوا تقل كثافة البناء للأراضي المسموح ببنائهاعلى + +61 +00:05:18,430 --> 00:05:22,270 +أي قطعة أرض إلى النصف أو أقل من ذلك مقارنة مع + +62 +00:05:22,270 --> 00:05:24,910 +الأحياء والمستعمرات اليهودية + +63 +00:05:28,690 --> 00:05:34,570 +الان الصهاينة مسموح لهم ان يبنوا كيف ما شاء و متى + +64 +00:05:34,570 --> 00:05:42,030 +شاء و بالطريقة التي يريدونها مساحة البناء ارتفاع + +65 +00:05:42,030 --> 00:05:48,500 +البناء و هكذا لو تحدثنا عن البناء هناكهناك فضائح + +66 +00:05:48,500 --> 00:05:53,500 +وانتهاكات واضحة لحقوق الإنسان في مدينة القدس + +67 +00:05:53,500 --> 00:05:57,720 +تمارسها سلطات الاحتلال الصهيوني الفلسطيني ممنوع أن + +68 +00:05:57,720 --> 00:06:02,640 +يبني حتى يحصل على ترخيص ومعدل الحصول على ترخيص + +69 +00:06:02,640 --> 00:06:07,280 +يمكن ثلاث سنوات في المتوسط ممكن خمس سنوات وممكن + +70 +00:06:07,280 --> 00:06:14,010 +ثلاث سنوات وهكذايدفع مبالغ طائلة للحصول على + +71 +00:06:14,010 --> 00:06:18,290 +الترخيص ممنوع الفلسطيني أن يعلي البناء لكن الصهيون + +72 +00:06:18,290 --> 00:06:24,680 +يعلي كيف ما شاءرفاهية السكن للفرد العربي في القدس + +73 +00:06:24,680 --> 00:06:29,840 +لا تتعدى 49% من رفاهية السكن للفرد اليهودي وذلك من + +74 +00:06:29,840 --> 00:06:34,040 +خلال مقارنة معدلات الازدحام للغرفة الواحدة يعني + +75 +00:06:34,040 --> 00:06:40,320 +الصيوني في كل غرفة بيطلع فرد أما الفلسطيني تسعة + +76 +00:06:40,320 --> 00:06:44,720 +أفراد تقريبا في الغرفة الواحدة معدل يعني رخص + +77 +00:06:44,720 --> 00:06:49,900 +البناء سياسة من سياسات التمييز وهي مؤشر السكنتحدث + +78 +00:06:49,900 --> 00:06:53,560 +عن السكن رخص البناء التي تتم الموافقة عليها سنويا + +79 +00:06:53,560 --> 00:06:58,180 +لا تزيد عن متئر رخصات بناء بينما عند اليهود 3000 + +80 +00:06:58,180 --> 00:07:05,920 +رخصة بناء طيب الأراضي المخطط والمعدل البناء العربي + +81 +00:07:05,920 --> 00:07:10,060 +المحدود تقدر بالنسبة 13% من الأراضي الشرقية بمساحة + +82 +00:07:10,060 --> 00:07:16,580 +تقدر 92 ألف دنوم بينما عند اليهودقريبًا 90% أو 87% + +83 +00:07:16,580 --> 00:07:22,510 +من الأراضي تمت مصادرتها لقامة مشاريع عليهاانخفاض + +84 +00:07:22,510 --> 00:07:26,270 +نسبة البناء إذ لا تتعدى 70% من مساحة الأرض في + +85 +00:07:26,270 --> 00:07:30,830 +القدس ولا يسمح ببناء أربع طوابق عند العرب ممنوعة + +86 +00:07:30,830 --> 00:07:34,910 +تبني أربع طوابق بينما عند الصهاين يتعدى عدد + +87 +00:07:34,910 --> 00:07:38,490 +الطوابق إلى تمان طوابق متوسط البناء تمان طوابق + +88 +00:07:38,490 --> 00:07:42,650 +البناء يتطلب ترخيص لازمة قد تستغرق أكثر من تلات + +89 +00:07:42,650 --> 00:07:46,770 +سنوات للشقة الواحدة فضلا عن الإجراءات المطلوبة من + +90 +00:07:46,770 --> 00:07:50,150 +صاحب البناء لإثبات ملكية البناء + +91 +00:07:52,140 --> 00:07:59,780 +سياسة من سياسات التمييز هي حرية العبادة تبرز + +92 +00:07:59,780 --> 00:08:04,240 +سياسة انتهاك حرية العبادة لدى الفلسطينيين وذلك من + +93 +00:08:04,240 --> 00:08:12,120 +النقاط التالية تحديد الأعمار المسموحلها بالصلاة + +94 +00:08:12,120 --> 00:08:19,480 +داخل المسجد مرة بعمر أربعين ومرة بعمر خمس واربعين + +95 +00:08:19,480 --> 00:08:24,340 +في أي قانون هذا في أي قانون ممنوع دخول المسجد + +96 +00:08:24,340 --> 00:08:27,660 +الأقصى إلى أكثر من خمس واربعين عام أن تكون خمس + +97 +00:08:27,660 --> 00:08:32,780 +واربعين عام يعني الأطفال ممنوع أن يدخلوا الشباب + +98 +00:08:32,780 --> 00:08:41,180 +ممنوع أن يدخلوا هذاتميز طب هل هذا يجري القانون على + +99 +00:08:41,180 --> 00:08:46,100 +الصهاينة لأ أطفال المدارس يدخلوا في أي مكان مع أن + +100 +00:08:46,100 --> 00:08:51,500 +ليس لهم أي مكان مقدس في المسجد الأقصى بينما يسمح + +101 +00:08:51,500 --> 00:08:56,220 +للمتطرفين الصهاينة بالدخول وتجول تحت ما يسمى + +102 +00:08:56,220 --> 00:09:04,140 +السياحة الأجنبية داخل الحرم تحت حماية الجيش طيب + +103 +00:09:05,230 --> 00:09:09,630 +ثاني هذه الإجراءات وهو سحب الهويات وهنا الفضائح + +104 +00:09:09,630 --> 00:09:15,350 +وسياسة التهجير القصري إن الحقيقة المؤكدة بالنسبة + +105 +00:09:15,350 --> 00:09:16,710 +لهذا الكيان الصهيوني + +106 +00:09:19,620 --> 00:09:24,500 +الصهيونية بدون استيطان ولا دولة يهودية بدون القدس + +107 +00:09:24,500 --> 00:09:28,760 +كل الدولة قائمة على الاستيطان والسيطرة على الأرض + +108 +00:09:28,760 --> 00:09:33,760 +وطرد الأرض وطرد أصحاب هذه الأرض من على أرضهم هذه + +109 +00:09:33,760 --> 00:09:37,740 +فكرة كل الاحتلال الصهيوني أكد الرئيس الوزراء أو + +110 +00:09:37,740 --> 00:09:40,540 +الرئيس وزراء للكيانة الصهيونية ديفيد بن جريون أنه + +111 +00:09:40,540 --> 00:09:45,240 +لا معنى لإسرائيل دون القدسولا معنى للقدس دون + +112 +00:09:45,240 --> 00:09:51,560 +الهيكل وضعت سلطات الاحتلال الصهيوني خطة مبرمجة + +113 +00:09:51,560 --> 00:09:54,780 +لعملية التهجير القصري من خلال سحب الهويات وإلغاء + +114 +00:09:54,780 --> 00:10:03,080 +حق الإقامة ومنع لمشم للعائلات المقدسيةهناك عشرات + +115 +00:10:03,080 --> 00:10:09,120 +القوانين لصحب الهويات بالمناسبة و كما أسلفت في + +116 +00:10:09,120 --> 00:10:15,320 +حلقات ماضية أي فلسطيني يخرج من مدينة القدس ست + +117 +00:10:15,320 --> 00:10:19,950 +سنوات متتالية تصحب هويتهأي فلسطيني يحصل على إقامة + +118 +00:10:19,950 --> 00:10:24,150 +من أي بلد آخر تسحب هويته من مدينة القدس أي فلسطيني + +119 +00:10:24,150 --> 00:10:29,310 +يحصل على جنسية في أي بلد آخر تسحب هويته أي فلسطيني + +120 +00:10:29,310 --> 00:10:33,250 +يتزوج من خارج القدس يجب أن يخرج من مدينة القدس + +121 +00:10:33,250 --> 00:10:38,030 +وهكذا عشرات عشرات لهم تمارس وزارة الداخلية في + +122 +00:10:38,030 --> 00:10:42,810 +القدس أدت أساليب مش أنها تقليص عدد المقدسيين وذلك + +123 +00:10:42,810 --> 00:10:46,830 +من خلال سحب طاقة المواطنة من كل مقدسي + +124 +00:10:51,780 --> 00:10:55,560 +وهناك قانون يحصر الحالات التي يتم بمجيبها صحب + +125 +00:10:55,560 --> 00:10:59,740 +الهويات لنرى كيف يصحب الهويات الحالة الأولى إذا + +126 +00:10:59,740 --> 00:11:04,740 +تواجد الشخص فترة سبع سنوات خارج حلول مدينة القدس2. + +127 +00:11:05,380 --> 00:11:09,660 +إذا حصل الفرد على إقامة من دولة ثانية 3. إذا حصل + +128 +00:11:09,660 --> 00:11:14,960 +على جنسية بسبب التجنس أو بسبب الجنس وعلى سعيد عدد + +129 +00:11:14,960 --> 00:11:18,520 +البطاقات التي تم سحبها من السكان العرب في القدس من + +130 +00:11:18,520 --> 00:11:26,480 +عام 67 حتى 2010 تجاوزت 14000 + +131 +00:11:26,480 --> 00:11:31,920 +تقريبا 15000 هوي بطاقة هوية ويمثل هذا الرقم هويات + +132 +00:11:31,920 --> 00:11:40,130 +أرباب الأسرلاحظوا كيف تسحب هوية رب الأسرة يعني + +133 +00:11:40,130 --> 00:11:44,550 +يُطرد من مدينة القدس ما هو حال الأسرة بعد ذلك هذه + +134 +00:11:44,550 --> 00:11:50,130 +الأسرة تيتمت كما منحت السكان المقدسيين الهوية + +135 +00:11:50,130 --> 00:11:53,170 +الزرقاء وهي وثيقة التعريف التي يملكها المواطن + +136 +00:11:53,170 --> 00:11:56,430 +المقدسي ولكنها لا تعني من الناحية القانونية سواء + +137 +00:11:56,430 --> 00:12:02,740 +بطاقات إقامة لا تتجدد إلا كل عشر سنواتلا تظنوا أن + +138 +00:12:02,740 --> 00:12:08,040 +الهوية الزرقاء التي يحملها المقدسي هي هوية رسمية + +139 +00:12:08,040 --> 00:12:15,280 +هي بطاقة إقامة تجدد كل عشر سنوات يعني بطاقة أنه + +140 +00:12:15,280 --> 00:12:21,660 +مقيم في مدينة القدس لكن هل تعني أنه من أنه أحد + +141 +00:12:21,660 --> 00:12:30,230 +أصحاب مدينة القدس أو هو أو هويقيم على وطنه أو على + +142 +00:12:30,230 --> 00:12:35,890 +أرضه أو أن مدينة القدس له علاقة بها، ليس لها + +143 +00:12:35,890 --> 00:12:43,750 +علاقة، هي بطاقة زرقاء تعني إقامة، إقامة مؤقتةكما + +144 +00:12:43,750 --> 00:12:46,810 +أن هناك أكثر من 120 ألف فلسطيني مهددين بصحب + +145 +00:12:46,810 --> 00:12:51,990 +هوياتهم بسبب جدار الضم والتوسع العنصري ومن جهة + +146 +00:12:51,990 --> 00:12:55,230 +أخرى فإن سلطات الاحتلال عمدت إلى تجميد طلبات لم + +147 +00:12:55,230 --> 00:13:00,130 +شمل الأسر وفق قانون المواطنة والدخول إلى إسرائيل + +148 +00:13:00,130 --> 00:13:00,730 +منذ + +149 +00:13:03,370 --> 00:13:07,850 +بعد اندلاع انتفارة الأقصى بعامين قررت وزارة + +150 +00:13:07,850 --> 00:13:12,710 +الداخلية تجميد النظر في الطلبات التي قدمت لها بحق + +151 +00:13:12,710 --> 00:13:19,030 +المواطنة ولم شمل العائلة أحيانا في نظام في كل + +152 +00:13:19,030 --> 00:13:28,230 +العالم لم شمليقدم الإنسان طلب إنه له ابن أو أحد + +153 +00:13:28,230 --> 00:13:34,570 +أفراد العائلة من خارج البلد فيقدم له لم شمل ويأتي + +154 +00:13:34,570 --> 00:13:40,350 +ويصبح يعني جزء من هذه العائلة هذا رفضته وجمدته + +155 +00:13:40,350 --> 00:13:44,980 +قوات الاحتلال الصهيونيواتبعًا لهذه السياسات فقد + +156 +00:13:44,980 --> 00:13:49,080 +تحاول إسرائيل زيادة عدد اليهود في القدس وتقليص عدد + +157 +00:13:49,080 --> 00:13:52,480 +المقدسيين فيها من خلال تهجير المقدسيين وبناء + +158 +00:13:52,480 --> 00:13:57,500 +المستعمرات اليهودية وجلب السكان اليهود كل الهدف + +159 +00:13:57,500 --> 00:14:02,280 +نكرر مرة أخرى كل الهدف هو طرد الفلسطيني من مدينة + +160 +00:14:02,280 --> 00:14:06,400 +القدس كل الهدف هو تغيير الديمографيا في مدينة + +161 +00:14:06,400 --> 00:14:11,750 +القدس السيطرة على الأرضالسيطرة على الأرض وترد + +162 +00:14:11,750 --> 00:14:19,530 +الفلسطيني من أرضه سياسة هدم البيوت في هذه الأثناء + +163 +00:14:19,530 --> 00:14:23,630 +بالمناسبة يعني في هذه الأيام تقوم سلطات الاحتلال + +164 +00:14:23,630 --> 00:14:28,130 +بهدم البيوت بهدم البيوت في مدينة القدس حتى الآن + +165 +00:14:28,130 --> 00:14:32,830 +تهدم البيوت أي بيت لا يوجد به ترخيص يتم هدمه طيب + +166 +00:14:32,830 --> 00:14:38,060 +كيف نحصل على ترخيصمن الصعب أن تحصل على ترخيص + +167 +00:14:38,060 --> 00:14:43,660 +فبالتالي بيتك محكم عليه بالهدم وهكذا وهكذا وهكذا + +168 +00:14:43,660 --> 00:14:45,900 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +169 +00:14:45,900 --> 00:14:45,980 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +170 +00:14:45,980 --> 00:14:47,760 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +171 +00:14:47,760 --> 00:14:48,660 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +172 +00:14:48,660 --> 00:14:49,720 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +173 +00:14:49,720 --> 00:14:51,760 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +174 +00:14:51,760 --> 00:14:52,720 +وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا وهكذا + +175 +00:14:52,720 --> 00:15:00,640 +وهكذا وهكذا وهكذا وهكذا وهكذا + +176 +00:15:00,640 --> 00:15:04,480 +وهكوهدم البيوت في مدينة القدس هي مخالفة للقانون + +177 +00:15:04,480 --> 00:15:09,060 +الدولي الإنساني وهي مهددة للسلام وهي لا تجوز مطلقا + +178 +00:15:09,060 --> 00:15:14,500 +ويستنكر الاتحاد الأوروبي ذلك سياسة التضييق على + +179 +00:15:14,500 --> 00:15:19,920 +السكان بحجة البناء بلا ترخيص طب يعطوه ترخيص؟ مش + +180 +00:15:19,920 --> 00:15:23,740 +ممكن يفعل ابقى أكثر من ألف مقدسي في ظروف معيشية + +181 +00:15:23,740 --> 00:15:30,580 +صعبة كالعيش في أكواخ أو كهوف ممنوع ممنوع يرمى بيته + +182 +00:15:31,840 --> 00:15:37,660 +والبيت عمره أكتر من ألف عام البيت قايل للسقوط أريد + +183 +00:15:37,660 --> 00:15:41,740 +أن أرمّم ممنوع أترمّم طب أريد أن أبني من جديد + +184 +00:15:41,740 --> 00:15:46,540 +ممنوع أتبني من جديد طب ماذا تريدون أخرج من مدينة + +185 +00:15:46,540 --> 00:15:51,440 +القدس وحسب البيانات الإحصائية فقد قامت سلطات + +186 +00:15:51,440 --> 00:15:58,760 +الاحتلال بهدم 958 مبنى تتضمن 1501 وحدة سكنية منذ + +187 +00:15:58,760 --> 00:16:06,070 +عام 67 ل 2010من 2010 إلى 2021 تم هدم تقريبًا + +188 +00:16:06,070 --> 00:16:09,910 +تقريبًا ألف منزل أيضًا ويشير تقرير خاص بالمباني + +189 +00:16:09,910 --> 00:16:14,790 +أعدت الحكومة الصهيونية ضد هدم البيوت إلى أن ما + +190 +00:16:14,790 --> 00:16:20,470 +يقوم بهدمه هو واقع ضمن المخطط الهيكلي وتقوم مزارة + +191 +00:16:20,470 --> 00:16:26,310 +الداخلية بهدم البيوت خارج هذا المخطط هم وضعوا + +192 +00:16:26,310 --> 00:16:32,210 +مخططاتهم جعلوا من القدس الشرقية منطقة يمنع فيها + +193 +00:16:32,210 --> 00:16:37,410 +البناء محظور فيها البناء لماذا؟ هي مناطق خضراء لأن + +194 +00:16:37,410 --> 00:16:41,850 +الفلسطيني يسكن في هذه المنطقة طب المنطقة الغربية + +195 +00:16:41,850 --> 00:16:47,490 +هي منطقة صالحة للسكن والتطوير والمشاريع التطويرية + +196 +00:16:47,490 --> 00:16:54,340 +أي أنه يريد أن يطرد الفلسطيني من الشرقويعزز الوجود + +197 +00:16:54,340 --> 00:17:00,420 +الصهيوني في الغرب هذه هي النظرية بشكل واضح كما + +198 +00:17:00,420 --> 00:17:05,400 +تفرض سلطات الاحتلال مبالغ باهظة جدا على المواطنين + +199 +00:17:05,400 --> 00:17:08,840 +المقدسين بحجة البناء دون ترخيص تقدر بحوالي خمسين + +200 +00:17:08,840 --> 00:17:15,860 +مليون دولار منذ عام 2004 ل 2008 شيء لا يُعقل حرب + +201 +00:17:15,860 --> 00:17:22,950 +شرسة على الفلسطينيودائمًا نقول هذه العبارة لو أن + +202 +00:17:22,950 --> 00:17:27,090 +شعبًا تعرض لعشر ما تعرض له الشعب الفلسطيني لتحلل + +203 +00:17:27,090 --> 00:17:33,230 +واندفر وزال أثره وأصبح جزء من التاريخ لكن الشعب + +204 +00:17:33,230 --> 00:17:38,150 +الفلسطيني ما زال ما زال منتصب قوي يجد في الطلب + +205 +00:17:38,150 --> 00:17:47,430 +يدافع عن حقه متمسك بأرضه أوامر الإخلاء أحيانًا + +206 +00:17:48,610 --> 00:17:53,590 +أحيانا بعض البيوت يتم + +207 +00:17:53,590 --> 00:18:01,050 +هدمها بعض البيوت يرسلوا طلب أمر إخلاء بعض البيوت + +208 +00:18:01,050 --> 00:18:09,090 +يطلبوا من صاحب البيت أن يقوم بهدم بيته وإن لم ينفذ + +209 +00:18:09,090 --> 00:18:16,710 +يقومهم بهدم البيت وهو يدفع ثمن الهدم أو هو يهدم + +210 +00:18:16,710 --> 00:18:24,650 +بيته بيدهكسر للإرادة كسر لإرادة الفلسطيني أوامر + +211 +00:18:24,650 --> 00:18:29,510 +الإخلاء تسليم 1900 مقدسي يسكنون 120 عقارا في حي + +212 +00:18:29,510 --> 00:18:34,090 +البستان وحي العباسية أوامر إخلاء منازلهم كما تجري + +213 +00:18:34,090 --> 00:18:37,930 +محاولات حثيثة لتهجير سكان حي الشيخ جراح الذي يحتوي + +214 +00:18:37,930 --> 00:18:43,310 +على 28 عقارا يسكنوا 500 مقدسيهذا بالاضافة إلى + +215 +00:18:43,310 --> 00:18:46,690 +أوامر الهدم الجماعي في تل الفول وخلة العين + +216 +00:18:46,690 --> 00:18:51,530 +والعباسي ووادي باصول كما أصدرت بلدية الاحتلال قرار + +217 +00:18:51,530 --> 00:18:55,430 +بموجبه هدم كل المباني في حي البستان لصالح بناء + +218 +00:18:55,430 --> 00:18:59,830 +حديقة عامة تسمى حديقة النبي داود يهدموا بيوت + +219 +00:18:59,830 --> 00:19:04,460 +الفلسطينيين ويصنعوا حدائق عامةومنطقة الغرب هي + +220 +00:19:04,460 --> 00:19:08,840 +للبناء وللتطوير يعاني السكان من نقص حاد في المساكن + +221 +00:19:08,840 --> 00:19:11,860 +وذلك بسبب فشل بلدية الاحتلال في توفير التخطيط + +222 +00:19:11,860 --> 00:19:17,420 +المناسب للأحياء الفلسطينية تفاقمت حدة السكن بشكل + +223 +00:19:17,420 --> 00:19:20,880 +كبير بسبب المقدسين الذين عادوا إلى أماكن إقامتهم + +224 +00:19:20,880 --> 00:19:26,060 +بسبب جدار الضم خوفا من فقدان مكان إقامتهم جدار + +225 +00:19:26,060 --> 00:19:32,430 +الضم أخذ جزءأخذت جزء من أراضي الفلسطينيين وطردها + +226 +00:19:32,430 --> 00:19:38,290 +برا خارج مدينة القدس وجزء ليس له علاقة بالقدس ضمه + +227 +00:19:38,290 --> 00:19:42,030 +إلى مدينة القدس اللذي يتواجد فيه اليهود والصهاينة + +228 +00:19:42,030 --> 00:19:46,570 +كثير من الفلسطينيين عادوا إلى بيوتهم الآن حدث + +229 +00:19:46,570 --> 00:19:51,170 +ازدهام في السكاة ازدهام في كل شيء ويشير تقرير لملة + +230 +00:19:51,170 --> 00:19:55,960 +المتحدة أن 28% على الأقل من مجموع البيوت العربيةقد + +231 +00:19:55,960 --> 00:19:59,860 +بنيت مخالفة لشروط التنظيم الإسرائيلي أو بناء على + +232 +00:19:59,860 --> 00:20:04,160 +هذه المعطيات السكانية فإن هذه النسبة تهدد أكثر من + +233 +00:20:04,160 --> 00:20:11,400 +60 إلى 80 ألف فلسطيني في القدس بخطر الهدم من 80 + +234 +00:20:11,400 --> 00:20:19,440 +إلى 60 ألف فلسطيني سوف تهدم بيوتهم تردي البناء + +235 +00:20:19,440 --> 00:20:23,420 +التحتية بصفة خاصة في البلدة القديمة وفي القدس بصفة + +236 +00:20:23,420 --> 00:20:23,960 +عامة + +237 +00:20:28,360 --> 00:20:33,420 +كل الميزانيات طبعا تذهب إلى غرب القدس أما المناطق + +238 +00:20:33,420 --> 00:20:37,280 +المقدسة و المناطق التي يعيش فيها الفلسطيني هي + +239 +00:20:37,280 --> 00:20:46,580 +تتعرض للإهمال بل و الحرب الشرسة و دائما المنع و + +240 +00:20:46,580 --> 00:20:52,560 +الهدم و هكذا رابعا معاناة سكان القدس و الصعوبات + +241 +00:20:52,560 --> 00:20:59,000 +التي يوجعونها كثير من الصعوباتإن من أبرز ما يعانيه + +242 +00:20:59,000 --> 00:21:03,940 +المقدسيين في انتهاك حقوقهم الاقتصادية والاجتماعية + +243 +00:21:03,940 --> 00:21:09,540 +مما شكل ظروفا نفسية ومعنوية ومادية صعبة لديهم + +244 +00:21:09,540 --> 00:21:15,260 +فقدان حقوقهم في السكن والإقامة فقدان حقوقهم في + +245 +00:21:15,260 --> 00:21:20,140 +مجال الخدمة التعليمية والصحية لا يتلقوا علاجا + +246 +00:21:20,140 --> 00:21:26,250 +مناسبا كباقي شعوب الأرضلا يتلقوا تعليما مناسبا + +247 +00:21:26,250 --> 00:21:32,650 +كباقي شعوب الأرض إسقاط حق الإقامة وسحب الهويات أنا + +248 +00:21:32,650 --> 00:21:38,270 +في أرضي، في وطنيفي وطني مسحوب الهوية في وطني .. في + +249 +00:21:38,270 --> 00:21:43,550 +وطني معاه بطاقة زرقاء بطاقة إقامة وليس مواطنة + +250 +00:21:43,550 --> 00:21:47,310 +إضافة إلى حرمان الأطفال من الجنسية المقدسية + +251 +00:21:47,310 --> 00:21:53,410 +وإضافتهم إلى هوية والدهم إذا كان أحد الأبوين من + +252 +00:21:53,410 --> 00:21:56,790 +مواطني الضفة الغربية وقطع غزة أدى إلى حرمان + +253 +00:21:56,790 --> 00:22:00,670 +الأطفال من كافة حقوقهم الإجتماعية والصحية وغيرها + +254 +00:22:05,060 --> 00:22:11,080 +إذا كان رجل في القدس قد تزوج من إمرأة في الدفة + +255 +00:22:11,080 --> 00:22:17,480 +الفلسطينية أولا عليه أن يخرج من مدينة القدس يذهب + +256 +00:22:17,480 --> 00:22:25,060 +إلى حيث الزوجة ثانيا الأبناء يضافوا إلى هوية + +257 +00:22:25,060 --> 00:22:33,120 +الزوجة أي ليسوا مقدسيين يصبحوا ليسوا مقدسيينكما + +258 +00:22:33,120 --> 00:22:36,040 +يشير تقرير خلال أربع سنوات ماضية إلى ارتفاع عدد + +259 +00:22:36,040 --> 00:22:40,140 +الشكاوة المقدمة ضد مؤسسة التأمين الوطني الصهيوني + +260 +00:22:40,140 --> 00:22:46,440 +جميع هذه الشكاوة تخص العلاج والدخل الحياة + +261 +00:22:46,440 --> 00:22:50,600 +الاقتصادية والاجتماعية ومعاونات السكان ارتفاع + +262 +00:22:50,600 --> 00:22:53,940 +معدلات البطالة وأن الوضع الاقتصادي على حافة + +263 +00:22:53,940 --> 00:22:57,920 +الانيار بسبب جدار الدم وبناء المستوطنات سوق العمل + +264 +00:22:57,920 --> 00:23:00,320 +الإسرائيلي لم يعد خيارا لكثير من المواطنين + +265 +00:23:00,320 --> 00:23:04,390 +المقدسيينبسبب التدابير التي تضعوها السلطوات + +266 +00:23:04,390 --> 00:23:08,650 +الصهيونية ضعف الاستثمار والنشاط التجاري في القدس + +267 +00:23:08,650 --> 00:23:12,870 +وفي التمويل والاقتمال طبعا أنها التجارية + +268 +00:23:12,870 --> 00:23:17,450 +والاقتصادية في القدس ضعيفة لأنها محاربة يعني أضرب + +269 +00:23:17,450 --> 00:23:24,250 +لكم مثال عندما كان المقدسيين يترزقون من السياح + +270 +00:23:24,250 --> 00:23:32,330 +الذين يمروافي البلدة المقدسة ماذا حدث في 1996 قام + +271 +00:23:32,330 --> 00:23:36,870 +الاحتلال الصهيوني بإنشاء ما يسمى بالنفق تحت المسجد + +272 +00:23:36,870 --> 00:23:43,150 +الأقصى يمر تحت المسجد الأقصى ويمر السياح من هذا + +273 +00:23:43,150 --> 00:23:48,070 +النفق فبالتالي حرم المقدسيين من مرور السياح + +274 +00:23:48,070 --> 00:23:56,060 +والاسترزاق منهم ضعفعدم وجود مصارف فلسطينية في شرقي + +275 +00:23:56,060 --> 00:23:59,260 +القدس بالرغم من وجود عدد قليل من فروع البنوك + +276 +00:23:59,260 --> 00:24:04,580 +الصهيوني ممنوع أصلا يكون فيه بنوك صعوبات ومشاكل + +277 +00:24:04,580 --> 00:24:09,960 +تواجه الخطر على الحياة الاقتصادية في القدس القضاء + +278 +00:24:09,960 --> 00:24:12,720 +على الأنشطة الاقتصادية والتجارية في القدس من خلال + +279 +00:24:12,720 --> 00:24:18,290 +التضييق للتجار والمستثمرينممنوع تستورد، ممنوع + +280 +00:24:18,290 --> 00:24:22,070 +تتياجر اتباع سياسة ضريبة قائمة على تحجيم الاقتصاد + +281 +00:24:22,070 --> 00:24:26,550 +المحلي الضريب اللي بدفعها الفلسطيني في القدس ضعف + +282 +00:24:26,550 --> 00:24:34,910 +الضريب اللي بدفعها الصهيوني مع أن الصهيوني + +283 +00:24:34,910 --> 00:24:42,030 +أرباحه أكثر إلا أن ضريبة الفلسطيني أكثر التباعية + +284 +00:24:42,030 --> 00:24:46,670 +الاقتصادية ومن أبرزها التباعية التجارية لا يمكنلا + +285 +00:24:46,670 --> 00:24:51,310 +يمكن أن تبيع وتشتري إلا بواسطة الصهاينة خلق حالة + +286 +00:24:51,310 --> 00:24:54,710 +من الشلل التام في المرافق العامة إهمال البنية + +287 +00:24:54,710 --> 00:24:59,510 +التحتية للمدينة كل شيء له علاقة بالفلسطينيين في + +288 +00:24:59,510 --> 00:25:04,030 +مدينة القدس لا تقوم سلطات الاحتلال بترميمه البنية + +289 +00:25:04,030 --> 00:25:11,110 +التحتية الصرف الصحي الكهرباء الماء الاتصالات كلها + +290 +00:25:11,110 --> 00:25:16,140 +مهملة في الجانب الشرقي من يدخل شرق القدسيقول هذه + +291 +00:25:16,140 --> 00:25:22,500 +مخيم من مخيمات من مخيمات اللجوء في لبنان ومن يدخل + +292 +00:25:22,500 --> 00:25:27,680 +غرب القدس يقول هذه قطعة من أوروبا قطعة من أوروبا + +293 +00:25:27,680 --> 00:25:32,540 +هكذا تبدو الصورة تدمير أكثر من 90% من المحلات + +294 +00:25:32,540 --> 00:25:36,640 +التجارية بسبب جدار الضم دمروا كل محلات الفلسطينيين + +295 +00:25:36,640 --> 00:25:41,380 +فدمروا اقتصادهمالوضع السياسي غير المستقر في مناطق + +296 +00:25:41,380 --> 00:25:44,680 +السلطة الفلسطينية أثر بشكل كبير على تدني الاستثمار + +297 +00:25:44,680 --> 00:25:51,260 +في القدس معاناة السكان من قلة المساكن السكان + +298 +00:25:51,260 --> 00:25:56,560 +يعيشوا بمساكن أشبه بالكهوف أو الخيام الفلسطينيين + +299 +00:25:56,560 --> 00:26:01,060 +طبعا الظروف الصحية غير ملائمة للعيش الاستحام + +300 +00:26:01,060 --> 00:26:05,080 +الشديد حسب حيث يعيش أكتر من 30% من المقدسين في + +301 +00:26:05,080 --> 00:26:12,710 +المدينةالكثافة السكانية المرتفعة بواقع 3.2 شخص أو + +302 +00:26:12,710 --> 00:26:17,230 +أكثر في الغرفة الواحدة كل أربع أشخاص في غرفه واحدة + +303 +00:26:17,230 --> 00:26:21,770 +أكثر من 17% من السكان المقدسين يعيشوا داخل أسوار + +304 +00:26:21,770 --> 00:26:26,430 +المدينة أكثر من 19% من الأسل الفلسطينية لم تتصل + +305 +00:26:26,430 --> 00:26:30,510 +مساكنها بشبكات الصرف الصحي الله أكبر + +306 +00:26:34,480 --> 00:26:41,620 +نأخذ مجموعة من الأسئلة الآن تتراوح مساحة الغرف في + +307 +00:26:41,620 --> 00:26:50,180 +المدارس العربية ما بين ما بين 6 إلى 9 متر لكل طالب + +308 +00:26:50,180 --> 00:26:53,380 +الإجابة + +309 +00:26:53,380 --> 00:27:00,260 +خطأ من 5 إلى 9في عام 2008 أصدرت مؤسسة التأمين + +310 +00:27:00,260 --> 00:27:03,080 +الصهيونية في القدس 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ثم أنفق على المسجد الأقصى ورمى ما دمره الزلزال بعد ثلاث سنوات من الزلزال ضرب المنطقة زلزال آخر", "tokens": [2407, 36520, 30731, 25062, 3215, 3794, 4032, 19528, 7251, 19452, 5296, 16254, 3224, 19446, 7251, 4117, 41185, 9154, 9673, 6027, 5296, 28814, 25957, 9640, 9673, 3794, 7435, 3215, 16247, 4587, 9381, 7578, 6156, 10721, 29973, 44945, 11622, 3615, 20328, 5172, 16373, 5016, 32545, 3224, 3555, 18871, 16247, 3555, 14407, 3555, 20328, 5172, 16373, 5016, 32545, 3224, 3555, 16070, 5172, 11242, 3660, 4032, 33456, 6055, 35457, 4117, 34683, 5016, 12610, 6055, 11242, 25513, 8717, 4587, 23328, 38637, 2304, 14739, 5172, 4587, 15844, 9673, 3794, 7435, 3215, 16247, 4587, 9381, 7578, 4032, 2288, 2304, 7578, 19446, 11778, 29973, 3224, 6024, 110, 1211, 11622, 6027, 39182, 38637, 1211, 5718, 104, 8608, 1863, 2407, 9307, 9154, 6024, 110, 1211, 11622, 6027, 48812, 25513, 9673, 1863, 9566, 28671, 30767, 1211, 11622, 6027, 19753, 34740], "avg_logprob": -0.07097355826542928, "compression_ratio": 2.0, 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"end": 1523.93, "word": " الشام", "probability": 0.98486328125}, {"start": 1523.93, "end": 1524.39, "word": " وسيطروا", "probability": 0.854248046875}, {"start": 1524.39, "end": 1524.55, "word": " على", "probability": 0.90966796875}, {"start": 1524.55, "end": 1525.11, "word": " فلسطين", "probability": 0.9515625}, {"start": 1525.11, "end": 1525.85, "word": " لكن", "probability": 0.89794921875}, {"start": 1525.85, "end": 1526.85, "word": " الطولونيون", "probability": 0.951171875}, {"start": 1526.85, "end": 1527.15, "word": " لم", "probability": 0.97119140625}, {"start": 1527.15, "end": 1527.99, "word": " يهتموا", "probability": 0.97998046875}, {"start": 1527.99, "end": 1528.67, "word": " بمدينة", "probability": 0.98125}, {"start": 1528.67, "end": 1529.09, "word": " القدس", "probability": 0.9833984375}, {"start": 1529.09, "end": 1529.81, "word": " الإهتمام", "probability": 0.84576416015625}, {"start": 1529.81, "end": 1530.45, "word": " المطلوب", "probability": 0.982666015625}, {"start": 1530.45, "end": 1531.27, "word": " لأنهم", "probability": 0.9532877604166666}, {"start": 1531.27, "end": 1532.49, "word": " انشغلوا", "probability": 0.96044921875}, {"start": 1532.49, "end": 1533.29, "word": " بالخلافات", "probability": 0.978515625}, {"start": 1533.29, "end": 1534.05, "word": " السياسية", "probability": 0.970947265625}, {"start": 1534.05, "end": 1534.21, "word": " في", "probability": 0.96875}, {"start": 1534.21, "end": 1534.81, "word": " الشام", "probability": 0.9931640625}, {"start": 1534.81, "end": 1535.67, "word": " بينهم", "probability": 0.972900390625}, {"start": 1535.67, "end": 1536.03, "word": " وبين", "probability": 0.922607421875}, {"start": 1536.03, "end": 1537.03, "word": " العباسيين", "probability": 0.9767578125}, {"start": 1537.03, "end": 1538.25, "word": " والثورة", "probability": 0.920654296875}, {"start": 1538.25, "end": 1538.91, "word": " عليهم", "probability": 0.988037109375}, {"start": 1538.91, "end": 1540.41, "word": " نكتفي", "probability": 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"probability": 0.994140625}, {"start": 1546.53, "end": 1546.67, "word": " إلى", "probability": 0.84521484375}, {"start": 1546.67, "end": 1546.97, "word": " اللقاء", "probability": 0.9959309895833334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1547.308125, "duration_after_vad": 1510.914374999998} \ No newline at end of file diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/4t5zGd1VqWg_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/4t5zGd1VqWg_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..a7f6e11ceb5b681bd85d788265e8b9c9a22da659 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/4t5zGd1VqWg_postprocess.srt @@ -0,0 +1,5356 @@ +1 +00:00:01,180 --> 00:00:05,160 +بسم الله الرحمن الرحيم أهلا وسهلا بكم في course + +2 +00:00:05,160 --> 00:00:08,500 +مقدمة المهارات في ال bridging course و أتمنى لكم + +3 +00:00:08,500 --> 00:00:12,540 +أوقات طيبة و أن تحصلوا على الحد الأدنى من + +4 +00:00:12,540 --> 00:00:17,800 +الاستفادة و المعلومات التي ستفيدكم ان شاء الله في + +5 +00:00:17,800 --> 00:00:23,780 +المستقبل و في مجمل حياتكم العملية بإذن اللهاليوم + +6 +00:00:23,780 --> 00:00:30,500 +محاضرتنا هي مدخل مهم للتعليم السريري وهي المحاضرة + +7 +00:00:30,500 --> 00:00:35,580 +الأساس التي نعتمد عليها أو التي يعني نبدأ في + +8 +00:00:35,580 --> 00:00:41,020 +تدريسها لطلبة المرحلة السريرية وهي كيف يتواصلون مع + +9 +00:00:41,020 --> 00:00:46,540 +المرضى ويأخذوا منهم المعلومات الطبية اللازمةطبعا + +10 +00:00:46,540 --> 00:00:50,300 +ال history taking in surgery زي ال history taking + +11 +00:00:50,300 --> 00:00:53,760 +in medicine in general وإن كان في بعض الخصوصيات + +12 +00:00:53,760 --> 00:00:56,380 +أحيانا بتفرض نفسها بالذات في ال emergency + +13 +00:00:56,380 --> 00:01:00,340 +conditions لكن عموما هو ال history taking بيخضع + +14 +00:01:00,340 --> 00:01:03,780 +لنفس القواعد و بيخضع لنفس المبادئ و بيخضع لنفس + +15 +00:01:03,780 --> 00:01:10,620 +الخطوات المعهودة في كل المجالات التانيةال history + +16 +00:01:10,620 --> 00:01:14,320 +taking مهم جدا لأنه هو الخطوة الأولى في تحصيل + +17 +00:01:14,320 --> 00:01:21,020 +المعلومة و هو الخطوة الأولى في بناء التشخيص + +18 +00:01:21,020 --> 00:01:24,240 +السريري للمريض و احنا بنعرف انه مابنقدر نعالج + +19 +00:01:24,240 --> 00:01:28,380 +المريض غير لما نبني تشخيص سريري سليم وبالتالي ال + +20 +00:01:28,380 --> 00:01:32,380 +history taking هنا بيلعب دور محوريهل ال history + +21 +00:01:32,380 --> 00:01:36,540 +taking عبارة عن skill ولا هو عبارة عن knowledge؟ + +22 +00:01:36,540 --> 00:01:40,140 +هو في الحقيقة عبارة عن combination between skill + +23 +00:01:40,140 --> 00:01:42,820 +and knowledge لازم يكون في عندنا المعلومات + +24 +00:01:42,820 --> 00:01:47,140 +الضرورية و في نفس الوقت لازم نعرف كيف نوظف هذه + +25 +00:01:47,140 --> 00:01:51,080 +المعلومات في الحصول على الأشياء الضرورية أو + +26 +00:01:51,080 --> 00:01:57,280 +المعلومة الضرورية اللي بتساهم في تشخيص المريض + +27 +00:01:57,630 --> 00:02:01,550 +وبالتالي ال history taking هو مزيج من هذه و تلك + +28 +00:02:01,550 --> 00:02:04,890 +طبعا زي ما احنا عارفين ال history taking بعتمد على + +29 +00:02:04,890 --> 00:02:08,790 +السؤال المريض و ال communication مع المريض both by + +30 +00:02:08,790 --> 00:02:12,350 +verbal communication عن طريق الكلام و في نفس الوجد + +31 +00:02:12,350 --> 00:02:15,690 +عن طريق ال body language لأن برضه ال body language + +32 +00:02:15,690 --> 00:02:19,710 +بتساعدنا ان نفسر للمريض او المريض يفسرنا ايش هو + +33 +00:02:19,710 --> 00:02:22,750 +اللي بيشك منه طبعا ال body language مهم جدا ع سبيل + +34 +00:02:22,750 --> 00:02:25,630 +المثال لو كان المريض looking ill او looking well + +35 +00:02:26,030 --> 00:02:29,610 +looking in pain أو looking sad أو looking in good + +36 +00:02:29,610 --> 00:02:36,590 +mood كل هذا بيساهم في بناء أو بيساهم في القائده + +37 +00:02:36,590 --> 00:02:41,410 +على إيش ممكن المريض يكون يعاني منه طبعا ال history + +38 +00:02:41,410 --> 00:02:46,010 +taking هو عبارة عن أخذ المعلومات الضرورية من + +39 +00:02:46,010 --> 00:02:50,250 +المريض ال relevant questions أو ال relevant dataمش + +40 +00:02:50,250 --> 00:02:53,170 +كل حاجة بيحكيها المريض تعتبر relevant وبالتالي + +41 +00:02:53,170 --> 00:02:57,430 +احنا بنحاول دايما نوجه المريض لل relevant data حتى + +42 +00:02:57,430 --> 00:03:02,150 +لو هو في كلامه خرج عن سياق الموضوع الضروري احنا we + +43 +00:03:02,150 --> 00:03:06,610 +have to lead the conversation يعني لازم احنا نكون + +44 +00:03:06,610 --> 00:03:09,870 +بنقول ال conversation او المحادثة ونرجع المريض + +45 +00:03:09,870 --> 00:03:15,120 +للسياق تبع المحادثة في الوقت الضروريكيف نبني + +46 +00:03:15,120 --> 00:03:18,540 +diagnosis؟ طبعا ال diagnosis عبارة عن خطوات + +47 +00:03:18,540 --> 00:03:22,160 +متعددة، بعض ال diagnosis قد يتم بنائها بناء على ال + +48 +00:03:22,160 --> 00:03:24,760 +history و ال physical examination لوحدهم، يعني + +49 +00:03:24,760 --> 00:03:27,380 +بناء بس على المعلومات اللي بناخدها من ال patient + +50 +00:03:27,380 --> 00:03:32,450 +أو من ال patient environmentالبيئة المحيطة بالمريض + +51 +00:03:32,450 --> 00:03:35,690 +ممكن المريض يكون طفل ممكن يكون مريض يكون بحكيش + +52 +00:03:35,690 --> 00:03:39,150 +ممكن يكون المريض يكون mentally retarded وبالتالي + +53 +00:03:39,150 --> 00:03:42,610 +كل هذه الأشياء بتعيق أنه ناخد من ال patient ممكن + +54 +00:03:42,610 --> 00:03:46,130 +المريض يكون كمان بحكيش ال language تبعتنا هذه + +55 +00:03:46,130 --> 00:03:49,130 +الأشياء بتعيق أنه ناخد data منه مباشرة وبالتالي + +56 +00:03:49,130 --> 00:03:52,790 +ممكن ناخد من ال surrounding environmental للمريض + +57 +00:03:52,790 --> 00:04:01,190 +قد أحيانا نلجأفي ال diagnosis لإنه ناخد history و + +58 +00:04:01,190 --> 00:04:03,850 +نعمل physical examination و في نفس الوقت نعمل + +59 +00:04:03,850 --> 00:04:07,890 +investigations investigations طبعا بتشمل مختبر و + +60 +00:04:07,890 --> 00:04:12,550 +بتشمل imaging و بتشمل other things اللي قد تكون + +61 +00:04:12,550 --> 00:04:16,470 +ضرورية و قد تكون more advanced في سياق ال + +62 +00:04:16,470 --> 00:04:19,830 +diagnosis اللي احنا بدنا نحطه طبعا ال history + +63 +00:04:19,830 --> 00:04:26,780 +takingبحتل المرتب الأولى و بحتل أهم حاجة في ال + +64 +00:04:26,780 --> 00:04:30,160 +diagnostic work up اللى بنعمله للمريض لإنه بدون + +65 +00:04:30,160 --> 00:04:33,680 +history بدون data احنا بنحصلها من ال patient + +66 +00:04:33,680 --> 00:04:40,100 +بنقدرش نبني بعد هيك what is the next stepنقدرش + +67 +00:04:40,100 --> 00:04:42,740 +نشوف مريض على طول هيك و نقول ال next step انه + +68 +00:04:42,740 --> 00:04:46,480 +نطلبله مثلا تحليل او نطلبله imaging studies لأ + +69 +00:04:46,480 --> 00:04:49,720 +لازم ناخد منه data في البداية بقدر ما يسمح لنا + +70 +00:04:49,720 --> 00:04:53,060 +الظرف أحيانا بكون فيه معيق زي ما قلنا لل data و قد + +71 +00:04:53,060 --> 00:04:56,380 +يكون المريض في حالة انه مانقدرش ناخد منه data زي + +72 +00:04:56,380 --> 00:04:59,040 +في حالات ال emergency مثلا في حالات ال trauma في + +73 +00:04:59,040 --> 00:05:01,840 +حالات ال gun shots في حالات ال falling down في + +74 +00:05:01,840 --> 00:05:04,360 +حالات ال loss of consciousness طبعا كل هذه الأشياء + +75 +00:05:04,360 --> 00:05:09,350 +تعتبر حالات خاصةحالات emergency ممكن ما نقدرش ناخد + +76 +00:05:09,350 --> 00:05:12,650 +فيها history كما ينبغي وبالتالي ال history بقدر + +77 +00:05:12,650 --> 00:05:16,250 +الإمكان احنا بنحاول نحصل اكبر كمية من المعلومات + +78 +00:05:16,250 --> 00:05:21,030 +بناء على الوضع اللي بسمح فيه ال condition طبعا + +79 +00:05:21,030 --> 00:05:23,830 +المعلومات اللي بنحصل من خلالها ال diagnosis ممكن + +80 +00:05:23,830 --> 00:05:28,350 +نجسمها لجسمين رئيسيات الجسم الأول بيسموه + +81 +00:05:28,350 --> 00:05:32,610 +subjective data subjective data ايش يعني + +82 +00:05:32,610 --> 00:05:37,860 +subjective data يعنيمعلومات بلعب فيها العامل + +83 +00:05:37,860 --> 00:05:44,960 +الذاتي دور كبير و طبعا هذه الكلام ينطبق على ال + +84 +00:05:44,960 --> 00:05:50,650 +history taking لأن العامل الذاتي للمريضنفسية + +85 +00:05:50,650 --> 00:05:55,150 +المريض ال educational level تبع المريض ال + +86 +00:05:55,150 --> 00:05:58,650 +awareness of the patient او المريض للمشكلة اللى + +87 +00:05:58,650 --> 00:06:03,070 +عنده درجة ادراكه للمشكلة اللى عنده ودرجة التعاطي + +88 +00:06:03,070 --> 00:06:08,710 +معها طول وجود المشكلة مع المريض معرفته عن مرضه كل + +89 +00:06:08,710 --> 00:06:13,070 +هذا ممكن يغير من ال data اللى بناخدها من patient ل + +90 +00:06:13,070 --> 00:06:16,970 +patient في نفس المرضيعني على سبيل المثال مريض ممكن + +91 +00:06:16,970 --> 00:06:20,650 +يعطينا full data عن المرض تبعه و مريض تاني مايكونش + +92 +00:06:20,650 --> 00:06:23,590 +عارف حاجة لسه على نفس المرض و مايعطيناش data كاملة + +93 +00:06:23,590 --> 00:06:27,450 +وبالتالي هنا ال subjective data ابتلع الدور ممكن + +94 +00:06:27,450 --> 00:06:31,620 +نقول للمريض كيف بتقيم الألم اللي عندكبعض المرضى + +95 +00:06:31,620 --> 00:06:34,560 +بيقول القلم عندي عشرة من عشرة يعني the maximum + +96 +00:06:34,560 --> 00:06:38,580 +ممكن نفس القلم مريض تاني يقيمه على أنه أقل من هيك + +97 +00:06:38,580 --> 00:06:42,180 +تمانية من عشرة أو سبعة من عشرة مثلا وبالتالي هنا + +98 +00:06:42,180 --> 00:06:46,780 +subjective data subjective data بنطبق على ال + +99 +00:06:46,780 --> 00:06:51,160 +history taking ال objective data على الطرف الآخر + +100 +00:06:51,160 --> 00:06:55,770 +يعني العامل الموضوعي اللي بلعبش فيهاالمريض دور + +101 +00:06:55,770 --> 00:06:58,810 +كبير هي عبارة عن ال physical examination لأن ال + +102 +00:06:58,810 --> 00:07:03,130 +physical examination بيكون من ال conclusion تبع + +103 +00:07:03,130 --> 00:07:06,150 +الطبيب مباشرة أو من استنتاجات الطبيب بعد ما يفحص + +104 +00:07:06,150 --> 00:07:09,350 +المريض وبالتالي هو اللي بيحط المعلومات اللي فيه مش + +105 +00:07:09,350 --> 00:07:12,630 +المريض في ال history المريض هو اللي يملي المعلومة + +106 +00:07:12,630 --> 00:07:15,410 +لكن في ال physical examination objective data + +107 +00:07:15,410 --> 00:07:19,290 +الدكتور هو اللي بيملي المعلومة كذلك الحالة ال + +108 +00:07:19,290 --> 00:07:25,390 +investigationsالتحليل مابتخدعش لأهواء المرضى هو + +109 +00:07:25,390 --> 00:07:28,190 +عبارة عن عينا بنخدها و بنحللها و خلاص بيطلع + +110 +00:07:28,190 --> 00:07:32,130 +النتيجة عنا بالأرقام هذه objective data كمان ال + +111 +00:07:32,130 --> 00:07:36,710 +objective data ال imagingالتصويرات الإشعاعية سواء + +112 +00:07:36,710 --> 00:07:39,670 +ال imaging العادي اللي هي ال X-rays أو ال more + +113 +00:07:39,670 --> 00:07:43,150 +advanced زي ال CT scans اللي هو التصوير المقطعي أو + +114 +00:07:43,150 --> 00:07:48,550 +التصوير الرنين المغناطيسي أو ممكن يكون تصوير أكتر + +115 +00:07:48,550 --> 00:07:52,290 +من هيك more advanced مثلا زي التصوير بالإشعاع أو + +116 +00:07:52,290 --> 00:07:57,710 +التصوير بالنظائر المشعة كل هذه أشياء ممكن نلجألها + +117 +00:07:57,710 --> 00:08:00,870 +في بعض الأحيان و في بعض أنواع ال pathologies و في + +118 +00:08:00,870 --> 00:08:05,260 +بعض أنواع الأمراض وبالتالي objective dataعشان نخرج + +119 +00:08:05,260 --> 00:08:09,680 +ال diagnosis، نحتاج ان نشتغل مصادرنا، سواء من + +120 +00:08:09,680 --> 00:08:13,880 +المصادر + +121 +00:08:13,880 --> 00:08:16,840 +الذاتية مثل المريض أو من المصادر الأبجيكية مثل + +122 +00:08:16,840 --> 00:08:19,820 +الاختبار الفيزيوكي أو التحليل أو ال study of + +123 +00:08:19,820 --> 00:08:22,980 +imaging وبالتالي في النهاية بنطلع ال conclusion + +124 +00:08:22,980 --> 00:08:26,600 +اللي هو ال diagnosis وال diagnosis طبعا أو التشخيص + +125 +00:08:26,600 --> 00:08:31,480 +هو أهم حاجة في ال medical practiceتقريبا هو ال + +126 +00:08:31,480 --> 00:08:34,740 +cornerstone of our medical practice how to + +127 +00:08:34,740 --> 00:08:40,400 +establish a correct diagnosis يعني كيف نعمل تشخيص + +128 +00:08:40,400 --> 00:08:44,300 +سليم للمرض لإن without correct diagnosis disaster + +129 +00:08:44,300 --> 00:08:48,660 +could happenإذا شخصنا غلط أو إذا ما شخصناش المريض + +130 +00:08:48,660 --> 00:08:53,240 +من أساسه تستمر المشكلة أو بنعالج بناء على تشخيص + +131 +00:08:53,240 --> 00:08:56,120 +غلط وبالتالي هذا الكلام بيؤدي أحيانا ل + +132 +00:08:56,120 --> 00:08:59,320 +complications وممكن يؤدي لل loss of life of the + +133 +00:08:59,320 --> 00:09:03,540 +patient موتية في بعض الأحيان عشان هي كمهم جدا + +134 +00:09:03,540 --> 00:09:08,180 +establishing a good and correct diagnosis before + +135 +00:09:08,180 --> 00:09:11,720 +going to the treatmentو طبعا هذا الكلام زي ما قلنا + +136 +00:09:11,720 --> 00:09:17,940 +بحتل فيه ال history taking مرحلة و خطوة و زاوية + +137 +00:09:17,940 --> 00:09:23,840 +محورية جدا جدا جدا ايش هدفنا من ال history taking + +138 +00:09:23,840 --> 00:09:28,800 +الهدف الأول هو establishing and confirming the + +139 +00:09:28,800 --> 00:09:32,660 +diagnosisestablishing a diagnosis قد يمر بمرحلة + +140 +00:09:32,660 --> 00:09:36,540 +قبل ال diagnosis قبل التشخيص النهائي بيسموها مرحلة + +141 +00:09:36,540 --> 00:09:41,340 +ال differential diagnosis يعني بنحصر احتمالات ايش + +142 +00:09:41,340 --> 00:09:45,200 +ممكن يكون المريض عنده من امراض تتشابه في الاعراض + +143 +00:09:45,200 --> 00:09:50,530 +احيانامثلًا اكيوت أبندسايتس أو يوريناري تراكت + +144 +00:09:50,530 --> 00:09:54,930 +انفكشن أو ميزينتريكليمف أدينايتس أو pelvic + +145 +00:09:54,930 --> 00:09:58,710 +inflammatory disease في الفيمايل كل هذه قد انها + +146 +00:09:58,710 --> 00:10:02,790 +تكون أعراب متشابهة أو المريض يأتي بـ presentation + +147 +00:10:02,790 --> 00:10:06,550 +متشابه من patient ل patient وبالتالي establishing + +148 +00:10:06,550 --> 00:10:09,250 +a diagnosis قد يمر بمرحلة الـdifferential + +149 +00:10:09,250 --> 00:10:14,210 +diagnosis اللي later on بعد هيك بنعمللها exclusion + +150 +00:10:15,190 --> 00:10:19,570 +لل possibilities و بس بنحتفظ فى possibility واحدة + +151 +00:10:19,570 --> 00:10:22,950 +اللى هى بتصير ال definitive diagnosis this is + +152 +00:10:22,950 --> 00:10:26,130 +called the confirmation of diagnosis يعني بنأكد + +153 +00:10:26,130 --> 00:10:29,730 +واحد من الاحتمالات هذه وبالتالي confirming the + +154 +00:10:29,730 --> 00:10:33,490 +diagnosis طبعا هذا قد ياخد مننا وجهة وقد ياخد مننا + +155 +00:10:33,490 --> 00:10:36,430 +خطوات اكتر من ال history taking physical + +156 +00:10:36,430 --> 00:10:40,450 +examination و تحليل و imaging studies and so on + +157 +00:10:42,220 --> 00:10:45,380 +الهدف التاني من ال history taking بعد ما نعمل + +158 +00:10:45,380 --> 00:10:48,280 +establishing لل main diagnosis يعني بعد ما نحط + +159 +00:10:48,280 --> 00:10:53,980 +التشخيص الرئيسيإنه ال patient ممكن يكون عنده other + +160 +00:10:53,980 --> 00:10:57,120 +diagnosis يعني مثلا يكون المريض يعاني من acute + +161 +00:10:57,120 --> 00:11:02,000 +cholecystitis التهاب في المرارة نتيجة وجود حصوى و + +162 +00:11:02,000 --> 00:11:05,960 +في نفس الوقت عنده other diagnosis مهمة و ممكن + +163 +00:11:05,960 --> 00:11:09,320 +يتأثر على المرض تبعه و ممكن أنه يتأثر على ال + +164 +00:11:09,320 --> 00:11:12,180 +outcome of our management زي مثلا ال hypertension + +165 +00:11:13,670 --> 00:11:18,350 +الضغط أو السكر، الـ diabetes أو ال heart disease، + +166 +00:11:18,350 --> 00:11:21,970 +congestive heart failure أو arithmias أو coronary + +167 +00:11:21,970 --> 00:11:26,310 +artery disease كل هذه الأشياء ممكن تأثر على ال + +168 +00:11:26,310 --> 00:11:28,530 +main course of the main disease اللي هو الـ acute + +169 +00:11:28,530 --> 00:11:32,610 +cholecystitis ع سبيل المثال وبالتالي هذه بيسموها + +170 +00:11:32,610 --> 00:11:36,490 +co-morbidities أو co-diseases أو co-complications + +171 +00:11:36,490 --> 00:11:41,750 +these should be controlledلما نيجي نعمل management + +172 +00:11:41,750 --> 00:11:44,530 +للمريض عشان المشكلة الرئيسية اللى عنده برضه لازم + +173 +00:11:44,530 --> 00:11:47,990 +نعمل management للمشاكل هذه وإلا course of our + +174 +00:11:47,990 --> 00:11:51,590 +management هيتأثر بصورة كبيرة وممكن يؤدي ل + +175 +00:11:51,590 --> 00:11:55,850 +complications وبالتالي control of comorbidities by + +176 +00:11:55,850 --> 00:12:00,170 +all means possibleمريض عنده ضغط، مريض عنده سكر، + +177 +00:12:00,170 --> 00:12:03,710 +مريض عنده heart disease، نحتاج لتعامل هذه الأشياء + +178 +00:12:03,710 --> 00:12:07,590 +بجانب ال diagnosis اللي احنا حطناه جنب اللي انا + +179 +00:12:07,590 --> 00:12:13,250 +جنب مع التشخيص اللي احنا حطناه obtaining an + +180 +00:12:13,250 --> 00:12:17,090 +informed consent after optimization of patient + +181 +00:12:17,090 --> 00:12:22,210 +condition هذا الهدف النهائي بعد ما نعملتأكيد ال + +182 +00:12:22,210 --> 00:12:26,810 +diagnoses الرئيسي والخطوة التانية بعد ما نعمل + +183 +00:12:26,810 --> 00:12:29,550 +control ل ال comorbidities اللي ممكن يتأثر على + +184 +00:12:29,550 --> 00:12:37,130 +course of the disease الخطوة التالتة لازمنحصل على + +185 +00:12:37,130 --> 00:12:41,750 +موافقة المريض أو من ينوب عن المريض على العلاج + +186 +00:12:41,750 --> 00:12:45,490 +الخطة العلاج اللي احنا بدنا نحطها وهذا الكلام اللي + +187 +00:12:45,490 --> 00:12:48,610 +بيسموه informed consent obtaining an informed + +188 +00:12:48,610 --> 00:12:52,750 +consent يعني اقرار بالموافقة ايش معنى informed + +189 +00:12:52,750 --> 00:12:56,010 +consent اقرار بالموافقة بناء على ايش؟ بناء على + +190 +00:12:56,010 --> 00:12:59,870 +شغلات انا بدي اشرحها للمريض بدي اشرحله طبيعة مرضه + +191 +00:12:59,870 --> 00:13:04,470 +التشخيصو بدي أشرح له ال treatment options اللي + +192 +00:13:04,470 --> 00:13:09,010 +عنده خيارات العلاج اللي موجودة و بدي أشرح له إيش + +193 +00:13:09,010 --> 00:13:13,330 +ال treatment هذا ممكن يؤدي إيش ال outcome تبع ال + +194 +00:13:13,330 --> 00:13:15,690 +treatment و بدي أشرح له عن ال possible + +195 +00:13:15,690 --> 00:13:20,110 +complications of our managementالمضاعفات المحتمل + +196 +00:13:20,110 --> 00:13:23,390 +انها تصير في ال management تبان ع سبيل المثال لما + +197 +00:13:23,390 --> 00:13:26,430 +بنعمله مثلا appendectomy for acute appendicitis + +198 +00:13:26,430 --> 00:13:29,790 +بدي احكيله عن possibility of wound infection بدي + +199 +00:13:29,790 --> 00:13:34,430 +احكيله عن possibility of bleedingduring surgery او + +200 +00:13:34,430 --> 00:13:40,430 +after surgery مثلا كل هذه complications وبدى كمان + +201 +00:13:40,430 --> 00:13:44,630 +فيما لو المريض رفض ايش البدائل التانية اطرح عليه + +202 +00:13:44,630 --> 00:13:47,990 +لو ماوفقتش على خطة العلاج هذه هل في خط علاج بديلة + +203 +00:13:47,990 --> 00:13:51,750 +او لأ برضه هذا بدي اطرح عليه على سبيل المثال بقوله + +204 +00:13:51,750 --> 00:13:55,230 +عندك acute cholecystitis في حصوف المرارة و بدها + +205 +00:13:56,050 --> 00:13:59,270 +removal بدها كلسيستكتومي بدها surgical removal + +206 +00:13:59,270 --> 00:14:02,110 +موافقش على ال surgical removal اللي قدّى moment + +207 +00:14:02,110 --> 00:14:04,750 +بدى أقوله مثلا في خطة بديلة اسمها ال antibiotic + +208 +00:14:04,750 --> 00:14:09,930 +بدى أعجب antibiotic لما يتحسن و بعد هيك ممكن أعمله + +209 +00:14:09,930 --> 00:14:13,670 +surgery later on okay وبالتالي إيش البدائل + +210 +00:14:13,670 --> 00:14:18,110 +الموجودة فيه لو وجدت و بدى كمان أتوقع إيش ممكن + +211 +00:14:18,110 --> 00:14:21,730 +المريض يسأل أسئلة إضافيةكل هذه الشغلات بيسموها + +212 +00:14:21,730 --> 00:14:25,490 +informed consent بعد ما أخد informed consent إقرار + +213 +00:14:25,490 --> 00:14:29,550 +بالموافقة على العملية وبعد ما أعمل optimization + +214 +00:14:29,550 --> 00:14:33,830 +لوضع المريض يعني أخليه في الوضع المثالي اللي أخلي + +215 +00:14:33,830 --> 00:14:36,570 +ال complications فيه minimal أو أحاول أخليها + +216 +00:14:36,570 --> 00:14:40,770 +minimal بعد هيك ببدأ خطة العلاج مباشرة وبالتالي + +217 +00:14:40,770 --> 00:14:45,730 +هذه من أهداف ال history taking الرئيسية diagnosis + +218 +00:14:48,240 --> 00:14:51,740 +Exclusion and discovery of other comorbidities + +219 +00:14:51,740 --> 00:14:58,680 +اكتشافها و في النهاية وضع خطة علاج مناسبة what is + +220 +00:14:58,680 --> 00:15:02,720 +the significance of historyإيش أهمية ال history + +221 +00:15:02,720 --> 00:15:05,240 +taking في ال general practice and medical + +222 +00:15:05,240 --> 00:15:09,500 +practice؟ it is the first clinic critical and the + +223 +00:15:09,500 --> 00:15:12,800 +first step in determining the diagnosis زي ما قلنا + +224 +00:15:12,800 --> 00:15:16,220 +مجرد أنه مريض يجيني ببدأ أتعامل معاه عن طريق ال + +225 +00:15:16,220 --> 00:15:20,860 +communication ببدأ أتكلم معاه وبالتالي الكلام هذا + +226 +00:15:20,860 --> 00:15:25,840 +هو الخطوة الأولى في establishing of diagnosis ال + +227 +00:15:25,840 --> 00:15:30,340 +history taking يسبق في أهميته ال physical + +228 +00:15:30,340 --> 00:15:35,000 +examinationو مهم اكتر منه و ممكن نحصل على معلومات + +229 +00:15:35,000 --> 00:15:37,620 +من ال history فيما لو احنا سألنا detailed question + +230 +00:15:37,620 --> 00:15:42,140 +و لو وجهنا المريض صح و لو عملنا relevant + +231 +00:15:42,140 --> 00:15:45,500 +conversation مع المريض ممكن نحصل على productive + +232 +00:15:45,500 --> 00:15:49,880 +result يعني نتيجة ايجابية اكتر من ال physical + +233 +00:15:49,880 --> 00:15:52,040 +examination بتلت مرات تقريبا + +234 +00:15:56,420 --> 00:15:59,320 +ال diagnosis أحيانا بيكون sufficient أو ال history + +235 +00:15:59,320 --> 00:16:02,560 +بيكون sufficient to make diagnosis في حوالي 70% من + +236 +00:16:02,560 --> 00:16:08,200 +ال cases يعني على سبيل المثال مريض عنده peptic + +237 +00:16:08,200 --> 00:16:12,020 +ulcer قرحة في المعدة أو في ال 12 ممكن من ال + +238 +00:16:12,020 --> 00:16:16,100 +history أشخص المريض ال history بيكون فيه عنده مثلا + +239 +00:16:16,100 --> 00:16:19,840 +epigastric pain this pain is relieved by food or + +240 +00:16:19,840 --> 00:16:23,520 +exaggerated by food حسب نوع ال ulcer okay و بالذات + +241 +00:16:23,520 --> 00:16:27,830 +ال food اللي بيكون فيه fat and meatOkay و أحيانا + +242 +00:16:27,830 --> 00:16:30,310 +بكون في عنده recurrent attacks يعني attacks أكتر + +243 +00:16:30,310 --> 00:16:34,750 +من مرة بتجيه بالذات لما يكون full stomach هذه + +244 +00:16:34,750 --> 00:16:38,650 +الشغلات بتخلينا نحط diagnosis بنسبة كبيرة من الصحة + +245 +00:16:38,650 --> 00:16:43,410 +وبالتالي في 70% من الحالات we can put a strong + +246 +00:16:43,410 --> 00:16:45,930 +differential diagnosis و we can confirm the + +247 +00:16:45,930 --> 00:16:50,150 +diagnosisال history taking مش محتاج لتعقيدات مش + +248 +00:16:50,150 --> 00:16:54,050 +محتاج لإنه يكون في عندنا a lot of facilities كل ما + +249 +00:16:54,050 --> 00:16:57,930 +هناك يكون open minded doctor بالاضافة ل patient + +250 +00:16:57,930 --> 00:17:01,570 +بيعطي معلومة بالشكل السليم و كمان الدكتور لازم + +251 +00:17:01,570 --> 00:17:06,370 +يسأل السؤال بالشكل السليم اذا it is easily + +252 +00:17:06,370 --> 00:17:09,890 +applicable there is not too much اللي هو + +253 +00:17:09,890 --> 00:17:14,770 +facilities لازمة او متطلبات لازمةit's changeable + +254 +00:17:14,770 --> 00:17:18,410 +ال history ممكن نغيره ممكن نبدل في المعلومة حسب ما + +255 +00:17:18,410 --> 00:17:21,350 +يستجد على وضع المريض وحسب ايش المريض ممكن يراجع في + +256 +00:17:21,350 --> 00:17:24,730 +معلوماته عشان هيك مهم جدا في ال history taking بعد + +257 +00:17:24,730 --> 00:17:28,370 +ما اخد ال full sheet تبع المريض واسأله عن كل + +258 +00:17:28,370 --> 00:17:31,250 +الأسئلة اعمل معاه review لل answers اللي هو جاوب + +259 +00:17:31,250 --> 00:17:34,370 +عليها او review للمعلومات اللي اعطانيها قد انه + +260 +00:17:34,370 --> 00:17:38,350 +يغير ويبدلانت قلت كذا انت قلت كذا في المحطة هذه + +261 +00:17:38,350 --> 00:17:41,690 +انت قلت كذا في السؤال هذا انت جاوبت كذا فبدي اعمل + +262 +00:17:41,690 --> 00:17:46,450 +review مع ال patient لإيش هو حكى كمان does not + +263 +00:17:46,450 --> 00:17:49,090 +need too much knowledge هو بيحتاج knowledge طبعا + +264 +00:17:49,090 --> 00:17:55,330 +بيحتاج انه الدكتور يكون عنده يعني background ايش + +265 +00:17:55,330 --> 00:17:58,500 +ال complaint هذا ممكن يعنيما هي الـ differential + +266 +00:17:58,500 --> 00:18:02,740 +diagnosis اللي كان behind this complaint؟ ما هي + +267 +00:18:02,740 --> 00:18:07,300 +التشخيصات الطبية اللي ممكن تكون مسئولة عن الحاجة + +268 +00:18:07,300 --> 00:18:10,100 +اللي بيشكي منها المريض في الوقت الحالي؟ هذه + +269 +00:18:10,100 --> 00:18:13,380 +knowledge كلها لكن هو عبارة عن skill بالدرجة + +270 +00:18:13,380 --> 00:18:17,740 +الأولى skill بيعتمد على ترتيب الأسئلة صح being + +271 +00:18:17,740 --> 00:18:22,660 +more systematicand open minded and asking + +272 +00:18:22,660 --> 00:18:25,360 +questions which is relevant or which are relevant + +273 +00:18:25,360 --> 00:18:28,840 +to the problem كل هذه بتخضع لل skill و ال skill + +274 +00:18:28,840 --> 00:18:31,460 +طبعا بتيجي عن طريق ال practice عن طريق ال repeated + +275 +00:18:31,460 --> 00:18:35,140 +practice و ال knowledge بتيجي عن طريق ال reading + +276 +00:18:35,140 --> 00:18:38,620 +فلما نعمل integration لل knowledge بالإضافة لل + +277 +00:18:38,620 --> 00:18:43,220 +skill بيطلع عندنا good history sheet و ممكن انه + +278 +00:18:43,220 --> 00:18:46,020 +يفيد في establishing the diagnosis + +279 +00:18:48,990 --> 00:18:53,330 +So it is very problematic if we don't put the + +280 +00:18:53,330 --> 00:18:57,210 +diagnosis or if we made a wrong diagnosis كلهم + +281 +00:18:57,210 --> 00:19:00,950 +عبارة عن danger على المريض أو potential danger if + +282 +00:19:00,950 --> 00:19:04,210 +you have a wrong diagnosis for example على سبيل + +283 +00:19:04,210 --> 00:19:09,630 +المثال لو شخصنا مريض على انه UTI وطلع عنده + +284 +00:19:09,630 --> 00:19:13,130 +mesenteric scheme يعنيthis is wrong diagnosis ال + +285 +00:19:13,130 --> 00:19:15,910 +UTI is wrong diagnosis وبالتالي ميزانتريكسكيميا + +286 +00:19:15,910 --> 00:19:18,130 +ممكن ال patient يصير عنده peritonitis acute + +287 +00:19:18,130 --> 00:19:22,330 +abdomen and mortality or if we don't make a + +288 +00:19:22,330 --> 00:19:25,670 +diagnosis لما مانقدرش نتوصل لل diagnosis اللازم مش + +289 +00:19:25,670 --> 00:19:29,850 +هنقدر نبدأ خطة العلاج وبالتالي هذا بفاقم من الوضع + +290 +00:19:29,850 --> 00:19:32,130 +اللي بيخلي more complications potentially could + +291 +00:19:32,130 --> 00:19:37,750 +happen in the future هل + +292 +00:19:37,750 --> 00:19:43,130 +دايما بكون قادر أخد history بنفسيالأرياحية هل ال + +293 +00:19:43,130 --> 00:19:46,790 +history taking دايما متاح و دايما الوقت عندي متاح + +294 +00:19:46,790 --> 00:19:50,510 +لإنه اخد full sheet from the patient او full data + +295 +00:19:50,510 --> 00:19:53,410 +from the patient طبعا في عندنا two types of + +296 +00:19:53,410 --> 00:19:56,610 +history بالنسبة لطبيعة ال history وبالنسبة للوقت + +297 +00:19:56,610 --> 00:20:01,290 +المتاح عندي وبالنسبة ل الأرياحية اللي اخد فيها ال + +298 +00:20:01,290 --> 00:20:05,330 +data النوع الأول من المرضى اللي هو ال patients + +299 +00:20:05,330 --> 00:20:10,130 +اللي بيجوا في ال non emergency conditionsيعني اللي + +300 +00:20:10,130 --> 00:20:13,610 +مايكونوش حلات طارقة على سبيل المثال مريض عنده + +301 +00:20:13,610 --> 00:20:17,770 +hernia بيجي على العيادة inguinal hernia مثلا او + +302 +00:20:17,770 --> 00:20:21,070 +مريض عنده hemorrhoid و bleeding per rectum بيجي + +303 +00:20:21,070 --> 00:20:25,070 +على العيادة مثلا او مريض عنده biliary pain نتيجة + +304 +00:20:25,070 --> 00:20:27,250 +وجود حصوات في المرارة بيصير عنده biliary pain و + +305 +00:20:27,250 --> 00:20:29,810 +برضه بيجي على العيادة الخارجية is an outpatient + +306 +00:20:29,810 --> 00:20:36,530 +room history هذا النوع الأول النوع التاني اللي هو + +307 +00:20:36,530 --> 00:20:42,120 +ال emergencyال emergency conditions المريض مايكون + +308 +00:20:42,120 --> 00:20:45,280 +فيها في وضع لائق في بعض الأحيان على سبيل المثال + +309 +00:20:45,280 --> 00:20:48,160 +بيكون عنده shock بيكون عنده loss of consciousness + +310 +00:20:48,160 --> 00:20:51,460 +بيكون عنده severe pain من ال fractures مش قادر + +311 +00:20:51,460 --> 00:20:54,280 +يعطي ذاته كويس على سبيل المثال لو كان عنده كسور او + +312 +00:20:54,280 --> 00:20:58,460 +لو كان عنده multiple trauma اذا هذا ال history + +313 +00:20:58,460 --> 00:21:03,480 +بيكون very limited and very precise and in summary + +314 +00:21:03,480 --> 00:21:08,810 +النوع هذا في ال emergencyكمان مهم جدا في ال + +315 +00:21:08,810 --> 00:21:13,010 +history أني أغطي ال other comorbidities و هذه طبعا + +316 +00:21:13,010 --> 00:21:15,570 +لازم أاخد detailed history of the chronic diseases + +317 +00:21:15,570 --> 00:21:18,870 +clerking for admitted patient for elective surgery + +318 +00:21:18,870 --> 00:21:22,330 +we have to ask about suggestive symptoms of + +319 +00:21:22,330 --> 00:21:26,570 +hypertension, diabetes mellitus and other chronic + +320 +00:21:26,570 --> 00:21:29,860 +conditions such as pain, coughingurinary + +321 +00:21:29,860 --> 00:21:33,660 +complaints يعني different types of things عشان + +322 +00:21:33,660 --> 00:21:37,140 +اكتشف اذا عند المريض comorbidity ولا لا وهذا طبعا + +323 +00:21:37,140 --> 00:21:39,480 +ملحق بالنوع الاول من ال history اللي هو ال + +324 +00:21:39,480 --> 00:21:42,900 +outpatient او room history in the elective setting + +325 +00:21:42,900 --> 00:21:46,280 +في ال emergency قد لا اجد الوقت للسؤال عن كل حاجة + +326 +00:21:46,860 --> 00:21:52,060 +لكن في ال elective I have the enough time elective + +327 +00:21:52,060 --> 00:21:54,800 +يعني بكون ال patient مش في emergency condition to + +328 +00:21:54,800 --> 00:21:57,660 +assess that the treatment planned correctly + +329 +00:21:57,660 --> 00:22:01,400 +indicated and patient is suitable for that + +330 +00:22:01,400 --> 00:22:05,460 +operation يعني ال patient وضعه fit لال treatment + +331 +00:22:05,460 --> 00:22:06,640 +اللي انا بدي اعمله + +332 +00:22:10,850 --> 00:22:14,590 +So what are the steps in history taking؟ طبعا ال + +333 +00:22:14,590 --> 00:22:17,650 +history taking زي ما قلنا عبارة عن multi step + +334 +00:22:17,650 --> 00:22:21,210 +procedure وهو بيعتمد على ال collection of data + +335 +00:22:21,210 --> 00:22:25,390 +from the patient من أبسط ال data زي الإسم و العمر + +336 +00:22:25,390 --> 00:22:29,790 +و المكان السكن و الوظيف اللي بيشتغل فيها أو مكان + +337 +00:22:29,790 --> 00:22:35,290 +العمل تبعه و هل هو أعزب ولا متزوج و جديش ال .. ال + +338 +00:22:35,290 --> 00:22:39,520 +.. ممكن في بعض الأحيانال socio-economic level of + +339 +00:22:39,520 --> 00:22:42,900 +the patient يلعب دور في establishing the diagnosis + +340 +00:22:42,900 --> 00:22:47,800 +كل هذه أشياء مهمة، جداش ال patient ممكن يصرف على + +341 +00:22:47,800 --> 00:22:50,060 +ال health care تبعته، جداش هو مهتم بال health + +342 +00:22:50,060 --> 00:22:53,240 +تبعته، كل هذه بيركزها ال socio-economic level أو + +343 +00:22:53,240 --> 00:22:57,950 +ال educational level of the patientإذا ال + +344 +00:22:57,950 --> 00:23:02,470 +components of history taking أول حاجة بنتكلم عن ال + +345 +00:23:02,470 --> 00:23:06,250 +chief complaint أو ال present complaint و طبعا هذا + +346 +00:23:06,250 --> 00:23:10,750 +بيكون فيه كلمات قليلة what are you complaining of + +347 +00:23:10,750 --> 00:23:13,830 +من إيش بتشكي بيجاوب المريض إنه باشكي من واحد أو + +348 +00:23:13,830 --> 00:23:17,710 +واحد اتنين تلاتة مثلا باشكي من abdominal pain مغص + +349 +00:23:17,710 --> 00:23:21,350 +في البطن أو باشكي من abdominal pain مع vomiting أو + +350 +00:23:21,350 --> 00:23:23,810 +باشكي من abdominal pain مع vomiting مع شعور + +351 +00:23:23,810 --> 00:23:27,750 +بالحرارة أو الغثيانإذا قد يكون ال present + +352 +00:23:27,750 --> 00:23:31,850 +complaint multiple أو متعدد لكن غالبا يكون واحد من + +353 +00:23:31,850 --> 00:23:34,990 +ال complaints هذه هو اللي drawing the patient + +354 +00:23:34,990 --> 00:23:37,670 +attention more than others لو كان متعدد ال + +355 +00:23:37,670 --> 00:23:43,030 +complaint عنده ممكن ال patient يكون يعني متغلب أو + +356 +00:23:43,030 --> 00:23:46,910 +عنده مشكلة في واحد من ال complaints هذه أكتر من + +357 +00:23:46,910 --> 00:23:51,190 +غيره طيب إذا بكلمات قليلة ممكن أسأل المريض about + +358 +00:23:51,190 --> 00:23:54,820 +the present complaintبعد هيك الخطوة التانية بتيجي + +359 +00:23:54,820 --> 00:23:58,760 +ال detail of this present complaint لما أسأله مثلا + +360 +00:23:58,760 --> 00:24:02,400 +عن ال pain في عندي analysis of pain بدي أبدأ أحلل + +361 +00:24:02,400 --> 00:24:06,360 +في العناصر تبعت ال pain و طبعا هذه هنمر عليها في + +362 +00:24:06,360 --> 00:24:10,740 +أمثلة ع سبيل المثال بدي أسأله من إيش بتشكى هيقولي + +363 +00:24:10,740 --> 00:24:13,580 +pain هيقولي وين الألم هذه السؤال الأول ال sight + +364 +00:24:14,760 --> 00:24:18,400 +duration of pain, onset of pain, radiation of + +365 +00:24:18,400 --> 00:24:23,300 +pain, associated symptoms مع ال pain كل هذه + +366 +00:24:23,300 --> 00:24:29,160 +الأشياء يجب أن نتعامل معها أو نتعامل معها مع تاريخ + +367 +00:24:29,160 --> 00:24:32,480 +ال present complete اللي هو الجزء المفصل بعد الجزء + +368 +00:24:32,480 --> 00:24:36,080 +المجمل الجزء المجمل هو ال chief complaint وبعدها + +369 +00:24:36,080 --> 00:24:40,540 +يأتي الجزء المفصل الخطوة التالتة هي remaining + +370 +00:24:40,540 --> 00:24:45,130 +questions about the abnormal systemيعني سألته عن + +371 +00:24:45,130 --> 00:24:48,790 +ال pain انا بدي اسأله عن شغلات تانية موجودة في ال + +372 +00:24:48,790 --> 00:24:51,370 +system نفسه لو كان ال pain مثلا محله ال abdomen او + +373 +00:24:51,370 --> 00:24:54,230 +محله ال gastrointestinal tract بدي اسأله عن ال + +374 +00:24:54,230 --> 00:24:57,010 +other relevant symptoms في ال GI tract زي النوزيا + +375 +00:24:57,010 --> 00:25:00,230 +و ال vomiting و ال anorexia و ال weight loss و ال + +376 +00:25:00,230 --> 00:25:05,770 +jaundice و ال eating habits اذا كل هذه أشياء + +377 +00:25:05,770 --> 00:25:09,190 +بتتعلق بال remaining a question of the abnormal + +378 +00:25:09,190 --> 00:25:13,280 +system بعدها ال review of other systemsو هذا + +379 +00:25:13,280 --> 00:25:16,740 +الكلام مهم جدا في discovery of other abnormalities + +380 +00:25:16,740 --> 00:25:20,600 +او other chronic diseases ممكن يساهم في ان ي put + +381 +00:25:20,600 --> 00:25:23,180 +the diagnosis of ان ال patient is diabetic او لا + +382 +00:25:23,180 --> 00:25:27,400 +hypertensive او لا عنده heart problem عنده + +383 +00:25:27,400 --> 00:25:30,520 +respiratory problem عنده other problems that could + +384 +00:25:30,520 --> 00:25:37,020 +influence the pathway او the course of management + +385 +00:25:37,020 --> 00:25:41,100 +and course of the disease ال past medical history + +386 +00:25:41,100 --> 00:25:46,700 +مهم جداأسأله أسئلة مباشرة عن إيش بياخد علاجات؟ + +387 +00:25:46,700 --> 00:25:51,340 +عملوا عمليات قبل هيك ولا لأ؟ اتعرض لتخدير أو ما + +388 +00:25:51,340 --> 00:25:54,900 +اتعرضش؟ هل عمل عمليات جراحية تخدير عام ولا تخدير + +389 +00:25:54,900 --> 00:25:58,040 +موضعي؟ و ال other chronic diseases و ال + +390 +00:25:58,040 --> 00:26:03,330 +medications and so onبعد ال past history طبعا اللى + +391 +00:26:03,330 --> 00:26:06,150 +بيشمل لل medical و ال surgical history ل drug + +392 +00:26:06,150 --> 00:26:09,330 +history في حالة الأطفال ممكن أسأل عن ال + +393 +00:26:09,330 --> 00:26:13,410 +immunizations و ال family history لأن بعض ال + +394 +00:26:13,410 --> 00:26:16,270 +diseases are familial ع سبيل المثال ال breast + +395 +00:26:16,270 --> 00:26:19,450 +cancer مهم جدا ال family history في ال breast + +396 +00:26:19,450 --> 00:26:25,990 +cancer ال colon cancer كمان ال diabetes melanitis + +397 +00:26:25,990 --> 00:26:30,330 +أحيانا بكون familial إذا كل هذه أشياء بتتعلق بال + +398 +00:26:30,330 --> 00:26:34,530 +familyال social and habits social history and + +399 +00:26:34,530 --> 00:26:37,910 +habits بالاضافة طبعا لل socio economic level of + +400 +00:26:37,910 --> 00:26:42,170 +the patient وين بيسكن، جداش ال income تبعه، هل هو + +401 +00:26:42,170 --> 00:26:47,130 +بيهتم بالصحة العامة، بيتابع أي صغير و كبير سواء + +402 +00:26:47,130 --> 00:26:51,270 +عنده أو عند حد من أفراد العيلة، كل هذه يعني + +403 +00:26:51,270 --> 00:26:55,990 +بتعطينامعلومة عن قداش المريض ممكن يكون عنده + +404 +00:26:55,990 --> 00:26:58,950 +اتفاقمة المشكلة لو كان باهتم بصحته لو كان باهتم + +405 +00:26:58,950 --> 00:27:03,770 +انه يتابع باستمرار ممكن يعني انه يصير فيه + +406 +00:27:03,770 --> 00:27:06,530 +management as early as possible لكن لو ال patient + +407 +00:27:06,530 --> 00:27:11,930 +is careless او neglecting his problem ممكن يجينا + +408 +00:27:11,930 --> 00:27:15,210 +في مراحل متأخرة او يجينا في مراحل more complicated + +409 +00:27:15,210 --> 00:27:17,430 +than the usual + +410 +00:27:21,850 --> 00:27:24,350 +first of all طبعا اول احنا ما ندخل على المريض we + +411 +00:27:24,350 --> 00:27:27,390 +have to ensure privacy هذه اول خطوة ensuring + +412 +00:27:27,390 --> 00:27:32,730 +privacy ensuring good light لازم يكون إضاءة مناسبة + +413 +00:27:32,730 --> 00:27:37,130 +في الغرفة privacy لازم يكون مكان مغلق في وجود طبعا + +414 +00:27:37,130 --> 00:27:42,090 +شخص لو كان المريض female او لو كان لازم يكون شخص + +415 +00:27:42,090 --> 00:27:46,570 +تاني معاهلازم يكون موجود اما التمريد او واحد من + +416 +00:27:46,570 --> 00:27:50,410 +اقارب ال patient و بالتحديد لازم يكون medical + +417 +00:27:50,410 --> 00:27:55,450 +stuff افضل او nursing stuff washing my hands and + +418 +00:27:55,450 --> 00:27:59,170 +protecting myself مهم جدا بالذات لو انا داخل على + +419 +00:27:59,170 --> 00:28:03,550 +patient عنده infectious disease او لو عنده حاجة + +420 +00:28:03,550 --> 00:28:08,670 +ممكن يصير في يعني spread by communication او لو + +421 +00:28:08,670 --> 00:28:12,630 +كان المريض عنده bleedingكل هذه أشياء I have to + +422 +00:28:12,630 --> 00:28:17,110 +protect myself washing my hands introduction of + +423 +00:28:17,110 --> 00:28:22,250 +myself طبعا بال full term لازم أقول اسمي أنا + +424 +00:28:22,250 --> 00:28:26,630 +الدكتور فلاني لفلاني و ال post تبعي ايش موقعي + +425 +00:28:26,630 --> 00:28:31,610 +كطبيب هل انا طبيب امتياز مثلا هل انا طالب هل انا + +426 +00:28:31,610 --> 00:28:39,000 +أخصائي هل انا طبيب عام و الاشي اللي بدي اعملهو + +427 +00:28:39,000 --> 00:28:44,060 +باخد اذن المريض انا الدكتور مثلا علاء استشارى + +428 +00:28:44,060 --> 00:28:50,960 +جراحة عامة لو سمحت بدي اخد منك معلومات بما يخص + +429 +00:28:50,960 --> 00:28:55,440 +المشكلة اللى جيت فيها هل ممكن او لا طبعا I have to + +430 +00:28:55,440 --> 00:28:59,960 +use يعني proper words and I have to show respect + +431 +00:28:59,960 --> 00:29:03,320 +for the patient و دايما مهم جدا لازم نحافظ على ال + +432 +00:29:03,320 --> 00:29:06,340 +eye to eye contact with the patientلازم أحسس ال + +433 +00:29:06,340 --> 00:29:09,980 +patient اللي هو عبارة عن living thing يعني living + +434 +00:29:09,980 --> 00:29:13,000 +human being مش عبارة عن object أنا بدي أتعامل معاه + +435 +00:29:13,000 --> 00:29:16,980 +و خلاص يعني مش عبارة عن حاجة أنا بدي أخلصها لأ I + +436 +00:29:16,980 --> 00:29:20,100 +have to show sympathy to the patient لازم يكون فيه + +437 +00:29:20,100 --> 00:29:23,180 +تعاطف سواء في لغة الكلام أو في لغة ال body + +438 +00:29:23,180 --> 00:29:26,820 +language كمان و ال introduction لازم يكون في + +439 +00:29:26,820 --> 00:29:31,220 +proper wordsو بدي اسأل المريض عن اسمه و عن عمره و + +440 +00:29:31,220 --> 00:29:34,140 +عن الأشياء التانية اللي هي ال personal data تبعته + +441 +00:29:34,140 --> 00:29:39,300 +in a very nice manner and in a very nice way that + +442 +00:29:39,300 --> 00:29:43,840 +the patient can have confidence ممكن المريض يصير + +443 +00:29:43,840 --> 00:29:47,280 +في عنده بناء ثقة و دايما ال self confidence أول + +444 +00:29:47,280 --> 00:29:52,900 +حاجة ثقة المريض ان هوراه يتحسن وثقته انه موجود في + +445 +00:29:52,900 --> 00:29:56,200 +المكان السليم او المكان الصحيح اللي راح يتلقى فيه + +446 +00:29:56,200 --> 00:29:59,640 +العلاج السليم كل هذا بتعتمد على ال first meeting + +447 +00:29:59,640 --> 00:30:03,320 +بتعتمد على ال first conversation و دايما المريض + +448 +00:30:03,320 --> 00:30:07,540 +بيكون انطباع عن الدكتور اول ما يبدأ يتعامل معاه + +449 +00:30:07,540 --> 00:30:14,340 +اول ما يبدأ يتكلم معاه في خصوص مشكلته getting + +450 +00:30:14,340 --> 00:30:19,130 +another person or a chaperone يعني مرافقwhen you + +451 +00:30:19,130 --> 00:30:22,330 +interview a female patient هذا الكلام مهم جدا وزي + +452 +00:30:22,330 --> 00:30:26,350 +ما قلنا حبذا المرافق يكون من ال nursing staff يعني + +453 +00:30:26,350 --> 00:30:29,390 +مش من ال family members نفسهم لأ يكون من ال + +454 +00:30:29,390 --> 00:30:33,350 +nursing staff لو تعذر هذا الكلام ممكن ال family + +455 +00:30:33,350 --> 00:30:36,610 +members يؤدوا الدور هذا وإن كان مش محبب زي ما قلنا + +456 +00:30:36,610 --> 00:30:41,150 +لإن ال family members are on the side of the + +457 +00:30:41,150 --> 00:30:44,350 +patientبينما ال nursing staff او ال chaperone لما + +458 +00:30:44,350 --> 00:30:48,330 +يكون medical staff او nursing staff بيكون يعني + +459 +00:30:48,330 --> 00:30:55,210 +محايد في ما لو صارت مشكلة اذا + +460 +00:30:55,210 --> 00:30:58,370 +recording of the patient personal data name of the + +461 +00:30:58,370 --> 00:31:02,190 +patient full name غالبا بنطلب الاسم ثلاثي ممكن + +462 +00:31:02,190 --> 00:31:06,330 +الاسم احنا نتغضى عنه لما نيجي نقدم حالة و ممكن + +463 +00:31:06,330 --> 00:31:11,000 +نقول عنه بالحروف الأولى بسأو ممكن نقول الاسم + +464 +00:31:11,000 --> 00:31:18,980 +بالكامل حسب if I want to keepthe patient unknown + +465 +00:31:18,980 --> 00:31:23,580 +name ممكن أعبر عنه بحروف أو أقول اسمه بالكامل لإن + +466 +00:31:23,580 --> 00:31:26,300 +ال history presentation بيكون قدام ال medical + +467 +00:31:26,300 --> 00:31:29,620 +staff يعني وبالتالي ال privacy هان مابصيرش فيها + +468 +00:31:29,620 --> 00:31:36,400 +breaching يعني مابصيرش فيها اللي هو اختراق ل ال + +469 +00:31:36,400 --> 00:31:39,850 +privacy لإن أنا بقدم من خلال ال medical staffال + +470 +00:31:39,850 --> 00:31:44,110 +age of the patient مهم طبعا ال age بيلعى دور في + +471 +00:31:44,110 --> 00:31:46,950 +بعض الأمراض على سبيل المثال ال acute appendicitis + +472 +00:31:46,950 --> 00:31:50,090 +بيجي في كل الأعمار صحيح لكن اكتر حاجة بيجي في + +473 +00:31:50,090 --> 00:31:53,170 +العشرينات و التلاتينات يعني المرضى في العقد الثاني + +474 +00:31:53,170 --> 00:31:56,570 +و العقد الثالث من أعمارهم بينما مرض مثلا زي ال + +475 +00:31:56,570 --> 00:32:01,840 +colon cancer بيجي في ال elderly peopleمرض زي بعض + +476 +00:32:01,840 --> 00:32:03,920 +أنواع ال February illnesses بتيجي في ال children + +477 +00:32:03,920 --> 00:32:09,020 +أكتر مرض + +478 +00:32:09,020 --> 00:32:11,280 +زي ال breast cancer مثلا بيجي في ال elderly + +479 +00:32:11,280 --> 00:32:16,260 +females أكتر من ال males، اذا هذه الشغل مهمة ال + +480 +00:32:16,260 --> 00:32:20,120 +age ممكن يعطينا يركضوا على بعض أنواع ال diagnosis + +481 +00:32:20,960 --> 00:32:23,900 +ال gender of the patient ال males و ال females هل + +482 +00:32:23,900 --> 00:32:27,160 +ال patient male او female برضه هذه بدونها طبعا + +483 +00:32:27,160 --> 00:32:32,420 +خلال ال .. ال .. ال history لأنه ال .. بعض الأشياء + +484 +00:32:32,420 --> 00:32:35,680 +بتكون more common in males و البعض الأمراض التانية + +485 +00:32:35,680 --> 00:32:38,240 +بتكون more common in females ال burst cancer على + +486 +00:32:38,240 --> 00:32:41,080 +سبيل المثال more common in females than males بما + +487 +00:32:41,080 --> 00:32:47,160 +يعني بخطوات كتير بينما ال colon cancer more common + +488 +00:32:47,160 --> 00:32:52,940 +in males for exampleالـ marital status، المريض + +489 +00:32:52,940 --> 00:32:57,680 +أعزب ولا متزوج؟ وهل عنده أطفال ولا لا؟ إيش بيشتغل + +490 +00:32:57,680 --> 00:33:02,580 +ال occupation؟ ممكن يكون بيشتغل شغل مكتبي و ممكن + +491 +00:33:02,580 --> 00:33:06,730 +يكون بيشتغل heavy liftingمثلا بيشيل أشياء تجيلة أو + +492 +00:33:06,730 --> 00:33:12,290 +بيشيل أو بيشتغل شغل مرهق أو متعب و طبعا هذه + +493 +00:33:12,290 --> 00:33:15,310 +الشغلات ممكن أنها تساعدنا في بعض ال diagnosis على + +494 +00:33:15,310 --> 00:33:18,390 +سبيل المثال المرضى اللي بيجي عندهم hernias اللي هي + +495 +00:33:18,390 --> 00:33:22,610 +الفتاج بكل أنواعه ممكن يعطينا في ال history أنه + +496 +00:33:22,610 --> 00:33:25,890 +بيشيل أشياء تجيلة زي أنه يكون عامل بناء مثلا أو + +497 +00:33:25,890 --> 00:33:30,590 +بيشتغل في الحديد أو بيشتغل في عمل مرهق بينما الشغل + +498 +00:33:30,590 --> 00:33:34,120 +المكتبياللي بيكونوا قاعدين على مكاتب و على كراسي + +499 +00:33:34,120 --> 00:33:36,680 +بيجيهم أكتر بعض الأنواع ال pathologies التانية زي + +500 +00:33:36,680 --> 00:33:39,900 +ال hemoroids مثلا أو بيصير في عندهم varicose veins + +501 +00:33:39,900 --> 00:33:44,140 +اللي هي الدوالي الرجلين إلى أخرها وبالتالي ال + +502 +00:33:44,140 --> 00:33:48,780 +occupation ممكن تلعب دور في establishing the + +503 +00:33:48,780 --> 00:33:53,040 +diagnosisال address of the patient و مكان السكن + +504 +00:33:53,040 --> 00:33:58,380 +تبعه بالاضافة لل date of the interview and the + +505 +00:33:58,380 --> 00:34:02,180 +name of the interviewer مين اللي أخد ال history + +506 +00:34:02,180 --> 00:34:05,500 +ممكن يكونوا two doctors واحد بيكتب history واحد + +507 +00:34:05,500 --> 00:34:08,900 +بيسأل وبالتالي I have to document that ان history + +508 +00:34:08,900 --> 00:34:12,180 +is taken by two doctors my name and my friend name + +509 +00:34:12,180 --> 00:34:15,920 +او my colleague nameأو ممكن يكون أنا اللي أخدت ال + +510 +00:34:15,920 --> 00:34:18,320 +history و دوّنته في نفس الوجه انا اللي سألت + +511 +00:34:18,320 --> 00:34:21,500 +الأسئلة وبالتالي هذا الكلام لازم اكتبه و ال date + +512 +00:34:21,500 --> 00:34:25,360 +بيشمل ال time برضه date and time يعني ال history + +513 +00:34:25,360 --> 00:34:30,720 +is taking مثلا في عشرة سبعة الفين و عشرين في + +514 +00:34:30,720 --> 00:34:33,200 +الساعة الفلانية الساعة واحدة و نص الظهر مثلا + +515 +00:34:33,800 --> 00:34:36,520 +وبالتالي لازم هذا الكلام ادونو لانه مهم جدا في ال + +516 +00:34:36,520 --> 00:34:39,940 +follow up ال first meeting و ال first data of the + +517 +00:34:39,940 --> 00:34:43,060 +patient و بعد هيك ايش صار فيه change على ال data + +518 +00:34:43,060 --> 00:34:46,260 +ايش صار فيه change على ال signs و ال symptoms of + +519 +00:34:46,260 --> 00:34:50,140 +the patient بعد ما يمر الوقت و ايش صار فيه change + +520 +00:34:50,140 --> 00:34:53,000 +على الحالة تبعت المريض in general + +521 +00:34:58,020 --> 00:35:01,560 +إذا ال element الأول اللي هو ال present أو ال + +522 +00:35:01,560 --> 00:35:04,980 +chief complaint in patients own words with + +523 +00:35:04,980 --> 00:35:10,140 +duration لازم المريض يستخدم الكلمات أو أنا بقوله + +524 +00:35:10,140 --> 00:35:14,960 +استخدم الكلمات أو أصف لزي ما بتعرف إيش أنت حاسس + +525 +00:35:16,190 --> 00:35:19,430 +ممكن المريض يكون well educated او عنده خبرة بال + +526 +00:35:19,430 --> 00:35:23,710 +medical terminology يحكي كلمات more specific than + +527 +00:35:23,710 --> 00:35:26,890 +a patient which is not well educated او ال IQ + +528 +00:35:26,890 --> 00:35:31,050 +level عنده واطي او مافيش عنده medical knowledge + +529 +00:35:32,290 --> 00:35:35,630 +ممكن ال terminology أو ممكن المصطلحات تختلف ما بين + +530 +00:35:35,630 --> 00:35:39,890 +مريض عنده chronic disease بيجي بالمشكلة هذه كذا + +531 +00:35:39,890 --> 00:35:43,510 +مرة و هو عارف ال diagnosis تبعه أو صار عنده خبرة + +532 +00:35:43,510 --> 00:35:47,050 +بال symptoms اللي موجود الأعراض و بين مريض صارت + +533 +00:35:47,050 --> 00:35:51,890 +عنده ال symptoms للمرة الأولى إذا كل هذه بتلعب دور + +534 +00:35:51,890 --> 00:35:54,750 +في التأثير على الكلمات اللي بيستخدمها المريض في + +535 +00:35:54,750 --> 00:35:59,270 +وصف المشكلة تمام duration + +536 +00:36:01,680 --> 00:36:04,720 +duration expressed in the form of timing or + +537 +00:36:04,720 --> 00:36:10,180 +recurrence يعني متى صارت المشكلة في وجهة معينة، من + +538 +00:36:10,180 --> 00:36:13,780 +متى إليك بتعاني من المشكلة هاد؟ من امبارح مثلا أو + +539 +00:36:13,780 --> 00:36:17,960 +من اليوم الساعة ستة الصبح، هذا ال timing أو أنا + +540 +00:36:17,960 --> 00:36:21,000 +بعاني من المشكلة هاد من عدة أيام وأجتني كذا مرة، + +541 +00:36:21,000 --> 00:36:23,640 +هذا بيسموه ال recurrence يعني frequency of symptom + +542 +00:36:25,550 --> 00:36:29,330 +أجهتني تلات مرات اربع مرات أجاني المغز في أربع + +543 +00:36:29,330 --> 00:36:34,450 +حالات في أربع أوجات مختلفة تمام؟ إذا هات بيسموه ال + +544 +00:36:34,450 --> 00:36:38,850 +recurrence أو ال timing إذا واحد منهم أو اتنين مع + +545 +00:36:38,850 --> 00:36:43,820 +بعض مهم جداusually there is single complaint وهو + +546 +00:36:43,820 --> 00:36:47,440 +غالبا ل drawing ال patient attention لكن في بعض + +547 +00:36:47,440 --> 00:36:49,680 +الأحيان بيكون multiple زي ما قلنا في pain في + +548 +00:36:49,680 --> 00:36:54,060 +nausea في vomiting في anorexia في fatigue في + +549 +00:36:54,060 --> 00:36:57,780 +weakness أو ممكن يكون ال patient عنده one symptom + +550 +00:36:57,780 --> 00:37:01,480 +that draw his attention زي ال pain مثلا أكتر حاجة + +551 +00:37:01,480 --> 00:37:03,960 +بيجي فيها المريض و غالبا بتكون عملاله distraction + +552 +00:37:03,960 --> 00:37:08,140 +مشتت تفكيره أو عملاله معانا هي الألم pain + +553 +00:37:10,650 --> 00:37:14,330 +بنسأل ال patient سؤال مباشر what are you + +554 +00:37:14,330 --> 00:37:18,270 +complaining of او what is your problem؟ ماليش + +555 +00:37:18,270 --> 00:37:24,490 +بتشكي؟What is the complaint? I have pain. Where is + +556 +00:37:24,490 --> 00:37:27,810 +pain? In the abdomen مثلا أو pain in my arm أو + +557 +00:37:27,810 --> 00:37:32,970 +pain in my leg أو pain in the chest كل هذه أجوبة + +558 +00:37:32,970 --> 00:37:37,250 +محتملة أو what is the problem بس غالبا لو سألنا + +559 +00:37:37,250 --> 00:37:40,070 +المريض إيش المشكلة وكان عارف ال diagnosis تبعه + +560 +00:37:40,070 --> 00:37:44,310 +ممكن يحكينا ال diagnosis مباشرةزي مريض مثلا بكون + +561 +00:37:44,310 --> 00:37:47,890 +عارف انه عنده أسابيع مثلا inflammatory أو ال + +562 +00:37:47,890 --> 00:37:50,370 +disease و يقولك عندي ulcerative colitis لو سألته + +563 +00:37:50,370 --> 00:37:55,560 +ايش المشكلةتمام؟ وبالتالي دايما احنا بنحاول انه + +564 +00:37:55,560 --> 00:37:58,700 +نخلي المريض يحكي عن الشكوه بتاعته عن ال complaint + +565 +00:37:58,700 --> 00:38:01,960 +بتاعته وما نخليهوش يحكي diagnosis diagnosis صحيح + +566 +00:38:01,960 --> 00:38:05,080 +في مرحلة لاحقة ممكن المريض يحكيها لكن بالدرجة + +567 +00:38:05,080 --> 00:38:08,340 +الأولى احنا لازم في البداية نحلل ال complaint اللي + +568 +00:38:08,340 --> 00:38:12,580 +هو جاي فيه ونبعد عن انه نحط diagnosis من البداية + +569 +00:38:12,580 --> 00:38:16,920 +جاي دوره بعد هيك في ال later on in the course of + +570 +00:38:16,920 --> 00:38:21,970 +the historyالمرحلة التانية بعد ما اسألوا عن ال + +571 +00:38:21,970 --> 00:38:26,530 +chief complaint و غالبا هذه بتكون في few words و + +572 +00:38:26,530 --> 00:38:29,630 +بخليها as short as possible the patient is + +573 +00:38:29,630 --> 00:38:33,050 +complaining of pain in the upper abdomen مثلا او + +574 +00:38:33,050 --> 00:38:36,670 +complaining of vomiting او complaining of nausea + +575 +00:38:38,850 --> 00:38:42,790 +heat sensation, feverish sensation كل هذه الأشياء + +576 +00:38:42,790 --> 00:38:46,150 +ممكن أكتبها في ال chief complaint بعد ذلك باجي لل + +577 +00:38:46,150 --> 00:38:49,370 +details about the chief complaint في elements لازم + +578 +00:38:49,370 --> 00:38:54,330 +أحللها هنتكلم عن بعض الأمثلة فيها بعدين بسأل عن ال + +579 +00:38:54,330 --> 00:38:56,930 +relevant أو ال associated symptoms في نفس ال + +580 +00:38:56,930 --> 00:39:01,130 +systemالـ GI tract أو الـ urinary tract أو ال + +581 +00:39:01,130 --> 00:39:04,550 +cardiovascular أو ال respiratory system أو ال + +582 +00:39:04,550 --> 00:39:07,930 +neurological system أو ال neurological system أو + +583 +00:39:07,930 --> 00:39:12,610 +ال musculoskeletal and bone system كلها بيكون فيها + +584 +00:39:12,610 --> 00:39:15,930 +associated symptoms زائد ال symptom الرئيسي أو ال + +585 +00:39:15,930 --> 00:39:19,450 +complaint الرئيسي اللي جاي فيه المريضبعد هيك ببدأ + +586 +00:39:19,450 --> 00:39:25,250 +احط احتمالات differential diagnosis ومهم جدا زى ما + +587 +00:39:25,250 --> 00:39:28,770 +حكينا انه leading the conversation and thoughts + +588 +00:39:28,770 --> 00:39:32,410 +don't allow the patient to tell you irrelevant + +589 +00:39:32,410 --> 00:39:35,310 +questions او irrelevant answers sorry او + +590 +00:39:35,310 --> 00:39:39,110 +irrelevant data لما المريض انه يبدأ يحكي كلام مش + +591 +00:39:39,110 --> 00:39:40,750 +مهم I have to + +592 +00:39:43,780 --> 00:39:48,400 +direct the patient اعاد التوجيه للمريض للسؤال + +593 +00:39:48,400 --> 00:39:54,480 +الأساسي يعني مثلا ممكن يكون بيحكي عن ال pain و انه + +594 +00:39:54,480 --> 00:39:57,880 +associated مثلا with food او بيجي على شكل cramps + +595 +00:39:57,880 --> 00:40:01,060 +او بيعمل radiation بنتشر في كل أنحاء ال abdomen و + +596 +00:40:01,060 --> 00:40:05,000 +ممكن يحس فيه في كدفه او ممكن يحس فيه في ال arm + +597 +00:40:05,000 --> 00:40:12,720 +الاخره و فجأه يحكيلك انه مثلا روحت على مشوار معينو + +598 +00:40:12,720 --> 00:40:17,580 +قضيت في المشوار واجت معين مثلا و بعد هيك روحت على + +599 +00:40:17,580 --> 00:40:20,600 +البيت و بعد هيك نمت الى اخره ممكن بعض المرضى + +600 +00:40:20,600 --> 00:40:24,120 +يشتطوا في الموضوع وبالتالي لازم اعمل redirection + +601 +00:40:24,120 --> 00:40:29,740 +للمريض ل ال relevant history اللي انا باخده دائما + +602 +00:40:29,740 --> 00:40:37,280 +ال history taking بيكون عن طريق يعني integration + +603 +00:40:37,280 --> 00:40:44,790 +between time and eventday أو days اما بيذكر تاريخ + +604 +00:40:44,790 --> 00:40:50,090 +معين او ساعة معينة او بيحكي عن ايام معينة قبل تلت + +605 +00:40:50,090 --> 00:40:53,370 +ايام صار عندي كذا او في الساعة الفلانية في اليوم + +606 +00:40:53,370 --> 00:40:57,130 +الفلاني صار عندي كذا و لازم كل هذه الشغلات نرويها + +607 +00:40:57,130 --> 00:41:00,130 +in detail narrating in detail يعني نروي هذه + +608 +00:41:00,130 --> 00:41:04,330 +الشغلات time by timeالصبح صار عند المريض كذا + +609 +00:41:04,330 --> 00:41:07,770 +وبعدين الظهر اتطورت الحال لكذا أو الساعة تسعة + +610 +00:41:07,770 --> 00:41:12,130 +الصبح بدأ المريض يشك من أمر معين والساعة مثلا عشر + +611 +00:41:12,130 --> 00:41:14,830 +صار عنده كذا الساعة اتناش او اتناش اجي على + +612 +00:41:14,830 --> 00:41:18,490 +المستشفى في ال emergency مثلا اعطوله علاج معين او + +613 +00:41:18,490 --> 00:41:22,670 +صار عنده complaint معين كل هذه أشياء I have to + +614 +00:41:22,670 --> 00:41:26,360 +narrate in detailand avoidance of medical + +615 +00:41:26,360 --> 00:41:29,540 +terminology with the patient of course لكن ال + +616 +00:41:29,540 --> 00:41:32,720 +medical terminology لما أجي أعمل formulating لل + +617 +00:41:32,720 --> 00:41:36,780 +history لما أجي أصيغي ال history بالصياغة اللي أنا + +618 +00:41:36,780 --> 00:41:40,300 +بده أقدمها لل my colleagues أو ال medical staff + +619 +00:41:40,300 --> 00:41:44,140 +ببدأ أدخل ال medical terminologies الضرورية و + +620 +00:41:44,140 --> 00:41:45,420 +اللازمة في هيك شغل + +621 +00:41:48,700 --> 00:41:52,900 +ناخد مثال على موضوع ال present complaint وهو أكتر + +622 +00:41:52,900 --> 00:41:55,720 +حاجة بيجي المرضى بيشكوا منها بالنسبة للجراحة + +623 +00:41:55,720 --> 00:41:59,940 +العامة يعني اللي هي ال abdominal painالـ abdominal + +624 +00:41:59,940 --> 00:42:07,040 +pain طبعا فيه له wide varieties of etiologies كتير + +625 +00:42:07,040 --> 00:42:10,980 +أسباب لل abdominal pain في بعضها medical و في + +626 +00:42:10,980 --> 00:42:14,800 +بعضها surgical من أشهر الأشياء طبعا ال abdominal + +627 +00:42:14,800 --> 00:42:17,740 +pain اللي بيجوا فيها ال patients على التوارق اللي + +628 +00:42:17,740 --> 00:42:20,460 +هي حكاية ال acute appendicitis أو ال acute + +629 +00:42:20,460 --> 00:42:24,060 +cholecystitis أو ال pancreatitis أو ال peptic + +630 +00:42:24,060 --> 00:42:28,400 +ulcer disease كل هذه common thingsabdominal pain + +631 +00:42:28,400 --> 00:42:31,500 +وبالتالي ال abdominal pain هي ال chief complaint + +632 +00:42:31,500 --> 00:42:34,180 +لما ال patient ييجي واسأله ويقول I have abdominal + +633 +00:42:34,180 --> 00:42:37,800 +pain في المنطقة الفلانية بيأشر عليها upper abdomen + +634 +00:42:37,800 --> 00:42:41,620 +أو lower abdomen في أعلى البطن أو في أسفل البطن + +635 +00:42:41,620 --> 00:42:44,240 +وممكن أضيف عليها في أعلى البطن على ناحية اليمين أو + +636 +00:42:44,240 --> 00:42:47,450 +على ناحية الشمالفي أسفل البطن على الناحية اليمين + +637 +00:42:47,450 --> 00:42:51,270 +أو على الناحية الشمال وبالتالي ممكن احكي في ال + +638 +00:42:51,270 --> 00:42:53,750 +chief complaint ان ال patient came to the + +639 +00:42:53,750 --> 00:42:56,950 +emergency ع سبيل المثال with the chief complaint + +640 +00:42:56,950 --> 00:43:00,430 +of right upper abdominal pain this is acceptable + +641 +00:43:00,430 --> 00:43:04,230 +اني احكيها short words right upper abdominal pain + +642 +00:43:04,230 --> 00:43:08,850 +او right upper pain in his tummy بالمعنى الدارج لل + +643 +00:43:08,850 --> 00:43:13,920 +abdomen اذا انا بديش استخدم مثلا مصطلح طبيتمام و + +644 +00:43:13,920 --> 00:43:16,300 +ممكن اقول ال patient عنده lift lower abdominal + +645 +00:43:16,300 --> 00:43:20,440 +pain هذا برضه chief complaint يعتبر okay لحتى لأ + +646 +00:43:20,440 --> 00:43:24,240 +ان انا ماذكرتش detail اذا ال chief complaint pain + +647 +00:43:24,240 --> 00:43:28,640 +بعد هيك باجي بمر على عدة elements لازم اشرحها و + +648 +00:43:28,640 --> 00:43:34,550 +لازم اعمل يعنيتحليل للـ pain اللي عند المريض first + +649 +00:43:34,550 --> 00:43:38,290 +thing I have to do أني أسأل ال patient عن ال site + +650 +00:43:38,290 --> 00:43:41,790 +of pain where is the site طبعا بحكي للمريض يأشر + +651 +00:43:41,790 --> 00:43:46,130 +على ال site وين موجود القلم بعض المرضى ممكن يأشر + +652 +00:43:46,130 --> 00:43:51,070 +على نقطة معينة pinpoint بإصبع واحد زي في حالات ال + +653 +00:43:51,070 --> 00:43:54,950 +acute appendicitis مثلا ممكن يحط إصبع على ال right + +654 +00:43:54,950 --> 00:43:59,480 +iliac fossa ويقول ال pain موجود هناوممكن بعض الناس + +655 +00:43:59,480 --> 00:44:02,680 +التانيين يحطوا الايد على كل الابدمن ويبدأ يحرك + +656 +00:44:02,680 --> 00:44:07,640 +الايد حركة دائرية ان كل منطقة الابدمن فيها ألم ع + +657 +00:44:07,640 --> 00:44:10,200 +سبيل المثال المرضى اللي بيكون فيه عندهم intestinal + +658 +00:44:10,200 --> 00:44:14,020 +obstruction ممكن يحس الألم diffuse في كل بطنه + +659 +00:44:14,020 --> 00:44:18,640 +تمام؟ وبالتالي هذا سبب ممكن ال patient يأثر على + +660 +00:44:18,640 --> 00:44:21,380 +منطقة منتصف البطن زي ال patients اللي بيكون عندهم + +661 +00:44:21,380 --> 00:44:25,280 +peptic ulcer من فوق epigastric area او المنطقة + +662 +00:44:25,280 --> 00:44:30,320 +اللي فيها المعدنمنتصف البطن فوق الصررة مباشرة برضه + +663 +00:44:30,320 --> 00:44:34,120 +هذه site اذا بعد هي كبصيغها في medical terminology + +664 +00:44:34,120 --> 00:44:39,480 +site of pain طبعا في عندي four sites للأدومة ممكن + +665 +00:44:39,480 --> 00:44:44,460 +اجسم ل night sites برضه ممكن اقول right upper + +666 +00:44:44,460 --> 00:44:49,240 +quadrant left upper quadrant الربع الفجر اللي على + +667 +00:44:49,240 --> 00:44:52,280 +اليمين او الربع الفجر اللي على الشمال او left + +668 +00:44:52,280 --> 00:44:55,740 +lower quadrant و right lower quadrantإذا ممكن + +669 +00:44:55,740 --> 00:44:58,820 +أضيفها هذه ك site أقول the patient has abdominal + +670 +00:44:58,820 --> 00:45:01,560 +pain in his left lower quadrant أو in his right + +671 +00:45:01,560 --> 00:45:04,680 +upper quadrant و ممكن أجسمها بال nine areas اللي + +672 +00:45:04,680 --> 00:45:07,820 +هنشوفها من خلال الشكل اللي هيجينا في ال slides بعد + +673 +00:45:07,820 --> 00:45:12,180 +هيك و أضيفها as a site لما أجي أعمل formulation + +674 +00:45:12,180 --> 00:45:16,360 +لشيط لما أجي أكتب ال history taking أحطها بمصطلح + +675 +00:45:16,360 --> 00:45:23,400 +طبي اللي هو ال site time and mode of onset ال time + +676 +00:45:23,400 --> 00:45:29,030 +إيش يعنيمتى بدأ في ساعات الصبح و لا ساعات الظهر و + +677 +00:45:29,030 --> 00:45:34,490 +لا ساعات المساء متى اليوم و لا المبارح من الأيام + +678 +00:45:34,490 --> 00:45:40,510 +إذا بحط ال time and date ساعة جداش إذا قدرت أن + +679 +00:45:40,510 --> 00:45:45,030 +أحصر ساعة معينة بيكون أفضل ساعة تسعة الصبح مثلا أو + +680 +00:45:45,030 --> 00:45:48,270 +إذا ماقدرتش أحصر ساعة معينة و المرض مش قادر يتذكر + +681 +00:45:48,270 --> 00:45:53,310 +ممكن أحكي مثلا في ساعات الصبح في وقت الصبح بدأ + +682 +00:45:53,310 --> 00:45:59,380 +يشعر المريض واحد اتنين تلاتةالـ mode of onset mode + +683 +00:45:59,380 --> 00:46:03,980 +of onset ايش يعني كيف بدت المشكلة ممكن تكون بدت + +684 +00:46:03,980 --> 00:46:07,720 +all of a sudden ممكن المريض ييجي يقول all of a + +685 +00:46:07,720 --> 00:46:10,280 +sudden صار في عندي something like explosion in my + +686 +00:46:10,280 --> 00:46:16,500 +abdomen زي إيش انفجر دو و بعدين بديت أحس بقلم شديد + +687 +00:46:16,500 --> 00:46:20,320 +all of a sudden يعني قبل دقيقة كنت كويس و بعدين + +688 +00:46:20,320 --> 00:46:25,310 +all of a sudden بين هيك طريقة sharpOkay؟ قد الكلام + +689 +00:46:25,310 --> 00:46:28,650 +بينطبق في بعض الأحيان على rupture of aneurysm مثلا + +690 +00:46:28,650 --> 00:46:32,790 +rupture of artery زي الاروتيك أنيوريزم وقد ينطبق + +691 +00:46:32,790 --> 00:46:35,010 +على بعض ال pathologies زي ال perforation of + +692 +00:46:35,010 --> 00:46:40,290 +gastric ulcer أو peptic ulcer تمام؟ إذا all of a + +693 +00:46:40,290 --> 00:46:43,810 +sudden pain all of a sudden بسموه sudden onset + +694 +00:46:43,810 --> 00:46:48,610 +وممكن يكون ال onset gradual إيش يعني gradual؟ يعني + +695 +00:46:48,610 --> 00:46:54,480 +بالتدريج اقصارdiscomfort ثم aching ثم pain + +696 +00:47:05,800 --> 00:47:10,160 +إذا هذا بيسموه gradual onset زي في حالات ال acute + +697 +00:47:10,160 --> 00:47:14,800 +appendicitis مثلا المريض بيصير فيه عنده discomfort + +698 +00:47:14,800 --> 00:47:19,140 +بعدين بيصير فيه عنده aching pain ضال يعني مش عارف + +699 +00:47:19,140 --> 00:47:22,960 +يحدد وين و aching يعني زي ضرب صداع الراس بعدين + +700 +00:47:22,960 --> 00:47:26,460 +بيصير فيه عنده sharp pain localized في منطقة معينة + +701 +00:47:26,460 --> 00:47:32,840 +اللي هي في ال right iliacus تمام بعد هيك بسألوا عن + +702 +00:47:32,840 --> 00:47:40,330 +ال nature of painكيف؟ كيف بتوصف للألم؟ something + +703 +00:47:40,330 --> 00:47:46,170 +like tingling، إشي بيغز، بينخز something like + +704 +00:47:46,170 --> 00:47:51,730 +tearing، إشي زي اللي بمزع something like stabbing، + +705 +00:47:51,730 --> 00:47:56,630 +زي اللي بتع طعن something like constricting، زي + +706 +00:47:56,630 --> 00:48:02,070 +حاجة بتخنق أو حاجة + +707 +00:48:02,070 --> 00:48:07,580 +بتضرب ضرب، throbbingع سبيل المثال خلّيني أضربلكم + +708 +00:48:07,580 --> 00:48:11,060 +مثال معين ال patient اللي بيكون فيه عنده acute + +709 +00:48:11,060 --> 00:48:15,020 +pancreatitis بيحس أنه في زي سككين بتطعن في بطنه + +710 +00:48:15,020 --> 00:48:18,900 +بيقول عنه stabbing pain بينما المريض اللي عنده + +711 +00:48:18,900 --> 00:48:21,860 +acute appendicitis بيحس أنه عنده زي throbbing pain + +712 +00:48:21,860 --> 00:48:25,200 +حاجة زي اللي بتنبض هيك ألم معنبض + +713 +00:48:28,000 --> 00:48:33,540 +تمام؟ بينما المريض عنده aortic aneurysm rupturing + +714 +00:48:33,540 --> 00:48:38,140 +بيحس زي حاجة exploding pain زي حاجة انفجرت هيك كل + +715 +00:48:38,140 --> 00:48:41,680 +هذه الأشياء ممكن يذكرها المريض او ممكن يقول المريض + +716 +00:48:41,680 --> 00:48:44,600 +it is just pain doctor I cannot describe it is + +717 +00:48:44,600 --> 00:48:48,140 +very bad pain مش شرط ان المريض يقول nature معينة + +718 +00:48:48,140 --> 00:48:53,720 +طبيعة معينة ايش الألم بيشبه ممكن مايهتديش للأشياء + +719 +00:48:53,720 --> 00:48:57,690 +هذهلكن انا ممكن اساعده ب open question هل هو بيشبه + +720 +00:48:57,690 --> 00:49:00,930 +كذا؟ هل هو بيشبه stabbing؟ هل هو بيشبه tingling؟ + +721 +00:49:00,930 --> 00:49:04,250 +هل هو بيشبه .. بيشبه numbning؟ زي حاجة هيك تنميل + +722 +00:49:04,250 --> 00:49:09,010 +شديد مثلا okay كل هذه ممكن اعطي المريض بعض ال .. + +723 +00:49:09,010 --> 00:49:12,610 +بعض الأسئلة المساعدة اللي ممكن تهديه لل diagnosis + +724 +00:49:12,610 --> 00:49:19,350 +او ممكن تهديه لل description اسم ال duration جديش + +725 +00:49:19,350 --> 00:49:21,770 +ال patient قعد من ناحية ما بدأ عنده ال pain لحد ما + +726 +00:49:21,770 --> 00:49:25,820 +اجى للمستشفىغير عن ال mode و ال time of onset بسأل + +727 +00:49:25,820 --> 00:49:29,080 +عن ال total duration of pain من اللحظة اللي بدأ + +728 +00:49:29,080 --> 00:49:32,940 +فيها المشكلة لحد ما أجاني على المستشفى قد تكون + +729 +00:49:32,940 --> 00:49:36,760 +المشكلة اتكررت عند المريض كذا مرة وبالتالي ال + +730 +00:49:36,760 --> 00:49:39,420 +duration الكلية بتختلف عن ال time و ال mode of + +731 +00:49:39,420 --> 00:49:43,820 +onset لآخر complaint أجى فيه المريض ممكن يكون ال + +732 +00:49:43,820 --> 00:49:45,980 +complaint بدأ عنده قبل يومين تلاتة و بعد ذلك + +733 +00:49:45,980 --> 00:49:49,920 +المريض ما .. ماأجهش على المستشفى او .. ماأجهش على + +734 +00:49:49,920 --> 00:49:53,050 +ال emergency او ماراجعش دكتورإذا هذه ال total + +735 +00:49:53,050 --> 00:49:57,370 +duration ال frequency of complaint تضيفها في ال + +736 +00:49:57,370 --> 00:50:00,110 +total duration و بعد هيك ال time و ال mode of + +737 +00:50:00,110 --> 00:50:03,530 +onset لآخر مرة صارت فيها المشكلة و طبعا آخر مرة + +738 +00:50:03,530 --> 00:50:06,810 +صارت فيها المشكلة قد تكون أول مرة و قد تكون اتكررة + +739 +00:50:06,810 --> 00:50:10,350 +ممكن المريض يجي لأول مرة بال complaint هذه و ممكن + +740 +00:50:10,350 --> 00:50:17,030 +يكون اتكرر عنده الاشي كذا مرة severity severity of + +741 +00:50:17,030 --> 00:50:23,020 +the painال severity ممكن اعبر عنها بعدة أشياء ممكن + +742 +00:50:23,020 --> 00:50:28,340 +اعطي المريض scale من واحد لعشرة و اقوله مثلا واحد + +743 +00:50:28,340 --> 00:50:33,080 +ال pain الخفيف و عشرة ال pain الشديد و عشرة بيشبه + +744 +00:50:33,080 --> 00:50:36,360 +ال labor pain او بيشبه ال tooth extraction او ال + +745 +00:50:36,360 --> 00:50:40,780 +tooth pain sorry انه قلم الأسنان قلم التواحيد او + +746 +00:50:40,780 --> 00:50:43,980 +زي ال labor pain زي قلم الولادة و القلم الخفيف + +747 +00:50:43,980 --> 00:50:48,760 +بشبهله بشي معين مثلا نخزة إبرة صغيرةو بقول للمريض + +748 +00:50:48,760 --> 00:50:57,000 +اعطيني scale جداش بعض المرضى بيوصف القلم او بيعطي + +749 +00:50:57,000 --> 00:50:59,920 +القلم اكتر من حجمه الطبيعي اذا هاتي subjective + +750 +00:50:59,920 --> 00:51:04,660 +المشكلة صارت جداش من عشرة يقولي مثلا ست من عشرة + +751 +00:51:04,660 --> 00:51:08,160 +مريض تاني لنفس ال type of pain ممكن يعطيني خمس من + +752 +00:51:08,160 --> 00:51:12,570 +عشرة او اربعة او يعطيني تمانية من عشرة مثلاإذا في + +753 +00:51:12,570 --> 00:51:17,470 +تقييم المرضى باختلف من patient ل patient هذه طريقة + +754 +00:51:17,470 --> 00:51:21,650 +الطريقة التانية في description of severity أني + +755 +00:51:21,650 --> 00:51:27,510 +أسأله عن effect of his personal lifeجدّاش المشكلة + +756 +00:51:27,510 --> 00:51:31,970 +أثرت على ال daily activities تبعتك؟ جدّاش صار فيه + +757 +00:51:31,970 --> 00:51:35,170 +limitation لل daily activity؟ هل بتقدر تجوم من + +758 +00:51:35,170 --> 00:51:39,190 +السرير تروح الحمام مثلا؟ هل بتقدر تعمل إجراءات + +759 +00:51:39,190 --> 00:51:42,970 +النظافة الشخصية تبعتك؟ هل تقدر تروح الشغل أو تطلع + +760 +00:51:42,970 --> 00:51:46,090 +من الغرفة أو تمشي في الشارع نتيجة الألم هذا ولا + +761 +00:51:46,090 --> 00:51:50,720 +لا؟أذا كل هذه الأشياء بتعطيني more objective data + +762 +00:51:50,720 --> 00:51:57,260 +than أني أسأله عن ال scale من واحد لعشرة اذا how + +763 +00:51:57,260 --> 00:52:01,280 +daily life is affected؟ هل كدرت تجوم من سريرك ولا + +764 +00:52:01,280 --> 00:52:03,780 +لأ؟ هل جيت على المستشفى لوحدك ولا شالوك مشاية + +765 +00:52:03,780 --> 00:52:08,580 +لجابوك ناس تانين؟ هل جيت في سيارة ولا جيت ماشي؟ + +766 +00:52:08,580 --> 00:52:12,580 +اذا ال effect of complaint او ال effect of pain + +767 +00:52:12,580 --> 00:52:18,700 +على daily activity of the patientRadiation ايش + +768 +00:52:18,700 --> 00:52:22,340 +يعني radiation طب ال radiation هو عبارة عن احساس + +769 +00:52:22,340 --> 00:52:26,500 +الألم في منطقة تانية غير المنطقة اللي بدأ فيها مع + +770 +00:52:26,500 --> 00:52:30,160 +استمرار وجوده في المنطقة الرئيسية اللي هو بدأ فيها + +771 +00:52:30,160 --> 00:52:33,620 +يعني على سبيل المثال المريض اللي عنده + +772 +00:52:36,310 --> 00:52:40,330 +Angina Pectoris أو المريض اللي عنده myocardial + +773 +00:52:40,330 --> 00:52:44,030 +infarction في عنده chest pain لكن بيحس ال pain + +774 +00:52:44,030 --> 00:52:48,390 +برضه في الكتف بذات الكتف الشمال و ال left arm هذا + +775 +00:52:48,390 --> 00:52:52,630 +بيسموه radiation يعني إحساس المريض في الألم في + +776 +00:52:52,630 --> 00:52:55,610 +منطقة غير المنطقة الرئيسية مع استمراره في وجوده في + +777 +00:52:55,610 --> 00:52:58,410 +المنطقة الرئيسية هذا بيسموه radiation pain أو + +778 +00:52:58,410 --> 00:53:00,270 +referral pain + +779 +00:53:02,470 --> 00:53:05,610 +الرادياشن هو عبارة عن ال sensation of pain in + +780 +00:53:05,610 --> 00:53:10,670 +another area كمان مرة despite بالرغم من انه still + +781 +00:53:10,670 --> 00:53:16,150 +continuous in the original area و طبعا هذا بختلف + +782 +00:53:16,150 --> 00:53:20,720 +عن ال shiftingالـ shifting مصطلح تاني للقلم اللي + +783 +00:53:20,720 --> 00:53:24,600 +هو disappearance of pain في المنطقة و reappearance + +784 +00:53:24,600 --> 00:53:27,720 +in another area و أبسط مثال على هذا الكلام أن + +785 +00:53:27,720 --> 00:53:31,120 +المريض اللي عنده acute appendicitis بيجي أول حاجة + +786 +00:53:31,120 --> 00:53:35,100 +عنده pain حوالين السرة أو pain في منطقة مركز ال + +787 +00:53:35,100 --> 00:53:39,010 +abdomenفي الـ Central Abdominal Region وبعد ذلك + +788 +00:53:39,010 --> 00:53:44,250 +يبدأ الشفتنج له الـ Right Iliac Fossa ويصير الألم + +789 +00:53:44,250 --> 00:53:46,910 +بعد ذلك في الـ Right Iliac Fossa تمامًا ويختفي من + +790 +00:53:46,910 --> 00:53:49,990 +منطقة الـ Central Abdomen أو الـ Peri-Umbilical + +791 +00:53:49,990 --> 00:53:55,090 +Area هذا يسمونه Shifting Progression هو علاقة + +792 +00:53:55,090 --> 00:53:59,550 +الألم بالوقتمع الوقت هل صار فيه relief لل symptoms + +793 +00:53:59,550 --> 00:54:04,770 +أو هل صار فيه exaggeration لل symptoms مهم للألم + +794 +00:54:04,770 --> 00:54:07,190 +هذا يعني أسئبلي المثل المريض اللي عنده acute + +795 +00:54:07,190 --> 00:54:12,580 +appendicitis worsening by timeتمام؟ بينما المريض + +796 +00:54:12,580 --> 00:54:15,520 +اللي عنده مثلا intestinal obstruction ممكن مع + +797 +00:54:15,520 --> 00:54:19,500 +الوجد بالذات لو نتج يتريح لأن النتج بيريح من ال + +798 +00:54:19,500 --> 00:54:22,760 +pressure في ال intestine وبالتالي بيريح الألم إذا + +799 +00:54:22,760 --> 00:54:27,260 +ال progression هنا اللي هو علاقة الألم بالوجد + +800 +00:54:27,260 --> 00:54:32,120 +relieving and exacerbating factors ال relieving + +801 +00:54:32,120 --> 00:54:37,060 +factors ممكن تكون أكل و ممكن تكون دوة و ممكن تكون + +802 +00:54:37,060 --> 00:54:41,900 +motion movementكذلك الحالة الـ exacerbating + +803 +00:54:41,900 --> 00:54:45,420 +factors ممكن تكون أكل أو دواء أو movement for + +804 +00:54:45,420 --> 00:54:50,740 +example المريض اللي عنده biliary pain نتيجة تقول + +805 +00:54:50,740 --> 00:54:54,520 +blood or stones من ال exaggerating factors اللي + +806 +00:54:54,520 --> 00:54:59,380 +عنده أنه يأكل إذا أكل بيصير في عنده worsening + +807 +00:54:59,380 --> 00:55:03,700 +للقلم هذا بينما مريض عنده peptic ulcer ديودينال + +808 +00:55:03,700 --> 00:55:08,760 +ألصر ممكن لو أكل يرتاح مريض + +809 +00:55:08,760 --> 00:55:13,740 +عنده acutePancreatitis ممكن لو أكل يتعب أكتر بينما + +810 +00:55:13,740 --> 00:55:20,820 +لو صام بيرتاح أكتر مريض عنده biliary pain ممكن لو + +811 +00:55:20,820 --> 00:55:24,660 +أخد non-steroidal anti-inflammatory drugs يرتاح + +812 +00:55:24,660 --> 00:55:27,340 +بينما مريض عنده peptic ulcer لو أخد non-steroidal + +813 +00:55:27,340 --> 00:55:29,660 +anti-inflammatory drugs بيصير فيه عنده worsening + +814 +00:55:29,660 --> 00:55:35,950 +للـ symptoms المريض اللي عنده acuteabdomen او + +815 +00:55:35,950 --> 00:55:39,090 +peritonitis لو اتحرك بصير exaggeration لل symptoms + +816 +00:55:39,090 --> 00:55:45,490 +بينما لو قعد في الصغير ساكن بخف القلم عليه شوية و + +817 +00:55:45,490 --> 00:55:48,310 +اي حركة ممكن تعمل exacerbating للبين او تعمل + +818 +00:55:48,310 --> 00:55:52,890 +worsening للبين بينما مريض عنده مثلا urinary stone + +819 +00:55:52,890 --> 00:55:59,440 +سيان عنده لو اتحرك او قعد هو حيشعر بقلملأن القلم + +820 +00:55:59,440 --> 00:56:03,220 +هنا مكون ناتج غالبا عن حركة ال stone هذه من خلال + +821 +00:56:03,220 --> 00:56:05,980 +ال urinary tract ع سبيل المثال احنا بنذكر أمثلة + +822 +00:56:05,980 --> 00:56:11,020 +للتوضيح بعد ما اخلص هذه ال elements ممكن اسأل ال + +823 +00:56:11,020 --> 00:56:15,220 +patient what is the possible cause؟ ايش بتعتقد انه + +824 +00:56:15,220 --> 00:56:18,440 +المشكلة عندك؟ اذا كانت المشكلة عند المريض chronic + +825 +00:56:18,440 --> 00:56:22,420 +بكون عارف ايش ال diagnosis تبعه وبالتالي ال cause + +826 +00:56:22,420 --> 00:56:26,340 +هنا بكون واضح بالنسبة لهأو ممكن المريض يكون عنده + +827 +00:56:26,340 --> 00:56:28,880 +medical knowledge وبالتالي يعطيني a differential + +828 +00:56:28,880 --> 00:56:31,440 +diagnosis يقول لي ممكن تكون عند المشكلة كذا + +829 +00:56:31,440 --> 00:56:35,020 +الزايدة مثلا انا بشكي من أعراض الزايدة اذا عنده + +830 +00:56:35,020 --> 00:56:39,240 +بعض ال knowledge اللي تسمحله انه يعني يحللها في + +831 +00:56:39,240 --> 00:56:43,740 +عقله ويتوصل لإيش معين اذا بسأل المريض what you + +832 +00:56:43,740 --> 00:56:46,460 +think your diagnosis is what you think your + +833 +00:56:46,460 --> 00:56:50,480 +problem is هذا السؤال في النهاية بيجي بعد ما اعمل + +834 +00:56:50,480 --> 00:56:52,560 +analysis لل symptom الموجود + +835 +00:56:54,960 --> 00:56:57,840 +طبعا زي ما قولنا ال abdomen متجسم ل four areas + +836 +00:56:57,840 --> 00:57:02,020 +ممكن quadrants بنسميها أرباع و طبعا الأرباع هذه + +837 +00:57:02,020 --> 00:57:05,580 +بخاطمة بمر بال أنبلايكاس و خاطة تانية بمر بال + +838 +00:57:05,580 --> 00:57:09,300 +أنبلايكاس واحد بالطول و واحد بالعرضخط طولي و خط + +839 +00:57:09,300 --> 00:57:11,260 +عرضي وبالتالي بيكونوا عاملين زي زائد على + +840 +00:57:11,260 --> 00:57:14,520 +الانبلايكاس وبالتالي هنا ال abdomen بيصير في four + +841 +00:57:14,520 --> 00:57:17,680 +areas right upper quadrant left upper quadrant + +842 +00:57:17,680 --> 00:57:20,940 +right lower quadrant left lower quadrant بينما في + +843 +00:57:20,940 --> 00:57:23,800 +التقسيم التاني اللي هي ال nine regions في عندنا + +844 +00:57:23,800 --> 00:57:27,240 +خطين transverse و خطين vertical بيجسموا ال abdomen + +845 +00:57:27,240 --> 00:57:32,720 +زي ما احنا شايفين هنا لepigastric area موجودة فوق + +846 +00:57:32,720 --> 00:57:36,880 +في النص و right hypochondrial areaو left + +847 +00:57:36,880 --> 00:57:40,140 +hypochondrial area و في عندنا ال right lumbar و ال + +848 +00:57:40,140 --> 00:57:43,380 +left lumbar areas بيحيطوا بال umbilical area و في + +849 +00:57:43,380 --> 00:57:45,740 +عندنا ال right iliac fossa و ال left iliac fossa + +850 +00:57:45,740 --> 00:57:50,420 +بيحيطوا في ال hypogastric area او suprapubic area + +851 +00:57:50,420 --> 00:57:54,020 +head and mind regions طبعا كل منطقة فيها special + +852 +00:57:54,020 --> 00:57:57,120 +pathologies معينة على سبيل المثال ال right + +853 +00:57:57,120 --> 00:58:00,520 +hypochondria موجود في ال biliary tract و موجود في + +854 +00:58:00,520 --> 00:58:02,680 +ال liver وبالتالي لما المريض يكون بشكم ال right + +855 +00:58:02,680 --> 00:58:06,260 +hypochondrial painبدي أتوقع بالدرجة الأولى أو + +856 +00:58:06,260 --> 00:58:09,900 +الاحتمال الأقوى ان يكون في عنده biliary pathology + +857 +00:58:09,900 --> 00:58:12,680 +زي ما يسمونه leather stones مثلا في ال area + +858 +00:58:12,680 --> 00:58:16,720 +gastrodiodinal و ال pancreas موجود في ال + +859 +00:58:16,720 --> 00:58:19,780 +hypocondria موجود ال spleen و ال tail of pancreas + +860 +00:58:19,780 --> 00:58:24,580 +هذه أمثلة في ال lumber area و ال umbilical area + +861 +00:58:24,580 --> 00:58:28,840 +موجود ال kidneys في ال lumber areasوفي الـ central + +862 +00:58:28,840 --> 00:58:33,640 +abdominal areas ممكن يكون موجود برضه ال vessels + +863 +00:58:33,640 --> 00:58:37,680 +ممكن يكون موجود ال dedenum ال lower part of the + +864 +00:58:37,680 --> 00:58:43,400 +dedenum او بداية ال small intestine كذلك الحال في + +865 +00:58:43,400 --> 00:58:46,100 +الiliac fossa موجود ال appendix موجود ال urinary + +866 +00:58:46,100 --> 00:58:48,560 +tract ال lower urinary tract كذلك الحال في ال left + +867 +00:58:48,560 --> 00:58:52,530 +iliac fossaموجود ال urinary tract على الجهة + +868 +00:58:52,530 --> 00:58:55,870 +التانية موجود ال adnexa of females ال ovaries و ال + +869 +00:58:55,870 --> 00:59:01,150 +tubes و في ال pelvis و في منطقة ال subrabiumic + +870 +00:59:01,150 --> 00:59:04,670 +area موجود ال pelvic organs ال uterus موجود ال + +871 +00:59:05,890 --> 00:59:09,430 +urinary bladder كل هذه الأشياء بتفرض عليه + +872 +00:59:09,430 --> 00:59:12,770 +pathologies معينة في ال differential diagnosis اذا + +873 +00:59:12,770 --> 00:59:17,970 +وين المريض بيشكم المشكلة في ال abdomen بحدد ايش ال + +874 +00:59:17,970 --> 00:59:20,630 +anatomical structures اللي موجودة هنا و ايش ممكن + +875 +00:59:20,630 --> 00:59:25,190 +يكون ال pathology نافع من وين another type of + +876 +00:59:25,190 --> 00:59:30,230 +history history of mass or lump هذا مثال تاني بدي + +877 +00:59:30,230 --> 00:59:34,790 +اسأل ال patient when it was discoveredمتى المريض + +878 +00:59:34,790 --> 00:59:38,810 +لاحظ انه عنده mass هذا السؤال الأول و ايش اللي + +879 +00:59:38,810 --> 00:59:43,090 +خلاه يلاحظ بسألش المريض انه من متى ال mass هذه + +880 +00:59:43,090 --> 00:59:46,110 +موجودة او من متى ال swelling او ال lump هذه موجودة + +881 +00:59:46,110 --> 00:59:49,070 +لأنه قد تكون موجودة من وجه اطول من المريض اللي + +882 +00:59:49,070 --> 00:59:54,370 +لاحظها فيه بسأله وقتيش انت notice this mass متى + +883 +00:59:54,370 --> 00:59:57,990 +لاحظت ال mass هذه انها موجودة how discovered ايش + +884 +00:59:57,990 --> 01:00:02,590 +اللي خلاهينتبه لها هل صار فيها symptom معين و لا + +885 +01:00:02,590 --> 01:00:06,010 +هل شافها accidentally ممكن المريض يكون شافها + +886 +01:00:06,010 --> 01:00:09,230 +accidentally و هو مثلا في الحمام او شايف حاله على + +887 +01:00:09,230 --> 01:00:12,790 +المرايا ع سبيل المثال ال goiters اللي هو التضخم + +888 +01:00:12,790 --> 01:00:15,430 +الغد الدراقي ممكن المريض يكتشفها هو واقف قدام + +889 +01:00:15,430 --> 01:00:18,490 +المرايا او ممكن حد يقوله انه صار في change في ال + +890 +01:00:18,490 --> 01:00:22,530 +appearance تبعكأو يروح لدكتور for routine + +891 +01:00:22,530 --> 01:00:26,550 +investigation والدكتور يفحصه ويقوله في عندك تدخن + +892 +01:00:26,550 --> 01:00:30,190 +مثلا هو مايكونش حاسس أنه في مشكلة عنده طب هل في + +893 +01:00:30,190 --> 01:00:33,950 +associated symptoms مع ال lump هذ أو مع ال mass؟ + +894 +01:00:33,950 --> 01:00:37,870 +for example pain هل صار في change in size with + +895 +01:00:37,870 --> 01:00:41,810 +time؟ هل كبرت هذ ال mass مع الوقت؟ هل زغرت؟ هل ضلت + +896 +01:00:41,810 --> 01:00:48,360 +زي ما هي؟ هل بتختفي و بترجع؟ هل اختفت تماما؟ع سبيل + +897 +01:00:48,360 --> 01:00:51,760 +المثال ال inflammatory masses ممكن تختفي لو واحد + +898 +01:00:51,760 --> 01:00:54,600 +عنده تدخم في ال lymph node في ال neck مثلا هي mass + +899 +01:00:54,600 --> 01:00:58,700 +مع الوجد اختفت راح التدخم راح ال inflammation اللي + +900 +01:00:58,700 --> 01:01:02,740 +فيها واختفت مريض عنده hernia ال hernia بتعمل mass + +901 +01:01:02,740 --> 01:01:07,220 +او بتعمل swelling ممكن تختفي وترجع اذا appearance + +902 +01:01:07,220 --> 01:01:11,720 +disappearance and reappearanceو ممكن الماس هادى + +903 +01:01:11,720 --> 01:01:15,000 +تكون موجودة و تبقى موجودة على طول و تكبر مع الوجد + +904 +01:01:15,000 --> 01:01:18,800 +زى مثلا ال life omars اللى عندهم غداد دهنية او + +905 +01:01:18,800 --> 01:01:22,840 +اكياس دهنية ممكن تكبر مع الوجد اللى عندهم goiters + +906 +01:01:22,840 --> 01:01:27,600 +ممكن تكبر مع الوجد تدخن في الغدهل المريض بيشكي من + +907 +01:01:27,600 --> 01:01:32,200 +other masses ولا لا؟ و هل في any cause او any + +908 +01:01:32,200 --> 01:01:34,820 +possible cause للماسك؟ هذه زي ان المريض كان اتعرض + +909 +01:01:34,820 --> 01:01:38,080 +ل trauma swelling مثلا صار نتيجة ل trauma او + +910 +01:01:38,080 --> 01:01:42,020 +hematoma او so on اذا هذه مثال تاني على ال present + +911 +01:01:42,020 --> 01:01:45,340 +complaint اللي هو ال lump بدي اسأل relevant + +912 +01:01:45,340 --> 01:01:51,230 +question او احلل ال .. ال ..المشكلة الرئيسية اللي + +913 +01:01:51,230 --> 01:01:54,810 +أجى فيه المريض لanalysis of data هذه الأشياء طبعا + +914 +01:01:54,810 --> 01:01:57,730 +هنشرحها in more detail لما ان شاء الله نبدأ with + +915 +01:01:57,730 --> 01:02:01,210 +side teaching و لما نبدأ نشرح على المرضى نفسهم راح + +916 +01:02:01,210 --> 01:02:05,470 +نشرح in detail و كل خطوة بخطوتها على ال patient + +917 +01:02:05,470 --> 01:02:10,930 +مباشرة yes بعد هيك بيجي عنا ال remaining questions + +918 +01:02:10,930 --> 01:02:15,860 +of the abnormal systemThe affected system يعني لو + +919 +01:02:15,860 --> 01:02:19,280 +كان المشكلة عند المريض في الـ GI tract بنبدأ نسأل + +920 +01:02:19,280 --> 01:02:22,560 +في الـ GI tract لو كان المريض عنده مشكلة في ال + +921 +01:02:22,560 --> 01:02:24,900 +urinary بنبدأ نسأل في ال urinary لو كان المريض + +922 +01:02:24,900 --> 01:02:26,920 +عنده مشكلة في ال chest بنبدأ نسأل في ال + +923 +01:02:26,920 --> 01:02:31,120 +respiratory أو في ال cardiac حسب وين المشكلة وبعد + +924 +01:02:31,120 --> 01:02:38,520 +هيك بنيجي لل other systems اذا ال + +925 +01:02:38,520 --> 01:02:42,710 +diagnosis زي ما قلنا مهم كمان مرة بحب أكدماذا + +926 +01:02:42,710 --> 01:02:45,910 +تعريف ال diagnosis؟ ال diagnosis هو عبارة عن + +927 +01:02:45,910 --> 01:02:49,410 +anatomical description بالاضافة ل pathological + +928 +01:02:49,410 --> 01:02:53,050 +descriptionيعني لما أقول المريض عنده acute + +929 +01:02:53,050 --> 01:02:56,690 +appendicitis بوصف ال Anatomy ال appendix وين موجود + +930 +01:02:56,690 --> 01:02:59,850 +اللي هو anatomical character ال appendix موجود في + +931 +01:02:59,850 --> 01:03:02,690 +ال lower abdomen على ال right side في المنطقة اللي + +932 +01:03:02,690 --> 01:03:05,290 +فيها ال cecum وبالتالي موجود في ال right iliac + +933 +01:03:05,290 --> 01:03:08,590 +fossa أو موجود في ال right lower quadrant this is + +934 +01:03:08,590 --> 01:03:12,230 +the anatomical part of my diagnosis وكذلك الحالة + +935 +01:03:12,230 --> 01:03:14,850 +ال pathological part اللي هو appendicitis كلمة + +936 +01:03:14,850 --> 01:03:18,930 +appendicitis يعني inflammationinflammation كلمة + +937 +01:03:18,930 --> 01:03:23,370 +itis معناها inflammation وبالتالي هذا ال pathology + +938 +01:03:23,370 --> 01:03:26,170 +كلمة inflammation معناها pathology acute + +939 +01:03:26,170 --> 01:03:31,490 +inflammation او chronic inflammation كلمة + +940 +01:03:32,350 --> 01:03:36,710 +cancer في بعض الأحيان colon cancer او sigmoid + +941 +01:03:36,710 --> 01:03:39,870 +cancer sigmoid colon cancer ال sigmoid عبارة عن + +942 +01:03:39,870 --> 01:03:43,430 +anatomy و ال cancer عبارة عن pathology ان هو عبارة + +943 +01:03:43,430 --> 01:03:46,310 +عن combination ما بين anatomical part و + +944 +01:03:46,310 --> 01:03:50,110 +pathological part لما اقول breast cancer مثلا ال + +945 +01:03:50,110 --> 01:03:54,450 +breast right و ال left breast عبارة عن anatomy في + +946 +01:03:54,450 --> 01:03:57,250 +anatomical region اسمها breast في منطقة اسمها + +947 +01:03:57,250 --> 01:04:00,210 +breast في ال anatomyوالـ Cancer عبارة عن + +948 +01:04:00,210 --> 01:04:03,570 +pathological description Peptic ulcer كلمة Peptic + +949 +01:04:03,570 --> 01:04:10,710 +معناها gastric او duodenum اذا هذه عبارة عن + +950 +01:04:10,710 --> 01:04:14,330 +anatomical description و ال ulcer عبارة عن + +951 +01:04:14,330 --> 01:04:18,470 +pathological description ال fracture كذلك الفيمر + +952 +01:04:18,470 --> 01:04:21,270 +الفيمر عبارة عن anatomy و ال fracture عبارة عن + +953 +01:04:21,270 --> 01:04:22,950 +description and so on + +954 +01:04:25,770 --> 01:04:29,430 +إذا بعد ذلك باجي للـ differential diagnosis ممكن + +955 +01:04:29,430 --> 01:04:31,930 +أني مااتوصلش لل diagnosis في البداية لكن أحصر + +956 +01:04:31,930 --> 01:04:35,590 +احتمالاتي في diagnosis معينة ال most likely + +957 +01:04:35,590 --> 01:04:41,610 +diagnosis بيمشي مع ال symptoms أكتر من غيره يعني + +958 +01:04:41,610 --> 01:04:44,450 +لما المريض يكون عنده right lower quadrant pain أو + +959 +01:04:44,450 --> 01:04:48,470 +right iliac fossa pain associated with nausea, + +960 +01:04:48,550 --> 01:04:51,130 +vomiting, anorexia بكون ال most likely diagnosis + +961 +01:04:51,130 --> 01:04:56,240 +هنا ال acute appendicitisOkay دينما بستبعد حكاية + +962 +01:04:56,240 --> 01:04:59,560 +Peptic Ulcer مثلا أو biliary colic is a most + +963 +01:04:59,560 --> 01:05:03,420 +likely diagnosis بناء على anatomical factors و + +964 +01:05:03,420 --> 01:05:06,300 +بناء على pathological factors من إيش المريض بيشكي + +965 +01:05:06,300 --> 01:05:12,900 +و من إيش المريض عنده مشكلة less likely and the + +966 +01:05:12,900 --> 01:05:15,980 +least likely بناء زي ما قلنا على anatomical + +967 +01:05:15,980 --> 01:05:18,700 +considerations و clinical considerations اللي هي + +968 +01:05:18,700 --> 01:05:21,620 +الوضع السريري أو الشكوى اللي بيجي فيها المريض و ال + +969 +01:05:21,620 --> 01:05:28,190 +analysis of symptomsreview of the systems general + +970 +01:05:28,190 --> 01:05:32,070 +review بنعمل في البداية بنسأل أسئلة معينة ال + +971 +01:05:32,070 --> 01:05:34,610 +gastrointestinal system في أشياء كتير ممكن نسأل + +972 +01:05:34,610 --> 01:05:38,050 +عنها نوزيا، vomiting، anorexia، weight loss، + +973 +01:05:38,050 --> 01:05:44,790 +جواندس، eating habits، problems في ال digestions، + +974 +01:05:44,790 --> 01:05:48,530 +problems في ال swallowing، أشياء كتير ال + +975 +01:05:48,530 --> 01:05:54,030 +respiratory system، dyspnea، coughOrthopnea + +976 +01:05:54,030 --> 01:05:58,010 +Cardiovascular System Chest Pain Dyspnea Orthopnea + +977 +01:05:58,010 --> 01:06:01,170 +كمان مرة ممكن تكون مشتركة ما بين ال cardiovascular + +978 +01:06:01,170 --> 01:06:05,270 +و ال respiratory system Eurogenital System Dysuria + +979 +01:06:05,270 --> 01:06:10,250 +Dysperionia Frequency of Urination Hesitancy of + +980 +01:06:10,250 --> 01:06:14,250 +Urination Irritation of the urinary bladder اللي + +981 +01:06:14,250 --> 01:06:15,410 +هو ال burning sensation + +982 +01:06:18,900 --> 01:06:22,980 +طبيعة الورين هل فيه free flow ولا فيه dribbling + +983 +01:06:22,980 --> 01:06:27,860 +ولا فيه تنقيت ؟ هل في الورين ضعف في ال stream ولا + +984 +01:06:27,860 --> 01:06:31,660 +فيه full stream ؟ كل هذه الأشياء في الورينري تراك + +985 +01:06:31,660 --> 01:06:34,120 +ممكن نسأل عنها ال nervous system و ال + +986 +01:06:34,120 --> 01:06:39,340 +musculoskeletal system اذا عاما انا يجب ان اطلب من + +987 +01:06:39,340 --> 01:06:44,060 +المريض عن ضعف هل المريض يشعر بضعف و هو لا يعمل اي + +988 +01:06:44,060 --> 01:06:51,960 +حركة؟ هل المريض يشعر انه عندهضعف عام حتى بدون ما + +989 +01:06:51,960 --> 01:06:56,140 +يبذل أي مجهود؟ وهل المريض بيصير فيه عنده تعب لما + +990 +01:06:56,140 --> 01:06:59,200 +يبذل مجهود اللي بيسموه ال fatigue؟ إذا إن ال + +991 +01:06:59,200 --> 01:07:01,820 +weakness هو ال patient شعر أنه ضعيف بدون ما يبذل + +992 +01:07:01,820 --> 01:07:05,380 +مجهود أو fatigue ال fatigue و ال weakness من + +993 +01:07:05,380 --> 01:07:07,300 +الأشياء اللي suggesting malignancy + +994 +01:07:09,580 --> 01:07:13,900 +إذن مهم جدا أسأل عن ال weakness وال fatigue لما + +995 +01:07:13,900 --> 01:07:17,160 +أنا شاكق في ماليجنانسي بالتحديد بالذات ال patients + +996 +01:07:17,160 --> 01:07:20,140 +اللي في عندهم stomach cancer أو esophageal cancer + +997 +01:07:20,140 --> 01:07:23,660 +أو pancreas cancer بكونوا extremely weak and + +998 +01:07:23,660 --> 01:07:26,800 +extremely fatigued كذلك الحال ال colon cancer في + +999 +01:07:26,800 --> 01:07:31,010 +المراحل المتقدمة تبعتهweakness و fatigue و + +1000 +01:07:31,010 --> 01:07:35,070 +anorexia كمان ال anorexia مهمة في ال cancer لكن ال + +1001 +01:07:35,070 --> 01:07:37,830 +anorexia مش بالضرورة انها تعني cancer ممكن ال + +1002 +01:07:37,830 --> 01:07:40,870 +anorexia تكون relevant كمان لل inflammatory + +1003 +01:07:40,870 --> 01:07:43,950 +conditions زي مثلا ال anorexia of the acute + +1004 +01:07:43,950 --> 01:07:48,630 +appendicitisأو الانوركسيا في الـ biliary colic أو + +1005 +01:07:48,630 --> 01:07:51,350 +الـ acute cholecystitis أو في ال acute + +1006 +01:07:51,350 --> 01:07:54,570 +pancreatitis الانوركسيا هنا ممكن تكون relevant + +1007 +01:07:54,570 --> 01:07:58,270 +لهذه ال conditions لكن ال chronic انوركسيا + +1008 +01:07:58,270 --> 01:08:03,970 +انوركسيا من وقت طويل هذه بتكون more significant في + +1009 +01:08:03,970 --> 01:08:07,610 +ال cancers أو في المالكننسي بينما لما تكون a new + +1010 +01:08:07,610 --> 01:08:12,640 +onset يعني بدايتها جديدةمع ال symptom الموجود أو + +1011 +01:08:12,640 --> 01:08:16,380 +قبله بشوية هذه غالبا بتكون for benign inflammation + +1012 +01:08:16,380 --> 01:08:20,400 +او painful conditions وزي ما قلنا من اوضح الأسباب + +1013 +01:08:20,400 --> 01:08:24,660 +عليها اللي هي ال acute appendicitis weight loss او + +1014 +01:08:24,660 --> 01:08:29,240 +change of weight I have to ask the patient about + +1015 +01:08:29,240 --> 01:08:32,220 +the change of weight نجس وزنك او لأ ممكن ال + +1016 +01:08:32,220 --> 01:08:35,140 +patient مايتوزنش مايعرفش نجسه ولا لأ بس ممكن اسأله + +1017 +01:08:35,140 --> 01:08:41,060 +أسئلة زي على سبيل المثال هل مالابسك وسعين عليكهل + +1018 +01:08:41,060 --> 01:08:44,660 +الملابس اللي كانت زمان حشري صارت واسعة؟ هل الساعة + +1019 +01:08:44,660 --> 01:08:48,880 +صارت تجع من إيدك؟ هل اضطريت تغير ملابسك و تشتري + +1020 +01:08:48,880 --> 01:08:53,740 +ملابس جديدة نتيجة انه صارت مش ملائمة للوزن تبعها؟ + +1021 +01:08:53,740 --> 01:08:58,610 +هذه أسئلة كلهاممكن أسألها و ممكن المريض يكون مهتم + +1022 +01:08:58,610 --> 01:09:02,150 +بوزنه و بتوزن يقولك والله انا انقصت مثلا 10 كيلو + +1023 +01:09:02,150 --> 01:09:06,750 +خلال شهرين او 15 كيلو خلال شهر او 20 كيلو خلال 3 + +1024 +01:09:06,750 --> 01:09:10,850 +شهور ع سبيل المثال كل هذا الكلام weight loss بعض + +1025 +01:09:10,850 --> 01:09:13,770 +أنواع ال cancer بتؤدي لسفير weight reduction زي ال + +1026 +01:09:13,770 --> 01:09:16,790 +stomach cancer و ال colon cancer كمان في مراحل + +1027 +01:09:16,790 --> 01:09:20,910 +المتقدمة feverish + +1028 +01:09:20,910 --> 01:09:25,550 +sensation او pyrexic sensation او heat sensation + +1029 +01:09:26,910 --> 01:09:29,930 +بناخد بالنا إن ال fever عبارة عن sign مش symptom + +1030 +01:09:29,930 --> 01:09:34,450 +يعني لازم أجيسها بنفسي وبالتالي هي جزء من ال + +1031 +01:09:34,450 --> 01:09:37,790 +physical examination مش من ال history ومش من ال + +1032 +01:09:37,790 --> 01:09:40,450 +general review of system لكن المريض ممكن يشعر + +1033 +01:09:40,450 --> 01:09:45,210 +بالحرارة أو ممكن يشعر بالسخونة وبالتالي أنا بسأل + +1034 +01:09:45,210 --> 01:09:49,550 +المريض بتشعر إن جسمك أسخن بتشعر إن في سخونة في + +1035 +01:09:49,550 --> 01:09:54,210 +جسمكلكن باسألوش إنه عندك حرارة ولا لا كلمة fever + +1036 +01:09:54,210 --> 01:10:01,090 +sign عبارة عن physical sign not a history symptom + +1037 +01:10:01,090 --> 01:10:04,940 +مش history symptom عبارة عن physical signnight + +1038 +01:10:04,940 --> 01:10:09,500 +-sweeting تعرق بالذات في ساعات الليل المرضى اللى + +1039 +01:10:09,500 --> 01:10:12,240 +عندهم cancers بعض أنواع ال cancer بتقدي ل night + +1040 +01:10:12,240 --> 01:10:15,720 +-sweets كل هذه بسأل عنها في ال general symptoms + +1041 +01:10:15,720 --> 01:10:18,800 +weakness, fatigue, anorexia, change in weight, + +1042 +01:10:19,320 --> 01:10:22,940 +fever and chills and night-sweets chills يعني + +1043 +01:10:22,940 --> 01:10:28,530 +قشعيرةالقشريرة بتوحي أنه في عندي حرارة من النوع ال + +1044 +01:10:28,530 --> 01:10:32,410 +high high grade fever مش أي نوع حرارة بيعمل قشريرة + +1045 +01:10:32,410 --> 01:10:36,090 +ال high grade لما اتعدى تسعة وتلاتين اربعين بيبدأ + +1046 +01:10:36,090 --> 01:10:39,390 +المريض يصير في عنده chills و بيبدأ يصير في عنده + +1047 +01:10:39,390 --> 01:10:43,550 +rygors ايش يعني rygors يعني بيبدأ المريض يخشب يصير + +1048 +01:10:43,550 --> 01:10:47,830 +جسمه stiff وبالتالي هذه من علامات الحرارة العالية + +1049 +01:10:47,830 --> 01:10:53,190 +gastrointestinal system بسأل عن ال change of + +1050 +01:10:53,190 --> 01:11:01,000 +appetiteقدش اتغيرت شهية المريض للأكل شهية المريض + +1051 +01:11:01,000 --> 01:11:04,740 +ممكن تكون اتغيرت recentlyزي ال acute appendicitis + +1052 +01:11:04,740 --> 01:11:07,920 +المريض كان بيأكل كويس قبل يوم لما بدأ عنده ال + +1053 +01:11:07,920 --> 01:11:12,160 +symptoms بدأ عنده ال pain بدأ يفقد الشهية تبعته is + +1054 +01:11:12,160 --> 01:11:15,600 +an anorexia of recent onset أو change of appetite + +1055 +01:11:15,600 --> 01:11:18,960 +of recent onset بينما ال patient اللي عنده cancer + +1056 +01:11:18,960 --> 01:11:23,380 +عنده loss of appetite او decrease في ال appetite + +1057 +01:11:23,380 --> 01:11:31,070 +من long timeبيت هل المريض بميل لأطعمة معينة ولا + +1058 +01:11:31,070 --> 01:11:35,690 +لا؟ هل بيحاول يعمل avoidance لأكل معين أو لا؟ + +1059 +01:11:35,690 --> 01:11:39,210 +المريض اللي بيعمل avoidance لل fatty meals أو لل + +1060 +01:11:39,210 --> 01:11:46,850 +fats بصفة عامة مريض بيلياريفي الغالب بيكون لإن ال + +1061 +01:11:46,850 --> 01:11:49,430 +fats بتعمل عنده exaggeration لل biliary symptoms + +1062 +01:11:49,430 --> 01:11:53,910 +اللي هي ال gallbladder stones أو ال stone disease + +1063 +01:11:53,910 --> 01:11:59,570 +بينما ال patient اللي مافيش عنده فرق في الأكل ممكن + +1064 +01:11:59,570 --> 01:12:04,830 +يكون يعاني من مشكلة تانية ع سبيل المثال بيكون عنده + +1065 +01:12:04,830 --> 01:12:08,290 +يعني + +1066 +01:12:08,290 --> 01:12:13,890 +problemفي مكان تاني غير ال biliary المريض اللي + +1067 +01:12:13,890 --> 01:12:16,510 +بيكون عنده peptic ulcer بيعاني من مشكلة في ال meat + +1068 +01:12:16,510 --> 01:12:21,110 +في اللحمة ال proteins ال high protein diet بالذات + +1069 +01:12:21,110 --> 01:12:25,330 +ال stomach ulcer حساسين لللحمة كتير اللحمة بتتعبهم + +1070 +01:12:25,330 --> 01:12:28,770 +جدا لإن ال proteins digested بالدرجة الأولى في ال + +1071 +01:12:28,770 --> 01:12:31,290 +stomach و ال digestion تبع ال proteins في ال + +1072 +01:12:31,290 --> 01:12:35,550 +stomach بيؤدي لل further release of acid لإن كل ما + +1073 +01:12:35,550 --> 01:12:39,370 +زاد ال protein digestion بزيد ال pepsin وبالتالي + +1074 +01:12:39,370 --> 01:12:44,310 +بزيد ال acid معاهزي ما قلنا ال weight loss of + +1075 +01:12:44,310 --> 01:12:49,410 +weight ال taste و ال teeth هل ال patient عنده good + +1076 +01:12:49,410 --> 01:12:53,210 +teeth وبالتالي بيمضغ الأكل كويس هل عنده taste + +1077 +01:12:53,210 --> 01:12:56,970 +طبيعي ولا في change of taste المريض بيشعر بطعم + +1078 +01:12:56,970 --> 01:12:59,930 +غريب في تمه بعض ال use of a gene pathologist بيشعر + +1079 +01:12:59,930 --> 01:13:03,930 +المريض ان تمه فيه طعم غريب metallic taste مثلا + +1080 +01:13:03,930 --> 01:13:08,510 +بيحس انه زي طعم الصدر او طعم مر okay هذه الشغلات + +1081 +01:13:08,510 --> 01:13:12,480 +ممكن تكون relevant لل gastrointestinal symptomsهل + +1082 +01:13:12,480 --> 01:13:15,500 +ال patient في عنده مشكلة في ال swallowing اللي + +1083 +01:13:15,500 --> 01:13:20,460 +بيسميها احنا dysphagia صعوبة في البلع أو قلم في + +1084 +01:13:20,460 --> 01:13:25,160 +البلع أو دينفاجيا هذه من علامات ال isopathy ال + +1085 +01:13:25,160 --> 01:13:28,180 +pathology او من علامات ال upper GI tract في ال + +1086 +01:13:28,180 --> 01:13:34,120 +stomach مثلا ال swallowing مهم جدا نسأل هل هو ال + +1087 +01:13:34,120 --> 01:13:40,100 +difficulty لل fluids ولا لل solid foodإذا كان + +1088 +01:13:40,100 --> 01:13:44,080 +المريض عنده difficulty لل solid food أكتر بكون + +1089 +01:13:44,080 --> 01:13:49,420 +المشكلة عنده غالبا mechanical يعني دياج أو mass أو + +1090 +01:13:49,420 --> 01:13:52,800 +narrowing في الاسوفيقاس بينما لو كانت المشكلة في + +1091 +01:13:52,800 --> 01:13:56,820 +ال fluids و في ال solids مع بعض هم بتكون المشكلة + +1092 +01:13:56,820 --> 01:13:59,340 +في ال motility في الاسوفيقاس زي حالة الأكاليزيا + +1093 +01:13:59,340 --> 01:14:03,180 +مثلا اللي هي بكون في deficient motility في + +1094 +01:14:03,180 --> 01:14:07,870 +الاسوفيقاسمهم جدا كمان نسأل في ال dysphagia عن ال + +1095 +01:14:07,870 --> 01:14:11,590 +site of dysphagia هل المريض بيشعر انه صعوب في + +1096 +01:14:11,590 --> 01:14:16,870 +البلع في منطقة العنق في الرجب يعني و لا صعوب في + +1097 +01:14:16,870 --> 01:14:19,670 +البلع في منطقة ال chest و لا في منطقة ال upper + +1098 +01:14:19,670 --> 01:14:24,010 +abdomen ممكن اللجم تجف للمريض في زوره في رجبته + +1099 +01:14:24,010 --> 01:14:30,370 +ممكن اللجم تجف في منتصف ال chest ممكن اللجم تجف في + +1100 +01:14:30,370 --> 01:14:35,280 +ال upper abdomenإذا وين المشكلة في صعوبة البلعب + +1101 +01:14:35,280 --> 01:14:37,440 +بتحددلي وين المشكلة في ال esophagus لأنه ال + +1102 +01:14:37,440 --> 01:14:42,020 +esophagus طويل 25 سانت طوله بيشمل منطقة ال neck و + +1103 +01:14:42,020 --> 01:14:44,120 +منطقة ال chest و منطقة ال upper abdomen + +1104 +01:14:44,120 --> 01:14:48,620 +regurgitation ارتجاع الطعام بدون ما المريض يبدو + +1105 +01:14:48,620 --> 01:14:54,220 +مجهود تختلف عن ال vomitingregurgitation لأ إراديا + +1106 +01:14:54,220 --> 01:14:57,900 +المريض يطلع الأكل بينما ال vomiting في جزء إرادي + +1107 +01:14:57,900 --> 01:15:01,280 +فيه أن المريض يفضل مجهود عشان يطلع الأكل بيعمل + +1108 +01:15:01,280 --> 01:15:04,660 +contraction على ال muscles تبعته عشان يطلع الأكل + +1109 +01:15:04,660 --> 01:15:11,580 +ال heartburn شعور بالحرجان ورا ال sternum retro + +1110 +01:15:11,580 --> 01:15:16,980 +sternal burning sensation هذه من علاماتالـ + +1111 +01:15:16,980 --> 01:15:19,020 +Gastrointestinal Pathology بالذات الـ + +1112 +01:15:19,020 --> 01:15:22,200 +Gastrointestinal Reflex Disease اللي بيصير فيه + +1113 +01:15:22,200 --> 01:15:26,660 +ارتجاع للحمض في المريض بيقدر ال heart burn عندهم و + +1114 +01:15:26,660 --> 01:15:29,700 +طبعا ضروري جدا انميز ما بين ال heart burn و ما بين + +1115 +01:15:29,700 --> 01:15:35,000 +ال heart pain او ال angina pain of the heartالـ + +1116 +01:15:35,000 --> 01:15:37,960 +heartburn بيكون شعور بالحرجان في منطقة الاستيرنام + +1117 +01:15:37,960 --> 01:15:41,060 +مش relevant لل heart مالوش علاقة بالقلب relevant + +1118 +01:15:41,060 --> 01:15:45,680 +لحرجان ال acid في ال in the esophagus بينما ال + +1119 +01:15:45,680 --> 01:15:48,540 +heart pain او ال angina ال pain بيكون ناتج عن + +1120 +01:15:48,540 --> 01:15:54,800 +cardiac problem vomiting of blood او ال + +1121 +01:15:54,800 --> 01:15:59,020 +hematemesis بيجي مع ال peptic ulcer disease و بيجي + +1122 +01:15:59,020 --> 01:16:03,350 +مع ال gastric cancersو بيجي كمان مع ال other + +1123 +01:16:03,350 --> 01:16:06,650 +pathologies زي ال portal hypertension أو ال liver + +1124 +01:16:06,650 --> 01:16:12,590 +cirrhosis ممكن تؤدي ل vomiting of blood other + +1125 +01:16:12,590 --> 01:16:16,810 +types or other او previous history of abdominal + +1126 +01:16:16,810 --> 01:16:20,630 +pain قد يكون ال abdominal pain hard recurrent زي + +1127 +01:16:20,630 --> 01:16:24,570 +في حالات ال gall stones او زي في حالات ال peptic + +1128 +01:16:24,570 --> 01:16:27,950 +ulcer او زي في حالات ال chronic pancreatitis + +1129 +01:16:27,950 --> 01:16:34,260 +abdominal distentionintestinal pathology او + +1130 +01:16:34,260 --> 01:16:38,140 +colonic pathology .. colonic problem .. gas في ال + +1131 +01:16:38,140 --> 01:16:42,680 +abdomen .. colonic problem .. defecation problems + +1132 +01:16:42,680 --> 01:16:45,680 +.. هل في painful defecation .. المريض اللي مايروح + +1133 +01:16:45,680 --> 01:16:49,740 +الحمام .. فيه ألم أو في صعوبة في ال defecation .. + +1134 +01:16:49,740 --> 01:16:53,060 +برضه هذا في بعض ال pathologies بيكون موجود ع سبيل + +1135 +01:16:53,060 --> 01:16:55,280 +المثال المريض اللي في عنده rectal problem .. + +1136 +01:16:55,280 --> 01:16:57,720 +rectal cancer .. يعاني من مشكلة في ال defecation + +1137 +01:16:58,740 --> 01:17:01,760 +obstructed defecation بيكون عنده او بيكون في عنده + +1138 +01:17:01,760 --> 01:17:05,980 +حاجة بيسموها tenismus يعني بظن المريض انه في عنده + +1139 +01:17:05,980 --> 01:17:09,960 +feces او في عنده stool بس لما ييجي بروع الحمام + +1140 +01:17:09,960 --> 01:17:14,280 +مافيش عنده اي حاجة كذلك الحالي ال painful + +1141 +01:17:14,280 --> 01:17:17,740 +defecation ماشي مع ال anal fissures او شروخ + +1142 +01:17:17,740 --> 01:17:23,720 +الشرجية ماشي مع ال infections زي ال abscess ال + +1143 +01:17:23,720 --> 01:17:27,640 +perianal abscess او ال rectal abscessThe change of + +1144 +01:17:27,640 --> 01:17:32,340 +the color of the skin زي الـ jaundice الانيميا الـ + +1145 +01:17:32,340 --> 01:17:34,620 +cyanosis ال jaundice اللي له علاقة بالأبدومين + +1146 +01:17:34,620 --> 01:17:38,120 +مباشرة لأنه جاي من وين ال jaundice إما من ال + +1147 +01:17:38,120 --> 01:17:40,600 +hemolysis of the blood أو من ال liver أو من ال + +1148 +01:17:40,600 --> 01:17:45,980 +biliary tract إذن هذه كلها أشياء محتملة ال skin قد + +1149 +01:17:45,980 --> 01:17:49,140 +يكون في pigmentation معينة في بعض أنواع ال disease + +1150 +01:17:50,210 --> 01:17:53,590 +الـ skin قد يكون pale in color زي في حالة الانيميا + +1151 +01:17:53,590 --> 01:17:57,450 +والانيميا ممكن تكون ناتجة عن cancer كولون cancer، + +1152 +01:17:57,450 --> 01:18:00,770 +stomach cancer، pancreatic cancer بتقدر لانيميا + +1153 +01:18:00,770 --> 01:18:07,490 +كلها إذا ال color of the skin ال respiratory + +1154 +01:18:07,490 --> 01:18:12,230 +system cuffing هل هو dry cuff ولا sputum cuff؟ + +1155 +01:18:12,230 --> 01:18:17,420 +يعني productive cuff فيه مع بالغنHemoptysis هل + +1156 +01:18:17,420 --> 01:18:20,740 +المريض بيكوح دم؟ كيف بيميز ال hemoptysis عن ال + +1157 +01:18:20,740 --> 01:18:25,820 +hematemesis؟ ال hemoptysis بيكون افروفي يعني بيكون + +1158 +01:18:25,820 --> 01:18:29,640 +معاه رغوة بين ال hematemesis لأ ال hemoptysis + +1159 +01:18:29,640 --> 01:18:32,940 +بيكون زي رغوة الصبون و بيكون لون الدم فيه rosy + +1160 +01:18:32,940 --> 01:18:36,220 +color فاتح وردي فاتح بينما ال hematemesis بيكون + +1161 +01:18:36,220 --> 01:18:41,310 +غامق لأنه مختلط بال acid of the stomachأحيانا ال + +1162 +01:18:41,310 --> 01:18:43,590 +hemoptysis بيكون معاه food material بينما ال + +1163 +01:18:43,590 --> 01:18:46,310 +hemoptysis لأ بيكون معاه sputum أكتر أو frothy + +1164 +01:18:46,310 --> 01:18:50,170 +material dyspnea shortness of breath المريض بياخد + +1165 +01:18:50,170 --> 01:18:54,810 +نفس قصير وسريع Orthopnea لما المريض ينام في ال + +1166 +01:18:54,810 --> 01:19:00,760 +supine position يبدأ نفسه يتضايق chest painبالذات + +1167 +01:19:00,760 --> 01:19:04,760 +لما يبذل مجهود Respiratory System لكن هذه الأشياء + +1168 +01:19:04,760 --> 01:19:08,180 +مشتركة كمان مع ال cardiac pathologies Chest pain, + +1169 +01:19:08,300 --> 01:19:12,320 +dyspnea, orthopnea, palpitations خفقان في القلب، + +1170 +01:19:12,320 --> 01:19:15,480 +بالذات ال patients اللي عندهم chronic hypertension + +1171 +01:19:15,480 --> 01:19:18,460 +أو في عندهم arrhythmias أو ال patients اللي في + +1172 +01:19:18,460 --> 01:19:24,870 +عندهم angina pain Cough and sputumdizziness and + +1173 +01:19:24,870 --> 01:19:29,370 +headache ال dizziness بيحس المريض انه دايخ و بده + +1174 +01:19:29,370 --> 01:19:33,450 +يجعب تختلف عن ال drowsiness ال drowsiness بيحس انه + +1175 +01:19:33,450 --> 01:19:36,510 +نعسان بده ينام بينما ال dizziness بيحس انه عنده + +1176 +01:19:36,510 --> 01:19:40,310 +light head بيسموها light headedness يعني بيحس انه + +1177 +01:19:40,310 --> 01:19:45,980 +راسه خفيف و مش شايلة بده يجعب بده يدور و يجعبAnkle + +1178 +01:19:45,980 --> 01:19:48,400 +swelling أو إديمة من علامات الـ Cardiac Disease + +1179 +01:19:48,400 --> 01:19:51,260 +بالذات الـ Heart Failure Unperipheral vascular + +1180 +01:19:51,260 --> 01:19:59,080 +system Congestion of veins و Venus Edema بالإضافة + +1181 +01:19:59,080 --> 01:20:03,500 +لـ Loss of pulsations أو Loss of pulse في الارتراض + +1182 +01:20:03,500 --> 01:20:06,160 +كل هذه قد تكون من علامات ال Cardiac Disease أو من + +1183 +01:20:06,160 --> 01:20:10,980 +علامات ال Peripheral Vascular Diseaseالنظام + +1184 +01:20:10,980 --> 01:20:12,980 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1185 +01:20:12,980 --> 01:20:13,320 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1186 +01:20:13,320 --> 01:20:14,020 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1187 +01:20:14,020 --> 01:20:14,160 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1188 +01:20:14,160 --> 01:20:16,340 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1189 +01:20:16,340 --> 01:20:18,100 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1190 +01:20:18,100 --> 01:20:37,120 +الهيروجينيالي الهيروجينيالي الهيروجينيالي الهير + +1191 +01:20:37,540 --> 01:20:41,340 +problems of maturation زي ال abstracted urination + +1192 +01:20:41,340 --> 01:20:46,400 +أو زي ال weak stream أو زي ال dripling hesitancy + +1193 +01:20:46,400 --> 01:20:52,780 +frequency المريض بيروح الحمام كتير او بتردد في انه + +1194 +01:20:52,780 --> 01:20:55,940 +يروح الحمام او urgency بيحس ال patient انه دايما + +1195 +01:20:55,940 --> 01:21:01,060 +زي اللي هو ال escape urine بيهرب urine وبالتالي + +1196 +01:21:01,060 --> 01:21:04,980 +بيلاحقش نفسه يمكن يروح الحمام بسرعة هذه بيسموها + +1197 +01:21:04,980 --> 01:21:12,080 +urgencyOkay menstrual cycles frequency and + +1198 +01:21:12,080 --> 01:21:15,020 +regularity في ال menstrual cycles هل في + +1199 +01:21:15,020 --> 01:21:18,040 +menstruation ولا لا و قداش ال frequency و قداش ال + +1200 +01:21:18,040 --> 01:21:23,460 +regularity هل في pregnancy او symptoms suggesting + +1201 +01:21:23,460 --> 01:21:26,320 +of pregnancy لأن symptoms of pain هذه قد تكون + +1202 +01:21:26,320 --> 01:21:30,420 +ناتجة عن pregnancy بالذات الectopic pregnancy اللي + +1203 +01:21:30,420 --> 01:21:34,680 +بيكون في ال tubesbreasts هل في اي breast pathology + +1204 +01:21:34,680 --> 01:21:37,820 +ال breast pathology ممكن ينعكس في ال abdomen كمان + +1205 +01:21:37,820 --> 01:21:43,740 +زي مثلا المرضى اللي بيكون فيه عندهم breast changes + +1206 +01:21:43,740 --> 01:21:47,600 +نتيجة ال cycles ال menstrual cycles في ال females + +1207 +01:21:47,600 --> 01:21:50,940 +وبالتالي ممكن يصير فيهم congestion في ال breast او + +1208 +01:21:50,940 --> 01:21:56,160 +pain في ال breast او نتيجة ovarian او uterine + +1209 +01:21:56,160 --> 01:22:01,490 +pathologysecondary sex characteristics زي ال + +1210 +01:22:01,490 --> 01:22:05,990 +growth of hairs و زي ال changes on voice و زي ال + +1211 +01:22:05,990 --> 01:22:10,930 +first menstrual cycles في ال females كل هذه مهمة + +1212 +01:22:10,930 --> 01:22:15,470 +جدا أسأل عنها في ال eurogenital system reviewال + +1213 +01:22:15,470 --> 01:22:19,290 +nervous system مثلا او بتوقع ال mental status of + +1214 +01:22:19,290 --> 01:22:21,970 +the patient من خلال أسئلة معينة جداش المريض في + +1215 +01:22:21,970 --> 01:22:25,150 +عنده mental health جداش ال IQ level تبعه هل في + +1216 +01:22:25,150 --> 01:22:28,170 +عنده mental retardation ولا لا ال conscious level + +1217 +01:22:28,170 --> 01:22:32,370 +بقيمه بال physical examination زائد ال history + +1218 +01:22:32,370 --> 01:22:38,030 +كمان هل ال patient عنده نوبات صراحةهل في عند + +1219 +01:22:38,030 --> 01:22:43,410 +المريض بيغيب بشكل مؤقت Transient ischemic attacks + +1220 +01:22:43,410 --> 01:22:47,670 +بتعكس Vascular disease او بتعكس Brain disease Loss + +1221 +01:22:47,670 --> 01:22:51,770 +of sensations او Paresthesia بيحس المريض بخدلان في + +1222 +01:22:51,770 --> 01:22:56,930 +إيدي و في رجليه okay كل هذه Review في ال nervous + +1223 +01:22:56,930 --> 01:22:59,890 +system بالاضافة ل ال musculoskeletal system + +1224 +01:22:59,890 --> 01:23:05,730 +Migratory pain يعني pain من hand ل handبتحرك في ال + +1225 +01:23:05,730 --> 01:23:08,470 +joints أحيان بيحس فيه في ال joints of the hand في + +1226 +01:23:08,470 --> 01:23:10,590 +ال joints of the leg في ال joints of the foot + +1227 +01:23:10,590 --> 01:23:15,790 +swellings and limitation of movements بالذات لما + +1228 +01:23:15,790 --> 01:23:19,990 +المريض يتحرك بصير فيه عنده pain نتيجة الحركة هذه + +1229 +01:23:19,990 --> 01:23:23,470 +وبالتالي بيقدرش يعمل ال full range of motion أو ال + +1230 +01:23:23,470 --> 01:23:29,090 +full range of movement في ال joint هذا في ال past + +1231 +01:23:29,090 --> 01:23:31,930 +medical history هل ال patient نام في المستشفى قبل + +1232 +01:23:31,930 --> 01:23:37,460 +هيك لأي سبب؟معين سواء كان medical أو surgical وكان + +1233 +01:23:37,460 --> 01:23:41,880 +مرة نام في المستشفى وقداش طول في المستشفى هل في + +1234 +01:23:41,880 --> 01:23:45,220 +عنده history of infectious disease زي ال + +1235 +01:23:45,220 --> 01:23:48,940 +tuberculosis مثلا هل في عنده history of chronic + +1236 +01:23:48,940 --> 01:23:51,620 +disease زي ال diabetes و إيش بيخدله علاج + +1237 +01:23:51,620 --> 01:23:55,140 +hypertension كذلك الحال كذلك الحال ال cardiac أو + +1238 +01:23:55,140 --> 01:23:59,660 +pulmonary disease bronchial asthma rheumatic fever + +1239 +01:24:01,620 --> 01:24:05,360 +طبعا joint pain and swelling contact with patients + +1240 +01:24:05,360 --> 01:24:09,440 +with hepatitis or aids or blood transfusion should + +1241 +01:24:09,440 --> 01:24:13,360 +be asked طبعا هذه الشغلات مهمة جدا في ال past + +1242 +01:24:13,360 --> 01:24:16,880 +history I have to ask in detail بالذات ال contact + +1243 +01:24:16,880 --> 01:24:21,140 +of the patients previous operations ال past + +1244 +01:24:21,140 --> 01:24:25,970 +surgical historyكم عملية عمل؟ وإيش نوع العملية + +1245 +01:24:25,970 --> 01:24:30,230 +كانت؟ وهل كانت تحت تخدير عام أو تخدير موضعي؟ وهل + +1246 +01:24:30,230 --> 01:24:34,150 +انتجله دم في العملية أو خلالها أو بعدها؟ أو انتجله + +1247 +01:24:34,150 --> 01:24:38,390 +دمه خلاص بدون ما يعمل عملية المريض؟ هل صار عند + +1248 +01:24:38,390 --> 01:24:42,410 +المريض complications أثناء التخدير أو بعد التخدير؟ + +1249 +01:24:42,410 --> 01:24:45,770 +طول لما صحي من ال binge؟ أو صار في عنده بعض هيكا + +1250 +01:24:45,770 --> 01:24:48,470 +complications في ال respiratory أو ال cardiac؟ أو + +1251 +01:24:48,470 --> 01:24:52,120 +general complications؟هل المريض عنده bleeding + +1252 +01:24:52,120 --> 01:24:57,760 +diathesis؟ bleeding tendency؟ بينزف بسهولة المريض؟ + +1253 +01:24:57,760 --> 01:25:01,720 +بسأله أسئلة مباشرة هل بيصير عندك ابستaxis بسهولة؟ + +1254 +01:25:01,720 --> 01:25:08,320 +دم بنزل من الأنف؟ عند أي سبب؟ هل في دم في اللثة أو + +1255 +01:25:08,320 --> 01:25:12,420 +في الفم؟ هل عند المريض لما ينجرح بيطول ال bleeding + +1256 +01:25:12,420 --> 01:25:16,300 +لما يقف؟ هل بيصير في عنده deep bleeding زي ال + +1257 +01:25:16,300 --> 01:25:21,000 +joint swelling مثلا؟اللي هو تراكم ال blood داخل ال + +1258 +01:25:21,000 --> 01:25:24,420 +joint بالذات ال knee joint في حالات ال hemophilia + +1259 +01:25:24,420 --> 01:25:27,760 +المرضى هذول بيصير فيه عندهم bleeding داخل ال joint + +1260 +01:25:27,760 --> 01:25:31,720 +نفسه بيسموه hemarthrosis إذا ال bleeding tendency + +1261 +01:25:31,720 --> 01:25:35,960 +مهم لإنه ال bleeding tendency بالذات في ال patient + +1262 +01:25:35,960 --> 01:25:39,660 +اللي بيعمله surgery اللي بيعمله operation مجرد + +1263 +01:25:39,660 --> 01:25:41,560 +معمل cutting لل tissue بيبدأ يصير فيه عنده + +1264 +01:25:41,560 --> 01:25:44,990 +bleeding without controlوبالتالي مهم جدا في الـ + +1265 +01:25:44,990 --> 01:25:47,890 +Preoperative قبل ما أعمله العملية في ال past + +1266 +01:25:47,890 --> 01:25:51,590 +history أسأل عن ال bleeding tendency ال drug + +1267 +01:25:51,590 --> 01:25:54,110 +history أشياء كتير في ال drugs على رأسها ال non + +1268 +01:25:54,110 --> 01:25:58,130 +-steroidal anti-inflammatory drugs Aspirin + +1269 +01:25:58,130 --> 01:26:02,430 +والاستيرويدا لل drugsوالانسولين، Anti + +1270 +01:26:02,430 --> 01:26:06,710 +-hypertensives، هرمونا الtherapy، بالذات الهرمونا + +1271 +01:26:06,710 --> 01:26:11,070 +في الفتيات، اللي هي الأستروجين والبروجيسترون + +1272 +01:26:11,070 --> 01:26:14,470 +والنونستيرويدال، الانتانفلماتوري دراجس بالاضافة + +1273 +01:26:14,470 --> 01:26:19,630 +للأخرى حسب ما يملي وضع المرضىلأن هذه الدراجات قد + +1274 +01:26:19,630 --> 01:26:24,070 +تكون تأثير على مواصلة المرض والمواصلة للسيرجيري + +1275 +01:26:24,070 --> 01:26:27,330 +على سبيل المثال الاستيرويد بتجلل المناعة وبتجعل + +1276 +01:26:27,330 --> 01:26:30,610 +المريض عرض لل wound infection الاستيرويد بتتعارض + +1277 +01:26:30,610 --> 01:26:36,790 +مع ال wound healing بعد السيرجيري الانسولين بيأثر + +1278 +01:26:36,790 --> 01:26:38,630 +على ال wound healing بيأثر على ال risk of + +1279 +01:26:38,630 --> 01:26:42,970 +infectionاللي هو الديابيتس يعني كذلك الحال ال + +1280 +01:26:42,970 --> 01:26:46,070 +patients اللي عندهم hormonal therapy قد يتأثروا + +1281 +01:26:46,070 --> 01:26:50,030 +بدرجات متفاوتة ال estrogen ممكن يعلي ال risk of + +1282 +01:26:50,030 --> 01:26:53,310 +thromboembolismوعلي ال risk of cardiac + +1283 +01:26:53,310 --> 01:26:56,270 +complication لو كان بياخدوا المريض exogenous + +1284 +01:26:56,270 --> 01:27:00,170 +بياخدوه كعلاج ال antihypertensive medication + +1285 +01:27:00,170 --> 01:27:03,970 +should be taken at the time عشان مايصيرش + +1286 +01:27:03,970 --> 01:27:06,450 +complication أو uncontrolled hypertension during + +1287 +01:27:06,450 --> 01:27:09,010 +the disease of the current disease of the patient + +1288 +01:27:09,010 --> 01:27:13,800 +أو during the surgeryimmunization نسأل عنها في ال + +1289 +01:27:13,800 --> 01:27:16,140 +children مش في ال adults أكتر شيء وإن كان في ال + +1290 +01:27:16,140 --> 01:27:19,620 +adults نسأل عنه تيتانوس أكتر حاجة تيتانوس + +1291 +01:27:19,620 --> 01:27:22,160 +immunization بالذات في الحالات اللي بتيجي بال + +1292 +01:27:22,160 --> 01:27:24,820 +trauma اللي بيكون في عندهم trauma with + +1293 +01:27:24,820 --> 01:27:27,720 +contamination of the wound يعني صار في عند المريض + +1294 +01:27:27,720 --> 01:27:31,550 +trauma وفي نفس الوقت اتلوث جرحه بالبالطينة او + +1295 +01:27:31,550 --> 01:27:36,210 +بالرمل او بمنطقة متسخة هذه التيتانوس مهم جدا فيها + +1296 +01:27:36,210 --> 01:27:39,590 +لان التيتانوس بينتقل في الجروح المفتوحة عن طريق + +1297 +01:27:39,590 --> 01:27:46,050 +تلوثها بالاتربة او بالطينةالـ family history + +1298 +01:27:46,050 --> 01:27:50,510 +health, age and cause of death في ال patients و في + +1299 +01:27:50,510 --> 01:27:54,650 +ال family members ال familial disease دي ال breast + +1300 +01:27:54,650 --> 01:27:57,690 +disease و ال colon cancer و ال infections اللي + +1301 +01:27:57,690 --> 01:28:01,750 +ممكن تنتجل عن طريق from patient to patient زي ال + +1302 +01:28:01,750 --> 01:28:05,670 +TB و ال hepatitis و ال AIDS و ال .. اللي بيسموها + +1303 +01:28:05,670 --> 01:28:10,710 +transmissible diseases marital + +1304 +01:28:10,710 --> 01:28:15,150 +status في ال social history متزوج أو أعزبو ال + +1305 +01:28:15,150 --> 01:28:20,280 +occupational status ايش المريض بيشتغلزي ما قلنا + +1306 +01:28:20,280 --> 01:28:23,000 +بعض الأعمال ممكن تكون associated with some + +1307 +01:28:23,000 --> 01:28:27,200 +diseases هل المريض سافر ولا لأ؟ بعض الأمراض بتكون + +1308 +01:28:27,200 --> 01:28:31,880 +متوطنة في بعض الدول زي مثلا ال malaria موجود في + +1309 +01:28:31,880 --> 01:28:36,160 +المناطق المدارية عند خط الاستواء كذلك الحال في + +1310 +01:28:36,160 --> 01:28:39,260 +المناطق القراوية أو في الدول اللي بتعتمد على تربية + +1311 +01:28:39,260 --> 01:28:42,320 +الماشية او كذا ممكن يكون في عندهم hidatite disease + +1312 +01:28:42,320 --> 01:28:46,280 +hidatite cyst disease ال habits زي ال smoking + +1313 +01:28:46,280 --> 01:28:50,540 +بيعلي ال risk of أشياء كتيرالدرينكز أو الهواتف + +1314 +01:28:50,540 --> 01:28:53,160 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1315 +01:28:53,160 --> 01:28:54,660 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1316 +01:28:54,660 --> 01:28:58,180 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1317 +01:28:58,180 --> 01:28:58,720 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1318 +01:28:58,720 --> 01:29:01,880 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1319 +01:29:01,880 --> 01:29:02,680 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1320 +01:29:02,680 --> 01:29:03,600 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1321 +01:29:03,600 --> 01:29:04,700 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1322 +01:29:04,700 --> 01:29:08,020 +الأساسية أو الهواتف الأسFormulate and complete the + +1323 +01:29:08,020 --> 01:29:11,060 +picture of the patient disease and confirming the + +1324 +01:29:11,060 --> 01:29:15,540 +diagnosis بالإضافة للموافقة على خطة العلاج لأن + +1325 +01:29:15,540 --> 01:29:19,440 +without established history there is no plan for + +1326 +01:29:19,440 --> 01:29:22,400 +treatment and there is no plan for correct + +1327 +01:29:22,400 --> 01:29:26,540 +treatment so the take home message from here is + +1328 +01:29:26,540 --> 01:29:29,480 +always talk to the patient before asking for + +1329 +01:29:29,480 --> 01:29:35,480 +anything else talking to the patientdetails of the + +1330 +01:29:35,480 --> 01:29:39,820 +data مهم جدا قبل ما أبدأ أعمل examination و قبل ما + +1331 +01:29:39,820 --> 01:29:45,300 +أبدأ أطلب investigation معينة و أساسا هو ال + +1332 +01:29:45,300 --> 01:29:48,160 +history و ال talking to the patient هو اللي + +1333 +01:29:48,160 --> 01:29:52,500 +بيوجهني إيش أطلب للمريض و إيش أعمل investigation + +1334 +01:29:52,500 --> 01:29:56,260 +للمريض و إيش العلاج اللي لازم للمريض بعد ما أكمل + +1335 +01:29:56,260 --> 01:30:01,890 +الصورة بشكل نهرطبعا موضوع ال history ما بينحكاش + +1336 +01:30:01,890 --> 01:30:05,090 +عنه نظريا بس ان شاء الله في ال bedside teaching + +1337 +01:30:05,090 --> 01:30:09,530 +هنتناول ال history taking بمزيد من التفصيل و + +1338 +01:30:09,530 --> 01:30:14,950 +بتطبيق مباشر على المرضى ان شاء الله نشوفكم على خير + +1339 +01:30:14,950 --> 01:30:17,410 +في ال bedside teaching و شكرا للجميع + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/4t5zGd1VqWg_raw.json b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/4t5zGd1VqWg_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..0e3d7164581a58f6c48252d41797ed66c685c151 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/4t5zGd1VqWg_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2246, "start": 1.18, "end": 22.46, "text": "بسم الله الرحمن الرحيم أهلا وسهلا بكم في course مقدمة المهارات في ال bridging course و أتمنى لكم أوقات طيبة و أن تحصلوا على الحد الأدنى من الاستفادة و المعلومات التي 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"end": 145.63, "text": "وبالتالي ال history taking هو مزيج من هذه و تلك طبعا زي ما احنا عارفين ال history taking بعتمد على السؤال المريض و ال communication مع المريض both by verbal communication عن طريق الكلام و في نفس الوجد عن طريق ال body language لأن برضه ال body language بتساعدنا ان نفسر للمريض او المريض يفسرنا ايش هو اللي بيشك منه طبعا ال body language مهم جدا ع سبيل المثال لو كان المريض looking ill او looking well", "tokens": [37746, 6027, 2655, 6027, 1829, 2423, 2503, 1940, 31439, 3714, 11622, 1829, 7435, 9154, 29538, 4032, 6055, 23275, 23032, 3555, 3615, 995, 30767, 1829, 19446, 1975, 5016, 8315, 6225, 9640, 5172, 9957, 2423, 2503, 1940, 4724, 34268, 2304, 3215, 15844, 21136, 33604, 6027, 9673, 16572, 11242, 4032, 2423, 6101, 20449, 9673, 16572, 11242, 1293, 538, 24781, 6101, 18871, 23032, 16572, 4587, 2423, 28820, 10943, 4032, 8978, 8717, 36178, 2423, 29245, 3215, 18871, 23032, 16572, 4587, 2423, 1772, 2856, 5296, 33456, 4724, 43042, 3224, 2423, 1772, 2856, 39894, 3794, 995, 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العلاج الخطة العلاج اللي احنا بدنا نحطها وهذا الكلام اللي بيسموه informed consent obtaining an informed consent يعني اقرار بالموافقة ايش معنى informed consent اقرار بالموافقة بناء على ايش؟ بناء على شغلات انا بدي اشرحها للمريض بدي اشرحله طبيعة مرضه التشخيص", "tokens": [1863, 5016, 36520, 15844, 3714, 14407, 5172, 28671, 9673, 16572, 11242, 34051, 9154, 7251, 1863, 37746, 18871, 9673, 16572, 11242, 15844, 18863, 1211, 26108, 33962, 9566, 3660, 18863, 1211, 26108, 13672, 1829, 1975, 5016, 8315, 47525, 8315, 8717, 5016, 9566, 11296, 37037, 15730, 2423, 28820, 10943, 13672, 1829, 4724, 1829, 38251, 2407, 3224, 11740, 14546, 36749, 364, 11740, 14546, 37495, 22653, 1975, 4587, 2288, 9640, 20666, 2304, 14407, 5172, 28671, 1975, 1829, 8592, 20449, 1863, 7578, 11740, 14546, 1975, 4587, 2288, 9640, 20666, 2304, 14407, 5172, 28671, 44945, 16606, 15844, 1975, 1829, 8592, 22807, 44945, 16606, 15844, 13412, 17082, 1211, 9307, 1975, 8315, 4724, 16254, 1975, 46309, 5016, 11296, 5296, 19528, 16572, 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"text": "إيش أهمية ال history taking في ال general practice and medical practice؟ it is the first clinic critical and the first step in determining the diagnosis زي ما قلنا مجرد أنه مريض يجيني ببدأ أتعامل معاه عن طريق ال communication ببدأ أتكلم معاه وبالتالي الكلام هذا هو الخطوة الأولى في establishing of diagnosis ال history taking يسبق في أهميته ال physical examination", "tokens": [28814, 1829, 8592, 5551, 16095, 10632, 2423, 2503, 1940, 8978, 2423, 2674, 3124, 293, 4625, 3124, 22807, 309, 307, 264, 700, 14947, 4924, 293, 264, 700, 1823, 294, 23751, 264, 15217, 30767, 1829, 19446, 12174, 1211, 8315, 3714, 7435, 2288, 3215, 14739, 3224, 3714, 16572, 11242, 7251, 7435, 9957, 1829, 4724, 44510, 10721, 5551, 2655, 3615, 10943, 1211, 20449, 40294, 18871, 23032, 16572, 4587, 2423, 6101, 4724, 44510, 10721, 5551, 2655, 4117, 19528, 20449, 40294, 46599, 6027, 2655, 6027, 1829, 2423, 28820, 10943, 23758, 31439, 33962, 9566, 2407, 3660, 16247, 12610, 7578, 8978, 22494, 295, 15217, 2423, 2503, 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هي ال personal data تبعته in a very nice manner and in a very nice way that the patient can have confidence ممكن المريض يصير في عنده بناء ثقة و دايما ال self confidence أول حاجة ثقة المريض ان هو", "tokens": [2407, 4724, 16254, 24525, 10721, 1211, 9673, 16572, 11242, 18871, 24525, 2304, 3224, 4032, 18871, 6225, 29973, 3224, 4032, 18871, 16247, 8592, 1829, 16606, 16712, 7649, 10632, 13672, 1829, 39896, 2423, 2973, 1412, 6055, 3555, 34268, 3224, 294, 257, 588, 1481, 9060, 293, 294, 257, 588, 1481, 636, 300, 264, 4537, 393, 362, 6687, 3714, 43020, 9673, 16572, 11242, 7251, 9381, 13546, 8978, 43242, 3224, 44945, 16606, 38637, 28671, 4032, 11778, 47302, 15042, 2423, 2698, 6687, 5551, 12610, 11331, 26108, 3660, 38637, 28671, 9673, 16572, 11242, 16472, 31439], "avg_logprob": -0.11508075641782096, "compression_ratio": 1.6211453744493391, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1768.18, "end": 1768.54, "word": "و", "probability": 0.7265625}, {"start": 1768.54, "end": 1769.0, 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"start": 2030.74, "end": 2053.32, "text": "ال address of the patient و مكان السكن تبعه بالاضافة لل date of the interview and the name of the interviewer مين اللي أخد ال history ممكن يكونوا two doctors واحد بيكتب history واحد بيسأل وبالتالي I have to document that ان history is taken by two doctors my name and my friend name او my colleague name", "tokens": [6027, 2985, 295, 264, 4537, 4032, 3714, 41361, 21136, 19452, 6055, 3555, 3615, 3224, 20666, 46958, 31845, 3660, 24976, 4002, 295, 264, 4049, 293, 264, 1315, 295, 264, 4049, 260, 3714, 9957, 13672, 1829, 5551, 9778, 3215, 2423, 2503, 3714, 43020, 7251, 30544, 14407, 732, 8778, 36764, 24401, 4724, 1829, 4117, 2655, 3555, 2503, 36764, 24401, 4724, 1829, 3794, 10721, 1211, 46599, 6027, 2655, 6027, 1829, 286, 362, 281, 4166, 300, 16472, 2503, 307, 2726, 538, 732, 8778, 452, 1315, 293, 452, 1277, 1315, 1975, 2407, 452, 13532, 1315], "avg_logprob": -0.1439236099521319, "compression_ratio": 1.6212765957446809, "no_speech_prob": 0.0, 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I have pain. Where is pain? In the abdomen مثلا أو pain in my arm أو pain in my leg أو pain in the chest كل هذه أجوبة محتملة أو what is the problem بس غالبا لو سألنا المريض إيش المشكلة وكان عارف ال diagnosis تبعه ممكن يحكينا ال diagnosis مباشرة", "tokens": [3748, 307, 264, 20100, 30, 286, 362, 1822, 13, 2305, 307, 1822, 30, 682, 264, 36494, 50113, 15040, 34051, 1822, 294, 452, 3726, 34051, 1822, 294, 452, 1676, 34051, 1822, 294, 264, 7443, 28242, 29538, 5551, 7435, 37746, 3660, 3714, 33753, 42213, 3660, 34051, 437, 307, 264, 1154, 4724, 3794, 32771, 6027, 3555, 995, 45164, 8608, 10721, 1211, 8315, 9673, 16572, 11242, 11933, 1829, 8592, 9673, 8592, 28820, 3660, 4032, 41361, 6225, 9640, 5172, 2423, 15217, 6055, 3555, 3615, 3224, 3714, 43020, 7251, 5016, 4117, 1829, 8315, 2423, 15217, 3714, 3555, 33599, 25720], "avg_logprob": -0.11585771284521894, "compression_ratio": 1.5321888412017168, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2239.63, "end": 2239.89, "word": "What", "probability": 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0.992919921875}, {"start": 2514.68, "end": 2515.18, "word": " بالنسبة", "probability": 0.9874267578125}, {"start": 2515.18, "end": 2515.72, "word": " للجراحة", "probability": 0.9291015625}, {"start": 2515.72, "end": 2516.14, "word": " العامة", "probability": 0.98193359375}, {"start": 2516.14, "end": 2516.4, "word": " يعني", "probability": 0.8310546875}, {"start": 2516.4, "end": 2516.54, "word": " اللي", "probability": 0.93310546875}, {"start": 2516.54, "end": 2516.7, "word": " هي", "probability": 0.9111328125}, {"start": 2516.7, "end": 2516.82, "word": " ال", "probability": 0.7275390625}, {"start": 2516.82, "end": 2517.32, "word": " abdominal", "probability": 0.95556640625}, {"start": 2517.32, "end": 2517.98, "word": " pain", "probability": 0.95068359375}], "temperature": 1.0}, {"id": 111, "seek": 254656, "start": 2519.44, "end": 2546.56, "text": "الـ abdominal pain طبعا فيه له wide varieties of etiologies كتير أسباب لل abdominal pain في بعضها medical و في بعضها surgical من أشهر الأشياء طبعا ال abdominal pain اللي بيجوا فيها ال patients على التوارق اللي هي حكاية ال acute appendicitis أو ال acute cholecystitis أو ال pancreatitis أو ال peptic ulcer disease كل هذه common things", "tokens": [6027, 39184, 38701, 1822, 23032, 3555, 3615, 995, 8978, 3224, 46740, 4874, 22092, 295, 1030, 72, 6204, 9122, 2655, 13546, 5551, 35457, 16758, 24976, 38701, 1822, 8978, 45030, 11242, 11296, 4625, 4032, 8978, 45030, 11242, 11296, 26646, 9154, 5551, 8592, 3224, 2288, 16247, 8592, 1829, 16606, 23032, 3555, 3615, 995, 2423, 38701, 1822, 13672, 1829, 4724, 1829, 7435, 14407, 8978, 11296, 2423, 4209, 15844, 16712, 2407, 9640, 4587, 13672, 1829, 39896, 11331, 4117, 995, 10632, 2423, 24390, 34116, 8876, 271, 34051, 2423, 24390, 1586, 306, 1344, 372, 16074, 34051, 2423, 2462, 35546, 16074, 34051, 2423, 520, 32307, 20352, 1776, 4752, 28242, 29538, 2689, 721], "avg_logprob": -0.16354166326068698, "compression_ratio": 1.7450980392156863, "no_speech_prob": 0.0, "words": [{"start": 2519.44, 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{"start": 2537.08, "end": 2537.74, "word": " اللي", "probability": 0.96630859375}, {"start": 2537.74, "end": 2538.06, "word": " هي", "probability": 0.9658203125}, {"start": 2538.06, "end": 2538.62, "word": " حكاية", "probability": 0.8876953125}, {"start": 2538.62, "end": 2538.78, "word": " ال", "probability": 0.9560546875}, {"start": 2538.78, "end": 2539.02, "word": " acute", "probability": 0.98828125}, {"start": 2539.02, "end": 2539.94, "word": " appendicitis", "probability": 0.96484375}, {"start": 2539.94, "end": 2540.1, "word": " أو", "probability": 0.63671875}, {"start": 2540.1, "end": 2540.2, "word": " ال", "probability": 0.9609375}, {"start": 2540.2, "end": 2540.46, "word": " acute", "probability": 0.99365234375}, {"start": 2540.46, "end": 2541.42, "word": " cholecystitis", "probability": 0.85185546875}, {"start": 2541.42, "end": 2541.76, "word": " أو", "probability": 0.83642578125}, {"start": 2541.76, "end": 2542.5, "word": " ال", "probability": 0.8779296875}, {"start": 2542.5, "end": 2543.44, "word": " pancreatitis", "probability": 0.9671223958333334}, {"start": 2543.44, "end": 2543.64, "word": " أو", "probability": 0.86865234375}, {"start": 2543.64, "end": 2543.76, "word": " ال", "probability": 0.97119140625}, {"start": 2543.76, "end": 2544.06, "word": " peptic", "probability": 0.68017578125}, {"start": 2544.06, "end": 2544.48, "word": " ulcer", "probability": 0.966552734375}, {"start": 2544.48, "end": 2544.84, "word": " disease", "probability": 0.927734375}, {"start": 2544.84, "end": 2545.08, "word": " كل", "probability": 0.8779296875}, {"start": 2545.08, "end": 2545.38, "word": " هذه", "probability": 0.859375}, {"start": 2545.38, "end": 2545.76, "word": " common", "probability": 0.85595703125}, {"start": 2545.76, "end": 2546.56, "word": " things", "probability": 0.91748046875}], "temperature": 1.0}, {"id": 112, "seek": 256526, "start": 2547.22, "end": 2565.26, "text": "abdominal pain وبالتالي ال abdominal pain هي ال chief complaint لما ال patient ييجي واسأله ويقول I have abdominal pain في المنطقة الفلانية بيأشر عليها upper abdomen أو lower abdomen في أعلى البطن أو في أسفل البطن وممكن أضيف عليها في أعلى البطن على ناحية اليمين أو على ناحية الشمال", "tokens": [455, 4121, 2071, 1822, 46599, 6027, 2655, 6027, 1829, 2423, 38701, 1822, 39896, 2423, 9588, 20100, 5296, 15042, 2423, 4537, 7251, 1829, 7435, 1829, 4032, 32277, 10721, 43761, 4032, 1829, 39648, 286, 362, 38701, 1822, 8978, 9673, 1863, 9566, 28671, 27188, 1211, 7649, 10632, 4724, 1829, 10721, 46309, 25894, 11296, 6597, 36494, 34051, 3126, 36494, 8978, 5551, 3615, 23942, 29739, 9566, 1863, 34051, 8978, 5551, 3794, 5172, 1211, 29739, 9566, 1863, 4032, 2304, 43020, 5551, 11242, 33911, 25894, 11296, 8978, 5551, 3615, 23942, 29739, 9566, 1863, 15844, 8717, 39319, 10632, 2423, 32640, 9957, 34051, 15844, 8717, 39319, 10632, 25124, 2304, 6027], "avg_logprob": -0.21231618143764197, "compression_ratio": 1.944700460829493, "no_speech_prob": 3.612041473388672e-05, "words": [{"start": 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عنه stabbing pain بينما المريض اللي عنده acute appendicitis بيحس أنه عنده زي throbbing pain حاجة زي اللي بتنبض هيك ألم معنبض", "tokens": [3615, 8608, 21292, 1211, 9673, 12984, 6027, 16490, 1211, 11703, 9957, 1829, 5551, 11242, 25513, 23275, 2304, 50113, 6027, 20449, 9957, 2423, 4537, 13672, 1829, 4724, 1829, 30544, 8978, 3224, 43242, 3224, 24390, 2462, 35546, 16074, 4724, 1829, 5016, 3794, 14739, 3224, 8978, 30767, 1829, 8608, 4117, 4117, 9957, 39894, 9566, 3615, 1863, 8978, 4724, 9566, 1863, 3224, 4724, 1829, 39648, 18871, 3224, 16343, 4324, 1822, 49374, 15042, 9673, 16572, 11242, 13672, 1829, 43242, 3224, 24390, 34116, 8876, 271, 4724, 1829, 5016, 3794, 14739, 3224, 43242, 3224, 30767, 1829, 258, 16614, 4324, 1822, 11331, 26108, 3660, 30767, 1829, 13672, 1829, 39894, 1863, 3555, 11242, 39896, 4117, 5551, 19528, 20449, 1863, 3555, 11242], "avg_logprob": -0.16261061946902655, "compression_ratio": 1.812785388127854, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 2885.76, 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pain زي حاجة انفجرت هيك كل هذه الأشياء ممكن يذكرها المريض او ممكن يقول المريض it is just pain doctor I cannot describe it is very bad pain مش شرط ان المريض يقول nature معينة طبيعة معينة ايش الألم بيشبه ممكن مايهتديش للأشياء هذه", "tokens": [39237, 10943, 22807, 49374, 15042, 9673, 16572, 11242, 43242, 3224, 257, 48816, 364, 13629, 749, 76, 5420, 662, 1345, 4724, 1829, 5016, 3794, 30767, 1829, 11331, 26108, 3660, 35175, 1822, 30767, 1829, 11331, 26108, 3660, 16472, 5172, 7435, 43500, 39896, 4117, 28242, 29538, 16247, 8592, 1829, 16606, 3714, 43020, 7251, 8848, 37983, 11296, 9673, 16572, 11242, 1975, 2407, 3714, 43020, 7251, 39648, 9673, 16572, 11242, 309, 307, 445, 1822, 4631, 286, 2644, 6786, 309, 307, 588, 1578, 1822, 37893, 13412, 2288, 9566, 16472, 9673, 16572, 11242, 7251, 39648, 3687, 20449, 9957, 3660, 23032, 21292, 27884, 20449, 9957, 3660, 1975, 1829, 8592, 16247, 19528, 4724, 1829, 8592, 3555, 3224, 3714, 43020, 19446, 1829, 3224, 2655, 16254, 8592, 24976, 10721, 8592, 1829, 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المريض بعض ال .. بعض الأسئلة المساعدة اللي ممكن تهديه لل diagnosis او ممكن تهديه لل description اسم ال duration جديش ال patient قعد من ناحية ما بدأ عنده ال pain لحد ما اجى للمستشفى", "tokens": [1211, 19452, 1975, 8315, 3714, 43020, 24525, 995, 22488, 3224, 4724, 1269, 1168, 8032, 1211, 31439, 4724, 1829, 8592, 3555, 3224, 9122, 15730, 22807, 8032, 1211, 31439, 4724, 1829, 8592, 3555, 3224, 16343, 4324, 22807, 8032, 1211, 31439, 4724, 1829, 8592, 3555, 3224, 17922, 1688, 22807, 8032, 1211, 31439, 4724, 1829, 8592, 3555, 3224, 4386, 4724, 1829, 8592, 3555, 3224, 1031, 65, 773, 22807, 30767, 1829, 11331, 26108, 3660, 39896, 4117, 6055, 1863, 2304, 26895, 13412, 16254, 3215, 50113, 15040, 1392, 28242, 29538, 3714, 43020, 1975, 3615, 9566, 1829, 9673, 16572, 11242, 45030, 11242, 2423, 4386, 45030, 11242, 16247, 3794, 19986, 37977, 9673, 3794, 995, 22488, 3660, 13672, 1829, 3714, 43020, 6055, 3224, 16254, 3224, 24976, 15217, 1975, 2407, 3714, 43020, 6055, 3224, 16254, 3224, 24976, 3855, 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3529.83, "end": 3544.67, "text": "موجود ال urinary tract على الجهة التانية موجود ال adnexa of females ال ovaries و ال tubes و في ال pelvis و في منطقة ال subrabiumic area موجود ال pelvic organs ال uterus موجود ال", "tokens": [2304, 29245, 23328, 2423, 4038, 4066, 24207, 15844, 25724, 3224, 3660, 16712, 7649, 10632, 3714, 29245, 23328, 2423, 614, 716, 36852, 295, 21529, 2423, 14187, 4889, 4032, 2423, 21458, 4032, 8978, 2423, 34617, 4032, 8978, 9154, 9566, 28671, 2423, 1422, 5305, 2197, 299, 1859, 3714, 29245, 23328, 2423, 40959, 20659, 2423, 2839, 37287, 3714, 29245, 23328, 2423], "avg_logprob": -0.3582974235559332, "compression_ratio": 1.6241610738255035, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3529.83, "end": 3530.71, "word": "موجود", "probability": 0.7334798177083334}, {"start": 3530.71, "end": 3531.17, "word": " ال", "probability": 0.1700439453125}, {"start": 3531.17, "end": 3531.69, "word": " urinary", "probability": 0.55816650390625}, {"start": 3531.69, "end": 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عبارة عن pathological description Peptic ulcer كلمة Peptic معناها gastric او duodenum اذا هذه عبارة عن anatomical description و ال ulcer عبارة عن pathological description ال fracture كذلك الفيمر الفيمر عبارة عن anatomy و ال fracture عبارة عن description and so on", "tokens": [2407, 6027, 39184, 26127, 6225, 3555, 9640, 3660, 18871, 3100, 4383, 3855, 430, 5250, 299, 20352, 1776, 9122, 19528, 3660, 430, 5250, 299, 20449, 8315, 11296, 17898, 1341, 1975, 2407, 1581, 33482, 449, 1975, 15730, 29538, 6225, 3555, 9640, 3660, 18871, 21618, 298, 804, 3855, 4032, 2423, 20352, 1776, 6225, 3555, 9640, 3660, 18871, 3100, 4383, 3855, 2423, 36877, 9122, 8848, 23275, 27188, 32640, 2288, 27188, 32640, 2288, 6225, 3555, 9640, 3660, 18871, 31566, 4032, 2423, 36877, 6225, 3555, 9640, 3660, 18871, 3855, 293, 370, 322], "avg_logprob": -0.24658764710371522, "compression_ratio": 1.9777777777777779, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 3839.09, "end": 3839.45, "word": "والـ", 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"end": 3922.8, "text": "Okay دينما بستبعد حكاية Peptic Ulcer مثلا أو biliary colic is a most likely diagnosis بناء على anatomical factors و بناء على pathological factors من إيش المريض بيشكي و من إيش المريض عنده مشكلة less likely and the least likely بناء زي ما قلنا على anatomical considerations و clinical considerations اللي هي الوضع السريري أو الشكوى اللي بيجي فيها المريض و ال analysis of symptoms", "tokens": [8297, 11778, 9957, 15042, 4724, 14851, 3555, 22488, 11331, 4117, 995, 10632, 430, 5250, 299, 24853, 1776, 50113, 15040, 34051, 20709, 822, 1173, 299, 307, 257, 881, 3700, 15217, 44945, 16606, 15844, 21618, 298, 804, 6771, 4032, 44945, 16606, 15844, 3100, 4383, 6771, 9154, 11933, 1829, 8592, 9673, 16572, 11242, 4724, 1829, 8592, 4117, 1829, 4032, 9154, 11933, 1829, 8592, 9673, 16572, 11242, 43242, 3224, 37893, 28820, 3660, 1570, 3700, 293, 264, 1935, 3700, 44945, 16606, 30767, 1829, 19446, 12174, 1211, 8315, 15844, 21618, 298, 804, 24070, 4032, 9115, 24070, 13672, 1829, 39896, 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المرضى اللى عندهم cancers بعض أنواع ال cancer بتقدي ل night-sweets كل هذه بسأل عنها في ال general symptoms weakness, fatigue, anorexia, change in weight, fever and chills and night-sweets chills يعني قشعيرة", "tokens": [6402, 12, 82, 826, 9880, 37279, 2288, 4587, 20666, 8848, 9307, 8978, 8608, 45761, 9307, 13672, 26895, 9673, 43042, 7578, 13672, 7578, 43242, 16095, 31063, 45030, 11242, 14739, 14407, 3615, 2423, 5592, 39894, 4587, 16254, 5296, 1818, 12, 82, 826, 1385, 28242, 29538, 4724, 3794, 10721, 1211, 18871, 11296, 8978, 2423, 2674, 8332, 12772, 11, 20574, 11, 364, 418, 87, 654, 11, 1319, 294, 3364, 11, 18277, 293, 48676, 293, 1818, 12, 82, 826, 1385, 48676, 37495, 22653, 12174, 8592, 3615, 13546, 3660], "avg_logprob": -0.19326636656409218, "compression_ratio": 1.4841628959276019, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 4204.52, "end": 4204.94, "word": "night", "probability": 0.7919921875}, {"start": 4204.94, "end": 4205.58, "word": "-sweeting", "probability": 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بكم في course + +2 +00:00:05,160 --> 00:00:08,500 +مقدمة المهارات في ال bridging course و أتمنى لكم + +3 +00:00:08,500 --> 00:00:12,540 +أوقات طيبة و أن تحصلوا على الحد الأدنى من + +4 +00:00:12,540 --> 00:00:17,800 +الاستفادة و المعلومات التي ستفيدكم ان شاء الله في + +5 +00:00:17,800 --> 00:00:23,780 +المستقبل و في مجمل حياتكم العملية بإذن اللهاليوم + +6 +00:00:23,780 --> 00:00:30,500 +محاضرتنا هي مدخل مهم للتعليم السريري وهي المحاضرة + +7 +00:00:30,500 --> 00:00:35,580 +الأساس التي نعتمد عليها أو التي يعني نبدأ في + +8 +00:00:35,580 --> 00:00:41,020 +تدريسها لطلبة المرحلة السريرية وهي كيف يتواصلون مع + +9 +00:00:41,020 --> 00:00:46,540 +المرضى ويأخذوا منهم المعلومات الطبية اللازمةطبعا + +10 +00:00:46,540 --> 00:00:50,300 +ال history taking in surgery زي ال history taking + +11 +00:00:50,300 --> 00:00:53,760 +in medicine in general وإن كان في بعض الخصوصيات + +12 +00:00:53,760 --> 00:00:56,380 +أحيانا بتفرض نفسها بالذات في ال emergency + +13 +00:00:56,380 --> 00:01:00,340 +conditions لكن عموما هو ال history taking بيخضع + +14 +00:01:00,340 --> 00:01:03,780 +لنفس القواعد و بيخضع لنفس المبادئ و بيخضع لنفس + +15 +00:01:03,780 --> 00:01:10,620 +الخطوات المعهودة في كل المجالات التانيةال history + +16 +00:01:10,620 --> 00:01:14,320 +taking مهم جدا لأنه هو الخطوة الأولى في تحصيل + +17 +00:01:14,320 --> 00:01:21,020 +المعلومة و هو الخطوة الأولى في بناء التشخيص + +18 +00:01:21,020 --> 00:01:24,240 +السريري للمريض و احنا بنعرف انه مابنقدر نعالج + +19 +00:01:24,240 --> 00:01:28,380 +المريض غير لما نبني تشخيص سريري سليم وبالتالي ال + +20 +00:01:28,380 --> 00:01:32,380 +history taking هنا بيلعب دور محوريهل ال history + +21 +00:01:32,380 --> 00:01:36,540 +taking عبارة عن skill ولا هو عبارة عن knowledge؟ + +22 +00:01:36,540 --> 00:01:40,140 +هو في الحقيقة عبارة عن combination between skill + +23 +00:01:40,140 --> 00:01:42,820 +and knowledge لازم يكون في عندنا المعلومات + +24 +00:01:42,820 --> 00:01:47,140 +الضرورية و في نفس الوقت لازم نعرف كيف نوظف هذه + +25 +00:01:47,140 --> 00:01:51,080 +المعلومات في الحصول على الأشياء الضرورية أو + +26 +00:01:51,080 --> 00:01:57,280 +المعلومة الضرورية اللي بتساهم في تشخيص المريض + +27 +00:01:57,630 --> 00:02:01,550 +وبالتالي ال history taking هو مزيج من هذه و تلك + +28 +00:02:01,550 --> 00:02:04,890 +طبعا زي ما احنا عارفين ال history taking بعتمد على + +29 +00:02:04,890 --> 00:02:08,790 +السؤال المريض و ال communication مع المريض both by + +30 +00:02:08,790 --> 00:02:12,350 +verbal communication عن طريق الكلام و في نفس الوجد + +31 +00:02:12,350 --> 00:02:15,690 +عن طريق ال body language لأن برضه ال body language + +32 +00:02:15,690 --> 00:02:19,710 +بتساعدنا ان نفسر للمريض او المريض يفسرنا ايش هو + +33 +00:02:19,710 --> 00:02:22,750 +اللي بيشك منه طبعا ال body language مهم جدا ع سبيل + +34 +00:02:22,750 --> 00:02:25,630 +المثال لو كان المريض looking ill او looking well + +35 +00:02:26,030 --> 00:02:29,610 +looking in pain أو looking sad أو looking in good + +36 +00:02:29,610 --> 00:02:36,590 +mood كل هذا بيساهم في بناء أو بيساهم في القائده + +37 +00:02:36,590 --> 00:02:41,410 +على إيش ممكن المريض يكون يعاني منه طبعا ال history + +38 +00:02:41,410 --> 00:02:46,010 +taking هو عبارة عن أخذ المعلومات الضرورية من + +39 +00:02:46,010 --> 00:02:50,250 +المريض ال relevant questions أو ال relevant dataمش + +40 +00:02:50,250 --> 00:02:53,170 +كل حاجة بيحكيها المريض تعتبر relevant وبالتالي + +41 +00:02:53,170 --> 00:02:57,430 +احنا بنحاول دايما نوجه المريض لل relevant data حتى + +42 +00:02:57,430 --> 00:03:02,150 +لو هو في كلامه خرج عن سياق الموضوع الضروري احنا we + +43 +00:03:02,150 --> 00:03:06,610 +have to lead the conversation يعني لازم احنا نكون + +44 +00:03:06,610 --> 00:03:09,870 +بنقول ال conversation او المحادثة ونرجع المريض + +45 +00:03:09,870 --> 00:03:15,120 +للسياق تبع المحادثة في الوقت الضروريكيف نبني + +46 +00:03:15,120 --> 00:03:18,540 +diagnosis؟ طبعا ال diagnosis عبارة عن خطوات + +47 +00:03:18,540 --> 00:03:22,160 +متعددة، بعض ال diagnosis قد يتم بنائها بناء على ال + +48 +00:03:22,160 --> 00:03:24,760 +history و ال physical examination لوحدهم، يعني + +49 +00:03:24,760 --> 00:03:27,380 +بناء بس على المعلومات اللي بناخدها من ال patient + +50 +00:03:27,380 --> 00:03:32,450 +أو من ال patient environmentالبيئة المحيطة بالمريض + +51 +00:03:32,450 --> 00:03:35,690 +ممكن المريض يكون طفل ممكن يكون مريض يكون بحكيش + +52 +00:03:35,690 --> 00:03:39,150 +ممكن يكون المريض يكون mentally retarded وبالتالي + +53 +00:03:39,150 --> 00:03:42,610 +كل هذه الأشياء بتعيق أنه ناخد من ال patient ممكن + +54 +00:03:42,610 --> 00:03:46,130 +المريض يكون كمان بحكيش ال language تبعتنا هذه + +55 +00:03:46,130 --> 00:03:49,130 +الأشياء بتعيق أنه ناخد data منه مباشرة وبالتالي + +56 +00:03:49,130 --> 00:03:52,790 +ممكن ناخد من ال surrounding environmental للمريض + +57 +00:03:52,790 --> 00:04:01,190 +قد أحيانا نلجأفي ال diagnosis لإنه ناخد history و + +58 +00:04:01,190 --> 00:04:03,850 +نعمل physical examination و في نفس الوقت نعمل + +59 +00:04:03,850 --> 00:04:07,890 +investigations investigations طبعا بتشمل مختبر و + +60 +00:04:07,890 --> 00:04:12,550 +بتشمل imaging و بتشمل other things اللي قد تكون + +61 +00:04:12,550 --> 00:04:16,470 +ضرورية و قد تكون more advanced في سياق ال + +62 +00:04:16,470 --> 00:04:19,830 +diagnosis اللي احنا بدنا نحطه طبعا ال history + +63 +00:04:19,830 --> 00:04:26,780 +takingبحتل المرتب الأولى و بحتل أهم حاجة في ال + +64 +00:04:26,780 --> 00:04:30,160 +diagnostic work up اللى بنعمله للمريض لإنه بدون + +65 +00:04:30,160 --> 00:04:33,680 +history بدون data احنا بنحصلها من ال patient + +66 +00:04:33,680 --> 00:04:40,100 +بنقدرش نبني بعد هيك what is the next stepنقدرش + +67 +00:04:40,100 --> 00:04:42,740 +نشوف مريض على طول هيك و نقول ال next step انه + +68 +00:04:42,740 --> 00:04:46,480 +نطلبله مثلا تحليل او نطلبله imaging studies لأ + +69 +00:04:46,480 --> 00:04:49,720 +لازم ناخد منه data في البداية بقدر ما يسمح لنا + +70 +00:04:49,720 --> 00:04:53,060 +الظرف أحيانا بكون فيه معيق زي ما قلنا لل data و قد + +71 +00:04:53,060 --> 00:04:56,380 +يكون المريض في حالة انه مانقدرش ناخد منه data زي + +72 +00:04:56,380 --> 00:04:59,040 +في حالات ال emergency مثلا في حالات ال trauma في + +73 +00:04:59,040 --> 00:05:01,840 +حالات ال gun shots في حالات ال falling down في + +74 +00:05:01,840 --> 00:05:04,360 +حالات ال loss of consciousness طبعا كل هذه الأشياء + +75 +00:05:04,360 --> 00:05:09,350 +تعتبر حالات خاصةحالات emergency ممكن ما نقدرش ناخد + +76 +00:05:09,350 --> 00:05:12,650 +فيها history كما ينبغي وبالتالي ال history بقدر + +77 +00:05:12,650 --> 00:05:16,250 +الإمكان احنا بنحاول نحصل اكبر كمية من المعلومات + +78 +00:05:16,250 --> 00:05:21,030 +بناء على الوضع اللي بسمح فيه ال condition طبعا + +79 +00:05:21,030 --> 00:05:23,830 +المعلومات اللي بنحصل من خلالها ال diagnosis ممكن + +80 +00:05:23,830 --> 00:05:28,350 +نجسمها لجسمين رئيسيات الجسم الأول بيسموه + +81 +00:05:28,350 --> 00:05:32,610 +subjective data subjective data ايش يعني + +82 +00:05:32,610 --> 00:05:37,860 +subjective data يعنيمعلومات بلعب فيها العامل + +83 +00:05:37,860 --> 00:05:44,960 +الذاتي دور كبير و طبعا هذه الكلام ينطبق على ال + +84 +00:05:44,960 --> 00:05:50,650 +history taking لأن العامل الذاتي للمريضنفسية + +85 +00:05:50,650 --> 00:05:55,150 +المريض ال educational level تبع المريض ال + +86 +00:05:55,150 --> 00:05:58,650 +awareness of the patient او المريض للمشكلة اللى + +87 +00:05:58,650 --> 00:06:03,070 +عنده درجة ادراكه للمشكلة اللى عنده ودرجة التعاطي + +88 +00:06:03,070 --> 00:06:08,710 +معها طول وجود المشكلة مع المريض معرفته عن مرضه كل + +89 +00:06:08,710 --> 00:06:13,070 +هذا ممكن يغير من ال data اللى بناخدها من patient ل + +90 +00:06:13,070 --> 00:06:16,970 +patient في نفس المرضيعني على سبيل المثال مريض ممكن + +91 +00:06:16,970 --> 00:06:20,650 +يعطينا full data عن المرض تبعه و مريض تاني مايكونش + +92 +00:06:20,650 --> 00:06:23,590 +عارف حاجة لسه على نفس المرض و مايعطيناش data كاملة + +93 +00:06:23,590 --> 00:06:27,450 +وبالتالي هنا ال subjective data ابتلع الدور ممكن + +94 +00:06:27,450 --> 00:06:31,620 +نقول للمريض كيف بتقيم الألم اللي عندكبعض المرضى + +95 +00:06:31,620 --> 00:06:34,560 +بيقول القلم عندي عشرة من عشرة يعني the maximum + +96 +00:06:34,560 --> 00:06:38,580 +ممكن نفس القلم مريض تاني يقيمه على أنه أقل من هيك + +97 +00:06:38,580 --> 00:06:42,180 +تمانية من عشرة أو سبعة من عشرة مثلا وبالتالي هنا + +98 +00:06:42,180 --> 00:06:46,780 +subjective data subjective data بنطبق على ال + +99 +00:06:46,780 --> 00:06:51,160 +history taking ال objective data على الطرف الآخر + +100 +00:06:51,160 --> 00:06:55,770 +يعني العامل الموضوعي اللي بلعبش فيهاالمريض دور + +101 +00:06:55,770 --> 00:06:58,810 +كبير هي عبارة عن ال physical examination لأن ال + +102 +00:06:58,810 --> 00:07:03,130 +physical examination بيكون من ال conclusion تبع + +103 +00:07:03,130 --> 00:07:06,150 +الطبيب مباشرة أو من استنتاجات الطبيب بعد ما يفحص + +104 +00:07:06,150 --> 00:07:09,350 +المريض وبالتالي هو اللي بيحط المعلومات اللي فيه مش + +105 +00:07:09,350 --> 00:07:12,630 +المريض في ال history المريض هو اللي يملي المعلومة + +106 +00:07:12,630 --> 00:07:15,410 +لكن في ال physical examination objective data + +107 +00:07:15,410 --> 00:07:19,290 +الدكتور هو اللي بيملي المعلومة كذلك الحالة ال + +108 +00:07:19,290 --> 00:07:25,390 +investigationsالتحليل مابتخدعش لأهواء المرضى هو + +109 +00:07:25,390 --> 00:07:28,190 +عبارة عن عينا بنخدها و بنحللها و خلاص بيطلع + +110 +00:07:28,190 --> 00:07:32,130 +النتيجة عنا بالأرقام هذه objective data كمان ال + +111 +00:07:32,130 --> 00:07:36,710 +objective data ال imagingالتصويرات الإشعاعية سواء + +112 +00:07:36,710 --> 00:07:39,670 +ال imaging العادي اللي هي ال X-rays أو ال more + +113 +00:07:39,670 --> 00:07:43,150 +advanced زي ال CT scans اللي هو التصوير المقطعي أو + +114 +00:07:43,150 --> 00:07:48,550 +التصوير الرنين المغناطيسي أو ممكن يكون تصوير أكتر + +115 +00:07:48,550 --> 00:07:52,290 +من هيك more advanced مثلا زي التصوير بالإشعاع أو + +116 +00:07:52,290 --> 00:07:57,710 +التصوير بالنظائر المشعة كل هذه أشياء ممكن نلجألها + +117 +00:07:57,710 --> 00:08:00,870 +في بعض الأحيان و في بعض أنواع ال pathologies و في + +118 +00:08:00,870 --> 00:08:05,260 +بعض أنواع الأمراض وبالتالي objective dataعشان نخرج + +119 +00:08:05,260 --> 00:08:09,680 +ال diagnosis، نحتاج ان نشتغل مصادرنا، سواء من + +120 +00:08:09,680 --> 00:08:13,880 +المصادر + +121 +00:08:13,880 --> 00:08:16,840 +الذاتية مثل المريض أو من المصادر الأبجيكية مثل + +122 +00:08:16,840 --> 00:08:19,820 +الاختبار الفيزيوكي أو التحليل أو ال study of + +123 +00:08:19,820 --> 00:08:22,980 +imaging وبالتالي في النهاية بنطلع ال conclusion + +124 +00:08:22,980 --> 00:08:26,600 +اللي هو ال diagnosis وال diagnosis طبعا أو التشخيص + +125 +00:08:26,600 --> 00:08:31,480 +هو أهم حاجة في ال medical practiceتقريبا هو ال + +126 +00:08:31,480 --> 00:08:34,740 +cornerstone of our medical practice how to + +127 +00:08:34,740 --> 00:08:40,400 +establish a correct diagnosis يعني كيف نعمل تشخيص + +128 +00:08:40,400 --> 00:08:44,300 +سليم للمرض لإن without correct diagnosis disaster + +129 +00:08:44,300 --> 00:08:48,660 +could happenإذا شخصنا غلط أو إذا ما شخصناش المريض + +130 +00:08:48,660 --> 00:08:53,240 +من أساسه تستمر المشكلة أو بنعالج بناء على تشخيص + +131 +00:08:53,240 --> 00:08:56,120 +غلط وبالتالي هذا الكلام بيؤدي أحيانا ل + +132 +00:08:56,120 --> 00:08:59,320 +complications وممكن يؤدي لل loss of life of the + +133 +00:08:59,320 --> 00:09:03,540 +patient موتية في بعض الأحيان عشان هي كمهم جدا + +134 +00:09:03,540 --> 00:09:08,180 +establishing a good and correct diagnosis before + +135 +00:09:08,180 --> 00:09:11,720 +going to the treatmentو طبعا هذا الكلام زي ما قلنا + +136 +00:09:11,720 --> 00:09:17,940 +بحتل فيه ال history taking مرحلة و خطوة و زاوية + +137 +00:09:17,940 --> 00:09:23,840 +محورية جدا جدا جدا ايش هدفنا من ال history taking + +138 +00:09:23,840 --> 00:09:28,800 +الهدف الأول هو establishing and confirming the + +139 +00:09:28,800 --> 00:09:32,660 +diagnosisestablishing a diagnosis قد يمر بمرحلة + +140 +00:09:32,660 --> 00:09:36,540 +قبل ال diagnosis قبل التشخيص النهائي بيسموها مرحلة + +141 +00:09:36,540 --> 00:09:41,340 +ال differential diagnosis يعني بنحصر احتمالات ايش + +142 +00:09:41,340 --> 00:09:45,200 +ممكن يكون المريض عنده من امراض تتشابه في الاعراض + +143 +00:09:45,200 --> 00:09:50,530 +احيانامثلًا اكيوت أبندسايتس أو يوريناري تراكت + +144 +00:09:50,530 --> 00:09:54,930 +انفكشن أو ميزينتريكليمف أدينايتس أو pelvic + +145 +00:09:54,930 --> 00:09:58,710 +inflammatory disease في الفيمايل كل هذه قد انها + +146 +00:09:58,710 --> 00:10:02,790 +تكون أعراب متشابهة أو المريض يأتي بـ presentation + +147 +00:10:02,790 --> 00:10:06,550 +متشابه من patient ل patient وبالتالي establishing + +148 +00:10:06,550 --> 00:10:09,250 +a diagnosis قد يمر بمرحلة الـdifferential + +149 +00:10:09,250 --> 00:10:14,210 +diagnosis اللي later on بعد هيك بنعمللها exclusion + +150 +00:10:15,190 --> 00:10:19,570 +لل possibilities و بس بنحتفظ فى possibility واحدة + +151 +00:10:19,570 --> 00:10:22,950 +اللى هى بتصير ال definitive diagnosis this is + +152 +00:10:22,950 --> 00:10:26,130 +called the confirmation of diagnosis يعني بنأكد + +153 +00:10:26,130 --> 00:10:29,730 +واحد من الاحتمالات هذه وبالتالي confirming the + +154 +00:10:29,730 --> 00:10:33,490 +diagnosis طبعا هذا قد ياخد مننا وجهة وقد ياخد مننا + +155 +00:10:33,490 --> 00:10:36,430 +خطوات اكتر من ال history taking physical + +156 +00:10:36,430 --> 00:10:40,450 +examination و تحليل و imaging studies and so on + +157 +00:10:42,220 --> 00:10:45,380 +الهدف التاني من ال history taking بعد ما نعمل + +158 +00:10:45,380 --> 00:10:48,280 +establishing لل main diagnosis يعني بعد ما نحط + +159 +00:10:48,280 --> 00:10:53,980 +التشخيص الرئيسيإنه ال patient ممكن يكون عنده other + +160 +00:10:53,980 --> 00:10:57,120 +diagnosis يعني مثلا يكون المريض يعاني من acute + +161 +00:10:57,120 --> 00:11:02,000 +cholecystitis التهاب في المرارة نتيجة وجود حصوى و + +162 +00:11:02,000 --> 00:11:05,960 +في نفس الوقت عنده other diagnosis مهمة و ممكن + +163 +00:11:05,960 --> 00:11:09,320 +يتأثر على المرض تبعه و ممكن أنه يتأثر على ال + +164 +00:11:09,320 --> 00:11:12,180 +outcome of our management زي مثلا ال hypertension + +165 +00:11:13,670 --> 00:11:18,350 +الضغط أو السكر، الـ diabetes أو ال heart disease، + +166 +00:11:18,350 --> 00:11:21,970 +congestive heart failure أو arithmias أو coronary + +167 +00:11:21,970 --> 00:11:26,310 +artery disease كل هذه الأشياء ممكن تأثر على ال + +168 +00:11:26,310 --> 00:11:28,530 +main course of the main disease اللي هو الـ acute + +169 +00:11:28,530 --> 00:11:32,610 +cholecystitis ع سبيل المثال وبالتالي هذه بيسموها + +170 +00:11:32,610 --> 00:11:36,490 +co-morbidities أو co-diseases أو co-complications + +171 +00:11:36,490 --> 00:11:41,750 +these should be controlledلما نيجي نعمل management + +172 +00:11:41,750 --> 00:11:44,530 +للمريض عشان المشكلة الرئيسية اللى عنده برضه لازم + +173 +00:11:44,530 --> 00:11:47,990 +نعمل management للمشاكل هذه وإلا course of our + +174 +00:11:47,990 --> 00:11:51,590 +management هيتأثر بصورة كبيرة وممكن يؤدي ل + +175 +00:11:51,590 --> 00:11:55,850 +complications وبالتالي control of comorbidities by + +176 +00:11:55,850 --> 00:12:00,170 +all means possibleمريض عنده ضغط، مريض عنده سكر، + +177 +00:12:00,170 --> 00:12:03,710 +مريض عنده heart disease، نحتاج لتعامل هذه الأشياء + +178 +00:12:03,710 --> 00:12:07,590 +بجانب ال diagnosis اللي احنا حطناه جنب اللي انا + +179 +00:12:07,590 --> 00:12:13,250 +جنب مع التشخيص اللي احنا حطناه obtaining an + +180 +00:12:13,250 --> 00:12:17,090 +informed consent after optimization of patient + +181 +00:12:17,090 --> 00:12:22,210 +condition هذا الهدف النهائي بعد ما نعملتأكيد ال + +182 +00:12:22,210 --> 00:12:26,810 +diagnoses الرئيسي والخطوة التانية بعد ما نعمل + +183 +00:12:26,810 --> 00:12:29,550 +control ل ال comorbidities اللي ممكن يتأثر على + +184 +00:12:29,550 --> 00:12:37,130 +course of the disease الخطوة التالتة لازمنحصل على + +185 +00:12:37,130 --> 00:12:41,750 +موافقة المريض أو من ينوب عن المريض على العلاج + +186 +00:12:41,750 --> 00:12:45,490 +الخطة العلاج اللي احنا بدنا نحطها وهذا الكلام اللي + +187 +00:12:45,490 --> 00:12:48,610 +بيسموه informed consent obtaining an informed + +188 +00:12:48,610 --> 00:12:52,750 +consent يعني اقرار بالموافقة ايش معنى informed + +189 +00:12:52,750 --> 00:12:56,010 +consent اقرار بالموافقة بناء على ايش؟ بناء على + +190 +00:12:56,010 --> 00:12:59,870 +شغلات انا بدي اشرحها للمريض بدي اشرحله طبيعة مرضه + +191 +00:12:59,870 --> 00:13:04,470 +التشخيصو بدي أشرح له ال treatment options اللي + +192 +00:13:04,470 --> 00:13:09,010 +عنده خيارات العلاج اللي موجودة و بدي أشرح له إيش + +193 +00:13:09,010 --> 00:13:13,330 +ال treatment هذا ممكن يؤدي إيش ال outcome تبع ال + +194 +00:13:13,330 --> 00:13:15,690 +treatment و بدي أشرح له عن ال possible + +195 +00:13:15,690 --> 00:13:20,110 +complications of our managementالمضاعفات المحتمل + +196 +00:13:20,110 --> 00:13:23,390 +انها تصير في ال management تبان ع سبيل المثال لما + +197 +00:13:23,390 --> 00:13:26,430 +بنعمله مثلا appendectomy for acute appendicitis + +198 +00:13:26,430 --> 00:13:29,790 +بدي احكيله عن possibility of wound infection بدي + +199 +00:13:29,790 --> 00:13:34,430 +احكيله عن possibility of bleedingduring surgery او + +200 +00:13:34,430 --> 00:13:40,430 +after surgery مثلا كل هذه complications وبدى كمان + +201 +00:13:40,430 --> 00:13:44,630 +فيما لو المريض رفض ايش البدائل التانية اطرح عليه + +202 +00:13:44,630 --> 00:13:47,990 +لو ماوفقتش على خطة العلاج هذه هل في خط علاج بديلة + +203 +00:13:47,990 --> 00:13:51,750 +او لأ برضه هذا بدي اطرح عليه على سبيل المثال بقوله + +204 +00:13:51,750 --> 00:13:55,230 +عندك acute cholecystitis في حصوف المرارة و بدها + +205 +00:13:56,050 --> 00:13:59,270 +removal بدها كلسيستكتومي بدها surgical removal + +206 +00:13:59,270 --> 00:14:02,110 +موافقش على ال surgical removal اللي قدّى moment + +207 +00:14:02,110 --> 00:14:04,750 +بدى أقوله مثلا في خطة بديلة اسمها ال antibiotic + +208 +00:14:04,750 --> 00:14:09,930 +بدى أعجب antibiotic لما يتحسن و بعد هيك ممكن أعمله + +209 +00:14:09,930 --> 00:14:13,670 +surgery later on okay وبالتالي إيش البدائل + +210 +00:14:13,670 --> 00:14:18,110 +الموجودة فيه لو وجدت و بدى كمان أتوقع إيش ممكن + +211 +00:14:18,110 --> 00:14:21,730 +المريض يسأل أسئلة إضافيةكل هذه الشغلات بيسموها + +212 +00:14:21,730 --> 00:14:25,490 +informed consent بعد ما أخد informed consent إقرار + +213 +00:14:25,490 --> 00:14:29,550 +بالموافقة على العملية وبعد ما أعمل optimization + +214 +00:14:29,550 --> 00:14:33,830 +لوضع المريض يعني أخليه في الوضع المثالي اللي أخلي + +215 +00:14:33,830 --> 00:14:36,570 +ال complications فيه minimal أو أحاول أخليها + +216 +00:14:36,570 --> 00:14:40,770 +minimal بعد هيك ببدأ خطة العلاج مباشرة وبالتالي + +217 +00:14:40,770 --> 00:14:45,730 +هذه من أهداف ال history taking الرئيسية diagnosis + +218 +00:14:48,240 --> 00:14:51,740 +Exclusion and discovery of other comorbidities + +219 +00:14:51,740 --> 00:14:58,680 +اكتشافها و في النهاية وضع خطة علاج مناسبة what is + +220 +00:14:58,680 --> 00:15:02,720 +the significance of historyإيش أهمية ال history + +221 +00:15:02,720 --> 00:15:05,240 +taking في ال general practice and medical + +222 +00:15:05,240 --> 00:15:09,500 +practice؟ it is the first clinic critical and the + +223 +00:15:09,500 --> 00:15:12,800 +first step in determining the diagnosis زي ما قلنا + +224 +00:15:12,800 --> 00:15:16,220 +مجرد أنه مريض يجيني ببدأ أتعامل معاه عن طريق ال + +225 +00:15:16,220 --> 00:15:20,860 +communication ببدأ أتكلم معاه وبالتالي الكلام هذا + +226 +00:15:20,860 --> 00:15:25,840 +هو الخطوة الأولى في establishing of diagnosis ال + +227 +00:15:25,840 --> 00:15:30,340 +history taking يسبق في أهميته ال physical + +228 +00:15:30,340 --> 00:15:35,000 +examinationو مهم اكتر منه و ممكن نحصل على معلومات + +229 +00:15:35,000 --> 00:15:37,620 +من ال history فيما لو احنا سألنا detailed question + +230 +00:15:37,620 --> 00:15:42,140 +و لو وجهنا المريض صح و لو عملنا relevant + +231 +00:15:42,140 --> 00:15:45,500 +conversation مع المريض ممكن نحصل على productive + +232 +00:15:45,500 --> 00:15:49,880 +result يعني نتيجة ايجابية اكتر من ال physical + +233 +00:15:49,880 --> 00:15:52,040 +examination بتلت مرات تقريبا + +234 +00:15:56,420 --> 00:15:59,320 +ال diagnosis أحيانا بيكون sufficient أو ال history + +235 +00:15:59,320 --> 00:16:02,560 +بيكون sufficient to make diagnosis في حوالي 70% من + +236 +00:16:02,560 --> 00:16:08,200 +ال cases يعني على سبيل المثال مريض عنده peptic + +237 +00:16:08,200 --> 00:16:12,020 +ulcer قرحة في المعدة أو في ال 12 ممكن من ال + +238 +00:16:12,020 --> 00:16:16,100 +history أشخص المريض ال history بيكون فيه عنده مثلا + +239 +00:16:16,100 --> 00:16:19,840 +epigastric pain this pain is relieved by food or + +240 +00:16:19,840 --> 00:16:23,520 +exaggerated by food حسب نوع ال ulcer okay و بالذات + +241 +00:16:23,520 --> 00:16:27,830 +ال food اللي بيكون فيه fat and meatOkay و أحيانا + +242 +00:16:27,830 --> 00:16:30,310 +بكون في عنده recurrent attacks يعني attacks أكتر + +243 +00:16:30,310 --> 00:16:34,750 +من مرة بتجيه بالذات لما يكون full stomach هذه + +244 +00:16:34,750 --> 00:16:38,650 +الشغلات بتخلينا نحط diagnosis بنسبة كبيرة من الصحة + +245 +00:16:38,650 --> 00:16:43,410 +وبالتالي في 70% من الحالات we can put a strong + +246 +00:16:43,410 --> 00:16:45,930 +differential diagnosis و we can confirm the + +247 +00:16:45,930 --> 00:16:50,150 +diagnosisال history taking مش محتاج لتعقيدات مش + +248 +00:16:50,150 --> 00:16:54,050 +محتاج لإنه يكون في عندنا a lot of facilities كل ما + +249 +00:16:54,050 --> 00:16:57,930 +هناك يكون open minded doctor بالاضافة ل patient + +250 +00:16:57,930 --> 00:17:01,570 +بيعطي معلومة بالشكل السليم و كمان الدكتور لازم + +251 +00:17:01,570 --> 00:17:06,370 +يسأل السؤال بالشكل السليم اذا it is easily + +252 +00:17:06,370 --> 00:17:09,890 +applicable there is not too much اللي هو + +253 +00:17:09,890 --> 00:17:14,770 +facilities لازمة او متطلبات لازمةit's changeable + +254 +00:17:14,770 --> 00:17:18,410 +ال history ممكن نغيره ممكن نبدل في المعلومة حسب ما + +255 +00:17:18,410 --> 00:17:21,350 +يستجد على وضع المريض وحسب ايش المريض ممكن يراجع في + +256 +00:17:21,350 --> 00:17:24,730 +معلوماته عشان هيك مهم جدا في ال history taking بعد + +257 +00:17:24,730 --> 00:17:28,370 +ما اخد ال full sheet تبع المريض واسأله عن كل + +258 +00:17:28,370 --> 00:17:31,250 +الأسئلة اعمل معاه review لل answers اللي هو جاوب + +259 +00:17:31,250 --> 00:17:34,370 +عليها او review للمعلومات اللي اعطانيها قد انه + +260 +00:17:34,370 --> 00:17:38,350 +يغير ويبدلانت قلت كذا انت قلت كذا في المحطة هذه + +261 +00:17:38,350 --> 00:17:41,690 +انت قلت كذا في السؤال هذا انت جاوبت كذا فبدي اعمل + +262 +00:17:41,690 --> 00:17:46,450 +review مع ال patient لإيش هو حكى كمان does not + +263 +00:17:46,450 --> 00:17:49,090 +need too much knowledge هو بيحتاج knowledge طبعا + +264 +00:17:49,090 --> 00:17:55,330 +بيحتاج انه الدكتور يكون عنده يعني background ايش + +265 +00:17:55,330 --> 00:17:58,500 +ال complaint هذا ممكن يعنيما هي الـ differential + +266 +00:17:58,500 --> 00:18:02,740 +diagnosis اللي كان behind this complaint؟ ما هي + +267 +00:18:02,740 --> 00:18:07,300 +التشخيصات الطبية اللي ممكن تكون مسئولة عن الحاجة + +268 +00:18:07,300 --> 00:18:10,100 +اللي بيشكي منها المريض في الوقت الحالي؟ هذه + +269 +00:18:10,100 --> 00:18:13,380 +knowledge كلها لكن هو عبارة عن skill بالدرجة + +270 +00:18:13,380 --> 00:18:17,740 +الأولى skill بيعتمد على ترتيب الأسئلة صح being + +271 +00:18:17,740 --> 00:18:22,660 +more systematicand open minded and asking + +272 +00:18:22,660 --> 00:18:25,360 +questions which is relevant or which are relevant + +273 +00:18:25,360 --> 00:18:28,840 +to the problem كل هذه بتخضع لل skill و ال skill + +274 +00:18:28,840 --> 00:18:31,460 +طبعا بتيجي عن طريق ال practice عن طريق ال repeated + +275 +00:18:31,460 --> 00:18:35,140 +practice و ال knowledge بتيجي عن طريق ال reading + +276 +00:18:35,140 --> 00:18:38,620 +فلما نعمل integration لل knowledge بالإضافة لل + +277 +00:18:38,620 --> 00:18:43,220 +skill بيطلع عندنا good history sheet و ممكن انه + +278 +00:18:43,220 --> 00:18:46,020 +يفيد في establishing the diagnosis + +279 +00:18:48,990 --> 00:18:53,330 +So it is very problematic if we don't put the + +280 +00:18:53,330 --> 00:18:57,210 +diagnosis or if we made a wrong diagnosis كلهم + +281 +00:18:57,210 --> 00:19:00,950 +عبارة عن danger على المريض أو potential danger if + +282 +00:19:00,950 --> 00:19:04,210 +you have a wrong diagnosis for example على سبيل + +283 +00:19:04,210 --> 00:19:09,630 +المثال لو شخصنا مريض على انه UTI وطلع عنده + +284 +00:19:09,630 --> 00:19:13,130 +mesenteric scheme يعنيthis is wrong diagnosis ال + +285 +00:19:13,130 --> 00:19:15,910 +UTI is wrong diagnosis وبالتالي ميزانتريكسكيميا + +286 +00:19:15,910 --> 00:19:18,130 +ممكن ال patient يصير عنده peritonitis acute + +287 +00:19:18,130 --> 00:19:22,330 +abdomen and mortality or if we don't make a + +288 +00:19:22,330 --> 00:19:25,670 +diagnosis لما مانقدرش نتوصل لل diagnosis اللازم مش + +289 +00:19:25,670 --> 00:19:29,850 +هنقدر نبدأ خطة العلاج وبالتالي هذا بفاقم من الوضع + +290 +00:19:29,850 --> 00:19:32,130 +اللي بيخلي more complications potentially could + +291 +00:19:32,130 --> 00:19:37,750 +happen in the future هل + +292 +00:19:37,750 --> 00:19:43,130 +دايما بكون قادر أخد history بنفسيالأرياحية هل ال + +293 +00:19:43,130 --> 00:19:46,790 +history taking دايما متاح و دايما الوقت عندي متاح + +294 +00:19:46,790 --> 00:19:50,510 +لإنه اخد full sheet from the patient او full data + +295 +00:19:50,510 --> 00:19:53,410 +from the patient طبعا في عندنا two types of + +296 +00:19:53,410 --> 00:19:56,610 +history بالنسبة لطبيعة ال history وبالنسبة للوقت + +297 +00:19:56,610 --> 00:20:01,290 +المتاح عندي وبالنسبة ل الأرياحية اللي اخد فيها ال + +298 +00:20:01,290 --> 00:20:05,330 +data النوع الأول من المرضى اللي هو ال patients + +299 +00:20:05,330 --> 00:20:10,130 +اللي بيجوا في ال non emergency conditionsيعني اللي + +300 +00:20:10,130 --> 00:20:13,610 +مايكونوش حلات طارقة على سبيل المثال مريض عنده + +301 +00:20:13,610 --> 00:20:17,770 +hernia بيجي على العيادة inguinal hernia مثلا او + +302 +00:20:17,770 --> 00:20:21,070 +مريض عنده hemorrhoid و bleeding per rectum بيجي + +303 +00:20:21,070 --> 00:20:25,070 +على العيادة مثلا او مريض عنده biliary pain نتيجة + +304 +00:20:25,070 --> 00:20:27,250 +وجود حصوات في المرارة بيصير عنده biliary pain و + +305 +00:20:27,250 --> 00:20:29,810 +برضه بيجي على العيادة الخارجية is an outpatient + +306 +00:20:29,810 --> 00:20:36,530 +room history هذا النوع الأول النوع التاني اللي هو + +307 +00:20:36,530 --> 00:20:42,120 +ال emergencyال emergency conditions المريض مايكون + +308 +00:20:42,120 --> 00:20:45,280 +فيها في وضع لائق في بعض الأحيان على سبيل المثال + +309 +00:20:45,280 --> 00:20:48,160 +بيكون عنده shock بيكون عنده loss of consciousness + +310 +00:20:48,160 --> 00:20:51,460 +بيكون عنده severe pain من ال fractures مش قادر + +311 +00:20:51,460 --> 00:20:54,280 +يعطي ذاته كويس على سبيل المثال لو كان عنده كسور او + +312 +00:20:54,280 --> 00:20:58,460 +لو كان عنده multiple trauma اذا هذا ال history + +313 +00:20:58,460 --> 00:21:03,480 +بيكون very limited and very precise and in summary + +314 +00:21:03,480 --> 00:21:08,810 +النوع هذا في ال emergencyكمان مهم جدا في ال + +315 +00:21:08,810 --> 00:21:13,010 +history أني أغطي ال other comorbidities و هذه طبعا + +316 +00:21:13,010 --> 00:21:15,570 +لازم أاخد detailed history of the chronic diseases + +317 +00:21:15,570 --> 00:21:18,870 +clerking for admitted patient for elective surgery + +318 +00:21:18,870 --> 00:21:22,330 +we have to ask about suggestive symptoms of + +319 +00:21:22,330 --> 00:21:26,570 +hypertension, diabetes mellitus and other chronic + +320 +00:21:26,570 --> 00:21:29,860 +conditions such as pain, coughingurinary + +321 +00:21:29,860 --> 00:21:33,660 +complaints يعني different types of things عشان + +322 +00:21:33,660 --> 00:21:37,140 +اكتشف اذا عند المريض comorbidity ولا لا وهذا طبعا + +323 +00:21:37,140 --> 00:21:39,480 +ملحق بالنوع الاول من ال history اللي هو ال + +324 +00:21:39,480 --> 00:21:42,900 +outpatient او room history in the elective setting + +325 +00:21:42,900 --> 00:21:46,280 +في ال emergency قد لا اجد الوقت للسؤال عن كل حاجة + +326 +00:21:46,860 --> 00:21:52,060 +لكن في ال elective I have the enough time elective + +327 +00:21:52,060 --> 00:21:54,800 +يعني بكون ال patient مش في emergency condition to + +328 +00:21:54,800 --> 00:21:57,660 +assess that the treatment planned correctly + +329 +00:21:57,660 --> 00:22:01,400 +indicated and patient is suitable for that + +330 +00:22:01,400 --> 00:22:05,460 +operation يعني ال patient وضعه fit لال treatment + +331 +00:22:05,460 --> 00:22:06,640 +اللي انا بدي اعمله + +332 +00:22:10,850 --> 00:22:14,590 +So what are the steps in history taking؟ طبعا ال + +333 +00:22:14,590 --> 00:22:17,650 +history taking زي ما قلنا عبارة عن multi step + +334 +00:22:17,650 --> 00:22:21,210 +procedure وهو بيعتمد على ال collection of data + +335 +00:22:21,210 --> 00:22:25,390 +from the patient من أبسط ال data زي الإسم و العمر + +336 +00:22:25,390 --> 00:22:29,790 +و المكان السكن و الوظيف اللي بيشتغل فيها أو مكان + +337 +00:22:29,790 --> 00:22:35,290 +العمل تبعه و هل هو أعزب ولا متزوج و جديش ال .. ال + +338 +00:22:35,290 --> 00:22:39,520 +.. ممكن في بعض الأحيانال socio-economic level of + +339 +00:22:39,520 --> 00:22:42,900 +the patient يلعب دور في establishing the diagnosis + +340 +00:22:42,900 --> 00:22:47,800 +كل هذه أشياء مهمة، جداش ال patient ممكن يصرف على + +341 +00:22:47,800 --> 00:22:50,060 +ال health care تبعته، جداش هو مهتم بال health + +342 +00:22:50,060 --> 00:22:53,240 +تبعته، كل هذه بيركزها ال socio-economic level أو + +343 +00:22:53,240 --> 00:22:57,950 +ال educational level of the patientإذا ال + +344 +00:22:57,950 --> 00:23:02,470 +components of history taking أول حاجة بنتكلم عن ال + +345 +00:23:02,470 --> 00:23:06,250 +chief complaint أو ال present complaint و طبعا هذا + +346 +00:23:06,250 --> 00:23:10,750 +بيكون فيه كلمات قليلة what are you complaining of + +347 +00:23:10,750 --> 00:23:13,830 +من إيش بتشكي بيجاوب المريض إنه باشكي من واحد أو + +348 +00:23:13,830 --> 00:23:17,710 +واحد اتنين تلاتة مثلا باشكي من abdominal pain مغص + +349 +00:23:17,710 --> 00:23:21,350 +في البطن أو باشكي من abdominal pain مع vomiting أو + +350 +00:23:21,350 --> 00:23:23,810 +باشكي من abdominal pain مع vomiting مع شعور + +351 +00:23:23,810 --> 00:23:27,750 +بالحرارة أو الغثيانإذا قد يكون ال present + +352 +00:23:27,750 --> 00:23:31,850 +complaint multiple أو متعدد لكن غالبا يكون واحد من + +353 +00:23:31,850 --> 00:23:34,990 +ال complaints هذه هو اللي drawing the patient + +354 +00:23:34,990 --> 00:23:37,670 +attention more than others لو كان متعدد ال + +355 +00:23:37,670 --> 00:23:43,030 +complaint عنده ممكن ال patient يكون يعني متغلب أو + +356 +00:23:43,030 --> 00:23:46,910 +عنده مشكلة في واحد من ال complaints هذه أكتر من + +357 +00:23:46,910 --> 00:23:51,190 +غيره طيب إذا بكلمات قليلة ممكن أسأل المريض about + +358 +00:23:51,190 --> 00:23:54,820 +the present complaintبعد هيك الخطوة التانية بتيجي + +359 +00:23:54,820 --> 00:23:58,760 +ال detail of this present complaint لما أسأله مثلا + +360 +00:23:58,760 --> 00:24:02,400 +عن ال pain في عندي analysis of pain بدي أبدأ أحلل + +361 +00:24:02,400 --> 00:24:06,360 +في العناصر تبعت ال pain و طبعا هذه هنمر عليها في + +362 +00:24:06,360 --> 00:24:10,740 +أمثلة ع سبيل المثال بدي أسأله من إيش بتشكى هيقولي + +363 +00:24:10,740 --> 00:24:13,580 +pain هيقولي وين الألم هذه السؤال الأول ال sight + +364 +00:24:14,760 --> 00:24:18,400 +duration of pain, onset of pain, radiation of + +365 +00:24:18,400 --> 00:24:23,300 +pain, associated symptoms مع ال pain كل هذه + +366 +00:24:23,300 --> 00:24:29,160 +الأشياء يجب أن نتعامل معها أو نتعامل معها مع تاريخ + +367 +00:24:29,160 --> 00:24:32,480 +ال present complete اللي هو الجزء المفصل بعد الجزء + +368 +00:24:32,480 --> 00:24:36,080 +المجمل الجزء المجمل هو ال chief complaint وبعدها + +369 +00:24:36,080 --> 00:24:40,540 +يأتي الجزء المفصل الخطوة التالتة هي remaining + +370 +00:24:40,540 --> 00:24:45,130 +questions about the abnormal systemيعني سألته عن + +371 +00:24:45,130 --> 00:24:48,790 +ال pain انا بدي اسأله عن شغلات تانية موجودة في ال + +372 +00:24:48,790 --> 00:24:51,370 +system نفسه لو كان ال pain مثلا محله ال abdomen او + +373 +00:24:51,370 --> 00:24:54,230 +محله ال gastrointestinal tract بدي اسأله عن ال + +374 +00:24:54,230 --> 00:24:57,010 +other relevant symptoms في ال GI tract زي النوزيا + +375 +00:24:57,010 --> 00:25:00,230 +و ال vomiting و ال anorexia و ال weight loss و ال + +376 +00:25:00,230 --> 00:25:05,770 +jaundice و ال eating habits اذا كل هذه أشياء + +377 +00:25:05,770 --> 00:25:09,190 +بتتعلق بال remaining a question of the abnormal + +378 +00:25:09,190 --> 00:25:13,280 +system بعدها ال review of other systemsو هذا + +379 +00:25:13,280 --> 00:25:16,740 +الكلام مهم جدا في discovery of other abnormalities + +380 +00:25:16,740 --> 00:25:20,600 +او other chronic diseases ممكن يساهم في ان ي put + +381 +00:25:20,600 --> 00:25:23,180 +the diagnosis of ان ال patient is diabetic او لا + +382 +00:25:23,180 --> 00:25:27,400 +hypertensive او لا عنده heart problem عنده + +383 +00:25:27,400 --> 00:25:30,520 +respiratory problem عنده other problems that could + +384 +00:25:30,520 --> 00:25:37,020 +influence the pathway او the course of management + +385 +00:25:37,020 --> 00:25:41,100 +and course of the disease ال past medical history + +386 +00:25:41,100 --> 00:25:46,700 +مهم جداأسأله أسئلة مباشرة عن إيش بياخد علاجات؟ + +387 +00:25:46,700 --> 00:25:51,340 +عملوا عمليات قبل هيك ولا لأ؟ اتعرض لتخدير أو ما + +388 +00:25:51,340 --> 00:25:54,900 +اتعرضش؟ هل عمل عمليات جراحية تخدير عام ولا تخدير + +389 +00:25:54,900 --> 00:25:58,040 +موضعي؟ و ال other chronic diseases و ال + +390 +00:25:58,040 --> 00:26:03,330 +medications and so onبعد ال past history طبعا اللى + +391 +00:26:03,330 --> 00:26:06,150 +بيشمل لل medical و ال surgical history ل drug + +392 +00:26:06,150 --> 00:26:09,330 +history في حالة الأطفال ممكن أسأل عن ال + +393 +00:26:09,330 --> 00:26:13,410 +immunizations و ال family history لأن بعض ال + +394 +00:26:13,410 --> 00:26:16,270 +diseases are familial ع سبيل المثال ال breast + +395 +00:26:16,270 --> 00:26:19,450 +cancer مهم جدا ال family history في ال breast + +396 +00:26:19,450 --> 00:26:25,990 +cancer ال colon cancer كمان ال diabetes melanitis + +397 +00:26:25,990 --> 00:26:30,330 +أحيانا بكون familial إذا كل هذه أشياء بتتعلق بال + +398 +00:26:30,330 --> 00:26:34,530 +familyال social and habits social history and + +399 +00:26:34,530 --> 00:26:37,910 +habits بالاضافة طبعا لل socio economic level of + +400 +00:26:37,910 --> 00:26:42,170 +the patient وين بيسكن، جداش ال income تبعه، هل هو + +401 +00:26:42,170 --> 00:26:47,130 +بيهتم بالصحة العامة، بيتابع أي صغير و كبير سواء + +402 +00:26:47,130 --> 00:26:51,270 +عنده أو عند حد من أفراد العيلة، كل هذه يعني + +403 +00:26:51,270 --> 00:26:55,990 +بتعطينامعلومة عن قداش المريض ممكن يكون عنده + +404 +00:26:55,990 --> 00:26:58,950 +اتفاقمة المشكلة لو كان باهتم بصحته لو كان باهتم + +405 +00:26:58,950 --> 00:27:03,770 +انه يتابع باستمرار ممكن يعني انه يصير فيه + +406 +00:27:03,770 --> 00:27:06,530 +management as early as possible لكن لو ال patient + +407 +00:27:06,530 --> 00:27:11,930 +is careless او neglecting his problem ممكن يجينا + +408 +00:27:11,930 --> 00:27:15,210 +في مراحل متأخرة او يجينا في مراحل more complicated + +409 +00:27:15,210 --> 00:27:17,430 +than the usual + +410 +00:27:21,850 --> 00:27:24,350 +first of all طبعا اول احنا ما ندخل على المريض we + +411 +00:27:24,350 --> 00:27:27,390 +have to ensure privacy هذه اول خطوة ensuring + +412 +00:27:27,390 --> 00:27:32,730 +privacy ensuring good light لازم يكون إضاءة مناسبة + +413 +00:27:32,730 --> 00:27:37,130 +في الغرفة privacy لازم يكون مكان مغلق في وجود طبعا + +414 +00:27:37,130 --> 00:27:42,090 +شخص لو كان المريض female او لو كان لازم يكون شخص + +415 +00:27:42,090 --> 00:27:46,570 +تاني معاهلازم يكون موجود اما التمريد او واحد من + +416 +00:27:46,570 --> 00:27:50,410 +اقارب ال patient و بالتحديد لازم يكون medical + +417 +00:27:50,410 --> 00:27:55,450 +stuff افضل او nursing stuff washing my hands and + +418 +00:27:55,450 --> 00:27:59,170 +protecting myself مهم جدا بالذات لو انا داخل على + +419 +00:27:59,170 --> 00:28:03,550 +patient عنده infectious disease او لو عنده حاجة + +420 +00:28:03,550 --> 00:28:08,670 +ممكن يصير في يعني spread by communication او لو + +421 +00:28:08,670 --> 00:28:12,630 +كان المريض عنده bleedingكل هذه أشياء I have to + +422 +00:28:12,630 --> 00:28:17,110 +protect myself washing my hands introduction of + +423 +00:28:17,110 --> 00:28:22,250 +myself طبعا بال full term لازم أقول اسمي أنا + +424 +00:28:22,250 --> 00:28:26,630 +الدكتور فلاني لفلاني و ال post تبعي ايش موقعي + +425 +00:28:26,630 --> 00:28:31,610 +كطبيب هل انا طبيب امتياز مثلا هل انا طالب هل انا + +426 +00:28:31,610 --> 00:28:39,000 +أخصائي هل انا طبيب عام و الاشي اللي بدي اعملهو + +427 +00:28:39,000 --> 00:28:44,060 +باخد اذن المريض انا الدكتور مثلا علاء استشارى + +428 +00:28:44,060 --> 00:28:50,960 +جراحة عامة لو سمحت بدي اخد منك معلومات بما يخص + +429 +00:28:50,960 --> 00:28:55,440 +المشكلة اللى جيت فيها هل ممكن او لا طبعا I have to + +430 +00:28:55,440 --> 00:28:59,960 +use يعني proper words and I have to show respect + +431 +00:28:59,960 --> 00:29:03,320 +for the patient و دايما مهم جدا لازم نحافظ على ال + +432 +00:29:03,320 --> 00:29:06,340 +eye to eye contact with the patientلازم أحسس ال + +433 +00:29:06,340 --> 00:29:09,980 +patient اللي هو عبارة عن living thing يعني living + +434 +00:29:09,980 --> 00:29:13,000 +human being مش عبارة عن object أنا بدي أتعامل معاه + +435 +00:29:13,000 --> 00:29:16,980 +و خلاص يعني مش عبارة عن حاجة أنا بدي أخلصها لأ I + +436 +00:29:16,980 --> 00:29:20,100 +have to show sympathy to the patient لازم يكون فيه + +437 +00:29:20,100 --> 00:29:23,180 +تعاطف سواء في لغة الكلام أو في لغة ال body + +438 +00:29:23,180 --> 00:29:26,820 +language كمان و ال introduction لازم يكون في + +439 +00:29:26,820 --> 00:29:31,220 +proper wordsو بدي اسأل المريض عن اسمه و عن عمره و + +440 +00:29:31,220 --> 00:29:34,140 +عن الأشياء التانية اللي هي ال personal data تبعته + +441 +00:29:34,140 --> 00:29:39,300 +in a very nice manner and in a very nice way that + +442 +00:29:39,300 --> 00:29:43,840 +the patient can have confidence ممكن المريض يصير + +443 +00:29:43,840 --> 00:29:47,280 +في عنده بناء ثقة و دايما ال self confidence أول + +444 +00:29:47,280 --> 00:29:52,900 +حاجة ثقة المريض ان هوراه يتحسن وثقته انه موجود في + +445 +00:29:52,900 --> 00:29:56,200 +المكان السليم او المكان الصحيح اللي راح يتلقى فيه + +446 +00:29:56,200 --> 00:29:59,640 +العلاج السليم كل هذا بتعتمد على ال first meeting + +447 +00:29:59,640 --> 00:30:03,320 +بتعتمد على ال first conversation و دايما المريض + +448 +00:30:03,320 --> 00:30:07,540 +بيكون انطباع عن الدكتور اول ما يبدأ يتعامل معاه + +449 +00:30:07,540 --> 00:30:14,340 +اول ما يبدأ يتكلم معاه في خصوص مشكلته getting + +450 +00:30:14,340 --> 00:30:19,130 +another person or a chaperone يعني مرافقwhen you + +451 +00:30:19,130 --> 00:30:22,330 +interview a female patient هذا الكلام مهم جدا وزي + +452 +00:30:22,330 --> 00:30:26,350 +ما قلنا حبذا المرافق يكون من ال nursing staff يعني + +453 +00:30:26,350 --> 00:30:29,390 +مش من ال family members نفسهم لأ يكون من ال + +454 +00:30:29,390 --> 00:30:33,350 +nursing staff لو تعذر هذا الكلام ممكن ال family + +455 +00:30:33,350 --> 00:30:36,610 +members يؤدوا الدور هذا وإن كان مش محبب زي ما قلنا + +456 +00:30:36,610 --> 00:30:41,150 +لإن ال family members are on the side of the + +457 +00:30:41,150 --> 00:30:44,350 +patientبينما ال nursing staff او ال chaperone لما + +458 +00:30:44,350 --> 00:30:48,330 +يكون medical staff او nursing staff بيكون يعني + +459 +00:30:48,330 --> 00:30:55,210 +محايد في ما لو صارت مشكلة اذا + +460 +00:30:55,210 --> 00:30:58,370 +recording of the patient personal data name of the + +461 +00:30:58,370 --> 00:31:02,190 +patient full name غالبا بنطلب الاسم ثلاثي ممكن + +462 +00:31:02,190 --> 00:31:06,330 +الاسم احنا نتغضى عنه لما نيجي نقدم حالة و ممكن + +463 +00:31:06,330 --> 00:31:11,000 +نقول عنه بالحروف الأولى بسأو ممكن نقول الاسم + +464 +00:31:11,000 --> 00:31:18,980 +بالكامل حسب if I want to keepthe patient unknown + +465 +00:31:18,980 --> 00:31:23,580 +name ممكن أعبر عنه بحروف أو أقول اسمه بالكامل لإن + +466 +00:31:23,580 --> 00:31:26,300 +ال history presentation بيكون قدام ال medical + +467 +00:31:26,300 --> 00:31:29,620 +staff يعني وبالتالي ال privacy هان مابصيرش فيها + +468 +00:31:29,620 --> 00:31:36,400 +breaching يعني مابصيرش فيها اللي هو اختراق ل ال + +469 +00:31:36,400 --> 00:31:39,850 +privacy لإن أنا بقدم من خلال ال medical staffال + +470 +00:31:39,850 --> 00:31:44,110 +age of the patient مهم طبعا ال age بيلعى دور في + +471 +00:31:44,110 --> 00:31:46,950 +بعض الأمراض على سبيل المثال ال acute appendicitis + +472 +00:31:46,950 --> 00:31:50,090 +بيجي في كل الأعمار صحيح لكن اكتر حاجة بيجي في + +473 +00:31:50,090 --> 00:31:53,170 +العشرينات و التلاتينات يعني المرضى في العقد الثاني + +474 +00:31:53,170 --> 00:31:56,570 +و العقد الثالث من أعمارهم بينما مرض مثلا زي ال + +475 +00:31:56,570 --> 00:32:01,840 +colon cancer بيجي في ال elderly peopleمرض زي بعض + +476 +00:32:01,840 --> 00:32:03,920 +أنواع ال February illnesses بتيجي في ال children + +477 +00:32:03,920 --> 00:32:09,020 +أكتر مرض + +478 +00:32:09,020 --> 00:32:11,280 +زي ال breast cancer مثلا بيجي في ال elderly + +479 +00:32:11,280 --> 00:32:16,260 +females أكتر من ال males، اذا هذه الشغل مهمة ال + +480 +00:32:16,260 --> 00:32:20,120 +age ممكن يعطينا يركضوا على بعض أنواع ال diagnosis + +481 +00:32:20,960 --> 00:32:23,900 +ال gender of the patient ال males و ال females هل + +482 +00:32:23,900 --> 00:32:27,160 +ال patient male او female برضه هذه بدونها طبعا + +483 +00:32:27,160 --> 00:32:32,420 +خلال ال .. ال .. ال history لأنه ال .. بعض الأشياء + +484 +00:32:32,420 --> 00:32:35,680 +بتكون more common in males و البعض الأمراض التانية + +485 +00:32:35,680 --> 00:32:38,240 +بتكون more common in females ال burst cancer على + +486 +00:32:38,240 --> 00:32:41,080 +سبيل المثال more common in females than males بما + +487 +00:32:41,080 --> 00:32:47,160 +يعني بخطوات كتير بينما ال colon cancer more common + +488 +00:32:47,160 --> 00:32:52,940 +in males for exampleالـ marital status، المريض + +489 +00:32:52,940 --> 00:32:57,680 +أعزب ولا متزوج؟ وهل عنده أطفال ولا لا؟ إيش بيشتغل + +490 +00:32:57,680 --> 00:33:02,580 +ال occupation؟ ممكن يكون بيشتغل شغل مكتبي و ممكن + +491 +00:33:02,580 --> 00:33:06,730 +يكون بيشتغل heavy liftingمثلا بيشيل أشياء تجيلة أو + +492 +00:33:06,730 --> 00:33:12,290 +بيشيل أو بيشتغل شغل مرهق أو متعب و طبعا هذه + +493 +00:33:12,290 --> 00:33:15,310 +الشغلات ممكن أنها تساعدنا في بعض ال diagnosis على + +494 +00:33:15,310 --> 00:33:18,390 +سبيل المثال المرضى اللي بيجي عندهم hernias اللي هي + +495 +00:33:18,390 --> 00:33:22,610 +الفتاج بكل أنواعه ممكن يعطينا في ال history أنه + +496 +00:33:22,610 --> 00:33:25,890 +بيشيل أشياء تجيلة زي أنه يكون عامل بناء مثلا أو + +497 +00:33:25,890 --> 00:33:30,590 +بيشتغل في الحديد أو بيشتغل في عمل مرهق بينما الشغل + +498 +00:33:30,590 --> 00:33:34,120 +المكتبياللي بيكونوا قاعدين على مكاتب و على كراسي + +499 +00:33:34,120 --> 00:33:36,680 +بيجيهم أكتر بعض الأنواع ال pathologies التانية زي + +500 +00:33:36,680 --> 00:33:39,900 +ال hemoroids مثلا أو بيصير في عندهم varicose veins + +501 +00:33:39,900 --> 00:33:44,140 +اللي هي الدوالي الرجلين إلى أخرها وبالتالي ال + +502 +00:33:44,140 --> 00:33:48,780 +occupation ممكن تلعب دور في establishing the + +503 +00:33:48,780 --> 00:33:53,040 +diagnosisال address of the patient و مكان السكن + +504 +00:33:53,040 --> 00:33:58,380 +تبعه بالاضافة لل date of the interview and the + +505 +00:33:58,380 --> 00:34:02,180 +name of the interviewer مين اللي أخد ال history + +506 +00:34:02,180 --> 00:34:05,500 +ممكن يكونوا two doctors واحد بيكتب history واحد + +507 +00:34:05,500 --> 00:34:08,900 +بيسأل وبالتالي I have to document that ان history + +508 +00:34:08,900 --> 00:34:12,180 +is taken by two doctors my name and my friend name + +509 +00:34:12,180 --> 00:34:15,920 +او my colleague nameأو ممكن يكون أنا اللي أخدت ال + +510 +00:34:15,920 --> 00:34:18,320 +history و دوّنته في نفس الوجه انا اللي سألت + +511 +00:34:18,320 --> 00:34:21,500 +الأسئلة وبالتالي هذا الكلام لازم اكتبه و ال date + +512 +00:34:21,500 --> 00:34:25,360 +بيشمل ال time برضه date and time يعني ال history + +513 +00:34:25,360 --> 00:34:30,720 +is taking مثلا في عشرة سبعة الفين و عشرين في + +514 +00:34:30,720 --> 00:34:33,200 +الساعة الفلانية الساعة واحدة و نص الظهر مثلا + +515 +00:34:33,800 --> 00:34:36,520 +وبالتالي لازم هذا الكلام ادونو لانه مهم جدا في ال + +516 +00:34:36,520 --> 00:34:39,940 +follow up ال first meeting و ال first data of the + +517 +00:34:39,940 --> 00:34:43,060 +patient و بعد هيك ايش صار فيه change على ال data + +518 +00:34:43,060 --> 00:34:46,260 +ايش صار فيه change على ال signs و ال symptoms of + +519 +00:34:46,260 --> 00:34:50,140 +the patient بعد ما يمر الوقت و ايش صار فيه change + +520 +00:34:50,140 --> 00:34:53,000 +على الحالة تبعت المريض in general + +521 +00:34:58,020 --> 00:35:01,560 +إذا ال element الأول اللي هو ال present أو ال + +522 +00:35:01,560 --> 00:35:04,980 +chief complaint in patients own words with + +523 +00:35:04,980 --> 00:35:10,140 +duration لازم المريض يستخدم الكلمات أو أنا بقوله + +524 +00:35:10,140 --> 00:35:14,960 +استخدم الكلمات أو أصف لزي ما بتعرف إيش أنت حاسس + +525 +00:35:16,190 --> 00:35:19,430 +ممكن المريض يكون well educated او عنده خبرة بال + +526 +00:35:19,430 --> 00:35:23,710 +medical terminology يحكي كلمات more specific than + +527 +00:35:23,710 --> 00:35:26,890 +a patient which is not well educated او ال IQ + +528 +00:35:26,890 --> 00:35:31,050 +level عنده واطي او مافيش عنده medical knowledge + +529 +00:35:32,290 --> 00:35:35,630 +ممكن ال terminology أو ممكن المصطلحات تختلف ما بين + +530 +00:35:35,630 --> 00:35:39,890 +مريض عنده chronic disease بيجي بالمشكلة هذه كذا + +531 +00:35:39,890 --> 00:35:43,510 +مرة و هو عارف ال diagnosis تبعه أو صار عنده خبرة + +532 +00:35:43,510 --> 00:35:47,050 +بال symptoms اللي موجود الأعراض و بين مريض صارت + +533 +00:35:47,050 --> 00:35:51,890 +عنده ال symptoms للمرة الأولى إذا كل هذه بتلعب دور + +534 +00:35:51,890 --> 00:35:54,750 +في التأثير على الكلمات اللي بيستخدمها المريض في + +535 +00:35:54,750 --> 00:35:59,270 +وصف المشكلة تمام duration + +536 +00:36:01,680 --> 00:36:04,720 +duration expressed in the form of timing or + +537 +00:36:04,720 --> 00:36:10,180 +recurrence يعني متى صارت المشكلة في وجهة معينة، من + +538 +00:36:10,180 --> 00:36:13,780 +متى إليك بتعاني من المشكلة هاد؟ من امبارح مثلا أو + +539 +00:36:13,780 --> 00:36:17,960 +من اليوم الساعة ستة الصبح، هذا ال timing أو أنا + +540 +00:36:17,960 --> 00:36:21,000 +بعاني من المشكلة هاد من عدة أيام وأجتني كذا مرة، + +541 +00:36:21,000 --> 00:36:23,640 +هذا بيسموه ال recurrence يعني frequency of symptom + +542 +00:36:25,550 --> 00:36:29,330 +أجهتني تلات مرات اربع مرات أجاني المغز في أربع + +543 +00:36:29,330 --> 00:36:34,450 +حالات في أربع أوجات مختلفة تمام؟ إذا هات بيسموه ال + +544 +00:36:34,450 --> 00:36:38,850 +recurrence أو ال timing إذا واحد منهم أو اتنين مع + +545 +00:36:38,850 --> 00:36:43,820 +بعض مهم جداusually there is single complaint وهو + +546 +00:36:43,820 --> 00:36:47,440 +غالبا ل drawing ال patient attention لكن في بعض + +547 +00:36:47,440 --> 00:36:49,680 +الأحيان بيكون multiple زي ما قلنا في pain في + +548 +00:36:49,680 --> 00:36:54,060 +nausea في vomiting في anorexia في fatigue في + +549 +00:36:54,060 --> 00:36:57,780 +weakness أو ممكن يكون ال patient عنده one symptom + +550 +00:36:57,780 --> 00:37:01,480 +that draw his attention زي ال pain مثلا أكتر حاجة + +551 +00:37:01,480 --> 00:37:03,960 +بيجي فيها المريض و غالبا بتكون عملاله distraction + +552 +00:37:03,960 --> 00:37:08,140 +مشتت تفكيره أو عملاله معانا هي الألم pain + +553 +00:37:10,650 --> 00:37:14,330 +بنسأل ال patient سؤال مباشر what are you + +554 +00:37:14,330 --> 00:37:18,270 +complaining of او what is your problem؟ ماليش + +555 +00:37:18,270 --> 00:37:24,490 +بتشكي؟What is the complaint? I have pain. Where is + +556 +00:37:24,490 --> 00:37:27,810 +pain? In the abdomen مثلا أو pain in my arm أو + +557 +00:37:27,810 --> 00:37:32,970 +pain in my leg أو pain in the chest كل هذه أجوبة + +558 +00:37:32,970 --> 00:37:37,250 +محتملة أو what is the problem بس غالبا لو سألنا + +559 +00:37:37,250 --> 00:37:40,070 +المريض إيش المشكلة وكان عارف ال diagnosis تبعه + +560 +00:37:40,070 --> 00:37:44,310 +ممكن يحكينا ال diagnosis مباشرةزي مريض مثلا بكون + +561 +00:37:44,310 --> 00:37:47,890 +عارف انه عنده أسابيع مثلا inflammatory أو ال + +562 +00:37:47,890 --> 00:37:50,370 +disease و يقولك عندي ulcerative colitis لو سألته + +563 +00:37:50,370 --> 00:37:55,560 +ايش المشكلةتمام؟ وبالتالي دايما احنا بنحاول انه + +564 +00:37:55,560 --> 00:37:58,700 +نخلي المريض يحكي عن الشكوه بتاعته عن ال complaint + +565 +00:37:58,700 --> 00:38:01,960 +بتاعته وما نخليهوش يحكي diagnosis diagnosis صحيح + +566 +00:38:01,960 --> 00:38:05,080 +في مرحلة لاحقة ممكن المريض يحكيها لكن بالدرجة + +567 +00:38:05,080 --> 00:38:08,340 +الأولى احنا لازم في البداية نحلل ال complaint اللي + +568 +00:38:08,340 --> 00:38:12,580 +هو جاي فيه ونبعد عن انه نحط diagnosis من البداية + +569 +00:38:12,580 --> 00:38:16,920 +جاي دوره بعد هيك في ال later on in the course of + +570 +00:38:16,920 --> 00:38:21,970 +the historyالمرحلة التانية بعد ما اسألوا عن ال + +571 +00:38:21,970 --> 00:38:26,530 +chief complaint و غالبا هذه بتكون في few words و + +572 +00:38:26,530 --> 00:38:29,630 +بخليها as short as possible the patient is + +573 +00:38:29,630 --> 00:38:33,050 +complaining of pain in the upper abdomen مثلا او + +574 +00:38:33,050 --> 00:38:36,670 +complaining of vomiting او complaining of nausea + +575 +00:38:38,850 --> 00:38:42,790 +heat sensation, feverish sensation كل هذه الأشياء + +576 +00:38:42,790 --> 00:38:46,150 +ممكن أكتبها في ال chief complaint بعد ذلك باجي لل + +577 +00:38:46,150 --> 00:38:49,370 +details about the chief complaint في elements لازم + +578 +00:38:49,370 --> 00:38:54,330 +أحللها هنتكلم عن بعض الأمثلة فيها بعدين بسأل عن ال + +579 +00:38:54,330 --> 00:38:56,930 +relevant أو ال associated symptoms في نفس ال + +580 +00:38:56,930 --> 00:39:01,130 +systemالـ GI tract أو الـ urinary tract أو ال + +581 +00:39:01,130 --> 00:39:04,550 +cardiovascular أو ال respiratory system أو ال + +582 +00:39:04,550 --> 00:39:07,930 +neurological system أو ال neurological system أو + +583 +00:39:07,930 --> 00:39:12,610 +ال musculoskeletal and bone system كلها بيكون فيها + +584 +00:39:12,610 --> 00:39:15,930 +associated symptoms زائد ال symptom الرئيسي أو ال + +585 +00:39:15,930 --> 00:39:19,450 +complaint الرئيسي اللي جاي فيه المريضبعد هيك ببدأ + +586 +00:39:19,450 --> 00:39:25,250 +احط احتمالات differential diagnosis ومهم جدا زى ما + +587 +00:39:25,250 --> 00:39:28,770 +حكينا انه leading the conversation and thoughts + +588 +00:39:28,770 --> 00:39:32,410 +don't allow the patient to tell you irrelevant + +589 +00:39:32,410 --> 00:39:35,310 +questions او irrelevant answers sorry او + +590 +00:39:35,310 --> 00:39:39,110 +irrelevant data لما المريض انه يبدأ يحكي كلام مش + +591 +00:39:39,110 --> 00:39:40,750 +مهم I have to + +592 +00:39:43,780 --> 00:39:48,400 +direct the patient اعاد التوجيه للمريض للسؤال + +593 +00:39:48,400 --> 00:39:54,480 +الأساسي يعني مثلا ممكن يكون بيحكي عن ال pain و انه + +594 +00:39:54,480 --> 00:39:57,880 +associated مثلا with food او بيجي على شكل cramps + +595 +00:39:57,880 --> 00:40:01,060 +او بيعمل radiation بنتشر في كل أنحاء ال abdomen و + +596 +00:40:01,060 --> 00:40:05,000 +ممكن يحس فيه في كدفه او ممكن يحس فيه في ال arm + +597 +00:40:05,000 --> 00:40:12,720 +الاخره و فجأه يحكيلك انه مثلا روحت على مشوار معينو + +598 +00:40:12,720 --> 00:40:17,580 +قضيت في المشوار واجت معين مثلا و بعد هيك روحت على + +599 +00:40:17,580 --> 00:40:20,600 +البيت و بعد هيك نمت الى اخره ممكن بعض المرضى + +600 +00:40:20,600 --> 00:40:24,120 +يشتطوا في الموضوع وبالتالي لازم اعمل redirection + +601 +00:40:24,120 --> 00:40:29,740 +للمريض ل ال relevant history اللي انا باخده دائما + +602 +00:40:29,740 --> 00:40:37,280 +ال history taking بيكون عن طريق يعني integration + +603 +00:40:37,280 --> 00:40:44,790 +between time and eventday أو days اما بيذكر تاريخ + +604 +00:40:44,790 --> 00:40:50,090 +معين او ساعة معينة او بيحكي عن ايام معينة قبل تلت + +605 +00:40:50,090 --> 00:40:53,370 +ايام صار عندي كذا او في الساعة الفلانية في اليوم + +606 +00:40:53,370 --> 00:40:57,130 +الفلاني صار عندي كذا و لازم كل هذه الشغلات نرويها + +607 +00:40:57,130 --> 00:41:00,130 +in detail narrating in detail يعني نروي هذه + +608 +00:41:00,130 --> 00:41:04,330 +الشغلات time by timeالصبح صار عند المريض كذا + +609 +00:41:04,330 --> 00:41:07,770 +وبعدين الظهر اتطورت الحال لكذا أو الساعة تسعة + +610 +00:41:07,770 --> 00:41:12,130 +الصبح بدأ المريض يشك من أمر معين والساعة مثلا عشر + +611 +00:41:12,130 --> 00:41:14,830 +صار عنده كذا الساعة اتناش او اتناش اجي على + +612 +00:41:14,830 --> 00:41:18,490 +المستشفى في ال emergency مثلا اعطوله علاج معين او + +613 +00:41:18,490 --> 00:41:22,670 +صار عنده complaint معين كل هذه أشياء I have to + +614 +00:41:22,670 --> 00:41:26,360 +narrate in detailand avoidance of medical + +615 +00:41:26,360 --> 00:41:29,540 +terminology with the patient of course لكن ال + +616 +00:41:29,540 --> 00:41:32,720 +medical terminology لما أجي أعمل formulating لل + +617 +00:41:32,720 --> 00:41:36,780 +history لما أجي أصيغي ال history بالصياغة اللي أنا + +618 +00:41:36,780 --> 00:41:40,300 +بده أقدمها لل my colleagues أو ال medical staff + +619 +00:41:40,300 --> 00:41:44,140 +ببدأ أدخل ال medical terminologies الضرورية و + +620 +00:41:44,140 --> 00:41:45,420 +اللازمة في هيك شغل + +621 +00:41:48,700 --> 00:41:52,900 +ناخد مثال على موضوع ال present complaint وهو أكتر + +622 +00:41:52,900 --> 00:41:55,720 +حاجة بيجي المرضى بيشكوا منها بالنسبة للجراحة + +623 +00:41:55,720 --> 00:41:59,940 +العامة يعني اللي هي ال abdominal painالـ abdominal + +624 +00:41:59,940 --> 00:42:07,040 +pain طبعا فيه له wide varieties of etiologies كتير + +625 +00:42:07,040 --> 00:42:10,980 +أسباب لل abdominal pain في بعضها medical و في + +626 +00:42:10,980 --> 00:42:14,800 +بعضها surgical من أشهر الأشياء طبعا ال abdominal + +627 +00:42:14,800 --> 00:42:17,740 +pain اللي بيجوا فيها ال patients على التوارق اللي + +628 +00:42:17,740 --> 00:42:20,460 +هي حكاية ال acute appendicitis أو ال acute + +629 +00:42:20,460 --> 00:42:24,060 +cholecystitis أو ال pancreatitis أو ال peptic + +630 +00:42:24,060 --> 00:42:28,400 +ulcer disease كل هذه common thingsabdominal pain + +631 +00:42:28,400 --> 00:42:31,500 +وبالتالي ال abdominal pain هي ال chief complaint + +632 +00:42:31,500 --> 00:42:34,180 +لما ال patient ييجي واسأله ويقول I have abdominal + +633 +00:42:34,180 --> 00:42:37,800 +pain في المنطقة الفلانية بيأشر عليها upper abdomen + +634 +00:42:37,800 --> 00:42:41,620 +أو lower abdomen في أعلى البطن أو في أسفل البطن + +635 +00:42:41,620 --> 00:42:44,240 +وممكن أضيف عليها في أعلى البطن على ناحية اليمين أو + +636 +00:42:44,240 --> 00:42:47,450 +على ناحية الشمالفي أسفل البطن على الناحية اليمين + +637 +00:42:47,450 --> 00:42:51,270 +أو على الناحية الشمال وبالتالي ممكن احكي في ال + +638 +00:42:51,270 --> 00:42:53,750 +chief complaint ان ال patient came to the + +639 +00:42:53,750 --> 00:42:56,950 +emergency ع سبيل المثال with the chief complaint + +640 +00:42:56,950 --> 00:43:00,430 +of right upper abdominal pain this is acceptable + +641 +00:43:00,430 --> 00:43:04,230 +اني احكيها short words right upper abdominal pain + +642 +00:43:04,230 --> 00:43:08,850 +او right upper pain in his tummy بالمعنى الدارج لل + +643 +00:43:08,850 --> 00:43:13,920 +abdomen اذا انا بديش استخدم مثلا مصطلح طبيتمام و + +644 +00:43:13,920 --> 00:43:16,300 +ممكن اقول ال patient عنده lift lower abdominal + +645 +00:43:16,300 --> 00:43:20,440 +pain هذا برضه chief complaint يعتبر okay لحتى لأ + +646 +00:43:20,440 --> 00:43:24,240 +ان انا ماذكرتش detail اذا ال chief complaint pain + +647 +00:43:24,240 --> 00:43:28,640 +بعد هيك باجي بمر على عدة elements لازم اشرحها و + +648 +00:43:28,640 --> 00:43:34,550 +لازم اعمل يعنيتحليل للـ pain اللي عند المريض first + +649 +00:43:34,550 --> 00:43:38,290 +thing I have to do أني أسأل ال patient عن ال site + +650 +00:43:38,290 --> 00:43:41,790 +of pain where is the site طبعا بحكي للمريض يأشر + +651 +00:43:41,790 --> 00:43:46,130 +على ال site وين موجود القلم بعض المرضى ممكن يأشر + +652 +00:43:46,130 --> 00:43:51,070 +على نقطة معينة pinpoint بإصبع واحد زي في حالات ال + +653 +00:43:51,070 --> 00:43:54,950 +acute appendicitis مثلا ممكن يحط إصبع على ال right + +654 +00:43:54,950 --> 00:43:59,480 +iliac fossa ويقول ال pain موجود هناوممكن بعض الناس + +655 +00:43:59,480 --> 00:44:02,680 +التانيين يحطوا الايد على كل الابدمن ويبدأ يحرك + +656 +00:44:02,680 --> 00:44:07,640 +الايد حركة دائرية ان كل منطقة الابدمن فيها ألم ع + +657 +00:44:07,640 --> 00:44:10,200 +سبيل المثال المرضى اللي بيكون فيه عندهم intestinal + +658 +00:44:10,200 --> 00:44:14,020 +obstruction ممكن يحس الألم diffuse في كل بطنه + +659 +00:44:14,020 --> 00:44:18,640 +تمام؟ وبالتالي هذا سبب ممكن ال patient يأثر على + +660 +00:44:18,640 --> 00:44:21,380 +منطقة منتصف البطن زي ال patients اللي بيكون عندهم + +661 +00:44:21,380 --> 00:44:25,280 +peptic ulcer من فوق epigastric area او المنطقة + +662 +00:44:25,280 --> 00:44:30,320 +اللي فيها المعدنمنتصف البطن فوق الصررة مباشرة برضه + +663 +00:44:30,320 --> 00:44:34,120 +هذه site اذا بعد هي كبصيغها في medical terminology + +664 +00:44:34,120 --> 00:44:39,480 +site of pain طبعا في عندي four sites للأدومة ممكن + +665 +00:44:39,480 --> 00:44:44,460 +اجسم ل night sites برضه ممكن اقول right upper + +666 +00:44:44,460 --> 00:44:49,240 +quadrant left upper quadrant الربع الفجر اللي على + +667 +00:44:49,240 --> 00:44:52,280 +اليمين او الربع الفجر اللي على الشمال او left + +668 +00:44:52,280 --> 00:44:55,740 +lower quadrant و right lower quadrantإذا ممكن + +669 +00:44:55,740 --> 00:44:58,820 +أضيفها هذه ك site أقول the patient has abdominal + +670 +00:44:58,820 --> 00:45:01,560 +pain in his left lower quadrant أو in his right + +671 +00:45:01,560 --> 00:45:04,680 +upper quadrant و ممكن أجسمها بال nine areas اللي + +672 +00:45:04,680 --> 00:45:07,820 +هنشوفها من خلال الشكل اللي هيجينا في ال slides بعد + +673 +00:45:07,820 --> 00:45:12,180 +هيك و أضيفها as a site لما أجي أعمل formulation + +674 +00:45:12,180 --> 00:45:16,360 +لشيط لما أجي أكتب ال history taking أحطها بمصطلح + +675 +00:45:16,360 --> 00:45:23,400 +طبي اللي هو ال site time and mode of onset ال time + +676 +00:45:23,400 --> 00:45:29,030 +إيش يعنيمتى بدأ في ساعات الصبح و لا ساعات الظهر و + +677 +00:45:29,030 --> 00:45:34,490 +لا ساعات المساء متى اليوم و لا المبارح من الأيام + +678 +00:45:34,490 --> 00:45:40,510 +إذا بحط ال time and date ساعة جداش إذا قدرت أن + +679 +00:45:40,510 --> 00:45:45,030 +أحصر ساعة معينة بيكون أفضل ساعة تسعة الصبح مثلا أو + +680 +00:45:45,030 --> 00:45:48,270 +إذا ماقدرتش أحصر ساعة معينة و المرض مش قادر يتذكر + +681 +00:45:48,270 --> 00:45:53,310 +ممكن أحكي مثلا في ساعات الصبح في وقت الصبح بدأ + +682 +00:45:53,310 --> 00:45:59,380 +يشعر المريض واحد اتنين تلاتةالـ mode of onset mode + +683 +00:45:59,380 --> 00:46:03,980 +of onset ايش يعني كيف بدت المشكلة ممكن تكون بدت + +684 +00:46:03,980 --> 00:46:07,720 +all of a sudden ممكن المريض ييجي يقول all of a + +685 +00:46:07,720 --> 00:46:10,280 +sudden صار في عندي something like explosion in my + +686 +00:46:10,280 --> 00:46:16,500 +abdomen زي إيش انفجر دو و بعدين بديت أحس بقلم شديد + +687 +00:46:16,500 --> 00:46:20,320 +all of a sudden يعني قبل دقيقة كنت كويس و بعدين + +688 +00:46:20,320 --> 00:46:25,310 +all of a sudden بين هيك طريقة sharpOkay؟ قد الكلام + +689 +00:46:25,310 --> 00:46:28,650 +بينطبق في بعض الأحيان على rupture of aneurysm مثلا + +690 +00:46:28,650 --> 00:46:32,790 +rupture of artery زي الاروتيك أنيوريزم وقد ينطبق + +691 +00:46:32,790 --> 00:46:35,010 +على بعض ال pathologies زي ال perforation of + +692 +00:46:35,010 --> 00:46:40,290 +gastric ulcer أو peptic ulcer تمام؟ إذا all of a + +693 +00:46:40,290 --> 00:46:43,810 +sudden pain all of a sudden بسموه sudden onset + +694 +00:46:43,810 --> 00:46:48,610 +وممكن يكون ال onset gradual إيش يعني gradual؟ يعني + +695 +00:46:48,610 --> 00:46:54,480 +بالتدريج اقصارdiscomfort ثم aching ثم pain + +696 +00:47:05,800 --> 00:47:10,160 +إذا هذا بيسموه gradual onset زي في حالات ال acute + +697 +00:47:10,160 --> 00:47:14,800 +appendicitis مثلا المريض بيصير فيه عنده discomfort + +698 +00:47:14,800 --> 00:47:19,140 +بعدين بيصير فيه عنده aching pain ضال يعني مش عارف + +699 +00:47:19,140 --> 00:47:22,960 +يحدد وين و aching يعني زي ضرب صداع الراس بعدين + +700 +00:47:22,960 --> 00:47:26,460 +بيصير فيه عنده sharp pain localized في منطقة معينة + +701 +00:47:26,460 --> 00:47:32,840 +اللي هي في ال right iliacus تمام بعد هيك بسألوا عن + +702 +00:47:32,840 --> 00:47:40,330 +ال nature of painكيف؟ كيف بتوصف للألم؟ something + +703 +00:47:40,330 --> 00:47:46,170 +like tingling، إشي بيغز، بينخز something like + +704 +00:47:46,170 --> 00:47:51,730 +tearing، إشي زي اللي بمزع something like stabbing، + +705 +00:47:51,730 --> 00:47:56,630 +زي اللي بتع طعن something like constricting، زي + +706 +00:47:56,630 --> 00:48:02,070 +حاجة بتخنق أو حاجة + +707 +00:48:02,070 --> 00:48:07,580 +بتضرب ضرب، throbbingع سبيل المثال خلّيني أضربلكم + +708 +00:48:07,580 --> 00:48:11,060 +مثال معين ال patient اللي بيكون فيه عنده acute + +709 +00:48:11,060 --> 00:48:15,020 +pancreatitis بيحس أنه في زي سككين بتطعن في بطنه + +710 +00:48:15,020 --> 00:48:18,900 +بيقول عنه stabbing pain بينما المريض اللي عنده + +711 +00:48:18,900 --> 00:48:21,860 +acute appendicitis بيحس أنه عنده زي throbbing pain + +712 +00:48:21,860 --> 00:48:25,200 +حاجة زي اللي بتنبض هيك ألم معنبض + +713 +00:48:28,000 --> 00:48:33,540 +تمام؟ بينما المريض عنده aortic aneurysm rupturing + +714 +00:48:33,540 --> 00:48:38,140 +بيحس زي حاجة exploding pain زي حاجة انفجرت هيك كل + +715 +00:48:38,140 --> 00:48:41,680 +هذه الأشياء ممكن يذكرها المريض او ممكن يقول المريض + +716 +00:48:41,680 --> 00:48:44,600 +it is just pain doctor I cannot describe it is + +717 +00:48:44,600 --> 00:48:48,140 +very bad pain مش شرط ان المريض يقول nature معينة + +718 +00:48:48,140 --> 00:48:53,720 +طبيعة معينة ايش الألم بيشبه ممكن مايهتديش للأشياء + +719 +00:48:53,720 --> 00:48:57,690 +هذهلكن انا ممكن اساعده ب open question هل هو بيشبه + +720 +00:48:57,690 --> 00:49:00,930 +كذا؟ هل هو بيشبه stabbing؟ هل هو بيشبه tingling؟ + +721 +00:49:00,930 --> 00:49:04,250 +هل هو بيشبه .. بيشبه numbning؟ زي حاجة هيك تنميل + +722 +00:49:04,250 --> 00:49:09,010 +شديد مثلا okay كل هذه ممكن اعطي المريض بعض ال .. + +723 +00:49:09,010 --> 00:49:12,610 +بعض الأسئلة المساعدة اللي ممكن تهديه لل diagnosis + +724 +00:49:12,610 --> 00:49:19,350 +او ممكن تهديه لل description اسم ال duration جديش + +725 +00:49:19,350 --> 00:49:21,770 +ال patient قعد من ناحية ما بدأ عنده ال pain لحد ما + +726 +00:49:21,770 --> 00:49:25,820 +اجى للمستشفىغير عن ال mode و ال time of onset بسأل + +727 +00:49:25,820 --> 00:49:29,080 +عن ال total duration of pain من اللحظة اللي بدأ + +728 +00:49:29,080 --> 00:49:32,940 +فيها المشكلة لحد ما أجاني على المستشفى قد تكون + +729 +00:49:32,940 --> 00:49:36,760 +المشكلة اتكررت عند المريض كذا مرة وبالتالي ال + +730 +00:49:36,760 --> 00:49:39,420 +duration الكلية بتختلف عن ال time و ال mode of + +731 +00:49:39,420 --> 00:49:43,820 +onset لآخر complaint أجى فيه المريض ممكن يكون ال + +732 +00:49:43,820 --> 00:49:45,980 +complaint بدأ عنده قبل يومين تلاتة و بعد ذلك + +733 +00:49:45,980 --> 00:49:49,920 +المريض ما .. ماأجهش على المستشفى او .. ماأجهش على + +734 +00:49:49,920 --> 00:49:53,050 +ال emergency او ماراجعش دكتورإذا هذه ال total + +735 +00:49:53,050 --> 00:49:57,370 +duration ال frequency of complaint تضيفها في ال + +736 +00:49:57,370 --> 00:50:00,110 +total duration و بعد هيك ال time و ال mode of + +737 +00:50:00,110 --> 00:50:03,530 +onset لآخر مرة صارت فيها المشكلة و طبعا آخر مرة + +738 +00:50:03,530 --> 00:50:06,810 +صارت فيها المشكلة قد تكون أول مرة و قد تكون اتكررة + +739 +00:50:06,810 --> 00:50:10,350 +ممكن المريض يجي لأول مرة بال complaint هذه و ممكن + +740 +00:50:10,350 --> 00:50:17,030 +يكون اتكرر عنده الاشي كذا مرة severity severity of + +741 +00:50:17,030 --> 00:50:23,020 +the painال severity ممكن اعبر عنها بعدة أشياء ممكن + +742 +00:50:23,020 --> 00:50:28,340 +اعطي المريض scale من واحد لعشرة و اقوله مثلا واحد + +743 +00:50:28,340 --> 00:50:33,080 +ال pain الخفيف و عشرة ال pain الشديد و عشرة بيشبه + +744 +00:50:33,080 --> 00:50:36,360 +ال labor pain او بيشبه ال tooth extraction او ال + +745 +00:50:36,360 --> 00:50:40,780 +tooth pain sorry انه قلم الأسنان قلم التواحيد او + +746 +00:50:40,780 --> 00:50:43,980 +زي ال labor pain زي قلم الولادة و القلم الخفيف + +747 +00:50:43,980 --> 00:50:48,760 +بشبهله بشي معين مثلا نخزة إبرة صغيرةو بقول للمريض + +748 +00:50:48,760 --> 00:50:57,000 +اعطيني scale جداش بعض المرضى بيوصف القلم او بيعطي + +749 +00:50:57,000 --> 00:50:59,920 +القلم اكتر من حجمه الطبيعي اذا هاتي subjective + +750 +00:50:59,920 --> 00:51:04,660 +المشكلة صارت جداش من عشرة يقولي مثلا ست من عشرة + +751 +00:51:04,660 --> 00:51:08,160 +مريض تاني لنفس ال type of pain ممكن يعطيني خمس من + +752 +00:51:08,160 --> 00:51:12,570 +عشرة او اربعة او يعطيني تمانية من عشرة مثلاإذا في + +753 +00:51:12,570 --> 00:51:17,470 +تقييم المرضى باختلف من patient ل patient هذه طريقة + +754 +00:51:17,470 --> 00:51:21,650 +الطريقة التانية في description of severity أني + +755 +00:51:21,650 --> 00:51:27,510 +أسأله عن effect of his personal lifeجدّاش المشكلة + +756 +00:51:27,510 --> 00:51:31,970 +أثرت على ال daily activities تبعتك؟ جدّاش صار فيه + +757 +00:51:31,970 --> 00:51:35,170 +limitation لل daily activity؟ هل بتقدر تجوم من + +758 +00:51:35,170 --> 00:51:39,190 +السرير تروح الحمام مثلا؟ هل بتقدر تعمل إجراءات + +759 +00:51:39,190 --> 00:51:42,970 +النظافة الشخصية تبعتك؟ هل تقدر تروح الشغل أو تطلع + +760 +00:51:42,970 --> 00:51:46,090 +من الغرفة أو تمشي في الشارع نتيجة الألم هذا ولا + +761 +00:51:46,090 --> 00:51:50,720 +لا؟أذا كل هذه الأشياء بتعطيني more objective data + +762 +00:51:50,720 --> 00:51:57,260 +than أني أسأله عن ال scale من واحد لعشرة اذا how + +763 +00:51:57,260 --> 00:52:01,280 +daily life is affected؟ هل كدرت تجوم من سريرك ولا + +764 +00:52:01,280 --> 00:52:03,780 +لأ؟ هل جيت على المستشفى لوحدك ولا شالوك مشاية + +765 +00:52:03,780 --> 00:52:08,580 +لجابوك ناس تانين؟ هل جيت في سيارة ولا جيت ماشي؟ + +766 +00:52:08,580 --> 00:52:12,580 +اذا ال effect of complaint او ال effect of pain + +767 +00:52:12,580 --> 00:52:18,700 +على daily activity of the patientRadiation ايش + +768 +00:52:18,700 --> 00:52:22,340 +يعني radiation طب ال radiation هو عبارة عن احساس + +769 +00:52:22,340 --> 00:52:26,500 +الألم في منطقة تانية غير المنطقة اللي بدأ فيها مع + +770 +00:52:26,500 --> 00:52:30,160 +استمرار وجوده في المنطقة الرئيسية اللي هو بدأ فيها + +771 +00:52:30,160 --> 00:52:33,620 +يعني على سبيل المثال المريض اللي عنده + +772 +00:52:36,310 --> 00:52:40,330 +Angina Pectoris أو المريض اللي عنده myocardial + +773 +00:52:40,330 --> 00:52:44,030 +infarction في عنده chest pain لكن بيحس ال pain + +774 +00:52:44,030 --> 00:52:48,390 +برضه في الكتف بذات الكتف الشمال و ال left arm هذا + +775 +00:52:48,390 --> 00:52:52,630 +بيسموه radiation يعني إحساس المريض في الألم في + +776 +00:52:52,630 --> 00:52:55,610 +منطقة غير المنطقة الرئيسية مع استمراره في وجوده في + +777 +00:52:55,610 --> 00:52:58,410 +المنطقة الرئيسية هذا بيسموه radiation pain أو + +778 +00:52:58,410 --> 00:53:00,270 +referral pain + +779 +00:53:02,470 --> 00:53:05,610 +الرادياشن هو عبارة عن ال sensation of pain in + +780 +00:53:05,610 --> 00:53:10,670 +another area كمان مرة despite بالرغم من انه still + +781 +00:53:10,670 --> 00:53:16,150 +continuous in the original area و طبعا هذا بختلف + +782 +00:53:16,150 --> 00:53:20,720 +عن ال shiftingالـ shifting مصطلح تاني للقلم اللي + +783 +00:53:20,720 --> 00:53:24,600 +هو disappearance of pain في المنطقة و reappearance + +784 +00:53:24,600 --> 00:53:27,720 +in another area و أبسط مثال على هذا الكلام أن + +785 +00:53:27,720 --> 00:53:31,120 +المريض اللي عنده acute appendicitis بيجي أول حاجة + +786 +00:53:31,120 --> 00:53:35,100 +عنده pain حوالين السرة أو pain في منطقة مركز ال + +787 +00:53:35,100 --> 00:53:39,010 +abdomenفي الـ Central Abdominal Region وبعد ذلك + +788 +00:53:39,010 --> 00:53:44,250 +يبدأ الشفتنج له الـ Right Iliac Fossa ويصير الألم + +789 +00:53:44,250 --> 00:53:46,910 +بعد ذلك في الـ Right Iliac Fossa تمامًا ويختفي من + +790 +00:53:46,910 --> 00:53:49,990 +منطقة الـ Central Abdomen أو الـ Peri-Umbilical + +791 +00:53:49,990 --> 00:53:55,090 +Area هذا يسمونه Shifting Progression هو علاقة + +792 +00:53:55,090 --> 00:53:59,550 +الألم بالوقتمع الوقت هل صار فيه relief لل symptoms + +793 +00:53:59,550 --> 00:54:04,770 +أو هل صار فيه exaggeration لل symptoms مهم للألم + +794 +00:54:04,770 --> 00:54:07,190 +هذا يعني أسئبلي المثل المريض اللي عنده acute + +795 +00:54:07,190 --> 00:54:12,580 +appendicitis worsening by timeتمام؟ بينما المريض + +796 +00:54:12,580 --> 00:54:15,520 +اللي عنده مثلا intestinal obstruction ممكن مع + +797 +00:54:15,520 --> 00:54:19,500 +الوجد بالذات لو نتج يتريح لأن النتج بيريح من ال + +798 +00:54:19,500 --> 00:54:22,760 +pressure في ال intestine وبالتالي بيريح الألم إذا + +799 +00:54:22,760 --> 00:54:27,260 +ال progression هنا اللي هو علاقة الألم بالوجد + +800 +00:54:27,260 --> 00:54:32,120 +relieving and exacerbating factors ال relieving + +801 +00:54:32,120 --> 00:54:37,060 +factors ممكن تكون أكل و ممكن تكون دوة و ممكن تكون + +802 +00:54:37,060 --> 00:54:41,900 +motion movementكذلك الحالة الـ exacerbating + +803 +00:54:41,900 --> 00:54:45,420 +factors ممكن تكون أكل أو دواء أو movement for + +804 +00:54:45,420 --> 00:54:50,740 +example المريض اللي عنده biliary pain نتيجة تقول + +805 +00:54:50,740 --> 00:54:54,520 +blood or stones من ال exaggerating factors اللي + +806 +00:54:54,520 --> 00:54:59,380 +عنده أنه يأكل إذا أكل بيصير في عنده worsening + +807 +00:54:59,380 --> 00:55:03,700 +للقلم هذا بينما مريض عنده peptic ulcer ديودينال + +808 +00:55:03,700 --> 00:55:08,760 +ألصر ممكن لو أكل يرتاح مريض + +809 +00:55:08,760 --> 00:55:13,740 +عنده acutePancreatitis ممكن لو أكل يتعب أكتر بينما + +810 +00:55:13,740 --> 00:55:20,820 +لو صام بيرتاح أكتر مريض عنده biliary pain ممكن لو + +811 +00:55:20,820 --> 00:55:24,660 +أخد non-steroidal anti-inflammatory drugs يرتاح + +812 +00:55:24,660 --> 00:55:27,340 +بينما مريض عنده peptic ulcer لو أخد non-steroidal + +813 +00:55:27,340 --> 00:55:29,660 +anti-inflammatory drugs بيصير فيه عنده worsening + +814 +00:55:29,660 --> 00:55:35,950 +للـ symptoms المريض اللي عنده acuteabdomen او + +815 +00:55:35,950 --> 00:55:39,090 +peritonitis لو اتحرك بصير exaggeration لل symptoms + +816 +00:55:39,090 --> 00:55:45,490 +بينما لو قعد في الصغير ساكن بخف القلم عليه شوية و + +817 +00:55:45,490 --> 00:55:48,310 +اي حركة ممكن تعمل exacerbating للبين او تعمل + +818 +00:55:48,310 --> 00:55:52,890 +worsening للبين بينما مريض عنده مثلا urinary stone + +819 +00:55:52,890 --> 00:55:59,440 +سيان عنده لو اتحرك او قعد هو حيشعر بقلملأن القلم + +820 +00:55:59,440 --> 00:56:03,220 +هنا مكون ناتج غالبا عن حركة ال stone هذه من خلال + +821 +00:56:03,220 --> 00:56:05,980 +ال urinary tract ع سبيل المثال احنا بنذكر أمثلة + +822 +00:56:05,980 --> 00:56:11,020 +للتوضيح بعد ما اخلص هذه ال elements ممكن اسأل ال + +823 +00:56:11,020 --> 00:56:15,220 +patient what is the possible cause؟ ايش بتعتقد انه + +824 +00:56:15,220 --> 00:56:18,440 +المشكلة عندك؟ اذا كانت المشكلة عند المريض chronic + +825 +00:56:18,440 --> 00:56:22,420 +بكون عارف ايش ال diagnosis تبعه وبالتالي ال cause + +826 +00:56:22,420 --> 00:56:26,340 +هنا بكون واضح بالنسبة لهأو ممكن المريض يكون عنده + +827 +00:56:26,340 --> 00:56:28,880 +medical knowledge وبالتالي يعطيني a differential + +828 +00:56:28,880 --> 00:56:31,440 +diagnosis يقول لي ممكن تكون عند المشكلة كذا + +829 +00:56:31,440 --> 00:56:35,020 +الزايدة مثلا انا بشكي من أعراض الزايدة اذا عنده + +830 +00:56:35,020 --> 00:56:39,240 +بعض ال knowledge اللي تسمحله انه يعني يحللها في + +831 +00:56:39,240 --> 00:56:43,740 +عقله ويتوصل لإيش معين اذا بسأل المريض what you + +832 +00:56:43,740 --> 00:56:46,460 +think your diagnosis is what you think your + +833 +00:56:46,460 --> 00:56:50,480 +problem is هذا السؤال في النهاية بيجي بعد ما اعمل + +834 +00:56:50,480 --> 00:56:52,560 +analysis لل symptom الموجود + +835 +00:56:54,960 --> 00:56:57,840 +طبعا زي ما قولنا ال abdomen متجسم ل four areas + +836 +00:56:57,840 --> 00:57:02,020 +ممكن quadrants بنسميها أرباع و طبعا الأرباع هذه + +837 +00:57:02,020 --> 00:57:05,580 +بخاطمة بمر بال أنبلايكاس و خاطة تانية بمر بال + +838 +00:57:05,580 --> 00:57:09,300 +أنبلايكاس واحد بالطول و واحد بالعرضخط طولي و خط + +839 +00:57:09,300 --> 00:57:11,260 +عرضي وبالتالي بيكونوا عاملين زي زائد على + +840 +00:57:11,260 --> 00:57:14,520 +الانبلايكاس وبالتالي هنا ال abdomen بيصير في four + +841 +00:57:14,520 --> 00:57:17,680 +areas right upper quadrant left upper quadrant + +842 +00:57:17,680 --> 00:57:20,940 +right lower quadrant left lower quadrant بينما في + +843 +00:57:20,940 --> 00:57:23,800 +التقسيم التاني اللي هي ال nine regions في عندنا + +844 +00:57:23,800 --> 00:57:27,240 +خطين transverse و خطين vertical بيجسموا ال abdomen + +845 +00:57:27,240 --> 00:57:32,720 +زي ما احنا شايفين هنا لepigastric area موجودة فوق + +846 +00:57:32,720 --> 00:57:36,880 +في النص و right hypochondrial areaو left + +847 +00:57:36,880 --> 00:57:40,140 +hypochondrial area و في عندنا ال right lumbar و ال + +848 +00:57:40,140 --> 00:57:43,380 +left lumbar areas بيحيطوا بال umbilical area و في + +849 +00:57:43,380 --> 00:57:45,740 +عندنا ال right iliac fossa و ال left iliac fossa + +850 +00:57:45,740 --> 00:57:50,420 +بيحيطوا في ال hypogastric area او suprapubic area + +851 +00:57:50,420 --> 00:57:54,020 +head and mind regions طبعا كل منطقة فيها special + +852 +00:57:54,020 --> 00:57:57,120 +pathologies معينة على سبيل المثال ال right + +853 +00:57:57,120 --> 00:58:00,520 +hypochondria موجود في ال biliary tract و موجود في + +854 +00:58:00,520 --> 00:58:02,680 +ال liver وبالتالي لما المريض يكون بشكم ال right + +855 +00:58:02,680 --> 00:58:06,260 +hypochondrial painبدي أتوقع بالدرجة الأولى أو + +856 +00:58:06,260 --> 00:58:09,900 +الاحتمال الأقوى ان يكون في عنده biliary pathology + +857 +00:58:09,900 --> 00:58:12,680 +زي ما يسمونه leather stones مثلا في ال area + +858 +00:58:12,680 --> 00:58:16,720 +gastrodiodinal و ال pancreas موجود في ال + +859 +00:58:16,720 --> 00:58:19,780 +hypocondria موجود ال spleen و ال tail of pancreas + +860 +00:58:19,780 --> 00:58:24,580 +هذه أمثلة في ال lumber area و ال umbilical area + +861 +00:58:24,580 --> 00:58:28,840 +موجود ال kidneys في ال lumber areasوفي الـ central + +862 +00:58:28,840 --> 00:58:33,640 +abdominal areas ممكن يكون موجود برضه ال vessels + +863 +00:58:33,640 --> 00:58:37,680 +ممكن يكون موجود ال dedenum ال lower part of the + +864 +00:58:37,680 --> 00:58:43,400 +dedenum او بداية ال small intestine كذلك الحال في + +865 +00:58:43,400 --> 00:58:46,100 +الiliac fossa موجود ال appendix موجود ال urinary + +866 +00:58:46,100 --> 00:58:48,560 +tract ال lower urinary tract كذلك الحال في ال left + +867 +00:58:48,560 --> 00:58:52,530 +iliac fossaموجود ال urinary tract على الجهة + +868 +00:58:52,530 --> 00:58:55,870 +التانية موجود ال adnexa of females ال ovaries و ال + +869 +00:58:55,870 --> 00:59:01,150 +tubes و في ال pelvis و في منطقة ال subrabiumic + +870 +00:59:01,150 --> 00:59:04,670 +area موجود ال pelvic organs ال uterus موجود ال + +871 +00:59:05,890 --> 00:59:09,430 +urinary bladder كل هذه الأشياء بتفرض عليه + +872 +00:59:09,430 --> 00:59:12,770 +pathologies معينة في ال differential diagnosis اذا + +873 +00:59:12,770 --> 00:59:17,970 +وين المريض بيشكم المشكلة في ال abdomen بحدد ايش ال + +874 +00:59:17,970 --> 00:59:20,630 +anatomical structures اللي موجودة هنا و ايش ممكن + +875 +00:59:20,630 --> 00:59:25,190 +يكون ال pathology نافع من وين another type of + +876 +00:59:25,190 --> 00:59:30,230 +history history of mass or lump هذا مثال تاني بدي + +877 +00:59:30,230 --> 00:59:34,790 +اسأل ال patient when it was discoveredمتى المريض + +878 +00:59:34,790 --> 00:59:38,810 +لاحظ انه عنده mass هذا السؤال الأول و ايش اللي + +879 +00:59:38,810 --> 00:59:43,090 +خلاه يلاحظ بسألش المريض انه من متى ال mass هذه + +880 +00:59:43,090 --> 00:59:46,110 +موجودة او من متى ال swelling او ال lump هذه موجودة + +881 +00:59:46,110 --> 00:59:49,070 +لأنه قد تكون موجودة من وجه اطول من المريض اللي + +882 +00:59:49,070 --> 00:59:54,370 +لاحظها فيه بسأله وقتيش انت notice this mass متى + +883 +00:59:54,370 --> 00:59:57,990 +لاحظت ال mass هذه انها موجودة how discovered ايش + +884 +00:59:57,990 --> 01:00:02,590 +اللي خلاهينتبه لها هل صار فيها symptom معين و لا + +885 +01:00:02,590 --> 01:00:06,010 +هل شافها accidentally ممكن المريض يكون شافها + +886 +01:00:06,010 --> 01:00:09,230 +accidentally و هو مثلا في الحمام او شايف حاله على + +887 +01:00:09,230 --> 01:00:12,790 +المرايا ع سبيل المثال ال goiters اللي هو التضخم + +888 +01:00:12,790 --> 01:00:15,430 +الغد الدراقي ممكن المريض يكتشفها هو واقف قدام + +889 +01:00:15,430 --> 01:00:18,490 +المرايا او ممكن حد يقوله انه صار في change في ال + +890 +01:00:18,490 --> 01:00:22,530 +appearance تبعكأو يروح لدكتور for routine + +891 +01:00:22,530 --> 01:00:26,550 +investigation والدكتور يفحصه ويقوله في عندك تدخن + +892 +01:00:26,550 --> 01:00:30,190 +مثلا هو مايكونش حاسس أنه في مشكلة عنده طب هل في + +893 +01:00:30,190 --> 01:00:33,950 +associated symptoms مع ال lump هذ أو مع ال mass؟ + +894 +01:00:33,950 --> 01:00:37,870 +for example pain هل صار في change in size with + +895 +01:00:37,870 --> 01:00:41,810 +time؟ هل كبرت هذ ال mass مع الوقت؟ هل زغرت؟ هل ضلت + +896 +01:00:41,810 --> 01:00:48,360 +زي ما هي؟ هل بتختفي و بترجع؟ هل اختفت تماما؟ع سبيل + +897 +01:00:48,360 --> 01:00:51,760 +المثال ال inflammatory masses ممكن تختفي لو واحد + +898 +01:00:51,760 --> 01:00:54,600 +عنده تدخم في ال lymph node في ال neck مثلا هي mass + +899 +01:00:54,600 --> 01:00:58,700 +مع الوجد اختفت راح التدخم راح ال inflammation اللي + +900 +01:00:58,700 --> 01:01:02,740 +فيها واختفت مريض عنده hernia ال hernia بتعمل mass + +901 +01:01:02,740 --> 01:01:07,220 +او بتعمل swelling ممكن تختفي وترجع اذا appearance + +902 +01:01:07,220 --> 01:01:11,720 +disappearance and reappearanceو ممكن الماس هادى + +903 +01:01:11,720 --> 01:01:15,000 +تكون موجودة و تبقى موجودة على طول و تكبر مع الوجد + +904 +01:01:15,000 --> 01:01:18,800 +زى مثلا ال life omars اللى عندهم غداد دهنية او + +905 +01:01:18,800 --> 01:01:22,840 +اكياس دهنية ممكن تكبر مع الوجد اللى عندهم goiters + +906 +01:01:22,840 --> 01:01:27,600 +ممكن تكبر مع الوجد تدخن في الغدهل المريض بيشكي من + +907 +01:01:27,600 --> 01:01:32,200 +other masses ولا لا؟ و هل في any cause او any + +908 +01:01:32,200 --> 01:01:34,820 +possible cause للماسك؟ هذه زي ان المريض كان اتعرض + +909 +01:01:34,820 --> 01:01:38,080 +ل trauma swelling مثلا صار نتيجة ل trauma او + +910 +01:01:38,080 --> 01:01:42,020 +hematoma او so on اذا هذه مثال تاني على ال present + +911 +01:01:42,020 --> 01:01:45,340 +complaint اللي هو ال lump بدي اسأل relevant + +912 +01:01:45,340 --> 01:01:51,230 +question او احلل ال .. ال ..المشكلة الرئيسية اللي + +913 +01:01:51,230 --> 01:01:54,810 +أجى فيه المريض لanalysis of data هذه الأشياء طبعا + +914 +01:01:54,810 --> 01:01:57,730 +هنشرحها in more detail لما ان شاء الله نبدأ with + +915 +01:01:57,730 --> 01:02:01,210 +side teaching و لما نبدأ نشرح على المرضى نفسهم راح + +916 +01:02:01,210 --> 01:02:05,470 +نشرح in detail و كل خطوة بخطوتها على ال patient + +917 +01:02:05,470 --> 01:02:10,930 +مباشرة yes بعد هيك بيجي عنا ال remaining questions + +918 +01:02:10,930 --> 01:02:15,860 +of the abnormal systemThe affected system يعني لو + +919 +01:02:15,860 --> 01:02:19,280 +كان المشكلة عند المريض في الـ GI tract بنبدأ نسأل + +920 +01:02:19,280 --> 01:02:22,560 +في الـ GI tract لو كان المريض عنده مشكلة في ال + +921 +01:02:22,560 --> 01:02:24,900 +urinary بنبدأ نسأل في ال urinary لو كان المريض + +922 +01:02:24,900 --> 01:02:26,920 +عنده مشكلة في ال chest بنبدأ نسأل في ال + +923 +01:02:26,920 --> 01:02:31,120 +respiratory أو في ال cardiac حسب وين المشكلة وبعد + +924 +01:02:31,120 --> 01:02:38,520 +هيك بنيجي لل other systems اذا ال + +925 +01:02:38,520 --> 01:02:42,710 +diagnosis زي ما قلنا مهم كمان مرة بحب أكدماذا + +926 +01:02:42,710 --> 01:02:45,910 +تعريف ال diagnosis؟ ال diagnosis هو عبارة عن + +927 +01:02:45,910 --> 01:02:49,410 +anatomical description بالاضافة ل pathological + +928 +01:02:49,410 --> 01:02:53,050 +descriptionيعني لما أقول المريض عنده acute + +929 +01:02:53,050 --> 01:02:56,690 +appendicitis بوصف ال Anatomy ال appendix وين موجود + +930 +01:02:56,690 --> 01:02:59,850 +اللي هو anatomical character ال appendix موجود في + +931 +01:02:59,850 --> 01:03:02,690 +ال lower abdomen على ال right side في المنطقة اللي + +932 +01:03:02,690 --> 01:03:05,290 +فيها ال cecum وبالتالي موجود في ال right iliac + +933 +01:03:05,290 --> 01:03:08,590 +fossa أو موجود في ال right lower quadrant this is + +934 +01:03:08,590 --> 01:03:12,230 +the anatomical part of my diagnosis وكذلك الحالة + +935 +01:03:12,230 --> 01:03:14,850 +ال pathological part اللي هو appendicitis كلمة + +936 +01:03:14,850 --> 01:03:18,930 +appendicitis يعني inflammationinflammation كلمة + +937 +01:03:18,930 --> 01:03:23,370 +itis معناها inflammation وبالتالي هذا ال pathology + +938 +01:03:23,370 --> 01:03:26,170 +كلمة inflammation معناها pathology acute + +939 +01:03:26,170 --> 01:03:31,490 +inflammation او chronic inflammation كلمة + +940 +01:03:32,350 --> 01:03:36,710 +cancer في بعض الأحيان colon cancer او sigmoid + +941 +01:03:36,710 --> 01:03:39,870 +cancer sigmoid colon cancer ال sigmoid عبارة عن + +942 +01:03:39,870 --> 01:03:43,430 +anatomy و ال cancer عبارة عن pathology ان هو عبارة + +943 +01:03:43,430 --> 01:03:46,310 +عن combination ما بين anatomical part و + +944 +01:03:46,310 --> 01:03:50,110 +pathological part لما اقول breast cancer مثلا ال + +945 +01:03:50,110 --> 01:03:54,450 +breast right و ال left breast عبارة عن anatomy في + +946 +01:03:54,450 --> 01:03:57,250 +anatomical region اسمها breast في منطقة اسمها + +947 +01:03:57,250 --> 01:04:00,210 +breast في ال anatomyوالـ Cancer عبارة عن + +948 +01:04:00,210 --> 01:04:03,570 +pathological description Peptic ulcer كلمة Peptic + +949 +01:04:03,570 --> 01:04:10,710 +معناها gastric او duodenum اذا هذه عبارة عن + +950 +01:04:10,710 --> 01:04:14,330 +anatomical description و ال ulcer عبارة عن + +951 +01:04:14,330 --> 01:04:18,470 +pathological description ال fracture كذلك الفيمر + +952 +01:04:18,470 --> 01:04:21,270 +الفيمر عبارة عن anatomy و ال fracture عبارة عن + +953 +01:04:21,270 --> 01:04:22,950 +description and so on + +954 +01:04:25,770 --> 01:04:29,430 +إذا بعد ذلك باجي للـ differential diagnosis ممكن + +955 +01:04:29,430 --> 01:04:31,930 +أني مااتوصلش لل diagnosis في البداية لكن أحصر + +956 +01:04:31,930 --> 01:04:35,590 +احتمالاتي في diagnosis معينة ال most likely + +957 +01:04:35,590 --> 01:04:41,610 +diagnosis بيمشي مع ال symptoms أكتر من غيره يعني + +958 +01:04:41,610 --> 01:04:44,450 +لما المريض يكون عنده right lower quadrant pain أو + +959 +01:04:44,450 --> 01:04:48,470 +right iliac fossa pain associated with nausea, + +960 +01:04:48,550 --> 01:04:51,130 +vomiting, anorexia بكون ال most likely diagnosis + +961 +01:04:51,130 --> 01:04:56,240 +هنا ال acute appendicitisOkay دينما بستبعد حكاية + +962 +01:04:56,240 --> 01:04:59,560 +Peptic Ulcer مثلا أو biliary colic is a most + +963 +01:04:59,560 --> 01:05:03,420 +likely diagnosis بناء على anatomical factors و + +964 +01:05:03,420 --> 01:05:06,300 +بناء على pathological factors من إيش المريض بيشكي + +965 +01:05:06,300 --> 01:05:12,900 +و من إيش المريض عنده مشكلة less likely and the + +966 +01:05:12,900 --> 01:05:15,980 +least likely بناء زي ما قلنا على anatomical + +967 +01:05:15,980 --> 01:05:18,700 +considerations و clinical considerations اللي هي + +968 +01:05:18,700 --> 01:05:21,620 +الوضع السريري أو الشكوى اللي بيجي فيها المريض و ال + +969 +01:05:21,620 --> 01:05:28,190 +analysis of symptomsreview of the systems general + +970 +01:05:28,190 --> 01:05:32,070 +review بنعمل في البداية بنسأل أسئلة معينة ال + +971 +01:05:32,070 --> 01:05:34,610 +gastrointestinal system في أشياء كتير ممكن نسأل + +972 +01:05:34,610 --> 01:05:38,050 +عنها نوزيا، vomiting، anorexia، weight loss، + +973 +01:05:38,050 --> 01:05:44,790 +جواندس، eating habits، problems في ال digestions، + +974 +01:05:44,790 --> 01:05:48,530 +problems في ال swallowing، أشياء كتير ال + +975 +01:05:48,530 --> 01:05:54,030 +respiratory system، dyspnea، coughOrthopnea + +976 +01:05:54,030 --> 01:05:58,010 +Cardiovascular System Chest Pain Dyspnea Orthopnea + +977 +01:05:58,010 --> 01:06:01,170 +كمان مرة ممكن تكون مشتركة ما بين ال cardiovascular + +978 +01:06:01,170 --> 01:06:05,270 +و ال respiratory system Eurogenital System Dysuria + +979 +01:06:05,270 --> 01:06:10,250 +Dysperionia Frequency of Urination Hesitancy of + +980 +01:06:10,250 --> 01:06:14,250 +Urination Irritation of the urinary bladder اللي + +981 +01:06:14,250 --> 01:06:15,410 +هو ال burning sensation + +982 +01:06:18,900 --> 01:06:22,980 +طبيعة الورين هل فيه free flow ولا فيه dribbling + +983 +01:06:22,980 --> 01:06:27,860 +ولا فيه تنقيت ؟ هل في الورين ضعف في ال stream ولا + +984 +01:06:27,860 --> 01:06:31,660 +فيه full stream ؟ كل هذه الأشياء في الورينري تراك + +985 +01:06:31,660 --> 01:06:34,120 +ممكن نسأل عنها ال nervous system و ال + +986 +01:06:34,120 --> 01:06:39,340 +musculoskeletal system اذا عاما انا يجب ان اطلب من + +987 +01:06:39,340 --> 01:06:44,060 +المريض عن ضعف هل المريض يشعر بضعف و هو لا يعمل اي + +988 +01:06:44,060 --> 01:06:51,960 +حركة؟ هل المريض يشعر انه عندهضعف عام حتى بدون ما + +989 +01:06:51,960 --> 01:06:56,140 +يبذل أي مجهود؟ وهل المريض بيصير فيه عنده تعب لما + +990 +01:06:56,140 --> 01:06:59,200 +يبذل مجهود اللي بيسموه ال fatigue؟ إذا إن ال + +991 +01:06:59,200 --> 01:07:01,820 +weakness هو ال patient شعر أنه ضعيف بدون ما يبذل + +992 +01:07:01,820 --> 01:07:05,380 +مجهود أو fatigue ال fatigue و ال weakness من + +993 +01:07:05,380 --> 01:07:07,300 +الأشياء اللي suggesting malignancy + +994 +01:07:09,580 --> 01:07:13,900 +إذن مهم جدا أسأل عن ال weakness وال fatigue لما + +995 +01:07:13,900 --> 01:07:17,160 +أنا شاكق في ماليجنانسي بالتحديد بالذات ال patients + +996 +01:07:17,160 --> 01:07:20,140 +اللي في عندهم stomach cancer أو esophageal cancer + +997 +01:07:20,140 --> 01:07:23,660 +أو pancreas cancer بكونوا extremely weak and + +998 +01:07:23,660 --> 01:07:26,800 +extremely fatigued كذلك الحال ال colon cancer في + +999 +01:07:26,800 --> 01:07:31,010 +المراحل المتقدمة تبعتهweakness و fatigue و + +1000 +01:07:31,010 --> 01:07:35,070 +anorexia كمان ال anorexia مهمة في ال cancer لكن ال + +1001 +01:07:35,070 --> 01:07:37,830 +anorexia مش بالضرورة انها تعني cancer ممكن ال + +1002 +01:07:37,830 --> 01:07:40,870 +anorexia تكون relevant كمان لل inflammatory + +1003 +01:07:40,870 --> 01:07:43,950 +conditions زي مثلا ال anorexia of the acute + +1004 +01:07:43,950 --> 01:07:48,630 +appendicitisأو الانوركسيا في الـ biliary colic أو + +1005 +01:07:48,630 --> 01:07:51,350 +الـ acute cholecystitis أو في ال acute + +1006 +01:07:51,350 --> 01:07:54,570 +pancreatitis الانوركسيا هنا ممكن تكون relevant + +1007 +01:07:54,570 --> 01:07:58,270 +لهذه ال conditions لكن ال chronic انوركسيا + +1008 +01:07:58,270 --> 01:08:03,970 +انوركسيا من وقت طويل هذه بتكون more significant في + +1009 +01:08:03,970 --> 01:08:07,610 +ال cancers أو في المالكننسي بينما لما تكون a new + +1010 +01:08:07,610 --> 01:08:12,640 +onset يعني بدايتها جديدةمع ال symptom الموجود أو + +1011 +01:08:12,640 --> 01:08:16,380 +قبله بشوية هذه غالبا بتكون for benign inflammation + +1012 +01:08:16,380 --> 01:08:20,400 +او painful conditions وزي ما قلنا من اوضح الأسباب + +1013 +01:08:20,400 --> 01:08:24,660 +عليها اللي هي ال acute appendicitis weight loss او + +1014 +01:08:24,660 --> 01:08:29,240 +change of weight I have to ask the patient about + +1015 +01:08:29,240 --> 01:08:32,220 +the change of weight نجس وزنك او لأ ممكن ال + +1016 +01:08:32,220 --> 01:08:35,140 +patient مايتوزنش مايعرفش نجسه ولا لأ بس ممكن اسأله + +1017 +01:08:35,140 --> 01:08:41,060 +أسئلة زي على سبيل المثال هل مالابسك وسعين عليكهل + +1018 +01:08:41,060 --> 01:08:44,660 +الملابس اللي كانت زمان حشري صارت واسعة؟ هل الساعة + +1019 +01:08:44,660 --> 01:08:48,880 +صارت تجع من إيدك؟ هل اضطريت تغير ملابسك و تشتري + +1020 +01:08:48,880 --> 01:08:53,740 +ملابس جديدة نتيجة انه صارت مش ملائمة للوزن تبعها؟ + +1021 +01:08:53,740 --> 01:08:58,610 +هذه أسئلة كلهاممكن أسألها و ممكن المريض يكون مهتم + +1022 +01:08:58,610 --> 01:09:02,150 +بوزنه و بتوزن يقولك والله انا انقصت مثلا 10 كيلو + +1023 +01:09:02,150 --> 01:09:06,750 +خلال شهرين او 15 كيلو خلال شهر او 20 كيلو خلال 3 + +1024 +01:09:06,750 --> 01:09:10,850 +شهور ع سبيل المثال كل هذا الكلام weight loss بعض + +1025 +01:09:10,850 --> 01:09:13,770 +أنواع ال cancer بتؤدي لسفير weight reduction زي ال + +1026 +01:09:13,770 --> 01:09:16,790 +stomach cancer و ال colon cancer كمان في مراحل + +1027 +01:09:16,790 --> 01:09:20,910 +المتقدمة feverish + +1028 +01:09:20,910 --> 01:09:25,550 +sensation او pyrexic sensation او heat sensation + +1029 +01:09:26,910 --> 01:09:29,930 +بناخد بالنا إن ال fever عبارة عن sign مش symptom + +1030 +01:09:29,930 --> 01:09:34,450 +يعني لازم أجيسها بنفسي وبالتالي هي جزء من ال + +1031 +01:09:34,450 --> 01:09:37,790 +physical examination مش من ال history ومش من ال + +1032 +01:09:37,790 --> 01:09:40,450 +general review of system لكن المريض ممكن يشعر + +1033 +01:09:40,450 --> 01:09:45,210 +بالحرارة أو ممكن يشعر بالسخونة وبالتالي أنا بسأل + +1034 +01:09:45,210 --> 01:09:49,550 +المريض بتشعر إن جسمك أسخن بتشعر إن في سخونة في + +1035 +01:09:49,550 --> 01:09:54,210 +جسمكلكن باسألوش إنه عندك حرارة ولا لا كلمة fever + +1036 +01:09:54,210 --> 01:10:01,090 +sign عبارة عن physical sign not a history symptom + +1037 +01:10:01,090 --> 01:10:04,940 +مش history symptom عبارة عن physical signnight + +1038 +01:10:04,940 --> 01:10:09,500 +-sweeting تعرق بالذات في ساعات الليل المرضى اللى + +1039 +01:10:09,500 --> 01:10:12,240 +عندهم cancers بعض أنواع ال cancer بتقدي ل night + +1040 +01:10:12,240 --> 01:10:15,720 +-sweets كل هذه بسأل عنها في ال general symptoms + +1041 +01:10:15,720 --> 01:10:18,800 +weakness, fatigue, anorexia, change in weight, + +1042 +01:10:19,320 --> 01:10:22,940 +fever and chills and night-sweets chills يعني + +1043 +01:10:22,940 --> 01:10:28,530 +قشعيرةالقشريرة بتوحي أنه في عندي حرارة من النوع ال + +1044 +01:10:28,530 --> 01:10:32,410 +high high grade fever مش أي نوع حرارة بيعمل قشريرة + +1045 +01:10:32,410 --> 01:10:36,090 +ال high grade لما اتعدى تسعة وتلاتين اربعين بيبدأ + +1046 +01:10:36,090 --> 01:10:39,390 +المريض يصير في عنده chills و بيبدأ يصير في عنده + +1047 +01:10:39,390 --> 01:10:43,550 +rygors ايش يعني rygors يعني بيبدأ المريض يخشب يصير + +1048 +01:10:43,550 --> 01:10:47,830 +جسمه stiff وبالتالي هذه من علامات الحرارة العالية + +1049 +01:10:47,830 --> 01:10:53,190 +gastrointestinal system بسأل عن ال change of + +1050 +01:10:53,190 --> 01:11:01,000 +appetiteقدش اتغيرت شهية المريض للأكل شهية المريض + +1051 +01:11:01,000 --> 01:11:04,740 +ممكن تكون اتغيرت recentlyزي ال acute appendicitis + +1052 +01:11:04,740 --> 01:11:07,920 +المريض كان بيأكل كويس قبل يوم لما بدأ عنده ال + +1053 +01:11:07,920 --> 01:11:12,160 +symptoms بدأ عنده ال pain بدأ يفقد الشهية تبعته is + +1054 +01:11:12,160 --> 01:11:15,600 +an anorexia of recent onset أو change of appetite + +1055 +01:11:15,600 --> 01:11:18,960 +of recent onset بينما ال patient اللي عنده cancer + +1056 +01:11:18,960 --> 01:11:23,380 +عنده loss of appetite او decrease في ال appetite + +1057 +01:11:23,380 --> 01:11:31,070 +من long timeبيت هل المريض بميل لأطعمة معينة ولا + +1058 +01:11:31,070 --> 01:11:35,690 +لا؟ هل بيحاول يعمل avoidance لأكل معين أو لا؟ + +1059 +01:11:35,690 --> 01:11:39,210 +المريض اللي بيعمل avoidance لل fatty meals أو لل + +1060 +01:11:39,210 --> 01:11:46,850 +fats بصفة عامة مريض بيلياريفي الغالب بيكون لإن ال + +1061 +01:11:46,850 --> 01:11:49,430 +fats بتعمل عنده exaggeration لل biliary symptoms + +1062 +01:11:49,430 --> 01:11:53,910 +اللي هي ال gallbladder stones أو ال stone disease + +1063 +01:11:53,910 --> 01:11:59,570 +بينما ال patient اللي مافيش عنده فرق في الأكل ممكن + +1064 +01:11:59,570 --> 01:12:04,830 +يكون يعاني من مشكلة تانية ع سبيل المثال بيكون عنده + +1065 +01:12:04,830 --> 01:12:08,290 +يعني + +1066 +01:12:08,290 --> 01:12:13,890 +problemفي مكان تاني غير ال biliary المريض اللي + +1067 +01:12:13,890 --> 01:12:16,510 +بيكون عنده peptic ulcer بيعاني من مشكلة في ال meat + +1068 +01:12:16,510 --> 01:12:21,110 +في اللحمة ال proteins ال high protein diet بالذات + +1069 +01:12:21,110 --> 01:12:25,330 +ال stomach ulcer حساسين لللحمة كتير اللحمة بتتعبهم + +1070 +01:12:25,330 --> 01:12:28,770 +جدا لإن ال proteins digested بالدرجة الأولى في ال + +1071 +01:12:28,770 --> 01:12:31,290 +stomach و ال digestion تبع ال proteins في ال + +1072 +01:12:31,290 --> 01:12:35,550 +stomach بيؤدي لل further release of acid لإن كل ما + +1073 +01:12:35,550 --> 01:12:39,370 +زاد ال protein digestion بزيد ال pepsin وبالتالي + +1074 +01:12:39,370 --> 01:12:44,310 +بزيد ال acid معاهزي ما قلنا ال weight loss of + +1075 +01:12:44,310 --> 01:12:49,410 +weight ال taste و ال teeth هل ال patient عنده good + +1076 +01:12:49,410 --> 01:12:53,210 +teeth وبالتالي بيمضغ الأكل كويس هل عنده taste + +1077 +01:12:53,210 --> 01:12:56,970 +طبيعي ولا في change of taste المريض بيشعر بطعم + +1078 +01:12:56,970 --> 01:12:59,930 +غريب في تمه بعض ال use of a gene pathologist بيشعر + +1079 +01:12:59,930 --> 01:13:03,930 +المريض ان تمه فيه طعم غريب metallic taste مثلا + +1080 +01:13:03,930 --> 01:13:08,510 +بيحس انه زي طعم الصدر او طعم مر okay هذه الشغلات + +1081 +01:13:08,510 --> 01:13:12,480 +ممكن تكون relevant لل gastrointestinal symptomsهل + +1082 +01:13:12,480 --> 01:13:15,500 +ال patient في عنده مشكلة في ال swallowing اللي + +1083 +01:13:15,500 --> 01:13:20,460 +بيسميها احنا dysphagia صعوبة في البلع أو قلم في + +1084 +01:13:20,460 --> 01:13:25,160 +البلع أو دينفاجيا هذه من علامات ال isopathy ال + +1085 +01:13:25,160 --> 01:13:28,180 +pathology او من علامات ال upper GI tract في ال + +1086 +01:13:28,180 --> 01:13:34,120 +stomach مثلا ال swallowing مهم جدا نسأل هل هو ال + +1087 +01:13:34,120 --> 01:13:40,100 +difficulty لل fluids ولا لل solid foodإذا كان + +1088 +01:13:40,100 --> 01:13:44,080 +المريض عنده difficulty لل solid food أكتر بكون + +1089 +01:13:44,080 --> 01:13:49,420 +المشكلة عنده غالبا mechanical يعني دياج أو mass أو + +1090 +01:13:49,420 --> 01:13:52,800 +narrowing في الاسوفيقاس بينما لو كانت المشكلة في + +1091 +01:13:52,800 --> 01:13:56,820 +ال fluids و في ال solids مع بعض هم بتكون المشكلة + +1092 +01:13:56,820 --> 01:13:59,340 +في ال motility في الاسوفيقاس زي حالة الأكاليزيا + +1093 +01:13:59,340 --> 01:14:03,180 +مثلا اللي هي بكون في deficient motility في + +1094 +01:14:03,180 --> 01:14:07,870 +الاسوفيقاسمهم جدا كمان نسأل في ال dysphagia عن ال + +1095 +01:14:07,870 --> 01:14:11,590 +site of dysphagia هل المريض بيشعر انه صعوب في + +1096 +01:14:11,590 --> 01:14:16,870 +البلع في منطقة العنق في الرجب يعني و لا صعوب في + +1097 +01:14:16,870 --> 01:14:19,670 +البلع في منطقة ال chest و لا في منطقة ال upper + +1098 +01:14:19,670 --> 01:14:24,010 +abdomen ممكن اللجم تجف للمريض في زوره في رجبته + +1099 +01:14:24,010 --> 01:14:30,370 +ممكن اللجم تجف في منتصف ال chest ممكن اللجم تجف في + +1100 +01:14:30,370 --> 01:14:35,280 +ال upper abdomenإذا وين المشكلة في صعوبة البلعب + +1101 +01:14:35,280 --> 01:14:37,440 +بتحددلي وين المشكلة في ال esophagus لأنه ال + +1102 +01:14:37,440 --> 01:14:42,020 +esophagus طويل 25 سانت طوله بيشمل منطقة ال neck و + +1103 +01:14:42,020 --> 01:14:44,120 +منطقة ال chest و منطقة ال upper abdomen + +1104 +01:14:44,120 --> 01:14:48,620 +regurgitation ارتجاع الطعام بدون ما المريض يبدو + +1105 +01:14:48,620 --> 01:14:54,220 +مجهود تختلف عن ال vomitingregurgitation لأ إراديا + +1106 +01:14:54,220 --> 01:14:57,900 +المريض يطلع الأكل بينما ال vomiting في جزء إرادي + +1107 +01:14:57,900 --> 01:15:01,280 +فيه أن المريض يفضل مجهود عشان يطلع الأكل بيعمل + +1108 +01:15:01,280 --> 01:15:04,660 +contraction على ال muscles تبعته عشان يطلع الأكل + +1109 +01:15:04,660 --> 01:15:11,580 +ال heartburn شعور بالحرجان ورا ال sternum retro + +1110 +01:15:11,580 --> 01:15:16,980 +sternal burning sensation هذه من علاماتالـ + +1111 +01:15:16,980 --> 01:15:19,020 +Gastrointestinal Pathology بالذات الـ + +1112 +01:15:19,020 --> 01:15:22,200 +Gastrointestinal Reflex Disease اللي بيصير فيه + +1113 +01:15:22,200 --> 01:15:26,660 +ارتجاع للحمض في المريض بيقدر ال heart burn عندهم و + +1114 +01:15:26,660 --> 01:15:29,700 +طبعا ضروري جدا انميز ما بين ال heart burn و ما بين + +1115 +01:15:29,700 --> 01:15:35,000 +ال heart pain او ال angina pain of the heartالـ + +1116 +01:15:35,000 --> 01:15:37,960 +heartburn بيكون شعور بالحرجان في منطقة الاستيرنام + +1117 +01:15:37,960 --> 01:15:41,060 +مش relevant لل heart مالوش علاقة بالقلب relevant + +1118 +01:15:41,060 --> 01:15:45,680 +لحرجان ال acid في ال in the esophagus بينما ال + +1119 +01:15:45,680 --> 01:15:48,540 +heart pain او ال angina ال pain بيكون ناتج عن + +1120 +01:15:48,540 --> 01:15:54,800 +cardiac problem vomiting of blood او ال + +1121 +01:15:54,800 --> 01:15:59,020 +hematemesis بيجي مع ال peptic ulcer disease و بيجي + +1122 +01:15:59,020 --> 01:16:03,350 +مع ال gastric cancersو بيجي كمان مع ال other + +1123 +01:16:03,350 --> 01:16:06,650 +pathologies زي ال portal hypertension أو ال liver + +1124 +01:16:06,650 --> 01:16:12,590 +cirrhosis ممكن تؤدي ل vomiting of blood other + +1125 +01:16:12,590 --> 01:16:16,810 +types or other او previous history of abdominal + +1126 +01:16:16,810 --> 01:16:20,630 +pain قد يكون ال abdominal pain hard recurrent زي + +1127 +01:16:20,630 --> 01:16:24,570 +في حالات ال gall stones او زي في حالات ال peptic + +1128 +01:16:24,570 --> 01:16:27,950 +ulcer او زي في حالات ال chronic pancreatitis + +1129 +01:16:27,950 --> 01:16:34,260 +abdominal distentionintestinal pathology او + +1130 +01:16:34,260 --> 01:16:38,140 +colonic pathology .. colonic problem .. gas في ال + +1131 +01:16:38,140 --> 01:16:42,680 +abdomen .. colonic problem .. defecation problems + +1132 +01:16:42,680 --> 01:16:45,680 +.. هل في painful defecation .. المريض اللي مايروح + +1133 +01:16:45,680 --> 01:16:49,740 +الحمام .. فيه ألم أو في صعوبة في ال defecation .. + +1134 +01:16:49,740 --> 01:16:53,060 +برضه هذا في بعض ال pathologies بيكون موجود ع سبيل + +1135 +01:16:53,060 --> 01:16:55,280 +المثال المريض اللي في عنده rectal problem .. + +1136 +01:16:55,280 --> 01:16:57,720 +rectal cancer .. يعاني من مشكلة في ال defecation + +1137 +01:16:58,740 --> 01:17:01,760 +obstructed defecation بيكون عنده او بيكون في عنده + +1138 +01:17:01,760 --> 01:17:05,980 +حاجة بيسموها tenismus يعني بظن المريض انه في عنده + +1139 +01:17:05,980 --> 01:17:09,960 +feces او في عنده stool بس لما ييجي بروع الحمام + +1140 +01:17:09,960 --> 01:17:14,280 +مافيش عنده اي حاجة كذلك الحالي ال painful + +1141 +01:17:14,280 --> 01:17:17,740 +defecation ماشي مع ال anal fissures او شروخ + +1142 +01:17:17,740 --> 01:17:23,720 +الشرجية ماشي مع ال infections زي ال abscess ال + +1143 +01:17:23,720 --> 01:17:27,640 +perianal abscess او ال rectal abscessThe change of + +1144 +01:17:27,640 --> 01:17:32,340 +the color of the skin زي الـ jaundice الانيميا الـ + +1145 +01:17:32,340 --> 01:17:34,620 +cyanosis ال jaundice اللي له علاقة بالأبدومين + +1146 +01:17:34,620 --> 01:17:38,120 +مباشرة لأنه جاي من وين ال jaundice إما من ال + +1147 +01:17:38,120 --> 01:17:40,600 +hemolysis of the blood أو من ال liver أو من ال + +1148 +01:17:40,600 --> 01:17:45,980 +biliary tract إذن هذه كلها أشياء محتملة ال skin قد + +1149 +01:17:45,980 --> 01:17:49,140 +يكون في pigmentation معينة في بعض أنواع ال disease + +1150 +01:17:50,210 --> 01:17:53,590 +الـ skin قد يكون pale in color زي في حالة الانيميا + +1151 +01:17:53,590 --> 01:17:57,450 +والانيميا ممكن تكون ناتجة عن cancer كولون cancer، + +1152 +01:17:57,450 --> 01:18:00,770 +stomach cancer، pancreatic cancer بتقدر لانيميا + +1153 +01:18:00,770 --> 01:18:07,490 +كلها إذا ال color of the skin ال respiratory + +1154 +01:18:07,490 --> 01:18:12,230 +system cuffing هل هو dry cuff ولا sputum cuff؟ + +1155 +01:18:12,230 --> 01:18:17,420 +يعني productive cuff فيه مع بالغنHemoptysis هل + +1156 +01:18:17,420 --> 01:18:20,740 +المريض بيكوح دم؟ كيف بيميز ال hemoptysis عن ال + +1157 +01:18:20,740 --> 01:18:25,820 +hematemesis؟ ال hemoptysis بيكون افروفي يعني بيكون + +1158 +01:18:25,820 --> 01:18:29,640 +معاه رغوة بين ال hematemesis لأ ال hemoptysis + +1159 +01:18:29,640 --> 01:18:32,940 +بيكون زي رغوة الصبون و بيكون لون الدم فيه rosy + +1160 +01:18:32,940 --> 01:18:36,220 +color فاتح وردي فاتح بينما ال hematemesis بيكون + +1161 +01:18:36,220 --> 01:18:41,310 +غامق لأنه مختلط بال acid of the stomachأحيانا ال + +1162 +01:18:41,310 --> 01:18:43,590 +hemoptysis بيكون معاه food material بينما ال + +1163 +01:18:43,590 --> 01:18:46,310 +hemoptysis لأ بيكون معاه sputum أكتر أو frothy + +1164 +01:18:46,310 --> 01:18:50,170 +material dyspnea shortness of breath المريض بياخد + +1165 +01:18:50,170 --> 01:18:54,810 +نفس قصير وسريع Orthopnea لما المريض ينام في ال + +1166 +01:18:54,810 --> 01:19:00,760 +supine position يبدأ نفسه يتضايق chest painبالذات + +1167 +01:19:00,760 --> 01:19:04,760 +لما يبذل مجهود Respiratory System لكن هذه الأشياء + +1168 +01:19:04,760 --> 01:19:08,180 +مشتركة كمان مع ال cardiac pathologies Chest pain, + +1169 +01:19:08,300 --> 01:19:12,320 +dyspnea, orthopnea, palpitations خفقان في القلب، + +1170 +01:19:12,320 --> 01:19:15,480 +بالذات ال patients اللي عندهم chronic hypertension + +1171 +01:19:15,480 --> 01:19:18,460 +أو في عندهم arrhythmias أو ال patients اللي في + +1172 +01:19:18,460 --> 01:19:24,870 +عندهم angina pain Cough and sputumdizziness and + +1173 +01:19:24,870 --> 01:19:29,370 +headache ال dizziness بيحس المريض انه دايخ و بده + +1174 +01:19:29,370 --> 01:19:33,450 +يجعب تختلف عن ال drowsiness ال drowsiness بيحس انه + +1175 +01:19:33,450 --> 01:19:36,510 +نعسان بده ينام بينما ال dizziness بيحس انه عنده + +1176 +01:19:36,510 --> 01:19:40,310 +light head بيسموها light headedness يعني بيحس انه + +1177 +01:19:40,310 --> 01:19:45,980 +راسه خفيف و مش شايلة بده يجعب بده يدور و يجعبAnkle + +1178 +01:19:45,980 --> 01:19:48,400 +swelling أو إديمة من علامات الـ Cardiac Disease + +1179 +01:19:48,400 --> 01:19:51,260 +بالذات الـ Heart Failure Unperipheral vascular + +1180 +01:19:51,260 --> 01:19:59,080 +system Congestion of veins و Venus Edema بالإضافة + +1181 +01:19:59,080 --> 01:20:03,500 +لـ Loss of pulsations أو Loss of pulse في الارتراض + +1182 +01:20:03,500 --> 01:20:06,160 +كل هذه قد تكون من علامات ال Cardiac Disease أو من + +1183 +01:20:06,160 --> 01:20:10,980 +علامات ال Peripheral Vascular Diseaseالنظام + +1184 +01:20:10,980 --> 01:20:12,980 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1185 +01:20:12,980 --> 01:20:13,320 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1186 +01:20:13,320 --> 01:20:14,020 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1187 +01:20:14,020 --> 01:20:14,160 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1188 +01:20:14,160 --> 01:20:16,340 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1189 +01:20:16,340 --> 01:20:18,100 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1190 +01:20:18,100 --> 01:20:18,100 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1191 +01:20:18,100 --> 01:20:18,100 +الهيروجينيالي الهيروجينيالي الهيروجينيالي + +1192 +01:20:18,100 --> 01:20:37,120 +الهيروجينيالي الهيروجينيالي الهيروجينيالي الهير + +1193 +01:20:37,540 --> 01:20:41,340 +problems of maturation زي ال abstracted urination + +1194 +01:20:41,340 --> 01:20:46,400 +أو زي ال weak stream أو زي ال dripling hesitancy + +1195 +01:20:46,400 --> 01:20:52,780 +frequency المريض بيروح الحمام كتير او بتردد في انه + +1196 +01:20:52,780 --> 01:20:55,940 +يروح الحمام او urgency بيحس ال patient انه دايما + +1197 +01:20:55,940 --> 01:21:01,060 +زي اللي هو ال escape urine بيهرب urine وبالتالي + +1198 +01:21:01,060 --> 01:21:04,980 +بيلاحقش نفسه يمكن يروح الحمام بسرعة هذه بيسموها + +1199 +01:21:04,980 --> 01:21:12,080 +urgencyOkay menstrual cycles frequency and + +1200 +01:21:12,080 --> 01:21:15,020 +regularity في ال menstrual cycles هل في + +1201 +01:21:15,020 --> 01:21:18,040 +menstruation ولا لا و قداش ال frequency و قداش ال + +1202 +01:21:18,040 --> 01:21:23,460 +regularity هل في pregnancy او symptoms suggesting + +1203 +01:21:23,460 --> 01:21:26,320 +of pregnancy لأن symptoms of pain هذه قد تكون + +1204 +01:21:26,320 --> 01:21:30,420 +ناتجة عن pregnancy بالذات الectopic pregnancy اللي + +1205 +01:21:30,420 --> 01:21:34,680 +بيكون في ال tubesbreasts هل في اي breast pathology + +1206 +01:21:34,680 --> 01:21:37,820 +ال breast pathology ممكن ينعكس في ال abdomen كمان + +1207 +01:21:37,820 --> 01:21:43,740 +زي مثلا المرضى اللي بيكون فيه عندهم breast changes + +1208 +01:21:43,740 --> 01:21:47,600 +نتيجة ال cycles ال menstrual cycles في ال females + +1209 +01:21:47,600 --> 01:21:50,940 +وبالتالي ممكن يصير فيهم congestion في ال breast او + +1210 +01:21:50,940 --> 01:21:56,160 +pain في ال breast او نتيجة ovarian او uterine + +1211 +01:21:56,160 --> 01:22:01,490 +pathologysecondary sex characteristics زي ال + +1212 +01:22:01,490 --> 01:22:05,990 +growth of hairs و زي ال changes on voice و زي ال + +1213 +01:22:05,990 --> 01:22:10,930 +first menstrual cycles في ال females كل هذه مهمة + +1214 +01:22:10,930 --> 01:22:15,470 +جدا أسأل عنها في ال eurogenital system reviewال + +1215 +01:22:15,470 --> 01:22:19,290 +nervous system مثلا او بتوقع ال mental status of + +1216 +01:22:19,290 --> 01:22:21,970 +the patient من خلال أسئلة معينة جداش المريض في + +1217 +01:22:21,970 --> 01:22:25,150 +عنده mental health جداش ال IQ level تبعه هل في + +1218 +01:22:25,150 --> 01:22:28,170 +عنده mental retardation ولا لا ال conscious level + +1219 +01:22:28,170 --> 01:22:32,370 +بقيمه بال physical examination زائد ال history + +1220 +01:22:32,370 --> 01:22:38,030 +كمان هل ال patient عنده نوبات صراحةهل في عند + +1221 +01:22:38,030 --> 01:22:43,410 +المريض بيغيب بشكل مؤقت Transient ischemic attacks + +1222 +01:22:43,410 --> 01:22:47,670 +بتعكس Vascular disease او بتعكس Brain disease Loss + +1223 +01:22:47,670 --> 01:22:51,770 +of sensations او Paresthesia بيحس المريض بخدلان في + +1224 +01:22:51,770 --> 01:22:56,930 +إيدي و في رجليه okay كل هذه Review في ال nervous + +1225 +01:22:56,930 --> 01:22:59,890 +system بالاضافة ل ال musculoskeletal system + +1226 +01:22:59,890 --> 01:23:05,730 +Migratory pain يعني pain من hand ل handبتحرك في ال + +1227 +01:23:05,730 --> 01:23:08,470 +joints أحيان بيحس فيه في ال joints of the hand في + +1228 +01:23:08,470 --> 01:23:10,590 +ال joints of the leg في ال joints of the foot + +1229 +01:23:10,590 --> 01:23:15,790 +swellings and limitation of movements بالذات لما + +1230 +01:23:15,790 --> 01:23:19,990 +المريض يتحرك بصير فيه عنده pain نتيجة الحركة هذه + +1231 +01:23:19,990 --> 01:23:23,470 +وبالتالي بيقدرش يعمل ال full range of motion أو ال + +1232 +01:23:23,470 --> 01:23:29,090 +full range of movement في ال joint هذا في ال past + +1233 +01:23:29,090 --> 01:23:31,930 +medical history هل ال patient نام في المستشفى قبل + +1234 +01:23:31,930 --> 01:23:37,460 +هيك لأي سبب؟معين سواء كان medical أو surgical وكان + +1235 +01:23:37,460 --> 01:23:41,880 +مرة نام في المستشفى وقداش طول في المستشفى هل في + +1236 +01:23:41,880 --> 01:23:45,220 +عنده history of infectious disease زي ال + +1237 +01:23:45,220 --> 01:23:48,940 +tuberculosis مثلا هل في عنده history of chronic + +1238 +01:23:48,940 --> 01:23:51,620 +disease زي ال diabetes و إيش بيخدله علاج + +1239 +01:23:51,620 --> 01:23:55,140 +hypertension كذلك الحال كذلك الحال ال cardiac أو + +1240 +01:23:55,140 --> 01:23:59,660 +pulmonary disease bronchial asthma rheumatic fever + +1241 +01:24:01,620 --> 01:24:05,360 +طبعا joint pain and swelling contact with patients + +1242 +01:24:05,360 --> 01:24:09,440 +with hepatitis or aids or blood transfusion should + +1243 +01:24:09,440 --> 01:24:13,360 +be asked طبعا هذه الشغلات مهمة جدا في ال past + +1244 +01:24:13,360 --> 01:24:16,880 +history I have to ask in detail بالذات ال contact + +1245 +01:24:16,880 --> 01:24:21,140 +of the patients previous operations ال past + +1246 +01:24:21,140 --> 01:24:25,970 +surgical historyكم عملية عمل؟ وإيش نوع العملية + +1247 +01:24:25,970 --> 01:24:30,230 +كانت؟ وهل كانت تحت تخدير عام أو تخدير موضعي؟ وهل + +1248 +01:24:30,230 --> 01:24:34,150 +انتجله دم في العملية أو خلالها أو بعدها؟ أو انتجله + +1249 +01:24:34,150 --> 01:24:38,390 +دمه خلاص بدون ما يعمل عملية المريض؟ هل صار عند + +1250 +01:24:38,390 --> 01:24:42,410 +المريض complications أثناء التخدير أو بعد التخدير؟ + +1251 +01:24:42,410 --> 01:24:45,770 +طول لما صحي من ال binge؟ أو صار في عنده بعض هيكا + +1252 +01:24:45,770 --> 01:24:48,470 +complications في ال respiratory أو ال cardiac؟ أو + +1253 +01:24:48,470 --> 01:24:52,120 +general complications؟هل المريض عنده bleeding + +1254 +01:24:52,120 --> 01:24:57,760 +diathesis؟ bleeding tendency؟ بينزف بسهولة المريض؟ + +1255 +01:24:57,760 --> 01:25:01,720 +بسأله أسئلة مباشرة هل بيصير عندك ابستaxis بسهولة؟ + +1256 +01:25:01,720 --> 01:25:08,320 +دم بنزل من الأنف؟ عند أي سبب؟ هل في دم في اللثة أو + +1257 +01:25:08,320 --> 01:25:12,420 +في الفم؟ هل عند المريض لما ينجرح بيطول ال bleeding + +1258 +01:25:12,420 --> 01:25:16,300 +لما يقف؟ هل بيصير في عنده deep bleeding زي ال + +1259 +01:25:16,300 --> 01:25:21,000 +joint swelling مثلا؟اللي هو تراكم ال blood داخل ال + +1260 +01:25:21,000 --> 01:25:24,420 +joint بالذات ال knee joint في حالات ال hemophilia + +1261 +01:25:24,420 --> 01:25:27,760 +المرضى هذول بيصير فيه عندهم bleeding داخل ال joint + +1262 +01:25:27,760 --> 01:25:31,720 +نفسه بيسموه hemarthrosis إذا ال bleeding tendency + +1263 +01:25:31,720 --> 01:25:35,960 +مهم لإنه ال bleeding tendency بالذات في ال patient + +1264 +01:25:35,960 --> 01:25:39,660 +اللي بيعمله surgery اللي بيعمله operation مجرد + +1265 +01:25:39,660 --> 01:25:41,560 +معمل cutting لل tissue بيبدأ يصير فيه عنده + +1266 +01:25:41,560 --> 01:25:44,990 +bleeding without controlوبالتالي مهم جدا في الـ + +1267 +01:25:44,990 --> 01:25:47,890 +Preoperative قبل ما أعمله العملية في ال past + +1268 +01:25:47,890 --> 01:25:51,590 +history أسأل عن ال bleeding tendency ال drug + +1269 +01:25:51,590 --> 01:25:54,110 +history أشياء كتير في ال drugs على رأسها ال non + +1270 +01:25:54,110 --> 01:25:58,130 +-steroidal anti-inflammatory drugs Aspirin + +1271 +01:25:58,130 --> 01:26:02,430 +والاستيرويدا لل drugsوالانسولين، Anti + +1272 +01:26:02,430 --> 01:26:06,710 +-hypertensives، هرمونا الtherapy، بالذات الهرمونا + +1273 +01:26:06,710 --> 01:26:11,070 +في الفتيات، اللي هي الأستروجين والبروجيسترون + +1274 +01:26:11,070 --> 01:26:14,470 +والنونستيرويدال، الانتانفلماتوري دراجس بالاضافة + +1275 +01:26:14,470 --> 01:26:19,630 +للأخرى حسب ما يملي وضع المرضىلأن هذه الدراجات قد + +1276 +01:26:19,630 --> 01:26:24,070 +تكون تأثير على مواصلة المرض والمواصلة للسيرجيري + +1277 +01:26:24,070 --> 01:26:27,330 +على سبيل المثال الاستيرويد بتجلل المناعة وبتجعل + +1278 +01:26:27,330 --> 01:26:30,610 +المريض عرض لل wound infection الاستيرويد بتتعارض + +1279 +01:26:30,610 --> 01:26:36,790 +مع ال wound healing بعد السيرجيري الانسولين بيأثر + +1280 +01:26:36,790 --> 01:26:38,630 +على ال wound healing بيأثر على ال risk of + +1281 +01:26:38,630 --> 01:26:42,970 +infectionاللي هو الديابيتس يعني كذلك الحال ال + +1282 +01:26:42,970 --> 01:26:46,070 +patients اللي عندهم hormonal therapy قد يتأثروا + +1283 +01:26:46,070 --> 01:26:50,030 +بدرجات متفاوتة ال estrogen ممكن يعلي ال risk of + +1284 +01:26:50,030 --> 01:26:53,310 +thromboembolismوعلي ال risk of cardiac + +1285 +01:26:53,310 --> 01:26:56,270 +complication لو كان بياخدوا المريض exogenous + +1286 +01:26:56,270 --> 01:27:00,170 +بياخدوه كعلاج ال antihypertensive medication + +1287 +01:27:00,170 --> 01:27:03,970 +should be taken at the time عشان مايصيرش + +1288 +01:27:03,970 --> 01:27:06,450 +complication أو uncontrolled hypertension during + +1289 +01:27:06,450 --> 01:27:09,010 +the disease of the current disease of the patient + +1290 +01:27:09,010 --> 01:27:13,800 +أو during the surgeryimmunization نسأل عنها في ال + +1291 +01:27:13,800 --> 01:27:16,140 +children مش في ال adults أكتر شيء وإن كان في ال + +1292 +01:27:16,140 --> 01:27:19,620 +adults نسأل عنه تيتانوس أكتر حاجة تيتانوس + +1293 +01:27:19,620 --> 01:27:22,160 +immunization بالذات في الحالات اللي بتيجي بال + +1294 +01:27:22,160 --> 01:27:24,820 +trauma اللي بيكون في عندهم trauma with + +1295 +01:27:24,820 --> 01:27:27,720 +contamination of the wound يعني صار في عند المريض + +1296 +01:27:27,720 --> 01:27:31,550 +trauma وفي نفس الوقت اتلوث جرحه بالبالطينة او + +1297 +01:27:31,550 --> 01:27:36,210 +بالرمل او بمنطقة متسخة هذه التيتانوس مهم جدا فيها + +1298 +01:27:36,210 --> 01:27:39,590 +لان التيتانوس بينتقل في الجروح المفتوحة عن طريق + +1299 +01:27:39,590 --> 01:27:46,050 +تلوثها بالاتربة او بالطينةالـ family history + +1300 +01:27:46,050 --> 01:27:50,510 +health, age and cause of death في ال patients و في + +1301 +01:27:50,510 --> 01:27:54,650 +ال family members ال familial disease دي ال breast + +1302 +01:27:54,650 --> 01:27:57,690 +disease و ال colon cancer و ال infections اللي + +1303 +01:27:57,690 --> 01:28:01,750 +ممكن تنتجل عن طريق from patient to patient زي ال + +1304 +01:28:01,750 --> 01:28:05,670 +TB و ال hepatitis و ال AIDS و ال .. اللي بيسموها + +1305 +01:28:05,670 --> 01:28:10,710 +transmissible diseases marital + +1306 +01:28:10,710 --> 01:28:15,150 +status في ال social history متزوج أو أعزبو ال + +1307 +01:28:15,150 --> 01:28:20,280 +occupational status ايش المريض بيشتغلزي ما قلنا + +1308 +01:28:20,280 --> 01:28:23,000 +بعض الأعمال ممكن تكون associated with some + +1309 +01:28:23,000 --> 01:28:27,200 +diseases هل المريض سافر ولا لأ؟ بعض الأمراض بتكون + +1310 +01:28:27,200 --> 01:28:31,880 +متوطنة في بعض الدول زي مثلا ال malaria موجود في + +1311 +01:28:31,880 --> 01:28:36,160 +المناطق المدارية عند خط الاستواء كذلك الحال في + +1312 +01:28:36,160 --> 01:28:39,260 +المناطق القراوية أو في الدول اللي بتعتمد على تربية + +1313 +01:28:39,260 --> 01:28:42,320 +الماشية او كذا ممكن يكون في عندهم hidatite disease + +1314 +01:28:42,320 --> 01:28:46,280 +hidatite cyst disease ال habits زي ال smoking + +1315 +01:28:46,280 --> 01:28:50,540 +بيعلي ال risk of أشياء كتيرالدرينكز أو الهواتف + +1316 +01:28:50,540 --> 01:28:53,160 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1317 +01:28:53,160 --> 01:28:54,660 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1318 +01:28:54,660 --> 01:28:58,180 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1319 +01:28:58,180 --> 01:28:58,720 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1320 +01:28:58,720 --> 01:29:01,880 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1321 +01:29:01,880 --> 01:29:02,680 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1322 +01:29:02,680 --> 01:29:03,600 +الأساسية أو الهواتف الأساسية أو الهواتف الأساسية + +1323 +01:29:03,600 --> 01:29:04,700 +أو الهواتف الأساسية أو الهواتف الأساسية أو الهواتف + +1324 +01:29:04,700 --> 01:29:08,020 +الأساسية أو الهواتف الأسFormulate and complete the + +1325 +01:29:08,020 --> 01:29:11,060 +picture of the patient disease and confirming the + +1326 +01:29:11,060 --> 01:29:15,540 +diagnosis بالإضافة للموافقة على خطة العلاج لأن + +1327 +01:29:15,540 --> 01:29:19,440 +without established history there is no plan for + +1328 +01:29:19,440 --> 01:29:22,400 +treatment and there is no plan for correct + +1329 +01:29:22,400 --> 01:29:26,540 +treatment so the take home message from here is + +1330 +01:29:26,540 --> 01:29:29,480 +always talk to the patient before asking for + +1331 +01:29:29,480 --> 01:29:35,480 +anything else talking to the patientdetails of the + +1332 +01:29:35,480 --> 01:29:39,820 +data مهم جدا قبل ما أبدأ أعمل examination و قبل ما + +1333 +01:29:39,820 --> 01:29:45,300 +أبدأ أطلب investigation معينة و أساسا هو ال + +1334 +01:29:45,300 --> 01:29:48,160 +history و ال talking to the patient هو اللي + +1335 +01:29:48,160 --> 01:29:52,500 +بيوجهني إيش أطلب للمريض و إيش أعمل investigation + +1336 +01:29:52,500 --> 01:29:56,260 +للمريض و إيش العلاج اللي لازم للمريض بعد ما أكمل + +1337 +01:29:56,260 --> 01:30:01,890 +الصورة بشكل نهرطبعا موضوع ال history ما بينحكاش + +1338 +01:30:01,890 --> 01:30:05,090 +عنه نظريا بس ان شاء الله في ال bedside teaching + +1339 +01:30:05,090 --> 01:30:09,530 +هنتناول ال history taking بمزيد من التفصيل و + +1340 +01:30:09,530 --> 01:30:14,950 +بتطبيق مباشر على المرضى ان شاء الله نشوفكم على خير + +1341 +01:30:14,950 --> 01:30:17,410 +في ال bedside teaching و شكرا للجميع + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k.srt new file mode 100644 index 0000000000000000000000000000000000000000..449a9b845c24dbe5e9bff839775058ed6048c8fe --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k.srt @@ -0,0 +1,2244 @@ +1 +00:00:02,090 --> 00:00:05,430 +السلام عليكم اليوم سنتحدث عن التقرير التاريخي + +2 +00:00:05,430 --> 00:00:09,990 +للنظام الكاردوفاكوري والنظام الريناليو الأول، حصة هي + +3 +00:00:09,990 --> 00:00:15,830 +تقرير التاريخ للنظام الكاردوفاكوري، تقرير التاريخ + +4 +00:00:15,830 --> 00:00:21,870 +للنظام الكاردوفاكوري مثل كل نظام كاردوفاكوري، لذلك + +5 +00:00:21,870 --> 00:00:26,090 +ليس مختلفًا للنظام الكاردوفاكوري، القواعد التي سيتم + +6 +00:00:26,090 --> 00:00:30,160 +تذكيرها في هذه التقرير، يجب أن تتبعها في تأخير أي حاجة + +7 +00:00:30,160 --> 00:00:36,640 +مرتبطة بأي نظام، لماذا التأخير مهم؟ تأخير التأخير + +8 +00:00:36,640 --> 00:00:43,320 +مهم جدًا في مواصلة الوضع، في مواصلة الوضع، في مواصلة + +9 +00:00:43,320 --> 00:00:43,920 +الوضع، في مواصلة الوضع، في مواصلة الوضع، في مواصلة + +10 +00:00:43,920 --> 00:00:44,180 +الوضع، في مواصلة الوضع، في مواصلة الوضع، في مواصلة + +11 +00:00:44,180 --> 00:00:45,480 +الوضع، في مواصلة الوضع، في مواصلة الوضع، في مواصلة + +12 +00:00:45,480 --> 00:00:48,220 +الوضع، في مواصلة الوضع، في مواصلة الوضع، في مواصلة + +13 +00:00:48,220 --> 00:00:53,080 +الوضع، في مواصلة الوضع، في مواصلة الوضع، في مواصلة + +14 +00:00:53,080 --> 00:00:59,410 +الوضع، في مواصلة الوضع، في مواصلة الوضع، وهذا يؤثر على + +15 +00:00:59,410 --> 00:01:05,490 +جميع جزء من الوظيفة، 70% من التقرير يعتمد على + +16 +00:01:05,490 --> 00:01:09,290 +التقرير، وبعض الأحيان حتى 100% يعتمد على التقرير + +17 +00:01:09,290 --> 00:01:14,890 +يجب أن يتخلصوا من القصص، يتخلصوا من الحكومة، وهناك + +18 +00:01:14,890 --> 00:01:21,650 +فرق كبير بين التقرير وقصة + +19 +00:01:21,650 --> 00:01:21,970 +التقرير + +20 +00:01:25,140 --> 00:01:28,400 +الجزءات من تاريخ الدراسة ليست فقط الكاردباشيا + +21 +00:01:28,400 --> 00:01:32,280 +والديابا، لكن جميع تاريخ الدراسة هي نفسها، ويجب أن + +22 +00:01:32,280 --> 00:01:36,800 +تتبع هذه المرحلة طوال الوقت، في أول مرة تحتوي على + +23 +00:01:36,800 --> 00:01:40,200 +مصادر شخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +24 +00:01:40,200 --> 00:01:41,140 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +25 +00:01:41,140 --> 00:01:43,080 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +26 +00:01:43,080 --> 00:01:43,920 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +27 +00:01:43,920 --> 00:01:45,000 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +28 +00:01:45,000 --> 00:01:54,320 +الشخصية، مصاد + +29 +00:01:54,600 --> 00:02:00,240 +والتنسيق في نهاية كل التاريخ يجب أن تتضمن مهما + +30 +00:02:00,240 --> 00:02:04,360 +للطبيعة والإيقاع + +31 +00:02:04,360 --> 00:02:11,100 +كيف تأخذ التاريخ، التاريخ هو مهارة، و لكي تستخدم هذه + +32 +00:02:11,100 --> 00:02:16,280 +المهارة يجب أن تتعلم أكثر عن المرضى، ويجب أن تدرس + +33 +00:02:16,280 --> 00:02:22,260 +التاريخ، بدون دراسة أعتقد أن هذه المهارة بطريقة بسيطة + +34 +00:02:22,910 --> 00:02:28,530 +سيكون صعب جدًا إذا لم تكن لديك دراسة، لذلك إنه عمل + +35 +00:02:28,530 --> 00:02:32,430 +يجب أن تستخدمه، لاستخدام أي مهارة، يحتاجك الكثير من + +36 +00:02:32,430 --> 00:02:40,610 +الدراسة، المجموعة المهارة هي مجموعة ومخصصة، المجموعات + +37 +00:02:40,610 --> 00:02:46,910 +من هذه المجموعات هي متساوية، لكننا وضعناها في + +38 +00:02:46,910 --> 00:02:51,450 +مجموعة لكي لا نفوت أحد من هذه المجموعات، مهارة + +39 +00:02:51,450 --> 00:02:57,390 +مهارة، مهارة، مهارة مهمة، مهارة الأسئلة مهمة، بسيطة لكن + +40 +00:02:57,390 --> 00:03:00,810 +المعرفة المضغوطة تحتاج إليها لتحقيق مهارة، مهارة + +41 +00:03:00,810 --> 00:03:00,830 +مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة + +42 +00:03:00,830 --> 00:03:01,530 +مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة + +43 +00:03:01,530 --> 00:03:02,450 +مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة + +44 +00:03:02,450 --> 00:03:05,490 +مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة + +45 +00:03:05,490 --> 00:03:06,390 +مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة، مهارة + +46 +00:03:06,390 --> 00:03:10,390 +مهارة، مهارة، مهارة، مهارة + +47 +00:03:10,390 --> 00:03:20,670 +مه + +48 +00:03:21,960 --> 00:03:24,120 +بطريقة مصطلحية، ومصطلحية، مصطلحية، ومصطلحية، مصطلحية + +49 +00:03:24,120 --> 00:03:27,700 +ومصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +50 +00:03:27,700 --> 00:03:30,800 +مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +51 +00:03:30,800 --> 00:03:31,180 +مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +52 +00:03:31,180 --> 00:03:41,340 +مصطلحية، مصطلحية، مصطلحية، م + +53 +00:03:50,660 --> 00:03:55,320 +السؤال يجب أن يكون بسيط، واضح، يجب أن تتخلص من كلمات + +54 +00:03:55,320 --> 00:04:00,900 +طبيعية، وكلمات طبعية، ويجب + +55 +00:04:00,900 --> 00:04:06,260 +أن تتخلص من سؤال مفتوح، أو مفتوح، أو مفتوح، أو مفتوح + +56 +00:04:06,260 --> 00:04:06,580 +أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو + +57 +00:04:06,580 --> 00:04:08,420 +مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح + +58 +00:04:08,420 --> 00:04:09,660 +أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو + +59 +00:04:09,660 --> 00:04:10,580 +مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح، أو مفتوح + +60 +00:04:10,580 --> 00:04:17,060 +أو مفتوح، أو مفتوح، أو + +61 +00:04:20,650 --> 00:04:24,750 +البيانات الشخصية مهمة جدًا، وبسبب ما بدأت بها تسجل + +62 +00:04:24,750 --> 00:04:31,090 +اسمه، عمره، أو اسمه، عمره، ادرس سكس اثنسه تاكي اكتشاف + +63 +00:04:31,090 --> 00:04:34,030 +مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +64 +00:04:34,030 --> 00:04:34,910 +مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +65 +00:04:34,910 --> 00:04:36,490 +مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +66 +00:04:36,490 --> 00:04:45,670 +مصطلحية، مصطلحية، مصطلحية، مصطلحية، مصطلحية + +67 +00:04:45,670 --> 00:04:48,810 +مصطلح + +68 +00:04:49,200 --> 00:04:53,080 +عائلات، أو مخدرات، أو عملية مجتمعية مهتمين بالطب + +69 +00:04:53,080 --> 00:04:58,060 +والطب، يجب أن نبدأ بـ Chief Complaint، الـ Chief + +70 +00:04:58,060 --> 00:05:01,240 +Complaint هو السبب الرئيسي، لماذا طب يأتي إليك + +71 +00:05:01,240 --> 00:05:08,240 +وخصوصًا سبتمبر واحد، عادة يمكن أن يكون عديدًا، الطب + +72 +00:05:08,240 --> 00:05:13,800 +يجب أن يفسر مشكلته، أو مشكلته في كلماته الخاصة، ولكن + +73 +00:05:13,800 --> 00:05:17,240 +يجب أن يتم تسجيلها بكلماته الخاصة، في كلماتك الخاصة + +74 +00:05:17,240 --> 00:05:21,980 +أيضًا عليك استخدام سؤال مفتوح طوال الوقت، لا تبدأ + +75 +00:05:21,980 --> 00:05:26,460 +بمبادرة، أو تغلق السؤال، ابدأ بسؤال مفتوح عن ماذا + +76 +00:05:26,460 --> 00:05:30,200 +تريد أن تقرر، أن تقرر، ماذا هو مشكلتك، ما هو مشكلتك، أو + +77 +00:05:30,200 --> 00:05:30,820 +ما هو مشكلتك، أو ما هو مشكلتك، أو ما هو مشكلتك، أو ما هو + +78 +00:05:30,820 --> 00:05:32,180 +مشكلتك، أو ما هو مشكلتك، أو ما هو مشكلتك، أو ما هو + +79 +00:05:32,180 --> 00:05:33,620 +مشكلتك، أو ما هو مشكلتك، أو ما هو مشكلتك، أو ما هو + +80 +00:05:33,620 --> 00:05:42,980 +مشكلتك، أو ما هو مشكلتك، أو ما هو مشكلتك، أو + +81 +00:05:42,980 --> 00:05:48,140 +ما هو مشكل + +82 +00:05:50,370 --> 00:05:54,710 +الذي يكتب كلمات صحيحة في هذه المجالات، الإنتاج + +83 +00:05:54,710 --> 00:05:59,070 +الشخصي، يجب أن يكون كتاب بلغة الشخصية، ويجب أن تنقض + +84 +00:05:59,070 --> 00:06:04,150 +كلمات صحيحة، الإنتاج الشخصي يسوي الإنتاج الشخصي + +85 +00:06:04,150 --> 00:06:07,130 +الإنتاج الشخصي، الإنتاج الشخصي، الإنتاج الشخصي + +86 +00:06:07,130 --> 00:06:10,610 +الإنتاج الشخصي، الإنتاج الشخصي، الإنتاج الشخصي + +87 +00:06:10,610 --> 00:06:12,330 +الإنتاج الشخصي، الإنتاج الشخصي، الإنتاج الشخصي + +88 +00:06:12,330 --> 00:06:12,450 +الإنتاج الشخصي، الإنتاج الشخصي، الإنتاج الشخصي + +89 +00:06:12,450 --> 00:06:13,990 +الإنتاج الشخصي، الإنتاج الشخصي، الإنتاج الشخصي، ان + +90 +00:06:20,530 --> 00:06:23,530 +المشكلة الرئيسية للنظام القلبي هو الحرارة في + +91 +00:06:23,530 --> 00:06:29,010 +الجلد، وكذلك يجب أن تغطي جميع جزء من الحرارة مثل + +92 +00:06:29,010 --> 00:06:32,210 +الوقت الموجود، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم + +93 +00:06:32,210 --> 00:06:32,810 +مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم + +94 +00:06:32,810 --> 00:06:35,030 +مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم + +95 +00:06:35,030 --> 00:06:35,770 +مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم + +96 +00:06:35,770 --> 00:06:36,670 +مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم + +97 +00:06:36,670 --> 00:06:39,430 +مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم، مستخدم + +98 +00:06:39,430 --> 00:06:47,370 +مستخدم + +99 +00:06:47,370 --> 00:06:51,770 +الصحيحة، الصحيحة، يسأل عن مواصلة موقع وقيمة + +100 +00:06:51,770 --> 00:06:56,950 +وردوشان وخلق مصادر في علاقة مع مواصلة، مواصلة + +101 +00:06:56,950 --> 00:06:59,510 +مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة + +102 +00:06:59,510 --> 00:06:59,630 +مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة + +103 +00:06:59,630 --> 00:06:59,990 +مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة + +104 +00:06:59,990 --> 00:07:01,330 +مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة، مواصلة + +105 +00:07:01,330 --> 00:07:14,810 +مو + +106 +00:07:17,280 --> 00:07:23,220 +أسأل عن رؤية كيف بدأت الموضوع بمعرفة قيمة، ومعرفة + +107 +00:07:23,220 --> 00:07:26,500 +قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة + +108 +00:07:26,500 --> 00:07:28,340 +قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة + +109 +00:07:28,340 --> 00:07:29,300 +قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة + +110 +00:07:29,300 --> 00:07:29,880 +قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة + +111 +00:07:29,880 --> 00:07:30,320 +قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة + +112 +00:07:30,320 --> 00:07:36,920 +قيمة، ومعرفة قيمة، ومعرفة قيمة، ومعرفة + +113 +00:07:36,920 --> 00:07:42,500 +قيمة، ومعرفة قيم + +114 +00:07:44,570 --> 00:07:47,690 +في قصة بصحيح الأطباء، يجب أن تسأل عن أي شيء مرتبط + +115 +00:07:47,690 --> 00:07:52,190 +بالحر، يجب أن تسأل عن قصة بصحيح الأطباء، يجب أن + +116 +00:07:52,190 --> 00:07:52,370 +مرتبط بالحر، يجب أن تسأل عن أي شيء مرتبط بالحر، + +117 +00:07:52,370 --> 00:07:53,590 +يجب أن تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل عن + +118 +00:07:53,590 --> 00:07:54,430 +أي شيء مرتبط بالحر، يجب أن تسأل عن أي شيء مرتبط + +119 +00:07:54,430 --> 00:07:56,930 +بالحر، يجب أن تسأل عن أي شيء مرتبط بالحر، يجب أن + +120 +00:07:56,930 --> 00:08:01,490 +تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل + +121 +00:08:11,390 --> 00:08:14,170 +الجراحي، أو الجراحي الرئيسي، يسأل عن إيقاف + +122 +00:08:14,170 --> 00:08:17,990 +الجراحي، وإذا كان هناك أي جراحي مفهوم + +123 +00:08:17,990 --> 00:08:24,150 +للسيرجيكال، كيف كانت السنة العملية، وكيف كانت السنة + +124 +00:08:24,150 --> 00:08:25,210 +العملية، وكيف كانت السنة العملية، وكيف كانت السنة + +125 +00:08:25,210 --> 00:08:25,250 +العملية، وكيف كانت السنة العملية، وكيف كانت السنة + + +126 +00:08:25,250 --> 00:08:25,630 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +127 +00:08:25,630 --> 00:08:25,950 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +128 +00:08:25,950 --> 00:08:26,950 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +129 +00:08:26,950 --> 00:08:29,610 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +130 +00:08:29,610 --> 00:08:37,210 +العملية وكيف كانت السنة العملية وك + +131 +00:08:43,380 --> 00:08:47,100 +والسؤال يتعلق بـ Frequency of patient taking of + +132 +00:08:47,100 --> 00:08:50,600 +these medications في تاريخ المخدرات يجب أن + +133 +00:08:50,600 --> 00:08:54,320 +تعرف تاريخ المخدرات + +134 +00:08:54,320 --> 00:08:54,340 + + +135 +00:08:54,340 --> 00:08:57,300 + + +136 +00:08:57,300 --> 00:08:57,340 + + +137 +00:08:57,340 --> 00:08:59,000 + + +138 +00:08:59,000 --> 00:09:12,540 + + +139 +00:09:12,810 --> 00:09:15,170 +الهيبوتينسيا + +140 +00:09:15,170 --> 00:09:16,150 + + +141 +00:09:16,150 --> 00:09:18,750 + + +142 +00:09:18,750 --> 00:09:18,910 + + +143 +00:09:18,910 --> 00:09:20,470 + + +144 +00:09:20,470 --> 00:09:20,550 + + +145 +00:09:20,550 --> 00:09:23,870 + + +146 +00:09:23,870 --> 00:09:29,450 + + +147 +00:09:29,450 --> 00:09:36,230 + + +148 +00:09:36,230 --> 00:09:37,570 +الهيبوتينسيا + +149 +00:09:42,390 --> 00:09:46,950 +بالنسبة للشباب وفي حالة اقتصادية مرة أخرى عن حالة + +150 +00:09:46,950 --> 00:09:49,270 +اقتصادية لا تسأل الشباب اذا كان لديه مال او لا + +151 +00:09:49,270 --> 00:09:53,470 +تسأله عنه بشكل عام اجتماعي اقتصادية نجد ان + +152 +00:09:53,470 --> 00:10:00,050 +هناك صعوبات مختلفة + +153 +00:10:00,050 --> 00:10:05,450 + + +154 +00:10:05,450 --> 00:10:08,610 + + +155 +00:10:08,610 --> 00:10:08,790 + + +156 +00:10:08,790 --> 00:10:09,230 + + +157 +00:10:09,230 --> 00:10:15,390 +مختلفة هذا هو مرحلة لا تخسر أي شيء أي + +158 +00:10:15,390 --> 00:10:19,970 +إجابة مهمة يجب أن تتحرك إلى الانتجار التاريخي + +159 +00:10:19,970 --> 00:10:21,430 +التاريخي أو قصة مصادر + +160 +00:10:21,430 --> 00:10:21,810 + + +161 +00:10:21,810 --> 00:10:23,790 + + +162 +00:10:23,790 --> 00:10:24,290 + + +163 +00:10:24,290 --> 00:10:25,710 + + +164 +00:10:25,710 --> 00:10:32,070 + + +165 +00:10:32,070 --> 00:10:37,170 +مصاد + +166 +00:10:37,250 --> 00:10:42,390 +سيستم التجارب يسأل عن أسلحة، عضلات، + +167 +00:10:42,390 --> 00:10:43,450 + + +168 +00:10:43,450 --> 00:10:44,570 + + +169 +00:10:44,570 --> 00:10:45,490 + + +170 +00:10:45,490 --> 00:10:47,290 + + +171 +00:10:47,290 --> 00:10:52,210 + + +172 +00:10:52,210 --> 00:10:56,970 + + +173 +00:10:56,970 --> 00:10:58,170 +عضلات، + +174 +00:11:04,010 --> 00:11:08,790 +عن مفهوم الحرارة التي تعتمد عليها هذا البرتقال + +175 +00:11:08,790 --> 00:11:13,430 +ويجب أن تقوم بتقاط التقاط البرتقال + +176 +00:11:13,430 --> 00:11:18,030 + + +177 +00:11:18,030 --> 00:11:23,350 + + +178 +00:11:23,350 --> 00:11:23,770 + + +179 +00:11:23,770 --> 00:11:29,140 +البرتقال هذا مخصص لـ Heart + +180 +00:11:29,140 --> 00:11:32,920 +Failure وشركة بيركزيومان اكترونيا ديسنيا مستخدم + +181 +00:11:32,920 --> 00:11:34,040 + + +182 +00:11:34,040 --> 00:11:35,180 + + +183 +00:11:35,180 --> 00:11:37,520 + + +184 +00:11:37,520 --> 00:11:38,120 + + +185 +00:11:38,120 --> 00:11:38,760 + + +186 +00:11:38,760 --> 00:11:41,760 + + +187 +00:11:41,760 --> 00:11:46,300 + + +188 +00:11:46,300 --> 00:11:57,200 +مست + +189 +00:11:57,490 --> 00:12:02,770 +أو heart disease كفأس بيوتم في heart disease هو + +190 +00:12:02,770 --> 00:12:08,510 +عادة بينكسي و 40 و بلاطي يمكن أن يكون من نسبة + +191 +00:12:08,510 --> 00:12:14,290 +بالمريديما أو بالمريمابوليزم + +192 +00:12:14,290 --> 00:12:19,150 +مرسوم العقل لعقل مريميديما عامة في عقل مريميديما + +193 +00:12:19,150 --> 00:12:25,860 +عامة في عقل مريميديما + +194 +00:12:25,860 --> 00:12:29,100 +يجب أن تسأل عن موقع الانتجار والطبيعة ويمكنك أن تسأل المريض ان + +195 +00:12:29,100 --> 00:12:33,080 +تضغط على هذه الانتجار كيف هي عادية + +196 +00:12:33,080 --> 00:12:33,680 + + +197 +00:12:33,680 --> 00:12:37,020 + + +198 +00:12:37,020 --> 00:12:38,880 + + +199 +00:12:38,880 --> 00:12:38,940 + + +200 +00:12:38,940 --> 00:12:38,960 + + +201 +00:12:38,960 --> 00:12:39,040 + + +202 +00:12:39,040 --> 00:12:48,900 + + +203 +00:12:48,900 --> 00:12:52,600 +عادية + +204 +00:12:52,840 --> 00:12:56,420 +مشكلة الحرارة مثلًا فرقية الحرارة احترام الحرارة + +205 +00:12:56,420 --> 00:13:07,920 +نكتوريا و باك بين نكتوريا + +206 +00:13:07,920 --> 00:13:08,500 + + +207 +00:13:08,500 --> 00:13:08,700 + + +208 +00:13:08,700 --> 00:13:11,640 + + +209 +00:13:53,080 --> 00:13:58,490 +نوفا سيسترمنتهناك علاقة بين نفسي والنظام الفضائي + +210 +00:13:58,490 --> 00:14:04,570 +يجب أن يسأل عن محركات عضوية مثل + +211 +00:14:04,570 --> 00:14:08,870 + + +212 +00:14:08,870 --> 00:14:12,790 + + +213 +00:14:12,790 --> 00:14:13,070 + + +214 +00:14:13,070 --> 00:14:14,930 + + +215 +00:14:14,930 --> 00:14:15,390 + + +216 +00:14:15,390 --> 00:14:25,250 + + +217 +00:14:30,330 --> 00:14:34,550 +تسأله بشكل عام اذا كان يعتقد اي شيء مرتبط يجب ان + +218 +00:14:34,550 --> 00:14:41,050 +اعرف اعطيه مخطط ماضي اعطيه المسمح للتجارة + +219 +00:14:41,050 --> 00:14:46,930 + + +220 +00:14:46,930 --> 00:14:51,710 + + +221 +00:14:51,710 --> 00:14:53,270 + + +222 +00:14:57,940 --> 00:15:00,760 +الواضحة عامة بأن المريض يحتوي على أشكال محطمة + +223 +00:15:00,760 --> 00:15:01,520 + + +224 +00:15:01,520 --> 00:15:02,880 + + +225 +00:15:02,880 --> 00:15:04,420 + + +226 +00:15:04,420 --> 00:15:11,100 + + +227 +00:15:11,100 --> 00:15:17,240 + + +228 +00:15:17,240 --> 00:15:25,800 +مح + +229 +00:15:26,270 --> 00:15:33,490 +مع الانتشارات البرميلية فريدريكس اتكشن وهو مفتاح + +230 +00:15:33,490 --> 00:15:39,610 +موبالي ومفتاح اتكشن مع بسكيبس وهامرتوس وهيبرتريك + +231 +00:15:39,610 --> 00:15:43,930 +كارديو ميابيتي وكولازيكس بندراتس وشريك باك شندروم + +232 +00:15:44,810 --> 00:15:48,690 +الدرجة الضعيفة ومشاركة بـ Autic Cerebral Mutation + +233 +00:15:48,690 --> 00:15:50,750 +ومشاركة بـ Congestive Heart Failure برنامج قوية + +234 +00:15:50,750 --> 00:15:53,670 +ومشاركة بـ Right Side Heart Failure وPulmonar + +235 +00:15:53,670 --> 00:15:59,230 +Abortation بالمشاركة ومشاركته سوفيلو بيز وشريبي + +236 +00:15:59,230 --> 00:16:02,710 +برنامج قوي ومشاركة بـ Hereditary Mergatory + +237 +00:16:02,710 --> 00:16:05,830 +Angiectasia ومشاركة بـ Pulmonary Artery Relapse + +238 +00:16:05,830 --> 00:16:08,970 +ومشاركة بـ Lobous Features ومشاركة بـ Varroa + +239 +00:16:08,970 --> 00:16:13,270 +Disease ومايكارداتس + +240 +00:16:13,270 --> 00:16:17,610 +واندوكارداتسالذي يسمى منساكسيندوكارداتيس و + +241 +00:16:17,610 --> 00:16:22,150 +Pericarditis فيقرم السيطومة تسيطر على الجلد الفارق + +242 +00:16:22,150 --> 00:16:28,410 +مع فيقرم + +243 +00:16:28,410 --> 00:16:31,910 +السيطومة شعاكيا دوسيس كوتانيوس نديول سوردهي + +244 +00:16:31,910 --> 00:16:35,690 +ماندوزم لوبس برينيو سيكندر كاردومماتيان + +245 +00:16:37,360 --> 00:16:40,920 +Tuberculosis and fibromas مرتبط بالمعارضات العربية + +246 +00:16:40,920 --> 00:16:43,320 +مجزدا منها مرتبط بالمعارضات العربية + +247 +00:16:43,320 --> 00:16:44,480 + + +248 +00:16:44,480 --> 00:16:45,220 + + +249 +00:16:45,220 --> 00:16:46,240 + + +250 +00:16:46,240 --> 00:16:47,720 + + +251 +00:16:47,720 --> 00:16:48,520 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +252 +00:16:48,520 --> 00:16:56,860 +بالمعارضات العربية مرتبط + +253 +00:16:56,860 --> 00:17:02,340 +بالمعارضات العربية مرتبط + +254 +00:17:02,660 --> 00:17:05,720 +انفكاط وانتقادات وانتقادات وانتقادات وانتقادات + +255 +00:17:05,720 --> 00:17:07,300 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +256 +00:17:07,300 --> 00:17:11,440 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +257 +00:17:11,440 --> 00:17:14,060 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +258 +00:17:14,060 --> 00:17:17,740 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +259 +00:17:17,740 --> 00:17:18,040 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +260 +00:17:18,040 --> 00:17:20,120 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +261 +00:17:20,120 --> 00:17:24,720 +وانتقادات + +262 +00:17:24,720 --> 00:17:32,100 +وانتقادات وانت + +263 +00:17:35,280 --> 00:17:40,820 +الـ GVP مجرد 45 درجة ويجب أن يكون مختلفا + +264 +00:17:40,820 --> 00:17:48,000 +بكاروتد لديه اتجاهات اتجاهات اتجاهات اتجاهات + +265 +00:17:48,000 --> 00:17:48,160 +اتجاهات اتجاهات اتجاهات اتجاهات اتجاهات اتجاهات + +266 +00:17:48,160 --> 00:17:48,580 +اتجاهات اتجاهات اتجاهات اتجاهات اتجاهات اتجاهات + +267 +00:17:48,580 --> 00:17:48,660 +اتجاهات اتجاهات اتجاهات اتجاهات اتجاهات اتجاهات + +268 +00:17:48,660 --> 00:17:56,280 +اتجاهات اتجاهات اتجاهات + +269 +00:18:01,950 --> 00:18:04,590 +التجارة القلبية أولا باستخدام باستخدام باستخدام + +270 +00:18:04,590 --> 00:18:04,970 +استخدام استخدام استخدام استخدام استخدام استخدام + +271 +00:18:04,970 --> 00:18:05,090 +استخدام استخدام استخدام استخدام استخدام استخدام + +272 +00:18:05,090 --> 00:18:05,430 +استخدام استخدام استخدام استخدام استخدام استخدام + +273 +00:18:05,430 --> 00:18:07,310 +استخدام استخدام استخدام استخدام استخدام استخدام + +274 +00:18:07,310 --> 00:18:09,170 +استخدام استخدام استخدام استخدام استخدام استخدام + +275 +00:18:09,170 --> 00:18:09,250 +استخدام استخدام استخدام استخدام استخدام استخدام + +276 +00:18:09,250 --> 00:18:12,550 +استخدام استخدام استخدام استخدام استخدام استخدام + +277 +00:18:12,550 --> 00:18:21,570 +استخدام استخدام استخدام استخدام استخدام استخدام + +278 +00:18:21,570 --> 00:18:27,170 +استخدام استخ + +279 +00:18:33,010 --> 00:18:38,090 +إسكيلتيشن لا توجد تحرير لعقل لذلك نطلع إلى الـ إسكيلتيشن + +280 +00:18:38,090 --> 00:18:42,930 +نبدأ بالـ بيل لصوات عالية وديفر أم لصوات عالية أولا + +281 +00:18:42,930 --> 00:18:48,510 +إسكيلتيشن بالـ بيل العقلية الـ إسكيلتيشن تسمح بالعقل الأول + +282 +00:18:48,510 --> 00:18:51,990 +والثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +283 +00:18:51,990 --> 00:18:53,630 +الثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +284 +00:18:53,630 --> 00:18:53,670 +الثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +285 +00:18:53,670 --> 00:18:55,290 +الثاني وعقل الثاني وعقل الثاني وعقل الثاني + +286 +00:18:55,290 --> 00:18:55,610 +وعقل الثاني + +287 +00:19:00,240 --> 00:19:02,840 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +288 +00:19:02,840 --> 00:19:03,340 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +289 +00:19:03,340 --> 00:19:04,140 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +290 +00:19:04,140 --> 00:19:08,960 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +291 +00:19:08,960 --> 00:19:12,060 +ماما ماما + +292 +00:19:12,060 --> 00:19:16,420 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +293 +00:19:16,420 --> 00:19:17,380 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +294 +00:19:17,380 --> 00:19:26,820 +ماما ماما + +295 +00:19:26,820 --> 00:19:27,860 +مام + +296 +00:19:34,070 --> 00:19:42,010 +الوقت الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +297 +00:19:42,010 --> 00:19:42,950 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +298 +00:19:42,950 --> 00:19:44,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +299 +00:19:44,290 --> 00:19:49,330 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +300 +00:19:49,330 --> 00:19:52,450 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +301 +00:19:57,040 --> 00:20:01,480 +الصحيفة الموجودة على موقع الانفجار و الـ داسورك ماما + +302 +00:20:01,480 --> 00:20:05,240 +موجودة على موقع الانفجار لذلك لا يذهب إلى أي مكان + +303 +00:20:05,240 --> 00:20:10,140 +لا يوجد انفجار لـ داسورك + +304 +00:20:10,140 --> 00:20:24,340 +ماما موقع + +305 +00:20:24,340 --> 00:20:29,400 +على موقع المنطقة الأمامية محدودة بالنسبة للجزء من + +306 +00:20:29,400 --> 00:20:32,880 +المحطة الوضعية الوضعية في الـ Apex أو الوضعية + +307 +00:20:32,880 --> 00:20:38,100 +الأخرى في الأسلوب الوضعية الوضعية + +308 +00:20:38,100 --> 00:20:42,800 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +309 +00:20:42,800 --> 00:20:44,860 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +310 +00:20:44,860 --> 00:20:45,340 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +311 +00:20:45,340 --> 00:20:48,880 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +312 +00:20:48,880 --> 00:20:55,120 +الوضعية الوضع + +313 +00:20:55,410 --> 00:20:59,330 +بسبب عدد الضغط اللي هو أقل ولكن في تفريقنا التفريق + +314 +00:20:59,330 --> 00:21:05,030 +هو عالي بسبب عدد الضغط اللي هو أكثر مرتبة مرتبة + +315 +00:21:05,030 --> 00:21:06,430 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +316 +00:21:06,430 --> 00:21:06,550 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +317 +00:21:06,550 --> 00:21:10,390 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +318 +00:21:10,390 --> 00:21:10,890 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +319 +00:21:10,890 --> 00:21:12,990 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +320 +00:21:12,990 --> 00:21:19,150 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة م + +321 +00:21:19,700 --> 00:21:24,540 +وأربع مقامات لـ Scalic Mamma مقامة واحدة ممهضة + +322 +00:21:24,540 --> 00:21:28,880 +بالسيطاسكوب لكن ليس في البداية ويحتاج إلى أن يكون + +323 +00:21:28,880 --> 00:21:34,180 +افرتات مقامة اثنان مقامة ممهضة بالسيطاسكوب + +324 +00:21:36,930 --> 00:21:43,310 +ماما ثلاثة عشان تسمع + +325 +00:21:43,310 --> 00:21:47,870 +ماما ثلاثة + +326 +00:21:47,870 --> 00:21:48,290 +عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان + +327 +00:21:48,290 --> 00:21:48,350 +تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان تسمع + +328 +00:21:48,350 --> 00:21:50,090 +ثلاثة عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة + +329 +00:21:50,090 --> 00:21:50,770 +عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان + +330 +00:21:50,770 --> 00:21:56,910 +تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان تسمع ماما + +331 +00:21:56,910 --> 00:22:04,990 +ثلاثة عشان تسمع ماما والجامعة السادسة عندما تتجه إلى + +332 +00:22:04,990 --> 00:22:07,150 +البرنامج هي بعيدة عن البرنامج الوحيد الذي يمكنك أن + +333 +00:22:07,150 --> 00:22:11,090 +تتجه إليه مثل ممارس أسطوريك ماما مثل الـ Mitral + +334 +00:22:11,090 --> 00:22:13,310 +regurgitation، Trigaspid regurgitation، Aortic + +335 +00:22:13,310 --> 00:22:15,550 +stenosis، and Pulmonary stenosis ممارس أسطوريك + +336 +00:22:15,550 --> 00:22:18,630 +ماما مثل الـ Mitral and Pulmonary stenosis، + +337 +00:22:18,630 --> 00:22:20,970 +Trigaspid regurgitation، Trigaspid stenosis، and + +338 +00:22:20,970 --> 00:22:22,230 +Aortic regurgitation + +339 +00:22:32,150 --> 00:22:39,850 +مقارنة بالنظام البريفرال الارتراضي والحفرات يمكن + +340 +00:22:39,850 --> 00:22:44,910 +تجاربها يجب تجاربها وماذا هي تجاربها يجب تجاربها + +341 +00:22:44,910 --> 00:22:48,070 +راديال بولس راديال بولس راديال بولس راديال بولس + +342 +00:22:48,070 --> 00:22:50,950 +راديال بولس راديال بولس راديال بولس راديال بولس + +343 +00:22:50,950 --> 00:22:55,550 +راديال بولس + +344 +00:22:55,700 --> 00:23:02,860 +و بليتيال و درساليسبيتس بولس بستيرتيبياتيبات تجارب + +345 +00:23:02,860 --> 00:23:06,780 +الـ برفرالفين تجارب الـ برفرالفين تجارب الـ برفرالفين + +346 +00:23:06,780 --> 00:23:09,300 +تجارب الـ برفرالفين تجارب الـ برفرالفين تجارب + +347 +00:23:09,300 --> 00:23:12,700 +الـ برفرالفين تجارب الـ برفرالفين تجارب الـ برفرالفين + +348 +00:23:12,700 --> 00:23:12,960 +تجارب الـ برفرالفين تجارب الـ برفرالفين تجارب + +349 +00:23:12,960 --> 00:23:16,000 +الـ برفرالفين تجارب الـ برفرالفين + +350 +00:23:16,000 --> 00:23:22,620 +تجارب الـ برفرالف + +351 +00:23:24,440 --> 00:23:28,820 +لرؤيتك في موقع البرنامج سنتحدث عنها، لذلك اكتشف + +352 +00:23:28,820 --> 00:23:35,700 +مقالاتك التي لم تفهمها مقالات التي لديك وسأكون + +353 +00:23:35,700 --> 00:23:40,940 +سعيد بإجابة هذه المقالات في مقالات البرنامج مقالات + +354 +00:23:40,940 --> 00:23:47,220 +البرنامج مقالات البرنامج مقالات + +355 +00:23:47,220 --> 00:23:49,400 +البرنامج مقالات البرنامج مقالات البرنامج مقالات + +356 +00:23:49,400 --> 00:23:52,010 +البرنامج مقالات البرنامج مقالات البرنامج كما تحدثنا + +357 +00:23:52,010 --> 00:23:54,590 +في مجال التجارب في مجال التجارب في مجال التجارب في + +358 +00:23:54,590 --> 00:23:55,710 +مجال التجارب في مجال التجارب في مجال التجارب في + +359 +00:23:55,710 --> 00:23:58,690 +مجال التجارب في مجال التجارب في مجال التجارب في + +360 +00:23:58,690 --> 00:23:59,490 +مجال التجارب في مجال التجارب في مجال التجارب في + +361 +00:23:59,490 --> 00:23:59,510 +مجال التجارب في مجال التجارب في مجال التجارب في + +362 +00:23:59,510 --> 00:24:01,690 +مجال التجارب في مجال التجارب في مجال التجارب في + +363 +00:24:01,690 --> 00:24:02,210 +مجال التجارب في مجال التجارب في مجال التجارب في + +364 +00:24:02,210 --> 00:24:06,890 +مجال التجارب في مجال التجارب في مجال التجارب في + +365 +00:24:06,890 --> 00:24:19,030 +مجال التجارب في مجال التجارب في مجال التجارب + +366 +00:24:19,030 --> 00:24:24,200 +في مولكن تركيز عقل الحيوانات يجب أن يركز على عقل + +367 +00:24:24,200 --> 00:24:25,200 +الحيوانات وعقل الحيوانات يجب أن يركز على عقل + +368 +00:24:25,200 --> 00:24:25,460 +الحيوانات وعقل الحيوانات عقل الحيوانات عقل + +369 +00:24:25,460 --> 00:24:25,900 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +370 +00:24:25,900 --> 00:24:27,880 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +371 +00:24:27,880 --> 00:24:35,660 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +372 +00:24:35,660 --> 00:24:36,980 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +373 +00:24:36,980 --> 00:24:38,680 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +374 +00:24:38,680 --> 00:24:50,240 +الحيوانات عقل الحيوانات عقل الحيوانات عقل الحيوان + +375 +00:24:50,520 --> 00:25:02,640 +والشيء اللي يسمى كشكسيان + +376 +00:25:02,640 --> 00:25:14,280 +يوريميكي + +377 +00:25:14,280 --> 00:25:17,340 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +378 +00:25:17,340 --> 00:25:17,480 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +379 +00:25:17,480 --> 00:25:19,280 +يوريميكي يوريميكي يوريميكي يوريميكي على سبيل المثال + +380 +00:25:19,280 --> 00:25:22,680 +فسيلة تدعى الانتجار الشخصي الانتجار الشخصي + +381 +00:25:22,680 --> 00:25:25,220 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +382 +00:25:25,220 --> 00:25:25,480 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +383 +00:25:25,480 --> 00:25:26,620 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +384 +00:25:26,620 --> 00:25:27,580 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +385 +00:25:27,580 --> 00:25:28,760 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +386 +00:25:28,760 --> 00:25:29,260 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +387 +00:25:29,260 --> 00:25:38,180 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +388 +00:25:38,180 --> 00:25:43,460 +ال + +389 +00:25:47,350 --> 00:25:51,230 +الشيء الذي يمكنك رؤيته هو الواضحات العامة للشيء + +390 +00:25:51,230 --> 00:25:54,430 +الذي يتعلق بالديابتسيا اعتنوا بالأساسية لتحقيق + +391 +00:25:54,430 --> 00:26:00,510 +الشيء لتبدأ التجارب للسياسة الروحانية أولا يجب أن + +392 +00:26:00,510 --> 00:26:06,630 +تقدم نفسك للطبيعي وانتقل عن إسمه وإيجاره يجب أن + +393 +00:26:06,630 --> 00:26:11,610 +تذكر إسمك ورؤيك في مجلس الدراسة وموقعك اكتشف إسم + +394 +00:26:11,610 --> 00:26:16,970 +الطبيعي ومدارسه لكي لا تخلص الطبيعي ببساطة اشرح + +395 +00:26:17,290 --> 00:26:21,410 +ماذا تفعل في التجارة؟ تقوم بإضافة و تحصل على اتفاق + +396 +00:26:21,410 --> 00:26:25,510 +لذلك اطلب المسمح تنفذ يديك و اقوم بوضعه في مكانك و + +397 +00:26:25,510 --> 00:26:26,390 +اقوم بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم + +398 +00:26:26,390 --> 00:26:28,470 +بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم بوضعه + +399 +00:26:28,470 --> 00:26:30,970 +في مكانك و اقوم بوضعه في مكانك و اقوم بوضعه في + +400 +00:26:30,970 --> 00:26:31,150 +مكانك و اقوم بوضعه في مكانك و اقوم بوضعه في مكانك + +401 +00:26:31,150 --> 00:26:33,250 +و اقوم بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم + +402 +00:26:33,250 --> 00:26:37,650 +بوضعه في مكانك و اقوم بوضعهمحاولة عامة للعقل + +403 +00:26:37,650 --> 00:26:40,890 +وحساسية بيلا شرط الهواتف للحفاظ على الهواتف + +404 +00:26:40,890 --> 00:26:45,030 +الهواتف + +405 +00:26:45,030 --> 00:26:48,810 +الهاتف الهاتف + +406 +00:26:48,810 --> 00:26:50,630 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +407 +00:26:50,630 --> 00:26:52,050 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +408 +00:26:52,050 --> 00:26:53,410 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +409 +00:26:53,410 --> 00:26:53,930 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +410 +00:26:53,930 --> 00:27:01,690 +الهاتف + +411 +00:27:03,760 --> 00:27:07,280 +مقاطع الصدر الصدر مرتبطة في مقاطع الدم الكبيري في + +412 +00:27:07,280 --> 00:27:08,180 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +413 +00:27:08,180 --> 00:27:09,080 +مرتبطة في مقاطع الدم الكبيري مرتبطة في مقاطع الدم + +414 +00:27:09,080 --> 00:27:11,220 +الكبيري مرتبطة في مقاطع الدم الكبيري مرتبطة في + +415 +00:27:11,220 --> 00:27:13,600 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +416 +00:27:13,600 --> 00:27:15,060 +مرتبطة في مقاطع الدم الكبيري مرتبطة في مقاطع الدم + +417 +00:27:15,060 --> 00:27:17,140 +الكبيري مرتبطة في مقاطع الدم الكبيري مرتبطة في + +418 +00:27:17,140 --> 00:27:21,340 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +419 +00:27:21,340 --> 00:27:30,360 +مرتبطة + +420 +00:27:30,360 --> 00:27:34,840 +في مقاطع الدالشبلاندرهاميرجيس تشير إلى راسكولايتس + +421 +00:27:34,840 --> 00:27:41,720 +شومة أو فكتب انتقال دايتس بيوت لينز التي تتجسس في + +422 +00:27:41,720 --> 00:27:42,360 +بطولة اللوحات اللوحات اللوحات اللوحات اللوحات + +423 +00:27:42,360 --> 00:27:43,260 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +424 +00:27:43,260 --> 00:27:43,960 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +425 +00:27:43,960 --> 00:27:45,240 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +426 +00:27:45,240 --> 00:27:46,120 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +427 +00:27:46,120 --> 00:27:46,900 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +428 +00:27:46,900 --> 00:27:49,040 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +429 +00:27:49,040 --> 00:28:00,040 +اللوح + +430 +00:28:00,680 --> 00:28:04,620 +دعنا نقول أن نصف نصف نصف نصف نصف نصف نصف نصف نصف + +431 +00:28:04,620 --> 00:28:05,360 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +432 +00:28:05,360 --> 00:28:07,060 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +433 +00:28:07,060 --> 00:28:08,420 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +434 +00:28:08,420 --> 00:28:12,900 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +435 +00:28:12,900 --> 00:28:15,880 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +436 +00:28:15,880 --> 00:28:28,880 +نصف نصف نصف نص + +437 +00:28:28,930 --> 00:28:31,970 +الأسطركسيات تشير إلى مخاطرات تشير إلى مخاطرات + +438 +00:28:31,970 --> 00:28:39,250 +روحانية ومخاطرات عضوية + +439 +00:28:39,250 --> 00:28:40,130 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +440 +00:28:40,130 --> 00:28:41,070 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +441 +00:28:41,070 --> 00:28:42,290 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +442 +00:28:42,290 --> 00:28:43,030 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +443 +00:28:43,030 --> 00:28:43,110 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +444 +00:28:43,110 --> 00:28:58,610 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية وم + +445 +00:28:58,780 --> 00:29:03,240 +هو انتجه بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +446 +00:29:03,240 --> 00:29:11,940 +بطيئة بطيئة بطيئة بطيئة بطيئة + +447 +00:29:11,940 --> 00:29:16,300 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +448 +00:29:16,300 --> 00:29:16,320 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +449 +00:29:16,320 --> 00:29:27,780 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطي + +450 +00:29:30,190 --> 00:29:34,410 +تحقق الأسلحة لتخلصها بما يشير إلى البروينتس الذي + +451 +00:29:34,410 --> 00:29:37,610 +يشهر في الوريميا البروزينج يمكن أن يشهر في + +452 +00:29:37,610 --> 00:29:42,070 +كوتكسترينيوس عالية أو مفاجأة بلتلة بسبب الوريميا + +453 +00:29:42,070 --> 00:29:44,990 +أمور أو قصر الجلد يمكن أن يكون ملحق مع مدعومة + +454 +00:29:44,990 --> 00:29:50,950 +مناسبة، خاصة في أسباب ثورمبرهيانية. كل فشلونة في + +455 +00:29:50,950 --> 00:29:54,170 +المقاومة، وهي مهمة جدًا للغاية، يمكن أن تكون في + +456 +00:29:54,170 --> 00:29:58,330 +المقاومة أو في مقاومة كيبكالفوسن، لذلك يجب أن تبحث + +457 +00:29:58,330 --> 00:30:02,470 +عن هذه الموقعات بالبيت اذا رأيت الفيستورا في مرة + +458 +00:30:02,470 --> 00:30:07,270 +واحدة يجب ان تقوم بالبيت الفيستورا لشريل واسكلته + +459 +00:30:07,270 --> 00:30:11,990 +في مرة واحدة قبل ان تنسى هذه المنطقة اسكلتها لبريس + +460 +00:30:11,990 --> 00:30:18,470 +وهذا يعطيك فكرة اذا كانت هذه الفيستورا مفتوحة او + +461 +00:30:18,470 --> 00:30:21,570 +لا و مرة أخرى اذا كنت تريد ان تعرف اذا كانت هذه + +462 +00:30:21,570 --> 00:30:26,970 +الفيستورا مستخدمة او لا فانت فقط تبحث عن اي فرصة + +463 +00:30:26,970 --> 00:30:27,470 +مقبلة + +464 +00:30:30,640 --> 00:30:36,600 +على محطة الفيستورا ثم تأخذ + +465 +00:30:36,600 --> 00:30:40,580 +راديال بولز فرع الدم يجب أن يتم ميجره ويمكن أن + +466 +00:30:40,580 --> 00:30:43,000 +يكون موجود في الـ Z ويمكننا أن نرى محطة الهيبا تنش + +467 +00:30:43,000 --> 00:30:48,120 +يجب أن لا يتم ميجر فرع الدم على محطة الفيستورا + +468 +00:30:48,120 --> 00:30:48,700 +الهيبا + +469 +00:30:52,130 --> 00:30:56,890 +الوضع في المريض والوضع الرسمي مهم جدًا يالو الوضع + +470 +00:30:56,890 --> 00:31:01,230 +يشير إلى ميزة يوراميكية وميزة يوراميكية وميزة + +471 +00:31:01,230 --> 00:31:06,790 +يوراميكية يحصلت عادةً في الكريستاليو ديوريا مجموعة + +472 +00:31:06,790 --> 00:31:10,190 +موجودة في جسد المريض ليس فقط في الجانب المعقول + +473 +00:31:10,190 --> 00:31:13,370 +عادةً في الجانب وعادةً ومشاهدتها في المصادر + +474 +00:31:13,370 --> 00:31:20,510 +الحقيقية الجسدية قد تتطور إلى مصادر غير مدعومة مثل + +475 +00:31:20,510 --> 00:31:26,690 +سكون السلكا الشينوماوالسلق كرسينامي كرسينامي في + +476 +00:31:26,690 --> 00:31:31,370 +وجهة المظهر الهيبرتريكوز المشهور في استخدام ساكورس + +477 +00:31:31,370 --> 00:31:34,090 +بولينهي كانت مستخدمة للطبيعي للتعامل بالتعامل + +478 +00:31:34,090 --> 00:31:36,530 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +479 +00:31:36,530 --> 00:31:37,210 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +480 +00:31:37,210 --> 00:31:37,390 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +481 +00:31:37,390 --> 00:31:37,430 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +482 +00:31:37,430 --> 00:31:47,810 +بالتعامل بالتعامل بالتعامل بالتعامل + +483 +00:31:47,810 --> 00:31:50,790 +بالت + +484 +00:31:52,770 --> 00:31:56,850 +التراثيوبيه السيئة هي مرض كورنيا تسبب في دبوزيون + +485 +00:31:56,850 --> 00:32:04,810 +الكالسيمين الركزي الكورنيا الواضح أن إذا كانت + +486 +00:32:04,810 --> 00:32:08,850 +الكورنيا الركزية في النهاية ستقوم بتقسيم + +487 +00:32:08,850 --> 00:32:13,210 +الهيبركالسيميه + +488 +00:32:13,210 --> 00:32:18,850 +الهيبركالسيميه هي مرض كورنيا مرتب ميلوناباري + +489 +00:32:18,850 --> 00:32:21,930 +أوربيتال إيديما تتحرك حول العين هي مواصلة عامة + +490 +00:32:21,930 --> 00:32:26,890 +لتحقيق دكساندروم مصدر ابحث عن مصدر لجنجفال + +491 +00:32:26,890 --> 00:32:31,950 +الهيبيرترفين اللي موجود في مصادر الهيبيرترفين + +492 +00:32:31,950 --> 00:32:34,230 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +493 +00:32:34,230 --> 00:32:35,950 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +494 +00:32:35,950 --> 00:32:36,430 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +495 +00:32:36,430 --> 00:32:42,090 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +496 +00:32:42,090 --> 00:32:45,550 +الهي + +497 +00:32:45,730 --> 00:32:49,150 +بدأ بالتحقق من الجلد حيث يكون هناك اكسكرايات + +498 +00:32:49,150 --> 00:32:52,150 +اكسكرايات يعني اكسكرايات اكسكرايات اكسكرايات + +499 +00:32:52,150 --> 00:32:56,250 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +500 +00:32:56,250 --> 00:32:56,470 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +501 +00:32:56,470 --> 00:32:57,050 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +502 +00:32:57,050 --> 00:32:57,490 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +503 +00:32:57,490 --> 00:33:03,430 +اكسكراية اكسكراية اكسكراية اكسكراية + +504 +00:33:03,430 --> 00:33:09,690 +اكسكراية اكسكراية اكسكراية + +505 +00:33:09,690 --> 00:33:14,670 +اكسكراية + +506 +00:33:14,670 --> 00:33:17,700 +ألو تلاحظ الـ Stoner dullness يوجد وجود الـ + +507 +00:33:17,700 --> 00:33:21,180 +pleural effusion وهو إشارة لعنوان الحرارة أو + +508 +00:33:21,180 --> 00:33:25,140 +لعنوان الحرارة أو hypoalbuminemia deuteronephrotic + +509 +00:33:25,140 --> 00:33:30,460 +بس كنت أضالة الأساس لعنوان الـ pulmonary edema + +510 +00:33:30,460 --> 00:33:33,560 +و pleural + +511 +00:33:33,560 --> 00:33:37,000 +effusion بالنسبة لتجارة Cardiovascular System + +512 +00:33:37,000 --> 00:33:42,300 +Examination بالبيت الـ ABICS وإذا في حالة عنوان + +513 +00:33:42,300 --> 00:33:46,860 +الحراري الـ ABICS يتغير عادة على الجانب وعلى الأسفل + +514 +00:33:46,860 --> 00:33:50,240 +لأننا نرى كثير من المزيد من المزيد من المزيد من + +515 +00:33:50,240 --> 00:33:54,180 +المزيد من + +516 +00:33:54,180 --> 00:33:54,200 +المزيد من المزيد من المزيد من المزيد من المزيد من + +517 +00:33:54,200 --> 00:33:54,640 +المزيد من المزيد من المزيد من المزيد من المزيد من + +518 +00:33:54,640 --> 00:33:54,940 +المزيد من المزيد من المزيد من المزيد من المزيد من + +519 +00:33:54,940 --> 00:33:55,220 +المزيد من المزيد من المزيد من المزيد من المزيد من + +520 +00:33:55,220 --> 00:33:55,300 +المزيد من المزيد من المزيد من المزيد من المزيد من + +521 +00:33:55,300 --> 00:33:56,400 +المزيد من المزيد من المزيد من المزيد من المزيد من + +522 +00:33:56,400 --> 00:34:02,320 +المزيد من المزيد من المزيد من المزيد من المزيد من + +523 +00:34:02,320 --> 00:34:10,880 +المزيد من + +524 +00:34:10,880 --> 00:34:17,010 +المزولكن تأكد أن تسمع الرب البريكوديا البريكوديا + +525 +00:34:17,010 --> 00:34:22,710 +الرب هذا مهم جدًا في مرض مرض مرض عقلية عامة تبدأ + +526 +00:34:22,710 --> 00:34:25,090 +بالبشرة بشرة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +527 +00:34:25,090 --> 00:34:26,870 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +528 +00:34:26,870 --> 00:34:27,950 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +529 +00:34:27,950 --> 00:34:29,470 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +530 +00:34:29,470 --> 00:34:29,830 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +531 +00:34:29,830 --> 00:34:37,410 +بطيقة بطيقة بطيقة ب + +532 +00:34:41,720 --> 00:34:46,040 +وانتقل للتنسيق العضلاني والعضلاني خاصة انتقل + +533 +00:34:46,040 --> 00:34:48,560 +للتنسيق الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +534 +00:34:48,560 --> 00:34:53,040 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +535 +00:34:53,040 --> 00:34:54,680 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +536 +00:34:54,680 --> 00:34:59,280 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +537 +00:34:59,280 --> 00:35:00,920 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +538 +00:35:00,920 --> 00:35:04,680 +الياكفوسة الياكفوسة + +539 +00:35:04,680 --> 00:35:09,700 +الياكالسقاة المرتبطة بشكل بفرشين عضوية بشكل مضيق + +540 +00:35:09,700 --> 00:35:12,940 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +541 +00:35:12,940 --> 00:35:13,900 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +542 +00:35:13,900 --> 00:35:14,480 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +543 +00:35:14,480 --> 00:35:15,240 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +544 +00:35:15,240 --> 00:35:17,660 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +545 +00:35:17,660 --> 00:35:24,280 +بشكل مضيق بشكل مضيق بشكل + +546 +00:35:24,280 --> 00:35:27,040 +مضي + +547 +00:35:31,040 --> 00:35:34,700 +ثم تذهب إلى البركاتيات تغيير الحرارة جدًا أساسي + +548 +00:35:34,700 --> 00:35:37,200 +يُسمى كسائطس وهو عملية عملية عملية عملية عملية + +549 +00:35:37,200 --> 00:35:38,420 +عملية عملية عملية عملية عملية عملية عملية عملية + +550 +00:35:38,420 --> 00:35:40,740 +عملية عملية عملية عملية عملية عملية عملية عملية + +551 +00:35:40,740 --> 00:35:42,540 +عملية عملية عملية عملية عملية عملية عملية عملية + +552 +00:35:42,540 --> 00:35:43,440 +عملية عملية عملية عملية عملية عملية عملية عملية + +553 +00:35:43,440 --> 00:35:43,600 +عملية عملية عملية عملية عملية عملية عملية عملية + +554 +00:35:43,600 --> 00:35:43,700 +عملية عملية عملية عملية عملية عملية عملية عملية + +555 +00:35:43,700 --> 00:35:58,960 +عمل + +556 +00:35:59,390 --> 00:36:01,570 +لتنهيئة التجارب عليك أن تقوم بشغل الدم بشكل + +557 +00:36:01,570 --> 00:36:05,510 +فندسكوبي إذا كان لديك نفسي وشكرا للانتظار أي سؤال + +558 +00:36:05,510 --> 00:36:09,590 +سأكون سعيد لإجابته لاحقا شكرا جزيلا + +559 +00:37:12,780 --> 00:37:16,400 +السلام عليكم ورحمة الله وبركاته + +560 +00:38:08,990 --> 00:38:15,230 +خلصت؟ آه خلصت هناك؟ آه + +561 +00:38:15,230 --> 00:38:19,970 +عشيت مرة مقرشقة تانية diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..95811c36c5b7bb8dc6495b6164e2d8137c78a487 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k_postprocess.srt @@ -0,0 +1,2244 @@ +1 +00:00:02,090 --> 00:00:05,430 +السلام عليكم اليوم سنتحدث عن التقرير التاريخي + +2 +00:00:05,430 --> 00:00:09,990 +للنظام الكاردوفاكوري والنظام ريناليو الأول حصة هي + +3 +00:00:09,990 --> 00:00:15,830 +تقرير التاريخ للنظام الكاردوفاكوري تقرير التاريخ + +4 +00:00:15,830 --> 00:00:21,870 +للنظام الكاردوفاكوري مثل كل نظام كاردوفاكوري لذلك + +5 +00:00:21,870 --> 00:00:26,090 +ليس مختلفا للنظام الكاردوفاكوري القواعد اللي سيتم + +6 +00:00:26,090 --> 00:00:30,160 +تذكيره في هذه التقريرة يجب أن تتبعفي تأخير أي حاجة + +7 +00:00:30,160 --> 00:00:36,640 +مرتبطة بأي نظام لماذا التأخير مهم؟ تأخير التأخير + +8 +00:00:36,640 --> 00:00:43,320 +مهم جدًا في مواصلة الوضع في مواصلة الوضع في مواصلة + +9 +00:00:43,320 --> 00:00:43,920 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +10 +00:00:43,920 --> 00:00:44,180 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +11 +00:00:44,180 --> 00:00:45,480 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +12 +00:00:45,480 --> 00:00:48,220 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +13 +00:00:48,220 --> 00:00:53,080 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +14 +00:00:53,080 --> 00:00:59,410 +الوضع في مواصلة الوضع في مواصلة الوضعوهذا يؤثر على + +15 +00:00:59,410 --> 00:01:05,490 +جميع جزء من الوظيفة 70% من التقرير يعتمد على + +16 +00:01:05,490 --> 00:01:09,290 +التقرير و بعض الأحيان حتى 100% يعتمد على التقرير + +17 +00:01:09,290 --> 00:01:14,890 +يجب أن يتخلصوا من القصص يتخلصوا من الحكومة وهناك + +18 +00:01:14,890 --> 00:01:21,650 +فرق كبير بين التقرير وقصة + +19 +00:01:21,650 --> 00:01:21,970 +التقرير + +20 +00:01:25,140 --> 00:01:28,400 +الجزءات من تاريخ الدراسة ليست فقط الكاردباشيا + +21 +00:01:28,400 --> 00:01:32,280 +والديابا، لكن جميع تاريخ الدراسة هي نفسها ويجب أن + +22 +00:01:32,280 --> 00:01:36,800 +تتبع هذه المرحلة طوال الوقت، في أول مرة تحتوي على + +23 +00:01:36,800 --> 00:01:40,200 +مصادر شخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +24 +00:01:40,200 --> 00:01:41,140 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +25 +00:01:41,140 --> 00:01:43,080 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +26 +00:01:43,080 --> 00:01:43,920 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +27 +00:01:43,920 --> 00:01:45,000 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +28 +00:01:45,000 --> 00:01:54,320 +الشخصية، مصاد + +29 +00:01:54,600 --> 00:02:00,240 +والتنسيق في نهاية كل التاريخ يجب أن تتضمن مهما + +30 +00:02:00,240 --> 00:02:04,360 +للطبيعه والإيقاع + +31 +00:02:04,360 --> 00:02:11,100 +كيف تأخذ التاريخ التاريخ هو مهارة ولكي تستخدم هذه + +32 +00:02:11,100 --> 00:02:16,280 +المهارة يجب أن تتعلم أكتر عن المرضى ويجب أن تدرس + +33 +00:02:16,280 --> 00:02:22,260 +التاريخ بدون تدرس اعتقدني هذه المهارة بطريقة بسيطة + +34 +00:02:22,910 --> 00:02:28,530 +سيكون صعب جدًا إذا لم تكن لديك تدرس لذلك إنه عمل + +35 +00:02:28,530 --> 00:02:32,430 +يجب أن تستخدمه لإستخدام أي مهارة، يحتاجك الكثير من + +36 +00:02:32,430 --> 00:02:40,610 +التدرس المجموعة المهارة هي مجموعة ومخصصة المجموعات + +37 +00:02:40,610 --> 00:02:46,910 +من هذه المجموعات هي متساومة لكننا وضعناها في + +38 +00:02:46,910 --> 00:02:51,450 +مجموعة لكي لا نفوت أحد من هذه المجموعات مهارة + +39 +00:02:51,450 --> 00:02:57,390 +مهارة مهارة مهمةمهارة الأسئلة مهمة بسيطة لكن + +40 +00:02:57,390 --> 00:03:00,810 +المعرفة المضغوطة تحتاج إليها لتحقيق مهارة مهارة + +41 +00:03:00,810 --> 00:03:00,830 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +42 +00:03:00,830 --> 00:03:01,530 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +43 +00:03:01,530 --> 00:03:02,450 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +44 +00:03:02,450 --> 00:03:05,490 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +45 +00:03:05,490 --> 00:03:06,390 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +46 +00:03:06,390 --> 00:03:10,390 +مهارة مهارة مهارة مهارة + +47 +00:03:10,390 --> 00:03:20,670 +مه + +48 +00:03:21,960 --> 00:03:24,120 +بطريقة مصطلحة ومصطلحة مصطلحة ومصطلحة مصطلحة + +49 +00:03:24,120 --> 00:03:27,700 +ومصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +50 +00:03:27,700 --> 00:03:30,800 +مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +51 +00:03:30,800 --> 00:03:31,180 +مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +52 +00:03:31,180 --> 00:03:41,340 +مصطلحة مصطلحة مصطلحة م + +53 +00:03:50,660 --> 00:03:55,320 +السؤال يجب أن يكون بسيط واضح يجب أن تتخلص من كلمات + +54 +00:03:55,320 --> 00:04:00,900 +طبيعية وكلمات طبعية ويجب + +55 +00:04:00,900 --> 00:04:06,260 +أن تتخلص من سؤال مفتوح أو مفتوح أو مفتوح أو مفتوح + +56 +00:04:06,260 --> 00:04:06,580 +أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو + +57 +00:04:06,580 --> 00:04:08,420 +مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح + +58 +00:04:08,420 --> 00:04:09,660 +أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو + +59 +00:04:09,660 --> 00:04:10,580 +مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح + +60 +00:04:10,580 --> 00:04:17,060 +أو مفتوح أو مفتوح أو + +61 +00:04:20,650 --> 00:04:24,750 +البيانات الشخصية مهمة جدًا وبسبب ما بدأت بها تسجل + +62 +00:04:24,750 --> 00:04:31,090 +اسمه عمره او اسمه عمره ادرس سكس اثنسه تاكي اكتشاف + +63 +00:04:31,090 --> 00:04:34,030 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +64 +00:04:34,030 --> 00:04:34,910 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +65 +00:04:34,910 --> 00:04:36,490 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +66 +00:04:36,490 --> 00:04:45,670 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +67 +00:04:45,670 --> 00:04:48,810 +مصطلح + +68 +00:04:49,200 --> 00:04:53,080 +عائلات أو مخدرات أو عملية مجتمعية مهتمين بالطب + +69 +00:04:53,080 --> 00:04:58,060 +والطب يجب أن نبدأ بـ Chief Complaint الـ Chief + +70 +00:04:58,060 --> 00:05:01,240 +Complaint هو السبب الرئيسي لماذا طب يأتي إليك + +71 +00:05:01,240 --> 00:05:08,240 +وخصوصًا سبتمبر واحد عادة يمكن أن يكون عديدًا الطب + +72 +00:05:08,240 --> 00:05:13,800 +يجب أن يفسر مشكلته أو مشكلته في كلماته الخاصة ولكن + +73 +00:05:13,800 --> 00:05:17,240 +يجب أن يتم تسجيلها بكلمات الخاصة في كلماتك الخاصة + +74 +00:05:17,240 --> 00:05:21,980 +أيضًاعليك استخدام سؤال مفتوح طوال الوقت لا تبدأ + +75 +00:05:21,980 --> 00:05:26,460 +بمبادرة أو اغلق السؤال ابدأ بسؤال مفتوح عن ماذا + +76 +00:05:26,460 --> 00:05:30,200 +تريد ان تقرر ان تقرر ماذا هو مشكلتك ماهو مشكلتك او + +77 +00:05:30,200 --> 00:05:30,820 +ماهو مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +78 +00:05:30,820 --> 00:05:32,180 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +79 +00:05:32,180 --> 00:05:33,620 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +80 +00:05:33,620 --> 00:05:42,980 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او + +81 +00:05:42,980 --> 00:05:48,140 +ماهو مشكل + +82 +00:05:50,370 --> 00:05:54,710 +الذي يكتب كلمات صحيحة في هذه المجالات الانتجار + +83 +00:05:54,710 --> 00:05:59,070 +الشخصي يجب أن يكون كتاب بلغة الشخصيه ويجب أن تنقض + +84 +00:05:59,070 --> 00:06:04,150 +كلمات صحيحه الانتجار الشخصيه تسوي الانتجار الشخصيه + +85 +00:06:04,150 --> 00:06:07,130 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +86 +00:06:07,130 --> 00:06:10,610 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +87 +00:06:10,610 --> 00:06:12,330 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +88 +00:06:12,330 --> 00:06:12,450 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +89 +00:06:12,450 --> 00:06:13,990 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه ان + +90 +00:06:20,530 --> 00:06:23,530 +المشكلة الرئيسية للنظام القدرسي هو الحرارة في + +91 +00:06:23,530 --> 00:06:29,010 +الجلد وكذلك يجب أن تغطي جميع جزء من الحرارة مثل + +92 +00:06:29,010 --> 00:06:32,210 +الوقت الموجود مستخدم مستخدم مستخدم مستخدم مستخدم + +93 +00:06:32,210 --> 00:06:32,810 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +94 +00:06:32,810 --> 00:06:35,030 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +95 +00:06:35,030 --> 00:06:35,770 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +96 +00:06:35,770 --> 00:06:36,670 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +97 +00:06:36,670 --> 00:06:39,430 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +98 +00:06:39,430 --> 00:06:47,370 +مستخدم + +99 +00:06:47,370 --> 00:06:51,770 +مستالصحيحة الصحيحة يسأل عن مواصلة موقع وقيمة + +100 +00:06:51,770 --> 00:06:56,950 +وردوشان وخلق مصادر في علاقة مع مواصلة مواصلة + +101 +00:06:56,950 --> 00:06:59,510 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +102 +00:06:59,510 --> 00:06:59,630 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +103 +00:06:59,630 --> 00:06:59,990 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +104 +00:06:59,990 --> 00:07:01,330 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +105 +00:07:01,330 --> 00:07:14,810 +مو + +106 +00:07:17,280 --> 00:07:23,220 +أسأل عن رؤية كيف بدأت الموضوع بمعرفة قيمة ومعرفة + +107 +00:07:23,220 --> 00:07:26,500 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +108 +00:07:26,500 --> 00:07:28,340 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +109 +00:07:28,340 --> 00:07:29,300 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +110 +00:07:29,300 --> 00:07:29,880 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +111 +00:07:29,880 --> 00:07:30,320 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +112 +00:07:30,320 --> 00:07:36,920 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +113 +00:07:36,920 --> 00:07:42,500 +قيمة ومعرفة قيم + +114 +00:07:44,570 --> 00:07:47,690 +في قصة بصحيح الأطباء، يجب أن تسأل عن أي شيء مرتبط + +115 +00:07:47,690 --> 00:07:52,190 +بالحر، يجب أن تسأل عن قصة بصحيح الأطباء، يجب أن + +116 +00:07:52,190 --> 00:07:52,370 +مرتبط بالحر، يجب أن تسأل عن أي شيء مرتبط بالحر، + +117 +00:07:52,370 --> 00:07:53,590 +يجب أن تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل عن + +118 +00:07:53,590 --> 00:07:54,430 +أي شيء مرتبط بالحر، يجب أن تسأل عن أي شيء مرتبط + +119 +00:07:54,430 --> 00:07:56,930 +بالحر، يجب أن تسأل عن أي شيء مرتبط بالحر، يجب أن + +120 +00:07:56,930 --> 00:08:01,490 +تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل + +121 +00:08:11,390 --> 00:08:14,170 +السيرجيكال أو السيرجيكال الرئيسي يسأل عن إيقاط + +122 +00:08:14,170 --> 00:08:17,990 +السيرجيكال وإذا كان هناك أي سيرجيكال مفهوم + +123 +00:08:17,990 --> 00:08:24,150 +للسيرجيكال كيف كانت السنة العملية وكيف كانت السنة + +124 +00:08:24,150 --> 00:08:25,210 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +125 +00:08:25,210 --> 00:08:25,250 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +126 +00:08:25,250 --> 00:08:25,630 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +127 +00:08:25,630 --> 00:08:25,950 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +128 +00:08:25,950 --> 00:08:26,950 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +129 +00:08:26,950 --> 00:08:29,610 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +130 +00:08:29,610 --> 00:08:37,210 +العملية وكيف كانت السنة العملية وك + +131 +00:08:43,380 --> 00:08:47,100 +والسؤال يتعلق بـ Frequency of patient taking of + +132 +00:08:47,100 --> 00:08:50,600 +these medications في تاريخ مخدرات المخدرات يجب أن + +133 +00:08:50,600 --> 00:08:54,320 +تعرف التاريخ مخدرات مخدرات مخدرات مخدرات مخدرات + +134 +00:08:54,320 --> 00:08:54,340 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +135 +00:08:54,340 --> 00:08:57,300 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +136 +00:08:57,300 --> 00:08:57,340 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +137 +00:08:57,340 --> 00:08:59,000 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +138 +00:08:59,000 --> 00:09:12,540 +مخدرات مخدرات مخدر + +139 +00:09:12,810 --> 00:09:15,170 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +140 +00:09:15,170 --> 00:09:16,150 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +141 +00:09:16,150 --> 00:09:18,750 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +142 +00:09:18,750 --> 00:09:18,910 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +143 +00:09:18,910 --> 00:09:20,470 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +144 +00:09:20,470 --> 00:09:20,550 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +145 +00:09:20,550 --> 00:09:23,870 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +146 +00:09:23,870 --> 00:09:29,450 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +147 +00:09:29,450 --> 00:09:36,230 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +148 +00:09:36,230 --> 00:09:37,570 +الهيبوتينسيا + +149 +00:09:42,390 --> 00:09:46,950 +بالنسبة للشباب وفي حالة اقتصادية مرة أخرى عن حالة + +150 +00:09:46,950 --> 00:09:49,270 +اقتصادية لا تسأل الشباب اذا كان لديه مال او لا + +151 +00:09:49,270 --> 00:09:53,470 +تسأله عنه بشكل عام اجتماعي اجتماع اقتصادية نجد ان + +152 +00:09:53,470 --> 00:10:00,050 +هناك صعوبات مختلفة مختلفة مختلفة + +153 +00:10:00,050 --> 00:10:05,450 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +154 +00:10:05,450 --> 00:10:08,610 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +155 +00:10:08,610 --> 00:10:08,790 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +156 +00:10:08,790 --> 00:10:09,230 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +157 +00:10:09,230 --> 00:10:15,390 +مختلفة مختلفة مختهذا هو مرحلة لا تخسر أي شيء أي + +158 +00:10:15,390 --> 00:10:19,970 +إجابة مهمة يجب أن تتحرك إلى الانتجار التاريخي + +159 +00:10:19,970 --> 00:10:21,430 +التاريخي التاريخي التاريخي أو قصة مصادر مصادر + +160 +00:10:21,430 --> 00:10:21,810 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +161 +00:10:21,810 --> 00:10:23,790 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +162 +00:10:23,790 --> 00:10:24,290 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +163 +00:10:24,290 --> 00:10:25,710 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +164 +00:10:25,710 --> 00:10:32,070 +مصادر مصادر مصادر مصادر مصادر مصادر + +165 +00:10:32,070 --> 00:10:37,170 +مصاد + +166 +00:10:37,250 --> 00:10:42,390 +سيستم التجارب يسأل عن أسلحة، عضلات، عضلات، عضلات، + +167 +00:10:42,390 --> 00:10:43,450 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +168 +00:10:43,450 --> 00:10:44,570 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +169 +00:10:44,570 --> 00:10:45,490 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +170 +00:10:45,490 --> 00:10:47,290 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +171 +00:10:47,290 --> 00:10:52,210 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +172 +00:10:52,210 --> 00:10:56,970 +عضلات، عضلات، + +173 +00:10:56,970 --> 00:10:58,170 +عضلات، + +174 +00:11:04,010 --> 00:11:08,790 +عن مفهوم الحرارة التي تعتمد عليها هذا البرتقال + +175 +00:11:08,790 --> 00:11:13,430 +ويجب أن تقوم بتقاط التقاط البرتقال البرتقال + +176 +00:11:13,430 --> 00:11:18,030 +البرتقال البرتقال + +177 +00:11:18,030 --> 00:11:23,350 +البرتقال البرتقال البرتقال البرتقال البرتقال + +178 +00:11:23,350 --> 00:11:23,770 +البرتقال البرتقال البرتقال البرتقال البرتقال + +179 +00:11:23,770 --> 00:11:29,140 +البرتقال البرتقال البرتقال الوهذا مخصص لـ Heart + +180 +00:11:29,140 --> 00:11:32,920 +Failure وشركة بيركزيومان اكترونيا ديسنيا مستخدم + +181 +00:11:32,920 --> 00:11:34,040 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +182 +00:11:34,040 --> 00:11:35,180 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +183 +00:11:35,180 --> 00:11:37,520 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +184 +00:11:37,520 --> 00:11:38,120 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +185 +00:11:38,120 --> 00:11:38,760 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +186 +00:11:38,760 --> 00:11:41,760 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +187 +00:11:41,760 --> 00:11:46,300 +مستخدم مستخدم مستخدم مستخدم + +188 +00:11:46,300 --> 00:11:57,200 +مست + +189 +00:11:57,490 --> 00:12:02,770 +أو heart disease كفأس بيوتم في heart disease هو + +190 +00:12:02,770 --> 00:12:08,510 +عادة بينكسي و 40 و بلاطي يمكن أن يكون من نسبة + +191 +00:12:08,510 --> 00:12:14,290 +بالمريديما أو بالمريمابوليزم + +192 +00:12:14,290 --> 00:12:19,150 +مرسوم العقل لعقل مريميديما عامة في عقل مريميديما + +193 +00:12:19,150 --> 00:12:25,860 +عامة في عقل مريميديما عامة في عقلو يجب أن تسأل عن + +194 +00:12:25,860 --> 00:12:29,100 +موقع الانتجار والطبيعة ويمكنك أن تسأل المريض ان + +195 +00:12:29,100 --> 00:12:33,080 +تضغط على هذه الانتجار كيف هي عادية و عادية و عادية + +196 +00:12:33,080 --> 00:12:33,680 +و عادية و عادية و عادية و عادية و عادية و عادية و + +197 +00:12:33,680 --> 00:12:37,020 +عادية و عادية و عادية و عادية و عادية و عادية و + +198 +00:12:37,020 --> 00:12:38,880 +عادية و عادية و عادية و عادية و عادية و عادية و + +199 +00:12:38,880 --> 00:12:38,940 +عادية و عادية و عادية و عادية و عادية و عادية و + +200 +00:12:38,940 --> 00:12:38,960 +عادية و عادية و عادية و عادية و عادية و عادية و + +201 +00:12:38,960 --> 00:12:39,040 +عادية و عادية و عادية و عادية و عادية و عادية و + +202 +00:12:39,040 --> 00:12:48,900 +عادية و عادية و عادية و عادية و + +203 +00:12:48,900 --> 00:12:52,600 +عادية + +204 +00:12:52,840 --> 00:12:56,420 +مشكلة الحرارة مثلًا فرقية الحرارة احترام الحرارة + +205 +00:12:56,420 --> 00:13:07,920 +نكتوريا و باك بين نكتوريا + +206 +00:13:07,920 --> 00:13:08,500 +نكتوريا و باك بين نكتوريا نكتوريا نكتوريا نكتوريا + +207 +00:13:08,500 --> 00:13:08,700 +نكتوريا نكتوريا نكتوريا نكتوريا نكتوريا نكتوريا + +208 +00:13:08,700 --> 00:13:11,640 +نكتوريا نكتوريا نكتوريا نكتوريا + +209 +00:13:53,080 --> 00:13:58,490 +نوفا سيسترمنتهناك علاقة بين نفسي والنظام الفضائي + +210 +00:13:58,490 --> 00:14:04,570 +يجب أن يسأل عن محركات عضوية مثل + +211 +00:14:04,570 --> 00:14:08,870 +محركات عضوية مثل محركات عضوية مثل محركات عضوية مثل + +212 +00:14:08,870 --> 00:14:12,790 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +213 +00:14:12,790 --> 00:14:13,070 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +214 +00:14:13,070 --> 00:14:14,930 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +215 +00:14:14,930 --> 00:14:15,390 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +216 +00:14:15,390 --> 00:14:25,250 +عضوية مثل ع + +217 +00:14:30,330 --> 00:14:34,550 +تسأله بشكل عام اذا كان يعتقد اي شيء مرتبط يجب ان + +218 +00:14:34,550 --> 00:14:41,050 +اعرف اعطيه مخطط ماضي اعطيه المسمح للتجارة التجارة + +219 +00:14:41,050 --> 00:14:46,930 +التجارة التجارة التجارة التجارة + +220 +00:14:46,930 --> 00:14:51,710 +التجارة التجارة التجارة التجارة التجارة التجارة + +221 +00:14:51,710 --> 00:14:53,270 +التجارة التجارة التجارة التجارة + +222 +00:14:57,940 --> 00:15:00,760 +الواضحة عامة بأن المريض يحتوي على أشكال محطمة + +223 +00:15:00,760 --> 00:15:01,520 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +224 +00:15:01,520 --> 00:15:02,880 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +225 +00:15:02,880 --> 00:15:04,420 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +226 +00:15:04,420 --> 00:15:11,100 +محطمة محطمة محطمة محطمة محططة محططة + +227 +00:15:11,100 --> 00:15:17,240 +محططة محططة + +228 +00:15:17,240 --> 00:15:25,800 +مح + +229 +00:15:26,270 --> 00:15:33,490 +مع الانتشارات البرميلية فريدريكس اتكشن وهو مفتاح + +230 +00:15:33,490 --> 00:15:39,610 +موبالي ومفتاح اتكشن مع بسكيبس وهامرتوس وهيبرتريك + +231 +00:15:39,610 --> 00:15:43,930 +كارديو ميابيتي وكولازيكس بندراتس وشريك باك شندروم + +232 +00:15:44,810 --> 00:15:48,690 +الدرجة الضعفة ومشاركة بـ Autic Cerebral Mutation + +233 +00:15:48,690 --> 00:15:50,750 +ومشاركة بـ Congestive Heart Failure برنامج قوية + +234 +00:15:50,750 --> 00:15:53,670 +ومشاركة بـ Right Side Heart Failure وPulmonar + +235 +00:15:53,670 --> 00:15:59,230 +Abortation بالمشاركة ومشاركته سوفيلو بيز وشريبي + +236 +00:15:59,230 --> 00:16:02,710 +برنامج قوي ومشاركة بـ Hereditary Mergatory + +237 +00:16:02,710 --> 00:16:05,830 +Angiectasia ومشاركة بـ Pulmonary Artery Relapse + +238 +00:16:05,830 --> 00:16:08,970 +ومشاركة بـ Lobous Features ومشاركة بـ Varroa + +239 +00:16:08,970 --> 00:16:13,270 +Disease ومايكارداتس + +240 +00:16:13,270 --> 00:16:17,610 +واندوكارداتسالذي يسمى منساكسيندوكارداتيس و + +241 +00:16:17,610 --> 00:16:22,150 +Pericarditis فيقرم السيطومة تسيطر على الجلد الفارق + +242 +00:16:22,150 --> 00:16:28,410 +مع فيقرم + +243 +00:16:28,410 --> 00:16:31,910 +السيطومة شعاكيا دوسيس كوتانيوس نديول سوردهي + +244 +00:16:31,910 --> 00:16:35,690 +ماندوزم لوبس برينيو سيكندر كاردومماتيان + +245 +00:16:37,360 --> 00:16:40,920 +Tuberculosis and fibromas مرتبط بالمعارضات العربية + +246 +00:16:40,920 --> 00:16:43,320 +مجزدا منها مرتبط بالمعارضات العربية مرتبط + +247 +00:16:43,320 --> 00:16:44,480 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +248 +00:16:44,480 --> 00:16:45,220 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +249 +00:16:45,220 --> 00:16:46,240 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +250 +00:16:46,240 --> 00:16:47,720 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +251 +00:16:47,720 --> 00:16:48,520 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +252 +00:16:48,520 --> 00:16:56,860 +بالمعارضات العربية مرتبط + +253 +00:16:56,860 --> 00:17:02,340 +بالمعارضات العربية مرتب + +254 +00:17:02,660 --> 00:17:05,720 +انفكاط وانتقادات وانتقادات وانتقادات وانتقادات + +255 +00:17:05,720 --> 00:17:07,300 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +256 +00:17:07,300 --> 00:17:11,440 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +257 +00:17:11,440 --> 00:17:14,060 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +258 +00:17:14,060 --> 00:17:17,740 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +259 +00:17:17,740 --> 00:17:18,040 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +260 +00:17:18,040 --> 00:17:20,120 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +261 +00:17:20,120 --> 00:17:24,720 +وانتقادات + +262 +00:17:24,720 --> 00:17:32,100 +وانتقادات وانتق + +263 +00:17:35,280 --> 00:17:40,820 +الجي في بي مجرد 45 درجة ويجب أن يكون مختلفا + +264 +00:17:40,820 --> 00:17:48,000 +بكاروتد لديه اتجارات اتجارات اتجارات اتجارات + +265 +00:17:48,000 --> 00:17:48,160 +اتجارات اتجارات اتجارات اتجارات اتجارات اتجارات + +266 +00:17:48,160 --> 00:17:48,580 +اتجارات اتجارات اتجارات اتجارات اتجارات اتجارات + +267 +00:17:48,580 --> 00:17:48,660 +اتجارات اتجارات اتجارات اتجارات اتجارات اتجارات + +268 +00:17:48,660 --> 00:17:56,280 +اتجارات اتجارات اتجارات + +269 +00:18:01,950 --> 00:18:04,590 +التجارة القلبية أولاً باستخدام استخدام استخدام + +270 +00:18:04,590 --> 00:18:04,970 +استخدام استخدام استخدام استخدام استخدام استخدام + +271 +00:18:04,970 --> 00:18:05,090 +استخدام استخدام استخدام استخدام استخدام استخدام + +272 +00:18:05,090 --> 00:18:05,430 +استخدام استخدام استخدام استخدام استخدام استخدام + +273 +00:18:05,430 --> 00:18:07,310 +استخدام استخدام استخدام استخدام استخدام استخدام + +274 +00:18:07,310 --> 00:18:09,170 +استخدام استخدام استخدام استخدام استخدام استخدام + +275 +00:18:09,170 --> 00:18:09,250 +استخدام استخدام استخدام استخدام استخدام استخدام + +276 +00:18:09,250 --> 00:18:12,550 +استخدام استخدام استخدام استخدام استخدام استخدام + +277 +00:18:12,550 --> 00:18:21,570 +استخدام استخدام استخدام استخدام استخدام استخدام + +278 +00:18:21,570 --> 00:18:27,170 +استخدام استخ + +279 +00:18:33,010 --> 00:18:38,090 +أسكلتشن لا توجد تحرير لعقل لذلك نطلع إلى الاسكلتشن + +280 +00:18:38,090 --> 00:18:42,930 +نبدأ بالبيل لصوات عالية ودفرام لصوات عالية أولا + +281 +00:18:42,930 --> 00:18:48,510 +تسكلتشن بالبيل العقلية الاسكلتشن تسمح بالعقل الأول + +282 +00:18:48,510 --> 00:18:51,990 +والثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +283 +00:18:51,990 --> 00:18:53,630 +الثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +284 +00:18:53,630 --> 00:18:53,670 +الثاني وعقل الثاني وعقل ال ثاني وعقل ال ثاني وعقل + +285 +00:18:53,670 --> 00:18:55,290 +ال ثاني وعقل ال ثاني وعقل ال ثاني وعقل ال ثاني + +286 +00:18:55,290 --> 00:18:55,610 +وعقل ال ثاني + +287 +00:19:00,240 --> 00:19:02,840 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +288 +00:19:02,840 --> 00:19:03,340 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +289 +00:19:03,340 --> 00:19:04,140 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +290 +00:19:04,140 --> 00:19:08,960 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +291 +00:19:08,960 --> 00:19:12,060 +ماما ماما + +292 +00:19:12,060 --> 00:19:16,420 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +293 +00:19:16,420 --> 00:19:17,380 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +294 +00:19:17,380 --> 00:19:26,820 +ماما ماما + +295 +00:19:26,820 --> 00:19:27,860 +مام + +296 +00:19:34,070 --> 00:19:42,010 +الوقت الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +297 +00:19:42,010 --> 00:19:42,950 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +298 +00:19:42,950 --> 00:19:44,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +299 +00:19:44,290 --> 00:19:49,330 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +300 +00:19:49,330 --> 00:19:52,450 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +301 +00:19:57,040 --> 00:20:01,480 +الصحيفة الموجودة على موقع الانفجار والداسورك ماما + +302 +00:20:01,480 --> 00:20:05,240 +موجودة على موقع الانفجار لذلك لا يذهب إلى أي مكان + +303 +00:20:05,240 --> 00:20:10,140 +لا يوجد انفجار لداسورك + +304 +00:20:10,140 --> 00:20:24,340 +ماما موقع + +305 +00:20:24,340 --> 00:20:29,400 +على موقعالمنطقة الأمامية محدودة بالنسبة للجزء من + +306 +00:20:29,400 --> 00:20:32,880 +المحطة الوضعية الوضعية في الـ Apex أو الوضعية + +307 +00:20:32,880 --> 00:20:38,100 +الأخرى في الأسلوب الوضعية الوضعية + +308 +00:20:38,100 --> 00:20:42,800 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +309 +00:20:42,800 --> 00:20:44,860 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +310 +00:20:44,860 --> 00:20:45,340 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +311 +00:20:45,340 --> 00:20:48,880 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +312 +00:20:48,880 --> 00:20:55,120 +الوضعية الوضع + +313 +00:20:55,410 --> 00:20:59,330 +بسبب عدد الضغط اللي هو أقل ولكن في تفريقنا التفريق + +314 +00:20:59,330 --> 00:21:05,030 +هو عالي بسبب عدد الضغط اللي هو أكتر مرتبة مرتبة + +315 +00:21:05,030 --> 00:21:06,430 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +316 +00:21:06,430 --> 00:21:06,550 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +317 +00:21:06,550 --> 00:21:10,390 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +318 +00:21:10,390 --> 00:21:10,890 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +319 +00:21:10,890 --> 00:21:12,990 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +320 +00:21:12,990 --> 00:21:19,150 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة م + +321 +00:21:19,700 --> 00:21:24,540 +وأربع مقامات لـ Scalic Mamma مقامة واحدة ممهضة + +322 +00:21:24,540 --> 00:21:28,880 +بالسيطاسكوب لكن ليس في البداية ويحتاج إلى أن يكون + +323 +00:21:28,880 --> 00:21:34,180 +افرتات مقامة اثنان مقامة ممهضة بالسيطاسكوب + +324 +00:21:36,930 --> 00:21:43,310 +ماما ثلاثة عشان تسمع + +325 +00:21:43,310 --> 00:21:47,870 +ماما ثلاثة + +326 +00:21:47,870 --> 00:21:48,290 +عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان + +327 +00:21:48,290 --> 00:21:48,350 +تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان تسمع + +328 +00:21:48,350 --> 00:21:50,090 +ثلاثة عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة + +329 +00:21:50,090 --> 00:21:50,770 +عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان + +330 +00:21:50,770 --> 00:21:56,910 +تسمع ماما ثلثة عشان تسمع ماما ثلثة عشان تسمع ماما + +331 +00:21:56,910 --> 00:22:04,990 +ثلثة عشان تسمع ماماوالجامعة السادسة عندما تتجه إلى + +332 +00:22:04,990 --> 00:22:07,150 +البرنامج هي بعيدة عن البرنامج الوحيد الذي يمكنك أن + +333 +00:22:07,150 --> 00:22:11,090 +تتجه إليه مثل ممارس أسطوريك ماما مثل الـ Mitral + +334 +00:22:11,090 --> 00:22:13,310 +regurgitation، Trigaspid regurgitation، اortic + +335 +00:22:13,310 --> 00:22:15,550 +stenosis، and pulmonary stenosis ممارس أسطوريك + +336 +00:22:15,550 --> 00:22:18,630 +ماما مثل الـ Mitral and pulmonary stenosis، + +337 +00:22:18,630 --> 00:22:20,970 +Trigaspid regurgitation، Trigaspid stenosis، and + +338 +00:22:20,970 --> 00:22:22,230 +aortic regurgitation + +339 +00:22:32,150 --> 00:22:39,850 +مقارنة بالنظام البريفرال الارتراضي والحفرات يمكن + +340 +00:22:39,850 --> 00:22:44,910 +تجاربها يجب تجاربها وماذا هي تجاربها يجب تجاربها + +341 +00:22:44,910 --> 00:22:48,070 +راديال بولز راديال بولز راديال بولز راديال بولز + +342 +00:22:48,070 --> 00:22:50,950 +راديال بولز راديال بولز راديال بولز راديال بولز + +343 +00:22:50,950 --> 00:22:55,550 +راديال بولز + +344 +00:22:55,700 --> 00:23:02,860 +وبليتيال ودرساليسبيتس بولس بستيرتيبياتيبات تجارب + +345 +00:23:02,860 --> 00:23:06,780 +البرفرالفين تجارب البرفرالفين تجارب البرفرالفين + +346 +00:23:06,780 --> 00:23:09,300 +تجارب البرفرالفين تجارب البرفرالفين تجارب + +347 +00:23:09,300 --> 00:23:12,700 +البرفرالفين تجارب البرفرالفين تجارب البرفرالفين + +348 +00:23:12,700 --> 00:23:12,960 +تجارب البرفرالفين تجارب البرفرالفين تجارب + +349 +00:23:12,960 --> 00:23:16,000 +البرفرالفين تجارب البرفرالفين + +350 +00:23:16,000 --> 00:23:22,620 +تجارب البرفرالف + +351 +00:23:24,440 --> 00:23:28,820 +لرؤيتك في موقع البرنامج سنتحدث عنها، لذلك اكتشف + +352 +00:23:28,820 --> 00:23:35,700 +مقالاتك التي لم تفهمها مقالات التي لديك وسأكون + +353 +00:23:35,700 --> 00:23:40,940 +سعيد بإجابة هذه المقالات في مقالات البرنامج مقالات + +354 +00:23:40,940 --> 00:23:47,220 +البرنامج مقالات البرنامج مقالات + +355 +00:23:47,220 --> 00:23:49,400 +البرنامج مقالات البرنامج مقالات البرنامج مقالات + +356 +00:23:49,400 --> 00:23:52,010 +البرنامج مقالات البرنامج مقالات البرنامجكما تحدثنا + +357 +00:23:52,010 --> 00:23:54,590 +في مجال التجارب في مجال التجارب في مجال التجارب في + +358 +00:23:54,590 --> 00:23:55,710 +مجال التجارب في مجال التجارب في مجال التجارب في + +359 +00:23:55,710 --> 00:23:58,690 +مجال التجارب في مجال التجارب في مجال التجارب في + +360 +00:23:58,690 --> 00:23:59,490 +مجال التجارب في مجال التجارب في مجال التجارب في + +361 +00:23:59,490 --> 00:23:59,510 +مجال التجارب في مجال التجارب في مجال التجارب في + +362 +00:23:59,510 --> 00:24:01,690 +مجال التجارب في مجال التجارب في مجال التجارب في + +363 +00:24:01,690 --> 00:24:02,210 +مجال التجارب في مجال التجارب في مجال التجارب في + +364 +00:24:02,210 --> 00:24:06,890 +مجال التجارب في مجال التجارب في مجال التجارب في + +365 +00:24:06,890 --> 00:24:19,030 +مجال التجارب في مجال التجارب في مجال التجارب + +366 +00:24:19,030 --> 00:24:24,200 +في مولكن تركيز عقل الحيوانات يجب أن يتركز على عقل + +367 +00:24:24,200 --> 00:24:25,200 +الحيوانات وعقل الحيوانات يجب أن تركز على عقل + +368 +00:24:25,200 --> 00:24:25,460 +الحيوانات وعقل الحيوانات عقل الحيوانات عقل + +369 +00:24:25,460 --> 00:24:25,900 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +370 +00:24:25,900 --> 00:24:27,880 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +371 +00:24:27,880 --> 00:24:35,660 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +372 +00:24:35,660 --> 00:24:36,980 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +373 +00:24:36,980 --> 00:24:38,680 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +374 +00:24:38,680 --> 00:24:50,240 +الحيوانات عقل الحيوانات عقل الحيوانات عقل الحيوان + +375 +00:24:50,520 --> 00:25:02,640 +والشيء اللي يسمى كشكسيان + +376 +00:25:02,640 --> 00:25:14,280 +يوريميكي + +377 +00:25:14,280 --> 00:25:17,340 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +378 +00:25:17,340 --> 00:25:17,480 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +379 +00:25:17,480 --> 00:25:19,280 +يوريميكي يوريميكي يوريميكي يوريميعلى سبيل المثال + +380 +00:25:19,280 --> 00:25:22,680 +فسيلة تدعى الانتجار الشخصي الانتجار الشخصي + +381 +00:25:22,680 --> 00:25:25,220 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +382 +00:25:25,220 --> 00:25:25,480 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +383 +00:25:25,480 --> 00:25:26,620 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +384 +00:25:26,620 --> 00:25:27,580 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +385 +00:25:27,580 --> 00:25:28,760 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +386 +00:25:28,760 --> 00:25:29,260 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +387 +00:25:29,260 --> 00:25:38,180 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +388 +00:25:38,180 --> 00:25:43,460 +ال + +389 +00:25:47,350 --> 00:25:51,230 +الشيء الذي يمكنك رؤيه هو الواضحات العامة للشيء + +390 +00:25:51,230 --> 00:25:54,430 +الذي يتعلق بالديابتسيا اعتنوا بالأساسية لتحقيق + +391 +00:25:54,430 --> 00:26:00,510 +الشيء لتبدأ التجارب للسياسة الروحانية أولا يجب أن + +392 +00:26:00,510 --> 00:26:06,630 +تقدم نفسك للطبيعي وانتقل عن إسمه وإيجاره يجب أن + +393 +00:26:06,630 --> 00:26:11,610 +تذكر إسمك ورؤيك في مجلس الدراسة وموقعك اكتشف إسم + +394 +00:26:11,610 --> 00:26:16,970 +الطبيعي ومدارسه لكي لا تخلص الطبيعي ببساطة اشرح + +395 +00:26:17,290 --> 00:26:21,410 +ماذا تفعل في التجارة؟ تقوم بإضافة و تحصل على اتفاق + +396 +00:26:21,410 --> 00:26:25,510 +لذلك اطلب المسمح تنفذ يديك و اقوم بوضعه في مكانك و + +397 +00:26:25,510 --> 00:26:26,390 +اقوم بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم + +398 +00:26:26,390 --> 00:26:28,470 +بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم بوضعه + +399 +00:26:28,470 --> 00:26:30,970 +في مكانك و اقوم بوضعه في مكانك و اقوم بوضعه في + +400 +00:26:30,970 --> 00:26:31,150 +مكانك و اقوم بوضعه في مكانك و اقوم بوضعه في مكانك + +401 +00:26:31,150 --> 00:26:33,250 +و اقوم بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم + +402 +00:26:33,250 --> 00:26:37,650 +بوضعه في مكانك و اقوم بوضعهمحاولة عامة للعقل + +403 +00:26:37,650 --> 00:26:40,890 +وحساسية بيلا شرط الهواتف للحفاظ على الهواتف + +404 +00:26:40,890 --> 00:26:45,030 +الهواتف + +405 +00:26:45,030 --> 00:26:48,810 +الهاتف الهاتف + +406 +00:26:48,810 --> 00:26:50,630 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +407 +00:26:50,630 --> 00:26:52,050 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +408 +00:26:52,050 --> 00:26:53,410 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +409 +00:26:53,410 --> 00:26:53,930 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +410 +00:26:53,930 --> 00:27:01,690 +الهاتف + +411 +00:27:03,760 --> 00:27:07,280 +مقاطع الصدر الصدر مرتبطة في مقاطع الدم الكبيري في + +412 +00:27:07,280 --> 00:27:08,180 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +413 +00:27:08,180 --> 00:27:09,080 +مرتبطة في مقاطع الدم الكبيري مرتبطة في مقاطع الدم + +414 +00:27:09,080 --> 00:27:11,220 +الكبيري مرتبطة في مقاطع الدم الكبيري مرتبطة في + +415 +00:27:11,220 --> 00:27:13,600 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +416 +00:27:13,600 --> 00:27:15,060 +مرتبطة في مقاطع الدم الكبيري مرتبطة في مقاطع الدم + +417 +00:27:15,060 --> 00:27:17,140 +الكبيري مرتبطة في مقاطع الدم الكبيري مرتبطة في + +418 +00:27:17,140 --> 00:27:21,340 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +419 +00:27:21,340 --> 00:27:30,360 +مرتبطة + +420 +00:27:30,360 --> 00:27:34,840 +في مقاطع الدالشبلاندرهاميرجيس تشير إلى راسكولايتس + +421 +00:27:34,840 --> 00:27:41,720 +شومة أو فكتب انتقال دايتس بيوت لينز التي تتجسس في + +422 +00:27:41,720 --> 00:27:42,360 +بطولة اللوحات اللوحات اللوحات اللوحات اللوحات + +423 +00:27:42,360 --> 00:27:43,260 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +424 +00:27:43,260 --> 00:27:43,960 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +425 +00:27:43,960 --> 00:27:45,240 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +426 +00:27:45,240 --> 00:27:46,120 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +427 +00:27:46,120 --> 00:27:46,900 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +428 +00:27:46,900 --> 00:27:49,040 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +429 +00:27:49,040 --> 00:28:00,040 +اللوح + +430 +00:28:00,680 --> 00:28:04,620 +دعنا نقول أن نصف نصف نصف نصف نصف نصف نصف نصف نصف + +431 +00:28:04,620 --> 00:28:05,360 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +432 +00:28:05,360 --> 00:28:07,060 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +433 +00:28:07,060 --> 00:28:08,420 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +434 +00:28:08,420 --> 00:28:12,900 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +435 +00:28:12,900 --> 00:28:15,880 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +436 +00:28:15,880 --> 00:28:28,880 +نصف نصف نصف نص + +437 +00:28:28,930 --> 00:28:31,970 +الأسطركسيات تشير إلى مخاطرات تشير إلى مخاطرات + +438 +00:28:31,970 --> 00:28:39,250 +روحانية ومخاطرات عضوية + +439 +00:28:39,250 --> 00:28:40,130 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +440 +00:28:40,130 --> 00:28:41,070 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +441 +00:28:41,070 --> 00:28:42,290 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +442 +00:28:42,290 --> 00:28:43,030 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +443 +00:28:43,030 --> 00:28:43,110 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +444 +00:28:43,110 --> 00:28:58,610 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية وم + +445 +00:28:58,780 --> 00:29:03,240 +هو انتجه بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +446 +00:29:03,240 --> 00:29:11,940 +بطيئة بطيئة بطيئة بطيئة بطيئة + +447 +00:29:11,940 --> 00:29:16,300 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +448 +00:29:16,300 --> 00:29:16,320 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +449 +00:29:16,320 --> 00:29:27,780 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطي + +450 +00:29:30,190 --> 00:29:34,410 +تحقق الأسلحة لتخلصها بما يشير إلى البروينتس الذي + +451 +00:29:34,410 --> 00:29:37,610 +يشهر في الوريميا البروزينج يمكن أن يشهر في + +452 +00:29:37,610 --> 00:29:42,070 +كوتكسترينيوس عالية أو مفاجأة بلتلة بسبب الوريميا + +453 +00:29:42,070 --> 00:29:44,990 +أمور أو قصر الجلد يمكن أن يكون ملحق مع مدعومة + +454 +00:29:44,990 --> 00:29:50,950 +مناسبة، خاصة في أسباب ثورمبرهيانية. كل فشلونة في + +455 +00:29:50,950 --> 00:29:54,170 +المقاومة، وهي مهمة جدًا للغاية، يمكن أن تكون في + +456 +00:29:54,170 --> 00:29:58,330 +المقاومة أو في مقاومة كيبكالفوسن، لذلك يجب أن تبحث + +457 +00:29:58,330 --> 00:30:02,470 +عن هذه الموقعاتبالبيت اذا رأيت الفيستورا في مرة + +458 +00:30:02,470 --> 00:30:07,270 +واحدة يجب ان تقوم بالبيت الفيستورا لشريل واسكلته + +459 +00:30:07,270 --> 00:30:11,990 +في مرة واحدة قبل ان تنسى هذه المنطقة اسكلتها لبريس + +460 +00:30:11,990 --> 00:30:18,470 +وهذا يعطيك فكرة اذا كانت هذه الفيستورا مفتوحة او + +461 +00:30:18,470 --> 00:30:21,570 +لا و مرة أخرى اذا كنت تريد ان تعرف اذا كانت هذه + +462 +00:30:21,570 --> 00:30:26,970 +الفيستورا مستخدمة او لا فانت فقط تبحث عن اي فرصة + +463 +00:30:26,970 --> 00:30:27,470 +مقبلة + +464 +00:30:30,640 --> 00:30:36,600 +على محطة الفيستورا ثم تأخذ + +465 +00:30:36,600 --> 00:30:40,580 +راديال بولز فرع الدم يجب أن يتم ميجره ويمكن أن + +466 +00:30:40,580 --> 00:30:43,000 +يكون موجود في الـ Z ويمكننا أن نرى محطة الهيبا تنش + +467 +00:30:43,000 --> 00:30:48,120 +يجب أن لا يتم ميجر فرع الدم على محطة الفيستورا + +468 +00:30:48,120 --> 00:30:48,700 +الهيبا + +469 +00:30:52,130 --> 00:30:56,890 +الوضع في المريض والوضع الرسمي مهم جدًا يالو الوضع + +470 +00:30:56,890 --> 00:31:01,230 +يشير إلى ميزة يوراميكية وميزة يوراميكية وميزة + +471 +00:31:01,230 --> 00:31:06,790 +يوراميكية يحصلت عادةً في الكريستاليو ديوريا مجموعة + +472 +00:31:06,790 --> 00:31:10,190 +موجودة في جسد المريض ليس فقط في الجانب المعقول + +473 +00:31:10,190 --> 00:31:13,370 +عادةً في الجانب وعادةً ومشاهدتها في المصادر + +474 +00:31:13,370 --> 00:31:20,510 +الحقيقية الجسدية قد تتطور إلى مصادر غير مدعومة مثل + +475 +00:31:20,510 --> 00:31:26,690 +سكون السلكا الشينوماوالسلق كرسينامي كرسينامي في + +476 +00:31:26,690 --> 00:31:31,370 +وجهة المظهر الهيبرتريكوز المشهور في استخدام ساكورس + +477 +00:31:31,370 --> 00:31:34,090 +بولينهي كانت مستخدمة للطبيعي للتعامل بالتعامل + +478 +00:31:34,090 --> 00:31:36,530 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +479 +00:31:36,530 --> 00:31:37,210 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +480 +00:31:37,210 --> 00:31:37,390 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +481 +00:31:37,390 --> 00:31:37,430 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +482 +00:31:37,430 --> 00:31:47,810 +بالتعامل بالتعامل بالتعامل بالتعامل + +483 +00:31:47,810 --> 00:31:50,790 +بالت + +484 +00:31:52,770 --> 00:31:56,850 +التراثيوبيه السيئة هي مرض كورنيا تسبب في دبوزيون + +485 +00:31:56,850 --> 00:32:04,810 +الكالسيمين الركزي الكورنيا الواضح أن إذا كانت + +486 +00:32:04,810 --> 00:32:08,850 +الكورنيا الركزية في النهاية ستقوم بتقسيم + +487 +00:32:08,850 --> 00:32:13,210 +الهيبركالسيميه + +488 +00:32:13,210 --> 00:32:18,850 +الهيبركالسيميه هي مرض كورنيا مرتب ميلوناباري + +489 +00:32:18,850 --> 00:32:21,930 +أوربيتال إيديما تتحرك حول العين هي مواصلة عامة + +490 +00:32:21,930 --> 00:32:26,890 +لتحقيق دكساندروم مصدر ابحث عن مصدر لجنجفال + +491 +00:32:26,890 --> 00:32:31,950 +الهيبيرترفين اللي موجود في مصادر الهيبيرترفين + +492 +00:32:31,950 --> 00:32:34,230 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +493 +00:32:34,230 --> 00:32:35,950 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +494 +00:32:35,950 --> 00:32:36,430 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +495 +00:32:36,430 --> 00:32:42,090 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +496 +00:32:42,090 --> 00:32:45,550 +الهي + +497 +00:32:45,730 --> 00:32:49,150 +بدأ بالتحقق من الجلد حيث يكون هناك اكسكرايات + +498 +00:32:49,150 --> 00:32:52,150 +اكسكرايات يعني اكسكرايات اكسكرايات اكسكرايات + +499 +00:32:52,150 --> 00:32:56,250 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +500 +00:32:56,250 --> 00:32:56,470 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +501 +00:32:56,470 --> 00:32:57,050 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +502 +00:32:57,050 --> 00:32:57,490 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +503 +00:32:57,490 --> 00:33:03,430 +اكسكراية اكسكراية اكسكراية اكسكراية + +504 +00:33:03,430 --> 00:33:09,690 +اكسكراية اكسكراية اكسكراية + +505 +00:33:09,690 --> 00:33:14,670 +اكسكراية + +506 +00:33:14,670 --> 00:33:17,700 +الو تلاحظ الـ Stoner dullness يوجد وجود الـ + +507 +00:33:17,700 --> 00:33:21,180 +pleural infusion وهو إشارة لعنوان الحرارة أو + +508 +00:33:21,180 --> 00:33:25,140 +لعنوان الحرارة أو hypoalbuminemia deuteronephrotic + +509 +00:33:25,140 --> 00:33:30,460 +بس كنت اضالة الاساس لعنوان الـ pulmonary edema + +510 +00:33:30,460 --> 00:33:33,560 +وpleural + +511 +00:33:33,560 --> 00:33:37,000 +infusion بالنسبة لتجارة Cardiovascular System + +512 +00:33:37,000 --> 00:33:42,300 +Examination بالبيت الـ ABICS وإذا في حالة العنوان + +513 +00:33:42,300 --> 00:33:46,860 +الحراري الـ ABICS يتغير عادةعلى الجانب وعلى الأسفل + +514 +00:33:46,860 --> 00:33:50,240 +لأننا نرى كثير من المزيد من المزيد من المزيد من + +515 +00:33:50,240 --> 00:33:54,180 +المزيد من + +516 +00:33:54,180 --> 00:33:54,200 +المزيد من المزيد من المزيد من المزيد من المزيد من + +517 +00:33:54,200 --> 00:33:54,640 +المزيد من المزيد من المزيد من المزيد من المزيد من + +518 +00:33:54,640 --> 00:33:54,940 +المزيد من المزيد من المزيد من المزيد من المزيد من + +519 +00:33:54,940 --> 00:33:55,220 +المزيد من المزيد من المزيد من المزيد من المزيد من + +520 +00:33:55,220 --> 00:33:55,300 +المزيد من المزيد من المزيد من المزيد من المزيد من + +521 +00:33:55,300 --> 00:33:56,400 +المزيد من المزيد من المزيد من المزيد من المزيد من + +522 +00:33:56,400 --> 00:34:02,320 +المزيد من المزيد من المزيد من المزيد من المزيد من + +523 +00:34:02,320 --> 00:34:10,880 +المزيد من + +524 +00:34:10,880 --> 00:34:17,010 +المزولكن تأكد ان تسمع الرب البريكوديا البريكوديا + +525 +00:34:17,010 --> 00:34:22,710 +الرب هذا مهم جدًا في مرض مرض مرض عقلية عامة تبدأ + +526 +00:34:22,710 --> 00:34:25,090 +بالبشرة بشرة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +527 +00:34:25,090 --> 00:34:26,870 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +528 +00:34:26,870 --> 00:34:27,950 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +529 +00:34:27,950 --> 00:34:29,470 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +530 +00:34:29,470 --> 00:34:29,830 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +531 +00:34:29,830 --> 00:34:37,410 +بطيقة بطيقة بطيقة ب + +532 +00:34:41,720 --> 00:34:46,040 +وانتقل للتنسيق العضلاني والعضلاني خاصة انتقل + +533 +00:34:46,040 --> 00:34:48,560 +للتنسيق الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +534 +00:34:48,560 --> 00:34:53,040 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +535 +00:34:53,040 --> 00:34:54,680 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +536 +00:34:54,680 --> 00:34:59,280 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +537 +00:34:59,280 --> 00:35:00,920 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +538 +00:35:00,920 --> 00:35:04,680 +الياكفوسة الياكفوسة + +539 +00:35:04,680 --> 00:35:09,700 +الياكالسقاة المرتبطة بشكل بفرشين عضوية بشكل مضيق + +540 +00:35:09,700 --> 00:35:12,940 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +541 +00:35:12,940 --> 00:35:13,900 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +542 +00:35:13,900 --> 00:35:14,480 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +543 +00:35:14,480 --> 00:35:15,240 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +544 +00:35:15,240 --> 00:35:17,660 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +545 +00:35:17,660 --> 00:35:24,280 +بشكل مضيق بشكل مضيق بشكل + +546 +00:35:24,280 --> 00:35:27,040 +مضي + +547 +00:35:31,040 --> 00:35:34,700 +ثم تذهب إلى البركاتيات تغيير الحرارة جدًا أساسي + +548 +00:35:34,700 --> 00:35:37,200 +يُسمى كسائطس وهو عملية عملية عملية عملية عملية + +549 +00:35:37,200 --> 00:35:38,420 +عملية عملية عملية عملية عملية عملية عملية عملية + +550 +00:35:38,420 --> 00:35:40,740 +عملية عملية عملية عملية عملية عملية عملية عملية + +551 +00:35:40,740 --> 00:35:42,540 +عملية عملية عملية عملية عملية عملية عملية عملية + +552 +00:35:42,540 --> 00:35:43,440 +عملية عملية عملية عملية عملية عملية عملية عملية + +553 +00:35:43,440 --> 00:35:43,600 +عملية عملية عملية عملية عملية عملية عملية عملية + +554 +00:35:43,600 --> 00:35:43,700 +عملية عملية عملية عملية عملية عملية عملية عملية + +555 +00:35:43,700 --> 00:35:58,960 +عمل + +556 +00:35:59,390 --> 00:36:01,570 +لتنهيئة التجارب عليك ان تقوم بشغل الدم بشكل + +557 +00:36:01,570 --> 00:36:05,510 +فندسكوبي اذا كان لديك نفسي وشكرا للانتظار اي سؤال + +558 +00:36:05,510 --> 00:36:09,590 +سأكون سعيد لإجابته لاحقا شكرا جزيلا + +559 +00:37:12,780 --> 00:37:16,400 +السلام عليكم ورحمة الله وبركاته + +560 +00:38:08,990 --> 00:38:15,230 +خلصت؟ آه خلصت هناك؟ آه + +561 +00:38:15,230 --> 00:38:19,970 +عشيت مرة مقرشقة تانية + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k_raw.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..4a8488250c691c7691ae40f6e520ae1687a152ab --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/5RN0dcRSS2k_raw.srt @@ -0,0 +1,2372 @@ +1 +00:00:02,090 --> 00:00:05,430 +السلام عليكم اليوم سنتحدث عن التقرير التاريخي + +2 +00:00:05,430 --> 00:00:09,990 +للنظام الكاردوفاكوري والنظام ريناليو الأول حصة هي + +3 +00:00:09,990 --> 00:00:15,830 +تقرير التاريخ للنظام الكاردوفاكوري تقرير التاريخ + +4 +00:00:15,830 --> 00:00:21,870 +للنظام الكاردوفاكوري مثل كل نظام كاردوفاكوري لذلك + +5 +00:00:21,870 --> 00:00:26,090 +ليس مختلفا للنظام الكاردوفاكوري القواعد اللي سيتم + +6 +00:00:26,090 --> 00:00:30,160 +تذكيره في هذه التقريرة يجب أن تتبعفي تأخير أي حاجة + +7 +00:00:30,160 --> 00:00:36,640 +مرتبطة بأي نظام لماذا التأخير مهم؟ تأخير التأخير + +8 +00:00:36,640 --> 00:00:43,320 +مهم جدًا في مواصلة الوضع في مواصلة الوضع في مواصلة + +9 +00:00:43,320 --> 00:00:43,920 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +10 +00:00:43,920 --> 00:00:44,180 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +11 +00:00:44,180 --> 00:00:45,480 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +12 +00:00:45,480 --> 00:00:48,220 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +13 +00:00:48,220 --> 00:00:53,080 +الوضع في مواصلة الوضع في مواصلة الوضع في مواصلة + +14 +00:00:53,080 --> 00:00:59,410 +الوضع في مواصلة الوضع في مواصلة الوضعوهذا يؤثر على + +15 +00:00:59,410 --> 00:01:05,490 +جميع جزء من الوظيفة 70% من التقرير يعتمد على + +16 +00:01:05,490 --> 00:01:09,290 +التقرير و بعض الأحيان حتى 100% يعتمد على التقرير + +17 +00:01:09,290 --> 00:01:14,890 +يجب أن يتخلصوا من القصص يتخلصوا من الحكومة وهناك + +18 +00:01:14,890 --> 00:01:21,650 +فرق كبير بين التقرير وقصة + +19 +00:01:21,650 --> 00:01:21,970 +التقرير + +20 +00:01:25,140 --> 00:01:28,400 +الجزءات من تاريخ الدراسة ليست فقط الكاردباشيا + +21 +00:01:28,400 --> 00:01:32,280 +والديابا، لكن جميع تاريخ الدراسة هي نفسها ويجب أن + +22 +00:01:32,280 --> 00:01:36,800 +تتبع هذه المرحلة طوال الوقت، في أول مرة تحتوي على + +23 +00:01:36,800 --> 00:01:40,200 +مصادر شخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +24 +00:01:40,200 --> 00:01:41,140 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +25 +00:01:41,140 --> 00:01:43,080 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +26 +00:01:43,080 --> 00:01:43,920 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +27 +00:01:43,920 --> 00:01:45,000 +الشخصية، مصادر الشخصية، مصادر الشخصية، مصادر + +28 +00:01:45,000 --> 00:01:54,320 +الشخصية، مصاد + +29 +00:01:54,600 --> 00:02:00,240 +والتنسيق في نهاية كل التاريخ يجب أن تتضمن مهما + +30 +00:02:00,240 --> 00:02:04,360 +للطبيعه والإيقاع + +31 +00:02:04,360 --> 00:02:11,100 +كيف تأخذ التاريخ التاريخ هو مهارة ولكي تستخدم هذه + +32 +00:02:11,100 --> 00:02:16,280 +المهارة يجب أن تتعلم أكتر عن المرضى ويجب أن تدرس + +33 +00:02:16,280 --> 00:02:22,260 +التاريخ بدون تدرس اعتقدني هذه المهارة بطريقة بسيطة + +34 +00:02:22,910 --> 00:02:28,530 +سيكون صعب جدًا إذا لم تكن لديك تدرس لذلك إنه عمل + +35 +00:02:28,530 --> 00:02:32,430 +يجب أن تستخدمه لإستخدام أي مهارة، يحتاجك الكثير من + +36 +00:02:32,430 --> 00:02:40,610 +التدرس المجموعة المهارة هي مجموعة ومخصصة المجموعات + +37 +00:02:40,610 --> 00:02:46,910 +من هذه المجموعات هي متساومة لكننا وضعناها في + +38 +00:02:46,910 --> 00:02:51,450 +مجموعة لكي لا نفوت أحد من هذه المجموعات مهارة + +39 +00:02:51,450 --> 00:02:57,390 +مهارة مهارة مهمةمهارة الأسئلة مهمة بسيطة لكن + +40 +00:02:57,390 --> 00:03:00,810 +المعرفة المضغوطة تحتاج إليها لتحقيق مهارة مهارة + +41 +00:03:00,810 --> 00:03:00,830 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +42 +00:03:00,830 --> 00:03:01,530 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +43 +00:03:01,530 --> 00:03:02,450 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +44 +00:03:02,450 --> 00:03:05,490 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +45 +00:03:05,490 --> 00:03:06,390 +مهارة مهارة مهارة مهارة مهارة مهارة مهارة مهارة + +46 +00:03:06,390 --> 00:03:10,390 +مهارة مهارة مهارة مهارة + +47 +00:03:10,390 --> 00:03:20,670 +مه + +48 +00:03:21,960 --> 00:03:24,120 +بطريقة مصطلحة ومصطلحة مصطلحة ومصطلحة مصطلحة + +49 +00:03:24,120 --> 00:03:27,700 +ومصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +50 +00:03:27,700 --> 00:03:30,800 +مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +51 +00:03:30,800 --> 00:03:31,180 +مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +52 +00:03:31,180 --> 00:03:31,180 +مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة مصطلحة + +53 +00:03:31,180 --> 00:03:41,340 +مصطلحة مصطلحة مصطلحة م + +54 +00:03:50,660 --> 00:03:55,320 +السؤال يجب أن يكون بسيط واضح يجب أن تتخلص من كلمات + +55 +00:03:55,320 --> 00:04:00,900 +طبيعية وكلمات طبعية ويجب + +56 +00:04:00,900 --> 00:04:06,260 +أن تتخلص من سؤال مفتوح أو مفتوح أو مفتوح أو مفتوح + +57 +00:04:06,260 --> 00:04:06,580 +أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو + +58 +00:04:06,580 --> 00:04:08,420 +مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح + +59 +00:04:08,420 --> 00:04:09,660 +أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو + +60 +00:04:09,660 --> 00:04:10,580 +مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح أو مفتوح + +61 +00:04:10,580 --> 00:04:17,060 +أو مفتوح أو مفتوح أو + +62 +00:04:20,650 --> 00:04:24,750 +البيانات الشخصية مهمة جدًا وبسبب ما بدأت بها تسجل + +63 +00:04:24,750 --> 00:04:31,090 +اسمه عمره او اسمه عمره ادرس سكس اثنسه تاكي اكتشاف + +64 +00:04:31,090 --> 00:04:34,030 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +65 +00:04:34,030 --> 00:04:34,910 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +66 +00:04:34,910 --> 00:04:36,490 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +67 +00:04:36,490 --> 00:04:45,670 +مصطلحه مصطلحه مصطلحه مصطلحه مصطلحه + +68 +00:04:45,670 --> 00:04:48,810 +مصطلح + +69 +00:04:49,200 --> 00:04:53,080 +عائلات أو مخدرات أو عملية مجتمعية مهتمين بالطب + +70 +00:04:53,080 --> 00:04:58,060 +والطب يجب أن نبدأ بـ Chief Complaint الـ Chief + +71 +00:04:58,060 --> 00:05:01,240 +Complaint هو السبب الرئيسي لماذا طب يأتي إليك + +72 +00:05:01,240 --> 00:05:08,240 +وخصوصًا سبتمبر واحد عادة يمكن أن يكون عديدًا الطب + +73 +00:05:08,240 --> 00:05:13,800 +يجب أن يفسر مشكلته أو مشكلته في كلماته الخاصة ولكن + +74 +00:05:13,800 --> 00:05:17,240 +يجب أن يتم تسجيلها بكلمات الخاصة في كلماتك الخاصة + +75 +00:05:17,240 --> 00:05:21,980 +أيضًاعليك استخدام سؤال مفتوح طوال الوقت لا تبدأ + +76 +00:05:21,980 --> 00:05:26,460 +بمبادرة أو اغلق السؤال ابدأ بسؤال مفتوح عن ماذا + +77 +00:05:26,460 --> 00:05:30,200 +تريد ان تقرر ان تقرر ماذا هو مشكلتك ماهو مشكلتك او + +78 +00:05:30,200 --> 00:05:30,820 +ماهو مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +79 +00:05:30,820 --> 00:05:32,180 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +80 +00:05:32,180 --> 00:05:32,180 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +81 +00:05:32,180 --> 00:05:33,620 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او ماهو + +82 +00:05:33,620 --> 00:05:42,980 +مشكلتك او ماهو مشكلتك او ماهو مشكلتك او + +83 +00:05:42,980 --> 00:05:48,140 +ماهو مشكل + +84 +00:05:50,370 --> 00:05:54,710 +الذي يكتب كلمات صحيحة في هذه المجالات الانتجار + +85 +00:05:54,710 --> 00:05:59,070 +الشخصي يجب أن يكون كتاب بلغة الشخصيه ويجب أن تنقض + +86 +00:05:59,070 --> 00:06:04,150 +كلمات صحيحه الانتجار الشخصيه تسوي الانتجار الشخصيه + +87 +00:06:04,150 --> 00:06:07,130 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +88 +00:06:07,130 --> 00:06:10,610 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +89 +00:06:10,610 --> 00:06:12,330 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +90 +00:06:12,330 --> 00:06:12,450 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه + +91 +00:06:12,450 --> 00:06:13,990 +انتجار الشخصيه انتجار الشخصيه انتجار الشخصيه ان + +92 +00:06:20,530 --> 00:06:23,530 +المشكلة الرئيسية للنظام القدرسي هو الحرارة في + +93 +00:06:23,530 --> 00:06:29,010 +الجلد وكذلك يجب أن تغطي جميع جزء من الحرارة مثل + +94 +00:06:29,010 --> 00:06:32,210 +الوقت الموجود مستخدم مستخدم مستخدم مستخدم مستخدم + +95 +00:06:32,210 --> 00:06:32,810 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +96 +00:06:32,810 --> 00:06:35,030 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +97 +00:06:35,030 --> 00:06:35,770 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +98 +00:06:35,770 --> 00:06:36,670 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +99 +00:06:36,670 --> 00:06:39,430 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +100 +00:06:39,430 --> 00:06:47,370 +مستخدم + +101 +00:06:47,370 --> 00:06:51,770 +مستالصحيحة الصحيحة يسأل عن مواصلة موقع وقيمة + +102 +00:06:51,770 --> 00:06:56,950 +وردوشان وخلق مصادر في علاقة مع مواصلة مواصلة + +103 +00:06:56,950 --> 00:06:59,510 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +104 +00:06:59,510 --> 00:06:59,630 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +105 +00:06:59,630 --> 00:06:59,990 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +106 +00:06:59,990 --> 00:06:59,990 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +107 +00:06:59,990 --> 00:07:01,330 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +108 +00:07:01,330 --> 00:07:01,330 +مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة مواصلة + +109 +00:07:01,330 --> 00:07:14,810 +مو + +110 +00:07:17,280 --> 00:07:23,220 +أسأل عن رؤية كيف بدأت الموضوع بمعرفة قيمة ومعرفة + +111 +00:07:23,220 --> 00:07:26,500 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +112 +00:07:26,500 --> 00:07:28,340 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +113 +00:07:28,340 --> 00:07:29,300 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +114 +00:07:29,300 --> 00:07:29,880 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +115 +00:07:29,880 --> 00:07:30,320 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +116 +00:07:30,320 --> 00:07:36,920 +قيمة ومعرفة قيمة ومعرفة قيمة ومعرفة + +117 +00:07:36,920 --> 00:07:42,500 +قيمة ومعرفة قيم + +118 +00:07:44,570 --> 00:07:47,690 +في قصة بصحيح الأطباء، يجب أن تسأل عن أي شيء مرتبط + +119 +00:07:47,690 --> 00:07:52,190 +بالحر، يجب أن تسأل عن قصة بصحيح الأطباء، يجب أن + +120 +00:07:52,190 --> 00:07:52,190 +تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل عن أي شيء + +121 +00:07:52,190 --> 00:07:52,370 +مرتبط بالحر، يجب أن تسأل عن أي شيء مرتبط بالحر، + +122 +00:07:52,370 --> 00:07:53,590 +يجب أن تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل عن + +123 +00:07:53,590 --> 00:07:54,430 +أي شيء مرتبط بالحر، يجب أن تسأل عن أي شيء مرتبط + +124 +00:07:54,430 --> 00:07:56,930 +بالحر، يجب أن تسأل عن أي شيء مرتبط بالحر، يجب أن + +125 +00:07:56,930 --> 00:08:01,490 +تسأل عن أي شيء مرتبط بالحر، يجب أن تسأل + +126 +00:08:11,390 --> 00:08:14,170 +السيرجيكال أو السيرجيكال الرئيسي يسأل عن إيقاط + +127 +00:08:14,170 --> 00:08:17,990 +السيرجيكال وإذا كان هناك أي سيرجيكال مفهوم + +128 +00:08:17,990 --> 00:08:24,150 +للسيرجيكال كيف كانت السنة العملية وكيف كانت السنة + +129 +00:08:24,150 --> 00:08:25,210 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +130 +00:08:25,210 --> 00:08:25,250 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +131 +00:08:25,250 --> 00:08:25,630 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +132 +00:08:25,630 --> 00:08:25,950 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +133 +00:08:25,950 --> 00:08:26,950 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +134 +00:08:26,950 --> 00:08:29,610 +العملية وكيف كانت السنة العملية وكيف كانت السنة + +135 +00:08:29,610 --> 00:08:37,210 +العملية وكيف كانت السنة العملية وك + +136 +00:08:43,380 --> 00:08:47,100 +والسؤال يتعلق بـ Frequency of patient taking of + +137 +00:08:47,100 --> 00:08:50,600 +these medications في تاريخ مخدرات المخدرات يجب أن + +138 +00:08:50,600 --> 00:08:54,320 +تعرف التاريخ مخدرات مخدرات مخدرات مخدرات مخدرات + +139 +00:08:54,320 --> 00:08:54,340 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +140 +00:08:54,340 --> 00:08:57,300 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +141 +00:08:57,300 --> 00:08:57,340 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +142 +00:08:57,340 --> 00:08:59,000 +مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات مخدرات + +143 +00:08:59,000 --> 00:09:12,540 +مخدرات مخدرات مخدر + +144 +00:09:12,810 --> 00:09:15,170 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +145 +00:09:15,170 --> 00:09:16,150 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +146 +00:09:16,150 --> 00:09:18,750 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +147 +00:09:18,750 --> 00:09:18,910 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +148 +00:09:18,910 --> 00:09:20,470 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +149 +00:09:20,470 --> 00:09:20,550 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +150 +00:09:20,550 --> 00:09:23,870 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +151 +00:09:23,870 --> 00:09:29,450 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +152 +00:09:29,450 --> 00:09:36,230 +الهيبوتينسيا الهيبوتينسيا الهيبوتينسيا + +153 +00:09:36,230 --> 00:09:37,570 +الهيبوتينسيا + +154 +00:09:42,390 --> 00:09:46,950 +بالنسبة للشباب وفي حالة اقتصادية مرة أخرى عن حالة + +155 +00:09:46,950 --> 00:09:49,270 +اقتصادية لا تسأل الشباب اذا كان لديه مال او لا + +156 +00:09:49,270 --> 00:09:53,470 +تسأله عنه بشكل عام اجتماعي اجتماع اقتصادية نجد ان + +157 +00:09:53,470 --> 00:10:00,050 +هناك صعوبات مختلفة مختلفة مختلفة + +158 +00:10:00,050 --> 00:10:05,450 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +159 +00:10:05,450 --> 00:10:08,610 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +160 +00:10:08,610 --> 00:10:08,790 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +161 +00:10:08,790 --> 00:10:09,230 +مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة مختلفة + +162 +00:10:09,230 --> 00:10:15,390 +مختلفة مختلفة مختهذا هو مرحلة لا تخسر أي شيء أي + +163 +00:10:15,390 --> 00:10:19,970 +إجابة مهمة يجب أن تتحرك إلى الانتجار التاريخي + +164 +00:10:19,970 --> 00:10:21,430 +التاريخي التاريخي التاريخي أو قصة مصادر مصادر + +165 +00:10:21,430 --> 00:10:21,810 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +166 +00:10:21,810 --> 00:10:23,790 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +167 +00:10:23,790 --> 00:10:24,290 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +168 +00:10:24,290 --> 00:10:25,710 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +169 +00:10:25,710 --> 00:10:32,070 +مصادر مصادر مصادر مصادر مصادر مصادر + +170 +00:10:32,070 --> 00:10:37,170 +مصاد + +171 +00:10:37,250 --> 00:10:42,390 +سيستم التجارب يسأل عن أسلحة، عضلات، عضلات، عضلات، + +172 +00:10:42,390 --> 00:10:43,450 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +173 +00:10:43,450 --> 00:10:44,570 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +174 +00:10:44,570 --> 00:10:45,490 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +175 +00:10:45,490 --> 00:10:47,290 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +176 +00:10:47,290 --> 00:10:52,210 +عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، عضلات، + +177 +00:10:52,210 --> 00:10:56,970 +عضلات، عضلات، + +178 +00:10:56,970 --> 00:10:58,170 +عضلات، + +179 +00:11:04,010 --> 00:11:08,790 +عن مفهوم الحرارة التي تعتمد عليها هذا البرتقال + +180 +00:11:08,790 --> 00:11:13,430 +ويجب أن تقوم بتقاط التقاط البرتقال البرتقال + +181 +00:11:13,430 --> 00:11:18,030 +البرتقال البرتقال + +182 +00:11:18,030 --> 00:11:23,350 +البرتقال البرتقال البرتقال البرتقال البرتقال + +183 +00:11:23,350 --> 00:11:23,350 +البرتقال البرتقال البرتقال البرتقال البرتقال + +184 +00:11:23,350 --> 00:11:23,770 +البرتقال البرتقال البرتقال البرتقال البرتقال + +185 +00:11:23,770 --> 00:11:23,770 +البرتقال البرتقال البرتقال البرتقال البرتقال + +186 +00:11:23,770 --> 00:11:23,770 +البرتقال البرتقال البرتقال البرتقال البرتقال + +187 +00:11:23,770 --> 00:11:23,770 +البرتقال البرتقال البرتقال البرتقال البرتقال + +188 +00:11:23,770 --> 00:11:29,140 +البرتقال البرتقال البرتقال الوهذا مخصص لـ Heart + +189 +00:11:29,140 --> 00:11:32,920 +Failure وشركة بيركزيومان اكترونيا ديسنيا مستخدم + +190 +00:11:32,920 --> 00:11:34,040 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +191 +00:11:34,040 --> 00:11:35,180 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +192 +00:11:35,180 --> 00:11:37,520 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +193 +00:11:37,520 --> 00:11:38,120 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +194 +00:11:38,120 --> 00:11:38,760 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +195 +00:11:38,760 --> 00:11:41,760 +مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم مستخدم + +196 +00:11:41,760 --> 00:11:46,300 +مستخدم مستخدم مستخدم مستخدم + +197 +00:11:46,300 --> 00:11:57,200 +مست + +198 +00:11:57,490 --> 00:12:02,770 +أو heart disease كفأس بيوتم في heart disease هو + +199 +00:12:02,770 --> 00:12:08,510 +عادة بينكسي و 40 و بلاطي يمكن أن يكون من نسبة + +200 +00:12:08,510 --> 00:12:14,290 +بالمريديما أو بالمريمابوليزم + +201 +00:12:14,290 --> 00:12:19,150 +مرسوم العقل لعقل مريميديما عامة في عقل مريميديما + +202 +00:12:19,150 --> 00:12:25,860 +عامة في عقل مريميديما عامة في عقلو يجب أن تسأل عن + +203 +00:12:25,860 --> 00:12:29,100 +موقع الانتجار والطبيعة ويمكنك أن تسأل المريض ان + +204 +00:12:29,100 --> 00:12:33,080 +تضغط على هذه الانتجار كيف هي عادية و عادية و عادية + +205 +00:12:33,080 --> 00:12:33,680 +و عادية و عادية و عادية و عادية و عادية و عادية و + +206 +00:12:33,680 --> 00:12:37,020 +عادية و عادية و عادية و عادية و عادية و عادية و + +207 +00:12:37,020 --> 00:12:38,880 +عادية و عادية و عادية و عادية و عادية و عادية و + +208 +00:12:38,880 --> 00:12:38,940 +عادية و عادية و عادية و عادية و عادية و عادية و + +209 +00:12:38,940 --> 00:12:38,960 +عادية و عادية و عادية و عادية و عادية و عادية و + +210 +00:12:38,960 --> 00:12:39,040 +عادية و عادية و عادية و عادية و عادية و عادية و + +211 +00:12:39,040 --> 00:12:48,900 +عادية و عادية و عادية و عادية و + +212 +00:12:48,900 --> 00:12:52,600 +عادية + +213 +00:12:52,840 --> 00:12:56,420 +مشكلة الحرارة مثلًا فرقية الحرارة احترام الحرارة + +214 +00:12:56,420 --> 00:13:07,920 +نكتوريا و باك بين نكتوريا + +215 +00:13:07,920 --> 00:13:08,500 +نكتوريا و باك بين نكتوريا نكتوريا نكتوريا نكتوريا + +216 +00:13:08,500 --> 00:13:08,700 +نكتوريا نكتوريا نكتوريا نكتوريا نكتوريا نكتوريا + +217 +00:13:08,700 --> 00:13:11,640 +نكتوريا نكتوريا نكتوريا نكتوريا + +218 +00:13:53,080 --> 00:13:58,490 +نوفا سيسترمنتهناك علاقة بين نفسي والنظام الفضائي + +219 +00:13:58,490 --> 00:14:04,570 +يجب أن يسأل عن محركات عضوية مثل + +220 +00:14:04,570 --> 00:14:08,870 +محركات عضوية مثل محركات عضوية مثل محركات عضوية مثل + +221 +00:14:08,870 --> 00:14:12,790 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +222 +00:14:12,790 --> 00:14:13,070 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +223 +00:14:13,070 --> 00:14:14,930 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +224 +00:14:14,930 --> 00:14:14,930 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +225 +00:14:14,930 --> 00:14:15,390 +عضوية مثل عضوية مثل عضوية مثل عضوية مثل عضوية مثل + +226 +00:14:15,390 --> 00:14:25,250 +عضوية مثل ع + +227 +00:14:30,330 --> 00:14:34,550 +تسأله بشكل عام اذا كان يعتقد اي شيء مرتبط يجب ان + +228 +00:14:34,550 --> 00:14:41,050 +اعرف اعطيه مخطط ماضي اعطيه المسمح للتجارة التجارة + +229 +00:14:41,050 --> 00:14:46,930 +التجارة التجارة التجارة التجارة + +230 +00:14:46,930 --> 00:14:51,710 +التجارة التجارة التجارة التجارة التجارة التجارة + +231 +00:14:51,710 --> 00:14:53,270 +التجارة التجارة التجارة التجارة + +232 +00:14:57,940 --> 00:15:00,760 +الواضحة عامة بأن المريض يحتوي على أشكال محطمة + +233 +00:15:00,760 --> 00:15:01,520 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +234 +00:15:01,520 --> 00:15:02,880 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +235 +00:15:02,880 --> 00:15:04,420 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +236 +00:15:04,420 --> 00:15:04,420 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +237 +00:15:04,420 --> 00:15:04,420 +محطمة محطمة محطمة محطمة محطمة محطمة محطمة محطمة + +238 +00:15:04,420 --> 00:15:11,100 +محطمة محطمة محطمة محطمة محططة محططة + +239 +00:15:11,100 --> 00:15:17,240 +محططة محططة + +240 +00:15:17,240 --> 00:15:25,800 +مح + +241 +00:15:26,270 --> 00:15:33,490 +مع الانتشارات البرميلية فريدريكس اتكشن وهو مفتاح + +242 +00:15:33,490 --> 00:15:39,610 +موبالي ومفتاح اتكشن مع بسكيبس وهامرتوس وهيبرتريك + +243 +00:15:39,610 --> 00:15:43,930 +كارديو ميابيتي وكولازيكس بندراتس وشريك باك شندروم + +244 +00:15:44,810 --> 00:15:48,690 +الدرجة الضعفة ومشاركة بـ Autic Cerebral Mutation + +245 +00:15:48,690 --> 00:15:50,750 +ومشاركة بـ Congestive Heart Failure برنامج قوية + +246 +00:15:50,750 --> 00:15:53,670 +ومشاركة بـ Right Side Heart Failure وPulmonar + +247 +00:15:53,670 --> 00:15:59,230 +Abortation بالمشاركة ومشاركته سوفيلو بيز وشريبي + +248 +00:15:59,230 --> 00:16:02,710 +برنامج قوي ومشاركة بـ Hereditary Mergatory + +249 +00:16:02,710 --> 00:16:05,830 +Angiectasia ومشاركة بـ Pulmonary Artery Relapse + +250 +00:16:05,830 --> 00:16:08,970 +ومشاركة بـ Lobous Features ومشاركة بـ Varroa + +251 +00:16:08,970 --> 00:16:13,270 +Disease ومايكارداتس + +252 +00:16:13,270 --> 00:16:17,610 +واندوكارداتسالذي يسمى منساكسيندوكارداتيس و + +253 +00:16:17,610 --> 00:16:22,150 +Pericarditis فيقرم السيطومة تسيطر على الجلد الفارق + +254 +00:16:22,150 --> 00:16:28,410 +مع فيقرم + +255 +00:16:28,410 --> 00:16:31,910 +السيطومة شعاكيا دوسيس كوتانيوس نديول سوردهي + +256 +00:16:31,910 --> 00:16:35,690 +ماندوزم لوبس برينيو سيكندر كاردومماتيان + +257 +00:16:37,360 --> 00:16:40,920 +Tuberculosis and fibromas مرتبط بالمعارضات العربية + +258 +00:16:40,920 --> 00:16:43,320 +مجزدا منها مرتبط بالمعارضات العربية مرتبط + +259 +00:16:43,320 --> 00:16:43,320 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +260 +00:16:43,320 --> 00:16:44,480 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +261 +00:16:44,480 --> 00:16:45,220 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +262 +00:16:45,220 --> 00:16:46,240 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +263 +00:16:46,240 --> 00:16:47,720 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +264 +00:16:47,720 --> 00:16:48,520 +بالمعارضات العربية مرتبط بالمعارضات العربية مرتبط + +265 +00:16:48,520 --> 00:16:56,860 +بالمعارضات العربية مرتبط + +266 +00:16:56,860 --> 00:17:02,340 +بالمعارضات العربية مرتب + +267 +00:17:02,660 --> 00:17:05,720 +انفكاط وانتقادات وانتقادات وانتقادات وانتقادات + +268 +00:17:05,720 --> 00:17:07,300 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +269 +00:17:07,300 --> 00:17:11,440 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +270 +00:17:11,440 --> 00:17:14,060 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +271 +00:17:14,060 --> 00:17:17,740 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +272 +00:17:17,740 --> 00:17:18,040 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +273 +00:17:18,040 --> 00:17:20,120 +وانتقادات وانتقادات وانتقادات وانتقادات وانتقادات + +274 +00:17:20,120 --> 00:17:24,720 +وانتقادات + +275 +00:17:24,720 --> 00:17:32,100 +وانتقادات وانتق + +276 +00:17:35,280 --> 00:17:40,820 +الجي في بي مجرد 45 درجة ويجب أن يكون مختلفا + +277 +00:17:40,820 --> 00:17:48,000 +بكاروتد لديه اتجارات اتجارات اتجارات اتجارات + +278 +00:17:48,000 --> 00:17:48,160 +اتجارات اتجارات اتجارات اتجارات اتجارات اتجارات + +279 +00:17:48,160 --> 00:17:48,580 +اتجارات اتجارات اتجارات اتجارات اتجارات اتجارات + +280 +00:17:48,580 --> 00:17:48,660 +اتجارات اتجارات اتجارات اتجارات اتجارات اتجارات + +281 +00:17:48,660 --> 00:17:56,280 +اتجارات اتجارات اتجارات + +282 +00:18:01,950 --> 00:18:04,590 +التجارة القلبية أولاً باستخدام استخدام استخدام + +283 +00:18:04,590 --> 00:18:04,970 +استخدام استخدام استخدام استخدام استخدام استخدام + +284 +00:18:04,970 --> 00:18:05,090 +استخدام استخدام استخدام استخدام استخدام استخدام + +285 +00:18:05,090 --> 00:18:05,430 +استخدام استخدام استخدام استخدام استخدام استخدام + +286 +00:18:05,430 --> 00:18:07,310 +استخدام استخدام استخدام استخدام استخدام استخدام + +287 +00:18:07,310 --> 00:18:09,170 +استخدام استخدام استخدام استخدام استخدام استخدام + +288 +00:18:09,170 --> 00:18:09,250 +استخدام استخدام استخدام استخدام استخدام استخدام + +289 +00:18:09,250 --> 00:18:12,550 +استخدام استخدام استخدام استخدام استخدام استخدام + +290 +00:18:12,550 --> 00:18:21,570 +استخدام استخدام استخدام استخدام استخدام استخدام + +291 +00:18:21,570 --> 00:18:27,170 +استخدام استخ + +292 +00:18:33,010 --> 00:18:38,090 +أسكلتشن لا توجد تحرير لعقل لذلك نطلع إلى الاسكلتشن + +293 +00:18:38,090 --> 00:18:42,930 +نبدأ بالبيل لصوات عالية ودفرام لصوات عالية أولا + +294 +00:18:42,930 --> 00:18:48,510 +تسكلتشن بالبيل العقلية الاسكلتشن تسمح بالعقل الأول + +295 +00:18:48,510 --> 00:18:51,990 +والثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +296 +00:18:51,990 --> 00:18:53,630 +الثاني وعقل الثاني وعقل الثاني وعقل الثاني وعقل + +297 +00:18:53,630 --> 00:18:53,670 +الثاني وعقل الثاني وعقل ال ثاني وعقل ال ثاني وعقل + +298 +00:18:53,670 --> 00:18:55,290 +ال ثاني وعقل ال ثاني وعقل ال ثاني وعقل ال ثاني + +299 +00:18:55,290 --> 00:18:55,610 +وعقل ال ثاني + +300 +00:19:00,240 --> 00:19:02,840 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +301 +00:19:02,840 --> 00:19:03,340 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +302 +00:19:03,340 --> 00:19:04,140 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +303 +00:19:04,140 --> 00:19:08,960 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +304 +00:19:08,960 --> 00:19:12,060 +ماما ماما + +305 +00:19:12,060 --> 00:19:16,420 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +306 +00:19:16,420 --> 00:19:16,420 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +307 +00:19:16,420 --> 00:19:17,380 +ماما ماما ماما ماما ماما ماما ماما ماما ماما ماما + +308 +00:19:17,380 --> 00:19:26,820 +ماما ماما + +309 +00:19:26,820 --> 00:19:27,860 +مام + +310 +00:19:34,070 --> 00:19:42,010 +الوقت الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +311 +00:19:42,010 --> 00:19:42,950 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +312 +00:19:42,950 --> 00:19:44,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +313 +00:19:44,290 --> 00:19:49,330 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +314 +00:19:49,330 --> 00:19:52,450 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +315 +00:19:57,040 --> 00:20:01,480 +الصحيفة الموجودة على موقع الانفجار والداسورك ماما + +316 +00:20:01,480 --> 00:20:05,240 +موجودة على موقع الانفجار لذلك لا يذهب إلى أي مكان + +317 +00:20:05,240 --> 00:20:10,140 +لا يوجد انفجار لداسورك + +318 +00:20:10,140 --> 00:20:24,340 +ماما موقع + +319 +00:20:24,340 --> 00:20:29,400 +على موقعالمنطقة الأمامية محدودة بالنسبة للجزء من + +320 +00:20:29,400 --> 00:20:32,880 +المحطة الوضعية الوضعية في الـ Apex أو الوضعية + +321 +00:20:32,880 --> 00:20:38,100 +الأخرى في الأسلوب الوضعية الوضعية + +322 +00:20:38,100 --> 00:20:42,800 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +323 +00:20:42,800 --> 00:20:44,860 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +324 +00:20:44,860 --> 00:20:45,340 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +325 +00:20:45,340 --> 00:20:45,340 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +326 +00:20:45,340 --> 00:20:48,880 +الوضعية الوضعية الوضعية الوضعية الوضعية الوضعية + +327 +00:20:48,880 --> 00:20:55,120 +الوضعية الوضع + +328 +00:20:55,410 --> 00:20:59,330 +بسبب عدد الضغط اللي هو أقل ولكن في تفريقنا التفريق + +329 +00:20:59,330 --> 00:21:05,030 +هو عالي بسبب عدد الضغط اللي هو أكتر مرتبة مرتبة + +330 +00:21:05,030 --> 00:21:06,430 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +331 +00:21:06,430 --> 00:21:06,430 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +332 +00:21:06,430 --> 00:21:06,550 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +333 +00:21:06,550 --> 00:21:10,390 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +334 +00:21:10,390 --> 00:21:10,890 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +335 +00:21:10,890 --> 00:21:12,990 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة + +336 +00:21:12,990 --> 00:21:19,150 +مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة مرتبة م + +337 +00:21:19,700 --> 00:21:24,540 +وأربع مقامات لـ Scalic Mamma مقامة واحدة ممهضة + +338 +00:21:24,540 --> 00:21:28,880 +بالسيطاسكوب لكن ليس في البداية ويحتاج إلى أن يكون + +339 +00:21:28,880 --> 00:21:34,180 +افرتات مقامة اثنان مقامة ممهضة بالسيطاسكوب + +340 +00:21:36,930 --> 00:21:43,310 +ماما ثلاثة عشان تسمع + +341 +00:21:43,310 --> 00:21:47,870 +ماما ثلاثة + +342 +00:21:47,870 --> 00:21:48,290 +عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان + +343 +00:21:48,290 --> 00:21:48,350 +تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان تسمع + +344 +00:21:48,350 --> 00:21:48,350 +ماما ثلاثة عشان تسمع ماما ثلاثة عشان تسمع ماما + +345 +00:21:48,350 --> 00:21:50,090 +ثلاثة عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة + +346 +00:21:50,090 --> 00:21:50,770 +عشان تسمع ماما ثلاثة عشان تسمع ماما ثلاثة عشان + +347 +00:21:50,770 --> 00:21:56,910 +تسمع ماما ثلثة عشان تسمع ماما ثلثة عشان تسمع ماما + +348 +00:21:56,910 --> 00:22:04,990 +ثلثة عشان تسمع ماماوالجامعة السادسة عندما تتجه إلى + +349 +00:22:04,990 --> 00:22:07,150 +البرنامج هي بعيدة عن البرنامج الوحيد الذي يمكنك أن + +350 +00:22:07,150 --> 00:22:11,090 +تتجه إليه مثل ممارس أسطوريك ماما مثل الـ Mitral + +351 +00:22:11,090 --> 00:22:13,310 +regurgitation، Trigaspid regurgitation، اortic + +352 +00:22:13,310 --> 00:22:15,550 +stenosis، and pulmonary stenosis ممارس أسطوريك + +353 +00:22:15,550 --> 00:22:18,630 +ماما مثل الـ Mitral and pulmonary stenosis، + +354 +00:22:18,630 --> 00:22:20,970 +Trigaspid regurgitation، Trigaspid stenosis، and + +355 +00:22:20,970 --> 00:22:22,230 +aortic regurgitation + +356 +00:22:32,150 --> 00:22:39,850 +مقارنة بالنظام البريفرال الارتراضي والحفرات يمكن + +357 +00:22:39,850 --> 00:22:44,910 +تجاربها يجب تجاربها وماذا هي تجاربها يجب تجاربها + +358 +00:22:44,910 --> 00:22:48,070 +راديال بولز راديال بولز راديال بولز راديال بولز + +359 +00:22:48,070 --> 00:22:50,950 +راديال بولز راديال بولز راديال بولز راديال بولز + +360 +00:22:50,950 --> 00:22:55,550 +راديال بولز + +361 +00:22:55,700 --> 00:23:02,860 +وبليتيال ودرساليسبيتس بولس بستيرتيبياتيبات تجارب + +362 +00:23:02,860 --> 00:23:06,780 +البرفرالفين تجارب البرفرالفين تجارب البرفرالفين + +363 +00:23:06,780 --> 00:23:09,300 +تجارب البرفرالفين تجارب البرفرالفين تجارب + +364 +00:23:09,300 --> 00:23:12,700 +البرفرالفين تجارب البرفرالفين تجارب البرفرالفين + +365 +00:23:12,700 --> 00:23:12,960 +تجارب البرفرالفين تجارب البرفرالفين تجارب + +366 +00:23:12,960 --> 00:23:12,960 +البرفرالفين تجارب البرفرالفين تجارب البرفرالفين + +367 +00:23:12,960 --> 00:23:12,960 +تجارب البرفرالفين تجارب البرفرالفين تجارب + +368 +00:23:12,960 --> 00:23:16,000 +البرفرالفين تجارب البرفرالفين + +369 +00:23:16,000 --> 00:23:22,620 +تجارب البرفرالف + +370 +00:23:24,440 --> 00:23:28,820 +لرؤيتك في موقع البرنامج سنتحدث عنها، لذلك اكتشف + +371 +00:23:28,820 --> 00:23:35,700 +مقالاتك التي لم تفهمها مقالات التي لديك وسأكون + +372 +00:23:35,700 --> 00:23:40,940 +سعيد بإجابة هذه المقالات في مقالات البرنامج مقالات + +373 +00:23:40,940 --> 00:23:47,220 +البرنامج مقالات البرنامج مقالات + +374 +00:23:47,220 --> 00:23:49,400 +البرنامج مقالات البرنامج مقالات البرنامج مقالات + +375 +00:23:49,400 --> 00:23:52,010 +البرنامج مقالات البرنامج مقالات البرنامجكما تحدثنا + +376 +00:23:52,010 --> 00:23:54,590 +في مجال التجارب في مجال التجارب في مجال التجارب في + +377 +00:23:54,590 --> 00:23:55,710 +مجال التجارب في مجال التجارب في مجال التجارب في + +378 +00:23:55,710 --> 00:23:58,690 +مجال التجارب في مجال التجارب في مجال التجارب في + +379 +00:23:58,690 --> 00:23:59,490 +مجال التجارب في مجال التجارب في مجال التجارب في + +380 +00:23:59,490 --> 00:23:59,510 +مجال التجارب في مجال التجارب في مجال التجارب في + +381 +00:23:59,510 --> 00:24:01,690 +مجال التجارب في مجال التجارب في مجال التجارب في + +382 +00:24:01,690 --> 00:24:02,210 +مجال التجارب في مجال التجارب في مجال التجارب في + +383 +00:24:02,210 --> 00:24:06,890 +مجال التجارب في مجال التجارب في مجال التجارب في + +384 +00:24:06,890 --> 00:24:19,030 +مجال التجارب في مجال التجارب في مجال التجارب + +385 +00:24:19,030 --> 00:24:24,200 +في مولكن تركيز عقل الحيوانات يجب أن يتركز على عقل + +386 +00:24:24,200 --> 00:24:25,200 +الحيوانات وعقل الحيوانات يجب أن تركز على عقل + +387 +00:24:25,200 --> 00:24:25,460 +الحيوانات وعقل الحيوانات عقل الحيوانات عقل + +388 +00:24:25,460 --> 00:24:25,900 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +389 +00:24:25,900 --> 00:24:27,880 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +390 +00:24:27,880 --> 00:24:35,660 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +391 +00:24:35,660 --> 00:24:36,980 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +392 +00:24:36,980 --> 00:24:38,680 +الحيوانات عقل الحيوانات عقل الحيوانات عقل + +393 +00:24:38,680 --> 00:24:50,240 +الحيوانات عقل الحيوانات عقل الحيوانات عقل الحيوان + +394 +00:24:50,520 --> 00:25:02,640 +والشيء اللي يسمى كشكسيان + +395 +00:25:02,640 --> 00:25:14,280 +يوريميكي + +396 +00:25:14,280 --> 00:25:14,280 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +397 +00:25:14,280 --> 00:25:17,340 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +398 +00:25:17,340 --> 00:25:17,480 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +399 +00:25:17,480 --> 00:25:17,480 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +400 +00:25:17,480 --> 00:25:17,480 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +401 +00:25:17,480 --> 00:25:17,480 +يوريميكي يوريميكي يوريميكي يوريميكي يوريميكي + +402 +00:25:17,480 --> 00:25:19,280 +يوريميكي يوريميكي يوريميكي يوريميعلى سبيل المثال + +403 +00:25:19,280 --> 00:25:22,680 +فسيلة تدعى الانتجار الشخصي الانتجار الشخصي + +404 +00:25:22,680 --> 00:25:25,220 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +405 +00:25:25,220 --> 00:25:25,480 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +406 +00:25:25,480 --> 00:25:26,620 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +407 +00:25:26,620 --> 00:25:27,580 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +408 +00:25:27,580 --> 00:25:28,760 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +409 +00:25:28,760 --> 00:25:29,260 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +410 +00:25:29,260 --> 00:25:38,180 +الانتجار الشخصي الانتجار الشخصي الانتجار الشخصي + +411 +00:25:38,180 --> 00:25:43,460 +ال + +412 +00:25:47,350 --> 00:25:51,230 +الشيء الذي يمكنك رؤيه هو الواضحات العامة للشيء + +413 +00:25:51,230 --> 00:25:54,430 +الذي يتعلق بالديابتسيا اعتنوا بالأساسية لتحقيق + +414 +00:25:54,430 --> 00:26:00,510 +الشيء لتبدأ التجارب للسياسة الروحانية أولا يجب أن + +415 +00:26:00,510 --> 00:26:06,630 +تقدم نفسك للطبيعي وانتقل عن إسمه وإيجاره يجب أن + +416 +00:26:06,630 --> 00:26:11,610 +تذكر إسمك ورؤيك في مجلس الدراسة وموقعك اكتشف إسم + +417 +00:26:11,610 --> 00:26:16,970 +الطبيعي ومدارسه لكي لا تخلص الطبيعي ببساطة اشرح + +418 +00:26:17,290 --> 00:26:21,410 +ماذا تفعل في التجارة؟ تقوم بإضافة و تحصل على اتفاق + +419 +00:26:21,410 --> 00:26:25,510 +لذلك اطلب المسمح تنفذ يديك و اقوم بوضعه في مكانك و + +420 +00:26:25,510 --> 00:26:26,390 +اقوم بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم + +421 +00:26:26,390 --> 00:26:28,470 +بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم بوضعه + +422 +00:26:28,470 --> 00:26:30,970 +في مكانك و اقوم بوضعه في مكانك و اقوم بوضعه في + +423 +00:26:30,970 --> 00:26:31,150 +مكانك و اقوم بوضعه في مكانك و اقوم بوضعه في مكانك + +424 +00:26:31,150 --> 00:26:33,250 +و اقوم بوضعه في مكانك و اقوم بوضعه في مكانك و اقوم + +425 +00:26:33,250 --> 00:26:37,650 +بوضعه في مكانك و اقوم بوضعهمحاولة عامة للعقل + +426 +00:26:37,650 --> 00:26:40,890 +وحساسية بيلا شرط الهواتف للحفاظ على الهواتف + +427 +00:26:40,890 --> 00:26:45,030 +الهواتف + +428 +00:26:45,030 --> 00:26:48,810 +الهاتف الهاتف + +429 +00:26:48,810 --> 00:26:50,630 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +430 +00:26:50,630 --> 00:26:52,050 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +431 +00:26:52,050 --> 00:26:53,410 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +432 +00:26:53,410 --> 00:26:53,930 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +433 +00:26:53,930 --> 00:26:53,930 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +434 +00:26:53,930 --> 00:26:53,930 +الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف الهاتف + +435 +00:26:53,930 --> 00:27:01,690 +الهاتف + +436 +00:27:03,760 --> 00:27:07,280 +مقاطع الصدر الصدر مرتبطة في مقاطع الدم الكبيري في + +437 +00:27:07,280 --> 00:27:08,180 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +438 +00:27:08,180 --> 00:27:09,080 +مرتبطة في مقاطع الدم الكبيري مرتبطة في مقاطع الدم + +439 +00:27:09,080 --> 00:27:11,220 +الكبيري مرتبطة في مقاطع الدم الكبيري مرتبطة في + +440 +00:27:11,220 --> 00:27:13,600 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +441 +00:27:13,600 --> 00:27:15,060 +مرتبطة في مقاطع الدم الكبيري مرتبطة في مقاطع الدم + +442 +00:27:15,060 --> 00:27:17,140 +الكبيري مرتبطة في مقاطع الدم الكبيري مرتبطة في + +443 +00:27:17,140 --> 00:27:21,340 +مقاطع الدم الكبيري مرتبطة في مقاطع الدم الكبيري + +444 +00:27:21,340 --> 00:27:30,360 +مرتبطة + +445 +00:27:30,360 --> 00:27:34,840 +في مقاطع الدالشبلاندرهاميرجيس تشير إلى راسكولايتس + +446 +00:27:34,840 --> 00:27:41,720 +شومة أو فكتب انتقال دايتس بيوت لينز التي تتجسس في + +447 +00:27:41,720 --> 00:27:42,360 +بطولة اللوحات اللوحات اللوحات اللوحات اللوحات + +448 +00:27:42,360 --> 00:27:43,260 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +449 +00:27:43,260 --> 00:27:43,960 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +450 +00:27:43,960 --> 00:27:45,240 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +451 +00:27:45,240 --> 00:27:46,120 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +452 +00:27:46,120 --> 00:27:46,900 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +453 +00:27:46,900 --> 00:27:49,040 +اللوحات اللوحات اللوحات اللوحات اللوحات اللوحات + +454 +00:27:49,040 --> 00:28:00,040 +اللوح + +455 +00:28:00,680 --> 00:28:04,620 +دعنا نقول أن نصف نصف نصف نصف نصف نصف نصف نصف نصف + +456 +00:28:04,620 --> 00:28:05,360 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +457 +00:28:05,360 --> 00:28:07,060 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +458 +00:28:07,060 --> 00:28:08,420 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +459 +00:28:08,420 --> 00:28:12,900 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +460 +00:28:12,900 --> 00:28:15,880 +نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف نصف + +461 +00:28:15,880 --> 00:28:28,880 +نصف نصف نصف نص + +462 +00:28:28,930 --> 00:28:31,970 +الأسطركسيات تشير إلى مخاطرات تشير إلى مخاطرات + +463 +00:28:31,970 --> 00:28:39,250 +روحانية ومخاطرات عضوية + +464 +00:28:39,250 --> 00:28:40,130 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +465 +00:28:40,130 --> 00:28:41,070 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +466 +00:28:41,070 --> 00:28:42,290 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +467 +00:28:42,290 --> 00:28:43,030 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +468 +00:28:43,030 --> 00:28:43,110 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية + +469 +00:28:43,110 --> 00:28:58,610 +ومخاطرات عضوية ومخاطرات عضوية ومخاطرات عضوية وم + +470 +00:28:58,780 --> 00:29:03,240 +هو انتجه بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +471 +00:29:03,240 --> 00:29:11,940 +بطيئة بطيئة بطيئة بطيئة بطيئة + +472 +00:29:11,940 --> 00:29:16,300 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +473 +00:29:16,300 --> 00:29:16,320 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +474 +00:29:16,320 --> 00:29:16,320 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة + +475 +00:29:16,320 --> 00:29:27,780 +بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطيئة بطي + +476 +00:29:30,190 --> 00:29:34,410 +تحقق الأسلحة لتخلصها بما يشير إلى البروينتس الذي + +477 +00:29:34,410 --> 00:29:37,610 +يشهر في الوريميا البروزينج يمكن أن يشهر في + +478 +00:29:37,610 --> 00:29:42,070 +كوتكسترينيوس عالية أو مفاجأة بلتلة بسبب الوريميا + +479 +00:29:42,070 --> 00:29:44,990 +أمور أو قصر الجلد يمكن أن يكون ملحق مع مدعومة + +480 +00:29:44,990 --> 00:29:50,950 +مناسبة، خاصة في أسباب ثورمبرهيانية. كل فشلونة في + +481 +00:29:50,950 --> 00:29:54,170 +المقاومة، وهي مهمة جدًا للغاية، يمكن أن تكون في + +482 +00:29:54,170 --> 00:29:58,330 +المقاومة أو في مقاومة كيبكالفوسن، لذلك يجب أن تبحث + +483 +00:29:58,330 --> 00:30:02,470 +عن هذه الموقعاتبالبيت اذا رأيت الفيستورا في مرة + +484 +00:30:02,470 --> 00:30:07,270 +واحدة يجب ان تقوم بالبيت الفيستورا لشريل واسكلته + +485 +00:30:07,270 --> 00:30:11,990 +في مرة واحدة قبل ان تنسى هذه المنطقة اسكلتها لبريس + +486 +00:30:11,990 --> 00:30:18,470 +وهذا يعطيك فكرة اذا كانت هذه الفيستورا مفتوحة او + +487 +00:30:18,470 --> 00:30:21,570 +لا و مرة أخرى اذا كنت تريد ان تعرف اذا كانت هذه + +488 +00:30:21,570 --> 00:30:26,970 +الفيستورا مستخدمة او لا فانت فقط تبحث عن اي فرصة + +489 +00:30:26,970 --> 00:30:27,470 +مقبلة + +490 +00:30:30,640 --> 00:30:36,600 +على محطة الفيستورا ثم تأخذ + +491 +00:30:36,600 --> 00:30:40,580 +راديال بولز فرع الدم يجب أن يتم ميجره ويمكن أن + +492 +00:30:40,580 --> 00:30:43,000 +يكون موجود في الـ Z ويمكننا أن نرى محطة الهيبا تنش + +493 +00:30:43,000 --> 00:30:48,120 +يجب أن لا يتم ميجر فرع الدم على محطة الفيستورا + +494 +00:30:48,120 --> 00:30:48,700 +الهيبا + +495 +00:30:52,130 --> 00:30:56,890 +الوضع في المريض والوضع الرسمي مهم جدًا يالو الوضع + +496 +00:30:56,890 --> 00:31:01,230 +يشير إلى ميزة يوراميكية وميزة يوراميكية وميزة + +497 +00:31:01,230 --> 00:31:06,790 +يوراميكية يحصلت عادةً في الكريستاليو ديوريا مجموعة + +498 +00:31:06,790 --> 00:31:10,190 +موجودة في جسد المريض ليس فقط في الجانب المعقول + +499 +00:31:10,190 --> 00:31:13,370 +عادةً في الجانب وعادةً ومشاهدتها في المصادر + +500 +00:31:13,370 --> 00:31:20,510 +الحقيقية الجسدية قد تتطور إلى مصادر غير مدعومة مثل + +501 +00:31:20,510 --> 00:31:26,690 +سكون السلكا الشينوماوالسلق كرسينامي كرسينامي في + +502 +00:31:26,690 --> 00:31:31,370 +وجهة المظهر الهيبرتريكوز المشهور في استخدام ساكورس + +503 +00:31:31,370 --> 00:31:34,090 +بولينهي كانت مستخدمة للطبيعي للتعامل بالتعامل + +504 +00:31:34,090 --> 00:31:36,530 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +505 +00:31:36,530 --> 00:31:37,210 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +506 +00:31:37,210 --> 00:31:37,210 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +507 +00:31:37,210 --> 00:31:37,390 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +508 +00:31:37,390 --> 00:31:37,430 +بالتعامل بالتعامل بالتعامل بالتعامل بالتعامل + +509 +00:31:37,430 --> 00:31:47,810 +بالتعامل بالتعامل بالتعامل بالتعامل + +510 +00:31:47,810 --> 00:31:50,790 +بالت + +511 +00:31:52,770 --> 00:31:56,850 +التراثيوبيه السيئة هي مرض كورنيا تسبب في دبوزيون + +512 +00:31:56,850 --> 00:32:04,810 +الكالسيمين الركزي الكورنيا الواضح أن إذا كانت + +513 +00:32:04,810 --> 00:32:08,850 +الكورنيا الركزية في النهاية ستقوم بتقسيم + +514 +00:32:08,850 --> 00:32:13,210 +الهيبركالسيميه + +515 +00:32:13,210 --> 00:32:18,850 +الهيبركالسيميه هي مرض كورنيا مرتب ميلوناباري + +516 +00:32:18,850 --> 00:32:21,930 +أوربيتال إيديما تتحرك حول العين هي مواصلة عامة + +517 +00:32:21,930 --> 00:32:26,890 +لتحقيق دكساندروم مصدر ابحث عن مصدر لجنجفال + +518 +00:32:26,890 --> 00:32:31,950 +الهيبيرترفين اللي موجود في مصادر الهيبيرترفين + +519 +00:32:31,950 --> 00:32:34,230 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +520 +00:32:34,230 --> 00:32:35,950 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +521 +00:32:35,950 --> 00:32:36,430 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +522 +00:32:36,430 --> 00:32:36,430 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +523 +00:32:36,430 --> 00:32:42,090 +الهيبيرترفين الهيبيرترفين الهيبيرترفين + +524 +00:32:42,090 --> 00:32:45,550 +الهي + +525 +00:32:45,730 --> 00:32:49,150 +بدأ بالتحقق من الجلد حيث يكون هناك اكسكرايات + +526 +00:32:49,150 --> 00:32:52,150 +اكسكرايات يعني اكسكرايات اكسكرايات اكسكرايات + +527 +00:32:52,150 --> 00:32:56,250 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +528 +00:32:56,250 --> 00:32:56,470 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +529 +00:32:56,470 --> 00:32:57,050 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +530 +00:32:57,050 --> 00:32:57,490 +اكسكراية اكسكراية اكسكراية اكسكراية اكسكراية + +531 +00:32:57,490 --> 00:33:03,430 +اكسكراية اكسكراية اكسكراية اكسكراية + +532 +00:33:03,430 --> 00:33:09,690 +اكسكراية اكسكراية اكسكراية + +533 +00:33:09,690 --> 00:33:14,670 +اكسكراية + +534 +00:33:14,670 --> 00:33:17,700 +الو تلاحظ الـ Stoner dullness يوجد وجود الـ + +535 +00:33:17,700 --> 00:33:21,180 +pleural infusion وهو إشارة لعنوان الحرارة أو + +536 +00:33:21,180 --> 00:33:25,140 +لعنوان الحرارة أو hypoalbuminemia deuteronephrotic + +537 +00:33:25,140 --> 00:33:30,460 +بس كنت اضالة الاساس لعنوان الـ pulmonary edema + +538 +00:33:30,460 --> 00:33:33,560 +وpleural + +539 +00:33:33,560 --> 00:33:37,000 +infusion بالنسبة لتجارة Cardiovascular System + +540 +00:33:37,000 --> 00:33:42,300 +Examination بالبيت الـ ABICS وإذا في حالة العنوان + +541 +00:33:42,300 --> 00:33:46,860 +الحراري الـ ABICS يتغير عادةعلى الجانب وعلى الأسفل + +542 +00:33:46,860 --> 00:33:50,240 +لأننا نرى كثير من المزيد من المزيد من المزيد من + +543 +00:33:50,240 --> 00:33:54,180 +المزيد من + +544 +00:33:54,180 --> 00:33:54,200 +المزيد من المزيد من المزيد من المزيد من المزيد من + +545 +00:33:54,200 --> 00:33:54,640 +المزيد من المزيد من المزيد من المزيد من المزيد من + +546 +00:33:54,640 --> 00:33:54,940 +المزيد من المزيد من المزيد من المزيد من المزيد من + +547 +00:33:54,940 --> 00:33:55,220 +المزيد من المزيد من المزيد من المزيد من المزيد من + +548 +00:33:55,220 --> 00:33:55,220 +المزيد من المزيد من المزيد من المزيد من المزيد من + +549 +00:33:55,220 --> 00:33:55,220 +المزيد من المزيد من المزيد من المزيد من المزيد من + +550 +00:33:55,220 --> 00:33:55,300 +المزيد من المزيد من المزيد من المزيد من المزيد من + +551 +00:33:55,300 --> 00:33:56,400 +المزيد من المزيد من المزيد من المزيد من المزيد من + +552 +00:33:56,400 --> 00:34:02,320 +المزيد من المزيد من المزيد من المزيد من المزيد من + +553 +00:34:02,320 --> 00:34:10,880 +المزيد من + +554 +00:34:10,880 --> 00:34:17,010 +المزولكن تأكد ان تسمع الرب البريكوديا البريكوديا + +555 +00:34:17,010 --> 00:34:22,710 +الرب هذا مهم جدًا في مرض مرض مرض عقلية عامة تبدأ + +556 +00:34:22,710 --> 00:34:25,090 +بالبشرة بشرة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +557 +00:34:25,090 --> 00:34:26,870 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +558 +00:34:26,870 --> 00:34:27,950 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +559 +00:34:27,950 --> 00:34:29,470 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +560 +00:34:29,470 --> 00:34:29,830 +بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة بطيقة + +561 +00:34:29,830 --> 00:34:37,410 +بطيقة بطيقة بطيقة ب + +562 +00:34:41,720 --> 00:34:46,040 +وانتقل للتنسيق العضلاني والعضلاني خاصة انتقل + +563 +00:34:46,040 --> 00:34:48,560 +للتنسيق الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +564 +00:34:48,560 --> 00:34:53,040 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +565 +00:34:53,040 --> 00:34:54,680 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +566 +00:34:54,680 --> 00:34:59,280 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +567 +00:34:59,280 --> 00:35:00,920 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +568 +00:35:00,920 --> 00:35:00,920 +الياكفوسة الياكفوسة الياكفوسة الياكفوسة الياكفوسة + +569 +00:35:00,920 --> 00:35:04,680 +الياكفوسة الياكفوسة + +570 +00:35:04,680 --> 00:35:09,700 +الياكالسقاة المرتبطة بشكل بفرشين عضوية بشكل مضيق + +571 +00:35:09,700 --> 00:35:12,940 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +572 +00:35:12,940 --> 00:35:13,900 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +573 +00:35:13,900 --> 00:35:14,480 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +574 +00:35:14,480 --> 00:35:15,240 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +575 +00:35:15,240 --> 00:35:17,660 +بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق بشكل مضيق + +576 +00:35:17,660 --> 00:35:24,280 +بشكل مضيق بشكل مضيق بشكل + +577 +00:35:24,280 --> 00:35:27,040 +مضي + +578 +00:35:31,040 --> 00:35:34,700 +ثم تذهب إلى البركاتيات تغيير الحرارة جدًا أساسي + +579 +00:35:34,700 --> 00:35:37,200 +يُسمى كسائطس وهو عملية عملية عملية عملية عملية + +580 +00:35:37,200 --> 00:35:37,200 +عملية عملية عملية عملية عملية عملية عملية عملية + +581 +00:35:37,200 --> 00:35:38,420 +عملية عملية عملية عملية عملية عملية عملية عملية + +582 +00:35:38,420 --> 00:35:40,740 +عملية عملية عملية عملية عملية عملية عملية عملية + +583 +00:35:40,740 --> 00:35:42,540 +عملية عملية عملية عملية عملية عملية عملية عملية + +584 +00:35:42,540 --> 00:35:43,440 +عملية عملية عملية عملية عملية عملية عملية عملية + +585 +00:35:43,440 --> 00:35:43,600 +عملية عملية عملية عملية عملية عملية عملية عملية + +586 +00:35:43,600 --> 00:35:43,700 +عملية عملية عملية عملية عملية عملية عملية عملية + +587 +00:35:43,700 --> 00:35:58,960 +عمل + +588 +00:35:59,390 --> 00:36:01,570 +لتنهيئة التجارب عليك ان تقوم بشغل الدم بشكل + +589 +00:36:01,570 --> 00:36:05,510 +فندسكوبي اذا كان لديك نفسي وشكرا للانتظار اي سؤال + +590 +00:36:05,510 --> 00:36:09,590 +سأكون سعيد لإجابته لاحقا شكرا جزيلا + +591 +00:37:12,780 --> 00:37:16,400 +السلام عليكم ورحمة الله وبركاته + +592 +00:38:08,990 --> 00:38:15,230 +خلصت؟ آه خلصت هناك؟ آه + +593 +00:38:15,230 --> 00:38:19,970 +عشيت مرة مقرشقة تانية + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY.srt new file mode 100644 index 0000000000000000000000000000000000000000..28f964f1b5a3c42ac73c66645cf1e60a58935066 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY.srt @@ -0,0 +1,2781 @@ +1 +00:00:05,750 --> 00:00:11,070 +بسم الله الرحمن الرحيم السلام عليكم اليوم إن شاء + +2 +00:00:11,070 --> 00:00:15,590 +الله راح نكون معكم في محاضرة عن الـ history taking + +3 +00:00:15,590 --> 00:00:21,860 +and neurological examination بداية المحاضرة، نبدأ + +4 +00:00:21,860 --> 00:00:26,800 +بالحمد لله على سلامتكم جميعا، و نتمنى من الله + +5 +00:00:26,800 --> 00:00:32,460 +يسلمنا و يسلمكم من كل شر إن شاء الله، history + +6 +00:00:32,460 --> 00:00:37,320 +taking, personal history، هنتكلم على personal + +7 +00:00:37,320 --> 00:00:42,340 +history، chief complaint، هنتكلم على history of + +8 +00:00:42,340 --> 00:00:48,340 +presenting complaint، هنتكلم عن الـ past history, past + +9 +00:00:48,340 --> 00:00:53,660 +medical history and past surgical history, drug + +10 +00:00:53,660 --> 00:01:00,670 +history, family history and social history، يبقى + +11 +00:01:00,670 --> 00:01:06,130 +الجزئية الأولى من المحاضرة راح تكون على history + +12 +00:01:06,130 --> 00:01:11,330 +taking، قبل ما أبدأ في الـ history taking لازم نعمل + +13 +00:01:11,330 --> 00:01:15,350 +approach to the patients، زي ما اتعلمتم في + +14 +00:01:15,350 --> 00:01:20,390 +المحاضرات السابقة مع الباطنة، أول شي نعمل hand + +15 +00:01:20,390 --> 00:01:27,430 +washing، wash your hands، نعرف على نفسنا للمريض اللي + +16 +00:01:27,430 --> 00:01:35,680 +راح نفحصه، introduce yourself، أعرف اسمي وإيش عملي، + +17 +00:01:35,680 --> 00:01:38,660 +إيش درجتي، ممكن أنا استشاري، أنا رئيس قسم، أنا + +18 +00:01:38,660 --> 00:01:42,500 +طبيب أخصائي عصاب، طبيب أخصائي باطنة، أعرف عن نفسي + +19 +00:01:43,910 --> 00:01:50,430 +identity، لازم نتأكد ونعمل confirm that you are + +20 +00:01:50,430 --> 00:01:56,010 +speaking to the correct patient، نعرف name و date + +21 +00:01:56,010 --> 00:02:00,310 +of birth، نتأكد أننا نتكلم مع نفس المريض هذا اللي + +22 +00:02:00,310 --> 00:02:06,710 +بدنا نفحصه، نعمل permission، ضروري + +23 +00:02:06,710 --> 00:02:13,600 +جدا، keep privacy، الخصوصية بتاعة المريض، و الـ position + +24 +00:02:13,600 --> 00:02:19,240 +الـ position بتاعتنا الـ .. دايما في الفحص أنا باقف على نفس الـ + +25 +00:02:19,240 --> 00:02:25,040 +level بتاع المريض، بكون على الـ right side of the + +26 +00:02:25,040 --> 00:02:33,420 +patient، نبدأ بـ personal history، في الـ personal + +27 +00:02:33,420 --> 00:02:39,880 +history لازم ناخد الـ name، اسم رباعي، اسم المريض الـ + +28 +00:02:39,880 --> 00:02:46,790 +age، عمره كام؟ عشر سنوات أو عشرين سنة كده، لأنه مهم + +29 +00:02:46,790 --> 00:02:51,150 +الـ age، إن في بعض الأمراض مثل الـ myopathy و + +30 +00:02:51,150 --> 00:02:54,170 +muscular dystrophy نلاقيها تيجي في الـ first and + +31 +00:02:54,170 --> 00:03:00,130 +second decade of life، multiple sclerosis تيجي في + +32 +00:03:00,130 --> 00:03:03,490 +الـ second and third decade of life، في الحالة دي + +33 +00:03:03,490 --> 00:03:09,150 +مهم جدا الـ age، cerebrovascular disease في سن + +34 +00:03:09,150 --> 00:03:12,070 +الخمسين، ستين، مع أن اليوم الـ cerebrovascular disease + +35 +00:03:12,070 --> 00:03:15,190 +ممكن تجينا في العشرين وفي التلاتين وفي الأربعين + +36 +00:03:15,190 --> 00:03:21,530 +ضروري الـ sex، مهم نشوف male، female، زي مرضى الـ MS + +37 +00:03:22,430 --> 00:03:26,210 +dominant، تيجي أكتر في حالات الـ male، الـ motor + +38 +00:03:26,210 --> 00:03:30,070 +neuron disease راح تكون .. راح تكون أكتر في الـ + +39 +00:03:30,070 --> 00:03:34,090 +male، الـ multiple sclerosis في الـ female، الـ marital + +40 +00:03:34,090 --> 00:03:38,930 +status، مهم جدا، الـ occupation، أحيانا الـ occupation + +41 +00:03:38,930 --> 00:03:43,250 +بيروح بيحطوها في الـ social history، residency عشان + +42 +00:03:43,250 --> 00:03:48,470 +الموضوع الـ nutritional deficiency، الـ handness، بكتب + +43 +00:03:48,470 --> 00:03:51,810 +بالـ right ولا بالـ left، عشان نحدد الـ dominant + +44 +00:03:51,810 --> 00:03:57,790 +hemisphere عند المريض، بنتقل بعدها لـ الـ chief + +45 +00:03:57,790 --> 00:04:05,530 +complaint، الـ chief complaint هنا مهم جدا نخضع من + +46 +00:04:05,530 --> 00:04:12,230 +المريض نفسه أو من الـ witness، يبقى المصاب نفسه + +47 +00:04:12,230 --> 00:04:16,510 +المريض أو members of the family، describe the + +48 +00:04:16,510 --> 00:04:21,530 +problem in their own words، يبقى المريض بحكي كلامه + +49 +00:04:21,530 --> 00:04:24,430 +أنا بسجله في الـ chief complaint، في الـ chief + +50 +00:04:24,430 --> 00:04:29,630 +complaint، ممنوع أكتب terminology، يعني مصاب جينا بـ + +51 +00:04:29,630 --> 00:04:32,590 +weakness على الـ right side، main complaint، right + +52 +00:04:32,590 --> 00:04:36,190 +side weakness، في الحالة هذه ممنوع أقول للمريض the + +53 +00:04:36,190 --> 00:04:40,130 +patient was presented with hemiplegia، لأنه in + +54 +00:04:40,130 --> 00:04:43,350 +English، هذه تعتبر terminology، يبقى أنا بقول عند + +55 +00:04:43,350 --> 00:04:46,370 +المصاب، the patient suffering أو complaining of + +56 +00:04:46,370 --> 00:04:50,390 +right side muscle weakness، right side muscle + +57 +00:04:50,390 --> 00:04:57,030 +weakness، أو مريض عنده الـ main complaint decrease + +58 +00:04:57,030 --> 00:05:03,040 +of sensation على الـ left side، لما أنا سجل الـ main + +59 +00:05:03,040 --> 00:05:07,280 +complaint، بسجل المريض عنده depression، suffering أو + +60 +00:05:07,280 --> 00:05:11,540 +depression، presented with sudden onset of + +61 +00:05:11,540 --> 00:05:16,920 +decreased left side sensation، خطأ أقول عنده left + +62 +00:05:16,920 --> 00:05:22,100 +side hemihepoesthesia، يعني أنا بسجل كلام المصاب أو + +63 +00:05:22,100 --> 00:05:26,440 +كلام المريض نفسه في التذكرة + +64 +00:05:28,030 --> 00:05:34,050 +الـ chief complaint راح تكون short، specific، in one + +65 +00:05:34,050 --> 00:05:38,810 +clear sentence، communicating present major problem + +66 +00:05:38,810 --> 00:05:43,930 +Asia، يبقى أن أنا في الـ chief complaint ما بسجل نص + +67 +00:05:43,930 --> 00:05:48,550 +صفحة، chief complaint بتكون تقريبا سطر، سطرين من + +68 +00:05:48,550 --> 00:05:53,190 +الشكوه الرئيسية، بسجلها وببدأ من الشيء المهم يعني + +69 +00:05:53,190 --> 00:06:01,170 +في الـ chief complaint، مريض عنده شلل + +70 +00:06:01,170 --> 00:06:08,110 +في الجهة اليسرى، و numbness في الـ big toe، مش ممكن + +71 +00:06:08,110 --> 00:06:10,250 +أروح أسجل المريض عنده numbness في الـ big toe + +72 +00:06:10,250 --> 00:06:13,130 +وبعدين أقول عنده شلل في الجهة اليسرى، لا، ببدأ إيش + +73 +00:06:13,130 --> 00:06:17,350 +إنه عنده presented with sudden onset of left side + +74 +00:06:17,350 --> 00:06:23,190 +muscle weakness and numbness of the left big toe + +75 +00:06:23,190 --> 00:06:27,490 +في الحالة هذه ببدأ بالـ major complaint، الشيء المهم + +76 +00:06:27,490 --> 00:06:29,870 +وبعدها للأقل أهمية + +77 +00:06:32,650 --> 00:06:36,130 +حاجة مهمة في الـ chief complaint إنه ماعملش + +78 +00:06:36,130 --> 00:06:40,130 +interruption للـ patient، يعني المريض لما أسأله + +79 +00:06:40,130 --> 00:06:44,750 +الشكوه الرئيسية اللي عندك، أعطيه راحته في الشرح + +80 +00:06:44,750 --> 00:06:47,770 +يشرحلي إيش الـ chief complaint، مش بعد ما أتكلم كلمة + +81 +00:06:47,770 --> 00:06:52,110 +كلمتين أعطيه للمريض، أخلي ياخد راحته في الـ chief + +82 +00:06:52,110 --> 00:06:56,450 +complaint، عشان أتصلي المعلومة وأقدر أشخصه صح من + +83 +00:06:56,450 --> 00:07:00,820 +الـ chief complaint بتاعة المريض، بعدها بنتقل لـ + +84 +00:07:00,820 --> 00:07:06,880 +history of presenting complaint، يبقى الآن في الـ + +85 +00:07:06,880 --> 00:07:11,480 +history of present illness، بنسميها أو presenting + +86 +00:07:11,480 --> 00:07:16,580 +complaint، هنا بعمل أنا analysis لـ let chief + +87 +00:07:16,580 --> 00:07:19,300 +complaint، بنعمل analysis لمين؟ لـ let chief + +88 +00:07:19,300 --> 00:07:24,860 +complaint، ضروري نحدد هنا فيها الـ site، مكانه، الـ + +89 +00:07:24,860 --> 00:07:30,920 +onset، Character, duration, radiation, relieving + +90 +00:07:30,920 --> 00:07:37,480 +factors, timing, precipitating factors and severity + +91 +00:07:37,480 --> 00:07:41,340 +يبقى أنا في الحالة هذه لما يجيني المريض عنده chief + +92 +00:07:41,340 --> 00:07:45,920 +complaint headache، لو أتبعنا الـ slide هذا، سألنا عن + +93 +00:07:45,920 --> 00:07:49,720 +الـ site، onset، character، duration، radiation + +94 +00:07:49,720 --> 00:07:53,360 +relieving factors، timing، precipitating factors and + +95 +00:07:53,360 --> 00:07:57,660 +severity، بقدر أحدد أيش نوع الـ headache اللي عند + +96 +00:07:57,660 --> 00:08:01,420 +المريض أو أيش نوع الصداع اللي عند هذا المريض، راح + +97 +00:08:01,420 --> 00:08:07,260 +نجيب أمثلة لاحقا ونشرحهم، الضروري نسأل على موضوع الـ + +98 +00:08:07,260 --> 00:08:09,520 +headache، الفيرتائج و vomiting and blurring of + +99 +00:08:09,520 --> 00:08:15,220 +vision، فيه symptoms للـ cranial nerve affection، نفس + +100 +00:08:15,220 --> 00:08:18,880 +الشيء في الـ presenting complaint وفي الـ chief + +101 +00:08:18,880 --> 00:08:25,070 +complaint، أنا بأشرح حسب كلام المريض، يفضل ما نحطش + +102 +00:08:25,070 --> 00:08:29,610 +terminology فيهم ونشرح حسب كلام المريض من الكلام + +103 +00:08:29,610 --> 00:08:33,990 +المريض أو من الـ witness، صوروا مريض عنده coma، مريض + +104 +00:08:33,990 --> 00:08:38,850 +عنده confusion state، صعب أخد منه الـ chief + +105 +00:08:38,850 --> 00:08:41,450 +complaint وأخد منه history، راح أخد الـ history من + +106 +00:08:41,450 --> 00:08:47,410 +الـ witness أو الـ members of the family، symptoms of + +107 +00:08:47,410 --> 00:08:50,450 +cranial nerve affection، المرضى هدول ممكن يكون + +108 +00:08:50,450 --> 00:08:55,230 +عندهم olfactory nerve damage، أنوسمية، كاكوسمية، اسم + +109 +00:08:55,230 --> 00:08:57,810 +الـ hallucination، راح نتطرقلهم في cranial nerve + +110 +00:08:57,810 --> 00:09:02,770 +examination، optic nerve، لاحظ عندهم decrease acuity + +111 +00:09:02,770 --> 00:09:06,930 +of vision، visual hallucination، defect of visual + +112 +00:09:06,930 --> 00:09:10,770 +field، في الـ ocular nerves اللي هو الـ ocular motor + +113 +00:09:10,770 --> 00:09:17,070 +و trochlear و abdominal nerve، ممكن يكون عندهم توسيس، + +114 +00:09:17,070 --> 00:09:21,210 +squint، dyplopia أو double vision، Trigeminal + +115 +00:09:21,210 --> 00:09:25,130 +nerve affection، هنا ممكن نلاحظ عندهم numbness of + +116 +00:09:25,130 --> 00:09:29,630 +the face، decreased sensation of the face، زي + +117 +00:09:29,630 --> 00:09:31,530 +Trigeminal neuralgia، difficulty في الـ + +118 +00:09:31,530 --> 00:09:35,250 +mastications، في الـ facial nerve ممكن نلاحظ عندهم + +119 +00:09:35,250 --> 00:09:44,930 +السيمترية of facial movement، difficulty in eye + +120 +00:09:44,930 --> 00:09:49,990 +closure، في الـ vestibulocochlear nerve، في الـ + +121 +00:09:49,990 --> 00:09:52,950 +cochlear division، ممكن يكون عندهم tinnitus، طنين + +122 +00:09:52,950 --> 00:09:56,630 +ممكن يكون عندهم decrease of hearing، unilateral، + +123 +00:09:56,630 --> 00:09:59,850 +bilateral، والحدد ده unilateral right أو left + +124 +00:09:59,850 --> 00:10:05,120 +vestibular part، ataxia، tinnitus، overtigo، في الـ + +125 +00:10:05,120 --> 00:10:06,980 +Glossopharyngeal و الـ vagus و الـ cranial + +126 +00:10:06,980 --> 00:10:10,440 +accessory مع the hypoglossal nerve ممكن يكون عندهم + +127 +00:10:10,440 --> 00:10:15,240 +dysphagia، difficulty of swallowing، dysarthria، + +128 +00:10:15,240 --> 00:10:18,220 +difficulty of speech، dysphonia، اللي هو + +129 +00:10:18,220 --> 00:10:22,780 +hoarseness of voice، و nasal regurgitation في + +130 +00:10:22,780 --> 00:10:26,380 +spinal accessory nerve ممكن نلاحظ على المرضى drop + +131 +00:10:26,380 --> 00:10:30,620 +of the shoulder، اللي عنده shoulder فيه drop فيه، + +132 +00:10:30,620 --> 00:10:34,120 +deviation لل head and neck على one side + +133 +00:10:36,880 --> 00:10:41,820 +ال motor affection في ال .. في ال irritation ممكن + +134 +00:10:41,820 --> 00:10:44,800 +نلاحظ عند هدول المرضى يكون عندهم Jacksonian fit + +135 +00:10:44,800 --> 00:10:48,900 +يعني يكون عنده تشنج focal convulsion من ال + +136 +00:10:48,900 --> 00:10:52,640 +irritation of the cortex وإذا كان destruction يكون + +137 +00:10:52,640 --> 00:10:57,020 +عندهم weakness، weakness right side، left side، + +138 +00:10:57,020 --> 00:11:03,780 +lower limb weakness، مخدة one limb، upper limb أو + +139 +00:11:03,780 --> 00:11:08,290 +lower limb، right، left، ونحدد هذا كل كلام ممكن + +140 +00:11:08,290 --> 00:11:12,950 +يكون عندهم مشكلة في الـ cerebellar، extrapyramidal + +141 +00:11:12,950 --> 00:11:16,230 +nervous system، يكون عندهم tremors، involuntary + +142 +00:11:16,230 --> 00:11:20,590 +movement، gait instability، discordination، كل هذا + +143 +00:11:20,590 --> 00:11:27,180 +مهم جداً، symptoms of the sensory system يكون عندهم + +144 +00:11:27,180 --> 00:11:33,680 +irritation أو positive phenomena، pain، numbness، + +145 +00:11:33,680 --> 00:11:36,500 +increased sensitivity، hyperesthesia أو + +146 +00:11:36,500 --> 00:11:39,980 +destruction، يكون عندهم loss of sensation، + +147 +00:11:39,980 --> 00:11:44,520 +hypoesthesia، نحدد ال site of hypoesthesia ونفحص + +148 +00:11:44,520 --> 00:11:49,520 +أو نسألهم على deep sensation إذا هو ماشي في عنده + +149 +00:11:49,520 --> 00:11:54,580 +decrease coordination خاصة في حالة ما يعمل إغلاق + +150 +00:11:54,580 --> 00:11:58,820 +للعينين symptoms of sphincter disturbances + +151 +00:11:58,820 --> 00:12:04,880 +ال control of micturation and defecation نشوف + +152 +00:12:04,880 --> 00:12:10,400 +موضوع ال urine urgency اللي هي increase frequency + +153 +00:12:10,400 --> 00:12:15,920 +of urination، impotence خاصة في مرضى ال DM و ال + +154 +00:12:15,920 --> 00:12:23,600 +MS، و اللي عندهم conus medullaris ناخد مثال الـ + +155 +00:12:23,600 --> 00:12:26,300 +chief complaint عند المريض هذا headache المريض + +156 +00:12:26,300 --> 00:12:28,800 +عنده ال chief complaint headache يبقى أنا في ال + +157 +00:12:28,800 --> 00:12:31,980 +chief complaint بكتب the patient presented with + +158 +00:12:31,980 --> 00:12:38,580 +headache تمام في ال analysis of the information + +159 +00:12:38,580 --> 00:12:41,960 +analysis of the chief complaint presenting illness + +160 +00:12:41,960 --> 00:12:47,120 +أنا بده أعمل analysis لل headache أعرف أيش نوع ال + +161 +00:12:47,120 --> 00:12:52,460 +headache اللي عنده بنحدد ال onset sudden أو gradual + +162 +00:12:52,460 --> 00:12:57,820 +في إيش بتفيدني ال onset مثال مريض أجانع sudden + +163 +00:12:57,820 --> 00:13:01,540 +onset of severe headache قد يكون هذا صبح arachnoid + +164 +00:13:01,540 --> 00:13:06,420 +hemorrhage أو مريض أخر عنده gradual headache + +165 +00:13:06,420 --> 00:13:10,120 +gradual headache ممكن يكون brain tumor ممكن يكون + +166 +00:13:10,120 --> 00:13:15,260 +brain tumor أو يكون عنده tension headache timing + +167 +00:13:16,160 --> 00:13:22,200 +مهم الوقت morning، evening، at night اللي أنا بخاف + +168 +00:13:22,200 --> 00:13:25,340 +منه لذلك إذا بيجي عند المرضى at night أو at + +169 +00:13:25,340 --> 00:13:29,240 +morning خاصة المريض لما ينام flat، horizontal، + +170 +00:13:29,240 --> 00:13:32,100 +بيصير increase للـ intracranial pressure وإذا عنده + +171 +00:13:32,100 --> 00:13:35,540 +tumor أو pseudo tumor cerebrae اللي هو benign + +172 +00:13:35,540 --> 00:13:38,360 +intracranial hypertension راح يرتفع ال + +173 +00:13:38,360 --> 00:13:42,890 +intracranial pressure و هو في flat position site + +174 +00:13:42,890 --> 00:13:46,970 +نحدد right, left, diffuse زي في حالة tension + +175 +00:13:46,970 --> 00:13:51,130 +headache بنلاقي عندهم diffuse headache character + +176 +00:13:51,130 --> 00:13:55,550 +of headache نحدده frequency هل هو ال headache + +177 +00:13:55,550 --> 00:13:59,610 +بتكرر زي migraine headache بيضلوا يتكرر عندهم كل + +178 +00:13:59,610 --> 00:14:03,130 +شهر كل شهرين خاصة عند الستات ممكن يزيد معهم during + +179 +00:14:03,130 --> 00:14:07,010 +menstruation duration مدة ال headache أو مدة + +180 +00:14:07,010 --> 00:14:12,010 +الصداع هل هو يومي يومي زي tension headache أو بيجي + +181 +00:14:12,010 --> 00:14:16,510 +paroxysmal headache hemicranial بيجي صداع نصفي على + +182 +00:14:16,510 --> 00:14:22,410 +مراحل و يستمر تلات أيام يبقى ال duration مهم إذا + +183 +00:14:22,410 --> 00:14:25,970 +استمر أقل من تلات أيام بنتكلم على موضوع migraine + +184 +00:14:25,970 --> 00:14:30,130 +headache severity of headache إيه ده؟ مريض .. + +185 +00:14:30,130 --> 00:14:33,110 +بيجينا مريض عنده severe headache و بيقولّك أنا + +186 +00:14:33,110 --> 00:14:35,650 +الصداع هذا أول مرة أشعر فيه أجانب الصداع الساعة + +187 +00:14:35,650 --> 00:14:39,990 +تسعة و نص أنا كنت خارج من الدورة أو كده أو أنا كنت + +188 +00:14:39,990 --> 00:14:43,830 +.. كانت ست تطبخ في الحالة هذه حددلك ال time بالظبط + +189 +00:14:43,830 --> 00:14:46,850 +حددلك الموقع بالظبط بالنسبة للصداع و قالك severe + +190 +00:14:46,850 --> 00:14:49,930 +headache بلاش يكون هذا subarachnoid hemorrhage + +191 +00:14:50,660 --> 00:14:54,360 +precipitating factors زي ال migraine ممكن نلاحظ + +192 +00:14:54,360 --> 00:14:56,560 +أنه precipitating by emotional stress + +193 +00:14:56,560 --> 00:14:58,840 +precipitating by اللي هو menstruation عند + +194 +00:14:58,840 --> 00:15:03,360 +ال females relieving factors اللي هو إذا المريض + +195 +00:15:03,360 --> 00:15:06,100 +بيستجيب له ال analgesic ولا ما بيستجيب وإيش نوع ال + +196 +00:15:06,100 --> 00:15:11,180 +analgesics تمام؟ associated features زي headache + +197 +00:15:11,180 --> 00:15:14,340 +associated with vertigo vomiting visual + +198 +00:15:14,340 --> 00:15:17,340 +disturbances مثل migraine headache بيكون عندهم + +199 +00:15:17,340 --> 00:15:20,780 +associated maybe associated with vomiting blurring + +200 +00:15:20,780 --> 00:15:24,580 +of vision المرضى اللي عندهم intracranial + +201 +00:15:24,580 --> 00:15:27,140 +hemorrhage أو subarachnoid hemorrhage بيصير معهم + +202 +00:15:27,140 --> 00:15:30,340 +neck pain associated with neck pain shoulder pain + +203 +00:15:30,340 --> 00:15:35,180 +associated with neck stiffness vomiting هذا ضروري + +204 +00:15:35,180 --> 00:15:41,980 +نشره نسأله للمريض visual disturbances نفس الشيء ال + +205 +00:15:41,980 --> 00:15:46,780 +onset sudden أو gradual onset impairment ماخذة one + +206 +00:15:46,780 --> 00:15:51,480 +eye ولا both eyes total أو partial نسأل عالي + +207 +00:15:51,480 --> 00:15:57,010 +frequency ال duration، precipitating factors، + +208 +00:15:57,010 --> 00:16:01,950 +relieving factors، هل الـ close one eye in + +209 +00:16:01,950 --> 00:16:05,290 +diplopia بيساعدنا؟ يعني المريض عنده double vision + +210 +00:16:05,290 --> 00:16:08,450 +عنده double vision، بدنا نحدد ال double vision + +211 +00:16:08,450 --> 00:16:12,090 +هذه هل هي ناتجة عن organic cause عضوي أو + +212 +00:16:12,090 --> 00:16:16,250 +شيء نفسي المريض اللي لو عنده وضع نفسي أو مريض نفسي + +213 +00:16:17,400 --> 00:16:21,360 +لو غمضنا عينه، راح يضلوا يشعروا ب double vision، + +214 +00:16:21,360 --> 00:16:24,480 +لكن لو كان ناجي عن organic cause زي third nerve + +215 +00:16:24,480 --> 00:16:28,740 +palsy أو abducens nerve palsy، مجرد ما نغمض عينه، + +216 +00:16:28,740 --> 00:16:32,320 +راح يشوف واحد في الحالة هذه راح يصير loss of + +217 +00:16:32,320 --> 00:16:36,470 +double vision وهذا بيساعدنا في ال treatment أنه + +218 +00:16:36,470 --> 00:16:40,790 +ننصح المريض يلبس نضارة و يوم يغمض العين اليمين و + +219 +00:16:40,790 --> 00:16:44,430 +يوم يغمض العين الشمال بورقة بلسقة عشان يشوف one + +220 +00:16:44,430 --> 00:16:48,690 +eye monocular vision و ينخفف عنه ال double vision + +221 +00:16:48,690 --> 00:16:55,290 +visual hallucination هلوسة بالبصر يعني ممكن + +222 +00:16:55,290 --> 00:16:58,910 +يشوف أشياء أو أشخاص أمامه قد تكون ناجية عن مرض زي + +223 +00:16:58,910 --> 00:17:02,510 +schizophrenia اللي هو فصام شخصية أو قد تكون ناجية + +224 +00:17:02,510 --> 00:17:06,970 +عن brain tumor in the occipital lobe associated + +225 +00:17:06,970 --> 00:17:10,610 +features maybe ال visual disturbances يكون + +226 +00:17:10,610 --> 00:17:13,330 +associated with other symptoms ونحدد إيش ال + +227 +00:17:13,330 --> 00:17:18,310 +symptoms المرافقة مع ال visual disorders مريض أخر + +228 +00:17:18,310 --> 00:17:21,750 +أجانب ال main complaint loss of vision ال main + +229 +00:17:21,750 --> 00:17:24,710 +complaint عنده loss of vision في الحالة هذه نفس + +230 +00:17:24,710 --> 00:17:28,950 +الشيء بدنا نحدد ال onset sudden أو gradual مهم جدا + +231 +00:17:28,950 --> 00:17:34,890 +واحد عنده fever headache gradually loss of + +232 +00:17:34,890 --> 00:17:38,330 +consciousness لو أنا بتكلم في الحالة هذه عن cns + +233 +00:17:38,330 --> 00:17:41,390 +infection قد تكون meningioencephalitis أو + +234 +00:17:41,390 --> 00:17:46,430 +meningitis المريض عنده sudden onset of headache + +235 +00:17:47,510 --> 00:17:51,290 +with vomiting مع sudden onset of loss of + +236 +00:17:51,290 --> 00:17:55,330 +consciousness قد يكون هذا rupture aneurysm due to + +237 +00:17:55,330 --> 00:18:01,290 +a subarachnoid hemorrhage ال frequency هل هو متكرر + +238 +00:18:01,290 --> 00:18:04,950 +ال loss of consciousness؟ قد يكون syncopal attack + +239 +00:18:04,950 --> 00:18:07,870 +ممكن يكون Epilepsy المريض عنده epileptic fit و + +240 +00:18:07,870 --> 00:18:12,010 +بيصير معاه recurrent loss of consciousness ال + +241 +00:18:12,010 --> 00:18:15,690 +duration زي ما نشوف في حالة ال epilepsy ال + +242 +00:18:15,690 --> 00:18:19,550 +epileptic attack بيستمر دقيقة دقيقتين يمكن يكون + +243 +00:18:19,550 --> 00:18:23,170 +عندهم one two three minute loss of consciousness + +244 +00:18:23,170 --> 00:18:28,960 +لكن في الإذا كان psychogenic loss of consciousness + +245 +00:18:28,960 --> 00:18:33,480 +ممكن يكون duration أكثر من one two hours إذا مريض + +246 +00:18:33,480 --> 00:18:35,440 +عنده subarachnoid hemorrhage قد يكون ال duration + +247 +00:18:35,440 --> 00:18:41,740 +أكثر من ساعات و أيام precipitating factors نفس + +248 +00:18:41,740 --> 00:18:46,780 +الشيء بنسأل associated features أجانا ساق الأسعاف + +249 +00:18:46,780 --> 00:18:49,820 +قلنا إنه ال main complaint كان عند المريض عند + +250 +00:18:49,820 --> 00:18:52,860 +الأهل كان أنه loss of consciousness transient loss + +251 +00:18:52,860 --> 00:18:55,360 +of consciousness المريض أَجَانا على الاستقبال واعي + +252 +00:18:55,360 --> 00:18:59,200 +صاحي في الحالة دي أنا بسأله أفسر معاه، إذا قال لي + +253 +00:18:59,200 --> 00:19:02,000 +كان هو في الـ strict bowel، عنده tongue bite عدد + +254 +00:19:02,000 --> 00:19:08,000 +لسانه، incontinence، عدم تحكم في ال bowel، limb + +255 +00:19:08,000 --> 00:19:13,520 +twitching، كان عنده تشنج في الـ ... و contraction في + +256 +00:19:13,520 --> 00:19:16,720 +الـ upper و lower limbs، أنا بتكلم عن حالة إيه؟ + +257 +00:19:16,720 --> 00:19:20,950 +Epilepsy، بتتكلم عن حالة grand mal Epilepsy، نسأل + +258 +00:19:20,950 --> 00:19:24,570 +إذا أنا بشتغل في بلاد أوروبا أو شيء على الـ alcohol + +259 +00:19:24,570 --> 00:19:27,810 +و drug abuse، و في غزة ما شاء الله يعني موجودة يعني + +260 +00:19:27,810 --> 00:19:32,250 +الحشيش موجود و الـ tramadol موجود و يعني عادي ممكن + +261 +00:19:32,250 --> 00:19:35,710 +نسألهم، ما نخجلش، و بيصنعوا الكحول في غزة كمان أحيانا + +262 +00:19:35,710 --> 00:19:41,240 +head injury .. إذا فيه head injury، + +263 +00:19:41,240 --> 00:19:44,180 +cardiovascular أو الـ respiratory system لأن هذا + +264 +00:19:44,180 --> 00:19:48,580 +كله ضروري نعرفه في حالة أجانب، مريض عنده main + +265 +00:19:48,580 --> 00:19:52,480 +complaint، loss of consciousness، يعني ما نخجل + +266 +00:19:52,480 --> 00:19:56,000 +نسأل، الستات ممكن يدخلوا، اسألوا، ما في مشكلة + +267 +00:19:56,000 --> 00:20:03,720 +Speech disorders onset, sudden, gradual، يعني مريض + +268 +00:20:03,720 --> 00:20:07,200 +الـ main complaint speech difficulty، الـ main + +269 +00:20:07,200 --> 00:20:09,940 +complaint speech difficulty، يبقى نفس الشيء بنسأل + +270 +00:20:09,940 --> 00:20:13,540 +ال onset, sudden أو gradual؟ بارح كان أنا مريض + +271 +00:20:13,540 --> 00:20:17,280 +عنده main complaint اللي هي speech difficulty لما + +272 +00:20:17,280 --> 00:20:20,020 +ده main complaint speech difficulty، أنا بتكلم عن + +273 +00:20:20,020 --> 00:20:24,120 +إيه؟ بتكلم قد يكون stroke، قد يكون stroke أو + +274 +00:20:24,120 --> 00:20:29,170 +cerebrovascular disease، frequency، الـ duration، هل + +275 +00:20:29,170 --> 00:20:31,790 +المشكلة الـ speech difficulty في الـ articulation + +276 +00:20:31,790 --> 00:20:37,030 +يعني أنا بتكلم عن dysarthria، أو المشكلة في الـ + +277 +00:20:37,030 --> 00:20:40,610 +expression، أنا بتكلم عن أفازيا، راح نشرحهم في الـ + +278 +00:20:40,610 --> 00:20:45,990 +examination، أو difficulty in understanding، قد تكون + +279 +00:20:45,990 --> 00:20:49,730 +sensory aphasia، إذا المشكلة في الـ understanding + +280 +00:20:49,730 --> 00:20:54,130 +وقد تكون motor aphasia، إذا المشكلة في expression + +281 +00:20:54,130 --> 00:20:58,700 +راح نتكلم عنهم في الـ examination، motor disorder + +282 +00:20:58,700 --> 00:21:01,820 +أجانب، مريض الـ main complaint عنده motor deficit، + +283 +00:21:01,820 --> 00:21:08,640 +muscle weakness، يبقى نفس الشيء الـ onset sudden أو + +284 +00:21:08,640 --> 00:21:14,280 +gradual onset، ليه؟ frequency؟ duration؟ + +285 +00:21:14,280 --> 00:21:18,620 +precipitating factors؟ هل الـ walking بيزود الـ + +286 +00:21:18,620 --> 00:21:22,900 +weakness؟ هل قال لنا الـ relieving factors، الـ rest + +287 +00:21:22,900 --> 00:21:27,360 +ممكن يخفف؟ زي عندنا مرضى myasthenia gravis، مثال + +288 +00:21:27,360 --> 00:21:30,020 +المرضى هدول بيجيون الـ main complaint عندهم muscle + +289 +00:21:30,020 --> 00:21:34,160 +fatigue، muscle fatigue، هدول المرضى لو أنا طبقت + +290 +00:21:34,160 --> 00:21:40,480 +عليهم، يقولك المريض برتاح أو بيكون وضعه أفضل بعد ما + +291 +00:21:40,480 --> 00:21:45,850 +يصحى من النوم لأنه مرتاح، ولو بذل مجهود على المريض + +292 +00:21:45,850 --> 00:21:49,190 +الـ Myasthenia Gravis بيصير عنده fatigue muscle + +293 +00:21:49,190 --> 00:21:52,590 +fatigue، يبقى مهم هذا الكلام أنه أحدد إيش الـ + +294 +00:21:52,590 --> 00:21:55,030 +precipitating factors لهم، وإيش الـ relieving + +295 +00:21:55,030 --> 00:21:59,690 +factors، هل عنده مشكلة في الـ coordination، عنده gate + +296 +00:21:59,690 --> 00:22:03,470 +instability، الـ weakness اللي عند المريض هل هو + +297 +00:22:03,470 --> 00:22:08,530 +progressive أو static، على نفس النمط في نفس المرحلة + +298 +00:22:08,530 --> 00:22:12,910 +أو relapsing، limiting زي مرضى الـ Multiple + +299 +00:22:12,910 --> 00:22:16,490 +Sclerosis، راح نتكلم عنهم، زي مرضى الـ Chronic + +300 +00:22:16,490 --> 00:22:19,830 +Inflammatory Demyelinating Polyneuropathy، ممكن + +301 +00:22:19,830 --> 00:22:21,950 +يكون عندهم Relapsing Weakness، Relapse and + +302 +00:22:21,950 --> 00:22:27,710 +Remission، الـ Muscle Weakness ما ياخد الـ Distal + +303 +00:22:27,710 --> 00:22:31,270 +Muscle Group في الـ hand و الـ feet، أو ما ياخد الـ + +304 +00:22:31,270 --> 00:22:34,290 +Proximal Muscle، في حالات الـ Myopathy بيكون ما ياخد + +305 +00:22:34,290 --> 00:22:36,790 +الـ Proximal Muscle، في حالات الـ Polyneuropathy + +306 +00:22:36,790 --> 00:22:41,820 +بيكون ما ياخد إيه؟ Distal Muscle Group، و بنتكلم إذا + +307 +00:22:41,820 --> 00:22:47,420 +فينا painful أو painless، و هذا أكتر بنكون في موضوع + +308 +00:22:47,420 --> 00:22:51,520 +الـ sensation، و involuntary movement if associated + +309 +00:22:51,520 --> 00:22:57,700 +with involuntary movement، كورية، أتوسز، tremors، + +310 +00:22:57,700 --> 00:23:03,800 +كله hemabolism، كل هذا راح نتكلم عنه لاحقا، أجانب + +311 +00:23:03,800 --> 00:23:09,200 +مريض أخر، الـ main complaint عنده sensory abnormality، + +312 +00:23:09,200 --> 00:23:14,800 +يعني المشكلة عنده أو في الإحساس، نفس الشيء بنسأل الـ + +313 +00:23:14,800 --> 00:23:19,920 +onset، sudden، gradual، frequency، duration، + +314 +00:23:19,920 --> 00:23:24,100 +precipitating factors، على سبيل المثال، walking، + +315 +00:23:24,100 --> 00:23:31,130 +movement، relieving factor، rest، Pain، هل هو عنده ألم، + +316 +00:23:31,130 --> 00:23:37,290 +هل هو عنده numbness، tingling، يعني تنخز، sight، + +317 +00:23:37,290 --> 00:23:43,030 +محدد وين المكان، و الـ associated features، مريض أخر + +318 +00:23:43,030 --> 00:23:48,430 +أجانب، sphincter disorders، كانت عندي مريضة إنَّها + +319 +00:23:48,430 --> 00:23:52,030 +multiple sclerosis، الـ main complaint، الـ initial + +320 +00:23:52,030 --> 00:23:55,770 +presentation of disease، كان عندها problem of + +321 +00:23:55,770 --> 00:23:58,630 +urination، وكانت فترة طويلة تتابع مع النساء ولادة + +322 +00:23:58,630 --> 00:24:03,210 +المشكلة، كان عندها إنه increase frequency of + +323 +00:24:03,210 --> 00:24:08,370 +urination، كان عندها urine urgency، وفي بعض الأحيان + +324 +00:24:08,370 --> 00:24:12,370 +ممكن يصير معاها urine incontinence، وكان تشخيصها + +325 +00:24:12,370 --> 00:24:17,910 +multiple sclerosis، ضروري نحدد الـ onset sudden أو + +326 +00:24:17,910 --> 00:24:23,050 +gradual، frequency، الـ duration؟ هل الـ problem في + +327 +00:24:23,050 --> 00:24:25,530 +الـ bladder؟ المشكلة في الـ urination؟ أو في الـ + +328 +00:24:25,530 --> 00:24:29,290 +defecation؟ ده في القناة، هل associated with pain؟ + +329 +00:24:29,290 --> 00:24:34,030 +يعني زي dysuria؟ ممكن الـ increase frequency اللي + +330 +00:24:34,030 --> 00:24:37,210 +عند المريض الـ ... الـ ... أو الـ urine urgency يكون + +331 +00:24:37,210 --> 00:24:41,550 +نتيجة عن UTI، نتيجة عن infection، في الحالة هذه المرضى + +332 +00:24:41,550 --> 00:24:45,610 +بيكون عندهم إيه؟ dysuria، pain during menstruation، + +333 +00:24:46,990 --> 00:24:49,190 +هل عندهم زي ما قلنا difficulty in control، زي + +334 +00:24:49,190 --> 00:24:52,430 +urgency, incontinence, retention، إذا في عندهم + +335 +00:24:52,430 --> 00:24:58,490 +retention بنحدد, incontinence أو urgency، نسأل على + +336 +00:24:58,490 --> 00:25:02,130 +الـ lower cranial nerves، ممكن يجيون مرضى من + +337 +00:25:02,130 --> 00:25:07,130 +complaint عندهم dysphagia، swallowing difficulty، أو + +338 +00:25:07,130 --> 00:25:10,950 +speech difficulty، الحالة هذه نفس الشيء بدأ نسأل عن + +339 +00:25:10,950 --> 00:25:14,530 +الـ onset sudden أو gradual، frequency، duration، + +340 +00:25:14,530 --> 00:25:20,470 +precipitating factors، deafness، إذا فيه deafness، و + +341 +00:25:20,470 --> 00:25:27,010 +الـ time alternates unilateral أو bilateral، vertigo، + +342 +00:25:27,010 --> 00:25:29,990 +في ولا ما في، swallowing difficulty اللي هي + +343 +00:25:29,990 --> 00:25:32,770 +dysphagia، وإذا في عند المريض swallowing difficulty، + +344 +00:25:32,770 --> 00:25:35,590 +بنحدد هل هذه الـ swallowing difficulty ناجحة عن + +345 +00:25:35,590 --> 00:25:42,570 +neurogenic dysphagia أو obstructive dysphagia، لو + +346 +00:25:42,570 --> 00:25:47,530 +كان المشكلة عند المريض difficulty في الـ swallowing + +347 +00:25:47,530 --> 00:25:52,290 +of solid، الشيء الجامد، ليابس، بتكلم عن إيه؟ عن + +348 +00:25:52,290 --> 00:25:54,250 +obstructive dysphagia، قد يكون عند المريض + +349 +00:25:54,250 --> 00:25:58,970 +obstruction في الإيزوفاجس، يكون cancer، أو مريض + +350 +00:25:58,970 --> 00:26:01,570 +آخر عنده neurogenic dysphagia، هنا بيكون عندهم + +351 +00:26:01,570 --> 00:26:06,490 +difficulty في swallowing of fluid، المشكلة أكتر في + +352 +00:26:06,490 --> 00:26:11,250 +السوائل، بنسأل ع الـ voice، إذا في changes في الـ + +353 +00:26:11,250 --> 00:26:16,210 +voice, hoarseness of voice, dysphonia، في بعض + +354 +00:26:16,210 --> 00:26:19,370 +الأحيان المرضى اللي عندهم thyroid cancer، first + +355 +00:26:19,370 --> 00:26:22,210 +manifestation of thyroid cancer يكون عندهم + +356 +00:26:22,210 --> 00:26:26,880 +hoarseness of voice، اللي هي ناتجة عن compression of + +357 +00:26:26,880 --> 00:26:30,760 +recurrent laryngeal nerve، اللي هو branch of vagus + +358 +00:26:30,760 --> 00:26:34,560 +nerve، في الحالة هذه المرضى ممكن يبدأ عندهم أعراض + +359 +00:26:34,560 --> 00:26:38,860 +الـ thyroid cancer بإيش؟ ببحة في الصوت، أو hoarseness + +360 +00:26:38,860 --> 00:26:39,380 +of voice + +361 +00:26:42,230 --> 00:26:46,150 +أجانب، مرض عندهم mental disorders، نفس الشيء الـ + +362 +00:26:46,150 --> 00:26:50,790 +onset، frequency، duration، مشكلة في الـ memory، في + +363 +00:26:50,790 --> 00:26:53,210 +الـ intelligence، مشكلة في الـ personality، + +364 +00:26:53,210 --> 00:26:56,350 +behavior، هذا كله راح تاخدوينه مع أخصائيين الـ + +365 +00:26:56,350 --> 00:27:01,940 +psychiatry، في الطب النفسي، هيك أنا بكون أعطيتكوا + +366 +00:27:01,940 --> 00:27:10,380 +أمثلة على موضوع present أو present illness، أو اللي + +367 +00:27:10,380 --> 00:27:16,880 +هو analysis of a chief complaint، بعدها بتكلم على + +368 +00:27:16,880 --> 00:27:20,300 +الجزئية الثانية اللي هي الـ past medical history، + +369 +00:27:20,300 --> 00:27:25,130 +أنا أولًا تكلمت على present illness، الحاضر اللي هو + +370 +00:27:25,130 --> 00:27:28,670 +الـ analysis of chief complaint، اللي بسأل المريض + +371 +00:27:28,670 --> 00:27:32,590 +على past medical history، وبعد ما يخلص من الـ past + +372 +00:27:32,590 --> 00:27:36,390 +medical history، بنسأل عن الـ past surgical history، + +373 +00:27:36,390 --> 00:27:41,610 +الـ past medical history start by asking the + +374 +00:27:41,610 --> 00:27:46,570 +patient if they have any medical problems، بنسأل + +375 +00:27:46,570 --> 00:27:51,310 +إذا المرضى عندهم أي أمراض مزمنة، هو المريض راح + +376 +00:27:51,310 --> 00:27:56,220 +يجاوبني المرضى اللي عنده إذا في fever عند المريض + +377 +00:27:56,220 --> 00:28:01,000 +history of fever ممكن يكون عندهم المريض هذا تشخصنا + +378 +00:28:01,000 --> 00:28:06,460 +meningitis, encephalitis, transverse myelitis إذا + +379 +00:28:06,460 --> 00:28:11,830 +المريض عنده DM قد يكون diabetic polyneuropathy + +380 +00:28:11,830 --> 00:28:17,350 +amyotrophic lateral sclerosis.. amyotrophic lateral sclerosis أو diabetic amyotrophic lateral sclerosis + +381 +00:28:17,350 --> 00:28:21,090 +cranial nerve palsy, impotence إذا كان المريض عنده + +382 +00:28:21,090 --> 00:28:26,770 +DM ضروري نسأله عن the duration of DM، إيش the type of + +383 +00:28:26,770 --> 00:28:30,650 +DM؟ هل هو controlled ولا لأ؟ إيش the drugs اللي بياخدها ال + +384 +00:28:30,650 --> 00:28:34,910 +DM؟ وإذا في complications عنده من الـ DM يجب أن + +385 +00:28:34,910 --> 00:28:39,700 +ضروري نحدد الـ hypertension والـ DM والـ + +386 +00:28:39,700 --> 00:28:44,700 +dyslipidemia والـ chronic AF هذه بتساعدنا أكثر في + +387 +00:28:44,700 --> 00:28:47,880 +صالح مين؟ as a risk factor of cerebrovascular + +388 +00:28:47,880 --> 00:28:52,100 +disease لأن ده جانا مريض وعنده weakness على ال + +389 +00:28:52,100 --> 00:28:55,440 +right side sudden onset، واخدنا الـ past medical + +390 +00:28:55,440 --> 00:29:00,900 +history، ووجدنا عنده hypertension، DM، عنده AF، أنا + +391 +00:29:00,900 --> 00:29:05,930 +بتكلم أكثر في صالح أن هذا يكون ischemic stroke إذا + +392 +00:29:05,930 --> 00:29:08,210 +المريض عنده valvular disease، infectious + +393 +00:29:08,210 --> 00:29:11,890 +endocarditis نفس الشيء قد يكون هذا cardioembolic + +394 +00:29:11,890 --> 00:29:16,170 +ischemic stroke أو brain abscess إذا في عندنا + +395 +00:29:16,170 --> 00:29:22,710 +infection أو infectious endocarditis، TB and anti-TB + +396 +00:29:22,710 --> 00:29:26,490 +drugs، إذا المريض عنده في الـ history الـ TB في + +397 +00:29:26,490 --> 00:29:31,430 +الحالة هذه ممكن يكون عندهم meningitis، CNS TB + +398 +00:29:31,430 --> 00:29:34,630 +meningitis، تصوروا مريض في الـ history عنده + +399 +00:29:34,630 --> 00:29:38,910 +pulmonary TB، وأجانا بـ fever، decreased level of + +400 +00:29:38,910 --> 00:29:41,390 +consciousness، في الحالة هذه قد يكون المريض عنده + +401 +00:29:41,390 --> 00:29:46,570 +دخل في secondary TB أو بنسميها CNS TB، و TB + +402 +00:29:46,570 --> 00:29:50,740 +meningitis، إذا المريض عنده الـ history الـ TB وجانب + +403 +00:29:50,740 --> 00:29:57,020 +severe low back pain أو thoracic pain، قد يكون عنده + +404 +00:29:57,020 --> 00:30:02,900 +Pott's disease اللي هو بنسميه TB Spondylosis أو TB + +405 +00:30:02,900 --> 00:30:08,580 +Spondylitis، قد يكون عندهم Polyneuropathy لأن الـ + +406 +00:30:08,580 --> 00:30:15,220 +Anti-TB drugs تعمل decrease للـ vitamin B group، الـ + +407 +00:30:15,220 --> 00:30:19,420 +water، سلب الـ vitamins، وفي اللحظة هذه المرضى اللي + +408 +00:30:19,420 --> 00:30:22,300 +عندهم TB بياخدوا Anti-TB drugs ضروري في الـ + +409 +00:30:22,300 --> 00:30:29,380 +medications نعطيهم B1, B6, B12 drugs، في الـ history + +410 +00:30:29,380 --> 00:30:33,160 +أخدنا لجن المريض عنده migraine headache أو + +411 +00:30:33,160 --> 00:30:37,610 +polycystic kidney disease، وأجانب sudden onset of severe + +412 +00:30:37,610 --> 00:30:41,370 +headache، مهم جدا، ممكن المريض يكون عنده حدث + +413 +00:30:41,370 --> 00:30:44,550 +subarachnoid hemorrhage، وزي ما عنده polycystic + +414 +00:30:44,550 --> 00:30:48,850 +kidney disease يكون موجود عنده malformation أو + +415 +00:30:48,850 --> 00:30:53,130 +intracranial aneurysm rupture، rheumatic fever، + +416 +00:30:54,580 --> 00:30:59,440 +Sydenham's chorea، المرضى اللي عندهم rheumatic fever + +417 +00:30:59,440 --> 00:31:02,780 +ممكن يصيبهم involuntary movement زي chorea، وفي حالة + +418 +00:31:02,780 --> 00:31:08,180 +هذه في مريضة كانت عندها إلى فترة بتتابع as + +419 +00:31:08,180 --> 00:31:12,000 +involuntary movement، طفلة وشخصها عندها rheumatic + +420 +00:31:12,000 --> 00:31:14,900 +fever، يبقى ننتبه للموضوع هذا إن rheumatic fever + +421 +00:31:14,900 --> 00:31:20,380 +ممكن تعملنا Sydenham's chorea أو minor chorea، الـ otitis + +422 +00:31:20,380 --> 00:31:25,490 +media، أجانب المريض عنده facial palsy، قد يكون facial + +423 +00:31:25,490 --> 00:31:27,330 +paralysis نتيجة عن otitis media اللي هي في القدم + +424 +00:31:27,330 --> 00:31:30,210 +الوسطى، يبقى مهم جدا نسأل عن otitis media عنده + +425 +00:31:30,210 --> 00:31:34,270 +مشاكل في القدم اللي ما عنده ممكن تسبب لنا meningitis + +426 +00:31:34,270 --> 00:31:38,410 +ممكن تسبب لنا brain abscess، يبقى إن هذا مهم جدا + +427 +00:31:38,410 --> 00:31:42,450 +أجانب المريض عنده الـ main complaint ascending + +428 +00:31:42,450 --> 00:31:45,230 +paralysis، ascending paralysis، weakness في الـ upper + +429 +00:31:45,230 --> 00:31:47,750 +و lower limbs mainly، في الـ lower limbs mainly + +430 +00:31:47,750 --> 00:31:51,650 +distally، لو سألنا في الـ History وكان عنده قبل + +431 +00:31:51,650 --> 00:31:55,630 +أسبوعين Upper Respiratory Tract Infection، ممكن + +432 +00:31:55,630 --> 00:32:00,490 +تكون هذه Guillain–Barré syndrome (GBS)، نسأل إذا في + +433 +00:32:00,490 --> 00:32:04,130 +عنده TIA (Transient Ischemic Attack) في الـ History + +434 +00:32:04,130 --> 00:32:07,010 +ممكن يكون هذا لصالح الـ Ischemic Stroke، الشخص + +435 +00:32:07,010 --> 00:32:10,990 +Ischemic Stroke، إذا المريض عنده مشكلة في الـ + +436 +00:32:10,990 --> 00:32:19,280 +Calculation، عنده Calculopathy، قد يكون عنده حدث drug + +437 +00:32:19,280 --> 00:32:22,600 +induced intracerebral hematoma أو hemorrhagic + +438 +00:32:22,600 --> 00:32:27,320 +stroke، إذا في similar attack، similar attack ممكن + +439 +00:32:27,320 --> 00:32:30,900 +تكون عنده transient ischemic attack أو multiple + +440 +00:32:30,900 --> 00:32:34,580 +sclerosis، مهم جدا الـ age والـ duration، أرجع للـ age + +441 +00:32:34,580 --> 00:32:40,030 +والـ duration of onset، cancer، مريض عنده cancer + +442 +00:32:40,030 --> 00:32:43,630 +brain metastasis، أجانب مريض يوم من الأيام عنده main + +443 +00:32:43,630 --> 00:32:47,850 +complaint low back pain .. severe low back pain في + +444 +00:32:47,850 --> 00:32:51,550 +الـ history عنده prostate cancer، يبقى أنا في الحالة + +445 +00:32:51,550 --> 00:32:55,330 +هذه بفكر على السريع إنه صار عنده metastasis في ال + +446 +00:32:55,330 --> 00:32:58,750 +spine، في نفس الـ vertebral column فعلا على صورة ال + +447 +00:32:58,750 --> 00:33:04,550 +MRI حدث .. لأ، ووجدت عنده إنه في عنده metastasis في + +448 +00:33:04,550 --> 00:33:08,130 +الـ vertebra كانت ماخدة الـ thoracic والـ lumbar + +449 +00:33:08,130 --> 00:33:13,860 +vertebra، بنسأل إذا في بياخد chemotherapy أو + +450 +00:33:13,860 --> 00:33:18,000 +radiation، مهم جدا لإن المرضى هدول ممكن يدخلوا في + +451 +00:33:18,000 --> 00:33:20,740 +polyneuropathy، ممكن يصير معهم decrease of hearing + +452 +00:33:20,740 --> 00:33:24,080 +decrease of vision، المرضى اللي عندهم cancer ممكن + +453 +00:33:24,080 --> 00:33:26,820 +يصير معهم حاجة اسمها paraneoplastic syndrome، مش + +454 +00:33:26,820 --> 00:33:30,340 +المحوم فتيج، polyneuropathy، سندروم اسمه Lambert-Eaton myasthenic syndrome + +455 +00:33:30,340 --> 00:33:34,500 +(LEMS)، كل هذا ناتج عن إيه؟ + +456 +00:33:34,500 --> 00:33:38,800 +Paraneoplastic Syndrome، إيش هو الـ Paraneoplastic + +457 +00:33:38,800 --> 00:33:47,100 +Syndrome؟ هو non-metastatic manifestation of + +458 +00:33:47,100 --> 00:33:53,090 +cancer، هكذا اتكلمت أنا على الـ past medical history + +459 +00:33:53,090 --> 00:33:57,650 +فنتنقل بعدها لجزئية إيه؟ past surgical history، مهم + +460 +00:33:57,650 --> 00:34:02,090 +جدا الـ past surgical history، إيش بنسأل؟ بنسأل إذا + +461 +00:34:02,090 --> 00:34:08,350 +في في الـ past history surgical operation، يعني إيش + +462 +00:34:08,350 --> 00:34:11,450 +surgical operation؟ يعني بدنا نحدد إيش العملية؟ + +463 +00:34:11,450 --> 00:34:15,670 +إيش نوع العملية؟ the type of operation، والـ time + +464 +00:34:17,150 --> 00:34:22,770 +of surgery replacement، مهم جدا هذا نحدده، نسأل إذا كان عنده أي + +465 +00:34:22,770 --> 00:34:26,870 +blood transfusion، صورة المريض إن أعطيه blood وكان + +466 +00:34:26,870 --> 00:34:30,710 +عنده قبل هيك hypersensitivity أو دخل فيه + +467 +00:34:30,710 --> 00:34:35,150 +anaphylactic reaction، يكون مهم جدا نحدد إذا كان + +468 +00:34:35,150 --> 00:34:38,710 +عنده blood transfusion، نسأل إذا فيه any dental + +469 +00:34:38,710 --> 00:34:39,470 +extraction + +470 +00:34:41,750 --> 00:34:46,790 +and any excessive bleeding during the extraction + +471 +00:34:46,790 --> 00:34:51,870 +يعني إذا المريض عنده رفع طحون، تخلخها، وصار معاه a + +472 +00:34:51,870 --> 00:34:54,770 +massive bleeding، هذا مهم جدا بيدل إنه المريض عنده + +473 +00:34:54,770 --> 00:34:59,760 +coagulopathy، بنسأل عن history of trauma أو accident + +474 +00:34:59,760 --> 00:35:05,960 +نفس الشيء، بنسأل الـ time، place، and what type of + +475 +00:35:05,960 --> 00:35:12,740 +accident، مهم جدا إن حد واحد عنده حادث وجاء طب + +476 +00:35:12,740 --> 00:35:16,820 +ممكن المريض أجانا اليوم عنده headache أو left side + +477 +00:35:16,820 --> 00:35:20,280 +weakness، دخل في شيء اسمه subacute subdural + +478 +00:35:20,280 --> 00:35:24,160 +hematoma أو chronic subdural hematoma، وكان عنده + +479 +00:35:24,160 --> 00:35:27,930 +الـ falling down قبل شهر، ساعدني في تشخيصي، يوم + +480 +00:35:27,930 --> 00:35:30,610 +لأيام جاني مريض الـ main complaint right side + +481 +00:35:30,610 --> 00:35:33,910 +weakness، الحاج عمره حوالي سبعين سنة تقريبا، كان + +482 +00:35:33,910 --> 00:35:39,270 +المريض هذا ماقدرت أخد منه history حاجة، وجعت ماجعتش + +483 +00:35:39,270 --> 00:35:43,330 +لما أجى ابنه، سألت ابنه قال لي قبل شهر يا دكتور هو + +484 +00:35:43,330 --> 00:35:47,110 +بيقع ووجع على رأسه أو بيبقى، هذا مهم جدا لل + +485 +00:35:47,110 --> 00:35:50,010 +trauma، إنه عنده history of trauma and falling down + +486 +00:35:50,010 --> 00:35:53,310 +one month ago، عملت brain CT كان عنده sub-neural + +487 +00:35:53,310 --> 00:35:58,750 +hematoma، نظيف تحت الأم الجافية، كان هذا مهم جدا + +488 +00:35:58,750 --> 00:36:04,090 +لتشخيص الحالات، إذا في عنده history of trauma، ننتقل + +489 +00:36:04,090 --> 00:36:08,250 +لجزئية أخرى، drug history، إيش أنا في الـ drug + +490 +00:36:08,250 --> 00:36:13,470 +history؟ نسأل عن الـ drug intakes، أهم شيء نسأل بـ + +491 +00:36:14,650 --> 00:36:20,710 +the generic name، الاسم العلمي، وممكن أحط بين قوسين الاسم + +492 +00:36:20,710 --> 00:36:27,690 +التجاري، لأنه يعني لو جينا لعلاج اسمه atorvastatin + +493 +00:36:27,690 --> 00:36:32,330 +بنعطيه للدهون، يفضل أكتب اسمه atorvastatin للدهون + +494 +00:36:32,330 --> 00:36:36,670 +هذا بنعطاه، هيقول الـ epidemic agent، لكن لو جينا + +495 +00:36:36,670 --> 00:36:43,410 +لشركة الـ goods بس اسمه Lipitor، بيرزيت اسمه Libidix + +496 +00:36:43,410 --> 00:36:47,510 +شركة إدارة الشفاء اسمه Trovan، يقول أنا ممكن أحدد + +497 +00:36:47,510 --> 00:36:50,530 +الدواء أو العلاج اللي بياخده بين قوسين اسم التجارة + +498 +00:36:50,530 --> 00:36:54,490 +لكن أهم شيء أسجله باسم العلم the generic name لأن + +499 +00:36:54,490 --> 00:36:57,670 +المادة الفعالة أو المادة العلمية هي موجودة في + +500 +00:36:57,670 --> 00:37:02,290 +العالم كله، في الصين أو اليابان هي نفس الاسم، بسأل + +501 +00:37:02,290 --> 00:37:05,270 +إذا المريض باخد streptomycin ممكن يسببله + +502 +00:37:05,270 --> 00:37:10,340 +peripheral neuropathy ميجار ترانكوليزاتور زي + +503 +00:37:10,340 --> 00:37:15,710 +الرزابين و البرومازين ممكن تعملنا Parkinsonism يوم + +504 +00:37:15,710 --> 00:37:19,650 +الأيام بيجيني مريض على عيادة عنده mandibular + +505 +00:37:19,650 --> 00:37:23,730 +dystonia mandibular dystonia حركات لا إرادية في + +506 +00:37:23,730 --> 00:37:29,570 +الفم و في الفاك سألته سؤال بتاخد أي علاجات ما + +507 +00:37:29,570 --> 00:37:33,890 +باخدش كانت زوجتي معاه طلعت زوجتي برا العيادة .. + +508 +00:37:33,890 --> 00:37:37,770 +الغرفة اللي هو بطلعني من جيبته علاج اللي كان + +509 +00:37:37,770 --> 00:37:40,150 +العلاج اللي عنده الchlorpromazine باخد + +510 +00:37:40,150 --> 00:37:43,670 +chlorpromazine عشان هو بيقولك أنه خلاص أنا نفسيتي + +511 +00:37:43,670 --> 00:37:47,590 +تعبان أو بدأ أرتاح هذا الكلوربرومازين بعمل + +512 +00:37:47,590 --> 00:37:51,650 +depletion للدوبامين ولما يعمل depletion للدوبامين + +513 +00:37:51,650 --> 00:37:56,760 +راح يعملنا involuntary movement يبقى انحل خلاص نعرف + +514 +00:37:56,760 --> 00:38:01,420 +المشكلة انحلت ما لازم أعمله لا CT ولا برنامج مراعي + +515 +00:38:01,420 --> 00:38:05,200 +ولا شيء المشكلة drug induced involuntary movement + +516 +00:38:05,200 --> 00:38:10,420 +في الحلقة هذه لازم أعمل stop للchlorpromazine و + +517 +00:38:10,420 --> 00:38:15,080 +أعطيه medications يزودوا عنده إيش + +518 +00:38:18,070 --> 00:38:21,190 +الـDopamine نعطي الـLevodopa و Carbidopa أو نعطي + +519 +00:38:21,190 --> 00:38:24,510 +drugs يقللوا الاستيطاع الكلين الـTrihexyphenidyl + +520 +00:38:24,510 --> 00:38:27,590 +وبتحل مشكلتنا، يبقى ضروري نسأل عن drug history + +521 +00:38:27,590 --> 00:38:31,650 +استيرويد، إذا المريض بياخد استيرويد، ممكن استيرويد + +522 +00:38:31,650 --> 00:38:37,820 +يعملنا استيرويد Myopathy Contraceptive pills مهم + +523 +00:38:37,820 --> 00:38:42,320 +جدا الـContraceptive pills ممكن تؤدي إلى DVT قبل + +524 +00:38:42,320 --> 00:38:49,300 +أسبوعين شخص حالة ديورال فيناس رامبوسس عندها ديورال + +525 +00:38:49,300 --> 00:38:52,740 +فيناس رامبوسس في الright transverse and sigmoid + +526 +00:38:52,740 --> 00:38:56,600 +sinus و عاملة complication hemorrhagic infarction + +527 +00:38:56,600 --> 00:39:00,140 +hemorrhagic infarction مافي عندها أي chronic + +528 +00:39:00,140 --> 00:39:04,080 +illness طلبنا كل الprofile الترموفيليا كله normal + +529 +00:39:04,080 --> 00:39:08,740 +لكن الست هذه كانت تاخد إيش؟contraceptive pills + +530 +00:39:08,740 --> 00:39:11,800 +اقراص من الحمل و هذه اقراص من الحمل ممكن تزود ال + +531 +00:39:11,800 --> 00:39:14,260 +coagulation و تدخلنا في thrombosis يبقى ان في + +532 +00:39:14,260 --> 00:39:18,540 +الحالة هذه ممنوع للست هذه او للمريضة هذه تاخد ال + +533 +00:39:18,540 --> 00:39:23,760 +contraceptive pills ممكن تسببنا stroke myocardial + +534 +00:39:23,760 --> 00:39:28,200 +infarction الmigraine و الdepression بربيتوريت + +535 +00:39:28,200 --> 00:39:31,340 +اذا مريض باخد بربيتوريت عندي مريض epileptic + +536 +00:39:31,340 --> 00:39:37,100 +patient المريض هذا أجانب main complaint كان عنده + +537 +00:39:37,100 --> 00:39:40,660 +gait instability ataxia فلأ أنا في البداية انت في + +538 +00:39:40,660 --> 00:39:46,120 +خيرة تكون هل هذا ناجح عن tumor المريض well known + +539 +00:39:46,120 --> 00:39:50,720 +case to have epilepsy عنده صرع لما وصلت للdrug + +540 +00:39:50,720 --> 00:39:54,080 +history سألته ايش الmedications اللي بتاخدها كان + +541 +00:39:54,080 --> 00:39:59,000 +من الmedications الbarbiturate او luminal اذكرت + +542 +00:39:59,000 --> 00:40:02,500 +ان الbarbiturate overdose ممكن يعملنا gait + +543 +00:40:02,500 --> 00:40:06,160 +instability ماذا طلبت للمريض؟ طلبت له brain CT وهي + +544 +00:40:06,160 --> 00:40:10,600 +واحد وطلبتله drug level نعمل serum drug level لل + +545 +00:40:10,600 --> 00:40:14,240 +barbiturate للفينو باربيتال لجينا الفينو باربيتال + +546 +00:40:14,240 --> 00:40:19,480 +عالي الطبيعي لحد 40 لجينا عنده 55 يبقى كانت over + +547 +00:40:19,480 --> 00:40:23,420 +dose of barbiturate وهي لبسة بباله cerebellar + +548 +00:40:23,420 --> 00:40:26,700 +ataxia وانحلت المشكلة عملنا adjustment of the dose + +549 +00:40:26,700 --> 00:40:30,870 +وهي الأعراض كلها اختفت الـTramadol حدث ولا حرج، + +550 +00:40:30,870 --> 00:40:33,370 +الحمد لله أنه صار غالي في غزة و لا كانوا ما شاء + +551 +00:40:33,370 --> 00:40:37,490 +الله الtramal يشربوا كثير، اليوم حابة 150 شكل و + +552 +00:40:37,490 --> 00:40:41,890 +يعني صاروا يدوروا على أشياء ثانية مهم جدا ال + +553 +00:40:41,890 --> 00:40:44,990 +tramadol و الtramadol overdose يعملنا convulsion + +554 +00:40:44,990 --> 00:40:48,190 +تلاقي المريض ماشي في الشارع بتشنج اللي ماعنده خبرة + +555 +00:40:48,190 --> 00:40:51,820 +يقولك تشنج هذا ناس جانيه بلبسهلا هذا مش Epilepsy + +556 +00:40:51,820 --> 00:40:55,020 +اللي المريض عنده، هذا عنده drug-induced convulsion + +557 +00:40:55,020 --> 00:40:57,680 +ناتجة عن الترامدول، المريض هذا مش محتاج + +558 +00:40:57,680 --> 00:41:01,940 +antiepileptic drugs، محتاج withdrawal، انسحاب، + +559 +00:41:01,940 --> 00:41:05,900 +stop، لا إيه، لا الترامدول، المرضى اللي بياخدوا + +560 +00:41:05,900 --> 00:41:09,080 +antineoplastic drugs اللي عندهم cancer و بياخدوا + +561 +00:41:09,080 --> 00:41:12,900 +antineoplastic drugs، في الحالة هذه ممكن يحدث + +562 +00:41:12,900 --> 00:41:19,220 +معاهم polyneuropathy الـVitamin A Overdose وكمانًا + +563 +00:41:19,220 --> 00:41:23,180 +الـPseudotumor cerebrae اللي هي الـBenign + +564 +00:41:23,180 --> 00:41:26,560 +Intracranial Hypertension نشرحها إن شاء الله في + +565 +00:41:26,560 --> 00:41:31,520 +محاضرة الـHeadache Anti-TB drugs نفس الشيء كنا + +566 +00:41:31,520 --> 00:41:36,520 +بتقلل الـVitamin B و الـWater سلب الـVitamins + +567 +00:41:36,520 --> 00:41:40,440 +وفي الحالة هذه محتاجين لإعطاء المرضى Vitamin B1, + +568 +00:41:40,580 --> 00:41:47,770 +B6, B12 أو ماء نجريكوزايد الـAntibiotics وتعملنا + +569 +00:41:47,770 --> 00:41:52,730 +Dizziness وتعملنا Loss of Hearing و anticholinergic + +570 +00:41:52,730 --> 00:41:57,770 +drugs السلفية مغنيزيوم البوتولينيوم توكسينز كل هذه + +571 +00:41:57,770 --> 00:42:01,090 +ممكن تعملنا deterioration للpatient اللي عندهم + +572 +00:42:01,090 --> 00:42:04,370 +myasthenia gravis و حذاري يكون المرضى اللي عندهم + +573 +00:42:04,370 --> 00:42:08,150 +myasthenia gravis نعطيهم anticholinergic drugs أو + +574 +00:42:08,150 --> 00:42:11,770 +سلفية مغنيزيوم أو بوتولينيوم ممكن أحتاج سلفية + +575 +00:42:11,770 --> 00:42:17,200 +مغنيزيوم لستاتفي حالة الـEclampsia و هنا الـ + +576 +00:42:17,200 --> 00:42:20,280 +management راح تختلف راح ندخل المريض ICU و نعمل + +577 +00:42:20,280 --> 00:42:25,260 +adjustment للدوزة و سلفية Magnesium و نزود العلاج + +578 +00:42:25,260 --> 00:42:28,020 +الـcholinergic drugs اللي بنعطيهم للمرضى او الـ + +579 +00:42:28,020 --> 00:42:31,220 +anticholinergic drugs هذا موضوع اخر ان شاء الله + +580 +00:42:31,220 --> 00:42:34,860 +بنعطيكواياه لما تيجوا هنا في course نيرولوجي في + +581 +00:42:34,860 --> 00:42:40,900 +محاضرة Myasthenia Gravis بنتجل بعدها لموضوع ال + +582 +00:42:40,900 --> 00:42:44,820 +family history family history، بنسأل إذا في similar + +583 +00:42:44,820 --> 00:42:48,860 +condition أو disease running in the family، بنسأل + +584 +00:42:48,860 --> 00:42:51,960 +عن موضوع زواج الأقارب، ليش زواج الأقارب، عشان + +585 +00:42:51,960 --> 00:42:56,380 +الموضوع الgenetic disease والhereditary disease + +586 +00:42:56,380 --> 00:42:59,880 +الأمراض الوراثية اللي ممكن تكون عندهم تتورث في + +587 +00:42:59,880 --> 00:43:03,000 +زواج الأقارب اللي بتزوج بنت عمه، ابن عمه، ابن خال + +588 +00:43:03,000 --> 00:43:08,640 +و هذا كده many neurologic diseases have underlying + +589 +00:43:08,640 --> 00:43:12,460 +genetic components زي multiple sclerosis، زي + +590 +00:43:12,460 --> 00:43:18,640 +migraine، neurofibromatosis، إبلبس كل هذا الـ + +591 +00:43:18,640 --> 00:43:22,160 +Charcot-Marie-Tooth disease اللي هو عبارة عن chronic + +592 +00:43:22,160 --> 00:43:27,480 +hereditary demyelinating polyneuropathy positive + +593 +00:43:27,480 --> 00:43:32,270 +family history of hypertension، heart disease خاصة + +594 +00:43:32,270 --> 00:43:36,010 +عند مرضى مين اللي عندهم stroke and cerebrovascular + +595 +00:43:36,010 --> 00:43:42,170 +disease نتجل الsocial history social history + +596 +00:43:42,170 --> 00:43:47,550 +بنسأل على smoking smoking مدخن ولا لأ عايش بنسأل، + +597 +00:43:47,550 --> 00:43:52,910 +بسأل على الmouth و الـduration و الـtype هل هو + +598 +00:43:52,910 --> 00:43:57,730 +جندي؟ هل هو مقدم في التدخين؟ هل هو صار عقيد، عميد، + +599 +00:43:57,730 --> 00:44:02,610 +لواء؟ بحسب سنوات الخدمة و شرب الدخان يكون هذا مهم + +600 +00:44:02,610 --> 00:44:06,330 +جداً و كيف نشرع .. نحدد؟ راح نتكلم في الصيد بعده + +601 +00:44:06,330 --> 00:44:09,850 +بنسأل على الsmoking history على الtype of + +602 +00:44:09,850 --> 00:44:14,150 +smoking ممكن يكون جشيش عند مريض كان بيدخن حشيش و + +603 +00:44:14,150 --> 00:44:18,170 +عنده stroke و السبب اللي دخله في الstroke تدخين + +604 +00:44:18,170 --> 00:44:22,510 +الحشيش بحشيش يبقى ان هذا الtype يبقى ان حد جشش ولا + +605 +00:44:22,510 --> 00:44:27,990 +إيه نيكوتين كله لازم نحدد إيش اللي بدخنه alcohol + +606 +00:44:27,990 --> 00:44:35,050 +history amount, duration and type occupation + +607 +00:44:35,050 --> 00:44:41,290 +social and education background إيش درجته عشان + +608 +00:44:41,290 --> 00:44:44,890 +أعرف أتكلم بأي لغة مع المريض كيف الوضع الfinance + +609 +00:44:44,890 --> 00:44:50,730 +عنده كيف وضع المادي؟ المريض وضعه باخد يعني شئون + +610 +00:44:50,730 --> 00:44:53,950 +اجتماعية ووضع الصيرب المادي ماروحش اكتبله علاج حاجه + +611 +00:44:53,950 --> 00:44:58,850 +الف شكل ده فيه ممكنية اساعده بعلاج تاني ويحل + +612 +00:44:58,850 --> 00:45:03,590 +المشكلة يكون رخيص او موجود اكتبله ياه لكن ده وضع + +613 +00:45:03,590 --> 00:45:07,030 +الصيرب المادي احاول أبعد عن الأدوية اللي هي very + +614 +00:45:07,030 --> 00:45:13,160 +expensive social class و الhome condition ضروري + +615 +00:45:13,160 --> 00:45:20,740 +هذا أحدده في موضوع الsocial history مثال نحن + +616 +00:45:20,740 --> 00:45:21,900 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +617 +00:45:21,900 --> 00:45:22,160 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +618 +00:45:22,160 --> 00:45:22,380 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +619 +00:45:22,380 --> 00:45:23,420 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +620 +00:45:23,420 --> 00:45:24,940 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +621 +00:45:24,940 --> 00:45:27,620 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +622 +00:45:27,620 --> 00:45:32,760 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +623 +00:45:38,090 --> 00:45:45,330 +يعني example مريض بدخن عشرين سيجارة في اليوم، إله + +624 +00:45:45,330 --> 00:45:49,870 +تلاتين سنة مدخن، يعني وصل اللوة، تمام؟ كيف بنا + +625 +00:45:49,870 --> 00:45:56,710 +نحسب له؟ بنقول عشرين، عشرين سيجارة، ضرب تلاتين سنة + + + +626 +00:45:56,710 --> 00:46:01,960 +و بنجسم على عشرين بطلع عندي ثلاثين pack years + +627 +00:46:01,960 --> 00:46:06,260 +ثلاثين pack years نيجي ناخد مثال آخر مريض ثاني + +628 +00:46:06,260 --> 00:46:12,840 +بدخن عشر سجائر في اليوم وله ثلاثين سنة بندرب عشرة + +629 +00:46:12,840 --> 00:46:19,020 +ضرب ثلاثين و بنجسم على إيش؟ على عشرين، بطلع خمسة و عشرين + +630 +00:46:19,020 --> 00:46:23,960 +pack years وهكذا أنا بحسب كمية التدخين اللي + +631 +00:46:23,960 --> 00:46:27,520 +بيدخنها المريض لو بسجل المريض عنده ثلاثين pack + +632 +00:46:27,520 --> 00:46:30,420 +years، عشرين pack years، خمسة و عشرين pack years و بريح + +633 +00:46:30,420 --> 00:46:35,590 +رأسي و بكون عارف كمية التدخين، متوسط هذا هل + +634 +00:46:35,590 --> 00:46:40,950 +بتواجهنا مشاكل في obtaining a complete history؟ نعم + +635 +00:46:40,950 --> 00:46:45,190 +ممكن تواجهنا مشاكل في اللي هو obtaining of + +636 +00:46:45,190 --> 00:46:48,930 +a complete history زي ايه؟ مريض عنده loss of memory + +637 +00:46:48,930 --> 00:46:53,290 +مريض عنده loss of memory مريض Alzheimer كيف بدي + +638 +00:46:53,290 --> 00:46:56,090 +آخذ منه التاريخ المرضي؟ في الحالة هذه أنا بلجأ لل + +639 +00:46:56,090 --> 00:46:59,070 +witness أو ال main part of family باخد منهم ال + +640 +00:46:59,070 --> 00:47:03,190 +history اثنين مريض عنده speech difficulty aphasia + +641 +00:47:03,780 --> 00:47:06,340 +المريض عنده حبسة كلامية، ما بتتكلم، كيف بدي أخذ + +642 +00:47:06,340 --> 00:47:09,040 +منه history؟ برجع أخذ ال history من وين؟ من ال + +643 +00:47:09,040 --> 00:47:13,100 +witness اللي معاه، المرافقين المريض language + +644 +00:47:13,100 --> 00:47:17,840 +barrier أنا سافرت و ما بعرفش اللغة، أنا سافرت أسبانيا و + +645 +00:47:17,840 --> 00:47:20,980 +ما بعرف لغة أسبانية و رحت هناك في أسبانيا، ما + +646 +00:47:20,980 --> 00:47:25,000 +بقدر هو ياخد history مني أنا بعرفش إلا لغة عربي + +647 +00:47:25,000 --> 00:47:28,460 +على سبيل المثال كيف بدي أخذ منه history؟ لازم يجيب + +648 +00:47:28,460 --> 00:47:34,100 +witness أو مترجم و ياخذ منه التاريخ المرضي بتاعه + +649 +00:47:34,100 --> 00:47:38,860 +drug intoxication واحد أجنبي شارب كحول و مفلل كيف + +650 +00:47:38,860 --> 00:47:42,060 +بقدر أخذ منه كلام .. كلام ما بقدر أصدقه و بيكون + +651 +00:47:42,060 --> 00:47:47,930 +المريض confused و يعني خارج الطغط بيكون الواحد + +652 +00:47:47,930 --> 00:47:51,370 +عنده impaired level of consciousness عنده بلبس CVA + +653 +00:47:51,370 --> 00:47:54,570 +و loss of consciousness صعب تاخد منه history إذا + +654 +00:47:54,570 --> 00:47:57,730 +كان المريض هذا عنده impaired consciousness level + +655 +00:47:57,730 --> 00:48:01,130 +ناخد منه ال witness بتاعينه وإذا المريض عنده + +656 +00:48:01,130 --> 00:48:05,030 +psychiatric illness مريض عنده schizophrenia صعب + +657 +00:48:05,030 --> 00:48:07,630 +تاخد منه history ولو أخدت منه history ممكن الكلام + +658 +00:48:07,630 --> 00:48:12,390 +ما يكونش مظبوط في الحالة هذه بلزم أخذ ال history من + +659 +00:48:12,390 --> 00:48:18,390 +الأقارب بتاعينه أو المرافقين اللي معاه بعدها بنتقل ل + +660 +00:48:18,390 --> 00:48:24,010 +system review System Review General weakness, + +661 +00:48:24,270 --> 00:48:29,450 +fatigue, anorexia, change of weight, fever, night + +662 +00:48:29,450 --> 00:48:34,070 +sweats ال cardiovascular في chest pain, + +663 +00:48:34,890 --> 00:48:40,130 +paroxysmal dyspnea, orthopnea, short of + +664 +00:48:40,130 --> 00:48:47,170 +breathing, cough, sputum, swelling, palpitations, + +665 +00:48:47,330 --> 00:48:53,210 +cyanosis كل هذا باخده GIT ده في عندنا ال appetite، + +666 +00:48:53,210 --> 00:48:58,710 +anorexia، weight change، diet، nausea، vomiting، + +667 +00:48:58,710 --> 00:49:02,270 +كل هذا بسأله للمريض، ده فيه جوندز، respiratory + +668 +00:49:02,270 --> 00:49:06,510 +system، ال cough، productive cough، dry cough، + +669 +00:49:06,510 --> 00:49:10,410 +sputum، ال color تبع ال sputum، a mouth smell، + +670 +00:49:10,410 --> 00:49:14,050 +hemoptysis، chest pain، dyspnea، tachycardia + +671 +00:49:14,810 --> 00:49:19,130 +hoarseness و wheezing كل هذا نسأله للمرضى في + +672 +00:49:19,130 --> 00:49:22,630 +nervous system على موضوع ال behavior and other + +673 +00:49:22,630 --> 00:49:26,910 +cognitive abnormalities visual problem smell + +674 +00:49:26,910 --> 00:49:30,670 +problem taste hearing problem نتكلم عن speech + +675 +00:49:30,670 --> 00:49:34,550 +problem headache vertigo impaired consciousness + +676 +00:49:35,530 --> 00:49:39,850 +muscle paralysis, numbness and impaired sensation, + +677 +00:49:40,470 --> 00:49:44,070 +tremor and instability، كل هذا في الـ Systemic + +678 +00:49:44,070 --> 00:49:49,450 +Review بنسجله الـ urinary system، ال frequency، + +679 +00:49:49,450 --> 00:49:52,270 +نفس الشيء، إذا فيه dysuria، urine urgency, + +680 +00:49:53,750 --> 00:50:00,050 +dribbling, nocturnal enuresis, incontinence تمام + +681 +00:50:00,050 --> 00:50:03,590 +كل هذا ال character of urine ال color of urine + +682 +00:50:03,590 --> 00:50:06,250 +عندهم polyuria زي مرضى اللي عندهم ال diabetes من + +683 +00:50:06,250 --> 00:50:10,570 +ال patients ال timing كل هذا مهم جدا و ال genitalia + +684 +00:50:10,570 --> 00:50:14,770 +إذا في pain، discomfort، itching يعني ممكن في ال + +685 +00:50:14,770 --> 00:50:18,690 +itching الستات يكون عندهم itching أو ال males + +686 +00:50:18,690 --> 00:50:21,510 +المرضى اللي عندهم DM يسمحوا في ال genitalia + +687 +00:50:21,510 --> 00:50:27,020 +itching و يكون ال itching is a sign of DM Discharge + +688 +00:50:27,020 --> 00:50:31,780 +إذا في عندهم inflammation أو infection Unusual + +689 +00:50:31,780 --> 00:50:36,420 +bleeding إذا في عندهم كاجولوبات بيبقى frequent + +690 +00:50:36,420 --> 00:50:43,340 +bleeding Musculoskeletal system في عندنا pain، في + +691 +00:50:43,340 --> 00:50:47,080 +joint pain، muscle pain، swelling، في weakness + +692 +00:50:47,080 --> 00:50:53,530 +ضروري، deformities على الجيل بعدها بنتجل لموضوع ال + +693 +00:50:53,530 --> 00:50:58,550 +examination هيك بيكون احنا خلصنا جزئية الأولى من + +694 +00:50:58,550 --> 00:51:03,270 +المحاضرة اللي هي جزئية ال history taking يعطيكم + +695 +00:51:03,270 --> 00:51:03,830 +الف عافية diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..8edce5105ff0bf863641df7ee8fdc80f85c9a452 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_postprocess.srt @@ -0,0 +1,2780 @@ +1 +00:00:05,750 --> 00:00:11,070 +بسم الله الرحمن الرحيم السلام عليكم اليوم ان شاء + +2 +00:00:11,070 --> 00:00:15,590 +الله راح نكون معكم في محاضرة عن ال history taking + +3 +00:00:15,590 --> 00:00:21,860 +and neurological examination بداية المحاضرةنبدأ + +4 +00:00:21,860 --> 00:00:26,800 +بالحمد الله على سلامتكم جميعا و نتمنى من الله + +5 +00:00:26,800 --> 00:00:32,460 +يسلمنا و يسلمكم من كل شر ان شاء الله history + +6 +00:00:32,460 --> 00:00:37,320 +taking personal history هنتكلم على personal + +7 +00:00:37,320 --> 00:00:42,340 +history chief complaint هنتكلم على history of + +8 +00:00:42,340 --> 00:00:48,340 +presenting complaintاتكلم عن ال past history, past + +9 +00:00:48,340 --> 00:00:53,660 +medical history and past surgical history, drug + +10 +00:00:53,660 --> 00:01:00,670 +history, family history and social historyيبقى + +11 +00:01:00,670 --> 00:01:06,130 +الجزئية الأولى من المحاضرة راح تكون على history + +12 +00:01:06,130 --> 00:01:11,330 +taking قبل ما أبدأ في ال history taking لازم نعمل + +13 +00:01:11,330 --> 00:01:15,350 +approach to the patients زي ما اتعلمتم في + +14 +00:01:15,350 --> 00:01:20,390 +المحاضرات السابقة مع الباطنة أول شي نعمل hand + +15 +00:01:20,390 --> 00:01:27,430 +washing wash your hands نعرف على نفسنا للمريض اللي + +16 +00:01:27,430 --> 00:01:35,680 +راح نفحصهintroduce yourself، أعرف اسمي و إيش عملي، + +17 +00:01:35,680 --> 00:01:38,660 +إيش درجتي، ممكن أنا استشاري، أنا رئيس قسم، أنا + +18 +00:01:38,660 --> 00:01:42,500 +طبيب أخصي عصاب، طبيب أخصي باطنة، أعرف عن نفسي + +19 +00:01:43,910 --> 00:01:50,430 +identity لازم نتأكد و نعمل confirm that you are + +20 +00:01:50,430 --> 00:01:56,010 +speaking to the correct patient نعرف name و date + +21 +00:01:56,010 --> 00:02:00,310 +of birth نتأكد أننا نتكلم مع نفس المريض هذا اللي + +22 +00:02:00,310 --> 00:02:06,710 +بدنا نفحصه نعمل permission ضروري + +23 +00:02:06,710 --> 00:02:13,600 +جدا keep privacy الخصوصية بتاعة المريضوال position + +24 +00:02:13,600 --> 00:02:19,240 +التبعتنا ال .. دايما في الفحص أنا باجف على نفس ال + +25 +00:02:19,240 --> 00:02:25,040 +level بتاع المريض بكون على ال right side of the + +26 +00:02:25,040 --> 00:02:33,420 +patient نبدأ ب personal history في ال personal + +27 +00:02:33,420 --> 00:02:39,880 +history لازم ناخد ال name اسم رباعي اسم المريض ال + +28 +00:02:39,880 --> 00:02:46,790 +ageعمره كام؟ عشر سنوات أو عشرين سنة كده لأنه مهم + +29 +00:02:46,790 --> 00:02:51,150 +ال age إن في بعض الأمراض مثل ال myopathy و + +30 +00:02:51,150 --> 00:02:54,170 +muscular dystrophy نلاقيها تيجي في ال first and + +31 +00:02:54,170 --> 00:03:00,130 +second decade of life multiple sclerosis تيجي في + +32 +00:03:00,130 --> 00:03:03,490 +ال second and third decade of life في الحالة دي + +33 +00:03:03,490 --> 00:03:09,150 +مهم جدا ال agecerebrovascular disease في سن + +34 +00:03:09,150 --> 00:03:12,070 +الخمسين ستين مع أن اليوم الcerebrovascular disease + +35 +00:03:12,070 --> 00:03:15,190 +ممكن تجينا في العشرين وفي التلاتين وفي الأربعين + +36 +00:03:15,190 --> 00:03:21,530 +ضروري ال sex مهم نشوف male female زي مرضى ال MS + +37 +00:03:22,430 --> 00:03:26,210 +dominant تيجي أكتر في حالات ال male ال motor + +38 +00:03:26,210 --> 00:03:30,070 +neuron disease راح تكون .. راح تكون أكتر في ال + +39 +00:03:30,070 --> 00:03:34,090 +male ال multiple sclerosis في ال female ال marital + +40 +00:03:34,090 --> 00:03:38,930 +status مهم جدا ال occupation أحيانا ال occupation + +41 +00:03:38,930 --> 00:03:43,250 +بيروح بيحطوها في ال social historyresidency عشان + +42 +00:03:43,250 --> 00:03:48,470 +الموضوع ال nutritional deficiency ال handness بكتب + +43 +00:03:48,470 --> 00:03:51,810 +بال right ولا بال left عشان نحدد ال dominant + +44 +00:03:51,810 --> 00:03:57,790 +hemisphere عند المريض بنتقل بعدها ل ال chief + +45 +00:03:57,790 --> 00:04:05,530 +complaint ال chief complaint هنا مهم جدا نخضع من + +46 +00:04:05,530 --> 00:04:12,230 +المريض نفسه او من ال witnessيبقى المصاب نفسه + +47 +00:04:12,230 --> 00:04:16,510 +المريض أو members of the family describe the + +48 +00:04:16,510 --> 00:04:21,530 +problem in their own words يبقى المريض بحكي كلامه + +49 +00:04:21,530 --> 00:04:24,430 +أنا بسجله في ال chief complaint في ال chief + +50 +00:04:24,430 --> 00:04:29,630 +complaint ممنوع أكتب terminology يعني مصاب جينا ب + +51 +00:04:29,630 --> 00:04:32,590 +weakness على ال right side main complaint right + +52 +00:04:32,590 --> 00:04:36,190 +side weakness في الحالة هذه ممنوع أقول للمريض the + +53 +00:04:36,190 --> 00:04:40,130 +patient was presented with hemiplegiaلأنه in + +54 +00:04:40,130 --> 00:04:43,350 +English هذه تعتبر terminology يبقى أنا بقول عند + +55 +00:04:43,350 --> 00:04:46,370 +المصاب the patient suffering أو complaining of + +56 +00:04:46,370 --> 00:04:50,390 +right side muscle weakness right side muscle + +57 +00:04:50,390 --> 00:04:57,030 +weakness أو مريض عنده ال main complaint decrease + +58 +00:04:57,030 --> 00:05:03,040 +of sensation على ال left sideلما أنا سجل ال main + +59 +00:05:03,040 --> 00:05:07,280 +complaint بسجل المريض عنده depression suffering أو + +60 +00:05:07,280 --> 00:05:11,540 +depression presented with sudden onset of + +61 +00:05:11,540 --> 00:05:16,920 +decreased left side sensation خطأ أقول عنده left + +62 +00:05:16,920 --> 00:05:22,100 +side hemihepoesthesia يعني أنا بسجل كلام المصاب أو + +63 +00:05:22,100 --> 00:05:26,440 +كلام المريض نفسه في التذكرة + +64 +00:05:28,030 --> 00:05:34,050 +ال chief complaint راح تكون short specific in one + +65 +00:05:34,050 --> 00:05:38,810 +clear sentence communicating present major problem + +66 +00:05:38,810 --> 00:05:43,930 +Asia يبقى أن أنا في ال chief complaint ما بسجل نص + +67 +00:05:43,930 --> 00:05:48,550 +صفحة chief complaint بتكون تقريبا سطر سطرين من + +68 +00:05:48,550 --> 00:05:53,190 +الشكوه الرئيسية بسجلها و ببدأ من الشيء المهم يعني + +69 +00:05:53,190 --> 00:06:01,170 +في ال chief complaintمريض عنده شلل + +70 +00:06:01,170 --> 00:06:08,110 +في الجهة اليسرى و numbnessفي ال big toe مش ممكن + +71 +00:06:08,110 --> 00:06:10,250 +أروح أسجل المريض عنده numbness في ال big toe + +72 +00:06:10,250 --> 00:06:13,130 +وبعدين أقول عنده شلل في الجهة اليسرى يقول ببدأ إيش + +73 +00:06:13,130 --> 00:06:17,350 +انه عنده presented with sudden onset of left side + +74 +00:06:17,350 --> 00:06:23,190 +muscle weakness and numbness of the left big toe + +75 +00:06:23,190 --> 00:06:27,490 +في الحالة هذه ببدأ بال major complaint الشيء المهم + +76 +00:06:27,490 --> 00:06:29,870 +وبعدها للأقل أهمية + +77 +00:06:32,650 --> 00:06:36,130 +حاجة مهمة في الـ chief complaint أنه ماعملش + +78 +00:06:36,130 --> 00:06:40,130 +interruption لل patient يعني المريض لما أسأله + +79 +00:06:40,130 --> 00:06:44,750 +الشكوه الرئيسية اللي عندك أعطيه راحته في الشرح + +80 +00:06:44,750 --> 00:06:47,770 +يشرحلي إيش ال chief complaint مش بعد ما أتكلم كلمة + +81 +00:06:47,770 --> 00:06:52,110 +كلمتين أعطيه للمريض أخلي ياخد راحته في ال chief + +82 +00:06:52,110 --> 00:06:56,450 +complaint عشان أتصلي المعلومة و أقدر أشخصه صح من + +83 +00:06:56,450 --> 00:07:00,820 +ال chief complaint بتاعة المريضبعدها بنتقل ل + +84 +00:07:00,820 --> 00:07:06,880 +history of presenting complaint يبقى الآن في ال + +85 +00:07:06,880 --> 00:07:11,480 +history of present illness بنسميها أو presenting + +86 +00:07:11,480 --> 00:07:16,580 +complaint هنا بعمل أنا analysis ل let chief + +87 +00:07:16,580 --> 00:07:19,300 +complaint بنعمل analysis لمين ل let chief + +88 +00:07:19,300 --> 00:07:24,860 +complaint ضروري نحدد هنا فيها ال site مكانه ال + +89 +00:07:24,860 --> 00:07:30,920 +onsetCharacter, duration, radiation, relieving + +90 +00:07:30,920 --> 00:07:37,480 +factors, timing, precipitating factorsand severity + +91 +00:07:37,480 --> 00:07:41,340 +يبقى أنا في الحالة هذه لما يجيني المريض عنده chief + +92 +00:07:41,340 --> 00:07:45,920 +complaint headache لو أتبعنا ال slide هذا سألنا عن + +93 +00:07:45,920 --> 00:07:49,720 +ال site onset character duration radiation + +94 +00:07:49,720 --> 00:07:53,360 +reliving factors timing precipitating factors and + +95 +00:07:53,360 --> 00:07:57,660 +severity بقدر أحدد أيش نوع ال headache اللي عند + +96 +00:07:57,660 --> 00:08:01,420 +المريض أو أيش نوع الصداع اللي عند هذا المريض راح + +97 +00:08:01,420 --> 00:08:07,260 +نجيب أمثلة لاحقا و نشرحهمالضروري نسأل على موضوع ال + +98 +00:08:07,260 --> 00:08:09,520 +headache الفيرتائج و vomiting and blurring of + +99 +00:08:09,520 --> 00:08:15,220 +vision فيه symptoms لل cranial nerve affection نفس + +100 +00:08:15,220 --> 00:08:18,880 +الشيء في ال presenting complaint و في ال chief + +101 +00:08:18,880 --> 00:08:25,070 +complaint أنابأشرح حسب كلام المريض يفضل ما نحطش + +102 +00:08:25,070 --> 00:08:29,610 +terminology فيهم و نشرح حسب كلام المريض من الكلام + +103 +00:08:29,610 --> 00:08:33,990 +المريض أو من ال witness صوروا مريض عنده coma مريض + +104 +00:08:33,990 --> 00:08:38,850 +عنده confusion state صعب أخد منه ال chief + +105 +00:08:38,850 --> 00:08:41,450 +complaint و أخد منه history راح أخد ال history من + +106 +00:08:41,450 --> 00:08:47,410 +ال witness أو ال members of the familysymptoms of + +107 +00:08:47,410 --> 00:08:50,450 +cranial nerve affection المرضى هدول ممكن يكون + +108 +00:08:50,450 --> 00:08:55,230 +عندهم olfactory nerve damage أنوسمية كاكوسمية اسم + +109 +00:08:55,230 --> 00:08:57,810 +ال hallucination راح نتطرقلهم في cranial nerve + +110 +00:08:57,810 --> 00:09:02,770 +examination optic nerveلاحظ عندهم decrease acuity + +111 +00:09:02,770 --> 00:09:06,930 +of vision، visual hallucination، defect of visual + +112 +00:09:06,930 --> 00:09:10,770 +field في الـocular nerves اللي هو الـocular motor + +113 +00:09:10,770 --> 00:09:17,070 +وtrochlear وabdominal nerve ممكن يكون عندهم توسيس، + +114 +00:09:17,070 --> 00:09:21,210 +squint، dyplopia أو double o visionTrigeminal + +115 +00:09:21,210 --> 00:09:25,130 +nerve affection هنا ممكن نلاحظ عندهم numbness of + +116 +00:09:25,130 --> 00:09:29,630 +the face decreased sensation of the face زي + +117 +00:09:29,630 --> 00:09:31,530 +Trigeminal neuralgia، difficulty في ال + +118 +00:09:31,530 --> 00:09:35,250 +mastications، في ال facial nerve ممكن نلاحظ عندهم + +119 +00:09:35,250 --> 00:09:44,930 +السيمترية of facial movement، difficulty in eye + +120 +00:09:44,930 --> 00:09:49,990 +closure، في ال vestibulocochlear nerveفي ال + +121 +00:09:49,990 --> 00:09:52,950 +cochlear division ممكن يكون عندهم tinnitus طنين + +122 +00:09:52,950 --> 00:09:56,630 +ممكن يكون عندهم decrease of hearing unilateral، + +123 +00:09:56,630 --> 00:09:59,850 +bilateral والحدد ده unilateral right أو left + +124 +00:09:59,850 --> 00:10:05,120 +vestibular part ataxia tinnitus overtigoفي الـ + +125 +00:10:05,120 --> 00:10:06,980 +Glossopharyngeal و الـ vagus و الـ cranial + +126 +00:10:06,980 --> 00:10:10,440 +accessory مع hypoglossal nerve ممكن يكون عندهم + +127 +00:10:10,440 --> 00:10:15,240 +dysphagia، difficulty of swallowing، dysarthria، + +128 +00:10:15,240 --> 00:10:18,220 +difficulty of speech، dysphonia، اللي هو + +129 +00:10:18,220 --> 00:10:22,780 +hoarseness of voice، و nasal regurgitation في + +130 +00:10:22,780 --> 00:10:26,380 +spinal accessory nerve ممكن نلاحظ على المرضى drop + +131 +00:10:26,380 --> 00:10:30,620 +of the shoulder، اللي عنده shoulder فيه drop فيه، + +132 +00:10:30,620 --> 00:10:34,120 +deviation لل head and neck على one side + +133 +00:10:36,880 --> 00:10:41,820 +ال motor affection في ال .. في ال irritation ممكن + +134 +00:10:41,820 --> 00:10:44,800 +نلاحظ عند هدول المرضى يكون عندهم Jacksonian fit + +135 +00:10:44,800 --> 00:10:48,900 +يعني يكون عنده تشنج focal convulsionمن ال + +136 +00:10:48,900 --> 00:10:52,640 +irritation of the cortex وإذا كان destruction يكون + +137 +00:10:52,640 --> 00:10:57,020 +عندهم weakness، weakness right side، left side، + +138 +00:10:57,020 --> 00:11:03,780 +lower limb weakness، مخدة one limb، upper limb أو + +139 +00:11:03,780 --> 00:11:08,290 +lower limb، right، left، ونحدد هذا كل كلامممكن + +140 +00:11:08,290 --> 00:11:12,950 +يكون عندهم مشكلة في الـ cerebellar، extrapyramidal + +141 +00:11:12,950 --> 00:11:16,230 +nervous system، يكون عندهم tremors، involuntary + +142 +00:11:16,230 --> 00:11:20,590 +movement، gait instability، discordination، كل هذا + +143 +00:11:20,590 --> 00:11:27,180 +مهم جداً، symptoms of sensory systemيكون عندهم + +144 +00:11:27,180 --> 00:11:33,680 +irritation أو positive phenomena، pain، numbness، + +145 +00:11:33,680 --> 00:11:36,500 +increased sensitivity، hyperesthesia أو + +146 +00:11:36,500 --> 00:11:39,980 +destruction، يكون عندهم loss of sensation، + +147 +00:11:39,980 --> 00:11:44,520 +hypoesthesia، نحدد ال site of hypoesthesia ونفحص + +148 +00:11:44,520 --> 00:11:49,520 +أو نسألهم على deep sensation إذا هو ماشي في عنده + +149 +00:11:49,520 --> 00:11:54,580 +decrease coordination خاصة في حالة ما يعمل إغلاق + +150 +00:11:54,580 --> 00:11:58,820 +للعينينsymptoms of sphincter disturbances + +151 +00:11:58,820 --> 00:12:04,880 +الcontrol of micturation and edifications نشوف + +152 +00:12:04,880 --> 00:12:10,400 +موضوع ال urine urgency اللي هي increase frequency + +153 +00:12:10,400 --> 00:12:15,920 +of urination ال impotence خاصة في مرضى ال DM و ال + +154 +00:12:15,920 --> 00:12:23,600 +MS و اللي عندهم conus medullaris ناخد مثالالـ + +155 +00:12:23,600 --> 00:12:26,300 +chief complaint عند المريض هذا headache المريض + +156 +00:12:26,300 --> 00:12:28,800 +عنده ال chief complaint headache يبقى أنا في ال + +157 +00:12:28,800 --> 00:12:31,980 +chief complaint بكتب the patient presented with + +158 +00:12:31,980 --> 00:12:38,580 +headache تمام في ال analysis of the information + +159 +00:12:38,580 --> 00:12:41,960 +analysis of the chief complaint presenting illness + +160 +00:12:41,960 --> 00:12:47,120 +أنا بده أعمل analysis لل headache أعرف أيش نوع ال + +161 +00:12:47,120 --> 00:12:52,460 +headache اللي عنده بنحدد ال onsetsudden أو gradual + +162 +00:12:52,460 --> 00:12:57,820 +في إيش بتفيدني ال onset مثال مريض أجانع sudden + +163 +00:12:57,820 --> 00:13:01,540 +onset of severe headache قد يكون هذا صبح arachnoid + +164 +00:13:01,540 --> 00:13:06,420 +hemorrhage أو مريض أخر عنده gradual headache + +165 +00:13:06,420 --> 00:13:10,120 +gradual headache ممكن يكون brain tumor ممكن يكون + +166 +00:13:10,120 --> 00:13:15,260 +brain tumor أو يكون عنده tension headache timing + +167 +00:13:16,160 --> 00:13:22,200 +مهم الوقت morning، evening، at night اللي أنا بخاف + +168 +00:13:22,200 --> 00:13:25,340 +منه لذلك إذا بيجي عند المرضى at night أو at + +169 +00:13:25,340 --> 00:13:29,240 +morning خاصة المريض لما ينام flat، horizontal، + +170 +00:13:29,240 --> 00:13:32,100 +بيصير increase للـ intracranial pressure وإذا عنده + +171 +00:13:32,100 --> 00:13:35,540 +tumor أو pseudo tumor cerebrae اللي هو benign + +172 +00:13:35,540 --> 00:13:38,360 +intracranial hypertension راح يرتفع ال + +173 +00:13:38,360 --> 00:13:42,890 +intracranial pressure و هو في flat positionsite + +174 +00:13:42,890 --> 00:13:46,970 +نحدد right, left, diffuse زي في حالة tension + +175 +00:13:46,970 --> 00:13:51,130 +headache بنلاقي عندهم diffuse headache character + +176 +00:13:51,130 --> 00:13:55,550 +of headache نحدده frequency هل هو ال headache + +177 +00:13:55,550 --> 00:13:59,610 +بتكرر زي migraine headache بيضلوا يتكرر عندهم كل + +178 +00:13:59,610 --> 00:14:03,130 +شهر كل شهرين خاصة عند الستات ممكن يزيد معهم during + +179 +00:14:03,130 --> 00:14:07,010 +menstruation duration مدة ال headache او مدة + +180 +00:14:07,010 --> 00:14:12,010 +الصداعهل هو يومي يومي زي tension headache أو بيجي + +181 +00:14:12,010 --> 00:14:16,510 +paroxysmal headache hemicranial بيجي صداع نصفي على + +182 +00:14:16,510 --> 00:14:22,410 +مراحل و يستمر تلات أيام يبقى ال duration مهم إذا + +183 +00:14:22,410 --> 00:14:25,970 +استمر أقل من تلات أيام بنتكلم على موضوع migraine + +184 +00:14:25,970 --> 00:14:30,130 +headache severity of headacheإيه ده؟ مريض .. + +185 +00:14:30,130 --> 00:14:33,110 +بيجينا مريض عنده severe headache و بيقولّك أنا + +186 +00:14:33,110 --> 00:14:35,650 +الصداع هذا أول مرة أشعر فيه أجانب الصداع الساعة + +187 +00:14:35,650 --> 00:14:39,990 +تسعة و نص أنا كنت خارج من الدورة أو كده أو أنا كنت + +188 +00:14:39,990 --> 00:14:43,830 +.. كانت ست تطبخ في الحالة هذه حددلك ال time بالظبط + +189 +00:14:43,830 --> 00:14:46,850 +حددلك الموقع بالظبط بالنسبة للصداع و قالك severe + +190 +00:14:46,850 --> 00:14:49,930 +headache بلاش يكون هذا subarachnoid hemorrhage + +191 +00:14:50,660 --> 00:14:54,360 +precipitating factors زي ال migraine ممكن نلاحظ + +192 +00:14:54,360 --> 00:14:56,560 +انه precipitating by emotional stress + +193 +00:14:56,560 --> 00:14:58,840 +precipitating by اللي هو menstruation عند + +194 +00:14:58,840 --> 00:15:03,360 +الفemales relieving factors اللي هو إذا المريض + +195 +00:15:03,360 --> 00:15:06,100 +بيستجيب له ال analgesic ولا ما بيستجيب وإيش نوع ال + +196 +00:15:06,100 --> 00:15:11,180 +analgesics تمام؟associated features زي headache + +197 +00:15:11,180 --> 00:15:14,340 +associated with vertigo vomiting visual + +198 +00:15:14,340 --> 00:15:17,340 +disturbances مثل migraine headache بيكون عندهم + +199 +00:15:17,340 --> 00:15:20,780 +associated maybe associated with vomiting blurring + +200 +00:15:20,780 --> 00:15:24,580 +of vision المرضى اللي عندهم intracranial + +201 +00:15:24,580 --> 00:15:27,140 +hemorrhage أو subarachnoid hemorrhage بيصير معهم + +202 +00:15:27,140 --> 00:15:30,340 +neck pain associated with neck pain shoulder pain + +203 +00:15:30,340 --> 00:15:35,180 +associated with neck stiffness vomiting هذا ضروري + +204 +00:15:35,180 --> 00:15:41,980 +نشره نسأله للمريضvisual disturbances نفس الشيء ال + +205 +00:15:41,980 --> 00:15:46,780 +onset sudden أو gradual onset impairment ماخذة one + +206 +00:15:46,780 --> 00:15:51,480 +eye ولا both eyes total أو partial نسأل عالي + +207 +00:15:51,480 --> 00:15:57,010 +frequencyالـ duration، precipitating factors، + +208 +00:15:57,010 --> 00:16:01,950 +relieving factors، هل الـ close one eye in + +209 +00:16:01,950 --> 00:16:05,290 +diplopia بيساعدنا؟ يعني المريض عنده double o + +210 +00:16:05,290 --> 00:16:08,450 +vision عنده double o vision، بدنا نحدد ال double o + +211 +00:16:08,450 --> 00:16:12,090 +vision هذه هل هي ناتجة عن organic cause عضوي أو + +212 +00:16:12,090 --> 00:16:16,250 +شيء نفسي المريض اللي لو عنده وضع نفسي أو مريض نفسي + +213 +00:16:17,400 --> 00:16:21,360 +لو غمضنا عينه، راح يضلوا يشعروا ب double ovision، + +214 +00:16:21,360 --> 00:16:24,480 +لكن لو كان ناجي عن organic cause زي third nerve + +215 +00:16:24,480 --> 00:16:28,740 +palsy أو abdocent nerve palsy، مجرد ما نغمض عينه، + +216 +00:16:28,740 --> 00:16:32,320 +راح يشوف واحد في الحالة هذه راح يصير loss of + +217 +00:16:32,320 --> 00:16:36,470 +double ovisionوهذا بيساعدنا في ال treatment أنه + +218 +00:16:36,470 --> 00:16:40,790 +ننصح المريض يلبس نضارة و يوم يغمض العين اليمين و + +219 +00:16:40,790 --> 00:16:44,430 +يوم يغمض العين الشمال بورقة بلسقة عشان يشوف one + +220 +00:16:44,430 --> 00:16:48,690 +eye monoocular vision و ينخفف عنه ال double o + +221 +00:16:48,690 --> 00:16:55,290 +visionvisual hallucination هلوسة بالبصر يعني ممكن + +222 +00:16:55,290 --> 00:16:58,910 +يشوف أشياء أو أشخاص أمامه قد تكون ناجية عن مرض زي + +223 +00:16:58,910 --> 00:17:02,510 +schizophrenia اللي هو فصام شخصية أو قد تكون ناجية + +224 +00:17:02,510 --> 00:17:06,970 +عن brain tumor in the occipital loop associated + +225 +00:17:06,970 --> 00:17:10,610 +features maybe ال visual disturbances يكون + +226 +00:17:10,610 --> 00:17:13,330 +associated with other symptoms ونحدد إيش ال + +227 +00:17:13,330 --> 00:17:18,310 +symptoms المرافقة مع ال visual disordersمريض اخر + +228 +00:17:18,310 --> 00:17:21,750 +اجانب ال main complaint loss of vision ال main + +229 +00:17:21,750 --> 00:17:24,710 +complaint عنده loss of vision في الحالة هذه نفس + +230 +00:17:24,710 --> 00:17:28,950 +الشيء بدنا نحدد ال onset sudden او gradual مهم جدا + +231 +00:17:28,950 --> 00:17:34,890 +واحد عنده fever headache gradually loss of + +232 +00:17:34,890 --> 00:17:38,330 +consciousness لو انا بتكلم في الحالة هذه عن cns + +233 +00:17:38,330 --> 00:17:41,390 +infection قد تكون meningioencephalitis او + +234 +00:17:41,390 --> 00:17:46,430 +meningitis المريض عنده sudden onset of headache + +235 +00:17:47,510 --> 00:17:51,290 +with vomiting مع sudden onset of loss of + +236 +00:17:51,290 --> 00:17:55,330 +consciousness قد يكون هذا rupture aneurysm due to + +237 +00:17:55,330 --> 00:18:01,290 +a subarachnoid hemorrhage ال frequencyهل هو متكرر + +238 +00:18:01,290 --> 00:18:04,950 +ال loss of consciousness؟ قد يكون syncopal attack + +239 +00:18:04,950 --> 00:18:07,870 +ممكن يكون Epilepsy المريض عنده epileptic fit و + +240 +00:18:07,870 --> 00:18:12,010 +بيصير معاه recurrent loss of consciousness ال + +241 +00:18:12,010 --> 00:18:15,690 +duration زي ما نشوف في حالة ال epilepsy ال + +242 +00:18:15,690 --> 00:18:19,550 +epileptic attack بيستمر دقيقة دقيقتين يمكن يكون + +243 +00:18:19,550 --> 00:18:23,170 +عندهم one two three minute loss of consciousness + +244 +00:18:23,170 --> 00:18:28,960 +لكن في الإذا كان psychogenic loss of consciousness + +245 +00:18:28,960 --> 00:18:33,480 +ممكن يكون duration أكتر من one two hours إذا مريض + +246 +00:18:33,480 --> 00:18:35,440 +عنده subarachnoid hemorrhage قد يكون ال duration + +247 +00:18:35,440 --> 00:18:41,740 +أكتر من ساعات و أيام precipitating factors نفس + +248 +00:18:41,740 --> 00:18:46,780 +الشيء بنسأل associated features أجانا ساق الأسعاف + +249 +00:18:46,780 --> 00:18:49,820 +قلنا إنه ال main complaint كان عند المريض عند + +250 +00:18:49,820 --> 00:18:52,860 +الأهل كان أنه loss of consciousness transient loss + +251 +00:18:52,860 --> 00:18:55,360 +of consciousness المريض أجانا على الاستقبال واعي + +252 +00:18:55,360 --> 00:18:59,200 +صاحيفي الحالة دي أنا بسأله افسر معاه، إذا قال لي + +253 +00:18:59,200 --> 00:19:02,000 +كان هو في الـ strict bowel، عنده tongue bite عد + +254 +00:19:02,000 --> 00:19:08,000 +لسانه، incontinence، عدم تحكم في ال bowl، limb + +255 +00:19:08,000 --> 00:19:13,520 +twitching، كان عنده تشنج في ال .. و contraction في + +256 +00:19:13,520 --> 00:19:16,720 +ال upper و lower limbs، أنا بتتكلم عن حالة إيه؟ + +257 +00:19:16,720 --> 00:19:20,950 +Epilepsy، بتتكلم عن حالة grand mal Epilepsyنسأل + +258 +00:19:20,950 --> 00:19:24,570 +إذا أنا بشتغل في بلاد أوروبا أو إشي على ال alcohol + +259 +00:19:24,570 --> 00:19:27,810 +و drug abuse و في غزة ما شاء الله يعني موجودة يعني + +260 +00:19:27,810 --> 00:19:32,250 +الحشيش موجود و ال tramadol موجود و يعني عادي ممكن + +261 +00:19:32,250 --> 00:19:35,710 +نسألهم مانخجلش و بيصنعوا الكحول في غزة كمان أحيانا + +262 +00:19:35,710 --> 00:19:41,240 +head injury .. head injuryإذا فيه head injury، + +263 +00:19:41,240 --> 00:19:44,180 +cardiovascular أو الـ respiratory system لأن هذا + +264 +00:19:44,180 --> 00:19:48,580 +كله ضروري نعرفه في حالة أجانب مريض عنده main + +265 +00:19:48,580 --> 00:19:52,480 +complaint، loss of consciousness يعني ما نخجل + +266 +00:19:52,480 --> 00:19:56,000 +نسأل، الستات ممكن يدخلوا، اسألوا، مافي مشكلة + +267 +00:19:56,000 --> 00:20:03,720 +Speech disordersonset, sudden, gradual يعني مريض + +268 +00:20:03,720 --> 00:20:07,200 +الـ main complaint speech difficulty الـ main + +269 +00:20:07,200 --> 00:20:09,940 +complaint speech difficulty يبقى نفس الشيء بنسأل + +270 +00:20:09,940 --> 00:20:13,540 +ال onset, sudden أو gradual؟ بارح كان أنا مريض + +271 +00:20:13,540 --> 00:20:17,280 +عنده main complaint اللي هي speech difficulty لما + +272 +00:20:17,280 --> 00:20:20,020 +ده main complaint speech difficulty أنا بتكلم عن + +273 +00:20:20,020 --> 00:20:24,120 +إيه؟ بتكلم قد يكون stroke قد يكون stroke أو + +274 +00:20:24,120 --> 00:20:29,170 +cerebrovascular disease frequency ال durationهل + +275 +00:20:29,170 --> 00:20:31,790 +المشكلة ال speech difficulty في ال articulation + +276 +00:20:31,790 --> 00:20:37,030 +يعني أنا بتكلم عن dysarthria أو المشكلة في ال + +277 +00:20:37,030 --> 00:20:40,610 +expression أنا بتكلم عن أفازيا راح نشرحهم في ال + +278 +00:20:40,610 --> 00:20:45,990 +examination أو difficulty in understanding قد تكون + +279 +00:20:45,990 --> 00:20:49,730 +sensory aphasia إذا المشكلة في ال understanding + +280 +00:20:49,730 --> 00:20:54,130 +وقد تكون motor aphasia إذا المشكلة في expression + +281 +00:20:54,130 --> 00:20:58,700 +راح نتكلم عنهم في ال examinationmotor disorder + +282 +00:20:58,700 --> 00:21:01,820 +أجانب مريض ال main complaint عنده motor deficit + +283 +00:21:01,820 --> 00:21:08,640 +muscle weakness يبقى نفس الشيء ال onset sudden أو + +284 +00:21:08,640 --> 00:21:14,280 +gradual onset ليه؟ frequency؟ duration؟ + +285 +00:21:14,280 --> 00:21:18,620 +precipitating factors؟ هل ال walking بيزود ال + +286 +00:21:18,620 --> 00:21:22,900 +weakness؟هل قالنا ال relieving factors ال rest + +287 +00:21:22,900 --> 00:21:27,360 +ممكن يخفف؟ زي عندنا مرضى myasthenia gravis مثال + +288 +00:21:27,360 --> 00:21:30,020 +المرضى هدول بيجيون ال main complaint عندهم muscle + +289 +00:21:30,020 --> 00:21:34,160 +fatigue muscle fatigue هدول المرضى لو أنا طبقت + +290 +00:21:34,160 --> 00:21:40,480 +عليهم يقولك المريض برتاح أو بيكون وضعه أفضل بعد ما + +291 +00:21:40,480 --> 00:21:45,850 +يصحى من النوم لأنه مرتاحو لو بذل مجهود على المريض + +292 +00:21:45,850 --> 00:21:49,190 +الـ Myasthenia Gravis بيصير عنده fatigue muscle + +293 +00:21:49,190 --> 00:21:52,590 +fatigue يبقى مهم هذا الكلام أنه أحدد إيش ال + +294 +00:21:52,590 --> 00:21:55,030 +precipitating factors لهم و إيش ال relieving + +295 +00:21:55,030 --> 00:21:59,690 +factors هل عنده مشكلة في ال coordination عنده gate + +296 +00:21:59,690 --> 00:22:03,470 +instability ال weakness اللي عند المريض هل هو + +297 +00:22:03,470 --> 00:22:08,530 +progressive أو static على نفس النمط في نفس المرحلة + +298 +00:22:08,530 --> 00:22:12,910 +أو relapsing limitingزي مرضى الـ Multiple + +299 +00:22:12,910 --> 00:22:16,490 +Sclerosis راح نتكلم عنهم زي مرضى الـ Chronic + +300 +00:22:16,490 --> 00:22:19,830 +Inflammatory Demyelinating Polyneuropathy ممكن + +301 +00:22:19,830 --> 00:22:21,950 +يكون عندهم Relapsing Weakness Relapse and + +302 +00:22:21,950 --> 00:22:27,710 +Remission الـ Muscle Weakness مياخد الـ Distal + +303 +00:22:27,710 --> 00:22:31,270 +Muscle Group في الـ hand و ال feet أو مياخد الـ + +304 +00:22:31,270 --> 00:22:34,290 +Proximal Muscle في حالات الـ Myopathy بيكون مياخد + +305 +00:22:34,290 --> 00:22:36,790 +الـ Proximal Muscle في حالات الـ Polyneuropathy + +306 +00:22:36,790 --> 00:22:41,820 +بيكون مياخد ايه؟ Distal Muscle Groupو بنتكلم إذا + +307 +00:22:41,820 --> 00:22:47,420 +فينا painful أو painless و هذا أكتر بنكون في موضوع + +308 +00:22:47,420 --> 00:22:51,520 +ال sensation و involuntary movement if associated + +309 +00:22:51,520 --> 00:22:57,700 +with involuntary movement كورية أتتوسز، tremors، + +310 +00:22:57,700 --> 00:23:03,800 +كله hemabolism كل هذا راح نتكلم عنه لاحقا أجانب + +311 +00:23:03,800 --> 00:23:09,200 +مريض أخر ال main complaint عنده sensoryabnormality + +312 +00:23:09,200 --> 00:23:14,800 +يعني المشكلة عنده أو في الإحساس نفس الشيء بنسأل ال + +313 +00:23:14,800 --> 00:23:19,920 +onset sudden gradual frequency duration + +314 +00:23:19,920 --> 00:23:24,100 +precipitating factors على سبيل المثال walking + +315 +00:23:24,100 --> 00:23:31,130 +movement reliving factor restPain هل هو عنده ألم، + +316 +00:23:31,130 --> 00:23:37,290 +هل هو عنده numbness، tingling، يعني تنخز، sight + +317 +00:23:37,290 --> 00:23:43,030 +محدد وين المكان، و ال associated features مريض أخر + +318 +00:23:43,030 --> 00:23:48,430 +أجانب sphincter disorders كانت عندي مريضة انها + +319 +00:23:48,430 --> 00:23:52,030 +multiple sclerosis، the main complaintالـ initial + +320 +00:23:52,030 --> 00:23:55,770 +presentation of disease كان عندها problem of + +321 +00:23:55,770 --> 00:23:58,630 +urination وكانت فترة طويلة تتابع مع النساء ولادة + +322 +00:23:58,630 --> 00:24:03,210 +المشكلة كان عندها انه increase frequency of + +323 +00:24:03,210 --> 00:24:08,370 +urination كان عندها urine urgency وفي بعض الأحيان + +324 +00:24:08,370 --> 00:24:12,370 +ممكن يصير معاها urine incontinence وكان تشخيصها + +325 +00:24:12,370 --> 00:24:17,910 +multiple sclerosis ضروري نحدد ال onset sudden أو + +326 +00:24:17,910 --> 00:24:23,050 +gradual frequencyالـ duration؟ هل الـ problem في + +327 +00:24:23,050 --> 00:24:25,530 +الـ bladder؟ المشكلة في الـ urination؟ أو في الـ + +328 +00:24:25,530 --> 00:24:29,290 +defecation؟ ده في القناة هل associated with pain؟ + +329 +00:24:29,290 --> 00:24:34,030 +يعني زي dysuria؟ ممكن ال increase frequency اللي + +330 +00:24:34,030 --> 00:24:37,210 +عند المريض ال .. ال .. أو ال urine urgency يكون + +331 +00:24:37,210 --> 00:24:41,550 +نتجة عن UTI نتجة عن infection في الحالة هذه المرضى + +332 +00:24:41,550 --> 00:24:45,610 +بيكون عندهم ايه؟ dysuria pain during menstruation + +333 +00:24:46,990 --> 00:24:49,190 +هل عندهم زي ما قلنا difficulty in control زي + +334 +00:24:49,190 --> 00:24:52,430 +urgency, incontinence, retention إذا في عندهم + +335 +00:24:52,430 --> 00:24:58,490 +retention بنحدد, incontinence أو urgency نسأل على + +336 +00:24:58,490 --> 00:25:02,130 +ال lower cranial nerves ممكن يجيون مرضى من + +337 +00:25:02,130 --> 00:25:07,130 +complaint عندهم dysphagia swallowing difficultyأو + +338 +00:25:07,130 --> 00:25:10,950 +speech difficulty الحالة هذه نفس الشيء بدأ نسأل عن + +339 +00:25:10,950 --> 00:25:14,530 +ال onset sudden أو gradual frequency duration + +340 +00:25:14,530 --> 00:25:20,470 +precipitating factors deafness إذا فيه deafness و + +341 +00:25:20,470 --> 00:25:27,010 +ال time alternates unilateral أو bilateralvertigo + +342 +00:25:27,010 --> 00:25:29,990 +في ولا مافيه swallowing difficulty اللي هي + +343 +00:25:29,990 --> 00:25:32,770 +dysphagia وإذا في عند المريض swallowing difficulty + +344 +00:25:32,770 --> 00:25:35,590 +بنحدد هل هذه ال swallowing difficulty ناجحة عن + +345 +00:25:35,590 --> 00:25:42,570 +neurogenic dysphagia أو abstractive dysphagia لو + +346 +00:25:42,570 --> 00:25:47,530 +كان المشكلة عند المريضdifficulty في ال swallowing + +347 +00:25:47,530 --> 00:25:52,290 +of solid، الشيء الجامد، ليابس، بتكلم عن ايه؟ عن + +348 +00:25:52,290 --> 00:25:54,250 +abstracted dysphagia، قد يكون عند المريض + +349 +00:25:54,250 --> 00:25:58,970 +abstraction في الإيزاوفيجاس، يكون cancer أو مريض + +350 +00:25:58,970 --> 00:26:01,570 +أخر عنده neurogenic dysphagia، هنا بيكون عندهم + +351 +00:26:01,570 --> 00:26:06,490 +difficulty في swallowing of fluid، المشكلة أكتر في + +352 +00:26:06,490 --> 00:26:11,250 +السوائلوبنسأل ع ال voice إذا في changes في ال + +353 +00:26:11,250 --> 00:26:16,210 +voice, hoarseness of voice, dysphonia في بعض + +354 +00:26:16,210 --> 00:26:19,370 +الأحيان المرضى اللي عندهم thyroid cancer first + +355 +00:26:19,370 --> 00:26:22,210 +manifestation of thyroid cancer يكون عندهم + +356 +00:26:22,210 --> 00:26:26,880 +hoarseness of voiceاللي هي نادية عن compression of + +357 +00:26:26,880 --> 00:26:30,760 +recurrent laryngeal nerve اللي هو branch of Vegas + +358 +00:26:30,760 --> 00:26:34,560 +nerve في الحالة هذه المرضى ممكن يبدأ عندهم أعراض + +359 +00:26:34,560 --> 00:26:38,860 +ال thyroid cancer بإيش؟ ببحة في الصوت أو hoarsens + +360 +00:26:38,860 --> 00:26:39,380 +of voice + +361 +00:26:42,230 --> 00:26:46,150 +أجانب مرض عندهم mental disorders، نفس الشيء ال + +362 +00:26:46,150 --> 00:26:50,790 +onset، frequency، duration، مشكلة في ال memory، في + +363 +00:26:50,790 --> 00:26:53,210 +ال intelligence، مشكلة في ال personality، + +364 +00:26:53,210 --> 00:26:56,350 +behavior، هذا كله راح تخدوين مع أخصيين ال + +365 +00:26:56,350 --> 00:27:01,940 +psychiatry في الطب النفسيهيك أنا بكون أعطيتكوا + +366 +00:27:01,940 --> 00:27:10,380 +أمثلة على موضوع present أو present illness أو اللي + +367 +00:27:10,380 --> 00:27:16,880 +هو analysis of a chief complaint بعدها بتكلم على + +368 +00:27:16,880 --> 00:27:20,300 +الجزئية التانية اللي هي ال past medical history + +369 +00:27:20,300 --> 00:27:25,130 +أنا أولا تكلمت على present illnessالحاضر اللي هو + +370 +00:27:25,130 --> 00:27:28,670 +ال analysis of chief complaint اللي بسأل المريض + +371 +00:27:28,670 --> 00:27:32,590 +على past medical history وبعد ما خلص من ال past + +372 +00:27:32,590 --> 00:27:36,390 +medical history بنسأل عن ال past surgical history + +373 +00:27:36,390 --> 00:27:41,610 +ال past medical history start by asking the + +374 +00:27:41,610 --> 00:27:46,570 +patient if they have any medical problems بنسأل + +375 +00:27:46,570 --> 00:27:51,310 +إذا المرضى عندهم أي أمراض مزمنة هو المريض راح + +376 +00:27:51,310 --> 00:27:56,220 +يجاوبني المرضى اللي عندهإذا في fever عند المريض + +377 +00:27:56,220 --> 00:28:01,000 +histro fever ممكن يكون عندهم المريض هذا تشخصنا + +378 +00:28:01,000 --> 00:28:06,460 +meningitis, encephalitis, transverse myelitis إذا + +379 +00:28:06,460 --> 00:28:11,830 +المريض عنده DMقد يكون diabetic polyneuropathy + +380 +00:28:11,830 --> 00:28:17,350 +amyotrophic .. amyotrophic او diabetic amyotrophic + +381 +00:28:17,350 --> 00:28:21,090 +cranial nerve palsy impotence إذا كان المرضي عنده + +382 +00:28:21,090 --> 00:28:26,770 +DM ضروري نسأله عن ال duration of DM إيش ال type of + +383 +00:28:26,770 --> 00:28:30,650 +DM؟ هل control ولا لأ؟ إيش ال drugs اللي باخدها ال + +384 +00:28:30,650 --> 00:28:34,910 +DM؟ وإذا في complications عنده من ال DM يجب أن + +385 +00:28:34,910 --> 00:28:39,700 +ضروري نحددهالـ hypertension والـ DM والـ + +386 +00:28:39,700 --> 00:28:44,700 +dyslipidemia والـ chronic AF هذه بتساعدنا وأكثر في + +387 +00:28:44,700 --> 00:28:47,880 +صالح مين؟ as a risk factor of cerebrovascular + +388 +00:28:47,880 --> 00:28:52,100 +disease لأن ده جانا مريض وعنده weakness على ال + +389 +00:28:52,100 --> 00:28:55,440 +right side sudden onset واخدنا ال past medical + +390 +00:28:55,440 --> 00:29:00,900 +history وجدنا عنده hypertension، DM، عنده AF أنا + +391 +00:29:00,900 --> 00:29:05,930 +بتكلم أكتر في صالح أن هذا يكون ischemic strokeإذا + +392 +00:29:05,930 --> 00:29:08,210 +المريض عنده valvular disease infectious + +393 +00:29:08,210 --> 00:29:11,890 +endocarditis نفس الشيء قد يكون هذا cardio embolic + +394 +00:29:11,890 --> 00:29:16,170 +ischemic stroke أو brain abscess إذا في عندنا + +395 +00:29:16,170 --> 00:29:22,710 +infection أو infectious endocarditisTB and anti-TB + +396 +00:29:22,710 --> 00:29:26,490 +drugs إذا المريض عنده في ال history ال TB في + +397 +00:29:26,490 --> 00:29:31,430 +الحالة هذه ممكن يكون عندهم meningitis CNS TB + +398 +00:29:31,430 --> 00:29:34,630 +meningitis تصوروا مريض في ال history عنده + +399 +00:29:34,630 --> 00:29:38,910 +pulmonary TB و أجانا ب fever decreased level of + +400 +00:29:38,910 --> 00:29:41,390 +consciousness في الحالة هذه قد يكون المريض عنده + +401 +00:29:41,390 --> 00:29:46,570 +دخل في secondary TB أو بنسميها CNS TB و TB + +402 +00:29:46,570 --> 00:29:50,740 +meningitisإذا المريض عنده الـ history الـ TB وجانب + +403 +00:29:50,740 --> 00:29:57,020 +severe low back pain أو thoracic pain قد يكون عنده + +404 +00:29:57,020 --> 00:30:02,900 +Pott's disease اللي هو بنسميه TB Spondylosis أو TB + +405 +00:30:02,900 --> 00:30:08,580 +Spondylitis قد يكون عندهم Polyneuropathy لأن الـ + +406 +00:30:08,580 --> 00:30:15,220 +Anti-TB drugs تعمل decrease للـ vitamin B groupالـ + +407 +00:30:15,220 --> 00:30:19,420 +water، سلب الـ vitamins وفي اللحظة هذه المرضى اللي + +408 +00:30:19,420 --> 00:30:22,300 +عندهم TB بياخدوا Anti-TB drugs ضروري في ال + +409 +00:30:22,300 --> 00:30:29,380 +medications نعطيهم B1, B6, B12 drugs في ال history + +410 +00:30:29,380 --> 00:30:33,160 +أخدنا لجن المريض عنده migraine headache أو + +411 +00:30:33,160 --> 00:30:37,610 +polycystic kidneyوأجانب sudden onset of severe + +412 +00:30:37,610 --> 00:30:41,370 +headache مهم جدا ممكن المريض يكون عنده حدث + +413 +00:30:41,370 --> 00:30:44,550 +subarachnoid hemorrhage وزي ما عنده polycystic + +414 +00:30:44,550 --> 00:30:48,850 +kidney يكون موجود عنده malformation أو + +415 +00:30:48,850 --> 00:30:53,130 +intracranial aneurysm rapture rheumatic fever + +416 +00:30:54,580 --> 00:30:59,440 +Sidenham, كوريا المرضى اللى عندهم rheumatic fever + +417 +00:30:59,440 --> 00:31:02,780 +ممكن يسمحهم involuntary movement زي كوريا وفي حالة + +418 +00:31:02,780 --> 00:31:08,180 +هذه فى مريضة كانت عندها إلى فترة بتتابع as + +419 +00:31:08,180 --> 00:31:12,000 +involuntary movement طفلة وشخصها عندها rheumatic + +420 +00:31:12,000 --> 00:31:14,900 +fever يبقى ننتبه للموضوع هذا ان rheumatic fever + +421 +00:31:14,900 --> 00:31:20,380 +ممكن تعملنا Sidenham او minor كوريا ال autitis + +422 +00:31:20,380 --> 00:31:25,490 +media أجانب المريض عنده facial palsyقد يكون facial + +423 +00:31:25,490 --> 00:31:27,330 +paralysis نتجة عن otitis media اللتي هي في القدم + +424 +00:31:27,330 --> 00:31:30,210 +الوسطى يبقى مهم جدا نسأل عن otitis media عنده + +425 +00:31:30,210 --> 00:31:34,270 +مشاكل في القدم اللي ما عنده ممكن تسببنا meningitis + +426 +00:31:34,270 --> 00:31:38,410 +ممكن تسببنا brain abscess يبقى أن هذا مهم جدا + +427 +00:31:38,410 --> 00:31:42,450 +أجانب المريض عنده ال main complaint ascending + +428 +00:31:42,450 --> 00:31:45,230 +paralysis ascending paralysis weakness في ال upper + +429 +00:31:45,230 --> 00:31:47,750 +و lower limbs mainly في ال lower limbs mainly + +430 +00:31:47,750 --> 00:31:51,650 +distallyلو سألنا في الـ History وكان عنده قبل + +431 +00:31:51,650 --> 00:31:55,630 +أسبوعين Upper Respiratory Tract Infection ممكن + +432 +00:31:55,630 --> 00:32:00,490 +تكون هذه Gullien-Barr Syndrome GPS نسأل إذا في + +433 +00:32:00,490 --> 00:32:04,130 +عنده TIA Transient Ischemic Attack في الـ History + +434 +00:32:04,130 --> 00:32:07,010 +ممكن يكون هذا لصالح الـ Ischemic Stroke الشخص + +435 +00:32:07,010 --> 00:32:10,990 +Ischemic Stroke إذا المريض عنده مشكلة في الـ + +436 +00:32:10,990 --> 00:32:19,280 +Calculation عنده Calculopathyقد يكون عنده حدث drug + +437 +00:32:19,280 --> 00:32:22,600 +induced intracerebral hematoma أو hemorrhagic + +438 +00:32:22,600 --> 00:32:27,320 +stroke إذا في similar attack similar attack ممكن + +439 +00:32:27,320 --> 00:32:30,900 +تكون عنده transient ischemic attack أو multiple + +440 +00:32:30,900 --> 00:32:34,580 +sclerosis مهم جدا ال age و ال duration أرجع لل age + +441 +00:32:34,580 --> 00:32:40,030 +و ال duration of onsetcancer مريض عنده cancer + +442 +00:32:40,030 --> 00:32:43,630 +brain meets أجانب مريض يوم من الأيام عنده main + +443 +00:32:43,630 --> 00:32:47,850 +complaint low back pain .. severe low back pain في + +444 +00:32:47,850 --> 00:32:51,550 +ال history عنده prostate cancerيبقى انا في الحالة + +445 +00:32:51,550 --> 00:32:55,330 +هذه بفكر على السريع انه صار عنده metastasis في ال + +446 +00:32:55,330 --> 00:32:58,750 +spine في نفس ال vertebral column فعلا على صورة ال + +447 +00:32:58,750 --> 00:33:04,550 +MRI حدث .. لأ وجدت عنده انه في عنده metastasis في + +448 +00:33:04,550 --> 00:33:08,130 +ال vertebra كانت ميخدة ال thoracic و ال lumbar + +449 +00:33:08,130 --> 00:33:13,860 +vertebraبنسأل إذا في بياخد chemotherapy أو + +450 +00:33:13,860 --> 00:33:18,000 +radiation مهم جدا لإن المرضى هدول ممكن يدخلوا في + +451 +00:33:18,000 --> 00:33:20,740 +polyneuropathy ممكن يصير معهم decrease of hearing + +452 +00:33:20,740 --> 00:33:24,080 +decrease of vision المرضى اللي عندهم cancer ممكن + +453 +00:33:24,080 --> 00:33:26,820 +يصير معهم حاجة اسمها paraneoplastic syndromeمش + +454 +00:33:26,820 --> 00:33:30,340 +المحوم فتيج، polyneuropathy، سندروم اسمه Ethan + +455 +00:33:30,340 --> 00:33:34,500 +Lampert Syndrome كل هذا ناتج عن ايه؟ + +456 +00:33:34,500 --> 00:33:38,800 +Paraneoplastic Syndrome ايش هو ال Paraneoplastic + +457 +00:33:38,800 --> 00:33:47,100 +Syndrome؟ هو non-metastatic manifestation of + +458 +00:33:47,100 --> 00:33:53,090 +cancerهكذا اتكلمت انا على ال past medical history + +459 +00:33:53,090 --> 00:33:57,650 +فنتاج البعدها لجزئية ايه past surgical history مهم + +460 +00:33:57,650 --> 00:34:02,090 +جدا ال past surgical history ايش بنسأل؟ بنسأل اذا + +461 +00:34:02,090 --> 00:34:08,350 +في في ال past history surgical operation يعني ايش + +462 +00:34:08,350 --> 00:34:11,450 +surgical operation؟ يعني بدنا نحدد ايش العملية؟ + +463 +00:34:11,450 --> 00:34:15,670 +ايش نوع العملية؟ type of operation و ال time + +464 +00:34:17,150 --> 00:34:22,770 +replace مهم جدا هذا نحدده نسأل إذا كان عنده أي + +465 +00:34:22,770 --> 00:34:26,870 +blood transfusion صور المريض أن أعطيه blood وكان + +466 +00:34:26,870 --> 00:34:30,710 +عنده قبل هيك hypersensitivity أو دخل فيه + +467 +00:34:30,710 --> 00:34:35,150 +anaphylactic reaction يكون مهم جدا نحدد إذا كان + +468 +00:34:35,150 --> 00:34:38,710 +عنده blood transfusion نسأل إذا فيه this dental + +469 +00:34:38,710 --> 00:34:39,470 +extraction + +470 +00:34:41,750 --> 00:34:46,790 +and any excessive bleeding during the extraction + +471 +00:34:46,790 --> 00:34:51,870 +يعني إذا المريض عنده رفع طحون تخلحها وصار معاه a + +472 +00:34:51,870 --> 00:34:54,770 +massive bleeding هذا مهم جدا بيدل إنه المريض عنده + +473 +00:34:54,770 --> 00:34:59,760 +kaogulipathyبنسأل عن history of trauma أو accident + +474 +00:34:59,760 --> 00:35:05,960 +نفس الشيء بنسأل ال time place and what type of + +475 +00:35:05,960 --> 00:35:12,740 +accident مهم جدا ان حد واحد عنده حادث و جاء طب + +476 +00:35:12,740 --> 00:35:16,820 +ممكن المريض أجانا اليوم عنده headache او left side + +477 +00:35:16,820 --> 00:35:20,280 +weakness دخل في شي اسمه sub acute subdural + +478 +00:35:20,280 --> 00:35:24,160 +hematoma او chronic subdural hematoma و كان عنده + +479 +00:35:24,160 --> 00:35:27,930 +ال falling down قبل شهرو ساعدني في تشخيصي يوم + +480 +00:35:27,930 --> 00:35:30,610 +لأيام جاني مريض ال main complaint right side + +481 +00:35:30,610 --> 00:35:33,910 +weakness الحاج عمره حوالي سبعين سنة تقريبا كان + +482 +00:35:33,910 --> 00:35:39,270 +المريض هذا ماقدرت أخد منه هسرية حاجة و جعت ماجعتش + +483 +00:35:39,270 --> 00:35:43,330 +لما أجى ابنه سألت ابنه قال لي قبل شهر يا دكتور هو + +484 +00:35:43,330 --> 00:35:47,110 +بتوضع و وجع على رأسه او بيبقى، هذا مهم جدا لل + +485 +00:35:47,110 --> 00:35:50,010 +trauma انه عنده history of trauma and falling down + +486 +00:35:50,010 --> 00:35:53,310 +one month agoعملت brain CT كان عنده sub-neural + +487 +00:35:53,310 --> 00:35:58,750 +hematoma نظيف تحت الأم الجافية كان هذا مهم جدا + +488 +00:35:58,750 --> 00:36:04,090 +لتشخيص الحالات إذا في عنده histerotrauma ننتقل + +489 +00:36:04,090 --> 00:36:08,250 +لجزئية أخرى drug history إيش أنا في ال drug + +490 +00:36:08,250 --> 00:36:13,470 +history؟ نسأل عن ال drug intakes أهم شيء نسأل ب + +491 +00:36:14,650 --> 00:36:20,710 +generic name الإسم العلمي وممكن أحط بين جثين الإسم + +492 +00:36:20,710 --> 00:36:27,690 +التجاري لأنه يعني لو جينا علاج اسمه atrovastatin + +493 +00:36:27,690 --> 00:36:32,330 +بنعطيه للدهون يفضل أكتب اسمه atrovastatin للدهون + +494 +00:36:32,330 --> 00:36:36,670 +هذا بنعطاه هيقول ال epidemic agent لكن لو جينا + +495 +00:36:36,670 --> 00:36:43,410 +لشركة ال goodsبس اسمه ليبونيل بيرزيت اسمه libidix + +496 +00:36:43,410 --> 00:36:47,510 +شركة إدارة الشفاء اسمه Trovan يقول أنا ممكن أحدد + +497 +00:36:47,510 --> 00:36:50,530 +الدواء أو العلاج اللي باخده بين جثين اسم التجارة + +498 +00:36:50,530 --> 00:36:54,490 +لكن أهم شيء أسجله باسم العلم generic name لأن + +499 +00:36:54,490 --> 00:36:57,670 +المادة الفعالة أو المادة العلمية هي موجودة في + +500 +00:36:57,670 --> 00:37:02,290 +العالم كله في الصين أو اليابان هي نفس الاسم بسأل + +501 +00:37:02,290 --> 00:37:05,270 +إذا المريض باخد streptomycin ممكن يسببله + +502 +00:37:05,270 --> 00:37:10,340 +peripheral neuropathyميجار ترانكوليزاتور زي + +503 +00:37:10,340 --> 00:37:15,710 +الرزابين و البرومازين ممكن تعملنا Parkinsonismيوم + +504 +00:37:15,710 --> 00:37:19,650 +الأيام بيجيني مريض على عيادة عنده mandibular + +505 +00:37:19,650 --> 00:37:23,730 +dystonia mandibular dystonia حركات لا إيرادية في + +506 +00:37:23,730 --> 00:37:29,570 +الفم و في الفاك سألته سؤال بتاخد أي علاجات ما + +507 +00:37:29,570 --> 00:37:33,890 +باخدش كانت زوجتي معاه طلعت زوجتي برا العيادة .. + +508 +00:37:33,890 --> 00:37:37,770 +الغرفة اللي هو بطلعني من جيبته علاج اللي كان + +509 +00:37:37,770 --> 00:37:40,150 +العلاج اللي عنده ال chlorpromazine باخد + +510 +00:37:40,150 --> 00:37:43,670 +chlorpromazine عشان هو بيقولك أنه خلاص أنا نفسيتي + +511 +00:37:43,670 --> 00:37:47,590 +تعبان أو بدأ أرتاحهذا الكروابرومازين بعمل + +512 +00:37:47,590 --> 00:37:51,650 +depletion للدوبامين ولمّا يعمل depletion للدوبامين + +513 +00:37:51,650 --> 00:37:56,760 +راح يعملنا involuntary movementيبقى انحل خلاص نعرف + +514 +00:37:56,760 --> 00:38:01,420 +المشكلة انحلت ما لازم أعمله لا CT ولا برنامج مراعي + +515 +00:38:01,420 --> 00:38:05,200 +ولا شيء المشكلة drug induced involuntary movement + +516 +00:38:05,200 --> 00:38:10,420 +في الحلقة هذه لازم أعمل stop لل chlorpromazine و + +517 +00:38:10,420 --> 00:38:15,080 +أعطيه medications يزودوا عنده إيش + +518 +00:38:18,070 --> 00:38:21,190 +الـ Dopamine نعطي الـ Levadopa و Carbidopa أو نعطي + +519 +00:38:21,190 --> 00:38:24,510 +drugs يقللوا الأستيطاع الكلين الـ Trihexyphenidyl + +520 +00:38:24,510 --> 00:38:27,590 +وبتحل مشكلتنا، يبقى ضروري نسأل عن drug history + +521 +00:38:27,590 --> 00:38:31,650 +استيرويد، إذا المريض بياخد استيرويد، ممكن استيرويد + +522 +00:38:31,650 --> 00:38:37,820 +يعملنا استيرويد Myopathy Contraceptive pillsمهم + +523 +00:38:37,820 --> 00:38:42,320 +جدا الـ Contraceptive pills ممكن تؤدي إلى DVT قبل + +524 +00:38:42,320 --> 00:38:49,300 +أسبوعين شخص حالة ديورال فيناس رامبوسس عندها ديورال + +525 +00:38:49,300 --> 00:38:52,740 +فيناس رامبوسس في ال right transverse and sigmoid + +526 +00:38:52,740 --> 00:38:56,600 +sinus و عاملة complication hemorrhagic infarction + +527 +00:38:56,600 --> 00:39:00,140 +hemorrhagic infarction مافي عندها أي chronic + +528 +00:39:00,140 --> 00:39:04,080 +illness طلبنا كل ال profile الترموفيليا كله normal + +529 +00:39:04,080 --> 00:39:08,740 +لكن الست هذه كانت تاخد إيش؟contraceptive pills + +530 +00:39:08,740 --> 00:39:11,800 +اقراص من الحمل و هذه اقراص من الحمل ممكن تزود ال + +531 +00:39:11,800 --> 00:39:14,260 +calculation و تدخلنا في thrombosis يبقى ان في + +532 +00:39:14,260 --> 00:39:18,540 +الحالة هذه ممنوع للست هذه او للمريضة هذه تاخد ال + +533 +00:39:18,540 --> 00:39:23,760 +contraceptive pills ممكن تسببنا stroke myocardial + +534 +00:39:23,760 --> 00:39:28,200 +infarction ال migraine و ال depression بربيتوريت + +535 +00:39:28,200 --> 00:39:31,340 +اذا مريض باخد بربيتوريت عندي مريض epileptic + +536 +00:39:31,340 --> 00:39:37,100 +patient المريض هذا أجانبmain complaint كان عنده + +537 +00:39:37,100 --> 00:39:40,660 +gate instability ataxia فلأ أنا في البداية انت في + +538 +00:39:40,660 --> 00:39:46,120 +خيرة تكون هل هذا ناجح عن tumor المريض well known + +539 +00:39:46,120 --> 00:39:50,720 +case to have epilepsy عنده صراع لما وصلت لل drug + +540 +00:39:50,720 --> 00:39:54,080 +history سألته ايش ال medications اللي بتاخدها كان + +541 +00:39:54,080 --> 00:39:59,000 +من ال medications ال barbiturate او luminal اذكرت + +542 +00:39:59,000 --> 00:40:02,500 +ان ال barbiturate overdose ممكن يعملنا gate + +543 +00:40:02,500 --> 00:40:06,160 +instabilityماذا طلبت للمريض؟ طلبت له brain CT وهي + +544 +00:40:06,160 --> 00:40:10,600 +واحد وطلبتله drug level نعمل serum drug level لل + +545 +00:40:10,600 --> 00:40:14,240 +barbiturate للفينو باربيتال لجينا الفينو باربيتال + +546 +00:40:14,240 --> 00:40:19,480 +عالي الطبيعي لحد 40 لجينا عنده 55 يبقى كانت over + +547 +00:40:19,480 --> 00:40:23,420 +dose of barbiturate وهي لبسة بباله cerebellar + +548 +00:40:23,420 --> 00:40:26,700 +ataxia وانحلت المشكلة عملنا adjustment of the dose + +549 +00:40:26,700 --> 00:40:30,870 +وهي الأعراض كلها اختفتالـ Tramadol حدث ولا حرج، + +550 +00:40:30,870 --> 00:40:33,370 +الحمد لله أنه صار غالي في غزة و لا كانوا ما شاء + +551 +00:40:33,370 --> 00:40:37,490 +الله ال tramal يشربوا كثير، اليوم حابة 150 شكل و + +552 +00:40:37,490 --> 00:40:41,890 +يعني صاروا يدوروا على أشياء ثانية مهم جدا ال + +553 +00:40:41,890 --> 00:40:44,990 +tramal و ال tramadol overdose يعملنا convergence + +554 +00:40:44,990 --> 00:40:48,190 +تلاقي المريض ماشي في الشارع بتشنج اللي ماعنده خبرة + +555 +00:40:48,190 --> 00:40:51,820 +يقولك تشنج هذا ناس جانيه بلبسهلا هذا مش Epilepsy + +556 +00:40:51,820 --> 00:40:55,020 +اللي المريض عنده، هذا عنده drug-induced convulsion + +557 +00:40:55,020 --> 00:40:57,680 +ناتجة عن الترامدولة، المريض هذا مش محتاج + +558 +00:40:57,680 --> 00:41:01,940 +antiepileptic drugs، محتاج withdrawal، انواجف، + +559 +00:41:01,940 --> 00:41:05,900 +stop، لا إيه، لا الترامدول، المرضى اللي بياخدوا + +560 +00:41:05,900 --> 00:41:09,080 +antineoplastic drugs اللي عندهم cancer و بياخدوا + +561 +00:41:09,080 --> 00:41:12,900 +antineoplastic drugs، في الحالة هذه ممكن يحدث + +562 +00:41:12,900 --> 00:41:19,220 +معاهم polyneuropathyالـ Vitamin A Overdose وكمانًا + +563 +00:41:19,220 --> 00:41:23,180 +الـ Pseudotumor cerebrae اللي هي الـ Benign + +564 +00:41:23,180 --> 00:41:26,560 +Intracranial Hypertension نشرحها إن شاء الله في + +565 +00:41:26,560 --> 00:41:31,520 +محاضرة الـ Headache Anti-TB drugs نفس الشيء كنا + +566 +00:41:31,520 --> 00:41:36,520 +بتقلل الـ Vitamin B و الـ Water سلب الـ Vitamins + +567 +00:41:36,520 --> 00:41:40,440 +وفي الحالة هذه محتاجين لإعطاء المرضى Vitamin B1, + +568 +00:41:40,580 --> 00:41:47,770 +B6, B12أو ماء نجريكوزايد الـ Antibiotics وتعملنا + +569 +00:41:47,770 --> 00:41:52,730 +Dizziness وتعملنا Loss of Hearingو anticholinergic + +570 +00:41:52,730 --> 00:41:57,770 +drugs السلفية مجنيزيوم البوتولينيوم توكسينز كل هذه + +571 +00:41:57,770 --> 00:42:01,090 +ممكن تعملنا deterioration لل patient اللي عندهم + +572 +00:42:01,090 --> 00:42:04,370 +myasthenia gravis و حذاري يكون المرضى اللي عندهم + +573 +00:42:04,370 --> 00:42:08,150 +myasthenia gravis نعطيهم anticholinergic drugs أو + +574 +00:42:08,150 --> 00:42:11,770 +سلفية مجنيزيوم أو بوتولينيوم ممكن أحتاج سلفية + +575 +00:42:11,770 --> 00:42:17,200 +مجنيزيوم لستاتفي حالة الـ Eclampsia و هنا الـ + +576 +00:42:17,200 --> 00:42:20,280 +management راح تختلف راح ندخل المريض ICU و نعمل + +577 +00:42:20,280 --> 00:42:25,260 +adjustment للدوزة و سلفية Magnesium و نزود العلاج + +578 +00:42:25,260 --> 00:42:28,020 +الـ cholinergic drugs اللي بنعطيهم للمرضى او الـ + +579 +00:42:28,020 --> 00:42:31,220 +anticholinergic drugs هذا موضوع اخر ان شاء الله + +580 +00:42:31,220 --> 00:42:34,860 +بنعطيكواياه لما تيجوا هنا في course نيرولوجي في + +581 +00:42:34,860 --> 00:42:40,900 +محاضرة Myasthenia Gravis بنتجل بعدها لموضوع ال + +582 +00:42:40,900 --> 00:42:44,820 +family historyfamily history، بنسأل إذا في similar + +583 +00:42:44,820 --> 00:42:48,860 +condition أو disease running in the family، بنسأل + +584 +00:42:48,860 --> 00:42:51,960 +عن موضوع زواج الأقارب، ليش زواج الأقارب، عشان + +585 +00:42:51,960 --> 00:42:56,380 +الموضوع ال genetic disease وال hereditary disease + +586 +00:42:56,380 --> 00:42:59,880 +الأمراض الوراثية اللي ممكن تكون عندهم تتورث في + +587 +00:42:59,880 --> 00:43:03,000 +زواج الأقارب اللي بتزوج بنت عمه، ابن عمه، ابن خال + +588 +00:43:03,000 --> 00:43:08,640 +و هذا كدهmany neurologic diseases have underlying + +589 +00:43:08,640 --> 00:43:12,460 +genetic components زي multiple sclerosis، زي + +590 +00:43:12,460 --> 00:43:18,640 +migraine، neurofibromatosis، إبلبس كل هذا الـ + +591 +00:43:18,640 --> 00:43:22,160 +Charcot-Marie-II disease اللي هو عبارة عن chronic + +592 +00:43:22,160 --> 00:43:27,480 +hereditary demyelinating polyneuropathy positive + +593 +00:43:27,480 --> 00:43:32,270 +family history of hypertension، heart diseaseخاصة + +594 +00:43:32,270 --> 00:43:36,010 +عند مرضى مين اللي عندهم stroke and cerebrovascular + +595 +00:43:36,010 --> 00:43:42,170 +disease نتجل ال social history social history + +596 +00:43:42,170 --> 00:43:47,550 +بنسأل على smoking smoking مدخن ولا لأ عايش بنسأل، + +597 +00:43:47,550 --> 00:43:52,910 +بسأل على ال mouthو الـ duration و الـ type هل هو + +598 +00:43:52,910 --> 00:43:57,730 +جندي؟ هل هو مقدم في التدخين؟ هل هو صار عقيد، عميد، + +599 +00:43:57,730 --> 00:44:02,610 +لوى؟ بحسب سنوات الخدمة و شرب الدخان يكون هذا مهم + +600 +00:44:02,610 --> 00:44:06,330 +جداً و كيف نشرع .. نحدد؟ راح نتكلم في الصيد بعده + +601 +00:44:06,330 --> 00:44:09,850 +بنسأل على ال smoking history على ال type of + +602 +00:44:09,850 --> 00:44:14,150 +smoking ممكن يكون جشيش عند مريض كان بيدخن حشيش و + +603 +00:44:14,150 --> 00:44:18,170 +عنده stroke و السبب اللي دخله في ال stroke تدخين + +604 +00:44:18,170 --> 00:44:22,510 +الحشيش بحششيبقى ان هذا ال type يبقى ان حد جشش ولا + +605 +00:44:22,510 --> 00:44:27,990 +إيه نيكوتين كله لازم نحدد إيش اللي بدخنه alcohol + +606 +00:44:27,990 --> 00:44:35,050 +history amount, duration and type occupation + +607 +00:44:35,050 --> 00:44:41,290 +social and education background إيش درجته عشان + +608 +00:44:41,290 --> 00:44:44,890 +أعرف أتكلم بأي لغة مع المريض كيف الوضع ال finance + +609 +00:44:44,890 --> 00:44:50,730 +عندهكيف وضع المادى؟ المريض وضعه باخد يعني شئون + +610 +00:44:50,730 --> 00:44:53,950 +اجتماعية ووضع الصيرب ماديا ماروحش اكتبله علاج حاجه + +611 +00:44:53,950 --> 00:44:58,850 +الف شكل ده فيه ممكنية اساعده بعلاج تانى ويحل + +612 +00:44:58,850 --> 00:45:03,590 +المشكلة يكون رخيص او موجود اكتبله ياه لكن ده وضع + +613 +00:45:03,590 --> 00:45:07,030 +الصيرب ماديا احاول أبعد عن الأدوية اللي هي very + +614 +00:45:07,030 --> 00:45:13,160 +expensivesocial class و ال home condition ضروري + +615 +00:45:13,160 --> 00:45:20,740 +هذا أحدده في موضوع ال social history مثال نحن + +616 +00:45:20,740 --> 00:45:21,900 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +617 +00:45:21,900 --> 00:45:22,160 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +618 +00:45:22,160 --> 00:45:22,380 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +619 +00:45:22,380 --> 00:45:23,420 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +620 +00:45:23,420 --> 00:45:24,940 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +621 +00:45:24,940 --> 00:45:27,620 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +622 +00:45:27,620 --> 00:45:32,760 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +623 +00:45:38,090 --> 00:45:45,330 +يعني example مريض بدخن عشرين سيجارة في اليوم، إله + +624 +00:45:45,330 --> 00:45:49,870 +تلاتين سنة مدخن، يعني وصل اللوة، تمام؟ كيف بنا + +625 +00:45:49,870 --> 00:45:56,710 +نحسب له؟ بنقول عشرين، عشرين سيجارة، ضرب تلاتين سنة + +626 +00:45:56,710 --> 00:46:01,960 +و بنجسم على عشرينبطلع عندى ثلاثين pack years + +627 +00:46:01,960 --> 00:46:06,260 +ثلاثين pack years نيجى ناخد مثال اخر مريض ثانى + +628 +00:46:06,260 --> 00:46:12,840 +بدخن عشر سجال في اليوم وله تلاتين سنةبندرب عشرة + +629 +00:46:12,840 --> 00:46:19,020 +ضرب تلاتين و بنجسم على إيش؟ على عشرين، بطلع خمساش + +630 +00:46:19,020 --> 00:46:23,960 +pack years وهكذا أنا بحسب كمية التدخين اللي + +631 +00:46:23,960 --> 00:46:27,520 +بيدخنها المريض لو بسجل المريض عنده تلاتين pack + +632 +00:46:27,520 --> 00:46:30,420 +years، عشرين pack years، خمساش pack years و بريح + +633 +00:46:30,420 --> 00:46:35,590 +رأسي و بكون عارف كمية التدخين، متوسط هذاهل + +634 +00:46:35,590 --> 00:46:40,950 +بتواجهنا مشاكل في obtaining a complete history؟ اه + +635 +00:46:40,950 --> 00:46:45,190 +ممكن تواجهنا مشاكل في اللي هو obtaining of + +636 +00:46:45,190 --> 00:46:48,930 +complete history زي ايه؟ مريض عنده loss of memory + +637 +00:46:48,930 --> 00:46:53,290 +مريض عنده loss of memory مريض Alzheimer كيف بدي + +638 +00:46:53,290 --> 00:46:56,090 +أخد منه التاريخ المرضي؟ في الحالة هذه أنا بلجأ لل + +639 +00:46:56,090 --> 00:46:59,070 +witness أو ال main part of family باخد منهم ال + +640 +00:46:59,070 --> 00:47:03,190 +history اتنين مريض عنده speech difficulty aphasia + +641 +00:47:03,780 --> 00:47:06,340 +المريض عنده حبسة كلامية، ما بتتكلم، كيف بدي أخد + +642 +00:47:06,340 --> 00:47:09,040 +منه history؟ برجع أخد ال history من وين؟ من ال + +643 +00:47:09,040 --> 00:47:13,100 +witness اللي معاه، المرافقين المريض language + +644 +00:47:13,100 --> 00:47:17,840 +barrier أنا سافرت و بعرفش لغة، أنا سافرت أسبانيا و + +645 +00:47:17,840 --> 00:47:20,980 +ما بعرف لغة أسبانية و مردت هناك في أسبانيا، ما + +646 +00:47:20,980 --> 00:47:25,000 +بقدر هو ياخد history مني أنا بعرفش إلا لغة عربي + +647 +00:47:25,000 --> 00:47:28,460 +على سبيل المثال كيف بدي أخد منه history؟ لازم يجيب + +648 +00:47:28,460 --> 00:47:34,100 +witness أو مترجم و ياخد منه التاريخ المرضي بتاعيال + +649 +00:47:34,100 --> 00:47:38,860 +drug intoxication واحد أجانب شارب كحول و مفلل كيف + +650 +00:47:38,860 --> 00:47:42,060 +بقدر أخد منه كلام .. كلام ما بقدر أصدقه و بيكون + +651 +00:47:42,060 --> 00:47:47,930 +المريض confused و يعني خارج الطغط يابيكونالواحد + +652 +00:47:47,930 --> 00:47:51,370 +عنده impaired level of consciousness عنده بلبس CVA + +653 +00:47:51,370 --> 00:47:54,570 +و loss of consciousness صعب تاخد منه history إذا + +654 +00:47:54,570 --> 00:47:57,730 +كان المريض هذا عنده impaired consciousness level + +655 +00:47:57,730 --> 00:48:01,130 +ناخد منه ال witness بتاعينه وإذا المريض عنده + +656 +00:48:01,130 --> 00:48:05,030 +psychiatric illness مريض عنده schizophrenia صعب + +657 +00:48:05,030 --> 00:48:07,630 +تاخد منه history ولو أخدت منه history ممكن الكلام + +658 +00:48:07,630 --> 00:48:12,390 +مايكونش مظبوط في الحالة هذه بلزم أخد ال history من + +659 +00:48:12,390 --> 00:48:18,390 +الأقار بتاعينه أو المرافقين اللي معاهبعدها بنتقل ل + +660 +00:48:18,390 --> 00:48:24,010 +system reviewSystem Review General weakness, + +661 +00:48:24,270 --> 00:48:29,450 +fatigue, anorexia, change of weight, fever, night + +662 +00:48:29,450 --> 00:48:34,070 +sweats ال cardiovascular في chest pain, + +663 +00:48:34,890 --> 00:48:40,130 +paroxysmal, dyspnea, orthopnoid, short of + +664 +00:48:40,130 --> 00:48:47,170 +breathing, cough, sputum, swelling, palpitations, + +665 +00:48:47,330 --> 00:48:53,210 +cyanosis كل هذا باخده GITده في عندنا ال appetite، + +666 +00:48:53,210 --> 00:48:58,710 +anorexia، weight change، diet، nausea، vomiting، + +667 +00:48:58,710 --> 00:49:02,270 +كل هذا بسأله للمريض، ده فيه جوندز، respiratory + +668 +00:49:02,270 --> 00:49:06,510 +system، ال cuff، productive cuff، dry cuff، + +669 +00:49:06,510 --> 00:49:10,410 +sputum، ال color تبع ال sputum، a mouth smell، + +670 +00:49:10,410 --> 00:49:14,050 +hemoptysis، chest pain، dyspnea، tachycardia + +671 +00:49:14,810 --> 00:49:19,130 +horseness و wheezing كل هذا نسأله للمرضى في + +672 +00:49:19,130 --> 00:49:22,630 +nervous system على موضوع ال behavior and other + +673 +00:49:22,630 --> 00:49:26,910 +cognitive abnormalities visual problem smell + +674 +00:49:26,910 --> 00:49:30,670 +problem taste hearing problem نتكلم عن speech + +675 +00:49:30,670 --> 00:49:34,550 +problem headache vertigo impaired consciousness + +676 +00:49:35,530 --> 00:49:39,850 +muscle paralysis, numbness and impaired sensation, + +677 +00:49:40,470 --> 00:49:44,070 +tremor and instability، كل هذا في الـ Systemic + +678 +00:49:44,070 --> 00:49:49,450 +Review بنسجله الـ urinary system، ال frequency، + +679 +00:49:49,450 --> 00:49:52,270 +نفس الشيء، إذا فيه dysuria، urine urgency, + +680 +00:49:53,750 --> 00:50:00,050 +dribbling, nocturnal aneurysis, incontinenceتمام + +681 +00:50:00,050 --> 00:50:03,590 +كل هذا ال character of urine ال color of mouth + +682 +00:50:03,590 --> 00:50:06,250 +عندهم polyuria زي مرضى اللي عندهم ال diabetes من + +683 +00:50:06,250 --> 00:50:10,570 +ال lettuce ال timing كل هذا مهم جدا و ال genitalia + +684 +00:50:10,570 --> 00:50:14,770 +إذا في pain، discomfort، itching يعني ممكن في ال + +685 +00:50:14,770 --> 00:50:18,690 +itching الستات يكون عندهم itching أو ال males + +686 +00:50:18,690 --> 00:50:21,510 +المرضى اللي عندهم DM يسمحوا في ال genitalia + +687 +00:50:21,510 --> 00:50:27,020 +itching و يكون ال itching is a sign of DMDischarge + +688 +00:50:27,020 --> 00:50:31,780 +إذا في عندهم inflammation أو infection Unusual + +689 +00:50:31,780 --> 00:50:36,420 +bleeding إذا في عندهم كاجولوبات بيبقى frequent + +690 +00:50:36,420 --> 00:50:43,340 +bleeding Musculoskeletal system في عندنا pain، في + +691 +00:50:43,340 --> 00:50:47,080 +joint pain، muscle pain، swelling، في weakness + +692 +00:50:47,080 --> 00:50:53,530 +ضروري، deformities على الجيلبعدها بنتجل لموضوع ال + +693 +00:50:53,530 --> 00:50:58,550 +examination هيك بيكون احنا خلصنا جزئية الأولى من + +694 +00:50:58,550 --> 00:51:03,270 +المحاضرة اللى هى جزئية ال history taking يعطيكوا + +695 +00:51:03,270 --> 00:51:03,830 +الف عافية + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_raw.json b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..6d53f15aabf495f8bd8442965dac5e31177ca7cb --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 1987, "start": 5.75, "end": 19.87, "text": "بسم الله الرحمن الرحيم السلام عليكم اليوم ان شاء الله راح نكون معكم في محاضرة عن ال history taking and neurological examination بداية المحاضرة", "tokens": [3555, 38251, 21984, 34892, 5016, 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antiepileptic drugs، محتاج withdrawal، انواجف، stop، لا إيه، لا الترامدول، المرضى اللي بياخدوا antineoplastic drugs اللي عندهم cancer و بياخدوا antineoplastic drugs، في الحالة هذه ممكن يحدث معاهم polyneuropathy", "tokens": [15040, 23758, 37893, 9970, 794, 29182, 13672, 1829, 9673, 16572, 11242, 43242, 3224, 12399, 23758, 43242, 3224, 4110, 12, 471, 41209, 3754, 22973, 8717, 9307, 7435, 3660, 18871, 16712, 2288, 10943, 3215, 12610, 3660, 12399, 9673, 16572, 11242, 23758, 37893, 3714, 33753, 26108, 2511, 414, 79, 794, 32307, 7766, 12399, 3714, 33753, 26108, 30646, 12399, 16472, 2407, 26108, 5172, 12399, 1590, 12399, 20193, 11933, 1829, 3224, 12399, 20193, 16712, 2288, 10943, 3215, 12610, 12399, 9673, 43042, 7578, 13672, 1829, 4724, 1829, 47283, 3215, 14407, 2511, 533, 33224, 2750, 7766, 13672, 1829, 43242, 16095, 5592, 4032, 4724, 1829, 47283, 3215, 14407, 2511, 533, 33224, 2750, 7766, 12399, 8978, 21542, 6027, 3660, 29538, 3714, 43020, 7251, 24401, 12984, 20449, 995, 16095, 6754, 716, 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3059.53, "end": 3060.25, "word": " هى", "probability": 0.88720703125}, {"start": 3060.25, "end": 3061.35, "word": " جزئية", "probability": 0.9853515625}, {"start": 3061.35, "end": 3061.59, "word": " ال", "probability": 0.9033203125}, {"start": 3061.59, "end": 3061.93, "word": " history", "probability": 0.6767578125}, {"start": 3061.93, "end": 3062.53, "word": " taking", "probability": 0.78466796875}, {"start": 3062.53, "end": 3063.27, "word": " يعطيكوا", "probability": 0.95087890625}, {"start": 3063.27, "end": 3063.43, "word": " الف", "probability": 0.58544921875}, {"start": 3063.43, "end": 3063.83, "word": " عافية", "probability": 0.94482421875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3064.825, "duration_after_vad": 2971.634374999987} \ No newline at end of file diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_raw.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..8edce5105ff0bf863641df7ee8fdc80f85c9a452 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/FFbN3QPianY_raw.srt @@ -0,0 +1,2780 @@ +1 +00:00:05,750 --> 00:00:11,070 +بسم الله الرحمن الرحيم السلام عليكم اليوم ان شاء + +2 +00:00:11,070 --> 00:00:15,590 +الله راح نكون معكم في محاضرة عن ال history taking + +3 +00:00:15,590 --> 00:00:21,860 +and neurological examination بداية المحاضرةنبدأ + +4 +00:00:21,860 --> 00:00:26,800 +بالحمد الله على سلامتكم جميعا و نتمنى من الله + +5 +00:00:26,800 --> 00:00:32,460 +يسلمنا و يسلمكم من كل شر ان شاء الله history + +6 +00:00:32,460 --> 00:00:37,320 +taking personal history هنتكلم على personal + +7 +00:00:37,320 --> 00:00:42,340 +history chief complaint هنتكلم على history of + +8 +00:00:42,340 --> 00:00:48,340 +presenting complaintاتكلم عن ال past history, past + +9 +00:00:48,340 --> 00:00:53,660 +medical history and past surgical history, drug + +10 +00:00:53,660 --> 00:01:00,670 +history, family history and social historyيبقى + +11 +00:01:00,670 --> 00:01:06,130 +الجزئية الأولى من المحاضرة راح تكون على history + +12 +00:01:06,130 --> 00:01:11,330 +taking قبل ما أبدأ في ال history taking لازم نعمل + +13 +00:01:11,330 --> 00:01:15,350 +approach to the patients زي ما اتعلمتم في + +14 +00:01:15,350 --> 00:01:20,390 +المحاضرات السابقة مع الباطنة أول شي نعمل hand + +15 +00:01:20,390 --> 00:01:27,430 +washing wash your hands نعرف على نفسنا للمريض اللي + +16 +00:01:27,430 --> 00:01:35,680 +راح نفحصهintroduce yourself، أعرف اسمي و إيش عملي، + +17 +00:01:35,680 --> 00:01:38,660 +إيش درجتي، ممكن أنا استشاري، أنا رئيس قسم، أنا + +18 +00:01:38,660 --> 00:01:42,500 +طبيب أخصي عصاب، طبيب أخصي باطنة، أعرف عن نفسي + +19 +00:01:43,910 --> 00:01:50,430 +identity لازم نتأكد و نعمل confirm that you are + +20 +00:01:50,430 --> 00:01:56,010 +speaking to the correct patient نعرف name و date + +21 +00:01:56,010 --> 00:02:00,310 +of birth نتأكد أننا نتكلم مع نفس المريض هذا اللي + +22 +00:02:00,310 --> 00:02:06,710 +بدنا نفحصه نعمل permission ضروري + +23 +00:02:06,710 --> 00:02:13,600 +جدا keep privacy الخصوصية بتاعة المريضوال position + +24 +00:02:13,600 --> 00:02:19,240 +التبعتنا ال .. دايما في الفحص أنا باجف على نفس ال + +25 +00:02:19,240 --> 00:02:25,040 +level بتاع المريض بكون على ال right side of the + +26 +00:02:25,040 --> 00:02:33,420 +patient نبدأ ب personal history في ال personal + +27 +00:02:33,420 --> 00:02:39,880 +history لازم ناخد ال name اسم رباعي اسم المريض ال + +28 +00:02:39,880 --> 00:02:46,790 +ageعمره كام؟ عشر سنوات أو عشرين سنة كده لأنه مهم + +29 +00:02:46,790 --> 00:02:51,150 +ال age إن في بعض الأمراض مثل ال myopathy و + +30 +00:02:51,150 --> 00:02:54,170 +muscular dystrophy نلاقيها تيجي في ال first and + +31 +00:02:54,170 --> 00:03:00,130 +second decade of life multiple sclerosis تيجي في + +32 +00:03:00,130 --> 00:03:03,490 +ال second and third decade of life في الحالة دي + +33 +00:03:03,490 --> 00:03:09,150 +مهم جدا ال agecerebrovascular disease في سن + +34 +00:03:09,150 --> 00:03:12,070 +الخمسين ستين مع أن اليوم الcerebrovascular disease + +35 +00:03:12,070 --> 00:03:15,190 +ممكن تجينا في العشرين وفي التلاتين وفي الأربعين + +36 +00:03:15,190 --> 00:03:21,530 +ضروري ال sex مهم نشوف male female زي مرضى ال MS + +37 +00:03:22,430 --> 00:03:26,210 +dominant تيجي أكتر في حالات ال male ال motor + +38 +00:03:26,210 --> 00:03:30,070 +neuron disease راح تكون .. راح تكون أكتر في ال + +39 +00:03:30,070 --> 00:03:34,090 +male ال multiple sclerosis في ال female ال marital + +40 +00:03:34,090 --> 00:03:38,930 +status مهم جدا ال occupation أحيانا ال occupation + +41 +00:03:38,930 --> 00:03:43,250 +بيروح بيحطوها في ال social historyresidency عشان + +42 +00:03:43,250 --> 00:03:48,470 +الموضوع ال nutritional deficiency ال handness بكتب + +43 +00:03:48,470 --> 00:03:51,810 +بال right ولا بال left عشان نحدد ال dominant + +44 +00:03:51,810 --> 00:03:57,790 +hemisphere عند المريض بنتقل بعدها ل ال chief + +45 +00:03:57,790 --> 00:04:05,530 +complaint ال chief complaint هنا مهم جدا نخضع من + +46 +00:04:05,530 --> 00:04:12,230 +المريض نفسه او من ال witnessيبقى المصاب نفسه + +47 +00:04:12,230 --> 00:04:16,510 +المريض أو members of the family describe the + +48 +00:04:16,510 --> 00:04:21,530 +problem in their own words يبقى المريض بحكي كلامه + +49 +00:04:21,530 --> 00:04:24,430 +أنا بسجله في ال chief complaint في ال chief + +50 +00:04:24,430 --> 00:04:29,630 +complaint ممنوع أكتب terminology يعني مصاب جينا ب + +51 +00:04:29,630 --> 00:04:32,590 +weakness على ال right side main complaint right + +52 +00:04:32,590 --> 00:04:36,190 +side weakness في الحالة هذه ممنوع أقول للمريض the + +53 +00:04:36,190 --> 00:04:40,130 +patient was presented with hemiplegiaلأنه in + +54 +00:04:40,130 --> 00:04:43,350 +English هذه تعتبر terminology يبقى أنا بقول عند + +55 +00:04:43,350 --> 00:04:46,370 +المصاب the patient suffering أو complaining of + +56 +00:04:46,370 --> 00:04:50,390 +right side muscle weakness right side muscle + +57 +00:04:50,390 --> 00:04:57,030 +weakness أو مريض عنده ال main complaint decrease + +58 +00:04:57,030 --> 00:05:03,040 +of sensation على ال left sideلما أنا سجل ال main + +59 +00:05:03,040 --> 00:05:07,280 +complaint بسجل المريض عنده depression suffering أو + +60 +00:05:07,280 --> 00:05:11,540 +depression presented with sudden onset of + +61 +00:05:11,540 --> 00:05:16,920 +decreased left side sensation خطأ أقول عنده left + +62 +00:05:16,920 --> 00:05:22,100 +side hemihepoesthesia يعني أنا بسجل كلام المصاب أو + +63 +00:05:22,100 --> 00:05:26,440 +كلام المريض نفسه في التذكرة + +64 +00:05:28,030 --> 00:05:34,050 +ال chief complaint راح تكون short specific in one + +65 +00:05:34,050 --> 00:05:38,810 +clear sentence communicating present major problem + +66 +00:05:38,810 --> 00:05:43,930 +Asia يبقى أن أنا في ال chief complaint ما بسجل نص + +67 +00:05:43,930 --> 00:05:48,550 +صفحة chief complaint بتكون تقريبا سطر سطرين من + +68 +00:05:48,550 --> 00:05:53,190 +الشكوه الرئيسية بسجلها و ببدأ من الشيء المهم يعني + +69 +00:05:53,190 --> 00:06:01,170 +في ال chief complaintمريض عنده شلل + +70 +00:06:01,170 --> 00:06:08,110 +في الجهة اليسرى و numbnessفي ال big toe مش ممكن + +71 +00:06:08,110 --> 00:06:10,250 +أروح أسجل المريض عنده numbness في ال big toe + +72 +00:06:10,250 --> 00:06:13,130 +وبعدين أقول عنده شلل في الجهة اليسرى يقول ببدأ إيش + +73 +00:06:13,130 --> 00:06:17,350 +انه عنده presented with sudden onset of left side + +74 +00:06:17,350 --> 00:06:23,190 +muscle weakness and numbness of the left big toe + +75 +00:06:23,190 --> 00:06:27,490 +في الحالة هذه ببدأ بال major complaint الشيء المهم + +76 +00:06:27,490 --> 00:06:29,870 +وبعدها للأقل أهمية + +77 +00:06:32,650 --> 00:06:36,130 +حاجة مهمة في الـ chief complaint أنه ماعملش + +78 +00:06:36,130 --> 00:06:40,130 +interruption لل patient يعني المريض لما أسأله + +79 +00:06:40,130 --> 00:06:44,750 +الشكوه الرئيسية اللي عندك أعطيه راحته في الشرح + +80 +00:06:44,750 --> 00:06:47,770 +يشرحلي إيش ال chief complaint مش بعد ما أتكلم كلمة + +81 +00:06:47,770 --> 00:06:52,110 +كلمتين أعطيه للمريض أخلي ياخد راحته في ال chief + +82 +00:06:52,110 --> 00:06:56,450 +complaint عشان أتصلي المعلومة و أقدر أشخصه صح من + +83 +00:06:56,450 --> 00:07:00,820 +ال chief complaint بتاعة المريضبعدها بنتقل ل + +84 +00:07:00,820 --> 00:07:06,880 +history of presenting complaint يبقى الآن في ال + +85 +00:07:06,880 --> 00:07:11,480 +history of present illness بنسميها أو presenting + +86 +00:07:11,480 --> 00:07:16,580 +complaint هنا بعمل أنا analysis ل let chief + +87 +00:07:16,580 --> 00:07:19,300 +complaint بنعمل analysis لمين ل let chief + +88 +00:07:19,300 --> 00:07:24,860 +complaint ضروري نحدد هنا فيها ال site مكانه ال + +89 +00:07:24,860 --> 00:07:30,920 +onsetCharacter, duration, radiation, relieving + +90 +00:07:30,920 --> 00:07:37,480 +factors, timing, precipitating factorsand severity + +91 +00:07:37,480 --> 00:07:41,340 +يبقى أنا في الحالة هذه لما يجيني المريض عنده chief + +92 +00:07:41,340 --> 00:07:45,920 +complaint headache لو أتبعنا ال slide هذا سألنا عن + +93 +00:07:45,920 --> 00:07:49,720 +ال site onset character duration radiation + +94 +00:07:49,720 --> 00:07:53,360 +reliving factors timing precipitating factors and + +95 +00:07:53,360 --> 00:07:57,660 +severity بقدر أحدد أيش نوع ال headache اللي عند + +96 +00:07:57,660 --> 00:08:01,420 +المريض أو أيش نوع الصداع اللي عند هذا المريض راح + +97 +00:08:01,420 --> 00:08:07,260 +نجيب أمثلة لاحقا و نشرحهمالضروري نسأل على موضوع ال + +98 +00:08:07,260 --> 00:08:09,520 +headache الفيرتائج و vomiting and blurring of + +99 +00:08:09,520 --> 00:08:15,220 +vision فيه symptoms لل cranial nerve affection نفس + +100 +00:08:15,220 --> 00:08:18,880 +الشيء في ال presenting complaint و في ال chief + +101 +00:08:18,880 --> 00:08:25,070 +complaint أنابأشرح حسب كلام المريض يفضل ما نحطش + +102 +00:08:25,070 --> 00:08:29,610 +terminology فيهم و نشرح حسب كلام المريض من الكلام + +103 +00:08:29,610 --> 00:08:33,990 +المريض أو من ال witness صوروا مريض عنده coma مريض + +104 +00:08:33,990 --> 00:08:38,850 +عنده confusion state صعب أخد منه ال chief + +105 +00:08:38,850 --> 00:08:41,450 +complaint و أخد منه history راح أخد ال history من + +106 +00:08:41,450 --> 00:08:47,410 +ال witness أو ال members of the familysymptoms of + +107 +00:08:47,410 --> 00:08:50,450 +cranial nerve affection المرضى هدول ممكن يكون + +108 +00:08:50,450 --> 00:08:55,230 +عندهم olfactory nerve damage أنوسمية كاكوسمية اسم + +109 +00:08:55,230 --> 00:08:57,810 +ال hallucination راح نتطرقلهم في cranial nerve + +110 +00:08:57,810 --> 00:09:02,770 +examination optic nerveلاحظ عندهم decrease acuity + +111 +00:09:02,770 --> 00:09:06,930 +of vision، visual hallucination، defect of visual + +112 +00:09:06,930 --> 00:09:10,770 +field في الـocular nerves اللي هو الـocular motor + +113 +00:09:10,770 --> 00:09:17,070 +وtrochlear وabdominal nerve ممكن يكون عندهم توسيس، + +114 +00:09:17,070 --> 00:09:21,210 +squint، dyplopia أو double o visionTrigeminal + +115 +00:09:21,210 --> 00:09:25,130 +nerve affection هنا ممكن نلاحظ عندهم numbness of + +116 +00:09:25,130 --> 00:09:29,630 +the face decreased sensation of the face زي + +117 +00:09:29,630 --> 00:09:31,530 +Trigeminal neuralgia، difficulty في ال + +118 +00:09:31,530 --> 00:09:35,250 +mastications، في ال facial nerve ممكن نلاحظ عندهم + +119 +00:09:35,250 --> 00:09:44,930 +السيمترية of facial movement، difficulty in eye + +120 +00:09:44,930 --> 00:09:49,990 +closure، في ال vestibulocochlear nerveفي ال + +121 +00:09:49,990 --> 00:09:52,950 +cochlear division ممكن يكون عندهم tinnitus طنين + +122 +00:09:52,950 --> 00:09:56,630 +ممكن يكون عندهم decrease of hearing unilateral، + +123 +00:09:56,630 --> 00:09:59,850 +bilateral والحدد ده unilateral right أو left + +124 +00:09:59,850 --> 00:10:05,120 +vestibular part ataxia tinnitus overtigoفي الـ + +125 +00:10:05,120 --> 00:10:06,980 +Glossopharyngeal و الـ vagus و الـ cranial + +126 +00:10:06,980 --> 00:10:10,440 +accessory مع hypoglossal nerve ممكن يكون عندهم + +127 +00:10:10,440 --> 00:10:15,240 +dysphagia، difficulty of swallowing، dysarthria، + +128 +00:10:15,240 --> 00:10:18,220 +difficulty of speech، dysphonia، اللي هو + +129 +00:10:18,220 --> 00:10:22,780 +hoarseness of voice، و nasal regurgitation في + +130 +00:10:22,780 --> 00:10:26,380 +spinal accessory nerve ممكن نلاحظ على المرضى drop + +131 +00:10:26,380 --> 00:10:30,620 +of the shoulder، اللي عنده shoulder فيه drop فيه، + +132 +00:10:30,620 --> 00:10:34,120 +deviation لل head and neck على one side + +133 +00:10:36,880 --> 00:10:41,820 +ال motor affection في ال .. في ال irritation ممكن + +134 +00:10:41,820 --> 00:10:44,800 +نلاحظ عند هدول المرضى يكون عندهم Jacksonian fit + +135 +00:10:44,800 --> 00:10:48,900 +يعني يكون عنده تشنج focal convulsionمن ال + +136 +00:10:48,900 --> 00:10:52,640 +irritation of the cortex وإذا كان destruction يكون + +137 +00:10:52,640 --> 00:10:57,020 +عندهم weakness، weakness right side، left side، + +138 +00:10:57,020 --> 00:11:03,780 +lower limb weakness، مخدة one limb، upper limb أو + +139 +00:11:03,780 --> 00:11:08,290 +lower limb، right، left، ونحدد هذا كل كلامممكن + +140 +00:11:08,290 --> 00:11:12,950 +يكون عندهم مشكلة في الـ cerebellar، extrapyramidal + +141 +00:11:12,950 --> 00:11:16,230 +nervous system، يكون عندهم tremors، involuntary + +142 +00:11:16,230 --> 00:11:20,590 +movement، gait instability، discordination، كل هذا + +143 +00:11:20,590 --> 00:11:27,180 +مهم جداً، symptoms of sensory systemيكون عندهم + +144 +00:11:27,180 --> 00:11:33,680 +irritation أو positive phenomena، pain، numbness، + +145 +00:11:33,680 --> 00:11:36,500 +increased sensitivity، hyperesthesia أو + +146 +00:11:36,500 --> 00:11:39,980 +destruction، يكون عندهم loss of sensation، + +147 +00:11:39,980 --> 00:11:44,520 +hypoesthesia، نحدد ال site of hypoesthesia ونفحص + +148 +00:11:44,520 --> 00:11:49,520 +أو نسألهم على deep sensation إذا هو ماشي في عنده + +149 +00:11:49,520 --> 00:11:54,580 +decrease coordination خاصة في حالة ما يعمل إغلاق + +150 +00:11:54,580 --> 00:11:58,820 +للعينينsymptoms of sphincter disturbances + +151 +00:11:58,820 --> 00:12:04,880 +الcontrol of micturation and edifications نشوف + +152 +00:12:04,880 --> 00:12:10,400 +موضوع ال urine urgency اللي هي increase frequency + +153 +00:12:10,400 --> 00:12:15,920 +of urination ال impotence خاصة في مرضى ال DM و ال + +154 +00:12:15,920 --> 00:12:23,600 +MS و اللي عندهم conus medullaris ناخد مثالالـ + +155 +00:12:23,600 --> 00:12:26,300 +chief complaint عند المريض هذا headache المريض + +156 +00:12:26,300 --> 00:12:28,800 +عنده ال chief complaint headache يبقى أنا في ال + +157 +00:12:28,800 --> 00:12:31,980 +chief complaint بكتب the patient presented with + +158 +00:12:31,980 --> 00:12:38,580 +headache تمام في ال analysis of the information + +159 +00:12:38,580 --> 00:12:41,960 +analysis of the chief complaint presenting illness + +160 +00:12:41,960 --> 00:12:47,120 +أنا بده أعمل analysis لل headache أعرف أيش نوع ال + +161 +00:12:47,120 --> 00:12:52,460 +headache اللي عنده بنحدد ال onsetsudden أو gradual + +162 +00:12:52,460 --> 00:12:57,820 +في إيش بتفيدني ال onset مثال مريض أجانع sudden + +163 +00:12:57,820 --> 00:13:01,540 +onset of severe headache قد يكون هذا صبح arachnoid + +164 +00:13:01,540 --> 00:13:06,420 +hemorrhage أو مريض أخر عنده gradual headache + +165 +00:13:06,420 --> 00:13:10,120 +gradual headache ممكن يكون brain tumor ممكن يكون + +166 +00:13:10,120 --> 00:13:15,260 +brain tumor أو يكون عنده tension headache timing + +167 +00:13:16,160 --> 00:13:22,200 +مهم الوقت morning، evening، at night اللي أنا بخاف + +168 +00:13:22,200 --> 00:13:25,340 +منه لذلك إذا بيجي عند المرضى at night أو at + +169 +00:13:25,340 --> 00:13:29,240 +morning خاصة المريض لما ينام flat، horizontal، + +170 +00:13:29,240 --> 00:13:32,100 +بيصير increase للـ intracranial pressure وإذا عنده + +171 +00:13:32,100 --> 00:13:35,540 +tumor أو pseudo tumor cerebrae اللي هو benign + +172 +00:13:35,540 --> 00:13:38,360 +intracranial hypertension راح يرتفع ال + +173 +00:13:38,360 --> 00:13:42,890 +intracranial pressure و هو في flat positionsite + +174 +00:13:42,890 --> 00:13:46,970 +نحدد right, left, diffuse زي في حالة tension + +175 +00:13:46,970 --> 00:13:51,130 +headache بنلاقي عندهم diffuse headache character + +176 +00:13:51,130 --> 00:13:55,550 +of headache نحدده frequency هل هو ال headache + +177 +00:13:55,550 --> 00:13:59,610 +بتكرر زي migraine headache بيضلوا يتكرر عندهم كل + +178 +00:13:59,610 --> 00:14:03,130 +شهر كل شهرين خاصة عند الستات ممكن يزيد معهم during + +179 +00:14:03,130 --> 00:14:07,010 +menstruation duration مدة ال headache او مدة + +180 +00:14:07,010 --> 00:14:12,010 +الصداعهل هو يومي يومي زي tension headache أو بيجي + +181 +00:14:12,010 --> 00:14:16,510 +paroxysmal headache hemicranial بيجي صداع نصفي على + +182 +00:14:16,510 --> 00:14:22,410 +مراحل و يستمر تلات أيام يبقى ال duration مهم إذا + +183 +00:14:22,410 --> 00:14:25,970 +استمر أقل من تلات أيام بنتكلم على موضوع migraine + +184 +00:14:25,970 --> 00:14:30,130 +headache severity of headacheإيه ده؟ مريض .. + +185 +00:14:30,130 --> 00:14:33,110 +بيجينا مريض عنده severe headache و بيقولّك أنا + +186 +00:14:33,110 --> 00:14:35,650 +الصداع هذا أول مرة أشعر فيه أجانب الصداع الساعة + +187 +00:14:35,650 --> 00:14:39,990 +تسعة و نص أنا كنت خارج من الدورة أو كده أو أنا كنت + +188 +00:14:39,990 --> 00:14:43,830 +.. كانت ست تطبخ في الحالة هذه حددلك ال time بالظبط + +189 +00:14:43,830 --> 00:14:46,850 +حددلك الموقع بالظبط بالنسبة للصداع و قالك severe + +190 +00:14:46,850 --> 00:14:49,930 +headache بلاش يكون هذا subarachnoid hemorrhage + +191 +00:14:50,660 --> 00:14:54,360 +precipitating factors زي ال migraine ممكن نلاحظ + +192 +00:14:54,360 --> 00:14:56,560 +انه precipitating by emotional stress + +193 +00:14:56,560 --> 00:14:58,840 +precipitating by اللي هو menstruation عند + +194 +00:14:58,840 --> 00:15:03,360 +الفemales relieving factors اللي هو إذا المريض + +195 +00:15:03,360 --> 00:15:06,100 +بيستجيب له ال analgesic ولا ما بيستجيب وإيش نوع ال + +196 +00:15:06,100 --> 00:15:11,180 +analgesics تمام؟associated features زي headache + +197 +00:15:11,180 --> 00:15:14,340 +associated with vertigo vomiting visual + +198 +00:15:14,340 --> 00:15:17,340 +disturbances مثل migraine headache بيكون عندهم + +199 +00:15:17,340 --> 00:15:20,780 +associated maybe associated with vomiting blurring + +200 +00:15:20,780 --> 00:15:24,580 +of vision المرضى اللي عندهم intracranial + +201 +00:15:24,580 --> 00:15:27,140 +hemorrhage أو subarachnoid hemorrhage بيصير معهم + +202 +00:15:27,140 --> 00:15:30,340 +neck pain associated with neck pain shoulder pain + +203 +00:15:30,340 --> 00:15:35,180 +associated with neck stiffness vomiting هذا ضروري + +204 +00:15:35,180 --> 00:15:41,980 +نشره نسأله للمريضvisual disturbances نفس الشيء ال + +205 +00:15:41,980 --> 00:15:46,780 +onset sudden أو gradual onset impairment ماخذة one + +206 +00:15:46,780 --> 00:15:51,480 +eye ولا both eyes total أو partial نسأل عالي + +207 +00:15:51,480 --> 00:15:57,010 +frequencyالـ duration، precipitating factors، + +208 +00:15:57,010 --> 00:16:01,950 +relieving factors، هل الـ close one eye in + +209 +00:16:01,950 --> 00:16:05,290 +diplopia بيساعدنا؟ يعني المريض عنده double o + +210 +00:16:05,290 --> 00:16:08,450 +vision عنده double o vision، بدنا نحدد ال double o + +211 +00:16:08,450 --> 00:16:12,090 +vision هذه هل هي ناتجة عن organic cause عضوي أو + +212 +00:16:12,090 --> 00:16:16,250 +شيء نفسي المريض اللي لو عنده وضع نفسي أو مريض نفسي + +213 +00:16:17,400 --> 00:16:21,360 +لو غمضنا عينه، راح يضلوا يشعروا ب double ovision، + +214 +00:16:21,360 --> 00:16:24,480 +لكن لو كان ناجي عن organic cause زي third nerve + +215 +00:16:24,480 --> 00:16:28,740 +palsy أو abdocent nerve palsy، مجرد ما نغمض عينه، + +216 +00:16:28,740 --> 00:16:32,320 +راح يشوف واحد في الحالة هذه راح يصير loss of + +217 +00:16:32,320 --> 00:16:36,470 +double ovisionوهذا بيساعدنا في ال treatment أنه + +218 +00:16:36,470 --> 00:16:40,790 +ننصح المريض يلبس نضارة و يوم يغمض العين اليمين و + +219 +00:16:40,790 --> 00:16:44,430 +يوم يغمض العين الشمال بورقة بلسقة عشان يشوف one + +220 +00:16:44,430 --> 00:16:48,690 +eye monoocular vision و ينخفف عنه ال double o + +221 +00:16:48,690 --> 00:16:55,290 +visionvisual hallucination هلوسة بالبصر يعني ممكن + +222 +00:16:55,290 --> 00:16:58,910 +يشوف أشياء أو أشخاص أمامه قد تكون ناجية عن مرض زي + +223 +00:16:58,910 --> 00:17:02,510 +schizophrenia اللي هو فصام شخصية أو قد تكون ناجية + +224 +00:17:02,510 --> 00:17:06,970 +عن brain tumor in the occipital loop associated + +225 +00:17:06,970 --> 00:17:10,610 +features maybe ال visual disturbances يكون + +226 +00:17:10,610 --> 00:17:13,330 +associated with other symptoms ونحدد إيش ال + +227 +00:17:13,330 --> 00:17:18,310 +symptoms المرافقة مع ال visual disordersمريض اخر + +228 +00:17:18,310 --> 00:17:21,750 +اجانب ال main complaint loss of vision ال main + +229 +00:17:21,750 --> 00:17:24,710 +complaint عنده loss of vision في الحالة هذه نفس + +230 +00:17:24,710 --> 00:17:28,950 +الشيء بدنا نحدد ال onset sudden او gradual مهم جدا + +231 +00:17:28,950 --> 00:17:34,890 +واحد عنده fever headache gradually loss of + +232 +00:17:34,890 --> 00:17:38,330 +consciousness لو انا بتكلم في الحالة هذه عن cns + +233 +00:17:38,330 --> 00:17:41,390 +infection قد تكون meningioencephalitis او + +234 +00:17:41,390 --> 00:17:46,430 +meningitis المريض عنده sudden onset of headache + +235 +00:17:47,510 --> 00:17:51,290 +with vomiting مع sudden onset of loss of + +236 +00:17:51,290 --> 00:17:55,330 +consciousness قد يكون هذا rupture aneurysm due to + +237 +00:17:55,330 --> 00:18:01,290 +a subarachnoid hemorrhage ال frequencyهل هو متكرر + +238 +00:18:01,290 --> 00:18:04,950 +ال loss of consciousness؟ قد يكون syncopal attack + +239 +00:18:04,950 --> 00:18:07,870 +ممكن يكون Epilepsy المريض عنده epileptic fit و + +240 +00:18:07,870 --> 00:18:12,010 +بيصير معاه recurrent loss of consciousness ال + +241 +00:18:12,010 --> 00:18:15,690 +duration زي ما نشوف في حالة ال epilepsy ال + +242 +00:18:15,690 --> 00:18:19,550 +epileptic attack بيستمر دقيقة دقيقتين يمكن يكون + +243 +00:18:19,550 --> 00:18:23,170 +عندهم one two three minute loss of consciousness + +244 +00:18:23,170 --> 00:18:28,960 +لكن في الإذا كان psychogenic loss of consciousness + +245 +00:18:28,960 --> 00:18:33,480 +ممكن يكون duration أكتر من one two hours إذا مريض + +246 +00:18:33,480 --> 00:18:35,440 +عنده subarachnoid hemorrhage قد يكون ال duration + +247 +00:18:35,440 --> 00:18:41,740 +أكتر من ساعات و أيام precipitating factors نفس + +248 +00:18:41,740 --> 00:18:46,780 +الشيء بنسأل associated features أجانا ساق الأسعاف + +249 +00:18:46,780 --> 00:18:49,820 +قلنا إنه ال main complaint كان عند المريض عند + +250 +00:18:49,820 --> 00:18:52,860 +الأهل كان أنه loss of consciousness transient loss + +251 +00:18:52,860 --> 00:18:55,360 +of consciousness المريض أجانا على الاستقبال واعي + +252 +00:18:55,360 --> 00:18:59,200 +صاحيفي الحالة دي أنا بسأله افسر معاه، إذا قال لي + +253 +00:18:59,200 --> 00:19:02,000 +كان هو في الـ strict bowel، عنده tongue bite عد + +254 +00:19:02,000 --> 00:19:08,000 +لسانه، incontinence، عدم تحكم في ال bowl، limb + +255 +00:19:08,000 --> 00:19:13,520 +twitching، كان عنده تشنج في ال .. و contraction في + +256 +00:19:13,520 --> 00:19:16,720 +ال upper و lower limbs، أنا بتتكلم عن حالة إيه؟ + +257 +00:19:16,720 --> 00:19:20,950 +Epilepsy، بتتكلم عن حالة grand mal Epilepsyنسأل + +258 +00:19:20,950 --> 00:19:24,570 +إذا أنا بشتغل في بلاد أوروبا أو إشي على ال alcohol + +259 +00:19:24,570 --> 00:19:27,810 +و drug abuse و في غزة ما شاء الله يعني موجودة يعني + +260 +00:19:27,810 --> 00:19:32,250 +الحشيش موجود و ال tramadol موجود و يعني عادي ممكن + +261 +00:19:32,250 --> 00:19:35,710 +نسألهم مانخجلش و بيصنعوا الكحول في غزة كمان أحيانا + +262 +00:19:35,710 --> 00:19:41,240 +head injury .. head injuryإذا فيه head injury، + +263 +00:19:41,240 --> 00:19:44,180 +cardiovascular أو الـ respiratory system لأن هذا + +264 +00:19:44,180 --> 00:19:48,580 +كله ضروري نعرفه في حالة أجانب مريض عنده main + +265 +00:19:48,580 --> 00:19:52,480 +complaint، loss of consciousness يعني ما نخجل + +266 +00:19:52,480 --> 00:19:56,000 +نسأل، الستات ممكن يدخلوا، اسألوا، مافي مشكلة + +267 +00:19:56,000 --> 00:20:03,720 +Speech disordersonset, sudden, gradual يعني مريض + +268 +00:20:03,720 --> 00:20:07,200 +الـ main complaint speech difficulty الـ main + +269 +00:20:07,200 --> 00:20:09,940 +complaint speech difficulty يبقى نفس الشيء بنسأل + +270 +00:20:09,940 --> 00:20:13,540 +ال onset, sudden أو gradual؟ بارح كان أنا مريض + +271 +00:20:13,540 --> 00:20:17,280 +عنده main complaint اللي هي speech difficulty لما + +272 +00:20:17,280 --> 00:20:20,020 +ده main complaint speech difficulty أنا بتكلم عن + +273 +00:20:20,020 --> 00:20:24,120 +إيه؟ بتكلم قد يكون stroke قد يكون stroke أو + +274 +00:20:24,120 --> 00:20:29,170 +cerebrovascular disease frequency ال durationهل + +275 +00:20:29,170 --> 00:20:31,790 +المشكلة ال speech difficulty في ال articulation + +276 +00:20:31,790 --> 00:20:37,030 +يعني أنا بتكلم عن dysarthria أو المشكلة في ال + +277 +00:20:37,030 --> 00:20:40,610 +expression أنا بتكلم عن أفازيا راح نشرحهم في ال + +278 +00:20:40,610 --> 00:20:45,990 +examination أو difficulty in understanding قد تكون + +279 +00:20:45,990 --> 00:20:49,730 +sensory aphasia إذا المشكلة في ال understanding + +280 +00:20:49,730 --> 00:20:54,130 +وقد تكون motor aphasia إذا المشكلة في expression + +281 +00:20:54,130 --> 00:20:58,700 +راح نتكلم عنهم في ال examinationmotor disorder + +282 +00:20:58,700 --> 00:21:01,820 +أجانب مريض ال main complaint عنده motor deficit + +283 +00:21:01,820 --> 00:21:08,640 +muscle weakness يبقى نفس الشيء ال onset sudden أو + +284 +00:21:08,640 --> 00:21:14,280 +gradual onset ليه؟ frequency؟ duration؟ + +285 +00:21:14,280 --> 00:21:18,620 +precipitating factors؟ هل ال walking بيزود ال + +286 +00:21:18,620 --> 00:21:22,900 +weakness؟هل قالنا ال relieving factors ال rest + +287 +00:21:22,900 --> 00:21:27,360 +ممكن يخفف؟ زي عندنا مرضى myasthenia gravis مثال + +288 +00:21:27,360 --> 00:21:30,020 +المرضى هدول بيجيون ال main complaint عندهم muscle + +289 +00:21:30,020 --> 00:21:34,160 +fatigue muscle fatigue هدول المرضى لو أنا طبقت + +290 +00:21:34,160 --> 00:21:40,480 +عليهم يقولك المريض برتاح أو بيكون وضعه أفضل بعد ما + +291 +00:21:40,480 --> 00:21:45,850 +يصحى من النوم لأنه مرتاحو لو بذل مجهود على المريض + +292 +00:21:45,850 --> 00:21:49,190 +الـ Myasthenia Gravis بيصير عنده fatigue muscle + +293 +00:21:49,190 --> 00:21:52,590 +fatigue يبقى مهم هذا الكلام أنه أحدد إيش ال + +294 +00:21:52,590 --> 00:21:55,030 +precipitating factors لهم و إيش ال relieving + +295 +00:21:55,030 --> 00:21:59,690 +factors هل عنده مشكلة في ال coordination عنده gate + +296 +00:21:59,690 --> 00:22:03,470 +instability ال weakness اللي عند المريض هل هو + +297 +00:22:03,470 --> 00:22:08,530 +progressive أو static على نفس النمط في نفس المرحلة + +298 +00:22:08,530 --> 00:22:12,910 +أو relapsing limitingزي مرضى الـ Multiple + +299 +00:22:12,910 --> 00:22:16,490 +Sclerosis راح نتكلم عنهم زي مرضى الـ Chronic + +300 +00:22:16,490 --> 00:22:19,830 +Inflammatory Demyelinating Polyneuropathy ممكن + +301 +00:22:19,830 --> 00:22:21,950 +يكون عندهم Relapsing Weakness Relapse and + +302 +00:22:21,950 --> 00:22:27,710 +Remission الـ Muscle Weakness مياخد الـ Distal + +303 +00:22:27,710 --> 00:22:31,270 +Muscle Group في الـ hand و ال feet أو مياخد الـ + +304 +00:22:31,270 --> 00:22:34,290 +Proximal Muscle في حالات الـ Myopathy بيكون مياخد + +305 +00:22:34,290 --> 00:22:36,790 +الـ Proximal Muscle في حالات الـ Polyneuropathy + +306 +00:22:36,790 --> 00:22:41,820 +بيكون مياخد ايه؟ Distal Muscle Groupو بنتكلم إذا + +307 +00:22:41,820 --> 00:22:47,420 +فينا painful أو painless و هذا أكتر بنكون في موضوع + +308 +00:22:47,420 --> 00:22:51,520 +ال sensation و involuntary movement if associated + +309 +00:22:51,520 --> 00:22:57,700 +with involuntary movement كورية أتتوسز، tremors، + +310 +00:22:57,700 --> 00:23:03,800 +كله hemabolism كل هذا راح نتكلم عنه لاحقا أجانب + +311 +00:23:03,800 --> 00:23:09,200 +مريض أخر ال main complaint عنده sensoryabnormality + +312 +00:23:09,200 --> 00:23:14,800 +يعني المشكلة عنده أو في الإحساس نفس الشيء بنسأل ال + +313 +00:23:14,800 --> 00:23:19,920 +onset sudden gradual frequency duration + +314 +00:23:19,920 --> 00:23:24,100 +precipitating factors على سبيل المثال walking + +315 +00:23:24,100 --> 00:23:31,130 +movement reliving factor restPain هل هو عنده ألم، + +316 +00:23:31,130 --> 00:23:37,290 +هل هو عنده numbness، tingling، يعني تنخز، sight + +317 +00:23:37,290 --> 00:23:43,030 +محدد وين المكان، و ال associated features مريض أخر + +318 +00:23:43,030 --> 00:23:48,430 +أجانب sphincter disorders كانت عندي مريضة انها + +319 +00:23:48,430 --> 00:23:52,030 +multiple sclerosis، the main complaintالـ initial + +320 +00:23:52,030 --> 00:23:55,770 +presentation of disease كان عندها problem of + +321 +00:23:55,770 --> 00:23:58,630 +urination وكانت فترة طويلة تتابع مع النساء ولادة + +322 +00:23:58,630 --> 00:24:03,210 +المشكلة كان عندها انه increase frequency of + +323 +00:24:03,210 --> 00:24:08,370 +urination كان عندها urine urgency وفي بعض الأحيان + +324 +00:24:08,370 --> 00:24:12,370 +ممكن يصير معاها urine incontinence وكان تشخيصها + +325 +00:24:12,370 --> 00:24:17,910 +multiple sclerosis ضروري نحدد ال onset sudden أو + +326 +00:24:17,910 --> 00:24:23,050 +gradual frequencyالـ duration؟ هل الـ problem في + +327 +00:24:23,050 --> 00:24:25,530 +الـ bladder؟ المشكلة في الـ urination؟ أو في الـ + +328 +00:24:25,530 --> 00:24:29,290 +defecation؟ ده في القناة هل associated with pain؟ + +329 +00:24:29,290 --> 00:24:34,030 +يعني زي dysuria؟ ممكن ال increase frequency اللي + +330 +00:24:34,030 --> 00:24:37,210 +عند المريض ال .. ال .. أو ال urine urgency يكون + +331 +00:24:37,210 --> 00:24:41,550 +نتجة عن UTI نتجة عن infection في الحالة هذه المرضى + +332 +00:24:41,550 --> 00:24:45,610 +بيكون عندهم ايه؟ dysuria pain during menstruation + +333 +00:24:46,990 --> 00:24:49,190 +هل عندهم زي ما قلنا difficulty in control زي + +334 +00:24:49,190 --> 00:24:52,430 +urgency, incontinence, retention إذا في عندهم + +335 +00:24:52,430 --> 00:24:58,490 +retention بنحدد, incontinence أو urgency نسأل على + +336 +00:24:58,490 --> 00:25:02,130 +ال lower cranial nerves ممكن يجيون مرضى من + +337 +00:25:02,130 --> 00:25:07,130 +complaint عندهم dysphagia swallowing difficultyأو + +338 +00:25:07,130 --> 00:25:10,950 +speech difficulty الحالة هذه نفس الشيء بدأ نسأل عن + +339 +00:25:10,950 --> 00:25:14,530 +ال onset sudden أو gradual frequency duration + +340 +00:25:14,530 --> 00:25:20,470 +precipitating factors deafness إذا فيه deafness و + +341 +00:25:20,470 --> 00:25:27,010 +ال time alternates unilateral أو bilateralvertigo + +342 +00:25:27,010 --> 00:25:29,990 +في ولا مافيه swallowing difficulty اللي هي + +343 +00:25:29,990 --> 00:25:32,770 +dysphagia وإذا في عند المريض swallowing difficulty + +344 +00:25:32,770 --> 00:25:35,590 +بنحدد هل هذه ال swallowing difficulty ناجحة عن + +345 +00:25:35,590 --> 00:25:42,570 +neurogenic dysphagia أو abstractive dysphagia لو + +346 +00:25:42,570 --> 00:25:47,530 +كان المشكلة عند المريضdifficulty في ال swallowing + +347 +00:25:47,530 --> 00:25:52,290 +of solid، الشيء الجامد، ليابس، بتكلم عن ايه؟ عن + +348 +00:25:52,290 --> 00:25:54,250 +abstracted dysphagia، قد يكون عند المريض + +349 +00:25:54,250 --> 00:25:58,970 +abstraction في الإيزاوفيجاس، يكون cancer أو مريض + +350 +00:25:58,970 --> 00:26:01,570 +أخر عنده neurogenic dysphagia، هنا بيكون عندهم + +351 +00:26:01,570 --> 00:26:06,490 +difficulty في swallowing of fluid، المشكلة أكتر في + +352 +00:26:06,490 --> 00:26:11,250 +السوائلوبنسأل ع ال voice إذا في changes في ال + +353 +00:26:11,250 --> 00:26:16,210 +voice, hoarseness of voice, dysphonia في بعض + +354 +00:26:16,210 --> 00:26:19,370 +الأحيان المرضى اللي عندهم thyroid cancer first + +355 +00:26:19,370 --> 00:26:22,210 +manifestation of thyroid cancer يكون عندهم + +356 +00:26:22,210 --> 00:26:26,880 +hoarseness of voiceاللي هي نادية عن compression of + +357 +00:26:26,880 --> 00:26:30,760 +recurrent laryngeal nerve اللي هو branch of Vegas + +358 +00:26:30,760 --> 00:26:34,560 +nerve في الحالة هذه المرضى ممكن يبدأ عندهم أعراض + +359 +00:26:34,560 --> 00:26:38,860 +ال thyroid cancer بإيش؟ ببحة في الصوت أو hoarsens + +360 +00:26:38,860 --> 00:26:39,380 +of voice + +361 +00:26:42,230 --> 00:26:46,150 +أجانب مرض عندهم mental disorders، نفس الشيء ال + +362 +00:26:46,150 --> 00:26:50,790 +onset، frequency، duration، مشكلة في ال memory، في + +363 +00:26:50,790 --> 00:26:53,210 +ال intelligence، مشكلة في ال personality، + +364 +00:26:53,210 --> 00:26:56,350 +behavior، هذا كله راح تخدوين مع أخصيين ال + +365 +00:26:56,350 --> 00:27:01,940 +psychiatry في الطب النفسيهيك أنا بكون أعطيتكوا + +366 +00:27:01,940 --> 00:27:10,380 +أمثلة على موضوع present أو present illness أو اللي + +367 +00:27:10,380 --> 00:27:16,880 +هو analysis of a chief complaint بعدها بتكلم على + +368 +00:27:16,880 --> 00:27:20,300 +الجزئية التانية اللي هي ال past medical history + +369 +00:27:20,300 --> 00:27:25,130 +أنا أولا تكلمت على present illnessالحاضر اللي هو + +370 +00:27:25,130 --> 00:27:28,670 +ال analysis of chief complaint اللي بسأل المريض + +371 +00:27:28,670 --> 00:27:32,590 +على past medical history وبعد ما خلص من ال past + +372 +00:27:32,590 --> 00:27:36,390 +medical history بنسأل عن ال past surgical history + +373 +00:27:36,390 --> 00:27:41,610 +ال past medical history start by asking the + +374 +00:27:41,610 --> 00:27:46,570 +patient if they have any medical problems بنسأل + +375 +00:27:46,570 --> 00:27:51,310 +إذا المرضى عندهم أي أمراض مزمنة هو المريض راح + +376 +00:27:51,310 --> 00:27:56,220 +يجاوبني المرضى اللي عندهإذا في fever عند المريض + +377 +00:27:56,220 --> 00:28:01,000 +histro fever ممكن يكون عندهم المريض هذا تشخصنا + +378 +00:28:01,000 --> 00:28:06,460 +meningitis, encephalitis, transverse myelitis إذا + +379 +00:28:06,460 --> 00:28:11,830 +المريض عنده DMقد يكون diabetic polyneuropathy + +380 +00:28:11,830 --> 00:28:17,350 +amyotrophic .. amyotrophic او diabetic amyotrophic + +381 +00:28:17,350 --> 00:28:21,090 +cranial nerve palsy impotence إذا كان المرضي عنده + +382 +00:28:21,090 --> 00:28:26,770 +DM ضروري نسأله عن ال duration of DM إيش ال type of + +383 +00:28:26,770 --> 00:28:30,650 +DM؟ هل control ولا لأ؟ إيش ال drugs اللي باخدها ال + +384 +00:28:30,650 --> 00:28:34,910 +DM؟ وإذا في complications عنده من ال DM يجب أن + +385 +00:28:34,910 --> 00:28:39,700 +ضروري نحددهالـ hypertension والـ DM والـ + +386 +00:28:39,700 --> 00:28:44,700 +dyslipidemia والـ chronic AF هذه بتساعدنا وأكثر في + +387 +00:28:44,700 --> 00:28:47,880 +صالح مين؟ as a risk factor of cerebrovascular + +388 +00:28:47,880 --> 00:28:52,100 +disease لأن ده جانا مريض وعنده weakness على ال + +389 +00:28:52,100 --> 00:28:55,440 +right side sudden onset واخدنا ال past medical + +390 +00:28:55,440 --> 00:29:00,900 +history وجدنا عنده hypertension، DM، عنده AF أنا + +391 +00:29:00,900 --> 00:29:05,930 +بتكلم أكتر في صالح أن هذا يكون ischemic strokeإذا + +392 +00:29:05,930 --> 00:29:08,210 +المريض عنده valvular disease infectious + +393 +00:29:08,210 --> 00:29:11,890 +endocarditis نفس الشيء قد يكون هذا cardio embolic + +394 +00:29:11,890 --> 00:29:16,170 +ischemic stroke أو brain abscess إذا في عندنا + +395 +00:29:16,170 --> 00:29:22,710 +infection أو infectious endocarditisTB and anti-TB + +396 +00:29:22,710 --> 00:29:26,490 +drugs إذا المريض عنده في ال history ال TB في + +397 +00:29:26,490 --> 00:29:31,430 +الحالة هذه ممكن يكون عندهم meningitis CNS TB + +398 +00:29:31,430 --> 00:29:34,630 +meningitis تصوروا مريض في ال history عنده + +399 +00:29:34,630 --> 00:29:38,910 +pulmonary TB و أجانا ب fever decreased level of + +400 +00:29:38,910 --> 00:29:41,390 +consciousness في الحالة هذه قد يكون المريض عنده + +401 +00:29:41,390 --> 00:29:46,570 +دخل في secondary TB أو بنسميها CNS TB و TB + +402 +00:29:46,570 --> 00:29:50,740 +meningitisإذا المريض عنده الـ history الـ TB وجانب + +403 +00:29:50,740 --> 00:29:57,020 +severe low back pain أو thoracic pain قد يكون عنده + +404 +00:29:57,020 --> 00:30:02,900 +Pott's disease اللي هو بنسميه TB Spondylosis أو TB + +405 +00:30:02,900 --> 00:30:08,580 +Spondylitis قد يكون عندهم Polyneuropathy لأن الـ + +406 +00:30:08,580 --> 00:30:15,220 +Anti-TB drugs تعمل decrease للـ vitamin B groupالـ + +407 +00:30:15,220 --> 00:30:19,420 +water، سلب الـ vitamins وفي اللحظة هذه المرضى اللي + +408 +00:30:19,420 --> 00:30:22,300 +عندهم TB بياخدوا Anti-TB drugs ضروري في ال + +409 +00:30:22,300 --> 00:30:29,380 +medications نعطيهم B1, B6, B12 drugs في ال history + +410 +00:30:29,380 --> 00:30:33,160 +أخدنا لجن المريض عنده migraine headache أو + +411 +00:30:33,160 --> 00:30:37,610 +polycystic kidneyوأجانب sudden onset of severe + +412 +00:30:37,610 --> 00:30:41,370 +headache مهم جدا ممكن المريض يكون عنده حدث + +413 +00:30:41,370 --> 00:30:44,550 +subarachnoid hemorrhage وزي ما عنده polycystic + +414 +00:30:44,550 --> 00:30:48,850 +kidney يكون موجود عنده malformation أو + +415 +00:30:48,850 --> 00:30:53,130 +intracranial aneurysm rapture rheumatic fever + +416 +00:30:54,580 --> 00:30:59,440 +Sidenham, كوريا المرضى اللى عندهم rheumatic fever + +417 +00:30:59,440 --> 00:31:02,780 +ممكن يسمحهم involuntary movement زي كوريا وفي حالة + +418 +00:31:02,780 --> 00:31:08,180 +هذه فى مريضة كانت عندها إلى فترة بتتابع as + +419 +00:31:08,180 --> 00:31:12,000 +involuntary movement طفلة وشخصها عندها rheumatic + +420 +00:31:12,000 --> 00:31:14,900 +fever يبقى ننتبه للموضوع هذا ان rheumatic fever + +421 +00:31:14,900 --> 00:31:20,380 +ممكن تعملنا Sidenham او minor كوريا ال autitis + +422 +00:31:20,380 --> 00:31:25,490 +media أجانب المريض عنده facial palsyقد يكون facial + +423 +00:31:25,490 --> 00:31:27,330 +paralysis نتجة عن otitis media اللتي هي في القدم + +424 +00:31:27,330 --> 00:31:30,210 +الوسطى يبقى مهم جدا نسأل عن otitis media عنده + +425 +00:31:30,210 --> 00:31:34,270 +مشاكل في القدم اللي ما عنده ممكن تسببنا meningitis + +426 +00:31:34,270 --> 00:31:38,410 +ممكن تسببنا brain abscess يبقى أن هذا مهم جدا + +427 +00:31:38,410 --> 00:31:42,450 +أجانب المريض عنده ال main complaint ascending + +428 +00:31:42,450 --> 00:31:45,230 +paralysis ascending paralysis weakness في ال upper + +429 +00:31:45,230 --> 00:31:47,750 +و lower limbs mainly في ال lower limbs mainly + +430 +00:31:47,750 --> 00:31:51,650 +distallyلو سألنا في الـ History وكان عنده قبل + +431 +00:31:51,650 --> 00:31:55,630 +أسبوعين Upper Respiratory Tract Infection ممكن + +432 +00:31:55,630 --> 00:32:00,490 +تكون هذه Gullien-Barr Syndrome GPS نسأل إذا في + +433 +00:32:00,490 --> 00:32:04,130 +عنده TIA Transient Ischemic Attack في الـ History + +434 +00:32:04,130 --> 00:32:07,010 +ممكن يكون هذا لصالح الـ Ischemic Stroke الشخص + +435 +00:32:07,010 --> 00:32:10,990 +Ischemic Stroke إذا المريض عنده مشكلة في الـ + +436 +00:32:10,990 --> 00:32:19,280 +Calculation عنده Calculopathyقد يكون عنده حدث drug + +437 +00:32:19,280 --> 00:32:22,600 +induced intracerebral hematoma أو hemorrhagic + +438 +00:32:22,600 --> 00:32:27,320 +stroke إذا في similar attack similar attack ممكن + +439 +00:32:27,320 --> 00:32:30,900 +تكون عنده transient ischemic attack أو multiple + +440 +00:32:30,900 --> 00:32:34,580 +sclerosis مهم جدا ال age و ال duration أرجع لل age + +441 +00:32:34,580 --> 00:32:40,030 +و ال duration of onsetcancer مريض عنده cancer + +442 +00:32:40,030 --> 00:32:43,630 +brain meets أجانب مريض يوم من الأيام عنده main + +443 +00:32:43,630 --> 00:32:47,850 +complaint low back pain .. severe low back pain في + +444 +00:32:47,850 --> 00:32:51,550 +ال history عنده prostate cancerيبقى انا في الحالة + +445 +00:32:51,550 --> 00:32:55,330 +هذه بفكر على السريع انه صار عنده metastasis في ال + +446 +00:32:55,330 --> 00:32:58,750 +spine في نفس ال vertebral column فعلا على صورة ال + +447 +00:32:58,750 --> 00:33:04,550 +MRI حدث .. لأ وجدت عنده انه في عنده metastasis في + +448 +00:33:04,550 --> 00:33:08,130 +ال vertebra كانت ميخدة ال thoracic و ال lumbar + +449 +00:33:08,130 --> 00:33:13,860 +vertebraبنسأل إذا في بياخد chemotherapy أو + +450 +00:33:13,860 --> 00:33:18,000 +radiation مهم جدا لإن المرضى هدول ممكن يدخلوا في + +451 +00:33:18,000 --> 00:33:20,740 +polyneuropathy ممكن يصير معهم decrease of hearing + +452 +00:33:20,740 --> 00:33:24,080 +decrease of vision المرضى اللي عندهم cancer ممكن + +453 +00:33:24,080 --> 00:33:26,820 +يصير معهم حاجة اسمها paraneoplastic syndromeمش + +454 +00:33:26,820 --> 00:33:30,340 +المحوم فتيج، polyneuropathy، سندروم اسمه Ethan + +455 +00:33:30,340 --> 00:33:34,500 +Lampert Syndrome كل هذا ناتج عن ايه؟ + +456 +00:33:34,500 --> 00:33:38,800 +Paraneoplastic Syndrome ايش هو ال Paraneoplastic + +457 +00:33:38,800 --> 00:33:47,100 +Syndrome؟ هو non-metastatic manifestation of + +458 +00:33:47,100 --> 00:33:53,090 +cancerهكذا اتكلمت انا على ال past medical history + +459 +00:33:53,090 --> 00:33:57,650 +فنتاج البعدها لجزئية ايه past surgical history مهم + +460 +00:33:57,650 --> 00:34:02,090 +جدا ال past surgical history ايش بنسأل؟ بنسأل اذا + +461 +00:34:02,090 --> 00:34:08,350 +في في ال past history surgical operation يعني ايش + +462 +00:34:08,350 --> 00:34:11,450 +surgical operation؟ يعني بدنا نحدد ايش العملية؟ + +463 +00:34:11,450 --> 00:34:15,670 +ايش نوع العملية؟ type of operation و ال time + +464 +00:34:17,150 --> 00:34:22,770 +replace مهم جدا هذا نحدده نسأل إذا كان عنده أي + +465 +00:34:22,770 --> 00:34:26,870 +blood transfusion صور المريض أن أعطيه blood وكان + +466 +00:34:26,870 --> 00:34:30,710 +عنده قبل هيك hypersensitivity أو دخل فيه + +467 +00:34:30,710 --> 00:34:35,150 +anaphylactic reaction يكون مهم جدا نحدد إذا كان + +468 +00:34:35,150 --> 00:34:38,710 +عنده blood transfusion نسأل إذا فيه this dental + +469 +00:34:38,710 --> 00:34:39,470 +extraction + +470 +00:34:41,750 --> 00:34:46,790 +and any excessive bleeding during the extraction + +471 +00:34:46,790 --> 00:34:51,870 +يعني إذا المريض عنده رفع طحون تخلحها وصار معاه a + +472 +00:34:51,870 --> 00:34:54,770 +massive bleeding هذا مهم جدا بيدل إنه المريض عنده + +473 +00:34:54,770 --> 00:34:59,760 +kaogulipathyبنسأل عن history of trauma أو accident + +474 +00:34:59,760 --> 00:35:05,960 +نفس الشيء بنسأل ال time place and what type of + +475 +00:35:05,960 --> 00:35:12,740 +accident مهم جدا ان حد واحد عنده حادث و جاء طب + +476 +00:35:12,740 --> 00:35:16,820 +ممكن المريض أجانا اليوم عنده headache او left side + +477 +00:35:16,820 --> 00:35:20,280 +weakness دخل في شي اسمه sub acute subdural + +478 +00:35:20,280 --> 00:35:24,160 +hematoma او chronic subdural hematoma و كان عنده + +479 +00:35:24,160 --> 00:35:27,930 +ال falling down قبل شهرو ساعدني في تشخيصي يوم + +480 +00:35:27,930 --> 00:35:30,610 +لأيام جاني مريض ال main complaint right side + +481 +00:35:30,610 --> 00:35:33,910 +weakness الحاج عمره حوالي سبعين سنة تقريبا كان + +482 +00:35:33,910 --> 00:35:39,270 +المريض هذا ماقدرت أخد منه هسرية حاجة و جعت ماجعتش + +483 +00:35:39,270 --> 00:35:43,330 +لما أجى ابنه سألت ابنه قال لي قبل شهر يا دكتور هو + +484 +00:35:43,330 --> 00:35:47,110 +بتوضع و وجع على رأسه او بيبقى، هذا مهم جدا لل + +485 +00:35:47,110 --> 00:35:50,010 +trauma انه عنده history of trauma and falling down + +486 +00:35:50,010 --> 00:35:53,310 +one month agoعملت brain CT كان عنده sub-neural + +487 +00:35:53,310 --> 00:35:58,750 +hematoma نظيف تحت الأم الجافية كان هذا مهم جدا + +488 +00:35:58,750 --> 00:36:04,090 +لتشخيص الحالات إذا في عنده histerotrauma ننتقل + +489 +00:36:04,090 --> 00:36:08,250 +لجزئية أخرى drug history إيش أنا في ال drug + +490 +00:36:08,250 --> 00:36:13,470 +history؟ نسأل عن ال drug intakes أهم شيء نسأل ب + +491 +00:36:14,650 --> 00:36:20,710 +generic name الإسم العلمي وممكن أحط بين جثين الإسم + +492 +00:36:20,710 --> 00:36:27,690 +التجاري لأنه يعني لو جينا علاج اسمه atrovastatin + +493 +00:36:27,690 --> 00:36:32,330 +بنعطيه للدهون يفضل أكتب اسمه atrovastatin للدهون + +494 +00:36:32,330 --> 00:36:36,670 +هذا بنعطاه هيقول ال epidemic agent لكن لو جينا + +495 +00:36:36,670 --> 00:36:43,410 +لشركة ال goodsبس اسمه ليبونيل بيرزيت اسمه libidix + +496 +00:36:43,410 --> 00:36:47,510 +شركة إدارة الشفاء اسمه Trovan يقول أنا ممكن أحدد + +497 +00:36:47,510 --> 00:36:50,530 +الدواء أو العلاج اللي باخده بين جثين اسم التجارة + +498 +00:36:50,530 --> 00:36:54,490 +لكن أهم شيء أسجله باسم العلم generic name لأن + +499 +00:36:54,490 --> 00:36:57,670 +المادة الفعالة أو المادة العلمية هي موجودة في + +500 +00:36:57,670 --> 00:37:02,290 +العالم كله في الصين أو اليابان هي نفس الاسم بسأل + +501 +00:37:02,290 --> 00:37:05,270 +إذا المريض باخد streptomycin ممكن يسببله + +502 +00:37:05,270 --> 00:37:10,340 +peripheral neuropathyميجار ترانكوليزاتور زي + +503 +00:37:10,340 --> 00:37:15,710 +الرزابين و البرومازين ممكن تعملنا Parkinsonismيوم + +504 +00:37:15,710 --> 00:37:19,650 +الأيام بيجيني مريض على عيادة عنده mandibular + +505 +00:37:19,650 --> 00:37:23,730 +dystonia mandibular dystonia حركات لا إيرادية في + +506 +00:37:23,730 --> 00:37:29,570 +الفم و في الفاك سألته سؤال بتاخد أي علاجات ما + +507 +00:37:29,570 --> 00:37:33,890 +باخدش كانت زوجتي معاه طلعت زوجتي برا العيادة .. + +508 +00:37:33,890 --> 00:37:37,770 +الغرفة اللي هو بطلعني من جيبته علاج اللي كان + +509 +00:37:37,770 --> 00:37:40,150 +العلاج اللي عنده ال chlorpromazine باخد + +510 +00:37:40,150 --> 00:37:43,670 +chlorpromazine عشان هو بيقولك أنه خلاص أنا نفسيتي + +511 +00:37:43,670 --> 00:37:47,590 +تعبان أو بدأ أرتاحهذا الكروابرومازين بعمل + +512 +00:37:47,590 --> 00:37:51,650 +depletion للدوبامين ولمّا يعمل depletion للدوبامين + +513 +00:37:51,650 --> 00:37:56,760 +راح يعملنا involuntary movementيبقى انحل خلاص نعرف + +514 +00:37:56,760 --> 00:38:01,420 +المشكلة انحلت ما لازم أعمله لا CT ولا برنامج مراعي + +515 +00:38:01,420 --> 00:38:05,200 +ولا شيء المشكلة drug induced involuntary movement + +516 +00:38:05,200 --> 00:38:10,420 +في الحلقة هذه لازم أعمل stop لل chlorpromazine و + +517 +00:38:10,420 --> 00:38:15,080 +أعطيه medications يزودوا عنده إيش + +518 +00:38:18,070 --> 00:38:21,190 +الـ Dopamine نعطي الـ Levadopa و Carbidopa أو نعطي + +519 +00:38:21,190 --> 00:38:24,510 +drugs يقللوا الأستيطاع الكلين الـ Trihexyphenidyl + +520 +00:38:24,510 --> 00:38:27,590 +وبتحل مشكلتنا، يبقى ضروري نسأل عن drug history + +521 +00:38:27,590 --> 00:38:31,650 +استيرويد، إذا المريض بياخد استيرويد، ممكن استيرويد + +522 +00:38:31,650 --> 00:38:37,820 +يعملنا استيرويد Myopathy Contraceptive pillsمهم + +523 +00:38:37,820 --> 00:38:42,320 +جدا الـ Contraceptive pills ممكن تؤدي إلى DVT قبل + +524 +00:38:42,320 --> 00:38:49,300 +أسبوعين شخص حالة ديورال فيناس رامبوسس عندها ديورال + +525 +00:38:49,300 --> 00:38:52,740 +فيناس رامبوسس في ال right transverse and sigmoid + +526 +00:38:52,740 --> 00:38:56,600 +sinus و عاملة complication hemorrhagic infarction + +527 +00:38:56,600 --> 00:39:00,140 +hemorrhagic infarction مافي عندها أي chronic + +528 +00:39:00,140 --> 00:39:04,080 +illness طلبنا كل ال profile الترموفيليا كله normal + +529 +00:39:04,080 --> 00:39:08,740 +لكن الست هذه كانت تاخد إيش؟contraceptive pills + +530 +00:39:08,740 --> 00:39:11,800 +اقراص من الحمل و هذه اقراص من الحمل ممكن تزود ال + +531 +00:39:11,800 --> 00:39:14,260 +calculation و تدخلنا في thrombosis يبقى ان في + +532 +00:39:14,260 --> 00:39:18,540 +الحالة هذه ممنوع للست هذه او للمريضة هذه تاخد ال + +533 +00:39:18,540 --> 00:39:23,760 +contraceptive pills ممكن تسببنا stroke myocardial + +534 +00:39:23,760 --> 00:39:28,200 +infarction ال migraine و ال depression بربيتوريت + +535 +00:39:28,200 --> 00:39:31,340 +اذا مريض باخد بربيتوريت عندي مريض epileptic + +536 +00:39:31,340 --> 00:39:37,100 +patient المريض هذا أجانبmain complaint كان عنده + +537 +00:39:37,100 --> 00:39:40,660 +gate instability ataxia فلأ أنا في البداية انت في + +538 +00:39:40,660 --> 00:39:46,120 +خيرة تكون هل هذا ناجح عن tumor المريض well known + +539 +00:39:46,120 --> 00:39:50,720 +case to have epilepsy عنده صراع لما وصلت لل drug + +540 +00:39:50,720 --> 00:39:54,080 +history سألته ايش ال medications اللي بتاخدها كان + +541 +00:39:54,080 --> 00:39:59,000 +من ال medications ال barbiturate او luminal اذكرت + +542 +00:39:59,000 --> 00:40:02,500 +ان ال barbiturate overdose ممكن يعملنا gate + +543 +00:40:02,500 --> 00:40:06,160 +instabilityماذا طلبت للمريض؟ طلبت له brain CT وهي + +544 +00:40:06,160 --> 00:40:10,600 +واحد وطلبتله drug level نعمل serum drug level لل + +545 +00:40:10,600 --> 00:40:14,240 +barbiturate للفينو باربيتال لجينا الفينو باربيتال + +546 +00:40:14,240 --> 00:40:19,480 +عالي الطبيعي لحد 40 لجينا عنده 55 يبقى كانت over + +547 +00:40:19,480 --> 00:40:23,420 +dose of barbiturate وهي لبسة بباله cerebellar + +548 +00:40:23,420 --> 00:40:26,700 +ataxia وانحلت المشكلة عملنا adjustment of the dose + +549 +00:40:26,700 --> 00:40:30,870 +وهي الأعراض كلها اختفتالـ Tramadol حدث ولا حرج، + +550 +00:40:30,870 --> 00:40:33,370 +الحمد لله أنه صار غالي في غزة و لا كانوا ما شاء + +551 +00:40:33,370 --> 00:40:37,490 +الله ال tramal يشربوا كثير، اليوم حابة 150 شكل و + +552 +00:40:37,490 --> 00:40:41,890 +يعني صاروا يدوروا على أشياء ثانية مهم جدا ال + +553 +00:40:41,890 --> 00:40:44,990 +tramal و ال tramadol overdose يعملنا convergence + +554 +00:40:44,990 --> 00:40:48,190 +تلاقي المريض ماشي في الشارع بتشنج اللي ماعنده خبرة + +555 +00:40:48,190 --> 00:40:51,820 +يقولك تشنج هذا ناس جانيه بلبسهلا هذا مش Epilepsy + +556 +00:40:51,820 --> 00:40:55,020 +اللي المريض عنده، هذا عنده drug-induced convulsion + +557 +00:40:55,020 --> 00:40:57,680 +ناتجة عن الترامدولة، المريض هذا مش محتاج + +558 +00:40:57,680 --> 00:41:01,940 +antiepileptic drugs، محتاج withdrawal، انواجف، + +559 +00:41:01,940 --> 00:41:05,900 +stop، لا إيه، لا الترامدول، المرضى اللي بياخدوا + +560 +00:41:05,900 --> 00:41:09,080 +antineoplastic drugs اللي عندهم cancer و بياخدوا + +561 +00:41:09,080 --> 00:41:12,900 +antineoplastic drugs، في الحالة هذه ممكن يحدث + +562 +00:41:12,900 --> 00:41:19,220 +معاهم polyneuropathyالـ Vitamin A Overdose وكمانًا + +563 +00:41:19,220 --> 00:41:23,180 +الـ Pseudotumor cerebrae اللي هي الـ Benign + +564 +00:41:23,180 --> 00:41:26,560 +Intracranial Hypertension نشرحها إن شاء الله في + +565 +00:41:26,560 --> 00:41:31,520 +محاضرة الـ Headache Anti-TB drugs نفس الشيء كنا + +566 +00:41:31,520 --> 00:41:36,520 +بتقلل الـ Vitamin B و الـ Water سلب الـ Vitamins + +567 +00:41:36,520 --> 00:41:40,440 +وفي الحالة هذه محتاجين لإعطاء المرضى Vitamin B1, + +568 +00:41:40,580 --> 00:41:47,770 +B6, B12أو ماء نجريكوزايد الـ Antibiotics وتعملنا + +569 +00:41:47,770 --> 00:41:52,730 +Dizziness وتعملنا Loss of Hearingو anticholinergic + +570 +00:41:52,730 --> 00:41:57,770 +drugs السلفية مجنيزيوم البوتولينيوم توكسينز كل هذه + +571 +00:41:57,770 --> 00:42:01,090 +ممكن تعملنا deterioration لل patient اللي عندهم + +572 +00:42:01,090 --> 00:42:04,370 +myasthenia gravis و حذاري يكون المرضى اللي عندهم + +573 +00:42:04,370 --> 00:42:08,150 +myasthenia gravis نعطيهم anticholinergic drugs أو + +574 +00:42:08,150 --> 00:42:11,770 +سلفية مجنيزيوم أو بوتولينيوم ممكن أحتاج سلفية + +575 +00:42:11,770 --> 00:42:17,200 +مجنيزيوم لستاتفي حالة الـ Eclampsia و هنا الـ + +576 +00:42:17,200 --> 00:42:20,280 +management راح تختلف راح ندخل المريض ICU و نعمل + +577 +00:42:20,280 --> 00:42:25,260 +adjustment للدوزة و سلفية Magnesium و نزود العلاج + +578 +00:42:25,260 --> 00:42:28,020 +الـ cholinergic drugs اللي بنعطيهم للمرضى او الـ + +579 +00:42:28,020 --> 00:42:31,220 +anticholinergic drugs هذا موضوع اخر ان شاء الله + +580 +00:42:31,220 --> 00:42:34,860 +بنعطيكواياه لما تيجوا هنا في course نيرولوجي في + +581 +00:42:34,860 --> 00:42:40,900 +محاضرة Myasthenia Gravis بنتجل بعدها لموضوع ال + +582 +00:42:40,900 --> 00:42:44,820 +family historyfamily history، بنسأل إذا في similar + +583 +00:42:44,820 --> 00:42:48,860 +condition أو disease running in the family، بنسأل + +584 +00:42:48,860 --> 00:42:51,960 +عن موضوع زواج الأقارب، ليش زواج الأقارب، عشان + +585 +00:42:51,960 --> 00:42:56,380 +الموضوع ال genetic disease وال hereditary disease + +586 +00:42:56,380 --> 00:42:59,880 +الأمراض الوراثية اللي ممكن تكون عندهم تتورث في + +587 +00:42:59,880 --> 00:43:03,000 +زواج الأقارب اللي بتزوج بنت عمه، ابن عمه، ابن خال + +588 +00:43:03,000 --> 00:43:08,640 +و هذا كدهmany neurologic diseases have underlying + +589 +00:43:08,640 --> 00:43:12,460 +genetic components زي multiple sclerosis، زي + +590 +00:43:12,460 --> 00:43:18,640 +migraine، neurofibromatosis، إبلبس كل هذا الـ + +591 +00:43:18,640 --> 00:43:22,160 +Charcot-Marie-II disease اللي هو عبارة عن chronic + +592 +00:43:22,160 --> 00:43:27,480 +hereditary demyelinating polyneuropathy positive + +593 +00:43:27,480 --> 00:43:32,270 +family history of hypertension، heart diseaseخاصة + +594 +00:43:32,270 --> 00:43:36,010 +عند مرضى مين اللي عندهم stroke and cerebrovascular + +595 +00:43:36,010 --> 00:43:42,170 +disease نتجل ال social history social history + +596 +00:43:42,170 --> 00:43:47,550 +بنسأل على smoking smoking مدخن ولا لأ عايش بنسأل، + +597 +00:43:47,550 --> 00:43:52,910 +بسأل على ال mouthو الـ duration و الـ type هل هو + +598 +00:43:52,910 --> 00:43:57,730 +جندي؟ هل هو مقدم في التدخين؟ هل هو صار عقيد، عميد، + +599 +00:43:57,730 --> 00:44:02,610 +لوى؟ بحسب سنوات الخدمة و شرب الدخان يكون هذا مهم + +600 +00:44:02,610 --> 00:44:06,330 +جداً و كيف نشرع .. نحدد؟ راح نتكلم في الصيد بعده + +601 +00:44:06,330 --> 00:44:09,850 +بنسأل على ال smoking history على ال type of + +602 +00:44:09,850 --> 00:44:14,150 +smoking ممكن يكون جشيش عند مريض كان بيدخن حشيش و + +603 +00:44:14,150 --> 00:44:18,170 +عنده stroke و السبب اللي دخله في ال stroke تدخين + +604 +00:44:18,170 --> 00:44:22,510 +الحشيش بحششيبقى ان هذا ال type يبقى ان حد جشش ولا + +605 +00:44:22,510 --> 00:44:27,990 +إيه نيكوتين كله لازم نحدد إيش اللي بدخنه alcohol + +606 +00:44:27,990 --> 00:44:35,050 +history amount, duration and type occupation + +607 +00:44:35,050 --> 00:44:41,290 +social and education background إيش درجته عشان + +608 +00:44:41,290 --> 00:44:44,890 +أعرف أتكلم بأي لغة مع المريض كيف الوضع ال finance + +609 +00:44:44,890 --> 00:44:50,730 +عندهكيف وضع المادى؟ المريض وضعه باخد يعني شئون + +610 +00:44:50,730 --> 00:44:53,950 +اجتماعية ووضع الصيرب ماديا ماروحش اكتبله علاج حاجه + +611 +00:44:53,950 --> 00:44:58,850 +الف شكل ده فيه ممكنية اساعده بعلاج تانى ويحل + +612 +00:44:58,850 --> 00:45:03,590 +المشكلة يكون رخيص او موجود اكتبله ياه لكن ده وضع + +613 +00:45:03,590 --> 00:45:07,030 +الصيرب ماديا احاول أبعد عن الأدوية اللي هي very + +614 +00:45:07,030 --> 00:45:13,160 +expensivesocial class و ال home condition ضروري + +615 +00:45:13,160 --> 00:45:20,740 +هذا أحدده في موضوع ال social history مثال نحن + +616 +00:45:20,740 --> 00:45:21,900 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +617 +00:45:21,900 --> 00:45:22,160 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +618 +00:45:22,160 --> 00:45:22,380 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +619 +00:45:22,380 --> 00:45:23,420 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +620 +00:45:23,420 --> 00:45:24,940 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +621 +00:45:24,940 --> 00:45:27,620 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +622 +00:45:27,620 --> 00:45:32,760 +.. نحن .. نحن .. نحن .. نحن .. نحن .. نحن .. نحن + +623 +00:45:38,090 --> 00:45:45,330 +يعني example مريض بدخن عشرين سيجارة في اليوم، إله + +624 +00:45:45,330 --> 00:45:49,870 +تلاتين سنة مدخن، يعني وصل اللوة، تمام؟ كيف بنا + +625 +00:45:49,870 --> 00:45:56,710 +نحسب له؟ بنقول عشرين، عشرين سيجارة، ضرب تلاتين سنة + +626 +00:45:56,710 --> 00:46:01,960 +و بنجسم على عشرينبطلع عندى ثلاثين pack years + +627 +00:46:01,960 --> 00:46:06,260 +ثلاثين pack years نيجى ناخد مثال اخر مريض ثانى + +628 +00:46:06,260 --> 00:46:12,840 +بدخن عشر سجال في اليوم وله تلاتين سنةبندرب عشرة + +629 +00:46:12,840 --> 00:46:19,020 +ضرب تلاتين و بنجسم على إيش؟ على عشرين، بطلع خمساش + +630 +00:46:19,020 --> 00:46:23,960 +pack years وهكذا أنا بحسب كمية التدخين اللي + +631 +00:46:23,960 --> 00:46:27,520 +بيدخنها المريض لو بسجل المريض عنده تلاتين pack + +632 +00:46:27,520 --> 00:46:30,420 +years، عشرين pack years، خمساش pack years و بريح + +633 +00:46:30,420 --> 00:46:35,590 +رأسي و بكون عارف كمية التدخين، متوسط هذاهل + +634 +00:46:35,590 --> 00:46:40,950 +بتواجهنا مشاكل في obtaining a complete history؟ اه + +635 +00:46:40,950 --> 00:46:45,190 +ممكن تواجهنا مشاكل في اللي هو obtaining of + +636 +00:46:45,190 --> 00:46:48,930 +complete history زي ايه؟ مريض عنده loss of memory + +637 +00:46:48,930 --> 00:46:53,290 +مريض عنده loss of memory مريض Alzheimer كيف بدي + +638 +00:46:53,290 --> 00:46:56,090 +أخد منه التاريخ المرضي؟ في الحالة هذه أنا بلجأ لل + +639 +00:46:56,090 --> 00:46:59,070 +witness أو ال main part of family باخد منهم ال + +640 +00:46:59,070 --> 00:47:03,190 +history اتنين مريض عنده speech difficulty aphasia + +641 +00:47:03,780 --> 00:47:06,340 +المريض عنده حبسة كلامية، ما بتتكلم، كيف بدي أخد + +642 +00:47:06,340 --> 00:47:09,040 +منه history؟ برجع أخد ال history من وين؟ من ال + +643 +00:47:09,040 --> 00:47:13,100 +witness اللي معاه، المرافقين المريض language + +644 +00:47:13,100 --> 00:47:17,840 +barrier أنا سافرت و بعرفش لغة، أنا سافرت أسبانيا و + +645 +00:47:17,840 --> 00:47:20,980 +ما بعرف لغة أسبانية و مردت هناك في أسبانيا، ما + +646 +00:47:20,980 --> 00:47:25,000 +بقدر هو ياخد history مني أنا بعرفش إلا لغة عربي + +647 +00:47:25,000 --> 00:47:28,460 +على سبيل المثال كيف بدي أخد منه history؟ لازم يجيب + +648 +00:47:28,460 --> 00:47:34,100 +witness أو مترجم و ياخد منه التاريخ المرضي بتاعيال + +649 +00:47:34,100 --> 00:47:38,860 +drug intoxication واحد أجانب شارب كحول و مفلل كيف + +650 +00:47:38,860 --> 00:47:42,060 +بقدر أخد منه كلام .. كلام ما بقدر أصدقه و بيكون + +651 +00:47:42,060 --> 00:47:47,930 +المريض confused و يعني خارج الطغط يابيكونالواحد + +652 +00:47:47,930 --> 00:47:51,370 +عنده impaired level of consciousness عنده بلبس CVA + +653 +00:47:51,370 --> 00:47:54,570 +و loss of consciousness صعب تاخد منه history إذا + +654 +00:47:54,570 --> 00:47:57,730 +كان المريض هذا عنده impaired consciousness level + +655 +00:47:57,730 --> 00:48:01,130 +ناخد منه ال witness بتاعينه وإذا المريض عنده + +656 +00:48:01,130 --> 00:48:05,030 +psychiatric illness مريض عنده schizophrenia صعب + +657 +00:48:05,030 --> 00:48:07,630 +تاخد منه history ولو أخدت منه history ممكن الكلام + +658 +00:48:07,630 --> 00:48:12,390 +مايكونش مظبوط في الحالة هذه بلزم أخد ال history من + +659 +00:48:12,390 --> 00:48:18,390 +الأقار بتاعينه أو المرافقين اللي معاهبعدها بنتقل ل + +660 +00:48:18,390 --> 00:48:24,010 +system reviewSystem Review General weakness, + +661 +00:48:24,270 --> 00:48:29,450 +fatigue, anorexia, change of weight, fever, night + +662 +00:48:29,450 --> 00:48:34,070 +sweats ال cardiovascular في chest pain, + +663 +00:48:34,890 --> 00:48:40,130 +paroxysmal, dyspnea, orthopnoid, short of + +664 +00:48:40,130 --> 00:48:47,170 +breathing, cough, sputum, swelling, palpitations, + +665 +00:48:47,330 --> 00:48:53,210 +cyanosis كل هذا باخده GITده في عندنا ال appetite، + +666 +00:48:53,210 --> 00:48:58,710 +anorexia، weight change، diet، nausea، vomiting، + +667 +00:48:58,710 --> 00:49:02,270 +كل هذا بسأله للمريض، ده فيه جوندز، respiratory + +668 +00:49:02,270 --> 00:49:06,510 +system، ال cuff، productive cuff، dry cuff، + +669 +00:49:06,510 --> 00:49:10,410 +sputum، ال color تبع ال sputum، a mouth smell، + +670 +00:49:10,410 --> 00:49:14,050 +hemoptysis، chest pain، dyspnea، tachycardia + +671 +00:49:14,810 --> 00:49:19,130 +horseness و wheezing كل هذا نسأله للمرضى في + +672 +00:49:19,130 --> 00:49:22,630 +nervous system على موضوع ال behavior and other + +673 +00:49:22,630 --> 00:49:26,910 +cognitive abnormalities visual problem smell + +674 +00:49:26,910 --> 00:49:30,670 +problem taste hearing problem نتكلم عن speech + +675 +00:49:30,670 --> 00:49:34,550 +problem headache vertigo impaired consciousness + +676 +00:49:35,530 --> 00:49:39,850 +muscle paralysis, numbness and impaired sensation, + +677 +00:49:40,470 --> 00:49:44,070 +tremor and instability، كل هذا في الـ Systemic + +678 +00:49:44,070 --> 00:49:49,450 +Review بنسجله الـ urinary system، ال frequency، + +679 +00:49:49,450 --> 00:49:52,270 +نفس الشيء، إذا فيه dysuria، urine urgency, + +680 +00:49:53,750 --> 00:50:00,050 +dribbling, nocturnal aneurysis, incontinenceتمام + +681 +00:50:00,050 --> 00:50:03,590 +كل هذا ال character of urine ال color of mouth + +682 +00:50:03,590 --> 00:50:06,250 +عندهم polyuria زي مرضى اللي عندهم ال diabetes من + +683 +00:50:06,250 --> 00:50:10,570 +ال lettuce ال timing كل هذا مهم جدا و ال genitalia + +684 +00:50:10,570 --> 00:50:14,770 +إذا في pain، discomfort، itching يعني ممكن في ال + +685 +00:50:14,770 --> 00:50:18,690 +itching الستات يكون عندهم itching أو ال males + +686 +00:50:18,690 --> 00:50:21,510 +المرضى اللي عندهم DM يسمحوا في ال genitalia + +687 +00:50:21,510 --> 00:50:27,020 +itching و يكون ال itching is a sign of DMDischarge + +688 +00:50:27,020 --> 00:50:31,780 +إذا في عندهم inflammation أو infection Unusual + +689 +00:50:31,780 --> 00:50:36,420 +bleeding إذا في عندهم كاجولوبات بيبقى frequent + +690 +00:50:36,420 --> 00:50:43,340 +bleeding Musculoskeletal system في عندنا pain، في + +691 +00:50:43,340 --> 00:50:47,080 +joint pain، muscle pain، swelling، في weakness + +692 +00:50:47,080 --> 00:50:53,530 +ضروري، deformities على الجيلبعدها بنتجل لموضوع ال + +693 +00:50:53,530 --> 00:50:58,550 +examination هيك بيكون احنا خلصنا جزئية الأولى من + +694 +00:50:58,550 --> 00:51:03,270 +المحاضرة اللى هى جزئية ال history taking يعطيكوا + +695 +00:51:03,270 --> 00:51:03,830 +الف عافية + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/NDklKfD0WqM.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/NDklKfD0WqM.srt new file mode 100644 index 0000000000000000000000000000000000000000..d249274ef4c9fb7cff714d531217ae9816ef9707 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/NDklKfD0WqM.srt @@ -0,0 +1,2771 @@ +1 +00:00:06,780 --> 00:00:10,880 +بسم الله الرحمن الرحيم السلام عليكم اليوم هنحكي عن + +2 +00:00:10,880 --> 00:00:18,360 +gastro and sinus history taking لطلاب السنة الرابعة إن + +3 +00:00:18,360 --> 00:00:24,160 +شاء الله في الـ course بداية + +4 +00:00:24,160 --> 00:00:32,380 +هنحكي عن الـ principles of GI history taking في + +5 +00:00:32,380 --> 00:00:35,440 +مفهوم مهم جدا اللي هي medicine is planned by + +6 +00:00:36,010 --> 00:00:43,610 +بالجولة وليس في المدرسة يعني أكثر تدرس تجارب تجارب + +7 +00:00:43,610 --> 00:00:45,610 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +8 +00:00:45,610 --> 00:00:46,050 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +9 +00:00:46,050 --> 00:00:47,090 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +10 +00:00:47,090 --> 00:00:47,550 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +11 +00:00:47,550 --> 00:00:47,970 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +12 +00:00:47,970 --> 00:00:59,150 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +13 +00:00:59,820 --> 00:01:04,720 +وهي عادة تقرر ما هي التجارب المناسبة من خلال + +14 +00:01:04,720 --> 00:01:10,060 +التاريخ المرضي تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +15 +00:01:10,060 --> 00:01:10,100 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +16 +00:01:10,100 --> 00:01:10,300 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +17 +00:01:10,300 --> 00:01:11,360 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +18 +00:01:11,360 --> 00:01:17,900 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +19 +00:01:17,900 --> 00:01:21,300 +تقرر + +20 +00:01:28,460 --> 00:01:36,020 +كل طبيب أو كل طالب هيتنمي مهاراته بالنسبة لل + +21 +00:01:36,020 --> 00:01:43,400 +history taking it's history it's not story it's + +22 +00:01:43,400 --> 00:01:47,500 +objective not subjective دائماً في الـ history + +23 +00:01:47,500 --> 00:01:51,680 +taking usually try not to underestimate any point + +24 +00:01:51,680 --> 00:01:56,900 +تحكيها المريض لأنها ممكن تكون لها الكثير من المعاني + +25 +00:02:00,520 --> 00:02:06,560 +حاول أنت تأخذ history و لا تقلل نفسك لا تقلل نفسك لا + +26 +00:02:06,560 --> 00:02:11,120 +تقلل نفسك حاول أنت تنتقل من مكان إلى مكان و لا تقلل + +27 +00:02:11,120 --> 00:02:14,340 +نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل + +28 +00:02:14,340 --> 00:02:14,360 +نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل + +29 +00:02:14,360 --> 00:02:16,720 +نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل + +30 +00:02:16,720 --> 00:02:18,900 +نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل + +31 +00:02:18,900 --> 00:02:19,580 +نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل + +32 +00:02:19,580 --> 00:02:23,760 +نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل نفسك لا تقلل + +33 +00:02:23,760 --> 00:02:29,600 +نفسك لا + +34 +00:02:29,600 --> 00:02:35,040 +تمكن تغيير ترتيب الـ نقاط شرط أن ما ننسى أي واحد من + +35 +00:02:35,040 --> 00:02:39,220 +العناصر اللي موجودة دائماً لأن ما نريدش ندخل على + +36 +00:02:39,220 --> 00:02:44,680 +المريض و يختلف و يسترق لازم دائماً تحافظ على نفسك + +37 +00:02:44,680 --> 00:02:50,520 +اختلاف المكان ممكن يسبب خطر خاص في عصر الكورونا أو + +38 +00:02:50,520 --> 00:02:56,600 +يكون المكان ممكن يؤدي لأي التهاب أو infection لك و + +39 +00:02:56,600 --> 00:03:02,120 +لو في أي خطر حاول تلبس الـ protectiveor to take the + +40 +00:03:02,120 --> 00:03:07,840 +protective measures أكيد + +41 +00:03:07,840 --> 00:03:13,180 +for a male doctors do not enter to female patient + +42 +00:03:13,180 --> 00:03:18,040 +without chaperone لازم يكون معك أحد مراقب دائماً + +43 +00:03:18,040 --> 00:03:21,160 +استخدم مثلًا الـ doctor يقول sentence عندنا في + +44 +00:03:21,160 --> 00:03:25,840 +المجتمع نفسنا نقول السلام عليكم دائماً يكون عندك + +45 +00:03:25,840 --> 00:03:32,680 +البطاقة التعريفية معك و باسمك استخدم جملة عربية أو + +46 +00:03:32,680 --> 00:03:38,160 +مقدمة مثلًا مثلًا مجتمعنا السلام عليكم حاول تحويل + +47 +00:03:38,160 --> 00:03:43,480 +بينك و بين المريض علاقة تحويل rapport تحويل trust + +48 +00:03:43,480 --> 00:03:48,960 +و أنت بتحكي الـ history لازم تحكي الـ source of the + +49 +00:03:48,960 --> 00:03:52,280 +history الـ history it was taken from the patient + +50 +00:03:52,280 --> 00:03:57,380 +himself or it's a collateral history كولترهيسترية + +51 +00:03:57,380 --> 00:04:00,240 +ممكن تكون أحد أقارب المريض أو أحد المرافقين + +52 +00:04:00,240 --> 00:04:09,000 +الموجودين مع المريض الـ + +53 +00:04:09,000 --> 00:04:14,780 +history هي يعني عنصر مهم جداً في التشخيص الطبي الـ + +54 +00:04:14,780 --> 00:04:19,300 +history الصحيح أن أنا كنت هأقدم الـ history هأقدم + +55 +00:04:19,300 --> 00:04:22,420 +الـ history للآخرين هأعمل هأخذ الـ history لنفسي كنت + +56 +00:04:22,420 --> 00:04:25,880 +بتأخذ الـ history لحتى تقدم حالة المريض للآخرين حتى + +57 +00:04:25,880 --> 00:04:31,720 +يصلوا لقرار صحيح تشخيص صحيح و علاج صحيح و توجه أي + +58 +00:04:31,720 --> 00:04:38,040 +نوع من التحليل هيعملوها يشوفوا اللي لازم بالضبط + +59 +00:04:38,040 --> 00:04:41,700 +طبيعة الحالة بأن يشوف الـ modern medicine و + +60 +00:04:41,700 --> 00:04:46,480 +التطورات في الـ medicine الـ history taking تقريباً + +61 +00:04:46,480 --> 00:04:52,170 +أرخص طريقة لتشخيص المرض لأن المريض أنت لا هتعمل + +62 +00:04:52,170 --> 00:04:55,630 +تصوير ولا هتعمل تحليل و أنت فقط تحكي مع المريض بشكل + +63 +00:04:55,630 --> 00:05:02,410 +منظم هنأتي + +64 +00:05:02,410 --> 00:05:05,090 +للـ bed side manner and establishing rapport with a + +65 +00:05:05,090 --> 00:05:09,850 +patient history taking requires lot of practice + +66 +00:05:09,850 --> 00:05:13,530 +depends very much on the doctor patient + +67 +00:05:13,530 --> 00:05:18,930 +relationship history taking مع أنها نحكي أنها is a + +68 +00:05:18,930 --> 00:05:23,810 +cheap way تقوم بتجارب الاسم و تقوم بتجارب الاسم + +69 +00:05:23,810 --> 00:05:30,930 +بالطبال تحتاج الكثير من التعامل حتى تكون تبدأ تحكي + +70 +00:05:30,930 --> 00:05:35,290 +أو تأخذ استراتيجية سلسة لازم يكون فيه يصير ثقة + +71 +00:05:35,290 --> 00:05:39,950 +بينك و بين المريض المريض يجب أن يثق بك لأنه في + +72 +00:05:39,950 --> 00:05:42,030 +شغلات كثيرة مثلًا لما نأتي على الـ social history + +73 +00:05:42,030 --> 00:05:45,750 +ممكن ما يحكيهاش لأي إنسان ممكن يحكيها لك و لازم + +74 +00:05:45,750 --> 00:05:49,230 +المريض يحس نفسه أنه بأمان أن الكلام اللي بيحكي + +75 +00:05:49,230 --> 00:05:50,350 +ما يطلعش لأي إنسان + +76 +00:06:02,830 --> 00:06:05,210 +طبيعي تهدف .. you should aim to leave the patient + +77 +00:06:05,210 --> 00:06:07,670 +feeling better for your visits .. تكون المريض + +78 +00:06:07,670 --> 00:06:15,770 +مرتاح .. المريض يتكلم .. المريض يعبر عن شكواه الـ + +79 +00:06:15,770 --> 00:06:19,430 +history taking معناه .. الحكاية ممكن تكون سهلة .. + +80 +00:06:19,430 --> 00:06:22,070 +بس it's overall a certificate that you need to + +81 +00:06:22,070 --> 00:06:27,530 +teach .. أنت ممكن تأخذ الـ principles of history + +82 +00:06:27,530 --> 00:06:31,370 +taking .. بس أنت هتطور نفسك .. هي أن تكون أمور + +83 +00:06:31,370 --> 00:06:31,990 +سلسة معك + +84 +00:06:35,530 --> 00:06:37,890 +much has been written about the correct way to + +85 +00:06:37,890 --> 00:06:40,650 +interview patients but each doctor has developed + +86 +00:06:40,650 --> 00:06:45,190 +his or her own method guided by experience gained + +87 +00:06:45,190 --> 00:06:49,810 +from clinical teachers and patients يعني في الكثير + +88 +00:06:49,810 --> 00:06:53,030 +مكتوب عن هذا و في الكثير من الكتب بتحكي عن الـ history + +89 +00:06:53,030 --> 00:06:55,930 +taking في الكثير من الكتب بتحكي عن الـ physical + +90 +00:06:55,930 --> 00:07:01,490 +examination عن الطريقة الصحية أنه يأخذها بل لكن + +91 +00:07:01,490 --> 00:07:07,130 +بالأخير كل دكتور هيكون له طريقته بحيث أنه ما يغفل أي عنصر + +92 +00:07:07,130 --> 00:07:10,610 +من العناصر المهمة يعني العناصر الـ vital في الـ + +93 +00:07:10,610 --> 00:07:14,630 +physical examination و هذه طريقة الحالة للطبيب أو + +94 +00:07:14,630 --> 00:07:18,870 +الطبيب حتى و طريقته المعينة قد تكون تعلمها أو + +95 +00:07:18,870 --> 00:07:26,430 +اتسببت في التعامل مع الكثير من المرضى و الأساتذة ده + +96 +00:07:26,430 --> 00:07:34,180 +obtaining a history طبيعة الحالة عندما تحكي تحتاج + +97 +00:07:34,180 --> 00:07:41,180 +من 45 دقيقة إلى ساعة أقل أو أكثر لازم تكون تعمل + +98 +00:07:41,180 --> 00:07:46,000 +rough notes ما تكون مشغول كثيراً في الكتابة و أنت + +99 +00:07:46,000 --> 00:07:49,320 +بتسأل المريض دائماً تحاول تحافظ و أنت بتسأل المريض + +100 +00:07:49,320 --> 00:07:52,520 +أن يكون في eye contact بينك و بينه ما تكون مشغول + +101 +00:07:52,520 --> 00:07:58,300 +بالتكتب .. احنا بدنا نحكي عن rough notes أعطي + +102 +00:07:58,300 --> 00:08:05,780 +المريض فرصة أنه يحكي عن قصته حاول تسأل بس ما تخلي + +103 +00:08:05,780 --> 00:08:08,460 +الـ mind of you ترسل دامت و أنت حاول تـ guide him + +104 +00:08:08,460 --> 00:08:11,180 +أنك أنت هتحصل على المعلومة اللي أنت بدك إياها + +105 +00:08:11,180 --> 00:08:16,000 +always listen carefully at the end of history and + +106 +00:08:16,000 --> 00:08:20,360 +physical examination till record is made يعني أنا + +107 +00:08:20,360 --> 00:08:23,640 +بكون أخذت rough notes في البداية بكون سمعتها بشكل + +108 +00:08:23,640 --> 00:08:27,380 +جيد جداً للمريض أخذت كل عناصر الـ history بعدين ممكن + +109 +00:08:27,380 --> 00:08:30,700 +تكون معاه وقت عيد تنظيم الـ .. الـ notes اللي أخذتها + +110 +00:08:30,700 --> 00:08:31,580 +و الكلام اللي سمعته + +111 +00:08:38,890 --> 00:08:42,970 +أول حاجة في الـ history هنبدأ بأخذ الـ demographic + +112 +00:08:42,970 --> 00:08:52,990 +data هنأخذ اسم المريض هنأخذ عمر المريض هنأخذ عنوان + +113 +00:08:52,990 --> 00:08:58,290 +المريض اللي بقى لزمه وبعدين لازم نعمل record هل هي + +114 +00:08:58,290 --> 00:09:00,830 +this history is taken from the patient himself ولا + +115 +00:09:00,830 --> 00:09:05,330 +it's collateral history حكينا + +116 +00:09:05,330 --> 00:09:10,080 +اسم المريض، عنوان المريض، عمر المريض هو male و لا + +117 +00:09:10,080 --> 00:09:15,100 +female؟ إذا + +118 +00:09:15,100 --> 00:09:20,200 +كان المريض مدخل إلى المستشفى، كيف دخل إلى + +119 +00:09:20,200 --> 00:09:24,820 +المستشفى؟ هل المريض دخل من طريق العيادة؟ أو دخل عن + +120 +00:09:24,820 --> 00:09:29,760 +طريق الطوارئ؟ + +121 +00:09:29,760 --> 00:09:32,080 +في بعض الأحيان في الـ demographic data ممكن نحتاج + +122 +00:09:32,080 --> 00:09:36,840 +نسأل عن الـ marital status تبع المريضة نحب نسأل + +123 +00:09:36,840 --> 00:09:41,840 +عن الـ incubation و أحيان في ناس بتستعمل it smoking + +124 +00:09:41,840 --> 00:09:45,680 +أو صمغ بتفسر بيخليها في الـ social history الآخر + +125 +00:09:45,680 --> 00:09:49,480 +هنأتي + +126 +00:09:49,480 --> 00:09:52,580 +على أول عنصر في عنصر ال history taking اللي هي + +127 +00:09:52,580 --> 00:09:58,440 +presenting symptoms أو symptom مع أننا لازم لسه + +128 +00:09:58,440 --> 00:10:02,680 +نحكي ما يتقاش المشكلة خلتك تيجي ع المستشفى أو خلتك + +129 +00:10:02,680 --> 00:10:09,900 +تراجع لأي دكتور معنا up to three symptoms with their + +130 +00:10:09,900 --> 00:10:14,840 +duration مثلا headache for three days abdominal + +131 +00:10:14,840 --> 00:10:23,760 +pain for one day vomiting for one week بعد + +132 +00:10:23,760 --> 00:10:26,900 +ما الناس سألنا عن ال presenting symptom سندخل على + +133 +00:10:26,900 --> 00:10:30,380 +ال presenting illness الى كيف نبصل ال presenting + +134 +00:10:30,380 --> 00:10:36,420 +symptom في طريقة معينة مبسطة جدا ال presenting + +135 +00:10:36,420 --> 00:10:43,830 +illness كيف نفصلها؟ نقتصرها بحاجة اسمها SOPRESS ال + +136 +00:10:43,830 --> 00:10:50,150 +S is sight سبع ال pain أو الشكوى تحت المرض ال O + +137 +00:10:50,150 --> 00:10:54,710 +stands for onset هل هو acute؟ بدأ قبل دقائق أو + +138 +00:10:54,710 --> 00:10:58,070 +ساعات سبع acute ساعات لأيام أو chronic long + +139 +00:10:58,070 --> 00:11:03,710 +standing ال C اللي هي ال character هل هو stabbing؟ + +140 +00:11:03,710 --> 00:11:07,190 +مثلا لو كان يعطينا ال pain هل هو colicky؟ هل هو + +141 +00:11:07,190 --> 00:11:10,590 +sharp؟ هل هو ضل؟ هل هو burning in nature و لا + +142 +00:11:10,590 --> 00:11:13,770 +cramping أو throbbing؟ و نسيت أن أسأل عن ال + +143 +00:11:13,770 --> 00:11:19,150 +pattern هل هو continuous و لا intermittent؟ حاجة + +144 +00:11:19,150 --> 00:11:23,550 +مهمة جدا هي ال radiation هل هذا الألم أو الشكوى و + +145 +00:11:23,550 --> 00:11:28,170 +هيتنتج إلى مكان آخر؟ هل مثلا ال pain ممكن يكون في + +146 +00:11:28,170 --> 00:11:31,530 +ال abdomen و يطلع ال right shoulder؟ أو مثلا يرفع + +147 +00:11:31,530 --> 00:11:34,390 +ال back؟ الحاجة المهمة جدا من الـ Certificate هي + +148 +00:11:34,390 --> 00:11:37,490 +الـ Associated Symptoms هل فيه Symptoms مع ال .. + +149 +00:11:37,490 --> 00:11:40,790 +مع الشكوى هذه صارت؟ مثلًا أبت من الفين هل كان فيه + +150 +00:11:40,790 --> 00:11:44,410 +معاه vomiting؟ فيه معاه diarrhea؟ فيه معاه constipation؟ + +151 +00:11:44,410 --> 00:11:49,790 +فيه معاه jaundice؟ فيه معاه fever؟ + +152 +00:11:49,790 --> 00:11:52,390 +بعدين ال E stands for Exacerbating and Relieving + +153 +00:11:52,390 --> 00:11:56,950 +Factors أيش الأشياء اللي خلت الألم يزيد؟ هل ليها + +154 +00:11:56,950 --> 00:11:59,290 +علاقة بالأكل؟ هل ليها علاقة بال psychological + +155 +00:11:59,290 --> 00:12:03,020 +factors؟ هل ليها علاقة بأي أشياء أخرى؟ وما ننساش + +156 +00:12:03,020 --> 00:12:07,060 +نسأل عن ال relieving factors تمام مثل هل هو أخذت بعض + +157 +00:12:07,060 --> 00:12:10,200 +ال drugs هل هو أغير ال position هل هو أعمل أي شيء + +158 +00:12:10,200 --> 00:12:13,720 +ثاني وما ننساش نسأل عن ال severity اللي هي ال S + +159 +00:12:13,720 --> 00:12:18,420 +stands for severity ونعمل scale نعطي المريض مثال + +160 +00:12:18,420 --> 00:12:22,540 +ونقول للمريض مثلا زي وجع الأسنان عشرة لو كان شريط + +161 +00:12:22,540 --> 00:12:26,120 +جدا أو وجع خفيف جدا ونضغطيه بالكامل على scale high + +162 +00:12:26,120 --> 00:12:28,000 +لتقييمك لشدة الألم + +163 +00:12:36,880 --> 00:12:40,400 +هنبدأ نحكي عن Abdominal pain مثلا لو مرضى أجانب + +164 +00:12:40,400 --> 00:12:44,940 +Abdominal pain احنا هناخد الاختصار اللى كنا حاكينه + +165 +00:12:44,940 --> 00:12:49,900 +عنه قبل شوية اللى هو SOPRESS Abdominal pain مرضكم + +166 +00:12:49,900 --> 00:12:57,760 +مثلا أجانب Abdominal pain شو أسأل عنه؟ + +167 +00:12:57,760 --> 00:13:02,180 +أول + +168 +00:13:02,180 --> 00:13:08,680 +شي هسأل عن حرف ال S اللى هو site وين كان الألم؟ هل + +169 +00:13:08,680 --> 00:13:10,160 +كان في الـ Epigastrium؟ في الـ Right Upper + +170 +00:13:10,160 --> 00:13:12,060 +Quadrant؟ في الـ Left Upper Quadrant؟ في الـ + +171 +00:13:12,060 --> 00:13:16,500 +Suprapubic؟ في الـ Lumbar Areas؟ Peri-umbilical؟ + +172 +00:13:16,500 --> 00:13:22,960 +Wherever it is؟ هيك ممكن نمشينا على ال .. على ال + +173 +00:13:22,960 --> 00:13:29,140 +site لنوصف + +174 +00:13:29,140 --> 00:13:32,780 +متى بدأ الألم اللي فيه؟ هل هو بدأ مفاجئ؟ ممكن هل + +175 +00:13:32,780 --> 00:13:36,370 +هو فاكر في عدد ال days؟ هو الـ Cystitis هو + +176 +00:13:36,370 --> 00:13:38,910 +الـ sub-acute له ساعات لأيام و لو it's chronic + +177 +00:13:38,910 --> 00:13:42,790 +يعني له فترة، له أشهر، أيام، أشهر، كيف هي ال + +178 +00:13:42,790 --> 00:13:45,550 +character تبعه؟ هل المريض حاول يوصف ليه؟ هل هو + +179 +00:13:45,550 --> 00:13:48,930 +stabbing؟ هل هو colicky؟ هل هو شعر ضل؟ burning، + +180 +00:13:48,930 --> 00:13:51,990 +cramping، throbbing؟ مانساش نسأل عن ال pattern ال + +181 +00:13:51,990 --> 00:13:56,370 +pattern اللي هو عبارة عن هل هو الألم متواصل ولا + +182 +00:13:56,370 --> 00:13:58,370 +بيجي in attacks، intermittent + +183 +00:14:02,290 --> 00:14:07,570 +نسأل عن الـ radiation نسأل عن الـ radiation نسأل + +184 +00:14:07,570 --> 00:14:07,890 +عن الـ radiation نسأل عن الـ radiation نسأل عن الـ + +185 +00:14:07,890 --> 00:14:07,970 +radiation نسأل عن الـ radiation نسأل عن الـ + +186 +00:14:07,970 --> 00:14:08,310 +radiation نسأل عن الـ radiation نسأل عن الـ + +187 +00:14:08,310 --> 00:14:09,630 +radiation نسأل عن الـ radiation نسأل عن الـ + +188 +00:14:09,630 --> 00:14:10,450 +radiation نسأل عن الـ radiation نسأل عن الـ + +189 +00:14:10,450 --> 00:14:11,390 +radiation نسأل عن الـ radiation نسأل عن الـ + +190 +00:14:11,390 --> 00:14:15,610 +radiation نسأل + +191 +00:14:15,610 --> 00:14:18,150 +عن الـ radiation نسأل عن الـ radiation نسأل عن الـ + +192 +00:14:18,150 --> 00:14:19,470 +radiation نسأل عن الـ radiation نسأل عن الـ + +193 +00:14:19,470 --> 00:14:19,910 +radiation نسأل عن الـ radiation نسأل عن الـ + +194 +00:14:19,910 --> 00:14:26,530 +radiation نسأل عن الـ radiation نسأل عن الـ + +195 +00:14:26,530 --> 00:14:26,730 +radiation + +196 +00:14:29,900 --> 00:14:32,500 +لو كان الفصيلة اللي هيكون صعب المريض يقدر يحدد + +197 +00:14:32,500 --> 00:14:37,520 +المكان هنسى على ال radiation مثلا بعض المرضى اللي + +198 +00:14:37,520 --> 00:14:39,740 +بيكون عندهم right upper quadrant ممكن يكون دول و + +199 +00:14:39,740 --> 00:14:43,980 +برادير انفلان فبصي radiation لل right shoulder لو + +200 +00:14:43,980 --> 00:14:48,040 +كان مثلا ال abdominal pain في ال epigastrium radiating + +201 +00:14:48,040 --> 00:14:50,360 +through to the back مثلا في ال pancreatic areas أو + +202 +00:14:50,360 --> 00:14:54,820 +penetrating the pectoralis تمام؟ it also may + +203 +00:14:54,820 --> 00:14:57,020 +radiate to the shoulder with diaphragmatic + +204 +00:14:57,020 --> 00:15:06,870 +irritation or to the neck with esophageal reflux ال + +205 +00:15:06,870 --> 00:15:09,750 +character كأول مرة بنسمه الـ Abdominal pain may be + +206 +00:15:09,750 --> 00:15:12,970 +colicky coming and going in waves are related to + +207 +00:15:12,970 --> 00:15:15,770 +peristaltic movement or steady colicky pain comes + +208 +00:15:15,770 --> 00:15:21,010 +from obstruction of bowel or the ureters لازم أسأل + +209 +00:15:21,010 --> 00:15:25,190 +هل ال pain is chronic ولا acute ولا sub acute + +210 +00:15:25,680 --> 00:15:30,180 +مثلًا، daily pattern هل هو مستمر أو intermittent أو تبدأ + +211 +00:15:30,180 --> 00:15:36,260 +في وقت محدد من اليوم؟ aggravating و relieving + +212 +00:15:36,260 --> 00:15:41,280 +factors هذه + +213 +00:15:41,280 --> 00:15:47,480 +مهمة جدًا مهم جدًا أعرفها، يعني في أشياء تتوت من + +214 +00:15:47,480 --> 00:15:48,980 +الألم أو في أشياء تقلل + +215 +00:15:52,560 --> 00:15:55,700 +Pain due to peptic ulceration may or may not be + +216 +00:15:55,700 --> 00:16:01,400 +related to meals مثلا، eating may precipitate pain + +217 +00:16:01,400 --> 00:16:04,920 +in the gut لو كان المريض عنده Crohn's disease + +218 +00:16:04,920 --> 00:16:10,640 +كمان، ممكن مع الأكل يزيد في بعض الحالات، may + +219 +00:16:10,640 --> 00:16:14,540 +relieve peptic ulcer مثلا pain أو gastroesophageal + +220 +00:16:14,540 --> 00:16:18,460 +reflux identification or passage of stools may + +221 +00:16:18,460 --> 00:16:20,540 +relieve the pain of chronic obstruction + +222 +00:16:23,960 --> 00:16:27,340 +Patients who get some relief by rolling around + +223 +00:16:27,340 --> 00:16:29,620 +vigorously are more likely to have colicky pain, + +224 +00:16:29,940 --> 00:16:32,760 +while those who lie perfectly still are more + +225 +00:16:32,760 --> 00:16:36,000 +likely to have peritonitis يعني المرضى اللى + +226 +00:16:36,000 --> 00:16:39,140 +بتلاقيه بيلف يمين شمال في البطن دو في الأغلب + +227 +00:16:39,140 --> 00:16:42,160 +عنده colicky abdominal pain اللي جاى بجهة الحركة ده + +228 +00:16:42,160 --> 00:16:47,360 +عنده peritonitis Pattern + +229 +00:16:47,360 --> 00:16:50,540 +of pain لو بنيجي نحكي عن peptic ulcer disease كيف ال + +230 +00:16:50,540 --> 00:16:52,800 +pattern أنها من أهم الأمراض اللي حانوتيها في ال GI + +231 +00:16:52,800 --> 00:16:58,970 +.This is basically a dull or burning pain in the + +232 +00:16:58,970 --> 00:17:02,130 +epigastrium، الـ Epigastrium بيكون relieved to a + +233 +00:17:02,130 --> 00:17:05,150 +certain degree by food or antacids، الـ Antacids + +234 +00:17:05,150 --> 00:17:08,570 +دي بعض الأدوية اللي بتطبق الحمض في المعدة، it's + +235 +00:17:08,570 --> 00:17:12,310 +typically episodic and may occur at night، احنا + +236 +00:17:12,310 --> 00:17:16,410 +بنقول في ال medicine، انه اي nocturnal + +237 +00:17:16,410 --> 00:17:20,490 +pain، أي nocturnal pain I have to consider organic + +238 +00:17:20,490 --> 00:17:20,970 +cause + +239 +00:17:24,390 --> 00:17:26,330 +و المريض ممكن يكون عنده Peptic Ulcer Disease و + +240 +00:17:26,330 --> 00:17:29,270 +ممكن يكون بشكل abdominal pain الـ that may occur at + +241 +00:17:29,270 --> 00:17:35,470 +night احنا في الأغلب فيه إيش هتسمعوه دائما، اللي هو + +242 +00:17:35,470 --> 00:17:42,370 +الـ Peptic Ulcer أو Gastric Ulcer is exacerbated + +243 +00:17:42,370 --> 00:17:46,630 +أو Gastric Ulcer pain is exacerbated by eating + +244 +00:17:46,630 --> 00:17:51,790 +while the duodenal ulcer is relieved by meals + +245 +00:17:53,550 --> 00:17:56,470 +بس هذا مش كتير يعني لما نقول في medical practice عشان + +246 +00:17:56,470 --> 00:17:59,790 +نحس ان هذا ما هوش معناه بس it's a point to be taught + +247 +00:17:59,790 --> 00:18:03,170 +ان الناس اللي معاها gastric أكثر بتحس بتتعب مع + +248 +00:18:03,170 --> 00:18:05,310 +الأكل و الناس اللي معاها duodenal أكثر بتحسوا مع + +249 +00:18:05,310 --> 00:18:10,290 +الأكل بس ايه صعب نقدر نحدد اثنين أو نفرق بينهم + +250 +00:18:10,290 --> 00:18:16,190 +بناء على اللي هي history فقط pancreatic + +251 +00:18:16,190 --> 00:18:19,270 +pain this is steady epigastric.. steady + +252 +00:18:19,270 --> 00:18:24,230 +epigastric pain الذي يمكن أن يكون مجلدًا استرخائيًا + +253 +00:18:24,230 --> 00:18:30,010 +بقعد المرض ومقعد المرض بالأغلب + +254 +00:18:30,010 --> 00:18:35,910 +هذه الحرارة تتحرك تتحرك من الخلف ومشاركة + +255 +00:18:35,910 --> 00:18:43,490 +بالمواطنان بلياري مثلًا يسمى بليار كليك حرارة + +256 +00:18:43,490 --> 00:18:48,030 +غالبًا كليك عندما تحصل على تجارب محددة الحرارة + +257 +00:18:51,280 --> 00:18:53,500 +ممكن يصير في الـepigastrium، ما يصيرش في الـright + +258 +00:18:53,500 --> 00:18:57,900 +upper quadrant. The pain is severe, constant pain + +259 +00:18:57,900 --> 00:19:02,500 +reaching a plateau lasting from four to six hours + +260 +00:19:02,500 --> 00:19:07,920 +and then it starts to decrease في المريض + +261 +00:19:07,920 --> 00:19:10,680 +هيكون فيه history of episodes of similar pain + +262 +00:19:17,520 --> 00:19:19,900 +مثل الحكاية لو كان system بتاعة obstruction يكون + +263 +00:19:19,900 --> 00:19:24,160 +البين بكاسرك لما نصير كل الـsocieties بيصير عندي + +264 +00:19:24,160 --> 00:19:26,300 +أنا الـright upper quadrant اللي دي عايز يبقى right + +265 +00:19:26,300 --> 00:19:31,060 +shoulder رينال + +266 +00:19:31,060 --> 00:19:36,760 +كوليك المرضيين بتقابلون البين it's consistent with + +267 +00:19:36,760 --> 00:19:41,640 +renal colic. This is a colicky pain superimposed on + +268 +00:19:41,640 --> 00:19:45,100 +a background of constant pain in the renal angle + +269 +00:19:46,190 --> 00:19:49,450 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +270 +00:19:49,450 --> 00:19:50,150 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +271 +00:19:50,150 --> 00:19:59,030 +عقلي عقلي عقلي + +272 +00:19:59,030 --> 00:20:01,250 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +273 +00:20:01,250 --> 00:20:03,410 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +274 +00:20:03,410 --> 00:20:03,430 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +275 +00:20:03,430 --> 00:20:05,590 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +276 +00:20:05,590 --> 00:20:10,570 +عقلي + +277 +00:20:10,570 --> 00:20:17,140 +عقلي with a cycle cycle every two to three + +278 +00:20:17,140 --> 00:20:20,020 +minutes, two to three minutes as well as small... + +279 +00:20:20,020 --> 00:20:23,500 +small bowel obstruction بيجي بـcycles. الـlarge bowel + +280 +00:20:23,500 --> 00:20:26,280 +of obstruction بيجي with cycles for 10 to 15 + +281 +00:20:26,280 --> 00:20:28,980 +minutes. Obstruction is often associated with + +282 +00:20:28,980 --> 00:20:31,280 +vomiting, constipation, and abdominal extension as + +283 +00:20:31,280 --> 00:20:36,080 +of small bowel obstruction لما + +284 +00:20:36,080 --> 00:20:39,180 +نيجي نحكي على الحكاية اللي .. حكيناها هنُسأل .. + +285 +00:20:39,180 --> 00:20:41,940 +هناخد الـdemographic data بتاعة المريض، الـmode of + +286 +00:20:41,940 --> 00:20:45,260 +admission, Source of History هنحكي عن Present + +287 +00:20:45,260 --> 00:20:51,080 +Illness معناه تلت شكاوي أو complaints، ودالي الـ + +288 +00:20:51,080 --> 00:20:55,780 +duration بعدها حاجة مفصل، ففي تلت أسس، تلت شغلات + +289 +00:20:55,780 --> 00:21:01,740 +مهمة جدا نسأل عنها اللي هي الـconstitutional symptoms + +290 +00:21:01,740 --> 00:21:08,040 +اللي هي الـfever regardless of the essential أو + +291 +00:21:08,040 --> 00:21:11,200 +الشكوى الرئيسية عند المريض، هنُسأل عن الـfever + +292 +00:21:14,550 --> 00:21:18,790 +سنسأل عن الـweight change. سنسأل عن الـweight + +293 +00:21:18,790 --> 00:21:19,190 +change. سنسأل عن الـweight change. سنسأل عن الـ + +294 +00:21:19,190 --> 00:21:23,890 +weight change. سنسأل عن الـweight + +295 +00:21:23,890 --> 00:21:31,850 +change. سنسأل + +296 +00:21:31,850 --> 00:21:35,070 +عن الـweight change. سنسأل عن الـweight change. + +297 +00:21:35,070 --> 00:21:39,190 +سنسأل عن الـweight change. سنسأل عن الـweight + +298 +00:21:39,190 --> 00:21:40,270 +change. سنسأل عن الـweight change. سنسأل عن الـ + +299 +00:21:40,270 --> 00:21:41,550 +weight change. سنسأل عن الـweight change. سنسأل عن + +300 +00:21:41,550 --> 00:21:42,290 +الـweight change. سنسأل عن الـweight change. سنسأل + +301 +00:21:42,290 --> 00:21:44,980 +الـweight change. سنسأفاكر دا إن المريض عنده + +302 +00:21:44,980 --> 00:21:47,440 +weight loss. عنده وصف appetite، malignancy، chronic + +303 +00:21:47,440 --> 00:21:52,500 +infection، but it may also occur with + +304 +00:21:52,500 --> 00:21:55,360 +psychological factors، like depression and other + +305 +00:21:55,360 --> 00:21:58,540 +diseases. The combination of weight loss with an + +306 +00:21:58,540 --> 00:22:00,940 +increased appetite، وبعد ما نقول أيه weight loss، + +307 +00:22:00,940 --> 00:22:03,360 +وزنه منزل، بس الـappetite زايدة، ممكن نفكر في الـ + +308 +00:22:03,360 --> 00:22:06,060 +hypermetabolic status، زي مثلًا الـdiuretic + +309 +00:22:06,060 --> 00:22:11,880 +psychosis. مهم جدا إحنا نحكت متى بلش وصف appetite، + +310 +00:22:11,880 --> 00:22:17,290 +متى بدأ الـweight change أو loss، ولازم تسأل + +311 +00:22:17,290 --> 00:22:21,550 +المريض كان how much he lost، و هل this is + +312 +00:22:21,550 --> 00:22:24,290 +intentional or unintentional؟ هل المريض مثلًا كان + +313 +00:22:24,290 --> 00:22:28,210 +بعمل dieting ونزل على أساسه، ولا هو كان الـ + +314 +00:22:28,210 --> 00:22:31,590 +appetite عنده normal أو decreased بس برضه منزل + +315 +00:22:31,590 --> 00:22:34,990 +المرض اللي عنده liver disease، مراد بسبب + +316 +00:22:34,990 --> 00:22:40,630 +disturbance of taste، اتطور مثلًا بعض الناس بسبب + +317 +00:22:40,630 --> 00:22:48,290 +acute hepatitis B. بعض الناس اللي بيعرف إنه بيعرف + +318 +00:22:48,290 --> 00:22:48,350 +إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف + +319 +00:22:48,350 --> 00:22:50,390 +إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف + +320 +00:22:50,390 --> 00:22:50,810 +إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف + +321 +00:22:50,810 --> 00:22:50,950 +إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف إنه بيعرف + +322 +00:23:17,620 --> 00:23:22,280 +في شكة مهمة لازم برضه نحكي عنها في الـGI اللي هي + +323 +00:23:22,280 --> 00:23:28,260 +early satiety and post prandial fullness. هذه تقصد + +324 +00:23:28,260 --> 00:23:31,600 +inability to finish a normal meal. Early satiation + +325 +00:23:31,600 --> 00:23:33,900 +may be a symptom of gastric disease including + +326 +00:23:33,900 --> 00:23:37,020 +gastric cancer and peptic ulcer disease. A feeling + +327 +00:23:37,020 --> 00:23:39,900 +of inappropriate fullness after eating can also be + +328 +00:23:39,900 --> 00:23:42,720 +a symptom of functional GI زي مثلًا gastroparesis + +329 +00:23:47,020 --> 00:23:49,960 +الـNausea and Vomiting من السمتن المهم جدا في الـGI + +330 +00:23:49,960 --> 00:23:57,100 +في أغلب الأحيان الأسباب هم تكون إكسر الـGI، هناك + +331 +00:23:57,100 --> 00:23:59,900 +الكثير من الممكن أن يكون هذا المشكلة بشكل أكبر + +332 +00:23:59,900 --> 00:24:04,220 +مثلًا إذا كانت الإنسان مصاب بالإنفاق من طعام مصاب + +333 +00:24:04,220 --> 00:24:06,280 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +334 +00:24:06,280 --> 00:24:06,560 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +335 +00:24:06,560 --> 00:24:06,580 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +336 +00:24:06,580 --> 00:24:08,060 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +337 +00:24:08,060 --> 00:24:12,540 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب بالإنف + +338 +00:24:12,780 --> 00:24:15,780 +الدراجات مثلًا ديجاكين أو بيات أو بمينابونيسكين + +339 +00:24:15,780 --> 00:24:18,260 +والثلاثاء يجب أن يكونوا دائمًا متعارضون ولم يتم + +340 +00:24:18,260 --> 00:24:23,080 +إدماجهم. دراجات الـG.I.s تعتبر تقليدات مع وظيفة + +341 +00:24:23,080 --> 00:24:26,280 +بسيطة ودستركتشن. مصادر مصادر مصادر مصادر مصادر + +342 +00:24:26,280 --> 00:24:27,100 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +343 +00:24:27,100 --> 00:24:27,580 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +344 +00:24:27,580 --> 00:24:29,500 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +345 +00:24:29,500 --> 00:24:37,140 +مصادر مصادر + +346 +00:24:37,140 --> 00:24:41,250 +مصادand rarely increased intracranial pressure + +347 +00:24:41,250 --> 00:24:43,270 +should be considered in patients with chronic + +348 +00:24:43,270 --> 00:24:45,910 +unexplained nausea and vomiting. يعني لو المريض + +349 +00:24:45,910 --> 00:24:48,090 +عنده unexplained nausea and vomiting، I have to + +350 +00:24:48,090 --> 00:24:53,730 +think of extra GI causes like for example intracranial + +351 +00:24:53,730 --> 00:24:58,050 +.. increased intracranial pressure يكون + +352 +00:24:58,050 --> 00:25:02,310 +عند المريض مثلًا فيه عنده mass فيه عنده brain أو فيه + +353 +00:25:02,310 --> 00:25:08,540 +عنده thrombus أو whatever.الوقت للعبور يمكن أن يكون + +354 +00:25:08,540 --> 00:25:10,660 +مفيدًا. عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +355 +00:25:10,660 --> 00:25:12,140 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +356 +00:25:12,140 --> 00:25:13,180 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +357 +00:25:13,180 --> 00:25:15,120 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +358 +00:25:15,120 --> 00:25:19,300 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +359 +00:25:19,300 --> 00:25:21,900 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +360 +00:25:21,900 --> 00:25:22,020 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +361 +00:25:22,020 --> 00:25:27,560 +عن عبارة عن عبارة عن عبارة + +362 +00:25:27,560 --> 00:25:34,260 +عن عب + +363 +00:25:35,470 --> 00:25:38,810 +لأن المريض الذي أجيب أقولك أنا، I'm pointing one to + +364 +00:25:38,810 --> 00:25:41,670 +two hours after a meal, it's mostly consistent with + +365 +00:25:41,670 --> 00:25:47,470 +gastric outlet obstruction or gastroparesis. Heart + +366 +00:25:47,470 --> 00:25:49,850 +pain and regurgitation. Heart pain refers to + +367 +00:25:49,850 --> 00:25:52,230 +presence of burning pain or discomfort in the + +368 +00:25:52,230 --> 00:25:56,810 +retrosternal area. Typically, this sensation travels + +369 +00:25:56,810 --> 00:25:59,470 +up towards the throat and the ears after a meal, or + +370 +00:25:59,470 --> 00:26:01,750 +it's aggravated by bending, stooping, or lying + +371 +00:26:01,750 --> 00:26:05,840 +supine. الشيء يحدث بسبب تغيير مصادر السماء إلى + +372 +00:26:05,840 --> 00:26:09,160 +المصادر الكهربائية. الشيء يحدث بسبب تغيير مصادر + +373 +00:26:09,160 --> 00:26:10,540 +السماء إلى المصادر الكهربائية. الشيء يحدث بسبب + +374 +00:26:10,540 --> 00:26:10,600 +يحدث بسبب تغيير مصادر السماء إلى المصادر + +375 +00:26:10,600 --> 00:26:11,260 +الكهربائية. الشيء يحدث بسبب تغيير مصادر السماء إلى + +376 +00:26:11,260 --> 00:26:13,920 +المصادر الكهربائية الشيء يحدث بسبب تغيير مصادر + +377 +00:26:13,920 --> 00:26:22,080 +السماء إلى المصادر الكهربائية الشيء + +378 +00:26:22,080 --> 00:26:24,580 +يحدث بسبب تغيير مصادر السماء إلى المصادر + +379 +00:26:24,580 --> 00:26:31,800 +الكهربائية الشيء + +380 +00:26:31,800 --> 00:26:35,320 +يحدث عشان المريض كل جيه بيحكي أن أنا بيحكي أن أنا + +381 +00:26:35,320 --> 00:26:38,120 +بيحكي أن أنا بيحكي أن أنا بيحكي أن أنا بيحكي أن + +382 +00:26:38,120 --> 00:26:47,240 +أنا بيحكي أن أنا بيحكي أن أنا + +383 +00:26:47,240 --> 00:26:49,260 +بيحكي أن أنا بيحكي أن أنا بيحكي أن أنا بيحكي أن + +384 +00:26:49,260 --> 00:26:53,100 +أنا بيحكي أن أنا بيحكي أن أنا بيحكي أن أنا بيحكي + +385 +00:26:53,100 --> 00:27:01,600 +أن + +386 +00:27:02,470 --> 00:27:08,490 +بشكل مهم جدًا يجب أن نفصلها بشكل مهم جدًا في + +387 +00:27:08,490 --> 00:27:12,990 +الجداية بالنسبة لـ dysphagia سنَسأل متى بدأت؟ هل هي + +388 +00:27:12,990 --> 00:27:17,170 +تحصل مع الـ liquid أو مع الـ solids؟ لأن كل واحد + +389 +00:27:17,170 --> 00:27:22,750 +يلقوا differential diagnosis هل هو painful ولا + +390 +00:27:22,750 --> 00:27:27,950 +painless؟ هل في محقق بينوفاجيا؟ اللي بين الصحيحين + +391 +00:27:27,950 --> 00:27:31,130 +اللي بيستخدمها بقضوان أوسفاجية أكثر من عمل عمل عمل + +392 +00:27:31,130 --> 00:27:31,990 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +393 +00:27:31,990 --> 00:27:32,430 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +394 +00:27:32,430 --> 00:27:33,530 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +395 +00:27:33,530 --> 00:27:36,210 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +396 +00:27:36,210 --> 00:27:36,770 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +397 +00:27:36,770 --> 00:27:37,490 +عمل عمل عمل عمل عمل عمل عمل عمل + +398 +00:27:57,490 --> 00:28:01,870 +في الـ pharynx فـ Exhibition complaints of + +399 +00:28:01,870 --> 00:28:04,530 +difficulty in shifting, swallowing, chewing fluid + +400 +00:28:04,530 --> 00:28:07,190 +regurgitation from into the nose or choking on + +401 +00:28:07,190 --> 00:28:10,230 +trying to swallow this suggests the cause of + +402 +00:28:10,230 --> 00:28:13,370 +dysphagia is in the pharynx هذه related to + +403 +00:28:13,370 --> 00:28:16,190 +neurological like for example في يعني مشكلة في الـ + +404 +00:28:16,190 --> 00:28:18,630 +coordination of the pharyngeal muscles فبتبلش + +405 +00:28:18,630 --> 00:28:21,250 +المجلد أن دي dysphagia أول ما يبدأ يشرب أو يفتح + +406 +00:28:21,250 --> 00:28:25,090 +يسمى transit dysphagia أو pharyngeal dysphagia + +407 +00:28:25,390 --> 00:28:29,690 +فأفكر دائمًا في ال brain أو في ال muscles أو في ال + +408 +00:28:29,690 --> 00:28:35,710 +local cause في الفرنسا if + +409 +00:28:35,710 --> 00:28:37,770 +the patient complains of food sticking in the + +410 +00:28:37,770 --> 00:28:41,450 +esophagus it's important to ask patients to point + +411 +00:28:41,450 --> 00:28:45,110 +to the side where the food stick if heart pain is + +412 +00:28:45,110 --> 00:28:48,190 +also present for example this suggests the + +413 +00:28:48,190 --> 00:28:51,090 +gastroesophageal reflux with or without sexual + +414 +00:28:51,090 --> 00:28:54,990 +formation or ulceration يمكن أن يكون مرتبط أو يسبب + +415 +00:28:54,990 --> 00:29:00,750 +في الانتسفاج الوضع الحقيقي في الانتسفاج أيضًا مهم + +416 +00:29:00,750 --> 00:29:03,290 +جدًا جزء من التاريخ لكي تحصل عليه علاقة المالية + +417 +00:29:03,290 --> 00:29:06,710 +اللي هو هل هو مستمر أو مستمر؟ هل هو زي الميت + +418 +00:29:06,710 --> 00:29:10,990 +المهوأة أو هل هو بسيط؟ إذا كان الشخص يقول أن + +419 +00:29:10,990 --> 00:29:17,110 +الانتسفاج مستمر أو موجود فقط مع أول مرسوم من + +420 +00:29:17,110 --> 00:29:20,510 +الطعام، فهذا يشير إلى أقل مجموعة الانتسفاج أو + +421 +00:29:20,510 --> 00:29:24,320 +مجموعة الانتسفاج ولكن إذا كان الشخص يشعر بمشاكل + +422 +00:29:24,320 --> 00:29:27,520 +التطبيقات تتبع السويدية، هذا يشير إلى أسفلية أو + +423 +00:29:27,520 --> 00:29:31,060 +حتى كارسونومة إذا كان الشخص يشعر بمشاكل التطبيقات + +424 +00:29:31,060 --> 00:29:32,040 +بمشاكل التطبيقات تتبع السويدية أو حتى كارسونومة + +425 +00:29:32,040 --> 00:29:35,220 +إذا كان الشخص يشعر بمشاكل التطبيقات تتبع السويدية + +426 +00:29:35,220 --> 00:29:39,120 +أو حتى كارسونومة إذا كان الشخص يشعر بمشاكل + +427 +00:29:39,120 --> 00:29:44,200 +التطبيقات تتبع السويدية أو حتى كارسونومة إذا + +428 +00:29:44,200 --> 00:29:48,580 +كان الشخص يشعر بمشاكل التطبيقات تتبع السو + +429 +00:30:02,080 --> 00:30:02,380 +الله + +430 +00:30:31,860 --> 00:30:39,980 +اسم الـ course اسم الـ course اسم الـ course اسم الـ + +431 +00:30:39,980 --> 00:30:45,380 +course اسم الـ course اسم الـ course اسم الـ course + +432 +00:30:45,380 --> 00:30:45,400 +اسم الـ course اسم الـ course اسم الـ course اسم الـ + +433 +00:30:45,400 --> 00:30:47,060 +اسم الـ course اسم الـ course اسم الـ course اسم الـ + +434 +00:30:47,060 --> 00:30:47,820 +course اسم الـ course اسم الـ course اسم الـ course + +435 +00:30:47,820 --> 00:30:47,860 +اسم الـ course اسم الـ course اسم الـ course اسم الـ + +436 +00:30:47,860 --> 00:30:47,900 +course اسم الـ course اسم الـ course اسم الـ course + +437 +00:30:47,900 --> 00:30:47,920 +course اسم الـ course اسم الـ course اسم الـ course + +438 +00:30:47,920 --> 00:30:50,560 +اسم الـ course اسم الـ course اسم الـ course اسم الـ + +439 +00:30:50,560 --> 00:30:57,340 +course اسم الـ course اسم الـ course اسم الـ course + +440 +00:30:57,750 --> 00:31:00,530 +ممكن تتعرف على نفسها، الأكلة زي مثلًا أو الـ + +441 +00:31:00,530 --> 00:31:04,730 +diffuses with the smell عنيجي لأسمة تانية، اللي هو + +442 +00:31:04,730 --> 00:31:08,590 +الديارية الديارية البيت الحالي مش هنسأل في مثل + +443 +00:31:08,590 --> 00:31:11,910 +السفرية مش هنسأل عن ال site هنبدأ نسأل عن ال other + +444 +00:31:11,910 --> 00:31:17,070 +components of الديارية الديارية تعريفها can be + +445 +00:31:17,070 --> 00:31:20,390 +defined in a number of different ways patients may + +446 +00:31:20,390 --> 00:31:22,970 +complain of frequent stool more than three per day + +447 +00:31:22,970 --> 00:31:26,310 +being abnormal or they may complain of a change in + +448 +00:31:26,310 --> 00:31:30,310 +the consistency of stool الذين أصبحوا مفردين أو + +449 +00:31:30,310 --> 00:31:32,870 +ممارسين هناك عدد كبير من الممكن أن يكون السبب + +450 +00:31:32,870 --> 00:31:38,610 +دياريا عندما يتم تحقيق قصة دياريا، من المهم أن + +451 +00:31:38,610 --> 00:31:43,270 +تتأكد إذا كان هذا حدث بطريقة عادية أو إذا كانت + +452 +00:31:43,270 --> 00:31:46,670 +مشكلة كرونية دياريا عادية دياريا ممكن أن تكون + +453 +00:31:46,670 --> 00:31:51,030 +مصابة بالطبيعة، بينما كرونية دياريا لديها عدد كبير + +454 +00:31:51,030 --> 00:31:56,930 +من السبب الداريا يمكن أن تكون مجموعة من مجموعات + +455 +00:31:56,930 --> 00:32:00,410 +مختلفة بسبب تفاصيل الـ 7th solution لما نحكي عنها + +456 +00:32:00,410 --> 00:32:03,230 +كتفاصيل يجب أن نقول أن إذا كان هناك داريا لثانية + +457 +00:32:03,230 --> 00:32:05,090 +أو ثلاثة داريا إذا كان هناك داريا لثلاثة داريا إذا + +458 +00:32:05,090 --> 00:32:06,830 +كان هناك داريا لثلاثة داريا إذا كان هناك داريا + +459 +00:32:06,830 --> 00:32:08,550 +لثلاثة داريا إذا كان هناك داريا لثلاثة داريا إذا + +460 +00:32:08,550 --> 00:32:11,210 +كان هناك داريا لثلاثة داريا إذا كان هناك داريا لثلاثة + +461 +00:32:11,210 --> 00:32:17,490 +داريا إذا + +462 +00:32:17,490 --> 00:32:19,570 +كان هناك داريا لـ + +463 +00:32:22,580 --> 00:32:26,380 +and persists when the patient passes security + +464 +00:32:26,380 --> 00:32:30,460 +diarrhea high volume voluminous stops when the + +465 +00:32:30,460 --> 00:32:34,500 +patient passes في نفسي المعهد هذه الشغلات كتير في + +466 +00:32:34,500 --> 00:32:37,420 +corner of a small power مع infections and other + +467 +00:32:37,420 --> 00:32:41,400 +causes هذا اسمه ال diarrhea characterized by + +468 +00:32:41,400 --> 00:32:42,240 +disappearance + +469 +00:32:51,050 --> 00:32:53,930 +will not stop with fasting however الاسموتك دياري + +470 +00:32:53,930 --> 00:32:59,710 +هو stop with fasting لو المريض يصوم اتخذ فى ديارى + +471 +00:32:59,710 --> 00:33:04,250 +Secretary لها أسباب كتير ممكن تكون من الفكشين و + +472 +00:33:04,250 --> 00:33:07,930 +from many other causes في ال G.I. اسموتك دياري + +473 +00:33:07,930 --> 00:33:11,710 +المعنى فيه اسموتك والفلوريز في الستوري سحب محل فى + +474 +00:33:11,710 --> 00:33:14,550 +ال liquid أو ال fluid أو ال water في البرادس + +475 +00:33:14,550 --> 00:33:18,130 +التراجسيس المهم يجيد هذا للدياري أنه it stops with + +476 +00:33:18,130 --> 00:33:18,630 +fasting + +477 +00:33:21,140 --> 00:33:23,580 +by a large volume related to the digestion of + +478 +00:33:23,580 --> 00:33:28,040 +foods. اسموتك دياري أو care due to excessive use of + +479 +00:33:28,040 --> 00:33:32,720 +drugs يعني في بعض الاسموتك باركلز تسحب معها بسطول + +480 +00:33:32,720 --> 00:33:35,880 +ال causes derivingها including lactose + +481 +00:33:35,880 --> 00:33:39,580 +intolerance، magnesium antioxidase or gastric + +482 +00:33:39,580 --> 00:33:42,820 +steroid + +483 +00:33:42,820 --> 00:33:49,380 +الدياري ممكن تصير نتيجة أشياء خارج الـGI مثل الـ + +484 +00:33:49,380 --> 00:33:52,240 +Abnormal GI Motility في المرضى اللي أنت مريت + +485 +00:33:52,240 --> 00:33:53,280 +بروسيندروم أو في + +486 +00:33:53,280 --> 00:34:14,620 +الثيروتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركت + +487 +00:34:15,850 --> 00:34:18,750 +الستور بيصير fatty، pale, colored, extremely + +488 +00:34:18,750 --> 00:34:21,690 +smelly، float in the toilet, fall and are + +489 +00:34:21,690 --> 00:34:23,810 +difficult to flush away، هذا بيسمى استياطورية + +490 +00:34:23,810 --> 00:34:28,110 +استياطورية it's defined as the presence of more + +491 +00:34:28,110 --> 00:34:31,930 +than 70 gram of fat in 24 hour stool collection، + +492 +00:34:31,930 --> 00:34:38,610 +اللي هي كتير من الأسباب من الـ .. الـ complex اللي + +493 +00:34:38,610 --> 00:34:42,150 +بيجي فيها المريض ومدى التفصيل والجيهة يستخدم ليها + +494 +00:34:42,150 --> 00:34:47,690 +الـ constipation القنصيبات مهم أن تتعامل مع ما يعنيه + +495 +00:34:47,690 --> 00:34:52,310 +قنصيبات قنصيبات + +496 +00:34:52,310 --> 00:34:55,390 +قنصيبات موضوع عام ويمكن أن تتعامل مع بسيطات غير + +497 +00:34:55,390 --> 00:35:02,650 +عامة غير عامة وغير صعبة القنصيبات قنصيبات عامة أو + +498 +00:35:02,650 --> 00:35:04,330 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +499 +00:35:04,330 --> 00:35:04,490 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +500 +00:35:04,490 --> 00:35:07,270 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +501 +00:35:07,270 --> 00:35:08,230 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +502 +00:35:08,230 --> 00:35:13,950 +عامة أو قنصيبات + +503 +00:35:13,950 --> 00:35:19,860 +عامة فكالمكعب Constipation may arise from + +504 +00:35:19,860 --> 00:35:22,440 +ingestion of drugs كثير من الأدوية اللي هي علاقة + +505 +00:35:22,440 --> 00:35:23,800 +بتجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +506 +00:35:23,800 --> 00:35:24,260 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +507 +00:35:24,260 --> 00:35:25,380 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +508 +00:35:25,380 --> 00:35:27,560 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +509 +00:35:27,560 --> 00:35:27,600 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +510 +00:35:27,600 --> 00:35:32,920 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +511 +00:35:32,920 --> 00:35:41,900 +تجارب + +512 +00:35:41,900 --> 00:35:47,330 +التنسيق يمكن أن يحدث أيضًا بعد تغيير كونيكو من + +513 +00:35:47,330 --> 00:35:54,610 +الكرسينامو لهذه + +514 +00:35:54,610 --> 00:35:57,230 +السبب مهم جدًا أن نقوم بتأكيد ما إذا كان هناك + +515 +00:35:57,230 --> 00:36:01,330 +تغيير قديم في عبادتنا البعوث كما يمكن أن يشير إلى + +516 +00:36:01,330 --> 00:36:07,450 +تطور التعامل بالماليبنالسي الشخصين مع تنسيق عالي + +517 +00:36:07,450 --> 00:36:10,970 +جدًا في الانتقال التنسيقي يمكن أن يجدوا أنهم لديهم + +518 +00:36:10,970 --> 00:36:16,110 +تجارب غير عادية أو يكون لديه ترانزيب كورونايكي + +519 +00:36:16,110 --> 00:36:20,670 +بسيط بسبب التفاقوات التي يحدث فيها الناس بشكل كبير + +520 +00:36:20,670 --> 00:36:25,210 +بشكل كبير + +521 +00:36:25,210 --> 00:36:29,730 +بشكل كبير بشكل كبير بشكل كبير بشكل كبير + +522 +00:36:37,880 --> 00:36:40,420 +Chronic but erratic system of centrifugation + +523 +00:36:40,420 --> 00:36:42,280 +typical of alternating diarrhea with constipation + +524 +00:36:42,280 --> 00:36:44,640 +associated with abdominal pain in the absence of + +525 +00:36:44,640 --> 00:36:47,080 +any structural or biochemical abnormality is very + +526 +00:36:47,080 --> 00:36:49,160 +common، هذا بيشوفه في المرضى اللي عنده irritable + +527 +00:36:49,160 --> 00:36:54,360 +bowel syndrome Passage of mucus in stool is + +528 +00:36:54,360 --> 00:36:56,960 +important، passage of mucus may occur because of + +529 +00:36:56,960 --> 00:36:58,840 +certain anal or rectal + +530 +00:36:58,840 --> 00:37:02,200 +lesion، fistula، fissure، polyp + +531 +00:37:02,200 --> 00:37:04,300 +أو حتى ممكن تشوف معاناة irritable bowel syndrome + +532 +00:37:06,100 --> 00:37:08,600 +الـ Jaundice، الـ Jaundice من الـ complaints + +533 +00:37:08,600 --> 00:37:15,100 +المهمة جدا، it's usually the patient's relatives + +534 +00:37:15,100 --> 00:37:18,360 +notice any discoloration of the sclera or skin، + +535 +00:37:18,360 --> 00:37:20,440 +jaundice is due to the presence of unconjugated bilirubin + +536 +00:37:20,440 --> 00:37:23,640 +being deposited in the sclera and the skin، if + +537 +00:37:23,640 --> 00:37:26,840 +there is jaundice, we have to ask about the color + +538 +00:37:26,840 --> 00:37:30,620 +of the urine، هل صارت غير لون الورين أو لون + +539 +00:37:30,620 --> 00:37:34,030 +الستول؟فيروسات عن طريق الورين أو كارير بدل دستركشن + +540 +00:37:34,030 --> 00:37:39,110 +أو كوليستاتيك جوندس بسبب أن بيولوجينك غير قادر على + +541 +00:37:39,110 --> 00:37:42,050 +الوصول إلى تسنين تسنين أيضًا يجب أن نسأل عن أعراض + +542 +00:37:42,050 --> 00:37:46,850 +الفين بسبب أن مثلًا جولبرا و سوانس قد يسببا أعراض + +543 +00:37:46,850 --> 00:37:51,430 +فيلياري و جوندس سكراتش أو إتشينج مارس قد يظهر أنك + +544 +00:37:51,430 --> 00:37:58,210 +مناسب لإتشينج لتشينج هل هي علاقة بالـ G I نعم + +545 +00:37:58,210 --> 00:38:02,260 +لتشينج Symptom means itching of the skin and may be + +546 +00:38:02,260 --> 00:38:04,660 +either generalized or localized Cholestatic liver + +547 +00:38:04,660 --> 00:38:08,500 +disease, like primary biliary cholangitis, or + +548 +00:38:08,500 --> 00:38:10,640 +any cholestatic disorder of the liver may cause + +549 +00:38:10,640 --> 00:38:14,780 +pruritus Abdominal + +550 +00:38:14,780 --> 00:38:17,580 +bloating and swelling A feeling of swelling and + +551 +00:38:17,580 --> 00:38:20,640 +bloating may be a result of excess gas or + +552 +00:38:20,640 --> 00:38:23,200 +hypersensitivity in the tracts + +553 +00:38:30,210 --> 00:38:32,770 +Persistent swelling can be due to aspects of fluid + +554 +00:38:32,770 --> 00:38:35,890 +retention لو صار المريض عنده swelling لازم أنا + +555 +00:38:35,890 --> 00:38:39,370 +أسأل المريض متى بدأ الـ swelling هل هو localized في + +556 +00:38:39,370 --> 00:38:42,270 +مكان معين في الـ abdomen ولا هو generalized هل هو + +557 +00:38:42,270 --> 00:38:45,590 +progressive ولا regressive هل في مثلًا swelling في + +558 +00:38:45,590 --> 00:38:50,610 +مكان ثاني في الـ abdomen على كيف الـ distribution تبعه هل + +559 +00:38:50,610 --> 00:38:52,910 +مثلًا ممكن يكون عنده arthritis لو كان فيه تورم في + +560 +00:38:52,910 --> 00:38:55,750 +الـ abdomen يكون في موضف الـ pleural cavity هل في شيء + +561 +00:38:55,750 --> 00:38:59,990 +هو الـ cause لـ swelling هذه مهمة جدا نسأل عنها بالحقيقة + +562 +00:38:59,990 --> 00:39:02,130 +الشيء اللي ممكن يعمل تورم عندي في الـ abdomen نفسه خمس + +563 +00:39:02,130 --> 00:39:13,650 +أشياء ليه؟ fat, fluid, feces, and fetus اللي + +564 +00:39:13,650 --> 00:39:15,910 +خارج الـ awareness عن ال ease of activity من ال + +565 +00:39:15,910 --> 00:39:20,790 +symptoms مهم جدا للشخص اللي لها علاقة بالـ GI are + +566 +00:39:20,790 --> 00:39:22,730 +common symptoms for patients with acute or chronic + +567 +00:39:22,730 --> 00:39:27,290 +diseases but because it is not well known ممكن + +568 +00:39:27,290 --> 00:39:31,980 +يحدث نتيجة فقر دم أو أنيميا أو blood loss كونك + +569 +00:39:31,980 --> 00:39:35,380 +blood loss من الـ GI system يمنزل وجود قرحة أو + +570 +00:39:35,380 --> 00:39:39,000 +مجرد مجرد مالك نفسي أو whatever في الـ GI الإثار + +571 +00:39:39,000 --> 00:39:40,940 +دي is very common in the general population and + +572 +00:39:40,940 --> 00:39:44,380 +not a specific symptom بإختصار ممكن تكون الإثار + +573 +00:39:44,380 --> 00:39:48,400 +اللي بتاعة الناس دي بس يمكن تكون أنها علاقة بالـ GI + +574 +00:39:48,400 --> 00:39:51,320 +بال blood loss في الـ GI بالـ liver disease في الـ GI + +575 +00:39:51,320 --> 00:39:54,620 +بس ممكن نشوفها من الناس العادية بكل بساطة + +576 +00:40:02,360 --> 00:40:05,280 +بعد ما نكون مثلًا .. مثلًا فصلنا اللي احنا الـ + +577 +00:40:05,280 --> 00:40:08,100 +Seropositiveness نعمل باص medical history باص + +578 +00:40:08,100 --> 00:40:10,560 +medical history هل المريض كان عنده أمراض معينة؟ + +579 +00:40:10,560 --> 00:40:12,460 +أنا مهم جدا أن أسأل عنها هل المريض مثلًا عنده + +580 +00:40:12,460 --> 00:40:15,360 +history of liver disease؟ هل المريض عنده diabetes؟ + +581 +00:40:15,360 --> 00:40:18,040 +هل عنده hypertension؟ هل عنده chronic الأزمة؟ هل + +582 +00:40:18,040 --> 00:40:22,100 +عنده chronic kidney disease؟ هذه مهمة جدا هل + +583 +00:40:22,100 --> 00:40:25,180 +المريض عنده history .. history of similar + +584 +00:40:25,180 --> 00:40:28,000 +complaint في الباص؟ هل نفس الشيء صار معاه؟ نفس + +585 +00:40:28,000 --> 00:40:31,260 +الصندوق اللي جاي بيه هذا؟ هل كانت معاه موجودة ولا + +586 +00:40:31,260 --> 00:40:36,010 +لأ؟ وزي ما ذكرت لازم أخذ الـ vaccine كيف أتعالجه و كيف + +587 +00:40:36,010 --> 00:40:41,050 +أتشخصه و كيف أتشخصه و كيف أتشخصه و كيف أتشخصه و + +588 +00:40:41,050 --> 00:40:45,970 +كيف أتشخصه و كيف أتشخصه و كيف أتشخصه و كيف أتشخصه + +589 +00:40:45,970 --> 00:40:49,190 +و كيف أتشخصه و كيف أتشخصه و كيف أتشخصه و كيف + +590 +00:40:49,190 --> 00:40:50,850 +أتشخصه و كيف أتشخصه و كيف أتشخصه و كيف أتشخصه و + +591 +00:40:50,850 --> 00:40:56,090 +كيف أتشخصه و كيف أتشخصه و كيف أتشخصه و كيف أتشخصه + +592 +00:40:56,090 --> 00:41:00,210 +و كيف أتشخصه و كيف أتشخصه و كيف أتشخصه و كيف أ + +593 +00:41:06,970 --> 00:41:08,970 +هنسأل عن الـ treatment history الـ treatment history + +594 +00:41:08,970 --> 00:41:12,950 +is very important هل المريض لو بياخد علاجه هتشوف + +595 +00:41:12,950 --> 00:41:17,530 +واخده؟ و ليه؟ و ايش indication؟ و هل هو ملتزم فيها و + +596 +00:41:17,530 --> 00:41:20,930 +لا لأ؟ عندنا كثير من الـ drugs like menstruator + +597 +00:41:20,930 --> 00:41:26,390 +ممكن تعمل عندها بأسرك أو بدون ألصح ممكن تعمل عندها + +598 +00:41:26,390 --> 00:41:28,890 +كثير من الـ drugs ممكن تعمل عندي disturbance في ال + +599 +00:41:28,890 --> 00:41:31,250 +defecation مثلًا كما حكينا في الـ constipation + +600 +00:41:31,250 --> 00:41:33,950 +large number of drugs are also well known to + +601 +00:41:33,950 --> 00:41:36,830 +affect the liver مثلًا، الـ Acute Hepatitis ممكن تصير + +602 +00:41:36,830 --> 00:41:40,490 +نتيجة بعد أدوية التخدير زي اللي كانت، ممكن مع جرع + +603 +00:41:40,490 --> 00:41:43,570 +عالي من الـ Acetaminophen أو الباراسيتامول، بقى + +604 +00:41:43,570 --> 00:41:46,830 +2020، كل أستاذيس ممكن يصير كل بساطة مريض يجيني + +605 +00:41:46,830 --> 00:41:49,730 +بجهون دس، مع itching نتيجة أنه أخذ بعض ال + +606 +00:41:49,730 --> 00:41:54,070 +antibiotics مثلًا، زي اللي اتمنتين أنا أقولك، + +607 +00:41:54,070 --> 00:41:56,770 +السراز يفتح من البلد بلبن، وcontrast of the pills + +608 +00:41:56,770 --> 00:41:59,190 +can cause those related كل أستاذيس، يجيني مريض + +609 +00:41:59,190 --> 00:42:05,260 +بجهون دس، ويجيني مريض بـ itching Fatty liver من أحد + +610 +00:42:05,260 --> 00:42:08,360 +الحاجات الملموسة يكون خلّى الدموع تتجمع على ال + +611 +00:42:08,360 --> 00:42:11,620 +liver Cannot correlate with alcohol use, some + +612 +00:42:11,620 --> 00:42:13,780 +antibiotics like tetracycline, ibuprofen, and + +613 +00:42:13,780 --> 00:42:17,200 +amiodarone Acute liver cell necrosis can occur if + +614 +00:42:17,200 --> 00:42:23,300 +an overdose of paracetamol is taken Fast history + +615 +00:42:23,300 --> 00:42:25,700 +مثل ما حكيناه، الصحيح لازم يتعامل على ال procedure + +616 +00:42:25,700 --> 00:42:30,010 +من العملة، هل ممكن يكون مثلًا مريض؟ في عمله recently + +617 +00:42:30,010 --> 00:42:33,890 +had a surgery أخذ مثلًا أنا أناستيجيا معينة عملت عنده + +618 +00:42:33,890 --> 00:42:39,150 +جوانبس اللي أخذ قبل مثلًا العملية أخذ مثلًا أي drugs + +619 +00:42:39,150 --> 00:42:42,750 +ممكن تأثر على الـ liver ممكن أثناء العملية يكون + +620 +00:42:42,750 --> 00:42:44,530 +المريض مثلًا صار معاه hypertension أو يكون لديه + +621 +00:42:44,530 --> 00:42:46,910 +liver ischemia هيكل الأمور مهمة جدا + +622 +00:42:56,490 --> 00:42:59,250 +باص history مثلًا باص history of infectious disease + +623 +00:42:59,250 --> 00:43:04,670 +هم جدا الناس اللي عندهم not worth it ممكن عندهم + +624 +00:43:04,670 --> 00:43:07,670 +relaxed limiting course ممكن المريض ييجي ويأديهنا + +625 +00:43:07,670 --> 00:43:11,010 +الألم فجأة يختفي ويأديهنا الألم ويجي أيضًا عبارة عن + +626 +00:43:11,010 --> 00:43:15,770 +Family history flares up كتير مهمة ناخد ال family + +627 +00:43:15,770 --> 00:43:20,250 +history هل ال family history في أي family history + +628 +00:43:20,250 --> 00:43:24,590 +مثلا أي GI disturbance في أي family history of + +629 +00:43:24,590 --> 00:43:28,420 +malignancy في الفميلي هل عندهم colon cancer؟ هل في + +630 +00:43:28,420 --> 00:43:30,840 +عندهم في الفميلي history of pancreas disease؟ هذه + +631 +00:43:30,840 --> 00:43:34,380 +المهمة جدا هل في عندهم family history of jaundice؟ + +632 +00:43:34,380 --> 00:43:37,520 +من أي سبب؟ هل كان عمرهم مستثمرين تومي؟ هل في عندهم + +633 +00:43:37,520 --> 00:43:39,860 +أنيميا؟ هذه كل ال family history اللي لازم تكون + +634 +00:43:39,860 --> 00:43:44,580 +بشكل مبسطة ال social history كتير مهمة ال social + +635 +00:43:44,580 --> 00:43:49,340 +history مهمة جدا أول شيء بس occupation بعض مثلا + +636 +00:43:49,340 --> 00:43:53,570 +عمال ممكن يكون لها علاقة ب أعراض الجيارديا مثلا الـ + +637 +00:43:53,570 --> 00:43:58,150 +care workers ممكن يكونوا مثلا معرضين للانتقال إليهم + +638 +00:43:58,150 --> 00:44:02,810 +الهيباتيتس ال + +639 +00:44:02,810 --> 00:44:05,130 +social history مهم جدا نسأل عن ال recent troubles + +640 +00:44:05,130 --> 00:44:08,390 +ممكن تكون أجابهم من ال recent troubles من ال + +641 +00:44:08,390 --> 00:44:12,090 +infection where hepatitis infection is a endemic + +642 +00:44:12,090 --> 00:44:15,990 +ال alcohol history is important عادة بال habit لما + +643 +00:44:15,990 --> 00:44:19,590 +مهم جدا أسأل عن ال .. أسأل عن ال alcohol ال + +644 +00:44:19,590 --> 00:44:22,990 +smoking كم سيجارة بدخن المريض؟ الفترة اللي دخن فيها + +645 +00:44:22,990 --> 00:44:26,950 +لو مثلا بقعد of alcohol هل كمية اللي بخنتها هو + +646 +00:44:26,950 --> 00:44:30,290 +النوع اللي بخته؟ هل في sick contact؟ هل في contact + +647 +00:44:30,290 --> 00:44:34,450 +with anyone who had been jaundiced؟ ال sexual + +648 +00:44:34,450 --> 00:44:38,590 +history مهم جدا زي طرف الhistory هل في أي sexual + +649 +00:44:38,590 --> 00:44:42,950 +contact؟ يعني ثلاث contact with sick person لازم + +650 +00:44:42,950 --> 00:44:48,740 +أسألها with sexual contact سيك كونتاكت و sexual + +651 +00:44:48,740 --> 00:44:53,220 +contact وانساش بعض الحياة انسان animal contact هل + +652 +00:44:53,220 --> 00:44:55,560 +المرض كان له أي نوع من أنواع الحيوانات ممكن علاقة + +653 +00:44:55,560 --> 00:45:02,240 +ببعض الأعراض ولا لا مهم + +654 +00:45:02,240 --> 00:45:04,360 +جدا آخر أشهر السؤال المريض عن ال course اندهزته + +655 +00:45:04,360 --> 00:45:09,330 +كيف كانت ال hospital إيش عمل له؟ هل إيش كان تشخيص لو + +656 +00:45:09,330 --> 00:45:11,450 +كان مثلا كان موجود هذا الكلام في ال bus كان مدخل + +657 +00:45:11,450 --> 00:45:13,290 +بنفس ال command قبل هيك؟ إيش اللي عمل له؟ إيش + +658 +00:45:13,290 --> 00:45:15,630 +حكومة على طباب؟ إيش التشخيص؟ إيش التحاليل؟ إيش + +659 +00:45:15,630 --> 00:45:23,910 +العلاجات؟ وكيف كانت النتيجة؟ + +660 +00:45:23,910 --> 00:45:27,430 +في + +661 +00:45:27,430 --> 00:45:29,530 +الآخر we have to address the patient's functional + +662 +00:45:29,530 --> 00:45:34,110 +expectation إيش توقعه من ال .. تكون الحل لل + +663 +00:45:34,110 --> 00:45:35,110 +confidence بتبعته؟ + +664 +00:45:38,540 --> 00:45:42,480 +هل في أي إيش حاب يحكي مع حكاهه؟ في الآخر نشوف نسأل + +665 +00:45:42,480 --> 00:45:46,180 +المريض do you have anything else you want to tell + +666 +00:45:46,180 --> 00:45:49,100 +me؟ مرات ممكن احنا نرد نسأل نسأل ننسى بعض الأشياء + +667 +00:45:49,100 --> 00:45:53,220 +فقبل ما اختم طيب احنا بسأل المريض هل لديك أي أفواه + +668 +00:45:53,220 --> 00:45:56,680 +كرامات؟ هل لديك أي إيش حاب تحكيلي أنا نسيت أسألك + +669 +00:45:56,680 --> 00:46:04,140 +عنه؟ هذه المهمة جدا و في الآخر ال history هي عبارة + +670 +00:46:04,140 --> 00:46:08,150 +عن فنبتاك تتعلم .. بتاك كتير تشوف مرضى .. بتاك + +671 +00:46:08,150 --> 00:46:10,810 +كتير تاخد أسئلة من مرضى .. كل بيت تاخد منه أسئلة + +672 +00:46:10,810 --> 00:46:14,250 +.. و كل مرضى تتعلم منها .. هذه الأشياء المهمة جدا + +673 +00:46:14,250 --> 00:46:19,390 +.. و بالآخر ال test retaking .. بيطلع لنا review + +674 +00:46:19,390 --> 00:46:25,310 +of systems .. ممكن أسأل بعض الأسئلة .. بتعلق بكل + +675 +00:46:25,310 --> 00:46:28,290 +system في الجسم .. مثلا ال respiratory .. هل المرض + +676 +00:46:28,290 --> 00:46:30,950 +كان عنده cough .. ولا عنده كان مثلا .. في عنده + +677 +00:46:30,950 --> 00:46:35,880 +Hemoptysis .. في عنده أو الـ Sputum production + +678 +00:46:35,880 --> 00:46:39,700 +بالنسبة لكاردياك فل بعض الأسئلة ممكن أسألها بالنسبة + +679 +00:46:39,700 --> 00:46:41,880 +لماسكولتر بعض الأسئلة ال gynecological + +680 +00:46:41,880 --> 00:46:45,120 +rheumatology ممكن أسألها هذه الأسئلة كليتها حتى + +681 +00:46:45,120 --> 00:46:47,800 +هذي بيسميها review of systems هل في آخر كملة من + +682 +00:46:47,800 --> 00:46:53,400 +الكون اللي لها علاقة بالكلمة الأساسية ولا لأ بعد + +683 +00:46:53,400 --> 00:46:57,800 +أيه فسلم ع المال و بختمن اللي اشتريه و بقى ابتدي + +684 +00:46:57,800 --> 00:47:02,070 +أنا اكتب ال history من أول و أول و جديد أشوف أنا .. + +685 +00:47:02,070 --> 00:47:05,590 +هل أنا في شيء اللي لازم أسأل عنه أو .. أو في شيء + +686 +00:47:05,590 --> 00:47:10,110 +لازم أرتبه بشكل كويس ولا لأ ممكن آخد وقتي بعد ما + +687 +00:47:10,110 --> 00:47:14,770 +كنت .. آخد وقت تقريبا تلت ساعة نص ساعة إني أقدر + +688 +00:47:14,770 --> 00:47:18,490 +أكتب من أول لحديث وأرتب أفكاري عن اللي بدا إن + +689 +00:47:18,490 --> 00:47:21,230 +أحكيه وأنا بكتب حاجة في ال demographic data + +690 +00:47:21,230 --> 00:47:24,790 +presenting symptom and illness past medical + +691 +00:47:24,790 --> 00:47:28,890 +history family history medication history بعد هيك + +692 +00:47:30,110 --> 00:47:34,390 +بعدين آخر شيء بحط review of systems وأشكركم جزيلًا + +693 +00:47:34,390 --> 00:47:35,830 +وأتمنى أنكم استفدتوا من المحاضرة المفيدة لكم diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/NDklKfD0WqM_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/NDklKfD0WqM_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..b8a9eed34720850ae07572b3e0963cb6d2fd182c --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/NDklKfD0WqM_postprocess.srt @@ -0,0 +1,2772 @@ +1 +00:00:06,780 --> 00:00:10,880 +بسم الله الرحمن الرحيم السلام عليكم اليوم هنحك عن + +2 +00:00:10,880 --> 00:00:18,360 +gastro and sinus history taking لطلاب سن الرابع ان + +3 +00:00:18,360 --> 00:00:24,160 +شاء الله في ال course بداية + +4 +00:00:24,160 --> 00:00:32,380 +هنحك عن ال principles of GI history taking في + +5 +00:00:32,380 --> 00:00:35,440 +مفهوم مهم جدا اللي هي medicine is planned by + +6 +00:00:36,010 --> 00:00:43,610 +بالجولة وليس في المدرسة يعني أكتر تدرس تجارب تجارب + +7 +00:00:43,610 --> 00:00:45,610 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +8 +00:00:45,610 --> 00:00:46,050 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +9 +00:00:46,050 --> 00:00:47,090 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +10 +00:00:47,090 --> 00:00:47,550 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +11 +00:00:47,550 --> 00:00:47,970 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +12 +00:00:47,970 --> 00:00:59,150 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +13 +00:00:59,820 --> 00:01:04,720 +وهي عادة تقرر ما هي التجارب المناسبة من خلال + +14 +00:01:04,720 --> 00:01:10,060 +التقاط التاريخي تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +15 +00:01:10,060 --> 00:01:10,100 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +16 +00:01:10,100 --> 00:01:10,300 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +17 +00:01:10,300 --> 00:01:11,360 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +18 +00:01:11,360 --> 00:01:17,900 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +19 +00:01:17,900 --> 00:01:21,300 +تقرر + +20 +00:01:28,460 --> 00:01:36,020 +كل طبيب أو كل طالب هيتنمي مهاراته بالنسبة لل + +21 +00:01:36,020 --> 00:01:43,400 +history taking it's history it's not story it's + +22 +00:01:43,400 --> 00:01:47,500 +objective not subjective دايما في ال history + +23 +00:01:47,500 --> 00:01:51,680 +taking usually try not to underestimate any point + +24 +00:01:51,680 --> 00:01:56,900 +تحكيها المريض لأنها ممكن تكون لها كتير معاني + +25 +00:02:00,520 --> 00:02:06,560 +حاول انت تاخد history و لا تقل نفسك لا تقل نفسك لا + +26 +00:02:06,560 --> 00:02:11,120 +تقل نفسك حاول انت تنتقل من مكان إلى مكان و لا تقل + +27 +00:02:11,120 --> 00:02:14,340 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +28 +00:02:14,340 --> 00:02:14,360 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +29 +00:02:14,360 --> 00:02:16,720 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +30 +00:02:16,720 --> 00:02:18,900 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +31 +00:02:18,900 --> 00:02:19,580 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +32 +00:02:19,580 --> 00:02:23,760 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +33 +00:02:23,760 --> 00:02:29,600 +نفسك لا + +34 +00:02:29,600 --> 00:02:35,040 +تممكن تغير ترتيب الوحة شرط ان ما ننساش اي واحد من + +35 +00:02:35,040 --> 00:02:39,220 +العناصر اللي موجودة دايما لان مانديش ندخل على + +36 +00:02:39,220 --> 00:02:44,680 +الماري تختلف و تسترق لازم دايما تحافظ على نفسك + +37 +00:02:44,680 --> 00:02:50,520 +ماتفق المكان ممكن يسبب خطر خاص في عصر الكورونا او + +38 +00:02:50,520 --> 00:02:56,600 +يكون المكان ممكن يادى لأي اتهاب او infection لك و + +39 +00:02:56,600 --> 00:03:02,120 +لو في اي خطر حاول تلبس ال protectiveor to take the + +40 +00:03:02,120 --> 00:03:07,840 +protective measures أكيد + +41 +00:03:07,840 --> 00:03:13,180 +for a male doctors do not enter to female patient + +42 +00:03:13,180 --> 00:03:18,040 +without chaperone لازم يكون معاك حد مراقب دايما + +43 +00:03:18,040 --> 00:03:21,160 +استخدم مثلا ال doctor يقول sentence عندنا في + +44 +00:03:21,160 --> 00:03:25,840 +المجتمع نفسنا نقول السلام عليكم دايما يكون عندك + +45 +00:03:25,840 --> 00:03:32,680 +البطاقة التعريفية فيك و باسمكاستخدم جملة عربية او + +46 +00:03:32,680 --> 00:03:38,160 +مقدمة مثلا مثلا مجتمعنا السلام عليكم حاول تحويل + +47 +00:03:38,160 --> 00:03:43,480 +بينك وبين المريض علاقة تحويل رابار تحويل trust + +48 +00:03:43,480 --> 00:03:48,960 +وانت بتحكي ال history لازم تحكي ال source of the + +49 +00:03:48,960 --> 00:03:52,280 +history ال history it was taken from the patient + +50 +00:03:52,280 --> 00:03:57,380 +himself orit's a collateral history كولترهيسترية + +51 +00:03:57,380 --> 00:04:00,240 +ممكن تكون احد اقربها المريض او احد المرافقين + +52 +00:04:00,240 --> 00:04:09,000 +الموجودين مع المريض ال + +53 +00:04:09,000 --> 00:04:14,780 +history هي يعني انصر مهم جدا في التشخيص الطبي ال + +54 +00:04:14,780 --> 00:04:19,300 +history الصحيح ان انا كنت هتقدم ال history هتقدم + +55 +00:04:19,300 --> 00:04:22,420 +ال history للاخرين هتعمل تاخد ال history لنفسكانت + +56 +00:04:22,420 --> 00:04:25,880 +بتاخد الهستي لحتى تقدم الحالة المريض للاخرين حتى + +57 +00:04:25,880 --> 00:04:31,720 +يصلوا لقرار صحيح تشخيص صحيح وعلاج صحيح وتوجه أي + +58 +00:04:31,720 --> 00:04:38,040 +نوع من التحليل هيعملوها تشوفوا اللي لازم بالظبط + +59 +00:04:38,040 --> 00:04:41,700 +طبيعة الحالة بإن بيشوف ال modern medicine و + +60 +00:04:41,700 --> 00:04:46,480 +التطورات في ال medicine ال history taking تقريبا + +61 +00:04:46,480 --> 00:04:52,170 +أرخص طريقة لتشخيص المرض لأن المريضانت لا هتعمل + +62 +00:04:52,170 --> 00:04:55,630 +تصرير ولا هتعمل تحليل وانت فقط تحكي مع المريض بشكل + +63 +00:04:55,630 --> 00:05:02,410 +منظم هنيجي + +64 +00:05:02,410 --> 00:05:05,090 +لل bit side manner and establishing rapport with a + +65 +00:05:05,090 --> 00:05:09,850 +patient history taking requires lot of practice + +66 +00:05:09,850 --> 00:05:13,530 +depends very much on the doctor patient + +67 +00:05:13,530 --> 00:05:18,930 +relationship history taking مع أنها نحكي أنها is a + +68 +00:05:18,930 --> 00:05:23,810 +cheap wayتقوم بتجارب الاسم و تقوم بتجارب الاسم + +69 +00:05:23,810 --> 00:05:30,930 +بالطبال تحتاج كثير من التعامل حتى تكون تبدأ تحكي + +70 +00:05:30,930 --> 00:05:35,290 +أو تاخد استراتيجية سلسة لازم يكون فيه يصير ثقة + +71 +00:05:35,290 --> 00:05:39,950 +بينك و بين المريض المريض يجب أن يثق بك لأنه في + +72 +00:05:39,950 --> 00:05:42,030 +شغلات كتير مثلًا لما نيجي على ال social history + +73 +00:05:42,030 --> 00:05:45,750 +ممكن مياكهاش لأي إنسان ممكن أكلك إياها و لازم + +74 +00:05:45,750 --> 00:05:49,230 +المريض يحس نفسه ان هو بأمان ان الكلام اللي بيحكي + +75 +00:05:49,230 --> 00:05:50,350 +ماتطلعش لأي إنسان + +76 +00:06:02,830 --> 00:06:05,210 +طبيعي تلحق .. you should aim to leave the patient + +77 +00:06:05,210 --> 00:06:07,670 +feeling better for your visits .. تكون المريض + +78 +00:06:07,670 --> 00:06:15,770 +مرتاح .. المريض يتكلم .. المريض يتعبر عن شكواه ال + +79 +00:06:15,770 --> 00:06:19,430 +history taking معناه .. الحكيانة ممكن تكون سهلة .. + +80 +00:06:19,430 --> 00:06:22,070 +بس it's overall a certificate that you need to + +81 +00:06:22,070 --> 00:06:27,530 +teach .. انت ممكن تاخد ال principles of history + +82 +00:06:27,530 --> 00:06:31,370 +taking .. بس أنت هتطور نفسك .. هي أن تكون أمور + +83 +00:06:31,370 --> 00:06:31,990 +سلسة معاك + +84 +00:06:35,530 --> 00:06:37,890 +much has been written about the correct way to + +85 +00:06:37,890 --> 00:06:40,650 +interview patients but each doctor has developed + +86 +00:06:40,650 --> 00:06:45,190 +his or her own method guided by experience gained + +87 +00:06:45,190 --> 00:06:49,810 +from clinical teachers and patients يعني في كتير + +88 +00:06:49,810 --> 00:06:53,030 +مكتوب على الأحزن وفي كتير كتب بتحكي عن ال history + +89 +00:06:53,030 --> 00:06:55,930 +checking في كتير كتر بتحكي عن ال physical + +90 +00:06:55,930 --> 00:07:01,490 +examination عن الطريقة الصحية أنه خدها بل لكن + +91 +00:07:01,490 --> 00:07:07,130 +بالآخر كل دكتور هيكون ضيقهبحيث أنه ماينسعش أي عنصر + +92 +00:07:07,130 --> 00:07:10,610 +من الانصار المهمة يعني الانصار ال vital في ال + +93 +00:07:10,610 --> 00:07:14,630 +physical examination وهذه طريقة الحالة للطبيب أو + +94 +00:07:14,630 --> 00:07:18,870 +الطبيب حتى و طريقتها المعينة قد هتكون اتعلمها او + +95 +00:07:18,870 --> 00:07:26,430 +اتسبها في التعامل مع الكثير من المرضى و الأساتر ده + +96 +00:07:26,430 --> 00:07:34,180 +obtaining a history طبيعة الحالةعندما تحكي تحتاج + +97 +00:07:34,180 --> 00:07:41,180 +من 45 دقيقة إلى ساعة أقل أو أكتر لازم تكون تعمل + +98 +00:07:41,180 --> 00:07:46,000 +rough notes ما تكون مشغول كثير في كتابة و أنت + +99 +00:07:46,000 --> 00:07:49,320 +بتسأل المريض دايما تحاول تحافظ و أنت بتسأل المريض + +100 +00:07:49,320 --> 00:07:52,520 +أن يكون في eye contact بينك وبينه ما تكون مشغول + +101 +00:07:52,520 --> 00:07:58,300 +تكتب .. احنا بدنا نحكي عن rough notes اعطي + +102 +00:07:58,300 --> 00:08:05,780 +المريض فرصة أنه يحكيعن قسطوري حاول تسأل بس ما تخلي + +103 +00:08:05,780 --> 00:08:08,460 +ال mind of you ترسل دامت و انت حاول ت guide him + +104 +00:08:08,460 --> 00:08:11,180 +انك انت هتحصل على المعلومة اللي انت بدك إياها + +105 +00:08:11,180 --> 00:08:16,000 +always listen carefully at the end of history and + +106 +00:08:16,000 --> 00:08:20,360 +physical examination till record is made يعني انا + +107 +00:08:20,360 --> 00:08:23,640 +بكون أخدت rock notes في البداية بكون سمعتها بشكل + +108 +00:08:23,640 --> 00:08:27,380 +جيد جدا للمريض أخدت كل عناصر ال history بعدين ممكن + +109 +00:08:27,380 --> 00:08:30,700 +تكون معاه وقت عيد تنظيم ال .. ال notes اللي أخدتها + +110 +00:08:30,700 --> 00:08:31,580 +و الكلام اللي سمعته + +111 +00:08:38,890 --> 00:08:42,970 +أول حاجة في ال history هنبدأ بناخد ال demographic + +112 +00:08:42,970 --> 00:08:52,990 +data هناخد اسم المريض هناخد عمر المريض هناخد عنوان + +113 +00:08:52,990 --> 00:08:58,290 +المريض اللي بقى لزمه وبعدين لازم نعمل record هل هي + +114 +00:08:58,290 --> 00:09:00,830 +this history is taken from the patient himself ولا + +115 +00:09:00,830 --> 00:09:05,330 +it's collateral history حكينا + +116 +00:09:05,330 --> 00:09:10,080 +اسم المريض، عنوان المريض، عمر المريضهو male و لا + +117 +00:09:10,080 --> 00:09:15,100 +female؟ اذا + +118 +00:09:15,100 --> 00:09:20,200 +كان المريض مدخل الى المستشفى، كيف ادخل الى + +119 +00:09:20,200 --> 00:09:24,820 +المستشفى؟ هل المريض دخل من طريق العيادة؟ او دخل عن + +120 +00:09:24,820 --> 00:09:29,760 +طريق التوارئ؟ + +121 +00:09:29,760 --> 00:09:32,080 +في بعض الأحيان في الـ demographic data ممكن نحتاج + +122 +00:09:32,080 --> 00:09:36,840 +نسأل عن الـ marital status تبع التفتيشة نحب نسأل + +123 +00:09:36,840 --> 00:09:41,840 +عن ال incubationو أحيان في ناس تستلعن it smoking + +124 +00:09:41,840 --> 00:09:45,680 +أو صمغ بتفسر بيخليها في ال social history الأخر + +125 +00:09:45,680 --> 00:09:49,480 +هنيجي + +126 +00:09:49,480 --> 00:09:52,580 +على أول عنصر في عنصر ال history تاكين اللي هي + +127 +00:09:52,580 --> 00:09:58,440 +presenting symptoms أو symptom مع أننا لازم لسه + +128 +00:09:58,440 --> 00:10:02,680 +نحكي ما يتقاش المشكلة خلتك تيجي ع المستشفى أو خلتك + +129 +00:10:02,680 --> 00:10:09,900 +تراجع لأي أدم معنا up to three symptoms withtheir + +130 +00:10:09,900 --> 00:10:14,840 +curation مثلا headache for three days abdominal + +131 +00:10:14,840 --> 00:10:23,760 +pain for one day vomiting for one week بعد + +132 +00:10:23,760 --> 00:10:26,900 +ما الناس سألنا عن ال presenting symptom سندخل على + +133 +00:10:26,900 --> 00:10:30,380 +ال presenting illness الى كيف نبصل ال presenting + +134 +00:10:30,380 --> 00:10:36,420 +symptom في طريقة معينة مبسطة جدا ال presenting + +135 +00:10:36,420 --> 00:10:43,830 +illnessكيف نفصلها؟ نقتصرها بحاجة اسمها suppress ال + +136 +00:10:43,830 --> 00:10:50,150 +S is sight سبع ال pain أو الشكوه تحت المرض ال O + +137 +00:10:50,150 --> 00:10:54,710 +stands for onset هل هو acute؟ بدأ قبل دقائق أو + +138 +00:10:54,710 --> 00:10:58,070 +ساعات سبع acute ساعات لأيام أو chronic long + +139 +00:10:58,070 --> 00:11:03,710 +standing ال C اللي هي ال character هل هو stabbing؟ + +140 +00:11:03,710 --> 00:11:07,190 +مثلا لو كان يعطينا ال pain هل هو colicky؟ هل هو + +141 +00:11:07,190 --> 00:11:10,590 +sharp؟ هل هو ضل؟هل هو burning in nature و لا + +142 +00:11:10,590 --> 00:11:13,770 +clamping أو throbbing؟ و نسيت أن أسأل عن ال + +143 +00:11:13,770 --> 00:11:19,150 +pattern هل هو continuous و لا intermittent؟ حاجة + +144 +00:11:19,150 --> 00:11:23,550 +مهمة جدا هي ال radiation هل هذا الألم أو الشك و + +145 +00:11:23,550 --> 00:11:28,170 +هيتنتج إلى مكان آخر؟ هل مثلا ال pain ممكن يكون في + +146 +00:11:28,170 --> 00:11:31,530 +ال abdomen و يطلع ال right shoulder؟ أو مثلا يرفع + +147 +00:11:31,530 --> 00:11:34,390 +ال back؟الحاجة المهمة جدا من الـ Certificate هي + +148 +00:11:34,390 --> 00:11:37,490 +الـ Associated Symptoms هل فيه Symptoms مع ال .. + +149 +00:11:37,490 --> 00:11:40,790 +مع الشكوه هذه صارت؟ مثلًا أبت من الفين هل كان فيه + +150 +00:11:40,790 --> 00:11:44,410 +معاه voting؟ فيه معاه دارع؟ فيه معاه constipation؟ + +151 +00:11:44,410 --> 00:11:49,790 +فيه معاه jaundice؟ فيه معاه fever؟ + +152 +00:11:49,790 --> 00:11:52,390 +بعدين ال E stands for Exacerbating and Relaping + +153 +00:11:52,390 --> 00:11:56,950 +Factors أيش الأشياء اللي خلت القلم يزيد؟ هل ليها + +154 +00:11:56,950 --> 00:11:59,290 +علاقة بالأكل؟ هل ليها علاقة بال psychological + +155 +00:11:59,290 --> 00:12:03,020 +factors؟ هل ليها علاقة بأي أشياء أخرى؟وما ننساش + +156 +00:12:03,020 --> 00:12:07,060 +نسأ عن ال relief factors تمام مثل هل هو أخذت بعض + +157 +00:12:07,060 --> 00:12:10,200 +ال drugs هل هو أغير ال position هل هو أعمل أي أشي + +158 +00:12:10,200 --> 00:12:13,720 +تاني وما ننساش نسأ عن ال severity اللي هي ال S + +159 +00:12:13,720 --> 00:12:18,420 +stand for severity ونعمل scale نعطي المريض مثال + +160 +00:12:18,420 --> 00:12:22,540 +ونقول للمريض مثلا زي وجع الأسنان عشرة لو كان شريط + +161 +00:12:22,540 --> 00:12:26,120 +جدا أو وجع خفيف جدا ونضغطيه بالكامل على scale high + +162 +00:12:26,120 --> 00:12:28,000 +لتقييمك لشدة الألم + +163 +00:12:36,880 --> 00:12:40,400 +هنبدأ نحكي عن Arduino pain مثلا لو مرض أجانب + +164 +00:12:40,400 --> 00:12:44,940 +Arduino pain احنا هناخد الاختصار اللى كنا حاكينه + +165 +00:12:44,940 --> 00:12:49,900 +عنه قبل شوية اللى هو secrets Arduino pain مرضكم + +166 +00:12:49,900 --> 00:12:57,760 +مثلا أجانب Arduino pain شو أسأل عنه؟ + +167 +00:12:57,760 --> 00:13:02,180 +أول + +168 +00:13:02,180 --> 00:13:08,680 +شي هسأل عن حرف ال S اللى هو sightوين كان الألم؟ هل + +169 +00:13:08,680 --> 00:13:10,160 +كان في الـ Ipidastrum؟ في الـ Right Upper + +170 +00:13:10,160 --> 00:13:12,060 +Quadrant؟ في الـ Left Upper Quadrant؟ في الـ + +171 +00:13:12,060 --> 00:13:16,500 +Suprapubic؟ في الـ Lumbar Areas؟ Peri-umbrical؟ + +172 +00:13:16,500 --> 00:13:22,960 +Where ever it is؟ هيك ممكن نمشينا على ال .. على ال + +173 +00:13:22,960 --> 00:13:29,140 +site لونسيت + +174 +00:13:29,140 --> 00:13:32,780 +متى بدأ الأبناء نال فيه؟ هل هو بدأ مفاجئ؟ ممكن هل + +175 +00:13:32,780 --> 00:13:36,370 +هو فاكر في عدد ال scientists؟هو الـ cystitis هو + +176 +00:13:36,370 --> 00:13:38,910 +الـ sub-acute له ساعات لأيام و لو it's chronic + +177 +00:13:38,910 --> 00:13:42,790 +يعني له فترة، له أشهر، أيام، أشهر، كيف هي ال + +178 +00:13:42,790 --> 00:13:45,550 +character تبعه؟ هل المرضي حاول يوصف ليه؟ هل هو + +179 +00:13:45,550 --> 00:13:48,930 +stamming؟ هل هو colitis؟ هل هو شعر ضل؟ burning، + +180 +00:13:48,930 --> 00:13:51,990 +cramping، dropping؟ مانساش نسأل عن ال pattern ال + +181 +00:13:51,990 --> 00:13:56,370 +pattern اللي هو عبارة عن هل هو الألم متواصل ولا + +182 +00:13:56,370 --> 00:13:58,370 +بيجي in attacks، انتر متانة + +183 +00:14:02,290 --> 00:14:07,570 +نسأل عن الـ radiation نسأل عن الـ radiation نسأل + +184 +00:14:07,570 --> 00:14:07,890 +عن الـ radiation نسأل عن الـ radiation نسأل عن الـ + +185 +00:14:07,890 --> 00:14:07,970 +radiation نسأل عن الـ radiation نسأل عن الـ + +186 +00:14:07,970 --> 00:14:08,310 +radiation نسأل عن الـ radiation نسأل عن الـ + +187 +00:14:08,310 --> 00:14:09,630 +radiation نسأل عن الـ radiation نسأل عن الـ + +188 +00:14:09,630 --> 00:14:10,450 +radiation نسأل عن الـ radiation نسأل عن الـ + +189 +00:14:10,450 --> 00:14:11,390 +radiation نسأل عن الـ radiation نسأل عن الـ + +190 +00:14:11,390 --> 00:14:15,610 +radiation نسأل + +191 +00:14:15,610 --> 00:14:18,150 +عن الـ radiation نسأل عن الـ radiation نسأل عن الـ + +192 +00:14:18,150 --> 00:14:19,470 +radiation نسأل عن الـ radiation نسأل عن الـ + +193 +00:14:19,470 --> 00:14:19,910 +radiation نسأل عن الـ radiation نسأل عن الـ + +194 +00:14:19,910 --> 00:14:26,530 +radiation نسأل عن الـ radiation نسأل عن الـ + +195 +00:14:26,530 --> 00:14:26,730 +radiation + +196 +00:14:29,900 --> 00:14:32,500 +لو كان الفصيلة اللي هيكون صعب المضي يقدر يحدد + +197 +00:14:32,500 --> 00:14:37,520 +المكان هنسى على ال radiation مثلا بعض المرضى اللي + +198 +00:14:37,520 --> 00:14:39,740 +بيكون عندهم right upper quadrant ممكن يكون دول و + +199 +00:14:39,740 --> 00:14:43,980 +برادر انفلان فبصي radiation لل right shoulder لو + +200 +00:14:43,980 --> 00:14:48,040 +كان مثلا الابيونالبين في الابيغسترية radiating + +201 +00:14:48,040 --> 00:14:50,360 +through to the back مثلا في البريان الكرياس أو + +202 +00:14:50,360 --> 00:14:54,820 +penetrating the pectoralis تمام؟ it also may + +203 +00:14:54,820 --> 00:14:57,020 +radiate to the shoulder with diaphragmatic + +204 +00:14:57,020 --> 00:15:06,870 +irritation or to the neckwith esophageal reflux ال + +205 +00:15:06,870 --> 00:15:09,750 +character كأول مرة بنسمه الـ Abdominal pain may be + +206 +00:15:09,750 --> 00:15:12,970 +colicky coming and going in waves are related to + +207 +00:15:12,970 --> 00:15:15,770 +peristaltic movement or steady colicky pain comes + +208 +00:15:15,770 --> 00:15:21,010 +from obstruction of bowel or the ureters لازم أسأل + +209 +00:15:21,010 --> 00:15:25,190 +هل ال pain is chronic ولا acute ولا sub acute + +210 +00:15:25,680 --> 00:15:30,180 +مثلًا، daily pattern هل هو مستمر أو مستمر أو تبدأ + +211 +00:15:30,180 --> 00:15:36,260 +في وقت محدد من اليوم؟ aggravating و relieving + +212 +00:15:36,260 --> 00:15:41,280 +factors هذه + +213 +00:15:41,280 --> 00:15:47,480 +مهمة جدًا مهم جدًا أعرفها، يعني في أشياء تتوت من + +214 +00:15:47,480 --> 00:15:48,980 +الألم أو في أشياء كثيرة + +215 +00:15:52,560 --> 00:15:55,700 +Pain due to lipic ulceration may or may not be + +216 +00:15:55,700 --> 00:16:01,400 +related to meals مثلا، eating may precipitate skin + +217 +00:16:01,400 --> 00:16:04,920 +pain in the gut لو كان المرجل عنده كوروناك بولز + +218 +00:16:04,920 --> 00:16:10,640 +كيميا، ممكن مع الأكل يزيد في بعض العلاجات، may + +219 +00:16:10,640 --> 00:16:14,540 +relieve lipic ulcer مثلا pain أو gastroesophageal + +220 +00:16:14,540 --> 00:16:18,460 +reflux identification or passage of lips may + +221 +00:16:18,460 --> 00:16:20,540 +relieve the pain of chronic extinction + +222 +00:16:23,960 --> 00:16:27,340 +Patients who get some relief by rolling around + +223 +00:16:27,340 --> 00:16:29,620 +vigorously are more likely to have colicky pain, + +224 +00:16:29,940 --> 00:16:32,760 +while those who lie perfectly still are more + +225 +00:16:32,760 --> 00:16:36,000 +likely to have peritonitis يعني المرضى اللى + +226 +00:16:36,000 --> 00:16:39,140 +بتلاقيه بلف يمين شمال فى الأجسسية دو فى الأغلب + +227 +00:16:39,140 --> 00:16:42,160 +عنده colicky عبدونالفان اللى جاى بجهة التحركة ده + +228 +00:16:42,160 --> 00:16:47,360 +عنده peritonitis Pattern + +229 +00:16:47,360 --> 00:16:50,540 +of pain لو بنعيش نحكى عن بفتر كالسر disease كيف ال + +230 +00:16:50,540 --> 00:16:52,800 +pattern أنها من أهم الأمراض اللى حانوتيها في ال G + +231 +00:16:52,800 --> 00:16:58,970 +.IThis is basically a dull or burning pain in the + +232 +00:16:58,970 --> 00:17:02,130 +epigastrium، الـ Epigastrium بكون relieved to a + +233 +00:17:02,130 --> 00:17:05,150 +certain degree by food or antacids، الـ Antacids + +234 +00:17:05,150 --> 00:17:08,570 +دي بعض الغيرجيات اللي بتطبق الحمض في المعدة، it's + +235 +00:17:08,570 --> 00:17:12,310 +typically episodic and may occur at night، احنا + +236 +00:17:12,310 --> 00:17:16,410 +بنضبط، احنا قانون في ال medicine، انه اي nocturnal + +237 +00:17:16,410 --> 00:17:20,490 +pain، اي nocturnal pain I have to consider organic + +238 +00:17:20,490 --> 00:17:20,970 +cause + +239 +00:17:24,390 --> 00:17:26,330 +و المريض ممكن يكون عنده Peptic Ulcer Disease و + +240 +00:17:26,330 --> 00:17:29,270 +ممكن يكون بشكل جابدونيالبين الـ that may occur at + +241 +00:17:29,270 --> 00:17:35,470 +night أحنا الأغلب فيه إيش هتسمعوه دايما، اللي هو + +242 +00:17:35,470 --> 00:17:42,370 +الـ Peptic Ulcer أو Gastric Ulcer is exacerbated + +243 +00:17:42,370 --> 00:17:46,630 +أو Gastric Ulcer pain is exacerbated by eating + +244 +00:17:46,630 --> 00:17:51,790 +while the adrenal ulcer is relieved by meals + +245 +00:17:53,550 --> 00:17:56,470 +بس هذا مش كتير يعني لما نقول medical practice عشان + +246 +00:17:56,470 --> 00:17:59,790 +نحس ان هذا مانوش معناه بس it's point to be teached + +247 +00:17:59,790 --> 00:18:03,170 +ان الناس اللي معاها gastric أكثر بتحس بتتعب مع + +248 +00:18:03,170 --> 00:18:05,310 +الأكل و الناس اللي معاها blood أكثر بتسيحوا مع + +249 +00:18:05,310 --> 00:18:10,290 +الأكل بس ايه صعب نقدر نحدث اتنين او نفرج بينهم + +250 +00:18:10,290 --> 00:18:16,190 +بناء على اللي هي history فقط pancreatic + +251 +00:18:16,190 --> 00:18:19,270 +pain this is steady epigastric .. steady + +252 +00:18:19,270 --> 00:18:24,230 +epigastric painالذي يمكن أن يكون مجلدًا استرخيًا + +253 +00:18:24,230 --> 00:18:30,010 +بقعد المرض ومقعد المرض بالأغلب + +254 +00:18:30,010 --> 00:18:35,910 +هذه الحرارة تتحرك تتحرك من الخلف ومشاركة + +255 +00:18:35,910 --> 00:18:43,490 +بالمواطنان بلياري مثلًا يسمى بليار كليك حرارة + +256 +00:18:43,490 --> 00:18:48,030 +غالبًا كليك عندما تحصل على تجارب محددة الحرارة + +257 +00:18:51,280 --> 00:18:53,500 +ممكن يصير في الـepigastrium، مايصيرش في الـright + +258 +00:18:53,500 --> 00:18:57,900 +upper quadrant الـPain is severe, constant pain + +259 +00:18:57,900 --> 00:19:02,500 +reaching a plateau lasting from four to six hours + +260 +00:19:02,500 --> 00:19:07,920 +and then it starts to decrease في الانسيانس المريض + +261 +00:19:07,920 --> 00:19:10,680 +هكون فيه history of episodes of similar pain + +262 +00:19:17,520 --> 00:19:19,900 +مثل الحكاية لو كان سيستم بتاعة obstruction يكون + +263 +00:19:19,900 --> 00:19:24,160 +البين بكاسرك لما نصير كل ال societies بيصير عندي + +264 +00:19:24,160 --> 00:19:26,300 +انا right upper quadrant اللي دي عايز يبقى right + +265 +00:19:26,300 --> 00:19:31,060 +shoulder رينال + +266 +00:19:31,060 --> 00:19:36,760 +كوليك المرضيين بتقابلون البين it's consistent with + +267 +00:19:36,760 --> 00:19:41,640 +renal colic this is a colicky pain superimposed on + +268 +00:19:41,640 --> 00:19:45,100 +a background of constant pain in the renal angle + +269 +00:19:46,190 --> 00:19:49,450 +عقل عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +270 +00:19:49,450 --> 00:19:50,150 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +271 +00:19:50,150 --> 00:19:59,030 +عقلي عقلي عقلي + +272 +00:19:59,030 --> 00:20:01,250 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +273 +00:20:01,250 --> 00:20:03,410 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +274 +00:20:03,410 --> 00:20:03,430 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +275 +00:20:03,430 --> 00:20:05,590 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +276 +00:20:05,590 --> 00:20:10,570 +عقلي + +277 +00:20:10,570 --> 00:20:17,140 +عقwith a cycle cycle every two three to three + +278 +00:20:17,140 --> 00:20:20,020 +minutes two to three minutes as well as small .. + +279 +00:20:20,020 --> 00:20:23,500 +small power obstruction بيجي بcycles ال large ball + +280 +00:20:23,500 --> 00:20:26,280 +of obstruction بيجي with cycles for 10 to 15 + +281 +00:20:26,280 --> 00:20:28,980 +minutes obstruction is often associated with + +282 +00:20:28,980 --> 00:20:31,280 +vomiting constipation and abdominal extension as + +283 +00:20:31,280 --> 00:20:36,080 +of small power obstruction لما + +284 +00:20:36,080 --> 00:20:39,180 +نيجي نحكي على الحكاية اللي .. حكيناها هنسأل .. + +285 +00:20:39,180 --> 00:20:41,940 +هناخد ال demographic data بتاعة المريض ال mode of + +286 +00:20:41,940 --> 00:20:45,260 +admissionSource of History هنحكي عن Present + +287 +00:20:45,260 --> 00:20:51,080 +Againness معناه تلت شكاوي أو complaints ودالي ال + +288 +00:20:51,080 --> 00:20:55,780 +duration بعدها حاجة مفصل ففي تلت أسس تلت شغلات + +289 +00:20:55,780 --> 00:21:01,740 +مهمة جدا نسأل عنها اللي هي ال consumer symptoms + +290 +00:21:01,740 --> 00:21:08,040 +اللي هي ال fever regardless of the essential أو + +291 +00:21:08,040 --> 00:21:11,200 +الشك و الرئيسية عند المريض هنسأل عن ال fever + +292 +00:21:14,550 --> 00:21:18,790 +سنسأل عن الـ weight change سنسأل عن الـ weight + +293 +00:21:18,790 --> 00:21:19,190 +change سنسأل عن الـ weight change سنسأل عن الـ + +294 +00:21:19,190 --> 00:21:23,890 +weight change سنسأل عن الـ weight + +295 +00:21:23,890 --> 00:21:31,850 +change سنسأل + +296 +00:21:31,850 --> 00:21:35,070 +عن الـ weight change سنسأل عن الـ weight change + +297 +00:21:35,070 --> 00:21:39,190 +سنسأل عن الـ weight change سنسأل عن الـ weight + +298 +00:21:39,190 --> 00:21:40,270 +change سنسأل عن الـ weight change سنسأل عن الـ + +299 +00:21:40,270 --> 00:21:41,550 +weight change سنسأل عن الـ weight change سنسأل عن + +300 +00:21:41,550 --> 00:21:42,290 +الـ weight change سنسأل عن الـ weight change سنسأل + +301 +00:21:42,290 --> 00:21:44,980 +الـ weight change سنسأفاكر دا إن المريض عنده + +302 +00:21:44,980 --> 00:21:47,440 +weight loss عنده وصف appetite، malignancy، chronic + +303 +00:21:47,440 --> 00:21:52,500 +infection، but it may also occur with + +304 +00:21:52,500 --> 00:21:55,360 +psychological factors، like depression and other + +305 +00:21:55,360 --> 00:21:58,540 +diseases. The combination of weight loss with an + +306 +00:21:58,540 --> 00:22:00,940 +increased appetite، و بعد ما نقول أيه weight loss، + +307 +00:22:00,940 --> 00:22:03,360 +وزنه منزل، بس الـ appetite زايدة، ممكن نفكر في الـ + +308 +00:22:03,360 --> 00:22:06,060 +hypermodelic status، زي مثلا الـ diuretic + +309 +00:22:06,060 --> 00:22:11,880 +psychosis. مهم جدا إحنا نحكت متى بلش وصف appetite، + +310 +00:22:11,880 --> 00:22:17,290 +متى بدأ ال weight،change أو loss و لازم تسأل + +311 +00:22:17,290 --> 00:22:21,550 +المريض كان how much he lost و هل this is + +312 +00:22:21,550 --> 00:22:24,290 +intentional or unintentional هل المريض مثلا كان + +313 +00:22:24,290 --> 00:22:28,210 +بعمل biting و نزل على أساسه و لا هو كان ال + +314 +00:22:28,210 --> 00:22:31,590 +appetite عنده normal أو decreased بس برضه منزل + +315 +00:22:31,590 --> 00:22:34,990 +المرض اللي عنده liver disease مراد بسبب + +316 +00:22:34,990 --> 00:22:40,630 +disturbance of taste اتطور مثلا بعض الناس بسبب + +317 +00:22:40,630 --> 00:22:48,290 +acute hepatitis Bبعض الناس اللي بيعرف انه بيعرف + +318 +00:22:48,290 --> 00:22:48,350 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +319 +00:22:48,350 --> 00:22:50,390 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +320 +00:22:50,390 --> 00:22:50,810 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +321 +00:22:50,810 --> 00:22:50,950 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +322 +00:23:17,620 --> 00:23:22,280 +في شكة مهمة لازم برضه نحكي عنها في الـ GI اللي هي + +323 +00:23:22,280 --> 00:23:28,260 +early satiety and post cranial fullness هذه تقصد + +324 +00:23:28,260 --> 00:23:31,600 +inability to finish a normal meal early satiation + +325 +00:23:31,600 --> 00:23:33,900 +may be a symptom of gastric disease including + +326 +00:23:33,900 --> 00:23:37,020 +gastric cancer and pericardial disease a feeling + +327 +00:23:37,020 --> 00:23:39,900 +of inappropriate fullness after eating can also be + +328 +00:23:39,900 --> 00:23:42,720 +a symptom of functional GI زي مثلا gastroparesis + +329 +00:23:47,020 --> 00:23:49,960 +الـ Nosal Vomiting من السمتن المهم جدا في الـ GI + +330 +00:23:49,960 --> 00:23:57,100 +في أغلب الأحيان الأسباب هم تكون إكسر الـ GI هناك + +331 +00:23:57,100 --> 00:23:59,900 +الكثير من الممكن أن يكون هذا المشكلة بشكل أكبر + +332 +00:23:59,900 --> 00:24:04,220 +مثلا إذا كانت الإنسان مصاب بالإنفاق من طعام مصاب + +333 +00:24:04,220 --> 00:24:06,280 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +334 +00:24:06,280 --> 00:24:06,560 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +335 +00:24:06,560 --> 00:24:06,580 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +336 +00:24:06,580 --> 00:24:08,060 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +337 +00:24:08,060 --> 00:24:12,540 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب بالإنف + +338 +00:24:12,780 --> 00:24:15,780 +الدراجات مثلًا ديجاكين أو بيات أو بمينابونيسكين + +339 +00:24:15,780 --> 00:24:18,260 +والثلاثاء يجب أن يكونوا دائمًا متعارضون ولم يتم + +340 +00:24:18,260 --> 00:24:23,080 +إدماجهم دراجات الـ G.I.s تعتبر تقليدات مع وظيفة + +341 +00:24:23,080 --> 00:24:26,280 +بسيطة ودستركتشن مصادر مصادر مصادر مصادر مصادر + +342 +00:24:26,280 --> 00:24:27,100 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +343 +00:24:27,100 --> 00:24:27,580 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +344 +00:24:27,580 --> 00:24:29,500 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +345 +00:24:29,500 --> 00:24:37,140 +مصادر مصادر + +346 +00:24:37,140 --> 00:24:41,250 +مصادand rarely increased intra cranial pressure + +347 +00:24:41,250 --> 00:24:43,270 +should be considered in patients with chronic + +348 +00:24:43,270 --> 00:24:45,910 +unexplained nausea and vomiting يعني لو المريض + +349 +00:24:45,910 --> 00:24:48,090 +عنده unexplained nausea and vomiting I have to + +350 +00:24:48,090 --> 00:24:53,730 +think of extra GI causes like for example انترا + +351 +00:24:53,730 --> 00:24:58,050 +cranial .. increased intra cranial pressure يكون + +352 +00:24:58,050 --> 00:25:02,310 +عند المريض مثلا فيه عنده ماس فيه عنده brain أو فيه + +353 +00:25:02,310 --> 00:25:08,540 +عنده thrombus أو whateverالوقت للعبور يمكن أن يكون + +354 +00:25:08,540 --> 00:25:10,660 +مفيدًا عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +355 +00:25:10,660 --> 00:25:12,140 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +356 +00:25:12,140 --> 00:25:13,180 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +357 +00:25:13,180 --> 00:25:15,120 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +358 +00:25:15,120 --> 00:25:19,300 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +359 +00:25:19,300 --> 00:25:21,900 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +360 +00:25:21,900 --> 00:25:22,020 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +361 +00:25:22,020 --> 00:25:27,560 +عن عبارة عن عبارة عن عبارة + +362 +00:25:27,560 --> 00:25:34,260 +عن عب + +363 +00:25:35,470 --> 00:25:38,810 +لأن المريض الذي أجيب أقولك أنا I'm pointing one to + +364 +00:25:38,810 --> 00:25:41,670 +two hours after a meal it's mostly consistent with + +365 +00:25:41,670 --> 00:25:47,470 +gastric outlet obstruction or gastroparesis heart + +366 +00:25:47,470 --> 00:25:49,850 +pain and regurgitation heart pain refers to + +367 +00:25:49,850 --> 00:25:52,230 +presence of burning pain or discomfort in the + +368 +00:25:52,230 --> 00:25:56,810 +retrosternal area typically this sensation travels + +369 +00:25:56,810 --> 00:25:59,470 +up towards the throat and the ears after a meal or + +370 +00:25:59,470 --> 00:26:01,750 +it's aggravated by bending, swooping or lying + +371 +00:26:01,750 --> 00:26:05,840 +supineالشيء يحدث بسبب تغيير مصادر السماء إلى + +372 +00:26:05,840 --> 00:26:09,160 +المصادر الكهربائية الشيء يحدث بسبب تغيير مصادر + +373 +00:26:09,160 --> 00:26:10,540 +السماء إلى المصادر الكهربائية الشيء يحدث بسبب + +374 +00:26:10,540 --> 00:26:10,600 +يحدث بسبب تغيير مصادر السماء إلى المصادر + +375 +00:26:10,600 --> 00:26:11,260 +الكهربائية الشيء يحدث بسبب تغيير مصادر السماء إلى + +376 +00:26:11,260 --> 00:26:13,920 +المصادر الكهربائية الشيء يحدث بسبب تغيير مصادر + +377 +00:26:13,920 --> 00:26:22,080 +السماء إلى المصادر الكهربائية الشيء + +378 +00:26:22,080 --> 00:26:24,580 +يحدث بسبب تغيير مصادر السماء إلى المصادر + +379 +00:26:24,580 --> 00:26:31,800 +الكهربائية الشيء + +380 +00:26:31,800 --> 00:26:35,320 +يحدثعشان المريض كل جيه بيحكي ان انا بيحكي ان انا + +381 +00:26:35,320 --> 00:26:38,120 +بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي ان + +382 +00:26:38,120 --> 00:26:47,240 +انا بيحكي ان انا بيحكي ان انا + +383 +00:26:47,240 --> 00:26:49,260 +بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي ان + +384 +00:26:49,260 --> 00:26:53,100 +انا بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي + +385 +00:26:53,100 --> 00:27:01,600 +ان + +386 +00:27:02,470 --> 00:27:08,490 +بشكل مهم جدًا يجب أن نفصلها بشكل مهم جدًا في + +387 +00:27:08,490 --> 00:27:12,990 +الجداية بالنسبة لـ dysphagia سنسأل متى بدأت؟ هل هي + +388 +00:27:12,990 --> 00:27:17,170 +تحصل مع الـ liquid أو مع الـ solids؟ لأن كل واحد + +389 +00:27:17,170 --> 00:27:22,750 +يلقوا differential diagnosis هل هو painful ولا + +390 +00:27:22,750 --> 00:27:27,950 +painless؟ هل في محقق بينوفاجيا؟اللي بين الصحيحين + +391 +00:27:27,950 --> 00:27:31,130 +اللي بيستخدمها بقضوان أوسفاجية أكتر من عمل عمل عمل + +392 +00:27:31,130 --> 00:27:31,990 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +393 +00:27:31,990 --> 00:27:32,430 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +394 +00:27:32,430 --> 00:27:33,530 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +395 +00:27:33,530 --> 00:27:36,210 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +396 +00:27:36,210 --> 00:27:36,770 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +397 +00:27:36,770 --> 00:27:37,490 +عمل عمل عمل عمل عمل عمل عمل عمل عمل + +398 +00:27:57,490 --> 00:28:01,870 +في الـ pharynx فـ Exhibition complaints of + +399 +00:28:01,870 --> 00:28:04,530 +difficulty in shifting, swallowing, chewing fluid + +400 +00:28:04,530 --> 00:28:07,190 +regurgitation from into the nose or choking on + +401 +00:28:07,190 --> 00:28:10,230 +trying to swallow this suggests the cause of + +402 +00:28:10,230 --> 00:28:13,370 +dysphagia is in the pharynx هذه related to + +403 +00:28:13,370 --> 00:28:16,190 +neurological like for example في يعني مشكلة في الـ + +404 +00:28:16,190 --> 00:28:18,630 +coordination of the pharyngeal muscles فبتبلش + +405 +00:28:18,630 --> 00:28:21,250 +المجلد ان دي dysphagia اول ما يبدأ يشرب او يفتح + +406 +00:28:21,250 --> 00:28:25,090 +يسمى transit dysphagia او pharyngeal dysphagia + +407 +00:28:25,390 --> 00:28:29,690 +فأفكر دايما في ال brain او في ال muscles او في ال + +408 +00:28:29,690 --> 00:28:35,710 +local cause في الفرنسا if + +409 +00:28:35,710 --> 00:28:37,770 +the patient complains of food sticking in the + +410 +00:28:37,770 --> 00:28:41,450 +esophagus it's important to ask patients to point + +411 +00:28:41,450 --> 00:28:45,110 +to the side where the food stick if heart pain is + +412 +00:28:45,110 --> 00:28:48,190 +also present for example this suggests the + +413 +00:28:48,190 --> 00:28:51,090 +gastroesophageal reflux with or without sexual + +414 +00:28:51,090 --> 00:28:54,990 +formation or ulcerationيمكن أن يكون مرتبط أو يسبب + +415 +00:28:54,990 --> 00:29:00,750 +في الانتسفاج الوضع الحقيقي في الانتسفاج أيضًا مهم + +416 +00:29:00,750 --> 00:29:03,290 +جدًا جزء من التاريخ لكي تحصل عليه علاقة المالية + +417 +00:29:03,290 --> 00:29:06,710 +اللي هو هل هو مستمر أو مستمر؟ هل هو زي الميت + +418 +00:29:06,710 --> 00:29:10,990 +المهوأة أو هل هو بسيط؟ إذا كان الشخص يقول إن + +419 +00:29:10,990 --> 00:29:17,110 +الانتسفاج مستمر أو موجود فقط مع أول مرسوم من + +420 +00:29:17,110 --> 00:29:20,510 +الطعام، فهذا يشير إلى أقل مجموعة الانتسفاج أو + +421 +00:29:20,510 --> 00:29:24,320 +مجموعة الانتسفاجولكن إذا كان الشخص يشعر بمشاكل + +422 +00:29:24,320 --> 00:29:27,520 +التطبيقات تتبع السويدية، هذا يشير إلى أسفلية أو + +423 +00:29:27,520 --> 00:29:31,060 +حتى كارسونومة إذا كان الشخص يشعر بمشاكل التطبيقات + +424 +00:29:31,060 --> 00:29:32,040 +بمشاكل التطبيقات تتبع السويدية أو حتى كارسونومة + +425 +00:29:32,040 --> 00:29:35,220 +إذا كان الشخص يشعر بمشاكل التطبيقات تتبع السويدية + +426 +00:29:35,220 --> 00:29:39,120 +أو حتى كارسونومة إذا كان الشخص يشعر بمشاكل + +427 +00:29:39,120 --> 00:29:44,200 +التطبيقات تتبع السويدية أو حتى كارسونومة إذا + +428 +00:29:44,200 --> 00:29:48,580 +كان الشخص يشعر بمشاكل التطبيقات تتبع السو + +429 +00:30:02,080 --> 00:30:02,380 +الله + +430 +00:30:31,860 --> 00:30:39,980 +اسم ال course اسم ال course اسم ال course اسم ال + +431 +00:30:39,980 --> 00:30:45,380 +course اسم ال course اسم ال course اسم ال course + +432 +00:30:45,380 --> 00:30:45,400 +اسم ال course اسم ال course اسم ال course اسم ال + +433 +00:30:45,400 --> 00:30:47,060 +اسم ال course اسم ال course اسم ال course اسم ال + +434 +00:30:47,060 --> 00:30:47,820 +course اسم ال course اسم ال course اسم ال course + +435 +00:30:47,820 --> 00:30:47,860 +اسم ال course اسم ال course اسم ال course اسم ال + +436 +00:30:47,860 --> 00:30:47,900 +course اسم ال course اسم ال course اسم ال course + +437 +00:30:47,900 --> 00:30:47,920 +course اسم ال course اسم ال course اسم ال course + +438 +00:30:47,920 --> 00:30:50,560 +اسم ال course اسم ال course اسم ال course اسم ال + +439 +00:30:50,560 --> 00:30:57,340 +course اسم ال course اسم ال course اسم ال course + +440 +00:30:57,750 --> 00:31:00,530 +ممكن تتعرف على نفسها، الأكلة زي مثلا أو الـ + +441 +00:31:00,530 --> 00:31:04,730 +diffuses with the smell عنيجي لأسمة تانية، اللي هو + +442 +00:31:04,730 --> 00:31:08,590 +الديارية الديارية البيت الحالي مش هنسأل في مثل + +443 +00:31:08,590 --> 00:31:11,910 +السفرية مش هنسأل عن ال site هنبدأ نسأل عن ال other + +444 +00:31:11,910 --> 00:31:17,070 +components of الديارية الديارية تعريفها can be + +445 +00:31:17,070 --> 00:31:20,390 +defined in a number of different ways patients may + +446 +00:31:20,390 --> 00:31:22,970 +complain of frequent stool more than three per day + +447 +00:31:22,970 --> 00:31:26,310 +being abnormal or they may complain of a change in + +448 +00:31:26,310 --> 00:31:30,310 +the consistency of stoolالذين أصبحوا مفردين أو + +449 +00:31:30,310 --> 00:31:32,870 +ممارسين هناك عدد كبير من الممكن أن يكون السبب + +450 +00:31:32,870 --> 00:31:38,610 +دياريا عندما يتم تحقيق قصة دياريا، من المهم أن + +451 +00:31:38,610 --> 00:31:43,270 +تتأكد إذا كان هذا حدث بطريقة عادية أو إذا كانت + +452 +00:31:43,270 --> 00:31:46,670 +مشكلة كرونية دياريا عادية دياريا ممكن أن تكون + +453 +00:31:46,670 --> 00:31:51,030 +مصابة بالطبيعة، بينما كرونية دياريا لديها عدد كبير + +454 +00:31:51,030 --> 00:31:56,930 +من السببالداريا يمكن ان تكون مجموعة من مجموعات + +455 +00:31:56,930 --> 00:32:00,410 +مختلفة بسبب تفاصيل الـ 7th solution لما نحكي عنها + +456 +00:32:00,410 --> 00:32:03,230 +كتفاصيل يجب ان نقول ان اذا كان هناك داريا لثانية + +457 +00:32:03,230 --> 00:32:05,090 +او ثلاثة داريا اذا كان هناك داريا لثلاثة داريا اذا + +458 +00:32:05,090 --> 00:32:06,830 +كان هناك داريا لثلاثة داريا اذا كان هناك داريا + +459 +00:32:06,830 --> 00:32:08,550 +لثلاثة داريا اذا كان هناك داريا لثلاثة داريا اذا + +460 +00:32:08,550 --> 00:32:11,210 +لثلاثة داريا اذا كان هناك داريا لثلاثة داريا اذا + +461 +00:32:11,210 --> 00:32:17,490 +كان هناك داريا لثلاثة داريا اذا + +462 +00:32:17,490 --> 00:32:19,570 +كان هناك داريا لث + +463 +00:32:22,580 --> 00:32:26,380 +and persists when the patient passes security + +464 +00:32:26,380 --> 00:32:30,460 +diarrhea high volume voluminous stops when the + +465 +00:32:30,460 --> 00:32:34,500 +patient passes في نفسي المعهد هذه الشغلات كتير في + +466 +00:32:34,500 --> 00:32:37,420 +corner of a small power مع infections and other + +467 +00:32:37,420 --> 00:32:41,400 +causes هذا اسمه ال diarrhea characterized by + +468 +00:32:41,400 --> 00:32:42,240 +disappearance + +469 +00:32:51,050 --> 00:32:53,930 +will not stop with fasting however الاسموتك دياري + +470 +00:32:53,930 --> 00:32:59,710 +هو stop with fasting لو المريض يصوم اتخذ فى ديارى + +471 +00:32:59,710 --> 00:33:04,250 +Secretary لها أسباب كتير ممكن تكون من الفكشين و + +472 +00:33:04,250 --> 00:33:07,930 +from many other causes في ال G.I. اسموتك دياري + +473 +00:33:07,930 --> 00:33:11,710 +المعنى فيه اسموتك والفلوريز في الستوري سحب محل فى + +474 +00:33:11,710 --> 00:33:14,550 +ال liquid أو ال fluid أو ال water في البرادس + +475 +00:33:14,550 --> 00:33:18,130 +التراجسيس المهم يجيد هذا للدياري أنه it stops with + +476 +00:33:18,130 --> 00:33:18,630 +fasting + +477 +00:33:21,140 --> 00:33:23,580 +by a large volume related to the digestion of + +478 +00:33:23,580 --> 00:33:28,040 +foods.اسموتك دياري أو care due to excessive use of + +479 +00:33:28,040 --> 00:33:32,720 +drugs يعني في بعض الاسموتك باركلز تسحب معها بسطول + +480 +00:33:32,720 --> 00:33:35,880 +ال causes derivingها including lactose + +481 +00:33:35,880 --> 00:33:39,580 +intolerance، magnesium antioxidase or gastric + +482 +00:33:39,580 --> 00:33:42,820 +steroid + +483 +00:33:42,820 --> 00:33:49,380 +الدياري ممكن تصير نتيجة أشياء خارج الـGIمثل الـ + +484 +00:33:49,380 --> 00:33:52,240 +Abnormal GI Motility في المرضى اللي انت مريت + +485 +00:33:52,240 --> 00:33:53,280 +بروسيندروم او في + +486 +00:33:53,280 --> 00:34:14,620 +الثيروتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركت + +487 +00:34:15,850 --> 00:34:18,750 +الستور بيصير fatty، pale, colored, extremely + +488 +00:34:18,750 --> 00:34:21,690 +smelly، float in the toilet, fall and are + +489 +00:34:21,690 --> 00:34:23,810 +difficult to flush away، هذا بيسمى استياطورية + +490 +00:34:23,810 --> 00:34:28,110 +استياطورية it's defined as the presence of more + +491 +00:34:28,110 --> 00:34:31,930 +than 70 gram of fat in 24 hour stool collection، + +492 +00:34:31,930 --> 00:34:38,610 +اللي هي كتير من الأسباب من ال .. ال complex اللي + +493 +00:34:38,610 --> 00:34:42,150 +بيجي فيها المريض ومدى التفصيل والجيهة يستخدم ليها + +494 +00:34:42,150 --> 00:34:47,690 +ال constipationالقنصيبات مهم أن تتعامل مع ما يعنيه + +495 +00:34:47,690 --> 00:34:52,310 +قنصيبات قنصيبات + +496 +00:34:52,310 --> 00:34:55,390 +قنصيبات موضوع عام ويمكن أن تتعامل مع بسيطات غير + +497 +00:34:55,390 --> 00:35:02,650 +عامة غير عامة وغير صعبة القنصيبات قنصيبات عامة أو + +498 +00:35:02,650 --> 00:35:04,330 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +499 +00:35:04,330 --> 00:35:04,490 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +500 +00:35:04,490 --> 00:35:07,270 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +501 +00:35:07,270 --> 00:35:08,230 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +502 +00:35:08,230 --> 00:35:13,950 +عامة أو قنصيبات + +503 +00:35:13,950 --> 00:35:19,860 +عامةفكال مكعب Constipation may arise from + +504 +00:35:19,860 --> 00:35:22,440 +ingestion of drugs كثير من الدراجات اللي هي علاقة + +505 +00:35:22,440 --> 00:35:23,800 +بتجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +506 +00:35:23,800 --> 00:35:24,260 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +507 +00:35:24,260 --> 00:35:25,380 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +508 +00:35:25,380 --> 00:35:27,560 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +509 +00:35:27,560 --> 00:35:27,600 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +510 +00:35:27,600 --> 00:35:32,920 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +511 +00:35:32,920 --> 00:35:41,900 +تجارب + +512 +00:35:41,900 --> 00:35:47,330 +تالتنسيق يمكن أن يحدث أيضًا بعد تغيير كونيكو من + +513 +00:35:47,330 --> 00:35:54,610 +الكرسينامو لهذه + +514 +00:35:54,610 --> 00:35:57,230 +السبب مهم جدًا أن نقوم بتأكيد ما إذا كان هناك + +515 +00:35:57,230 --> 00:36:01,330 +تغيير قديم في عبادتنا البعوث كما يمكن أن يشير إلى + +516 +00:36:01,330 --> 00:36:07,450 +تطور التعامل بالماليبنالسي الشخصين مع تنسيق عالي + +517 +00:36:07,450 --> 00:36:10,970 +جدًا في الانتقال التنسيقي يمكن أن يجدوا أنهم لديهم + +518 +00:36:10,970 --> 00:36:16,110 +تجارب غير عاديةوأو يكون لديه ترانزيب كورونايكي + +519 +00:36:16,110 --> 00:36:20,670 +بسيط بسبب التفاقوات التي يحدث فيها الناس بشكل كبير + +520 +00:36:20,670 --> 00:36:25,210 +بشكل كبير + +521 +00:36:25,210 --> 00:36:29,730 +بشكل كبير بشكل كبير بشكل كبير بشكل كبير + +522 +00:36:37,880 --> 00:36:40,420 +Chronic but erratic system of centrifugation + +523 +00:36:40,420 --> 00:36:42,280 +typical of alternative diarrhea with constipation + +524 +00:36:42,280 --> 00:36:44,640 +associated with abdominal pain in the absence of + +525 +00:36:44,640 --> 00:36:47,080 +any structural or biotemical abnormality is very + +526 +00:36:47,080 --> 00:36:49,160 +common، هذا بيشوفه في المرضى اللي عنده varitable + +527 +00:36:49,160 --> 00:36:54,360 +bowel syndrome Passage of mucus in stool is + +528 +00:36:54,360 --> 00:36:56,960 +important، passage of mucus may occur because of + +529 +00:36:56,960 --> 00:36:58,840 +certain arterial complementary + +530 +00:36:58,840 --> 00:37:02,200 +rectum،فسطولة،فلسة،دنومة + +531 +00:37:02,200 --> 00:37:04,300 +أو حتى ممكن تشوف معاناة varitable bowel syndrome + +532 +00:37:06,100 --> 00:37:08,600 +الـ jaundice، الـ jaundice من الـ complaints + +533 +00:37:08,600 --> 00:37:15,100 +المهمة جدا، it's usually the patient's relatives + +534 +00:37:15,100 --> 00:37:18,360 +notice any discoloration of the sclera or skin، + +535 +00:37:18,360 --> 00:37:20,440 +jaundice is due to the presence of oxybelurobin + +536 +00:37:20,440 --> 00:37:23,640 +being deposited in the sclera and the skin، if + +537 +00:37:23,640 --> 00:37:26,840 +there is jaundice, we have to ask about the color + +538 +00:37:26,840 --> 00:37:30,620 +of the urine، هل صارت غير لون الورين أو لون + +539 +00:37:30,620 --> 00:37:34,030 +الستول؟فيريس توز عن دار كورين او كاريس بدل دستركشن + +540 +00:37:34,030 --> 00:37:39,110 +او كوليسترتيك جوندس بسبب ان بيولوجينك غير قادر على + +541 +00:37:39,110 --> 00:37:42,050 +الوصول الى تسنين تسنين ايضا يجب ان نسأل عن عضونا + +542 +00:37:42,050 --> 00:37:46,850 +الفين بسبب ان مثلا جولبرا و سوانس قد يسببوا عضو + +543 +00:37:46,850 --> 00:37:51,430 +فيلياري و جوندس سكراتش او اتشينج مارس قد يظهر انك + +544 +00:37:51,430 --> 00:37:58,210 +مناسب لإتشينج لتشينج هل هي علاقة بال G I نعم + +545 +00:37:58,210 --> 00:38:02,260 +لتشينجSymptom means itching of the skin and may be + +546 +00:38:02,260 --> 00:38:04,660 +either generalized or localized Cholestatic liver + +547 +00:38:04,660 --> 00:38:08,500 +disease, like pneumonia, biliary cholangitis, or + +548 +00:38:08,500 --> 00:38:10,640 +any cholestatic disorder of the liver may cause + +549 +00:38:10,640 --> 00:38:14,780 +arthritis Abdominal + +550 +00:38:14,780 --> 00:38:17,580 +bloating and swelling A feeling of swelling and + +551 +00:38:17,580 --> 00:38:20,640 +bloating may be a result of excess gas or + +552 +00:38:20,640 --> 00:38:23,200 +hypersensitivity in the tracts + +553 +00:38:30,210 --> 00:38:32,770 +Persistent swelling can be due to aspects of fluid + +554 +00:38:32,770 --> 00:38:35,890 +communication لو صار المرضي عنده swelling لازم انا + +555 +00:38:35,890 --> 00:38:39,370 +اسأل المرضي متى بدل ال swelling هل هو localized في + +556 +00:38:39,370 --> 00:38:42,270 +مكان معين في الابدوين و لا هو generalized هل هو + +557 +00:38:42,270 --> 00:38:45,590 +progressive ولا regressive هل في مثلا swelling في + +558 +00:38:45,590 --> 00:38:50,610 +مكان تاني في الابدوين ع كيف ال desperation تبعه هل + +559 +00:38:50,610 --> 00:38:52,910 +مثلا ممكن يكون عنده arthritis لو كان فيه توث في + +560 +00:38:52,910 --> 00:38:55,750 +الابدوين يكون في موضف ال fluoral cavity هل في اللي + +561 +00:38:55,750 --> 00:38:59,990 +هو اللوم ب swelling هذه مهمة جدا نسأل عنهابالحقيقة + +562 +00:38:59,990 --> 00:39:02,130 +الشيء اللي ممكن تعمل عضويا عندي أبدو نفسه خمس + +563 +00:39:02,130 --> 00:39:13,650 +أشياء ليه؟ fat, fluid, feces, and fetus اللي + +564 +00:39:13,650 --> 00:39:15,910 +خارج ال awareness عن ال ease of activity من ال + +565 +00:39:15,910 --> 00:39:20,790 +symptoms مهم جدا للشخص اللي لها علاقة بال GR are + +566 +00:39:20,790 --> 00:39:22,730 +common symptoms for patients with acute chronic + +567 +00:39:22,730 --> 00:39:27,290 +diseases but because it is not well known ممكن + +568 +00:39:27,290 --> 00:39:31,980 +يحصل نتيجةفاكدان أو أنيميا أو blood loss كونك + +569 +00:39:31,980 --> 00:39:35,380 +blood loss من الـ GI system يمنزل وجود ألصر أو + +570 +00:39:35,380 --> 00:39:39,000 +مجرد مجرد مالك نفسي أو whatever في الـ GI الإثار + +571 +00:39:39,000 --> 00:39:40,940 +دي is very common in the general population and + +572 +00:39:40,940 --> 00:39:44,380 +not a specific symptom بإيصال ممكن تكون الإثار + +573 +00:39:44,380 --> 00:39:48,400 +اللي بتاعة الناس دي بس يمكن تكون انها علاقة بالـGI + +574 +00:39:48,400 --> 00:39:51,320 +بال blood loss في الـGI بالlever disease في الـGI + +575 +00:39:51,320 --> 00:39:54,620 +بس ممكن نشوفها من الناس العادية بكل بساطة + +576 +00:40:02,360 --> 00:40:05,280 +بعد ما نكون مثلا .. مثلا افصلنا اللي احنا الـ + +577 +00:40:05,280 --> 00:40:08,100 +Seropositiveness هم نجعل باص medical history باص + +578 +00:40:08,100 --> 00:40:10,560 +medical history هل المريض كان عنده أمراض معينة؟ + +579 +00:40:10,560 --> 00:40:12,460 +أنا مهم جدا أن أسأل عنها هل المريض مثلا عنده + +580 +00:40:12,460 --> 00:40:15,360 +history of liver disease؟ هل المريض عنده diabetes؟ + +581 +00:40:15,360 --> 00:40:18,040 +هل عنده hypertension؟ هل عنده chronic الأزمة؟ هل + +582 +00:40:18,040 --> 00:40:22,100 +عنده chronic kidney disease؟ هذه مهمة جدا هل + +583 +00:40:22,100 --> 00:40:25,180 +المريض عنده history .. history of similar + +584 +00:40:25,180 --> 00:40:28,000 +complaint في الباص؟ هل نفس الاشي صار معاه؟ نفس + +585 +00:40:28,000 --> 00:40:31,260 +الصندوق اللي جاي بيه هذا؟ هل كانت معاه موجود ولا + +586 +00:40:31,260 --> 00:40:36,010 +لأ؟وزي ما وجوده لازم اخد vaccine كيف اتعالجه و كيف + +587 +00:40:36,010 --> 00:40:41,050 +اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و + +588 +00:40:41,050 --> 00:40:45,970 +كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه + +589 +00:40:45,970 --> 00:40:49,190 +و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف + +590 +00:40:49,190 --> 00:40:50,850 +اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و + +591 +00:40:50,850 --> 00:40:56,090 +كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه + +592 +00:40:56,090 --> 00:41:00,210 +و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف ا + +593 +00:41:06,970 --> 00:41:08,970 +هنسأل عن ال treatment history ال treatment history + +594 +00:41:08,970 --> 00:41:12,950 +is very important هل المريض لو بخد علاجه هتشوف + +595 +00:41:12,950 --> 00:41:17,530 +واخد؟ و ليش؟ وش indication؟ و هل هو ملتزم فيها و + +596 +00:41:17,530 --> 00:41:20,930 +لا لأ؟ عندنا كتير من ال drugs like menstruator + +597 +00:41:20,930 --> 00:41:26,390 +ممكن تعمل عنها بأسرك أو دون ألصح ممكن تعمل عنها + +598 +00:41:26,390 --> 00:41:28,890 +كتير من ال drugs ممكن تعمل عندي disturbance في ال + +599 +00:41:28,890 --> 00:41:31,250 +edification مثلا كما حكينا في ال constipation + +600 +00:41:31,250 --> 00:41:33,950 +large number of drugs are also well known to + +601 +00:41:33,950 --> 00:41:36,830 +affect a liverمثلًا، الـ Acute Hepatitis ممكن تصير + +602 +00:41:36,830 --> 00:41:40,490 +نتيجة بعد أدوية التخدير زي اللي كانت، ممكن مع جرع + +603 +00:41:40,490 --> 00:41:43,570 +عالي من الـ Acetaminophen أو البراسيكامول، بقى + +604 +00:41:43,570 --> 00:41:46,830 +2020، كل أستاذيس ممكن يصير كل بساطة مريض يجيني + +605 +00:41:46,830 --> 00:41:49,730 +بجهون دس، مع etching نتيجة أنه أخد بعض ال + +606 +00:41:49,730 --> 00:41:54,070 +antibiotics مثلًا، زي اللي اتمنتين أنا أقولك، + +607 +00:41:54,070 --> 00:41:56,770 +السراز يفتح من البلد بلبن، وcontrast of the pills + +608 +00:41:56,770 --> 00:41:59,190 +can cause those related كل أستاذيس، يجيني مريض + +609 +00:41:59,190 --> 00:42:05,260 +بجهون دس، ويجيني مرضيب بetchingFatty liver من أحد + +610 +00:42:05,260 --> 00:42:08,360 +الحاجات الملمسة يكون خلّى الدموع تتجمع على ال + +611 +00:42:08,360 --> 00:42:11,620 +liver Cannot care with alcohol use, some + +612 +00:42:11,620 --> 00:42:13,780 +antibiotics like tetracycline, ibuprofen, and + +613 +00:42:13,780 --> 00:42:17,200 +amiodarone Acute liver cell necrosis can occur if + +614 +00:42:17,200 --> 00:42:23,300 +an overdose of paracetamol is taken Fast history + +615 +00:42:23,300 --> 00:42:25,700 +مثل ما حكيناه، الصحيح لازم يتعامل على ال procedure + +616 +00:42:25,700 --> 00:42:30,010 +من العملة، هل ممكن يكون مثلا مريض؟في عمله recently + +617 +00:42:30,010 --> 00:42:33,890 +a surgery أخد مثلا أنا أناستيجيا معينة عملت عنده + +618 +00:42:33,890 --> 00:42:39,150 +جوانبس اللي أخد قبل مثلا العملية أخد مثلا أي drugs + +619 +00:42:39,150 --> 00:42:42,750 +ممكن تأثر على ال liver ممكن أثناء العملية يكون + +620 +00:42:42,750 --> 00:42:44,530 +المريض مثلا صار معاه hypertension أو يكون لدي + +621 +00:42:44,530 --> 00:42:46,910 +liver ischemia هيكل الأمور مهمة جدا + +622 +00:42:56,490 --> 00:42:59,250 +باص history مثلا باص history of infectious disease + +623 +00:42:59,250 --> 00:43:04,670 +هم جدا الناس اللي عندهم not worth it ممكن عندهم + +624 +00:43:04,670 --> 00:43:07,670 +relaxed limiting course ممكن المريض ييجي ويأديهنا + +625 +00:43:07,670 --> 00:43:11,010 +البين فجأه يختفي ويأديهنا البين ويجي ايضا عبارة عن + +626 +00:43:11,010 --> 00:43:15,770 +flares up family history كتير مهمة ناخد ال family + +627 +00:43:15,770 --> 00:43:20,250 +history هل ال family history في اي family history + +628 +00:43:20,250 --> 00:43:24,590 +مثلا اي GI disturbance في اي family history of + +629 +00:43:24,590 --> 00:43:28,420 +malignancyفي الفميلي هل عندهم colon cancer؟ هل في + +630 +00:43:28,420 --> 00:43:30,840 +عندهم في الفميلي history of pancreas disease؟ هذه + +631 +00:43:30,840 --> 00:43:34,380 +المهمة جدا هل في عندهم family history of jaundice؟ + +632 +00:43:34,380 --> 00:43:37,520 +من أي سبب؟ هل كان عمرو مستثمرين تومي؟ هل في عندهم + +633 +00:43:37,520 --> 00:43:39,860 +عنيميا؟ هذه كل ال family history اللي لازم تكون + +634 +00:43:39,860 --> 00:43:44,580 +بشكل مبسطة ال social history كتير مهمة ال social + +635 +00:43:44,580 --> 00:43:49,340 +history مهمة جدا أول شيء بس occupation بعض مثلا + +636 +00:43:49,340 --> 00:43:53,570 +عمال ممكن يكون لها علاقة بعمراض الجيادةمثلا الـ + +637 +00:43:53,570 --> 00:43:58,150 +care workers ممكن يكونوا مثلا معرضين للإنطقال إلهم + +638 +00:43:58,150 --> 00:44:02,810 +الهيباطيتس ال + +639 +00:44:02,810 --> 00:44:05,130 +social history مهم جدا نسأل عن ال recent troubles + +640 +00:44:05,130 --> 00:44:08,390 +ممكن تكون أجابهم من ال recent troubles من ال + +641 +00:44:08,390 --> 00:44:12,090 +infection where hepatitis infection is a endemic + +642 +00:44:12,090 --> 00:44:15,990 +ال alcohol history is important عادة بال habit لما + +643 +00:44:15,990 --> 00:44:19,590 +مهم جدا أسأل عن ال .. أسأل عن ال alcohol ال + +644 +00:44:19,590 --> 00:44:22,990 +smokingكم سيجارة بدخن المريض؟ الفترة اللي دخن فيها + +645 +00:44:22,990 --> 00:44:26,950 +لو مثلا بقعد of alcohol هل كمية اللي بخنتها هو + +646 +00:44:26,950 --> 00:44:30,290 +النوع اللي بخته؟ هل في sick contact؟ هل في contact + +647 +00:44:30,290 --> 00:44:34,450 +with anyone who had been jaundiced؟ ال sexual + +648 +00:44:34,450 --> 00:44:38,590 +history مهم جدا زي طرف الhistory هل في أي sexual + +649 +00:44:38,590 --> 00:44:42,950 +contact؟ يعني ثلاث contact with sick person لازم + +650 +00:44:42,950 --> 00:44:48,740 +أسألها with sexual contactسكت كونتاكت و sexual + +651 +00:44:48,740 --> 00:44:53,220 +contact وانساش بعض الحياة انسان animal contact هل + +652 +00:44:53,220 --> 00:44:55,560 +المرض كان له اي نوع من انواع الحيوانات ممكن علاقة + +653 +00:44:55,560 --> 00:45:02,240 +بعض العمرض ولا لا مهم + +654 +00:45:02,240 --> 00:45:04,360 +جدا اخر اشهر السؤال المريض عن ال course اندهزته + +655 +00:45:04,360 --> 00:45:09,330 +كيف كانت ال hospital ايش نعمله؟هل إيش كان تشخيص لو + +656 +00:45:09,330 --> 00:45:11,450 +كان مثلا كان موجود هذا الكلام في ال bus كان مدخل + +657 +00:45:11,450 --> 00:45:13,290 +بنفس ال command قبل هيك؟ إيش اللي عمل له؟ إيش + +658 +00:45:13,290 --> 00:45:15,630 +حكومة على طباب؟ إيش التشخيص؟ إيش التحليب؟ إيش + +659 +00:45:15,630 --> 00:45:23,910 +العلاجات؟ وكيف كانت النتيجة؟ + +660 +00:45:23,910 --> 00:45:27,430 +في + +661 +00:45:27,430 --> 00:45:29,530 +الآخر we have to address the patient's functional + +662 +00:45:29,530 --> 00:45:34,110 +expectation إيش توقعته من ال .. تكون الحل لل + +663 +00:45:34,110 --> 00:45:35,110 +confidence بتبعته؟ + +664 +00:45:38,540 --> 00:45:42,480 +هل في اي ايش حاب يحكي مع حكاهه؟ في الاخر نشوف نسأل + +665 +00:45:42,480 --> 00:45:46,180 +المريض do you have anything else you want to tell + +666 +00:45:46,180 --> 00:45:49,100 +me؟ مرات ممكن احنا نرد نسأل نسأل ننسى بعض الأشياء + +667 +00:45:49,100 --> 00:45:53,220 +فقبل ما اختم طيب احنا بسأل المريض هل لديك اي أفواه + +668 +00:45:53,220 --> 00:45:56,680 +كرامة؟ هل لديك اي ايش حاب تحكيلي انا نسيت اسالك + +669 +00:45:56,680 --> 00:46:04,140 +عنه؟ هذه المهمة جدا و في الآخر ال history هي عبارة + +670 +00:46:04,140 --> 00:46:08,150 +عن فنبتاك تتعلم .. بتاك كتير تشوف مرضى .. بتاك + +671 +00:46:08,150 --> 00:46:10,810 +كتير تاخد اسئلة من مرضى .. كل بيت تاخد منه اسئلة + +672 +00:46:10,810 --> 00:46:14,250 +.. و كل مرضى تتعلم منها .. هذه الأشياء المهمة جدا + +673 +00:46:14,250 --> 00:46:19,390 +.. و بالآخر ال test retaking .. بيطلع لنا review + +674 +00:46:19,390 --> 00:46:25,310 +of systems .. ممكن أسأل بعض الأسئلة .. بتعلق بكل + +675 +00:46:25,310 --> 00:46:28,290 +system في الجسم .. مثلا ال respiratory .. هل المرض + +676 +00:46:28,290 --> 00:46:30,950 +كان عنده cough .. ولا عنده كان مثلا .. في عنده + +677 +00:46:30,950 --> 00:46:35,880 +hemortisis .. في عندهأو الـ Sputum production + +678 +00:46:35,880 --> 00:46:39,700 +بالنسبة لكاردياكفل بعض الأسئلة ممكن أسألها بالنسبة + +679 +00:46:39,700 --> 00:46:41,880 +لماسكو سكتر بعض الأسئلة ال gynecological + +680 +00:46:41,880 --> 00:46:45,120 +rheumatology ممكن أسألها هذه الأسئلة كليتها حتى + +681 +00:46:45,120 --> 00:46:47,800 +هذي بيسميها review of systems هل في أخر كملة من + +682 +00:46:47,800 --> 00:46:53,400 +الكون اللي لها علاقة بالكملة الأساسية و لا لأ بعد + +683 +00:46:53,400 --> 00:46:57,800 +ايه فسلم ع المال و بختمن اللي اشتريه و بقى ابتدي + +684 +00:46:57,800 --> 00:47:02,070 +انا اكتب ال history من أول و أول و جديدأشوف انا .. + +685 +00:47:02,070 --> 00:47:05,590 +هل انا في اشي اللي لازم اسأل عنه او .. او في اشي + +686 +00:47:05,590 --> 00:47:10,110 +لازم ارتبه بشكل كويس ولا لأ ممكن اخد وقتي بعد ما + +687 +00:47:10,110 --> 00:47:14,770 +كنت .. اخد وقت تقريبا تلت ساعة نص ساعة اني اقدر + +688 +00:47:14,770 --> 00:47:18,490 +اكتب من اول لحديث وارتب افتاري عن اللي بدا ان + +689 +00:47:18,490 --> 00:47:21,230 +احكيه وانا بكتب حاجة في ال demographic داتا + +690 +00:47:21,230 --> 00:47:24,790 +presenting symptom and illness past medical + +691 +00:47:24,790 --> 00:47:28,890 +history family history medication history بعد هيك + +692 +00:47:30,110 --> 00:47:34,390 +بعدين 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ال course بداية + +4 +00:00:24,160 --> 00:00:32,380 +هنحك عن ال principles of GI history taking في + +5 +00:00:32,380 --> 00:00:35,440 +مفهوم مهم جدا اللي هي medicine is planned by + +6 +00:00:36,010 --> 00:00:43,610 +بالجولة وليس في المدرسة يعني أكتر تدرس تجارب تجارب + +7 +00:00:43,610 --> 00:00:45,610 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +8 +00:00:45,610 --> 00:00:46,050 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +9 +00:00:46,050 --> 00:00:47,090 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +10 +00:00:47,090 --> 00:00:47,550 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +11 +00:00:47,550 --> 00:00:47,970 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +12 +00:00:47,970 --> 00:00:59,150 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +13 +00:00:59,820 --> 00:01:04,720 +وهي عادة تقرر ما هي التجارب المناسبة من خلال + +14 +00:01:04,720 --> 00:01:10,060 +التقاط التاريخي تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +15 +00:01:10,060 --> 00:01:10,100 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +16 +00:01:10,100 --> 00:01:10,300 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +17 +00:01:10,300 --> 00:01:11,360 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +18 +00:01:11,360 --> 00:01:17,900 +تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر تقرر + +19 +00:01:17,900 --> 00:01:21,300 +تقرر + +20 +00:01:28,460 --> 00:01:36,020 +كل طبيب أو كل طالب هيتنمي مهاراته بالنسبة لل + +21 +00:01:36,020 --> 00:01:43,400 +history taking it's history it's not story it's + +22 +00:01:43,400 --> 00:01:47,500 +objective not subjective دايما في ال history + +23 +00:01:47,500 --> 00:01:51,680 +taking usually try not to underestimate any point + +24 +00:01:51,680 --> 00:01:56,900 +تحكيها المريض لأنها ممكن تكون لها كتير معاني + +25 +00:02:00,520 --> 00:02:06,560 +حاول انت تاخد history و لا تقل نفسك لا تقل نفسك لا + +26 +00:02:06,560 --> 00:02:11,120 +تقل نفسك حاول انت تنتقل من مكان إلى مكان و لا تقل + +27 +00:02:11,120 --> 00:02:14,340 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +28 +00:02:14,340 --> 00:02:14,360 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +29 +00:02:14,360 --> 00:02:16,720 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +30 +00:02:16,720 --> 00:02:18,900 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +31 +00:02:18,900 --> 00:02:19,580 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +32 +00:02:19,580 --> 00:02:23,760 +نفسك لا تقل نفسك لا تقل نفسك لا تقل نفسك لا تقل + +33 +00:02:23,760 --> 00:02:29,600 +نفسك لا + +34 +00:02:29,600 --> 00:02:35,040 +تممكن تغير ترتيب الوحة شرط ان ما ننساش اي واحد من + +35 +00:02:35,040 --> 00:02:39,220 +العناصر اللي موجودة دايما لان مانديش ندخل على + +36 +00:02:39,220 --> 00:02:44,680 +الماري تختلف و تسترق لازم دايما تحافظ على نفسك + +37 +00:02:44,680 --> 00:02:50,520 +ماتفق المكان ممكن يسبب خطر خاص في عصر الكورونا او + +38 +00:02:50,520 --> 00:02:56,600 +يكون المكان ممكن يادى لأي اتهاب او infection لك و + +39 +00:02:56,600 --> 00:03:02,120 +لو في اي خطر حاول تلبس ال protectiveor to take the + +40 +00:03:02,120 --> 00:03:07,840 +protective measures أكيد + +41 +00:03:07,840 --> 00:03:13,180 +for a male doctors do not enter to female patient + +42 +00:03:13,180 --> 00:03:18,040 +without chaperone لازم يكون معاك حد مراقب دايما + +43 +00:03:18,040 --> 00:03:21,160 +استخدم مثلا ال doctor يقول sentence عندنا في + +44 +00:03:21,160 --> 00:03:25,840 +المجتمع نفسنا نقول السلام عليكم دايما يكون عندك + +45 +00:03:25,840 --> 00:03:32,680 +البطاقة التعريفية فيك و باسمكاستخدم جملة عربية او + +46 +00:03:32,680 --> 00:03:38,160 +مقدمة مثلا مثلا مجتمعنا السلام عليكم حاول تحويل + +47 +00:03:38,160 --> 00:03:43,480 +بينك وبين المريض علاقة تحويل رابار تحويل trust + +48 +00:03:43,480 --> 00:03:48,960 +وانت بتحكي ال history لازم تحكي ال source of the + +49 +00:03:48,960 --> 00:03:52,280 +history ال history it was taken from the patient + +50 +00:03:52,280 --> 00:03:57,380 +himself orit's a collateral history كولترهيسترية + +51 +00:03:57,380 --> 00:04:00,240 +ممكن تكون احد اقربها المريض او احد المرافقين + +52 +00:04:00,240 --> 00:04:09,000 +الموجودين مع المريض ال + +53 +00:04:09,000 --> 00:04:14,780 +history هي يعني انصر مهم جدا في التشخيص الطبي ال + +54 +00:04:14,780 --> 00:04:19,300 +history الصحيح ان انا كنت هتقدم ال history هتقدم + +55 +00:04:19,300 --> 00:04:22,420 +ال history للاخرين هتعمل تاخد ال history لنفسكانت + +56 +00:04:22,420 --> 00:04:25,880 +بتاخد الهستي لحتى تقدم الحالة المريض للاخرين حتى + +57 +00:04:25,880 --> 00:04:31,720 +يصلوا لقرار صحيح تشخيص صحيح وعلاج صحيح وتوجه أي + +58 +00:04:31,720 --> 00:04:38,040 +نوع من التحليل هيعملوها تشوفوا اللي لازم بالظبط + +59 +00:04:38,040 --> 00:04:41,700 +طبيعة الحالة بإن بيشوف ال modern medicine و + +60 +00:04:41,700 --> 00:04:46,480 +التطورات في ال medicine ال history taking تقريبا + +61 +00:04:46,480 --> 00:04:52,170 +أرخص طريقة لتشخيص المرض لأن المريضانت لا هتعمل + +62 +00:04:52,170 --> 00:04:55,630 +تصرير ولا هتعمل تحليل وانت فقط تحكي مع المريض بشكل + +63 +00:04:55,630 --> 00:05:02,410 +منظم هنيجي + +64 +00:05:02,410 --> 00:05:05,090 +لل bit side manner and establishing rapport with a + +65 +00:05:05,090 --> 00:05:09,850 +patient history taking requires lot of practice + +66 +00:05:09,850 --> 00:05:13,530 +depends very much on the doctor patient + +67 +00:05:13,530 --> 00:05:18,930 +relationship history taking مع أنها نحكي أنها is a + +68 +00:05:18,930 --> 00:05:23,810 +cheap wayتقوم بتجارب الاسم و تقوم بتجارب الاسم + +69 +00:05:23,810 --> 00:05:30,930 +بالطبال تحتاج كثير من التعامل حتى تكون تبدأ تحكي + +70 +00:05:30,930 --> 00:05:35,290 +أو تاخد استراتيجية سلسة لازم يكون فيه يصير ثقة + +71 +00:05:35,290 --> 00:05:39,950 +بينك و بين المريض المريض يجب أن يثق بك لأنه في + +72 +00:05:39,950 --> 00:05:42,030 +شغلات كتير مثلًا لما نيجي على ال social history + +73 +00:05:42,030 --> 00:05:45,750 +ممكن مياكهاش لأي إنسان ممكن أكلك إياها و لازم + +74 +00:05:45,750 --> 00:05:49,230 +المريض يحس نفسه ان هو بأمان ان الكلام اللي بيحكي + +75 +00:05:49,230 --> 00:05:50,350 +ماتطلعش لأي إنسان + +76 +00:06:02,830 --> 00:06:05,210 +طبيعي تلحق .. you should aim to leave the patient + +77 +00:06:05,210 --> 00:06:07,670 +feeling better for your visits .. تكون المريض + +78 +00:06:07,670 --> 00:06:15,770 +مرتاح .. المريض يتكلم .. المريض يتعبر عن شكواه ال + +79 +00:06:15,770 --> 00:06:19,430 +history taking معناه .. الحكيانة ممكن تكون سهلة .. + +80 +00:06:19,430 --> 00:06:22,070 +بس it's overall a certificate that you need to + +81 +00:06:22,070 --> 00:06:27,530 +teach .. انت ممكن تاخد ال principles of history + +82 +00:06:27,530 --> 00:06:31,370 +taking .. بس أنت هتطور نفسك .. هي أن تكون أمور + +83 +00:06:31,370 --> 00:06:31,990 +سلسة معاك + +84 +00:06:35,530 --> 00:06:37,890 +much has been written about the correct way to + +85 +00:06:37,890 --> 00:06:40,650 +interview patients but each doctor has developed + +86 +00:06:40,650 --> 00:06:45,190 +his or her own method guided by experience gained + +87 +00:06:45,190 --> 00:06:49,810 +from clinical teachers and patients يعني في كتير + +88 +00:06:49,810 --> 00:06:53,030 +مكتوب على الأحزن وفي كتير كتب بتحكي عن ال history + +89 +00:06:53,030 --> 00:06:55,930 +checking في كتير كتر بتحكي عن ال physical + +90 +00:06:55,930 --> 00:07:01,490 +examination عن الطريقة الصحية أنه خدها بل لكن + +91 +00:07:01,490 --> 00:07:07,130 +بالآخر كل دكتور هيكون ضيقهبحيث أنه ماينسعش أي عنصر + +92 +00:07:07,130 --> 00:07:10,610 +من الانصار المهمة يعني الانصار ال vital في ال + +93 +00:07:10,610 --> 00:07:14,630 +physical examination وهذه طريقة الحالة للطبيب أو + +94 +00:07:14,630 --> 00:07:18,870 +الطبيب حتى و طريقتها المعينة قد هتكون اتعلمها او + +95 +00:07:18,870 --> 00:07:26,430 +اتسبها في التعامل مع الكثير من المرضى و الأساتر ده + +96 +00:07:26,430 --> 00:07:34,180 +obtaining a history طبيعة الحالةعندما تحكي تحتاج + +97 +00:07:34,180 --> 00:07:41,180 +من 45 دقيقة إلى ساعة أقل أو أكتر لازم تكون تعمل + +98 +00:07:41,180 --> 00:07:46,000 +rough notes ما تكون مشغول كثير في كتابة و أنت + +99 +00:07:46,000 --> 00:07:49,320 +بتسأل المريض دايما تحاول تحافظ و أنت بتسأل المريض + +100 +00:07:49,320 --> 00:07:52,520 +أن يكون في eye contact بينك وبينه ما تكون مشغول + +101 +00:07:52,520 --> 00:07:58,300 +تكتب .. احنا بدنا نحكي عن rough notes اعطي + +102 +00:07:58,300 --> 00:08:05,780 +المريض فرصة أنه يحكيعن قسطوري حاول تسأل بس ما تخلي + +103 +00:08:05,780 --> 00:08:08,460 +ال mind of you ترسل دامت و انت حاول ت guide him + +104 +00:08:08,460 --> 00:08:11,180 +انك انت هتحصل على المعلومة اللي انت بدك إياها + +105 +00:08:11,180 --> 00:08:16,000 +always listen carefully at the end of history and + +106 +00:08:16,000 --> 00:08:20,360 +physical examination till record is made يعني انا + +107 +00:08:20,360 --> 00:08:23,640 +بكون أخدت rock notes في البداية بكون سمعتها بشكل + +108 +00:08:23,640 --> 00:08:27,380 +جيد جدا للمريض أخدت كل عناصر ال history بعدين ممكن + +109 +00:08:27,380 --> 00:08:30,700 +تكون معاه وقت عيد تنظيم ال .. ال notes اللي أخدتها + +110 +00:08:30,700 --> 00:08:31,580 +و الكلام اللي سمعته + +111 +00:08:38,890 --> 00:08:42,970 +أول حاجة في ال history هنبدأ بناخد ال demographic + +112 +00:08:42,970 --> 00:08:52,990 +data هناخد اسم المريض هناخد عمر المريض هناخد عنوان + +113 +00:08:52,990 --> 00:08:58,290 +المريض اللي بقى لزمه وبعدين لازم نعمل record هل هي + +114 +00:08:58,290 --> 00:09:00,830 +this history is taken from the patient himself ولا + +115 +00:09:00,830 --> 00:09:05,330 +it's collateral history حكينا + +116 +00:09:05,330 --> 00:09:10,080 +اسم المريض، عنوان المريض، عمر المريضهو male و لا + +117 +00:09:10,080 --> 00:09:15,100 +female؟ اذا + +118 +00:09:15,100 --> 00:09:20,200 +كان المريض مدخل الى المستشفى، كيف ادخل الى + +119 +00:09:20,200 --> 00:09:24,820 +المستشفى؟ هل المريض دخل من طريق العيادة؟ او دخل عن + +120 +00:09:24,820 --> 00:09:29,760 +طريق التوارئ؟ + +121 +00:09:29,760 --> 00:09:32,080 +في بعض الأحيان في الـ demographic data ممكن نحتاج + +122 +00:09:32,080 --> 00:09:36,840 +نسأل عن الـ marital status تبع التفتيشة نحب نسأل + +123 +00:09:36,840 --> 00:09:41,840 +عن ال incubationو أحيان في ناس تستلعن it smoking + +124 +00:09:41,840 --> 00:09:45,680 +أو صمغ بتفسر بيخليها في ال social history الأخر + +125 +00:09:45,680 --> 00:09:49,480 +هنيجي + +126 +00:09:49,480 --> 00:09:52,580 +على أول عنصر في عنصر ال history تاكين اللي هي + +127 +00:09:52,580 --> 00:09:58,440 +presenting symptoms أو symptom مع أننا لازم لسه + +128 +00:09:58,440 --> 00:10:02,680 +نحكي ما يتقاش المشكلة خلتك تيجي ع المستشفى أو خلتك + +129 +00:10:02,680 --> 00:10:09,900 +تراجع لأي أدم معنا up to three symptoms withtheir + +130 +00:10:09,900 --> 00:10:14,840 +curation مثلا headache for three days abdominal + +131 +00:10:14,840 --> 00:10:23,760 +pain for one day vomiting for one week بعد + +132 +00:10:23,760 --> 00:10:26,900 +ما الناس سألنا عن ال presenting symptom سندخل على + +133 +00:10:26,900 --> 00:10:30,380 +ال presenting illness الى كيف نبصل ال presenting + +134 +00:10:30,380 --> 00:10:36,420 +symptom في طريقة معينة مبسطة جدا ال presenting + +135 +00:10:36,420 --> 00:10:43,830 +illnessكيف نفصلها؟ نقتصرها بحاجة اسمها suppress ال + +136 +00:10:43,830 --> 00:10:50,150 +S is sight سبع ال pain أو الشكوه تحت المرض ال O + +137 +00:10:50,150 --> 00:10:54,710 +stands for onset هل هو acute؟ بدأ قبل دقائق أو + +138 +00:10:54,710 --> 00:10:58,070 +ساعات سبع acute ساعات لأيام أو chronic long + +139 +00:10:58,070 --> 00:11:03,710 +standing ال C اللي هي ال character هل هو stabbing؟ + +140 +00:11:03,710 --> 00:11:07,190 +مثلا لو كان يعطينا ال pain هل هو colicky؟ هل هو + +141 +00:11:07,190 --> 00:11:10,590 +sharp؟ هل هو ضل؟هل هو burning in nature و لا + +142 +00:11:10,590 --> 00:11:13,770 +clamping أو throbbing؟ و نسيت أن أسأل عن ال + +143 +00:11:13,770 --> 00:11:19,150 +pattern هل هو continuous و لا intermittent؟ حاجة + +144 +00:11:19,150 --> 00:11:23,550 +مهمة جدا هي ال radiation هل هذا الألم أو الشك و + +145 +00:11:23,550 --> 00:11:28,170 +هيتنتج إلى مكان آخر؟ هل مثلا ال pain ممكن يكون في + +146 +00:11:28,170 --> 00:11:31,530 +ال abdomen و يطلع ال right shoulder؟ أو مثلا يرفع + +147 +00:11:31,530 --> 00:11:34,390 +ال back؟الحاجة المهمة جدا من الـ Certificate هي + +148 +00:11:34,390 --> 00:11:37,490 +الـ Associated Symptoms هل فيه Symptoms مع ال .. + +149 +00:11:37,490 --> 00:11:40,790 +مع الشكوه هذه صارت؟ مثلًا أبت من الفين هل كان فيه + +150 +00:11:40,790 --> 00:11:44,410 +معاه voting؟ فيه معاه دارع؟ فيه معاه constipation؟ + +151 +00:11:44,410 --> 00:11:49,790 +فيه معاه jaundice؟ فيه معاه fever؟ + +152 +00:11:49,790 --> 00:11:52,390 +بعدين ال E stands for Exacerbating and Relaping + +153 +00:11:52,390 --> 00:11:56,950 +Factors أيش الأشياء اللي خلت القلم يزيد؟ هل ليها + +154 +00:11:56,950 --> 00:11:59,290 +علاقة بالأكل؟ هل ليها علاقة بال psychological + +155 +00:11:59,290 --> 00:12:03,020 +factors؟ هل ليها علاقة بأي أشياء أخرى؟وما ننساش + +156 +00:12:03,020 --> 00:12:07,060 +نسأ عن ال relief factors تمام مثل هل هو أخذت بعض + +157 +00:12:07,060 --> 00:12:10,200 +ال drugs هل هو أغير ال position هل هو أعمل أي أشي + +158 +00:12:10,200 --> 00:12:13,720 +تاني وما ننساش نسأ عن ال severity اللي هي ال S + +159 +00:12:13,720 --> 00:12:18,420 +stand for severity ونعمل scale نعطي المريض مثال + +160 +00:12:18,420 --> 00:12:22,540 +ونقول للمريض مثلا زي وجع الأسنان عشرة لو كان شريط + +161 +00:12:22,540 --> 00:12:26,120 +جدا أو وجع خفيف جدا ونضغطيه بالكامل على scale high + +162 +00:12:26,120 --> 00:12:28,000 +لتقييمك لشدة الألم + +163 +00:12:36,880 --> 00:12:40,400 +هنبدأ نحكي عن Arduino pain مثلا لو مرض أجانب + +164 +00:12:40,400 --> 00:12:44,940 +Arduino pain احنا هناخد الاختصار اللى كنا حاكينه + +165 +00:12:44,940 --> 00:12:49,900 +عنه قبل شوية اللى هو secrets Arduino pain مرضكم + +166 +00:12:49,900 --> 00:12:57,760 +مثلا أجانب Arduino pain شو أسأل عنه؟ + +167 +00:12:57,760 --> 00:13:02,180 +أول + +168 +00:13:02,180 --> 00:13:08,680 +شي هسأل عن حرف ال S اللى هو sightوين كان الألم؟ هل + +169 +00:13:08,680 --> 00:13:10,160 +كان في الـ Ipidastrum؟ في الـ Right Upper + +170 +00:13:10,160 --> 00:13:12,060 +Quadrant؟ في الـ Left Upper Quadrant؟ في الـ + +171 +00:13:12,060 --> 00:13:16,500 +Suprapubic؟ في الـ Lumbar Areas؟ Peri-umbrical؟ + +172 +00:13:16,500 --> 00:13:22,960 +Where ever it is؟ هيك ممكن نمشينا على ال .. على ال + +173 +00:13:22,960 --> 00:13:29,140 +site لونسيت + +174 +00:13:29,140 --> 00:13:32,780 +متى بدأ الأبناء نال فيه؟ هل هو بدأ مفاجئ؟ ممكن هل + +175 +00:13:32,780 --> 00:13:36,370 +هو فاكر في عدد ال scientists؟هو الـ cystitis هو + +176 +00:13:36,370 --> 00:13:38,910 +الـ sub-acute له ساعات لأيام و لو it's chronic + +177 +00:13:38,910 --> 00:13:42,790 +يعني له فترة، له أشهر، أيام، أشهر، كيف هي ال + +178 +00:13:42,790 --> 00:13:45,550 +character تبعه؟ هل المرضي حاول يوصف ليه؟ هل هو + +179 +00:13:45,550 --> 00:13:48,930 +stamming؟ هل هو colitis؟ هل هو شعر ضل؟ burning، + +180 +00:13:48,930 --> 00:13:51,990 +cramping، dropping؟ مانساش نسأل عن ال pattern ال + +181 +00:13:51,990 --> 00:13:56,370 +pattern اللي هو عبارة عن هل هو الألم متواصل ولا + +182 +00:13:56,370 --> 00:13:58,370 +بيجي in attacks، انتر متانة + +183 +00:14:02,290 --> 00:14:07,570 +نسأل عن الـ radiation نسأل عن الـ radiation نسأل + +184 +00:14:07,570 --> 00:14:07,890 +عن الـ radiation نسأل عن الـ radiation نسأل عن الـ + +185 +00:14:07,890 --> 00:14:07,970 +radiation نسأل عن الـ radiation نسأل عن الـ + +186 +00:14:07,970 --> 00:14:07,970 +radiation نسأل عن الـ radiation نسأل عن الـ + +187 +00:14:07,970 --> 00:14:07,970 +radiation نسأل عن الـ radiation نسأل عن الـ + +188 +00:14:07,970 --> 00:14:08,310 +radiation نسأل عن الـ radiation نسأل عن الـ + +189 +00:14:08,310 --> 00:14:09,630 +radiation نسأل عن الـ radiation نسأل عن الـ + +190 +00:14:09,630 --> 00:14:10,450 +radiation نسأل عن الـ radiation نسأل عن الـ + +191 +00:14:10,450 --> 00:14:11,390 +radiation نسأل عن الـ radiation نسأل عن الـ + +192 +00:14:11,390 --> 00:14:15,610 +radiation نسأل + +193 +00:14:15,610 --> 00:14:18,150 +عن الـ radiation نسأل عن الـ radiation نسأل عن الـ + +194 +00:14:18,150 --> 00:14:19,470 +radiation نسأل عن الـ radiation نسأل عن الـ + +195 +00:14:19,470 --> 00:14:19,910 +radiation نسأل عن الـ radiation نسأل عن الـ + +196 +00:14:19,910 --> 00:14:26,530 +radiation نسأل عن الـ radiation نسأل عن الـ + +197 +00:14:26,530 --> 00:14:26,730 +radiation + +198 +00:14:29,900 --> 00:14:32,500 +لو كان الفصيلة اللي هيكون صعب المضي يقدر يحدد + +199 +00:14:32,500 --> 00:14:37,520 +المكان هنسى على ال radiation مثلا بعض المرضى اللي + +200 +00:14:37,520 --> 00:14:39,740 +بيكون عندهم right upper quadrant ممكن يكون دول و + +201 +00:14:39,740 --> 00:14:43,980 +برادر انفلان فبصي radiation لل right shoulder لو + +202 +00:14:43,980 --> 00:14:48,040 +كان مثلا الابيونالبين في الابيغسترية radiating + +203 +00:14:48,040 --> 00:14:50,360 +through to the back مثلا في البريان الكرياس أو + +204 +00:14:50,360 --> 00:14:54,820 +penetrating the pectoralis تمام؟ it also may + +205 +00:14:54,820 --> 00:14:57,020 +radiate to the shoulder with diaphragmatic + +206 +00:14:57,020 --> 00:15:06,870 +irritation or to the neckwith esophageal reflux ال + +207 +00:15:06,870 --> 00:15:09,750 +character كأول مرة بنسمه الـ Abdominal pain may be + +208 +00:15:09,750 --> 00:15:12,970 +colicky coming and going in waves are related to + +209 +00:15:12,970 --> 00:15:15,770 +peristaltic movement or steady colicky pain comes + +210 +00:15:15,770 --> 00:15:21,010 +from obstruction of bowel or the ureters لازم أسأل + +211 +00:15:21,010 --> 00:15:25,190 +هل ال pain is chronic ولا acute ولا sub acute + +212 +00:15:25,680 --> 00:15:30,180 +مثلًا، daily pattern هل هو مستمر أو مستمر أو تبدأ + +213 +00:15:30,180 --> 00:15:36,260 +في وقت محدد من اليوم؟ aggravating و relieving + +214 +00:15:36,260 --> 00:15:41,280 +factors هذه + +215 +00:15:41,280 --> 00:15:47,480 +مهمة جدًا مهم جدًا أعرفها، يعني في أشياء تتوت من + +216 +00:15:47,480 --> 00:15:48,980 +الألم أو في أشياء كثيرة + +217 +00:15:52,560 --> 00:15:55,700 +Pain due to lipic ulceration may or may not be + +218 +00:15:55,700 --> 00:16:01,400 +related to meals مثلا، eating may precipitate skin + +219 +00:16:01,400 --> 00:16:04,920 +pain in the gut لو كان المرجل عنده كوروناك بولز + +220 +00:16:04,920 --> 00:16:10,640 +كيميا، ممكن مع الأكل يزيد في بعض العلاجات، may + +221 +00:16:10,640 --> 00:16:14,540 +relieve lipic ulcer مثلا pain أو gastroesophageal + +222 +00:16:14,540 --> 00:16:18,460 +reflux identification or passage of lips may + +223 +00:16:18,460 --> 00:16:20,540 +relieve the pain of chronic extinction + +224 +00:16:23,960 --> 00:16:27,340 +Patients who get some relief by rolling around + +225 +00:16:27,340 --> 00:16:29,620 +vigorously are more likely to have colicky pain, + +226 +00:16:29,940 --> 00:16:32,760 +while those who lie perfectly still are more + +227 +00:16:32,760 --> 00:16:36,000 +likely to have peritonitis يعني المرضى اللى + +228 +00:16:36,000 --> 00:16:39,140 +بتلاقيه بلف يمين شمال فى الأجسسية دو فى الأغلب + +229 +00:16:39,140 --> 00:16:42,160 +عنده colicky عبدونالفان اللى جاى بجهة التحركة ده + +230 +00:16:42,160 --> 00:16:47,360 +عنده peritonitis Pattern + +231 +00:16:47,360 --> 00:16:50,540 +of pain لو بنعيش نحكى عن بفتر كالسر disease كيف ال + +232 +00:16:50,540 --> 00:16:52,800 +pattern أنها من أهم الأمراض اللى حانوتيها في ال G + +233 +00:16:52,800 --> 00:16:58,970 +.IThis is basically a dull or burning pain in the + +234 +00:16:58,970 --> 00:17:02,130 +epigastrium، الـ Epigastrium بكون relieved to a + +235 +00:17:02,130 --> 00:17:05,150 +certain degree by food or antacids، الـ Antacids + +236 +00:17:05,150 --> 00:17:08,570 +دي بعض الغيرجيات اللي بتطبق الحمض في المعدة، it's + +237 +00:17:08,570 --> 00:17:12,310 +typically episodic and may occur at night، احنا + +238 +00:17:12,310 --> 00:17:16,410 +بنضبط، احنا قانون في ال medicine، انه اي nocturnal + +239 +00:17:16,410 --> 00:17:20,490 +pain، اي nocturnal pain I have to consider organic + +240 +00:17:20,490 --> 00:17:20,970 +cause + +241 +00:17:24,390 --> 00:17:26,330 +و المريض ممكن يكون عنده Peptic Ulcer Disease و + +242 +00:17:26,330 --> 00:17:29,270 +ممكن يكون بشكل جابدونيالبين الـ that may occur at + +243 +00:17:29,270 --> 00:17:35,470 +night أحنا الأغلب فيه إيش هتسمعوه دايما، اللي هو + +244 +00:17:35,470 --> 00:17:42,370 +الـ Peptic Ulcer أو Gastric Ulcer is exacerbated + +245 +00:17:42,370 --> 00:17:46,630 +أو Gastric Ulcer pain is exacerbated by eating + +246 +00:17:46,630 --> 00:17:51,790 +while the adrenal ulcer is relieved by meals + +247 +00:17:53,550 --> 00:17:56,470 +بس هذا مش كتير يعني لما نقول medical practice عشان + +248 +00:17:56,470 --> 00:17:59,790 +نحس ان هذا مانوش معناه بس it's point to be teached + +249 +00:17:59,790 --> 00:18:03,170 +ان الناس اللي معاها gastric أكثر بتحس بتتعب مع + +250 +00:18:03,170 --> 00:18:05,310 +الأكل و الناس اللي معاها blood أكثر بتسيحوا مع + +251 +00:18:05,310 --> 00:18:10,290 +الأكل بس ايه صعب نقدر نحدث اتنين او نفرج بينهم + +252 +00:18:10,290 --> 00:18:16,190 +بناء على اللي هي history فقط pancreatic + +253 +00:18:16,190 --> 00:18:19,270 +pain this is steady epigastric .. steady + +254 +00:18:19,270 --> 00:18:24,230 +epigastric painالذي يمكن أن يكون مجلدًا استرخيًا + +255 +00:18:24,230 --> 00:18:30,010 +بقعد المرض ومقعد المرض بالأغلب + +256 +00:18:30,010 --> 00:18:35,910 +هذه الحرارة تتحرك تتحرك من الخلف ومشاركة + +257 +00:18:35,910 --> 00:18:43,490 +بالمواطنان بلياري مثلًا يسمى بليار كليك حرارة + +258 +00:18:43,490 --> 00:18:48,030 +غالبًا كليك عندما تحصل على تجارب محددة الحرارة + +259 +00:18:51,280 --> 00:18:53,500 +ممكن يصير في الـepigastrium، مايصيرش في الـright + +260 +00:18:53,500 --> 00:18:57,900 +upper quadrant الـPain is severe, constant pain + +261 +00:18:57,900 --> 00:19:02,500 +reaching a plateau lasting from four to six hours + +262 +00:19:02,500 --> 00:19:07,920 +and then it starts to decrease في الانسيانس المريض + +263 +00:19:07,920 --> 00:19:10,680 +هكون فيه history of episodes of similar pain + +264 +00:19:17,520 --> 00:19:19,900 +مثل الحكاية لو كان سيستم بتاعة obstruction يكون + +265 +00:19:19,900 --> 00:19:24,160 +البين بكاسرك لما نصير كل ال societies بيصير عندي + +266 +00:19:24,160 --> 00:19:26,300 +انا right upper quadrant اللي دي عايز يبقى right + +267 +00:19:26,300 --> 00:19:31,060 +shoulder رينال + +268 +00:19:31,060 --> 00:19:36,760 +كوليك المرضيين بتقابلون البين it's consistent with + +269 +00:19:36,760 --> 00:19:41,640 +renal colic this is a colicky pain superimposed on + +270 +00:19:41,640 --> 00:19:45,100 +a background of constant pain in the renal angle + +271 +00:19:46,190 --> 00:19:49,450 +عقل عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +272 +00:19:49,450 --> 00:19:50,150 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +273 +00:19:50,150 --> 00:19:59,030 +عقلي عقلي عقلي + +274 +00:19:59,030 --> 00:20:01,250 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +275 +00:20:01,250 --> 00:20:03,410 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +276 +00:20:03,410 --> 00:20:03,410 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +277 +00:20:03,410 --> 00:20:03,430 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +278 +00:20:03,430 --> 00:20:05,590 +عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي عقلي + +279 +00:20:05,590 --> 00:20:10,570 +عقلي + +280 +00:20:10,570 --> 00:20:17,140 +عقwith a cycle cycle every two three to three + +281 +00:20:17,140 --> 00:20:20,020 +minutes two to three minutes as well as small .. + +282 +00:20:20,020 --> 00:20:23,500 +small power obstruction بيجي بcycles ال large ball + +283 +00:20:23,500 --> 00:20:26,280 +of obstruction بيجي with cycles for 10 to 15 + +284 +00:20:26,280 --> 00:20:28,980 +minutes obstruction is often associated with + +285 +00:20:28,980 --> 00:20:31,280 +vomiting constipation and abdominal extension as + +286 +00:20:31,280 --> 00:20:36,080 +of small power obstruction لما + +287 +00:20:36,080 --> 00:20:39,180 +نيجي نحكي على الحكاية اللي .. حكيناها هنسأل .. + +288 +00:20:39,180 --> 00:20:41,940 +هناخد ال demographic data بتاعة المريض ال mode of + +289 +00:20:41,940 --> 00:20:45,260 +admissionSource of History هنحكي عن Present + +290 +00:20:45,260 --> 00:20:51,080 +Againness معناه تلت شكاوي أو complaints ودالي ال + +291 +00:20:51,080 --> 00:20:55,780 +duration بعدها حاجة مفصل ففي تلت أسس تلت شغلات + +292 +00:20:55,780 --> 00:21:01,740 +مهمة جدا نسأل عنها اللي هي ال consumer symptoms + +293 +00:21:01,740 --> 00:21:08,040 +اللي هي ال fever regardless of the essential أو + +294 +00:21:08,040 --> 00:21:11,200 +الشك و الرئيسية عند المريض هنسأل عن ال fever + +295 +00:21:14,550 --> 00:21:18,790 +سنسأل عن الـ weight change سنسأل عن الـ weight + +296 +00:21:18,790 --> 00:21:19,190 +change سنسأل عن الـ weight change سنسأل عن الـ + +297 +00:21:19,190 --> 00:21:23,890 +weight change سنسأل عن الـ weight + +298 +00:21:23,890 --> 00:21:31,850 +change سنسأل + +299 +00:21:31,850 --> 00:21:35,070 +عن الـ weight change سنسأل عن الـ weight change + +300 +00:21:35,070 --> 00:21:39,190 +سنسأل عن الـ weight change سنسأل عن الـ weight + +301 +00:21:39,190 --> 00:21:40,270 +change سنسأل عن الـ weight change سنسأل عن الـ + +302 +00:21:40,270 --> 00:21:41,550 +weight change سنسأل عن الـ weight change سنسأل عن + +303 +00:21:41,550 --> 00:21:42,290 +الـ weight change سنسأل عن الـ weight change سنسأل + +304 +00:21:42,290 --> 00:21:42,290 +عن الـ weight change سنسأل عن الـ weight change + +305 +00:21:42,290 --> 00:21:42,290 +سنسأل عن الـ weight change سنسأل عن الـ weight + +306 +00:21:42,290 --> 00:21:42,290 +change سنسأل عن الـ weight change سنسأل عن الـ + +307 +00:21:42,290 --> 00:21:42,290 +weight change سنسأل عن الـ weight change سنسأل عن + +308 +00:21:42,290 --> 00:21:44,980 +الـ weight change سنسأفاكر دا إن المريض عنده + +309 +00:21:44,980 --> 00:21:47,440 +weight loss عنده وصف appetite، malignancy، chronic + +310 +00:21:47,440 --> 00:21:52,500 +infection، but it may also occur with + +311 +00:21:52,500 --> 00:21:55,360 +psychological factors، like depression and other + +312 +00:21:55,360 --> 00:21:58,540 +diseases. The combination of weight loss with an + +313 +00:21:58,540 --> 00:22:00,940 +increased appetite، و بعد ما نقول أيه weight loss، + +314 +00:22:00,940 --> 00:22:03,360 +وزنه منزل، بس الـ appetite زايدة، ممكن نفكر في الـ + +315 +00:22:03,360 --> 00:22:06,060 +hypermodelic status، زي مثلا الـ diuretic + +316 +00:22:06,060 --> 00:22:11,880 +psychosis. مهم جدا إحنا نحكت متى بلش وصف appetite، + +317 +00:22:11,880 --> 00:22:17,290 +متى بدأ ال weight،change أو loss و لازم تسأل + +318 +00:22:17,290 --> 00:22:21,550 +المريض كان how much he lost و هل this is + +319 +00:22:21,550 --> 00:22:24,290 +intentional or unintentional هل المريض مثلا كان + +320 +00:22:24,290 --> 00:22:28,210 +بعمل biting و نزل على أساسه و لا هو كان ال + +321 +00:22:28,210 --> 00:22:31,590 +appetite عنده normal أو decreased بس برضه منزل + +322 +00:22:31,590 --> 00:22:34,990 +المرض اللي عنده liver disease مراد بسبب + +323 +00:22:34,990 --> 00:22:40,630 +disturbance of taste اتطور مثلا بعض الناس بسبب + +324 +00:22:40,630 --> 00:22:48,290 +acute hepatitis Bبعض الناس اللي بيعرف انه بيعرف + +325 +00:22:48,290 --> 00:22:48,350 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +326 +00:22:48,350 --> 00:22:50,390 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +327 +00:22:50,390 --> 00:22:50,810 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +328 +00:22:50,810 --> 00:22:50,950 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +329 +00:22:50,950 --> 00:22:50,950 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +330 +00:22:50,950 --> 00:22:50,950 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +331 +00:22:50,950 --> 00:22:50,950 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +332 +00:22:50,950 --> 00:22:50,950 +انه بيعرف انه بيعرف انه بيعرف انه بيعرف انه بيعرف + +333 +00:22:50,950 --> 00:22:50,950 +انه بيعرف انه ب + +334 +00:23:17,620 --> 00:23:22,280 +في شكة مهمة لازم برضه نحكي عنها في الـ GI اللي هي + +335 +00:23:22,280 --> 00:23:28,260 +early satiety and post cranial fullness هذه تقصد + +336 +00:23:28,260 --> 00:23:31,600 +inability to finish a normal meal early satiation + +337 +00:23:31,600 --> 00:23:33,900 +may be a symptom of gastric disease including + +338 +00:23:33,900 --> 00:23:37,020 +gastric cancer and pericardial disease a feeling + +339 +00:23:37,020 --> 00:23:39,900 +of inappropriate fullness after eating can also be + +340 +00:23:39,900 --> 00:23:42,720 +a symptom of functional GI زي مثلا gastroparesis + +341 +00:23:47,020 --> 00:23:49,960 +الـ Nosal Vomiting من السمتن المهم جدا في الـ GI + +342 +00:23:49,960 --> 00:23:57,100 +في أغلب الأحيان الأسباب هم تكون إكسر الـ GI هناك + +343 +00:23:57,100 --> 00:23:59,900 +الكثير من الممكن أن يكون هذا المشكلة بشكل أكبر + +344 +00:23:59,900 --> 00:24:04,220 +مثلا إذا كانت الإنسان مصاب بالإنفاق من طعام مصاب + +345 +00:24:04,220 --> 00:24:06,280 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +346 +00:24:06,280 --> 00:24:06,560 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +347 +00:24:06,560 --> 00:24:06,580 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +348 +00:24:06,580 --> 00:24:08,060 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب + +349 +00:24:08,060 --> 00:24:12,540 +بالإنفاق من طعام مصاب بالإنفاق من طعام مصاب بالإنف + +350 +00:24:12,780 --> 00:24:15,780 +الدراجات مثلًا ديجاكين أو بيات أو بمينابونيسكين + +351 +00:24:15,780 --> 00:24:18,260 +والثلاثاء يجب أن يكونوا دائمًا متعارضون ولم يتم + +352 +00:24:18,260 --> 00:24:23,080 +إدماجهم دراجات الـ G.I.s تعتبر تقليدات مع وظيفة + +353 +00:24:23,080 --> 00:24:26,280 +بسيطة ودستركتشن مصادر مصادر مصادر مصادر مصادر + +354 +00:24:26,280 --> 00:24:27,100 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +355 +00:24:27,100 --> 00:24:27,580 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +356 +00:24:27,580 --> 00:24:29,500 +مصادر مصادر مصادر مصادر مصادر مصادر مصادر مصادر + +357 +00:24:29,500 --> 00:24:37,140 +مصادر مصادر + +358 +00:24:37,140 --> 00:24:41,250 +مصادand rarely increased intra cranial pressure + +359 +00:24:41,250 --> 00:24:43,270 +should be considered in patients with chronic + +360 +00:24:43,270 --> 00:24:45,910 +unexplained nausea and vomiting يعني لو المريض + +361 +00:24:45,910 --> 00:24:48,090 +عنده unexplained nausea and vomiting I have to + +362 +00:24:48,090 --> 00:24:53,730 +think of extra GI causes like for example انترا + +363 +00:24:53,730 --> 00:24:58,050 +cranial .. increased intra cranial pressure يكون + +364 +00:24:58,050 --> 00:25:02,310 +عند المريض مثلا فيه عنده ماس فيه عنده brain أو فيه + +365 +00:25:02,310 --> 00:25:08,540 +عنده thrombus أو whateverالوقت للعبور يمكن أن يكون + +366 +00:25:08,540 --> 00:25:10,660 +مفيدًا عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +367 +00:25:10,660 --> 00:25:12,140 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +368 +00:25:12,140 --> 00:25:13,180 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +369 +00:25:13,180 --> 00:25:15,120 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +370 +00:25:15,120 --> 00:25:19,300 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +371 +00:25:19,300 --> 00:25:21,900 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +372 +00:25:21,900 --> 00:25:22,020 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +373 +00:25:22,020 --> 00:25:27,560 +عن عبارة عن عبارة عن عبارة + +374 +00:25:27,560 --> 00:25:34,260 +عن عب + +375 +00:25:35,470 --> 00:25:38,810 +لأن المريض الذي أجيب أقولك أنا I'm pointing one to + +376 +00:25:38,810 --> 00:25:41,670 +two hours after a meal it's mostly consistent with + +377 +00:25:41,670 --> 00:25:47,470 +gastric outlet obstruction or gastroparesis heart + +378 +00:25:47,470 --> 00:25:49,850 +pain and regurgitation heart pain refers to + +379 +00:25:49,850 --> 00:25:52,230 +presence of burning pain or discomfort in the + +380 +00:25:52,230 --> 00:25:56,810 +retrosternal area typically this sensation travels + +381 +00:25:56,810 --> 00:25:59,470 +up towards the throat and the ears after a meal or + +382 +00:25:59,470 --> 00:26:01,750 +it's aggravated by bending, swooping or lying + +383 +00:26:01,750 --> 00:26:05,840 +supineالشيء يحدث بسبب تغيير مصادر السماء إلى + +384 +00:26:05,840 --> 00:26:09,160 +المصادر الكهربائية الشيء يحدث بسبب تغيير مصادر + +385 +00:26:09,160 --> 00:26:10,540 +السماء إلى المصادر الكهربائية الشيء يحدث بسبب + +386 +00:26:10,540 --> 00:26:10,540 +تغيير مصادر السماء إلى المصادر الكهربائية الشيء + +387 +00:26:10,540 --> 00:26:10,600 +يحدث بسبب تغيير مصادر السماء إلى المصادر + +388 +00:26:10,600 --> 00:26:11,260 +الكهربائية الشيء يحدث بسبب تغيير مصادر السماء إلى + +389 +00:26:11,260 --> 00:26:13,920 +المصادر الكهربائية الشيء يحدث بسبب تغيير مصادر + +390 +00:26:13,920 --> 00:26:22,080 +السماء إلى المصادر الكهربائية الشيء + +391 +00:26:22,080 --> 00:26:24,580 +يحدث بسبب تغيير مصادر السماء إلى المصادر + +392 +00:26:24,580 --> 00:26:31,800 +الكهربائية الشيء + +393 +00:26:31,800 --> 00:26:35,320 +يحدثعشان المريض كل جيه بيحكي ان انا بيحكي ان انا + +394 +00:26:35,320 --> 00:26:38,120 +بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي ان + +395 +00:26:38,120 --> 00:26:47,240 +انا بيحكي ان انا بيحكي ان انا + +396 +00:26:47,240 --> 00:26:49,260 +بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي ان + +397 +00:26:49,260 --> 00:26:49,260 +انا بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي + +398 +00:26:49,260 --> 00:26:49,260 +ان انا بيحكي ان انا بيحكي ان انا بيحكي ان انا + +399 +00:26:49,260 --> 00:26:49,260 +بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي ان + +400 +00:26:49,260 --> 00:26:53,100 +انا بيحكي ان انا بيحكي ان انا بيحكي ان انا بيحكي + +401 +00:26:53,100 --> 00:27:01,600 +ان + +402 +00:27:02,470 --> 00:27:08,490 +بشكل مهم جدًا يجب أن نفصلها بشكل مهم جدًا في + +403 +00:27:08,490 --> 00:27:12,990 +الجداية بالنسبة لـ dysphagia سنسأل متى بدأت؟ هل هي + +404 +00:27:12,990 --> 00:27:17,170 +تحصل مع الـ liquid أو مع الـ solids؟ لأن كل واحد + +405 +00:27:17,170 --> 00:27:22,750 +يلقوا differential diagnosis هل هو painful ولا + +406 +00:27:22,750 --> 00:27:27,950 +painless؟ هل في محقق بينوفاجيا؟اللي بين الصحيحين + +407 +00:27:27,950 --> 00:27:31,130 +اللي بيستخدمها بقضوان أوسفاجية أكتر من عمل عمل عمل + +408 +00:27:31,130 --> 00:27:31,990 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +409 +00:27:31,990 --> 00:27:32,430 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +410 +00:27:32,430 --> 00:27:33,530 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +411 +00:27:33,530 --> 00:27:36,210 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +412 +00:27:36,210 --> 00:27:36,770 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +413 +00:27:36,770 --> 00:27:36,770 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +414 +00:27:36,770 --> 00:27:36,770 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +415 +00:27:36,770 --> 00:27:37,490 +عمل عمل عمل عمل عمل عمل عمل عمل عمل + +416 +00:27:57,490 --> 00:28:01,870 +في الـ pharynx فـ Exhibition complaints of + +417 +00:28:01,870 --> 00:28:04,530 +difficulty in shifting, swallowing, chewing fluid + +418 +00:28:04,530 --> 00:28:07,190 +regurgitation from into the nose or choking on + +419 +00:28:07,190 --> 00:28:10,230 +trying to swallow this suggests the cause of + +420 +00:28:10,230 --> 00:28:13,370 +dysphagia is in the pharynx هذه related to + +421 +00:28:13,370 --> 00:28:16,190 +neurological like for example في يعني مشكلة في الـ + +422 +00:28:16,190 --> 00:28:18,630 +coordination of the pharyngeal muscles فبتبلش + +423 +00:28:18,630 --> 00:28:21,250 +المجلد ان دي dysphagia اول ما يبدأ يشرب او يفتح + +424 +00:28:21,250 --> 00:28:25,090 +يسمى transit dysphagia او pharyngeal dysphagia + +425 +00:28:25,390 --> 00:28:29,690 +فأفكر دايما في ال brain او في ال muscles او في ال + +426 +00:28:29,690 --> 00:28:35,710 +local cause في الفرنسا if + +427 +00:28:35,710 --> 00:28:37,770 +the patient complains of food sticking in the + +428 +00:28:37,770 --> 00:28:41,450 +esophagus it's important to ask patients to point + +429 +00:28:41,450 --> 00:28:45,110 +to the side where the food stick if heart pain is + +430 +00:28:45,110 --> 00:28:48,190 +also present for example this suggests the + +431 +00:28:48,190 --> 00:28:51,090 +gastroesophageal reflux with or without sexual + +432 +00:28:51,090 --> 00:28:54,990 +formation or ulcerationيمكن أن يكون مرتبط أو يسبب + +433 +00:28:54,990 --> 00:29:00,750 +في الانتسفاج الوضع الحقيقي في الانتسفاج أيضًا مهم + +434 +00:29:00,750 --> 00:29:03,290 +جدًا جزء من التاريخ لكي تحصل عليه علاقة المالية + +435 +00:29:03,290 --> 00:29:06,710 +اللي هو هل هو مستمر أو مستمر؟ هل هو زي الميت + +436 +00:29:06,710 --> 00:29:10,990 +المهوأة أو هل هو بسيط؟ إذا كان الشخص يقول إن + +437 +00:29:10,990 --> 00:29:17,110 +الانتسفاج مستمر أو موجود فقط مع أول مرسوم من + +438 +00:29:17,110 --> 00:29:20,510 +الطعام، فهذا يشير إلى أقل مجموعة الانتسفاج أو + +439 +00:29:20,510 --> 00:29:24,320 +مجموعة الانتسفاجولكن إذا كان الشخص يشعر بمشاكل + +440 +00:29:24,320 --> 00:29:27,520 +التطبيقات تتبع السويدية، هذا يشير إلى أسفلية أو + +441 +00:29:27,520 --> 00:29:31,060 +حتى كارسونومة إذا كان الشخص يشعر بمشاكل التطبيقات + +442 +00:29:31,060 --> 00:29:31,060 +تتبع السويدية أو حتى كارسونومة إذا كان الشخص يشعر + +443 +00:29:31,060 --> 00:29:32,040 +بمشاكل التطبيقات تتبع السويدية أو حتى كارسونومة + +444 +00:29:32,040 --> 00:29:35,220 +إذا كان الشخص يشعر بمشاكل التطبيقات تتبع السويدية + +445 +00:29:35,220 --> 00:29:39,120 +أو حتى كارسونومة إذا كان الشخص يشعر بمشاكل + +446 +00:29:39,120 --> 00:29:44,200 +التطبيقات تتبع السويدية أو حتى كارسونومة إذا + +447 +00:29:44,200 --> 00:29:48,580 +كان الشخص يشعر بمشاكل التطبيقات تتبع السو + +448 +00:30:02,080 --> 00:30:02,380 +الله + +449 +00:30:31,860 --> 00:30:39,980 +اسم ال course اسم ال course اسم ال course اسم ال + +450 +00:30:39,980 --> 00:30:45,380 +course اسم ال course اسم ال course اسم ال course + +451 +00:30:45,380 --> 00:30:45,380 +اسم ال course اسم ال course اسم ال course اسم ال + +452 +00:30:45,380 --> 00:30:45,380 +course اسم ال course اسم ال course اسم ال course + +453 +00:30:45,380 --> 00:30:45,400 +اسم ال course اسم ال course اسم ال course اسم ال + +454 +00:30:45,400 --> 00:30:45,400 +course اسم ال course اسم ال course اسم ال course + +455 +00:30:45,400 --> 00:30:47,060 +اسم ال course اسم ال course اسم ال course اسم ال + +456 +00:30:47,060 --> 00:30:47,820 +course اسم ال course اسم ال course اسم ال course + +457 +00:30:47,820 --> 00:30:47,860 +اسم ال course اسم ال course اسم ال course اسم ال + +458 +00:30:47,860 --> 00:30:47,900 +course اسم ال course اسم ال course اسم ال course + +459 +00:30:47,900 --> 00:30:47,900 +اسم ال course اسم ال course اسم ال course اسم ال + +460 +00:30:47,900 --> 00:30:47,900 +course اسم ال course اسم ال course اسم ال course + +461 +00:30:47,900 --> 00:30:47,900 +اسم ال course اسم ال course اسم ال course اسم ال + +462 +00:30:47,900 --> 00:30:47,920 +course اسم ال course اسم ال course اسم ال course + +463 +00:30:47,920 --> 00:30:50,560 +اسم ال course اسم ال course اسم ال course اسم ال + +464 +00:30:50,560 --> 00:30:57,340 +course اسم ال course اسم ال course اسم ال course + +465 +00:30:57,750 --> 00:31:00,530 +ممكن تتعرف على نفسها، الأكلة زي مثلا أو الـ + +466 +00:31:00,530 --> 00:31:04,730 +diffuses with the smell عنيجي لأسمة تانية، اللي هو + +467 +00:31:04,730 --> 00:31:08,590 +الديارية الديارية البيت الحالي مش هنسأل في مثل + +468 +00:31:08,590 --> 00:31:11,910 +السفرية مش هنسأل عن ال site هنبدأ نسأل عن ال other + +469 +00:31:11,910 --> 00:31:17,070 +components of الديارية الديارية تعريفها can be + +470 +00:31:17,070 --> 00:31:20,390 +defined in a number of different ways patients may + +471 +00:31:20,390 --> 00:31:22,970 +complain of frequent stool more than three per day + +472 +00:31:22,970 --> 00:31:26,310 +being abnormal or they may complain of a change in + +473 +00:31:26,310 --> 00:31:30,310 +the consistency of stoolالذين أصبحوا مفردين أو + +474 +00:31:30,310 --> 00:31:32,870 +ممارسين هناك عدد كبير من الممكن أن يكون السبب + +475 +00:31:32,870 --> 00:31:38,610 +دياريا عندما يتم تحقيق قصة دياريا، من المهم أن + +476 +00:31:38,610 --> 00:31:43,270 +تتأكد إذا كان هذا حدث بطريقة عادية أو إذا كانت + +477 +00:31:43,270 --> 00:31:46,670 +مشكلة كرونية دياريا عادية دياريا ممكن أن تكون + +478 +00:31:46,670 --> 00:31:51,030 +مصابة بالطبيعة، بينما كرونية دياريا لديها عدد كبير + +479 +00:31:51,030 --> 00:31:56,930 +من السببالداريا يمكن ان تكون مجموعة من مجموعات + +480 +00:31:56,930 --> 00:32:00,410 +مختلفة بسبب تفاصيل الـ 7th solution لما نحكي عنها + +481 +00:32:00,410 --> 00:32:03,230 +كتفاصيل يجب ان نقول ان اذا كان هناك داريا لثانية + +482 +00:32:03,230 --> 00:32:05,090 +او ثلاثة داريا اذا كان هناك داريا لثلاثة داريا اذا + +483 +00:32:05,090 --> 00:32:06,830 +كان هناك داريا لثلاثة داريا اذا كان هناك داريا + +484 +00:32:06,830 --> 00:32:08,550 +لثلاثة داريا اذا كان هناك داريا لثلاثة داريا اذا + +485 +00:32:08,550 --> 00:32:08,550 +كان هناك داريا لثلاثة داريا اذا كان هناك داريا + +486 +00:32:08,550 --> 00:32:11,210 +لثلاثة داريا اذا كان هناك داريا لثلاثة داريا اذا + +487 +00:32:11,210 --> 00:32:17,490 +كان هناك داريا لثلاثة داريا اذا + +488 +00:32:17,490 --> 00:32:19,570 +كان هناك داريا لث + +489 +00:32:22,580 --> 00:32:26,380 +and persists when the patient passes security + +490 +00:32:26,380 --> 00:32:30,460 +diarrhea high volume voluminous stops when the + +491 +00:32:30,460 --> 00:32:34,500 +patient passes في نفسي المعهد هذه الشغلات كتير في + +492 +00:32:34,500 --> 00:32:37,420 +corner of a small power مع infections and other + +493 +00:32:37,420 --> 00:32:41,400 +causes هذا اسمه ال diarrhea characterized by + +494 +00:32:41,400 --> 00:32:42,240 +disappearance + +495 +00:32:51,050 --> 00:32:53,930 +will not stop with fasting however الاسموتك دياري + +496 +00:32:53,930 --> 00:32:59,710 +هو stop with fasting لو المريض يصوم اتخذ فى ديارى + +497 +00:32:59,710 --> 00:33:04,250 +Secretary لها أسباب كتير ممكن تكون من الفكشين و + +498 +00:33:04,250 --> 00:33:07,930 +from many other causes في ال G.I. اسموتك دياري + +499 +00:33:07,930 --> 00:33:11,710 +المعنى فيه اسموتك والفلوريز في الستوري سحب محل فى + +500 +00:33:11,710 --> 00:33:14,550 +ال liquid أو ال fluid أو ال water في البرادس + +501 +00:33:14,550 --> 00:33:18,130 +التراجسيس المهم يجيد هذا للدياري أنه it stops with + +502 +00:33:18,130 --> 00:33:18,630 +fasting + +503 +00:33:21,140 --> 00:33:23,580 +by a large volume related to the digestion of + +504 +00:33:23,580 --> 00:33:28,040 +foods.اسموتك دياري أو care due to excessive use of + +505 +00:33:28,040 --> 00:33:32,720 +drugs يعني في بعض الاسموتك باركلز تسحب معها بسطول + +506 +00:33:32,720 --> 00:33:35,880 +ال causes derivingها including lactose + +507 +00:33:35,880 --> 00:33:39,580 +intolerance، magnesium antioxidase or gastric + +508 +00:33:39,580 --> 00:33:42,820 +steroid + +509 +00:33:42,820 --> 00:33:49,380 +الدياري ممكن تصير نتيجة أشياء خارج الـGIمثل الـ + +510 +00:33:49,380 --> 00:33:52,240 +Abnormal GI Motility في المرضى اللي انت مريت + +511 +00:33:52,240 --> 00:33:53,280 +بروسيندروم او في + +512 +00:33:53,280 --> 00:34:14,620 +الثيروتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركتركت + +513 +00:34:15,850 --> 00:34:18,750 +الستور بيصير fatty، pale, colored, extremely + +514 +00:34:18,750 --> 00:34:21,690 +smelly، float in the toilet, fall and are + +515 +00:34:21,690 --> 00:34:23,810 +difficult to flush away، هذا بيسمى استياطورية + +516 +00:34:23,810 --> 00:34:28,110 +استياطورية it's defined as the presence of more + +517 +00:34:28,110 --> 00:34:31,930 +than 70 gram of fat in 24 hour stool collection، + +518 +00:34:31,930 --> 00:34:38,610 +اللي هي كتير من الأسباب من ال .. ال complex اللي + +519 +00:34:38,610 --> 00:34:42,150 +بيجي فيها المريض ومدى التفصيل والجيهة يستخدم ليها + +520 +00:34:42,150 --> 00:34:47,690 +ال constipationالقنصيبات مهم أن تتعامل مع ما يعنيه + +521 +00:34:47,690 --> 00:34:52,310 +قنصيبات قنصيبات + +522 +00:34:52,310 --> 00:34:55,390 +قنصيبات موضوع عام ويمكن أن تتعامل مع بسيطات غير + +523 +00:34:55,390 --> 00:35:02,650 +عامة غير عامة وغير صعبة القنصيبات قنصيبات عامة أو + +524 +00:35:02,650 --> 00:35:04,330 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +525 +00:35:04,330 --> 00:35:04,490 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +526 +00:35:04,490 --> 00:35:07,270 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +527 +00:35:07,270 --> 00:35:08,230 +عامة أو قنصيبات عامة أو قنصيبات عامة أو قنصيبات + +528 +00:35:08,230 --> 00:35:13,950 +عامة أو قنصيبات + +529 +00:35:13,950 --> 00:35:19,860 +عامةفكال مكعب Constipation may arise from + +530 +00:35:19,860 --> 00:35:22,440 +ingestion of drugs كثير من الدراجات اللي هي علاقة + +531 +00:35:22,440 --> 00:35:23,800 +بتجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +532 +00:35:23,800 --> 00:35:24,260 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +533 +00:35:24,260 --> 00:35:25,380 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +534 +00:35:25,380 --> 00:35:27,560 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +535 +00:35:27,560 --> 00:35:27,600 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +536 +00:35:27,600 --> 00:35:32,920 +تجارب تجارب تجارب تجارب تجارب تجارب تجارب + +537 +00:35:32,920 --> 00:35:41,900 +تجارب + +538 +00:35:41,900 --> 00:35:47,330 +تالتنسيق يمكن أن يحدث أيضًا بعد تغيير كونيكو من + +539 +00:35:47,330 --> 00:35:54,610 +الكرسينامو لهذه + +540 +00:35:54,610 --> 00:35:57,230 +السبب مهم جدًا أن نقوم بتأكيد ما إذا كان هناك + +541 +00:35:57,230 --> 00:36:01,330 +تغيير قديم في عبادتنا البعوث كما يمكن أن يشير إلى + +542 +00:36:01,330 --> 00:36:07,450 +تطور التعامل بالماليبنالسي الشخصين مع تنسيق عالي + +543 +00:36:07,450 --> 00:36:10,970 +جدًا في الانتقال التنسيقي يمكن أن يجدوا أنهم لديهم + +544 +00:36:10,970 --> 00:36:16,110 +تجارب غير عاديةوأو يكون لديه ترانزيب كورونايكي + +545 +00:36:16,110 --> 00:36:20,670 +بسيط بسبب التفاقوات التي يحدث فيها الناس بشكل كبير + +546 +00:36:20,670 --> 00:36:25,210 +بشكل كبير + +547 +00:36:25,210 --> 00:36:29,730 +بشكل كبير بشكل كبير بشكل كبير بشكل كبير + +548 +00:36:37,880 --> 00:36:40,420 +Chronic but erratic system of centrifugation + +549 +00:36:40,420 --> 00:36:42,280 +typical of alternative diarrhea with constipation + +550 +00:36:42,280 --> 00:36:44,640 +associated with abdominal pain in the absence of + +551 +00:36:44,640 --> 00:36:47,080 +any structural or biotemical abnormality is very + +552 +00:36:47,080 --> 00:36:49,160 +common، هذا بيشوفه في المرضى اللي عنده varitable + +553 +00:36:49,160 --> 00:36:54,360 +bowel syndrome Passage of mucus in stool is + +554 +00:36:54,360 --> 00:36:56,960 +important، passage of mucus may occur because of + +555 +00:36:56,960 --> 00:36:58,840 +certain arterial complementary + +556 +00:36:58,840 --> 00:37:02,200 +rectum،فسطولة،فلسة،دنومة + +557 +00:37:02,200 --> 00:37:04,300 +أو حتى ممكن تشوف معاناة varitable bowel syndrome + +558 +00:37:06,100 --> 00:37:08,600 +الـ jaundice، الـ jaundice من الـ complaints + +559 +00:37:08,600 --> 00:37:15,100 +المهمة جدا، it's usually the patient's relatives + +560 +00:37:15,100 --> 00:37:18,360 +notice any discoloration of the sclera or skin، + +561 +00:37:18,360 --> 00:37:20,440 +jaundice is due to the presence of oxybelurobin + +562 +00:37:20,440 --> 00:37:23,640 +being deposited in the sclera and the skin، if + +563 +00:37:23,640 --> 00:37:26,840 +there is jaundice, we have to ask about the color + +564 +00:37:26,840 --> 00:37:30,620 +of the urine، هل صارت غير لون الورين أو لون + +565 +00:37:30,620 --> 00:37:34,030 +الستول؟فيريس توز عن دار كورين او كاريس بدل دستركشن + +566 +00:37:34,030 --> 00:37:39,110 +او كوليسترتيك جوندس بسبب ان بيولوجينك غير قادر على + +567 +00:37:39,110 --> 00:37:42,050 +الوصول الى تسنين تسنين ايضا يجب ان نسأل عن عضونا + +568 +00:37:42,050 --> 00:37:46,850 +الفين بسبب ان مثلا جولبرا و سوانس قد يسببوا عضو + +569 +00:37:46,850 --> 00:37:51,430 +فيلياري و جوندس سكراتش او اتشينج مارس قد يظهر انك + +570 +00:37:51,430 --> 00:37:58,210 +مناسب لإتشينج لتشينج هل هي علاقة بال G I نعم + +571 +00:37:58,210 --> 00:38:02,260 +لتشينجSymptom means itching of the skin and may be + +572 +00:38:02,260 --> 00:38:04,660 +either generalized or localized Cholestatic liver + +573 +00:38:04,660 --> 00:38:08,500 +disease, like pneumonia, biliary cholangitis, or + +574 +00:38:08,500 --> 00:38:10,640 +any cholestatic disorder of the liver may cause + +575 +00:38:10,640 --> 00:38:14,780 +arthritis Abdominal + +576 +00:38:14,780 --> 00:38:17,580 +bloating and swelling A feeling of swelling and + +577 +00:38:17,580 --> 00:38:20,640 +bloating may be a result of excess gas or + +578 +00:38:20,640 --> 00:38:23,200 +hypersensitivity in the tracts + +579 +00:38:30,210 --> 00:38:32,770 +Persistent swelling can be due to aspects of fluid + +580 +00:38:32,770 --> 00:38:35,890 +communication لو صار المرضي عنده swelling لازم انا + +581 +00:38:35,890 --> 00:38:39,370 +اسأل المرضي متى بدل ال swelling هل هو localized في + +582 +00:38:39,370 --> 00:38:42,270 +مكان معين في الابدوين و لا هو generalized هل هو + +583 +00:38:42,270 --> 00:38:45,590 +progressive ولا regressive هل في مثلا swelling في + +584 +00:38:45,590 --> 00:38:50,610 +مكان تاني في الابدوين ع كيف ال desperation تبعه هل + +585 +00:38:50,610 --> 00:38:52,910 +مثلا ممكن يكون عنده arthritis لو كان فيه توث في + +586 +00:38:52,910 --> 00:38:55,750 +الابدوين يكون في موضف ال fluoral cavity هل في اللي + +587 +00:38:55,750 --> 00:38:59,990 +هو اللوم ب swelling هذه مهمة جدا نسأل عنهابالحقيقة + +588 +00:38:59,990 --> 00:39:02,130 +الشيء اللي ممكن تعمل عضويا عندي أبدو نفسه خمس + +589 +00:39:02,130 --> 00:39:13,650 +أشياء ليه؟ fat, fluid, feces, and fetus اللي + +590 +00:39:13,650 --> 00:39:15,910 +خارج ال awareness عن ال ease of activity من ال + +591 +00:39:15,910 --> 00:39:20,790 +symptoms مهم جدا للشخص اللي لها علاقة بال GR are + +592 +00:39:20,790 --> 00:39:22,730 +common symptoms for patients with acute chronic + +593 +00:39:22,730 --> 00:39:27,290 +diseases but because it is not well known ممكن + +594 +00:39:27,290 --> 00:39:31,980 +يحصل نتيجةفاكدان أو أنيميا أو blood loss كونك + +595 +00:39:31,980 --> 00:39:35,380 +blood loss من الـ GI system يمنزل وجود ألصر أو + +596 +00:39:35,380 --> 00:39:39,000 +مجرد مجرد مالك نفسي أو whatever في الـ GI الإثار + +597 +00:39:39,000 --> 00:39:40,940 +دي is very common in the general population and + +598 +00:39:40,940 --> 00:39:44,380 +not a specific symptom بإيصال ممكن تكون الإثار + +599 +00:39:44,380 --> 00:39:48,400 +اللي بتاعة الناس دي بس يمكن تكون انها علاقة بالـGI + +600 +00:39:48,400 --> 00:39:51,320 +بال blood loss في الـGI بالlever disease في الـGI + +601 +00:39:51,320 --> 00:39:54,620 +بس ممكن نشوفها من الناس العادية بكل بساطة + +602 +00:40:02,360 --> 00:40:05,280 +بعد ما نكون مثلا .. مثلا افصلنا اللي احنا الـ + +603 +00:40:05,280 --> 00:40:08,100 +Seropositiveness هم نجعل باص medical history باص + +604 +00:40:08,100 --> 00:40:10,560 +medical history هل المريض كان عنده أمراض معينة؟ + +605 +00:40:10,560 --> 00:40:12,460 +أنا مهم جدا أن أسأل عنها هل المريض مثلا عنده + +606 +00:40:12,460 --> 00:40:15,360 +history of liver disease؟ هل المريض عنده diabetes؟ + +607 +00:40:15,360 --> 00:40:18,040 +هل عنده hypertension؟ هل عنده chronic الأزمة؟ هل + +608 +00:40:18,040 --> 00:40:22,100 +عنده chronic kidney disease؟ هذه مهمة جدا هل + +609 +00:40:22,100 --> 00:40:25,180 +المريض عنده history .. history of similar + +610 +00:40:25,180 --> 00:40:28,000 +complaint في الباص؟ هل نفس الاشي صار معاه؟ نفس + +611 +00:40:28,000 --> 00:40:31,260 +الصندوق اللي جاي بيه هذا؟ هل كانت معاه موجود ولا + +612 +00:40:31,260 --> 00:40:36,010 +لأ؟وزي ما وجوده لازم اخد vaccine كيف اتعالجه و كيف + +613 +00:40:36,010 --> 00:40:41,050 +اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و + +614 +00:40:41,050 --> 00:40:45,970 +كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه + +615 +00:40:45,970 --> 00:40:49,190 +و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف + +616 +00:40:49,190 --> 00:40:50,850 +اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و + +617 +00:40:50,850 --> 00:40:56,090 +كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه + +618 +00:40:56,090 --> 00:41:00,210 +و كيف اتشخصه و كيف اتشخصه و كيف اتشخصه و كيف ا + +619 +00:41:06,970 --> 00:41:08,970 +هنسأل عن ال treatment history ال treatment history + +620 +00:41:08,970 --> 00:41:12,950 +is very important هل المريض لو بخد علاجه هتشوف + +621 +00:41:12,950 --> 00:41:17,530 +واخد؟ و ليش؟ وش indication؟ و هل هو ملتزم فيها و + +622 +00:41:17,530 --> 00:41:20,930 +لا لأ؟ عندنا كتير من ال drugs like menstruator + +623 +00:41:20,930 --> 00:41:26,390 +ممكن تعمل عنها بأسرك أو دون ألصح ممكن تعمل عنها + +624 +00:41:26,390 --> 00:41:28,890 +كتير من ال drugs ممكن تعمل عندي disturbance في ال + +625 +00:41:28,890 --> 00:41:31,250 +edification مثلا كما حكينا في ال constipation + +626 +00:41:31,250 --> 00:41:33,950 +large number of drugs are also well known to + +627 +00:41:33,950 --> 00:41:36,830 +affect a liverمثلًا، الـ Acute Hepatitis ممكن تصير + +628 +00:41:36,830 --> 00:41:40,490 +نتيجة بعد أدوية التخدير زي اللي كانت، ممكن مع جرع + +629 +00:41:40,490 --> 00:41:43,570 +عالي من الـ Acetaminophen أو البراسيكامول، بقى + +630 +00:41:43,570 --> 00:41:46,830 +2020، كل أستاذيس ممكن يصير كل بساطة مريض يجيني + +631 +00:41:46,830 --> 00:41:49,730 +بجهون دس، مع etching نتيجة أنه أخد بعض ال + +632 +00:41:49,730 --> 00:41:54,070 +antibiotics مثلًا، زي اللي اتمنتين أنا أقولك، + +633 +00:41:54,070 --> 00:41:56,770 +السراز يفتح من البلد بلبن، وcontrast of the pills + +634 +00:41:56,770 --> 00:41:59,190 +can cause those related كل أستاذيس، يجيني مريض + +635 +00:41:59,190 --> 00:42:05,260 +بجهون دس، ويجيني مرضيب بetchingFatty liver من أحد + +636 +00:42:05,260 --> 00:42:08,360 +الحاجات الملمسة يكون خلّى الدموع تتجمع على ال + +637 +00:42:08,360 --> 00:42:11,620 +liver Cannot care with alcohol use, some + +638 +00:42:11,620 --> 00:42:13,780 +antibiotics like tetracycline, ibuprofen, and + +639 +00:42:13,780 --> 00:42:17,200 +amiodarone Acute liver cell necrosis can occur if + +640 +00:42:17,200 --> 00:42:23,300 +an overdose of paracetamol is taken Fast history + +641 +00:42:23,300 --> 00:42:25,700 +مثل ما حكيناه، الصحيح لازم يتعامل على ال procedure + +642 +00:42:25,700 --> 00:42:30,010 +من العملة، هل ممكن يكون مثلا مريض؟في عمله recently + +643 +00:42:30,010 --> 00:42:33,890 +a surgery أخد مثلا أنا أناستيجيا معينة عملت عنده + +644 +00:42:33,890 --> 00:42:39,150 +جوانبس اللي أخد قبل مثلا العملية أخد مثلا أي drugs + +645 +00:42:39,150 --> 00:42:42,750 +ممكن تأثر على ال liver ممكن أثناء العملية يكون + +646 +00:42:42,750 --> 00:42:44,530 +المريض مثلا صار معاه hypertension أو يكون لدي + +647 +00:42:44,530 --> 00:42:46,910 +liver ischemia هيكل الأمور مهمة جدا + +648 +00:42:56,490 --> 00:42:59,250 +باص history مثلا باص history of infectious disease + +649 +00:42:59,250 --> 00:43:04,670 +هم جدا الناس اللي عندهم not worth it ممكن عندهم + +650 +00:43:04,670 --> 00:43:07,670 +relaxed limiting course ممكن المريض ييجي ويأديهنا + +651 +00:43:07,670 --> 00:43:11,010 +البين فجأه يختفي ويأديهنا البين ويجي ايضا عبارة عن + +652 +00:43:11,010 --> 00:43:15,770 +flares up family history كتير مهمة ناخد ال family + +653 +00:43:15,770 --> 00:43:20,250 +history هل ال family history في اي family history + +654 +00:43:20,250 --> 00:43:24,590 +مثلا اي GI disturbance في اي family history of + +655 +00:43:24,590 --> 00:43:28,420 +malignancyفي الفميلي هل عندهم colon cancer؟ هل في + +656 +00:43:28,420 --> 00:43:30,840 +عندهم في الفميلي history of pancreas disease؟ هذه + +657 +00:43:30,840 --> 00:43:34,380 +المهمة جدا هل في عندهم family history of jaundice؟ + +658 +00:43:34,380 --> 00:43:37,520 +من أي سبب؟ هل كان عمرو مستثمرين تومي؟ هل في عندهم + +659 +00:43:37,520 --> 00:43:39,860 +عنيميا؟ هذه كل ال family history اللي لازم تكون + +660 +00:43:39,860 --> 00:43:44,580 +بشكل مبسطة ال social history كتير مهمة ال social + +661 +00:43:44,580 --> 00:43:49,340 +history مهمة جدا أول شيء بس occupation بعض مثلا + +662 +00:43:49,340 --> 00:43:53,570 +عمال ممكن يكون لها علاقة بعمراض الجيادةمثلا الـ + +663 +00:43:53,570 --> 00:43:58,150 +care workers ممكن يكونوا مثلا معرضين للإنطقال إلهم + +664 +00:43:58,150 --> 00:44:02,810 +الهيباطيتس ال + +665 +00:44:02,810 --> 00:44:05,130 +social history مهم جدا نسأل عن ال recent troubles + +666 +00:44:05,130 --> 00:44:08,390 +ممكن تكون أجابهم من ال recent troubles من ال + +667 +00:44:08,390 --> 00:44:12,090 +infection where hepatitis infection is a endemic + +668 +00:44:12,090 --> 00:44:15,990 +ال alcohol history is important عادة بال habit لما + +669 +00:44:15,990 --> 00:44:19,590 +مهم جدا أسأل عن ال .. أسأل عن ال alcohol ال + +670 +00:44:19,590 --> 00:44:22,990 +smokingكم سيجارة بدخن المريض؟ الفترة اللي دخن فيها + +671 +00:44:22,990 --> 00:44:26,950 +لو مثلا بقعد of alcohol هل كمية اللي بخنتها هو + +672 +00:44:26,950 --> 00:44:30,290 +النوع اللي بخته؟ هل في sick contact؟ هل في contact + +673 +00:44:30,290 --> 00:44:34,450 +with anyone who had been jaundiced؟ ال sexual + +674 +00:44:34,450 --> 00:44:38,590 +history مهم جدا زي طرف الhistory هل في أي sexual + +675 +00:44:38,590 --> 00:44:42,950 +contact؟ يعني ثلاث contact with sick person لازم + +676 +00:44:42,950 --> 00:44:48,740 +أسألها with sexual contactسكت كونتاكت و sexual + +677 +00:44:48,740 --> 00:44:53,220 +contact وانساش بعض الحياة انسان animal contact هل + +678 +00:44:53,220 --> 00:44:55,560 +المرض كان له اي نوع من انواع الحيوانات ممكن علاقة + +679 +00:44:55,560 --> 00:45:02,240 +بعض العمرض ولا لا مهم + +680 +00:45:02,240 --> 00:45:04,360 +جدا اخر اشهر السؤال المريض عن ال course اندهزته + +681 +00:45:04,360 --> 00:45:09,330 +كيف كانت ال hospital ايش نعمله؟هل إيش كان تشخيص لو + +682 +00:45:09,330 --> 00:45:11,450 +كان مثلا كان موجود هذا الكلام في ال bus كان مدخل + +683 +00:45:11,450 --> 00:45:13,290 +بنفس ال command قبل هيك؟ إيش اللي عمل له؟ إيش + +684 +00:45:13,290 --> 00:45:15,630 +حكومة على طباب؟ إيش التشخيص؟ إيش التحليب؟ إيش + +685 +00:45:15,630 --> 00:45:23,910 +العلاجات؟ وكيف كانت النتيجة؟ + +686 +00:45:23,910 --> 00:45:27,430 +في + +687 +00:45:27,430 --> 00:45:29,530 +الآخر we have to address the patient's functional + +688 +00:45:29,530 --> 00:45:34,110 +expectation إيش توقعته من ال .. تكون الحل لل + +689 +00:45:34,110 --> 00:45:35,110 +confidence بتبعته؟ + +690 +00:45:38,540 --> 00:45:42,480 +هل في اي ايش حاب يحكي مع حكاهه؟ في الاخر نشوف نسأل + +691 +00:45:42,480 --> 00:45:46,180 +المريض do you have anything else you want to tell + +692 +00:45:46,180 --> 00:45:49,100 +me؟ مرات ممكن احنا نرد نسأل نسأل ننسى بعض الأشياء + +693 +00:45:49,100 --> 00:45:53,220 +فقبل ما اختم طيب احنا بسأل المريض هل لديك اي أفواه + +694 +00:45:53,220 --> 00:45:56,680 +كرامة؟ هل لديك اي ايش حاب تحكيلي انا نسيت اسالك + +695 +00:45:56,680 --> 00:46:04,140 +عنه؟ هذه المهمة جدا و في الآخر ال history هي عبارة + +696 +00:46:04,140 --> 00:46:08,150 +عن فنبتاك تتعلم .. بتاك كتير تشوف مرضى .. بتاك + +697 +00:46:08,150 --> 00:46:10,810 +كتير تاخد اسئلة من مرضى .. كل بيت تاخد منه اسئلة + +698 +00:46:10,810 --> 00:46:14,250 +.. و كل مرضى تتعلم منها .. هذه الأشياء المهمة جدا + +699 +00:46:14,250 --> 00:46:19,390 +.. و بالآخر ال test retaking .. بيطلع لنا review + +700 +00:46:19,390 --> 00:46:25,310 +of systems .. ممكن أسأل بعض الأسئلة .. بتعلق بكل + +701 +00:46:25,310 --> 00:46:28,290 +system في الجسم .. مثلا ال respiratory .. هل المرض + +702 +00:46:28,290 --> 00:46:30,950 +كان عنده cough .. ولا عنده كان مثلا .. في عنده + +703 +00:46:30,950 --> 00:46:35,880 +hemortisis .. في عندهأو الـ Sputum production + +704 +00:46:35,880 --> 00:46:39,700 +بالنسبة لكاردياكفل بعض الأسئلة ممكن أسألها بالنسبة + +705 +00:46:39,700 --> 00:46:41,880 +لماسكو سكتر بعض الأسئلة ال gynecological + +706 +00:46:41,880 --> 00:46:45,120 +rheumatology ممكن أسألها هذه الأسئلة كليتها حتى + +707 +00:46:45,120 --> 00:46:47,800 +هذي بيسميها review of systems هل في أخر كملة من + +708 +00:46:47,800 --> 00:46:53,400 +الكون اللي لها علاقة بالكملة الأساسية و لا لأ بعد + +709 +00:46:53,400 --> 00:46:57,800 +ايه فسلم ع المال و بختمن اللي اشتريه و بقى ابتدي + +710 +00:46:57,800 --> 00:47:02,070 +انا اكتب ال history من أول و أول و جديدأشوف انا .. + +711 +00:47:02,070 --> 00:47:05,590 +هل انا في اشي اللي لازم اسأل عنه او .. او في اشي + +712 +00:47:05,590 --> 00:47:10,110 +لازم ارتبه بشكل كويس ولا لأ ممكن اخد وقتي بعد ما + +713 +00:47:10,110 --> 00:47:14,770 +كنت .. اخد وقت تقريبا تلت ساعة نص ساعة اني اقدر + +714 +00:47:14,770 --> 00:47:18,490 +اكتب من اول لحديث وارتب افتاري عن اللي بدا ان + +715 +00:47:18,490 --> 00:47:21,230 +احكيه وانا بكتب حاجة في ال demographic داتا + +716 +00:47:21,230 --> 00:47:24,790 +presenting symptom and illness past medical + +717 +00:47:24,790 --> 00:47:28,890 +history family history medication history بعد هيك + +718 +00:47:30,110 --> 00:47:34,390 +بعدين اخر اشي بحط review of systems واشكرا جزيلا + +719 +00:47:34,390 --> 00:47:35,830 +واطمنا انكم محاورة مفيدة لكم + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o.srt new file mode 100644 index 0000000000000000000000000000000000000000..b3aabbe94ee2f343d9e345f7e609c5287836e6b3 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o.srt @@ -0,0 +1,1599 @@ +1 +00:00:02,260 --> 00:00:05,920 +السلام عليكم ورحمة الله وبركاته الجزء الثاني من + +2 +00:00:05,920 --> 00:00:09,260 +محاضرة الـ Physical Examination للـ Pulmonary + +3 +00:00:09,260 --> 00:00:15,120 +System خلصنا .. كنا خلصنا الـ General Examination + +4 +00:00:15,120 --> 00:00:20,620 +وقلنا أنه الـ General Examination يفحص the + +5 +00:00:20,620 --> 00:00:24,560 +patient environment then the patient general + +6 +00:00:24,560 --> 00:00:29,860 +appearance الـ face، الـ neck، الـ hand، الـ lower + +7 +00:00:29,860 --> 00:00:36,860 +limb طبعاً بتسأل عن الـ Vital Sign وممكن while + +8 +00:00:36,860 --> 00:00:41,180 +examining الـ Vital Sign مهم جداً الـ Respiratory + +9 +00:00:41,180 --> 00:00:46,700 +Rate والـ Respiratory Rate طبيعي من 12 إلى 20، 12 + +10 +00:00:46,700 --> 00:00:50,680 +إلى 18، هذا الـ Respiratory Rate ولما أنت بتفحص + +11 +00:00:50,680 --> 00:00:55,340 +الـ Respiratory Rate يعني ممكن أنت وأنت بتفحص الـ + +12 +00:00:55,340 --> 00:01:00,600 +Pulse عينك على الشست تشوف إيش الـ Respiratory Rate + +13 +00:01:00,600 --> 00:01:05,340 +لأن sometimes ال patient ممكن يبطئ النفس أو يسهل + +14 +00:01:05,340 --> 00:01:11,360 +النفس إذا لاحظت أنك أنت بتفحص اللي هو ال + +15 +00:01:11,360 --> 00:01:13,940 +respiratory rate فبالتالي وأنت while you are + +16 +00:01:13,940 --> 00:01:20,320 +examining ال pulse هناك على الشست وexamining for + +17 +00:01:20,320 --> 00:01:28,510 +respiratory rate ال local exam of the chest طبعاً + +18 +00:01:28,510 --> 00:01:34,110 +first of all أنت ماخد طبعاً من أول permission و + +19 +00:01:34,110 --> 00:01:37,590 +consent و introduce yourself و wash your hand و + +20 +00:01:37,590 --> 00:01:40,890 +make privacy و position the patient 45 degree هذا + +21 +00:01:40,890 --> 00:01:45,110 +كله من أول أنت عملته في ال general exam في ال + +22 +00:01:45,110 --> 00:01:49,410 +local exam exposure is very important exposure + +23 +00:01:49,410 --> 00:01:53,470 +should be from the umbilicus and upward هذا + +24 +00:01:53,470 --> 00:01:54,130 +important + +25 +00:01:57,290 --> 00:02:01,870 +الشخص يستخدم استخبار الهواتف ليعرف إذا كان الشخص + +26 +00:02:01,870 --> 00:02:09,550 +في مضغوطات، في رتب، في مدخل الهواتف، إذا كان هناك + +27 +00:02:09,550 --> 00:02:13,570 +صوت مسموح أو لا + +28 +00:02:19,570 --> 00:02:24,750 +الـ Examination للـ local chest exam should be + +29 +00:02:24,750 --> 00:02:30,130 +from the end of the bell inspect the shape of the + +30 +00:02:30,130 --> 00:02:36,790 +chest anterior posterior diameter و ال ratio to + +31 +00:02:36,790 --> 00:02:40,030 +the transverse diameter usually تقريبا تلت إلى + +32 +00:02:40,030 --> 00:02:45,070 +تلتين inspect the symmetry of the patient's chest + +33 +00:02:46,450 --> 00:02:48,670 +الـ both movement ask the patient to take deep + +34 +00:02:48,670 --> 00:02:52,290 +breath يكون + +35 +00:02:52,290 --> 00:02:58,710 +both side ال comparison if + +36 +00:02:58,710 --> 00:03:04,870 +there is any obvious scar anteriorly طبعاً بتعلق + +37 +00:03:04,870 --> 00:03:08,850 +لأن most of the thoracic scar أو ال operation + +38 +00:03:08,850 --> 00:03:14,850 +بتكون from the back Any Deformity Pectus Carinatum + +39 +00:03:14,850 --> 00:03:19,510 +Pectus Excavatum Any Chest Wall Deformity Any + +40 +00:03:19,510 --> 00:03:23,850 +Dilated Superficial Vein هذه كليتها في الـ Local + +41 +00:03:23,850 --> 00:03:30,330 +Chest Exam زي + +42 +00:03:30,330 --> 00:03:33,550 +ما حكينا برضه اللي لابي الـ Anteroposterior Diameter + +43 +00:03:33,550 --> 00:03:37,090 +ال .. ال .. ال .. ال abnormal ال pattern of + +44 +00:03:37,090 --> 00:03:40,270 +breathing Costal breathing ال skin color sometimes + +45 +00:03:40,740 --> 00:03:43,580 +وإذا كان فيه obvious deformity زي الـ Pectus + +46 +00:03:43,580 --> 00:03:55,060 +Carinatum أو Excavatum أو Kyphoscoliosis زي + +47 +00:03:55,060 --> 00:03:59,060 +ما احنا شايفين هنا this is a increased + +48 +00:03:59,060 --> 00:04:03,800 +anteroposterior diameter Barrel chest this is + +49 +00:04:03,800 --> 00:04:07,800 +severe kyphosis and sometimes + +50 +00:04:10,990 --> 00:04:17,390 +وهنا برضه بيجين شست وهنا بيجين شست وهنا Funnel + +51 +00:04:17,390 --> 00:04:24,050 +chest Pectus Excavatum from cavity طبعا بالحالات + +52 +00:04:24,050 --> 00:04:28,110 +اللي زيها ال respiratory system الـ Pectus + +53 +00:04:28,110 --> 00:04:32,810 +excavatum ما بتخوف كتير إذا كانت كبيرة كفاية + +54 +00:04:32,810 --> 00:04:36,890 +لتسبب مرض الرئة المزمن لأكيد اللي بيخوف اللي هو + +55 +00:04:36,890 --> 00:04:40,370 +الـ Pectus carinatum أو الـ Pigeon chest أو + +56 +00:04:40,370 --> 00:04:46,170 +الـ Barrel chest اللي يعني أن هناك مرض الرئة المزمن إذا + +57 +00:04:46,170 --> 00:04:49,230 +كانت أزمة أو مرض رئوي مزمن كروني مزمن + +58 +00:04:49,230 --> 00:04:50,690 +مزمن كروني مزمن كروني مزمن كروني + +59 +00:04:50,690 --> 00:04:54,230 +كروني مزمن كروني مزمن كروني كروني + +60 +00:04:54,230 --> 00:04:54,270 +مزمن كروني مزمن كروني مزمن كروني + +61 +00:04:54,270 --> 00:04:57,580 +كروني مزمن كروني مزمن كهذه بيجين شست وهذه بيرل + +62 +00:04:57,580 --> 00:05:03,020 +شست Increased + +63 +00:05:03,020 --> 00:05:07,520 +Anteroposterior Diameter في حالات الـ COPD secondary + +64 +00:05:07,520 --> 00:05:11,140 +emphysema hyperinflation obstructive lung disease + +65 +00:05:11,140 --> 00:05:16,440 +which is part of COPD + +66 +00:05:16,440 --> 00:05:21,740 +emphysematous type وهنا دي شست دفوع الـ deformity + +67 +00:05:24,440 --> 00:05:33,560 +Pectus Excavatum جيبص جيبص جيبص + +68 +00:05:33,560 --> 00:05:33,900 +جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص + +69 +00:05:33,900 --> 00:05:33,980 +جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص + +70 +00:05:33,980 --> 00:05:35,940 +جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص + +71 +00:05:35,940 --> 00:05:40,020 +جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص + +72 +00:05:40,020 --> 00:05:46,280 +جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص جيبص + +73 +00:05:46,280 --> 00:05:50,560 +جيبص + +74 +00:05:50,560 --> 00:05:54,640 +بعدها ال palpation في ال palpation لل chest wall + +75 +00:05:54,640 --> 00:06:01,960 +خمس حاجات مهمة يجب أن نركز عليها palpation for + +76 +00:06:01,960 --> 00:06:07,200 +superficial mass or tenderness all over the chest + +77 +00:06:07,200 --> 00:06:12,020 +by your hand for superficial mass or tenderness للـ + +78 +00:06:12,020 --> 00:06:17,600 +Emphysema إذا كان فيه surgical emphysema في الناس + +79 +00:06:17,600 --> 00:06:21,900 +اللي عندهم نيمو ميدياستينام في بعض الوقت يكون في + +80 +00:06:21,900 --> 00:06:25,860 +عيننا surgical emphysema association فبالتالي can + +81 +00:06:25,860 --> 00:06:28,700 +be detected by superficial palpation superficial + +82 +00:06:28,700 --> 00:06:36,500 +mass or tenderness palpation of the apex طبعاً في + +83 +00:06:36,500 --> 00:06:42,400 +الـ cardiovascular exam لازم تحدد الـ time والـ + +84 +00:06:42,400 --> 00:06:48,040 +site، exactly site والـ time of apex والـ apex + +85 +00:06:48,040 --> 00:06:54,110 +beat وإذا كان فيها Healing، Thrusting لكن في الـ + +86 +00:06:54,110 --> 00:06:58,530 +Respiratory Case I just want to know if it's in + +87 +00:06:58,530 --> 00:07:01,390 +the left or in the right لأن في حالات الـ + +88 +00:07:01,390 --> 00:07:06,050 +Dextrocardia اللي بيكون عندهم الـ heart على اليمين + +89 +00:07:06,050 --> 00:07:10,810 +و associated with bronchiectasis and chronic + +90 +00:07:10,810 --> 00:07:15,090 +rhinosinusitis في حالات اللي هي مرض Cartagener + +91 +00:07:15,090 --> 00:07:15,750 +Syndrome + +92 +00:07:18,780 --> 00:07:21,760 +وبالتالي ال apex and palpation of apex هاي اتنين + +93 +00:07:21,760 --> 00:07:24,940 +يعني يقولنا superficial path أو tenderness أو + +94 +00:07:24,940 --> 00:07:30,180 +clicks ال apex بعدين ممكن ال palpation اللي هو ال + +95 +00:07:30,180 --> 00:07:31,200 +lung expansion + +96 +00:07:34,360 --> 00:07:40,680 +Symmetrical movement or not و الـ «TVF» أو + +97 +00:07:40,680 --> 00:07:45,520 +«Tactile Vocal Fremitus» وهي تقريبا استبدلت بـ + +98 +00:07:45,520 --> 00:07:52,560 +«Vocal Resonance» وهي عن طريق السماعة و اللي هم في + +99 +00:07:52,560 --> 00:07:58,980 +الـ «Palpation» also لـ «Trachea» «Trachea» فيها + +100 +00:07:58,980 --> 00:08:01,820 +ثلاث حاجات برضه في الـ Examination، هنحكي عنها + +101 +00:08:05,410 --> 00:08:10,950 +طبعا ال TBF بنحكي للمريض يحكي 99 أو 44 ونشوف ال + +102 +00:08:10,950 --> 00:08:14,590 +vibratory movement by the ulnar surface of the + +103 +00:08:14,590 --> 00:08:21,330 +hand هنا palpation of the apex نتأكد إذا ما كان + +104 +00:08:21,330 --> 00:08:25,690 +محسوس نخلي ال patient just to slightly turn to + +105 +00:08:25,690 --> 00:08:31,390 +the left side in order to palpate the apex ما همنا + +106 +00:08:31,390 --> 00:08:34,670 +زي ما حكينا في الصدرية إنه it is in the right or + +107 +00:08:34,670 --> 00:08:40,090 +in the left هنا الـ chest expansion في عيننا upper + +108 +00:08:40,090 --> 00:08:45,850 +zone و middle zone و lower zone Suprasternal، + +109 +00:08:45,850 --> 00:08:50,430 +Infrasternal، Infraclavicular في ال chest expansion to check + +110 +00:08:50,430 --> 00:08:53,750 +for symmetry لازم يكون ال movement between both + +111 +00:08:53,750 --> 00:08:57,910 +sides من ثلاث إلى خمسة سم + +112 +00:09:01,300 --> 00:09:05,580 +زي ما احنا هنا شايفين هنا اللي هي Suprasternal و + +113 +00:09:05,580 --> 00:09:11,120 +Infrasternal و Infraclavicular site و from posteriorly also + +114 +00:09:11,120 --> 00:09:15,120 +Suprascapular + +115 +00:09:15,120 --> 00:09:21,960 +و Infrascapular for estimation of just movement + +116 +00:09:21,960 --> 00:09:24,360 +لكن from posterior site + +117 +00:09:27,620 --> 00:09:32,980 +وهنا برضه ال TVF طبعاً ما قلنا في ال TVF ما بنعملها + +118 +00:09:32,980 --> 00:09:36,440 +في ال palpation لكن نذكرها بعض الأحيان وهي + +119 +00:09:36,440 --> 00:09:42,420 +replaced by vocal resonance التريكيا ال + +120 +00:09:42,420 --> 00:09:46,560 +examination مهم جداً ثلاث حاجات في التريكيا أن نشوف + +121 +00:09:46,560 --> 00:09:50,200 +التريكيا central ولا not central Deviated to the + +122 +00:09:50,200 --> 00:09:52,960 +right side، Deviated to the left side، Normally + +123 +00:09:52,960 --> 00:09:55,040 +sometimes التريكة بتكون Deviated to the right + +124 +00:09:55,040 --> 00:10:00,040 +side، ومنقيس برضه لـ cricosternal distance، ولازم + +125 +00:10:00,040 --> 00:10:07,230 +يكون أقل من three finger width، ولازم برضه في + +126 +00:10:07,230 --> 00:10:11,570 +حالات اللي هو نشوف الـtracheal tug و palpate + +127 +00:10:11,570 --> 00:10:14,410 +للتراكيا وهو the descent of the trachea during + +128 +00:10:14,410 --> 00:10:20,070 +inspiration وهذا pathognomonic sign للـCOPD + +129 +00:10:24,660 --> 00:10:28,100 +فيه برضه inspect for the tracheal position فيه + +130 +00:10:28,100 --> 00:10:35,180 +trail sign اللي هي بتكون prominence of the head of + +131 +00:10:35,180 --> 00:10:38,080 +the sternocleidomastoid in case of the trachea + +132 +00:10:38,080 --> 00:10:44,340 +deviated to the same side وهنا الحالة ما هو + +133 +00:10:44,340 --> 00:10:48,100 +examining for the tracheal descent asks the patient + +134 +00:10:48,100 --> 00:10:51,500 +to take deep breath لتركيا بتكون descended during + +135 +00:10:51,500 --> 00:10:58,600 +inspirationوهنا trail sign كما احنا شايفين هنا + +136 +00:10:58,600 --> 00:11:03,220 +prominence of the sternal head of the + +137 +00:11:03,220 --> 00:11:06,560 +sternocleidomastoid التالي ان الـ trachea slightly + +138 +00:11:06,560 --> 00:11:11,820 +deviated to the right side و this is a TVF طبعا ال + +139 +00:11:11,820 --> 00:11:16,520 +tactile vocal fremitus او ال vocal resonance + +140 +00:11:16,520 --> 00:11:20,360 +اللي هي بتنسمع عن طريق السماعة فيها يعني + +141 +00:11:20,360 --> 00:11:25,510 +indication وبتعطينا برضه ideaفي حالات بتعمل + +142 +00:11:25,510 --> 00:11:29,430 +increase للـVocal Resonance أو الـ Tactile Vocal + +143 +00:11:29,430 --> 00:11:33,030 +Fremitus بحيث الـ Consolidation، نمونيا، حيث + +144 +00:11:33,030 --> 00:11:36,530 +الـ Cavitation، Collapse لكن patent من الـ + +145 +00:11:36,530 --> 00:11:39,590 +Bronchus بيزود اللي هي الـ TVF أو الـ Vocal + +146 +00:11:39,590 --> 00:11:43,770 +Resonance إذا كان Collapse لكن obstructed من الـ + +147 +00:11:43,770 --> 00:11:47,990 +Bronchus، بيكون decrease للـ TVF Also الـ TVF أو + +148 +00:11:47,990 --> 00:11:50,410 +الـ Vocal Resonance decrease in the chest wall + +149 +00:11:50,410 --> 00:11:53,530 +في الـ Plural Thickening، Plural Effusion، Fibrosis، + +150 +00:11:53,530 --> 00:12:01,930 +Pneumothorax، هذه كليتهابتعمل decrease للـ TVF ال + +151 +00:12:01,930 --> 00:12:04,870 +percussion خلصنا من ال palpation خمس حاجات ال + +152 +00:12:04,870 --> 00:12:09,370 +second step percussion technique أهم حاجة في ال + +153 +00:12:09,370 --> 00:12:14,330 +percussion يكونالبركاشن، الـ movement كله يتهم من + +154 +00:12:14,330 --> 00:12:18,090 +عند الـ wrist الـ full range of movement ال middle + +155 +00:12:18,090 --> 00:12:21,630 +finger، you percuss the middle finger here place + +156 +00:12:21,630 --> 00:12:24,890 +it intercostally + +157 +00:12:24,890 --> 00:12:28,370 +or between the ribs و ال full movement لازم تكون + +158 +00:12:28,370 --> 00:12:37,840 +from the wrist like a hammer effectو ال percussion + +159 +00:12:37,840 --> 00:12:47,620 +notes لإما dullness لإما resonance طبعا + +160 +00:12:47,620 --> 00:12:52,700 +ال percussion لازم anteriorly نعمل percussion اللى + +161 +00:12:52,700 --> 00:12:57,580 +هو supraclavicular space و ال percussion كمان + +162 +00:12:57,580 --> 00:13:01,520 +this is angle of Louis ال angle of Lewisبتكون + +163 +00:13:01,520 --> 00:13:07,680 +beside it اللي هي second intercostal space أو + +164 +00:13:07,680 --> 00:13:11,520 +بنعمل percussion و دايما يكون zig-zag movement زيك + +165 +00:13:11,520 --> 00:13:16,520 +زاك movement always to compare تمام؟ while you are + +166 +00:13:16,520 --> 00:13:22,860 +descending down you will go more laterally more + +167 +00:13:22,860 --> 00:13:25,700 +laterally هنا ال percussion note و هنا ال + +168 +00:13:25,700 --> 00:13:29,900 +percussion اللي بتكون في ال في ال posterior area + +169 +00:13:33,250 --> 00:13:38,290 +متى بنعمل الـ tidal percussion؟ لما بنعمل الـ + +170 +00:13:38,290 --> 00:13:40,610 +percussion بيكون resonance، resonance، resonance، + +171 +00:13:40,610 --> 00:13:46,270 +صار في عنا، في dullness هنا فبنعمل، نتأكد إن هذا + +172 +00:13:46,270 --> 00:13:50,470 +الـ dullness because of a pleural effusion ولا ال + +173 +00:13:50,470 --> 00:13:54,950 +diaphragm is high ولا there is consolidation + +174 +00:13:54,950 --> 00:13:59,710 +فبنعمل الـ tidal percussion، بنسأل العيان، بنقول + +175 +00:13:59,710 --> 00:14:06,030 +له خد deep breathوhold the breath for a while + +176 +00:14:06,030 --> 00:14:10,570 +وبعدين المنطقة اللي صارت كانت فيها dullness صارت + +177 +00:14:10,570 --> 00:14:16,550 +resonance هذا بيكون denoting that this is there is + +178 +00:14:16,550 --> 00:14:24,450 +no pleural effusion and there is just diaphragm is + +179 +00:14:24,450 --> 00:14:27,330 +abnormally higher than that + +180 +00:14:33,670 --> 00:14:39,130 +This is the tidal percussion طبعاً + +181 +00:14:39,130 --> 00:14:42,290 +الـ tidal percussion test نحن بنعمله to + +182 +00:14:42,290 --> 00:14:45,930 +differentiate an elevated hemidiaphragm from other + +183 +00:14:45,930 --> 00:14:49,890 +causes of dullness زي ما قلنا اللي هو مثلا يكون + +184 +00:14:49,890 --> 00:14:52,610 +secondary to the pleural effusion consolidation five + +185 +00:14:52,610 --> 00:14:55,830 +process or there is just only elevated + +186 +00:14:55,830 --> 00:14:57,150 +hemidiaphragm + +187 +00:15:03,130 --> 00:15:07,790 +بعد الـ percussion بيجي عندنا الـ auscultation في + +188 +00:15:07,790 --> 00:15:12,790 +الـ auscultation عندنا أربع حاجات مهمة لازم نركز + +189 +00:15:12,790 --> 00:15:18,590 +عليها اللي هي أول حاجة ال breath sound إيش نوعه و + +190 +00:15:18,590 --> 00:15:25,030 +ال intensity و ال added sound و الرقم أربع ال + +191 +00:15:25,030 --> 00:15:32,330 +vocal resonance هنعلق عليهاوالمناطق اللي بنعمل + +192 +00:15:32,330 --> 00:15:37,130 +فيها اسكلتشن نفس اللي عملنا فيها percussion لكن في + +193 +00:15:37,130 --> 00:15:41,330 +الـ supraclavicular area احنا بنفحص اللي هو + +194 +00:15:41,330 --> 00:15:47,610 +بالسماعة بالـ bell of the stethoscope مش في + +195 +00:15:47,610 --> 00:15:53,250 +الديافرام ال superclavicular area اللي هي بنفحصها + +196 +00:15:53,250 --> 00:15:56,670 +في ال bell of the stethoscope وباقي المناطق + +197 +00:15:56,670 --> 00:15:57,590 +بالديافرام + +198 +00:16:01,840 --> 00:16:03,740 +طبعا I understand the patient, the right of the + +199 +00:16:03,740 --> 00:16:07,040 +patient, ask the patient auscultate in the middle of + +200 +00:16:07,040 --> 00:16:10,500 +the clavicular line, right or left, always compare + +201 +00:16:11,630 --> 00:16:15,790 +always compare طبعا البرتسان فيه normally اللي هو + +202 +00:16:15,790 --> 00:16:20,150 +vesicular breathing هو عبارة عن اللي هو + +203 +00:16:20,150 --> 00:16:24,850 +inspiration و expiration ويكون soft ويكون + +204 +00:16:24,850 --> 00:16:29,650 +normal breathing وفيه bronchovesicular وفيه + +205 +00:16:29,650 --> 00:16:33,970 +bronchial breathing وال transmitted طبعا اللي هو + +206 +00:16:33,970 --> 00:16:38,920 +sound وفيه ال adventitious اللي هو لا إما fine + +207 +00:16:38,920 --> 00:16:43,040 +crackles لا إما coarse crackles اللي هي بيكون الـ + +208 +00:16:43,040 --> 00:16:46,320 +added sound و إذا كان discontinuous و إذا كانت + +209 +00:16:46,320 --> 00:16:51,460 +continuous adventitious sound اللي هو بيكون في + +210 +00:16:51,460 --> 00:16:56,780 +الويز والرنكاي هنا زي ما احنا شايفين this is the + +211 +00:16:56,780 --> 00:17:00,180 +tracheal sound وهو ال inspiratory و الexpiratory + +212 +00:17:00,180 --> 00:17:05,340 +بيكونوا equal بيكون very loudو high pitch و ممكن + +213 +00:17:05,340 --> 00:17:09,040 +لما تسمع تحط ال diaphragm بتاع ال stethoscope over + +214 +00:17:09,040 --> 00:17:14,080 +the trachea in the neck في ال bronchiole بيكون ال + +215 +00:17:14,080 --> 00:17:20,280 +expiratory أعلى و أطول من ال inspiratoryوهذا الـ + +216 +00:17:20,280 --> 00:17:24,080 +bronchial Breathing ممكن نسمعه إذا حطينا diaphragm + +217 +00:17:24,080 --> 00:17:29,180 +over the Manubrium لكن إذا كان حطيناه في مكان تاني + +218 +00:17:29,180 --> 00:17:32,660 +في الرؤى وكان فيه bronchial Breathing this is a + +219 +00:17:32,660 --> 00:17:38,360 +bronchial denoting there is consolidation or mass + +220 +00:17:38,360 --> 00:17:43,960 +pneumonia هذه كلها بتعطينا bronchial Breathing + +221 +00:17:43,960 --> 00:17:46,760 +normally ممكن نسمع ال bronchial Breathing إذا + +222 +00:17:46,760 --> 00:17:51,320 +حطينا سماعة over the Manubriumوهذا الطبيعي اللي هو + +223 +00:17:51,320 --> 00:17:54,220 +الـ vesicular أو اللي بتسميه alveolar breathing + +224 +00:17:54,220 --> 00:17:59,960 +sound بيكون soft و low pitch و بيكون heard over + +225 +00:17:59,960 --> 00:18:03,600 +the most of the lungs و ال inspiratory are longer + +226 +00:18:03,600 --> 00:18:08,300 +than expiratory تقريبا true expiratory phase + +227 +00:18:08,300 --> 00:18:13,860 +تقريبا the true expiratory phase is two to three + +228 +00:18:13,860 --> 00:18:16,760 +times longer than inspiratory phase لكن احنا ما بنسمعه + +229 +00:18:17,040 --> 00:18:22,080 +بالسماعة بنسمع حوالي تقريبا الـ full inspiratory + +230 +00:18:22,080 --> 00:18:31,360 +لكن الـ expiration تلتة بنسمع زي ما هو موضح وهنا + +231 +00:18:31,360 --> 00:18:36,500 +البرونكوفيزيكولار this is a diagram how to + +232 +00:18:36,500 --> 00:18:38,100 +differentiate inspiratory + +233 +00:18:40,870 --> 00:18:44,790 +Stridor بيكون في ال obstruction أو narrowing في ال + +234 +00:18:44,790 --> 00:18:50,010 +upper airway وبيكون في ال trachea وفي ال upper + +235 +00:18:50,010 --> 00:18:52,450 +airway obstruction في الناس اللي عندهم مكروب، في + +236 +00:18:52,450 --> 00:18:56,210 +الأطفال اللي عندهم مكروب أو foreign body بيجي بعد + +237 +00:18:56,210 --> 00:19:00,470 +حيان في acute stridor و اللي هو بيكون continuous + +238 +00:19:00,470 --> 00:19:04,090 +high pitch sound from obstruction of the upper + +239 +00:19:04,090 --> 00:19:09,470 +airwayالويز قولنا continuous، musical، high pitch، + +240 +00:19:09,470 --> 00:19:14,610 +هو بيكون adventitious + +241 +00:19:14,610 --> 00:19:19,190 +sound بيكون في ال bronchial asthma و ال COPD و ال + +242 +00:19:19,190 --> 00:19:24,390 +bronchi بيكون low pitch و most likely fluid or + +243 +00:19:24,390 --> 00:19:26,370 +secretion في ال larger airway + +244 +00:19:30,410 --> 00:19:33,830 +الـ crackles أو الـ crepitation short popping + +245 +00:19:33,830 --> 00:19:38,550 +sudden inflation of the alveoli تعطينا non + +246 +00:19:38,550 --> 00:19:42,530 +-continuous أو discontinuous crackles انترقت non + +247 +00:19:42,530 --> 00:19:45,970 +-musical sound result from collapse of the + +248 +00:19:45,970 --> 00:19:50,070 +peripheral airway on expirationon inspiration + +249 +00:19:50,070 --> 00:19:53,930 +rapidly re-enter the distal airway and the alveoli + +250 +00:19:53,930 --> 00:19:57,650 +and small bronchi opened abruptly producing sound + +251 +00:19:57,650 --> 00:20:04,850 +اسمه اللي هو crackling noise وفي الـ crackles فيه + +252 +00:20:04,850 --> 00:20:07,070 +two types فيه fine و فيه coarse crepitation + +253 +00:20:10,850 --> 00:20:15,050 +بنحدد هذه الـ causes of crackles ممكن نشوف، + +254 +00:20:15,050 --> 00:20:20,010 +بنعتمد على اللي هو زي ما حكينا، إذا كان course + +255 +00:20:20,010 --> 00:20:23,790 +crackles، ask the patient to cough، يعني بتساعد، + +256 +00:20:23,790 --> 00:20:32,210 +you ask the patient يكحّ، if الـ Crepitation تتغير + +257 +00:20:32,210 --> 00:20:36,570 +في شخصيته أو تفادى، هذا course الـ Crepitation دايما + +258 +00:20:36,570 --> 00:20:39,890 +الـ course الـ Crepitation بتكون في صغير شخص مع + +259 +00:20:39,890 --> 00:20:45,290 +Bronchectasis وبتكون الـ Crepitation دايما early + +260 +00:20:45,290 --> 00:20:49,450 +لكن في حالات الـ lung fibrosis في الـ elderly، بيكون + +261 +00:20:49,450 --> 00:20:53,290 +fine Crepitation وإذا كحل عيال، برضه الـ + +262 +00:20:53,290 --> 00:20:57,470 +Crepitation لن تفادى الـ crepitation will not + +263 +00:20:57,470 --> 00:21:00,610 +disappear و الـ crepitation في الـ fine بتكون soft + +264 +00:21:00,610 --> 00:21:06,970 +و high pitch و very brief و بتكون في الـ end + +265 +00:21:06,970 --> 00:21:10,530 +inspiratory crepitation بيسموها و بيسئلها اسم + +266 +00:21:10,530 --> 00:21:15,210 +بتاعي اللي بيطلق عليه Velcro sound Velcro sound أو + +267 +00:21:15,210 --> 00:21:20,130 +الشريط اللاصق نقرا + +268 +00:21:20,130 --> 00:21:25,100 +الـ friction rap whispering بيجتلكوا اللي هو لما + +269 +00:21:25,100 --> 00:21:30,620 +تحكي للعيان اهمس يعني كلام اللي هدا بتكون مسموع هو + +270 +00:21:30,620 --> 00:21:34,780 +some sort of اللي هو الـ vocal resonance أو الـ + +271 +00:21:34,780 --> 00:21:41,760 +TVF بيكون عالي ومسموع بالسماعة Lego + +272 +00:21:41,760 --> 00:21:46,990 +فيني؟ Okay طبعًا "putting all together" دائمًا إحنا + +273 +00:21:46,990 --> 00:21:50,090 +في الـ "final" بعد ما نخلص بالـ "general" بعد إن + +274 +00:21:50,090 --> 00:21:54,630 +الـ "local exam" لازم نعطي اللي هو الـ "summary" + +275 +00:21:54,630 --> 00:22:00,890 +الـ "summary" للـ "finding" قلنا في الحالات الأول + +276 +00:22:00,890 --> 00:22:05,410 +حاجة بالـ "essential checklist" أو "general + +277 +00:22:05,410 --> 00:22:10,270 +inspection" Patient في الـ "General inspection"، + +278 +00:22:10,270 --> 00:22:13,150 +"Well" أو "unwell"؟ "Gashectic"؟ "Cianosis"؟ + +279 +00:22:13,150 --> 00:22:15,850 +"Pallor"؟ "Accessory muscle"؟ "General + +280 +00:22:15,850 --> 00:22:18,610 +appearance"؟ "Distance"؟ "Sign of specific"؟ + +281 +00:22:18,610 --> 00:22:22,490 +طبعاً، before الـ "essential checklist" لازم + +282 +00:22:22,490 --> 00:22:24,990 +يقولنا احنا اللي هو "washing hands"، "introduce + +283 +00:22:24,990 --> 00:22:29,890 +yourself"، "position"، "consent"، تمام، بعدين تفحص + +284 +00:22:29,890 --> 00:22:32,170 +الـ "hand"، الـ "hand" بيفحص فيه "clapping"، فيه + +285 +00:22:32,170 --> 00:22:35,030 +"muscle wasting"، "unilaterally"، فيه تعريف تاني، + +286 +00:22:35,030 --> 00:22:38,470 +"peripheral cyanosis"،Pulpate the wrist for + +287 +00:22:38,470 --> 00:22:41,890 +tenderness، check for flapping tremor، radial + +288 +00:22:41,890 --> 00:22:47,150 +pulse، ونسمع الـ vital sign، ناخد الـ vital sign + +289 +00:22:47,150 --> 00:22:51,130 +ونشوف الـ respiratory rate، و الـ face، كنا في + +290 +00:22:51,130 --> 00:22:54,330 +الأليميا، في الـ jaundice، Horner، سندروم المouth، + +291 +00:22:54,330 --> 00:22:57,940 +في الـ central cyanosis في الـ Bad Oral Hygiene في + +292 +00:22:57,940 --> 00:23:01,480 +الناس اللي عندهم Infective Endocarditis أو الـ + +293 +00:23:01,480 --> 00:23:04,980 +Lung Abscess Pursed-lip Breathing في الناس الـ COPD + +294 +00:23:04,980 --> 00:23:07,620 +الـ Voice, Hoarseness of Voice في الناس اللي عندهم + +295 +00:23:07,620 --> 00:23:13,820 +Lung Cancer إنك تشيك for GVB for lymph node Local + +296 +00:23:13,820 --> 00:23:16,960 +interest exam, inspection also, palpation, + +297 +00:23:17,100 --> 00:23:20,620 +percussion, auscultation, inspection general + +298 +00:23:20,620 --> 00:23:25,300 +inspection و الـ palpation خمسة و الـ percussion + +299 +00:23:25,300 --> 00:23:27,920 +then auscultation بنركز على the auscultative + +300 +00:23:27,920 --> 00:23:31,020 +finding الـ type of breath sound، vesicular ولا + +301 +00:23:31,020 --> 00:23:36,660 +bronchial و اللي هو الـ intensity و الـ added sound + +302 +00:23:36,660 --> 00:23:41,820 +و then الـ vocal resonance فبنفحث الليك طبعا ممكن + +303 +00:23:41,820 --> 00:23:44,740 +نفحث الليك بارتوف جينيرال exam for إريمة for + +304 +00:23:44,740 --> 00:23:48,560 +temperature for color for skin lesion و for + +305 +00:23:48,560 --> 00:23:53,380 +complete exam for you ask for exam for sputum + +306 +00:23:53,380 --> 00:23:56,440 +or temperature chart و الـ peak flow rate و الـ + +307 +00:23:56,440 --> 00:23:57,980 +oxygen status + +308 +00:24:04,130 --> 00:24:06,750 +طبعاً هذه scattered cases أشياء اللي نركز فيها + +309 +00:24:06,750 --> 00:24:11,110 +البرونكال أزمة بنسمع فيها بيكون عيال ممكن الـ + +310 +00:24:11,110 --> 00:24:13,970 +central cyanosis in severe أزمة ممكن نسمع wheeze + +311 +00:24:13,970 --> 00:24:18,690 +bilateral because of hyperinflation و rapid pulse + +312 +00:24:18,690 --> 00:24:22,410 +النمونيا بيكون في عندنا sign of consolidation + +313 +00:24:22,410 --> 00:24:25,190 +reduced chest expansion dullness to percussion, + +314 +00:24:25,630 --> 00:24:29,990 +bronchial breathing plus minus coarse crackles or + +315 +00:24:29,990 --> 00:24:35,120 +increased vocal resonance البرونكيكتسيس بيكون دايما + +316 +00:24:35,120 --> 00:24:38,040 +في الـ young بيكون course crackles, adventitious + +317 +00:24:38,040 --> 00:24:42,480 +sound، bilaterally، ممكن يكون finger clubbing، + +318 +00:24:42,480 --> 00:24:45,140 +ممكن يكون عيان عنده أنيميا because of a chronic + +319 +00:24:45,140 --> 00:24:48,400 +disease، cyanosis، raised GVB، إذا صار عنده core + +320 +00:24:48,400 --> 00:24:52,840 +بلمونال، patient plethoric، قلنا course crackles + +321 +00:24:52,840 --> 00:24:56,860 +over the area، sometimes ممكن plus minus، بيكون + +322 +00:24:56,860 --> 00:25:02,350 +فيويز، adventitious، قلنا ممكن يكون برضه اللي هو + +323 +00:25:02,350 --> 00:25:09,150 +right-sided heave اللي هو كرب المنال ممكن يكون + +324 +00:25:09,150 --> 00:25:16,850 +lower limb قديمة ويكون عندنا حواليه الـ environment + +325 +00:25:16,850 --> 00:25:21,310 +sputum because of producing a large amount of + +326 +00:25:21,310 --> 00:25:28,690 +sputum الـ pleural effusion بيكون في الـ exam degrees + +327 +00:25:28,690 --> 00:25:31,910 +and chest expansion بيكون stony dullness to + +328 +00:25:31,910 --> 00:25:36,130 +percussion note، decrease in breath sound ومافيش + +329 +00:25:36,130 --> 00:25:39,730 +added sound، و الـ vocal resonance بيكون decrease، + +330 +00:25:39,730 --> 00:25:42,910 +و بعض الأحيان إذا كان mediastinal shift إذا كان + +331 +00:25:42,910 --> 00:25:48,630 +large، pleural effusion طبعا هي الـ differential + +332 +00:25:48,630 --> 00:25:52,070 +diagnosis للdullness in the lung base الـ lung + +333 +00:25:52,070 --> 00:25:56,830 +fibrosis بيكون زي ما حكينا "fine late inspiratory + +334 +00:25:56,830 --> 00:25:59,750 +crepitation" أو "fine end inspiratory + +335 +00:25:59,750 --> 00:26:06,170 +crepitation" "finger clubbing" + +336 +00:26:06,170 --> 00:26:11,110 +هنا هي هذه الـ "bipasal" "fine end inspiratory + +337 +00:26:11,110 --> 00:26:13,930 +crackles" أو الـ "Velcro" هذا شريط اللاسق الـ + +338 +00:26:13,930 --> 00:26:16,650 +"Velcro" الصوت اللي ممكن يطلع في حالات اللي هو + +339 +00:26:16,650 --> 00:26:21,880 +lung fibrosis وزي ما عرفنا بيكون bilateral fine end + +340 +00:26:21,880 --> 00:26:25,340 +في نهاية الـ inspiratory phase بيكون في fine + +341 +00:26:25,340 --> 00:26:29,400 +crackles low pitch وما بتتغير بالكف و تقريبا بيكون + +342 +00:26:29,400 --> 00:26:37,340 +صوتها زي كده على + +343 +00:26:37,340 --> 00:26:39,500 +نهاية الـ inspiration + +344 +00:26:44,440 --> 00:26:48,780 +و COPD كما قلنا برضه بيكون فيه ممكن bilateral wheeze و + +345 +00:26:48,780 --> 00:26:51,840 +finger clubbing إذا كان associated with lung + +346 +00:26:51,840 --> 00:26:56,820 +cancer COPD alone will not cause finger clubbing + +347 +00:26:56,820 --> 00:26:59,920 +Pursed-lip breathing + +348 +00:27:03,890 --> 00:27:06,810 +How to differentiate between Pleural Effusion and + +349 +00:27:06,810 --> 00:27:09,770 +Consolidation؟ في الـ Pleural Effusion بيكون Reduced + +350 +00:27:09,770 --> 00:27:12,350 +tactile vocal fremitus أو Decreased vocal + +351 +00:27:12,350 --> 00:27:15,890 +resonance فالـ Consolidation بيكون Increased vocal + +352 +00:27:15,890 --> 00:27:19,230 +resonance Reduced chest expansion Reduced chest + +353 +00:27:19,230 --> 00:27:23,290 +expansion together، Bilaterally إذا كان في عندك + +354 +00:27:23,290 --> 00:27:25,370 +Bilateral Pleural Effusion أو إذا كان في + +355 +00:27:25,370 --> 00:27:30,340 +Consolidation Stony dullness في حالات اللي هو Pleural + +356 +00:27:30,340 --> 00:27:33,480 +Effusion ويكون برضه dullness في الـ consolidation + +357 +00:27:33,480 --> 00:27:39,440 +Decrease in breath sound Pleural Effusion وممكن + +358 +00:27:39,440 --> 00:27:43,420 +sometimes consolidation in bronchial breathing و No + +359 +00:27:43,420 --> 00:27:47,540 +added sound لكن في الـ added sound يكون coarse + +360 +00:27:47,540 --> 00:27:52,060 +crackles or wheezes وهنا برضه how to differentiate + +361 +00:27:52,060 --> 00:27:59,550 +between this wasn't as easy as it looked no sir no + +362 +00:27:59,550 --> 00:28:06,110 +it was wasn't تقريبا احنا يعني الحين في some يعني + +363 +00:28:06,110 --> 00:28:14,350 +example بنشوف من الحالات اللي هو الـ sound خلينا + +364 +00:28:14,350 --> 00:28:17,550 +نشوف breath sounds are classified by their + +365 +00:28:17,550 --> 00:28:20,910 +intensity pitch and duration during inspiration + +366 +00:28:20,910 --> 00:28:26,160 +and expiration العادية لصوص الهواتف هي صوت صوت صوت + +367 +00:28:26,160 --> 00:28:30,280 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +368 +00:28:30,280 --> 00:28:32,900 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +369 +00:28:32,900 --> 00:28:34,540 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +370 +00:28:34,540 --> 00:28:34,740 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +371 +00:28:34,740 --> 00:28:34,780 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +372 +00:28:34,780 --> 00:28:35,640 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +373 +00:28:35,640 --> 00:28:36,320 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +374 +00:28:36,320 --> 00:28:40,780 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +375 +00:28:40,780 --> 00:28:44,280 +صوت صوت صوت صوت صوت + +376 +00:28:44,280 --> 00:28:44,340 +صوت + +377 +00:28:53,660 --> 00:28:57,620 +الصوت البرانكي يكون أكثر وأكثر وأكثر وأكثر و + +378 +00:28:57,620 --> 00:28:58,500 +أكثر وأكثر وأكثر وأكثر وأكثر وأكثر وأكثر و + +379 +00:28:58,500 --> 00:28:59,700 +أكثر وأكثر وأكثر وأكثر وأكثر وأكثر وأكثر و + +380 +00:28:59,700 --> 00:29:03,360 +أكثر وأكثر وأكثر وأكثر وأكثر وأكثر وأكثر و + +381 +00:29:03,360 --> 00:29:04,520 +أكثر وأكثر وأكثر وأكثر وأكثر وأكثر وأكثر و + +382 +00:29:04,520 --> 00:29:06,660 +أكثر وأكثر وأكثر وأكثر وأكثر وأكثر وأكثر و + +383 +00:29:06,660 --> 00:29:22,640 +أكثر وأكثر وأكثر وأكثر وأكثر وأكثر و + +384 +00:29:26,900 --> 00:29:30,280 +الصوتات الإلهامية والزفيرية تقريبًا تقريبًا + +385 +00:29:30,280 --> 00:29:34,620 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +386 +00:29:34,620 --> 00:29:35,380 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +387 +00:29:35,380 --> 00:29:36,640 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +388 +00:29:36,640 --> 00:29:40,900 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +389 +00:29:40,900 --> 00:29:46,640 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +390 +00:29:46,640 --> 00:29:50,500 +تقريبًا + +391 +00:29:50,500 --> 00:29:52,140 +تقريبًا + +392 +00:30:04,260 --> 00:30:12,180 +and bronchovascular Adventitious + +393 +00:30:12,180 --> 00:30:15,880 +or added breath sounds consist of two basic types + +394 +00:30:15,880 --> 00:30:27,260 +the discontinuous sounds or crackles and + +395 +00:30:27,260 --> 00:30:30,060 +the continuous sounds wheezes and rhonchi + +396 +00:30:37,880 --> 00:30:47,040 +بالتالي، هذا مثال للتحقيق + +397 +00:30:47,040 --> 00:30:49,260 +الإسقاطي + +398 +00:30:50,660 --> 00:30:57,480 +bronchial sound and adventitious sound وبهذا نختتم + +399 +00:30:57,480 --> 00:31:05,220 +هذه المحاضرة عن الـ approach for physical exam in + +400 +00:31:05,220 --> 00:31:09,460 +respiratory patient thank you diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..0a991744d6aa53ff625818887c3e587d5f46677b --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o_postprocess.srt @@ -0,0 +1,1600 @@ +1 +00:00:02,260 --> 00:00:05,920 +السلام عليكم ورحمة الله وبركاته الجزء التاني من + +2 +00:00:05,920 --> 00:00:09,260 +محاضرة الـ Physical Examination للـ Pulmonary + +3 +00:00:09,260 --> 00:00:15,120 +System خلصنا .. كنا خلصنا الـ General Examination + +4 +00:00:15,120 --> 00:00:20,620 +وقلنا أنه الـ General Examination يـ examine the + +5 +00:00:20,620 --> 00:00:24,560 +patient environment then the patient general + +6 +00:00:24,560 --> 00:00:29,860 +appearance الـ face، الـ neck، الـ hand، الـ lower + +7 +00:00:29,860 --> 00:00:36,860 +limbطبعاً بتسأل عن الـ Vital Sign وممكن while + +8 +00:00:36,860 --> 00:00:41,180 +examining الـ Vital Sign مهم جداً الـ Respiratory + +9 +00:00:41,180 --> 00:00:46,700 +Rate والـ Respiratory Rate طبيعي من 12 إلى 20، 12 + +10 +00:00:46,700 --> 00:00:50,680 +إلى 18، هذا الـ Respiratory Rate ولما أنت بتفحص + +11 +00:00:50,680 --> 00:00:55,340 +الـ Respiratory Rate يعني ممكن أنت وانت بتفحص الـ + +12 +00:00:55,340 --> 00:01:00,600 +Pulse عينك على الشستتشوف إيش الـ Respiratory Rate + +13 +00:01:00,600 --> 00:01:05,340 +لأن sometimes ال patient ممكن يبطئ النفس أو يسهل + +14 +00:01:05,340 --> 00:01:11,360 +النفس إذا لاحظت أنك انت بتفحص اللي هو ال + +15 +00:01:11,360 --> 00:01:13,940 +respiratory rate فبالتالي وانت while you are + +16 +00:01:13,940 --> 00:01:20,320 +examining ال pulse هناك على الشست وexamining for + +17 +00:01:20,320 --> 00:01:28,510 +respiratory rate ال local exam of the chestطبعاً + +18 +00:01:28,510 --> 00:01:34,110 +first of all انت ماخد طبعاً من أول permission و + +19 +00:01:34,110 --> 00:01:37,590 +consent و introduce yourself و wash your hand و + +20 +00:01:37,590 --> 00:01:40,890 +make privacy و position the patient 45 degree هذا + +21 +00:01:40,890 --> 00:01:45,110 +كله من أول انت عملته في ال general exam في ال + +22 +00:01:45,110 --> 00:01:49,410 +local exam exposure is very important exposure + +23 +00:01:49,410 --> 00:01:53,470 +should be from the umbilicus and upward هذا + +24 +00:01:53,470 --> 00:01:54,130 +important + +25 +00:01:57,290 --> 00:02:01,870 +الشخص يستخدم استخبار الهواتف لتعرف إذا كان الشخص + +26 +00:02:01,870 --> 00:02:09,550 +في مضغوطات، في رتب، في مدخل الهواتف، إذا كان هناك + +27 +00:02:09,550 --> 00:02:13,570 +صوت مسموح أو لا + +28 +00:02:19,570 --> 00:02:24,750 +الـ Examination للـ local chest exam should be + +29 +00:02:24,750 --> 00:02:30,130 +from the end of the bell inspect the shape of the + +30 +00:02:30,130 --> 00:02:36,790 +chest anterior posterior diameter و ال ratio to + +31 +00:02:36,790 --> 00:02:40,030 +the transverse diameter usually تقريبا تلت إلى + +32 +00:02:40,030 --> 00:02:45,070 +تلتين inspect the symmetry of the patient's chest + +33 +00:02:46,450 --> 00:02:48,670 +الـ both movement ask the patient to take deep + +34 +00:02:48,670 --> 00:02:52,290 +breath يكون + +35 +00:02:52,290 --> 00:02:58,710 +both side ال comparison if + +36 +00:02:58,710 --> 00:03:04,870 +there is any obvious scar anteriorly طبعا بتعلق + +37 +00:03:04,870 --> 00:03:08,850 +لأن most of the thoracic scar او ال operation + +38 +00:03:08,850 --> 00:03:14,850 +بتكون from the backAny Deformity Pectus Carinatum + +39 +00:03:14,850 --> 00:03:19,510 +Pectus Excavator Any Chest Wall Deformity Any + +40 +00:03:19,510 --> 00:03:23,850 +Dilated Superficial Vein هذه كليتها في الـ Local + +41 +00:03:23,850 --> 00:03:30,330 +Chest Exam زي + +42 +00:03:30,330 --> 00:03:33,550 +ما حكينا برضه اللي لابي الـ Antirepidural Diameter + +43 +00:03:33,550 --> 00:03:37,090 +ال .. ال .. ال .. ال abnormal ال pattern of + +44 +00:03:37,090 --> 00:03:40,270 +breathing Cosmal breathing ال skin color sometimes + +45 +00:03:40,740 --> 00:03:43,580 +وإذا كان فيه obvious deformity زي الـ Pectus + +46 +00:03:43,580 --> 00:03:55,060 +Carinatum أو Excavatum أو Kyphoscoliosis زي + +47 +00:03:55,060 --> 00:03:59,060 +ما احنا شايفين هنا this is a increased + +48 +00:03:59,060 --> 00:04:03,800 +anteroposterior diameter barrel chest this is + +49 +00:04:03,800 --> 00:04:07,800 +severe kyphosis and sometimes + +50 +00:04:10,990 --> 00:04:17,390 +وهنا برضه بيجين شست وهنا بيجين شست وهنا funnel + +51 +00:04:17,390 --> 00:04:24,050 +chest بيكتس Excavated from cavity طبعا بالحالات + +52 +00:04:24,050 --> 00:04:28,110 +اللي زيها ال respiratory systemالـ Pectus + +53 +00:04:28,110 --> 00:04:32,810 +excavatum ما بتخوف كتير لإذا كانت كبيرة كفاية + +54 +00:04:32,810 --> 00:04:36,890 +لتسبب مرض اللغة المضالة لأكيد اللي بيخوف اللي هو + +55 +00:04:36,890 --> 00:04:40,370 +الـ Pectus carinatum أو الـ Pigeon chest أو + +56 +00:04:40,370 --> 00:04:46,170 +البرلشست اللي يعني أن هناك مرض اللغة المضالة إذا + +57 +00:04:46,170 --> 00:04:49,230 +كانت أزمة أو مرض بلمونية مضالة كرونية مضالة كرونية + +58 +00:04:49,230 --> 00:04:50,690 +مضالة كرونية مضالة كرونية مضالة كرونية مضالة + +59 +00:04:50,690 --> 00:04:54,230 +كرونية مضالة كرونية مضالة كرونية مضالة كرونية + +60 +00:04:54,230 --> 00:04:54,270 +مضالة كرونية مضالة كرونية مضالة كرونية مضالة + +61 +00:04:54,270 --> 00:04:57,580 +كرونية مضالة كرونية مضالة كهذه بيجين شست وهذه بيرل + +62 +00:04:57,580 --> 00:05:03,020 +شست انكريز + +63 +00:05:03,020 --> 00:05:07,520 +انتيوبستيرو ديامتر في حالات الـ COPD secondary + +64 +00:05:07,520 --> 00:05:11,140 +emphyseme hyperinflation obstructive lung disease + +65 +00:05:11,140 --> 00:05:16,440 +which is part of COPD + +66 +00:05:16,440 --> 00:05:21,740 +emphysematous type وهنا دي شست دفوع الـ deformity + +67 +00:05:24,440 --> 00:05:33,560 +Pectus Excavatum جببص جببص جببص + +68 +00:05:33,560 --> 00:05:33,900 +جببص جببص جببص جببص جببص جببص جببص جببص جببص جببص + +69 +00:05:33,900 --> 00:05:33,980 +جببص جببص جببص جببص جببص جببص جببص جببص جببص جببص + +70 +00:05:33,980 --> 00:05:35,940 +جببص جببص جببص جببص جببص جببص جببص جببص جببص جببص + +71 +00:05:35,940 --> 00:05:40,020 +جببص جببص جببص جببص جببص جببص جببص جببص جببص جببص + +72 +00:05:40,020 --> 00:05:46,280 +جببص جببص جببص جببص جببص جببص جببص جببص جببص جببص + +73 +00:05:46,280 --> 00:05:50,560 +جببص + +74 +00:05:50,560 --> 00:05:54,640 +جبعدها ال palpation في ال palpation لل chest wall + +75 +00:05:54,640 --> 00:06:01,960 +خمس حاجات مهمة يجب أن نركز عليها palpation for + +76 +00:06:01,960 --> 00:06:07,200 +superficial mass or tenderness all over the chest + +77 +00:06:07,200 --> 00:06:12,020 +by your hand for superficial mass or tendernessللـ + +78 +00:06:12,020 --> 00:06:17,600 +Eclipse إذا كان فيه surgical emphysema في الناس + +79 +00:06:17,600 --> 00:06:21,900 +اللي عندهم نيمو ميدياستينام في بعض الوقت يكون في + +80 +00:06:21,900 --> 00:06:25,860 +عيننا surgical emphysema association فبالتالي can + +81 +00:06:25,860 --> 00:06:28,700 +be detected by superficial palpation superficial + +82 +00:06:28,700 --> 00:06:36,500 +mass or tenderness palpation of the apexطبعاً في + +83 +00:06:36,500 --> 00:06:42,400 +الـ cardiovascular exam لازم تحدد الـ time والـ + +84 +00:06:42,400 --> 00:06:48,040 +sight، exactly sight والـ time of apex والـ apex + +85 +00:06:48,040 --> 00:06:54,110 +speedوإذا كان فيها Healing، Trusting لكن في الـ + +86 +00:06:54,110 --> 00:06:58,530 +Respiratory Case I just want to know if it's in + +87 +00:06:58,530 --> 00:07:01,390 +the left or in the right لأن في حالات الـ + +88 +00:07:01,390 --> 00:07:06,050 +Dextrocardia اللي بيكون عندهم الـ heart على اليمين + +89 +00:07:06,050 --> 00:07:10,810 +و associated with bronchiectasis and chronic + +90 +00:07:10,810 --> 00:07:15,090 +rhinocerositis في حالات اللي هي مرض Carthagin + +91 +00:07:15,090 --> 00:07:15,750 +Syndrome + +92 +00:07:18,780 --> 00:07:21,760 +وبالتالي ال apex and palpation of apex هاي اتنين + +93 +00:07:21,760 --> 00:07:24,940 +يعني يقولنا superficial path او tenderness او + +94 +00:07:24,940 --> 00:07:30,180 +clicks ال apex بعدين ممكن ال palpation اللي هو ال + +95 +00:07:30,180 --> 00:07:31,200 +lung expansion + +96 +00:07:34,360 --> 00:07:40,680 +Symmetrical movement or not و الـ «TVF» أو + +97 +00:07:40,680 --> 00:07:45,520 +«Tactile Vocal Fremitas» وهي تقريبا استبدلت بـ + +98 +00:07:45,520 --> 00:07:52,560 +«Vocal Resonance» وهي عن طريق السماعة و اللي هم في + +99 +00:07:52,560 --> 00:07:58,980 +الـ «Palpation» also لـ «Trachea» «Trachea» فيها + +100 +00:07:58,980 --> 00:08:01,820 +تلت حاجات برضه في الـ Examination، هنحكي عنها + +101 +00:08:05,410 --> 00:08:10,950 +طبعا ال TBF بنحكي للمريض يحكي 99 او 44 ونشوف ال + +102 +00:08:10,950 --> 00:08:14,590 +vibratory movement by the ulnar surface of the + +103 +00:08:14,590 --> 00:08:21,330 +hand هنا palpation of the apex نتأكد إذا ما كان + +104 +00:08:21,330 --> 00:08:25,690 +محسوس بنخلي ال patient just to slightly turn to + +105 +00:08:25,690 --> 00:08:31,390 +the left side in order to palpate the apexماهمنا + +106 +00:08:31,390 --> 00:08:34,670 +زي ما حكينا في الصدرية إنه it is in the right or + +107 +00:08:34,670 --> 00:08:40,090 +in the left هنا الـ chest expansion في عيننا upper + +108 +00:08:40,090 --> 00:08:45,850 +zone و middle zone و lower zone supermemory، + +109 +00:08:45,850 --> 00:08:50,430 +memory، inframemory في ال chest expansion to check + +110 +00:08:50,430 --> 00:08:53,750 +for symmetry لازم يكون ال movement between both + +111 +00:08:53,750 --> 00:08:57,910 +some من تلاتة إلى خمسة صنطي + +112 +00:09:01,300 --> 00:09:05,580 +زي ما احنا هنا شايفين هنا اللي هي Supramemory و + +113 +00:09:05,580 --> 00:09:11,120 +Memory و Inframemory سايت و from posteriorly also + +114 +00:09:11,120 --> 00:09:15,120 +Suprascapular + +115 +00:09:15,120 --> 00:09:21,960 +و Infrascapular for estimation of just movement + +116 +00:09:21,960 --> 00:09:24,360 +لكن from posterior site + +117 +00:09:27,620 --> 00:09:32,980 +وهنا برضه ال TVF طبعا ما قلنا في ال TVF ما بنعملها + +118 +00:09:32,980 --> 00:09:36,440 +في ال palpation لكن نذكرها بعض الأحيان و هي + +119 +00:09:36,440 --> 00:09:42,420 +replaced by vocal resonance التريكيا ال + +120 +00:09:42,420 --> 00:09:46,560 +examination مهم جدا تلت حاجات في التريكيا ان نشوف + +121 +00:09:46,560 --> 00:09:50,200 +التريكيا central ولا not centralDeviated to the + +122 +00:09:50,200 --> 00:09:52,960 +right side، Deviated to the left side، Normally + +123 +00:09:52,960 --> 00:09:55,040 +sometimes التريكة بتكون Deviated to the right + +124 +00:09:55,040 --> 00:10:00,040 +side، ومنجيز برضه لـ cricosteral distance، و لازم + +125 +00:10:00,040 --> 00:10:07,230 +يكون أقل من three finger width،و لازم برضه في + +126 +00:10:07,230 --> 00:10:11,570 +حالات اللي هو نشوف الـtracheal tug و pulpate + +127 +00:10:11,570 --> 00:10:14,410 +للتراكيا وهو the scent of the trachea during + +128 +00:10:14,410 --> 00:10:20,070 +inspiration وهذا pathognomonic side للـCOPD + +129 +00:10:24,660 --> 00:10:28,100 +فيه برضه inspect for the tracheal position فيه + +130 +00:10:28,100 --> 00:10:35,180 +trail sign اللي هي بتكون prominent of the head of + +131 +00:10:35,180 --> 00:10:38,080 +the sternocleidomastoid in case of the trachea + +132 +00:10:38,080 --> 00:10:44,340 +deviated to the same side وهنا الحالة ما هو + +133 +00:10:44,340 --> 00:10:48,100 +examining for the tracheal tunnel asks the patient + +134 +00:10:48,100 --> 00:10:51,500 +to take deep breath لتركيا بتكون descended during + +135 +00:10:51,500 --> 00:10:58,600 +inspirationوهنا trail sign كما احنا شايفين هنا + +136 +00:10:58,600 --> 00:11:03,220 +prominent of the sternal head of the + +137 +00:11:03,220 --> 00:11:06,560 +sternocleidomastoid التالي ان الـ trachea slightly + +138 +00:11:06,560 --> 00:11:11,820 +deviated to the right side و this is a TVF طبعا ال + +139 +00:11:11,820 --> 00:11:16,520 +tactile vocal ephermitus او ال vocal resonance + +140 +00:11:16,520 --> 00:11:20,360 +اللي هي بتنسمع عن طريق السماعة فيها يعني + +141 +00:11:20,360 --> 00:11:25,510 +indication وبتعطينا برضه ideaفي حالات بتعمل + +142 +00:11:25,510 --> 00:11:29,430 +increase للـVocal Resonance أو الـ Tactile Vocal + +143 +00:11:29,430 --> 00:11:33,030 +Affirmatives بحيث الـ Consolidation، نمونيا، حيث + +144 +00:11:33,030 --> 00:11:36,530 +الـ Cavitation، Collapse لكن patent من الـ + +145 +00:11:36,530 --> 00:11:39,590 +Pronchus بيزود اللي هي الـ TVF أو الـ Vocal + +146 +00:11:39,590 --> 00:11:43,770 +Resonance إذا كان Collapse لكن abstracted من الـ + +147 +00:11:43,770 --> 00:11:47,990 +Pronchus، بيكون decrease للـ TVF Also الـ TVF أو + +148 +00:11:47,990 --> 00:11:50,410 +الـ Vocal Resonance decrease in the sexiest wall + +149 +00:11:50,410 --> 00:11:53,530 +في الـ Plural Thickness، Plural Fusion، Fibrosis، + +150 +00:11:53,530 --> 00:12:01,930 +Nemothorax، هذه كليتهابتعمل decrease للـ TVF ال + +151 +00:12:01,930 --> 00:12:04,870 +percussion خلصنا من ال palpation خمس حاجات ال + +152 +00:12:04,870 --> 00:12:09,370 +second step percussion technique أهم حاجة في ال + +153 +00:12:09,370 --> 00:12:14,330 +percussion يكونالبركاشن، الـ movement كله يتهم من + +154 +00:12:14,330 --> 00:12:18,090 +عند الـ wrist الـ full range of movement ال middle + +155 +00:12:18,090 --> 00:12:21,630 +finger، you percuss the middle finger here place + +156 +00:12:21,630 --> 00:12:24,890 +it intercostally + +157 +00:12:24,890 --> 00:12:28,370 +or between the ribs و ال full movement لازم تكون + +158 +00:12:28,370 --> 00:12:37,840 +from the wrist like a hammer effectو ال percussion + +159 +00:12:37,840 --> 00:12:47,620 +notes لإما dullness لإما resonance طبعا + +160 +00:12:47,620 --> 00:12:52,700 +ال percussion لازم anteriorly نعمل percussion اللى + +161 +00:12:52,700 --> 00:12:57,580 +هو subra clavicular space و ال percussion كمان + +162 +00:12:57,580 --> 00:13:01,520 +this is angle of Lewis ال angle of Lewisبتكون + +163 +00:13:01,520 --> 00:13:07,680 +beside it اللي هي second inter coastal space أو + +164 +00:13:07,680 --> 00:13:11,520 +بنعمل percussion و دايما يكون زيك زاك movement زيك + +165 +00:13:11,520 --> 00:13:16,520 +زاك movement always to compare تمام؟ while you are + +166 +00:13:16,520 --> 00:13:22,860 +descending down you will go more laterally more + +167 +00:13:22,860 --> 00:13:25,700 +laterally هنا ال percussion note و هنا ال + +168 +00:13:25,700 --> 00:13:29,900 +percussion اللي بتكون في ال في ال posterior area + +169 +00:13:33,250 --> 00:13:38,290 +متى بنعمل الـ tidal percussion؟ لما بنعمل الـ + +170 +00:13:38,290 --> 00:13:40,610 +percussion بيكون resonance، resonance، resonance، + +171 +00:13:40,610 --> 00:13:46,270 +صار في عنا، في dullness هنا فبنعمل، نتأكد إن هذا + +172 +00:13:46,270 --> 00:13:50,470 +الـ dullness because of a plural effusion ولا ال + +173 +00:13:50,470 --> 00:13:54,950 +diaphragm is high ولا there is consolidation + +174 +00:13:54,950 --> 00:13:59,710 +فبنعمل الـ tidal percussion، بنسأل العيان، بنقول + +175 +00:13:59,710 --> 00:14:06,030 +له خد deep breathوhold the breath for a while + +176 +00:14:06,030 --> 00:14:10,570 +وبعدين المنطقة اللي صارت كانت فيها dullness صارت + +177 +00:14:10,570 --> 00:14:16,550 +resonance هذا بيكون denoting that this is there is + +178 +00:14:16,550 --> 00:14:24,450 +no blue fusion and there is just diaphragm is + +179 +00:14:24,450 --> 00:14:27,330 +abnormally higher than that + +180 +00:14:33,670 --> 00:14:39,130 +This is the tidal percussion طبعاً + +181 +00:14:39,130 --> 00:14:42,290 +الـ tidal percussion test نحن بنعمله to + +182 +00:14:42,290 --> 00:14:45,930 +differentiate an elevated hemidiaphragm from other + +183 +00:14:45,930 --> 00:14:49,890 +causes of dullness زي ما قلنا اللي هو مثلا يكون + +184 +00:14:49,890 --> 00:14:52,610 +secondary to the blue refusal consolidation five + +185 +00:14:52,610 --> 00:14:55,830 +process or there is just only elevated + +186 +00:14:55,830 --> 00:14:57,150 +hemidiaphragm + +187 +00:15:03,130 --> 00:15:07,790 +بعد الـ percussion بيجي عندنا الـ auscultation في + +188 +00:15:07,790 --> 00:15:12,790 +الـ auscultation عندنا أربع حاجات مهمة لازم نركز + +189 +00:15:12,790 --> 00:15:18,590 +عليها اللي هي أول حاجة ال breath sound إيش نوعه و + +190 +00:15:18,590 --> 00:15:25,030 +ال intensity و ال added sound و الرقم أربع ال + +191 +00:15:25,030 --> 00:15:32,330 +vocal resonance هنعلق عليهاوالمناطق اللي بنعمل + +192 +00:15:32,330 --> 00:15:37,130 +فيها اسكلتشن نفس اللي عملنا فيها percussion لكن في + +193 +00:15:37,130 --> 00:15:41,330 +الـ superclavicular area احنا بنفحص اللي هو + +194 +00:15:41,330 --> 00:15:47,610 +بالسماعة بالـ pill of the stethoscope مش في + +195 +00:15:47,610 --> 00:15:53,250 +الديافرام ال superclavicular area اللي هي بنفحصها + +196 +00:15:53,250 --> 00:15:56,670 +في ال pill of the stethoscope وباق المناطق + +197 +00:15:56,670 --> 00:15:57,590 +بالديافرام + +198 +00:16:01,840 --> 00:16:03,740 +طبعا I understand the patient, the right of the + +199 +00:16:03,740 --> 00:16:07,040 +patient, ask the patient sculpted in the middle of + +200 +00:16:07,040 --> 00:16:10,500 +the clavicular line, right or left, always compare + +201 +00:16:11,630 --> 00:16:15,790 +always compare طبعا البرتسان فيه normally اللي هو + +202 +00:16:15,790 --> 00:16:20,150 +vesicular breathing هو عبارة عن اللي هو + +203 +00:16:20,150 --> 00:16:24,850 +inspiration و total expiration ويكون soft ويكون + +204 +00:16:24,850 --> 00:16:29,650 +normal breathing وفيه bronchovascular وفيه + +205 +00:16:29,650 --> 00:16:33,970 +bronchial breathing وال transmitted طبعا اللي هو + +206 +00:16:33,970 --> 00:16:38,920 +sound وفيه ال advantageous اللي هولا إما fine + +207 +00:16:38,920 --> 00:16:43,040 +crackles لا إما coarse crackles اللي هي بيكون الـ + +208 +00:16:43,040 --> 00:16:46,320 +added sound و إذا كان discontinuous و إذا كانت + +209 +00:16:46,320 --> 00:16:51,460 +continuous advantageous sound اللي هو بيكون في + +210 +00:16:51,460 --> 00:16:56,780 +الويز والرنكاي هنا زي ما احنا شايفين this is the + +211 +00:16:56,780 --> 00:17:00,180 +tracheal sound وهو ال inspiratory و الexpiratory + +212 +00:17:00,180 --> 00:17:05,340 +بيكونوا equal بيكون very loudو high pitch و ممكن + +213 +00:17:05,340 --> 00:17:09,040 +لما تسمع تحط ال diaphragm بتاع ال stethoscope over + +214 +00:17:09,040 --> 00:17:14,080 +the trachea in the neck في ال bronchiole بيكون ال + +215 +00:17:14,080 --> 00:17:20,280 +expiratory أعلى و أطول من ال inspiratoryوهذا الـ + +216 +00:17:20,280 --> 00:17:24,080 +Pronchial Breathing ممكن نسمعه إذا حطينا دفرام + +217 +00:17:24,080 --> 00:17:29,180 +over the Maniprium لكن إذا كان حطيناه في مكان تاني + +218 +00:17:29,180 --> 00:17:32,660 +في الرؤى وكان فيه Pronchial Breathing this is a + +219 +00:17:32,660 --> 00:17:38,360 +pronchial denoting there is consolidation or mass + +220 +00:17:38,360 --> 00:17:43,960 +pneumonia هذه كلها بتعطينا Pronchial Breathing + +221 +00:17:43,960 --> 00:17:46,760 +normally ممكن نسمع ال Pronchial Breathing إذا + +222 +00:17:46,760 --> 00:17:51,320 +حطينا سماع over the Manipriumوهذا الطبيعي اللي هو + +223 +00:17:51,320 --> 00:17:54,220 +الـ vesicular أو اللي بتسميه alveolar a breathing + +224 +00:17:54,220 --> 00:17:59,960 +sound بيكون soft و low pitch و بيكون heard over + +225 +00:17:59,960 --> 00:18:03,600 +the most of the lungs و ال inspiratory are longer + +226 +00:18:03,600 --> 00:18:08,300 +than expiratory تقريبا true expiratory phase + +227 +00:18:08,300 --> 00:18:13,860 +تقريبا the true expiratory phase is two to three + +228 +00:18:13,860 --> 00:18:16,760 +longer than inspiratory phase لكن احنا ما بنسمعه + +229 +00:18:17,040 --> 00:18:22,080 +بالسماعة بنسمع حوالي تقريبا الـ full inspiratory + +230 +00:18:22,080 --> 00:18:31,360 +لكن الـ expiration تلتة بنسمع زي ما هو موضح وهنا + +231 +00:18:31,360 --> 00:18:36,500 +البرونكوفيزيكولار this is a diagram how to + +232 +00:18:36,500 --> 00:18:38,100 +differentiate inspiratory + +233 +00:18:40,870 --> 00:18:44,790 +Stridor بيكون في ال obstruction أو narrowing في ال + +234 +00:18:44,790 --> 00:18:50,010 +upper airway وبيكون في ال trachea وفي ال upper + +235 +00:18:50,010 --> 00:18:52,450 +airway obstruction في الناس اللي عندهم مكروب، في + +236 +00:18:52,450 --> 00:18:56,210 +الأطفال اللي عندهم مكروب أو foreign body بيجي بعد + +237 +00:18:56,210 --> 00:19:00,470 +حيان في acute stridor و اللي هو بيكون continuous + +238 +00:19:00,470 --> 00:19:04,090 +high pitch sound from obstruction of the upper + +239 +00:19:04,090 --> 00:19:09,470 +airwayالويز قولنا continuous، musical، high pitch، + +240 +00:19:09,470 --> 00:19:14,610 +هو بيكون advantageous + +241 +00:19:14,610 --> 00:19:19,190 +sound بيكون في ال bronchial asthma و ال COPD و ال + +242 +00:19:19,190 --> 00:19:24,390 +bronchi بيكون low pitch و most likely fluid or + +243 +00:19:24,390 --> 00:19:26,370 +secretion في ال larger airway + +244 +00:19:30,410 --> 00:19:33,830 +الـ crackles أو الـ crepitation short popping + +245 +00:19:33,830 --> 00:19:38,550 +sudden inflation of the alveoli تعطينا non + +246 +00:19:38,550 --> 00:19:42,530 +-continuous أو discontinuous crackles انترقت non + +247 +00:19:42,530 --> 00:19:45,970 +-musical sound رزقته from collapse of the + +248 +00:19:45,970 --> 00:19:50,070 +peripheral airway on expirationon inspiration + +249 +00:19:50,070 --> 00:19:53,930 +rapidly entered the distal airway and the alveoli + +250 +00:19:53,930 --> 00:19:57,650 +and small bronchi opened abruptly producing sound + +251 +00:19:57,650 --> 00:20:04,850 +اسمه اللي هو crackling noise وفي ال crackles فيه + +252 +00:20:04,850 --> 00:20:07,070 +two types فيه fine و فيه coarse crepitation + +253 +00:20:10,850 --> 00:20:15,050 +بنحدد هذه الـ «causes of crackles» ممكن نشوف، + +254 +00:20:15,050 --> 00:20:20,010 +بنعتمد على اللي هو زي ما حكينا، إذا كان curse + +255 +00:20:20,010 --> 00:20:23,790 +crackles، ask the patient to cough، يعني بتساعد، + +256 +00:20:23,790 --> 00:20:32,210 +you ask the patient يكحّ، ifالـ Crepitation تتغير + +257 +00:20:32,210 --> 00:20:36,570 +في شخصيته أو تفادى، هذا كورس الـ Crepitation دايما + +258 +00:20:36,570 --> 00:20:39,890 +ال كورس ال Crepitation بتكون في صغير شخص مع + +259 +00:20:39,890 --> 00:20:45,290 +Bronchectasis وبتكون ال Crepitation دايما ايرلي + +260 +00:20:45,290 --> 00:20:49,450 +لكن في حالات ال lung fibrosis في الالدرلي، بيكون + +261 +00:20:49,450 --> 00:20:53,290 +fine Crepitation وإذا كحل عيال، برضه ال + +262 +00:20:53,290 --> 00:20:57,470 +Crepitation لن تفادىالـ crepitation will not + +263 +00:20:57,470 --> 00:21:00,610 +disappear و ال crepitation في الـ fine بتكون soft + +264 +00:21:00,610 --> 00:21:06,970 +و high pitch و very brief و بتكون في ال end + +265 +00:21:06,970 --> 00:21:10,530 +inspiratory crepitation بيسموها و بيسئلها اسم + +266 +00:21:10,530 --> 00:21:15,210 +بتاعي اللي بيطلق عليه Velcro sound Velcro sound أو + +267 +00:21:15,210 --> 00:21:20,130 +الشريط اللاصق نقرا + +268 +00:21:20,130 --> 00:21:25,100 +ال friction rap whispering بيجتلكوااللي هو لما + +269 +00:21:25,100 --> 00:21:30,620 +تحكي للعيان اهمس يعني كلام اللي هدا بتكون مسموع هو + +270 +00:21:30,620 --> 00:21:34,780 +some sort of اللي هو الـ vocal resonance أو الـ + +271 +00:21:34,780 --> 00:21:41,760 +TVF بيكون عالي ومسموع بالسماعة Lego + +272 +00:21:41,760 --> 00:21:46,990 +فيني؟ Okayطبعًا «putting all together» دائمًا إحنا + +273 +00:21:46,990 --> 00:21:50,090 +في الـ «final» بعد ما نخلص بالـ «general» بعد إن + +274 +00:21:50,090 --> 00:21:54,630 +الـ «local exam» لازم نعطي اللي هو الـ «summary» + +275 +00:21:54,630 --> 00:22:00,890 +الـ «summary» للـ «finding» قلنا في الحالات الأول + +276 +00:22:00,890 --> 00:22:05,410 +حاجة بالـ «essential checklist» أو «general + +277 +00:22:05,410 --> 00:22:10,270 +inspection»Patient في الـ «General inspection»، + +278 +00:22:10,270 --> 00:22:13,150 +«Well» أو «unwell»؟ «Gashectic»؟ «Cianosis»؟ + +279 +00:22:13,150 --> 00:22:15,850 +«Pallor»؟ «Accessory muscle»؟ «General + +280 +00:22:15,850 --> 00:22:18,610 +appearance»؟ «Distance»؟ «Sign of specific»؟ + +281 +00:22:18,610 --> 00:22:22,490 +طبعاً، before الـ «essential checklist» لازم + +282 +00:22:22,490 --> 00:22:24,990 +يقولنا احنا اللي هو «washing hands»، «introduce + +283 +00:22:24,990 --> 00:22:29,890 +yourself»، «position»، «consent»، تمام، بعدين تفحص + +284 +00:22:29,890 --> 00:22:32,170 +الـ «hand»، الـ «hand» بيفحص فيه «clapping»، فيه + +285 +00:22:32,170 --> 00:22:35,030 +«muscle wasting»، «unilaterally»، فيه تعريف تاني، + +286 +00:22:35,030 --> 00:22:38,470 +«preference cianosis»،Pulpate the wrist for + +287 +00:22:38,470 --> 00:22:41,890 +tenderness، check for flamming tremor، radial + +288 +00:22:41,890 --> 00:22:47,150 +pulse، ونسمع الـ vital sign، ناخد الـ vital sign + +289 +00:22:47,150 --> 00:22:51,130 +ونشوف الـ respiratory rate، و الـ face، كنا في + +290 +00:22:51,130 --> 00:22:54,330 +الأليميا، في الـ jaundice، Horner، سندروم المouth، + +291 +00:22:54,330 --> 00:22:57,940 +في الـ central cyanosisفي الـ Bad Oral Hygiene في + +292 +00:22:57,940 --> 00:23:01,480 +الناس اللي عندهم Infective Endogarditis أو الـ + +293 +00:23:01,480 --> 00:23:04,980 +Lung Abscess Pairslip Breathing في الناس الـ COPD + +294 +00:23:04,980 --> 00:23:07,620 +الـ Voice, Hoarseness of Voice في الناس اللي عندهم + +295 +00:23:07,620 --> 00:23:13,820 +Lung Cancer إنك تشيك for GVB for lymph node Local + +296 +00:23:13,820 --> 00:23:16,960 +interest exam, inspection also, palpation, + +297 +00:23:17,100 --> 00:23:20,620 +percussion, auscultation, inspectiongeneral + +298 +00:23:20,620 --> 00:23:25,300 +inspection و ال palpation خمسة و ال percussion + +299 +00:23:25,300 --> 00:23:27,920 +then auscultation بنركز على the auscultative + +300 +00:23:27,920 --> 00:23:31,020 +finding ال type of breath sound، vesicular ولا + +301 +00:23:31,020 --> 00:23:36,660 +bronchial و اللي هو ال intensity و ال added sound + +302 +00:23:36,660 --> 00:23:41,820 +و then ال vocal resonanceفبنفحث الليك طبعا ممكن + +303 +00:23:41,820 --> 00:23:44,740 +نفحث الليك بارتوف جينيرال exam for إريمة for + +304 +00:23:44,740 --> 00:23:48,560 +temperature for color for skin lesion و for + +305 +00:23:48,560 --> 00:23:53,380 +complete exam for you ask for exam for spew time + +306 +00:23:53,380 --> 00:23:56,440 +or temperature chart و ال peak flow rate و ال + +307 +00:23:56,440 --> 00:23:57,980 +oxygen status + +308 +00:24:04,130 --> 00:24:06,750 +طبعاً هذه scattered cases أشياء اللي نركز فيها + +309 +00:24:06,750 --> 00:24:11,110 +البرونكال أزمة بنسمع فيها بيكون عيال ممكن الـ + +310 +00:24:11,110 --> 00:24:13,970 +central cyanosis in severe أزمة ممكن نسمع wheeze + +311 +00:24:13,970 --> 00:24:18,690 +bilateral because of hyperinflation و rabid pulse + +312 +00:24:18,690 --> 00:24:22,410 +النمونيا بيكون في عندنا sign of consolidation + +313 +00:24:22,410 --> 00:24:25,190 +reduced chest expansion dullness to percussion, + +314 +00:24:25,630 --> 00:24:29,990 +bronchial breathing plus minus coarse crackles or + +315 +00:24:29,990 --> 00:24:35,120 +increased vocal resonanceالبرونكيكتسيس بيكون دايما + +316 +00:24:35,120 --> 00:24:38,040 +في الـ young بيكون course، crackles، adventitious + +317 +00:24:38,040 --> 00:24:42,480 +sound، bilaterally، ممكن يكون finger clubbing، + +318 +00:24:42,480 --> 00:24:45,140 +ممكن يكون عيان عنده أنيميا because of a chronic + +319 +00:24:45,140 --> 00:24:48,400 +disease، cyanosis، race GVB، إذا صار عنده core + +320 +00:24:48,400 --> 00:24:52,840 +بلمونال، patient plethoric، قلنا course crackles + +321 +00:24:52,840 --> 00:24:56,860 +over the area، sometimes ممكن plus minus، بيكون + +322 +00:24:56,860 --> 00:25:02,350 +فيويز، adventitious،قلنا ممكن يكون برضه اللي هو + +323 +00:25:02,350 --> 00:25:09,150 +right-sided heave اللي هو كرب المنال ممكن يكون + +324 +00:25:09,150 --> 00:25:16,850 +lower limb قديمة ويكون عندنا حواليه ال environment + +325 +00:25:16,850 --> 00:25:21,310 +sputum because of producing a large amount of + +326 +00:25:21,310 --> 00:25:28,690 +sputumالـ Blural effusion بيكون في ال exam degrees + +327 +00:25:28,690 --> 00:25:31,910 +and chest expansion بيكون stony dullness to + +328 +00:25:31,910 --> 00:25:36,130 +percussion note، decrease in breath sound ومافيش + +329 +00:25:36,130 --> 00:25:39,730 +added sound، و ال vocal resonance بيكون decrease، + +330 +00:25:39,730 --> 00:25:42,910 +و بعض الأحيان إذا كان mediastinal shift إذا كان + +331 +00:25:42,910 --> 00:25:48,630 +large، بلورال effusion طبعا هي ال differential + +332 +00:25:48,630 --> 00:25:52,070 +diagnosis للdullness in the lung baseالـ lung + +333 +00:25:52,070 --> 00:25:56,830 +fibrosis بيكون زي ما حكينا «fine late inspiratory + +334 +00:25:56,830 --> 00:25:59,750 +creepitation» أو «fine end inspiratory + +335 +00:25:59,750 --> 00:26:06,170 +creepitation» «finger clapping» + +336 +00:26:06,170 --> 00:26:11,110 +هنا هي هذه الـ «bipasal» «fine end inspiratory + +337 +00:26:11,110 --> 00:26:13,930 +crackles» أو الـ «Velcro» هذا شريط اللاسق الـ + +338 +00:26:13,930 --> 00:26:16,650 +«Velcro» الصوت اللي ممكن يطلع في حالات اللي هو + +339 +00:26:16,650 --> 00:26:21,880 +lung fibrosisوزي ما عرفنا بيكون bilateral fine end + +340 +00:26:21,880 --> 00:26:25,340 +في نهاية ال inspiratory phase بيكون في fine + +341 +00:26:25,340 --> 00:26:29,400 +crackles low pitch وما بتتغير بالكف و تقريبا بيكون + +342 +00:26:29,400 --> 00:26:37,340 +صوتها زي كده على + +343 +00:26:37,340 --> 00:26:39,500 +نهاية ال inspiration + +344 +00:26:44,440 --> 00:26:48,780 +و COPD كما قلنا برضه بيكون فيه ممكن بالاترالويز و + +345 +00:26:48,780 --> 00:26:51,840 +finger clapping إذا كان associated with lung + +346 +00:26:51,840 --> 00:26:56,820 +cancer COPD alone will not cause finger clapping + +347 +00:26:56,820 --> 00:26:59,920 +Pairs lip breathing + +348 +00:27:03,890 --> 00:27:06,810 +How to differentiate between Blue Refusion and + +349 +00:27:06,810 --> 00:27:09,770 +Consolidation؟ في الـ Blue Refusion بيكون Reduced + +350 +00:27:09,770 --> 00:27:12,350 +tactile vocal fremitus أو Decreased vocal + +351 +00:27:12,350 --> 00:27:15,890 +resonance فالـ Consolidation بيكون Increased vocal + +352 +00:27:15,890 --> 00:27:19,230 +resonance Reduced cyst expansion Reduced cyst + +353 +00:27:19,230 --> 00:27:23,290 +expansion together، Bilaterally إذا كان في عندك + +354 +00:27:23,290 --> 00:27:25,370 +Bilateral Blue Refusion أو إذا كان في + +355 +00:27:25,370 --> 00:27:30,340 +ConsolidationStony dullness في حالات اللي هو Blue + +356 +00:27:30,340 --> 00:27:33,480 +Refusion ويكون برضه dullness في ال consolidation + +357 +00:27:33,480 --> 00:27:39,440 +Decrease in breath sound Blue Refusion وممكن + +358 +00:27:39,440 --> 00:27:43,420 +sometimes consolidation in bronchial breathing وNo + +359 +00:27:43,420 --> 00:27:47,540 +added sound لكن في ال added sound يكون curse + +360 +00:27:47,540 --> 00:27:52,060 +crackles or weeds وهنا برضه how to differentiate + +361 +00:27:52,060 --> 00:27:59,550 +between thiswasn't as easy as it looked no sir no + +362 +00:27:59,550 --> 00:28:06,110 +it was wasn't تقريبا احنا يعني الحين في some يعني + +363 +00:28:06,110 --> 00:28:14,350 +example بنشوف من الحالات اللي هو ال sound خلينا + +364 +00:28:14,350 --> 00:28:17,550 +نشوف breath sounds are classified by their + +365 +00:28:17,550 --> 00:28:20,910 +intensity pitch and duration during inspiration + +366 +00:28:20,910 --> 00:28:26,160 +and expirationالعادية لصوص الهواتف هي صوت صوت صوت + +367 +00:28:26,160 --> 00:28:30,280 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +368 +00:28:30,280 --> 00:28:32,900 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +369 +00:28:32,900 --> 00:28:34,540 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +370 +00:28:34,540 --> 00:28:34,740 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +371 +00:28:34,740 --> 00:28:34,780 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +372 +00:28:34,780 --> 00:28:35,640 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +373 +00:28:35,640 --> 00:28:36,320 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +374 +00:28:36,320 --> 00:28:40,780 +صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت صوت + +375 +00:28:40,780 --> 00:28:44,280 +صوت صوت صوت صوت صوت + +376 +00:28:44,280 --> 00:28:44,340 +صوت + +377 +00:28:53,660 --> 00:28:57,620 +الصوت البرانكي يكون أكثر و أكثر و أكثر و أكثر و + +378 +00:28:57,620 --> 00:28:58,500 +أكثر و أكثر و أكثر و أكثر و أكثر و أكثر و أكثر و + +379 +00:28:58,500 --> 00:28:59,700 +أكثر و أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و + +380 +00:28:59,700 --> 00:29:03,360 +أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و + +381 +00:29:03,360 --> 00:29:04,520 +أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و + +382 +00:29:04,520 --> 00:29:06,660 +أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و + +383 +00:29:06,660 --> 00:29:22,640 +أكتر و أكتر و أكتر و أكتر و أكتر و أكتر و + +384 +00:29:26,900 --> 00:29:30,280 +الصوتات الانسباراتية والاستباراتية تقريبًا تقريبًا + +385 +00:29:30,280 --> 00:29:34,620 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +386 +00:29:34,620 --> 00:29:35,380 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +387 +00:29:35,380 --> 00:29:36,640 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +388 +00:29:36,640 --> 00:29:40,900 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +389 +00:29:40,900 --> 00:29:46,640 +تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا تقريبًا + +390 +00:29:46,640 --> 00:29:50,500 +تقريبًا + +391 +00:29:50,500 --> 00:29:52,140 +تقريبًا ت + +392 +00:30:04,260 --> 00:30:12,180 +and bronchovascular Adventitious + +393 +00:30:12,180 --> 00:30:15,880 +or added breath sounds consist of two basic types + +394 +00:30:15,880 --> 00:30:27,260 +the discontinuous sounds or crackles and + +395 +00:30:27,260 --> 00:30:30,060 +the continuous sounds wheezes and ronca + +396 +00:30:37,880 --> 00:30:47,040 +بالتالي، هذا مثال للتحقيق + +397 +00:30:47,040 --> 00:30:49,260 +الإسقاطي + +398 +00:30:50,660 --> 00:30:57,480 +pronchial sound and adventitious sound وبهذا نختتم + +399 +00:30:57,480 --> 00:31:05,220 +هذه المحاضرة عن ال approach for physical exam in + +400 +00:31:05,220 --> 00:31:09,460 +respiratory patient thank you + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o_raw.json b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Q1ylOvAOk4o_raw.json new file mode 100644 index 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214.47, "word": " ال", "probability": 0.884765625}, {"start": 214.47, "end": 214.59, "word": " ..", "probability": 0.44384765625}, {"start": 214.59, "end": 215.11, "word": " ال", "probability": 0.9375}, {"start": 215.11, "end": 215.11, "word": " ..", "probability": 0.95556640625}, {"start": 215.11, "end": 215.51, "word": " ال", "probability": 0.97802734375}, {"start": 215.51, "end": 215.51, "word": " ..", "probability": 0.69775390625}, {"start": 215.51, "end": 215.89, "word": " ال", "probability": 0.93212890625}, {"start": 215.89, "end": 216.21, "word": " abnormal", "probability": 0.444091796875}, {"start": 216.21, "end": 216.55, "word": " ال", "probability": 0.6279296875}, {"start": 216.55, "end": 216.87, "word": " pattern", "probability": 0.89697265625}, {"start": 216.87, "end": 217.09, "word": " of", "probability": 0.9609375}, {"start": 217.09, "end": 217.61, "word": " breathing", "probability": 0.63525390625}, {"start": 217.61, "end": 218.11, "word": " Cosmal", "probability": 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"probability": 0.91943359375}, {"start": 224.76, "end": 225.66, "word": " Excavatum", "probability": 0.6905517578125}, {"start": 225.66, "end": 226.0, "word": " أو", "probability": 0.9248046875}, {"start": 226.0, "end": 227.08, "word": " Kyphoscoliosis", "probability": 0.6438720703125}, {"start": 227.08, "end": 235.06, "word": " زي", "probability": 0.8076171875}, {"start": 235.06, "end": 235.12, "word": " ما", "probability": 0.9716796875}, {"start": 235.12, "end": 235.26, "word": " احنا", "probability": 0.7977701822916666}, {"start": 235.26, "end": 235.66, "word": " شايفين", "probability": 0.9881591796875}, {"start": 235.66, "end": 236.0, "word": " هنا", "probability": 0.96875}, {"start": 236.0, "end": 237.14, "word": " this", "probability": 0.312255859375}, {"start": 237.14, "end": 237.38, "word": " is", "probability": 0.96533203125}, {"start": 237.38, "end": 237.94, "word": " a", "probability": 0.45458984375}, {"start": 237.94, "end": 239.06, "word": " increased", "probability": 0.62646484375}, {"start": 239.06, "end": 240.02, "word": " anteroposterior", "probability": 0.653369140625}, {"start": 240.02, "end": 240.66, "word": " diameter", "probability": 0.93798828125}, {"start": 240.66, "end": 241.5, "word": " barrel", "probability": 0.51123046875}, {"start": 241.5, "end": 242.04, "word": " chest", "probability": 0.8876953125}, {"start": 242.04, "end": 243.5, "word": " this", "probability": 0.75830078125}, {"start": 243.5, "end": 243.8, "word": " is", "probability": 0.96484375}, {"start": 243.8, "end": 244.6, "word": " severe", "probability": 0.818359375}, {"start": 244.6, "end": 246.04, "word": " kyphosis", "probability": 0.9796549479166666}, {"start": 246.04, "end": 247.32, "word": " and", "probability": 0.310546875}, {"start": 247.32, "end": 247.8, "word": " sometimes", "probability": 0.75244140625}], "temperature": 1.0}, {"id": 10, "seek": 26605, "start": 250.99, "end": 266.05, "text": "وهنا برضه بيجين شست وهنا بيجين شست وهنا funnel chest بيكتس Excavated from cavity طبعا بالحالات اللي زيها ال respiratory system", "tokens": [2407, 3224, 8315, 4724, 43042, 3224, 4724, 1829, 7435, 9957, 13412, 14851, 37037, 8315, 4724, 1829, 7435, 9957, 13412, 14851, 37037, 8315, 24515, 7443, 4724, 1829, 4117, 2655, 3794, 2111, 496, 85, 770, 490, 32425, 23032, 3555, 3615, 995, 20666, 5016, 6027, 9307, 13672, 1829, 30767, 1829, 11296, 2423, 27038, 1185], "avg_logprob": -0.42367787945729035, "compression_ratio": 1.3405797101449275, "no_speech_prob": 0.0, "words": [{"start": 250.98999999999998, "end": 252.39, "word": "وهنا", "probability": 0.5871175130208334}, {"start": 252.39, "end": 252.77, "word": " برضه", "probability": 0.8561197916666666}, {"start": 252.77, "end": 253.21, "word": " بيجين", "probability": 0.552947998046875}, {"start": 253.21, "end": 253.63, "word": " شست", "probability": 0.78662109375}, {"start": 253.63, "end": 255.01, "word": " وهنا", "probability": 0.65185546875}, {"start": 255.01, "end": 255.45, "word": " بيجين", "probability": 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"text": "للـ Eclipse إذا كان فيه surgical emphysema في الناس اللي عندهم نيمو ميدياستينام في بعض الوقت يكون في عيننا surgical emphysema association فبالتالي can be detected by superficial palpation superficial mass or tenderness palpation of the apex", "tokens": [1211, 1211, 39184, 462, 27197, 11933, 15730, 25961, 8978, 3224, 26646, 846, 15680, 405, 1696, 8978, 2423, 8315, 3794, 13672, 1829, 43242, 16095, 8717, 32640, 2407, 3714, 1829, 16254, 995, 14851, 9957, 10943, 8978, 45030, 11242, 2423, 30543, 2655, 7251, 30544, 8978, 6225, 9957, 8315, 26646, 846, 15680, 405, 1696, 14598, 6156, 3555, 6027, 2655, 6027, 1829, 393, 312, 21896, 538, 34622, 3984, 79, 399, 34622, 2758, 420, 3928, 19416, 3984, 79, 399, 295, 264, 48115], "avg_logprob": -0.34476460419692, "compression_ratio": 1.5219512195121951, "no_speech_prob": 0.0, "words": [{"start": 371.1, "end": 372.02, "word": "للـ", "probability": 0.3640543619791667}, {"start": 372.02, "end": 372.82, "word": " Eclipse", "probability": 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408.46, "text": "طبعاً في الـ cardiovascular exam لازم تحدد الـ time والـ sight، exactly sight والـ time of apex والـ apex speed", "tokens": [9566, 3555, 3615, 995, 14111, 8978, 2423, 39184, 31786, 1139, 5296, 31377, 2304, 6055, 24401, 3215, 2423, 39184, 565, 16070, 39184, 7860, 12399, 2293, 7860, 16070, 39184, 565, 295, 48115, 16070, 39184, 48115, 3073], "avg_logprob": -0.32232143197740826, "compression_ratio": 1.2608695652173914, "no_speech_prob": 0.0, "words": [{"start": 395.18, "end": 396.4, "word": "طبعاً", "probability": 0.8380859375}, {"start": 396.4, "end": 396.5, "word": " في", "probability": 0.9130859375}, {"start": 396.5, "end": 396.68, "word": " الـ", "probability": 0.8154296875}, {"start": 396.68, "end": 397.62, "word": " cardiovascular", "probability": 0.333251953125}, {"start": 397.62, "end": 398.44, "word": " exam", "probability": 0.9794921875}, {"start": 398.44, "end": 399.76, "word": " لازم", "probability": 0.9679361979166666}, {"start": 399.76, "end": 400.42, "word": " تحدد", "probability": 0.85205078125}, {"start": 400.42, "end": 400.78, "word": " الـ", "probability": 0.91796875}, {"start": 400.78, "end": 401.32, "word": " time", "probability": 0.41259765625}, {"start": 401.32, "end": 402.4, "word": " والـ", "probability": 0.576171875}, {"start": 402.4, "end": 402.9, "word": " sight،", "probability": 0.3140869140625}, {"start": 402.9, "end": 403.3, "word": " exactly", "probability": 0.78369140625}, {"start": 403.3, "end": 403.94, "word": " sight", "probability": 0.93896484375}, {"start": 403.94, "end": 404.7, "word": " والـ", "probability": 0.6217041015625}, {"start": 404.7, "end": 404.94, "word": " time", "probability": 0.44873046875}, {"start": 404.94, "end": 405.34, "word": " of", "probability": 0.95654296875}, {"start": 405.34, "end": 406.06, "word": " apex", "probability": 0.54248046875}, {"start": 406.06, "end": 407.08, "word": " والـ", "probability": 0.829833984375}, {"start": 407.08, "end": 408.04, "word": " apex", "probability": 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palpation لكن نذكرها بعض الأحيان و هي replaced by vocal resonance التريكيا ال examination مهم جدا تلت حاجات في التريكيا ان نشوف التريكيا central ولا not central", "tokens": [2407, 3224, 8315, 4724, 43042, 3224, 2423, 3558, 37, 23032, 3555, 3615, 995, 19446, 12174, 1211, 8315, 8978, 2423, 3558, 37, 19446, 44945, 25957, 1211, 11296, 8978, 2423, 3984, 79, 399, 44381, 8717, 8848, 37983, 11296, 45030, 11242, 16247, 5016, 1829, 7649, 4032, 39896, 10772, 538, 11657, 30944, 16712, 16572, 4117, 25528, 2423, 23874, 3714, 16095, 10874, 28259, 6055, 1211, 2655, 11331, 26108, 9307, 8978, 16712, 16572, 4117, 25528, 16472, 8717, 8592, 38688, 16712, 16572, 4117, 25528, 5777, 49429, 406, 5777], "avg_logprob": -0.20979420186542883, "compression_ratio": 1.626865671641791, "no_speech_prob": 0.0, "words": [{"start": 567.62, "end": 568.02, "word": "وهنا", "probability": 0.7086588541666666}, {"start": 568.02, "end": 568.4, "word": " برضه", "probability": 0.8597005208333334}, {"start": 568.4, "end": 568.88, 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{"start": 582.42, "end": 583.14, "word": " examination", "probability": 0.76220703125}, {"start": 583.14, "end": 583.8, "word": " مهم", "probability": 0.938232421875}, {"start": 583.8, "end": 584.16, "word": " جدا", "probability": 0.9931640625}, {"start": 584.16, "end": 584.5, "word": " تلت", "probability": 0.8473307291666666}, {"start": 584.5, "end": 584.86, "word": " حاجات", "probability": 0.99462890625}, {"start": 584.86, "end": 584.98, "word": " في", "probability": 0.95068359375}, {"start": 584.98, "end": 585.6, "word": " التريكيا", "probability": 0.98486328125}, {"start": 585.6, "end": 586.18, "word": " ان", "probability": 0.40380859375}, {"start": 586.18, "end": 586.56, "word": " نشوف", "probability": 0.90966796875}, {"start": 586.56, "end": 587.08, "word": " التريكيا", "probability": 0.95263671875}, {"start": 587.08, "end": 587.52, "word": " central", "probability": 0.58935546875}, {"start": 587.52, "end": 587.88, "word": " ولا", "probability": 0.8759765625}, {"start": 587.88, 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{"start": 609.61, "end": 610.07, "word": " tug", "probability": 0.34619140625}, {"start": 610.07, "end": 610.63, "word": " و", "probability": 0.6689453125}, {"start": 610.63, "end": 611.57, "word": " pulpate", "probability": 0.55731201171875}, {"start": 611.57, "end": 612.27, "word": " للتراكيا", "probability": 0.624951171875}, {"start": 612.27, "end": 612.87, "word": " وهو", "probability": 0.50640869140625}, {"start": 612.87, "end": 612.97, "word": " the", "probability": 0.184814453125}, {"start": 612.97, "end": 613.33, "word": " scent", "probability": 0.8125}, {"start": 613.33, "end": 613.49, "word": " of", "probability": 0.9794921875}, {"start": 613.49, "end": 613.65, "word": " the", "probability": 0.861328125}, {"start": 613.65, "end": 614.03, "word": " trachea", "probability": 0.8914388020833334}, {"start": 614.03, "end": 614.41, "word": " during", "probability": 0.9140625}, {"start": 614.41, "end": 615.59, "word": " inspiration", "probability": 0.70654296875}, {"start": 615.59, 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قلنا اللي هو مثلا يكون secondary to the blue refusal consolidation five process or there is just only elevated hemidiaphragm", "tokens": [5723, 307, 264, 9422, 304, 44430, 23032, 3555, 3615, 995, 14111, 2423, 39184, 9422, 304, 44430, 1500, 8717, 5016, 1863, 44945, 25957, 43761, 281, 23203, 364, 23457, 8636, 12716, 569, 1703, 559, 76, 490, 661, 7700, 295, 23471, 1287, 30767, 1829, 19446, 12174, 1211, 8315, 13672, 1829, 31439, 50113, 15040, 7251, 30544, 11396, 281, 264, 3344, 48948, 39114, 1732, 1399, 420, 456, 307, 445, 787, 23457, 8636, 12716, 569, 1703, 559, 76], "avg_logprob": -0.37821060664033235, "compression_ratio": 1.4604651162790698, "no_speech_prob": 0.0, "words": [{"start": 873.67, "end": 873.95, "word": "This", "probability": 0.0731201171875}, {"start": 873.95, "end": 874.11, "word": " is", "probability": 0.95068359375}, {"start": 874.11, "end": 874.29, "word": " the", "probability": 0.72216796875}, {"start": 874.29, "end": 874.67, "word": " tidal", "probability": 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"temperature": 1.0}, {"id": 40, "seek": 99699, "start": 971.63, "end": 996.99, "text": "always compare طبعا البرتسان فيه normally اللي هو vesicular breathing هو عبارة عن اللي هو inspiration و total expiration ويكون soft ويكون normal breathing وفيه bronchovascular وفيه bronchial breathing وال transmitted طبعا اللي هو sound وفيه ال advantageous اللي هو", "tokens": [304, 942, 6794, 23032, 3555, 3615, 995, 2423, 26890, 2655, 3794, 7649, 8978, 3224, 5646, 13672, 1829, 31439, 28274, 14646, 9570, 31439, 6225, 3555, 9640, 3660, 18871, 13672, 1829, 31439, 10249, 4032, 3217, 39657, 4032, 1829, 30544, 2787, 4032, 1829, 30544, 2710, 9570, 4032, 41185, 3224, 16586, 339, 5179, 22084, 4032, 41185, 3224, 16586, 339, 831, 9570, 4032, 6027, 25355, 23032, 3555, 3615, 995, 13672, 1829, 31439, 1626, 4032, 41185, 3224, 2423, 5002, 563, 13672, 1829, 31439], "avg_logprob": -0.26883013240801984, "compression_ratio": 1.801047120418848, "no_speech_prob": 0.0, "words": [{"start": 971.63, "end": 972.31, "word": 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over the Maniprium لكن إذا كان حطيناه في مكان تاني في الرؤى وكان فيه Pronchial Breathing this is a pronchial denoting there is consolidation or mass pneumonia هذه كلها بتعطينا Pronchial Breathing normally ممكن نسمع ال Pronchial Breathing إذا حطينا سماع over the Maniprium", "tokens": [2407, 3224, 15730, 2423, 39184, 2114, 266, 339, 831, 20093, 571, 3714, 43020, 8717, 38251, 3615, 3224, 11933, 15730, 11331, 9566, 1829, 8315, 11778, 5172, 2288, 10943, 670, 264, 2458, 647, 13015, 44381, 11933, 15730, 25961, 11331, 9566, 1829, 8315, 3224, 8978, 3714, 41361, 6055, 7649, 1829, 8978, 34892, 33604, 7578, 4032, 41361, 8978, 3224, 2114, 266, 339, 831, 20093, 571, 341, 307, 257, 7569, 339, 831, 1441, 17001, 456, 307, 39114, 420, 2758, 43097, 29538, 28242, 11296, 39894, 3615, 9566, 1829, 8315, 2114, 266, 339, 831, 20093, 571, 5646, 3714, 43020, 8717, 38251, 3615, 2423, 2114, 266, 339, 831, 20093, 571, 11933, 15730, 11331, 9566, 1829, 8315, 8608, 15042, 3615, 670, 264, 2458, 647, 13015], 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1091.54, "end": 1091.9, "word": " true", "probability": 0.98291015625}, {"start": 1091.9, "end": 1092.52, "word": " expiratory", "probability": 0.94677734375}, {"start": 1092.52, "end": 1092.88, "word": " phase", "probability": 0.9658203125}, {"start": 1092.88, "end": 1093.18, "word": " is", "probability": 0.86376953125}, {"start": 1093.18, "end": 1093.5, "word": " two", "probability": 0.78662109375}, {"start": 1093.5, "end": 1093.64, "word": " to", "probability": 0.94482421875}, {"start": 1093.64, "end": 1093.86, "word": " three", "probability": 0.94775390625}, {"start": 1093.86, "end": 1094.18, "word": " longer", "probability": 0.93359375}, {"start": 1094.18, "end": 1094.5, "word": " than", "probability": 0.91650390625}, {"start": 1094.5, "end": 1095.04, "word": " inspiratory", "probability": 0.871826171875}, {"start": 1095.04, "end": 1095.34, "word": " phase", "probability": 0.9658203125}, {"start": 1095.34, "end": 1095.62, "word": " لكن", "probability": 0.8056640625}, {"start": 1095.62, "end": 1095.92, "word": " احنا", "probability": 0.8484700520833334}, {"start": 1095.92, "end": 1096.06, "word": " ما", "probability": 0.6357421875}, {"start": 1096.06, "end": 1096.76, "word": " بنسمعه", "probability": 0.9295654296875}], "temperature": 1.0}, {"id": 45, "seek": 111809, "start": 1097.04, "end": 1118.1, "text": "بالسماعة بنسمع حوالي تقريبا الـ full inspiratory لكن الـ expiration تلتة بنسمع زي ما هو موضح وهنا البرونكوفيزيكولار this is a diagram how to differentiate inspiratory", "tokens": [3555, 6027, 3794, 15042, 27884, 44945, 38251, 3615, 11331, 2407, 6027, 1829, 6055, 4587, 16572, 3555, 995, 2423, 39184, 1577, 17432, 4745, 44381, 2423, 39184, 39657, 6055, 1211, 2655, 3660, 44945, 38251, 3615, 30767, 1829, 19446, 31439, 3714, 2407, 11242, 5016, 37037, 8315, 2423, 26890, 11536, 4117, 38688, 1829, 11622, 1829, 4117, 12610, 9640, 341, 307, 257, 10686, 577, 281, 23203, 17432, 4745], "avg_logprob": -0.362304684240371, "compression_ratio": 1.4311377245508983, 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{"start": 1116.28, "end": 1116.5, "word": " to", "probability": 0.9716796875}, {"start": 1116.5, "end": 1117.16, "word": " differentiate", "probability": 0.8232421875}, {"start": 1117.16, "end": 1118.1, "word": " inspiratory", "probability": 0.7724609375}], "temperature": 1.0}, {"id": 46, "seek": 114451, "start": 1120.87, "end": 1144.51, "text": "Stridor بيكون في ال obstruction أو narrowing في ال upper airway وبيكون في ال trachea وفي ال upper airway obstruction في الناس اللي عندهم مكروب، في الأطفال اللي عندهم مكروب أو foreign body بيجي بعد حيان في acute stridor و اللي هو بيكون continuous high pitch sound from obstruction of the upper airway", "tokens": [4520, 8558, 284, 4724, 1829, 30544, 8978, 2423, 49711, 34051, 9432, 278, 8978, 2423, 6597, 1988, 676, 4032, 21292, 30544, 8978, 2423, 504, 6000, 64, 4032, 41185, 2423, 6597, 1988, 676, 49711, 8978, 2423, 8315, 3794, 13672, 1829, 43242, 16095, 3714, 4117, 32887, 3555, 12399, 8978, 16247, 9566, 5172, 6027, 13672, 1829, 43242, 16095, 3714, 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low pitch و most likely fluid or secretion في ال larger airway", "tokens": [6027, 45865, 11622, 12174, 12610, 8315, 10957, 12399, 9165, 12399, 1090, 7293, 12399, 31439, 4724, 1829, 30544, 5002, 563, 1626, 4724, 1829, 30544, 8978, 2423, 16586, 339, 831, 33409, 4032, 2423, 383, 12059, 35, 4032, 2423, 16586, 8036, 4724, 1829, 30544, 2295, 7293, 4032, 881, 3700, 9113, 420, 4054, 313, 8978, 2423, 4833, 1988, 676], "avg_logprob": -0.3702567092009953, "compression_ratio": 1.4251497005988023, "no_speech_prob": 0.0, "words": [{"start": 1144.73, "end": 1145.37, "word": "الويز", "probability": 0.6714680989583334}, {"start": 1145.37, "end": 1145.91, "word": " قولنا", "probability": 0.6160481770833334}, {"start": 1145.91, "end": 1147.27, "word": " continuous،", "probability": 0.58087158203125}, {"start": 1147.27, "end": 1148.31, "word": " musical،", "probability": 0.8095703125}, {"start": 1148.31, "end": 1148.55, "word": " high", "probability": 0.9091796875}, {"start": 1148.55, "end": 1149.47, 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sound، vesicular ولا bronchial و اللي هو ال intensity و ال added sound و then ال vocal resonance", "tokens": [1766, 2790, 22085, 4032, 2423, 3984, 79, 399, 16490, 2304, 3794, 3660, 4032, 2423, 44430, 550, 3437, 66, 723, 399, 44945, 31747, 11622, 15844, 264, 3437, 66, 723, 1166, 5006, 2423, 2010, 295, 6045, 1626, 12399, 28274, 14646, 49429, 16586, 339, 831, 4032, 13672, 1829, 31439, 2423, 13749, 4032, 2423, 3869, 1626, 4032, 550, 2423, 11657, 30944], "avg_logprob": -0.3987068986070567, "compression_ratio": 1.4914285714285713, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1399.86, "end": 1400.62, "word": "general", "probability": 0.6424560546875}, {"start": 1400.62, "end": 1401.18, "word": " inspection", "probability": 0.8935546875}, {"start": 1401.18, "end": 1401.92, "word": " و", "probability": 0.26171875}, {"start": 1401.92, "end": 1402.32, "word": " ال", "probability": 0.43017578125}, {"start": 1402.32, "end": 1403.12, "word": " palpation", "probability": 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"end": 1614.18, "word": " will", "probability": 0.86962890625}, {"start": 1614.18, "end": 1614.44, "word": " not", "probability": 0.96240234375}, {"start": 1614.44, "end": 1614.78, "word": " cause", "probability": 0.84521484375}, {"start": 1614.78, "end": 1615.14, "word": " finger", "probability": 0.93505859375}, {"start": 1615.14, "end": 1616.82, "word": " clapping", "probability": 0.6800130208333334}, {"start": 1616.82, "end": 1619.16, "word": " Pairs", "probability": 0.347686767578125}, {"start": 1619.16, "end": 1619.42, "word": " lip", "probability": 0.5576171875}, {"start": 1619.42, "end": 1619.92, "word": " breathing", "probability": 0.8076171875}], "temperature": 1.0}, {"id": 67, "seek": 164621, "start": 1623.89, "end": 1646.21, "text": "How to differentiate between Blue Refusion and Consolidation؟ في الـ Blue Refusion بيكون Reduced tactile vocal fremitus أو Decreased vocal resonance فالـ Consolidation بيكون Increased vocal resonance Reduced cyst expansion Reduced cyst expansion together، Bilaterally إذا كان في عندك Bilateral Blue Refusion أو إذا كان في Consolidation", "tokens": [6462, 281, 23203, 1296, 8510, 16957, 5704, 293, 6923, 401, 327, 399, 22807, 8978, 2423, 39184, 8510, 16957, 5704, 4724, 1829, 30544, 4477, 41209, 47319, 11657, 2130, 3508, 301, 34051, 12427, 265, 1937, 11657, 30944, 6156, 6027, 39184, 6923, 401, 327, 399, 4724, 1829, 30544, 30367, 1937, 11657, 30944, 4477, 41209, 48915, 11260, 4477, 41209, 48915, 11260, 1214, 12399, 22879, 771, 379, 11933, 15730, 25961, 8978, 43242, 4117, 22879, 17274, 8510, 16957, 5704, 34051, 11933, 15730, 25961, 8978, 6923, 401, 327, 399], "avg_logprob": -0.2882153736539634, "compression_ratio": 1.8095238095238095, "no_speech_prob": 0.0, "words": [{"start": 1623.89, "end": 1624.73, "word": "How", "probability": 0.166259765625}, {"start": 1624.73, "end": 1624.97, "word": " to", "probability": 0.88623046875}, {"start": 1624.97, "end": 1625.69, "word": " differentiate", "probability": 0.8427734375}, {"start": 1625.69, 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" resonance", "probability": 0.953125}, {"start": 1636.49, "end": 1637.45, "word": " Reduced", "probability": 0.5682373046875}, {"start": 1637.45, "end": 1637.71, "word": " cyst", "probability": 0.2421875}, {"start": 1637.71, "end": 1638.43, "word": " expansion", "probability": 0.95263671875}, {"start": 1638.43, "end": 1638.99, "word": " Reduced", "probability": 0.6328125}, {"start": 1638.99, "end": 1639.23, "word": " cyst", "probability": 0.9052734375}, {"start": 1639.23, "end": 1639.77, "word": " expansion", "probability": 0.93994140625}, {"start": 1639.77, "end": 1640.89, "word": " together،", "probability": 0.62353515625}, {"start": 1640.89, "end": 1641.83, "word": " Bilaterally", "probability": 0.8271484375}, {"start": 1641.83, "end": 1642.33, "word": " إذا", "probability": 0.855224609375}, {"start": 1642.33, "end": 1642.67, "word": " كان", "probability": 0.9921875}, {"start": 1642.67, "end": 1642.85, "word": " في", "probability": 0.75390625}, {"start": 1642.85, "end": 1643.29, "word": " عندك", "probability": 0.728515625}, {"start": 1643.29, "end": 1643.73, "word": " Bilateral", "probability": 0.84326171875}, {"start": 1643.73, "end": 1643.95, "word": " Blue", "probability": 0.93115234375}, {"start": 1643.95, "end": 1644.45, "word": " Refusion", "probability": 0.966552734375}, {"start": 1644.45, "end": 1644.81, "word": " أو", "probability": 0.9873046875}, {"start": 1644.81, "end": 1645.01, "word": " إذا", "probability": 0.960205078125}, {"start": 1645.01, "end": 1645.23, "word": " كان", "probability": 0.994140625}, {"start": 1645.23, "end": 1645.37, "word": " في", "probability": 0.95263671875}, {"start": 1645.37, "end": 1646.21, "word": " Consolidation", "probability": 0.9722900390625}], "temperature": 1.0}, {"id": 68, "seek": 167370, "start": 1646.64, "end": 1673.7, "text": "Stony dullness في حالات اللي هو Blue Refusion ويكون برضه dullness في ال consolidation Decrease in breath sound Blue Refusion وممكن sometimes consolidation in bronchial breathing وNo added sound لكن في ال added sound يكون curse crackles or weeds وهنا برضه how to differentiate between this", "tokens": [4520, 2526, 23471, 1287, 8978, 11331, 6027, 9307, 13672, 1829, 31439, 8510, 16957, 5704, 4032, 1829, 30544, 4724, 43042, 3224, 23471, 1287, 8978, 2423, 39114, 12427, 265, 651, 294, 6045, 1626, 8510, 16957, 5704, 4032, 2304, 43020, 2171, 39114, 294, 16586, 339, 831, 9570, 4032, 4540, 3869, 1626, 44381, 8978, 2423, 3869, 1626, 7251, 30544, 17139, 6226, 904, 420, 26370, 37037, 8315, 4724, 43042, 3224, 577, 281, 23203, 1296, 341], "avg_logprob": -0.4183538698814285, "compression_ratio": 1.599056603773585, "no_speech_prob": 0.0, "words": [{"start": 1646.64, "end": 1647.32, "word": "Stony", "probability": 0.31024169921875}, {"start": 1647.32, "end": 1647.8, "word": " dullness", "probability": 0.923828125}, {"start": 1647.8, "end": 1648.02, "word": " في", "probability": 0.921875}, {"start": 1648.02, "end": 1648.52, "word": " حالات", "probability": 0.95361328125}, {"start": 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0.3447265625}, {"start": 1654.74, "end": 1654.94, "word": " breath", "probability": 0.76220703125}, {"start": 1654.94, "end": 1655.54, "word": " sound", "probability": 0.8759765625}, {"start": 1655.54, "end": 1657.9, "word": " Blue", "probability": 0.1527099609375}, {"start": 1657.9, "end": 1658.54, "word": " Refusion", "probability": 0.938232421875}, {"start": 1658.54, "end": 1659.44, "word": " وممكن", "probability": 0.7139485677083334}, {"start": 1659.44, "end": 1660.04, "word": " sometimes", "probability": 0.1953125}, {"start": 1660.04, "end": 1661.14, "word": " consolidation", "probability": 0.498291015625}, {"start": 1661.14, "end": 1661.36, "word": " in", "probability": 0.4521484375}, {"start": 1661.36, "end": 1661.7, "word": " bronchial", "probability": 0.8997395833333334}, {"start": 1661.7, "end": 1662.18, "word": " breathing", "probability": 0.8759765625}, {"start": 1662.18, "end": 1663.42, "word": " وNo", "probability": 0.42431640625}, {"start": 1663.42, "end": 1663.94, 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a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/W0PosPZqp_k.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/W0PosPZqp_k.srt new file mode 100644 index 0000000000000000000000000000000000000000..22aa4bd48e430c15c197dd721c37599264de90d8 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/W0PosPZqp_k.srt @@ -0,0 +1,4035 @@ +1 +00:00:01,280 --> 00:00:04,720 +بسم الله الرحمن الرحيم تحياتي لكم مجددا في + +2 +00:00:04,720 --> 00:00:08,660 +المحاضرة الأولى تكلّمنا عن ال history taking و + +3 +00:00:08,660 --> 00:00:12,200 +تكلّمنا عن ال general concepts و ال general + +4 +00:00:12,200 --> 00:00:15,420 +principles of history taking و اليوم إن شاء الله + +5 +00:00:15,420 --> 00:00:18,740 +راح نتكلم عن ال general physical examination plan + +6 +00:00:18,740 --> 00:00:23,280 +of conduction and recording طبعا في نقطة جديدة + +7 +00:00:23,280 --> 00:00:26,920 +بالذكر هنا أن أول خطوة من خطوات ال physical + +8 +00:00:26,920 --> 00:00:29,940 +examination هي ال history taking نفسها لأن أثناء + +9 +00:00:29,940 --> 00:00:34,760 +ال history taking احنا بنكون فكرة عن المريض عن ال + +10 +00:00:34,760 --> 00:00:38,500 +general appearance عن ال mental status عن ال + +11 +00:00:38,500 --> 00:00:43,020 +conscious level عن ال communication level of the + +12 +00:00:43,020 --> 00:00:46,660 +patient كل هذه أشياء بنكون عنها فكرة في ال history + +13 +00:00:46,660 --> 00:00:49,700 +وبالتالي ال history هو يعتبر the first part of + +14 +00:00:49,700 --> 00:00:54,350 +the physical examination في ال general physical + +15 +00:00:54,350 --> 00:01:00,010 +examination بنتناول ال vital data بما فيها ال + +16 +00:01:00,010 --> 00:01:03,770 +vital signs طبعا و ال general examination of the + +17 +00:01:03,770 --> 00:01:07,490 +patient بعدين ال systematic examination المحاضرة + +18 +00:01:07,490 --> 00:01:10,090 +هذه هنركز فيها على ال vital data و على ال general + +19 +00:01:10,090 --> 00:01:13,250 +examination و ال systemic examination طبعا بيكون + +20 +00:01:13,250 --> 00:01:16,870 +له محاضرات مستقلة و راح تتعرفوا عليه من خلال ال + +21 +00:01:16,870 --> 00:01:22,660 +bedside teaching هذا هو الوصفة للوصفات المهمة + +22 +00:01:26,040 --> 00:01:28,980 +name of the doctor name of the patient name of the + +23 +00:01:28,980 --> 00:01:33,880 +institution ال word number ال case number ال date + +24 +00:01:33,880 --> 00:01:37,640 +ال age of the patient ال gender of the patient ال + +25 +00:01:37,640 --> 00:01:41,980 +religion المنطقة + +26 +00:01:41,980 --> 00:01:45,020 +اللي ساكن فيها married or single children و ال + +27 +00:01:45,020 --> 00:01:49,220 +occupation و ال income و ال exact address هذا طبعا + +28 +00:01:49,220 --> 00:01:52,600 +بكون في ال history و ال examination sheet موجود + +29 +00:01:52,600 --> 00:01:58,350 +الكلام و لازم نذكره بالتفصيل في الـ General History + +30 +00:01:58,350 --> 00:02:02,590 +زي ما حكينا نتكلم عن ال identification data of the + +31 +00:02:02,590 --> 00:02:05,590 +patient و ال chief complaint و ال history of chief + +32 +00:02:05,590 --> 00:02:08,690 +complaint و ال past medical history و ال past + +33 +00:02:08,690 --> 00:02:11,350 +surgical history بالإضافة لل family history و ال + +34 +00:02:11,350 --> 00:02:14,990 +medications و ال social history و ال review of the + +35 +00:02:14,990 --> 00:02:19,930 +systems .. the review of systems and functional + +36 +00:02:19,930 --> 00:02:23,900 +inquiry of the patient طبعا خلال ال history taking + +37 +00:02:23,900 --> 00:02:27,280 +زي ما حكينا و خلال المرور على العناصر هذه بنكون + +38 +00:02:27,280 --> 00:02:30,360 +فكرة كمان عن ال general condition of the patient و + +39 +00:02:30,360 --> 00:02:34,780 +عن ال general health of the patient بالإضافة ل ال + +40 +00:02:34,780 --> 00:02:38,180 +mental و ال conscious level و الحال المزاجية و و + +41 +00:02:38,180 --> 00:02:43,720 +الأخرى كل هذا طبعا part of physical examination + +42 +00:02:43,720 --> 00:02:46,920 +وقلنا إن ال history of the present illness بيشمل + +43 +00:02:46,920 --> 00:02:50,140 +أكتر حاجة بيشكي منها المريض في الوقت الحالي ال + +44 +00:02:50,140 --> 00:02:53,460 +onset and duration provoking and alleviating + +45 +00:02:53,460 --> 00:02:56,280 +factors أو exacerbating and relieving factors + +46 +00:02:56,280 --> 00:02:59,960 +بالإضافة ل quality of the symptoms لو كان pain ال + +47 +00:02:59,960 --> 00:03:02,660 +symptom لنوصفه من ناحية ال quality هل هو sharp, + +48 +00:03:02,860 --> 00:03:06,480 +dull, throbbing or distending or constricting or + +49 +00:03:06,480 --> 00:03:10,520 +whatever or tingling does the pain radiate to any + +50 +00:03:10,520 --> 00:03:13,480 +area else بالإضافة لل severity of pain و طبعا هذا + +51 +00:03:13,480 --> 00:03:18,660 +بنعبر عنه one out of ten أو بنعبر عنه جداش بيأثر + +52 +00:03:18,660 --> 00:03:22,900 +على ال daily activity of the patient ال timing and + +53 +00:03:22,900 --> 00:03:26,300 +progression كيف ال pain أو ال symptom من حد ما بدى + +54 +00:03:26,300 --> 00:03:29,080 +لحد الوقت الحالي اللي أجى فيه المريض على المستشفى + +55 +00:03:29,080 --> 00:03:32,460 +كيف صار وضع المريض و كيف تطور الموضوع هو صار + +56 +00:03:32,460 --> 00:03:38,690 +worse ولا better ولا constant level نفس الشيء how + +57 +00:03:38,690 --> 00:03:43,250 +does it affect your daily life بالإضافة لهل صادفت هذا + +58 +00:03:43,250 --> 00:03:46,690 +ال symptom قبل هيك déjà vu يعني هل صادفت ال + +59 +00:03:46,690 --> 00:03:49,690 +symptom قبل هيك أو ال pain هذا قبل هيك بالإضافة + +60 +00:03:49,690 --> 00:03:52,310 +what do you think about this من خلال هذا ال + +61 +00:03:52,310 --> 00:03:54,990 +outline في ال history برضه أنا باخد فكرة عن ال + +62 +00:03:54,990 --> 00:03:58,430 +physical examination في مراحله الأولى زي ما حكينا + +63 +00:03:58,810 --> 00:04:01,990 +كل ما كان المريض بتواصل أحسن كل ما كان بيعطي + +64 +00:04:01,990 --> 00:04:05,490 +إجابات شافية أكثر كل ما كان ال conscious level + +65 +00:04:05,490 --> 00:04:08,930 +تبعه أفضل كل ما كان ال mental health تبعته أفضل و + +66 +00:04:08,930 --> 00:04:12,270 +ال psychological status تبعته أفضل بيساهم في أنه + +67 +00:04:12,270 --> 00:04:15,550 +يعطيني full history وبالتالي كمان مرة ال history + +68 +00:04:15,550 --> 00:04:18,070 +is the first part of the physical examination + +69 +00:04:20,700 --> 00:04:23,520 +الـ general examination is actually the first step + +70 +00:04:23,520 --> 00:04:26,860 +of the physical examination طبعا قبل ما أدخل على ال + +71 +00:04:26,860 --> 00:04:32,700 +systematic examination system by system لازم أعمل + +72 +00:04:32,700 --> 00:04:35,440 +general physical examination يعني general + +73 +00:04:35,440 --> 00:04:38,960 +assessment of the patient وهو ال key component لل + +74 +00:04:38,960 --> 00:04:42,170 +diagnostic approach طبعا ال general physical + +75 +00:04:42,170 --> 00:04:45,230 +examination mainly بيعتمد على ال inspection which + +76 +00:04:45,230 --> 00:04:48,010 +is the major method during the general examination + +77 +00:04:48,010 --> 00:04:52,670 +لكن it can be combined with palpation and + +78 +00:04:52,670 --> 00:04:56,630 +auscultation بالإضافة لل use of tactile, use of + +79 +00:04:56,630 --> 00:05:00,310 +smelling, use of eye contact, use of auditory + +80 +00:05:00,310 --> 00:05:04,210 +system عن طريق ال inspection ال auscultation طبعا + +81 +00:05:04,210 --> 00:05:07,570 +كل هذه بتساهم لكن بالدرجة الأولى ال visual + +82 +00:05:07,570 --> 00:05:11,450 +inspection is the most important طبعا الهدف طبعا + +83 +00:05:11,450 --> 00:05:13,950 +الرئيسي assessment of the patient general health + +84 +00:05:13,950 --> 00:05:17,230 +and general condition هل المريض looking ill, + +85 +00:05:17,630 --> 00:05:22,330 +looking well, looking sad, looking happy, looking + +86 +00:05:22,330 --> 00:05:28,090 +confident or not confident looking safe or unsafe + +87 +00:05:28,090 --> 00:05:31,210 +كل هذه الشغلات بكون عنها فكرة من خلال ال general + +88 +00:05:31,210 --> 00:05:35,490 +examination وطبعا هذا بيشمل three components زي ما + +89 +00:05:35,490 --> 00:05:37,710 +قلنا ال general physical examination ال history + +90 +00:05:37,710 --> 00:05:41,010 +taking which has a clue for symptoms and a clue + +91 +00:05:41,010 --> 00:05:44,750 +for how the patient is thinking أو how the patient + +92 +00:05:44,750 --> 00:05:47,730 +thinks بالإضافة لل physical examination اللي هو + +93 +00:05:47,730 --> 00:05:51,030 +can illustrate the signs ال sign عبارة عن physical + +94 +00:05:51,030 --> 00:05:54,930 +finding بينما ال symptom عبارة عن history finding + +95 +00:05:54,930 --> 00:05:58,380 +أو history data بالإضافة طبعا لل investigations + +96 +00:05:58,380 --> 00:06:02,620 +اللي هي clue for the test and are the test results + +97 +00:06:02,620 --> 00:06:05,600 +اللي هي ال clue for diagnosis ممكن تكون لو ال + +98 +00:06:05,600 --> 00:06:07,840 +history و ال physical examination is not enough + +99 +00:06:07,840 --> 00:06:10,200 +for establishing the diagnosis + +100 +00:06:13,320 --> 00:06:16,860 +طبعا في عندي عدة أشياء لازم تتوفر معايا while + +101 +00:06:16,860 --> 00:06:20,160 +examining the patient منها إنه يكون فينا ensuring + +102 +00:06:20,160 --> 00:06:24,540 +of a private environment في البداية طبعا we have + +103 +00:06:24,540 --> 00:06:27,880 +to have a stethoscope بالإضافة لجهاز قياس الضغط + +104 +00:06:27,880 --> 00:06:32,310 +اللي هو sphygmomanometer thermometer لقياس الحرارة + +105 +00:06:32,310 --> 00:06:35,750 +و torch إضاءة عشان أشوف من خلالها بعض الأشياء زي + +106 +00:06:35,750 --> 00:06:41,530 +ال oral cavity و زي ال eyes و زي ال anal + +107 +00:06:41,530 --> 00:06:45,630 +examination wooden tongue depressor عشان أشوف ال + +108 +00:06:45,630 --> 00:06:51,450 +floor and the top of the mouth و أشوف ال tonsils و + +109 +00:06:51,450 --> 00:06:55,250 +أشوف منطقة ال pharynx بالإضافة ل measuring tape + +110 +00:06:55,250 --> 00:06:58,570 +عشان لو في أي lesion أي ماس أي شيء أقيسه بالmeter + +111 +00:07:01,200 --> 00:07:04,280 +Examination begins the minute you first see the + +112 +00:07:04,280 --> 00:07:07,500 +patient مجرد ما تبدأ تحكي مع ال patient هذا هي + +113 +00:07:07,500 --> 00:07:10,740 +عبارة عن ال first step of physical examination + +114 +00:07:10,740 --> 00:07:14,120 +و الexamination continues throughout your patient + +115 +00:07:14,120 --> 00:07:15,220 +interaction + +116 +00:07:18,460 --> 00:07:21,180 +طبعا فينا prerequisite ال examination environment + +117 +00:07:21,180 --> 00:07:24,780 +مهم جدا ensuring the privacy نعطي إحساس لل patient + +118 +00:07:24,780 --> 00:07:28,280 +أنه in a private place nobody will hear nobody + +119 +00:07:28,280 --> 00:07:31,880 +will see nobody will have any data except the + +120 +00:07:31,880 --> 00:07:34,120 +doctor and the patient أو ال surrounding + +121 +00:07:34,120 --> 00:07:38,020 +environment سواء كان في نيرس شابيرون أو واحد من ال + +122 +00:07:38,020 --> 00:07:41,420 +first degree relatives of the patient وبالتالي + +123 +00:07:41,420 --> 00:07:46,020 +ضروري جدا أؤكد على ال patient أنه في privacy كافية + +124 +00:07:46,020 --> 00:07:48,580 +وبالتالي لازم يحكي كل اللي بدو إياه لأنه once the + +125 +00:07:48,580 --> 00:07:52,060 +patient gains confidence و إذا شعر أنه safe رح يعطي + +126 +00:07:52,060 --> 00:07:56,580 +relevant and fluent information, otherwise the + +127 +00:07:56,580 --> 00:07:59,380 +patient will be reluctant حيكون متردد جدا في أنه + +128 +00:07:59,380 --> 00:08:04,210 +يعطي أي piece of information if he feels unsafe. + +129 +00:08:04,210 --> 00:08:08,390 +Hand washing مهم جدا, proper light source, the light + +130 +00:08:08,390 --> 00:08:11,050 +source طبعا بكون بالإضافة لل torch اللي بكون ماسكه + +131 +00:08:11,050 --> 00:08:13,610 +الدكتور في إيده، اللي هو مصدر الإضاءة بكون في light + +132 +00:08:13,610 --> 00:08:17,990 +source في الأوضة نفسها، و بكون كمان في عندنا proper + +133 +00:08:17,990 --> 00:08:22,910 +aeration system سواء كانت مروحة أو مكيف أو إذا كان + +134 +00:08:23,190 --> 00:08:27,910 +الجو بارد، يفضل يكون فيه الغرف دافية أو مش باردة + +135 +00:08:27,910 --> 00:08:32,190 +على أساس ممكن البرودة أو الحرارة الشديدة تعمل + +136 +00:08:32,190 --> 00:08:35,650 +distraction لل patient، وتعمل كمان عنده change في + +137 +00:08:35,650 --> 00:08:42,540 +ال general state. Privacy and confidentiality, + +138 +00:08:42,540 --> 00:08:46,660 +الثقة المتبادلة والخصوصية للمريض. Presence of a + +139 +00:08:46,660 --> 00:08:50,040 +chaperone، مرافق، نيرس لو كانت المريضة female. + +140 +00:08:50,040 --> 00:08:53,320 +Correct position of the doctor and the patient. Ideally, + +141 +00:08:53,320 --> 00:08:57,580 +examination should be from the right side of the + +142 +00:08:57,580 --> 00:09:00,060 +patient. صحيح احنا أحيانا نلجأ إلى أنه نغير ال + +143 +00:09:00,060 --> 00:09:02,240 +position، ممكن نروح على ال left side، وممكن نروح + +144 +00:09:02,240 --> 00:09:06,710 +على ال end of the bed، وممكن نروح على ال head area + +145 +00:09:06,710 --> 00:09:13,130 +of the patient. لكن usually في ال routine we start + +146 +00:09:13,130 --> 00:09:16,390 +from the right side, and there should be a proper + +147 +00:09:16,390 --> 00:09:19,670 +exposure. على سبيل المثال لما نيجي احنا نفحص ال + +148 +00:09:19,670 --> 00:09:22,270 +abdomen, we have to expose the patient from the + +149 +00:09:22,270 --> 00:09:25,690 +nipple line to the mid thigh. كل هذه المنطقة لازم + +150 +00:09:25,690 --> 00:09:29,110 +تكون مكشوفة من عند النبل اللي هي تقريبا عن ال + +151 +00:09:29,110 --> 00:09:33,870 +intercostal space four or five لحد ال mid thigh + +152 +00:09:33,870 --> 00:09:38,330 +region، لحد منطقة منتصف الفخد. Ensure your hands are + +153 +00:09:38,330 --> 00:09:42,610 +warm enough، لإنه برضه زي ما قلنا ال cold hands + +154 +00:09:42,610 --> 00:09:46,690 +بتعمل irritation لل patient، و بتعمل distraction في + +155 +00:09:46,690 --> 00:09:49,610 +ال general physical examination. نتناول ال general + +156 +00:09:49,610 --> 00:09:54,160 +appearance of the patient، المظهر العام للمريض، tidy + +157 +00:09:54,160 --> 00:10:00,930 +or untidy، or looking well، he is sad, looking sad + +158 +00:10:00,930 --> 00:10:04,910 +or not sad, or he is looking happy، إلى آخر هي من ال + +159 +00:10:04,910 --> 00:10:10,410 +comments. هاي ال hands و ال arms، ال skin، ال face، ال + +160 +00:10:10,410 --> 00:10:13,970 +eyes، ال mouth و ال neck و ال peripheral أديمة + +161 +00:10:13,970 --> 00:10:16,390 +بالإضافة لل lymph node groups، بالذات ال lymph + +162 +00:10:16,390 --> 00:10:19,450 +nodes اللي موجودة في ال cervical region، اللي هي في + +163 +00:10:19,450 --> 00:10:22,770 +منطقة ال neck، و ال vital signs: temperature, pulse, + +164 +00:10:22,770 --> 00:10:27,460 +respiratory rate and blood pressure. كل هذه ال + +165 +00:10:27,460 --> 00:10:30,760 +components of the general physical examination. + +166 +00:10:30,760 --> 00:10:33,880 +وبالتالي ال general appearance of the patient، how + +167 +00:10:33,880 --> 00:10:37,980 +does the patient look like? General state of + +168 +00:10:37,980 --> 00:10:42,100 +health، is he looking healthy? Is he looking ill? + +169 +00:10:42,920 --> 00:10:45,600 +Is he looking comfortable or looking distressed? + +170 +00:10:46,600 --> 00:10:50,340 +Distressed بمعنى يعني يعني okay، is he looking + +171 +00:10:50,340 --> 00:10:53,870 +happy or looking sad? Is he looking irritable or + +172 +00:10:53,870 --> 00:11:00,270 +looking calm، هادق أو مستثار أو عنده nervousness، كل + +173 +00:11:00,270 --> 00:11:03,890 +هذه أشياء بنعلق عليها في ال general status of the + +174 +00:11:03,890 --> 00:11:07,030 +patient، أو ال general state of health. ال body + +175 +00:11:07,030 --> 00:11:10,450 +built، في عندنا، و ال nutritional status. هل ال + +176 +00:11:10,450 --> 00:11:14,030 +patient هزيل؟ هل يبدو انه underweight؟ هل يبدو انه + +177 +00:11:14,030 --> 00:11:17,750 +يعني من سوق تغذية أو لا؟ ال height لازم نجيسه بال + +178 +00:11:17,750 --> 00:11:21,010 +meters، ال weight لازم نجيسه بال kilograms، و لازم + +179 +00:11:21,010 --> 00:11:25,170 +نحصل ال body mass index. طبعا ال body mass index هو + +180 +00:11:25,170 --> 00:11:32,020 +عبارة عن نسبة ما بين الوزن على مربع الطول بال + +181 +00:11:32,020 --> 00:11:35,540 +meters، الوزن بال كيلو جرام على مربع الطول بال meters. + +182 +00:11:35,540 --> 00:11:39,660 +في النهاية بيطلع عندنا نسبة معينة، النسبة هذه طبعا + +183 +00:11:39,660 --> 00:11:45,560 +لها relevance لل patient condition، هل هو thin، هل + +184 +00:11:45,560 --> 00:11:48,880 +هو normal weight، هل هو overweight، هل هو obese، أو + +185 +00:11:48,880 --> 00:11:53,910 +هل هو extremely obese patient. بالإضافة للطول + +186 +00:11:53,910 --> 00:11:56,710 +بيعطينا فكرة عن انه tall or short، و ال muscular + +187 +00:11:56,710 --> 00:12:00,490 +structure أو ال muscular build of the patient، هل + +188 +00:12:00,490 --> 00:12:04,850 +هو aesthetic أو cachectic، بمعنى انه cachectic يعني + +189 +00:12:04,850 --> 00:12:08,190 +loss of lean body mass أو loss of muscle، بتصير في + +190 +00:12:08,190 --> 00:12:10,310 +المجاعات الشديدة أو لما ال patient يكون عنده + +191 +00:12:10,310 --> 00:12:13,510 +severe malnutrition، أو بيكون بعاني من chronic + +192 +00:12:13,510 --> 00:12:17,590 +disease زي ال cancers مثلا، بصير cachexia عنده. + +193 +00:12:18,870 --> 00:12:22,770 +State of awareness or level of consciousness، وطبعا + +194 +00:12:22,770 --> 00:12:27,290 +ال level of consciousness بنعبر عنه بطرق متعددة + +195 +00:12:27,290 --> 00:12:31,590 +منها ان ال patient is... can communicate very well، + +196 +00:12:31,590 --> 00:12:35,670 +بيقدر يعمل محادثة كويس، وممكن نعبر عنه كمان بال + +197 +00:12:35,670 --> 00:12:37,730 +Glasgow Coma Scale + +198 +00:12:37,730 --> 00:12:39,290 +(GCS). + +199 +00:12:39,290 --> 00:12:40,430 +It includes + +200 +00:12:40,430 --> 00:12:41,770 +eye opening, + +201 +00:12:41,800 --> 00:12:45,020 +وبيشمل ال eye opening، هل المريض فاتح عينيه ولا + +202 +00:12:45,020 --> 00:12:48,480 +مسكرهم، وبيشمل كمان ال motor response of the + +203 +00:12:48,480 --> 00:12:51,420 +patient to the commands or to the response to the + +204 +00:12:51,420 --> 00:12:55,020 +pain. يعني يجدش المريض، بيقدر يعمل حركات بناء على + +205 +00:12:55,020 --> 00:12:59,320 +حركة أنا بطلبها منه أو بناء على painful stimulus + +206 +00:12:59,320 --> 00:13:03,730 +أنا بعمله، وبالتالي this is the conscious level. ال + +207 +00:13:03,730 --> 00:13:07,010 +facial features أو ال facial expression، طبعا ال + +208 +00:13:07,010 --> 00:13:11,430 +face بيعكس الحال المزاجي والحال الصحية والحال + +209 +00:13:11,430 --> 00:13:16,290 +المرضية لل patient. ال mood و ال attitude of the + +210 +00:13:16,290 --> 00:13:19,830 +patient، ال attitude بمعنى what is the behavior، كيف + +211 +00:13:19,830 --> 00:13:23,110 +ال behavior تبعه تجاه الدكتور أو تجاه ال examining + +212 +00:13:23,110 --> 00:13:27,160 +person. ال speech، أحيانا بيكون في عنا مشاكل في + +213 +00:13:27,160 --> 00:13:31,160 +الكلام للمريض، بيكون في عنده slurred speech مثلا، + +214 +00:13:31,160 --> 00:13:34,800 +كلامه مشوش، زي المرضى اللي عندهم جلطات في الدماغ أو + +215 +00:13:34,800 --> 00:13:39,180 +ما شبه. أحيانا بيكون ال speech سريع وفيه تقطيع، + +216 +00:13:39,180 --> 00:13:42,440 +dysarthria أو dysphonia، المريض بيقدرش يطلع صوت من + +217 +00:13:42,440 --> 00:13:46,980 +أساسه أو أن الصوت بيكون فيه hoarseness، يعني بحة في + +218 +00:13:46,980 --> 00:13:50,120 +الصوت. طبعا كل هذه أشياء لها underlying causes + +219 +00:13:50,120 --> 00:13:53,910 +معينة. ال position و ال posture و ال gait، كيف المريض + +220 +00:13:53,910 --> 00:13:59,070 +بيقدر يحفظ شكل جسمه وهو واقف وهو قاعد وهو نايم. + +221 +00:13:59,070 --> 00:14:02,290 +ال personal hygiene، احنا بنعلق ال personal hygiene + +222 +00:14:02,290 --> 00:14:04,970 +من ناحية الملابس، من ناحية نظافة الجسم، من ناحية + +223 +00:14:04,970 --> 00:14:09,210 +نظافة الأسنان، من ناحية نظافة الأظافر، كل هذه أشياء + +224 +00:14:09,210 --> 00:14:13,450 +بتعكس ال personal hygiene. بالإضافة ل ال breath and + +225 +00:14:13,450 --> 00:14:19,940 +odor، النفس والنفس، أحيانا بيكون في abnormality زي + +226 +00:14:19,940 --> 00:14:22,440 +المريض اللي عنده مثلا ضيابة، ال ketoacidosis، بيكون + +227 +00:14:22,440 --> 00:14:28,900 +النفس تبعه عامل زي ال acetone odor أو acetone + +228 +00:14:28,900 --> 00:14:33,160 +smell، أو بيكون زي ريحة الفاكهة نفسه، بينما ال + +229 +00:14:33,160 --> 00:14:35,620 +patient اللي بيكون عنده bad oral hygiene، بيكون + +230 +00:14:35,620 --> 00:14:40,010 +النفس تبعه ريحته bad، bad odor. المريض اللي بيكون فيه + +231 +00:14:40,010 --> 00:14:44,070 +عنده مثلا peritonitis أو fasting for a long time، + +232 +00:14:44,070 --> 00:14:46,870 +بيكون برضه نفسه فيه كيتون، كيتون smelling. + +233 +00:14:49,830 --> 00:14:53,070 +فهذه الأمور طبعا we have to take into + +234 +00:14:53,070 --> 00:14:56,450 +consideration. This is the general status of health + +235 +00:14:56,450 --> 00:15:02,050 +as it is reflected by numbers or by expressions. + +236 +00:15:02,050 --> 00:15:04,710 +على سبيل المثال، ال zero، there is no heart, there is + +237 +00:15:04,710 --> 00:15:10,110 +no pain. اتنين، في عندنا little bit. Four، في عندنا + +238 +00:15:10,110 --> 00:15:15,150 +little more، مثلا six، في عندنا hearts even more and + +239 +00:15:15,150 --> 00:15:20,780 +more. وتمانية hearts، whole أو a lot، وعشرة، the worst + +240 +00:15:20,780 --> 00:15:25,260 +pain is possible، يعني أقصى درجة ألم بيشعر فيهم. + +241 +00:15:25,260 --> 00:15:28,680 +طبعا هذه من الأشياء اللي ممكن نقيم من خلالها ال + +242 +00:15:28,680 --> 00:15:31,960 +patients، بالذات الأطفال، ال facial expressions هذه + +243 +00:15:31,960 --> 00:15:36,100 +بيكون فيه chart موجود عليها الأوجه هذه، وبيقارن + +244 +00:15:36,100 --> 00:15:39,000 +الدكتور ما بين الوجه اللي مرسوم على ال chart وما + +245 +00:15:39,000 --> 00:15:43,360 +بين ال child، على أساس ان ال child مقدرش يعني يعطي + +246 +00:15:43,360 --> 00:15:47,660 +description لل severity of pain، وبالتالي بنلجأ + +247 +00:15:47,660 --> 00:15:51,640 +للطريقة هذه. لكن زي ما قلنا ال assessment of pain + +248 +00:15:51,640 --> 00:15:54,880 +severity، أفضل طريقة هيكون فيها اللي هو عن طريق ال + +249 +00:15:54,880 --> 00:16:00,200 +... how does it affect daily life? This is the body + +250 +00:16:00,200 --> 00:16:01,860 +build of the patient, does the patient look + +251 +00:16:01,860 --> 00:16:06,820 +muscular or look normal or look overweight and + +252 +00:16:06,820 --> 00:16:10,480 +fatty? Is he looking tall or short? ال body built + +253 +00:16:10,480 --> 00:16:14,820 +بيتناول البنية تبع الجسم و بيتناول حجم الجسم نفسه + +254 +00:16:14,820 --> 00:16:19,880 +من ناحية قصر او طول بالاضافة لنسبة ال muscle + +255 +00:16:19,880 --> 00:16:24,120 +بالمقارنة مع ال body وبالتالي في عندنا بعض ال + +256 +00:16:24,120 --> 00:16:28,380 +scaling systems أو بعض ال grading systems ممكن + +257 +00:16:28,380 --> 00:16:32,140 +نستخدمها في شغل زي مثلا ال anthropometric type of + +258 +00:16:32,140 --> 00:16:35,260 +the patient اللي هو anthropometric بمعنى ان هو + +259 +00:16:35,260 --> 00:16:40,480 +المقاييس الجسدية. Sheldons عمل يعني زي grade هيك + +260 +00:16:40,480 --> 00:16:43,960 +للمقاييس الجسدي للمريض و جال ان ال endomorphic + +261 +00:16:43,960 --> 00:16:46,940 +patient بكون الوكاريشو بكون fatty بينما ال + +262 +00:16:46,940 --> 00:16:49,460 +mesomorphic patient بيكون عنده ال muscular tissue + +263 +00:16:49,460 --> 00:16:53,540 +well grown أو بيكون فيه .. يعني muscular ال + +264 +00:16:53,540 --> 00:16:56,080 +patient بيكون بينما ال ectomorphic بيكون في عنده + +265 +00:16:56,080 --> 00:16:59,320 +prominent bones عند skin بيكون thin فال + +266 +00:16:59,320 --> 00:17:02,080 +endomorphic بيكون fat بينما ال mesomorphic بيكون + +267 +00:17:02,080 --> 00:17:05,840 +good body build و ال ectomorphic بيكون thin + +268 +00:17:05,840 --> 00:17:10,140 +patient. هذه بعض ال description أو بعض ال + +269 +00:17:10,140 --> 00:17:14,680 +terminologies اللى ممكن نستخدمها لحتى نوصف البني + +270 +00:17:14,680 --> 00:17:18,440 +الجسدي للمريض. طبعا في عندنا clinical types برضه دا + +271 +00:17:18,440 --> 00:17:22,460 +ال astenic و ال hypostenic. ال astenic اللي هو ال + +272 +00:17:22,460 --> 00:17:26,480 +patient بيكون ضئيل حجمه رفيه حده جليل بمعنى اخر + +273 +00:17:26,480 --> 00:17:29,640 +بالمعنى الدارج. ال astenic و ال hyperstenic بيكون + +274 +00:17:29,640 --> 00:17:34,160 +في عنده muscular tissue كتير hyperstenia او + +275 +00:17:38,240 --> 00:17:41,020 +muscular tissue. بينما ال normostenic أو ال + +276 +00:17:41,020 --> 00:17:47,780 +orthostenic بيكون ال patient يعني وسط مابين انه + +277 +00:17:47,780 --> 00:17:50,840 +lean او مابين انه رفيع و مابين انه muscular يعني + +278 +00:17:50,840 --> 00:17:55,300 +within the normal range. طبعا هذه بعض أنواع ال + +279 +00:17:55,300 --> 00:17:59,240 +statures القوام + +280 +00:17:59,240 --> 00:18:03,340 +تبع المريض. طول المفرد أو القصر المفرد زي ما بيصير + +281 +00:18:03,340 --> 00:18:08,240 +في ال growth hormone excess زي ال gigantism أو + +282 +00:18:08,240 --> 00:18:11,000 +growth hormone deficiency زي ال dwarfism مثلا هذه + +283 +00:18:11,000 --> 00:18:14,240 +كلها أشياء بتتعلق بال stature of the patient أو + +284 +00:18:14,240 --> 00:18:19,300 +طول المريض نفسه. ممكن نصادفها في بعض ال patient ال + +285 +00:18:19,300 --> 00:18:21,180 +malnourished patient زي ما احنا شايفين ال + +286 +00:18:23,730 --> 00:18:26,250 +hypostenic patients اللي فيش عندهم muscle tissue + +287 +00:18:26,250 --> 00:18:29,470 +كافي. طبعا هذه case of cachexia. ال cachexia دي قد + +288 +00:18:29,470 --> 00:18:32,350 +تكون نتيجة عامة nutrition مباشرة من جلة الأكل أو + +289 +00:18:32,350 --> 00:18:35,750 +نتيجة عن ال hyper metabolism زي في حالات مثلا ال + +290 +00:18:35,750 --> 00:18:40,370 +thyrotoxicosis أو ال hyperthyroidism بالاضافة لبعض + +291 +00:18:40,370 --> 00:18:43,550 +أنواع ال cancers بالذات ال advanced cancers في ال + +292 +00:18:43,550 --> 00:18:46,730 +colon أو في ال stomach أو في ال esophagus أو في ال + +293 +00:18:47,550 --> 00:18:51,410 +pancreas and so on. فكل هذه الشغلات ممكن انصادفها + +294 +00:18:51,410 --> 00:18:54,630 +في المرضى. this is the body mass index. طبعا ال body + +295 +00:18:54,630 --> 00:18:57,810 +mass index ممكن قياسه بعدة طرق. غالبا احنا بنستخدم + +296 +00:18:57,810 --> 00:19:02,430 +رقم اتنين او sorry رقم تلاتة اللي هو ال weight بال + +297 +00:19:02,430 --> 00:19:05,750 +kilogram على مربع ال meter و طبعا هذه هي اسهل + +298 +00:19:05,750 --> 00:19:08,770 +طريقة و الطريقة الدارجة عندنا. في ناس بستخدمه بال + +299 +00:19:08,770 --> 00:19:12,320 +pounds اللي هو النظام الانجليزي زي رقم اتنين. و في + +300 +00:19:12,320 --> 00:19:15,700 +جداول بتكون معدلة ال body mass index بنقارن فيها + +301 +00:19:15,700 --> 00:19:22,980 +طول المريض و وزنه و في بي ام اي كالكوليتر اللي ويب + +302 +00:19:22,980 --> 00:19:25,900 +سايت معينة. وبالتالي احنا بنستخدم ال direct + +303 +00:19:25,900 --> 00:19:30,480 +measurement اللي هو رقم تلاتي الوزن على مربع الطول + +304 +00:19:30,480 --> 00:19:35,160 +بالميتر. طبعا هاي ال body mass index over 30 is + +305 +00:19:35,160 --> 00:19:42,240 +overweight يعتبر و under 30 طبعا إذا كان من 19 ل + +306 +00:19:42,240 --> 00:19:46,520 +25 بكون within normal. إذا أقل من 19 بكون within + +307 +00:19:46,520 --> 00:19:50,450 +normal underweight level. إذا ال normal من 18.5 أو + +308 +00:19:50,450 --> 00:19:55,690 +من 19 ل 24.9. بعد هيك ال overweight. بعد هيك ال + +309 +00:19:55,690 --> 00:19:58,190 +obese. بعد هيك ال severely obese. بعد هيك ال + +310 +00:19:58,190 --> 00:20:01,110 +morbidly obese. وكلمة morbidly obese يعني ال + +311 +00:20:01,110 --> 00:20:03,970 +obesity اللي بيكون معها chronic disease. إذا المريض + +312 +00:20:03,970 --> 00:20:10,390 +صار في عنده cardiac أو respiratory أو metabolic + +313 +00:20:10,390 --> 00:20:14,890 +disease زي ال diabetes كل هذه او hypertension كل + +314 +00:20:14,890 --> 00:20:20,770 +هذه الأشياء تعتبر morbid obesity. Yes, so state of + +315 +00:20:20,770 --> 00:20:23,190 +awareness or conscious level of the patient. ال + +316 +00:20:23,190 --> 00:20:26,110 +mental status of the patient مهم جدا أقيمها. طبعا + +317 +00:20:26,110 --> 00:20:30,330 +في عنا زحمة من المصطلحات هنا اللي بهمنا في الموضوع + +318 +00:20:30,330 --> 00:20:33,610 +انه يعني ال ان شوف وضع المريض بالنسبة ل + +319 +00:20:33,610 --> 00:20:36,130 +communication level تبعه. بالنسبة لل psychological + +320 +00:20:36,130 --> 00:20:40,130 +stability للمريض. بالنسبة للمزاج ال mood تبعت + +321 +00:20:40,130 --> 00:20:45,070 +المريض و نعلج عليها. قد يكون المريض mad أو irritable + +322 +00:20:45,070 --> 00:20:49,610 +أو يكون agitated بمعنى أنه مستثار أو معصب أو كذا + +323 +00:20:49,610 --> 00:20:53,050 +قد يكون anxious جلجان. قد يكون afraid. قد يكون + +324 +00:20:53,050 --> 00:20:59,050 +nervous. قد يكون foggy مغيب أو يعني مش في ال full + +325 +00:20:59,050 --> 00:21:02,050 +conscious level تبعه. قد يكون sad. قد يكون happy أو + +326 +00:21:02,050 --> 00:21:06,040 +euphoric. يعني كلها مصطلحات احنا ممكن نستخدمها. بدناش + +327 +00:21:06,040 --> 00:21:09,780 +نقيد نفسنا بمصطلح معين او مجموعة مصطلحات نحفظها + +328 +00:21:09,780 --> 00:21:13,820 +بقدر ما انه نحاول نوصف ال .. ال .. ال mental + +329 +00:21:13,820 --> 00:21:18,220 +status و ال psychological status لل patient. كل + +330 +00:21:18,220 --> 00:21:21,820 +مريض بمعزل عن المريض التاني. يعني كل مريض له خصوصية + +331 +00:21:21,820 --> 00:21:26,390 +لوضعه. وبالتالي ممكن نستخدم الوصف المناسب لإله. إذا + +332 +00:21:26,390 --> 00:21:29,470 +ال .. هل المريض mentally ill ولا لأ. بمعنى هل عنده + +333 +00:21:29,470 --> 00:21:33,070 +psychological disorder كمان زي ال anxiety زي + +334 +00:21:33,070 --> 00:21:36,050 +الشيزوفرانيا زي ال major depression. major + +335 +00:21:36,050 --> 00:21:39,710 +depressive disorders. كل هذه أشياء ممكن تكون واردة + +336 +00:21:39,710 --> 00:21:42,570 +في المرضى اللي بنتعامل معاهم. وطبعا في ال history + +337 +00:21:42,570 --> 00:21:45,410 +ممكن نلقي بعض الضوء على ال psychological illness + +338 +00:21:45,410 --> 00:21:49,370 +من خلال أنه هل ال patient عنده frequent visits ل + +339 +00:21:49,370 --> 00:21:52,610 +ال psychological clinic أو بياخد علاجات + +340 +00:21:52,610 --> 00:21:57,990 +psychoactive drugs أو ما شبه ذلك. قد يكون المريض + +341 +00:21:57,990 --> 00:22:00,730 +mentally retarded. في عنده تخلف عقلي. mental + +342 +00:22:00,730 --> 00:22:03,090 +retardation. على سبيل المثال المرضى اللي عندهم + +343 +00:22:03,090 --> 00:22:09,690 +congenital hypothyroidism الأطفال. بالإضافة للأطفال + +344 +00:22:09,690 --> 00:22:12,750 +اللي بينولدوا لأمهات مدمنات على الكحول. وبالتالي + +345 +00:22:12,750 --> 00:22:15,750 +فيه ال fetal alcohol syndrome. برضه ال patient اللي ممكن + +346 +00:22:15,750 --> 00:22:18,790 +يصير فيه عنده mental retardation. و أشهر الحالات + +347 +00:22:18,790 --> 00:22:21,470 +طبعا اللي هي ال down syndrome. اللي بيظل ال patient + +348 +00:22:21,470 --> 00:22:24,470 +عنده mental retardation من الولادة لحد طبعا ما + +349 +00:22:24,470 --> 00:22:30,340 +يكبر و يتقدم في السنة. ال facial expression أو الـ + +350 +00:22:30,340 --> 00:22:33,740 +facial features ممكن تعطينا فكرة عن ال underlying + +351 +00:22:33,740 --> 00:22:38,250 +disease. شكل الوجه تبع المريض أو التعبير المرسوم + +352 +00:22:38,250 --> 00:22:43,030 +عليه أو مزاج المريض أو صلوك المريض تجاه الدكتور + +353 +00:22:43,030 --> 00:22:46,310 +اللي هو بنسميه ال attitude أو ال mood المزاج ال + +354 +00:22:46,310 --> 00:22:49,170 +expression التعابير و ال facial feature اللي هي + +355 +00:22:49,170 --> 00:22:52,670 +ملامح الوجه. okay. كل هذه الشغلات ممكن تعكس ال + +356 +00:22:52,670 --> 00:22:54,910 +underlying disease. على سبيل المثال ال patients + +357 +00:22:54,910 --> 00:22:57,930 +اللي بيكون وجوههم كتير فاتي و ناصحة بيسموها moon + +358 +00:22:57,930 --> 00:23:01,560 +faces. و بيكون في عندهم plethora of the face يعني + +359 +00:23:01,560 --> 00:23:05,420 +حمرار في الوجنتين. هدولة بيكون قد يكون في عندهم + +360 +00:23:05,420 --> 00:23:09,460 +Cushing syndrome اللي هو excessive release of + +361 +00:23:09,460 --> 00:23:12,520 +cortisol. بينما المرضى اللي عندهم nephrotic + +362 +00:23:12,520 --> 00:23:16,840 +syndrome بيكون عندهم ال facial edema preorbital + +363 +00:23:16,840 --> 00:23:20,910 +edema أو preorbital edema. و ال puffy pale faces + +364 +00:23:20,910 --> 00:23:25,130 +بالإضافة للبس may be swollen نتيجة ال deposition + +365 +00:23:25,130 --> 00:23:29,070 +أو نتيجة ال accumulation of fluids in the face. لأن + +366 +00:23:29,070 --> 00:23:32,250 +النفروتكس سندروم بيصير في عندهم إديمة نتيجة نقص + +367 +00:23:32,250 --> 00:23:35,950 +لبروتين. وبالتالي ال fluids بتتكون في الجسم. بينما + +368 +00:23:35,950 --> 00:23:38,850 +ال patients اللي عندهم myxedema أو hypothyroidism + +369 +00:23:38,850 --> 00:23:43,330 +بمعنى آخر بيكون في عندهم puffy faces. بيكون في + +370 +00:23:43,330 --> 00:23:43,870 +عندهم + +371 +00:23:47,010 --> 00:23:52,770 +puffiness below the eye. بالاضافة ل periorbital + +372 +00:23:52,770 --> 00:23:55,690 +edema. بالاضافة طبعا ل sunken eyes. بتكون ال eyes + +373 +00:23:55,690 --> 00:23:58,570 +عندهم داخلة لجوا. بيكون في thinning of hairs و + +374 +00:23:58,570 --> 00:24:00,490 +بيكون عندهم pale skin. + +375 +00:24:03,060 --> 00:24:05,540 +This is parotid gland enlargement. زي ما احنا + +376 +00:24:05,540 --> 00:24:08,120 +شايفين هنا ممكن تصير طبعا نتيجة different + +377 +00:24:08,120 --> 00:24:12,460 +conditions ال tumors أو ممكن تكون نتيجة عن + +378 +00:24:12,460 --> 00:24:15,620 +inflammation أو ال Acromegaly أو ال facial expression + +379 +00:24:15,620 --> 00:24:19,100 +فيها مميز ال patient بيكون وجهه كبير و بيكون عنده + +380 +00:24:19,100 --> 00:24:23,380 +بروز في عضمة ال mandible و بيكون عنده بروز برضه في + +381 +00:24:23,380 --> 00:24:27,790 +ال frontal bone المريض اللي عنده Parkinson disease + +382 +00:24:27,790 --> 00:24:31,750 +بيكون في عنده stare بمعنى أنه بيرمش قليلا يعني بتطلع + +383 +00:24:31,750 --> 00:24:35,210 +staring بدون ما يرمش أو رمش قليل بيكون بالإضافة + +384 +00:24:35,210 --> 00:24:38,270 +طبعا لأنه بيكون في عنده decreased mobility in the + +385 +00:24:38,270 --> 00:24:42,270 +body في ال general طبعا this is the characteristic + +386 +00:24:42,270 --> 00:24:44,550 +plethoric appearance of a patient with Cushing + +387 +00:24:44,550 --> 00:24:46,970 +syndrome لاحظوا ال moon face وسموه moon face لأن + +388 +00:24:46,970 --> 00:24:49,690 +استدارة الوجه بتكون زي ال moon عامه لنتيجة ال + +389 +00:24:49,690 --> 00:24:54,130 +deposition و ال accumulation of fat في منطقة ال + +390 +00:24:54,130 --> 00:24:58,210 +face بالإضافة طبعا لل plethora of the face اللي هي + +391 +00:24:58,210 --> 00:25:02,050 +احمرار الوجنتين واحمرار الوجه بصفة عامة and this is + +392 +00:25:02,050 --> 00:25:04,630 +the typical face of acromegaly لاحظوا ال prominent + +393 +00:25:04,630 --> 00:25:08,390 +mandible و ال big mandible المريض بيكون فيه عنده + +394 +00:25:08,390 --> 00:25:13,070 +long face بيكون فيه عنده enlargement في ال frontal + +395 +00:25:13,070 --> 00:25:16,130 +و ال maxillary sinuses بالإضافة لأنه بيكون فيه + +396 +00:25:16,130 --> 00:25:19,450 +عنده alveolar bone growth داخل الفم وبالتالي بيصير + +397 +00:25:19,450 --> 00:25:24,310 +عنده separation في ال teeth نتيجة ال acromegaly + +398 +00:25:24,310 --> 00:25:26,970 +طبعا ال acromegaly هو عبارة عن growth hormone + +399 +00:25:26,970 --> 00:25:30,150 +excess زيادة ال growth hormone بعد ما ال patient + +400 +00:25:30,150 --> 00:25:34,270 +يبلغ سن البلوغ لو صاروا وال patient طفل بيصير + +401 +00:25:34,270 --> 00:25:39,570 +عنده gigantism اللي هي مرض العملقة growth of + +402 +00:25:39,570 --> 00:25:42,510 +mandible leads to a jutting jaw أو بيسموه + +403 +00:25:42,510 --> 00:25:47,890 +prognathism يعني بروز في الماندبل this is another + +404 +00:25:47,890 --> 00:25:52,290 +acromegaly macroglossia للسان بيكون كبير بالإضافة + +405 +00:25:52,290 --> 00:25:56,650 +لل generalized visceral enlargement a broadening + +406 +00:25:56,650 --> 00:26:00,730 +and enlargement of the hands الأصابع بتكون عريضة + +407 +00:26:00,730 --> 00:26:06,090 +وبتكون سميكة بالإضافة لإنه بيصير في توسع في ال + +408 +00:26:06,090 --> 00:26:11,420 +spaces ما بين الأصابع this is the typical face of + +409 +00:26:11,420 --> 00:26:15,280 +hyperthyroidism or thyrotoxicosis ومن أشهر الأمثلة + +410 +00:26:15,280 --> 00:26:17,400 +عليها الـ Graves disease طبعا الـ ocular + +411 +00:26:17,400 --> 00:26:21,080 +involvement أو الـ signs اللي موجودة في العين + +412 +00:26:21,080 --> 00:26:25,220 +بتلاحظها مجرد ما نعمل general assessment للـ face + +413 +00:26:25,890 --> 00:26:28,930 +بيكون ال patients في عندهم بروز أو جحوظ في العينين + +414 +00:26:28,930 --> 00:26:32,110 +وهذا الكلام بيسموه طبعا exophthalmos ال + +415 +00:26:32,110 --> 00:26:35,350 +exophthalmos هو جحوظ أو بروز العينين بالإضافة طبعا + +416 +00:26:35,350 --> 00:26:40,050 +لبعض ال findings الأخرى ف this is a typical face + +417 +00:26:40,050 --> 00:26:43,070 +of exophthalmos طبعا hyperthyroidism لاحظوا ال + +418 +00:26:43,070 --> 00:26:47,170 +facial expression في stare وفي nervousness المريض + +419 +00:26:47,170 --> 00:26:50,550 +يبدو عصبي وفي عنده stare يعني إيش stair قلنا أنه + +420 +00:26:50,550 --> 00:26:54,510 +لا يرمش كثيرا أو بيرمش قليلا أبدا أحيانا وطبعا هذا + +421 +00:26:54,510 --> 00:26:58,730 +يعرض ال eye لأنه يصير فيها ulceration لأنه إذا ما + +422 +00:26:58,730 --> 00:27:01,710 +رمش المريض تنشف ال eye من جوا وبالتالي ممكن يصير + +423 +00:27:01,710 --> 00:27:03,250 +فيه عنده corneal ulcerations + +424 +00:27:05,990 --> 00:27:08,250 +this is the typical face of hypothyroidism, the + +425 +00:27:08,250 --> 00:27:11,170 +patient is looking sleepy و looking sunken eyes و + +426 +00:27:11,170 --> 00:27:13,990 +looking dull in thinking وأحيانا عند ال females + +427 +00:27:13,990 --> 00:27:18,330 +بيصير في عندهم coarse voice يعني الصوت طبعهم بيخشن + +428 +00:27:18,330 --> 00:27:20,830 +بيصير فيه deepening و hoarseness في ال voice + +429 +00:27:20,830 --> 00:27:24,510 +وبالتالي هذا ال face of hypothyroidism, sunken + +430 +00:27:24,510 --> 00:27:28,270 +eyes, puffiness below the eyes أو periorbital + +431 +00:27:28,270 --> 00:27:31,960 +edema أحيانا بتصير بيصير ال eye تحتها زي انتفاخات + +432 +00:27:31,960 --> 00:27:35,840 +موجودة بالإضافة لل thinning of the skin and loss + +433 +00:27:35,840 --> 00:27:39,620 +of the eyelashes and eyebrows شعر الحواجب والرموش + +434 +00:27:39,620 --> 00:27:44,360 +والشعر نفسه شعر الراس بيصير فيه loss this is + +435 +00:27:44,360 --> 00:27:47,240 +acromegaly طبعا لاحظين ال development of + +436 +00:27:47,240 --> 00:27:51,640 +acromegaly وتقدم في السنوات these are typical + +437 +00:27:51,640 --> 00:27:55,440 +phases of thyrotoxicosis من فوق على الشمال وبعد + +438 +00:27:55,440 --> 00:27:59,140 +هيك في عندنا ال hypothyroidism و ال acromegaly و + +439 +00:27:59,140 --> 00:28:03,340 +كمان case of acromegaly بالإضافة ل patient with + +440 +00:28:03,340 --> 00:28:10,940 +down syndrome كيف + +441 +00:28:10,940 --> 00:28:15,580 +المريض بتكلم؟وإيش ال language اللي بيستخدمها؟ هذه + +442 +00:28:15,580 --> 00:28:19,420 +شغلات مهمة جدا نعرف عنها في ال general physical + +443 +00:28:19,420 --> 00:28:23,300 +examination هل المريض عنده dysphonia؟ voice + +444 +00:28:23,300 --> 00:28:27,220 +impairment من الأساس بيقدرش أنه يطلع صوت ال + +445 +00:28:27,220 --> 00:28:30,680 +dysphonia قد يكون السبب فيها neurological وقد + +446 +00:28:30,680 --> 00:28:34,120 +يكون السبب فيها local زي ال vocal cord injury مثلا + +447 +00:28:34,120 --> 00:28:37,180 +أو المريض يكون عنده deep hoarseness مش قادر يطلع + +448 +00:28:37,180 --> 00:28:41,480 +صوته dysarthria بيطلع صوت لكن الصوت بيكون ال + +449 +00:28:41,480 --> 00:28:44,720 +articulation فيه difficult يعني مفاصل الكلام + +450 +00:28:44,720 --> 00:28:47,820 +بتكونش واضحة وبالتالي ال patient بيكون عنده تأتأ + +451 +00:28:47,820 --> 00:28:51,380 +كثير بيكون في عنده صعوبة في اللفظ لكن الصوت بيطلع + +452 +00:28:51,380 --> 00:28:54,660 +نفسه بالإضافة لإنه بينجطر نفسه أثناء الحكي وبيكون + +453 +00:28:54,660 --> 00:28:59,200 +في عنده rapid speech dysarthrophonia + +454 +00:28:59,200 --> 00:29:04,090 +اثنين مع بعض dysphonia و dysarthria مع بعضهم طبعا + +455 +00:29:04,090 --> 00:29:06,770 +هذه central nervous system caused motor neuron + +456 +00:29:06,770 --> 00:29:11,150 +disorders ممكن تسببها dysphasia impairment of + +457 +00:29:11,150 --> 00:29:15,290 +comprehension of the speech يعني المريض بيحكيش + +458 +00:29:15,290 --> 00:29:19,070 +كلمات مفهومة في ال dysphonia ممكن يحكي كلمة مفهومة + +459 +00:29:19,070 --> 00:29:22,710 +لكن الصوت تبعه يكون في خفوض أو في impairment أو مش + +460 +00:29:22,710 --> 00:29:26,330 +قادر يطلعوا لكن في حالة ال dysphasia بيحكي كلام غير + +461 +00:29:26,330 --> 00:29:29,370 +مفهوم un comprehensible or spoken or written + +462 +00:29:29,370 --> 00:29:33,290 +language لا بقدر يكتب كلام مفهوم ولا بقدر يحكي حكي + +463 +00:29:33,290 --> 00:29:37,610 +مفهوم و ال hoarseness طبعا ال harsh breathy voice + +464 +00:29:37,610 --> 00:29:40,250 +ال hoarseness اللي هي البحة الصوت اللي معروفة + +465 +00:29:40,250 --> 00:29:44,690 +للجميع طبعا والأسباب تبعتها ممكن تكون الها علاقة + +466 +00:29:44,690 --> 00:29:46,950 +بال nerve injury ممكن تكون الها علاقة بال + +467 +00:29:46,950 --> 00:29:49,910 +infections زي ال infections of the pharynx and + +468 +00:29:49,910 --> 00:29:53,050 +larynx وأشياء كتير ممكن تسبب hoarseness أو ال + +469 +00:29:53,050 --> 00:29:56,090 +tumors في ال vocal cords و ال masses في ال larynx + +470 +00:29:56,090 --> 00:30:01,130 +أو ال trauma اللي هو الإصابات اللي بتشمل ال larynx + +471 +00:30:01,130 --> 00:30:06,330 +أو ال vocal cords ممكن تسبب hoarseness position and + +472 +00:30:06,330 --> 00:30:09,150 +posture طبعا refers to the patient body status and + +473 +00:30:09,150 --> 00:30:12,470 +the general way holding the body in the space يعني + +474 +00:30:12,470 --> 00:30:16,410 +كيف المريض ماسك نفسه وهو واقف وهو بيمشي وهو + +475 +00:30:16,410 --> 00:30:21,470 +قاعد وبالتالي كيف محافظ على شكل جسمه طبعا بيشمل ال + +476 +00:30:21,470 --> 00:30:24,830 +active و ال passive و ال compulsive ال active + +477 +00:30:24,830 --> 00:30:28,970 +position اللي هو المريض حر الحركة أو حر يعمل إيش + +478 +00:30:28,970 --> 00:30:31,650 +ما بده the patient can move his or her body freely + +479 +00:30:31,650 --> 00:30:35,070 +without any restriction مافيش قيود على حركة الجسم + +480 +00:30:35,070 --> 00:30:38,890 +عنده بينما ال passive position المريض ما بيكونش + +481 +00:30:38,890 --> 00:30:41,650 +عنده ال free movement of the body وهد بتحصل كثير + +482 +00:30:41,650 --> 00:30:47,760 +في اللي عندهم فقدان جزء أو فقدان كله للوعي اللي + +483 +00:30:47,760 --> 00:30:51,380 +بدخلوا في حالة غيبوبة أو في حالة إغماء أو بيكون في + +484 +00:30:51,380 --> 00:30:55,500 +عندهم تشوش في مستوى الوعي أو مستوى الصحو + +485 +00:30:55,500 --> 00:30:59,020 +وبالتالي هدول بيكونوا في passive position النوع + +486 +00:30:59,020 --> 00:31:01,600 +الثالث من ال positions اللي هو ال compulsive + +487 +00:31:01,600 --> 00:31:02,740 +position + +488 +00:31:04,890 --> 00:31:08,450 +وال compulsive position يعني position قهري مضطر + +489 +00:31:08,450 --> 00:31:12,330 +له المريض عشان يخفف من ألم معين أو عشان يتحاشى شيء + +490 +00:31:12,330 --> 00:31:16,210 +معين على سبيل المثال ال patient اللي بيكون lying + +491 +00:31:16,210 --> 00:31:21,400 +down on the back with two legs being bending يعني + +492 +00:31:21,400 --> 00:31:24,780 +ثاني رجليه وضممهم لبطنه زي ما إحنا شايفين في + +493 +00:31:24,780 --> 00:31:29,540 +الصور هنا أو ثاني جذعه وضمه في حالة + +494 +00:31:29,540 --> 00:31:33,100 +friction هذا بيكون عنده acute peritonitis لأسباب + +495 +00:31:33,100 --> 00:31:36,680 +مختلفة طبعا acute abdomen على سبيل المثال ال patient + +496 +00:31:36,680 --> 00:31:39,340 +اللي بيكون واقف بالشكل هذا وحاطط ايده على بطنه و + +497 +00:31:39,340 --> 00:31:41,920 +عامل support لبطنه بيكون فيه عنده back pain أو + +498 +00:31:41,920 --> 00:31:45,340 +muscle tenderness بيسموه compulsive prostrate + +499 +00:31:45,340 --> 00:31:50,940 +position compulsive يعني قهري و prostrate يعني مجهد + +500 +00:31:50,940 --> 00:31:55,040 +أو منهك وبالتالي ال position بتاع المريض المنهك من + +501 +00:31:55,040 --> 00:31:59,760 +قلم العضلات أو قلم العمود الفقري بصفة عامة + +502 +00:31:59,760 --> 00:32:04,640 +compulsive side down position زي ما احنا شايفين + +503 +00:32:04,640 --> 00:32:10,000 +هنا لما يكون الـ patient عنده pain أو infusion أو + +504 +00:32:10,000 --> 00:32:14,140 +يكون في عنده infections ممكن أنه يعمل leaning على + +505 +00:32:14,140 --> 00:32:18,260 +المنطقة هذه أو يعمل support للـ waist عن طريق إيده + +506 +00:32:18,260 --> 00:32:21,060 +يحط إيده على الـ waist على الخاصرة و يعمل لها + +507 +00:32:21,060 --> 00:32:25,260 +support زي ما احنا شايفين بالصورة الـ orthopnea + +508 +00:32:25,260 --> 00:32:28,060 +عبارة عن position و عبارة عن نوع التنفس الـ + +509 +00:32:28,060 --> 00:32:31,520 +orthopnea أن المريض دائماً يحاول يظل في sitting + +510 +00:32:31,520 --> 00:32:34,780 +position أو standing position عشان يقدر ياخد نفس + +511 +00:32:34,780 --> 00:32:38,460 +لكن لو نام لكن لو صار في الوضع المستلقي تماماً اللي + +512 +00:32:38,460 --> 00:32:42,440 +هو 180 درجة بيصير في عنده خنقة في النفس وبالتالي + +513 +00:32:42,440 --> 00:32:45,600 +Orthopnea بيصير عنده shortness of breath هو نايم + +514 +00:32:45,600 --> 00:32:48,760 +وبالتالي بضطر ينعدل أو بضطر ينام زي ما احنا شايفين + +515 +00:32:48,760 --> 00:32:51,620 +على كرسي ويحط مخدات عشان يظل قاعد في sitting أو + +516 +00:32:51,620 --> 00:32:54,640 +semi sitting position وهدول الـ patients طبعاً + +517 +00:32:54,640 --> 00:32:59,540 +بيكونوا في عندهم cardiac أو pulmonary disease الـ + +518 +00:32:59,540 --> 00:33:03,160 +squat-down position القرفصاء و القرفصاء هدول + +519 +00:33:03,160 --> 00:33:05,320 +بيجألها الـ patients اللي بيكون عندهم congenital + +520 +00:33:05,320 --> 00:33:10,200 +heart disease زي الـ congenital الـ atrial septal + +521 +00:33:10,200 --> 00:33:12,680 +defect و الـ ventricular septal defect بالإضافة + +522 +00:33:12,680 --> 00:33:14,920 +للـ tetralogy بالإضافة ل + +523 +00:33:17,890 --> 00:33:22,950 +valvostenosis كل هذه أشياء ممكن تؤدي لإن الـ + +524 +00:33:22,950 --> 00:33:26,310 +patient keeping the squat position يقعد القرفصاء + +525 +00:33:26,310 --> 00:33:30,690 +عشان يضيع الـ cyanosis و يضيع الخنقة اللي عنده الـ + +526 +00:33:30,690 --> 00:33:35,650 +compulsive rest position اللي هو الـ patient بيحاول + +527 +00:33:35,650 --> 00:33:40,190 +يعمل rest أثناء الـ activity عشان يتحاشى الـ chest + +528 +00:33:40,190 --> 00:33:42,070 +pain اللي بيصير فيه عنده في حالة الـ angina + +529 +00:33:42,070 --> 00:33:46,230 +pectoris مثلاً وبالتالي قهرياً بيضطر إنه يجلس بيضطر + +530 +00:33:46,230 --> 00:33:50,550 +إنه يخفض مستوى الـ activity تبعه عشان يتحاشى وجود + +531 +00:33:50,550 --> 00:33:54,960 +الـ chest pain الـ Opistotonos عبارة عن rigidity of + +532 +00:33:54,960 --> 00:33:57,900 +the back muscles عبارة عن شغلة بتصير في الـ back + +533 +00:33:57,900 --> 00:34:00,520 +muscles زي ما احنا شايفين hyper extension of the + +534 +00:34:00,520 --> 00:34:05,980 +back muscle نتيجة وجود infection مثلاً زي التيتانوس + +535 +00:34:05,980 --> 00:34:09,020 +this + +536 +00:34:09,020 --> 00:34:11,540 +is the typical position of patients with chronic + +537 +00:34:11,540 --> 00:34:16,040 +obstructive pulmonary disease بكون الـ patient نحيف + +538 +00:34:16,040 --> 00:34:18,420 +كثير malnourished بكون في عنده prominent في الـ + +539 +00:34:18,420 --> 00:34:21,640 +intercostal spaces بالإضافة لأنه بكون زي ما نقدم + +540 +00:34:21,640 --> 00:34:27,420 +لقدام و بكون في عنده الـ lips الشفايف بتاعته بكون + +541 +00:34:27,420 --> 00:34:33,080 +زميمها على بعض و بياخد نفس من خلالها عشان يعني يقدر + +542 +00:34:33,080 --> 00:34:36,760 +ياخد oxygen بالدرجة الكافية و يطلع النفس ببطء + +543 +00:34:36,760 --> 00:34:40,220 +نوعاً ما و بالتالي بعمل استفادة من الـ oxygen + +544 +00:34:40,220 --> 00:34:44,240 +بالدرجة القصوى طبعاً الـ gate شكل المشي تبع المريض + +545 +00:34:44,240 --> 00:34:46,960 +مهم جداً نعلق عليه طبعاً الـ gate abnormalities ممكن + +546 +00:34:46,960 --> 00:34:50,260 +المريض يكون hemiplegic وبالتالي تكون عنده شلل في + +547 +00:34:50,260 --> 00:34:53,560 +إيده و رجله على نفس الجهة ممكن يكون المريض عنده + +548 +00:34:53,560 --> 00:34:55,740 +Parkinson زي ما احنا شايفين في الصورة الثانية + +549 +00:34:55,740 --> 00:35:01,070 +rigid stature و ممكن يكون في عنده cerebellar ataxia + +550 +00:35:01,070 --> 00:35:04,630 +فبالتالي بيكونش متوازن و هو ماشي أو بيكون في عنده + +551 +00:35:04,630 --> 00:35:06,890 +foot drop نتيجة الـ peripheral nerve injury + +552 +00:35:06,890 --> 00:35:09,930 +وبالتالي بيكون يعرج على رجل واحدة أو بيكون في عنده + +553 +00:35:09,930 --> 00:35:12,930 +sensory ataxia زي ما احنا شايفين في الصورة بيكون + +554 +00:35:12,930 --> 00:35:17,830 +بيخبط رجله خبط على الأرض و هو ماشي طبعاً هذه كلها + +555 +00:35:17,830 --> 00:35:21,950 +أنواع من الـ gate مش مهم نحفظ هذه الأشياء و كل ماشية + +556 +00:35:21,950 --> 00:35:24,750 +إيش النوع اللي بـ .. اللي بسببها أو المرض اللي + +557 +00:35:24,750 --> 00:35:28,350 +بسببها لكن الفكرة اللي بدي أوصلها في كل الأشياء + +558 +00:35:28,350 --> 00:35:31,430 +اللي ذكرناها و الأمثلة اللي ذكرناها إنه الـ patient + +559 +00:35:31,430 --> 00:35:36,010 +ممكن يعاني من مشية غير طبيعية ممكن يعاني من + +560 +00:35:36,010 --> 00:35:38,910 +position غير طبيعي ممكن يعاني من صوت غير طبيعي + +561 +00:35:38,910 --> 00:35:45,160 +ممكن يعاني من وزن أو body build غير طبيعي وبالتالي + +562 +00:35:45,160 --> 00:35:47,880 +هذه المعلق عليها في الـ general physical + +563 +00:35:47,880 --> 00:35:52,160 +examination لإنه بيكون غالباً يعني due to + +564 +00:35:52,160 --> 00:35:56,800 +underlying condition personal hygiene مهم جداً الـ + +565 +00:35:56,800 --> 00:35:59,160 +personal hygiene اللي هو الـ body in general هل + +566 +00:35:59,160 --> 00:36:02,120 +المريض جسمه نظيف أو لا؟ هل يعني بيعمل good + +567 +00:36:02,120 --> 00:36:06,040 +hygiene؟ بينظف نفسه أو لا؟ الـ oral hygiene بالإضافة + +568 +00:36:06,040 --> 00:36:09,900 +كمان الـ dental hygiene الأسنان بالإضافة ل الـ tooth + +569 +00:36:09,900 --> 00:36:14,680 +بالإضافة للـ nails و الـ hands و الـ foot طبعاً و الـ + +570 +00:36:14,680 --> 00:36:18,680 +breath بمعنى آخر طبعاً الـ breath hygiene له علاقة + +571 +00:36:18,680 --> 00:36:22,860 +كمان بالـ dental hygiene أو بالـ tooth hygiene الـ + +572 +00:36:22,860 --> 00:36:25,040 +nails قد يكون فيها clubbing قد يكون فيها + +573 +00:36:25,040 --> 00:36:27,720 +koilonychia زي المعلقة بكون شكلها وهذا بتيجي في + +574 +00:36:27,720 --> 00:36:30,240 +المرضى اللي عندهم iron deficiency anemia + +575 +00:36:30,240 --> 00:36:33,500 +الـ leukonychia ممكن تصير في الـ chronic diseases زي الـ + +576 +00:36:33,500 --> 00:36:35,400 +heart و الـ pulmonary disease و الـ palmar + +577 +00:36:35,400 --> 00:36:38,220 +erythema بتصير في الـ patients اللي عندهم liver + +578 +00:36:38,220 --> 00:36:40,760 +cirrhosis أو portal hypertension + +579 +00:36:44,950 --> 00:36:48,390 +برضه الـ portal hypertension و liver cirrhosis اللي + +580 +00:36:48,390 --> 00:36:50,970 +هي بتكون contracture of the palm of the hand اللي + +581 +00:36:50,970 --> 00:36:55,310 +هو الجزء الأمامي من الإيد، راحة الإيد بالإضافة للـ + +582 +00:36:55,310 --> 00:36:58,470 +hepatic flapping tremor المريض بيكون عنده رجفة شديدة + +583 +00:36:58,470 --> 00:37:03,890 +جداً في إيده نتيجة الـ hepatic أو نتيجة liver + +584 +00:37:03,890 --> 00:37:07,580 +cirrhosis So this is the clubbing of the fingers + +585 +00:37:07,580 --> 00:37:12,060 +طبعاً فيه test بنعمله الـ test على الجهة اليسار + +586 +00:37:12,060 --> 00:37:17,640 +normal بيسموه schamer window إذا المريض عمل + +587 +00:37:17,640 --> 00:37:20,380 +opposition للـ index fingers تبعته و ظهر الـ window + +588 +00:37:20,380 --> 00:37:23,280 +هذا اللي شكله زي الـ diamond عامل بيكون طبيعي + +589 +00:37:23,280 --> 00:37:25,860 +المريض بينما على الجهة الثانية لما يكون في + +590 +00:37:25,860 --> 00:37:29,520 +clubbing بيظهرش إنها diamond shape اللي بيسموه schamer + +591 +00:37:29,520 --> 00:37:33,120 +window بيظهر عندنا زي ما احنا شايفين هنا angle + +592 +00:37:33,120 --> 00:37:36,560 +between the nail matrices أو between the origin of + +593 +00:37:36,560 --> 00:37:40,440 +the nails وبالتالي هنا بيكون فيه clubbing لاحظوا + +594 +00:37:40,440 --> 00:37:44,540 +الشمرث window موجود في الـ normal على الجهة اليسار + +595 +00:37:44,540 --> 00:37:47,600 +تحت في الصورة وعلى الجهة اليمين في عندنا clubbing + +596 +00:37:47,600 --> 00:37:52,340 +fingers أكثر من طريقة نقيم فيها الـ clubbing من + +597 +00:37:52,340 --> 00:37:58,070 +ضمنها الشمرث window أو الشمرث sign بالإضافة ل هل في + +598 +00:37:58,070 --> 00:38:04,250 +elevation ما بين الـ distal phalangeal joints و ما + +599 +00:38:04,250 --> 00:38:09,750 +بين الـ interphalangeal joints هل في بينهم elevated + +600 +00:38:09,750 --> 00:38:14,640 +angle أو لا لكن أسهل طريقة هي الشمرث window هذه + +601 +00:38:14,640 --> 00:38:17,660 +كويلونيكيا koilonychia في iron deficiency anemia + +602 +00:38:17,660 --> 00:38:21,980 +والكويلونيكيا والبارونيكيا واللوكونيكيا موجودة في + +603 +00:38:21,980 --> 00:38:26,180 +الـ heart and pulmonary disease نيكوتين استيننغ قد + +604 +00:38:26,180 --> 00:38:28,340 +يكون موجود في الأظافر للمرضى اللي بيكونوا chronic + +605 +00:38:28,340 --> 00:38:32,320 +smokers بيدخنوا كثير و نيكولايسيز تأكل الأظافر + +606 +00:38:32,320 --> 00:38:35,880 +نتيجة وجود malnutrition أو نتيجة وجود infection + +607 +00:38:35,880 --> 00:38:39,060 +Paronechia اللي هو infection of the area + +608 +00:38:39,060 --> 00:38:43,630 +surrounding the nail بالإضافة للـ Onychomycosis + +609 +00:38:43,630 --> 00:38:46,010 +اللي هو الـ fungal infection of the nails these + +610 +00:38:46,010 --> 00:38:48,170 +are the hands palmar erythema the button + +611 +00:38:48,170 --> 00:38:56,900 +contracture and so on palmar erythema yes this is + +612 +00:38:56,900 --> 00:39:01,040 +infarction في الـ splinter hemorrhage أو + +613 +00:39:01,040 --> 00:39:03,140 +infarctions بيسموه بتيجي في الـ infective + +614 +00:39:03,140 --> 00:39:05,640 +endocarditis على الـ right side على الـ left side + +615 +00:39:05,640 --> 00:39:08,240 +بينما على الـ right side في عندنا الـ finger + +616 +00:39:08,240 --> 00:39:11,280 +الوسطاني الـ middle finger فيه بياض سارتالور نتيجة + +617 +00:39:11,280 --> 00:39:15,120 +الـ spasm of the muscles spasm of the arteries the + +618 +00:39:15,120 --> 00:39:18,080 +muscle of the arteries وهذه بتصير طبعاً في الـ + +619 +00:39:18,080 --> 00:39:20,400 +Raynaud syndrome الـ Raynaud syndrome عبارة عن + +620 +00:39:20,400 --> 00:39:22,940 +vasospastic disease of the small vessels of the + +621 +00:39:22,940 --> 00:39:26,960 +hands and legs بيظهر أكثر مع البرودة مع برودة الجو + +622 +00:39:26,960 --> 00:39:31,740 +والأجواء الشديدة البرودة this is pellagra of the + +623 +00:39:31,740 --> 00:39:34,380 +skin and pigmentation of the skin ممكن نلاحظها في + +624 +00:39:34,380 --> 00:39:37,260 +الـ general appearance نتيجة الـ niacin deficiency + +625 +00:39:39,950 --> 00:39:43,590 +اللي هو واحد من الـ vitamins الـ spider nevi اللي هي + +626 +00:39:43,590 --> 00:39:46,470 +عبارة عن telangiectasia التوسع في الأوعية الدموية + +627 +00:39:46,470 --> 00:39:50,330 +الصغيرة اللي موجودة تحت الـ skin في الـ arms أو في + +628 +00:39:50,330 --> 00:39:53,490 +الـ forearms، الـ bruising، الـ bruising اللي هي + +629 +00:39:53,490 --> 00:39:58,730 +الكدمات أو الرشح الدموي اللي بيصير تحت الـ skin و + +630 +00:39:58,730 --> 00:40:03,290 +طبعا هذا الـ bruising بيعكس platelet dysfunction أو + +631 +00:40:03,290 --> 00:40:05,890 +platelet decrease in number بيكون فيه نقص في + +632 +00:40:05,890 --> 00:40:08,510 +الصفائح الدموية أو بيكون فيه مشكلة في الـ + +633 +00:40:08,510 --> 00:40:12,130 +coagulation mechanism، الـ wasting of the muscles, + +634 +00:40:12,250 --> 00:40:14,950 +muscle wasting بتكون ناتجة عن malnutrition أو وجود + +635 +00:40:14,950 --> 00:40:18,030 +chronic disease، و الـ scratch marks المريض بيحك + +636 +00:40:18,030 --> 00:40:21,830 +كتير نتيجة مثلا وجود long standing jaundice أو + +637 +00:40:21,830 --> 00:40:24,530 +chronic cholestasis، المريض بيكون يعاني من jaundice + +638 +00:40:24,530 --> 00:40:27,190 +وبالتالي الـ jaundice هذا الـ blue ribbon irritant + +639 +00:40:27,190 --> 00:40:31,690 +للـ skin، بيرتكب و بيعمل irritation بيعمل scratching + +640 +00:40:31,690 --> 00:40:36,850 +عند المريض أو بيعمل itching، الـ face و الـ eyes في + +641 +00:40:36,850 --> 00:40:39,850 +أشياء كتير في الـ face و الـ eyes ممكن لاحظها على + +642 +00:40:39,850 --> 00:40:42,310 +سبيل المثال في المرضى اللي عندهم iron deficiency و + +643 +00:40:42,310 --> 00:40:46,030 +أنيميا in general بيكون عندهم الـ conjunctiva pale + +644 +00:40:46,030 --> 00:40:50,290 +لما نيجي نفحص الـ conjunctiva تحت الـ eye بنمسك الـ + +645 +00:40:50,290 --> 00:40:54,640 +lower eyelid و بنشده لتحت، اللي هو جفن العين السفلي + +646 +00:40:54,640 --> 00:41:00,180 +و بنشوف الـ conjunctiva الداخلية إذا كان لونها أحمر + +647 +00:41:00,180 --> 00:41:04,160 +وردي أو لونها باهت على بياض، إذا كانت على بياضها دي + +648 +00:41:04,160 --> 00:41:07,760 +بتكون .. ممكن تكون علامة على أنيميا، الـ sclera + +649 +00:41:07,760 --> 00:41:11,260 +بنشوف من خلالها الـ jaundice أو الـ iritis، الـ iritis + +650 +00:41:11,260 --> 00:41:14,360 +بتيجي في الـ patients اللي عندهم chronic + +651 +00:41:14,360 --> 00:41:17,080 +inflammatory bowel disease, Crohn's disease and + +652 +00:41:17,080 --> 00:41:20,520 +ulcerative colitis، الـ Kayser-Fleischer ring اللي + +653 +00:41:20,520 --> 00:41:23,320 +هي الـ ring اللي بتكون حوالين الـ iris اللي بيكون + +654 +00:41:23,320 --> 00:41:25,940 +لونها بياض على صفر، موجود في الـ Wilson's disease + +655 +00:41:25,940 --> 00:41:30,740 +أو الـ copper storage disease اللي هو النحاس العنصر + +656 +00:41:30,740 --> 00:41:36,100 +النحاس بيبدأ يصير فيه تخزين زيادة عن اللازم في الـ + +657 +00:41:36,100 --> 00:41:38,830 +liver وبالتالي بيؤدي لـ Wilson's disease، الـ + +658 +00:41:38,830 --> 00:41:42,030 +Xanthelasma هي عبارة عن الـ fat deposition اللي + +659 +00:41:42,030 --> 00:41:45,530 +موجودة في جفون العين وهي بتعكس primary biliary + +660 +00:41:45,530 --> 00:41:48,510 +cirrhosis أو hyperlipidemia، الـ Parotid + +661 +00:41:48,510 --> 00:41:51,290 +enlargement في الـ alcoholism بيكون الـ patient عنده + +662 +00:41:51,290 --> 00:41:53,570 +أسيمتري في الـ face بيكون one of the parotid is + +663 +00:41:53,570 --> 00:41:56,350 +larger than the other one، this is jaundice and + +664 +00:41:56,350 --> 00:41:59,310 +this is the eye expression of the jaundice، طبعا + +665 +00:41:59,310 --> 00:42:01,430 +واضح اليالي which is discoloration of the sclera + +666 +00:42:03,060 --> 00:42:05,960 +الـ P conjunctiva due to severe anemia ممكن + +667 +00:42:05,960 --> 00:42:10,200 +نلاحظها في الـ examination conjunctival color due + +668 +00:42:10,200 --> 00:42:14,620 +to anemia and this is the jaundice، بنشوفه في الـ + +669 +00:42:14,620 --> 00:42:18,200 +eyes بنقل المريض يتطلع لفوق و بنفحص الـ sclera في + +670 +00:42:18,200 --> 00:42:23,600 +الجفن السفلاني أو الجفن السفلي أو عند الجفن العلوي + +671 +00:42:23,600 --> 00:42:29,400 +وبالتالي بنشوف إذا في jaundice أو لا، الـ normal hand + +672 +00:42:29,400 --> 00:42:31,320 +بالمقارنة مع الـ jaundiced hand، لاحظوا الـ + +673 +00:42:31,320 --> 00:42:33,680 +yellowish discoloration of the skin، yellowish + +674 +00:42:33,680 --> 00:42:38,760 +change of the hand color، yes this is the + +675 +00:42:38,760 --> 00:42:42,000 +jaundice، different types of jaundice في الـ face، + +676 +00:42:42,000 --> 00:42:46,220 +في الـ eyes و في الـ hands، Parotid enlargement في + +677 +00:42:46,220 --> 00:42:50,100 +الـ alcoholism و عندها xanthelasma، fat builds up under + +678 +00:42:50,100 --> 00:42:54,060 +the surface of the skin، بالذات في منطقة الجفون، + +679 +00:42:54,060 --> 00:42:58,670 +اللي هي fat deposition، في الـ mouth فينا الـ breath + +680 +00:42:58,670 --> 00:43:02,110 +زي ما قلنا و فينا الـ lips، angular stomatitis قد + +681 +00:43:02,110 --> 00:43:05,990 +يكون له علاقة بالبعض الـ chronic conditions أو له + +682 +00:43:05,990 --> 00:43:10,550 +علاقة بالـ oral and skin cancers، التهيبات الشفة + +683 +00:43:10,550 --> 00:43:14,630 +اللي هي الشفة أو cheilitis، الـ ulcerations ممكن + +684 +00:43:14,630 --> 00:43:17,190 +نلاحظها زي الـ aphthous ulcers اللي بتيجي في الـ Behçet's + +685 +00:43:17,190 --> 00:43:20,830 +disease أو الـ buccal ulcerations اللي موجودة في + +686 +00:43:20,830 --> 00:43:24,730 +الـ viral infections اللي هي الـ ulceration بتكون + +687 +00:43:24,730 --> 00:43:29,590 +داخل الفم من جوا، أو الـ pigmentation of the lips + +688 +00:43:29,590 --> 00:43:33,750 +اللي هي زي في حالات الـ polyposis في حالات Peutz-Jeghers + +689 +00:43:33,750 --> 00:43:37,290 +syndrome مثلا اللي هو الـ hamartomatous polyposis + +690 +00:43:37,290 --> 00:43:40,070 +في الـ colon بالإضافة لإنه بيكون في عندنا + +691 +00:43:40,070 --> 00:43:44,210 +pigmentation of the skin، في الـ gums، في الـ gingivitis + +692 +00:43:44,210 --> 00:43:47,230 +و الـ bleeding، الـ candida و الـ pigmentation الـ + +693 +00:43:47,230 --> 00:43:50,030 +tongue، atrophic glossitis and leukoplakia + +694 +00:43:52,260 --> 00:43:56,280 +اللوكوبلاكيا طبعا هي عبارة عن بقع بيضاء على + +695 +00:43:56,280 --> 00:43:59,160 +اللسان بتكون قد يكون لها علاقة بالـ cancer of the + +696 +00:43:59,160 --> 00:44:02,180 +tongue أو بالـ inflammatory conditions of the + +697 +00:44:02,180 --> 00:44:06,340 +tongue زي مثلا الـ fungal infections، atrophic + +698 +00:44:06,340 --> 00:44:09,760 +glossitis and thrush، الـ thrush هو عبارة عن غشاء + +699 +00:44:09,760 --> 00:44:12,320 +أبيض بيكون على اللسان موجود في الـ viral + +700 +00:44:12,320 --> 00:44:16,380 +infections في + +701 +00:44:16,380 --> 00:44:20,670 +الـ neck and the chest we have to observe for أي + +702 +00:44:20,670 --> 00:44:25,070 +أسيمتري في الـ neck؟ هل في كتل؟ هل في أي أسيمتري؟ + +703 +00:44:25,070 --> 00:44:27,250 +جهة من الـ neck لا تشبه الجهة الأخرى؟ الـ right + +704 +00:44:27,250 --> 00:44:29,890 +side لا تشبه الـ left side؟ أو في مشكلة موجودة على + +705 +00:44:29,890 --> 00:44:32,510 +الـ right مش موجودة على الـ left؟ الـ left + +706 +00:44:32,510 --> 00:44:34,810 +supraclavicular fossa اللي هي الـ Virchow's lymph + +707 +00:44:34,810 --> 00:44:38,050 +node، مهم جدا هذه الـ lymph node موجودة في الـ + +708 +00:44:38,050 --> 00:44:41,740 +supraclavicular region على الـ left side، أهميتها أن + +709 +00:44:41,740 --> 00:44:46,000 +لو صار فيها lymphadenopathy لازم نشك أن في cancer + +710 +00:44:46,000 --> 00:44:48,700 +below the diaphragm يعني في الـ stomach أو في الـ + +711 +00:44:48,700 --> 00:44:51,820 +colon، وبالتالي بيسموها Virchow's sign هنا + +712 +00:44:51,820 --> 00:44:55,820 +gynecomastia، قد يكون الـ patient عنده gynecomastia + +713 +00:44:55,820 --> 00:44:58,740 +الـ male patient نتيجة hormonal disturbance أو + +714 +00:44:58,740 --> 00:45:04,500 +نتيجة الـ tumor، و الـ symmetry of the chest هل الـ + +715 +00:45:04,500 --> 00:45:09,540 +chest يبدو symmetrical أو لأ، This is the typical + +716 +00:45:09,540 --> 00:45:12,420 +face of hyperthyroidism، زي ما احنا شايفين الـ + +717 +00:45:12,420 --> 00:45:14,920 +exophthalmos و الـ goiter اللي موجود في الـ neck، الـ + +718 +00:45:14,920 --> 00:45:18,820 +mass اللي موجود في الـ neck، الـ skin طبعا هو الـ + +719 +00:45:18,820 --> 00:45:21,340 +external surface و الـ external cover of the body + +720 +00:45:21,340 --> 00:45:25,120 +الـ skin is the largest organ of the body، one of + +721 +00:45:25,120 --> 00:45:27,900 +the best indications of general health، الـ skin + +722 +00:45:27,900 --> 00:45:31,120 +condition سواء من ناحية الـ color، من ناحية وجود + +723 +00:45:31,120 --> 00:45:33,980 +masses عليه، من ناحية وجود lesions و من ناحية كمان + +724 +00:45:34,320 --> 00:45:37,520 +integrity of the skin، هل هو healthy skin ولا لا + +725 +00:45:37,520 --> 00:45:40,640 +ولا فيه علامات malnutrition أو علامات فقدان + +726 +00:45:40,640 --> 00:45:45,520 +السوائل أو علامات تشقق أو علامات ulcerations، كل + +727 +00:45:45,520 --> 00:45:49,180 +هذه أشياء بتعكس الـ general health، so the + +728 +00:45:49,180 --> 00:45:51,940 +examination of the skin is dependent on inspection + +729 +00:45:51,940 --> 00:45:55,360 +mainly، but palpation of the skin lesion must also + +730 +00:45:55,360 --> 00:45:58,790 +be performed، طبعا الـ color changes can include + +731 +00:45:58,790 --> 00:46:04,070 +color، الـ skin can be pale باهت لونه زي حالات + +732 +00:46:04,070 --> 00:46:07,610 +الأنيميا أو حالات الـ cyanosis اللي بيكون لونه على + +733 +00:46:07,610 --> 00:46:11,310 +زرقاء، yellowish skin في حالة الـ jaundice أو + +734 +00:46:11,310 --> 00:46:14,750 +اليرقان، redness of the skin في حالة الـ infections + +735 +00:46:14,750 --> 00:46:17,110 +أو في حالة بعض الـ metabolic أو الـ endocrine + +736 +00:46:17,110 --> 00:46:21,750 +diseases، pigmentation of the skin زي في حالات الـ + +737 +00:46:21,750 --> 00:46:25,130 +pigmented lesion أو الـ melanoma مثلا بالإضافة للـ + +738 +00:46:25,130 --> 00:46:27,950 +discoloration، الـ discoloration قد يشمل أشياء + +739 +00:46:27,950 --> 00:46:31,850 +متعددة قد يكون pigmented lesions و قد يكون + +740 +00:46:31,850 --> 00:46:35,330 +pigmented مع reddish discoloration أو مع jaundice + +741 +00:46:35,330 --> 00:46:39,690 +يعني combination of things أو loss of the pigment + +742 +00:46:39,690 --> 00:46:46,350 +of the skin اللي احنا بنسميه vitiligo اللي هو loss + +743 +00:46:46,350 --> 00:46:49,770 +of melanin، discoloration due to loss of melanin + +744 +00:46:50,260 --> 00:46:53,280 +طبعا this is the cyanosis، peripheral cyanosis of + +745 +00:46:53,280 --> 00:46:58,840 +the hands below the nail matrix زي ما احنا شايفين + +746 +00:46:58,840 --> 00:47:02,080 +هنا طبعا هذه كتير بتيجي في المرضى اللي عندهم + +747 +00:47:02,080 --> 00:47:05,420 +chronic obstructive pulmonary disease، الـ cyanosis + +748 +00:47:05,420 --> 00:47:09,580 +أو نتيجة الـ cardiac disease، heart disease، طبعا + +749 +00:47:09,580 --> 00:47:12,280 +this is central cyanosis of the tongue، بالمقارنة + +750 +00:47:12,280 --> 00:47:12,940 +مع الـ normal + +751 +00:47:16,070 --> 00:47:21,650 +cyanosis of the nails of the toes of the feet + +752 +00:47:21,650 --> 00:47:24,850 +erythema of the face تحت زي ما احنا شايفين هنا + +753 +00:47:24,850 --> 00:47:28,230 +ممكن تيجي ل different conditions infectious أو + +754 +00:47:28,230 --> 00:47:32,190 +metabolic أو endocrine conditions أو allergy + +755 +00:47:32,190 --> 00:47:37,910 +حساسية ممكن أشياء كتير تسببها طبعا this is + +756 +00:47:37,910 --> 00:47:43,800 +different types of cyanosis فوق في ال infants + +757 +00:47:43,800 --> 00:47:46,660 +الصغار اللي بيكون في عندهم congenital heart + +758 +00:47:46,660 --> 00:47:52,380 +disease yes this + +759 +00:47:52,380 --> 00:47:55,620 +is peripheral vascular disease زي ما احنا شايفينه + +760 +00:47:55,620 --> 00:47:58,340 +هنا ال discoloration of the skin كل هذا على ال skin + +761 +00:47:58,340 --> 00:48:01,960 +بيظهر discoloration of the skin of the feet في ال + +762 +00:48:01,960 --> 00:48:04,460 +peripheral vascular disease لما يكون في عندنا تضيق + +763 +00:48:04,460 --> 00:48:07,100 +في الشرايين أو يكون في atherosclerosis أو يكون في + +764 +00:48:07,100 --> 00:48:11,650 +stenosis كل هذه الأشياء ممكن تؤدي لـ change في ال + +765 +00:48:11,650 --> 00:48:13,870 +skin color, discoloration زي ما احنا شايفين في + +766 +00:48:13,870 --> 00:48:16,630 +مناطق غامجة، مناطق pigmented غامق أو ischemic + +767 +00:48:16,630 --> 00:48:19,830 +areas أو ممكن يصير فيه ulceration بالإضافة لإنه + +768 +00:48:19,830 --> 00:48:23,510 +لما نيجي نحس ال pulse بنلاقي ال pulse ضعيفة أو مش + +769 +00:48:23,510 --> 00:48:24,030 +موجودة + +770 +00:48:26,870 --> 00:48:29,070 +الفيتيليغو اللي هو ال discoloration, loss of + +771 +00:48:29,070 --> 00:48:32,310 +pigment, loss of melanin pigment بعض المناطق بيكون + +772 +00:48:32,310 --> 00:48:35,470 +فيها loss of melanin deposition وبالتالي بتظهر + +773 +00:48:35,470 --> 00:48:38,990 +بياض واضح هنا زي الجزر بتكون عاملة الفيتيليغو قد + +774 +00:48:38,990 --> 00:48:42,370 +يكون زي ما احنا شايفين هنا في مناطق عن مناطق وقد + +775 +00:48:42,370 --> 00:48:48,170 +يكون البنزم بالكامل يعني مهق بالكامل كل الجسم عبارة + +776 +00:48:48,170 --> 00:48:51,150 +عن vitiligo بالإضافة للشعر بالإضافة ل لون الغنان و + +777 +00:48:51,150 --> 00:48:54,550 +الورموش و هذه الشغلات يمكن أنتو شوفتوها في + +778 +00:48:54,550 --> 00:48:57,550 +حياتكم كتير عند بعض الناس اللي هو ال albinism + +779 +00:48:57,550 --> 00:49:02,830 +Leukoplakia طبعا ال Leukoplakia قد تكون بسبب أن ال + +780 +00:49:02,830 --> 00:49:06,360 +tongue بده يصير فيه tumor/cancer في ال tongue + +781 +00:49:06,360 --> 00:49:09,820 +وبالتالي بتعتبر precancerous lesion وكجينالية + +782 +00:49:09,820 --> 00:49:12,360 +أحيانا leukoplakia بتكون patches developed in the + +783 +00:49:12,360 --> 00:49:16,400 +female external genitalia غير ال tongue طبعا وطبعا + +784 +00:49:16,400 --> 00:49:20,440 +هذه الشغلات تستدعي أنه يعني diagnostic workup to + +785 +00:49:20,440 --> 00:49:23,540 +rule out cancer of the skin or cancer of the + +786 +00:49:23,540 --> 00:49:27,600 +tongue الراشز أنواعها كتير ال skin rash على ال skin + +787 +00:49:27,600 --> 00:49:30,620 +طبعا frequently one manifestation of systemic + +788 +00:49:30,620 --> 00:49:33,320 +disease وبالتالي they are important for the + +789 +00:49:33,320 --> 00:49:36,720 +diagnosis of some special disease طبعا different + +790 +00:49:36,720 --> 00:49:39,280 +rash may occur في ال infectious disease, + +791 +00:49:40,840 --> 00:49:43,300 +dermatological disease or drug or allergic + +792 +00:49:43,300 --> 00:49:46,240 +material كل هذه الأسباب بتسبب أن يصير فيه rash + +793 +00:49:46,240 --> 00:49:49,960 +على ال skin أو يصير في عندنا pigmented lesions + +794 +00:49:49,960 --> 00:49:56,890 +طبعا ال rash هذه لها عدة أوصاف ممكن تكون regular + +795 +00:49:56,890 --> 00:50:00,430 +or irregular pattern وممكن تكون sharp or dull + +796 +00:50:00,430 --> 00:50:03,530 +edges طبعا ال type of rashes في عندنا ال macules + +797 +00:50:03,530 --> 00:50:06,750 +ال macules عبارة عن البقع الملونة وفي عندنا ال + +798 +00:50:06,750 --> 00:50:09,590 +Rosula اللي كل لونها وردي البقع اللي لونها وردي + +799 +00:50:09,590 --> 00:50:12,310 +وفي بيكون عندنا ال papules اللي بتكون elevated + +800 +00:50:12,310 --> 00:50:15,630 +over the surface of the skin يعني أعلى من مستوى + +801 +00:50:15,630 --> 00:50:19,700 +سطح ال skin اللي محيط فيها وفي maculopapular بيكون + +802 +00:50:19,700 --> 00:50:22,180 +اتنين موجودين مع بعض وفي عندنا ال urticaria اللي + +803 +00:50:22,180 --> 00:50:26,300 +هي بتكون عبارة عن بقع كبيرة نتيجة الحساسية الشديدة + +804 +00:50:26,300 --> 00:50:29,980 +أو نتيجة الحق الشديدة بتظهر elevated above the + +805 +00:50:29,980 --> 00:50:33,520 +surface of the skin و بتختفي لما تختفي الحساسية + +806 +00:50:33,520 --> 00:50:40,420 +these are the macules في ال neck area the change of + +807 +00:50:40,420 --> 00:50:43,160 +the skin texture و ال thickness طبعا بكونش موجود + +808 +00:50:43,160 --> 00:50:47,360 +فيها زي this is the Rosula Rosula of the abdomen + +809 +00:50:47,360 --> 00:50:51,440 +yes موجودة هذه الأشياء برضه في infectious disease + +810 +00:50:51,440 --> 00:50:54,780 +في ال scarlet fever على سبيل المثال في ال children + +811 +00:50:55,590 --> 00:51:00,590 +أو drug rashes أو في ال measles ال papule elevated + +812 +00:51:00,590 --> 00:51:03,870 +over the surface of the skin فهذا بميزها عن ال + +813 +00:51:03,870 --> 00:51:06,410 +macule و ال macule و ال papule both of them + +814 +00:51:06,410 --> 00:51:08,110 +combined with each other و فيه يعني أن ال + +815 +00:51:08,110 --> 00:51:11,050 +urticaria اللي هي ال hives هذه اللي بتكون raised + +816 +00:51:11,050 --> 00:51:15,570 +red discs بتكون عاملة زي ال discs زي الأقراص هيكة + +817 +00:51:15,570 --> 00:51:18,710 +above the surface of the skin و they are often + +818 +00:51:18,710 --> 00:51:22,630 +very itchy which come and go مجرد ما تروح الحساسية + +819 +00:51:22,630 --> 00:51:26,270 +بتروح ال hives هذه و بترجع لما ترجع الحساسية قد + +820 +00:51:26,270 --> 00:51:29,650 +يكون ال skin فيه allergy لبعض الأطعمة أو لبعض ال + +821 +00:51:29,650 --> 00:51:34,790 +chemical materials أو لبعض الأنواع الصابون مثلا أو + +822 +00:51:34,790 --> 00:51:39,530 +كذا أو حساسية ملابس نفسها أو غبرة في الجو كل هذه + +823 +00:51:39,530 --> 00:51:43,300 +الأشياء ممكن تسبب ال urticaria أو ال hives this is + +824 +00:51:43,300 --> 00:51:46,700 +the herpes zoster virus و skin condition في ال + +825 +00:51:46,700 --> 00:51:50,440 +herpes zoster اللي بيكون في عندنا vesicles يعني + +826 +00:51:50,440 --> 00:51:56,280 +أكياس صغيرة فجاجيع فيها مية أو فيها سائل this is + +827 +00:51:56,280 --> 00:51:59,160 +the subcutaneous hemorrhage bleeding into the skin + +828 +00:51:59,160 --> 00:52:01,980 +طبعا subcutaneous hemorrhage ممكن يكون أنها شقة عن + +829 +00:52:01,980 --> 00:52:05,830 +ال trauma واحد أخذ لكمة في وجهه أو أخذ بوكس في + +830 +00:52:05,830 --> 00:52:08,630 +وجهه ممكن تصير فيه أن زراعك في المنطقة و الدم يرشح + +831 +00:52:08,630 --> 00:52:11,870 +تحت ال skin و يتجمع وبالتالي هذا بيكون سببها لل + +832 +00:52:11,870 --> 00:52:14,650 +trauma أو بيكون سببها مشكلة في ال coagulation + +833 +00:52:14,650 --> 00:52:18,930 +mechanism أو مشكلة في ال platelet mechanism وفي + +834 +00:52:18,930 --> 00:52:21,650 +عندنا عدة أوصاف للموضوع هذا على سبيل المثال ال + +835 +00:52:21,650 --> 00:52:24,830 +small hemorrhage أو ال small blood under the skin + +836 +00:52:24,830 --> 00:52:27,390 +اللي بيكون ال size تبعه أقل من اثنين ميلي متر + +837 +00:52:27,390 --> 00:52:31,430 +بنسميه petechia بينما ال purpura من ثلاثة لخمس ملي + +838 +00:52:31,430 --> 00:52:34,790 +بيكون حجم بقعة الدم اللي تحت ال skin بينما ال + +839 +00:52:34,790 --> 00:52:39,470 +ecchymosis بيكون أكثر من five ملي متر إذا كان ال + +840 +00:52:39,470 --> 00:52:43,430 +lesion أكبر من هيك أو التجمع الدموي أكبر من هيك + +841 +00:52:43,430 --> 00:52:46,970 +بيعمل swelling و ممكن يودي لحاجة بيسموها hematoma + +842 +00:52:47,220 --> 00:52:50,260 +وبالتالي هذه المصطلحات ممكن نفرق بينها ما بين الـ + +843 +00:52:50,260 --> 00:52:54,040 +Petechia , purpura, ecchymosis و ال hematoma + +844 +00:52:56,280 --> 00:53:00,160 +Spider angioma أو Spider nevi هي عبارة عن توسع + +845 +00:53:00,160 --> 00:53:03,160 +للأوعية الدموية الصغيرة على سطح الجلد طبعا ال + +846 +00:53:03,160 --> 00:53:07,280 +spider angioma عبارة عن lesion بتكون فيها نقطة حمراء في + +847 +00:53:07,280 --> 00:53:11,720 +الوسط و reddish extension radiate خارج من بعضها البعض + +848 +00:53:11,720 --> 00:53:15,800 +بيكون عامل زي أشعة الشمس وطبعا هذه بتكثر جدا في + +849 +00:53:15,800 --> 00:53:19,860 +liver disease spider angioma موجودة على سطح ال + +850 +00:53:19,860 --> 00:53:24,620 +skin وبالتالي موجودة في liver disease و لو كانت + +851 +00:53:24,620 --> 00:53:28,100 +هذه ال dilated vessels موجودة حوالين ال umbilicus + +852 +00:53:28,100 --> 00:53:31,860 +في ال veins حوالين ال umbilicus بيسموها Caput medusae + +853 +00:53:31,860 --> 00:53:39,190 +spider angioma الإديمة Excessive build-up of fluid + +854 +00:53:39,190 --> 00:53:42,050 +in the tissues طبعا either occurs throughout the + +855 +00:53:42,050 --> 00:53:45,750 +body الإديمة هي عبارة عن تراكم السوائل في الجسم + +856 +00:53:45,750 --> 00:53:49,130 +وبالتالي بتؤدي لـ generalized swelling أو بتكون + +857 +00:53:49,130 --> 00:53:52,890 +limited لمنطقة معينة من الجسم localized swelling + +858 +00:53:52,890 --> 00:53:55,670 +لو كانت generalized بتكون أكثر حاجة لها relation + +859 +00:53:55,670 --> 00:53:59,310 +لل cardiac disease أو ال .. أو ال .. renal disease + +860 +00:53:59,310 --> 00:54:02,110 +زي ال nephrotic syndrome مثلا أو زي ال congestive + +861 +00:54:02,110 --> 00:54:05,370 +heart failure بينما لو كانت localized بيكون السبب + +862 +00:54:05,370 --> 00:54:09,770 +فيها مشكلة في المنطقة اللي صارت فيها الإديمة it + +863 +00:54:09,770 --> 00:54:14,090 +can be either pitting لو ضغطنا عليها بتعمل حفرة أو + +864 +00:54:14,090 --> 00:54:17,710 +non-pitting يعني لو ضغطنا عليها بترجع لشكلها + +865 +00:54:17,710 --> 00:54:20,150 +الطبيعي ل swelling الطبيعي زي ال اسفنج لما نضغط + +866 +00:54:20,150 --> 00:54:23,590 +عليها و بعدين نرفع إيدنا عنها بينما ال pitting + +867 +00:54:23,590 --> 00:54:27,470 +الإديمة زي لما نحط إيدنا في رمل البحر مثلا حط إصبع + +868 +00:54:27,470 --> 00:54:30,630 +في رمل البحر وبالتالي بصير حفرة مكان الإصبع الحفرة + +869 +00:54:30,630 --> 00:54:35,660 +هذه بتزول لبعض الوقت قبل ما تختفي طبعا ممكن تكون ال + +870 +00:54:35,660 --> 00:54:38,540 +edema mild, moderate or severe ال facial edema, + +871 +00:54:38,660 --> 00:54:42,380 +peripheral edema, mild type زي الحالات اللي بتصير + +872 +00:54:42,380 --> 00:54:43,880 +مثلا في ال .. + +873 +00:54:46,740 --> 00:54:48,960 +في ال face نتيجة endocrine disease و + +874 +00:54:48,960 --> 00:54:52,300 +hypothyroidism مثلا ال moderate generalized edema + +875 +00:54:52,300 --> 00:54:54,380 +و ال severe generalized edema اللي بتصير في كل + +876 +00:54:54,380 --> 00:54:57,520 +أنحاء الـ body وهذه بتكون نتيجة غالبا عن congestive + +877 +00:54:57,520 --> 00:55:02,440 +heart failure أو severe renal disease أو renal + +878 +00:55:02,440 --> 00:55:06,310 +failure. This is the pitting وذمة لاحظوا بعد الضغط + +879 +00:55:06,310 --> 00:55:10,770 +الحفرة بتضل مكانها pitting وفي non pitting اللي هو + +880 +00:55:10,770 --> 00:55:14,950 +بترجع لنفسها طبعا كل ما كانت الـ pitting وذمة أكثر + +881 +00:55:14,950 --> 00:55:18,570 +كل ما زاد الـ grade تبعها وبالتالي mild pitting + +882 +00:55:18,570 --> 00:55:23,690 +moderate pitting and severe pitting كلها بنعملها + +883 +00:55:23,690 --> 00:55:27,610 +grading من خلال جديش صار في حفرة مع الضغط على الـ + +884 +00:55:27,610 --> 00:55:30,630 +skin وجديش طولت الحفرة هذه لما رجعت لوضعها الطبيعي + +885 +00:55:34,950 --> 00:55:38,290 +yes, this is periorbital edema found in a patient + +886 +00:55:38,290 --> 00:55:41,590 +with thyrotoxicosis. لاحظوا الـ protrusion of the + +887 +00:55:41,590 --> 00:55:44,690 +eyeballs بالإضافة للـ periorbital edema اللي موجودة + +888 +00:55:44,690 --> 00:55:49,850 +كأنه في small abdomen below the eyes أو small fat + +889 +00:55:49,850 --> 00:55:53,810 +أو fat deposition below the eyes. طبعا هذه typical + +890 +00:55:53,810 --> 00:55:56,570 +face of Graves disease thyrotoxicosis + +891 +00:55:58,520 --> 00:56:01,100 +Examination of the lymph nodes and inspection of + +892 +00:56:01,100 --> 00:56:03,920 +the lymph nodes of the neck. مهم جدا الـ lymph nodes + +893 +00:56:03,920 --> 00:56:07,480 +are distributed all over the body. الـ general + +894 +00:56:07,480 --> 00:56:09,620 +physical examination can only palpate the + +895 +00:56:09,620 --> 00:56:12,760 +superficial lymph nodes سواء اللي موجودة في الـ + +896 +00:56:12,760 --> 00:56:16,060 +neck اللي موجودة في الـ head اللي موجودة في الـ + +897 +00:56:16,060 --> 00:56:19,540 +axilla واللي موجودة في الـ inguinal area واللي + +898 +00:56:19,540 --> 00:56:25,840 +موجودة في منطقة الـ elbow. هذه كلها بنفحصها في حالات + +899 +00:56:25,840 --> 00:56:28,880 +الـ general physical examination ولاحظوا الـ lymph + +900 +00:56:28,880 --> 00:56:31,160 +node groups هنا اللي موجودة في الـ head وفي الـ + +901 +00:56:31,160 --> 00:56:35,240 +neck. Palpation of the cervical lymph nodes مهم + +902 +00:56:37,410 --> 00:56:39,930 +بالإضافة، هذه هي الـ lymph node groups اللي موجودة + +903 +00:56:39,930 --> 00:56:42,750 +في الـ neck. في عندنا تحت الذقن المباشرة وتحت + +904 +00:56:42,750 --> 00:56:46,190 +المنطقة المباشرة submental وsubmandibular. بعدين في + +905 +00:56:46,190 --> 00:56:48,010 +عندنا الـ tonsillar lymph nodes وفي عندنا الـ + +906 +00:56:48,010 --> 00:56:51,590 +jugular lymph nodes وفي عندنا الـ superclavicular + +907 +00:56:51,590 --> 00:56:55,430 +lymph nodes والـ posterior triangle lymph nodes + +908 +00:56:55,430 --> 00:56:59,970 +بالإضافة طبعا للـ para + +909 +00:57:03,570 --> 00:57:06,410 +Paratracheal lymph nodes اللي موجودة في منتصف العنق + +910 +00:57:06,410 --> 00:57:09,910 +تمامًا. كل هذه we have to palpate في الـ general + +911 +00:57:09,910 --> 00:57:12,190 +physical examination. هذه بعض الأنواع اللي بصير + +912 +00:57:12,190 --> 00:57:15,270 +فيها cervical lymphadenopathy. Massive right sided + +913 +00:57:15,270 --> 00:57:18,310 +cervical lymphadenopathy due to metastatic disease + +914 +00:57:18,310 --> 00:57:21,830 +وفي هذه الحالة الـ metastatic disease هو عبارة عن + +915 +00:57:21,830 --> 00:57:25,570 +cancer. Intraoral squamous cell carcinoma. This is + +916 +00:57:25,570 --> 00:57:28,730 +the palpation of the elbow lymph node. Epitropial + +917 +00:57:28,730 --> 00:57:31,490 +lymph node. وهذا الـ palpation of the axilla بالذات + +918 +00:57:31,490 --> 00:57:33,550 +في الـ patients اللي عندهم breast pathology أو + +919 +00:57:33,550 --> 00:57:36,570 +breast mass. We have to palpate the axilla very + +920 +00:57:36,570 --> 00:57:40,330 +thoroughly يعني بعناية شديدة جدا. This is the + +921 +00:57:40,330 --> 00:57:42,370 +palpation of the axilla وطبعا هنا الـ left + +922 +00:57:42,370 --> 00:57:44,910 +axillary lymphadenopathy قد تكون ناتجة عن breast + +923 +00:57:44,910 --> 00:57:48,570 +cancer وقد تكون ناتجة عن skin cancer في منطقة الـ + +924 +00:57:48,570 --> 00:57:52,750 +chest أو في منطقة الـ upper abdomen. This is the + +925 +00:57:52,750 --> 00:57:56,850 +vertical lymph node على الـ left side اللي هي عبارة + +926 +00:57:56,850 --> 00:58:00,150 +عن superclavicular lymph node والـ vertical rule + +927 +00:58:00,150 --> 00:58:03,730 +بتقول كالتالي: if you have vertical lymphadenopathy + +928 +00:58:03,730 --> 00:58:07,270 +يعني left superclavicular lymph node enlargement + +929 +00:58:07,270 --> 00:58:11,490 +you have to suspect cancer below the diaphragm في + +930 +00:58:11,490 --> 00:58:14,410 +منطقة الـ abdomen بمعنى آخر وبالذات الـ stomach + +931 +00:58:14,410 --> 00:58:14,950 +cancer + +932 +00:58:17,610 --> 00:58:20,510 +This is the dilated veins اللي هي الـ varicose + +933 +00:58:20,510 --> 00:58:22,950 +veins. برضه بنلاحظها على الـ skin في الـ general + +934 +00:58:22,950 --> 00:58:26,630 +physical examination. الـ lymph nodes طبعا ممكن تكون + +935 +00:58:26,630 --> 00:58:30,650 +السبب في تدخمها lymphadenitis وممكن يكون السبب في + +936 +00:58:30,650 --> 00:58:34,170 +تدخمها chronic infections زي الـ tuberculosis أو + +937 +00:58:34,170 --> 00:58:37,830 +malignant conditions زي الـ squamous مثل الكارسينوما زي + +938 +00:58:37,830 --> 00:58:43,950 +الـ breast cancer زي الـ genitourinary cancers. ممكن + +939 +00:58:43,950 --> 00:58:49,860 +السبب فيها زي ما قلنا يكون Blood Malignancy أو + +940 +00:58:49,860 --> 00:58:53,240 +Hematological Malignancy أو الـ lymphoma أو الـ leukemia + +941 +00:58:53,240 --> 00:58:57,800 +الـ vital signs. الـ pulse, الـ blood pressure والـ + +942 +00:58:57,800 --> 00:59:02,480 +respiratory rate والـ temperature. طبعا الـ vital الـ + +943 +00:59:02,480 --> 00:59:04,720 +pulse ماخدها من الـ radial pulse. الـ radial pulse زي + +944 +00:59:04,720 --> 00:59:07,560 +ما احنا شايفين سهل جدا بنيجي على الـ anatomical + +945 +00:59:07,560 --> 00:59:11,860 +snuff box وجست medial للـ anatomical snuff box and + +946 +00:59:11,860 --> 00:59:16,140 +anterior to it بنفحص الـ radial pulse. طبعا الـ + +947 +00:59:16,140 --> 00:59:18,760 +radial pulse الـ normal range تبعها بيكون من ستين + +948 +00:59:18,760 --> 00:59:21,260 +لمئة وإن كان الـ children بصفة عام عندهم الـ heart + +949 +00:59:21,260 --> 00:59:25,350 +rate أكثر من الـ adults كـ normal يعني في حالة ما يكون + +950 +00:59:25,350 --> 00:59:27,990 +فيه emotional stress في حالة ما يكون في advanced + +951 +00:59:27,990 --> 00:59:32,490 +age بتتناقص الـ pulse مع الـ advanced age بينما في + +952 +00:59:32,490 --> 00:59:35,350 +الـ emotion في الـ childhood بتزيد أثناء الـ resting + +953 +00:59:35,350 --> 00:59:41,350 +sleep في النوم برضه بتتناقص الـ pulse. This is the + +954 +00:59:41,350 --> 00:59:44,350 +pulse oximetry بيجيس الـ pulse وفي نفس الوقت بيجيس + +955 +00:59:44,350 --> 00:59:48,090 +الـ saturation of the blood. الـ oxygen saturation of + +956 +00:59:48,090 --> 00:59:51,490 +the blood. هو هذا موجود طبعا في كل.. تقريبا في كل + +957 +00:59:51,490 --> 00:59:54,110 +الأقسام في المستشفيات بالذات في أقسام العناية + +958 +00:59:54,110 --> 00:59:58,330 +المركزة والعمليات. This is temperature rectal + +959 +00:59:58,330 --> 01:00:00,910 +temperature can be taken وهي أفضل أنواع الـ + +960 +01:00:00,910 --> 01:00:02,850 +temperature اللي ممكن ناخدها لإنه هي الـ most + +961 +01:00:02,850 --> 01:00:06,270 +accurate one لإنه بتعكس الـ core body temperature + +962 +01:00:06,270 --> 01:00:08,230 +طبعا الـ rectal temperature في الـ children + +963 +01:00:08,230 --> 01:00:11,030 +بيستخدموها كتير وفي الـ pediatric age group في الـ + +964 +01:00:11,030 --> 01:00:14,110 +adults بيستخدموا الـ oral أو الـ auxiliary. الـ oral + +965 +01:00:14,110 --> 01:00:17,170 +أو الـ auxiliary temperature. الـ blood pressure زي + +966 +01:00:17,170 --> 01:00:21,590 +ما احنا شايفين هنا sphingomanometer نستخدمه. ممكن + +967 +01:00:21,590 --> 01:00:25,050 +تكون الـ reading على تدريج أرقام وممكن تكون على شكل + +968 +01:00:25,050 --> 01:00:29,150 +digital يعني الجهاز بيقرأ بشكل digital أو بشكل + +969 +01:00:29,150 --> 01:00:32,910 +automatic. طبعا تدريج الأرقام أحسن. These are the + +970 +01:00:32,910 --> 01:00:35,810 +normal and abnormal ranges of the blood pressure. + +971 +01:00:36,370 --> 01:00:38,970 +متى نعتبر المريض hypertension وpre hypertension؟ + +972 +01:00:38,970 --> 01:00:43,010 +الأرقام بتوضح طبعا متى يكون normal blood pressure + +973 +01:00:43,010 --> 01:00:46,590 +والـ hypertension. جدير بالملاحظة أنه لا يشخص من + +974 +01:00:46,590 --> 01:00:49,810 +قراءة واحدة. لازم ناخد عدة قراءات لأنه قد يكون + +975 +01:00:49,810 --> 01:00:52,490 +السبب في الـ hypertension توتر أو قد يكون السبب في + +976 +01:00:52,490 --> 01:00:56,430 +activity المريض بيعمل مجهود معين وبالتالي single + +977 +01:00:56,430 --> 01:00:59,070 +reading is not enough to establish the diagnosis + +978 +01:00:59,070 --> 01:01:02,010 +of hypertension. We have to read it more than one + +979 +01:01:04,000 --> 01:01:07,240 +طبعا هذا الـ outline of our lecture. الـ clinical + +980 +01:01:07,240 --> 01:01:10,820 +examination. Personal information. بعد هيك الـ body + +981 +01:01:10,820 --> 01:01:13,940 +build. الـ height, الـ weight, الـ body mass index, الـ + +982 +01:01:13,940 --> 01:01:17,720 +nutritional status, الـ gait, الـ pallor, هل فيه jaundice + +983 +01:01:17,720 --> 01:01:21,380 +مافيش. Cyanosis, الـ clubbing, الـ edema والـ lymph node + +984 +01:01:21,380 --> 01:01:24,200 +enlargement. الـ central venous pressure والـ vital + +985 +01:01:24,200 --> 01:01:27,200 +signs. Temperature والـ pulse والـ respiratory rate + +986 +01:01:27,200 --> 01:01:30,620 +والـ blood pressure. معظمها أنتم ممكن تعملوها أثناء + +987 +01:01:30,620 --> 01:01:34,110 +الـ physical examination. يمكن الـ central venous + +988 +01:01:34,110 --> 01:01:37,610 +pressure هذا له وضع خاص مش مطلوب في الـ physical + +989 +01:01:37,610 --> 01:01:40,910 +examination لكن لازم نلاحظ الـ jugular venous + +990 +01:01:40,910 --> 01:01:43,430 +distinction إذا فيه distinction في الـ jugular + +991 +01:01:43,430 --> 01:01:47,670 +veins. هل هي الـ jugular veins بارزة وواضحة ومنتفخة + +992 +01:01:47,670 --> 01:01:50,550 +ولا لأ؟ طبعا jugular venous distinction بيعكس + +993 +01:01:50,550 --> 01:01:54,170 +cardiac disease, heart failure أو بيعكس liver + +994 +01:01:54,170 --> 01:01:58,640 +disease, portal hypertension أو liver cirrhosis. إذا + +995 +01:01:58,640 --> 01:02:01,640 +هذا الـ clinical examination للأشياء اللي لازم أو + +996 +01:02:01,640 --> 01:02:05,820 +يفضل إنه نعلق عليها في الـ general physical + +997 +01:02:05,820 --> 01:02:10,460 +examination وهيك بنكون تقريبا إنهينا محاضرة الـ + +998 +01:02:10,460 --> 01:02:14,500 +general physical examination. طبعا هذه الأشياء احنا + +999 +01:02:14,500 --> 01:02:17,500 +في الـ systemic examination system by system بعد + +1000 +01:02:17,500 --> 01:02:19,880 +هيك الـ cardiovascular, respiratory, abdomen, + +1001 +01:02:20,980 --> 01:02:24,200 +hematological, excretory system **والـ** renal system + +1002 +01:02:24,200 --> 01:02:27,210 +يعني أو reproductive **والـ** endocrine **والـ** nervousو + +1003 +01:02:27,210 --> 01:02:32,050 +ال special sensations كل هذه examinations بنعمل كل + +1004 +01:02:32,050 --> 01:02:34,150 +واحد منها على حدى لكن ال general physical + +1005 +01:02:34,150 --> 01:02:37,630 +examination بنكون هيك خلصناها بتمنا لكم حصيلة و + +1006 +01:02:37,630 --> 01:02:41,270 +بتمنا المحاضرة تكون سهلة و مفهومة بالنسبة لكم و + +1007 +01:02:41,270 --> 01:02:43,530 +إن شاء الله هنشوفكم في أثناء ال bridging course + +1008 +01:02:43,530 --> 01:02:47,290 +لمزيد من النقاشات و لمزيد من الأسئلة عن المحاضرات + +1009 +01:02:47,290 --> 01:02:52,110 +و عشان نعمل patient oriented teaching شكرا للجميع diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/W0PosPZqp_k_raw.json b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/W0PosPZqp_k_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..93510617f8bade51f03b2efba8f9ea26c4637191 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/W0PosPZqp_k_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2038, "start": 1.28, "end": 20.38, "text": "بسم الله الرحمن الرحيم تحياتي لكم مجددا في المحاضرة الأولى اتكلمنا عن ال history taking و اتكلمنا عن ال general concepts و ال general principles of history taking و اليوم ان شاء الله راح نتكلم عن ال general physical examination plan of conduction and recording", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 6055, 5016, 1829, 9307, 1829, 5296, 24793, 3714, 7435, 3215, 28259, 8978, 9673, 5016, 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routine we start from the right side and there should be a proper exposure ع سبيل المثال لما نيجي احنا نفحص ال abdomen we have to expose the patient from the nipple line to the mid thigh", "tokens": [2407, 3714, 43020, 8717, 32887, 5016, 15844, 2423, 1378, 1859, 295, 264, 4537, 44381, 2673, 8978, 2423, 9927, 321, 722, 490, 264, 558, 1252, 293, 456, 820, 312, 257, 2296, 10420, 6225, 8608, 21292, 1211, 9673, 12984, 6027, 5296, 15042, 8717, 1829, 7435, 1829, 1975, 5016, 8315, 8717, 5172, 5016, 9381, 2423, 36494, 321, 362, 281, 19219, 264, 4537, 490, 264, 297, 23476, 1622, 281, 264, 2062, 27871], "avg_logprob": -0.16632699534512949, "compression_ratio": 1.448780487804878, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 543.71, "end": 543.97, "word": "و", "probability": 0.450439453125}, {"start": 543.97, "end": 544.23, "word": " ممكن", "probability": 0.9345703125}, {"start": 544.23, "end": 544.53, "word": " نروح", "probability": 0.9679361979166666}, {"start": 544.53, "end": 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intercostal space four or five لحد ال mid thigh region لحد منطقة منتصف الفخد ensure your hands are warm enough لإنه برضه زي ما قلنا ال cold hands بتعمل irritation لل patient و بتعمل distraction في ال general physical examination نتناول ال general appearance of the patient المظهر العام للمريض", "tokens": [28820, 29538, 9673, 1863, 9566, 28671, 5296, 31377, 2304, 6055, 30544, 3714, 4117, 8592, 38688, 3660, 9154, 43242, 28239, 36150, 13672, 1829, 39896, 6055, 4587, 16572, 3555, 995, 18871, 2423, 728, 27718, 304, 1901, 1451, 420, 1732, 5296, 24401, 2423, 2062, 27871, 4458, 5296, 24401, 9154, 9566, 28671, 9154, 2655, 9381, 5172, 27188, 9778, 3215, 5586, 428, 2377, 366, 4561, 1547, 5296, 28814, 1863, 3224, 4724, 43042, 3224, 30767, 1829, 19446, 12174, 1211, 8315, 2423, 3554, 2377, 39894, 25957, 1211, 50031, 24976, 4537, 4032, 39894, 25957, 1211, 30217, 8978, 2423, 2674, 4001, 23874, 8717, 2655, 8315, 12610, 2423, 2674, 8967, 295, 264, 4537, 9673, 19913, 3224, 2288, 18863, 10943, 5296, 19528, 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ال patients اللي بيكون وجوههم كتير فاتي و ناصحة بيسموها moon faces", "tokens": [8592, 28820, 2423, 29245, 3224, 6055, 3555, 3615, 9673, 16572, 11242, 34051, 16712, 3615, 3555, 13546, 9673, 2288, 3794, 20498, 47356, 34051, 3714, 11622, 26108, 9673, 16572, 11242, 34051, 20328, 1211, 2407, 4117, 9673, 16572, 11242, 6055, 7435, 40294, 32748, 4117, 2655, 13063, 13672, 1829, 31439, 44945, 38251, 1829, 3224, 2423, 10157, 34051, 2423, 9268, 9673, 11622, 26108, 2423, 6114, 16712, 3615, 16758, 13546, 16070, 15642, 4111, 13672, 1829, 39896, 3714, 37440, 5016, 2423, 29245, 3224, 1392, 28242, 29538, 25124, 17082, 1211, 9307, 3714, 43020, 6055, 3615, 4117, 3794, 2423, 14217, 4752, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 2423, 4209, 13672, 1829, 4724, 1829, 30544, 49610, 2407, 3224, 16095, 9122, 2655, 13546, 6156, 9307, 1829, 4032, 8717, 33546, 5016, 3660, 4724, 1829, 38251, 2407, 11296, 7135, 8475], "avg_logprob": -0.1469234496124031, "compression_ratio": 1.8362369337979094, "no_speech_prob": 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"word": " الأصابع", "probability": 0.990966796875}], "temperature": 1.0}, {"id": 70, "seek": 158522, "start": 1569.8, "end": 1585.22, "text": "This is the typical face of hyperthyroidism or thyrotoxicosis ومن أشهر الأمثلة عليها الـ Graves disease طبعا الـ ocular involvement أو الـ signs اللي موجودة في العين بتلاحظها مجرد ما نعمل general assessment للـ face", "tokens": [5723, 307, 264, 7476, 1851, 295, 9848, 28433, 6490, 1434, 420, 15196, 10536, 5230, 299, 8211, 4032, 27842, 5551, 8592, 3224, 2288, 16247, 2304, 12984, 37977, 25894, 11296, 2423, 39184, 8985, 977, 4752, 23032, 3555, 3615, 995, 2423, 39184, 10409, 1040, 17447, 34051, 2423, 39184, 7880, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 18863, 9957, 39894, 15040, 5016, 19913, 11296, 3714, 7435, 2288, 3215, 19446, 8717, 25957, 1211, 2674, 9687, 24976, 39184, 1851], "avg_logprob": -0.28103883765839244, "compression_ratio": 1.3537735849056605, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1569.8, "end": 1570.1, "word": "This", "probability": 0.0360107421875}, {"start": 1570.1, "end": 1570.24, "word": " is", "probability": 0.947265625}, {"start": 1570.24, "end": 1570.34, "word": " the", "probability": 0.72314453125}, {"start": 1570.34, "end": 1570.66, "word": " typical", "probability": 0.8173828125}, {"start": 1570.66, "end": 1571.06, "word": " face", "probability": 0.51171875}, {"start": 1571.06, "end": 1571.42, "word": " of", "probability": 0.9453125}, {"start": 1571.42, "end": 1572.86, "word": " hyperthyroidism", "probability": 0.9639892578125}, {"start": 1572.86, "end": 1573.1, "word": " or", "probability": 0.67724609375}, {"start": 1573.1, "end": 1574.18, "word": " thyrotoxicosis", "probability": 0.77685546875}, {"start": 1574.18, "end": 1574.42, "word": " ومن", "probability": 0.762939453125}, {"start": 1574.42, "end": 1574.82, "word": " أشهر", "probability": 0.9788818359375}, {"start": 1574.82, "end": 1575.28, "word": " الأمثلة", "probability": 0.9854736328125}, {"start": 1575.28, "end": 1575.6, "word": " عليها", "probability": 0.96630859375}, {"start": 1575.6, "end": 1575.78, "word": " الـ", "probability": 0.314697265625}, {"start": 1575.78, "end": 1576.08, "word": " Graves", "probability": 0.60546875}, {"start": 1576.08, "end": 1576.46, "word": " disease", "probability": 0.61181640625}, {"start": 1576.46, "end": 1576.84, "word": " طبعا", "probability": 0.9317626953125}, {"start": 1576.84, "end": 1577.02, "word": " الـ", "probability": 0.572021484375}, {"start": 1577.02, "end": 1577.4, "word": " ocular", "probability": 0.82763671875}, {"start": 1577.4, "end": 1578.06, "word": " involvement", "probability": 0.90966796875}, {"start": 1578.06, "end": 1578.38, "word": " أو", "probability": 0.767578125}, {"start": 1578.38, "end": 1579.64, "word": " الـ", "probability": 0.536865234375}, {"start": 1579.64, "end": 1579.9, "word": " signs", "probability": 0.3291015625}, {"start": 1579.9, "end": 1580.08, "word": " اللي", "probability": 0.73193359375}, {"start": 1580.08, "end": 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ال patients في عندهم بروز أو جحوظ في العينين و هذا الكلام بيسموه طبعا exophthalmos ال exophthalmos هو جحوظ أو بروز العينين بالاضافة طبعا لبعض ال findings الأخرى ف this is a typical face of exophthalmos طبعا hyperthyroidism لاحظوا ال facial expression في steer و في nervousness", "tokens": [3555, 30544, 2423, 4209, 8978, 43242, 16095, 4724, 32887, 11622, 34051, 10874, 5016, 2407, 19913, 8978, 18863, 9957, 9957, 4032, 23758, 2423, 28820, 10943, 4724, 1829, 38251, 2407, 3224, 23032, 3555, 3615, 995, 454, 404, 49123, 3415, 2423, 454, 404, 49123, 3415, 31439, 10874, 5016, 2407, 19913, 34051, 4724, 32887, 11622, 18863, 9957, 9957, 20666, 46958, 31845, 3660, 23032, 3555, 3615, 995, 5296, 3555, 3615, 11242, 2423, 16483, 16247, 34740, 7578, 6156, 341, 307, 257, 7476, 1851, 295, 454, 404, 49123, 3415, 23032, 3555, 3615, 995, 9848, 28433, 6490, 1434, 20193, 5016, 19913, 14407, 2423, 15642, 6114, 8978, 30814, 4032, 8978, 6296, 1287], "avg_logprob": -0.1747295601436725, "compression_ratio": 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0.9080403645833334}, {"start": 1594.43, "end": 1594.93, "word": " بالاضافة", "probability": 0.9674072265625}, {"start": 1594.93, "end": 1595.35, "word": " طبعا", "probability": 0.9456787109375}, {"start": 1595.35, "end": 1597.15, "word": " لبعض", "probability": 0.9794921875}, {"start": 1597.15, "end": 1597.41, "word": " ال", "probability": 0.9619140625}, {"start": 1597.41, "end": 1597.89, "word": " findings", "probability": 0.875}, {"start": 1597.89, "end": 1598.45, "word": " الأخرى", "probability": 0.9571940104166666}, {"start": 1598.45, "end": 1598.65, "word": " ف", "probability": 0.8798828125}, {"start": 1598.65, "end": 1599.09, "word": " this", "probability": 0.83154296875}, {"start": 1599.09, "end": 1599.23, "word": " is", "probability": 0.94873046875}, {"start": 1599.23, "end": 1599.35, "word": " a", "probability": 0.97119140625}, {"start": 1599.35, "end": 1599.65, "word": " typical", "probability": 0.849609375}, {"start": 1599.65, "end": 1600.05, "word": " face", "probability": 0.44873046875}, {"start": 1600.05, "end": 1600.25, "word": " of", "probability": 0.9560546875}, {"start": 1600.25, "end": 1601.01, "word": " exophthalmos", "probability": 0.8182373046875}, {"start": 1601.01, "end": 1601.45, "word": " طبعا", "probability": 0.9755859375}, {"start": 1601.45, "end": 1602.61, "word": " hyperthyroidism", "probability": 0.87255859375}, {"start": 1602.61, "end": 1602.99, "word": " لاحظوا", "probability": 0.9146728515625}, {"start": 1602.99, "end": 1603.07, "word": " ال", "probability": 0.94140625}, {"start": 1603.07, "end": 1603.31, "word": " facial", "probability": 0.974609375}, {"start": 1603.31, "end": 1603.91, "word": " expression", "probability": 0.81787109375}, {"start": 1603.91, "end": 1604.13, "word": " في", "probability": 0.93994140625}, {"start": 1604.13, "end": 1604.65, "word": " steer", "probability": 0.25}, {"start": 1604.65, "end": 1605.21, "word": " و", "probability": 0.98095703125}, {"start": 1605.21, "end": 1605.37, "word": " في", "probability": 0.76513671875}, {"start": 1605.37, "end": 1606.17, "word": " nervousness", "probability": 0.947509765625}], "temperature": 1.0}, {"id": 72, "seek": 162325, "start": 1606.77, "end": 1623.25, "text": "المريض يبدو عصبي وفي عنده stair يعني إيش stair قلنا أنه لا يرمش كثيرا أو بيرمشش أبدا أحيانا و طبعا هذا بيعرض ال eye لإنه يصير فيها ulceration لإنه إذا ما رمشش المريض تنشف ال eye من جوا وبالتالي ممكن يصير فيه عنده corneal ulcerations", "tokens": [45340, 16572, 11242, 7251, 44510, 2407, 6225, 9381, 21292, 4032, 41185, 43242, 3224, 22273, 37495, 22653, 11933, 1829, 8592, 22273, 12174, 1211, 8315, 14739, 3224, 20193, 7251, 2288, 2304, 8592, 9122, 12984, 13546, 995, 34051, 4724, 13546, 2304, 8592, 8592, 5551, 3555, 28259, 5551, 5016, 1829, 7649, 995, 4032, 23032, 3555, 3615, 995, 23758, 4724, 40228, 43042, 2423, 3313, 5296, 28814, 1863, 3224, 7251, 9381, 13546, 8978, 11296, 20352, 1776, 399, 5296, 28814, 1863, 3224, 11933, 15730, 19446, 12602, 2304, 8592, 8592, 9673, 16572, 11242, 6055, 1863, 8592, 5172, 2423, 3313, 9154, 10874, 14407, 46599, 6027, 2655, 6027, 1829, 3714, 43020, 7251, 9381, 13546, 8978, 3224, 43242, 3224, 1181, 716, 304, 20352, 1776, 763], "avg_logprob": -0.12411684704863507, "compression_ratio": 1.7819905213270142, "no_speech_prob": 0.0, "words": [{"start": 1606.77, "end": 1607.17, "word": "المريض", "probability": 0.92236328125}, {"start": 1607.17, "end": 1607.43, "word": " يبدو", "probability": 0.9777018229166666}, {"start": 1607.43, "end": 1607.83, "word": " عصبي", "probability": 0.931640625}, {"start": 1607.83, "end": 1608.09, "word": " وفي", "probability": 0.7685546875}, {"start": 1608.09, "end": 1608.43, "word": " عنده", "probability": 0.9375}, {"start": 1608.43, "end": 1608.65, "word": " stair", "probability": 0.47216796875}, {"start": 1608.65, "end": 1608.87, "word": " يعني", "probability": 0.869384765625}, {"start": 1608.87, "end": 1609.05, "word": " إيش", "probability": 0.8014322916666666}, {"start": 1609.05, "end": 1609.35, "word": " stair", "probability": 0.50390625}, {"start": 1609.35, "end": 1609.69, "word": " قلنا", "probability": 0.9348958333333334}, {"start": 1609.69, "end": 1610.55, "word": " أنه", "probability": 0.651123046875}, {"start": 1610.55, "end": 1610.99, "word": " لا", "probability": 0.931640625}, {"start": 1610.99, "end": 1611.47, "word": " يرمش", "probability": 0.9617919921875}, {"start": 1611.47, "end": 1612.01, "word": " كثيرا", "probability": 0.9849853515625}, {"start": 1612.01, "end": 1612.19, "word": " أو", "probability": 0.75732421875}, {"start": 1612.19, "end": 1612.71, "word": " بيرمشش", "probability": 0.905859375}, {"start": 1612.71, "end": 1613.09, "word": " أبدا", "probability": 0.96875}, {"start": 1613.09, "end": 1613.65, "word": " أحيانا", "probability": 0.960546875}, {"start": 1613.65, "end": 1614.07, "word": " و", "probability": 0.83544921875}, {"start": 1614.07, "end": 1614.31, "word": " طبعا", "probability": 0.8770751953125}, {"start": 1614.31, "end": 1614.51, "word": " هذا", "probability": 0.8857421875}, {"start": 1614.51, "end": 1614.95, "word": " بيعرض", "probability": 0.7401529947916666}, {"start": 1614.95, "end": 1615.13, "word": " ال", "probability": 0.8896484375}, {"start": 1615.13, "end": 1615.37, "word": " eye", "probability": 0.80615234375}, {"start": 1615.37, "end": 1616.29, "word": " لإنه", "probability": 0.9178466796875}, {"start": 1616.29, "end": 1616.59, "word": " يصير", "probability": 0.9440104166666666}, {"start": 1616.59, "end": 1617.03, "word": " فيها", "probability": 0.993408203125}, {"start": 1617.03, "end": 1618.15, "word": " ulceration", "probability": 0.9231770833333334}, {"start": 1618.15, "end": 1618.47, "word": " لإنه", "probability": 0.9486083984375}, {"start": 1618.47, "end": 1618.63, "word": " إذا", "probability": 0.953125}, {"start": 1618.63, "end": 1618.73, "word": " ما", "probability": 0.63232421875}, {"start": 1618.73, "end": 1619.11, "word": " رمشش", "probability": 0.9923095703125}, {"start": 1619.11, "end": 1619.57, "word": " المريض", "probability": 0.9803059895833334}, {"start": 1619.57, "end": 1620.15, "word": " تنشف", "probability": 0.95166015625}, {"start": 1620.15, "end": 1620.29, "word": " ال", "probability": 0.94775390625}, {"start": 1620.29, "end": 1620.47, "word": " eye", "probability": 0.95361328125}, {"start": 1620.47, "end": 1620.61, "word": " من", "probability": 0.9912109375}, {"start": 1620.61, "end": 1620.79, "word": " جوا", "probability": 0.874267578125}, {"start": 1620.79, "end": 1621.19, "word": " وبالتالي", "probability": 0.94306640625}, {"start": 1621.19, "end": 1621.43, "word": " ممكن", "probability": 0.94482421875}, {"start": 1621.43, "end": 1621.71, "word": " يصير", "probability": 0.861328125}, {"start": 1621.71, "end": 1621.85, "word": " فيه", "probability": 0.609130859375}, {"start": 1621.85, "end": 1622.09, "word": " عنده", "probability": 0.86181640625}, {"start": 1622.09, "end": 1622.53, "word": " corneal", "probability": 0.89990234375}, {"start": 1622.53, "end": 1623.25, "word": " ulcerations", "probability": 0.87548828125}], "temperature": 1.0}, {"id": 73, "seek": 164959, "start": 1625.99, "end": 1649.59, "text": "this is the typical face of hypothyroidism, the patient is looking sleepy و looking sunken eyes و looking dull in thinking و أحيانا عند ال females بصير في عندهم coarse voice يعني الصوت طبعهم بيخشن بصير فيه deepening و hoarseness في ال voice وبالتالي هذا ال face of hypothyroidism, sunken eyes, buffiness below the eyes أو periorbital edema أحيانا بتصير", "tokens": [11176, 307, 264, 7476, 1851, 295, 7420, 18907, 6490, 1434, 11, 264, 4537, 307, 1237, 24908, 4032, 1237, 3295, 2653, 2575, 4032, 1237, 23471, 294, 1953, 4032, 5551, 5016, 1829, 7649, 995, 43242, 2423, 21529, 4724, 9381, 13546, 8978, 43242, 16095, 39312, 3177, 37495, 22653, 31767, 35473, 23032, 3555, 3615, 16095, 4724, 1829, 9778, 8592, 1863, 4724, 9381, 13546, 8978, 3224, 2452, 4559, 4032, 1106, 685, 15264, 8978, 2423, 3177, 46599, 6027, 2655, 6027, 1829, 23758, 2423, 1851, 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0.9778645833333334}, {"start": 2265.54, "end": 2266.12, "word": " وعلى", "probability": 0.9248046875}, {"start": 2266.12, "end": 2266.4, "word": " الجهة", "probability": 0.9811197916666666}, {"start": 2266.4, "end": 2266.7, "word": " اليمين", "probability": 0.7099609375}, {"start": 2266.7, "end": 2266.86, "word": " في", "probability": 0.68017578125}, {"start": 2266.86, "end": 2267.12, "word": " عندنا", "probability": 0.77978515625}, {"start": 2267.12, "end": 2267.6, "word": " clubbing", "probability": 0.86328125}, {"start": 2267.6, "end": 2268.3, "word": " fingers", "probability": 0.95166015625}, {"start": 2268.3, "end": 2270.04, "word": " اكتر", "probability": 0.895751953125}, {"start": 2270.04, "end": 2270.16, "word": " من", "probability": 0.99609375}, {"start": 2270.16, "end": 2270.5, "word": " طريقة", "probability": 0.9850260416666666}, {"start": 2270.5, "end": 2270.94, "word": " نقيم", "probability": 0.7482096354166666}, {"start": 2270.94, "end": 2271.32, "word": " فيها", 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elevated angle او لا لكن اسهل طريقة هي الشمرث window", "tokens": [3555, 6027, 46958, 31845, 3660, 5296, 8032, 1211, 8978, 25827, 19446, 49374, 2423, 1483, 304, 903, 304, 933, 304, 19949, 4032, 19446, 49374, 2423, 728, 950, 304, 933, 304, 19949, 8032, 1211, 8978, 49374, 16095, 23457, 5802, 1975, 2407, 20193, 44381, 1975, 3794, 3224, 1211, 23032, 16572, 28671, 39896, 25124, 29973, 12984, 4910], "avg_logprob": -0.22641781910702033, "compression_ratio": 1.5310344827586206, "no_speech_prob": 0.0, "words": [{"start": 2276.4500000000003, "end": 2277.15, "word": "بالاضافة", "probability": 0.94072265625}, {"start": 2277.15, "end": 2277.41, "word": " ل", "probability": 0.40283203125}, {"start": 2277.41, "end": 2277.87, "word": " هل", "probability": 0.57635498046875}, {"start": 2277.87, "end": 2278.07, "word": " في", "probability": 0.80419921875}, {"start": 2278.07, "end": 2279.11, "word": " elevation", "probability": 0.82373046875}, {"start": 2279.11, "end": 2279.39, "word": " ما", 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face بيكون one of the parotid is larger than the other one this is jaundice and this is the eye expression of the jaundice طبعا واضح اليالي which is discoloration of the sclera", "tokens": [6027, 39184, 1783, 282, 392, 338, 14795, 39896, 6225, 3555, 9640, 3660, 18871, 2423, 39184, 4046, 1367, 5830, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 10874, 5172, 11536, 18863, 9957, 37037, 1829, 39894, 3615, 4117, 3794, 6194, 20709, 822, 2450, 48759, 8211, 34051, 9848, 75, 647, 327, 14058, 2423, 39184, 3457, 310, 327, 31976, 48122, 8978, 16247, 23275, 2407, 3224, 12610, 4724, 1829, 30544, 2423, 4537, 43242, 3224, 5551, 3794, 32640, 2655, 16572, 8978, 2423, 1851, 4724, 1829, 30544, 472, 295, 264, 971, 310, 327, 307, 4833, 813, 264, 661, 472, 341, 307, 2784, 997, 573, 293, 341, 307, 264, 3313, 6114, 295, 264, 2784, 997, 573, 23032, 3555, 3615, 995, 4032, 46958, 5016, 45595, 6027, 1829, 597, 307, 2983, 401, 9357, 295, 264, 795, 75, 1663], "avg_logprob": -0.2458496104227379, "compression_ratio": 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" of", "probability": 0.97998046875}, {"start": 2806.57, "end": 2807.19, "word": " melanin", "probability": 0.971923828125}, {"start": 2807.19, "end": 2808.21, "word": " discoloration", "probability": 0.8346354166666666}, {"start": 2808.21, "end": 2808.49, "word": " due", "probability": 0.9521484375}, {"start": 2808.49, "end": 2808.63, "word": " to", "probability": 0.978515625}, {"start": 2808.63, "end": 2808.85, "word": " loss", "probability": 0.78369140625}, {"start": 2808.85, "end": 2809.27, "word": " of", "probability": 0.98095703125}, {"start": 2809.27, "end": 2809.77, "word": " melanin", "probability": 0.97216796875}], "temperature": 1.0}, {"id": 125, "seek": 283294, "start": 2810.26, "end": 2832.94, "text": "طبعا this is the cyanosis peripheral cyanosis of the hands below the nail matrix زي ما احنا شايفين هنا طبعا هذه كتير بتيجي في المرضى اللي عندهم chronic obstructive pulmonary disease ال cyanosis او نتيجة ال cardiac disease heart disease طبعا this is central cyanosis of the 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"seek": 288772, "start": 2862.3, "end": 2887.72, "text": "فى ال infants الصغار اللى بيكون فى عندهم congenital heart disease yes this is peripheral vascular disease زى ما احنا شايفينه هنا ال discoloration of the skin كل هذا ع ال skin بيظهر discoloration of the skin of the foot فى ال peripheral vascular disease لما يكون فى عندنا تضيق فى الشرايين او يكون فى atherosclerosis او يكون فى stenosis", "tokens": [5172, 7578, 2423, 38829, 31767, 17082, 9640, 13672, 7578, 4724, 1829, 30544, 6156, 7578, 43242, 16095, 416, 1766, 1686, 1917, 4752, 2086, 341, 307, 40235, 371, 22084, 4752, 30767, 7578, 19446, 1975, 5016, 8315, 13412, 995, 33911, 9957, 3224, 34105, 2423, 2983, 401, 9357, 295, 264, 3178, 28242, 23758, 6225, 2423, 3178, 4724, 1829, 19913, 3224, 2288, 2983, 401, 9357, 295, 264, 3178, 295, 264, 2671, 6156, 7578, 2423, 40235, 371, 22084, 4752, 5296, 15042, 7251, 30544, 6156, 7578, 43242, 8315, 6055, 11242, 1829, 4587, 6156, 7578, 25124, 23557, 1829, 9957, 1975, 2407, 7251, 30544, 6156, 7578, 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{"start": 3037.8, "end": 3038.0, "word": " neck", "probability": 0.74755859375}, {"start": 3038.0, "end": 3038.42, "word": " area", "probability": 0.88818359375}], "temperature": 1.0}, {"id": 135, "seek": 305478, "start": 3039.74, "end": 3054.78, "text": "the change of the skin texture و ال thickness طبعا بكونش موجود فيها زي this is the rosula rosula of the abdomen yes موجودة هذه الأشياء برضه في infectious disease في ال scarlet fever على سبيل المثال في ال children", "tokens": [3322, 1319, 295, 264, 3178, 8091, 4032, 2423, 14855, 23032, 3555, 3615, 995, 4724, 30544, 8592, 3714, 29245, 23328, 8978, 11296, 30767, 1829, 341, 307, 264, 18953, 3780, 18953, 3780, 295, 264, 36494, 2086, 3714, 29245, 23328, 3660, 29538, 16247, 8592, 1829, 16606, 4724, 43042, 3224, 8978, 26780, 4752, 8978, 2423, 10569, 2631, 18277, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 8978, 2423, 2227], "avg_logprob": -0.21478365384615383, "compression_ratio": 1.39, "no_speech_prob": 0.0, "words": [{"start": 3039.74, 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"probability": 0.7236328125}], "temperature": 1.0}, {"id": 143, "seek": 321488, "start": 3200.8, "end": 3214.88, "text": "و بالتالي موجودة في liver disease و لو كانت هذه ال dilated vessels موجودة حوالين الأنضلايكاس في ال veins حوالين الأنضلايكاس بيسموها Capotmedosa spider angioma", "tokens": [2407, 20666, 2655, 6027, 1829, 3714, 29245, 23328, 3660, 8978, 15019, 4752, 4032, 45164, 25961, 2655, 29538, 2423, 11504, 770, 20117, 3714, 29245, 23328, 3660, 11331, 2407, 6027, 9957, 16247, 1863, 11242, 15040, 1829, 4117, 32277, 8978, 2423, 29390, 11331, 2407, 6027, 9957, 16247, 1863, 11242, 15040, 1829, 4117, 32277, 4724, 1829, 38251, 2407, 11296, 8363, 310, 1912, 6447, 17614, 2562, 72, 6440], "avg_logprob": -0.25732420524582267, "compression_ratio": 1.5490196078431373, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3200.8, "end": 3201.38, "word": "و", "probability": 0.491455078125}, {"start": 3201.38, "end": 3201.96, "word": " بالتالي", "probability": 0.78887939453125}, {"start": 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{"start": 3271.19, "end": 3271.51, "word": " لبعض", "probability": 0.9715576171875}, {"start": 3271.51, "end": 3271.87, "word": " الوجد", "probability": 0.9611002604166666}, {"start": 3271.87, "end": 3272.27, "word": " قبل", "probability": 0.908447265625}, {"start": 3272.27, "end": 3272.67, "word": " ما", "probability": 0.720703125}, {"start": 3272.67, "end": 3273.17, "word": " تختفي", "probability": 0.9915364583333334}], "temperature": 1.0}, {"id": 146, "seek": 328388, "start": 3273.36, "end": 3283.88, "text": "طبعا ممكن تكون ال edema mild, moderate or severe ال facial edema, peripheral edema, mild type زي الحالات اللي بتصير مثلا في ال ..", "tokens": [9566, 3555, 3615, 995, 3714, 43020, 6055, 30544, 2423, 1257, 5619, 15154, 11, 18174, 420, 8922, 2423, 15642, 1257, 5619, 11, 40235, 1257, 5619, 11, 15154, 2010, 30767, 1829, 21542, 6027, 9307, 13672, 1829, 39894, 9381, 13546, 50113, 15040, 8978, 2423, 4386], "avg_logprob": -0.336300884568414, "compression_ratio": 1.2666666666666666, "no_speech_prob": 2.199411392211914e-05, "words": [{"start": 3273.36, "end": 3274.52, "word": "طبعا", "probability": 0.83355712890625}, {"start": 3274.52, "end": 3275.22, "word": " ممكن", "probability": 0.765380859375}, {"start": 3275.22, "end": 3275.54, "word": " تكون", "probability": 0.9736328125}, {"start": 3275.54, "end": 3275.66, "word": " ال", "probability": 0.91064453125}, {"start": 3275.66, "end": 3275.96, "word": " edema", "probability": 0.543212890625}, {"start": 3275.96, "end": 3276.32, "word": " mild,", "probability": 0.50244140625}, {"start": 3276.44, "end": 3276.8, "word": " moderate", "probability": 0.94384765625}, {"start": 3276.8, "end": 3277.06, "word": " or", "probability": 0.406494140625}, {"start": 3277.06, "end": 3277.52, "word": " severe", "probability": 0.85986328125}, {"start": 3277.52, "end": 3277.76, "word": " ال", "probability": 0.37353515625}, {"start": 3277.76, "end": 3278.06, "word": " facial", "probability": 0.7763671875}, {"start": 3278.06, "end": 3278.54, "word": " edema,", "probability": 0.928955078125}, {"start": 3278.66, "end": 3279.0, "word": " peripheral", "probability": 0.2958984375}, {"start": 3279.0, "end": 3279.6, "word": " edema,", "probability": 0.975341796875}, {"start": 3280.28, "end": 3280.7, "word": " mild", "probability": 0.48779296875}, {"start": 3280.7, "end": 3281.26, "word": " type", "probability": 0.7529296875}, {"start": 3281.26, "end": 3281.46, "word": " زي", "probability": 0.734619140625}, {"start": 3281.46, "end": 3281.84, "word": " الحالات", "probability": 0.9192708333333334}, {"start": 3281.84, "end": 3281.94, "word": " اللي", "probability": 0.880615234375}, {"start": 3281.94, "end": 3282.38, "word": " بتصير", "probability": 0.9235026041666666}, {"start": 3282.38, "end": 3282.86, "word": " مثلا", "probability": 0.9072265625}, {"start": 3282.86, "end": 3283.1, "word": " في", "probability": 0.95751953125}, {"start": 3283.1, "end": 3283.46, "word": " ال", "probability": 0.8232421875}, {"start": 3283.46, "end": 3283.88, "word": " ..", "probability": 0.75390625}], "temperature": 1.0}, {"id": 147, "seek": 330286, "start": 3286.74, "end": 3302.86, "text": "في ال face نتيجة endocrine disease و hypothyroidism مثلا ال moderate generalized edema و ال severe generalized edema اللي بتصير في كل أنحاء ال body وهذه بتكون نتيجة غالبا عن congestive heart failure او severe renal disease او renal failure", "tokens": [41185, 2423, 1851, 8717, 31371, 7435, 3660, 917, 3617, 533, 4752, 4032, 7420, 18907, 6490, 1434, 50113, 15040, 2423, 18174, 44498, 1257, 5619, 4032, 2423, 8922, 44498, 1257, 5619, 13672, 1829, 39894, 9381, 13546, 8978, 28242, 14739, 5016, 16606, 2423, 1772, 37037, 24192, 39894, 30544, 8717, 31371, 7435, 3660, 32771, 6027, 3555, 995, 18871, 31871, 488, 1917, 7763, 1975, 2407, 8922, 319, 4660, 4752, 1975, 2407, 319, 4660, 7763], "avg_logprob": -0.23950893389327185, "compression_ratio": 1.5226130653266332, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 3286.74, "end": 3287.0, "word": "في", "probability": 0.51708984375}, {"start": 3287.0, "end": 3287.08, "word": " ال", "probability": 0.7724609375}, {"start": 3287.08, "end": 3287.32, "word": " face", "probability": 0.476318359375}, {"start": 3287.32, "end": 3287.78, "word": " نتيجة", "probability": 0.9530029296875}, {"start": 3287.78, "end": 3288.32, "word": " endocrine", "probability": 0.7921549479166666}, {"start": 3288.32, "end": 3288.74, "word": " disease", "probability": 0.8525390625}, {"start": 3288.74, "end": 3288.96, "word": " و", "probability": 0.1258544921875}, {"start": 3288.96, "end": 3289.84, "word": " hypothyroidism", "probability": 0.8214111328125}, {"start": 3289.84, "end": 3290.24, "word": " مثلا", "probability": 0.957763671875}, {"start": 3290.24, "end": 3290.94, "word": " ال", "probability": 0.206787109375}, {"start": 3290.94, "end": 3291.28, "word": " moderate", "probability": 0.94775390625}, {"start": 3291.28, "end": 3291.92, "word": " generalized", "probability": 0.83056640625}, {"start": 3291.92, "end": 3292.3, "word": " edema", "probability": 0.93994140625}, {"start": 3292.3, "end": 3292.44, "word": " و", "probability": 0.6337890625}, {"start": 3292.44, "end": 3292.52, "word": " ال", "probability": 0.87548828125}, {"start": 3292.52, "end": 3292.76, "word": " severe", "probability": 0.837890625}, {"start": 3292.76, "end": 3293.32, "word": " generalized", "probability": 0.95263671875}, {"start": 3293.32, "end": 3293.66, "word": " edema", "probability": 0.972412109375}, {"start": 3293.66, "end": 3293.76, "word": " اللي", "probability": 0.771484375}, {"start": 3293.76, "end": 3294.06, "word": " بتصير", "probability": 0.84716796875}, {"start": 3294.06, "end": 3294.18, "word": " في", "probability": 0.82958984375}, {"start": 3294.18, "end": 3294.38, "word": " كل", "probability": 0.97412109375}, {"start": 3294.38, "end": 3294.8, "word": " أنحاء", "probability": 0.92822265625}, {"start": 3294.8, "end": 3294.94, "word": " ال", "probability": 0.88427734375}, {"start": 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{"start": 3299.58, "end": 3300.04, "word": " disease", "probability": 0.92724609375}, {"start": 3300.04, "end": 3301.16, "word": " او", "probability": 0.943603515625}, {"start": 3301.16, "end": 3302.44, "word": " renal", "probability": 0.7232666015625}, {"start": 3302.44, "end": 3302.86, "word": " failure", "probability": 0.9169921875}], "temperature": 1.0}, {"id": 148, "seek": 333063, "start": 3304.09, "end": 3330.63, "text": "this is the pitting اديمة لاحظوا بعد الضغط الحفرة دلت مكانها pitting وفي non pitting اللي هو بترجع لنفسها طبعا كل ما كانت ال pitting اديمة اكتر كل ما زاد ال grade تبعها وبالتالي mild pitting moderate pitting and severe pitting كلها بنعملها grading من خلال جديش صار في حفرة مع الدغط على ال skin وجديش طولت الحفرة هذه لما رجعت لوضعها الطبيعي", "tokens": [11176, 307, 264, 280, 2414, 1975, 16254, 46007, 20193, 5016, 19913, 14407, 39182, 6024, 114, 17082, 9566, 21542, 5172, 25720, 11778, 1211, 2655, 3714, 41361, 11296, 280, 2414, 4032, 41185, 2107, 280, 2414, 13672, 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"word": " اكتر", "probability": 0.936767578125}, {"start": 3314.95, "end": 3315.13, "word": " كل", "probability": 0.95751953125}, {"start": 3315.13, "end": 3315.23, "word": " ما", "probability": 0.95703125}, {"start": 3315.23, "end": 3315.47, "word": " زاد", "probability": 0.981201171875}, {"start": 3315.47, "end": 3315.59, "word": " ال", "probability": 0.8359375}, {"start": 3315.59, "end": 3315.87, "word": " grade", "probability": 0.98486328125}, {"start": 3315.87, "end": 3316.49, "word": " تبعها", "probability": 0.9647216796875}, {"start": 3316.49, "end": 3317.65, "word": " وبالتالي", "probability": 0.91904296875}, {"start": 3317.65, "end": 3318.01, "word": " mild", "probability": 0.79541015625}, {"start": 3318.01, "end": 3318.57, "word": " pitting", "probability": 0.928955078125}, {"start": 3318.57, "end": 3318.99, "word": " moderate", "probability": 0.6630859375}, {"start": 3318.99, "end": 3319.43, "word": " pitting", "probability": 0.905029296875}, {"start": 3319.43, "end": 3319.63, "word": " and", "probability": 0.830078125}, {"start": 3319.63, "end": 3319.93, "word": " severe", "probability": 0.86279296875}, {"start": 3319.93, "end": 3320.33, "word": " pitting", "probability": 0.94873046875}, {"start": 3320.33, "end": 3321.55, "word": " كلها", "probability": 0.938232421875}, {"start": 3321.55, "end": 3323.69, "word": " بنعملها", "probability": 0.82171630859375}, {"start": 3323.69, "end": 3324.21, "word": " grading", "probability": 0.826171875}, {"start": 3324.21, "end": 3325.17, "word": " من", "probability": 0.99267578125}, {"start": 3325.17, "end": 3325.57, "word": " خلال", "probability": 0.9939778645833334}, {"start": 3325.57, "end": 3326.05, "word": " جديش", "probability": 0.787109375}, {"start": 3326.05, "end": 3326.29, "word": " صار", "probability": 0.9814453125}, {"start": 3326.29, "end": 3326.41, "word": " في", "probability": 0.88525390625}, {"start": 3326.41, "end": 3326.79, "word": " حفرة", "probability": 0.962890625}, {"start": 3326.79, "end": 3326.95, "word": " مع", "probability": 0.9638671875}, {"start": 3326.95, "end": 3327.33, "word": " الدغط", "probability": 0.7936197916666666}, {"start": 3327.33, "end": 3327.49, "word": " على", "probability": 0.67724609375}, {"start": 3327.49, "end": 3327.61, "word": " ال", "probability": 0.92529296875}, {"start": 3327.61, "end": 3327.79, "word": " skin", "probability": 0.642578125}, {"start": 3327.79, "end": 3328.19, "word": " وجديش", "probability": 0.7975260416666666}, {"start": 3328.19, "end": 3328.63, "word": " طولت", "probability": 0.9637044270833334}, {"start": 3328.63, "end": 3329.01, "word": " الحفرة", "probability": 0.9905598958333334}, {"start": 3329.01, "end": 3329.23, "word": " هذه", "probability": 0.59814453125}, {"start": 3329.23, "end": 3329.45, "word": " لما", "probability": 0.93896484375}, {"start": 3329.45, "end": 3329.79, "word": " رجعت", "probability": 0.9889322916666666}, {"start": 3329.79, "end": 3330.17, "word": " لوضعها", "probability": 0.9339599609375}, {"start": 3330.17, "end": 3330.63, "word": " الطبيعي", "probability": 0.9468994140625}], "temperature": 1.0}, {"id": 149, "seek": 335657, "start": 3334.95, "end": 3356.57, "text": "yes this is periorbital edema found in a patient with thyrotoxicosis لاحظوا ال protrusion of the eyeballs بالاضافة لل periorbital edema اللي موجودة كأنه في small abdomen below the eyes او small fat او fat deposition below the eyes طبعا هذه typical face of Graves disease thyrotoxicosis", "tokens": [2346, 341, 307, 680, 1973, 65, 1686, 1257, 5619, 1352, 294, 257, 4537, 365, 15196, 10536, 5230, 299, 8211, 20193, 5016, 19913, 14407, 2423, 45468, 5704, 295, 264, 43758, 20666, 46958, 31845, 3660, 24976, 680, 1973, 65, 1686, 1257, 5619, 13672, 1829, 3714, 29245, 23328, 3660, 9122, 33456, 3224, 8978, 1359, 36494, 2507, 264, 2575, 1975, 2407, 1359, 4046, 1975, 2407, 4046, 1367, 5830, 2507, 264, 2575, 23032, 3555, 3615, 995, 29538, 7476, 1851, 295, 8985, 977, 4752, 15196, 10536, 5230, 299, 8211], "avg_logprob": -0.21056548168971426, "compression_ratio": 1.5137614678899083, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3334.95, "end": 3335.27, "word": "yes", "probability": 0.08953857421875}, {"start": 3335.27, "end": 3335.51, "word": " this", "probability": 0.6962890625}, {"start": 3335.51, "end": 3335.69, "word": " is", "probability": 0.90283203125}, {"start": 3335.69, "end": 3336.37, "word": " periorbital", "probability": 0.9019775390625}, {"start": 3336.37, "end": 3336.75, "word": " edema", "probability": 0.943603515625}, {"start": 3336.75, "end": 3337.23, "word": " found", "probability": 0.8935546875}, {"start": 3337.23, "end": 3337.61, "word": " in", "probability": 0.95849609375}, {"start": 3337.61, "end": 3337.87, "word": " a", "probability": 0.87890625}, {"start": 3337.87, "end": 3338.29, "word": " patient", "probability": 0.90283203125}, {"start": 3338.29, "end": 3338.69, "word": " with", "probability": 0.90576171875}, {"start": 3338.69, "end": 3339.93, "word": " thyrotoxicosis", "probability": 0.80517578125}, {"start": 3339.93, "end": 3340.43, "word": " لاحظوا", "probability": 0.85791015625}, {"start": 3340.43, "end": 3340.53, "word": " ال", "probability": 0.80322265625}, {"start": 3340.53, "end": 3341.21, "word": " protrusion", "probability": 0.82373046875}, {"start": 3341.21, "end": 3341.41, "word": " of", "probability": 0.970703125}, {"start": 3341.41, "end": 3341.59, "word": " the", "probability": 0.82568359375}, {"start": 3341.59, "end": 3342.13, "word": " eyeballs", "probability": 0.70458984375}, {"start": 3342.13, "end": 3342.85, "word": " بالاضافة", "probability": 0.9285888671875}, {"start": 3342.85, "end": 3343.01, "word": " لل", "probability": 0.53125}, {"start": 3343.01, "end": 3343.69, "word": " periorbital", "probability": 0.892822265625}, {"start": 3343.69, "end": 3344.05, "word": " edema", "probability": 0.969482421875}, {"start": 3344.05, "end": 3344.17, "word": " اللي", "probability": 0.716064453125}, {"start": 3344.17, "end": 3344.69, "word": " موجودة", "probability": 0.9793701171875}, {"start": 3344.69, "end": 3345.09, "word": " كأنه", "probability": 0.8966471354166666}, {"start": 3345.09, "end": 3345.29, "word": " في", "probability": 0.88427734375}, {"start": 3345.29, "end": 3346.57, "word": " small", "probability": 0.62939453125}, {"start": 3346.57, "end": 3347.11, "word": " abdomen", "probability": 0.96923828125}, {"start": 3347.11, "end": 3347.51, "word": " below", "probability": 0.87109375}, {"start": 3347.51, "end": 3347.77, "word": " the", "probability": 0.92919921875}, {"start": 3347.77, "end": 3348.15, "word": " eyes", "probability": 0.88134765625}, {"start": 3348.15, "end": 3348.93, "word": " او", "probability": 0.836181640625}, {"start": 3348.93, "end": 3349.33, "word": " small", "probability": 0.8212890625}, {"start": 3349.33, "end": 3349.85, "word": " fat", "probability": 0.94677734375}, {"start": 3349.85, "end": 3350.69, "word": " او", "probability": 0.775634765625}, {"start": 3350.69, "end": 3350.93, "word": " fat", "probability": 0.82421875}, {"start": 3350.93, "end": 3351.41, "word": " deposition", "probability": 0.7252197265625}, {"start": 3351.41, "end": 3351.63, "word": " below", "probability": 0.9140625}, {"start": 3351.63, "end": 3351.85, "word": " the", "probability": 0.93603515625}, {"start": 3351.85, "end": 3352.09, "word": " eyes", "probability": 0.8798828125}, {"start": 3352.09, "end": 3352.39, "word": " طبعا", "probability": 0.9837646484375}, {"start": 3352.39, "end": 3352.65, "word": " هذه", "probability": 0.61279296875}, {"start": 3352.65, "end": 3353.81, "word": " typical", "probability": 0.69287109375}, {"start": 3353.81, "end": 3354.29, "word": " face", "probability": 0.5234375}, {"start": 3354.29, "end": 3354.53, "word": " of", "probability": 0.9697265625}, {"start": 3354.53, "end": 3354.99, "word": " Graves", "probability": 0.374755859375}, {"start": 3354.99, "end": 3355.45, "word": " disease", "probability": 0.84326171875}, {"start": 3355.45, "end": 3356.57, "word": " thyrotoxicosis", "probability": 0.87138671875}], "temperature": 1.0}, {"id": 150, "seek": 338274, "start": 3358.52, "end": 3382.74, "text": "Examination of the lymph nodes and inspection of the lymph nodes of the neck مهم جدا ال lymph nodes are distributed all over the body ال general physical examination can only palpate the superficial lymph nodes سواء اللي موجودة في ال neck اللي موجودة في ال head اللي موجودة في ال axilla و اللي موجودة في ال inguinal area و اللي موجودة في منطقة ال elbow", "tokens": [11149, 335, 2486, 295, 264, 31070, 13891, 293, 22085, 295, 264, 31070, 13891, 295, 264, 6189, 3714, 16095, 10874, 28259, 2423, 31070, 13891, 366, 12631, 439, 670, 264, 1772, 2423, 2674, 4001, 23874, 393, 787, 3984, 79, 473, 264, 34622, 31070, 13891, 8608, 2407, 16606, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 2423, 6189, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 2423, 1378, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 2423, 6360, 5291, 4032, 13672, 1829, 3714, 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"probability": 0.9833984375}, {"start": 3374.2, "end": 3374.46, "word": " ال", "probability": 0.9619140625}, {"start": 3374.46, "end": 3374.88, "word": " head", "probability": 0.93603515625}, {"start": 3374.88, "end": 3375.46, "word": " اللي", "probability": 0.97314453125}, {"start": 3375.46, "end": 3375.84, "word": " موجودة", "probability": 0.9873046875}, {"start": 3375.84, "end": 3375.94, "word": " في", "probability": 0.9873046875}, {"start": 3375.94, "end": 3376.06, "word": " ال", "probability": 0.85400390625}, {"start": 3376.06, "end": 3376.6, "word": " axilla", "probability": 0.88671875}, {"start": 3376.6, "end": 3376.8, "word": " و", "probability": 0.4375}, {"start": 3376.8, "end": 3376.96, "word": " اللي", "probability": 0.95947265625}, {"start": 3376.96, "end": 3377.48, "word": " موجودة", "probability": 0.9830322265625}, {"start": 3377.48, "end": 3377.64, "word": " في", "probability": 0.982421875}, {"start": 3377.64, "end": 3377.88, "word": " ال", "probability": 0.93994140625}, {"start": 3377.88, "end": 3378.66, "word": " inguinal", "probability": 0.8982747395833334}, {"start": 3378.66, "end": 3379.26, "word": " area", "probability": 0.8515625}, {"start": 3379.26, "end": 3379.42, "word": " و", "probability": 0.83251953125}, {"start": 3379.42, "end": 3379.54, "word": " اللي", "probability": 0.977783203125}, {"start": 3379.54, "end": 3380.04, "word": " موجودة", "probability": 0.9754638671875}, {"start": 3380.04, "end": 3380.18, "word": " في", "probability": 0.9755859375}, {"start": 3380.18, "end": 3380.84, "word": " منطقة", "probability": 0.9822591145833334}, {"start": 3380.84, "end": 3382.24, "word": " ال", "probability": 0.97705078125}, {"start": 3382.24, "end": 3382.74, "word": " elbow", "probability": 0.9521484375}], "temperature": 1.0}, {"id": 151, "seek": 339524, "start": 3383.1, "end": 3395.24, "text": "هذه كلها بنفحصها في حالات ال general physical examination ولاحظوا ال lymph node groups هنا اللي موجودة في ال head و في ال neck palpation of the cervical lymph nodes مهم", "tokens": [3224, 24192, 28242, 11296, 4724, 1863, 5172, 5016, 9381, 11296, 8978, 11331, 6027, 9307, 2423, 2674, 4001, 23874, 4032, 15040, 5016, 19913, 14407, 2423, 31070, 9984, 3935, 34105, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 2423, 1378, 4032, 8978, 2423, 6189, 3984, 79, 399, 295, 264, 49883, 31070, 13891, 3714, 16095], "avg_logprob": -0.2928185136272357, "compression_ratio": 1.3888888888888888, "no_speech_prob": 0.0, "words": [{"start": 3383.1, "end": 3383.54, "word": "هذه", "probability": 0.884765625}, {"start": 3383.54, "end": 3383.96, "word": " كلها", "probability": 0.813232421875}, {"start": 3383.96, "end": 3385.04, "word": " بنفحصها", "probability": 0.7146199544270834}, {"start": 3385.04, "end": 3385.26, "word": " في", "probability": 0.93017578125}, {"start": 3385.26, "end": 3385.84, "word": " حالات", "probability": 0.9002278645833334}, {"start": 3385.84, "end": 3386.24, "word": " ال", "probability": 0.78271484375}, {"start": 3386.24, "end": 3386.62, "word": " general", "probability": 0.314453125}, {"start": 3386.62, "end": 3387.1, "word": " physical", "probability": 0.79638671875}, {"start": 3387.1, "end": 3387.96, "word": " examination", "probability": 0.88037109375}, {"start": 3387.96, "end": 3388.66, "word": " ولاحظوا", "probability": 0.749658203125}, {"start": 3388.66, "end": 3388.7, "word": " ال", "probability": 0.7216796875}, {"start": 3388.7, "end": 3388.88, "word": " lymph", "probability": 0.65576171875}, {"start": 3388.88, "end": 3389.12, "word": " node", "probability": 0.71630859375}, {"start": 3389.12, "end": 3389.5, "word": " groups", "probability": 0.8408203125}, {"start": 3389.5, "end": 3389.7, "word": " هنا", "probability": 0.7021484375}, {"start": 3389.7, "end": 3389.86, "word": " اللي", "probability": 0.907958984375}, {"start": 3389.86, "end": 3390.34, "word": " موجودة", "probability": 0.93896484375}, {"start": 3390.34, "end": 3390.42, "word": " في", "probability": 0.91748046875}, {"start": 3390.42, "end": 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مهم", "probability": 0.8984375}], "temperature": 1.0}, {"id": 152, "seek": 341997, "start": 3397.41, "end": 3419.97, "text": "بالإضافة هذه هي الـ lymph node groups اللي موجودة في الـ neck في عندنا تحت الدق المباشرة و تحت المندب المباشرة submental و submandibular بعدين في عندنا ال tonsillar lymph nodes و في عندنا ال jugular lymph nodes و في عندنا ال superclavicular lymph nodes و ال posterior triangle lymph nodes بالإضافة طبعا ل ال para", "tokens": [3555, 6027, 28814, 11242, 31845, 3660, 29538, 39896, 2423, 39184, 31070, 9984, 3935, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 2423, 39184, 6189, 8978, 43242, 8315, 6055, 33753, 32748, 4587, 9673, 3555, 33599, 25720, 4032, 6055, 33753, 9673, 41260, 3555, 9673, 3555, 33599, 25720, 1422, 15875, 4032, 1422, 22396, 897, 1040, 39182, 9957, 8978, 43242, 8315, 2423, 2952, 82, 30635, 31070, 13891, 4032, 8978, 43242, 8315, 2423, 9568, 1040, 31070, 13891, 4032, 8978, 43242, 8315, 2423, 1687, 3474, 706, 14646, 31070, 13891, 4032, 2423, 33529, 13369, 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"word": " عندنا", "probability": 0.963623046875}, {"start": 3407.91, "end": 3408.01, "word": " ال", "probability": 0.75634765625}, {"start": 3408.01, "end": 3408.47, "word": " jugular", "probability": 0.954345703125}, {"start": 3408.47, "end": 3409.11, "word": " lymph", "probability": 0.91650390625}, {"start": 3409.11, "end": 3409.61, "word": " nodes", "probability": 0.84912109375}, {"start": 3409.61, "end": 3410.11, "word": " و", "probability": 0.96142578125}, {"start": 3410.11, "end": 3410.25, "word": " في", "probability": 0.81591796875}, {"start": 3410.25, "end": 3410.67, "word": " عندنا", "probability": 0.980712890625}, {"start": 3410.67, "end": 3410.85, "word": " ال", "probability": 0.94384765625}, {"start": 3410.85, "end": 3411.59, "word": " superclavicular", "probability": 0.7738037109375}, {"start": 3411.59, "end": 3411.87, "word": " lymph", "probability": 0.9345703125}, {"start": 3411.87, "end": 3412.29, "word": " nodes", "probability": 0.8662109375}, {"start": 3412.29, "end": 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اللي موجودة في منتصف العنق تماما كل هذه we have to palpate في ال general physical examination هذه بعض الأنواع اللي بصير فيها cervical lymphadenopathy massive right sided cervical lymphadenopathy due to metastatic disease وفي هذه الحالة ال metastatic disease هو عبارة عن cancer intraoral squamous cell carcinoma", "tokens": [47, 18452, 12080, 831, 31070, 13891, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 9154, 2655, 9381, 5172, 18863, 1863, 4587, 46811, 10943, 995, 28242, 29538, 321, 362, 281, 3984, 79, 473, 8978, 2423, 2674, 4001, 23874, 29538, 45030, 11242, 16247, 1863, 14407, 3615, 13672, 1829, 4724, 9381, 13546, 8978, 11296, 49883, 31070, 14771, 404, 9527, 5994, 558, 41651, 49883, 31070, 14771, 404, 9527, 3462, 281, 1131, 525, 2399, 4752, 4032, 41185, 29538, 21542, 6027, 3660, 2423, 1131, 525, 2399, 4752, 31439, 6225, 3555, 9640, 3660, 18871, 5592, 43358, 16819, 2339, 22314, 2815, 1032, 20021, 6440], "avg_logprob": -0.18277994667490324, "compression_ratio": 1.5893536121673004, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 3423.5699999999997, "end": 3424.33, "word": "Paratracial", "probability": 0.516326904296875}, {"start": 3424.33, "end": 3424.53, "word": " lymph", "probability": 0.86865234375}, {"start": 3424.53, "end": 3424.81, "word": " nodes", "probability": 0.84814453125}, {"start": 3424.81, "end": 3424.93, "word": " اللي", "probability": 0.591552734375}, {"start": 3424.93, "end": 3425.37, "word": " موجودة", "probability": 0.9044189453125}, {"start": 3425.37, "end": 3425.43, "word": " في", "probability": 0.86474609375}, {"start": 3425.43, "end": 3425.95, "word": " منتصف", "probability": 0.990234375}, {"start": 3425.95, "end": 3426.41, "word": " العنق", "probability": 0.92138671875}, {"start": 3426.41, "end": 3427.01, "word": " تماما", "probability": 0.9542643229166666}, {"start": 3427.01, "end": 3427.59, "word": " كل", "probability": 0.63671875}, {"start": 3427.59, "end": 3428.01, "word": " هذه", "probability": 0.76025390625}, {"start": 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"probability": 0.9658203125}, {"start": 3437.03, "end": 3437.71, "word": " metastatic", "probability": 0.9300130208333334}, {"start": 3437.71, "end": 3438.31, "word": " disease", "probability": 0.9140625}, {"start": 3438.31, "end": 3439.09, "word": " وفي", "probability": 0.77001953125}, {"start": 3439.09, "end": 3439.27, "word": " هذه", "probability": 0.4189453125}, {"start": 3439.27, "end": 3439.61, "word": " الحالة", "probability": 0.9734700520833334}, {"start": 3439.61, "end": 3439.69, "word": " ال", "probability": 0.77880859375}, {"start": 3439.69, "end": 3440.19, "word": " metastatic", "probability": 0.9132486979166666}, {"start": 3440.19, "end": 3440.59, "word": " disease", "probability": 0.92724609375}, {"start": 3440.59, "end": 3440.97, "word": " هو", "probability": 0.7724609375}, {"start": 3440.97, "end": 3441.65, "word": " عبارة", "probability": 0.9964599609375}, {"start": 3441.65, "end": 3441.83, "word": " عن", "probability": 0.99365234375}, {"start": 3441.83, "end": 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{"start": 3457.73, "end": 3458.39, "word": " بعناية", "probability": 0.8388671875}, {"start": 3458.39, "end": 3458.87, "word": " شديدة", "probability": 0.9641927083333334}, {"start": 3458.87, "end": 3459.25, "word": " جدا", "probability": 0.99169921875}, {"start": 3459.25, "end": 3460.01, "word": " This", "probability": 0.556640625}, {"start": 3460.01, "end": 3460.17, "word": " is", "probability": 0.96484375}, {"start": 3460.17, "end": 3460.33, "word": " the", "probability": 0.86279296875}, {"start": 3460.33, "end": 3460.81, "word": " palpation", "probability": 0.9850260416666666}, {"start": 3460.81, "end": 3461.01, "word": " of", "probability": 0.98095703125}, {"start": 3461.01, "end": 3461.13, "word": " the", "probability": 0.87939453125}, {"start": 3461.13, "end": 3461.55, "word": " axilla", "probability": 0.927490234375}, {"start": 3461.55, "end": 3461.69, "word": " و", "probability": 0.6181640625}, {"start": 3461.69, "end": 3461.93, "word": " طبعا", "probability": 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"end": 3611.03, "word": " ال", "probability": 0.92529296875}, {"start": 3611.03, "end": 3611.29, "word": " adults", "probability": 0.95947265625}, {"start": 3611.29, "end": 3611.91, "word": " بيستخدموا", "probability": 0.9344889322916666}, {"start": 3611.91, "end": 3612.01, "word": " ال", "probability": 0.90380859375}, {"start": 3612.01, "end": 3612.27, "word": " oral", "probability": 0.974609375}, {"start": 3612.27, "end": 3612.51, "word": " او", "probability": 0.7313232421875}, {"start": 3612.51, "end": 3612.63, "word": " ال", "probability": 0.9501953125}, {"start": 3612.63, "end": 3613.03, "word": " auxiliary", "probability": 0.8857421875}, {"start": 3613.03, "end": 3613.85, "word": " ال", "probability": 0.873046875}, {"start": 3613.85, "end": 3614.11, "word": " oral", "probability": 0.845703125}, {"start": 3614.11, "end": 3614.31, "word": " او", "probability": 0.942138671875}, {"start": 3614.31, "end": 3614.41, "word": " ال", "probability": 0.97705078125}, {"start": 3614.41, "end": 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3635.81, "text": "نستخدمه ممكن تكون ال reading على تدريج أرقام وممكن تكون على شكل digital يعني الجهاز بيقرأ بشكل digital أو بشكل automatic طبعا تدريج الأرقام أحسن these are the normal and abnormal ranges of the blood pressure", "tokens": [1863, 14851, 9778, 40448, 3224, 3714, 43020, 6055, 30544, 2423, 3760, 15844, 6055, 3215, 16572, 7435, 5551, 2288, 4587, 10943, 4032, 2304, 43020, 6055, 30544, 15844, 13412, 28820, 4562, 37495, 22653, 25724, 3224, 31377, 4724, 1829, 4587, 2288, 10721, 4724, 8592, 28820, 4562, 34051, 4724, 8592, 28820, 12509, 23032, 3555, 3615, 995, 6055, 3215, 16572, 7435, 16247, 2288, 4587, 10943, 5551, 5016, 3794, 1863, 613, 366, 264, 2710, 293, 32847, 22526, 295, 264, 3390, 3321], "avg_logprob": -0.09791323866106962, "compression_ratio": 1.5797872340425532, "no_speech_prob": 3.063678741455078e-05, "words": [{"start": 3620.2099999999996, "end": 3620.97, "word": "نستخدمه", "probability": 0.88935546875}, {"start": 3620.97, "end": 3621.59, "word": " ممكن", "probability": 0.78857421875}, {"start": 3621.59, "end": 3621.89, "word": " تكون", "probability": 0.99072265625}, {"start": 3621.89, "end": 3622.01, "word": " ال", "probability": 0.93212890625}, {"start": 3622.01, "end": 3622.35, "word": " reading", "probability": 0.9375}, {"start": 3622.35, "end": 3622.57, "word": " على", "probability": 0.83203125}, {"start": 3622.57, "end": 3623.13, "word": " تدريج", "probability": 0.9967041015625}, {"start": 3623.13, "end": 3623.83, "word": " أرقام", "probability": 0.970458984375}, {"start": 3623.83, "end": 3624.21, "word": " وممكن", "probability": 0.8121744791666666}, {"start": 3624.21, "end": 3624.53, "word": " تكون", "probability": 0.98046875}, {"start": 3624.53, "end": 3624.75, "word": " على", "probability": 0.90771484375}, {"start": 3624.75, "end": 3625.05, "word": " شكل", "probability": 0.97412109375}, {"start": 3625.05, "end": 3625.53, "word": " digital", "probability": 0.63623046875}, {"start": 3625.53, "end": 3626.53, "word": " يعني", "probability": 0.878173828125}, {"start": 3626.53, "end": 3627.47, "word": " الجهاز", "probability": 0.96484375}, {"start": 3627.47, "end": 3627.93, "word": " بيقرأ", "probability": 0.84775390625}, {"start": 3627.93, "end": 3628.21, "word": " بشكل", "probability": 0.9611002604166666}, {"start": 3628.21, "end": 3628.55, "word": " digital", "probability": 0.828125}, {"start": 3628.55, "end": 3628.77, "word": " أو", "probability": 0.58935546875}, {"start": 3628.77, "end": 3629.15, "word": " بشكل", "probability": 0.9606119791666666}, {"start": 3629.15, "end": 3629.75, "word": " automatic", "probability": 0.826171875}, {"start": 3629.75, "end": 3630.47, "word": " طبعا", "probability": 0.9696044921875}, {"start": 3630.47, "end": 3630.91, "word": " تدريج", "probability": 0.9959716796875}, {"start": 3630.91, "end": 3631.45, "word": " الأرقام", "probability": 0.995361328125}, {"start": 3631.45, "end": 3632.01, "word": " أحسن", "probability": 0.9798583984375}, {"start": 3632.01, "end": 3632.55, "word": " these", "probability": 0.75}, {"start": 3632.55, "end": 3632.77, "word": " are", "probability": 0.96240234375}, {"start": 3632.77, "end": 3632.91, "word": " the", "probability": 0.91162109375}, {"start": 3632.91, "end": 3633.21, "word": " normal", "probability": 0.84619140625}, {"start": 3633.21, "end": 3633.51, "word": " and", "probability": 0.9619140625}, {"start": 3633.51, "end": 3633.99, "word": " abnormal", "probability": 0.8583984375}, {"start": 3633.99, "end": 3634.59, "word": " ranges", "probability": 0.85791015625}, {"start": 3634.59, "end": 3634.85, "word": " of", "probability": 0.974609375}, {"start": 3634.85, "end": 3635.07, "word": " the", "probability": 0.64306640625}, {"start": 3635.07, "end": 3635.35, "word": " blood", "probability": 0.94091796875}, {"start": 3635.35, "end": 3635.81, "word": " pressure", "probability": 0.92138671875}], "temperature": 1.0}, {"id": 163, "seek": 366201, "start": 3636.37, "end": 3662.01, "text": "متى نعتبر المريض hypertension و pre hypertension الأرقام بتوضح طبعا متى يكون normal blood pressure و ال hypertension جدير بالملاحظة أنه لا يشخص من قراءة واحدة لازم ناخد عدة قراءات لأنه قد يكون السبب في ال hypertension توتر أو قد يكون السبب في activity المريض بيعمل مجهود معين وبالتالي single reading is not enough to establish the diagnosis of hypertension we have to read it more than one", "tokens": [2304, 49975, 8717, 34268, 26890, 9673, 16572, 11242, 46172, 4032, 659, 46172, 16247, 2288, 4587, 10943, 39894, 2407, 11242, 5016, 23032, 3555, 3615, 995, 44650, 7578, 7251, 30544, 2710, 3390, 3321, 4032, 2423, 46172, 10874, 3215, 13546, 20666, 2304, 15040, 5016, 19913, 3660, 14739, 3224, 20193, 7251, 8592, 9778, 9381, 9154, 12174, 2288, 16606, 3660, 36764, 24401, 3660, 5296, 31377, 2304, 8717, 47283, 3215, 6225, 41891, 12174, 2288, 16606, 9307, 5296, 33456, 3224, 12174, 3215, 7251, 30544, 21136, 3555, 3555, 8978, 2423, 46172, 33427, 2655, 2288, 34051, 12174, 3215, 7251, 30544, 21136, 3555, 3555, 8978, 5191, 9673, 16572, 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"probability": 0.8447265625}, {"start": 3652.99, "end": 3653.37, "word": " المريض", "probability": 0.9794921875}, {"start": 3653.37, "end": 3653.95, "word": " بيعمل", "probability": 0.960693359375}, {"start": 3653.95, "end": 3654.53, "word": " مجهود", "probability": 0.9947509765625}, {"start": 3654.53, "end": 3654.93, "word": " معين", "probability": 0.9912109375}, {"start": 3654.93, "end": 3655.85, "word": " وبالتالي", "probability": 0.89853515625}, {"start": 3655.85, "end": 3656.43, "word": " single", "probability": 0.85546875}, {"start": 3656.43, "end": 3657.01, "word": " reading", "probability": 0.943359375}, {"start": 3657.01, "end": 3657.25, "word": " is", "probability": 0.9267578125}, {"start": 3657.25, "end": 3657.45, "word": " not", "probability": 0.9638671875}, {"start": 3657.45, "end": 3657.77, "word": " enough", "probability": 0.92041015625}, {"start": 3657.77, "end": 3657.95, "word": " to", "probability": 0.9736328125}, {"start": 3657.95, "end": 3658.41, "word": " establish", "probability": 0.9248046875}, {"start": 3658.41, "end": 3658.59, "word": " the", "probability": 0.79248046875}, {"start": 3658.59, "end": 3659.07, "word": " diagnosis", "probability": 0.92333984375}, {"start": 3659.07, "end": 3659.29, "word": " of", "probability": 0.96435546875}, {"start": 3659.29, "end": 3659.81, "word": " hypertension", "probability": 0.94287109375}, {"start": 3659.81, "end": 3660.07, "word": " we", "probability": 0.5400390625}, {"start": 3660.07, "end": 3660.25, "word": " have", "probability": 0.966796875}, {"start": 3660.25, "end": 3660.53, "word": " to", "probability": 0.97705078125}, {"start": 3660.53, "end": 3661.09, "word": " read", "probability": 0.9775390625}, {"start": 3661.09, "end": 3661.31, "word": " it", "probability": 0.939453125}, {"start": 3661.31, "end": 3661.53, "word": " more", "probability": 0.95458984375}, {"start": 3661.53, "end": 3661.79, "word": " than", "probability": 0.9423828125}, {"start": 3661.79, "end": 3662.01, "word": " one", "probability": 0.86328125}], "temperature": 1.0}, {"id": 164, "seek": 369184, "start": 3664.0, "end": 3691.84, "text": "طبعا هذا ال outline of our lecture ال clinical examination personal information بعد هيكا ال body build ال height ال weight ال body mass index ال nutritional status ال gait البلر هل فيه جوندس مافيش سينوسس ال clubbing ال edema و ال lymph node enlargement ال central venous pressure و ال vital signs temperature و ال pulse و ال respiratory rate و ال blood pressure معظمها أنتم ممكن تعملوها أثناء ال physical examination", "tokens": [9566, 3555, 3615, 995, 23758, 2423, 16387, 295, 527, 7991, 2423, 9115, 23874, 2973, 1589, 39182, 39896, 4117, 995, 2423, 1772, 1322, 2423, 6681, 2423, 3364, 2423, 1772, 2758, 8186, 2423, 34707, 6558, 2423, 290, 1001, 29739, 1211, 2288, 8032, 1211, 8978, 3224, 10874, 11536, 3215, 3794, 19446, 41185, 8592, 8608, 9957, 41779, 3794, 2423, 6482, 4324, 2423, 1257, 5619, 4032, 2423, 31070, 9984, 31976, 48122, 2423, 5777, 6138, 563, 3321, 4032, 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00:00:04,720 +بسم الله الرحمن الرحيم تحياتي لكم مجددا في + +2 +00:00:04,720 --> 00:00:08,660 +المحاضرة الأولى اتكلمنا عن ال history taking و + +3 +00:00:08,660 --> 00:00:12,200 +اتكلمنا عن ال general concepts و ال general + +4 +00:00:12,200 --> 00:00:15,420 +principles of history taking و اليوم ان شاء الله + +5 +00:00:15,420 --> 00:00:18,740 +راح نتكلم عن ال general physical examination plan + +6 +00:00:18,740 --> 00:00:23,280 +of conduction and recordingطبعا في نقطة جديدة + +7 +00:00:23,280 --> 00:00:26,920 +بالذكر هنا أن أول خطوة من خطوات ال physical + +8 +00:00:26,920 --> 00:00:29,940 +examination هي ال history taking نفسها لأن أثناء + +9 +00:00:29,940 --> 00:00:34,760 +ال history taking احنا بنكون فكرة عن المريض عن ال + +10 +00:00:34,760 --> 00:00:38,500 +general appearance عن ال mental status عن ال + +11 +00:00:38,500 --> 00:00:43,020 +conscious level عن ال communication level of the + +12 +00:00:43,020 --> 00:00:46,660 +patient كل هذه أشياء بنكون عنها فكرة في ال history + +13 +00:00:46,660 --> 00:00:49,700 +وبالتالي ال history هو يعتبر the first part of + +14 +00:00:49,700 --> 00:00:54,350 +physical examinationفي ال general physical + +15 +00:00:54,350 --> 00:01:00,010 +examination بنتناول ال vital data بما فيها ال + +16 +00:01:00,010 --> 00:01:03,770 +vital science طبعا و ال general examination of the + +17 +00:01:03,770 --> 00:01:07,490 +patient بعدين ال systematic examination المحاضرة + +18 +00:01:07,490 --> 00:01:10,090 +هذه هنركز فيها على ال vital data و على ال general + +19 +00:01:10,090 --> 00:01:13,250 +examination و ال systemic examination طبعا بيكون + +20 +00:01:13,250 --> 00:01:16,870 +له محاضرات مستقلة و راح تتعرفوا عليه من خلال ال + +21 +00:01:16,870 --> 00:01:22,660 +bedside teachingهذا هو الوصفة للوصفات المهمة + +22 +00:01:26,040 --> 00:01:28,980 +name of the doctor name of the patient name of the + +23 +00:01:28,980 --> 00:01:33,880 +institution ال word number ال case number ال date + +24 +00:01:33,880 --> 00:01:37,640 +ال age of the patient ال gender of the patient ال + +25 +00:01:37,640 --> 00:01:41,980 +religion المنطقة + +26 +00:01:41,980 --> 00:01:45,020 +اللي ساكن فيها married or single children و ال + +27 +00:01:45,020 --> 00:01:49,220 +occupation و ال income و ال exact address هذا طبعا + +28 +00:01:49,220 --> 00:01:52,600 +بكون في ال history و ال examination sheet موجود + +29 +00:01:52,600 --> 00:01:58,350 +الكلام و لازم نذكره بالتفصيلفي الـ General History + +30 +00:01:58,350 --> 00:02:02,590 +زي ما حكينا نتكلم عن ال identification data of the + +31 +00:02:02,590 --> 00:02:05,590 +patient و ال chief complaint و ال history of chief + +32 +00:02:05,590 --> 00:02:08,690 +complaint و ال past medical history و ال past + +33 +00:02:08,690 --> 00:02:11,350 +surgical history بالإضافة لل family history و ال + +34 +00:02:11,350 --> 00:02:14,990 +medications و ال social history و ال review of the + +35 +00:02:14,990 --> 00:02:19,930 +systematic .. the review of systems and functional + +36 +00:02:19,930 --> 00:02:23,900 +inquiry of the patientطبعا خلال ال history taking + +37 +00:02:23,900 --> 00:02:27,280 +زي ما حكينا و خلال المرور على العناصر هذه بنكون + +38 +00:02:27,280 --> 00:02:30,360 +فكرة كمان عن ال general condition of the patient و + +39 +00:02:30,360 --> 00:02:34,780 +عن ال general health of the patient بالاضافة ل ال + +40 +00:02:34,780 --> 00:02:38,180 +mental و ال conscious level و الحال المزاجية و و + +41 +00:02:38,180 --> 00:02:43,720 +الاخروكل هدا طبعا part of physical examination + +42 +00:02:43,720 --> 00:02:46,920 +وقلنا إن ال history of the present illness بيشمل + +43 +00:02:46,920 --> 00:02:50,140 +أكتر حاجة بيشكي منها المريض في الوقت الحالي ال + +44 +00:02:50,140 --> 00:02:53,460 +onset and duration provoking and alleviating + +45 +00:02:53,460 --> 00:02:56,280 +factors أو exacerbating and relieving factors + +46 +00:02:56,280 --> 00:02:59,960 +بالإضافة ل quality of the symptoms لو كان pain ال + +47 +00:02:59,960 --> 00:03:02,660 +symptom لنوصفه من ناحية ال quality هل هو sharp, + +48 +00:03:02,860 --> 00:03:06,480 +dull, throbbing or distending or constricting or + +49 +00:03:06,480 --> 00:03:10,520 +whatever or tinglingdoes the pain radiate to any + +50 +00:03:10,520 --> 00:03:13,480 +area else بالاضافة لل severity of pain و طبعا هذا + +51 +00:03:13,480 --> 00:03:18,660 +بنعبر عنه one out of ten او بنعبر عنه جداش بيأثر + +52 +00:03:18,660 --> 00:03:22,900 +على ال daily activity of the patient ال timing and + +53 +00:03:22,900 --> 00:03:26,300 +progression كيف ال pain او ال symptom من حد ما بدى + +54 +00:03:26,300 --> 00:03:29,080 +لحد الوقت الحالي اللى أجى فيه المريض على المستشفى + +55 +00:03:29,080 --> 00:03:32,460 +كيف صار وضع المريض و كيف اتطور الموضوع هو صار + +56 +00:03:32,460 --> 00:03:38,690 +worse ولا better ولا constant level نفس الاشيhow + +57 +00:03:38,690 --> 00:03:43,250 +does affect your daily life بالاضافة لهل صادفت هذا + +58 +00:03:43,250 --> 00:03:46,690 +ال symptom قبل هيك déjà vu يعني هل صادفت ال + +59 +00:03:46,690 --> 00:03:49,690 +symptom قبل هيك او ال pain هذا قبل هيك بالاضافة + +60 +00:03:49,690 --> 00:03:52,310 +what do you think about this من خلال هذا ال + +61 +00:03:52,310 --> 00:03:54,990 +outline في ال history برضه انا باخد فكرة عن ال + +62 +00:03:54,990 --> 00:03:58,430 +physical examination في مراحله الأولى زي ما حكينا + +63 +00:03:58,810 --> 00:04:01,990 +كل ما كان المريض بتواصل أحسن كل ما كان بيعطي + +64 +00:04:01,990 --> 00:04:05,490 +إجابات شافية أكتر كل ما كان ال conscious level + +65 +00:04:05,490 --> 00:04:08,930 +تبعه أفضل كل ما كان ال mental health تبعته أفضل و + +66 +00:04:08,930 --> 00:04:12,270 +ال psychological status تبعته أفضل بيساهم في أنه + +67 +00:04:12,270 --> 00:04:15,550 +يعطيني full history وبالتالي كمان مرة ال history + +68 +00:04:15,550 --> 00:04:18,070 +is the first part of the physical examination + +69 +00:04:20,700 --> 00:04:23,520 +الـ general examination is actually the first step + +70 +00:04:23,520 --> 00:04:26,860 +of physical examination طبعا قبل ما أدخل على ال + +71 +00:04:26,860 --> 00:04:32,700 +systematic examination system by system لازم أعمل + +72 +00:04:32,700 --> 00:04:35,440 +general physical examination يعني general + +73 +00:04:35,440 --> 00:04:38,960 +assessment of the patient وهو ال key component لل + +74 +00:04:38,960 --> 00:04:42,170 +diagnostic approachطبعا ال general physical + +75 +00:04:42,170 --> 00:04:45,230 +examination mainly بيعتمد على ال inspection which + +76 +00:04:45,230 --> 00:04:48,010 +is the major method during the general examination + +77 +00:04:48,010 --> 00:04:52,670 +لكن it can be combined with palpation and + +78 +00:04:52,670 --> 00:04:56,630 +auscultation بالاضافة لل use of tactile, use of + +79 +00:04:56,630 --> 00:05:00,310 +smelling, use of eye contact, use of auditory + +80 +00:05:00,310 --> 00:05:04,210 +system عن طريق ال inspection ال auscultation طبعا + +81 +00:05:04,210 --> 00:05:07,570 +كل هذه بتساهم لكن بالدرجة الأولى ال visual + +82 +00:05:07,570 --> 00:05:11,450 +inspection is the most importantطبعا الهدف طبعه + +83 +00:05:11,450 --> 00:05:13,950 +الرئيسي assessment of the patient general health + +84 +00:05:13,950 --> 00:05:17,230 +and general condition هل المريض looking ill, + +85 +00:05:17,630 --> 00:05:22,330 +looking well, looking sad, looking happy, looking + +86 +00:05:22,330 --> 00:05:28,090 +confident or not confidentlooking safe or unsafe + +87 +00:05:28,090 --> 00:05:31,210 +كل هذه الشغلات بكون عنها فكرة من خلال ال general + +88 +00:05:31,210 --> 00:05:35,490 +examination وطبعا هذا بيشمل three components زي ما + +89 +00:05:35,490 --> 00:05:37,710 +قلنا ال general physical examination ال history + +90 +00:05:37,710 --> 00:05:41,010 +taking which has a clue for symptoms and a clue + +91 +00:05:41,010 --> 00:05:44,750 +for how the patient is thinking او how the patient + +92 +00:05:44,750 --> 00:05:47,730 +thinks بالاضافة لل physical examination اللي هو + +93 +00:05:47,730 --> 00:05:51,030 +can illustrate the signs ال sign عبارة عن physical + +94 +00:05:51,030 --> 00:05:54,930 +finding بينما ال symptom عبارة عن history finding + +95 +00:05:54,930 --> 00:05:58,380 +او history dataبالاضافة طبعا لل investigations + +96 +00:05:58,380 --> 00:06:02,620 +اللي هي clue for the test and are the test results + +97 +00:06:02,620 --> 00:06:05,600 +اللي هي ال clue for diagnosis ممكن تكون لو ال + +98 +00:06:05,600 --> 00:06:07,840 +history و ال physical examination is not enough + +99 +00:06:07,840 --> 00:06:10,200 +for establishing the diagnosis + +100 +00:06:13,320 --> 00:06:16,860 +طبعا في عندي عدة أشياء لازم تتوفر معايا while + +101 +00:06:16,860 --> 00:06:20,160 +examining the patient منها إنه يكون فينا ensuring + +102 +00:06:20,160 --> 00:06:24,540 +of a private environment في البداية طبعا we have + +103 +00:06:24,540 --> 00:06:27,880 +to have a stethoscope بالإضافة لجهاز قياس الضغط + +104 +00:06:27,880 --> 00:06:32,310 +اللي هو sphingomanometerThermometer لقياس الحرارة + +105 +00:06:32,310 --> 00:06:35,750 +و torch إضاءة عشان أشوف من خلالها بعض الأشياء زي + +106 +00:06:35,750 --> 00:06:41,530 +ال oral cavity و زي ال eyes و زي ال anal + +107 +00:06:41,530 --> 00:06:45,630 +examination wooden tongue depressor عشان أشوف ال + +108 +00:06:45,630 --> 00:06:51,450 +floor and the top of the mouth و أشوف ال tonsils و + +109 +00:06:51,450 --> 00:06:55,250 +أشوف منطقة ال pharynx بالإضافة ل measuring tape + +110 +00:06:55,250 --> 00:06:58,570 +عشان لو في أي lesion أي ماس أي إشي أجيسه بالmeter + +111 +00:07:01,200 --> 00:07:04,280 +Examination begins the minute you first see the + +112 +00:07:04,280 --> 00:07:07,500 +patient مجرد ما تبدأ تحكي مع ال patient هذا هي + +113 +00:07:07,500 --> 00:07:10,740 +عبارة عن ال first step of physical examination + +114 +00:07:10,740 --> 00:07:14,120 +والexamination continues throughout your patient + +115 +00:07:14,120 --> 00:07:15,220 +interaction + +116 +00:07:18,460 --> 00:07:21,180 +طبعا فينا prerequisite ال examination environment + +117 +00:07:21,180 --> 00:07:24,780 +مهم جدا ensuring the privacy نعطي احساس لل patient + +118 +00:07:24,780 --> 00:07:28,280 +ان هو in a private place nobody will hear nobody + +119 +00:07:28,280 --> 00:07:31,880 +will see nobody will have any data except the + +120 +00:07:31,880 --> 00:07:34,120 +doctor and the patient او ال surrounding + +121 +00:07:34,120 --> 00:07:38,020 +environment سواء كان في نيرس شابيرون او واحد من ال + +122 +00:07:38,020 --> 00:07:41,420 +first degree relatives of the patientوبالتالي + +123 +00:07:41,420 --> 00:07:46,020 +ضروري جدا اؤكد على ال patient انه في privacy كافية + +124 +00:07:46,020 --> 00:07:48,580 +وبالتالي لازم يحكي كل اللي بدوها لإنه once the + +125 +00:07:48,580 --> 00:07:52,060 +patient gain confidence و اذا شعر انه safe رح يعطي + +126 +00:07:52,060 --> 00:07:56,580 +relevant and fluent information otherwise the + +127 +00:07:56,580 --> 00:07:59,380 +patient will be reluctant حيكون متردد جدا في انه + +128 +00:07:59,380 --> 00:08:04,210 +يعطي اي piece of information if he feels unsafeال + +129 +00:08:04,210 --> 00:08:08,390 +hand washing مهم جدا proper light source ال light + +130 +00:08:08,390 --> 00:08:11,050 +source طبعا بكون بالإضافة لل torch اللى بكون ماسكه + +131 +00:08:11,050 --> 00:08:13,610 +الدكتور فى إيده اللى هو مصدر الإضاءة بكون فى light + +132 +00:08:13,610 --> 00:08:17,990 +source فى الأوضة نفسها و بكون كمان فى عندنا proper + +133 +00:08:17,990 --> 00:08:22,910 +aeration system سواء كانت مروحة أو مكيف أو إذا كان + +134 +00:08:23,190 --> 00:08:27,910 +الجو بارد يفضل يكون فيه الغرف دافية أو مش باردة + +135 +00:08:27,910 --> 00:08:32,190 +على أساس ممكن البرودة أو الحرارة الشديدة تعمل + +136 +00:08:32,190 --> 00:08:35,650 +distraction لل patient وتعمل كمان عنده change في + +137 +00:08:35,650 --> 00:08:42,540 +ال general sciencePrivacy and confidentiality + +138 +00:08:42,540 --> 00:08:46,660 +الثقة المتبادلة والخصوصية للمريض Presence of a + +139 +00:08:46,660 --> 00:08:50,040 +chaperone مرافق نيرس لو كانت المريضة female + +140 +00:08:50,040 --> 00:08:53,320 +Correct position of doctor and patient Ideally + +141 +00:08:53,320 --> 00:08:57,580 +examination should be from the right side of the + +142 +00:08:57,580 --> 00:09:00,060 +patient صحيح احنا احيانا نلجأ الى انه نغير ال + +143 +00:09:00,060 --> 00:09:02,240 +position ممكن نروح على ال left side و ممكن نروح + +144 +00:09:02,240 --> 00:09:06,710 +على ال end of the bedو ممكن نروح على ال head area + +145 +00:09:06,710 --> 00:09:13,130 +of the patient لكن usually في ال routine we start + +146 +00:09:13,130 --> 00:09:16,390 +from the right side and there should be a proper + +147 +00:09:16,390 --> 00:09:19,670 +exposure ع سبيل المثال لما نيجي احنا نفحص ال + +148 +00:09:19,670 --> 00:09:22,270 +abdomen we have to expose the patient from the + +149 +00:09:22,270 --> 00:09:25,690 +nipple line to the mid thighكل هذه المنطقة لازم + +150 +00:09:25,690 --> 00:09:29,110 +تكون مكشوفة من عند النبل اللي هي تقريبا عن ال + +151 +00:09:29,110 --> 00:09:33,870 +intercostal space four or five لحد ال mid thigh + +152 +00:09:33,870 --> 00:09:38,330 +region لحد منطقة منتصف الفخد ensure your hands are + +153 +00:09:38,330 --> 00:09:42,610 +warm enough لإنه برضه زي ما قلنا ال cold hands + +154 +00:09:42,610 --> 00:09:46,690 +بتعمل irritation لل patient و بتعمل distraction في + +155 +00:09:46,690 --> 00:09:49,610 +ال general physical examination نتناول ال general + +156 +00:09:49,610 --> 00:09:54,160 +appearance of the patient المظهر العام للمريضtidy + +157 +00:09:54,160 --> 00:10:00,930 +or untidy ال or looking wellhe is sad looking sad + +158 +00:10:00,930 --> 00:10:04,910 +or not sad or he is looking happy إلى آخر هي من ال + +159 +00:10:04,910 --> 00:10:10,410 +comments هاي ال hands و ال arms ال skin ال face ال + +160 +00:10:10,410 --> 00:10:13,970 +eyes ال mouth و ال neck و ال peripheral أديمة + +161 +00:10:13,970 --> 00:10:16,390 +بالإضافة لل lymph node groups بالذات ال lymph + +162 +00:10:16,390 --> 00:10:19,450 +nodes اللي موجودة في ال cervical region اللي هي في + +163 +00:10:19,450 --> 00:10:22,770 +منطقة ال neck و ال vital signs temperature pulse + +164 +00:10:22,770 --> 00:10:27,460 +respiratory rate and blood pressureكل هذه ال + +165 +00:10:27,460 --> 00:10:30,760 +components of the general physical examination + +166 +00:10:30,760 --> 00:10:33,880 +وبالتالي ال general appearance of the patient how + +167 +00:10:33,880 --> 00:10:37,980 +does the patient look like? general state of + +168 +00:10:37,980 --> 00:10:42,100 +health is he looking healthy? is he looking ill? + +169 +00:10:42,920 --> 00:10:45,600 +is he looking comfortable or looking distressed? + +170 +00:10:46,600 --> 00:10:50,340 +distressed بمعنى يعني يعني okay is he looking + +171 +00:10:50,340 --> 00:10:53,870 +happy or looking sad?is he looking irritable or + +172 +00:10:53,870 --> 00:11:00,270 +looking calm هادق أو مستثار أو عنده nervousness كل + +173 +00:11:00,270 --> 00:11:03,890 +هذه أشياء بنعلق عليها في ال general status of the + +174 +00:11:03,890 --> 00:11:07,030 +patient أو ال general state of health ال body + +175 +00:11:07,030 --> 00:11:10,450 +built في عندنا و ال nutritional statusهل ال + +176 +00:11:10,450 --> 00:11:14,030 +patient هزيل؟ هل يبدو انه underweight؟ هل يبدو انه + +177 +00:11:14,030 --> 00:11:17,750 +يعني من سوق تغذية او لا؟ ال height لازم نجيسه بال + +178 +00:11:17,750 --> 00:11:21,010 +meters ال weight لازم نجيسه بال kilograms و لازم + +179 +00:11:21,010 --> 00:11:25,170 +نحصل ال body mass index طبعا ال body mass index هو + +180 +00:11:25,170 --> 00:11:32,020 +عبارة عن نسبة ما بين الوزن على المربع الطولبال + +181 +00:11:32,020 --> 00:11:35,540 +meters الوزم بال كيلو جرام على مربع طول بال meters + +182 +00:11:35,540 --> 00:11:39,660 +في النهاية بيطلع عندنا نسبة معينة النسبة هذه طبعا + +183 +00:11:39,660 --> 00:11:45,560 +لها relevance لل patient condition هل هو thin هل + +184 +00:11:45,560 --> 00:11:48,880 +هو normal weight هل هو overweight هل هو obese او + +185 +00:11:48,880 --> 00:11:53,910 +هل هو extremely obese patientبالاضافة للطول + +186 +00:11:53,910 --> 00:11:56,710 +بيعطينا فكرة عن انه tall or short و ال muscular + +187 +00:11:56,710 --> 00:12:00,490 +structure او ال muscular build of the patient هل + +188 +00:12:00,490 --> 00:12:04,850 +هو aesthetic او cachectic بمعنى انه cachectic يعني + +189 +00:12:04,850 --> 00:12:08,190 +loss of lean body mass او loss of muscle بتصير في + +190 +00:12:08,190 --> 00:12:10,310 +المجاعات الشديدة او لما ال patient يكون عنده + +191 +00:12:10,310 --> 00:12:13,510 +severe malnutrition او بيكون بعاني من chronic + +192 +00:12:13,510 --> 00:12:17,590 +disease زي ال cancers مثلا بصير cachectia عنده + +193 +00:12:18,870 --> 00:12:22,770 +state of awareness or level of consciousness وطبعا + +194 +00:12:22,770 --> 00:12:27,290 +ال level of consciousness بنعبر عنه بطرق متعددة + +195 +00:12:27,290 --> 00:12:31,590 +منها ان ال patient is .. can communicate very well + +196 +00:12:31,590 --> 00:12:35,670 +بيقدر يعمل محادثة كويس و ممكن نعبر عنه كمان بال + +197 +00:12:35,670 --> 00:12:37,730 +glass-glass-glass-glass-glass-glass-glass-glass + +198 +00:12:37,730 --> 00:12:39,290 +-glass-glass-glass-glass-glass-glass-glass-glass + +199 +00:12:39,290 --> 00:12:40,430 +-glass-glass-glass-glass-glass-glass-glass-glass + +200 +00:12:40,430 --> 00:12:40,430 +-glass-glass-glass-glass-glass-glass-glass-glass + +201 +00:12:40,430 --> 00:12:41,770 +-glass-glass-glass-glass-glass-glass-glass-gla + +202 +00:12:41,800 --> 00:12:45,020 +وبيشمل ال eye opening هل المريض فاتح عينيه ولا + +203 +00:12:45,020 --> 00:12:48,480 +مسكرهم وبيشمل كمان ال motor response of the + +204 +00:12:48,480 --> 00:12:51,420 +patient to the commands or to the response to the + +205 +00:12:51,420 --> 00:12:55,020 +pain يعني يجدش المريض بيقدر يعمل حركات بناء على + +206 +00:12:55,020 --> 00:12:59,320 +حركة أنا بطلبها منه أو بناء على painful stimulus + +207 +00:12:59,320 --> 00:13:03,730 +أنا بعمله وبالتالي this is the conscious levelال + +208 +00:13:03,730 --> 00:13:07,010 +facial features أو ال facial expression طبعا ال + +209 +00:13:07,010 --> 00:13:11,430 +face بيعكس الحال المزاجي والحال الصحية والحال + +210 +00:13:11,430 --> 00:13:16,290 +المرضية لل patient ال mood و ال attitude of the + +211 +00:13:16,290 --> 00:13:19,830 +patient ال attitude بمعنى what is the behavior كيف + +212 +00:13:19,830 --> 00:13:23,110 +ال behavior تبعه تجاه الدكتور أو تجاه ال examining + +213 +00:13:23,110 --> 00:13:27,160 +personال speech أحيانا بيكون في عنا مشاكل في + +214 +00:13:27,160 --> 00:13:31,160 +الكلام للمريض بيكون في عنده slurred speech مثلا + +215 +00:13:31,160 --> 00:13:34,800 +كلامه مشوش زي المرضى اللي عندهم جلطات في الدماغ أو + +216 +00:13:34,800 --> 00:13:39,180 +ما شبه أحيانا بيكون ال speech سريع وفيه تقطيع + +217 +00:13:39,180 --> 00:13:42,440 +dysarthria او dysphonia المريض بيقدرش يطلع صوت من + +218 +00:13:42,440 --> 00:13:46,980 +أساسه أو أن الصوت بيكون فيه hoarseness يعني بحة في + +219 +00:13:46,980 --> 00:13:50,120 +الصوت طبعا كل هذه أشياء لها underlying causes + +220 +00:13:50,120 --> 00:13:53,910 +معينةال position و ال posture و ال gate كيف المريض + +221 +00:13:53,910 --> 00:13:59,070 +بيقدر يحفظ شكل جسمه و هو واقف و هو قاعد و هو نايم + +222 +00:13:59,070 --> 00:14:02,290 +ال personal hygiene احنا بنعلق ال personal hygiene + +223 +00:14:02,290 --> 00:14:04,970 +من ناحية الملابس من ناحية نظافة الجسم من ناحية + +224 +00:14:04,970 --> 00:14:09,210 +نظافة الأسنان من ناحية نظافة الأظافر كل هذه أشياء + +225 +00:14:09,210 --> 00:14:13,450 +بتعكس ال personal hygiene بالاضافة ل ال breath and + +226 +00:14:13,450 --> 00:14:19,940 +odor النفسالنفس أحيانا بيكون في abnormality زي + +227 +00:14:19,940 --> 00:14:22,440 +المريض اللي عنده مثلا ضيابة ال ketoacidosis بيكون + +228 +00:14:22,440 --> 00:14:28,900 +النفس تبعه عامل زي ال acetone odor أو acetone + +229 +00:14:28,900 --> 00:14:33,160 +smell أو بيكون زي ريحة الفاكهة نفسه بينما ال + +230 +00:14:33,160 --> 00:14:35,620 +patient اللي بيكون عنده bad oral hygiene بيكون + +231 +00:14:35,620 --> 00:14:40,010 +النفس تبعه ريحته bad bad odorالمريض اللي بيكون فيه + +232 +00:14:40,010 --> 00:14:44,070 +عنده مثلا peritonitis أو fasting for a long time + +233 +00:14:44,070 --> 00:14:46,870 +بيكون برضه نفسه فيه كيتون كيتون smelling + +234 +00:14:49,830 --> 00:14:53,070 +فهذه الأمور طبعا we have to take into + +235 +00:14:53,070 --> 00:14:56,450 +consideration this is the general status of health + +236 +00:14:56,450 --> 00:15:02,050 +as it is reflected by numbers or by expressions + +237 +00:15:02,050 --> 00:15:04,710 +على سبيل المثال ال zero there is no heart there is + +238 +00:15:04,710 --> 00:15:10,110 +no pain اتنين في عندنا little bit four في عندنا + +239 +00:15:10,110 --> 00:15:15,150 +little more مثلا six في عندنا hearts even more and + +240 +00:15:15,150 --> 00:15:20,780 +more وتمانية hearts wholeأو a lot و عشرة the worst + +241 +00:15:20,780 --> 00:15:25,260 +pain is possible يعني أقصى درجة ألم بيشعر فيهم + +242 +00:15:25,260 --> 00:15:28,680 +طبعا هذه من الأشياء اللي ممكن نقيم من خلالها ال + +243 +00:15:28,680 --> 00:15:31,960 +patients بالذات الأطفال ال facial expressions هذه + +244 +00:15:31,960 --> 00:15:36,100 +بيكون فيه chart موجود عليها الأوجه هذه و بيقارن + +245 +00:15:36,100 --> 00:15:39,000 +الدكتور ما بين الوجه اللي مرسوم على ال chart و ما + +246 +00:15:39,000 --> 00:15:43,360 +بين ال child على أساس ان ال child مقدرش يعني يعطي + +247 +00:15:43,360 --> 00:15:47,660 +description لل severity of pain وبالتالي بنلجأ + +248 +00:15:47,660 --> 00:15:51,640 +للطريقة هذهلكن زي ما قلنا ال assessment of pain + +249 +00:15:51,640 --> 00:15:54,880 +severity أفضل طريقة هيكون فيها اللي هو عن طريق ال + +250 +00:15:54,880 --> 00:16:00,200 +.. how does it affect daily life this is the body + +251 +00:16:00,200 --> 00:16:01,860 +build of the patient, does the patient look + +252 +00:16:01,860 --> 00:16:06,820 +muscular or look normal or look overweight and + +253 +00:16:06,820 --> 00:16:10,480 +fattyIs he looking tall or short؟ ال body built + +254 +00:16:10,480 --> 00:16:14,820 +بيتناول البنية تبع الجسم و بيتناول حجم الجسم نفسه + +255 +00:16:14,820 --> 00:16:19,880 +من ناحية قصر او طول بالاضافة لنسبة ال muscle + +256 +00:16:19,880 --> 00:16:24,120 +بالمقارنة مع ال body وبالتالي في عندنا بعض ال + +257 +00:16:24,120 --> 00:16:28,380 +scaling systems أو بعض ال grading systems ممكن + +258 +00:16:28,380 --> 00:16:32,140 +نستخدمها فيه شغل زي مثلا ال anthropometric type of + +259 +00:16:32,140 --> 00:16:35,260 +the patient اللي هو anthropometric بمعنى ان هو + +260 +00:16:35,260 --> 00:16:40,480 +المقاييس الجسديةSheldons عمل يعني زي grade هيك + +261 +00:16:40,480 --> 00:16:43,960 +للمقاييس الجسدي للمريض و جال ان ال endomorphic + +262 +00:16:43,960 --> 00:16:46,940 +patient بكون الوكاريشو بكون fatty بينما ال + +263 +00:16:46,940 --> 00:16:49,460 +mesomorphic patient بيكون عنده ال muscular tissue + +264 +00:16:49,460 --> 00:16:53,540 +well grown أو بيكون فيه .. يعني muscular ال + +265 +00:16:53,540 --> 00:16:56,080 +patient بيكون بينما ال ectomorphic بيكون في عنده + +266 +00:16:56,080 --> 00:16:59,320 +permanent bones عند skin بيكون thin فال + +267 +00:16:59,320 --> 00:17:02,080 +endomorphic بيكون fat بينما ال mesomorphic بيكون + +268 +00:17:02,080 --> 00:17:05,840 +good body build و ال ectomorphic بيكون thin + +269 +00:17:05,840 --> 00:17:10,140 +patientهذه بعض ال description أو بعض ال + +270 +00:17:10,140 --> 00:17:14,680 +terminologies اللى ممكن نستخدمها لحتى نوصف البني + +271 +00:17:14,680 --> 00:17:18,440 +الجسدي للمريض طبعا فى عندنا clinical types برضه دا + +272 +00:17:18,440 --> 00:17:22,460 +ال astenic و ال hypostenic ال astenic اللى هو ال + +273 +00:17:22,460 --> 00:17:26,480 +patient بيكون ضئيل حجمه رفيه حده جليل بمعنى اخر + +274 +00:17:26,480 --> 00:17:29,640 +بالمعنى الدارج ال astenic و ال hyperstenic بيكون + +275 +00:17:29,640 --> 00:17:34,160 +فى عنده muscular tissue كتير hyperstenia او + +276 +00:17:38,240 --> 00:17:41,020 +muscular tissue بينما ال normostinic أو ال + +277 +00:17:41,020 --> 00:17:47,780 +orthostinic بيكون ال patient يعني وسط مابين انه + +278 +00:17:47,780 --> 00:17:50,840 +lean او مابين انه رفيع و مابين انه muscular يعني + +279 +00:17:50,840 --> 00:17:55,300 +within the normal rangeطبعا هذه بعض أنواع ال + +280 +00:17:55,300 --> 00:17:59,240 +statesures القوام + +281 +00:17:59,240 --> 00:18:03,340 +تبع المريض طول المفرد أو القصر المفرد زي ما بيصير + +282 +00:18:03,340 --> 00:18:08,240 +في ال growth hormone excess زي ال giganticism أو + +283 +00:18:08,240 --> 00:18:11,000 +growth hormone deficiency زي ال dwarfism مثلا هذه + +284 +00:18:11,000 --> 00:18:14,240 +كلها أشياء بتتعلق بال statesure of the patient أو + +285 +00:18:14,240 --> 00:18:19,300 +طول المريض نفسه ممكن نصادفها في بعض ال patient ال + +286 +00:18:19,300 --> 00:18:21,180 +malnourished patient زي ما احنا شايفين ال + +287 +00:18:23,730 --> 00:18:26,250 +hypostenic patients اللي فيش عندهم muscle tissue + +288 +00:18:26,250 --> 00:18:29,470 +كافي طبعا هذه case of cachexia ال cachexia دي قد + +289 +00:18:29,470 --> 00:18:32,350 +تكون نتيجة عامة nutrition مباشرة من جلة الأكل أو + +290 +00:18:32,350 --> 00:18:35,750 +نتيجة عن ال hyper metabolism زي في حالات مثلا ال + +291 +00:18:35,750 --> 00:18:40,370 +thyrotoxicosis أو ال hyperthyroidism بالاضافة لبعض + +292 +00:18:40,370 --> 00:18:43,550 +أنواع ال cancers بالذات ال advanced cancers في ال + +293 +00:18:43,550 --> 00:18:46,730 +colon أو في ال stomach أو في ال esophagus أو في ال + +294 +00:18:47,550 --> 00:18:51,410 +Pancreas and so on فكل هذه الشغلات ممكن انصادفها + +295 +00:18:51,410 --> 00:18:54,630 +في المرضى this is the body mass index طبعا ال body + +296 +00:18:54,630 --> 00:18:57,810 +mass index ممكن قياسه بعدة طرق غالبا احنا بنستخدم + +297 +00:18:57,810 --> 00:19:02,430 +رقم اتنين او sorry رقم تلاتة اللي هو ال weight بال + +298 +00:19:02,430 --> 00:19:05,750 +kilogram على مربع ال meter و طبعا هذه هي اسهل + +299 +00:19:05,750 --> 00:19:08,770 +طريقة و الطريقة الدارجة عندنا في ناس بستخدمه بال + +300 +00:19:08,770 --> 00:19:12,320 +pounds اللي هو النظام الانجليزي زي رقم اتنينو في + +301 +00:19:12,320 --> 00:19:15,700 +جداول بتكون معدلة ال body mass index بنقارن فيها + +302 +00:19:15,700 --> 00:19:22,980 +طول المريض و وزنه و في بي ام اي كالكوليتر اللي ويب + +303 +00:19:22,980 --> 00:19:25,900 +سايت معينة وبالتالي احنا بنستخدم ال direct + +304 +00:19:25,900 --> 00:19:30,480 +measurement اللي هو رقم تلاتي الوزن على مربع الطول + +305 +00:19:30,480 --> 00:19:35,160 +بالميترطبعا هاي ال body mass index over 30 is + +306 +00:19:35,160 --> 00:19:42,240 +overweight يعتبر و under 30 طبعا إذا كان من 19 ل + +307 +00:19:42,240 --> 00:19:46,520 +25 بكون within normal إذا أقل من 19 بكون within + +308 +00:19:46,520 --> 00:19:50,450 +normalunderweight level إذا ال normal من 18.5 أو + +309 +00:19:50,450 --> 00:19:55,690 +من 19 ل 24.9 بعد هيك ال overweight بعد هيك ال + +310 +00:19:55,690 --> 00:19:58,190 +obese بعد هيك ال severely obese بعد هيك ال + +311 +00:19:58,190 --> 00:20:01,110 +morbidly obese وكلمة morbidly obese يعني ال + +312 +00:20:01,110 --> 00:20:03,970 +obesity اللي بيكون معها chronic disease إذا المريض + +313 +00:20:03,970 --> 00:20:10,390 +صار في عنده cardiac أو respiratory أو metabolic + +314 +00:20:10,390 --> 00:20:14,890 +disease زي ال diabetes كل هذه او hypertension كل + +315 +00:20:14,890 --> 00:20:20,770 +هذه الأشياء تعتبر morbid obesityyes so state of + +316 +00:20:20,770 --> 00:20:23,190 +awareness or conscious level of the patient ال + +317 +00:20:23,190 --> 00:20:26,110 +mental status of the patient مهم جدا أقيمها طبعا + +318 +00:20:26,110 --> 00:20:30,330 +في عنا زحمة من المصطلحات هنا اللي بهمنا في الموضوع + +319 +00:20:30,330 --> 00:20:33,610 +انه يعني ال ان شوف وضع المريض بالنسبة ل + +320 +00:20:33,610 --> 00:20:36,130 +communication level تبعه بالنسبة لل psychological + +321 +00:20:36,130 --> 00:20:40,130 +stability للمريض بالنسبة للمزاج ال mood تبعت + +322 +00:20:40,130 --> 00:20:45,070 +المريض و نعلج عليها قد يكون المريض madأو irritable + +323 +00:20:45,070 --> 00:20:49,610 +أو يكون agitated بمعنى أنه مستثار أو معصب أو كذا + +324 +00:20:49,610 --> 00:20:53,050 +قد يكون anxious جلجان قد يكون afraid قد يكون + +325 +00:20:53,050 --> 00:20:59,050 +nervous قد يكون foggy مغيب أو يعني مش في ال full + +326 +00:20:59,050 --> 00:21:02,050 +conscious level تبعه قد يكون sad قد يكون happy أو + +327 +00:21:02,050 --> 00:21:06,040 +euphoricيعني كلها مصطلحات احنا ممكن نستخدمها بدناش + +328 +00:21:06,040 --> 00:21:09,780 +نقيد نفسنا بمصطلح معين او مجموعة مصطلحات نحفظها + +329 +00:21:09,780 --> 00:21:13,820 +بقدر ما انه نحاول نوصف ال .. ال .. ال mental + +330 +00:21:13,820 --> 00:21:18,220 +status و ال psychological status لل patient كل + +331 +00:21:18,220 --> 00:21:21,820 +مريض بمعزل عن المريض التاني يعني كل مريض له خصوصية + +332 +00:21:21,820 --> 00:21:26,390 +لوضعه وبالتالي ممكن نستخدم الوصف المناسب لإلهإذا + +333 +00:21:26,390 --> 00:21:29,470 +ال .. هل المريض mentally ill ولا لأ بمعنى هل عنده + +334 +00:21:29,470 --> 00:21:33,070 +psychological disorder كمان زي ال anxiety زي + +335 +00:21:33,070 --> 00:21:36,050 +الشيزوفرانيا زي ال major depression major + +336 +00:21:36,050 --> 00:21:39,710 +depressive disorders كل هذه أشياء ممكن تكون واردة + +337 +00:21:39,710 --> 00:21:42,570 +في المرضى اللي بنتعامل معاهم وطبعا في ال history + +338 +00:21:42,570 --> 00:21:45,410 +ممكن نلقي بعض الضوء على ال psychological illness + +339 +00:21:45,410 --> 00:21:49,370 +من خلال أنه هل ال patient عنده frequent visits ل + +340 +00:21:49,370 --> 00:21:52,610 +ال psychological clinic أو بياخد علاجات + +341 +00:21:52,610 --> 00:21:57,990 +psychoactive drugs أو ما شبه ذلكقد يكون المريض + +342 +00:21:57,990 --> 00:22:00,730 +mentally retarded في عنده تخلف عقلي mental + +343 +00:22:00,730 --> 00:22:03,090 +retardation على سبيل المثال المرضى اللي عندهم + +344 +00:22:03,090 --> 00:22:09,690 +congenital hypothyroidism الأطفال بالإضافة للأطفال + +345 +00:22:09,690 --> 00:22:12,750 +اللي بينولدوا لأمهات مدمنات على الكحول وبالتالي + +346 +00:22:12,750 --> 00:22:15,750 +فيه ال alcohol syndrome برضه ال patient اللي ممكن + +347 +00:22:15,750 --> 00:22:18,790 +يصير فيه عنده mental retardation و أشهر الحالات + +348 +00:22:18,790 --> 00:22:21,470 +طبعا اللي هي ال down syndrome اللي بيظل ال patient + +349 +00:22:21,470 --> 00:22:24,470 +عنده mental retardation من الولادة لحد طبعا ما + +350 +00:22:24,470 --> 00:22:30,340 +يكبر و يتقدم في السنةالـ facial expression أو الـ + +351 +00:22:30,340 --> 00:22:33,740 +facial features ممكن تعطينا فكرة عن ال underlying + +352 +00:22:33,740 --> 00:22:38,250 +diseaseشكل الوجه تبع المريض أو التعبير المرسوم + +353 +00:22:38,250 --> 00:22:43,030 +عليه أو مزاج المريض أو صلوك المريض تجاه الدكتور + +354 +00:22:43,030 --> 00:22:46,310 +اللي هو بنسميه ال attitude أو ال mood المزاج ال + +355 +00:22:46,310 --> 00:22:49,170 +expression التعابير وال facial feature اللي هي + +356 +00:22:49,170 --> 00:22:52,670 +ملامح الوجه okay كل هذه الشغلات ممكن تعكس ال + +357 +00:22:52,670 --> 00:22:54,910 +underlying disease على سبيل المثال ال patients + +358 +00:22:54,910 --> 00:22:57,930 +اللي بيكون وجوههم كتير فاتي و ناصحة بيسموها moon + +359 +00:22:57,930 --> 00:23:01,560 +facesو بيكون في عندهم plethora of the face يعني + +360 +00:23:01,560 --> 00:23:05,420 +حمرار في الوجنتين هدولة بيكون قد يكون في عندهم + +361 +00:23:05,420 --> 00:23:09,460 +Cushing syndrome اللي هو excessive release of + +362 +00:23:09,460 --> 00:23:12,520 +cortisol بينما المرضى اللي عندهم nephrotic + +363 +00:23:12,520 --> 00:23:16,840 +syndrome بيكون عندهم ال facial edema preorbital + +364 +00:23:16,840 --> 00:23:20,910 +edema او preorbital edemaوالـ puffy pale faces + +365 +00:23:20,910 --> 00:23:25,130 +بالإضافة للبس may be swollen نتيجة ال deposition + +366 +00:23:25,130 --> 00:23:29,070 +أو نتيجة ال accumulation of fluids in the face لأن + +367 +00:23:29,070 --> 00:23:32,250 +النفروتكس سندروم بيصير في عندهم إديمة نتيجة نقص + +368 +00:23:32,250 --> 00:23:35,950 +لبروتين وبالتالي ال fluids بتتكون في الجسم بينما + +369 +00:23:35,950 --> 00:23:38,850 +ال patients اللي عندهم myxedema أو hypothyroidism + +370 +00:23:38,850 --> 00:23:43,330 +بمعنى آخر بيكون في عندهم puffy faces بيكون في + +371 +00:23:43,330 --> 00:23:43,870 +عندهم + +372 +00:23:47,010 --> 00:23:52,770 +buffiness below the eye بالاضافة ل periorbital + +373 +00:23:52,770 --> 00:23:55,690 +edema بالاضافة طبعا ل sunken eyes بتكون ال eyes + +374 +00:23:55,690 --> 00:23:58,570 +عندهم داخلة لجوا بيكون في thinning of hairs و + +375 +00:23:58,570 --> 00:24:00,490 +بيكون عندهم pale skin + +376 +00:24:03,060 --> 00:24:05,540 +This is Parotid gland enlargement زي ما احنا + +377 +00:24:05,540 --> 00:24:08,120 +شايفين هنا ممكن تصير طبعا نتيجة different + +378 +00:24:08,120 --> 00:24:12,460 +condition ال tumors او ممكن تكون نتيجة عن + +379 +00:24:12,460 --> 00:24:15,620 +inflammation ال Acromegaly ال facial expression + +380 +00:24:15,620 --> 00:24:19,100 +فيها مميز ال patient بيكون وجهه كبير و بيكون عنده + +381 +00:24:19,100 --> 00:24:23,380 +بروز في عضمة ال mandible و بيكون عنده بروز برضه في + +382 +00:24:23,380 --> 00:24:27,790 +ال frontal boneالمريض اللي عنده Parkinson disease + +383 +00:24:27,790 --> 00:24:31,750 +بيكون في عنده stare بمعنى انه بيرمشش يعني بتطلع + +384 +00:24:31,750 --> 00:24:35,210 +staring بدون ما يرمش او رمش جليل بيكون بالاضافة + +385 +00:24:35,210 --> 00:24:38,270 +طبعا لإنه بيكون في عنده decreased mobility in the + +386 +00:24:38,270 --> 00:24:42,270 +body في ال generalطبعا this is the characteristic + +387 +00:24:42,270 --> 00:24:44,550 +plethoric appearance of a patient with Cushing + +388 +00:24:44,550 --> 00:24:46,970 +syndrome لاحظوا ال moon face وسموه moon face لأن + +389 +00:24:46,970 --> 00:24:49,690 +استدارة الوجه بتكون زي ال moon عام لنتيجة ال + +390 +00:24:49,690 --> 00:24:54,130 +deposition و ال accumulation of fat في منطقة ال + +391 +00:24:54,130 --> 00:24:58,210 +face بالاضافة طبعا لل plethora of the face اللي هي + +392 +00:24:58,210 --> 00:25:02,050 +حماري الوجنتين و حماري الوجه بصفة عامةand this is + +393 +00:25:02,050 --> 00:25:04,630 +the typical face of acromegaly لاحظوا ال prominent + +394 +00:25:04,630 --> 00:25:08,390 +mandible و ال big mandible المريض بيكون فيه عنده + +395 +00:25:08,390 --> 00:25:13,070 +long face بيكون فيه عنده enlargement في ال frontal + +396 +00:25:13,070 --> 00:25:16,130 +و ال maxillary sinuses بالاضافة لأنه بيكون فيه + +397 +00:25:16,130 --> 00:25:19,450 +عنده alveolar bone growthداخل الفم وبالتالي بيصير + +398 +00:25:19,450 --> 00:25:24,310 +عنده separation في ال teeth نتيجة ال acromegaly + +399 +00:25:24,310 --> 00:25:26,970 +طبعا ال acromegaly هو عبارة عن growth hormone + +400 +00:25:26,970 --> 00:25:30,150 +excess زيادة ال growth hormone بعد ما ال patient + +401 +00:25:30,150 --> 00:25:34,270 +يبلغ سن البلوغ لو صاروا و ال patient طفل بيصير + +402 +00:25:34,270 --> 00:25:39,570 +عنده gigantism اللي هي مرض العملقةgrowth of + +403 +00:25:39,570 --> 00:25:42,510 +mandible leads to a jutting jaw او بيسموه + +404 +00:25:42,510 --> 00:25:47,890 +prognathism يعني بروز في الماندبل this is another + +405 +00:25:47,890 --> 00:25:52,290 +acromegaly macroglossia للسان بيكون كبير بالاضافة + +406 +00:25:52,290 --> 00:25:56,650 +لل generalized visceral enlargement a broadening + +407 +00:25:56,650 --> 00:26:00,730 +and enlargement of the hands الأصابع بتكون عريضة + +408 +00:26:00,730 --> 00:26:06,090 +وبتكون سميكة بالاضافة لإنه بيصير في توسع في ال + +409 +00:26:06,090 --> 00:26:11,420 +spaces ما بين الأصابعThis is the typical face of + +410 +00:26:11,420 --> 00:26:15,280 +hyperthyroidism or thyrotoxicosis ومن أشهر الأمثلة + +411 +00:26:15,280 --> 00:26:17,400 +عليها الـ Graves disease طبعا الـ ocular + +412 +00:26:17,400 --> 00:26:21,080 +involvement أو الـ signs اللي موجودة في العين + +413 +00:26:21,080 --> 00:26:25,220 +بتلاحظها مجرد ما نعمل general assessment للـ face + +414 +00:26:25,890 --> 00:26:28,930 +بكون ال patients في عندهم بروز أو جحوظ في العينين + +415 +00:26:28,930 --> 00:26:32,110 +و هذا الكلام بيسموه طبعا exophthalmos ال + +416 +00:26:32,110 --> 00:26:35,350 +exophthalmos هو جحوظ أو بروز العينين بالاضافة طبعا + +417 +00:26:35,350 --> 00:26:40,050 +لبعض ال findings الأخرى ف this is a typical face + +418 +00:26:40,050 --> 00:26:43,070 +of exophthalmos طبعا hyperthyroidism لاحظوا ال + +419 +00:26:43,070 --> 00:26:47,170 +facial expression في steer و في nervousnessالمريض + +420 +00:26:47,170 --> 00:26:50,550 +يبدو عصبي وفي عنده stair يعني إيش stair قلنا أنه + +421 +00:26:50,550 --> 00:26:54,510 +لا يرمش كثيرا أو بيرمشش أبدا أحيانا و طبعا هذا + +422 +00:26:54,510 --> 00:26:58,730 +بيعرض ال eye لإنه يصير فيها ulceration لإنه إذا ما + +423 +00:26:58,730 --> 00:27:01,710 +رمشش المريض تنشف ال eye من جوا وبالتالي ممكن يصير + +424 +00:27:01,710 --> 00:27:03,250 +فيه عنده corneal ulcerations + +425 +00:27:05,990 --> 00:27:08,250 +this is the typical face of hypothyroidism, the + +426 +00:27:08,250 --> 00:27:11,170 +patient is looking sleepy و looking sunken eyes و + +427 +00:27:11,170 --> 00:27:13,990 +looking dull in thinking و أحيانا عند ال females + +428 +00:27:13,990 --> 00:27:18,330 +بصير في عندهم coarse voice يعني الصوت طبعهم بيخشن + +429 +00:27:18,330 --> 00:27:20,830 +بصير فيه deepening و hoarseness في ال voice + +430 +00:27:20,830 --> 00:27:24,510 +وبالتالي هذا ال face of hypothyroidism, sunken + +431 +00:27:24,510 --> 00:27:28,270 +eyes, buffiness below the eyes أو periorbital + +432 +00:27:28,270 --> 00:27:31,960 +edema أحيانا بتصيربصير ال eye تحتها زي انتفاخات + +433 +00:27:31,960 --> 00:27:35,840 +موجودة بالاضافة لل thinning of the skin and loss + +434 +00:27:35,840 --> 00:27:39,620 +of the eyelashes and eyebrows شعر الحواجب والرموش + +435 +00:27:39,620 --> 00:27:44,360 +والشعر نفسه شعر الراس بصير فيه lossthis is + +436 +00:27:44,360 --> 00:27:47,240 +acromegaly طبعا لاحظين ال development of + +437 +00:27:47,240 --> 00:27:51,640 +acromegaly و تقدم في السنوات these are typical + +438 +00:27:51,640 --> 00:27:55,440 +phases of thyrotoxicosis من فوق على الشمال و بعد + +439 +00:27:55,440 --> 00:27:59,140 +هيك في عنا ال hypothyroidism و ال acromegaly و + +440 +00:27:59,140 --> 00:28:03,340 +كمان case of acromegaly بالاضافة ل patient with + +441 +00:28:03,340 --> 00:28:10,940 +down syndrome كيف + +442 +00:28:10,940 --> 00:28:15,580 +المريض بتكلم؟وش ال language اللي بيستخدمها؟ هذه + +443 +00:28:15,580 --> 00:28:19,420 +شغلات مهمة جدا نعرف عنها في ال general physical + +444 +00:28:19,420 --> 00:28:23,300 +examination هل المريض عنده dysphonia؟ voice + +445 +00:28:23,300 --> 00:28:27,220 +impairment من الأساس بيقدرش أنه يطلع صوت ال + +446 +00:28:27,220 --> 00:28:30,680 +dysphonia قد يكون السبب فيها neurological و قد + +447 +00:28:30,680 --> 00:28:34,120 +يكون السبب فيها local زي ال vocal cord injury مثلا + +448 +00:28:34,120 --> 00:28:37,180 +أو المريض يكون عنده deep hoarseness مش قادر يطلع + +449 +00:28:37,180 --> 00:28:41,480 +صوتهdysarthria بيطلع صوت لكن الصوت بيكون ال + +450 +00:28:41,480 --> 00:28:44,720 +articulation فيه difficult يعني مفاصل الكلام + +451 +00:28:44,720 --> 00:28:47,820 +بتكونش واضحة وبالتالي ال patient بيكون عنده تأتأ + +452 +00:28:47,820 --> 00:28:51,380 +كتير بيكون في عنده صعوبة في اللفظ لكن الصوت بيطلع + +453 +00:28:51,380 --> 00:28:54,660 +نفسه بالاضافة لإنه بينجطر نفسه أثناء الحكي و بيكون + +454 +00:28:54,660 --> 00:28:59,200 +في عنده rapid speech dysarthrophonia + +455 +00:28:59,200 --> 00:29:04,090 +اتنين مع بعض dysphonia و dysarthriaمع بعضهم طبعا + +456 +00:29:04,090 --> 00:29:06,770 +هذه central nervous system caused motor neuron + +457 +00:29:06,770 --> 00:29:11,150 +disorders ممكن تسببها dysphasia impairment of + +458 +00:29:11,150 --> 00:29:15,290 +comprehension of the speech يعني المريض بيحكيش + +459 +00:29:15,290 --> 00:29:19,070 +كلمات مفهومة في ال dysphonia ممكن يحكي كلمة مفهومة + +460 +00:29:19,070 --> 00:29:22,710 +لكن الصوت تبعه يكونفي خفوض او في impairment او مش + +461 +00:29:22,710 --> 00:29:26,330 +قادر يطلعوا لكن في حالة ال dysphisia بحكي كلام غير + +462 +00:29:26,330 --> 00:29:29,370 +مفهوم un comprehensible او spoken او written + +463 +00:29:29,370 --> 00:29:33,290 +language لا بقدر يكتب كلام مفهوم ولا بقدر يحكي حكي + +464 +00:29:33,290 --> 00:29:37,610 +مفهوم و ال hoarseness طبعا ال harsh breathy voice + +465 +00:29:37,610 --> 00:29:40,250 +ال hoarseness اللي هي البحة الصوت اللي معروفة + +466 +00:29:40,250 --> 00:29:44,690 +للجميع طبعا و الأسباب تبعتهاممكن تكون إلها علاقة + +467 +00:29:44,690 --> 00:29:46,950 +بال nerve injury ممكن تكون إلها علاقة بال + +468 +00:29:46,950 --> 00:29:49,910 +infections زي ال infections of the pharynx and + +469 +00:29:49,910 --> 00:29:53,050 +larynx و أشياء كتير ممكن تسبب hoarseness أو ال + +470 +00:29:53,050 --> 00:29:56,090 +tumors في ال vocal cords و ال masses في ال larynx + +471 +00:29:56,090 --> 00:30:01,130 +أو ال trauma اللي هو الإصابات اللي بتشمل ال larynx + +472 +00:30:01,130 --> 00:30:06,330 +أو ال vocal cords ممكن تسبب hoarsenessposition and + +473 +00:30:06,330 --> 00:30:09,150 +posture طبعا refers to the patient body status and + +474 +00:30:09,150 --> 00:30:12,470 +the general way holding the body in the space يعني + +475 +00:30:12,470 --> 00:30:16,410 +كيف المريض ماسك نفسه و هو واقف و هو بيمشي و هو + +476 +00:30:16,410 --> 00:30:21,470 +جاعد وبالتالي كيف محافظ على شكل جسمه طبعا بيشمل ال + +477 +00:30:21,470 --> 00:30:24,830 +active و ال passive و ال compulsiveال active + +478 +00:30:24,830 --> 00:30:28,970 +position اللي هو المريض حر الحركة أو حر يعمل إيش + +479 +00:30:28,970 --> 00:30:31,650 +ما بده the patient can move his or her body freely + +480 +00:30:31,650 --> 00:30:35,070 +without any restriction مافيش قيود على حركة الجسم + +481 +00:30:35,070 --> 00:30:38,890 +عنده بينما ال passive position المريض مابيكونش + +482 +00:30:38,890 --> 00:30:41,650 +عنده ال free movement of the body وهد بتحصل كتير + +483 +00:30:41,650 --> 00:30:47,760 +في اللي عندهم فقدان جزء أو فقدان كله للوعياللي + +484 +00:30:47,760 --> 00:30:51,380 +بدخلوا في حالة كومة أو في حالة اغماء أو بيكون في + +485 +00:30:51,380 --> 00:30:55,500 +عندهم تشوش في مستوى الوعي أو مستوى الصحيان + +486 +00:30:55,500 --> 00:30:59,020 +وبالتالي هدول بيكونوا في passive position النوع + +487 +00:30:59,020 --> 00:31:01,600 +التالت من ال positions اللي هو ال compulsive + +488 +00:31:01,600 --> 00:31:02,740 +position + +489 +00:31:04,890 --> 00:31:08,450 +و ال compulsive position يعني position قهري مضطر + +490 +00:31:08,450 --> 00:31:12,330 +له المريض عشان يخفف من قلم معين أو عشان يتحاشى اشي + +491 +00:31:12,330 --> 00:31:16,210 +معين على سبيل المثال ال patient اللي بيكون lying + +492 +00:31:16,210 --> 00:31:21,400 +down on the back with two legs being bendingيعني + +493 +00:31:21,400 --> 00:31:24,780 +تاني رجليه و ضممهم لبطنه زي ما احنا شايفين في + +494 +00:31:24,780 --> 00:31:29,540 +الصور هنا او تاني الجذع تبعه و ضمه في حالة + +495 +00:31:29,540 --> 00:31:33,100 +fliction هذا بيكون عنده acute peritonitis لأسباب + +496 +00:31:33,100 --> 00:31:36,680 +مختلفة طبعا acute abdomen ع سبيل المثال ال patient + +497 +00:31:36,680 --> 00:31:39,340 +اللي بيكون واقف بالشكل هذا و حاطط ايده على دهره و + +498 +00:31:39,340 --> 00:31:41,920 +عامل support لدهره بيكون فيه عنده back pain او + +499 +00:31:41,920 --> 00:31:45,340 +muscle tenderness بيسموه compulsive prostrate + +500 +00:31:45,340 --> 00:31:50,940 +positioncompulsive يعني قهري و prostrate يعني مجهد + +501 +00:31:50,940 --> 00:31:55,040 +او منهك وبالتالي ال position بتاع المريض المنهك من + +502 +00:31:55,040 --> 00:31:59,760 +قلم العضلات او قلم العمود الفقري بصفة عامة + +503 +00:31:59,760 --> 00:32:04,640 +compulsive side down position زي ما احنا شايفين + +504 +00:32:04,640 --> 00:32:10,000 +هنا لما يكون ال patient عنده pain او infusion او + +505 +00:32:10,000 --> 00:32:14,140 +يكون في عنده infectionsممكن انه يعمل leaning على + +506 +00:32:14,140 --> 00:32:18,260 +المنطقة هذه او يعمل support لل waist عن طريق ايده + +507 +00:32:18,260 --> 00:32:21,060 +يحط ايده على ال waist على الخاصرة و يعمللها + +508 +00:32:21,060 --> 00:32:25,260 +support زي ما احنا شايفين بالصورة ال orthopnea + +509 +00:32:25,260 --> 00:32:28,060 +عبارة عن position و عبارة عن نوع التنفس ال + +510 +00:32:28,060 --> 00:32:31,520 +orthopnea ان المريض دائمابيحاول يظل في sitting + +511 +00:32:31,520 --> 00:32:34,780 +position أو standing position عشان يقدر ياخد نفس + +512 +00:32:34,780 --> 00:32:38,460 +لكن لو نام لكن لو صار في الوضع المستلقي تماما اللي + +513 +00:32:38,460 --> 00:32:42,440 +هو 180 درجة بيصير في عنده خنجة في النفس وبالتالي + +514 +00:32:42,440 --> 00:32:45,600 +Orthopnea بيصير عنده shortness of breath هو نايم + +515 +00:32:45,600 --> 00:32:48,760 +وبالتالي بضطر ينعدل أو بضطر ينام زي ما احنا شايفين + +516 +00:32:48,760 --> 00:32:51,620 +على كرسي ويحط مخدات عشان يظل قاعد في sitting أو + +517 +00:32:51,620 --> 00:32:54,640 +semi sitting position وهدول ال patients طبعا + +518 +00:32:54,640 --> 00:32:59,540 +بيكونوا في عندهم cardiac او pulmonary diseaseالـ + +519 +00:32:59,540 --> 00:33:03,160 +squat-down position القرفصاء و القرفصاء هدولة + +520 +00:33:03,160 --> 00:33:05,320 +بيجاولها ال patients اللي بيكون عندهم congenital + +521 +00:33:05,320 --> 00:33:10,200 +heart disease زي ال congenital ال atrial septal + +522 +00:33:10,200 --> 00:33:12,680 +defect و ال ventricular septal defect بالاضافة + +523 +00:33:12,680 --> 00:33:14,920 +لفلوت تترالوجي بالاضافة ل + +524 +00:33:17,890 --> 00:33:22,950 +valvostenosis كل هذه أشياء ممكن تؤدي لإن ال + +525 +00:33:22,950 --> 00:33:26,310 +patient keeping the squat position يقعد القرفصاء + +526 +00:33:26,310 --> 00:33:30,690 +عشان يضيع ال سينوسس و يضيع الخنجل اللي عنده ال + +527 +00:33:30,690 --> 00:33:35,650 +compulsive rest positionاللي هو ال patient بيحاول + +528 +00:33:35,650 --> 00:33:40,190 +يعمل rest أثناء ال activity عشان يتحاشى ال chest + +529 +00:33:40,190 --> 00:33:42,070 +pain اللي بيصير فيه عنده في حالة ال angina + +530 +00:33:42,070 --> 00:33:46,230 +pectoris مثلا وبالتالي قهريا بيضطر انه يجلس بيضطر + +531 +00:33:46,230 --> 00:33:50,550 +انه يخفض مستوى ال activity تبعه عشان يتحاشى وجود + +532 +00:33:50,550 --> 00:33:54,960 +ال chest painالـ Opistotonos عبارة عن rigidity of + +533 +00:33:54,960 --> 00:33:57,900 +the back muscles عبارة عن شغلة بتصير في ال back + +534 +00:33:57,900 --> 00:34:00,520 +muscles زي ما احنا شايفين hyper extension of the + +535 +00:34:00,520 --> 00:34:05,980 +back muscle نتيجة وجود infection مثلا زي التيتانوس + +536 +00:34:05,980 --> 00:34:09,020 +this + +537 +00:34:09,020 --> 00:34:11,540 +is the typical position of patients with chronic + +538 +00:34:11,540 --> 00:34:16,040 +obstructive pulmonary diseaseبكون ال patient نحيف + +539 +00:34:16,040 --> 00:34:18,420 +كتير مال nourished بكون في عنده prominent في ال + +540 +00:34:18,420 --> 00:34:21,640 +intercostal spaces بالاضافة لأنه بكون زي ما نقدم + +541 +00:34:21,640 --> 00:34:27,420 +لقدام و بكون في عنده ال lips الشفايف طبعته بكون + +542 +00:34:27,420 --> 00:34:33,080 +زميمها على بعض و باخد نفس من خلالها عشان يعني يقدر + +543 +00:34:33,080 --> 00:34:36,760 +ياخد oxygen بالدرجة الكافية و يطلع النفس البطء + +544 +00:34:36,760 --> 00:34:40,220 +نوعا ما و بالتالي بعمل استفادة من ال oxygen + +545 +00:34:40,220 --> 00:34:44,240 +بالدرجة القصوىطبعا ال gate شكل المشي تبع المريض + +546 +00:34:44,240 --> 00:34:46,960 +مهم جدا نعلق عليه طبعا ال gate abnormalities ممكن + +547 +00:34:46,960 --> 00:34:50,260 +المريض يكون hemiplegic وبالتالي تكون عنده شلل في + +548 +00:34:50,260 --> 00:34:53,560 +إيدمه رجل على نفس الجهة ممكن يكون المريض عنده + +549 +00:34:53,560 --> 00:34:55,740 +Parkinson زي ما احنا شايفين في الصورة التانية + +550 +00:34:55,740 --> 00:35:01,070 +rigid statureو ممكن يكون في عنده cerebellar ataxia + +551 +00:35:01,070 --> 00:35:04,630 +فبالتالي بيكونش متوازن و هو ماشي او بيكون في عنده + +552 +00:35:04,630 --> 00:35:06,890 +foot drop نتيجة ال peripheral nerve injury + +553 +00:35:06,890 --> 00:35:09,930 +وبالتالي بيكون يعرج على رجل واحدة او بيكون في عنده + +554 +00:35:09,930 --> 00:35:12,930 +sensory ataxia زي ما احنا شايفين في الصورة بيكون + +555 +00:35:12,930 --> 00:35:17,830 +بيخبط رجله خبط على الأرض و هو ماشي طبعا هذه كلها + +556 +00:35:17,830 --> 00:35:21,950 +أنواع من ال gateمش مهم نحفظ هذه الأشياء و كل ماشية + +557 +00:35:21,950 --> 00:35:24,750 +ايش النوع اللي ب .. اللي بسببها أو المرض اللي + +558 +00:35:24,750 --> 00:35:28,350 +بسببها لكن الفكرة اللي بدأ أوصلها في كل الأشياء + +559 +00:35:28,350 --> 00:35:31,430 +اللي ذكرناها و الأمثلة اللي ذكرناها انه ال patient + +560 +00:35:31,430 --> 00:35:36,010 +ممكن يعاني من ماشية غير طبيعية ممكن يعاني من + +561 +00:35:36,010 --> 00:35:38,910 +position غير طبيعي ممكن يعاني من صوت غير طبيعي + +562 +00:35:38,910 --> 00:35:45,160 +ممكن يعاني من وزن او body build غير طبيعيوبالتالي + +563 +00:35:45,160 --> 00:35:47,880 +هذه المعلق عليها في ال general physical + +564 +00:35:47,880 --> 00:35:52,160 +examination لإنه بيكون غالبا يعني due to + +565 +00:35:52,160 --> 00:35:56,800 +underlying condition personal hygiene مهم جداال + +566 +00:35:56,800 --> 00:35:59,160 +personal hygiene اللي هو ال body in general هل + +567 +00:35:59,160 --> 00:36:02,120 +المريض جسمه نظيف او لا؟ هل يعني بيعمل good + +568 +00:36:02,120 --> 00:36:06,040 +hygiene؟ بنظف نفسه او لا؟ ال oral hygiene بالاضافة + +569 +00:36:06,040 --> 00:36:09,900 +كمان ال dental hygiene الأسنان بالاضافة ل ال tooth + +570 +00:36:09,900 --> 00:36:14,680 +بالاضافة لل nails و ال hands و ال foot طبعا و ال + +571 +00:36:14,680 --> 00:36:18,680 +breath بمعنى اخرطبعا ال breath hygiene له علاقة + +572 +00:36:18,680 --> 00:36:22,860 +كمان بال dental hygiene او بال tooth hygiene ال + +573 +00:36:22,860 --> 00:36:25,040 +nails قد يكون فيها clubbing قد يكون فيها + +574 +00:36:25,040 --> 00:36:27,720 +coelonychia زي المعلقة بكون شكلها وهذا بتيجي في + +575 +00:36:27,720 --> 00:36:30,240 +المرضى اللي عندهم iron deficiency anemia + +576 +00:36:30,240 --> 00:36:33,500 +اللوكونيكيا ممكن تصير في ال chronic diseases زي ال + +577 +00:36:33,500 --> 00:36:35,400 +heart و ال pulmonary disease و ال palmar + +578 +00:36:35,400 --> 00:36:38,220 +arrhythmia بتصير في ال patients اللي عندهم liver + +579 +00:36:38,220 --> 00:36:40,760 +cirrhosis او portal hypertension + +580 +00:36:44,950 --> 00:36:48,390 +برضه ال portal hypertension و liver cirrhosis اللي + +581 +00:36:48,390 --> 00:36:50,970 +هي بتكون contracture of the palm of the hand اللي + +582 +00:36:50,970 --> 00:36:55,310 +هو الجزء الأمامي من الإيد، راحة الإيد بالاضافة لل + +583 +00:36:55,310 --> 00:36:58,470 +hepatic flabbing tremor المريض بيكون عنده رجف شديد + +584 +00:36:58,470 --> 00:37:03,890 +جدا في إيده نتيجة ال hepatic أو نتيجة liver + +585 +00:37:03,890 --> 00:37:07,580 +cirrhosisSo this is the clubbing of the fingers + +586 +00:37:07,580 --> 00:37:12,060 +طبعا فيه test بنعمله ال test على الجهة اليسار + +587 +00:37:12,060 --> 00:37:17,640 +normal بيسموه شمرث window إذا المريض عمل + +588 +00:37:17,640 --> 00:37:20,380 +opposition لل index fingers تبعته و ظهر ال window + +589 +00:37:20,380 --> 00:37:23,280 +هذا اللي شكله زي ال diamond عامل بيكون طبيعي + +590 +00:37:23,280 --> 00:37:25,860 +المريض بينما على الجهة التانية لما يكون في + +591 +00:37:25,860 --> 00:37:29,520 +clubbing بيظهرش انها diamond shapeاللي بيسموه شمرث + +592 +00:37:29,520 --> 00:37:33,120 +ويندو بيظهر عنا زي ما احنا شايفين هنا angle + +593 +00:37:33,120 --> 00:37:36,560 +between the nail matrices او between the origin of + +594 +00:37:36,560 --> 00:37:40,440 +the nails وبالتالي هنا بيكون فيه clubbing لاحظوا + +595 +00:37:40,440 --> 00:37:44,540 +الشمرث ويندو موجود في ال normal على الجهة اليسار + +596 +00:37:44,540 --> 00:37:47,600 +تحت في الصورة وعلى الجهة اليمين في عندنا clubbing + +597 +00:37:47,600 --> 00:37:52,340 +fingers اكتر من طريقة نقيم فيها ال clubbing من + +598 +00:37:52,340 --> 00:37:58,070 +ضمنها الشمرث ويندو او الشمرث signبالاضافة ل هل في + +599 +00:37:58,070 --> 00:38:04,250 +elevation ما بين ال distal phalangeal joints و ما + +600 +00:38:04,250 --> 00:38:09,750 +بين ال interphalangeal joints هل في بينهم elevated + +601 +00:38:09,750 --> 00:38:14,640 +angle او لا لكن اسهل طريقة هي الشمرث windowهذه + +602 +00:38:14,640 --> 00:38:17,660 +كويلونيكيا كويلونيكيا في iron deficiency أنيميا + +603 +00:38:17,660 --> 00:38:21,980 +والكويلونيكيا والبارونيكيا واللوكونيكيا موجودة في + +604 +00:38:21,980 --> 00:38:26,180 +ال heart and pulmonary disease نيكوتين استييننغ قد + +605 +00:38:26,180 --> 00:38:28,340 +يكون موجود في الأضافر للمرضى اللي بيكونوا chronic + +606 +00:38:28,340 --> 00:38:32,320 +smokers بدخنوا كتير و نيكولايسيز تأكل الأضافر + +607 +00:38:32,320 --> 00:38:35,880 +نتيجة وجود malnutrition أو نتيجة وجود infection + +608 +00:38:35,880 --> 00:38:39,060 +Paronechia اللي هو infection of the area + +609 +00:38:39,060 --> 00:38:43,630 +surrounding the nailبالاضافة للـ Onychomycosis + +610 +00:38:43,630 --> 00:38:46,010 +اللي هو الـ fungal infection of the nails these + +611 +00:38:46,010 --> 00:38:48,170 +are the hands palmar erythema the butyrin + +612 +00:38:48,170 --> 00:38:56,900 +contracture and so on palmar erythemayes this is + +613 +00:38:56,900 --> 00:39:01,040 +infarction في ال splinter hemorrhage أو + +614 +00:39:01,040 --> 00:39:03,140 +infarctions بيسموه بتيجي في ال infective + +615 +00:39:03,140 --> 00:39:05,640 +endocarditis على ال right side على ال left side + +616 +00:39:05,640 --> 00:39:08,240 +بينما على ال right side في عندنا ال finger + +617 +00:39:08,240 --> 00:39:11,280 +الوسطاني ال middle finger فيه بياض سارتالور نتيجة + +618 +00:39:11,280 --> 00:39:15,120 +ال spasm of the muscles spasm of the arteries the + +619 +00:39:15,120 --> 00:39:18,080 +muscle of the arteries وهذه بتصير طبعا في ال + +620 +00:39:18,080 --> 00:39:20,400 +renaud syndrome ال renaud syndrome عبارة عن + +621 +00:39:20,400 --> 00:39:22,940 +vasospastic disease of the small vessels of the + +622 +00:39:22,940 --> 00:39:26,960 +hands and legsبيظهر أكتر مع البرودة مع برودة الجو + +623 +00:39:26,960 --> 00:39:31,740 +والأجواء الشديدة البرودة this is pellagra of the + +624 +00:39:31,740 --> 00:39:34,380 +skin and pigmentation of the skin ممكن نلاحظها في + +625 +00:39:34,380 --> 00:39:37,260 +ال general appearance نتيجة ال niacin deficiency + +626 +00:39:39,950 --> 00:39:43,590 +اللي هو واحد من ال vitamins ال spider nevi اللي هي + +627 +00:39:43,590 --> 00:39:46,470 +عبارة عن telangiectasia التوسع في الأوعية الدموية + +628 +00:39:46,470 --> 00:39:50,330 +الصغيرة اللي موجودة تحت ال skin في ال arms أو في + +629 +00:39:50,330 --> 00:39:53,490 +ال forearms ال bruising ال bruising اللي هي + +630 +00:39:53,490 --> 00:39:58,730 +الكدمات أو الرشح الدموي اللي بيصير تحت ال skin و + +631 +00:39:58,730 --> 00:40:03,290 +طبعا هذا ال bruising بيعكس platelet dysfunction أو + +632 +00:40:03,290 --> 00:40:05,890 +platelet decrease in number بيكون فيه نقص في + +633 +00:40:05,890 --> 00:40:08,510 +الصفاح الدموية أو بيكون فيه مشكلة في ال + +634 +00:40:08,510 --> 00:40:12,130 +coagulation mechanismال wasting of the muscles, + +635 +00:40:12,250 --> 00:40:14,950 +muscle wasting بتكون ناتجة عن malnutrition أو وجود + +636 +00:40:14,950 --> 00:40:18,030 +chronic disease و ال scratch marks المريض بيحك + +637 +00:40:18,030 --> 00:40:21,830 +كتير نتيجة مثلا وجود long standing jaundice أو + +638 +00:40:21,830 --> 00:40:24,530 +chronic cholestasis المريض بيكون يعاني من jaundice + +639 +00:40:24,530 --> 00:40:27,190 +وبالتالي ال jaundice هذا ال blue ribbon irritant + +640 +00:40:27,190 --> 00:40:31,690 +لل skin بتركم و بيعمل irritation بيعمل scratching + +641 +00:40:31,690 --> 00:40:36,850 +عند المريض أو بيعمل itchingال face و ال eyes في + +642 +00:40:36,850 --> 00:40:39,850 +أشياء كتير في ال face و ال eyes ممكن لاحظها على + +643 +00:40:39,850 --> 00:40:42,310 +سبيل المثال في المرضى اللي عندهم iron deficiency و + +644 +00:40:42,310 --> 00:40:46,030 +أنيميا in general بيكون عندهم ال conjunctiva pale + +645 +00:40:46,030 --> 00:40:50,290 +لما نيجي نفحص ال conjunctiva تحت ال eye بنمسك ال + +646 +00:40:50,290 --> 00:40:54,640 +lower eyelid و بنشده لتحتاللي هو جفن الأيان السفلي + +647 +00:40:54,640 --> 00:41:00,180 +و بنشوف ال conjunctive الداخلية إذا كان لونها أحمر + +648 +00:41:00,180 --> 00:41:04,160 +وردي أو لونها باهت على بياض إذا كانت على بياضها دي + +649 +00:41:04,160 --> 00:41:07,760 +بتكون .. ممكن تكون علامة على أنيميا ال sclera + +650 +00:41:07,760 --> 00:41:11,260 +بنشوف من خلالها ال jaundice أو العيرايتس العيرايتس + +651 +00:41:11,260 --> 00:41:14,360 +بتيجي في ال patients اللي عندهمchronic + +652 +00:41:14,360 --> 00:41:17,080 +inflammatory bowel disease, Crohn's disease and + +653 +00:41:17,080 --> 00:41:20,520 +ulcerative colitis ال كايسر فريشر فريشر رينج اللي + +654 +00:41:20,520 --> 00:41:23,320 +هي ال رينج اللي بتكون حوالين ال آيراس اللي بيكون + +655 +00:41:23,320 --> 00:41:25,940 +لونها بياض على سفار موجود في ال willson's disease + +656 +00:41:25,940 --> 00:41:30,740 +او ال copper storage disease اللي هو النحاس العنصر + +657 +00:41:30,740 --> 00:41:36,100 +النحاس بيبدأ يصير فيه تخزين زيادة عن اللازم في ال + +658 +00:41:36,100 --> 00:41:38,830 +liver وبالتالي بيؤدي ل willson's diseaseالـ + +659 +00:41:38,830 --> 00:41:42,030 +Xanthelisma هي عبارة عن الـ fat deposition اللي + +660 +00:41:42,030 --> 00:41:45,530 +موجودة في جفون العين وهي بتعكس primary biliary + +661 +00:41:45,530 --> 00:41:48,510 +cirrhosis أو hyperlipidemia الـ Parotid + +662 +00:41:48,510 --> 00:41:51,290 +enlargement في الألكوهول بيكون ال patient عنده + +663 +00:41:51,290 --> 00:41:53,570 +أسيمتري في ال face بيكون one of the parotid is + +664 +00:41:53,570 --> 00:41:56,350 +larger than the other one this is jaundice and + +665 +00:41:56,350 --> 00:41:59,310 +this is the eye expression of the jaundice طبعا + +666 +00:41:59,310 --> 00:42:01,430 +واضح اليالي which is discoloration of the sclera + +667 +00:42:03,060 --> 00:42:05,960 +الـ P conjunctiva due to severe anemia ممكن + +668 +00:42:05,960 --> 00:42:10,200 +نلاحظها في ال examination conjunctival color due + +669 +00:42:10,200 --> 00:42:14,620 +to anemia and this is the jaundice بنشوفه في ال + +670 +00:42:14,620 --> 00:42:18,200 +eyes بنقل المريض يتطلع لفوق و بنفحص ال sclera في + +671 +00:42:18,200 --> 00:42:23,600 +الجفن السفلاني أو الجفن السفلي أو عند الجفن العلوي + +672 +00:42:23,600 --> 00:42:29,400 +وبالتالي بنشوف إذا في jaundice أو لا ال normalHand + +673 +00:42:29,400 --> 00:42:31,320 +بالمقارنة مع الـ jaundiced hand، لاحظوا الـ + +674 +00:42:31,320 --> 00:42:33,680 +yellowish discoloration of the skin، yellowish + +675 +00:42:33,680 --> 00:42:38,760 +change of the hand color، yes this is the + +676 +00:42:38,760 --> 00:42:42,000 +jaundice، different types of jaundice في ال face، + +677 +00:42:42,000 --> 00:42:46,220 +في ال eyes و في ال hands Parotid enlargement في + +678 +00:42:46,220 --> 00:42:50,100 +الأيكوليزم و عندها نزنتلسمة، fat builds up under + +679 +00:42:50,100 --> 00:42:54,060 +the surface of the skin، بالذات في منطقة الجفون، + +680 +00:42:54,060 --> 00:42:58,670 +اللي هي fat depositionفي ال mouth فينا ال breath + +681 +00:42:58,670 --> 00:43:02,110 +زي ما قلنا و فينا ال lips angular stomatitis قد + +682 +00:43:02,110 --> 00:43:05,990 +يكون له علاقة بالبعض ال chronic conditions او له + +683 +00:43:05,990 --> 00:43:10,550 +علاقة بال oral and skin cancers التهيبات الشفة + +684 +00:43:10,550 --> 00:43:14,630 +اللي هي الشفة او كيليايتس ال ulcerations ممكن + +685 +00:43:14,630 --> 00:43:17,190 +نلاحظها زي ال aftus ulcers اللي بتيجي في ال بهجة + +686 +00:43:17,190 --> 00:43:20,830 +ال disease او ال baccal ulcerations اللي موجودة في + +687 +00:43:20,830 --> 00:43:24,730 +ال viral infections اللي هي ال ulceration بتكون + +688 +00:43:24,730 --> 00:43:29,590 +داخل الفم من جواأو ال pigmentation of the lips + +689 +00:43:29,590 --> 00:43:33,750 +اللي هي زي في حالات ال polyposis في حالات بيس جيجر + +690 +00:43:33,750 --> 00:43:37,290 +سندروم مثلا اللي هو ال hammer tomatoes polyposis + +691 +00:43:37,290 --> 00:43:40,070 +في ال colon بالإضافة لإنه بيكون في عنا + +692 +00:43:40,070 --> 00:43:44,210 +pigmentation of the skin في ال gums في الجينجيفيتس + +693 +00:43:44,210 --> 00:43:47,230 +و ال bleeding ال candida و ال pigmentation ال + +694 +00:43:47,230 --> 00:43:50,030 +tongue atrophic glucitis and leukoplakia + +695 +00:43:52,260 --> 00:43:56,280 +اللوكوبلاكيا طبعا هي عبارة عن بُقع بيضة على + +696 +00:43:56,280 --> 00:43:59,160 +الإلسان بتكون قد يكون إلها علاقة بال cancer of the + +697 +00:43:59,160 --> 00:44:02,180 +tongue أو بال inflammatory conditions of the + +698 +00:44:02,180 --> 00:44:06,340 +tongue زي مثلا ال fungal infections atrophic + +699 +00:44:06,340 --> 00:44:09,760 +glossitis and thrush ال thrush هو عبارة عن غشاء + +700 +00:44:09,760 --> 00:44:12,320 +أبيض بيكون على الإلسان موجود في ال viral + +701 +00:44:12,320 --> 00:44:16,380 +infections في + +702 +00:44:16,380 --> 00:44:20,670 +ال neck and the chest we have to observe forأي + +703 +00:44:20,670 --> 00:44:25,070 +أسيمتري في الـ neck؟ هل في كتل؟ هل في أي أسيمتري؟ + +704 +00:44:25,070 --> 00:44:27,250 +جهة من الـ neck لا تشبه الجهة الأخرى؟ ال right + +705 +00:44:27,250 --> 00:44:29,890 +side لا تشبه ال left side؟ أو في مشكلة موجودة على + +706 +00:44:29,890 --> 00:44:32,510 +ال right مش موجودة على ال left؟ ال lift + +707 +00:44:32,510 --> 00:44:34,810 +supraclavicular fossa اللي هي ال virtuose lymph + +708 +00:44:34,810 --> 00:44:38,050 +node مهم جدا هذه lymph node موجودة في ال + +709 +00:44:38,050 --> 00:44:41,740 +superclavicular region على ال left sideاهميتها ان + +710 +00:44:41,740 --> 00:44:46,000 +لو صار فيها lymphadenopathy لازم نشك ان في cancer + +711 +00:44:46,000 --> 00:44:48,700 +below the diaphragm يعني في ال stomach او في ال + +712 +00:44:48,700 --> 00:44:51,820 +colon وبالتالي بيسموها virtue sign هنا + +713 +00:44:51,820 --> 00:44:55,820 +gynecomastia قد يكون ال patient عنده gynecomastia + +714 +00:44:55,820 --> 00:44:58,740 +ال male patient نتيجة hormonal disturbance او + +715 +00:44:58,740 --> 00:45:04,500 +نتيجة ال tumor و ال symmetry of the chest هل ال + +716 +00:45:04,500 --> 00:45:09,540 +chest يبدو symmetrical او لأThis is the typical + +717 +00:45:09,540 --> 00:45:12,420 +face of hyperthyroidism زي ما احنا شايفين ال + +718 +00:45:12,420 --> 00:45:14,920 +Exophthalmos و ال guiter اللي موجود في ال neck ال + +719 +00:45:14,920 --> 00:45:18,820 +mass اللي موجود في ال neck ال skin طبعا هو ال + +720 +00:45:18,820 --> 00:45:21,340 +external surface و ال external cover of the body + +721 +00:45:21,340 --> 00:45:25,120 +ال skin is the largest organ of the body one of + +722 +00:45:25,120 --> 00:45:27,900 +the best indications of general health ال skin + +723 +00:45:27,900 --> 00:45:31,120 +condition سواء من ناحية ال color من ناحية وجود + +724 +00:45:31,120 --> 00:45:33,980 +masses عليه من ناحية وجود lesions و من ناحية كمان + +725 +00:45:34,320 --> 00:45:37,520 +integrity of the skin هل هو healthy skin ولا لا + +726 +00:45:37,520 --> 00:45:40,640 +ولا فيه علامات malnutrition او علامات فقدان + +727 +00:45:40,640 --> 00:45:45,520 +السوائل او علامات تشقق او علامات ulcerations كل + +728 +00:45:45,520 --> 00:45:49,180 +هذه أشياء بتعكس ال general health so the + +729 +00:45:49,180 --> 00:45:51,940 +examination of the skin is dependent on inspection + +730 +00:45:51,940 --> 00:45:55,360 +mainly but palpation of the skin lesion must also + +731 +00:45:55,360 --> 00:45:58,790 +be performedطبعا ال color changes can include + +732 +00:45:58,790 --> 00:46:04,070 +color ال skin can be pale باهة لونه زي حالات + +733 +00:46:04,070 --> 00:46:07,610 +الانيميا او حالات ال cyanosis اللي بيكون لونه على + +734 +00:46:07,610 --> 00:46:11,310 +زراج yellowish skin في حالة ال jaundice او + +735 +00:46:11,310 --> 00:46:14,750 +الاكتراص redness of the skin في حالة ال infections + +736 +00:46:14,750 --> 00:46:17,110 +او في حالة بعض ال metabolic او ال endocrine + +737 +00:46:17,110 --> 00:46:21,750 +diseases pigmentation of the skinزي في حالات الـ + +738 +00:46:21,750 --> 00:46:25,130 +pigmented lesion أو الـ melanoma مثلا بالإضافة للـ + +739 +00:46:25,130 --> 00:46:27,950 +discoloration ال discoloration قد يشمل أشياء + +740 +00:46:27,950 --> 00:46:31,850 +متعددة قد يكون pigmented lesions و قد يكون + +741 +00:46:31,850 --> 00:46:35,330 +pigmented مع reddish discoloration أو مع جوندس + +742 +00:46:35,330 --> 00:46:39,690 +يعني combination of things أو loss of the pigment + +743 +00:46:39,690 --> 00:46:46,350 +of the skin اللي احنا بنسميه vitiligo اللي هو loss + +744 +00:46:46,350 --> 00:46:49,770 +of melanin discoloration due to loss of melanin + +745 +00:46:50,260 --> 00:46:53,280 +طبعا this is the cyanosis peripheral cyanosis of + +746 +00:46:53,280 --> 00:46:58,840 +the hands below the nail matrix زي ما احنا شايفين + +747 +00:46:58,840 --> 00:47:02,080 +هنا طبعا هذه كتير بتيجي في المرضى اللي عندهم + +748 +00:47:02,080 --> 00:47:05,420 +chronic obstructive pulmonary disease ال cyanosis + +749 +00:47:05,420 --> 00:47:09,580 +او نتيجة ال cardiac disease heart disease طبعا + +750 +00:47:09,580 --> 00:47:12,280 +this is central cyanosis of the tongue بالمقارنة + +751 +00:47:12,280 --> 00:47:12,940 +مع ال normal + +752 +00:47:16,070 --> 00:47:21,650 +cyanosis of the nails of the toes of the foot + +753 +00:47:21,650 --> 00:47:24,850 +erythema of the face تحت زي ما احنا شايفين هنا + +754 +00:47:24,850 --> 00:47:28,230 +ممكن تيجي ل different conditions infectious او + +755 +00:47:28,230 --> 00:47:32,190 +metabolic او endocrine conditions او allergy + +756 +00:47:32,190 --> 00:47:37,910 +حساسية ممكن اشياء كتير تسببها طبعا this is + +757 +00:47:37,910 --> 00:47:43,800 +different types of cyanosis فوقفى ال infants + +758 +00:47:43,800 --> 00:47:46,660 +الصغار اللى بيكون فى عندهم congenital heart + +759 +00:47:46,660 --> 00:47:52,380 +disease yes this + +760 +00:47:52,380 --> 00:47:55,620 +is peripheral vascular disease زى ما احنا شايفينه + +761 +00:47:55,620 --> 00:47:58,340 +هنا ال discoloration of the skin كل هذا ع ال skin + +762 +00:47:58,340 --> 00:48:01,960 +بيظهر discoloration of the skin of the foot فى ال + +763 +00:48:01,960 --> 00:48:04,460 +peripheral vascular disease لما يكون فى عندنا تضيق + +764 +00:48:04,460 --> 00:48:07,100 +فى الشرايين او يكون فى atherosclerosis او يكون فى + +765 +00:48:07,100 --> 00:48:11,650 +stenosisكل هذه الأشياء ممكن تؤدي لـ change في ال + +766 +00:48:11,650 --> 00:48:13,870 +skin color, discoloration زي ما احنا شايفين في + +767 +00:48:13,870 --> 00:48:16,630 +مناطق غامجة، مناطق pigmented غامج أو ischemic + +768 +00:48:16,630 --> 00:48:19,830 +areas او ممكن يصير فيه ulceration بالاضافة لإنه + +769 +00:48:19,830 --> 00:48:23,510 +لما نيجي نحس ال pulse بنلاقي ال pulse ضعيفة او مش + +770 +00:48:23,510 --> 00:48:24,030 +موجودة + +771 +00:48:26,870 --> 00:48:29,070 +الفيتالايجو اللي هو ال discoloration, loss of + +772 +00:48:29,070 --> 00:48:32,310 +pigment, loss of melanin pigment بعض المناطق بيكون + +773 +00:48:32,310 --> 00:48:35,470 +فيها loss of melanin deposition وبالتالي بتظهر + +774 +00:48:35,470 --> 00:48:38,990 +بياض واضح هنا زي الجزر بتكون عاملة الفيتالايجو قد + +775 +00:48:38,990 --> 00:48:42,370 +يكون زي ما احنا شايفين هنا في مناطق عن مناطق وقد + +776 +00:48:42,370 --> 00:48:48,170 +يكون البنزم بالكامليعني مهق بالكامل كل الجسم عبارة + +777 +00:48:48,170 --> 00:48:51,150 +عن Vataligo بالإضافة للشعر بالإضافة للون الغنان و + +778 +00:48:51,150 --> 00:48:54,550 +الورموش و هذه الشغلات يمكن انتوا شوفتوها في + +779 +00:48:54,550 --> 00:48:57,550 +حياتكوا كتير عند بعض الناس اللي هو ال albinism + +780 +00:48:57,550 --> 00:49:02,830 +Locoplacia طبعا ال Locoplacia قد تكون بسبب ان ال + +781 +00:49:02,830 --> 00:49:06,360 +tongue بده يصير فيه tumorcancer في ال tongue + +782 +00:49:06,360 --> 00:49:09,820 +وبالتالي بتعتبر precancerous lesion وكجينالية + +783 +00:49:09,820 --> 00:49:12,360 +أحيانا leukoplakia بتكون patches developed in the + +784 +00:49:12,360 --> 00:49:16,400 +female external genitalia غير ال tongue طبعا وطبعا + +785 +00:49:16,400 --> 00:49:20,440 +هذه الشغلات تستدعي أنه يعني diagnostic workup to + +786 +00:49:20,440 --> 00:49:23,540 +rule out cancer of the skin or cancer of the + +787 +00:49:23,540 --> 00:49:27,600 +tongueالراشز أنواعها كتير ال skin rash على ال skin + +788 +00:49:27,600 --> 00:49:30,620 +طبعا frequently one manifestation of systemic + +789 +00:49:30,620 --> 00:49:33,320 +disease وبالتالي they are important for the + +790 +00:49:33,320 --> 00:49:36,720 +diagnosis of some special disease طبعا different + +791 +00:49:36,720 --> 00:49:39,280 +rash may occur في ال infectious disease, + +792 +00:49:40,840 --> 00:49:43,300 +dermatological disease or drug or allergic + +793 +00:49:43,300 --> 00:49:46,240 +material كل هذه الأسباب بتسبب انه يصير فيه rash + +794 +00:49:46,240 --> 00:49:49,960 +على ال skin او يصير في عندنا pigmented lesions + +795 +00:49:49,960 --> 00:49:56,890 +طبعا ال rash هذيالها عدة أوصاف ممكن تكون regular + +796 +00:49:56,890 --> 00:50:00,430 +or irregular pattern وممكن تكون sharp or dull + +797 +00:50:00,430 --> 00:50:03,530 +edges طبعا ال type of rashes في عندنا ال macules + +798 +00:50:03,530 --> 00:50:06,750 +ال macules عبارة عن البقع الملونة وفي عندنا ال + +799 +00:50:06,750 --> 00:50:09,590 +rosula اللي كل لونها وردي البقع اللي لونها وردي + +800 +00:50:09,590 --> 00:50:12,310 +وفي بيكون عندنا ال papules اللي بتكون elevated + +801 +00:50:12,310 --> 00:50:15,630 +over the surface of the skin يعني أعلى من مستوى + +802 +00:50:15,630 --> 00:50:19,700 +سطح ال skin اللي محيط فيهاوفي maculopapular بيكون + +803 +00:50:19,700 --> 00:50:22,180 +اتنين موجودين مع بعض وفي عندنا ال articaria اللي + +804 +00:50:22,180 --> 00:50:26,300 +هي بتكون عبارة عن بقع كبيرة نتيجة الحساسية الشديدة + +805 +00:50:26,300 --> 00:50:29,980 +او نتيجة الحق الشديدة بتظهر elevated above the + +806 +00:50:29,980 --> 00:50:33,520 +surface of the skin و بتختفي لما تختفي الحساسية + +807 +00:50:33,520 --> 00:50:40,420 +these are the macules في ال neck areathe change of + +808 +00:50:40,420 --> 00:50:43,160 +the skin texture و ال thickness طبعا بكونش موجود + +809 +00:50:43,160 --> 00:50:47,360 +فيها زي this is the rosula rosula of the abdomen + +810 +00:50:47,360 --> 00:50:51,440 +yes موجودة هذه الأشياء برضه في infectious disease + +811 +00:50:51,440 --> 00:50:54,780 +في ال scarlet fever على سبيل المثال في ال children + +812 +00:50:55,590 --> 00:51:00,590 +أو drug rashes أو في ال measles ال papule elevated + +813 +00:51:00,590 --> 00:51:03,870 +over the surface of the skin فهذا بميزها عن ال + +814 +00:51:03,870 --> 00:51:06,410 +macule و ال macule و ال papule both of them + +815 +00:51:06,410 --> 00:51:08,110 +combined with each other و فيه يعني ان ال + +816 +00:51:08,110 --> 00:51:11,050 +articaria اللي هي ال hives هذه اللي بتكون raised + +817 +00:51:11,050 --> 00:51:15,570 +red discs بتكون عاملة زي ال discs زي الأقراس هيكة + +818 +00:51:15,570 --> 00:51:18,710 +above the surface of the skin و they are often + +819 +00:51:18,710 --> 00:51:22,630 +very itchywhich come and go مجرد ما تروح الحساسية + +820 +00:51:22,630 --> 00:51:26,270 +بتروح ال hives هذه و بترجع لما ترجع الحساسية قد + +821 +00:51:26,270 --> 00:51:29,650 +يكون ال skin فيه allergy لبعض الأطعمة او لبعض ال + +822 +00:51:29,650 --> 00:51:34,790 +chemical materials او لبعض الانواع الصابون مثلا او + +823 +00:51:34,790 --> 00:51:39,530 +كذا او حساسية ملابس نفسها او غبرة في الجو كل هذه + +824 +00:51:39,530 --> 00:51:43,300 +الأشياء ممكن تسبب ال articaria او ال hivesthis is + +825 +00:51:43,300 --> 00:51:46,700 +the herpes zoster virus و skin condition في ال + +826 +00:51:46,700 --> 00:51:50,440 +herpes zoster اللي بيكون في عيننا vesicles يعني + +827 +00:51:50,440 --> 00:51:56,280 +أكياس صغير فجاجيع فيها ميه أو فيها سائل this is + +828 +00:51:56,280 --> 00:51:59,160 +the subcutaneous hemorrhage bleeding into the skin + +829 +00:51:59,160 --> 00:52:01,980 +طبعا subcutaneous hemorrhage ممكن يكون انها شقة عن + +830 +00:52:01,980 --> 00:52:05,830 +ال traumaواحد أخله ضرب في وجهه أو أخله بوكس في + +831 +00:52:05,830 --> 00:52:08,630 +وجهه ممكن تصير فيه أن زراعك في المنطقة و الدم يرشح + +832 +00:52:08,630 --> 00:52:11,870 +تحت ال skin و يتجمع وبالتالي هذا بيكون سببها لل + +833 +00:52:11,870 --> 00:52:14,650 +trauma أو بيكون سببها مشكلة في ال calculation + +834 +00:52:14,650 --> 00:52:18,930 +mechanism أو مشكلة في ال platelet mechanismو في + +835 +00:52:18,930 --> 00:52:21,650 +عندنا عدة أوصاف للموضوع هذا على سبيل المثال ال + +836 +00:52:21,650 --> 00:52:24,830 +small hemorrhage او ال small blood under the skin + +837 +00:52:24,830 --> 00:52:27,390 +اللي بيكون ال size تبعه اقل من اتنين ميلي متر + +838 +00:52:27,390 --> 00:52:31,430 +بنسميه petechia بينما ال perpura من تلاتة لخمس ملي + +839 +00:52:31,430 --> 00:52:34,790 +بيكون حجم بقعة الدم اللي تحت ال skin بينما ال + +840 +00:52:34,790 --> 00:52:39,470 +ecchymosis بيكون اكتر من five ملي متر اذا كان ال + +841 +00:52:39,470 --> 00:52:43,430 +lesion اكبر من هيك او التجمع الدموي اكبر من هيك + +842 +00:52:43,430 --> 00:52:46,970 +بيعمل swelling و ممكن يقد لحاجة بيسموها hematoma + +843 +00:52:47,220 --> 00:52:50,260 +وبالتالي هذه المصطلحات ممكن نفرق بينها ما بين الـ + +844 +00:52:50,260 --> 00:52:54,040 +Petechia , البربرا, ال Echemosis و ال Hematoma + +845 +00:52:56,280 --> 00:53:00,160 +Spider Angioma أو Spider Nevi هي عبارة عن توسع + +846 +00:53:00,160 --> 00:53:03,160 +للأوعية الدموية الصغيرة على سطح الجلب طبعا ال + +847 +00:53:03,160 --> 00:53:07,280 +spider angioma عبارة عن lesion تبكيكاليهات رد دوط + +848 +00:53:07,280 --> 00:53:11,720 +في الوسط وردش اكستنشر راديات اخرج من بعض المقاومة + +849 +00:53:11,720 --> 00:53:15,800 +يكون عامل زي أشعة الشمس وطبعا هذه بتكثر جدا في + +850 +00:53:15,800 --> 00:53:19,860 +liver disease spider angioma موجودة على سطح ال + +851 +00:53:19,860 --> 00:53:24,620 +skinو بالتالي موجودة في liver disease و لو كانت + +852 +00:53:24,620 --> 00:53:28,100 +هذه ال dilated vessels موجودة حوالين الأنضلايكاس + +853 +00:53:28,100 --> 00:53:31,860 +في ال veins حوالين الأنضلايكاس بيسموها Capotmedosa + +854 +00:53:31,860 --> 00:53:39,190 +spider angiomaإديمة Excessive build-up of a fluid + +855 +00:53:39,190 --> 00:53:42,050 +in the tissues طبعا either occurs throughout the + +856 +00:53:42,050 --> 00:53:45,750 +body الإديمة هي عبارة عن تراكم السوائل في الجسم + +857 +00:53:45,750 --> 00:53:49,130 +وبالتالي بتأدي لgeneralized swelling أو بتكون + +858 +00:53:49,130 --> 00:53:52,890 +limited لمنطقة معينة من الجسم localized swelling + +859 +00:53:52,890 --> 00:53:55,670 +لو كانت generalized بتكون أكتر حاجة يلها relation + +860 +00:53:55,670 --> 00:53:59,310 +لل cardiac disease أو ال .. أو ال .. renal disease + +861 +00:53:59,310 --> 00:54:02,110 +زي ال nephrotic syndrome مثلا أو زي ال congestive + +862 +00:54:02,110 --> 00:54:05,370 +heart failureبينما لو كانت localized بيكون السبب + +863 +00:54:05,370 --> 00:54:09,770 +فيها مشكلة في المنطقة اللي صارت فيها الإديمة it + +864 +00:54:09,770 --> 00:54:14,090 +can be either pitting لو ضغطنا عليها بتعمل حفرة أو + +865 +00:54:14,090 --> 00:54:17,710 +non-pitting يعني لو ضغطنا عليها بترجع لشكلها + +866 +00:54:17,710 --> 00:54:20,150 +الطبيعي ل swelling الطبيعي زي ال أسفنج لما نضغط + +867 +00:54:20,150 --> 00:54:23,590 +عليها و بعدين نرفع إيدنا عنها بينما ال pitting + +868 +00:54:23,590 --> 00:54:27,470 +إديمة زي لما نحط إيدنا في رمل البحر مثلا حط إصبع + +869 +00:54:27,470 --> 00:54:30,630 +في رمل البحر وبالتالي بصير حفرة مكان الإصبع الحفرة + +870 +00:54:30,630 --> 00:54:35,660 +هذه بتجهد لبعض الوجد قبل ما تختفيطبعا ممكن تكون ال + +871 +00:54:35,660 --> 00:54:38,540 +edema mild, moderate or severe ال facial edema, + +872 +00:54:38,660 --> 00:54:42,380 +peripheral edema, mild type زي الحالات اللي بتصير + +873 +00:54:42,380 --> 00:54:43,880 +مثلا في ال .. + +874 +00:54:46,740 --> 00:54:48,960 +في ال face نتيجة endocrine disease و + +875 +00:54:48,960 --> 00:54:52,300 +hypothyroidism مثلا ال moderate generalized edema + +876 +00:54:52,300 --> 00:54:54,380 +و ال severe generalized edema اللي بتصير في كل + +877 +00:54:54,380 --> 00:54:57,520 +أنحاء ال body وهذه بتكون نتيجة غالبا عن congestive + +878 +00:54:57,520 --> 00:55:02,440 +heart failure او severe renal disease او renal + +879 +00:55:02,440 --> 00:55:06,310 +failurethis is the pitting اديمة لاحظوا بعد الضغط + +880 +00:55:06,310 --> 00:55:10,770 +الحفرة دلت مكانها pitting وفي non pitting اللي هو + +881 +00:55:10,770 --> 00:55:14,950 +بترجع لنفسها طبعا كل ما كانت ال pitting اديمة اكتر + +882 +00:55:14,950 --> 00:55:18,570 +كل ما زاد ال grade تبعها وبالتالي mild pitting + +883 +00:55:18,570 --> 00:55:23,690 +moderate pitting and severe pitting كلها بنعملها + +884 +00:55:23,690 --> 00:55:27,610 +grading من خلال جديش صار في حفرة مع الدغط على ال + +885 +00:55:27,610 --> 00:55:30,630 +skin وجديش طولت الحفرة هذه لما رجعت لوضعها الطبيعي + +886 +00:55:34,950 --> 00:55:38,290 +yes this is periorbital edema found in a patient + +887 +00:55:38,290 --> 00:55:41,590 +with thyrotoxicosis لاحظوا ال protrusion of the + +888 +00:55:41,590 --> 00:55:44,690 +eyeballs بالاضافة لل periorbital edema اللي موجودة + +889 +00:55:44,690 --> 00:55:49,850 +كأنه في small abdomen below the eyes او small fat + +890 +00:55:49,850 --> 00:55:53,810 +او fat deposition below the eyes طبعا هذه typical + +891 +00:55:53,810 --> 00:55:56,570 +face of Graves disease thyrotoxicosis + +892 +00:55:58,520 --> 00:56:01,100 +Examination of the lymph nodes and inspection of + +893 +00:56:01,100 --> 00:56:03,920 +the lymph nodes of the neck مهم جدا ال lymph nodes + +894 +00:56:03,920 --> 00:56:07,480 +are distributed all over the body ال general + +895 +00:56:07,480 --> 00:56:09,620 +physical examination can only palpate the + +896 +00:56:09,620 --> 00:56:12,760 +superficial lymph nodes سواء اللي موجودة في ال + +897 +00:56:12,760 --> 00:56:16,060 +neck اللي موجودة في ال head اللي موجودة في ال + +898 +00:56:16,060 --> 00:56:19,540 +axilla و اللي موجودة في ال inguinal area و اللي + +899 +00:56:19,540 --> 00:56:25,840 +موجودة في منطقة ال elbowهذه كلها بنفحصها في حالات + +900 +00:56:25,840 --> 00:56:28,880 +ال general physical examination ولاحظوا ال lymph + +901 +00:56:28,880 --> 00:56:31,160 +node groups هنا اللي موجودة في ال head و في ال + +902 +00:56:31,160 --> 00:56:35,240 +neck palpation of the cervical lymph nodes مهم + +903 +00:56:37,410 --> 00:56:39,930 +بالإضافة هذه هي الـ lymph node groups اللي موجودة + +904 +00:56:39,930 --> 00:56:42,750 +في الـ neck في عندنا تحت الدق المباشرة و تحت + +905 +00:56:42,750 --> 00:56:46,190 +المندب المباشرة submental و submandibular بعدين في + +906 +00:56:46,190 --> 00:56:48,010 +عندنا ال tonsillar lymph nodes و في عندنا ال + +907 +00:56:48,010 --> 00:56:51,590 +jugular lymph nodes و في عندنا ال superclavicular + +908 +00:56:51,590 --> 00:56:55,430 +lymph nodes و ال posterior triangle lymph nodes + +909 +00:56:55,430 --> 00:56:59,970 +بالإضافة طبعا ل ال para + +910 +00:57:03,570 --> 00:57:06,410 +Paratracial lymph nodes اللي موجودة في منتصف العنق + +911 +00:57:06,410 --> 00:57:09,910 +تماما كل هذه we have to palpate في ال general + +912 +00:57:09,910 --> 00:57:12,190 +physical examination هذه بعض الأنواع اللي بصير + +913 +00:57:12,190 --> 00:57:15,270 +فيها cervical lymphadenopathy massive right sided + +914 +00:57:15,270 --> 00:57:18,310 +cervical lymphadenopathy due to metastatic disease + +915 +00:57:18,310 --> 00:57:21,830 +وفي هذه الحالة ال metastatic disease هو عبارة عن + +916 +00:57:21,830 --> 00:57:25,570 +cancer intraoral squamous cell carcinomaThis is + +917 +00:57:25,570 --> 00:57:28,730 +the palpation of the elbow lymph node Epitropial + +918 +00:57:28,730 --> 00:57:31,490 +lymph node وهذا ال palpation of the axilla بالذات + +919 +00:57:31,490 --> 00:57:33,550 +في ال patients اللي عندهم breast pathology أو + +920 +00:57:33,550 --> 00:57:36,570 +breast mass We have to palpate the axilla very + +921 +00:57:36,570 --> 00:57:40,330 +thoroughly يعني بعناية شديدة جدا This is the + +922 +00:57:40,330 --> 00:57:42,370 +palpation of the axilla و طبعا هنا ال left + +923 +00:57:42,370 --> 00:57:44,910 +axillary lymphadenopathy قد تكون ناتجة عن breast + +924 +00:57:44,910 --> 00:57:48,570 +cancer و قد تكون ناتجة عن skin cancer في منطقة ال + +925 +00:57:48,570 --> 00:57:52,750 +chest أو في منطقة ال upper abdomenThis is the + +926 +00:57:52,750 --> 00:57:56,850 +vertial lymph node على ال left side اللي هي عبارة + +927 +00:57:56,850 --> 00:58:00,150 +عن superclavicular lymph node و ال vertial rule + +928 +00:58:00,150 --> 00:58:03,730 +بتقول كالتالي if you have vertial lymphadenopathy + +929 +00:58:03,730 --> 00:58:07,270 +يعني lift superclavicular lymph node enlargement + +930 +00:58:07,270 --> 00:58:11,490 +you have to suspect cancer below the diaphragm في + +931 +00:58:11,490 --> 00:58:14,410 +منطقة ال abdomen بمعنى آخر و بالذات ال stomach + +932 +00:58:14,410 --> 00:58:14,950 +cancer + +933 +00:58:17,610 --> 00:58:20,510 +This is the dilated veins اللي هي الـ varicose + +934 +00:58:20,510 --> 00:58:22,950 +veins برضه بنلاحظها على ال skin في ال general + +935 +00:58:22,950 --> 00:58:26,630 +physical examination ال lymph nodes طبعا ممكن تكون + +936 +00:58:26,630 --> 00:58:30,650 +السبب في تدخمها lymphadenitis و ممكن يكون السبب في + +937 +00:58:30,650 --> 00:58:34,170 +تدخمها chronic infections زي ال tuberculosis أو + +938 +00:58:34,170 --> 00:58:37,830 +malignant conditions زي ال esqu مثل الكارسينوما زي + +939 +00:58:37,830 --> 00:58:43,950 +ال breast cancer زي ال genitourinary cancers ممكن + +940 +00:58:43,950 --> 00:58:49,860 +السبب فيها زي ما قلنا يكونBlood Malignancy أو + +941 +00:58:49,860 --> 00:58:53,240 +Hematological Malignancy أو الوينفومة أو اللوكيمي + +942 +00:58:53,240 --> 00:58:57,800 +الفائتال ساينز ال pulse ال blood pressure و ال + +943 +00:58:57,800 --> 00:59:02,480 +respiratory rate و ال temperatureطبعا ال vital ال + +944 +00:59:02,480 --> 00:59:04,720 +pulse ماخدها من ال radial pulse ال radial pulse زي + +945 +00:59:04,720 --> 00:59:07,560 +ما احنا شايفين سهل جدا بنيجي على ال anatomical + +946 +00:59:07,560 --> 00:59:11,860 +snuff box و just media لل anatomical snuff box and + +947 +00:59:11,860 --> 00:59:16,140 +anterior to it بنفحص ال radial pulse طبعا ال + +948 +00:59:16,140 --> 00:59:18,760 +radial pulse ال normal range تبعها بيكون من ستين + +949 +00:59:18,760 --> 00:59:21,260 +لمية وإن كان ال children بصفة عام عندهم ال heart + +950 +00:59:21,260 --> 00:59:25,350 +rate اكتر من ال adults كnormal يعنيفي حالة ما يكون + +951 +00:59:25,350 --> 00:59:27,990 +فيه emotional stress في حالة ما يكون في advanced + +952 +00:59:27,990 --> 00:59:32,490 +age بتتناقص ال pulse مع ال advanced age بينما في + +953 +00:59:32,490 --> 00:59:35,350 +ال emotion في ال childhood بتزيد أثناء ال resting + +954 +00:59:35,350 --> 00:59:41,350 +sleep في النوم برضه بتتناقص ال pulsethis is the + +955 +00:59:41,350 --> 00:59:44,350 +pulse oximetry بيجيس ال pulse و في نفس الوقت بيجيس + +956 +00:59:44,350 --> 00:59:48,090 +ال saturation of the blood ال oxygen saturation of + +957 +00:59:48,090 --> 00:59:51,490 +the blood هو هذا موجود طبعا في كل .. تقريبا في كل + +958 +00:59:51,490 --> 00:59:54,110 +الأقسام في المستشفيات بالذات في أقسام العناي + +959 +00:59:54,110 --> 00:59:58,330 +المركزة والعملياتthis is temperature rectal + +960 +00:59:58,330 --> 01:00:00,910 +temperature can be taken و هي أفضل أنواع ال + +961 +01:00:00,910 --> 01:00:02,850 +temperature اللى ممكن ناخدها لإنه هي ال most + +962 +01:00:02,850 --> 01:00:06,270 +accurate one لإنها بتعكس ال core body temperature + +963 +01:00:06,270 --> 01:00:08,230 +طبعا ال rectal temperature في ال children + +964 +01:00:08,230 --> 01:00:11,030 +بيستخدموها كتير و في ال pediatric age group في ال + +965 +01:00:11,030 --> 01:00:14,110 +adults بيستخدموا ال oral او ال auxiliary ال oral + +966 +01:00:14,110 --> 01:00:17,170 +او ال auxiliary temperature ال blood pressure زى + +967 +01:00:17,170 --> 01:00:21,590 +ما احنا شايفين هنا sphingomanometerنستخدمه ممكن + +968 +01:00:21,590 --> 01:00:25,050 +تكون ال reading على تدريج أرقام وممكن تكون على شكل + +969 +01:00:25,050 --> 01:00:29,150 +digital يعني الجهاز بيقرأ بشكل digital أو بشكل + +970 +01:00:29,150 --> 01:00:32,910 +automatic طبعا تدريج الأرقام أحسن these are the + +971 +01:00:32,910 --> 01:00:35,810 +normal and abnormal ranges of the blood pressure + +972 +01:00:36,370 --> 01:00:38,970 +متى نعتبر المريض hypertension و pre hypertension + +973 +01:00:38,970 --> 01:00:43,010 +الأرقام بتوضح طبعا متى يكون normal blood pressure + +974 +01:00:43,010 --> 01:00:46,590 +و ال hypertension جدير بالملاحظة أنه لا يشخص من + +975 +01:00:46,590 --> 01:00:49,810 +قراءة واحدة لازم ناخد عدة قراءات لأنه قد يكون + +976 +01:00:49,810 --> 01:00:52,490 +السبب في ال hypertension توتر أو قد يكون السبب في + +977 +01:00:52,490 --> 01:00:56,430 +activity المريض بيعمل مجهود معين وبالتالي single + +978 +01:00:56,430 --> 01:00:59,070 +reading is not enough to establish the diagnosis + +979 +01:00:59,070 --> 01:01:02,010 +of hypertension we have to read it more than one + +980 +01:01:04,000 --> 01:01:07,240 +طبعا هذا ال outline of our lecture ال clinical + +981 +01:01:07,240 --> 01:01:10,820 +examination personal information بعد هيكا ال body + +982 +01:01:10,820 --> 01:01:13,940 +build ال height ال weight ال body mass index ال + +983 +01:01:13,940 --> 01:01:17,720 +nutritional status ال gait البلر هل فيه جوندس + +984 +01:01:17,720 --> 01:01:21,380 +مافيش سينوسس ال clubbing ال edema و ال lymph node + +985 +01:01:21,380 --> 01:01:24,200 +enlargement ال central venous pressure و ال vital + +986 +01:01:24,200 --> 01:01:27,200 +signs temperature و ال pulse و ال respiratory rate + +987 +01:01:27,200 --> 01:01:30,620 +و ال blood pressure معظمها أنتم ممكن تعملوها أثناء + +988 +01:01:30,620 --> 01:01:34,110 +ال physical examinationيمكن ال central venous + +989 +01:01:34,110 --> 01:01:37,610 +pressure هذا له وضع خاص مش مطلوب في ال physical + +990 +01:01:37,610 --> 01:01:40,910 +examination لكن لازم نلاحظ ال jugular venous + +991 +01:01:40,910 --> 01:01:43,430 +distinction اذا فيه distinction في ال jugular + +992 +01:01:43,430 --> 01:01:47,670 +veins هل هي ال jugular veins بيرز و واضح و منتفخة + +993 +01:01:47,670 --> 01:01:50,550 +ولا لأ طبعا jugular venous distinction بيعكس + +994 +01:01:50,550 --> 01:01:54,170 +cardiac disease heart failure او بيعكس liver + +995 +01:01:54,170 --> 01:01:58,640 +disease portal hypertension او liver cirrhosisإذا + +996 +01:01:58,640 --> 01:02:01,640 +هذا ال clinical examination للأشياء اللي لازم أو + +997 +01:02:01,640 --> 01:02:05,820 +يفضل انه نعلق عليها في ال general physical + +998 +01:02:05,820 --> 01:02:10,460 +examination و هيك بنكون تقريبا أنهينا محاضرة ال + +999 +01:02:10,460 --> 01:02:14,500 +general physical examination طبعا هذه الأشياء احنا + +1000 +01:02:14,500 --> 01:02:17,500 +في ال systemic examination system by system بعد + +1001 +01:02:17,500 --> 01:02:19,880 +هيك ال cardiovascular, respiratory, abdomen, + +1002 +01:02:20,980 --> 01:02:24,200 +hematological, excretory system ال renal system + +1003 +01:02:24,200 --> 01:02:27,210 +يعني أو reproductive و ال endocrine و ال nervousو + +1004 +01:02:27,210 --> 01:02:32,050 +ال special sensations كل هذه examinations بنعمل كل + +1005 +01:02:32,050 --> 01:02:34,150 +واحد منها على حدى لكن ال general physical + +1006 +01:02:34,150 --> 01:02:37,630 +examination بنكون هيكا خلصناها بتمنا إلكوا حصايد و + +1007 +01:02:37,630 --> 01:02:41,270 +بتمنا المحاضرة تكون سهلة و مفهومة بالنسبة لكوا و + +1008 +01:02:41,270 --> 01:02:43,530 +ان شاء الله هنشوفكوا في أثناء ال bridging course + +1009 +01:02:43,530 --> 01:02:47,290 +لمزيد من النقاشات و لمزيد من الأسئلة عن المحاضرات + +1010 +01:02:47,290 --> 01:02:52,110 +و عشان نعمل patient oriented teaching شكرا للجميع + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/XdrdcFKgNpE.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/XdrdcFKgNpE.srt new file mode 100644 index 0000000000000000000000000000000000000000..a2b075122670d77ecce2e5761be8dac3a7100456 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/XdrdcFKgNpE.srt @@ -0,0 +1,3019 @@ +1 +00:00:05,060 --> 00:00:08,840 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,840 --> 00:00:12,780 +وبركاته الجزئية الثانية في الـ examination راح + +3 +00:00:12,780 --> 00:00:15,660 +نتطرق فيها إلى الـ examination of the motor system + +4 +00:00:15,660 --> 00:00:21,420 +cerebellar coordination and sensation الـ motor + +5 +00:00:21,420 --> 00:00:24,940 +system examination قبل ما أتكلم عن الـ examination + +6 +00:00:24,940 --> 00:00:29,000 +راح أتكلم على الـ classification of the motor + +7 +00:00:29,000 --> 00:00:33,620 +neuron lesion قد يكون according to the location of + +8 +00:00:33,620 --> 00:00:40,940 +the lesion أو باعتبار الـ affected limb باعتبار موقع + +9 +00:00:40,940 --> 00:00:46,220 +الـ lesion بيكون upper motoneurone lesion أو lower + +10 +00:00:46,220 --> 00:00:49,520 +motoneurone lesion upper motoneurone lesion يعني + +11 +00:00:49,520 --> 00:00:51,900 +دمج في الـ corticospinal tract أو الـ + +12 +00:00:51,900 --> 00:00:56,660 +corticonuclear tract lower motoneurone lesion دمج + +13 +00:00:56,660 --> 00:01:00,740 +في الـ anterior horn cells في الـ root، spinal root + +14 +00:01:00,740 --> 00:01:04,360 +في الـ nerve نفسه في الـ neuromuscular junction في + +15 +00:01:04,360 --> 00:01:07,360 +الـ muscle fibers يعتبر lower motoneuron نيجي إلى + +16 +00:01:07,360 --> 00:01:10,040 +الـ cranial nerves الـ corticonuclear tract ده مش + +17 +00:01:10,040 --> 00:01:12,960 +هذا upper motoneuron نيجي نوكلياي in the brain + +18 +00:01:12,960 --> 00:01:16,760 +stimuli هذا lower motoneuron الـ cranial nerves + +19 +00:01:16,760 --> 00:01:20,220 +itself lower motoneuron الـ neuromuscular junction + +20 +00:01:20,220 --> 00:01:24,960 +بتاعهم lower motoneuron المصل lower motoneuron + +21 +00:01:24,960 --> 00:01:29,710 +according to the affected limb ممكن يكون عندي + +22 +00:01:29,710 --> 00:01:41,130 +monoplegia يعني إيش monoplegia؟ شلل في طرف إما + +23 +00:01:41,130 --> 00:01:46,330 +right أو left upper أو lower يعني right upper + +24 +00:01:46,330 --> 00:01:50,230 +right lower left upper left lower إذا كان complete + +25 +00:01:50,230 --> 00:01:54,130 +بنقول monoplegia إذا كان partial بقول monoparesis + +26 +00:01:54,130 --> 00:02:00,140 +hemiplegia شلل نصفي Right-side Hemiplegia أو Left + +27 +00:02:00,140 --> 00:02:05,520 +-side Hemiplegia Paraplegia Paralysis of both + +28 +00:02:05,520 --> 00:02:08,980 +limbs يعني زي ما بشوف في spinal cord injury + +29 +00:02:08,980 --> 00:02:11,560 +thoracic level المريض بيكون شلل سفلي في الأطراف + +30 +00:02:11,560 --> 00:02:17,800 +السفلية بسميها Paraplegia Triplegia يعني شلل + +31 +00:02:17,800 --> 00:02:21,720 +ثلاثي، كيف شلل ثلاثي؟ المريض أخد رصاصة في ال + +32 +00:02:21,720 --> 00:02:23,920 +brain اللي بيليكسس على الـ right side وعملتله + +33 +00:02:23,920 --> 00:02:26,920 +monoplegia على الـ right upper monoplegia واخد كمان + +34 +00:02:26,920 --> 00:02:29,880 +شظية في نفس اليوم، في نفس اللحظة، أخد شظية في + +35 +00:02:29,880 --> 00:02:32,700 +spinal cord عملتله paraplegia في الـ lower limbs، + +36 +00:02:32,700 --> 00:02:36,180 +صار معاه شلل .. شلل ثلاثي، شلل وين في الـ upper + +37 +00:02:36,180 --> 00:02:39,380 +limb على الـ right مع paraplegia، يبقى نقول + +38 +00:02:39,380 --> 00:02:40,220 +triplegia + +39 +00:02:42,640 --> 00:02:46,220 +مش واضحة هنا quadriplegia أو تترابليچيا + +40 +00:02:46,220 --> 00:02:49,680 +quadriplegia أو تترابليچيا شلل رباعي يعني المريض + +41 +00:02:49,680 --> 00:02:52,820 +صار معاه spinal cord injury cervical level صار + +42 +00:02:52,820 --> 00:02:55,600 +معاه شلل رباعي أو عنده GBS Guillain-Barré + +43 +00:02:55,600 --> 00:02:58,980 +Syndrome وصار التهاب الأعصاب الطرفية حدث معاه + +44 +00:02:58,980 --> 00:03:02,480 +شلل رباعي هذا بنسميه quadriplegia أو تترابليچيا + +45 +00:03:02,480 --> 00:03:08,400 +طيب what's the difference between bilateral + +46 +00:03:08,400 --> 00:03:13,050 +hemiplegia and tetraplegia أو quadriplegia إيش + +47 +00:03:13,050 --> 00:03:18,430 +الفرق بين quadriplegia و bilateral hemiplegia مريض + +48 +00:03:18,430 --> 00:03:22,570 +كان معاه stroke قبل سنة وحدث معاه left side + +49 +00:03:22,570 --> 00:03:28,390 +hemiplegia السنة هذه حدث new stroke وصار معه right + +50 +00:03:28,390 --> 00:03:32,090 +side hemiplegia يبقى صار معه bilateral hemiplegia + +51 +00:03:32,090 --> 00:03:35,210 +إيش يعني bilateral hemiplegia؟ شلروا بقى طب إيش + +52 +00:03:35,210 --> 00:03:37,310 +الاختلاف بينهم و بين الـ quadriplegia؟ أه الـ + +53 +00:03:37,310 --> 00:03:41,890 +quadriplegia بيكون same onset بيكون عندهم إيه؟ + +54 +00:03:41,890 --> 00:03:46,510 +same onset يعني إيه؟ الإصابة أو الحدث واحد يعني + +55 +00:03:46,510 --> 00:03:48,910 +التهاب في الحبل الشوكي أو التهاب في العصابة + +56 +00:03:48,910 --> 00:03:53,830 +الطرفية لكن إذا كان different onset مش same onset، + +57 +00:03:53,830 --> 00:03:58,550 +different onset بنسميها إيه؟ bilateral hemiplegia، + +58 +00:03:58,550 --> 00:04:04,390 +bilateral hemiplegia differential diagnosis + +59 +00:04:04,390 --> 00:04:07,090 +between upper motoneuron and lower motoneuron مهم + +60 +00:04:07,090 --> 00:04:10,590 +جدا واخدناها في سنة ثانية الـ upper motoneuron + +61 +00:04:10,590 --> 00:04:14,550 +location from area four من الـ precentral gyrus + +62 +00:04:14,550 --> 00:04:19,350 +للـ anterior horn cells أو من الـ Precentral Gyrus + +63 +00:04:19,350 --> 00:04:22,410 +للموتور نوكلياي in the brainstem بالنسبة للـ + +64 +00:04:22,410 --> 00:04:25,710 +cranial nerves طيب الـ Lower Motoneuron من الـ + +65 +00:04:25,710 --> 00:04:29,150 +Anterior Horn cells لحد المصل، هذا Lower Motoneuron أو + +66 +00:04:29,150 --> 00:04:32,610 +من الموتور نوكلياي in the brainstem لحد المصل، + +67 +00:04:32,610 --> 00:04:37,950 +المصل يعتبر إيه؟ Lower Motoneuron Location of + +68 +00:04:37,950 --> 00:04:42,950 +Paralysis في الـ Upper Motoneuron بيكون below the + +69 +00:04:42,950 --> 00:04:46,150 +level of lesion below the level of lesion + +70 +00:04:46,960 --> 00:04:51,590 +Contralateral above decussation إذا صار دمج فوق ال + +71 +00:04:51,590 --> 00:04:54,210 +decussation على الـ right بيكون الـ symptoms على ال + +72 +00:04:54,210 --> 00:04:57,250 +left إذا دمج على الـ left الـ symptoms على الـ right + +73 +00:04:57,250 --> 00:05:02,810 +below level طيب في الـ lower motor neuron + +74 +00:05:02,810 --> 00:05:07,950 +Ipsilateral at the level of lesion Ipsilateral at + +75 +00:05:07,950 --> 00:05:11,170 +the level of lesion الـ paralysis في الـ upper motor + +76 +00:05:11,170 --> 00:05:15,610 +neuron بيكونوا spastic أو central due to damage of + +77 +00:05:15,610 --> 00:05:20,090 +corticospinal tract أو cortico-nuclear tract لكن + +78 +00:05:20,090 --> 00:05:23,830 +في الـ lower motoneuron بيكونوا flaccid أو + +79 +00:05:23,830 --> 00:05:29,050 +peripheral flaccid أو peripheral الـ muscle state + +80 +00:05:29,050 --> 00:05:32,750 +of muscle في الـ upper motoneuron ممكن يحدث أنه + +81 +00:05:32,750 --> 00:05:37,190 +wasting أو muscle hypotrophy later due to disuse + +82 +00:05:37,190 --> 00:05:41,930 +لكن في الـ lower motoneuron بيكون عندهم wasting أو + +83 +00:05:41,930 --> 00:05:47,030 +muscle hypotrophy early الـ muscle tone بيكون عندهم + +84 +00:05:47,030 --> 00:05:50,670 +hypertonia أو spasticity في الـ lower motoneuron + +85 +00:05:50,670 --> 00:05:53,930 +hypotonia أو flaccidity من ناحية الـ + +86 +00:05:53,930 --> 00:05:55,610 +fasciculation، إيش الـ fasciculation؟ muscle + +87 +00:05:55,610 --> 00:05:59,170 +fasciculation هي عبارة عن spontaneous contraction + +88 +00:05:59,170 --> 00:06:03,210 +of muscle group هذه بتكون absent في الـ upper + +89 +00:06:03,210 --> 00:06:08,170 +motoneuron و maybe present in the irritative + +90 +00:06:08,170 --> 00:06:12,970 +lesion of anterior horn cells ننتقل للـ reflexes + +91 +00:06:12,970 --> 00:06:17,790 +الـ deep reflexes في الـ Upper Motoneuron بيكون + +92 +00:06:17,790 --> 00:06:21,390 +Hyperreflexia، Hyperreflexia، في الـ Lower + +93 +00:06:21,390 --> 00:06:26,380 +Motoneuron بيكون Hyporeflexia أو Areflexia هذا + +94 +00:06:26,380 --> 00:06:29,220 +الموضوع هرجعله في محاضرة الـ motor إن شاء الله في + +95 +00:06:29,220 --> 00:06:34,100 +سنة رابعة تيجيونه على المستشفى Clonus إيش + +96 +00:06:34,100 --> 00:06:36,780 +Clonus؟ هي عبارة عن rhythmical series of + +97 +00:06:36,780 --> 00:06:41,540 +contraction in response to sudden stretch of + +98 +00:06:41,540 --> 00:06:44,620 +muscle tendon هذي بتكون positive في الـ upper + +99 +00:06:44,620 --> 00:06:47,780 +motoneuron lesion و absent في الـ lower + +100 +00:06:47,780 --> 00:06:51,980 +motoneuron lesion الـ baby reflexes and other + +101 +00:06:51,980 --> 00:06:56,360 +pathological signs بيكونوا positive في الـ Upper + +102 +00:06:56,360 --> 00:07:00,180 +Motoneuron and absent in the Lower Motoneuron إيش + +103 +00:07:00,180 --> 00:07:04,000 +بابينسكي sign؟ Dorsiflexion of big toe with + +104 +00:07:04,000 --> 00:07:08,780 +fanning of other toes و Superficial reflexes lost + +105 +00:07:08,780 --> 00:07:13,080 +if the lesion is above segment supply of the + +106 +00:07:13,080 --> 00:07:17,420 +reflex يعني لو صار عندي نتكلم على الـ middle + +107 +00:07:17,420 --> 00:07:20,640 +abdominal reflex middle abdominal reflex بياخد من + +108 +00:07:20,640 --> 00:07:26,350 +إيه؟ segment T9 و T10 لو المريض حدث عنده lesion + +109 +00:07:26,350 --> 00:07:32,190 +على الـ segment T7 و T8 above the origin of the + +110 +00:07:32,190 --> 00:07:36,650 +reflex راح يصير عندي loss of reflex لكن في الـ + +111 +00:07:36,650 --> 00:07:39,630 +lower motor neuron بيكون عندي loss if the lesion + +112 +00:07:39,630 --> 00:07:43,390 +involves the segment supply of the reflex يعني + +113 +00:07:43,390 --> 00:07:47,350 +مياخده anterior horn cells أو مياخده الـ nerve نفسه + +114 +00:07:47,350 --> 00:07:54,580 +type of gait disturbances واحد attacks الـ gait الـ + +115 +00:07:54,580 --> 00:08:00,980 +مريض ناشيوبترنح فيش عنده إيه اتزان هذا بنسميه إيش + +116 +00:08:00,980 --> 00:08:08,780 +ataxic gait اتنين steppage gait أو high steppage + +117 +00:08:08,780 --> 00:08:11,920 +gait in drop foot المريض مابيستطيع يعمل + +118 +00:08:11,920 --> 00:08:14,920 +dorsiflexion أنا لما نمشي بلزم أعمل dorsiflexion + +119 +00:08:14,920 --> 00:08:20,640 +هنا أجهزة أكتر واضحة بلزم أعمل dorsiflexion للـ foot + +120 +00:08:20,640 --> 00:08:24,660 +وأنجل لكن المرضى هدول مابقدروش زي الحصان بيصيروا + +121 +00:08:24,660 --> 00:08:29,570 +يرفعوا رجلهم رافع بيكون عنده drop في foot في الـ + +122 +00:08:29,570 --> 00:08:34,310 +right spastic gait أو ننتقل للـ hemiplegic أو + +123 +00:08:34,310 --> 00:08:37,550 +hemiplegic أو circumduction gait في الـ CVA المريض + +124 +00:08:37,550 --> 00:08:43,290 +عنده right side hemiplegia أنا عشان امشي بلزم + +125 +00:08:43,290 --> 00:08:49,070 +ليعمل flexion لوين؟ لـ الـ knee و extension و أنا جه + +126 +00:08:49,070 --> 00:08:52,250 +الرجل المرضى عندهم spasticity بيقدروا بيكون عندهم + +127 +00:08:52,250 --> 00:08:54,850 +flexion في الـ upper limb ايش بيروح يعمله؟ + +128 +00:08:54,850 --> 00:08:58,220 +circumduction gait هي ماشي الحالة هذه بتلاقيه ماشي + +129 +00:08:58,220 --> 00:09:03,940 +هيك هذه + +130 +00:09:03,940 --> 00:09:10,280 +circumduction gait أو ايش hemiplegic gait هذه تمام + +131 +00:09:10,280 --> 00:09:13,980 +لكن المريض لما يكون عنده lower spastic paraplegia + +132 +00:09:13,980 --> 00:09:17,180 +مارح يقدر يعمل circumduction لأنه الثاني كمان فيه + +133 +00:09:17,180 --> 00:09:21,080 +spasticity راح يعمل يكون عنده spastic gait و هو + +134 +00:09:21,080 --> 00:09:25,600 +ماشي راح يكون ماشيته بالطريقة هذه هذه بنسميها ايه + +135 +00:09:25,600 --> 00:09:30,450 +spastic gait، ataxic gait و waddling gait هذه + +136 +00:09:30,450 --> 00:09:34,010 +الصعبة ما تلقوا إياها هذه في الـ myopathy أو في + +137 +00:09:34,010 --> 00:09:37,410 +الستات في الـ late pregnancy قبل ما تلد بسبوع بتكون + +138 +00:09:37,410 --> 00:09:42,110 +تتميل شمال يمين تمشي زي البطة تمام و senile gait + +139 +00:09:42,110 --> 00:09:45,050 +هذه بنشوفها عند الـ elderly patients الناس + +140 +00:09:45,050 --> 00:09:48,150 +الكبار في السن و hysterical gait هذه بنشوفها ال + +141 +00:09:48,150 --> 00:09:51,050 +hysterical gait أو psychogenic gait أو functional + +142 +00:09:51,050 --> 00:09:55,400 +gait بنشوفهم في حالات conversion disorder الناس + +143 +00:09:55,400 --> 00:10:01,840 +اللي عندهم اضطراب نفسي و .. بيكون السبب يعني الـ + +144 +00:10:01,840 --> 00:10:08,400 +psychological cause بعدها بنتأجل ل الـ motor + +145 +00:10:08,400 --> 00:10:11,760 +examination motor system examination في الـ motor + +146 +00:10:11,760 --> 00:10:16,040 +system examination بلزم أول شي نعمل inspection + +147 +00:10:16,040 --> 00:10:21,080 +inspection ل الـ state of the muscle muscle + +148 +00:10:21,080 --> 00:10:25,850 +fasciculation شوف involuntary movement ده فيه + +149 +00:10:25,850 --> 00:10:31,470 +skeletal deformities و trophic changes بعدها + +150 +00:10:31,470 --> 00:10:34,930 +بنتأجل للـ palpation في الـ palpation بفحص الـ muscle + +151 +00:10:34,930 --> 00:10:38,990 +tone examination نفحص الـ muscle power وبعدها + +152 +00:10:38,990 --> 00:10:43,170 +بنتأجل لـ reflexes في الـ reflexes بفحص deep reflexes + +153 +00:10:43,170 --> 00:10:48,310 +superficial reflexes and plantar reflexes نبدأ من + +154 +00:10:48,310 --> 00:10:52,680 +البداية by inspection المريضة ما نفحصه بيكون رافع + +155 +00:10:52,680 --> 00:10:58,520 +ملابسه شوية، بتطلع by inspection على المريض، بتطلع + +156 +00:10:58,520 --> 00:11:01,660 +على الـ state of the muscle، هل هو normal state + +157 +00:11:01,660 --> 00:11:06,020 +muscle أو فيه atrophy أو فيه hypertrophy، إذا في + +158 +00:11:06,020 --> 00:11:11,000 +atrophy أو hypertrophy، بنحددهل هي distal أو + +159 +00:11:11,000 --> 00:11:14,540 +proximal؟ هل هي symmetrical أو asymmetrical؟ هذا + +160 +00:11:14,540 --> 00:11:18,800 +بالنظر أنا بشوفه ونفس الشيء الـ hypertrophy ممكن + +161 +00:11:18,800 --> 00:11:22,960 +تكون pseudo hypertrophy أو true hypertrophy زي ما + +162 +00:11:22,960 --> 00:11:25,980 +بنشوف في حالات Duchenne muscular dystrophy + +163 +00:11:25,980 --> 00:11:29,720 +Duchenne muscular dystrophy إجينا مريض لجينا عنده + +164 +00:11:29,720 --> 00:11:32,400 +Duchenne muscular dystrophy أنت بتشوف الـ calf موصل من + +165 +00:11:32,400 --> 00:11:36,980 +ورا الـ leg بتلاقيها hypertrophied واللي بيشوف أبوهم + +166 +00:11:36,980 --> 00:11:40,800 +فيها بيفكر ان هو هذا المريض كل مصر اللي عنده بيكون + +167 +00:11:40,800 --> 00:11:45,920 +عنده fat deposition بنسميه pseudo hypertrophy تضخم + +168 +00:11:45,920 --> 00:11:50,740 +كاذب تضخم كاذب نتيجة عن ان هي fat deposition لو + +169 +00:11:50,740 --> 00:11:53,040 +طلعنا على الـ atrophy في الـ upper و الـ lower limbs + +170 +00:11:53,040 --> 00:11:57,240 +نيجي لمريض اللي لاجي عنده hypotrophy في الـ distal + +171 +00:11:57,240 --> 00:12:00,300 +group muscle ممكن تكون لاجي عن polyneuropathy زي + +172 +00:12:00,300 --> 00:12:02,680 +ما بنشوف في حالات diabetic polyneuropathy الناس + +173 +00:12:02,680 --> 00:12:05,440 +اللي عندهم سكر أو diabetic polyneuropathy بتلاحظ + +174 +00:12:05,440 --> 00:12:09,820 +عنده hypotrophy في الـ hand muscles أو في الـ feet + +175 +00:12:09,820 --> 00:12:13,260 +بطلع + +176 +00:12:13,260 --> 00:12:16,410 +على الـ muscle fasciculation بطلع المصر في ال + +177 +00:12:16,410 --> 00:12:19,430 +circulation إذا في عنده spontaneous contraction of + +178 +00:12:19,430 --> 00:12:22,910 +muscle group ببحث المريض خاصة في الـ shoulder و + +179 +00:12:22,910 --> 00:12:25,790 +حينها بروح أعمله ايه؟ percussion عشان أعمل + +180 +00:12:25,790 --> 00:12:29,090 +stimulation للمصر أو بالـ inspection بطلها إذا في + +181 +00:12:29,090 --> 00:12:32,610 +عنده spontaneous contraction of the muscle group + +182 +00:12:32,610 --> 00:12:36,430 +قد تكون هذه physiological زي الـ myokemia بنسميها + +183 +00:12:36,430 --> 00:12:40,330 +myokemia لما يجي للواحد رفة تحت العين أو جفنه ترف + +184 +00:12:40,330 --> 00:12:43,020 +مع الـ anxiety و مع الـ stress ممكن تكون + +185 +00:12:43,020 --> 00:12:47,260 +physiological ناجح عن anxiety، fatigue، coffee و + +186 +00:12:47,260 --> 00:12:51,680 +الـ smoking و قد تكون pathological مهم جدا إن في + +187 +00:12:51,680 --> 00:12:56,690 +حالات Amyotrophic Lateral Sclerosis أو في مرض الـ + +188 +00:12:56,690 --> 00:12:58,690 +Motor Neurone Disease إن شاء الله راح ناخد فيه + +189 +00:12:58,690 --> 00:13:01,810 +محاضرة على الـ Motor Neurone Disease بننظر للـ + +190 +00:13:01,810 --> 00:13:05,850 +involuntary movement للـ hyperkinesia كده في كوريا + +191 +00:13:05,850 --> 00:13:12,130 +تيكس أثيتوسيز هيميباليزمس tremors كل هذا بنشوفه في + +192 +00:13:12,130 --> 00:13:16,350 +محاضرة إن شاء الله في involuntary movement بطلع على + +193 +00:13:16,350 --> 00:13:20,170 +skeletal deformities باكشف المريض، بارفع ملابسه، + +194 +00:13:20,170 --> 00:13:24,230 +بطلع ده فيه عنده scoliosis، kyphosis، lordosis + +195 +00:13:24,230 --> 00:13:30,290 +تمام، kyphoscoliosis، كل هذا عنده pes cavus، + +196 +00:13:30,290 --> 00:13:34,070 +talipes equinus، skeletal deformities، deformed + +197 +00:13:34,070 --> 00:13:37,580 +joint زي الـ Charcot Joint اللي بنشوفه في حالات الـ + +198 +00:13:37,580 --> 00:13:40,720 +Diabetic Polyneuropathy كل هذا بشوفه by inspection + +199 +00:13:40,720 --> 00:13:43,220 +ايش هو الـ Charcot Joint؟ هو بيكون في حالات الـ + +200 +00:13:43,220 --> 00:13:46,880 +Polyneuropathy بيكون عندهم painless, deformed + +201 +00:13:46,880 --> 00:13:51,220 +joint بتطلع على trophic changes إذا فيه brittle + +202 +00:13:51,220 --> 00:13:58,400 +nails, loss of hair, ulcers زي ما في حالات الـ + +203 +00:13:58,400 --> 00:14:02,380 +Diabetic Foot و Diabetic Polyneuropathy associated + +204 +00:14:02,380 --> 00:14:05,500 +with أحيانا الـ Diabetic Foot بيكون معاهم زي ما + +205 +00:14:05,500 --> 00:14:10,340 +هشايفين هنا هذه حالة pes cavus هاي talipes equinus + +206 +00:14:10,340 --> 00:14:18,560 +scoliosis تمام؟ كيف الـ scoliosis معاهم بعدين بنتأجل + +207 +00:14:18,560 --> 00:14:22,840 +لفحص الـ palpation ايش الـ palpation؟ هي عبارة عن + +208 +00:14:22,840 --> 00:14:26,220 +muscle tone examination يبقى muscle tone + +209 +00:14:26,220 --> 00:14:30,370 +examination و الـ muscle power هم يعتبروا palpation + +210 +00:14:30,370 --> 00:14:33,010 +يبقى في palpation أنا بفحص حاجتين بفحص الـ muscle + +211 +00:14:33,010 --> 00:14:38,730 +tone و بفحص مين اللي هو ايش الـ muscle power كيف + +212 +00:14:38,730 --> 00:14:42,990 +بفحصه؟ بنعمل passive flexion and passive + +213 +00:14:42,990 --> 00:14:48,010 +extension of all joint يبقى نعمل assessment للمريض + +214 +00:14:48,650 --> 00:14:52,610 +وبنفحص الـ response to passive movement قد يكون الـ + +215 +00:14:52,610 --> 00:14:56,810 +muscle tone normal وقد يكون hypotonia وممكن يكون + +216 +00:14:56,810 --> 00:15:02,070 +عندهم hypertonia هي بفحص بطريقة هادئة بفحص الـ + +217 +00:15:02,070 --> 00:15:07,970 +muscle هادئ و slowly و في كل direction و بقارن + +218 +00:15:07,970 --> 00:15:11,290 +الشمال مع اليمين + +219 +00:15:16,090 --> 00:15:20,470 +نفس الشيء راح أحرك مايتعملش شيء أنا بحرك المريض + +220 +00:15:20,470 --> 00:15:25,970 +ما بحركش أي شيء بقارن هي flexion extension مع + +221 +00:15:25,970 --> 00:15:38,970 +flexion extension نفس الشيء للـ shoulder تفضلنا + +222 +00:15:38,970 --> 00:15:44,090 +على القاعدة نفس الشيء بنفحص ايش الـ hip joint + +223 +00:15:48,900 --> 00:15:52,860 +مفحص على الشمال أنا ما بديش اضيع وقت بس اقارن يعني + +224 +00:15:52,860 --> 00:15:56,960 +دايما أي حركة لازم اقارن الجهتين بس عشان الوقت + +225 +00:15:56,960 --> 00:16:01,140 +نفحص abduction abduction و بقارن الجهة الثانية + +226 +00:16:01,140 --> 00:16:07,040 +ننزل عنه بعمل complete flexion و complete extension + +227 +00:16:07,040 --> 00:16:09,980 +و بقارن الجهة التانية نفس الشيء بعملها و بنزل على + +228 +00:16:09,980 --> 00:16:14,160 +الـ foot plantar flexion و dorsiflexion و في + +229 +00:16:14,160 --> 00:16:16,820 +الطريقة هذه أنا ببحث و بقارن الجهة التانية في + +230 +00:16:16,820 --> 00:16:23,150 +الحالة هذه أنا بكون فحصت ايش الـ muscle tone الـ + +231 +00:16:23,150 --> 00:16:27,170 +Muscle Tone ممكن يكون Normal ممكن يكون Muscle + +232 +00:16:27,170 --> 00:16:29,690 +Hypotonia من حد الـ Distal و لا Proximal، + +233 +00:16:29,690 --> 00:16:34,110 +Unilateral و لا Bilateral ممكن يكون هنا Muscle + +234 +00:16:34,110 --> 00:16:37,970 +Spasticity أو Muscle Rigidity ايش الاختلاف بين الـ + +235 +00:16:37,970 --> 00:16:40,930 +Muscle Spasticity و الـ Muscle Rigidity؟ الـ + +236 +00:16:40,930 --> 00:16:43,590 +Muscle Spasticity ناتجة عن Pyramidal أو + +237 +00:16:43,590 --> 00:16:47,710 +Corticospinal Lesion الـ Muscle Rigidity ناتجة عن + +238 +00:16:47,710 --> 00:16:52,000 +Extra Pyramidal System Lesion Distribution muscle + +239 +00:16:52,000 --> 00:16:55,200 +spasticity بيكون الـ distal more than proximal، + +240 +00:16:55,200 --> 00:16:58,020 +flexors في الـ upper limbs، و extensors في الـ lower + +241 +00:16:58,020 --> 00:17:01,240 +limbs بتكون الوضعية تبعتهم، في الـ muscle rigidity + +242 +00:17:01,240 --> 00:17:04,880 +بيكون الـ proximal more than distal، و flexors of + +243 +00:17:04,880 --> 00:17:07,380 +upper limbs، و flexors في الـ lower limbs، بتكون + +244 +00:17:07,380 --> 00:17:10,910 +ماشيين shuffling gait، هي هذه shuffling gait أو + +245 +00:17:10,910 --> 00:17:13,390 +بنسميها parkinsonian gait المرضى التابعين الـ + +246 +00:17:13,390 --> 00:17:16,310 +Parkinson يكونوا عندهم flexion في الـ upper limbs و + +247 +00:17:16,310 --> 00:17:19,790 +flexion في الـ lower limbs وماشيين برحتهم عندهم + +248 +00:17:19,790 --> 00:17:24,990 +bradykinesia، hypokinesia، مع ايه؟ مع resting + +249 +00:17:24,990 --> 00:17:28,430 +tremors الـ character بيكون عند المرضى تبعين الـ + +250 +00:17:28,430 --> 00:17:32,090 +muscle spasticity clasp knife زي موس الكباس و + +251 +00:17:32,090 --> 00:17:35,870 +المرضى اللي عندهم Parkinson أو muscle rigidity + +252 +00:17:35,870 --> 00:17:38,830 +بيكون نظام cook wheel زي الترس و أنا ببحث عن مصل + +253 +00:17:38,830 --> 00:17:42,730 +تهون بتكون إيش زي نظام ترس بتلاقيها بتقطع معايا + +254 +00:17:42,730 --> 00:17:45,850 +مرة بتشد مرة ترخيها دي بنسميها cook wheel + +255 +00:17:45,850 --> 00:17:50,580 +phenomenon لأنه بيكون معاهم tremor و muscle + +256 +00:17:50,580 --> 00:17:54,600 +rigidity الـ deep reflexes في الـ specificity بيكون + +257 +00:17:54,600 --> 00:18:00,420 +hyperreflexia في الـ rigidity بيكون hyporeflexia ال + +258 +00:18:00,420 --> 00:18:03,200 +muscle power examination في الـ muscle power + +259 +00:18:03,200 --> 00:18:09,820 +examination احنا بنفحص الـ muscle group كلهم إذا + +260 +00:18:09,820 --> 00:18:14,770 +كان zero no muscle movement no movement complete + +261 +00:18:14,770 --> 00:18:18,970 +paralysis هذا بيستخدم MRC medical research council + +262 +00:18:18,970 --> 00:18:23,750 +scale for grading muscle strength يبقى zero no + +263 +00:18:23,750 --> 00:18:29,250 +movement ولا حركة واحد muscle contract but the + +264 +00:18:29,250 --> 00:18:31,990 +joint doesn't move يعني بتلاقي muscle contraction + +265 +00:18:31,990 --> 00:18:36,630 +لكن المفصل مابتحركش هذا باخد واحد اثنين joint + +266 +00:18:36,630 --> 00:18:39,510 +moves with gravity eliminated يعني المريض نائم + +267 +00:18:41,490 --> 00:18:45,770 +بقوله ميدنيا بقوله نزل إيدك بنزلها سهل عليه تنزل + +268 +00:18:45,770 --> 00:18:49,990 +طب ارفعها بيقدرش يرفعها باخد كام؟ اثنين، ثلاثة + +269 +00:18:49,990 --> 00:18:55,350 +joint moves against gravity but not against + +270 +00:18:55,350 --> 00:19:00,450 +resistance هلجيت؟ ثلاثة ارفع إيدك ارفعها طب + +271 +00:19:00,450 --> 00:19:03,550 +resistant لو ضغط عليه بيعملش resistant باخد ثلاثة + +272 +00:19:04,220 --> 00:19:08,180 +أربعة joint move against gravity برفع يده أو + +273 +00:19:08,180 --> 00:19:11,680 +رجليه against gravity and against resistance ولو + +274 +00:19:11,680 --> 00:19:15,560 +ضغطت معاه ارفع ارفع ارفع اثنتين لفوق بس لأ ده شوية + +275 +00:19:15,560 --> 00:19:20,180 +شوية ارخيهم هدي ايدي اضعف شوية ارفع اثنتين برفع + +276 +00:19:20,180 --> 00:19:24,520 +against resistance لكن weak than right يبقى بقول + +277 +00:19:24,520 --> 00:19:28,040 +المريض عنده muscle power على الـ right أربعة لكن + +278 +00:19:28,040 --> 00:19:33,500 +خمسة full strength of muscle بيكون complete muscle + +279 +00:19:33,500 --> 00:19:33,920 +power + +280 +00:19:37,160 --> 00:19:42,080 +الـ .. ننتقل لفحص الـ upper limbs في الـ upper limbs + +281 +00:19:42,080 --> 00:19:46,300 +بنفحص الـ deltoid muscle الـ deltoid muscle بتاخد + +282 +00:19:46,300 --> 00:19:50,660 +من الـ auxiliary nerve ارفع يديك لفوق وبنزلهم + +283 +00:19:50,660 --> 00:19:54,640 +ماتخربطوش مع .. رخي إيه ده؟ ماتخربطوش مع الـ shrugging + +284 +00:19:54,640 --> 00:20:00,320 +لفوق shrugging هدئ الـ trapezius muscle من الـ .. من + +285 +00:20:00,320 --> 00:20:03,900 +الـ إيه؟ spinal accessory يمكن دلتويد .. ارفع إيدك + +286 +00:20:03,900 --> 00:20:09,880 +هذه اللي هو إيش؟ axillary nerve ننتقل .. طب المريض + +287 +00:20:09,880 --> 00:20:11,940 +عنده weakness في الـ right upper limb و أنا مش قادر + +288 +00:20:11,940 --> 00:20:14,820 +أحدد هو الـ muscle بورا عنده أربعة أو خمسة بعمل + +289 +00:20:14,820 --> 00:20:18,260 +test upper bari bari test في الـ upper limbs ارفع + +290 +00:20:18,260 --> 00:20:23,060 +إيدك لفوق .. لفوق .. رخيهم .. تمام؟ و غمض إيديك .. + +291 +00:20:23,060 --> 00:20:26,220 +غمض إيديك .. رخي .. أنا بدمسك .. غمض إيديك و أنا + +292 +00:20:26,220 --> 00:20:30,930 +قلتله شد .. رخي إيدكنزل إيدك شوية لاجيناها إيش إيده + +293 +00:20:30,930 --> 00:20:34,330 +اليمين نزلت نزلت على الشمال شوية بقول bariatist + +294 +00:20:34,330 --> 00:20:37,150 +positive يعني عنده weakness وين عنده weakness وين + +295 +00:20:37,150 --> 00:20:41,850 +في الـ right side ها هاي المثال عندي أعملها وحاصنا + +296 +00:20:41,850 --> 00:20:45,810 +bariatist عندي و غمضت أنا لاجيت إيدي لاجيت المريض + +297 +00:20:45,810 --> 00:20:49,010 +إيده تنزل يبقى بقول في عنده weakness وين على ال + +298 +00:20:49,010 --> 00:20:54,190 +left side الـ flexor أو elbow flexion elbow flexion + +299 +00:20:54,190 --> 00:20:59,000 +شد إيدك لعندك شد جوايا و أنا بعمله إيش extension و + +300 +00:20:59,000 --> 00:21:01,900 +هو يعمل inflection أنا ببحث Musculocutaneous nerve + +301 +00:21:01,900 --> 00:21:07,420 +C5 C6 اللي هي biceps muscle ادفع عليها هو بيعمل + +302 +00:21:07,420 --> 00:21:11,380 +extension و أنا بعمله إيش؟ flexion أنا بفحص اللي + +303 +00:21:11,380 --> 00:21:16,820 +هو triceps muscle ادفع عن طريق الـ radial nerve + +304 +00:21:16,820 --> 00:21:20,840 +radial nerve نجي للإيش؟ للـ hand muscle wrist + +305 +00:21:20,840 --> 00:21:23,800 +extension نرفع لفوق لفوق هيك لأ لأ بصراخة يدك حرك + +306 +00:21:23,800 --> 00:21:27,340 +الـ .. بس الـ .. الإيد لفوق لفوق هيك على الآخر بضلك + +307 +00:21:27,340 --> 00:21:31,080 +حاجة تمام هو بعمل إيش؟ extension للـ wrist و أنا + +308 +00:21:31,080 --> 00:21:35,560 +بعمله flexion نبحث الـ radial nerve تمام شد عيطابة + +309 +00:21:35,560 --> 00:21:39,930 +شد .. جوايا أنا ببحث الـ median nerve عن طريق اللي + +310 +00:21:39,930 --> 00:21:47,830 +هو C8 root اللي هو rest flexion نجرأ الـ abduction + +311 +00:21:47,830 --> 00:21:53,790 +أو نكمل الـ thumb دخل لجوة إصبعك الكبير لجوة افردي + +312 +00:21:53,790 --> 00:21:58,570 +يدك دخل إصبعك لجوة ببحث من الـ thumb عن طريق اللي هو + +313 +00:21:58,570 --> 00:22:04,810 +C8 one root اللي هو median nerve افتح حسابك على + +314 +00:22:04,810 --> 00:22:10,280 +الآخر على الآخر بفحص إيش fanning of the fingers عن + +315 +00:22:10,280 --> 00:22:16,900 +طريق مين هو الـ ulnar nerve C8 T1 قص .. قص إصبعك .. + +316 +00:22:16,900 --> 00:22:21,600 +قص الورقة و أنا بشد .. قص بالحامة .. قص .. شدها زي + +317 +00:22:21,600 --> 00:22:29,760 +هيك .. بصبعها .. تمام .. هي شد .. شد هنا وبسحبها + +318 +00:22:29,760 --> 00:22:33,960 +منه أنا بـ .. بـ .. بفحص الـ ulnar nerve ulnar nerve + +319 +00:22:33,960 --> 00:22:37,840 +بطريقة هذه أنا فحصت إيش الـ upper limb muscle + +320 +00:22:37,840 --> 00:22:41,380 +weakness ننتقل للـ lower limb تمام ارفع جهة و ضروري + +321 +00:22:41,380 --> 00:22:43,620 +أقارن الشمال مع يمين بس أنا عشان الوقت بدي أـ + +322 +00:22:43,620 --> 00:22:46,820 +أفحص الجهة واحدة بس كل حركة بفحصها بفحص الجهة + +323 +00:22:46,820 --> 00:22:51,020 +التانية معها ارفع لفوق أنا بفحص لفوق لفوق على + +324 +00:22:51,020 --> 00:22:55,480 +الآخر بفحص مين؟ hip flexion عن طريق femoral nerve + +325 +00:22:55,480 --> 00:23:00,560 +اليوسوس muscle بعدين افحص رجلك فوق نزل تحت تحت + +326 +00:23:00,560 --> 00:23:06,840 +نزل نزل نزل بافحص اللي هو extension of the hip عن + +327 +00:23:06,840 --> 00:23:11,340 +طريق الـ inferior gluteal nerve ننتقل بعدها للـ + +328 +00:23:11,340 --> 00:23:16,180 +abduction و الـ abduction of the muscle بحط أيدي في + +329 +00:23:16,180 --> 00:23:19,990 +الـ abduction وين بكون بحط إيديا في الخارج برا افتح + +330 +00:23:19,990 --> 00:23:23,870 +حوض افتح و أنا بسكر هذا عن طريق superior gluteal + +331 +00:23:23,870 --> 00:23:28,030 +nerve في الـ adduction افتح حوض شوية بحط إيدي في + +332 +00:23:28,030 --> 00:23:30,570 +الداخل immediately و المريض بده يسكر الحوض تبعه + +333 +00:23:30,570 --> 00:23:34,270 +سكر رجليك لجوه سكر سكر و أنا بحاول أفتح رجليه كمان + +334 +00:23:34,270 --> 00:23:39,490 +مرة بحط إيدي في الداخل و هو بسكر رجليه و أنا بحاول + +335 +00:23:39,490 --> 00:23:42,790 +أفتح لإيش؟ للـ hip joint هو بيعمل adduction و أنا + +336 +00:23:42,790 --> 00:23:47,810 +بعمله abduction عن طريق اللي هو إيش؟ obturator nerve + +337 +00:23:49,620 --> 00:23:56,280 +نجي لـ .. الـ .. نيه يعمل إيه؟ ادفع له .. ادفعهو + +338 +00:23:56,280 --> 00:23:59,720 +بعمل extension لـ الـ knee و أنا بعمله flexion عن + +339 +00:23:59,720 --> 00:24:03,100 +طريق الـ quadriceps muscle أو femoral nerve العكس + +340 +00:24:03,100 --> 00:24:06,600 +ساكر رجلك لتحت لتحت لتحت لتحت ساكرها اثنيها لتحت + +341 +00:24:06,600 --> 00:24:10,780 +لتحت اثنيها و أنا هو بعمل flexion لـ الـ knee و أنا + +342 +00:24:10,780 --> 00:24:14,980 +بعمله extension عن طريق الـ sciatic nerve ننزل لـ الـ + +343 +00:24:14,980 --> 00:24:19,900 +foot في الـ foot بدي أعمل درس flexion لـ الـ foot شد + +344 +00:24:19,900 --> 00:24:23,470 +لـ عندك أصابعك لفوق لفوق لـ عندك كمان common + +345 +00:24:23,470 --> 00:24:26,130 +peroneal nerve، plantar reflection اتوا على تحت، + +346 +00:24:26,130 --> 00:24:29,710 +دوس بنزينة تحت، بافحص اللي هو tibial nerve، الـ big + +347 +00:24:29,710 --> 00:24:34,190 +toe لفوق، لفوق، بافحص اللي هو الـ big toe، + +348 +00:24:34,190 --> 00:24:38,630 +dorsiflexion، عن طريق الـ five root اللي هو deep + +349 +00:24:38,630 --> 00:24:45,390 +peroneal nerve الجزء الثاني هو reflexes، reflexes + +350 +00:24:45,390 --> 00:24:50,210 +are involuntary action performed in response to + +351 +00:24:50,210 --> 00:24:55,370 +impulses، a sensory impulse في هنا deep reflexes + +352 +00:24:55,370 --> 00:24:59,010 +اللي نسميهم muscle stretch reflexes في الحالة هذه + +353 +00:24:59,010 --> 00:25:02,690 +بتصير مع الـ reflex joint movement وفي هنا + +354 +00:25:02,690 --> 00:25:07,350 +superficial reflexes without joint movement muscle + +355 +00:25:07,350 --> 00:25:15,490 +stretch reflex arc نشوف هنا slide + +356 +00:25:19,360 --> 00:25:26,120 +لو أنا بالـ hammer عملت tapping على الـ tendon of a + +357 +00:25:26,120 --> 00:25:31,020 +quadriceps muscle الإشارة راح تروح من الـ receptors + +358 +00:25:31,020 --> 00:25:35,500 +مع الـ sensory fibers of the femoral nerve بعد ذلك + +359 +00:25:35,500 --> 00:25:40,060 +للـ posterior root posterior root ganglion على ال + +360 +00:25:40,060 --> 00:25:43,970 +posterior horn cells اللي بين الـ posterior horn + +361 +00:25:43,970 --> 00:25:47,650 +cells و الـ anterior horn cells في inter neurons و + +362 +00:25:47,650 --> 00:25:51,390 +أضفتها integrative function الـ Corticospinal + +363 +00:25:51,390 --> 00:25:54,450 +tract بيعمل regulation لإله و الإشارة من الـ + +364 +00:25:54,450 --> 00:25:57,930 +posterior horn cells تنتج للـ anterior horn cells + +365 +00:25:57,930 --> 00:26:04,070 +بعدين ترجع بالـ anterior root من الـ anterior root + +366 +00:26:04,580 --> 00:26:08,540 +بتجي إلى الـ femoral nerve as motor fibers of + +367 +00:26:08,540 --> 00:26:13,480 +femoral nerve و بتصل في النهاية إلى اللي هو + +368 +00:26:13,480 --> 00:26:17,740 +quadriceps muscle بيصير contraction على ال + +369 +00:26:17,740 --> 00:26:20,300 +quadriceps muscle الـ quadriceps muscle بتعملنا + +370 +00:26:20,300 --> 00:26:24,120 +اللي هو extension of the knee و في الطريقة هذه + +371 +00:26:24,120 --> 00:26:27,820 +بالطريقة هذه بيكون إننا حصلنا على knee jerk أو + +372 +00:26:27,820 --> 00:26:28,880 +knee reflex + +373 +00:26:34,480 --> 00:26:38,740 +نبدأ بالـ Deep Reflexes في الـ face في عندي جوجيرك + +374 +00:26:38,740 --> 00:26:42,840 +أعطيتكم مياه بسحطه معاك بعمل tapping على إصبعي وين + +375 +00:26:42,840 --> 00:26:47,780 +الـ mental forming الـ right و الـ left طبيعي يصير + +376 +00:26:47,780 --> 00:26:50,860 +mild closure أو ما يصيرش أي movement لكن إذا كان + +377 +00:26:50,860 --> 00:26:54,140 +عنده hyper reflexe في ال encephalopathy راح نلاحظ + +378 +00:26:54,140 --> 00:26:58,740 +هذه الحركة عندهم hyper reflexe في الحالة هذه يكون + +379 +00:26:58,740 --> 00:27:02,500 +ال afferent and efferent pathway the mandibular nerve + +380 +00:27:03,200 --> 00:27:07,100 +ننتقل لل Upper Limb ال Upper Limb في عندي Biceps + +381 +00:27:07,100 --> 00:27:10,960 +Jerk Biceps Jerk اللي هو مسئول عنه + +382 +00:27:10,960 --> 00:27:14,560 +Musculocutaneous nerve أنا في حالة هذه المريض بكون + +383 +00:27:14,560 --> 00:27:20,280 +relaxed تمام و بحط أصبعي على tendon of the biceps + +384 +00:27:20,280 --> 00:27:26,360 +muscle و بمسك الهمر بأصبعين فنزل تنزيل في حالة هذه + +385 +00:27:26,360 --> 00:27:31,720 +إيش صار معناة؟ flexion لـ ال elbow + +386 +00:27:34,930 --> 00:27:39,210 +هذا اسمه biceps reflex اللي بعده the subbinator reflex + +387 +00:27:39,210 --> 00:27:43,170 +أو brachioradialis reflex مسئول عنه the radial nerve + +388 +00:27:43,170 --> 00:27:47,410 +بطلع proximal خمسة سانتين من الـ styloid process + +389 +00:27:47,410 --> 00:27:53,090 +بشير ان subbination معفلكشين لل hand هذا ال reflex + +390 +00:27:53,090 --> 00:27:58,630 +اسمه subbination أو brachioradialis اللي بعده في + +391 +00:27:58,630 --> 00:28:04,820 +ال upper limbs في عندي اللي هو triceps reflex هذا + +392 +00:28:04,820 --> 00:28:10,060 +extension reflex و بمسك المريض من ايده تكون + +393 +00:28:10,060 --> 00:28:15,440 +relaxed رخح ايدك رخيها و بحس بيدي و ان ال tendon + +394 +00:28:15,440 --> 00:28:20,520 +of the triceps muscle رخح عليك غمض عينيك عشان + +395 +00:28:20,520 --> 00:28:25,630 +ما يركزش ما يعمل انهيبشن لل reflex عيد للعشرة و أنا + +396 +00:28:25,630 --> 00:28:32,730 +عملت tapping وين على اللي هو ال tendon of the + +397 +00:28:32,730 --> 00:28:38,930 +triceps muscle عمل معايا extension لمين؟ للـ elbow + +398 +00:28:38,930 --> 00:28:43,550 +extension لمين؟ للـ elbow في الحالة هذه يكون مسئول + +399 +00:28:43,550 --> 00:28:48,410 +عنه اللي هو the radial nerve the radial nerve triceps + +400 +00:28:48,410 --> 00:28:52,210 +muscle في حالة ال biceps ايوا biceps reflex + +401 +00:28:54,930 --> 00:28:57,090 +بسم الله دي contraction للـ biceps و relaxation + +402 +00:28:57,090 --> 00:29:02,290 +للـ triceps في الـ triceps reflex راح يحصل عكس + +403 +00:29:02,290 --> 00:29:08,230 +contraction لـ triceps muscle مع relaxation + +404 +00:29:08,230 --> 00:29:10,490 +لـ biceps muscle + +405 +00:29:13,550 --> 00:29:17,210 +ال lower limbs في عندي knee jerk knee jerk ممكن + +406 +00:29:17,210 --> 00:29:22,030 +ابحث عن بعض الطرق مد رجليك مد هون relax اتنين شوية + +407 +00:29:22,030 --> 00:29:27,130 +شوية شوية تمام تانية اكون مش fixed بحس بصبعي وين + +408 +00:29:27,130 --> 00:29:31,790 +ال tendon بتاع ال quadriceps بتلر tendon و + +409 +00:29:31,790 --> 00:29:35,690 +بعمل ايه بكون انا رافع البنطل من المريض مش مشكلة + +410 +00:29:35,690 --> 00:29:37,850 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +411 +00:29:37,850 --> 00:29:37,910 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +412 +00:29:37,910 --> 00:29:37,930 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +413 +00:29:37,930 --> 00:29:39,610 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +414 +00:29:39,610 --> 00:29:39,690 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +415 +00:29:39,690 --> 00:29:39,750 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +416 +00:29:45,040 --> 00:29:48,760 +إيش صار عندي؟ أسف تبقى على ال quadriceps tendon + +417 +00:29:48,760 --> 00:29:54,380 +بيصير معاك extension للـ knee ونفس الطريقة يعني even + +418 +00:29:54,380 --> 00:29:57,580 +عنده المريض hyper reflex يعني عنده hyper reflex يا + +419 +00:29:57,580 --> 00:30:02,340 +المريض okay هذا اسمه ال quadriceps reflex تفضل هنا عسري + +420 +00:30:02,340 --> 00:30:06,560 +ممكن نبحث ال biceps reflex زي ما احنا شايفين في + +421 +00:30:06,560 --> 00:30:13,120 +supine position هاي ال biceps رخيها ده + +422 +00:30:13,120 --> 00:30:14,440 +وهي ال supination + +423 +00:30:17,600 --> 00:30:24,820 +هذا عندي اللي هو knee jerk هذا + +424 +00:30:24,820 --> 00:30:29,740 +knee jerk بفصل رجليه عن بعض بعدين بنتقل لفحص اللي + +425 +00:30:29,740 --> 00:30:37,080 +هو Achilles tendon أو ankles jerk أو Achilles jerk عن + +426 +00:30:37,080 --> 00:30:42,060 +طريق the tibial nerve اللي هو عدة طرق لفحصه أنا بنتظر + +427 +00:30:42,060 --> 00:30:44,960 +في ال achilles أو في ال ankle jerk يصير plantar + +428 +00:30:44,960 --> 00:30:48,640 +flexion يبقى لازم بحط رجل على رجل و بعمل mild + +429 +00:30:48,640 --> 00:30:51,280 +بصبعي .. mild .. رخي .. رخي .. انت ماتعملش شي .. + +430 +00:30:51,280 --> 00:30:54,420 +ماتعملش شد .. رخي حاجة .. mild ايش .. dorsiflexion + +431 +00:30:54,420 --> 00:30:59,940 +و بحاول أعمل pressure عوين على ال Achilles tendon + +432 +00:30:59,940 --> 00:31:04,750 +زي ما هشايفين صار معناه ايش؟ plantar flexion في حال + +433 +00:31:04,750 --> 00:31:07,870 +أنا تركته في وضع reflection وعملت بطريقة هذه خطأ + +434 +00:31:07,870 --> 00:31:11,070 +يبقى لازم اعمل بصبع ايش dorsiflexion عشان احصل على + +435 +00:31:11,070 --> 00:31:15,730 +ايش على plantar flexion وبنفس الطريقة ل left side + +436 +00:31:15,730 --> 00:31:21,410 +في طريقة ثانية لهم ببحث المريض ببعمل flexion لـ hip + +437 +00:31:21,410 --> 00:31:27,170 +flexion knee و ب tapping على ال Achilles tendon حلوة + +438 +00:31:27,170 --> 00:31:32,050 +واضح رخيه هي الطريقة + +439 +00:31:35,850 --> 00:31:39,750 +في mild clonus هاي clonus شوفت ال clonus كيف؟ + +440 +00:31:39,750 --> 00:31:46,850 +هاي clonus تمام في طريقة ثالثة اتفضل بحاول اوقف + +441 +00:31:46,850 --> 00:31:55,870 +المريض على الكرسي ايجافها اركبها زي هي ممكن افحص + +442 +00:31:55,870 --> 00:32:01,250 +المريض ما عنديش سرير يكون تمام؟ و بعمله plantar + +443 +00:32:01,250 --> 00:32:04,270 +dorsiflexion و بعمل tapping واضح هذه الطريقة + +444 +00:32:04,270 --> 00:32:13,590 +الثالثة clonus شايفين ال clonus؟ clonus عشان + +445 +00:32:13,590 --> 00:32:17,910 +تشوفه يبقى عنده hyperreflexion تفضل سريع خليك + +446 +00:32:17,910 --> 00:32:18,150 +عندها + +447 +00:32:21,720 --> 00:32:25,920 +Clonus، إيش الـ Clonus؟ هي عبارة عن rhythmic + +448 +00:32:25,920 --> 00:32:30,260 +series of contraction in response to sudden + +449 +00:32:30,260 --> 00:32:33,840 +stretch of the muscle tendon، فيها ankle clonus وفي + +450 +00:32:33,840 --> 00:32:36,640 +patella clonus، أكثر شيء بنستخدمه و بنبحث عن + +451 +00:32:36,640 --> 00:32:39,900 +ankle clonus الـ cause of clonus قد يكون + +452 +00:32:39,900 --> 00:32:43,200 +organic cause، أبرموته، neurone lesion، ممكن يكون + +453 +00:32:43,200 --> 00:32:45,960 +psychogenic، hysterical، بيكون symmetrical، + +454 +00:32:45,960 --> 00:32:49,780 +bilateral، without neurological deficit، تفضل هنا + +455 +00:32:52,790 --> 00:32:59,970 +ده غلبك اليوم كيف نفحص اللي هو ankle + +456 +00:32:59,970 --> 00:33:07,090 +clonus بعمل + +457 +00:33:07,090 --> 00:33:14,090 +sudden stretch sudden stretch ممكن يحدث معاه راخعه + +458 +00:33:14,090 --> 00:33:18,390 +لأ كنا قطاوه و أنا بفحص في ال ankle jerks اللي + +459 +00:33:18,390 --> 00:33:18,810 +حاطه + +460 +00:33:23,330 --> 00:33:26,910 +بيصير معنى حركات هذه واضحة clonus شايفين clonus كيف + +461 +00:33:26,910 --> 00:33:32,410 +هذا اسمه clonus عنده clonus of ankle تفضل اشتريك + +462 +00:33:32,410 --> 00:33:37,170 +تعالى من ده بعد هيك بنتقل ل superficial reflexes + +463 +00:33:37,170 --> 00:33:42,610 +من ضمنهم اللي هو conjunctival reflex touch the eye + +464 +00:33:42,610 --> 00:33:47,110 +from the lateral side leads to blinking of both eyes + +465 +00:33:47,110 --> 00:33:50,840 +كلنا بيصير معنى اللي هو conjunctival reflex أو + +466 +00:33:50,840 --> 00:33:55,460 +corneal reflex لو ماشينا في الشارع وخاب ريح غبرة + +467 +00:33:55,460 --> 00:33:58,900 +أجت أي شيء غبرة في عينا بنسكر عينا بسرعة هذا يعتبر + +468 +00:33:58,900 --> 00:34:02,700 +conjunctival reflex أو corneal reflex بنفحصه في + +469 +00:34:02,700 --> 00:34:05,660 +المستشفى بنشوفه كيف ال afferent شرحتلكوا يا + +470 +00:34:05,660 --> 00:34:07,940 +لترايجي من the ophthalmic branch of the trigeminal nerve و ال + +471 +00:34:07,940 --> 00:34:11,060 +efferent the facial nerve هذا شرحناه في cranial nerve + +472 +00:34:11,060 --> 00:34:14,860 +examination و ال palatal reflex شرحناه في ال + +473 +00:34:14,860 --> 00:34:17,820 +cranial nerves و ال pharyngeal reflex أو + +474 +00:34:17,820 --> 00:34:21,940 +the gag reflex انشرح في cranial nerves اليوم بعدها + +475 +00:34:21,940 --> 00:34:29,760 +بنتقل لـ abdominal reflexes من T6 لـ T12 لو جينا + +476 +00:34:29,760 --> 00:34:33,540 +عملنا stroking لل skin by a pin from the lateral to + +477 +00:34:33,540 --> 00:34:36,780 +medianormal response بيصير عندنا shifting + +478 +00:34:36,780 --> 00:34:41,540 +لل umbilicus towards the side of stimulation في عندنا + +479 +00:34:41,540 --> 00:34:46,000 +three types of reflexes في upper abdominal reflex + +480 +00:34:46,000 --> 00:34:53,600 +اللي هو T6 و T8 وفي middle abdominal reflex T9 و T10 + +481 +00:34:53,600 --> 00:34:59,290 +وفي lower abdominal reflex T11 و T12 يعني هنا ممكن + +482 +00:34:59,290 --> 00:35:04,510 +تعدلوهم T6 to T8, T9 to T10, T11 to T12 أصحى + +483 +00:35:04,510 --> 00:35:10,630 +cremasteric reflex عند ال males بيعمل stroking لل + +484 +00:35:10,630 --> 00:35:14,010 +skin of the upper part of the medial aspect of the thigh + +485 +00:35:14,010 --> 00:35:19,610 +بيؤدي إلى contraction لـ cremasteric muscle و في + +486 +00:35:19,610 --> 00:35:23,370 +الحالة هذه بيصير elevation لل testis the anal reflex + +487 +00:35:23,370 --> 00:35:27,150 +striking across the buttocks بيصير عندنا + +488 +00:35:27,150 --> 00:35:32,110 +contraction لـ external anal sphincter و في الحالة + +489 +00:35:32,110 --> 00:35:36,010 +هذه بيكون عندنا preserved anal reflex مهم جدا ال + +490 +00:35:36,010 --> 00:35:40,810 +anal reflex نفحصه في حالات spinal cord lesion في + +491 +00:35:40,810 --> 00:35:43,670 +حالات transverse myelitis for differential + +492 +00:35:43,670 --> 00:35:47,850 +diagnosis between cauda equina syndrome and transverse + +493 +00:35:47,850 --> 00:35:54,460 +myelitis بنيجي لل .. abdominal reflex رخي ايديك .. + +494 +00:35:54,460 --> 00:35:58,680 +رخي ايديك .. رخيهم تحت اتنقل رجليك شوية .. اتنقل + +495 +00:35:58,680 --> 00:35:59,840 +اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل + +496 +00:35:59,840 --> 00:35:59,960 +.. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. + +497 +00:35:59,960 --> 00:36:00,360 +اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل + +498 +00:36:00,360 --> 00:36:01,580 +.. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. + +499 +00:36:01,580 --> 00:36:02,740 +اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل + +500 +00:36:02,740 --> 00:36:08,430 +.. اتنقل .. تمام و ال middle من ال lateral لـ ال + +501 +00:36:08,430 --> 00:36:12,290 +medial و ال inferior و ال inguinal area من ال + +502 +00:36:12,290 --> 00:36:15,270 +lateral ل ال medial عنده weak ال reflexes هذول لأن + +503 +00:36:15,270 --> 00:36:17,550 +المريض عندنا multiple sclerosis و بيكون عندهم + +504 +00:36:17,550 --> 00:36:20,310 +decrease abdominal reflexes .. decrease abdominal + +505 +00:36:20,310 --> 00:36:28,730 +reflexes abnormal plantar reflexes بابينسكي .. + +506 +00:36:28,730 --> 00:36:34,110 +بابينسكي هو negative بيكون طبيعي يكون negative + +507 +00:36:34,110 --> 00:36:39,630 +بيصير ال plantar reflex ل ال toes لكن في بعض + +508 +00:36:39,630 --> 00:36:43,210 +الأحيان بيكون positive خاصة عند الأطفال، عند + +509 +00:36:43,210 --> 00:36:46,470 +الأطفال لحد سنة و نص normally يكون عندي positive + +510 +00:36:46,470 --> 00:36:50,760 +بابينسكي reflex كيف بنبحثوا بنعمل scratch ل .. + +511 +00:36:50,760 --> 00:36:55,360 +scratch ل ال lateral aspect of foot من ال lateral + +512 +00:36:55,360 --> 00:36:59,600 +ل ال medial هي تمسك ال foot و بعمل scratch ل .. من ال + +513 +00:36:59,600 --> 00:37:03,910 +lateral ل إيش؟ ل ال medial طبيعي يكون عند إيش؟ fanning + +514 +00:37:03,910 --> 00:37:10,390 +لكل أصابع و ال toes لكن في البابينسكي إمثلكوا + +515 +00:37:10,390 --> 00:37:13,450 +لما نكون positive بنيجي من ال lateral ل ال medial + +516 +00:37:13,450 --> 00:37:17,830 +طبيعي يصير في البابينسكي في البابينسكي إيش بيصير + +517 +00:37:17,830 --> 00:37:20,250 +عندنا في البابينسكي reflex بيصير fanning مع + +518 +00:37:20,250 --> 00:37:24,510 +affliction ل ال four toes مع dorsiflexion ل ال big + +519 +00:37:24,510 --> 00:37:27,190 +toe يعني في الحالة هذه لو جيت عملت scratch من ال + +520 +00:37:27,190 --> 00:37:29,850 +lateral ل ال medial في البابينسكي reflex إيش راح يصير + +521 +00:37:29,850 --> 00:37:32,250 +عندنا في البابينسكي ده كان positive راح يكون يعني + +522 +00:37:33,030 --> 00:37:36,010 +fanning مع reflection للـ four fingers، four toes + +523 +00:37:36,010 --> 00:37:40,210 +مع dorsiflexion لمين؟ للـ big toe وهذا بسميه + +524 +00:37:40,210 --> 00:37:47,190 +بابينسكي reflex positive في شيفر reflex و في open + +525 +00:37:47,190 --> 00:37:51,070 +ham و في جردان و في جردان reflex اللي بتشوفوه أنا + +526 +00:37:51,070 --> 00:37:55,410 +مهم جدا عند البابينسكي في grading system + +527 +00:37:55,410 --> 00:38:01,250 +للreflexes zero absent reflex واحد reduce أو + +528 +00:38:01,250 --> 00:38:06,250 +hypoactive أو hyporeflexia اتنين بيكون normal + +529 +00:38:06,250 --> 00:38:10,290 +تلاتة increase أو hyperreflexia اربع بيكون + +530 +00:38:10,290 --> 00:38:15,430 +clonosis لو جينا عبّينا plank لمريض بلاحظنا عنده + +531 +00:38:15,430 --> 00:38:19,530 +على ال right side تلاتة اربع اربع اربع اربع على ال + +532 +00:38:19,530 --> 00:38:21,350 +left اتنين اتنين اتنين بقول المريض عنده + +533 +00:38:21,350 --> 00:38:25,190 +hyperreflexia وين على ال right side اذا عنده right + +534 +00:38:25,190 --> 00:38:28,050 +side hyperreflexia يعني بيكون عنده spastic right + +535 +00:38:28,050 --> 00:38:32,230 +side hemiplegia الآن بنتقل خلصنا موضوع ال motor + +536 +00:38:32,230 --> 00:38:35,010 +بنتقل ل examination of coordination هي تابعة + +537 +00:38:35,010 --> 00:38:39,030 +للموتور بس هي cerebellar system ال symptoms + +538 +00:38:39,030 --> 00:38:43,730 +بتاعتهم بيكون عندهم ataxia, discordination, muscle + +539 +00:38:43,730 --> 00:38:48,570 +hypotonia ليه؟ لأن damage of cerebellar leads to + +540 +00:38:48,570 --> 00:38:51,880 +muscle hypotonia intentional tremor إيش intentional + +541 +00:38:51,880 --> 00:38:56,560 +tremor عبارة عن tremor which increase as the limb + +542 +00:38:56,560 --> 00:39:02,620 +approaches its target ويكون maximum أو ال tremor + +543 +00:39:02,620 --> 00:39:06,340 +during and maximal بيكون في ال end of movement + +544 +00:39:06,340 --> 00:39:10,140 +يعني في نهاية الحركة بيلاقي بيكون عندي maximum + +545 +00:39:10,140 --> 00:39:15,830 +tremor و absent at rest بختلف عن ال Parkinsonian + +546 +00:39:15,830 --> 00:39:19,630 +tremor in Parkinson disease بيكون عندهم resting + +547 +00:39:19,630 --> 00:39:24,490 +tremor Dysmetria Dysmetria بتكون هي عبارة عن error + +548 +00:39:24,490 --> 00:39:28,550 +in termination of movement نهاية الحركة بتكون فيها + +549 +00:39:28,550 --> 00:39:31,810 +خطأ يعني بدل ما تحط أصبعه على أنفه و هو مقمض عنه + +550 +00:39:31,810 --> 00:39:34,410 +تلاقي يحط أصبعه أوين على آينه هذه بنسميها + +551 +00:39:34,410 --> 00:39:40,650 +Dysmetria Dysdiodochokinesia هذه failure to perform + +552 +00:39:40,650 --> 00:39:46,480 +a rapid alternating movement this arthria type of + +553 +00:39:46,480 --> 00:39:50,420 +slurred speech nystagmus ممكن يكون عندهم + +554 +00:39:50,420 --> 00:39:55,820 +horizontal nystagmus و rebound phenomenon ask the + +555 +00:39:55,820 --> 00:39:59,700 +patient to flex elbow against resistor بعد هيك + +556 +00:39:59,700 --> 00:40:02,940 +بعمله sudden release برخي ايده فجأة ممكن في حالة + +557 +00:40:02,940 --> 00:40:07,300 +هذه يروح يصيب وجهه الآن راح نعمل examination لل + +558 +00:40:07,300 --> 00:40:10,120 +cerebellar و نشوفهم مع بعض examination of + +559 +00:40:10,120 --> 00:40:15,020 +coordination of the upper limbs أول فحص عمللي حط + +560 +00:40:15,020 --> 00:40:23,840 +أصبعك مع أصبعك finger to finger test تمام براحتك و + +561 +00:40:23,840 --> 00:40:28,900 +أنت مغامض أنك شايفين شوية فيه dysmetria في الأخر و + +562 +00:40:28,900 --> 00:40:37,400 +في mild intention براحتك في ال freedom هيك هذا + +563 +00:40:37,400 --> 00:40:40,240 +اسمه finger to finger test finger to doctor finger + +564 +00:40:40,240 --> 00:40:42,400 +test أصبعك على أصبعك يعني + +565 +00:40:49,020 --> 00:40:55,640 +تانية finger .. لأ ال doctor finger test ما أقدرش + +566 +00:40:55,640 --> 00:40:59,700 +أعملهم اللي هو فات عينيه لإن هو بيفحص جسمه بجسم + +567 +00:40:59,700 --> 00:41:02,920 +آخر ممنوع أقوله سكّر عينيك و طب تصور أقوله سكّر + +568 +00:41:02,920 --> 00:41:05,180 +عينيك و حط أصبعك في أصبعي و روح تقعد على الكرسي و + +569 +00:41:05,180 --> 00:41:09,080 +من وين دور على أصبعي ماراح يظبط لما أفحص فات عينيه + +570 +00:41:09,080 --> 00:41:12,730 +و مغمض عينيه بس بجسم هو لوحده بعد هيك رابد + +571 +00:41:12,730 --> 00:41:16,810 +ال alternating movement للدس أدوكو كينيزيا حط إيديك زي + +572 +00:41:16,810 --> 00:41:22,110 +هيك بسرعة جلبهم بسرعة بسرعة بسرعة بسرعة هي عنده دس + +573 +00:41:22,110 --> 00:41:24,670 +أدوكو كينيزيا بيقدرش يعمل rapid alternating movement + +574 +00:41:24,670 --> 00:41:30,830 +زي هيك لأنه فيه endocerebellar damage okay finger + +575 +00:41:30,830 --> 00:41:33,470 +to doctor finger to narcissist حلو حط أصبعك في + +576 +00:41:33,470 --> 00:41:38,510 +أصبعي حط حط كمان و بعدين على أنفك على أصبعي أو انت + +577 +00:41:38,510 --> 00:41:45,700 +فاتع أنيك تمام أي مرة، إيدك التانية على أنفك، تمام، + +578 +00:41:45,700 --> 00:41:50,300 +تمام فيه أو انت فاتت عنياك، تمام، okay فيه tremor، + +579 +00:41:50,300 --> 00:41:56,450 +rebound phenomenon بشد إيده هلجيت شد إيدك على الآخر + +580 +00:41:56,450 --> 00:41:59,810 +على الآخر على الآخر شد شد شد شد شد شد شد شد + +581 +00:41:59,810 --> 00:42:08,950 +شدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدش + +582 +00:42:17,390 --> 00:42:21,710 +ممكنها يصير delay لل contraction of the triceps + +583 +00:42:21,710 --> 00:42:26,410 +و ممكن في الحالة delay لل .. لل contraction of the + +584 +00:42:26,410 --> 00:42:32,270 +triceps و في الحالة هذه ممكن يخبط إيش وجهه في ال + +585 +00:42:32,270 --> 00:42:38,090 +examination of the lower limbs أول شيء بنفحص هي ال + +586 +00:42:38,090 --> 00:42:40,210 +heel to shin test راح أفحصوها على الطاولة + +587 +00:42:40,210 --> 00:42:45,400 +walking along a straight line هلأ أنزلامشي ليه على + +588 +00:42:45,400 --> 00:42:48,540 +خط مستقيم هان و أنا بكونش قاعد على كرسي بكون بمشي + +589 +00:42:48,540 --> 00:42:52,300 +مع المريض ليه؟ لأنه ممكن المريض يجعى حط رجلك هيك و + +590 +00:42:52,300 --> 00:42:59,520 +امشي تماما قدام بعض حط لا لا لا طلع رجل امام واحدة + +591 +00:42:59,520 --> 00:43:06,850 +بس براحتك خطوات ورا بعض يلا بيدا قدامك attacks يعني + +592 +00:43:06,850 --> 00:43:10,310 +في عنده attacks بس انت تطلع صح كيف تعملها صح بحط + +593 +00:43:10,310 --> 00:43:17,150 +ايه رجلي شايف ورجل ثاني قدامها قدام بعض زي هي أيضا + +594 +00:43:17,150 --> 00:43:22,970 +و أنا معاه attacks الجيت تمام هلأ بافحص ال + +595 +00:43:22,970 --> 00:43:26,750 +Rombergism رجلك + +596 +00:43:26,750 --> 00:43:33,570 +مع بعض تعالي هنا فوق خلينا نشوفه رجلك مع بعض مع + +597 +00:43:33,570 --> 00:43:39,390 +بعض، مدق دي قدامك، قدم شوية على الكرسي، بفحص أقفزة + +598 +00:43:39,390 --> 00:43:42,970 +عينيك، بفحص وفاته عينيه، و هو مغمض عنيه و أنا بكون + +599 +00:43:42,970 --> 00:43:48,560 +حامل مريض و أقف جانبه، بلا شجعة، غمض عنيك في عنده + +600 +00:43:48,560 --> 00:43:53,880 +mild attack في الحالة هذه إذا كان عنده decrease + +601 +00:43:53,880 --> 00:43:58,080 +خلاص إذا كان عنده sensitive ataxia مجرد ما يغمض + +602 +00:43:58,080 --> 00:44:00,240 +عينيه بيجي ع المريض لأنهم sensitive ataxia لكن في + +603 +00:44:00,240 --> 00:44:04,860 +ال cerebellar ataxia في عندهم discordination و هو + +604 +00:44:04,860 --> 00:44:08,400 +فات عينيه و هو مغمض عينيه لكن ال sensitive ataxia + +605 +00:44:08,400 --> 00:44:12,540 +ناتجة عن deep sensation loss مجرد ما يغمض عينيه + +606 +00:44:12,540 --> 00:44:13,280 +بيجي ع المريض + +607 +00:44:20,670 --> 00:44:22,810 +زاري؟ زي ما .. زي ما تقول .. زي .. نفس الشيء يعني + +608 +00:44:22,810 --> 00:44:28,990 +.. نفس الشيء يعني شمر + +609 +00:44:28,990 --> 00:44:35,310 +رجلك .. شمرهم صح؟ + +610 +00:44:35,310 --> 00:44:40,050 +تاني أه؟ + +611 +00:44:40,050 --> 00:44:43,810 +نعم أول شيء أنا بعلم المريض إيش يسوي، هاي واحد، + +612 +00:44:43,810 --> 00:44:46,070 +ثاني شيء بيعملهوا فاتعانية، ثالث مرة بيعملهوا + +613 +00:44:46,070 --> 00:44:50,460 +مغمضانية ارفع رجلك لفوق فات .. فاتوا انيك انت طلع + +614 +00:44:50,460 --> 00:44:55,680 +.. رفعت رجلك لفوق نزلها على الرقبة و بكعب رجلك + +615 +00:44:55,680 --> 00:44:58,860 +ماشيها مع الساق هي أول مرة علمتها فجيت عملها هو + +616 +00:44:58,860 --> 00:45:07,960 +انت فاتوا انيك نام ارفحها لفوق نزل في attack يعني + +617 +00:45:07,960 --> 00:45:11,240 +واضح ال attack يعني مش قادر يمشي attack يعني عملها + +618 +00:45:11,240 --> 00:45:12,200 +هو انت مغمض انيك يلا + +619 +00:45:17,160 --> 00:45:26,220 +Okay الثانية نفس الشيء لفوق لفوق على رقبتك في + +620 +00:45:26,220 --> 00:45:29,020 +attacks يعني واضحة ال attacks عنده و بيعملها هو + +621 +00:45:29,020 --> 00:45:33,100 +مغمض عنها هيك بيكون خلصنا الموضوع اللي هو ال + +622 +00:45:33,100 --> 00:45:38,100 +coordination examination of the sensory system في + +623 +00:45:38,100 --> 00:45:42,140 +rules لل examination of sensory system ال eyes + +624 +00:45:42,140 --> 00:45:46,710 +should be closed هاي واحد اثنين Compare both sides + +625 +00:45:46,710 --> 00:45:51,210 +of the body leg to leg, arm to arm to detect + +626 +00:45:51,210 --> 00:45:56,510 +hemihypesthesia تلاتة هنا Descending search to + +627 +00:45:56,510 --> 00:46:00,730 +detect level of lesion نبدأ من فوق لتحت We compare + +628 +00:46:00,730 --> 00:46:05,190 +different dermatomes for radicular sensory loss + +629 +00:46:05,190 --> 00:46:12,170 +Symptoms of sensory lesion ممكن يكونوا positive + +630 +00:46:12,170 --> 00:46:14,990 +phenomena وممكن يكونوا negative phenomena، + +631 +00:46:14,990 --> 00:46:17,570 +positive phenomena pain، peripheral pain، + +632 +00:46:17,570 --> 00:46:20,230 +trigeminal neuralgia، radicular pain، central + +633 +00:46:20,230 --> 00:46:23,830 +pain، هو thalamic pain، ممكن يكون phantom pain، + +634 +00:46:23,830 --> 00:46:27,110 +after amputation أو post amputation pain، + +635 +00:46:27,110 --> 00:46:32,010 +allodynia، اللي هو pain provoked by a non-painful + +636 +00:46:32,010 --> 00:46:36,210 +stimulus، causalgia، بيكون severe sympathetic pain + +637 +00:46:36,710 --> 00:46:41,230 +numbness and paresthesia كلنا صار معنا numbness و + +638 +00:46:41,230 --> 00:46:44,310 +paresthesia لو واحد قاعد أرضى ثانالج ليه + +639 +00:46:44,310 --> 00:46:50,190 +anesthesia اللي هي complete loss of all form + +640 +00:46:50,190 --> 00:46:54,860 +of sensation قد تكون thermoanesthesia decrease أو + +641 +00:46:54,860 --> 00:46:58,700 +loss of temperature sensation analgesia complete + +642 +00:46:58,700 --> 00:47:02,540 +loss of pain sensation ومن هنا مصطلح analgesics + +643 +00:47:02,540 --> 00:47:06,340 +بدي حبة analgesics قرص analgesics زي اكامول + +644 +00:47:06,340 --> 00:47:11,400 +براستامول عشان موضوع الألم tactile anesthesia pal + +645 +00:47:11,400 --> 00:47:15,620 +anesthesia loss of vibration sense إذا كان partial + +646 +00:47:15,620 --> 00:47:19,200 +decrease of sensation بقول hypoesthesia partial + +647 +00:47:19,200 --> 00:47:23,040 +loss of sensation hyperesthesia hyperesthesia + +648 +00:47:23,040 --> 00:47:26,440 +increased sensitivity to various sensations + +649 +00:47:26,440 --> 00:47:31,420 +hyperpathy أو hyperalgesia exaggerated response to + +650 +00:47:31,420 --> 00:47:37,580 +painful stimulus زي severe painful sensory ataxia + +651 +00:47:37,580 --> 00:47:42,140 +هذه sensory ataxia أو بنسميها afferent ataxia أو + +652 +00:47:42,140 --> 00:47:46,940 +afferent paralysis ناتجة عن loss of deep sensation + +653 +00:47:46,940 --> 00:47:52,560 +و stereognosis راح نتكلم عنها كيف نعمل examination + +654 +00:47:52,560 --> 00:48:01,100 +بجيب pen prick بفحص ال sensation زي ما اتفقنا احنا + +655 +00:48:01,100 --> 00:48:07,740 +بنعمل compare right left أو right مع ال left أو + +656 +00:48:07,740 --> 00:48:14,810 +left مع ال right تمام بنزل descending search بقارن + +657 +00:48:14,810 --> 00:48:17,970 +يمين مع شمال عشان أحدد إذا في عند المريض + +658 +00:48:17,970 --> 00:48:21,150 +hemihypesthesia بقارن descending search من تحت + +659 +00:48:21,150 --> 00:48:24,490 +لفوق عشان إذا في عنده sensory level أحدده و بعمل + +660 +00:48:24,490 --> 00:48:27,990 +examination لل pain على different dermatomes عشان + +661 +00:48:27,990 --> 00:48:31,050 +أحدد إذا في عند المريض radicular loss touch + +662 +00:48:31,050 --> 00:48:35,410 +sensation touch sensation قد يكون a crude touch و + +663 +00:48:35,410 --> 00:48:38,810 +قد يكون fine touch غامض إيه بجيب شيء بلمسه + +664 +00:48:38,810 --> 00:48:44,390 +بقطعة قطن حاسس تمام اه و عاليمين هذا اسمه a crude + +665 +00:48:44,390 --> 00:48:47,630 +touch و بمشي نفس الطريقة descending search و بعمل + +666 +00:48:47,630 --> 00:48:51,810 +compare لل right مع ال left أو fine touch غامض إن + +667 +00:48:51,810 --> 00:48:57,130 +إيه إيش لمسك؟ هذه good localized touch sensation + +668 +00:48:57,130 --> 00:49:01,670 +بنسميها fine touch temperature sensation زي ما + +669 +00:49:01,670 --> 00:49:07,170 +فحصنا على ال face وشفتوا بنستخدم hot and cold test + +670 +00:49:07,170 --> 00:49:12,050 +tube deep sensation في vibration sense في joint + +671 +00:49:12,050 --> 00:49:16,630 +sense muscle sense وينيرفسنس رومبرجيزم رومبرز اتوا + +672 +00:49:16,630 --> 00:49:21,210 +فحصنا مع بعض في السيرابيلا ال vibration sense أنا + +673 +00:49:21,210 --> 00:49:26,990 +بستخدم ال tuning fork للـ vibration sense بدربها + +674 +00:49:26,990 --> 00:49:30,770 +بيدي خطأ أمسكها من فوق من تحت جنة و بشوف المريض + +675 +00:49:30,770 --> 00:49:34,630 +غامض إيه و بشوف وين فيه bone prominance حاسس إيش + +676 +00:49:34,630 --> 00:49:38,330 +إيه و بقارن على ال left نفس الشيء طب صور المريض + +677 +00:49:38,330 --> 00:49:40,690 +عنده polyneuropathy و ما حسش في ال vibration + +678 +00:49:40,690 --> 00:49:43,690 +distal بطلع more proximal بطلع ال elbow غامض إيه + +679 +00:49:43,690 --> 00:49:47,910 +حاسس؟ okay و بقارن على الجهة الأشمال نفس الطريقة + +680 +00:49:47,910 --> 00:49:51,630 +أبحث إيه ال lower limbs هذا بالنسبة إلى إيه ال + +681 +00:49:51,630 --> 00:49:55,860 +vibration بنتجي لـ Joint Sense أو Properception + +682 +00:49:55,860 --> 00:50:00,200 +بعلم المريض بقول له هذا أصبعك رقم واحد، رقم اتنين، + +683 +00:50:00,200 --> 00:50:02,920 +تلاتة، أربعة، خمسة، أنا بدي أحرك أصبعك إما لفوق + +684 +00:50:02,920 --> 00:50:07,020 +وإما لتحت، تمام؟ غمض عيني الطريقة الخاطئة لو أنا + +685 +00:50:07,020 --> 00:50:10,160 +مسكت أصبع المريض بيدي و قولتله أي أصبع أنا حركته + +686 +00:50:10,160 --> 00:50:14,180 +تحت ولا فوق المريض ممكن يجاوبني صح و يكون خدعني و + +687 +00:50:14,180 --> 00:50:17,600 +هو ما شعرش بالـ joint sensation شعر بالـ crude touch + +688 +00:50:17,600 --> 00:50:21,120 +و أنتم عارفين الـ crude touch ال pathway تبعه اللي + +689 +00:50:21,120 --> 00:50:24,180 +هو الـ ventral spinothalamic tract و الـ deep + +690 +00:50:24,180 --> 00:50:26,600 +sensation ال pathway بتاعه الـ gracile and + +691 +00:50:26,600 --> 00:50:28,860 +cuneate tract للـ upper limbs بتكلم على + +692 +00:50:28,860 --> 00:50:31,100 +cuneate tract يقول أنا لما نبحث ال joint + +693 +00:50:31,100 --> 00:50:34,580 +sensation ما أبحثش crude ما أبحثش fine لأن الـ fine + +694 +00:50:34,580 --> 00:50:38,830 +touch و ال deep sensation the same pathway لهم اللي + +695 +00:50:38,830 --> 00:50:41,570 +هو gracile and cuneate tract لو صارت damage لل + +696 +00:50:41,570 --> 00:50:43,970 +gracile و ال cuneate tract راح تأثر ال deep + +697 +00:50:43,970 --> 00:50:47,350 +sensation من ضمنهم joint sensation و راح يتأثر مع + +698 +00:50:47,350 --> 00:50:50,970 +fine touch يعني بالطريقة هذه أنا بحرك الأصابع fine + +699 +00:50:50,970 --> 00:50:58,330 +غمض عينيك رخيهم أي أصبع حركت؟ + +700 +00:50:58,330 --> 00:51:03,150 +لفوق ولا تحت؟ لفوق تمام مالجيت؟ + +701 +00:51:05,840 --> 00:51:09,560 +عنده deep sensation preserved و نفس الطريقة بافحص + +702 +00:51:09,560 --> 00:51:12,880 +ال other lower .. upper limb و بافحص ال lower limb + +703 +00:51:12,880 --> 00:51:16,880 +صورة مريض ما حسش بال fingers ما حسش بطلع ال wrist و + +704 +00:51:16,880 --> 00:51:20,740 +بحرك ال wrist نفسه بنفس الطريقة fine بحركها بحركها + +705 +00:51:20,740 --> 00:51:25,020 +إيش؟ fine برفعها لفوق و تحت و المريض بده إيش؟ إيه؟ + +706 +00:51:25,020 --> 00:51:30,120 +قل لي عملت له أنا extension أو flexion لل wrist و + +707 +00:51:30,120 --> 00:51:36,650 +نفس الطريقة لل foot muscle sense done by pinching + +708 +00:51:36,650 --> 00:51:40,870 +the calf muscles أو لو بدنا نحس نعمل palpation + +709 +00:51:40,870 --> 00:51:44,570 +للأبضام من المصل إذا في حالة peritonitis مريض عنده + +710 +00:51:44,570 --> 00:51:50,570 +DVT nerve sense ممكن by percussion على اللي هو ال + +711 +00:51:50,570 --> 00:51:52,850 +carpal tunnel هذا ممكن يصير ال electric like + +712 +00:51:52,850 --> 00:51:56,170 +sensation مع ال median nerve أو ال carpal tunnel + +713 +00:51:56,170 --> 00:51:59,750 +ممكن يكون عندنا electric like sensation في ال + +714 +00:51:59,750 --> 00:52:02,650 +ulnar اللي كلنا أكلنا لما نحط إيدنا على الطاولة و + +715 +00:52:02,650 --> 00:52:05,570 +نضربها على الطاولة ممكن نشعر زي كهرب، شعور كهرب، + +716 +00:52:05,570 --> 00:52:08,110 +هذا هو عبارة عن nerve sensation + +717 +00:52:11,120 --> 00:52:14,920 +رومبرجيزم احنا فحصناها قاطعة مع الـ cerebellum في + +718 +00:52:14,920 --> 00:52:19,080 +حالة إنه loss of deep sensation المريض مجرد ما + +719 +00:52:19,080 --> 00:52:24,460 +يغمض عينه بتلاقيه بيوقع و ذلك ناتج عن loss of deep + +720 +00:52:24,460 --> 00:52:28,000 +sensation proprioception و damage في الـ gracile and cuneate + +721 +00:52:28,000 --> 00:52:30,880 +tract أكثر شيء بيصير لنا loss of deep + +722 +00:52:30,880 --> 00:52:34,740 +sensation في حالات اللي هو ال vitamin B12 deficiency + +723 +00:52:34,740 --> 00:52:38,740 +في ال posterior cord syndrome في cortical sensation + +724 +00:52:38,740 --> 00:52:43,920 +tactile localization localized site of pain + +725 +00:52:43,920 --> 00:52:49,500 +المريض بيحدد لي site of pain تمام قمت هناك وين + +726 +00:52:49,500 --> 00:52:56,540 +القلم بيحدد مكانه tactile discrimination هنا بنجيب + +727 +00:52:56,540 --> 00:53:00,800 +two-point discrimination بجيب زي الفرجار بسنين و + +728 +00:53:00,800 --> 00:53:03,960 +بحاول أبعدهم عن إيه لما أجربهم هاي جيبنا جلم هان + +729 +00:53:03,960 --> 00:53:13,390 +جيب جلم هان و أحطهم مع بعضكم نقطة هالجيت حاسس؟ + +730 +00:53:13,390 --> 00:53:17,210 +لما هو عشان الجلم الثاني، هتنشوف، تجي الجلم زيه، + +731 +00:53:17,210 --> 00:53:23,930 +تمام، مدي دهلفها، لف إيدك هيك، حط إيدك هنا، هلجيت؟ + +732 +00:53:23,930 --> 00:53:28,870 +كام نقطة حاسس؟ واحدة، مجرد مجرب مسافة بين النقطين + +733 +00:53:28,870 --> 00:53:32,210 +أقل من نص سنتي على ال hand أو أقل من خمسة سنتي + +734 +00:53:32,210 --> 00:53:35,470 +على ال back، راح يشعروا بنقطة واحدة، بس عشان يشعروا + +735 +00:53:35,470 --> 00:53:38,770 +two point، لازم أبعدهم عن بعض أكثر من نص سنتي على + +736 +00:53:38,770 --> 00:53:41,790 +ال hand و أكثر من خمسة سنتي على ال back، كام نقطة + +737 +00:53:41,790 --> 00:53:48,240 +هلجيت؟ اتنين تمام okay هذا بيسميه two-point + +738 +00:53:48,240 --> 00:53:50,760 +discrimination أو tactile discrimination + +739 +00:53:50,760 --> 00:53:57,440 +stereognosis غمض عينيك إيش + +740 +00:53:57,440 --> 00:54:04,200 +في إيدك دون ما تتطلع عليه حسوا جلم أو بعطيه فلوس + +741 +00:54:04,200 --> 00:54:08,700 +في إيده و بيميزهم بدون نظر باللمس يقول لي خمس شكل + +742 +00:54:08,700 --> 00:54:13,910 +أو عشرة شكل أو اتنين شكل graphesthesia أنا باجي + +743 +00:54:13,910 --> 00:54:18,830 +برسم في إيده أو عيده بالجلم و الأحرف أو أرقام و + +744 +00:54:18,830 --> 00:54:21,490 +المريض يجاوبني فيهم صح و يقول لي إيش الرقم أو الحرف + +745 +00:54:21,490 --> 00:54:26,180 +اللي كتبته هذه non-organic sense loss ممكن المريض + +746 +00:54:26,180 --> 00:54:29,260 +يجي لنا ب loss of sensation في ال head و ال body + +747 +00:54:29,260 --> 00:54:33,120 +سليمة بيصيرش أو يجينا يقول بيحسش في إيده الشمال و + +748 +00:54:33,120 --> 00:54:36,000 +رجله الشمال و ال trunk و ال abdomen بيحس فيه ما + +749 +00:54:36,000 --> 00:54:39,440 +بيصير هذا psychogenic أو يجينا بيحسش على الشمال + +750 +00:54:39,440 --> 00:54:41,780 +بعدين صار يحس على الشمال بعدين بطل يحس على الشمال + +751 +00:54:41,780 --> 00:54:45,240 +يعني بيحيرك المريض هذول ممكن يكونوا non-organic + +752 +00:54:45,440 --> 00:54:48,240 +sensory loss في حالات الـ historical أو الـ + +753 +00:54:48,240 --> 00:54:52,080 +conversion disorder و هيك بيكون أنت هنا من الموضوع + +754 +00:54:52,080 --> 00:54:55,200 +اللي هو neurological examination و يعطيكم الف + +755 +00:54:55,200 --> 00:54:58,560 +عافية إن شاء الله و ربنا يسلمكم جميعا diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/XdrdcFKgNpE_raw.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/XdrdcFKgNpE_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..ada2fd1feb0bf1a545c3d0e610085e26a2e27b47 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/XdrdcFKgNpE_raw.srt @@ -0,0 +1,3024 @@ +1 +00:00:05,060 --> 00:00:08,840 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:08,840 --> 00:00:12,780 +وبركاته الجزئية الثانية في ال examination راح + +3 +00:00:12,780 --> 00:00:15,660 +نتطرق فيها إلى ال examination of the motor system + +4 +00:00:15,660 --> 00:00:21,420 +cerebellar coordination and sensation ال motor + +5 +00:00:21,420 --> 00:00:24,940 +system examination قبل ما أتكلم عن ال examination + +6 +00:00:24,940 --> 00:00:29,000 +راح أتكلم على ال classification of the motor + +7 +00:00:29,000 --> 00:00:33,620 +neuron lesion قد يكون according to the location of + +8 +00:00:33,620 --> 00:00:40,940 +lesionأو باعتبار الـ affected limb باعتبار موقع + +9 +00:00:40,940 --> 00:00:46,220 +الـ lesion بيكون upper motoneurone lesion أو lower + +10 +00:00:46,220 --> 00:00:49,520 +motoneurone lesion upper motoneurone lesion يعني + +11 +00:00:49,520 --> 00:00:51,900 +دمج في الـ corticospinal tract أو الـ + +12 +00:00:51,900 --> 00:00:56,660 +corticonuclear tract lower motoneurone lesion دمج + +13 +00:00:56,660 --> 00:01:00,740 +في الـ anterior horn cellsفي الـ root، spinal root + +14 +00:01:00,740 --> 00:01:04,360 +في الـ nerve نفسه في الـ neuromuscular junction في + +15 +00:01:04,360 --> 00:01:07,360 +الـ muscle fibers يعتبر lower motoneuron نيجي إلى + +16 +00:01:07,360 --> 00:01:10,040 +الـ cranial nerves الـ corticonuclear tract ده مش + +17 +00:01:10,040 --> 00:01:12,960 +هذا upper motoneuron نيجي نوكلياي in the brain + +18 +00:01:12,960 --> 00:01:16,760 +stimuli هذا lower motoneuron ال cranial nerves + +19 +00:01:16,760 --> 00:01:20,220 +itself lower motoneuron ال neuromuscular junction + +20 +00:01:20,220 --> 00:01:24,960 +بتاعهم lower motoneuron المصل lower motoneuron + +21 +00:01:24,960 --> 00:01:29,710 +according to the affected limbممكن يكون عندي + +22 +00:01:29,710 --> 00:01:41,130 +monoplegia يعني إيش monoplegia؟ شلل في طرف إما + +23 +00:01:41,130 --> 00:01:46,330 +right أو left upper أو lower يعني right upper + +24 +00:01:46,330 --> 00:01:50,230 +right lower left upper left lower إذا كان complete + +25 +00:01:50,230 --> 00:01:54,130 +بنقول monoplegia إذا كان partial بقول monoparesis + +26 +00:01:54,130 --> 00:02:00,140 +hemiplegia شلل نصفيRight-side Hemiplegia أو Left + +27 +00:02:00,140 --> 00:02:05,520 +-side Hemiplegia Paraplegia Paralysis of both + +28 +00:02:05,520 --> 00:02:08,980 +limbs يعني زي ما بشوف في spinal cord injury + +29 +00:02:08,980 --> 00:02:11,560 +thrastic level المريض بيكون شلل سفلي في الأطراف + +30 +00:02:11,560 --> 00:02:17,800 +السفلية بسميها Paraplegia Triplegiaيعني شلال + +31 +00:02:17,800 --> 00:02:21,720 +ثلاثي، كيف شلال ثلاثي؟ المريض أخد ارصاصه في ال + +32 +00:02:21,720 --> 00:02:23,920 +break اللي بيليكسس على ال right side وعملتله + +33 +00:02:23,920 --> 00:02:26,920 +monobligia على ال right upper monobligia واخد كمان + +34 +00:02:26,920 --> 00:02:29,880 +شضية في نفس اليوم، في نفس اللحظة، أخد شضية في + +35 +00:02:29,880 --> 00:02:32,700 +spinal cord عملتله parabligia في ال lower limbs، + +36 +00:02:32,700 --> 00:02:36,180 +شار معاه شلال .. شلال ثلاثي، شلال وين في ال upper + +37 +00:02:36,180 --> 00:02:39,380 +limb على ال right مع parabligia، يبقى نقول + +38 +00:02:39,380 --> 00:02:40,220 +tribligia + +39 +00:02:42,640 --> 00:02:46,220 +مش واضحة هنا quadriplegia أو تترابليجيا + +40 +00:02:46,220 --> 00:02:49,680 +quadriplegia أو تترابليجيا شلال رباعي يعني المريض + +41 +00:02:49,680 --> 00:02:52,820 +صار معاه spinal cord injury cervical level صار + +42 +00:02:52,820 --> 00:02:55,600 +معاه شلال رباعي أو عنده GPS Guillain-Barre + +43 +00:02:55,600 --> 00:02:58,980 +Syndrome وصار التهاب الأعصاب الترافية حدث معاه + +44 +00:02:58,980 --> 00:03:02,480 +شلال رباعي هذا بنسميه quadriplegia أو تترابليجيا + +45 +00:03:02,480 --> 00:03:08,400 +طيب what's the difference between bilateral + +46 +00:03:08,400 --> 00:03:13,050 +hemiplegia and tetraplegiaاو quadriplegia ايش + +47 +00:03:13,050 --> 00:03:18,430 +الفرق بين quadriplegia و bilateral hemiplegia مريض + +48 +00:03:18,430 --> 00:03:22,570 +كان معاه stroke قبل سنة وحدث معاه left side + +49 +00:03:22,570 --> 00:03:28,390 +hemiplegiaالسنة هذه حدث new stroke وصار معه right + +50 +00:03:28,390 --> 00:03:32,090 +side hemiplegia يبقى صار معه bilateral hemiplegia + +51 +00:03:32,090 --> 00:03:35,210 +إيش يعني bilateral hemiplegia؟ شلروا بقى طب إيش + +52 +00:03:35,210 --> 00:03:37,310 +الاختلاف بينهم و بين ال quadriplegia؟ أه ال + +53 +00:03:37,310 --> 00:03:41,890 +quadriplegia بيكون same onset بيكون عندهم إيه؟ + +54 +00:03:41,890 --> 00:03:46,510 +same onset يعني إيه الإصابة أو الحدث واحد يعني + +55 +00:03:46,510 --> 00:03:48,910 +التهاب في الحبل الشوكي أو التهاب في العصابة + +56 +00:03:48,910 --> 00:03:53,830 +الطرفية لكن إذا كانdifferent onset مش same onset، + +57 +00:03:53,830 --> 00:03:58,550 +different onset بنسميها إيه؟ bilateral hemibaglia، + +58 +00:03:58,550 --> 00:04:04,390 +bilateral hemibaglia differential diagnosis + +59 +00:04:04,390 --> 00:04:07,090 +between upper motoneuron and lower motoneuron مهم + +60 +00:04:07,090 --> 00:04:10,590 +جدا واخدناها في سنة ثانية ال upper motoneuron + +61 +00:04:10,590 --> 00:04:14,550 +location from area four من الـprecentral gyrus + +62 +00:04:14,550 --> 00:04:19,350 +للـanterior horn cellsأو من الـ Precentral Gyrus + +63 +00:04:19,350 --> 00:04:22,410 +للموتور نوكلياي in the brainstem بالنسبة للـ + +64 +00:04:22,410 --> 00:04:25,710 +cranial nerves طيب الـ Lower Motoneuron من الـ + +65 +00:04:25,710 --> 00:04:29,150 +Anterior Horses لحد المصل، هذا Lower Motoneuron أو + +66 +00:04:29,150 --> 00:04:32,610 +من الموتور نوكلياي in the brainstem لحد المصل، + +67 +00:04:32,610 --> 00:04:37,950 +المصل يعتبر أيه؟ Lower Motoneuron Location of + +68 +00:04:37,950 --> 00:04:42,950 +Paralysis في ال Upper Motoneuron بيكون below the + +69 +00:04:42,950 --> 00:04:46,150 +level of lesion below the level of lesion + +70 +00:04:46,960 --> 00:04:51,590 +Contralateralabove decassation إذا صار دمج فوق ال + +71 +00:04:51,590 --> 00:04:54,210 +decassation على ال right بيكون ال symptoms على ال + +72 +00:04:54,210 --> 00:04:57,250 +left إذا دمج على ال left ال symptoms على ال right + +73 +00:04:57,250 --> 00:05:02,810 +below level طيب في ال lower motor neuron + +74 +00:05:02,810 --> 00:05:07,950 +Ipsilateral at the level of lesion Ipsilateral at + +75 +00:05:07,950 --> 00:05:11,170 +the level of lesion ال paralysis في ال upper motor + +76 +00:05:11,170 --> 00:05:15,610 +neuron بيكونوا spastic أو central due to damage of + +77 +00:05:15,610 --> 00:05:20,090 +corticospinal tractأو cortico-nuclear retract لكن + +78 +00:05:20,090 --> 00:05:23,830 +في الـ lower motoneuron بيكونوا flaccid أو + +79 +00:05:23,830 --> 00:05:29,050 +peripheral flaccid أو peripheral ال muscle state + +80 +00:05:29,050 --> 00:05:32,750 +of muscle في ال upper motoneuron ممكن يحدث أنه + +81 +00:05:32,750 --> 00:05:37,190 +wasting أو muscle hypotrophy later due to disuse + +82 +00:05:37,190 --> 00:05:41,930 +لكن في ال lower motoneuron بيكون عندهم wasting أو + +83 +00:05:41,930 --> 00:05:47,030 +muscle hypotrophy earlyالـ muscle tone بيكون عندهم + +84 +00:05:47,030 --> 00:05:50,670 +hypertonia أو specificity في الـ lower motoneuron + +85 +00:05:50,670 --> 00:05:53,930 +hypotonia أو flaccidity من ناحية الـ + +86 +00:05:53,930 --> 00:05:55,610 +fasciculation، أيش الـ fasciculation؟ muscle + +87 +00:05:55,610 --> 00:05:59,170 +fasciculation هي عبارة عن spontaneous contraction + +88 +00:05:59,170 --> 00:06:03,210 +of muscle group هذه بتكون absent في ال upper + +89 +00:06:03,210 --> 00:06:08,170 +motoneuron و maybe present in the irritative + +90 +00:06:08,170 --> 00:06:12,970 +lesion of anterior horn cells ننتقل للـ reflexes + +91 +00:06:12,970 --> 00:06:17,790 +الـ deep reflexesفي الـ Upper Motoneuron بيكون + +92 +00:06:17,790 --> 00:06:21,390 +Hyperreflexia، Hyperreflexia، في ال Lower + +93 +00:06:21,390 --> 00:06:26,380 +Motoneuron بيكون Hyperreflexia أو Areflexiaهذا + +94 +00:06:26,380 --> 00:06:29,220 +الموضوع هرجعله في محاضرة ال motor إن شاء الله في + +95 +00:06:29,220 --> 00:06:34,100 +سنة رابعة تيجيونه على المستشفى Clonase إيش + +96 +00:06:34,100 --> 00:06:36,780 +Clonase؟ هي عبارة عن rhythmical series of + +97 +00:06:36,780 --> 00:06:41,540 +contraction in response to sudden stretch of + +98 +00:06:41,540 --> 00:06:44,620 +muscle tendon هذي بتكون positive في ال upper + +99 +00:06:44,620 --> 00:06:47,780 +motoneurone lesion و absent في ال lower + +100 +00:06:47,780 --> 00:06:51,980 +motoneurone lesion ال baby reflexes and other + +101 +00:06:51,980 --> 00:06:56,360 +pathological signs بيكونوا positiveفي الـ Upper + +102 +00:06:56,360 --> 00:07:00,180 +Motoneuron and absent in the Lower Motoneuron أيش + +103 +00:07:00,180 --> 00:07:04,000 +بابينسكي science؟ Dorsiflexion of big toe with + +104 +00:07:04,000 --> 00:07:08,780 +fanning of other toys وSuperficial reflexes lost + +105 +00:07:08,780 --> 00:07:13,080 +if the lesion is above segment supply of the + +106 +00:07:13,080 --> 00:07:17,420 +reflex يعني لو صار عندي نتكلم على ال middle + +107 +00:07:17,420 --> 00:07:20,640 +abdominal reflex middle abdominal reflex بياخد من + +108 +00:07:20,640 --> 00:07:26,350 +ايه؟ segment T10T9 وT10 لو المريض حدث عنده lesion + +109 +00:07:26,350 --> 00:07:32,190 +على ال segment T7 وT8 above the origin of the + +110 +00:07:32,190 --> 00:07:36,650 +reflex راح يصير عندي loss of reflex لكن في ال + +111 +00:07:36,650 --> 00:07:39,630 +lower motor neuron بيكون عندي loss if the lesion + +112 +00:07:39,630 --> 00:07:43,390 +involve the segment supply of the reflex يعني + +113 +00:07:43,390 --> 00:07:47,350 +مياخده anterior horn cells أو مياخده ال nerve نفسه + +114 +00:07:47,350 --> 00:07:54,580 +type of gait disturbancesواحد attacks ال gate ال + +115 +00:07:54,580 --> 00:08:00,980 +مريض ناشيوبترنح فيش عنده ايه اتزان هذا بنسميه ايش + +116 +00:08:00,980 --> 00:08:08,780 +attacks gate اتنين steepest gate او high steepest + +117 +00:08:08,780 --> 00:08:11,920 +gate in drop foot المريض مابيستطيع يعمل + +118 +00:08:11,920 --> 00:08:14,920 +dorsiflexion أنا لما نمشي بلزم أعمل dorsiflexion + +119 +00:08:14,920 --> 00:08:20,640 +هنا أجهزة أكتر واضحة بلزم أعمل dorsiflexion لفوت + +120 +00:08:20,640 --> 00:08:24,660 +وأنجل لكن المرضى هدول مابقدروش زي الحصان بيصيروا + +121 +00:08:24,660 --> 00:08:29,570 +يرفعوا رجلهم رافعبيكون عنده drop في وطوين في ال + +122 +00:08:29,570 --> 00:08:34,310 +right spastic gate او ننتج لل hemiplegic او + +123 +00:08:34,310 --> 00:08:37,550 +hemiplegic او circumduction gate في ال CVA المريض + +124 +00:08:37,550 --> 00:08:43,290 +عنده right side hemiplegia انا عشان امشي بلزم + +125 +00:08:43,290 --> 00:08:49,070 +ليعمل flexion لوين؟ ل ال knee و extension و انا جه + +126 +00:08:49,070 --> 00:08:52,250 +الرجل المرضى عندهم spasticity بيقدروش بيكون عندهم + +127 +00:08:52,250 --> 00:08:54,850 +flexion في upper limb ايش بيروح يعمله؟ + +128 +00:08:54,850 --> 00:08:58,220 +circumduction gate هى ماشيالحالة هذه بتلاقيه ماشي + +129 +00:08:58,220 --> 00:09:03,940 +هيك هذه + +130 +00:09:03,940 --> 00:09:10,280 +circumduction gate او ايش hemiplegic gate هذه تمام + +131 +00:09:10,280 --> 00:09:13,980 +لكن المريض لما يكون عنده lower spastic paraplegia + +132 +00:09:13,980 --> 00:09:17,180 +مارح يقدر يعمل circumduction لأنه الثاني كمان فيه + +133 +00:09:17,180 --> 00:09:21,080 +spasticity راح يعمل يكون عنده spastic gate و هو + +134 +00:09:21,080 --> 00:09:25,600 +ماشي راح يكون ماشيته بالطريقة هذه هذه بنسميها ايه + +135 +00:09:25,600 --> 00:09:30,450 +spasticgate asbestic gate و waddling gate هذه + +136 +00:09:30,450 --> 00:09:34,010 +الصعبة ما تلقوا إياها هذه في ال myopathy أو في + +137 +00:09:34,010 --> 00:09:37,410 +الستات في ال late pregnancy قبل ما تلت بسبوع بتكون + +138 +00:09:37,410 --> 00:09:42,110 +تتميل شمال يمين تمشي زي البطة تمام و senile gate + +139 +00:09:42,110 --> 00:09:45,050 +هذه بنشوفها عند ال elderly ال patients الناس + +140 +00:09:45,050 --> 00:09:48,150 +الكبار في السن و hysterical gate هذه بنشوفها ال + +141 +00:09:48,150 --> 00:09:51,050 +hysterical gate أو psychogenic gate أو functional + +142 +00:09:51,050 --> 00:09:55,400 +gate بنشوفهم في حالاتconvergence disorder الناس + +143 +00:09:55,400 --> 00:10:01,840 +اللي عندهم اضطراب نفسي و .. بيكون السبب يعني ال + +144 +00:10:01,840 --> 00:10:08,400 +psychological cause بعدها بنتجل ل ال motor + +145 +00:10:08,400 --> 00:10:11,760 +examination motor system examination في ال motor + +146 +00:10:11,760 --> 00:10:16,040 +system examination بلزم أول شي نعمل inspection + +147 +00:10:16,040 --> 00:10:21,080 +inspection ل ال state of the muscle muscle + +148 +00:10:21,080 --> 00:10:25,850 +fasciculation شوفinvoluntary movement ده فيه + +149 +00:10:25,850 --> 00:10:31,470 +skeletal deformities و trophic changes بعدها + +150 +00:10:31,470 --> 00:10:34,930 +بنتاجل لل palpation في ال palpation بفحص ال muscle + +151 +00:10:34,930 --> 00:10:38,990 +tone examination نفحص ال muscle power وبعدها + +152 +00:10:38,990 --> 00:10:43,170 +بنتاجل لreflexes في ال reflexes بفحص deep reflexes + +153 +00:10:43,170 --> 00:10:48,310 +superficial reflexes and plantar reflexes نبدأ من + +154 +00:10:48,310 --> 00:10:52,680 +البداية by inspectionالمريضة ما نفحصه بيكون رافع + +155 +00:10:52,680 --> 00:10:58,520 +ملابسه شوية، بتطلع by inspection على المريض، بتطلع + +156 +00:10:58,520 --> 00:11:01,660 +على ال state of the muscle، هل هو normal state + +157 +00:11:01,660 --> 00:11:06,020 +muscle أو فيه atrophy أو فيه hypertrophy، إذا في + +158 +00:11:06,020 --> 00:11:11,000 +atrophy أو hypertrophy، بنحددهل هي distal أو + +159 +00:11:11,000 --> 00:11:14,540 +proximal؟ هل هي symmetrical أو asymmetrical؟ هذا + +160 +00:11:14,540 --> 00:11:18,800 +بالنظر أنا بشوفه ونفس الشيء ال hypertrophy ممكن + +161 +00:11:18,800 --> 00:11:22,960 +تكون pseudo hypertrophy أو true hypertrophy زي ما + +162 +00:11:22,960 --> 00:11:25,980 +بنشوف في حالات Duchenne muscular dystrophy + +163 +00:11:25,980 --> 00:11:29,720 +Duchenne muscular dystrophy إجينا مريض لجينا عنده + +164 +00:11:29,720 --> 00:11:32,400 +Duchenne muscular dystrophy أنت بتشوف القف موصل من + +165 +00:11:32,400 --> 00:11:36,980 +ورا ال leg بتلاقيها hypertrophiedواللي بيشوف أبوهم + +166 +00:11:36,980 --> 00:11:40,800 +فيها بيفكر ان هو هذا المريض كل مصر اللي عنده بيكون + +167 +00:11:40,800 --> 00:11:45,920 +عنده fat deposition بنسميه pseudo hypertrophy تضخم + +168 +00:11:45,920 --> 00:11:50,740 +كاذب تضخم كاذب نتيجة عن ان هي fat depositionلو + +169 +00:11:50,740 --> 00:11:53,040 +طلعنا على الـ atrophy في ال upper و ال lower limbs + +170 +00:11:53,040 --> 00:11:57,240 +نيجي لمريض اللي لاجي عنده hypotrophy في ال distal + +171 +00:11:57,240 --> 00:12:00,300 +group muscle ممكن تكون لاجي عن polyneuropathy زي + +172 +00:12:00,300 --> 00:12:02,680 +ما بنشوف في حالات diabetic polyneuropathy الناس + +173 +00:12:02,680 --> 00:12:05,440 +اللي عندهم سكر أو diabetic polyneuropathy بتلاحظ + +174 +00:12:05,440 --> 00:12:09,820 +عنده hypotrophy في ال hand muscles أو في ال feet + +175 +00:12:09,820 --> 00:12:13,260 +بطلع + +176 +00:12:13,260 --> 00:12:16,410 +على ال muscle fasciculationبطلع المصر في ال + +177 +00:12:16,410 --> 00:12:19,430 +circulation إذا في عنده spontaneous contraction of + +178 +00:12:19,430 --> 00:12:22,910 +muscle group ببحث المريض خاصة في ال shoulder و + +179 +00:12:22,910 --> 00:12:25,790 +حينها بروح أعمله إيه؟ percussion عشان أعمل + +180 +00:12:25,790 --> 00:12:29,090 +stimulation للمصر أو بال inspection بطلها إذا في + +181 +00:12:29,090 --> 00:12:32,610 +عنده spontaneous contraction of the muscle group + +182 +00:12:32,610 --> 00:12:36,430 +قد تكون هذه physiological زي ال myokemia بنسميها + +183 +00:12:36,430 --> 00:12:40,330 +myokemia لما يجي للواحد رفة تحت العين أو جفنه ترف + +184 +00:12:40,330 --> 00:12:43,020 +مع ال anxiety و مع ال stressممكن تكون + +185 +00:12:43,020 --> 00:12:47,260 +physiological ناجح عن anxiety، fatigue، coffee و + +186 +00:12:47,260 --> 00:12:51,680 +ال smoking و قد تكون pathological مهم جدا إن في + +187 +00:12:51,680 --> 00:12:56,690 +حالاتAmyotrophic Lateral Sclerosis أو في مرض الـ + +188 +00:12:56,690 --> 00:12:58,690 +Motor Neurone Disease ان شاء الله راح ناخد فيه + +189 +00:12:58,690 --> 00:13:01,810 +محاضرة على الـ Motor Neurone Disease بننظر للـ + +190 +00:13:01,810 --> 00:13:05,850 +involuntary movement للـ hyperkinesia كده في كوريا + +191 +00:13:05,850 --> 00:13:12,130 +تيكس أثيتوسيز هيميباليزمس tremors كل هذا بنشوفه في + +192 +00:13:12,130 --> 00:13:16,350 +محاضرة ان شاء الله في involuntary movementبطلع على + +193 +00:13:16,350 --> 00:13:20,170 +skeletal deformities باكشف المريض، بارفع ملابسه، + +194 +00:13:20,170 --> 00:13:24,230 +بطلع ده فيه عنده scoliosis، kyphosis، lordosis + +195 +00:13:24,230 --> 00:13:30,290 +تمام، kyphoscoliosis، كل هذا عنده biscevas، + +196 +00:13:30,290 --> 00:13:34,070 +talibas equinas، skeletal deformities، deformed + +197 +00:13:34,070 --> 00:13:37,580 +jointزي الـ Charcot Joint اللي بنشوفه في حالات الـ + +198 +00:13:37,580 --> 00:13:40,720 +Diabetic Polyneuropathy كل هذا بشوفه by inspection + +199 +00:13:40,720 --> 00:13:43,220 +إيش هو الـ Charcot Joint؟ هو بيكون في حالات الـ + +200 +00:13:43,220 --> 00:13:46,880 +Polyneuropathy بيكون عندهم painless, deformed + +201 +00:13:46,880 --> 00:13:51,220 +joint بتطلع على topic changes إذا فيه brittle + +202 +00:13:51,220 --> 00:13:58,400 +nails, loss of hair, ulcers زي ما في حالات الـ + +203 +00:13:58,400 --> 00:14:02,380 +Diabetic Foot و Diabetic Polyneuropathy associated + +204 +00:14:02,380 --> 00:14:05,500 +with أحيانا الـ Diabetic Foot بيكون معاهمزي ما + +205 +00:14:05,500 --> 00:14:10,340 +هشايفين هنا هذه حالة pescavus هاي طالب اس ايكوينوس + +206 +00:14:10,340 --> 00:14:18,560 +scaliosis تمام؟ كيف ال scaliosis معاهم بعدين بنتجل + +207 +00:14:18,560 --> 00:14:22,840 +لفحص ال palpation إيش ال palpation؟ هي عبارة عن + +208 +00:14:22,840 --> 00:14:26,220 +muscle tone examination يبقى muscle tone + +209 +00:14:26,220 --> 00:14:30,370 +examinationو ال muscle power هم يعتبروا palpation + +210 +00:14:30,370 --> 00:14:33,010 +يبقى في palpation أنا بفحص حاجتين بفحص ال muscle + +211 +00:14:33,010 --> 00:14:38,730 +tone و بفحص مين اللي هو ايش ال muscle power كيف + +212 +00:14:38,730 --> 00:14:42,990 +بفحصه؟ بنعمل passive affliction and passive + +213 +00:14:42,990 --> 00:14:48,010 +extension of all joint يبقى نعمل assessment للمريض + +214 +00:14:48,650 --> 00:14:52,610 +وبنفحص ال response to passive movement قد يكون ال + +215 +00:14:52,610 --> 00:14:56,810 +muscle tone normal وقد يكون hypotonia وممكن يكون + +216 +00:14:56,810 --> 00:15:02,070 +عندهم hypertonia هي بفحص بطريقة هادة بفحص ال + +217 +00:15:02,070 --> 00:15:07,970 +muscle هاد و slowly و في كل direction و بقارن + +218 +00:15:07,970 --> 00:15:11,290 +الشمال مع اليمين + +219 +00:15:16,090 --> 00:15:20,470 +نفس الشيء راح أحرك مايتعملش شيء أنا بحرك المريض + +220 +00:15:20,470 --> 00:15:25,970 +مابحركش أي شيء بقارن هي flexion extension مع + +221 +00:15:25,970 --> 00:15:38,970 +flexion extension نفس الشيء لل shoulder تفضلنا + +222 +00:15:38,970 --> 00:15:44,090 +على القاعدة نفس الشيء بنفحص إيش ال hip joint + +223 +00:15:48,900 --> 00:15:52,860 +مفحص على الشمال انا مابديش اضيع وقت بس اقارن يعني + +224 +00:15:52,860 --> 00:15:56,960 +دايما اي حركة لازم اقارن الجهتين بس عشان الوقت + +225 +00:15:56,960 --> 00:16:01,140 +نفحص abduction abduction و بقارن الجهة الثانية + +226 +00:16:01,140 --> 00:16:07,040 +ننزل عنهبعمل complete flexion و complete extension + +227 +00:16:07,040 --> 00:16:09,980 +و بقارن الجهة التانية نفس الشي بعملها و بنزل على + +228 +00:16:09,980 --> 00:16:14,160 +ال foot plantar flexion و dorsiflexion و في + +229 +00:16:14,160 --> 00:16:16,820 +الطريقة هذه انا ببحث و بقارن الجهة التانية في + +230 +00:16:16,820 --> 00:16:23,150 +الحالة هذه انا بكون فحصة ايش ال muscle toneالـ + +231 +00:16:23,150 --> 00:16:27,170 +Muscle Tone ممكن يكون Normal ممكن يكون Muscle + +232 +00:16:27,170 --> 00:16:29,690 +Hypotonia من حد الـ Distal و لا Proximal، + +233 +00:16:29,690 --> 00:16:34,110 +Unilateral و لا Bilateral ممكن يكون هنا Muscle + +234 +00:16:34,110 --> 00:16:37,970 +Spasticity أو Muscle Rigidity إيش الاختلاف بين الـ + +235 +00:16:37,970 --> 00:16:40,930 +Muscle Spasticity و الـ Muscle Rigidity؟ الـ + +236 +00:16:40,930 --> 00:16:43,590 +Muscle Spasticity ناتجة عن Pyramidal أو + +237 +00:16:43,590 --> 00:16:47,710 +Corticospinal Lesion الـ Muscle Rigidity ناتجة عن + +238 +00:16:47,710 --> 00:16:52,000 +Extra Pyramidal System Lesion Distributionmuscle + +239 +00:16:52,000 --> 00:16:55,200 +specificity بيكون الـ distal more than proximal، + +240 +00:16:55,200 --> 00:16:58,020 +flexors في ال upper limbs، وextensor في ال lower + +241 +00:16:58,020 --> 00:17:01,240 +limbs بتكون الوضعية تبعتهم، في ال muscle rigidity + +242 +00:17:01,240 --> 00:17:04,880 +بيكون ال proximal more than distal، وflexors of + +243 +00:17:04,880 --> 00:17:07,380 +upper limbs، وflexors في ال lower limbs، بتكون + +244 +00:17:07,380 --> 00:17:10,910 +ماشيين shoveling gate، هي هذهshuffling gait أو + +245 +00:17:10,910 --> 00:17:13,390 +بنسميها parkinsonian gait المرضى التابعين ال + +246 +00:17:13,390 --> 00:17:16,310 +parkinson يكونوا عندهم flexion في ال upper limbs و + +247 +00:17:16,310 --> 00:17:19,790 +flexion في ال lower limbs وماشيين برحتهم عندهم + +248 +00:17:19,790 --> 00:17:24,990 +bradykinesia، hypokinesia، مع ايه؟ مع resting + +249 +00:17:24,990 --> 00:17:28,430 +tremorsال character بيكون عند المرضى تبعين ال + +250 +00:17:28,430 --> 00:17:32,090 +muscle specificity clasp knife زي موص الكباس و + +251 +00:17:32,090 --> 00:17:35,870 +المرضى اللي عندهم Parkinson أو muscle rigidity + +252 +00:17:35,870 --> 00:17:38,830 +بيكون نظام cook wheel زي الترس و انا ببحث عن مصل + +253 +00:17:38,830 --> 00:17:42,730 +تهون بتكون ايش زي نظام ترس بتلاقيها بتقطع معايا + +254 +00:17:42,730 --> 00:17:45,850 +مرة بتشد مرة ترخيها دي بنسميها cook wheel + +255 +00:17:45,850 --> 00:17:50,580 +phenomenonلأنه بيكون معاهم tremor و muscle + +256 +00:17:50,580 --> 00:17:54,600 +rigidity ال deep reflexes في ال specificity بيكون + +257 +00:17:54,600 --> 00:18:00,420 +hyperreflexia في ال rigidity بيكون hyporeflexia ال + +258 +00:18:00,420 --> 00:18:03,200 +muscle power examination في ال muscle power + +259 +00:18:03,200 --> 00:18:09,820 +examination احنا بنفحص ال muscle group كلهم إذا + +260 +00:18:09,820 --> 00:18:14,770 +كان zerono muscle movement no movement complete + +261 +00:18:14,770 --> 00:18:18,970 +paralysis هذا بيستخدم MRC medical research council + +262 +00:18:18,970 --> 00:18:23,750 +scale for grading muscle strength يبقى zero no + +263 +00:18:23,750 --> 00:18:29,250 +movement ولا حركة واحد muscle contract but the + +264 +00:18:29,250 --> 00:18:31,990 +joint doesn't move يعني بتلاقي muscle contraction + +265 +00:18:31,990 --> 00:18:36,630 +لكن الموصل مابتحركش هذا باخد واحد اتنين joint + +266 +00:18:36,630 --> 00:18:39,510 +moves with gravity eliminated يعني المريض نائم + +267 +00:18:41,490 --> 00:18:45,770 +بقوله ميدنيا بقوله نزل إيدك بنزلها سهل عليه تنزل + +268 +00:18:45,770 --> 00:18:49,990 +طب ارفحها بيقدرش يرفحها باخد كام؟ اتنين، تلاتة + +269 +00:18:49,990 --> 00:18:55,350 +joint moves against gravity but not against + +270 +00:18:55,350 --> 00:19:00,450 +resistance هلجيت؟ تلاتة ارفع إيدك برفحها طب + +271 +00:19:00,450 --> 00:19:03,550 +resistant لو ضغط عليه بيعملش resistant باخد تلاتة + +272 +00:19:04,220 --> 00:19:08,180 +أربعة joint move against gravity برفع عديه أو + +273 +00:19:08,180 --> 00:19:11,680 +رجليه against gravity and against resistance و لو + +274 +00:19:11,680 --> 00:19:15,560 +ضغطت معاه ارفع ارفع ارفع اتنتين لفوق بس لأ ده شوية + +275 +00:19:15,560 --> 00:19:20,180 +شوية ارخيهم هدي امالي اضعف شوية ارفع اتنتين برفع + +276 +00:19:20,180 --> 00:19:24,520 +against resistance لكن weak than right يبقى بقول + +277 +00:19:24,520 --> 00:19:28,040 +المريض عنده muscle power على ال right أربعة لكن + +278 +00:19:28,040 --> 00:19:33,500 +خمسة full strength of muscle بيكون complete muscle + +279 +00:19:33,500 --> 00:19:33,920 +power + +280 +00:19:37,160 --> 00:19:42,080 +الـ .. ننتجل لفحص ال upper limbs في ال upper limbs + +281 +00:19:42,080 --> 00:19:46,300 +بنفحص الـ deltoid muscle ال deltoid muscle بتاخد + +282 +00:19:46,300 --> 00:19:50,660 +من ال auxiliary nerve ارفع يديك لفوق وبنزلهم + +283 +00:19:50,660 --> 00:19:54,640 +ماتخربطوش مع .. رخي إيه ده؟ ماتخربطوش مع الشراجينج + +284 +00:19:54,640 --> 00:20:00,320 +لفوق شراجينج هدئالـ trapezius muscle من ال .. من + +285 +00:20:00,320 --> 00:20:03,900 +ال إيه؟ spinal accessory يمكن دلتويد .. ارفع إيدك + +286 +00:20:03,900 --> 00:20:09,880 +هذه اللي هو إيش؟ axillary nerve ننتقل .. طب المريض + +287 +00:20:09,880 --> 00:20:11,940 +عنده weakness في ال right upper limb و أنا مش قادر + +288 +00:20:11,940 --> 00:20:14,820 +أحدد هو ال muscle بورا عنده أربعة أو خمسة بعمل + +289 +00:20:14,820 --> 00:20:18,260 +test upper bari bari test في ال upper limbs ارفع + +290 +00:20:18,260 --> 00:20:23,060 +إيدك لفوق .. لفوق .. رخيهم .. تمام؟ و غمض إيديك .. + +291 +00:20:23,060 --> 00:20:26,220 +غمض إيديك .. رخي .. أنا بدمسك .. غمض إيديك و أنا + +292 +00:20:26,220 --> 00:20:30,930 +قلتله شد .. رخي إيدكنزل دك شوية لاجيناها إيش إيده + +293 +00:20:30,930 --> 00:20:34,330 +اليمين نزلت نزلت على الشمال شوية بقول bariatist + +294 +00:20:34,330 --> 00:20:37,150 +positive يعني عنده weakness وين عنده weakness وين + +295 +00:20:37,150 --> 00:20:41,850 +في ال right side ها هاي المثال عندي أعملها و حاصنا + +296 +00:20:41,850 --> 00:20:45,810 +bariatist عندي و غمضت أنا لاجيت إيدي لاجيت المريض + +297 +00:20:45,810 --> 00:20:49,010 +إيده تنزل يبقى بقول في عنده weakness عوين على ال + +298 +00:20:49,010 --> 00:20:54,190 +left side ال flexor أو elbow flexion elbow flexion + +299 +00:20:54,190 --> 00:20:59,000 +شد إيدك لعندك شد جويا و أنا بعمله إيش extensionو + +300 +00:20:59,000 --> 00:21:01,900 +هو يعمل inflection أنا ببحث Musculocutaneous nerve + +301 +00:21:01,900 --> 00:21:07,420 +C5 C6 اللي هي biceps muscle ادفع عليهاهو بيعمل + +302 +00:21:07,420 --> 00:21:11,380 +extension و أنا بعمله إيش؟ flexion أنا بفحص اللي + +303 +00:21:11,380 --> 00:21:16,820 +هو triceps muscle ادفع عن طريق ال radial nerve + +304 +00:21:16,820 --> 00:21:20,840 +radial nerve نجي للإيش؟ لل hand muscle wrist + +305 +00:21:20,840 --> 00:21:23,800 +extension نرفع لفوق لفوق هيك لأ لأ بصراخة يدك حرك + +306 +00:21:23,800 --> 00:21:27,340 +ال .. بس ال .. الايد لفوق لفوق هيك على الآخر بضلك + +307 +00:21:27,340 --> 00:21:31,080 +حاجة تمام هو بعمل إيش؟ extension لل wrist و أنا + +308 +00:21:31,080 --> 00:21:35,560 +بعمله flexion نبحث ال radial nerve تمام شد عيطابة + +309 +00:21:35,560 --> 00:21:39,930 +شد .. جويةأنا ببحث الـ median nerve عن طريق اللي + +310 +00:21:39,930 --> 00:21:47,830 +هو C8 root اللي هو rest flexion نجرأ ال abduction + +311 +00:21:47,830 --> 00:21:53,790 +أو نكمل ال thumb دخل لجوة إصبعك الكبير لجوة افريدي + +312 +00:21:53,790 --> 00:21:58,570 +دك دخل إصبعك لجوة ببحث من ال thumb عن طريق اللي هو + +313 +00:21:58,570 --> 00:22:04,810 +C8 one root اللي هو median nerve افتح حسابك على + +314 +00:22:04,810 --> 00:22:10,280 +الآخر على الآخربفحث إيش fanning of the fingers عن + +315 +00:22:10,280 --> 00:22:16,900 +طريق مين هو ال ulnar nerve C8 T1 قص .. قص أصبعك .. + +316 +00:22:16,900 --> 00:22:21,600 +قص الورقة و أنا بشد .. قص بالحامة .. قص .. شدها زي + +317 +00:22:21,600 --> 00:22:29,760 +هيك .. بصبعها .. تمام .. هي شد .. شد هناوبسحبها + +318 +00:22:29,760 --> 00:22:33,960 +منه أنا ب .. ب .. بفحص ال ulnar nerve ulnar nerve + +319 +00:22:33,960 --> 00:22:37,840 +بطريقة هذه أنا فحص ايش ال upper limb muscle + +320 +00:22:37,840 --> 00:22:41,380 +weakness ننتجل لل lower limb تمام ارفع جهة و ضروري + +321 +00:22:41,380 --> 00:22:43,620 +اقارن الشمال مع يمين بس انا عشان الوقت بدي ا .. + +322 +00:22:43,620 --> 00:22:46,820 +افحص الجهة واحدة بس كل حركة بفحصها بفحص الجهة + +323 +00:22:46,820 --> 00:22:51,020 +التانية معها ارفع لفوق انا بفحص لفوق لفوق على + +324 +00:22:51,020 --> 00:22:55,480 +الآخر بفحص مين؟hip flexion عن طريق femoral nerve + +325 +00:22:55,480 --> 00:23:00,560 +اليوسوس muscle بعدين افحص رجالك فوق نزل تحت تحت + +326 +00:23:00,560 --> 00:23:06,840 +نزل نزل نزل بافحص اللي هو extension of the hip عن + +327 +00:23:06,840 --> 00:23:11,340 +طريق ال inferior gluteal nerve بنتجل بعدها لل + +328 +00:23:11,340 --> 00:23:16,180 +abduction و ال abduction of the muscle بحط أيدي في + +329 +00:23:16,180 --> 00:23:19,990 +ال abduction وين بكون بحط إيديا في الخارج براافتح + +330 +00:23:19,990 --> 00:23:23,870 +حوض افتح وانا بسكر هذا عن طريق superior gluteal + +331 +00:23:23,870 --> 00:23:28,030 +nerve في ال adduction افتح حوض شوية بحط إيدي في + +332 +00:23:28,030 --> 00:23:30,570 +الداخل immediately و المريض بده يسكر الحوض تبعه + +333 +00:23:30,570 --> 00:23:34,270 +سكر رجليك لجوه سكر سكر وانا بحاول أفتح رجليه كمان + +334 +00:23:34,270 --> 00:23:39,490 +مرة بحط إيدي في الداخل و هو بسكر رجليه وانا بحاول + +335 +00:23:39,490 --> 00:23:42,790 +أفتح لإيش لل hip joint هو بيعمل adduction وانا + +336 +00:23:42,790 --> 00:23:47,810 +بعمله abduction عن طريق اللي هو إيش obtrator nerve + +337 +00:23:49,620 --> 00:23:56,280 +نجي ل .. ال .. نيه يعمل إيه؟ ادفع له .. ادفعهو + +338 +00:23:56,280 --> 00:23:59,720 +بعمل extension ل ال knee و انا بعمله flexion عن + +339 +00:23:59,720 --> 00:24:03,100 +طريق ال quadriceps muscle او femoral nerve العكس + +340 +00:24:03,100 --> 00:24:06,600 +ساكر رجلك لتحت لتحت لتحت لتحت ساكرها اثنية لتحت + +341 +00:24:06,600 --> 00:24:10,780 +لتحت اثنية و انا هو بعمل flexion ل ال knee و انا + +342 +00:24:10,780 --> 00:24:14,980 +بعمله extension عن طريق ال sciatic nerve ننزل ل ال + +343 +00:24:14,980 --> 00:24:19,900 +foot في ال foot بدي اعمل درس flexion ل ال foot شد + +344 +00:24:19,900 --> 00:24:23,470 +ل عندك أصابعك ل فوق ل فوق ل عندك كمانcommon + +345 +00:24:23,470 --> 00:24:26,130 +peroneal nerve، plantar reflection اتوا على تحت، + +346 +00:24:26,130 --> 00:24:29,710 +دوس بنزينة تحت، بافحص اللي هو tibial nerve، ال big + +347 +00:24:29,710 --> 00:24:34,190 +toe لفوق، لفوق، بافحص اللي هو ال big toe، + +348 +00:24:34,190 --> 00:24:38,630 +dorsiflexion، عن طريق ال five root اللي هو deep + +349 +00:24:38,630 --> 00:24:45,390 +peroneal nerve الجزء الثاني هو reflexes، reflexes + +350 +00:24:45,390 --> 00:24:50,210 +are involuntary action performed in response to + +351 +00:24:50,210 --> 00:24:55,370 +impulses، a sensory impulseفي هنا deep reflexes + +352 +00:24:55,370 --> 00:24:59,010 +اللي نسميهم muscle stretch reflexes في الحالة هذه + +353 +00:24:59,010 --> 00:25:02,690 +بتصير مع ال reflex joint movement وفي هنا + +354 +00:25:02,690 --> 00:25:07,350 +superficial reflexes without joint movement muscle + +355 +00:25:07,350 --> 00:25:15,490 +stretch reflex arc نشوف هنا slide + +356 +00:25:19,360 --> 00:25:26,120 +لو أنا بالـ hammer عملت tapping على ال tendon of a + +357 +00:25:26,120 --> 00:25:31,020 +quadriceps muscle الإشارة راح تروح من ال receptors + +358 +00:25:31,020 --> 00:25:35,500 +مع ال sensory fibers of the femoral nerve بعد ذلك + +359 +00:25:35,500 --> 00:25:40,060 +لل posterior root posterior root ganglion على ال + +360 +00:25:40,060 --> 00:25:43,970 +posterior horn cellsاللي بين الـ posterior horn + +361 +00:25:43,970 --> 00:25:47,650 +cells و الـ anterior horn cells في inter neurons و + +362 +00:25:47,650 --> 00:25:51,390 +اضيفتها integrative function الـ Corticospinal + +363 +00:25:51,390 --> 00:25:54,450 +tract بيعمل regulation لإله و الإشارة من الـ + +364 +00:25:54,450 --> 00:25:57,930 +posterior horn cells تنتج للـ anterior horn cells + +365 +00:25:57,930 --> 00:26:04,070 +بعدين ترجع بالـ anterior root من الـ anterior root + +366 +00:26:04,580 --> 00:26:08,540 +بتجي الى ال femoral nerve as motor fibers of + +367 +00:26:08,540 --> 00:26:13,480 +femoral nerve و بتصل في النهاية الى اللي هو + +368 +00:26:13,480 --> 00:26:17,740 +quadriceps muscle بصير contraction على ال + +369 +00:26:17,740 --> 00:26:20,300 +quadriceps muscle ال quadriceps muscle بتعملنا + +370 +00:26:20,300 --> 00:26:24,120 +اللي هو extension of the knee و في الطريقة هذه + +371 +00:26:24,120 --> 00:26:27,820 +بالطريقة هذه بيكون اننا حصلنا على knee jerk او + +372 +00:26:27,820 --> 00:26:28,880 +knee reflex + +373 +00:26:34,480 --> 00:26:38,740 +نبدأ بالـ Deep Reflexes في ال face في عندي جوجيرك + +374 +00:26:38,740 --> 00:26:42,840 +أعطيتكم مياه بسحطه معاك بعمل tapping على أصبعي وين + +375 +00:26:42,840 --> 00:26:47,780 +ال mental forming ال right و ال left طبيعي يصير + +376 +00:26:47,780 --> 00:26:50,860 +mild closure أو مايصيرش أي movement لكن إذا كان + +377 +00:26:50,860 --> 00:26:54,140 +عنده hyper reflexe في الencephalopathy راح نلاحظ + +378 +00:26:54,140 --> 00:26:58,740 +هذه الحركة عندهم hyper reflexe في الحالة هذا يكون + +379 +00:26:58,740 --> 00:27:02,500 +ال afferent and efferent pathway mandibular nerve + +380 +00:27:03,200 --> 00:27:07,100 +ننتقل لل Upper Limb ال Upper Limb في عندي Biceps + +381 +00:27:07,100 --> 00:27:10,960 +Jerk Biceps Jerk اللي هو مسئول عنه + +382 +00:27:10,960 --> 00:27:14,560 +Musculocutaneous nerve انا في حالة هذه المريض بكون + +383 +00:27:14,560 --> 00:27:20,280 +relaxed تمام و بحط أصبعي على tendon of biceps + +384 +00:27:20,280 --> 00:27:26,360 +muscle و بمسك الهمر بأصبعين فنزل تنزيل في حالة هذه + +385 +00:27:26,360 --> 00:27:31,720 +إيش صار معناة؟ flexion ل ال elbow + +386 +00:27:34,930 --> 00:27:39,210 +هذا اسمه biceps reflex اللي بعده subbinator reflex + +387 +00:27:39,210 --> 00:27:43,170 +او brachioradialis reflex مسئول عنه radial nerve + +388 +00:27:43,170 --> 00:27:47,410 +بطلع proximal خمسة سانتين من الـ thyroid process + +389 +00:27:47,410 --> 00:27:53,090 +بشير ان subbination معفلكشين لل hand هذا ال reflex + +390 +00:27:53,090 --> 00:27:58,630 +اسمه subbination او brachioradialis اللي بعده في + +391 +00:27:58,630 --> 00:28:04,820 +ال upper limbs في عندىاللي هو triceps reflex هذا + +392 +00:28:04,820 --> 00:28:10,060 +extension reflex و بمسك المريض من ايده تكون + +393 +00:28:10,060 --> 00:28:15,440 +relaxed رخح ايدك رخيها و بحس بيدي و ان ال tendon + +394 +00:28:15,440 --> 00:28:20,520 +of quadriceps muscle رخح عليك غمض عينيك عشان + +395 +00:28:20,520 --> 00:28:25,630 +مايركزش ماعمل انهيبشن لل reflex عيد للعشرةو أنا + +396 +00:28:25,630 --> 00:28:32,730 +عملت tapping وين على اللي هو ال tendon of the + +397 +00:28:32,730 --> 00:28:38,930 +triceps muscle عمل معايا extension لمين؟ للقلبة + +398 +00:28:38,930 --> 00:28:43,550 +extension لمين؟ للقلبة في الحالة هذا يكون مسئول + +399 +00:28:43,550 --> 00:28:48,410 +عنه اللي هو radial nerve radial nerve quadriceps + +400 +00:28:48,410 --> 00:28:52,210 +muscle في حالة ال biceps ايوة biceps reflex + +401 +00:28:54,930 --> 00:28:57,090 +بسم الله دي contraction للـbiceps و relaxation + +402 +00:28:57,090 --> 00:29:02,290 +للـtriceps في الـtriceps reflex راح يحصل عكس + +403 +00:29:02,290 --> 00:29:08,230 +contraction لـtriceps muscle مع relaxation + +404 +00:29:08,230 --> 00:29:10,490 +لـbiceps muscle + +405 +00:29:13,550 --> 00:29:17,210 +ال lower limbs في عندي knee jerk knee jerk ممكن + +406 +00:29:17,210 --> 00:29:22,030 +ابحث عن بعض الطرق مد رجليك مد هون relax اتنين شوية + +407 +00:29:22,030 --> 00:29:27,130 +شوية شوية تمام تانية اكون مش fixed بحس بصبعي وين + +408 +00:29:27,130 --> 00:29:31,790 +ال tenderloin بتاع ال quadriceps بتلر tenderloin و + +409 +00:29:31,790 --> 00:29:35,690 +بعمل ايه بكون انا رافع البنطل من المريض مش مشكلة + +410 +00:29:35,690 --> 00:29:37,850 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +411 +00:29:37,850 --> 00:29:37,910 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +412 +00:29:37,910 --> 00:29:37,910 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +413 +00:29:37,910 --> 00:29:37,930 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +414 +00:29:37,930 --> 00:29:39,610 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +415 +00:29:39,610 --> 00:29:39,690 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +416 +00:29:39,690 --> 00:29:39,750 +مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش مش + +417 +00:29:45,040 --> 00:29:48,760 +أيش صار عندي؟ أسف تبقى على ال quadriceps تنضج + +418 +00:29:48,760 --> 00:29:54,380 +بيصير معاك extension لانهي ونفس الطريقة يعني even + +419 +00:29:54,380 --> 00:29:57,580 +عنده المريض hyper reflex يعني عنده hyper reflex يا + +420 +00:29:57,580 --> 00:30:02,340 +المريض okay هذا اسمه ال quadriceps تفضل هنا عسري + +421 +00:30:02,340 --> 00:30:06,560 +ممكن نبحث ال biceps reflex زي ما احنا شايفين في + +422 +00:30:06,560 --> 00:30:13,120 +subpine position هاي ال biceps رخيها ده + +423 +00:30:13,120 --> 00:30:14,440 +وهي ال subpinata + +424 +00:30:17,600 --> 00:30:24,820 +هذا عندي اللي هو knee jerk هذا + +425 +00:30:24,820 --> 00:30:29,740 +knee jerk بفصل رجليه عن بعض بعدين بنتقل لفحص اللي + +426 +00:30:29,740 --> 00:30:37,080 +هو اكيلس تندون او ankles jerk او اكيلس جيرك عن + +427 +00:30:37,080 --> 00:30:42,060 +طريق tibial nerve اللي هو عدة طرق لفحصهأنا بنتظر + +428 +00:30:42,060 --> 00:30:44,960 +في ال achilles أو في ال ankle jerk يصير plantar + +429 +00:30:44,960 --> 00:30:48,640 +flexion يبقى لازم بحط رجل على رجل و بعمل mild + +430 +00:30:48,640 --> 00:30:51,280 +بصبعي .. mild .. رخي .. رخي .. انت ماتعملش شي .. + +431 +00:30:51,280 --> 00:30:54,420 +ماتعملش شد .. رخي حاجة .. mild ايش .. dorsiflexion + +432 +00:30:54,420 --> 00:30:59,940 +و بحاول أعمل pressure عوين على ال achilles tendon + +433 +00:30:59,940 --> 00:31:04,750 +زي ما هشايفين صار معناه ايش؟plantar flexion في حال + +434 +00:31:04,750 --> 00:31:07,870 +انا تركته في وضع reflection وعملت بطريقة هذه خطأ + +435 +00:31:07,870 --> 00:31:11,070 +يبقى لازم اعمل بصبع ايش درس flexion عشان احصل على + +436 +00:31:11,070 --> 00:31:15,730 +ايش على plantar flexion وبنفس الطريقة ل left side + +437 +00:31:15,730 --> 00:31:21,410 +فى طريقة ثانية لهم ببحث المريض ببعمل flexion ل hip + +438 +00:31:21,410 --> 00:31:27,170 +flexion knee و ب tapping على الأكيل السندن حلوة + +439 +00:31:27,170 --> 00:31:32,050 +واضح رخيه هى الطريقة + +440 +00:31:35,850 --> 00:31:39,750 +في mild clonase هاي clonase شوفت ال clonase كيف؟ + +441 +00:31:39,750 --> 00:31:46,850 +هاي clonase تمام في طريقة ثالثة اتفضل بحاول اوقف + +442 +00:31:46,850 --> 00:31:55,870 +المريض على الكرسي ايجافها اركبها زي هي ممكن افحص + +443 +00:31:55,870 --> 00:32:01,250 +المريض ماعنديش سرير يكونتمام؟ و بعمله plantar + +444 +00:32:01,250 --> 00:32:04,270 +dorsiflexion و بعمل tapping واضح هذه الطريقة + +445 +00:32:04,270 --> 00:32:13,590 +الثالثة Hyclonus شايفين ال Hyclonus؟ Hyclonus عشان + +446 +00:32:13,590 --> 00:32:17,910 +تشوفه يبقى عنده hyperreflexion تفضل سريع خليك + +447 +00:32:17,910 --> 00:32:18,150 +عندها + +448 +00:32:21,720 --> 00:32:25,920 +Clonas، إيش الـ Clonas؟ هي عبارة عن رhythmic + +449 +00:32:25,920 --> 00:32:30,260 +series of contraction in response to sudden + +450 +00:32:30,260 --> 00:32:33,840 +stretch of muscle tendon، فيها أنكي الـ Clonas وفي + +451 +00:32:33,840 --> 00:32:36,640 +باتيلا الـ Clonas، أكتر شيء بنستخدمه و بنبحث عن + +452 +00:32:36,640 --> 00:32:39,900 +أنكي الـ Clonas الـ cause of Clonas قد يكون + +453 +00:32:39,900 --> 00:32:43,200 +organic cause، أبرموته، neurone lesion، ممكن يكون + +454 +00:32:43,200 --> 00:32:45,960 +psychogenic، histerical، بيكون symmetrical، + +455 +00:32:45,960 --> 00:32:49,780 +bilateral، without neurological deficit، تفضل هنا + +456 +00:32:52,790 --> 00:32:59,970 +ده غلبك اليوم كيف نفحص اللي هو unkill + +457 +00:32:59,970 --> 00:33:07,090 +clones بعمل + +458 +00:33:07,090 --> 00:33:14,090 +sudden stretch sudden stretch ممكن يحدث معاه راخعه + +459 +00:33:14,090 --> 00:33:18,390 +لأ كنا قطاوه و أنا بفحص في ال unkill jerks اللي + +460 +00:33:18,390 --> 00:33:18,810 +حاطه + +461 +00:33:23,330 --> 00:33:26,910 +بيصير معنى حركات هذي واضح كلونس شايفين كلونس كيف + +462 +00:33:26,910 --> 00:33:32,410 +هذا اسمه كلونس عنده كلونس of أنكل تفضل اشتريك + +463 +00:33:32,410 --> 00:33:37,170 +تعالى من ده بعد هيك بنتقل ل superficial reflexes + +464 +00:33:37,170 --> 00:33:42,610 +من ضمنهم اللي هو conjunctivial reflex touch eye + +465 +00:33:42,610 --> 00:33:47,110 +from lateral side lead to blinking of both eyes + +466 +00:33:47,110 --> 00:33:50,840 +كلنا بيصير معنى اللي هو conjunctivial reflexأو + +467 +00:33:50,840 --> 00:33:55,460 +corneal reflex لو ماشينا في الشارع وخاب ريح غبرة + +468 +00:33:55,460 --> 00:33:58,900 +أجت أي شيء غبرة في عينا بنسكر عينا بسرعة هذا يعتبر + +469 +00:33:58,900 --> 00:34:02,700 +conjunctivir reflex أو corneal reflex بنفحصه في + +470 +00:34:02,700 --> 00:34:05,660 +المستشفى بنشوفه كيف ال afferent شرحتلكوا يا + +471 +00:34:05,660 --> 00:34:07,940 +لترايجي من ال nerve of thalamic branch و ال + +472 +00:34:07,940 --> 00:34:11,060 +efferentfacial nerve هذا شرحناه في cranial nerve + +473 +00:34:11,060 --> 00:34:14,860 +examination و ال palatal reflex شرحناه في ال + +474 +00:34:14,860 --> 00:34:17,820 +cranial nerves و ال pharyngeal reflex او + +475 +00:34:17,820 --> 00:34:21,940 +الجاجرفليكس انشرح في cranial nerves اليوم بعدها + +476 +00:34:21,940 --> 00:34:29,760 +بنتاج ال abdominal reflexes من T6 لT12 لو جينا + +477 +00:34:29,760 --> 00:34:33,540 +عملنا stroking ال skin by a pin from lateral to + +478 +00:34:33,540 --> 00:34:36,780 +medianormal response بيصير عندنا shifting + +479 +00:34:36,780 --> 00:34:41,540 +للأمبلايكاس towards side of stimulation في عندنا + +480 +00:34:41,540 --> 00:34:46,000 +three type of reflexes في upper abdominal reflex + +481 +00:34:46,000 --> 00:34:53,600 +اللي هو T6 وT8 وفي middle abdominal reflex T9 وT10 + +482 +00:34:53,600 --> 00:34:59,290 +وفي lower abdominal reflexT11 و T12 يعني هنا ممكن + +483 +00:34:59,290 --> 00:35:04,510 +تعدلوهم T6 و T8 و T9 و T10 و T11 و T12 أصحى + +484 +00:35:04,510 --> 00:35:10,630 +كريماسترك رفليكس عند ال males بيعمل stroking لل + +485 +00:35:10,630 --> 00:35:14,010 +skin of upper part of medial aspect of thigh + +486 +00:35:14,010 --> 00:35:19,610 +بيقدّي إلى contraction لكريماسترك muscle و في + +487 +00:35:19,610 --> 00:35:23,370 +الحالة هذه بيصير elevation لل testisInner reflex + +488 +00:35:23,370 --> 00:35:27,150 +striking across the buttocks بيصير عندنا + +489 +00:35:27,150 --> 00:35:32,110 +contraction لـ external anal sphincter وفي الحالة + +490 +00:35:32,110 --> 00:35:36,010 +هذه بيكون عندنا preserved inner reflex مهم جدا ال + +491 +00:35:36,010 --> 00:35:40,810 +inner reflex نفحصه في حالات spinal cord lesion في + +492 +00:35:40,810 --> 00:35:43,670 +حالات transverse myelitis for differential + +493 +00:35:43,670 --> 00:35:47,850 +diagnosis between convergence order and transverse + +494 +00:35:47,850 --> 00:35:54,460 +myelitisبنيجي لل .. abdominal reflex رخي ايديك .. + +495 +00:35:54,460 --> 00:35:58,680 +رخي ايديك .. رخيهم تحت اتنقل أجليك شوية .. اتنقل + +496 +00:35:58,680 --> 00:35:59,840 +اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل + +497 +00:35:59,840 --> 00:35:59,960 +.. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. + +498 +00:35:59,960 --> 00:36:00,360 +اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل + +499 +00:36:00,360 --> 00:36:01,580 +.. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. + +500 +00:36:01,580 --> 00:36:02,740 +اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل .. اتنقل + +501 +00:36:02,740 --> 00:36:08,430 +.. اتنقل .. اتمام و ال middle من ال lateral ل ال + +502 +00:36:08,430 --> 00:36:12,290 +medial و ال inferior و ال inguinal area من ال + +503 +00:36:12,290 --> 00:36:15,270 +lateral ل ال medial عنده weak ال reflexes هذول لأن + +504 +00:36:15,270 --> 00:36:17,550 +المريض عندنا multiple sclerosis و بيكون عندهم + +505 +00:36:17,550 --> 00:36:20,310 +decrease abdominal reflexes .. decrease abdominal + +506 +00:36:20,310 --> 00:36:28,730 +reflexes abnormal plantar reflexesبابينسكي .. + +507 +00:36:28,730 --> 00:36:34,110 +بابينسكي هو negative بيكون طبيعي يكون negative + +508 +00:36:34,110 --> 00:36:39,630 +بيصير ال plantar ل reflection ل ال toys لكن في بعض + +509 +00:36:39,630 --> 00:36:43,210 +الأحيان بيكون positive خاصة عند الأطفال، عند + +510 +00:36:43,210 --> 00:36:46,470 +الأطفال لحد سنة و نص normally يكون عندي positive + +511 +00:36:46,470 --> 00:36:50,760 +بابينسكي reflexكيف ببحثوا نعمل scratch ل .. + +512 +00:36:50,760 --> 00:36:55,360 +scratch ل ال lateral aspect of foot من ال lateral + +513 +00:36:55,360 --> 00:36:59,600 +ل medial هي تمسك ال foot و بعمل scratch ل .. من ال + +514 +00:36:59,600 --> 00:37:03,910 +lateral ل إيش؟ ل medial طبيعي يكون عند إيش؟fanning + +515 +00:37:03,910 --> 00:37:10,390 +لكل أصابع و affliction لكن في البابينسكي امثلكوا + +516 +00:37:10,390 --> 00:37:13,450 +لما نكون positive بنيجي من ال lateral ل medial + +517 +00:37:13,450 --> 00:37:17,830 +طبيعي يصير في البابينسكي في البابينسكي ايش بيصير + +518 +00:37:17,830 --> 00:37:20,250 +عندنا في البابينسكي reflex بيصير fanning مع + +519 +00:37:20,250 --> 00:37:24,510 +affliction ل ال four toys مع dorsiflexion ل ال big + +520 +00:37:24,510 --> 00:37:27,190 +toy يعني في الحالة هذه لو جيت عملت scratch من ال + +521 +00:37:27,190 --> 00:37:29,850 +lateral ل medial في البابينسكي reflex ايش راح يصير + +522 +00:37:29,850 --> 00:37:32,250 +عندنا في البابينسكي ده كان positive راح كون يعني + +523 +00:37:33,030 --> 00:37:36,010 +Fanning مع reflection للـ four fingers، four toes + +524 +00:37:36,010 --> 00:37:40,210 +مع dorsiflexion لمين؟ لل big toe وهذا بسميه + +525 +00:37:40,210 --> 00:37:47,190 +بابينسكي reflex positive في شيفر reflex و في open + +526 +00:37:47,190 --> 00:37:51,070 +ham و في جردان و في جردان reflex اللي بتشوفوه أنا + +527 +00:37:51,070 --> 00:37:55,410 +مهم جدا عند البابينسكي في grading system + +528 +00:37:55,410 --> 00:38:01,250 +للreflexes zero absent reflexواحد reduce او + +529 +00:38:01,250 --> 00:38:06,250 +hypoactive او hyporeflexia اتنين بيكون normal + +530 +00:38:06,250 --> 00:38:10,290 +تلاتة increase او hyperreflexia اربع بيكون + +531 +00:38:10,290 --> 00:38:15,430 +clonosis لو جينا عبّينا plank لمريد بلاحظنا عنده + +532 +00:38:15,430 --> 00:38:19,530 +على ال right side تلاتة اربع اربع اربع اربع على ال + +533 +00:38:19,530 --> 00:38:21,350 +left اتنين اتنين اتنين بقول المريض عنده + +534 +00:38:21,350 --> 00:38:25,190 +hyperreflexia وين على ال right side اذا عنده right + +535 +00:38:25,190 --> 00:38:28,050 +side hyperreflexia يعني بيكون عنده spastic right + +536 +00:38:28,050 --> 00:38:32,230 +side hemiplegiaالان بنتقل خلصنا موضوع ال motor + +537 +00:38:32,230 --> 00:38:35,010 +بنتقل ل examination of coordination هي تابعة + +538 +00:38:35,010 --> 00:38:39,030 +للموتور بس هي cerebellar system ال symptoms + +539 +00:38:39,030 --> 00:38:43,730 +بتاعتهم بيكون عندهم ataxia, discordination, muscle + +540 +00:38:43,730 --> 00:38:48,570 +hypotonia ليه؟ لأن damage of cerebellar leads to + +541 +00:38:48,570 --> 00:38:51,880 +muscle hypotoniaintentional tremor ايش intentional + +542 +00:38:51,880 --> 00:38:56,560 +tremor عبارة عن tremor which increase as the limb + +543 +00:38:56,560 --> 00:39:02,620 +approaches its target ويكون maximum او ال tremor + +544 +00:39:02,620 --> 00:39:06,340 +during and maximal بيكون في ال end of movement + +545 +00:39:06,340 --> 00:39:10,140 +يعني في نهاية الحركة بيلاقي بيكون عندي maximum + +546 +00:39:10,140 --> 00:39:15,830 +tremor و absent at rest بختلف عن الParkinsonian + +547 +00:39:15,830 --> 00:39:19,630 +tremor in Parkinson disease بيكون عندهم resting + +548 +00:39:19,630 --> 00:39:24,490 +tremor Dysmetria Dysmetria بتكون هي عبارة عن error + +549 +00:39:24,490 --> 00:39:28,550 +in termination of movement نهاية الحركة بتكون فيها + +550 +00:39:28,550 --> 00:39:31,810 +خطأ يعني بدل ما تحط أصبعه على أنفه و هو مقمض عنه + +551 +00:39:31,810 --> 00:39:34,410 +تلاقي يحط أصبعه أوين على آينه هذه بنسميها + +552 +00:39:34,410 --> 00:39:40,650 +Dysmetria Dysiodochokinesia هذه failure to perform + +553 +00:39:40,650 --> 00:39:46,480 +a rapid alternating movementthis arthria type of + +554 +00:39:46,480 --> 00:39:50,420 +slurred speech nystagmus ممكن يكون عندهم + +555 +00:39:50,420 --> 00:39:55,820 +horizontal nystagmus و rebound phenomenon ask the + +556 +00:39:55,820 --> 00:39:59,700 +patient to flex elbow against resistor بعد هيك + +557 +00:39:59,700 --> 00:40:02,940 +بعمله sudden release برخي ايده فجأة ممكن في حالة + +558 +00:40:02,940 --> 00:40:07,300 +هادة يروح يصيب وجهه الآن راح نعمل examination لل + +559 +00:40:07,300 --> 00:40:10,120 +cerebellar و نشوفهم مع بعض examination of + +560 +00:40:10,120 --> 00:40:15,020 +coordination of the upper limbsأول فحص عمللي حط + +561 +00:40:15,020 --> 00:40:23,840 +أصبعك مع أصبعك finger to finger test تمام براحتك و + +562 +00:40:23,840 --> 00:40:28,900 +أنت مغامض أنك شايفين شوية فيه dysmetria في الأخر و + +563 +00:40:28,900 --> 00:40:37,400 +في mild intention براحتك في ال freedom هيك هذا + +564 +00:40:37,400 --> 00:40:40,240 +اسمه finger to finger test finger to doctor finger + +565 +00:40:40,240 --> 00:40:42,400 +test أصبعك على أصبعك يعني + +566 +00:40:49,020 --> 00:40:55,640 +تانية finger .. لأ ال doctor finger test مابقدرش + +567 +00:40:55,640 --> 00:40:59,700 +أعملهم اللي هو فات عينيه لإن هو بيفحص جسمه بجسم + +568 +00:40:59,700 --> 00:41:02,920 +آخر ممنوع أقوله سكّر عينيك و طب تصور أقوله سكّر + +569 +00:41:02,920 --> 00:41:05,180 +عينيك و حط أصبعك في أصبعي و روح تقعد على الكرسي و + +570 +00:41:05,180 --> 00:41:09,080 +من وين دور على أصبعي ماراح يظبط لما أفحص فات عينيه + +571 +00:41:09,080 --> 00:41:12,730 +و مغمض عينيه بس بجسم هو لوحدهبعد هيك رابد + +572 +00:41:12,730 --> 00:41:16,810 +ألترنيتينج موفمينت للدس أدوكو كينيزيا حط إيديك زي + +573 +00:41:16,810 --> 00:41:22,110 +هيك بسرعة جلبهم بسرعة بسرعة بسرعة بسرعة هي عنده دس + +574 +00:41:22,110 --> 00:41:24,670 +أدوكو كينيزيا بيقدرش يعمل رابد ألترنيتينج موفمينت + +575 +00:41:24,670 --> 00:41:30,830 +زي هيك لأنه فيه endocerebellar damage okay finger + +576 +00:41:30,830 --> 00:41:33,470 +to doctor finger to narcissist حلو حط أصبعك في + +577 +00:41:33,470 --> 00:41:38,510 +أصبعي حط حط كمان و بعدين على أنفك على أصبعي او انت + +578 +00:41:38,510 --> 00:41:45,700 +فاتع أنيكتمام أي مرة، إيدك تانية على أنفك، تمام، + +579 +00:41:45,700 --> 00:41:50,300 +تمام فيه أو انت فاتت عنياك، تمام، okay فيه tremor، + +580 +00:41:50,300 --> 00:41:56,450 +rebound phenomenonبشد ايده هلجيت شد ايدك على الآخر + +581 +00:41:56,450 --> 00:41:59,810 +على الآخر على الآخر شد شد شد شد شد شد شد شد + +582 +00:41:59,810 --> 00:42:08,950 +شدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدشدش + +583 +00:42:17,390 --> 00:42:21,710 +ممكنها يصير delay لل contraction of the triceps + +584 +00:42:21,710 --> 00:42:26,410 +وممكن في الحالة delay لل .. لل contraction of the + +585 +00:42:26,410 --> 00:42:32,270 +triceps وفي الحالة هذا ممكن يخبط إيش وجهه في ال + +586 +00:42:32,270 --> 00:42:38,090 +examination of the lower limbs أول شيء بنفحص هي ال + +587 +00:42:38,090 --> 00:42:40,210 +two needle chain test راح أفحصوها على الطاولة + +588 +00:42:40,210 --> 00:42:45,400 +walking along a straight line هلأ أنزلامشي ليه على + +589 +00:42:45,400 --> 00:42:48,540 +خط مستقيم هان و انا بكونش قاعد على كرسي بكون بمشي + +590 +00:42:48,540 --> 00:42:52,300 +مع المريض ليه؟ لأنه ممكن المريض يجعى حط رجلك هيك و + +591 +00:42:52,300 --> 00:42:59,520 +امشي تماما قدام بعض حط لا لا لا طلع رجل امام واحدة + +592 +00:42:59,520 --> 00:43:06,850 +بس براحتك خطوات ورا بعض يلا بيدا قدامكattacks يعني + +593 +00:43:06,850 --> 00:43:10,310 +في عنده attacks بس انت تطلع صح كيف تعملها صح بحط + +594 +00:43:10,310 --> 00:43:17,150 +ايه رجلي شايف ورجل ثاني قدامها قدام بعض زي هي أيضا + +595 +00:43:17,150 --> 00:43:22,970 +و انا معاه attacks الجيت تمام هلأ بافحص ال + +596 +00:43:22,970 --> 00:43:26,750 +rompergism رجلك + +597 +00:43:26,750 --> 00:43:33,570 +مع بعض تعالي هنا فوق خلينا نشوفه رجلك مع بعضمع + +598 +00:43:33,570 --> 00:43:39,390 +بعض، مدق دي قدامك، قدم شوية على الكرسي، بفحص أقفزة + +599 +00:43:39,390 --> 00:43:42,970 +عينيك، بفحص وفاته عينيه، و هو مغمض عنيه و أنا بكون + +600 +00:43:42,970 --> 00:43:48,560 +حامل مريض و أقف جانبه، بلا شجعة، غمض عنيكفي عنده + +601 +00:43:48,560 --> 00:43:53,880 +mild attack في الحالة هذه إذا كان عنده decrease + +602 +00:43:53,880 --> 00:43:58,080 +خلاص إذا كان عنده sensitive ataxia مجرد ما يغمض + +603 +00:43:58,080 --> 00:44:00,240 +عينيه بيجي ع المريض لأنهم sensitive ataxia لكن في + +604 +00:44:00,240 --> 00:44:04,860 +ال cerebellar ataxia في عندهم discordination و هو + +605 +00:44:04,860 --> 00:44:08,400 +فات عينيه و هو مغمض عينيه لكن ال sensitive ataxia + +606 +00:44:08,400 --> 00:44:12,540 +ناتجة عن deep sensation loss مجرد ما يغمض عينيه + +607 +00:44:12,540 --> 00:44:13,280 +بيجي ع المريض + +608 +00:44:20,670 --> 00:44:22,810 +زاري؟ زي ما .. زي ما تقول .. زي .. نفس الشيء يعني + +609 +00:44:22,810 --> 00:44:28,990 +.. نفس الشيء يعني شمر + +610 +00:44:28,990 --> 00:44:35,310 +رجلك .. شمرهم صح؟ + +611 +00:44:35,310 --> 00:44:40,050 +تاني أه؟ + +612 +00:44:40,050 --> 00:44:43,810 +نعم أول شيء أنا بعلم المريض إيش يسوي، هاي واحد، + +613 +00:44:43,810 --> 00:44:46,070 +ثاني شيء بيعملهوا فاتعانية، ثالث مرة بيعملهوا + +614 +00:44:46,070 --> 00:44:50,460 +مغمضانيةارفع رجلك لفوق فات .. فاتوا انيك انت طلع + +615 +00:44:50,460 --> 00:44:55,680 +.. رفعت رجلك لفوق نزلها على الرقبة و بكعب رجلك + +616 +00:44:55,680 --> 00:44:58,860 +ماشيها مع الساق هي أول مرة علمتها فجيت عملها هو + +617 +00:44:58,860 --> 00:45:07,960 +انت فاتوا انيك نام ارفحها لفوق نزل في attack يعني + +618 +00:45:07,960 --> 00:45:11,240 +واضح ال attack يعني مش قادر يمشي attack يعني عملها + +619 +00:45:11,240 --> 00:45:12,200 +هو انت مغمض انيك يلا + +620 +00:45:17,160 --> 00:45:26,220 +Okay الثانية نفس الشيء لفوق لفوق على رقبتك في + +621 +00:45:26,220 --> 00:45:29,020 +attacks يعني واضحة ال attacks عنده و بيعملها هو + +622 +00:45:29,020 --> 00:45:33,100 +مغمض عنها هيك بيكون خلصنا الموضوع اللي هو ال + +623 +00:45:33,100 --> 00:45:38,100 +coordination examination of the sensory system في + +624 +00:45:38,100 --> 00:45:42,140 +rules لل examination of sensory system ال eyes + +625 +00:45:42,140 --> 00:45:46,710 +should be closed هاي واحدأثنين Compare both sides + +626 +00:45:46,710 --> 00:45:51,210 +of the body leg to leg, arm to arm to detect + +627 +00:45:51,210 --> 00:45:56,510 +hemihepoesthesia تلاتة هنا Descending search to + +628 +00:45:56,510 --> 00:46:00,730 +detect level of lesion نبدأ من فوق لتحت We compare + +629 +00:46:00,730 --> 00:46:05,190 +different dermatomes for radicular sensory loss + +630 +00:46:05,190 --> 00:46:12,170 +Symptoms of sensory lesionممكن يكونوا positive + +631 +00:46:12,170 --> 00:46:14,990 +phenomena وممكن يكونوا negative phenomena، + +632 +00:46:14,990 --> 00:46:17,570 +positive phenomena pain، peripheral pain، + +633 +00:46:17,570 --> 00:46:20,230 +trigeminal neuralgia، radicular pain، central + +634 +00:46:20,230 --> 00:46:23,830 +pain، هو thalamic pain، ممكن يكون phantom pain، + +635 +00:46:23,830 --> 00:46:27,110 +after amputation أو post amputation pain، + +636 +00:46:27,110 --> 00:46:32,010 +allodynia، اللي هو pain provoked by a non painful + +637 +00:46:32,010 --> 00:46:36,210 +stimulus، causalgia، بيكون severe sympathetic pain + +638 +00:46:36,710 --> 00:46:41,230 +numbness and paresthesia كلنا صار معنا numbness و + +639 +00:46:41,230 --> 00:46:44,310 +paresthesia لو واحد قاعد أرضى ثانالج ليه + +640 +00:46:44,310 --> 00:46:50,190 +anesthesia اللى هى complete loss of all form + +641 +00:46:50,190 --> 00:46:54,860 +sensation قد تكونthermo anesthesia decrease أو + +642 +00:46:54,860 --> 00:46:58,700 +loss of temperature sensation analgesia complete + +643 +00:46:58,700 --> 00:47:02,540 +loss of pain sensation ومن هنا مصطلح analgesics + +644 +00:47:02,540 --> 00:47:06,340 +بدي حبة analgesics قرص analgesics زي اكامول + +645 +00:47:06,340 --> 00:47:11,400 +براستامول عشان موضوع الألم tactile anesthesia pal + +646 +00:47:11,400 --> 00:47:15,620 +anesthesia لloss of vibration senseإذا كان partial + +647 +00:47:15,620 --> 00:47:19,200 +decrease of sensation بقول hypoesthesia partial + +648 +00:47:19,200 --> 00:47:23,040 +loss of sensation hyperesthesia hyperesthesia + +649 +00:47:23,040 --> 00:47:26,440 +increased sensitivity to various sensations + +650 +00:47:26,440 --> 00:47:31,420 +hyperpathy أو hyperalgesia exaggerated response to + +651 +00:47:31,420 --> 00:47:37,580 +painful stimulus زي severe painfulsensory ataxia + +652 +00:47:37,580 --> 00:47:42,140 +هذه sensory ataxia أو بنسميها afferent ataxia أو + +653 +00:47:42,140 --> 00:47:46,940 +afferent paralysis نازجة عن loss of deep sensation + +654 +00:47:46,940 --> 00:47:52,560 +و stereognosis راح نتكلم عنها كيف نعمل examination + +655 +00:47:52,560 --> 00:48:01,100 +بجيب pen prickبفحث ال sensation زي ما اتفجنا احنا + +656 +00:48:01,100 --> 00:48:07,740 +بنعمل compare right left او right مع ال left او + +657 +00:48:07,740 --> 00:48:14,810 +left مع ال right تمام بنزل descending searchبقارن + +658 +00:48:14,810 --> 00:48:17,970 +يمين مع شمال عشان احدد اذا في عند المريض + +659 +00:48:17,970 --> 00:48:21,150 +hemiheposthesia بقارن descending search من تحت + +660 +00:48:21,150 --> 00:48:24,490 +لفوق عشان اذا في عنده sensory level احدده و بعمل + +661 +00:48:24,490 --> 00:48:27,990 +examination لل pain على different dermatomes عشان + +662 +00:48:27,990 --> 00:48:31,050 +احدد اذا في عند المريض radicular losstouch + +663 +00:48:31,050 --> 00:48:35,410 +sensation touch sensation قد يكون a crude touch و + +664 +00:48:35,410 --> 00:48:38,810 +قد يكون fine touch غامض ان ايه بجيب شيء بلمسه + +665 +00:48:38,810 --> 00:48:44,390 +بقطعة قطن حاسس تمام اه و عاليمين هذا اسمه a crude + +666 +00:48:44,390 --> 00:48:47,630 +touch و بمشي نفس الطريقة descending search و بعمل + +667 +00:48:47,630 --> 00:48:51,810 +compare لل right مع ال left او fine touch غامض ان + +668 +00:48:51,810 --> 00:48:57,130 +ايه ايش لمسك؟هذه good localized touch sensation + +669 +00:48:57,130 --> 00:49:01,670 +بنسميها fine touch temperature sensation زي ما + +670 +00:49:01,670 --> 00:49:07,170 +فحصنا على ال face وشفتوا بنستخدم hot and cold test + +671 +00:49:07,170 --> 00:49:12,050 +tube deep sensation فى vibration sense فى joint + +672 +00:49:12,050 --> 00:49:16,630 +sense muscle sense وينيرفسنس رومبرجيزم رومبرز اتوا + +673 +00:49:16,630 --> 00:49:21,210 +فحصنا مع بعض في السيرابيلا ال vibration sense أنا + +674 +00:49:21,210 --> 00:49:26,990 +بستخدم ال turning fourللـ vibration sense بدربها + +675 +00:49:26,990 --> 00:49:30,770 +بيدي خطأ أمسكها من فوق من تحت جنة و بشوف المريض + +676 +00:49:30,770 --> 00:49:34,630 +غامض إيه و بشوف وين فيه bone prominance حاسس إيش + +677 +00:49:34,630 --> 00:49:38,330 +إيه و بقارن على ال left نفس الشيء طب صور المريض + +678 +00:49:38,330 --> 00:49:40,690 +عنده polyneuropathy و ماحسش في ال vibration + +679 +00:49:40,690 --> 00:49:43,690 +ديسترال بطلع more proximal بطلع ال elbow غامض إيه + +680 +00:49:43,690 --> 00:49:47,910 +حاسس؟ okay و بقارن على الجهة الأشمال نفس الطريقة + +681 +00:49:47,910 --> 00:49:51,630 +أبحث إيه ال lower limbs هذا بالنسبة إلى إيه ال + +682 +00:49:51,630 --> 00:49:55,860 +vibrationبنتجي لـ Joint Sense أو Properception + +683 +00:49:55,860 --> 00:50:00,200 +بعلم المريض بقول له هذا أصبعك رقم واحد، رقم اتنين، + +684 +00:50:00,200 --> 00:50:02,920 +تلاتة، أربعة، خمسة، أنا بدي أحرك أصبعك إما لفوق + +685 +00:50:02,920 --> 00:50:07,020 +وإما لتحت، تمام؟ غمض أني أكلالطريقة الخاطئة لو أنا + +686 +00:50:07,020 --> 00:50:10,160 +مسكت أصبع المريض بيدي و قولتله أي أصبع أنا حركته + +687 +00:50:10,160 --> 00:50:14,180 +تحت ولا فوق المريض ممكن يجاوبني صح و يكون خدعني و + +688 +00:50:14,180 --> 00:50:17,600 +هو ماشعرش بالـ joint sensation شعر بالـ crot touch + +689 +00:50:17,600 --> 00:50:21,120 +و أنتوا عارفين الـ crot touch ال pathway تبعه اللي + +690 +00:50:21,120 --> 00:50:24,180 +هو الـ ventral spinothalamic tract و الـ deep + +691 +00:50:24,180 --> 00:50:26,600 +sensation ال pathway بتاعه الـ gracil and + +692 +00:50:26,600 --> 00:50:28,860 +connective tract للـ upper limbs بتكلم على + +693 +00:50:28,860 --> 00:50:31,100 +connective tract يقول أنا لما نبحث ال joint + +694 +00:50:31,100 --> 00:50:34,580 +sensation ماببحثش crot ماببحث fine لأن الـ fine + +695 +00:50:34,580 --> 00:50:38,830 +touchو ال deep sensation the same pathway لهم اللي + +696 +00:50:38,830 --> 00:50:41,570 +هو gracile and connective tract لو صارت damage لل + +697 +00:50:41,570 --> 00:50:43,970 +gracile و ال connective tract راح تأثر ال deep + +698 +00:50:43,970 --> 00:50:47,350 +sensation من ضمنهم joint sensation و راح يتأثر مع + +699 +00:50:47,350 --> 00:50:50,970 +fine touch يعني بالطريقة هذه أنا بحرك الأصابع fine + +700 +00:50:50,970 --> 00:50:58,330 +رمضى هناك رخيهم أي أصبع حركت؟ + +701 +00:50:58,330 --> 00:51:03,150 +لفوق ولا تحت؟ لفوق تمام مالجيت؟ + +702 +00:51:05,840 --> 00:51:09,560 +عنده deep sensation preserved و نفس الطريقة بافحص + +703 +00:51:09,560 --> 00:51:12,880 +ال other lower .. upper limb و بافحص ال lower limb + +704 +00:51:12,880 --> 00:51:16,880 +صورة مريض ماشعرش بال fingers ماحسش بطلع ال wrist و + +705 +00:51:16,880 --> 00:51:20,740 +بحرك ال wrist نفسه بنفس الطريقة fine بحركها بحركها + +706 +00:51:20,740 --> 00:51:25,020 +أيش؟ fine برفعها لفوق و تحت و المريض بده أيش؟ ايه؟ + +707 +00:51:25,020 --> 00:51:30,120 +قللي اعملتله انا extension او flexion لل wrist و + +708 +00:51:30,120 --> 00:51:36,650 +نفس الطريقة لل footmuscle sense done by pinching + +709 +00:51:36,650 --> 00:51:40,870 +the calf muscles أو لو بدنا نحس نعمل palpation + +710 +00:51:40,870 --> 00:51:44,570 +للأبضام من المصل إذا في حالة peritonitis مريض عنده + +711 +00:51:44,570 --> 00:51:50,570 +DVT nerve sense ممكن by percussion على اللي هو ال + +712 +00:51:50,570 --> 00:51:52,850 +carbal tunnel هذا ممكن يصير ال electric like + +713 +00:51:52,850 --> 00:51:56,170 +sensation مع ال median nerve أو ال capital tunnel + +714 +00:51:56,170 --> 00:51:59,750 +ممكن يكون عندنا electric like sensation في ال + +715 +00:51:59,750 --> 00:52:02,650 +ulnar اللي كلنا أكلنالما نحط إيدنا على الطاولة و + +716 +00:52:02,650 --> 00:52:05,570 +نضربها على الطاولة ممكن نشعر زي كهرب، شعور كهرب، + +717 +00:52:05,570 --> 00:52:08,110 +هذا هو عبارة عن nerve sensation + +718 +00:52:11,120 --> 00:52:14,920 +رومبرجيزم احنا فحصناها قطابه مع الـ cerebellum في + +719 +00:52:14,920 --> 00:52:19,080 +حالة انه loss of deep sensation المريض مجرد ما + +720 +00:52:19,080 --> 00:52:24,460 +يغمض عنه بتلاقي بجع و ذلك ناتج عن loss of deep + +721 +00:52:24,460 --> 00:52:28,000 +sensation proprioception و damage في لجر السيل + +722 +00:52:28,000 --> 00:52:30,880 +والكونية تتراكت أكتر شيء بيصير لنا loss of deep + +723 +00:52:30,880 --> 00:52:34,740 +sensation في حالات اللي هو ال vitamin B12 دفيشنسي + +724 +00:52:34,740 --> 00:52:38,740 +في ال posterior cord syndromeفي cortical sensation + +725 +00:52:38,740 --> 00:52:43,920 +tactile localization localized sight of pain + +726 +00:52:43,920 --> 00:52:49,500 +المريض بيحددلي sight of pain تمام قمت هناك وين + +727 +00:52:49,500 --> 00:52:56,540 +القلم بيحدد مكانه tactile discrimination هنا بنجيب + +728 +00:52:56,540 --> 00:53:00,800 +two point discrimination بجيب زي الفرجار بسنين و + +729 +00:53:00,800 --> 00:53:03,960 +بحاول أبعدهم عن ايه لما أجربهم هاي جيبنا جلم هان + +730 +00:53:03,960 --> 00:53:13,390 +جيب جلم هان و أحطهم مع بعضكم نقطة هالجيت حاسس؟ + +731 +00:53:13,390 --> 00:53:17,210 +لما هو عشان الجلم الثاني، هتنشوف، تجي الجلم زيه، + +732 +00:53:17,210 --> 00:53:23,930 +تمام، مدي دهلفها، لف إيدك هيك، حط إيدك هنا، هلجيت؟ + +733 +00:53:23,930 --> 00:53:28,870 +كام نقطة حاسس؟ واحدة، مجرد مجرب مسافة بين النقطين + +734 +00:53:28,870 --> 00:53:32,210 +أقل من نص سانتي على ال hand أو أقل من خمسة سانتي + +735 +00:53:32,210 --> 00:53:35,470 +على ال back، راح يشعروا نقطة واحدة، بس عشان يشعروا + +736 +00:53:35,470 --> 00:53:38,770 +two point، لازم أبعدهم عن بعض أكتر من نص سانتي على + +737 +00:53:38,770 --> 00:53:41,790 +ال hand و أكتر من خمسة سانتي على ال back، كام نقطة + +738 +00:53:41,790 --> 00:53:48,240 +هلجيت؟ اتنينتمام okay هذا بيسميه two point + +739 +00:53:48,240 --> 00:53:50,760 +discrimination أو tactile discrimination + +740 +00:53:50,760 --> 00:53:57,440 +stereognosis غمض أناك إيش + +741 +00:53:57,440 --> 00:54:04,200 +في إيدك دون ما تتطلع عليه حسوا جلم أو بعطيه فلوس + +742 +00:54:04,200 --> 00:54:08,700 +في إيده و بيميزهم بدون نضار باللمس يقولي خمس شكل + +743 +00:54:08,700 --> 00:54:13,910 +أو عشرة شكل أو اتنين شكلgraphosthesia أنا باجي + +744 +00:54:13,910 --> 00:54:18,830 +برسم في إيده أو عيده بالجلم و الأحرف أو أرقام و + +745 +00:54:18,830 --> 00:54:21,490 +المريض يجاوبني فيهم صح و يقوللي إيش الرقم أو الحرف + +746 +00:54:21,490 --> 00:54:26,180 +اللي كتبتههذه non-organic sense loss ممكن المريض + +747 +00:54:26,180 --> 00:54:29,260 +يجينا ب loss of sensation في ال head و ال body + +748 +00:54:29,260 --> 00:54:33,120 +سليمة بيصيرش أو يجينا يقول بيحسش في إيده الشمال و + +749 +00:54:33,120 --> 00:54:36,000 +رجلي الشمال و ال trunk و ال abdomen بيحس فيه ما + +750 +00:54:36,000 --> 00:54:39,440 +بيصير هذا psychogenic أو يجينا بيحسش على الشمال + +751 +00:54:39,440 --> 00:54:41,780 +بعدين صار يحس على الشمال بعدين بطل يحس على الشمال + +752 +00:54:41,780 --> 00:54:45,240 +يعني بيحيرك المريض هذول ممكن يكون non-organic + +753 +00:54:45,440 --> 00:54:48,240 +sensory loss في حالات ال historical أو ال + +754 +00:54:48,240 --> 00:54:52,080 +conversion disorder و هيك بيكون انت هنا من الموضوع + +755 +00:54:52,080 --> 00:54:55,200 +اللي هو neurological examination و يعطيكوا الف + +756 +00:54:55,200 --> 00:54:58,560 +عافية ان شاء الله و ربنا يسلمكم جميعا + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs.srt new file mode 100644 index 0000000000000000000000000000000000000000..7f92334412bb97b3a92621d23b62f394f4a2b95d --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs.srt @@ -0,0 +1,1178 @@ +1 +00:00:06,460 --> 00:00:10,120 +هذا الفيديو يبدأ مع تجربة قصيرة لتحقيق قصة صحيحة + +2 +00:00:10,120 --> 00:00:15,320 +ومن ثم تجربة الصدر ومن ثم تجربة الصدر ومن ثم + +3 +00:00:15,320 --> 00:00:16,880 +تجربة الصدر ومن ثم تجربة الصدر ومن ثم تجربة + +4 +00:00:16,880 --> 00:00:17,060 +الصدر ومن ثم تجربة الصدر ومن ثم تجربة + +5 +00:00:17,060 --> 00:00:18,040 +الصدر ومن ثم تجربة الصدر ومن ثم تجربة + +6 +00:00:18,040 --> 00:00:19,700 +الصدر ومن ثم تجربة الصدر ومن ثم تجربة + +7 +00:00:19,700 --> 00:00:23,440 +الصدر ومن ثم تجربة الصدر ومن ثم تجربة + +8 +00:00:23,440 --> 00:00:34,350 +الصدر ومن ثم تجربة الصدر في عملية علمية، + +9 +00:00:34,350 --> 00:00:37,610 +بإمكانك أن تجد نفس الوثائق الطبيعية أو بإمكانك أن + +10 +00:00:37,610 --> 00:00:42,890 +تكتشف الوثائق الطبيعية أو الوثائق غير الطبيعية الـ + +11 +00:00:42,890 --> 00:00:48,630 +Health + +12 +00:00:48,630 --> 00:00:51,850 +History Interview هي مقابلة مهمة ثلاث مرات، + +13 +00:00:51,850 --> 00:00:57,210 +لإنشاء علاقة ثقافية وداعمة، لتجميع المعلومات، + +14 +00:00:57,210 --> 00:01:02,480 +ولإعطاء المعلومات في حالة مخلوقات جديدة، ستجمع + +15 +00:01:02,480 --> 00:01:05,860 +المعلومات التي ستجعلها أساسًا لقراءة تاريخ البيئة + +16 +00:01:05,860 --> 00:01:08,760 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +17 +00:01:08,760 --> 00:01:09,060 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +18 +00:01:09,060 --> 00:01:09,760 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +19 +00:01:09,760 --> 00:01:10,100 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +20 +00:01:10,100 --> 00:01:10,800 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +21 +00:01:10,800 --> 00:01:12,140 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +22 +00:01:12,140 --> 00:01:19,860 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +23 +00:01:19,860 --> 00:01:28,740 +التفصيلية للمخلوقات التفصيلية للمخلوقات + +24 +00:01:28,740 --> 00:01:37,150 +التفاصيل Wheezing Cough Bloodstream Sputum بإلصاد أهداف + +25 +00:01:37,150 --> 00:01:42,550 +المريض قبل تجارب التجارب، تستعد لتجارب مفيدة + +26 +00:01:42,550 --> 00:01:51,090 +ومفيدة مع تاريخ + +27 +00:01:51,090 --> 00:01:56,320 +حياة المريض في ذهنك، أنت مستعد للتجارب مفهوم + +28 +00:01:56,320 --> 00:02:00,260 +التراثيكي مرتبط بالتجارة التجارية لتجارة الـ + +29 +00:02:00,260 --> 00:02:04,400 +thorax لذلك دعونا نأخذ قليل من الوقت لنقوم بتجربة + +30 +00:02:04,400 --> 00:02:09,140 +هذه التجربة قبل أن نبدأ تجربتنا تجربة الـ bony + +31 +00:02:09,140 --> 00:02:13,100 +thorax يجمع قلوب والدموع ويقوم بمقالة جزء من جزء + +32 +00:02:13,100 --> 00:02:14,260 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +33 +00:02:14,260 --> 00:02:15,280 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +34 +00:02:15,280 --> 00:02:16,340 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +35 +00:02:16,340 --> 00:02:17,530 +من جزء من جزء من جزء من جزء من جزء من جزء من جزالـ + +36 +00:02:17,530 --> 00:02:21,290 +thorax تحتوي على 12 مجموعة من العظام ومعظمها + +37 +00:02:21,290 --> 00:02:25,190 +مجموعات غضروفية ومعظمها مجموعات غضروفية ومعظمها + +38 +00:02:25,190 --> 00:02:25,550 +مجموعات غضروفية ومعظمها مجموعات غضروفية ومعظمها + +39 +00:02:25,550 --> 00:02:25,970 +مجموعات غضروفية ومعظمها مجموعات غضروفية ومعظمها + +40 +00:02:25,970 --> 00:02:29,970 +مجموعات غضروفية ومعظمها مجموعات غضروفية ومعظمها + +41 +00:02:29,970 --> 00:02:33,590 +مجموعات غضروفية ومعظمها مجموعات غضروفية ومعظمها + +42 +00:02:33,590 --> 00:02:37,710 +مجموعات غضروفية ومعظمها مجموعات غضروفية ومعظمها + +43 +00:02:37,710 --> 00:02:46,590 +مجموعات غضروفية ومعظمها مجم + +44 +00:02:48,250 --> 00:02:52,390 +لتقاتلها، تبدأ في الـ Supersternal Notch وتتابع + +45 +00:02:52,390 --> 00:02:57,330 +يديك للأسفل حوالي 5 cm حتى تشعر بالجسد الحَضري اللي + +46 +00:02:57,330 --> 00:03:01,670 +يجمع المنوبيوم إلى جسم السترنم هذا هو الانجل + +47 +00:03:01,670 --> 00:03:07,330 +السترنمي اللاترال لهذا الانجل يوجد الجزء الثاني، + +48 +00:03:07,330 --> 00:03:12,770 +الجزء الثاني المتوسط فقط في الأسفل لتتعرفي الجزرين + +49 +00:03:12,770 --> 00:03:16,310 +الأسفل والجزرين الأسفل بشكل عدد بداية في الجزر + +50 +00:03:16,310 --> 00:03:21,270 +الثاني وانتظر يدك من الجزر إلى الجزر في طريقه + +51 +00:03:21,270 --> 00:03:26,050 +الأسفل والجزر الدوري + +52 +00:03:26,050 --> 00:03:35,190 +بعد + +53 +00:03:35,190 --> 00:03:39,190 +ذلك، يكون أعضاء السكاكولي عادة على مستوى T7 + +54 +00:03:41,500 --> 00:03:45,200 +عند محاولة الوصول لحقائقك، يجب عليك أن تدرس خطوط + +55 +00:03:45,200 --> 00:03:50,760 +المريض بشكل صحيح. أجد T12 وخطوط الـ12 المقابلة + +56 +00:03:50,760 --> 00:03:56,040 +بضغط من خلال خزان الخطوط. بعد ذلك، اسحب يديك من + +57 +00:03:56,040 --> 00:04:01,620 +الأعلى ومن خلال الخطوط إلى الـ 11 مخصص داخلي. من + +58 +00:04:01,620 --> 00:04:06,670 +هنا، تحرك يديك إلى الأعلى في المخصص الداخلي. طريقة + +59 +00:04:06,670 --> 00:04:10,710 +مختلفة لنموذج الجحيم هي أن تقوم بإعادة عملية عملية + +60 +00:04:10,710 --> 00:04:11,290 +عملية عملية عملية عملية عملية عملية عملية عملية + +61 +00:04:11,290 --> 00:04:11,550 +عملية عملية عملية عملية عملية عملية عملية عملية + +62 +00:04:11,550 --> 00:04:17,350 +عملية عملية عملية عملية عملية + +63 +00:04:17,350 --> 00:04:20,490 +عملية عملية عملية عملية عملية عملية عملية عملية + +64 +00:04:20,490 --> 00:04:20,630 +عملية عملية عملية عملية عملية عملية عملية عملية + +65 +00:04:36,090 --> 00:04:43,190 +الساقية الساقية الساقية الساقية + +66 +00:04:43,190 --> 00:04:48,090 +الساقية الساقية الساقية الساقية الساقية الساقية + +67 +00:04:48,090 --> 00:04:49,750 +الساقية الساقية الساقية الساقية الساقية الساقية + +68 +00:04:49,750 --> 00:04:49,770 +الساقية الساقية الساقية الساقية الساقية الساقية + +69 +00:04:49,770 --> 00:04:49,830 +الساقية الساقية الساقية الساقية الساقية الساقية + +70 +00:04:49,830 --> 00:04:49,850 +الساقية الساقية الساقية الساقية الساقية الساقية + +71 +00:04:49,850 --> 00:04:50,030 +الساقية الساقية الساقية الساقية الساقية الساقية + +72 +00:04:50,030 --> 00:04:52,270 +الساقية الساقية الساقية الساقية الساقية الساقية + +73 +00:04:52,270 --> 00:05:04,730 +الساقية الساقية الساقية الساق + +74 +00:05:06,360 --> 00:05:10,860 +أمامًا، أعضاء الجلد عادة ترتفع 2 إلى 4 سنتيمتر + +75 +00:05:10,860 --> 00:05:16,720 +أعلى أعضاء الجلد الأسفل من كل جلد تتجاوز الجلد + +76 +00:05:16,720 --> 00:05:20,520 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +77 +00:05:20,520 --> 00:05:21,220 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +78 +00:05:21,220 --> 00:05:26,300 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +79 +00:05:26,300 --> 00:05:27,200 +الساقية في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +80 +00:05:27,200 --> 00:05:33,560 +الساقية في أعضاء الجلد الساقية وتتجاوز تجاوز + +81 +00:05:33,560 --> 00:05:38,120 +الجلد الساقية في أعضاء الجلد الساللون اليسرى مختلط + +82 +00:05:38,120 --> 00:05:44,600 +إلى اتصالين ويبدو هكذا، من الأعلى إلى الأسفل إلى + +83 +00:05:44,600 --> 00:05:49,460 +الأسفل إلى الأعلى إلى الأسفل إلى الأسفل إلى الأسفل + +84 +00:05:49,460 --> 00:05:57,960 +إلى الأسفل إلى الأسفل إلى الأسفل إلى + +85 +00:05:57,960 --> 00:06:00,600 +الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل + +86 +00:06:00,600 --> 00:06:00,800 +إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى + +87 +00:06:00,800 --> 00:06:05,160 +الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل + +88 +00:06:05,160 --> 00:06:08,520 +إلى الأسفل إلى الأسفل بعد ذلك، ستسمحي هذه الثالثة + +89 +00:06:08,520 --> 00:06:14,920 +عضوًا مختلفًا التراكية تتفرع إلى البرانكاية الأسفل + +90 +00:06:14,920 --> 00:06:20,060 +والأسفل على مستوى الانترال الأسطوري وعلى مستوى تي + +91 +00:06:20,060 --> 00:06:24,720 +فور باستيريالي صوت الهواء قريب من هذه المناطق عادة + +92 +00:06:24,720 --> 00:06:27,820 +تكون أسلحة أسلحة أسلحة أسلحة أسلحة أخرى على الجلد + +93 +00:06:36,510 --> 00:06:38,470 +Okay, I'm gonna go ahead and examine your chest + +94 +00:06:38,470 --> 00:06:41,630 +now. Just breathe normally for me. Okay. Begin your + +95 +00:06:41,630 --> 00:06:44,510 +examination of the chest with a brief survey of + +96 +00:06:44,510 --> 00:06:48,570 +the patient's thorax and respiration. Is the + +97 +00:06:48,570 --> 00:06:51,730 +thorax symmetrical? Are there any bony + +98 +00:06:51,730 --> 00:06:55,750 +deformities? Note the lateral diameter of the + +99 +00:06:55,750 --> 00:06:59,530 +patient's chest. Does the anteroposterior diameter + +100 +00:06:59,530 --> 00:07:03,110 +seem increased, suggesting possible obstructive + +101 +00:07:03,110 --> 00:07:06,760 +lung disease? في هذا الشخص، تبدو عبارة عن عبارة عن + +102 +00:07:06,760 --> 00:07:07,900 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +103 +00:07:07,900 --> 00:07:10,180 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +104 +00:07:10,180 --> 00:07:11,760 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +105 +00:07:11,760 --> 00:07:13,500 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +106 +00:07:13,500 --> 00:07:14,780 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +107 +00:07:14,780 --> 00:07:18,700 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +108 +00:07:18,700 --> 00:07:23,280 +عن عبارة عن عبارة + +109 +00:07:23,280 --> 00:07:23,480 +عن + +110 +00:07:33,820 --> 00:07:36,440 +انتج رأس المريض لترتيب مصادر الـ + +111 +00:07:36,440 --> 00:07:40,840 +Sternocleidomastoid من الخلفية العضلية، يشير إلى + +112 +00:07:40,840 --> 00:07:47,340 +صعوبة التنفس. هذا غالبًا ليس موجودًا. قم بتحرير + +113 +00:07:47,340 --> 00:07:51,720 +المنابع العضلية للتحقق من موقع التراكيه. يجب أن + +114 +00:07:51,720 --> 00:07:55,680 +يكون في المنطقة الأساسية. تحقق ألوان ملابس المريض + +115 +00:07:55,680 --> 00:08:01,920 +ومصادر الساقين لأي سيانوسس، ألوان أزرق يتم تحريكه. + +116 +00:08:03,690 --> 00:08:06,890 +الطفولة و الناس الصغار بشكل طبيعي مثل هذا + +117 +00:08:06,890 --> 00:08:11,430 +المستخدم هل + +118 +00:08:11,430 --> 00:08:15,550 +يمكنك + +119 +00:08:15,550 --> 00:08:19,430 +أن تتجاوز يديك و تضع يديك على الجدران المقابل هذا + +120 +00:08:19,430 --> 00:08:23,350 +هو فقط كذلك و اتخذ نفسك بشكل طبيعي لدي المستخدم أن + +121 +00:08:23,350 --> 00:08:25,850 +يضع يديه على الجدران المقابل و تتخذ نفسك بشكل + +122 +00:08:25,850 --> 00:08:33,040 +طبيعي اتفقد الصدر الأعلى بدءًا من التحقق observe + +123 +00:08:33,040 --> 00:08:36,700 +the chest for contour, symmetry and deformities + +124 +00:08:36,700 --> 00:08:43,500 +also inspect the overlying skin then palpate the + +125 +00:08:43,500 --> 00:08:46,460 +chest wall to locate any areas of pain or + +126 +00:08:46,460 --> 00:08:49,320 +tenderness or to assess any lesions or + +127 +00:08:49,320 --> 00:08:51,720 +abnormalities you may have found during inspection + +128 +00:08:52,560 --> 00:08:57,440 +لتحقق من اتفاق الزفير، وضع يديك قريب من رأس المريض، + +129 +00:08:57,440 --> 00:09:02,540 +في مستوى T10، واسحب يديك بسيطًا عبر الصدر + +130 +00:09:02,540 --> 00:09:07,960 +الخارجي، طبعًا اطلب من المريض أن يهيئ نفسه و يهيئ + +131 +00:09:07,960 --> 00:09:12,720 +نفسه كثيرًا و كثيرًا، بينما تشاهد تنقل يديك و تشعر + +132 +00:09:12,720 --> 00:09:18,300 +بالاهتزاز و المساعدة للتحرك. ثالثًا، تحقق بشكل كامل + +133 +00:09:18,300 --> 00:09:22,720 +لـ Tactile Fremitus Okay, I'm going to put your + +134 +00:09:22,720 --> 00:09:25,460 +hands on your chest and please say 99 every time I + +135 +00:09:25,460 --> 00:09:29,300 +touch you. 99. Feel for the vibrations of tactile + +136 +00:09:29,300 --> 00:09:33,240 +fremitus as the patient continues repeating 99, + +137 +00:09:33,700 --> 00:09:37,380 +"blue moon" or some similar phrase consisting of two + +138 +00:09:37,380 --> 00:09:40,920 +or three equally accented syllables. Using the + +139 +00:09:40,920 --> 00:09:44,900 +edge of the hand is also common. Identify areas of + +140 +00:09:44,900 --> 00:09:48,820 +increased, decreased, or absent fremitus. Continue + +141 +00:09:48,820 --> 00:09:51,700 +the examination by percussing the chest in a + +142 +00:09:51,700 --> 00:09:55,140 +systematic manner, moving down the thorax and going + +143 +00:09:55,140 --> 00:09:58,360 +from side to side as demonstrated in a ladder + +144 +00:09:58,360 --> 00:10:02,180 +pattern. Remember that only the posterior surface + +145 +00:10:02,180 --> 00:10:04,980 +of your pleximeter finger should be in contact + +146 +00:10:04,980 --> 00:10:08,980 +with the chest wall. Wrist motion should be relaxed + +147 +00:10:08,980 --> 00:10:12,080 +and fluid as you make two strikes with your third + +148 +00:10:12,080 --> 00:10:19,870 +finger. انتقل من أعلى إلى أسفل الصدر، استمع للقوة + +149 +00:10:19,870 --> 00:10:28,310 +والدرجة ومدته وانتقل عن شعور الضغط، ثم قرر ما هي + +150 +00:10:28,310 --> 00:10:34,290 +المقالات التي تسمعها، الصدر العادي مرتبطة، اكتشف + +151 +00:10:34,290 --> 00:10:39,640 +جزء من المناطق التي تسمعها غائمًا غائمًا. بعد ذلك استخدم + +152 +00:10:39,640 --> 00:10:43,680 +القرع لتعرف مستوى الحجاب الحاجز و تقوم بتقاطع قرع الحجاب الحاجز + +153 +00:10:43,680 --> 00:10:48,640 +إذا كان كل شيء بخير سأضع بعض اللوحات على رأسك فأخذ + +154 +00:10:48,640 --> 00:10:52,740 +نفسك إلى الخارج و اتركها لأجلي أرجوك ثم قرع لأسفل + +155 +00:10:52,740 --> 00:10:57,480 +من أعلى مستوى الحجاب الحاجز حتى يكون الـ dullness مسموح + +156 +00:10:57,480 --> 00:11:03,720 +لك تمامًا. بعد تحقيق مسموح للطبيعي، قرع مستوى + +157 +00:11:03,720 --> 00:11:08,270 +مستوى الـ full expiration. بعد ذلك، أخذ المستخدم + +158 +00:11:08,270 --> 00:11:12,610 +لإنهاء بشكل كبير و أمسكه فيه، ثم أدخل للأسفل إلى + +159 +00:11:12,610 --> 00:11:18,830 +مستوى الظلمة في صورة كاملة، و أمسكه مرة أخرى مرة + +160 +00:11:18,830 --> 00:11:19,290 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +161 +00:11:19,290 --> 00:11:19,590 +مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة + +162 +00:11:19,590 --> 00:11:20,210 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +163 +00:11:20,210 --> 00:11:23,090 +مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة + +164 +00:11:23,090 --> 00:11:27,310 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +165 +00:11:27,310 --> 00:11:31,010 +مرة أخرى مرة أخرى مرة + +166 +00:11:39,640 --> 00:11:42,180 +لنتوقف لحظة ونقوم بمقابلة صوت التنفس الطبيعي + +167 +00:11:42,180 --> 00:11:46,380 +ومفيد صوت التنفس التنفس التنفس التنفس + +168 +00:11:46,380 --> 00:11:49,240 +التنفس التنفس التنفس التنفس التنفس التنفس + +169 +00:11:49,240 --> 00:11:50,200 +التنفس التنفس التنفس التنفس التنفس التنفس + +170 +00:11:50,200 --> 00:11:52,140 +التنفس التنفس التنفس التنفس التنفس التنفس + +171 +00:11:52,140 --> 00:11:55,420 +التنفس التنفس التنفس التنفس التنفس التنفس + +172 +00:11:55,420 --> 00:11:56,760 +التنفس التنفس التنفس تنف + +173 +00:12:05,220 --> 00:12:09,120 +هي تسمح بشكل طبيعي خلال تجهيزها وخلال أول ثانية + +174 +00:12:09,120 --> 00:12:12,180 +من التجهيز ويمكن أن تسمح بشكل طبيعي خلال أكثر من + +175 +00:12:12,180 --> 00:12:16,100 +مجموعات الجلد branchial. التنفس ممكن تسمح بشكل + +176 +00:12:16,100 --> 00:12:23,940 +طبيعي خلال تجهيزها وهذا طبيعي branchial. + +177 +00:12:23,940 --> 00:12:26,620 +التنفس ممكن تسمح بشكل طبيعي خلال تجهيزها وممكن + +178 +00:12:26,620 --> 00:12:27,640 +تسمح بشكل طبيعي خلال تجهيزها وممكن تسمح بشكل طبيعي + +179 +00:12:27,640 --> 00:12:31,420 +خلال تجهيزها وممكن تسمح بشكل طبيعي خلال تجهيزها + +180 +00:12:31,420 --> 00:12:34,800 +وممكن تسمح بشكل طبيعي خلال تجهيزالصوت الانتقالي + +181 +00:12:34,800 --> 00:12:39,440 +يدوم أكثر من الصوت الانتقالي وإن كان هناك فرق + +182 +00:12:39,440 --> 00:12:48,560 +محدود يفصل هذين الصوتين الانتقالي + +183 +00:12:48,560 --> 00:12:55,900 +و الانتقالي + +184 +00:12:55,900 --> 00:12:58,420 +يدوم أكثر من الصوت الانتقالي و الانتقالي يدوم أكثر + +185 +00:12:58,420 --> 00:12:59,260 +من الصوت الانتقالي و الانتقالي يدوم أكثر من الصوت + +186 +00:12:59,260 --> 00:13:00,080 +الانتقالي و الانتقالي يدوم أكثر من الصوت الانتقالي + +187 +00:13:00,080 --> 00:13:00,200 +الانتقالي يدوم أكثر من الصوت الانتقالي و الانتقالي + +188 +00:13:00,200 --> 00:13:01,450 +يدوم أكثر من الصوت الانتقالي و الانتقاليوالفترة + +189 +00:13:01,450 --> 00:13:03,930 +الصامتة قد أو لا تقوم بتقريرها. + +190 +00:13:08,210 --> 00:13:10,730 +يمكن أن تسمع هذه الصوتات في الاتصالات الأولى + +191 +00:13:10,730 --> 00:13:18,430 +والثانية من الأعلى ومن خلال الصدر. دعنا نسمع هذه + +192 +00:13:18,430 --> 00:13:28,550 +الصوتات مرة أخرى لنقارنها. Vesicular Bronchial + +193 +00:13:33,510 --> 00:13:41,530 +و Bronchovascular أدمنتشز + +194 +00:13:41,530 --> 00:13:44,230 +أو إضافة صوت إضافة صوت إضافة صوت إضافة صوت إضافة + +195 +00:13:44,230 --> 00:13:44,570 +صوت إضافة صوت إضافة صوت إضافة صوت إضافة صوت إضافة + +196 +00:13:44,570 --> 00:13:47,070 +صوت إضافة صوت إضافة صوت إضافة صوت إضافة صوت إضافة + +197 +00:13:47,070 --> 00:13:47,790 +صوت إضافة صوت إضافة صوت إضافة صوت إضافة صوت إضافة + +198 +00:13:47,790 --> 00:13:48,350 +صوت إضافة صوت إضافة صوت إضافة صوت إضافة صوت إضافة + +199 +00:13:48,350 --> 00:13:48,910 +صوت إضافة صوت إضافة صوت إضافة صوت إضافة صوت إضافة + +200 +00:13:48,910 --> 00:13:55,170 +صوت إضافة صوت إضافة صوت إضافة + +201 +00:13:55,170 --> 00:13:59,870 +صوت إضافة صوت إضافة ص + +202 +00:14:09,330 --> 00:14:12,450 +الـ crackles are intermittent, non-musical, and + +203 +00:14:12,450 --> 00:14:22,110 +brief, like dots in time. Fine + +204 +00:14:22,110 --> 00:14:25,430 +crackles are soft, high-pitched, and very brief, + +205 +00:14:26,190 --> 00:14:28,270 +and often accompany congestive heart failure. + +206 +00:14:39,780 --> 00:14:50,320 +الحرارات الحارة هي أكبر وأصفى وأطول مقارنة + +207 +00:14:50,320 --> 00:14:55,200 +بالحرارات الويزارة والرنكاي. تدوم أكثر وتبدو أكثر موسيقية + +208 +00:14:55,200 --> 00:14:59,160 +الويزارة والرنكاي تدوم أكثر وتبدو أكثر الويزارة والرنكاي + +209 +00:14:59,160 --> 00:15:00,360 +تدوم أكثر وتبدو أكثر الويزارة والرنكاي تدوم أكثر و + +210 +00:15:00,360 --> 00:15:03,540 +تدوم أكثر وتدوم أكثر وتدوم أكثر وتدوم أكثر و + +211 +00:15:12,510 --> 00:15:17,750 +الرنكاي لديه قوة أسفل، قوة حرارية، ويقترح انهيارات + +212 +00:15:17,750 --> 00:15:22,330 +في محطمات كبيرة + +213 +00:15:22,330 --> 00:15:35,510 +لكي + +214 +00:15:35,510 --> 00:15:41,520 +تحرير الورق التلقائي، استخدم ديافراغمة السيثاسكوب. ابدأ + +215 +00:15:41,520 --> 00:15:46,180 +في الـ Apices وانتقل إلى الأسفل، تحرك من جانب إلى + +216 +00:15:46,180 --> 00:15:50,880 +جانب، مرة أخرى، في شكل عبارة عن صوت الهواء في + +217 +00:15:50,880 --> 00:15:55,640 +مناطق متساوية، استمع إلى Duration، pitch + +218 +00:15:55,640 --> 00:16:01,560 +و intensity من الصوتين الانبعاثي والانبعاثي، قرر + +219 +00:16:01,560 --> 00:16:07,400 +ما هو صوت الهواء الذي تسمعه، وقرر أي صوت مضاف، استمع + +220 +00:16:07,400 --> 00:16:12,480 +إلى أقل مرة في كل موقع الهواء في كل مكان. أخذ نفسك + +221 +00:16:12,480 --> 00:16:14,560 +داخل وخارج بمفردك بمفردك بمفردك بمفردك بمفردك + +222 +00:16:14,560 --> 00:16:20,060 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +223 +00:16:20,060 --> 00:16:20,840 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +224 +00:16:20,840 --> 00:16:20,880 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +225 +00:16:20,880 --> 00:16:30,500 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بم + +226 +00:16:36,150 --> 00:16:39,670 +listen for transmitted voice sounds while + +227 +00:16:39,670 --> 00:16:42,590 +auscultating the chest again. Ask the patient to + +228 +00:16:42,590 --> 00:16:47,610 +say 99. Say 99. 99. + +229 +00:16:56,860 --> 00:17:00,000 +voice sounds that are louder and clearer than + +230 +00:17:00,000 --> 00:17:03,900 +normal, as in this example, are called bronchophony. + +231 +00:17:03,900 --> 00:17:07,520 +Next, have the patient say "E". + +232 +00:17:19,530 --> 00:17:24,490 +عندما تصور "E" مثلًا "ايه" ويكون لديه قوة نسالية مثل + +233 +00:17:24,490 --> 00:17:29,550 +هذه المثالة إيقافالي موجودة ترغب في تحسين مصادر + +234 +00:17:29,550 --> 00:17:35,350 +الجلد. أخيرًا، أطلب من المريض أن يحرر "123". + +235 +00:17:44,740 --> 00:17:47,000 +عندما تصور هذه الصوتات أكثر صوتًا ووضوحًا من + +236 +00:17:47,000 --> 00:17:50,380 +الطبيعي، مثل هذه المثالة، تصور الـ Pectoriloquy. + +237 +00:17:50,380 --> 00:17:55,260 +موجودًا. كل هذه التغييرات في صوت الصوت تشير إلى أن + +238 +00:17:55,260 --> 00:17:57,760 +الجلد الذي مليء من الهواء لم يبقى طبيعيًا طبيعيًا + +239 +00:17:57,760 --> 00:17:59,020 +طبيعيًا طبيعيًا طبيعيًا طبيعيًا طبيعيًا طبيعيًا طبيعيًا + +240 +00:17:59,020 --> 00:17:59,800 +طبيعيًا + +241 +00:17:59,800 --> 00:18:08,860 +طبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًاطبيعيًا + +242 +00:18:09,350 --> 00:18:13,950 +لتحقق من الصدر الأمامي، دع المريض يقلق supine ويعيش + +243 +00:18:13,950 --> 00:18:18,290 +بشكل طبيعي، وانتظر حالة الصدر، وانتظر الصدر + +244 +00:18:18,290 --> 00:18:23,700 +لتحالفات، عدم تماثل، وتحرك التنفس. بالتالي، قم بتحرير + +245 +00:18:23,700 --> 00:18:28,940 +الصدر لتجد أي مكان من التنقل أو لتحقيق أي مصادر أو + +246 +00:18:28,940 --> 00:18:33,680 +غير عادية. بعد ذلك، تحقق من تجويف الرئة، واضع + +247 +00:18:33,680 --> 00:18:36,740 +يديك على جانب كل جزء من الصدر مع يديك على جزء من + +248 +00:18:36,740 --> 00:18:41,880 +مصادر الصدر، اترك عينين مفتوحتين بين يديك واسأل + +249 +00:18:41,880 --> 00:18:46,220 +المريض أن يتخلص من نفسه. تخلص من نفسك و اتخلص من + +250 +00:18:46,220 --> 00:18:49,980 +نفسك تمامًا مرة + +251 +00:18:49,980 --> 00:18:54,930 +Observe the displacement of your thumbs and + +252 +00:18:54,930 --> 00:18:57,870 +feel for the range and symmetry of movement as the + +253 +00:18:57,870 --> 00:19:02,050 +patient exhales fully. Next, palpate for tactile + +254 +00:19:02,050 --> 00:19:07,010 +femoris as the patient repeats. Compare +255 +00:19:07,010 --> 00:19:10,730 +symmetrical areas using the edge of the hand to + +256 +00:19:10,730 --> 00:19:14,440 +detect vibrations. It is also common بسبب أن الـ + +257 +00:19:14,440 --> 00:19:19,180 +fremitus صعب تشعر من خلال دم الناس في تلك الحالات، + +258 +00:19:19,180 --> 00:19:24,860 +قد تحتاج أن تدفع دمها بطيئة أخرى، تدفع دم الناس في + +259 +00:19:24,860 --> 00:19:29,680 +مناطق متساومة في الانترال، من المنطق المتساومي إلى + +260 +00:19:29,680 --> 00:19:34,180 +الجزء السادس أو أعلى. مرة مرة مرة مرة مرة مرة مرة + +261 +00:19:34,180 --> 00:19:34,200 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +262 +00:19:34,200 --> 00:19:35,180 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +263 +00:19:35,180 --> 00:19:35,240 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +264 +00:19:35,240 --> 00:19:42,320 +مرة مرة مرة مرة مرة مرة + +265 +00:19:42,320 --> 00:19:47,850 +مإذا كنت ترغب في تحقق مستوى ديافرام اليسار من + +266 +00:19:47,850 --> 00:19:52,410 +الأمام، فتحقق من الجلد المتواصل إلى الجلد المدخل + +267 +00:19:52,410 --> 00:19:56,750 +لتحقق + +268 +00:19:56,750 --> 00:20:02,930 +من الجلد المتواصل إلى الجلد المدخل لتحقق + +269 +00:20:02,930 --> 00:20:06,750 +من الجلد المتواصل من الجلد المدخل لتحقق + +270 +00:20:06,750 --> 00:20:08,290 +من الجلد المدخل من الجلد المدخل لتحقق من الجلد + +271 +00:20:08,290 --> 00:20:09,550 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +272 +00:20:09,550 --> 00:20:09,570 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +273 +00:20:09,570 --> 00:20:09,590 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +274 +00:20:09,590 --> 00:20:15,630 +المداستمع إلى مدينة وقيمة وقيمة صوت الانبعاطي + +275 +00:20:15,630 --> 00:20:20,230 +والانبعاطي. اختيار أي نوع من الصوت الذهبي الذي + +276 +00:20:20,230 --> 00:20:26,370 +تسمعه واختيار أي صوت إضافي إذا سمعت صوت قلب قريب + +277 +00:20:26,370 --> 00:20:29,630 +من قلب تحاول تغييرهم بينما تركز على الصوت الذهبي + +278 +00:20:29,630 --> 00:20:39,040 +99. مرة مرة 99 99 99 99إذا أسمعت برانكا أو برانكا + +279 +00:20:39,040 --> 00:20:40,100 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +280 +00:20:40,100 --> 00:20:41,280 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +281 +00:20:41,280 --> 00:20:44,120 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +282 +00:20:44,120 --> 00:20:45,660 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +283 +00:20:45,660 --> 00:20:45,720 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +284 +00:20:45,720 --> 00:20:49,280 +الهواتف + +285 +00:20:49,280 --> 00:21:02,920 +الهواتف الهواتف الهواتف الهواتف اله + +286 +00:21:03,580 --> 00:21:09,300 +للطيب الصحيح، قرارك قد يتضمن مجموعة لغة ومقارنة، + +287 +00:21:09,300 --> 00:21:13,620 +على سبيل المثال، الـThorax هو مرتبط بشكل جيد، + +288 +00:21:13,620 --> 00:21:15,600 +الجسد مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +289 +00:21:15,600 --> 00:21:17,220 +مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط + +290 +00:21:17,220 --> 00:21:18,820 +بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +291 +00:21:18,820 --> 00:21:18,980 +مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط + +292 +00:21:18,980 --> 00:21:23,260 +بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +293 +00:21:23,260 --> 00:21:32,580 +مرتبط بشكل + +294 +00:21:32,580 --> 00:21:36,840 +Percussion and auscultation of the posterior and + +295 +00:21:36,840 --> 00:21:38,100 +anterior thorax diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..7eb0a022b7ca8853fecf12045bf1cd8bad9c9963 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs_postprocess.srt @@ -0,0 +1,1180 @@ +1 +00:00:06,460 --> 00:00:10,120 +هذا الفيديو يبدأ مع تجربة قصيرة لتحقيق قصة صحيحة + +2 +00:00:10,120 --> 00:00:15,320 +ومن ثم تجربة الثوراكس ومن ثم تجربة الثوراكس ومن ثم + +3 +00:00:15,320 --> 00:00:16,880 +تجربة الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +4 +00:00:16,880 --> 00:00:17,060 +الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +5 +00:00:17,060 --> 00:00:18,040 +الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +6 +00:00:18,040 --> 00:00:19,700 +الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +7 +00:00:19,700 --> 00:00:23,440 +الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +8 +00:00:23,440 --> 00:00:34,350 +الثوراكس ومن ثم تجربة الثورافي عملية علمية، + +9 +00:00:34,350 --> 00:00:37,610 +بإمكانك أن تجد نفس الوثائق الطبيعي أو بإمكانك أن + +10 +00:00:37,610 --> 00:00:42,890 +تكتشف الوثائق الطبيعي أو الوثائق الغير طبيعي الـ + +11 +00:00:42,890 --> 00:00:48,630 +Health + +12 +00:00:48,630 --> 00:00:51,850 +History Interview هي مقابلة مع مهمة ثلاث مرات، + +13 +00:00:51,850 --> 00:00:57,210 +لإنشاء علاقة ثقافية ودعمية، لتجمع المعلومات، + +14 +00:00:57,210 --> 00:01:02,480 +ولإعطاء المعلوماتفي حالة مخلوقات جديدة، ستجمع + +15 +00:01:02,480 --> 00:01:05,860 +المعلومات التي ستجعلها أساساً لقراءة تاريخ البيئة + +16 +00:01:05,860 --> 00:01:08,760 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +17 +00:01:08,760 --> 00:01:09,060 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +18 +00:01:09,060 --> 00:01:09,760 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +19 +00:01:09,760 --> 00:01:10,100 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +20 +00:01:10,100 --> 00:01:10,800 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +21 +00:01:10,800 --> 00:01:12,140 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +22 +00:01:12,140 --> 00:01:19,860 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +23 +00:01:19,860 --> 00:01:28,740 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +24 +00:01:28,740 --> 00:01:37,150 +التفWheezing Cough Bloodstream Sputum بإلصاد أهداف + +25 +00:01:37,150 --> 00:01:42,550 +المريض قبل تجارب التجارب، تستعد لتجارب مفيدة + +26 +00:01:42,550 --> 00:01:51,090 +ومصالحية مع تاريخ + +27 +00:01:51,090 --> 00:01:56,320 +حياة المريض في ذهنك، أنت مستعد للتجاربمفهوم + +28 +00:01:56,320 --> 00:02:00,260 +التراثيكي مرتبط بالتجارة التجارية لتجارة الـ + +29 +00:02:00,260 --> 00:02:04,400 +thorax لذلك دعونا نأخذ قليل من الوقت لنقوم بتجارة + +30 +00:02:04,400 --> 00:02:09,140 +هذه التجارة قبل أن نبدأ تجارتنا تجارة الـ bony + +31 +00:02:09,140 --> 00:02:13,100 +thorax تجمع قلوب والدموع ويقوم بمقالة جزء من جزء + +32 +00:02:13,100 --> 00:02:14,260 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +33 +00:02:14,260 --> 00:02:15,280 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +34 +00:02:15,280 --> 00:02:16,340 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +35 +00:02:16,340 --> 00:02:17,530 +من جزء من جزء من جزء من جزء من جزء من جزء من جزالـ + +36 +00:02:17,530 --> 00:02:21,290 +thorax تحتوي على 12 مجموعات من الحرارة ومعظمها + +37 +00:02:21,290 --> 00:02:25,190 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +38 +00:02:25,190 --> 00:02:25,550 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +39 +00:02:25,550 --> 00:02:25,970 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +40 +00:02:25,970 --> 00:02:29,970 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +41 +00:02:29,970 --> 00:02:33,590 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +42 +00:02:33,590 --> 00:02:37,710 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +43 +00:02:37,710 --> 00:02:46,590 +مجموعات عضوية ومعظمها مجم + +44 +00:02:48,250 --> 00:02:52,390 +لتقاتلها، تبدأ في الـ Supersternal Notch و تسلسل + +45 +00:02:52,390 --> 00:02:57,330 +يديك للأسفل حوال 5 cm حتى تشعر بالجسد الحضاري اللي + +46 +00:02:57,330 --> 00:03:01,670 +يجمع المنوبيوم إلى جسم السترنم هذا هو الانجل + +47 +00:03:01,670 --> 00:03:07,330 +السترنمي اللاترال لهذا الانجل يوجد الجزء الثاني، + +48 +00:03:07,330 --> 00:03:12,770 +الجزء التاني المتوسط فقط في الأسفللتعرفي الجزرين + +49 +00:03:12,770 --> 00:03:16,310 +الأسفل والجزرين الأسفل بشكل عدد بداية في الجزر + +50 +00:03:16,310 --> 00:03:21,270 +الثاني وانتظر يدك من الجزر إلى الجزر في طريقه + +51 +00:03:21,270 --> 00:03:26,050 +الأسفل والجزر الدوري + +52 +00:03:26,050 --> 00:03:35,190 +بعد + +53 +00:03:35,190 --> 00:03:39,190 +ذلك، يكون أعضاء السكاكولي عادة على مستوى T7 + +54 +00:03:41,500 --> 00:03:45,200 +عند حاولة الوصول لحقائقك، يجب عليك أن تدرس خطوط + +55 +00:03:45,200 --> 00:03:50,760 +المريض بشكل صحيح. اجد T12 وخطوط الـ12 المقابلة + +56 +00:03:50,760 --> 00:03:56,040 +بضغط من خلال خزان الخطوط. بعد ذلك، اسحب يديك من + +57 +00:03:56,040 --> 00:04:01,620 +الأعلى ومن خلال الخطوط إلى الـ11 مخصص الداخلي. من + +58 +00:04:01,620 --> 00:04:06,670 +هنا، تحرك يديك إلى الأعلى في المخصص الداخلي.طريقة + +59 +00:04:06,670 --> 00:04:10,710 +مختلفة لنموذج الجحيم هي أن تقوم بإعادة عملية عملية + +60 +00:04:10,710 --> 00:04:11,290 +عملية عملية عملية عملية عملية عملية عملية عملية + +61 +00:04:11,290 --> 00:04:11,550 +عملية عملية عملية عملية عملية عملية عملية عملية + +62 +00:04:11,550 --> 00:04:17,350 +عملية عملية عملية عملية عملية + +63 +00:04:17,350 --> 00:04:20,490 +عملية عملية عملية عملية عملية عملية عملية عملية + +64 +00:04:20,490 --> 00:04:20,630 +عملية عملية عملية عملية عملية عملية عملية عملية + +65 +00:04:36,090 --> 00:04:43,190 +الساقية الساقية الساقية الساقية + +66 +00:04:43,190 --> 00:04:48,090 +الساقية الساقية الساقية الساقية الساقية الساقية + +67 +00:04:48,090 --> 00:04:49,750 +الساقية الساقية الساقية الساقية الساقية الساقية + +68 +00:04:49,750 --> 00:04:49,770 +الساقية الساقية الساقية الساقية الساقية الساقية + +69 +00:04:49,770 --> 00:04:49,830 +الساقية الساقية الساقية الساقية الساقية الساقية + +70 +00:04:49,830 --> 00:04:49,850 +الساقية الساقية الساقية الساقية الساقية الساقية + +71 +00:04:49,850 --> 00:04:50,030 +الساقية الساقية الساقية الساقية الساقية الساقية + +72 +00:04:50,030 --> 00:04:52,270 +الساقية الساقية الساقية الساقية الساقية الساقية + +73 +00:04:52,270 --> 00:05:04,730 +الساقية الساقية الساقية الساق + +74 +00:05:06,360 --> 00:05:10,860 +أمامًا، أعضاء الجلد عادة ترتفع 2 إلى 4 سنتيمتر + +75 +00:05:10,860 --> 00:05:16,720 +أعلى أعضاء الجلد الأسفل من كل جلد تتجاوز الجلد + +76 +00:05:16,720 --> 00:05:20,520 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +77 +00:05:20,520 --> 00:05:21,220 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +78 +00:05:21,220 --> 00:05:26,300 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +79 +00:05:26,300 --> 00:05:27,200 +الساقية في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +80 +00:05:27,200 --> 00:05:33,560 +الساقية في أعضاء الجلد الساقية وتتجاوز تجاوز + +81 +00:05:33,560 --> 00:05:38,120 +الجلد الساقية في أعضاء الجلد الساللون اليسرى مختلط + +82 +00:05:38,120 --> 00:05:44,600 +إلى اتصالين ويبدو هكذا، من الأعلى إلى الأسفل إلى + +83 +00:05:44,600 --> 00:05:49,460 +الأسفل إلى الأعلى إلى الأسفل إلى الأسفل إلى الأسفل + +84 +00:05:49,460 --> 00:05:57,960 +إلى الأسفل إلى الأسفل إلى الأسفل إلى + +85 +00:05:57,960 --> 00:06:00,600 +الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل + +86 +00:06:00,600 --> 00:06:00,800 +إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى + +87 +00:06:00,800 --> 00:06:05,160 +الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل + +88 +00:06:05,160 --> 00:06:08,520 +إلى الأسفل إلى الأسفلبعد ذلك، ستسمحي هذه الثالثة + +89 +00:06:08,520 --> 00:06:14,920 +عضوًا مختلفًا التراكية تتفرك إلى البرانكاية الأسفل + +90 +00:06:14,920 --> 00:06:20,060 +والأسفل على مستوى الانترال الأسطوري وعلى مستوى تي + +91 +00:06:20,060 --> 00:06:24,720 +فور باستيريالي صوت الهواء قريب من هذه المناطق عادة + +92 +00:06:24,720 --> 00:06:27,820 +تكون أسلحة أسلحة أسلحة أسلحة أسلحة أخرى على الجلد + +93 +00:06:36,510 --> 00:06:38,470 +Okay, I'm gonna go ahead and examine your chest + +94 +00:06:38,470 --> 00:06:41,630 +now. Just breathe normally for me. Okay.Begin your + +95 +00:06:41,630 --> 00:06:44,510 +examination of the chest with a brief survey of + +96 +00:06:44,510 --> 00:06:48,570 +the patient's thorax and respiration. Is the + +97 +00:06:48,570 --> 00:06:51,730 +thorax symmetrical? Are there any bony + +98 +00:06:51,730 --> 00:06:55,750 +deformities? Note the lateral diameter of the + +99 +00:06:55,750 --> 00:06:59,530 +patient's chest. Does the anteroposterior diameter + +100 +00:06:59,530 --> 00:07:03,110 +seem increased, suggesting possible obstructive + +101 +00:07:03,110 --> 00:07:06,760 +lung disease?في هذا الشخص، تبدو عبارة عن عبارة عن + +102 +00:07:06,760 --> 00:07:07,900 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +103 +00:07:07,900 --> 00:07:10,180 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +104 +00:07:10,180 --> 00:07:11,760 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +105 +00:07:11,760 --> 00:07:13,500 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +106 +00:07:13,500 --> 00:07:14,780 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +107 +00:07:14,780 --> 00:07:18,700 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +108 +00:07:18,700 --> 00:07:23,280 +عن عبارة عن عبارة + +109 +00:07:23,280 --> 00:07:23,480 +عن + +110 +00:07:33,820 --> 00:07:36,440 +انتج رأس المريض لترتيب مصادر الـ + +111 +00:07:36,440 --> 00:07:40,840 +Sternocleidomastoid من الخلفية السعودي، يشير إلى + +112 +00:07:40,840 --> 00:07:47,340 +صعوبة الهواظران. هذا غالبًا ليس موجودًا. قم بتحرير + +113 +00:07:47,340 --> 00:07:51,720 +المصادر السعودي للتحقق من موقع التراكيه. يجب أن + +114 +00:07:51,720 --> 00:07:55,680 +يكون في المنطقة الأساسية. تحقق ألوان ملابس المريض + +115 +00:07:55,680 --> 00:08:01,920 +ومصادر الساقين لأي سيانوسس، ألوان أزرق يتم تحريكه. + +116 +00:08:03,690 --> 00:08:06,890 +الطفولة و الناس الصغيرة بشكل طبيعي مثل هذا + +117 +00:08:06,890 --> 00:08:11,430 +المستخدم هل + +118 +00:08:11,430 --> 00:08:15,550 +يمكنك + +119 +00:08:15,550 --> 00:08:19,430 +أن تتجاوز يديك و تضع يديك على الجدران المقابل هذا + +120 +00:08:19,430 --> 00:08:23,350 +هو فقط كذلك و اتخذ نفسك بشكل طبيعي لدي المستخدم ان + +121 +00:08:23,350 --> 00:08:25,850 +يضع يديه على الجدران المقابل و تتخذ نفسك بشكل + +122 +00:08:25,850 --> 00:08:33,040 +طبيعي اتفقد الثوراك الأعلى بدءًا من التحققobserve + +123 +00:08:33,040 --> 00:08:36,700 +the chest for contour, symmetry and deformities + +124 +00:08:36,700 --> 00:08:43,500 +also inspect the overlying skin then palpate the + +125 +00:08:43,500 --> 00:08:46,460 +chest wall to locate any areas of pain or + +126 +00:08:46,460 --> 00:08:49,320 +tenderness or to assess any lesions or + +127 +00:08:49,320 --> 00:08:51,720 +abnormalities you may have found during inspection + +128 +00:08:52,560 --> 00:08:57,440 +لتحقق اتفاق الزباق، وضع يديك قريب من رأس المريض، + +129 +00:08:57,440 --> 00:09:02,540 +في مستوى T10، واسحب يديك بسيطًا عبر الثوراك + +130 +00:09:02,540 --> 00:09:07,960 +الخارجي، طبعًا اطلب من المريض ان يهيأ و يهيأ + +131 +00:09:07,960 --> 00:09:12,720 +كثيرًا و كثيرًا، بينما تشاهد تنقل يديك و تشعر + +132 +00:09:12,720 --> 00:09:18,300 +بالطولة و المساعدة للتحرك. التالت، اتفقق بشكل كام + +133 +00:09:18,300 --> 00:09:22,720 +لـ Tactile FremorisOkay, I'm going to put your + +134 +00:09:22,720 --> 00:09:25,460 +hands on your chest and please say 99 every time I + +135 +00:09:25,460 --> 00:09:29,300 +touch you 99 Feel for the vibrations of tactile + +136 +00:09:29,300 --> 00:09:33,240 +fremitus as the patient continues repeating 99, + +137 +00:09:33,700 --> 00:09:37,380 +blue moon or some similar phrase consisting of two + +138 +00:09:37,380 --> 00:09:40,920 +or three equally accented syllables. Using the + +139 +00:09:40,920 --> 00:09:44,900 +edge of the hand is also commonidentify areas of + +140 +00:09:44,900 --> 00:09:48,820 +increased, decreased or absent fremitus continue + +141 +00:09:48,820 --> 00:09:51,700 +the examination by percussing the chest in a + +142 +00:09:51,700 --> 00:09:55,140 +systematic manner moving down the thorax and going + +143 +00:09:55,140 --> 00:09:58,360 +from side to side as demonstrated in a ladder + +144 +00:09:58,360 --> 00:10:02,180 +pattern remember that only the posterior surface + +145 +00:10:02,180 --> 00:10:04,980 +of your pleximeter finger should be in contact + +146 +00:10:04,980 --> 00:10:08,980 +with the chest wall wrist motion should be relaxed + +147 +00:10:08,980 --> 00:10:12,080 +and fluid as you make two strikes with your third + +148 +00:10:12,080 --> 00:10:19,870 +fingerانتقل من أعلى إلى أسفل الجلد، إستمع للقوة + +149 +00:10:19,870 --> 00:10:28,310 +والدرجة ومدتك وانتقل عن شعور الضغط، ثم قرر ماهي + +150 +00:10:28,310 --> 00:10:34,290 +المقالات التي تسمعها، الجلد العادل مرتبطة، اكتشف + +151 +00:10:34,290 --> 00:10:39,640 +جزء من المناطق التي تسمعها غضب غضببعد ذلك استخدم + +152 +00:10:39,640 --> 00:10:43,680 +ترقص لتعرف مستوى ديافرام و تقوم بتقاط ترقص ديافرام + +153 +00:10:43,680 --> 00:10:48,640 +إذا كان كل شيء بخير سأضع بعض اللوحات على رأسك فأخذ + +154 +00:10:48,640 --> 00:10:52,740 +نفسك إلى الخارج و اتركها لأجلي أرجوك ثم ترقص لأسفل + +155 +00:10:52,740 --> 00:10:57,480 +من أعلى مستوى ديافرام حتى يكون الـ dullness مسموح + +156 +00:10:57,480 --> 00:11:03,720 +لك تمامًا بعد تحقيق مسموح للطبيعي، ترقص مستوى + +157 +00:11:03,720 --> 00:11:08,270 +مستوى الـ full expirationبعد ذلك، أخذ المستخدم + +158 +00:11:08,270 --> 00:11:12,610 +لإنهاء بشكل كبير و أمسكه فيه، ثم أدخل للأسفل إلى + +159 +00:11:12,610 --> 00:11:18,830 +مستوى الظلمة في مصورة كامة، و أمسكه مرة أخرى مرة + +160 +00:11:18,830 --> 00:11:19,290 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +161 +00:11:19,290 --> 00:11:19,590 +مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة + +162 +00:11:19,590 --> 00:11:20,210 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +163 +00:11:20,210 --> 00:11:23,090 +مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة + +164 +00:11:23,090 --> 00:11:27,310 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +165 +00:11:27,310 --> 00:11:31,010 +مرة أخرى مرة أخرى مرة + +166 +00:11:39,640 --> 00:11:42,180 +لنتوقف لحظة ونقوم بمقابلة صوت الهواتف الطبيعي + +167 +00:11:42,180 --> 00:11:46,380 +ومفيد الصوت الهواتف الهواتف الهواتف الهواتف + +168 +00:11:46,380 --> 00:11:49,240 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +169 +00:11:49,240 --> 00:11:50,200 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +170 +00:11:50,200 --> 00:11:52,140 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +171 +00:11:52,140 --> 00:11:55,420 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +172 +00:11:55,420 --> 00:11:56,760 +الهواتف الهواتف الهواتف الهوات + +173 +00:12:05,220 --> 00:12:09,120 +هي تسمح بشكل طبيعي خلال تجهيزها وخلال أول ثانوية + +174 +00:12:09,120 --> 00:12:12,180 +من التجهيز ويمكن أن تسمح بشكل طبيعي خلال أكتر من + +175 +00:12:12,180 --> 00:12:16,100 +مجموعات الجلد برانكيال الهواتف ممكن تسمح بشكل + +176 +00:12:16,100 --> 00:12:23,940 +طبيعي خلال تجهيزها وهذا طبيعي برانكيال + +177 +00:12:23,940 --> 00:12:26,620 +الهواتف ممكن تسمح بشكل طبيعي خلال تجهيزها وممكن + +178 +00:12:26,620 --> 00:12:27,640 +تسمح بشكل طبيعي خلال تجهيزها وممكن تسمح بشكل طبيعي + +179 +00:12:27,640 --> 00:12:31,420 +خلال تجهيزها وممكن تسمح بشكل طبيعي خلال تجهيزها + +180 +00:12:31,420 --> 00:12:34,800 +وممكن تسمح بشكل طبيعي خلال تجهيالصوت الانتقالي + +181 +00:12:34,800 --> 00:12:39,440 +يدوم أكتر من الصوت الانتقالي وإن كان هناك فرق + +182 +00:12:39,440 --> 00:12:48,560 +محدود يقفز هذه الاثنين الصوتين الانتقالي + +183 +00:12:48,560 --> 00:12:55,900 +و الانتقالي + +184 +00:12:55,900 --> 00:12:58,420 +يدوم أكتر من الصوت الانتقالي و الانتقالي يدوم أكتر + +185 +00:12:58,420 --> 00:12:59,260 +من الصوت الانتقالي و الانتقالي يدوم أكتر من الصوت + +186 +00:12:59,260 --> 00:13:00,080 +الانتقالي و الانتقالي يدوم أكتر من الصوت الانتقالي + +187 +00:13:00,080 --> 00:13:00,200 +الانتقالي يدوم أكتر من الصوت الانتقالي و الانتقالي + +188 +00:13:00,200 --> 00:13:01,450 +يدوم أكتر من الصوت الانتقالي و الانتقاليوالفترة + +189 +00:13:01,450 --> 00:13:03,930 +الصامتة قد أو لا تقوم بتقريرها. + +190 +00:13:08,210 --> 00:13:10,730 +يمكن أن تسمع هذه الصوتات في الاتصالات الأولى + +191 +00:13:10,730 --> 00:13:18,430 +والثانوية من الأعلى ومن خلال الجلد. دعنا نسمع هذه + +192 +00:13:18,430 --> 00:13:28,550 +الصوتات مرة أخرى لنقارنها. Vesicular Bronchial + +193 +00:13:33,510 --> 00:13:41,530 +و Bronchovascular ادمنتشز + +194 +00:13:41,530 --> 00:13:44,230 +او اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +195 +00:13:44,230 --> 00:13:44,570 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +196 +00:13:44,570 --> 00:13:47,070 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +197 +00:13:47,070 --> 00:13:47,790 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +198 +00:13:47,790 --> 00:13:48,350 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +199 +00:13:48,350 --> 00:13:48,910 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +200 +00:13:48,910 --> 00:13:55,170 +صوت اضافة صوت اضافة صوت اضافة + +201 +00:13:55,170 --> 00:13:59,870 +صوت اضافة صوت اضافة ص + +202 +00:14:09,330 --> 00:14:12,450 +الـ crackles are intermittent, non-musical and + +203 +00:14:12,450 --> 00:14:22,110 +brief, like dots in time.Fine + +204 +00:14:22,110 --> 00:14:25,430 +crackles are soft, high-pitched and very brief, + +205 +00:14:26,190 --> 00:14:28,270 +and often accompany congestive heart failure. + +206 +00:14:39,780 --> 00:14:50,320 +الحرارات الحارة هي أكبر و أسفر و أطول مقارنة + +207 +00:14:50,320 --> 00:14:55,200 +بحرارات ويزا و رانكاي تدوم أكتر و تبدو أكتر موسيقى + +208 +00:14:55,200 --> 00:14:59,160 +ويزا و رانكاي تدوم أكتر و تبدو أكتر ويزا و رانكاي + +209 +00:14:59,160 --> 00:15:00,360 +تدوم أكتر و تبدو أكتر ويزا و رانكاي تدوم أكتر و + +210 +00:15:00,360 --> 00:15:03,540 +تدوم أكتر و تدوم أكتر و تدوم أكتر و تدوم أكتر و + +211 +00:15:12,510 --> 00:15:17,750 +الرنكاي لديه قوة أسفل، قوة حرارية، ويقترح انهيارات + +212 +00:15:17,750 --> 00:15:22,330 +في محطمات كبيرة + +213 +00:15:22,330 --> 00:15:35,510 +لكي + +214 +00:15:35,510 --> 00:15:41,520 +تحرير الورق التلقائي، استخدم ديافرام السيثاسكوببدأ + +215 +00:15:41,520 --> 00:15:46,180 +في الـ Apices وانتقل إلى الأسفل، تحرك من جانب إلى + +216 +00:15:46,180 --> 00:15:50,880 +جانب، مرة أخرى، في شكل عبارة عن صوت الهواء في + +217 +00:15:50,880 --> 00:15:55,640 +منطقات متساومة، استمع إلى دuration، pitch + +218 +00:15:55,640 --> 00:16:01,560 +وintensity من الصوتين الانبعاطي و الانبعاطي، قرر + +219 +00:16:01,560 --> 00:16:07,400 +ماهو صوت الهواء الذي تسمعه، وقرر أي صوت مضاف،استمع + +220 +00:16:07,400 --> 00:16:12,480 +إلى أقل مرة في كل موقع الهواء في كل مكان أخذ نفسك + +221 +00:16:12,480 --> 00:16:14,560 +داخل و خارج بمفردك بمفردك بمفردك بمفردك بمفردك + +222 +00:16:14,560 --> 00:16:20,060 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +223 +00:16:20,060 --> 00:16:20,840 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +224 +00:16:20,840 --> 00:16:20,880 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +225 +00:16:20,880 --> 00:16:30,500 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بم + +226 +00:16:36,150 --> 00:16:39,670 +listen for transmitted voice sounds while + +227 +00:16:39,670 --> 00:16:42,590 +auscultating the chest again ask the patient to + +228 +00:16:42,590 --> 00:16:47,610 +say 99 say 99 99 + +229 +00:16:56,860 --> 00:17:00,000 +voice sounds that are louder and clearer than + +230 +00:17:00,000 --> 00:17:03,900 +normal as in this example are called bronchophony + +231 +00:17:03,900 --> 00:17:07,520 +next have the patient say E + +232 +00:17:19,530 --> 00:17:24,490 +عندما تصوير E مثلًا ايه ويكون لديه قوة نسالية مثل + +233 +00:17:24,490 --> 00:17:29,550 +هذه المثالة إيقافالي موجودة ترغب في تحسين مصادر + +234 +00:17:29,550 --> 00:17:35,350 +الجلد أخيرًا أطلب من المريض أن يحرر 123 + +235 +00:17:44,740 --> 00:17:47,000 +عندما تصوير هذه الصوتات أكثر صوتًا واضحًا من + +236 +00:17:47,000 --> 00:17:50,380 +الطبيعي، مثل هذه المثالة، تصوير الـ Pectoriloquy + +237 +00:17:50,380 --> 00:17:55,260 +موجودًا كل هذه التغييرات في صوت الصوت يشير إلى أن + +238 +00:17:55,260 --> 00:17:57,760 +الجلد اللي مليء من الهواء لم يبقى طابقًا طابقًا + +239 +00:17:57,760 --> 00:17:59,020 +طابقًا طابقًا طابقًا طابقًا طابقًا طابقًا طابقًا + +240 +00:17:59,020 --> 00:17:59,800 +طابقًا + +241 +00:17:59,800 --> 00:18:08,860 +طابقًاطابقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقن + +242 +00:18:09,350 --> 00:18:13,950 +لتحقق التوراق الأمامي، دع المشخص يقلق سوپاين ويعيش + +243 +00:18:13,950 --> 00:18:18,290 +بشكل طبيعي، وانتظر حالة الجلد، وانتظر الجلد + +244 +00:18:18,290 --> 00:18:23,700 +لتحالفات، أسيمترا، وتحرك الهواتفبالتالي، قم بتحرير + +245 +00:18:23,700 --> 00:18:28,940 +الجلد لتجد أي مكان من التنقل أو لتحقيق أي مصادر أو + +246 +00:18:28,940 --> 00:18:33,680 +غير عادية بعد ذلك، تحقيق تجولة الهواظران، واضع + +247 +00:18:33,680 --> 00:18:36,740 +يديك على جانب كل جزء من الجلد مع يديك على جزء من + +248 +00:18:36,740 --> 00:18:41,880 +مصادر الجلد، ارتكب عيون مفرومة بين يديك واسأل + +249 +00:18:41,880 --> 00:18:46,220 +المريض أن يتخلص من نفسه تخلص من نفسك و اتخلص من + +250 +00:18:46,220 --> 00:18:49,980 +نفسك تمامًا مرة + +251 +00:18:49,980 --> 00:18:54,930 +أخرىobserve the displacement of your thumbs and + +252 +00:18:54,930 --> 00:18:57,870 +feel for the range and symmetry of movement as the + +253 +00:18:57,870 --> 00:19:02,050 +patient exhales fully next palpate for tactile + +254 +00:19:02,050 --> 00:19:07,010 +femoris as the patient repeats 99 compare + +255 +00:19:07,010 --> 00:19:10,730 +symmetrical areas using the edge of the hand to + +256 +00:19:10,730 --> 00:19:14,440 +detect vibrations is also commonبسبب أن الـ + +257 +00:19:14,440 --> 00:19:19,180 +fremitus صعب تشعر من خلال دم الناس في تلك الحالات، + +258 +00:19:19,180 --> 00:19:24,860 +قد تحتاج أن تدفع دمها بطيئة أخرى، تدفع دم الناس في + +259 +00:19:24,860 --> 00:19:29,680 +مناطق متساومة في الانترال، من المنطق المتساومي إلى + +260 +00:19:29,680 --> 00:19:34,180 +الجزء السادس أو أعلى مرة مرة مرة مرة مرة مرة مرة + +261 +00:19:34,180 --> 00:19:34,200 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +262 +00:19:34,200 --> 00:19:35,180 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +263 +00:19:35,180 --> 00:19:35,240 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +264 +00:19:35,240 --> 00:19:42,320 +مرة مرة مرة مرة مرة مرة + +265 +00:19:42,320 --> 00:19:47,850 +مإذا كنت ترغب في تحقق مستوى ديافرام اليسار من + +266 +00:19:47,850 --> 00:19:52,410 +الأمام، فتحقق من الجلد المتواصل إلى الجلد المدخل + +267 +00:19:52,410 --> 00:19:56,750 +لتحقق + +268 +00:19:56,750 --> 00:20:02,930 +من الجلد المتواصل إلى الجلد المدخل لتحقق + +269 +00:20:02,930 --> 00:20:06,750 +من الجلد المتواصل من الجلد المدخل لتحقق + +270 +00:20:06,750 --> 00:20:08,290 +من الجلد المدخل من الجلد المدخل لتحقق من الجلد + +271 +00:20:08,290 --> 00:20:09,550 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +272 +00:20:09,550 --> 00:20:09,570 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +273 +00:20:09,570 --> 00:20:09,590 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +274 +00:20:09,590 --> 00:20:15,630 +المداستمع إلى مدينة وقيمة وقيمة صوت الانبعاطي + +275 +00:20:15,630 --> 00:20:20,230 +والانبعاطي اختيار اي نوع من الصوت الذهبي الذي + +276 +00:20:20,230 --> 00:20:26,370 +تسمعه واختيار اي صوت اضافي إذا سمعت صوت قلب قريب + +277 +00:20:26,370 --> 00:20:29,630 +من قلب تحاول تغييرهم بينما تركز على الصوت الذهبي + +278 +00:20:29,630 --> 00:20:39,040 +99 مرة مرة 99 99 99 99إذا أسمعت برانكا أو برانكا + +279 +00:20:39,040 --> 00:20:40,100 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +280 +00:20:40,100 --> 00:20:41,280 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +281 +00:20:41,280 --> 00:20:44,120 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +282 +00:20:44,120 --> 00:20:45,660 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +283 +00:20:45,660 --> 00:20:45,720 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +284 +00:20:45,720 --> 00:20:49,280 +الهواتف + +285 +00:20:49,280 --> 00:21:02,920 +الهواتف الهواتف الهواتف الهواتف اله + +286 +00:21:03,580 --> 00:21:09,300 +للطيب الصحيح، قرارك قد يتضمن مجموعة لغة ومقارنة، + +287 +00:21:09,300 --> 00:21:13,620 +على سبيل المثال، الـThorax هو مرتبط بشكل جيد، + +288 +00:21:13,620 --> 00:21:15,600 +الجسد مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +289 +00:21:15,600 --> 00:21:17,220 +مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط + +290 +00:21:17,220 --> 00:21:18,820 +بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +291 +00:21:18,820 --> 00:21:18,980 +مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط + +292 +00:21:18,980 --> 00:21:23,260 +بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +293 +00:21:23,260 --> 00:21:32,580 +مرتبط بشكل + +294 +00:21:32,580 --> 00:21:36,840 +مPercussion and auscultation of the posterior and + +295 +00:21:36,840 --> 00:21:38,100 +anterior thorax + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs_raw.json b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..536f58fa32e32652e414365f53a2cb94f8fb89f7 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/Ykd66Iz-Mjs_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3170, "start": 6.46, "end": 31.7, "text": "هذا الفيديو يبدأ مع تجربة قصيرة 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"word": " الصوت", "probability": 0.961181640625}, {"start": 780.08, "end": 780.08, "word": " الانتقالي", "probability": 0.9872233072916666}, {"start": 780.08, "end": 780.08, "word": " و", "probability": 0.61572265625}, {"start": 780.08, "end": 780.08, "word": " الانتقالي", "probability": 0.9842936197916666}, {"start": 780.08, "end": 780.08, "word": " يدوم", "probability": 0.97900390625}, {"start": 780.08, "end": 780.08, "word": " أكتر", "probability": 0.98291015625}, {"start": 780.08, "end": 780.08, "word": " من", "probability": 0.99609375}, {"start": 780.08, "end": 780.08, "word": " الصوت", "probability": 0.96484375}, {"start": 780.08, "end": 780.08, "word": " الانتقالي", "probability": 0.989013671875}, {"start": 780.08, "end": 780.08, "word": " و", "probability": 0.60888671875}, {"start": 780.08, "end": 780.2, "word": " الانتقالي", "probability": 0.9820963541666666}, {"start": 780.2, "end": 780.2, "word": " يدوم", "probability": 0.96435546875}, {"start": 780.2, "end": 780.2, "word": 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+الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +6 +00:00:18,040 --> 00:00:19,700 +الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +7 +00:00:19,700 --> 00:00:23,440 +الثوراكس ومن ثم تجربة الثوراكس ومن ثم تجربة + +8 +00:00:23,440 --> 00:00:34,350 +الثوراكس ومن ثم تجربة الثورافي عملية علمية، + +9 +00:00:34,350 --> 00:00:37,610 +بإمكانك أن تجد نفس الوثائق الطبيعي أو بإمكانك أن + +10 +00:00:37,610 --> 00:00:42,890 +تكتشف الوثائق الطبيعي أو الوثائق الغير طبيعي الـ + +11 +00:00:42,890 --> 00:00:48,630 +Health + +12 +00:00:48,630 --> 00:00:51,850 +History Interview هي مقابلة مع مهمة ثلاث مرات، + +13 +00:00:51,850 --> 00:00:57,210 +لإنشاء علاقة ثقافية ودعمية، لتجمع المعلومات، + +14 +00:00:57,210 --> 00:01:02,480 +ولإعطاء المعلوماتفي حالة مخلوقات جديدة، ستجمع + +15 +00:01:02,480 --> 00:01:05,860 +المعلومات التي ستجعلها أساساً لقراءة تاريخ البيئة + +16 +00:01:05,860 --> 00:01:08,760 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +17 +00:01:08,760 --> 00:01:09,060 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +18 +00:01:09,060 --> 00:01:09,760 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +19 +00:01:09,760 --> 00:01:10,100 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +20 +00:01:10,100 --> 00:01:10,800 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +21 +00:01:10,800 --> 00:01:12,140 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +22 +00:01:12,140 --> 00:01:19,860 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +23 +00:01:19,860 --> 00:01:28,740 +التفاصيلية للمخلوقات التفاصيلية للمخلوقات + +24 +00:01:28,740 --> 00:01:37,150 +التفWheezing Cough Bloodstream Sputum بإلصاد أهداف + +25 +00:01:37,150 --> 00:01:42,550 +المريض قبل تجارب التجارب، تستعد لتجارب مفيدة + +26 +00:01:42,550 --> 00:01:51,090 +ومصالحية مع تاريخ + +27 +00:01:51,090 --> 00:01:56,320 +حياة المريض في ذهنك، أنت مستعد للتجاربمفهوم + +28 +00:01:56,320 --> 00:02:00,260 +التراثيكي مرتبط بالتجارة التجارية لتجارة الـ + +29 +00:02:00,260 --> 00:02:04,400 +thorax لذلك دعونا نأخذ قليل من الوقت لنقوم بتجارة + +30 +00:02:04,400 --> 00:02:09,140 +هذه التجارة قبل أن نبدأ تجارتنا تجارة الـ bony + +31 +00:02:09,140 --> 00:02:13,100 +thorax تجمع قلوب والدموع ويقوم بمقالة جزء من جزء + +32 +00:02:13,100 --> 00:02:14,260 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +33 +00:02:14,260 --> 00:02:15,280 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +34 +00:02:15,280 --> 00:02:16,340 +من جزء من جزء من جزء من جزء من جزء من جزء من جزء + +35 +00:02:16,340 --> 00:02:17,530 +من جزء من جزء من جزء من جزء من جزء من جزء من جزالـ + +36 +00:02:17,530 --> 00:02:21,290 +thorax تحتوي على 12 مجموعات من الحرارة ومعظمها + +37 +00:02:21,290 --> 00:02:25,190 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +38 +00:02:25,190 --> 00:02:25,550 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +39 +00:02:25,550 --> 00:02:25,970 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +40 +00:02:25,970 --> 00:02:29,970 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +41 +00:02:29,970 --> 00:02:33,590 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +42 +00:02:33,590 --> 00:02:37,710 +مجموعات عضوية ومعظمها مجموعات عضوية ومعظمها + +43 +00:02:37,710 --> 00:02:46,590 +مجموعات عضوية ومعظمها مجم + +44 +00:02:48,250 --> 00:02:52,390 +لتقاتلها، تبدأ في الـ Supersternal Notch و تسلسل + +45 +00:02:52,390 --> 00:02:57,330 +يديك للأسفل حوال 5 cm حتى تشعر بالجسد الحضاري اللي + +46 +00:02:57,330 --> 00:03:01,670 +يجمع المنوبيوم إلى جسم السترنم هذا هو الانجل + +47 +00:03:01,670 --> 00:03:07,330 +السترنمي اللاترال لهذا الانجل يوجد الجزء الثاني، + +48 +00:03:07,330 --> 00:03:12,770 +الجزء التاني المتوسط فقط في الأسفللتعرفي الجزرين + +49 +00:03:12,770 --> 00:03:16,310 +الأسفل والجزرين الأسفل بشكل عدد بداية في الجزر + +50 +00:03:16,310 --> 00:03:21,270 +الثاني وانتظر يدك من الجزر إلى الجزر في طريقه + +51 +00:03:21,270 --> 00:03:26,050 +الأسفل والجزر الدوري + +52 +00:03:26,050 --> 00:03:35,190 +بعد + +53 +00:03:35,190 --> 00:03:39,190 +ذلك، يكون أعضاء السكاكولي عادة على مستوى T7 + +54 +00:03:41,500 --> 00:03:45,200 +عند حاولة الوصول لحقائقك، يجب عليك أن تدرس خطوط + +55 +00:03:45,200 --> 00:03:50,760 +المريض بشكل صحيح. اجد T12 وخطوط الـ12 المقابلة + +56 +00:03:50,760 --> 00:03:56,040 +بضغط من خلال خزان الخطوط. بعد ذلك، اسحب يديك من + +57 +00:03:56,040 --> 00:04:01,620 +الأعلى ومن خلال الخطوط إلى الـ11 مخصص الداخلي. من + +58 +00:04:01,620 --> 00:04:06,670 +هنا، تحرك يديك إلى الأعلى في المخصص الداخلي.طريقة + +59 +00:04:06,670 --> 00:04:10,710 +مختلفة لنموذج الجحيم هي أن تقوم بإعادة عملية عملية + +60 +00:04:10,710 --> 00:04:11,290 +عملية عملية عملية عملية عملية عملية عملية عملية + +61 +00:04:11,290 --> 00:04:11,550 +عملية عملية عملية عملية عملية عملية عملية عملية + +62 +00:04:11,550 --> 00:04:17,350 +عملية عملية عملية عملية عملية + +63 +00:04:17,350 --> 00:04:20,490 +عملية عملية عملية عملية عملية عملية عملية عملية + +64 +00:04:20,490 --> 00:04:20,630 +عملية عملية عملية عملية عملية عملية عملية عملية + +65 +00:04:20,630 --> 00:04:20,630 +عملية عملية عملية عملية عملية عملية عملية عملية + +66 +00:04:20,630 --> 00:04:20,630 +عملية عملية عملية عملية عملية عملية عملية عملية + +67 +00:04:20,630 --> 00:04:20,630 +عملية عملية عملية عملية عملية عملية عملية عملية + +68 +00:04:20,630 --> 00:04:20,630 +عملية عملية عملية + +69 +00:04:36,090 --> 00:04:43,190 +الساقية الساقية الساقية الساقية + +70 +00:04:43,190 --> 00:04:48,090 +الساقية الساقية الساقية الساقية الساقية الساقية + +71 +00:04:48,090 --> 00:04:49,750 +الساقية الساقية الساقية الساقية الساقية الساقية + +72 +00:04:49,750 --> 00:04:49,770 +الساقية الساقية الساقية الساقية الساقية الساقية + +73 +00:04:49,770 --> 00:04:49,830 +الساقية الساقية الساقية الساقية الساقية الساقية + +74 +00:04:49,830 --> 00:04:49,850 +الساقية الساقية الساقية الساقية الساقية الساقية + +75 +00:04:49,850 --> 00:04:50,030 +الساقية الساقية الساقية الساقية الساقية الساقية + +76 +00:04:50,030 --> 00:04:52,270 +الساقية الساقية الساقية الساقية الساقية الساقية + +77 +00:04:52,270 --> 00:04:52,270 +الساقية الساقية الساقية الساقية الساقية الساقية + +78 +00:04:52,270 --> 00:05:04,730 +الساقية الساقية الساقية الساق + +79 +00:05:06,360 --> 00:05:10,860 +أمامًا، أعضاء الجلد عادة ترتفع 2 إلى 4 سنتيمتر + +80 +00:05:10,860 --> 00:05:16,720 +أعلى أعضاء الجلد الأسفل من كل جلد تتجاوز الجلد + +81 +00:05:16,720 --> 00:05:20,520 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +82 +00:05:20,520 --> 00:05:21,220 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +83 +00:05:21,220 --> 00:05:26,300 +السادسة في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +84 +00:05:26,300 --> 00:05:27,200 +الساقية في أعضاء الجلد الساقية وتتجاوز تجاوز الجلد + +85 +00:05:27,200 --> 00:05:33,560 +الساقية في أعضاء الجلد الساقية وتتجاوز تجاوز + +86 +00:05:33,560 --> 00:05:38,120 +الجلد الساقية في أعضاء الجلد الساللون اليسرى مختلط + +87 +00:05:38,120 --> 00:05:44,600 +إلى اتصالين ويبدو هكذا، من الأعلى إلى الأسفل إلى + +88 +00:05:44,600 --> 00:05:49,460 +الأسفل إلى الأعلى إلى الأسفل إلى الأسفل إلى الأسفل + +89 +00:05:49,460 --> 00:05:57,960 +إلى الأسفل إلى الأسفل إلى الأسفل إلى + +90 +00:05:57,960 --> 00:06:00,600 +الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل + +91 +00:06:00,600 --> 00:06:00,800 +إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى + +92 +00:06:00,800 --> 00:06:05,160 +الأسفل إلى الأسفل إلى الأسفل إلى الأسفل إلى الأسفل + +93 +00:06:05,160 --> 00:06:08,520 +إلى الأسفل إلى الأسفلبعد ذلك، ستسمحي هذه الثالثة + +94 +00:06:08,520 --> 00:06:14,920 +عضوًا مختلفًا التراكية تتفرك إلى البرانكاية الأسفل + +95 +00:06:14,920 --> 00:06:20,060 +والأسفل على مستوى الانترال الأسطوري وعلى مستوى تي + +96 +00:06:20,060 --> 00:06:24,720 +فور باستيريالي صوت الهواء قريب من هذه المناطق عادة + +97 +00:06:24,720 --> 00:06:27,820 +تكون أسلحة أسلحة أسلحة أسلحة أسلحة أخرى على الجلد + +98 +00:06:36,510 --> 00:06:38,470 +Okay, I'm gonna go ahead and examine your chest + +99 +00:06:38,470 --> 00:06:41,630 +now. Just breathe normally for me. Okay.Begin your + +100 +00:06:41,630 --> 00:06:44,510 +examination of the chest with a brief survey of + +101 +00:06:44,510 --> 00:06:48,570 +the patient's thorax and respiration. Is the + +102 +00:06:48,570 --> 00:06:51,730 +thorax symmetrical? Are there any bony + +103 +00:06:51,730 --> 00:06:55,750 +deformities? Note the lateral diameter of the + +104 +00:06:55,750 --> 00:06:59,530 +patient's chest. Does the anteroposterior diameter + +105 +00:06:59,530 --> 00:07:03,110 +seem increased, suggesting possible obstructive + +106 +00:07:03,110 --> 00:07:06,760 +lung disease?في هذا الشخص، تبدو عبارة عن عبارة عن + +107 +00:07:06,760 --> 00:07:07,900 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +108 +00:07:07,900 --> 00:07:10,180 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +109 +00:07:10,180 --> 00:07:11,760 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +110 +00:07:11,760 --> 00:07:13,500 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +111 +00:07:13,500 --> 00:07:14,780 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +112 +00:07:14,780 --> 00:07:14,780 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +113 +00:07:14,780 --> 00:07:18,700 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +114 +00:07:18,700 --> 00:07:23,280 +عن عبارة عن عبارة + +115 +00:07:23,280 --> 00:07:23,480 +عن + +116 +00:07:33,820 --> 00:07:36,440 +انتج رأس المريض لترتيب مصادر الـ + +117 +00:07:36,440 --> 00:07:40,840 +Sternocleidomastoid من الخلفية السعودي، يشير إلى + +118 +00:07:40,840 --> 00:07:47,340 +صعوبة الهواظران. هذا غالبًا ليس موجودًا. قم بتحرير + +119 +00:07:47,340 --> 00:07:51,720 +المصادر السعودي للتحقق من موقع التراكيه. يجب أن + +120 +00:07:51,720 --> 00:07:55,680 +يكون في المنطقة الأساسية. تحقق ألوان ملابس المريض + +121 +00:07:55,680 --> 00:08:01,920 +ومصادر الساقين لأي سيانوسس، ألوان أزرق يتم تحريكه. + +122 +00:08:03,690 --> 00:08:06,890 +الطفولة و الناس الصغيرة بشكل طبيعي مثل هذا + +123 +00:08:06,890 --> 00:08:11,430 +المستخدم هل + +124 +00:08:11,430 --> 00:08:15,550 +يمكنك + +125 +00:08:15,550 --> 00:08:19,430 +أن تتجاوز يديك و تضع يديك على الجدران المقابل هذا + +126 +00:08:19,430 --> 00:08:23,350 +هو فقط كذلك و اتخذ نفسك بشكل طبيعي لدي المستخدم ان + +127 +00:08:23,350 --> 00:08:25,850 +يضع يديه على الجدران المقابل و تتخذ نفسك بشكل + +128 +00:08:25,850 --> 00:08:33,040 +طبيعي اتفقد الثوراك الأعلى بدءًا من التحققobserve + +129 +00:08:33,040 --> 00:08:36,700 +the chest for contour, symmetry and deformities + +130 +00:08:36,700 --> 00:08:43,500 +also inspect the overlying skin then palpate the + +131 +00:08:43,500 --> 00:08:46,460 +chest wall to locate any areas of pain or + +132 +00:08:46,460 --> 00:08:49,320 +tenderness or to assess any lesions or + +133 +00:08:49,320 --> 00:08:51,720 +abnormalities you may have found during inspection + +134 +00:08:52,560 --> 00:08:57,440 +لتحقق اتفاق الزباق، وضع يديك قريب من رأس المريض، + +135 +00:08:57,440 --> 00:09:02,540 +في مستوى T10، واسحب يديك بسيطًا عبر الثوراك + +136 +00:09:02,540 --> 00:09:07,960 +الخارجي، طبعًا اطلب من المريض ان يهيأ و يهيأ + +137 +00:09:07,960 --> 00:09:12,720 +كثيرًا و كثيرًا، بينما تشاهد تنقل يديك و تشعر + +138 +00:09:12,720 --> 00:09:18,300 +بالطولة و المساعدة للتحرك. التالت، اتفقق بشكل كام + +139 +00:09:18,300 --> 00:09:22,720 +لـ Tactile FremorisOkay, I'm going to put your + +140 +00:09:22,720 --> 00:09:25,460 +hands on your chest and please say 99 every time I + +141 +00:09:25,460 --> 00:09:29,300 +touch you 99 Feel for the vibrations of tactile + +142 +00:09:29,300 --> 00:09:33,240 +fremitus as the patient continues repeating 99, + +143 +00:09:33,700 --> 00:09:37,380 +blue moon or some similar phrase consisting of two + +144 +00:09:37,380 --> 00:09:40,920 +or three equally accented syllables. Using the + +145 +00:09:40,920 --> 00:09:44,900 +edge of the hand is also commonidentify areas of + +146 +00:09:44,900 --> 00:09:48,820 +increased, decreased or absent fremitus continue + +147 +00:09:48,820 --> 00:09:51,700 +the examination by percussing the chest in a + +148 +00:09:51,700 --> 00:09:55,140 +systematic manner moving down the thorax and going + +149 +00:09:55,140 --> 00:09:58,360 +from side to side as demonstrated in a ladder + +150 +00:09:58,360 --> 00:10:02,180 +pattern remember that only the posterior surface + +151 +00:10:02,180 --> 00:10:04,980 +of your pleximeter finger should be in contact + +152 +00:10:04,980 --> 00:10:08,980 +with the chest wall wrist motion should be relaxed + +153 +00:10:08,980 --> 00:10:12,080 +and fluid as you make two strikes with your third + +154 +00:10:12,080 --> 00:10:19,870 +fingerانتقل من أعلى إلى أسفل الجلد، إستمع للقوة + +155 +00:10:19,870 --> 00:10:28,310 +والدرجة ومدتك وانتقل عن شعور الضغط، ثم قرر ماهي + +156 +00:10:28,310 --> 00:10:34,290 +المقالات التي تسمعها، الجلد العادل مرتبطة، اكتشف + +157 +00:10:34,290 --> 00:10:39,640 +جزء من المناطق التي تسمعها غضب غضببعد ذلك استخدم + +158 +00:10:39,640 --> 00:10:43,680 +ترقص لتعرف مستوى ديافرام و تقوم بتقاط ترقص ديافرام + +159 +00:10:43,680 --> 00:10:48,640 +إذا كان كل شيء بخير سأضع بعض اللوحات على رأسك فأخذ + +160 +00:10:48,640 --> 00:10:52,740 +نفسك إلى الخارج و اتركها لأجلي أرجوك ثم ترقص لأسفل + +161 +00:10:52,740 --> 00:10:57,480 +من أعلى مستوى ديافرام حتى يكون الـ dullness مسموح + +162 +00:10:57,480 --> 00:11:03,720 +لك تمامًا بعد تحقيق مسموح للطبيعي، ترقص مستوى + +163 +00:11:03,720 --> 00:11:08,270 +مستوى الـ full expirationبعد ذلك، أخذ المستخدم + +164 +00:11:08,270 --> 00:11:12,610 +لإنهاء بشكل كبير و أمسكه فيه، ثم أدخل للأسفل إلى + +165 +00:11:12,610 --> 00:11:18,830 +مستوى الظلمة في مصورة كامة، و أمسكه مرة أخرى مرة + +166 +00:11:18,830 --> 00:11:19,290 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +167 +00:11:19,290 --> 00:11:19,590 +مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة + +168 +00:11:19,590 --> 00:11:20,210 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +169 +00:11:20,210 --> 00:11:23,090 +مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة + +170 +00:11:23,090 --> 00:11:27,310 +أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى مرة أخرى + +171 +00:11:27,310 --> 00:11:31,010 +مرة أخرى مرة أخرى مرة + +172 +00:11:39,640 --> 00:11:42,180 +لنتوقف لحظة ونقوم بمقابلة صوت الهواتف الطبيعي + +173 +00:11:42,180 --> 00:11:46,380 +ومفيد الصوت الهواتف الهواتف الهواتف الهواتف + +174 +00:11:46,380 --> 00:11:49,240 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +175 +00:11:49,240 --> 00:11:50,200 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +176 +00:11:50,200 --> 00:11:52,140 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +177 +00:11:52,140 --> 00:11:55,420 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +178 +00:11:55,420 --> 00:11:55,420 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +179 +00:11:55,420 --> 00:11:56,760 +الهواتف الهواتف الهواتف الهوات + +180 +00:12:05,220 --> 00:12:09,120 +هي تسمح بشكل طبيعي خلال تجهيزها وخلال أول ثانوية + +181 +00:12:09,120 --> 00:12:12,180 +من التجهيز ويمكن أن تسمح بشكل طبيعي خلال أكتر من + +182 +00:12:12,180 --> 00:12:16,100 +مجموعات الجلد برانكيال الهواتف ممكن تسمح بشكل + +183 +00:12:16,100 --> 00:12:23,940 +طبيعي خلال تجهيزها وهذا طبيعي برانكيال + +184 +00:12:23,940 --> 00:12:26,620 +الهواتف ممكن تسمح بشكل طبيعي خلال تجهيزها وممكن + +185 +00:12:26,620 --> 00:12:27,640 +تسمح بشكل طبيعي خلال تجهيزها وممكن تسمح بشكل طبيعي + +186 +00:12:27,640 --> 00:12:31,420 +خلال تجهيزها وممكن تسمح بشكل طبيعي خلال تجهيزها + +187 +00:12:31,420 --> 00:12:34,800 +وممكن تسمح بشكل طبيعي خلال تجهيالصوت الانتقالي + +188 +00:12:34,800 --> 00:12:39,440 +يدوم أكتر من الصوت الانتقالي وإن كان هناك فرق + +189 +00:12:39,440 --> 00:12:48,560 +محدود يقفز هذه الاثنين الصوتين الانتقالي + +190 +00:12:48,560 --> 00:12:55,900 +و الانتقالي + +191 +00:12:55,900 --> 00:12:58,420 +يدوم أكتر من الصوت الانتقالي و الانتقالي يدوم أكتر + +192 +00:12:58,420 --> 00:12:59,260 +من الصوت الانتقالي و الانتقالي يدوم أكتر من الصوت + +193 +00:12:59,260 --> 00:13:00,080 +الانتقالي و الانتقالي يدوم أكتر من الصوت الانتقالي + +194 +00:13:00,080 --> 00:13:00,080 +و الانتقالي يدوم أكتر من الصوت الانتقالي و + +195 +00:13:00,080 --> 00:13:00,200 +الانتقالي يدوم أكتر من الصوت الانتقالي و الانتقالي + +196 +00:13:00,200 --> 00:13:01,450 +يدوم أكتر من الصوت الانتقالي و الانتقاليوالفترة + +197 +00:13:01,450 --> 00:13:03,930 +الصامتة قد أو لا تقوم بتقريرها. + +198 +00:13:08,210 --> 00:13:10,730 +يمكن أن تسمع هذه الصوتات في الاتصالات الأولى + +199 +00:13:10,730 --> 00:13:18,430 +والثانوية من الأعلى ومن خلال الجلد. دعنا نسمع هذه + +200 +00:13:18,430 --> 00:13:28,550 +الصوتات مرة أخرى لنقارنها. Vesicular Bronchial + +201 +00:13:33,510 --> 00:13:41,530 +و Bronchovascular ادمنتشز + +202 +00:13:41,530 --> 00:13:44,230 +او اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +203 +00:13:44,230 --> 00:13:44,570 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +204 +00:13:44,570 --> 00:13:47,070 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +205 +00:13:47,070 --> 00:13:47,790 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +206 +00:13:47,790 --> 00:13:48,350 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +207 +00:13:48,350 --> 00:13:48,910 +صوت اضافة صوت اضافة صوت اضافة صوت اضافة صوت اضافة + +208 +00:13:48,910 --> 00:13:55,170 +صوت اضافة صوت اضافة صوت اضافة + +209 +00:13:55,170 --> 00:13:59,870 +صوت اضافة صوت اضافة ص + +210 +00:14:09,330 --> 00:14:12,450 +الـ crackles are intermittent, non-musical and + +211 +00:14:12,450 --> 00:14:22,110 +brief, like dots in time.Fine + +212 +00:14:22,110 --> 00:14:25,430 +crackles are soft, high-pitched and very brief, + +213 +00:14:26,190 --> 00:14:28,270 +and often accompany congestive heart failure. + +214 +00:14:39,780 --> 00:14:50,320 +الحرارات الحارة هي أكبر و أسفر و أطول مقارنة + +215 +00:14:50,320 --> 00:14:55,200 +بحرارات ويزا و رانكاي تدوم أكتر و تبدو أكتر موسيقى + +216 +00:14:55,200 --> 00:14:59,160 +ويزا و رانكاي تدوم أكتر و تبدو أكتر ويزا و رانكاي + +217 +00:14:59,160 --> 00:15:00,360 +تدوم أكتر و تبدو أكتر ويزا و رانكاي تدوم أكتر و + +218 +00:15:00,360 --> 00:15:03,540 +تدوم أكتر و تدوم أكتر و تدوم أكتر و تدوم أكتر و + +219 +00:15:03,540 --> 00:15:03,540 +تدوم أكتر و تدوم أكتر و تدوم أكتر و تدوم أكتر و + +220 +00:15:03,540 --> 00:15:03,540 +تدوم أكتر و تدوم أكتر و تدوم أكتر و تدوم أكتر + +221 +00:15:12,510 --> 00:15:17,750 +الرنكاي لديه قوة أسفل، قوة حرارية، ويقترح انهيارات + +222 +00:15:17,750 --> 00:15:22,330 +في محطمات كبيرة + +223 +00:15:22,330 --> 00:15:35,510 +لكي + +224 +00:15:35,510 --> 00:15:41,520 +تحرير الورق التلقائي، استخدم ديافرام السيثاسكوببدأ + +225 +00:15:41,520 --> 00:15:46,180 +في الـ Apices وانتقل إلى الأسفل، تحرك من جانب إلى + +226 +00:15:46,180 --> 00:15:50,880 +جانب، مرة أخرى، في شكل عبارة عن صوت الهواء في + +227 +00:15:50,880 --> 00:15:55,640 +منطقات متساومة، استمع إلى دuration، pitch + +228 +00:15:55,640 --> 00:16:01,560 +وintensity من الصوتين الانبعاطي و الانبعاطي، قرر + +229 +00:16:01,560 --> 00:16:07,400 +ماهو صوت الهواء الذي تسمعه، وقرر أي صوت مضاف،استمع + +230 +00:16:07,400 --> 00:16:12,480 +إلى أقل مرة في كل موقع الهواء في كل مكان أخذ نفسك + +231 +00:16:12,480 --> 00:16:14,560 +داخل و خارج بمفردك بمفردك بمفردك بمفردك بمفردك + +232 +00:16:14,560 --> 00:16:20,060 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +233 +00:16:20,060 --> 00:16:20,840 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +234 +00:16:20,840 --> 00:16:20,880 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك + +235 +00:16:20,880 --> 00:16:30,500 +بمفردك بمفردك بمفردك بمفردك بمفردك بمفردك بم + +236 +00:16:36,150 --> 00:16:39,670 +listen for transmitted voice sounds while + +237 +00:16:39,670 --> 00:16:42,590 +auscultating the chest again ask the patient to + +238 +00:16:42,590 --> 00:16:47,610 +say 99 say 99 99 + +239 +00:16:56,860 --> 00:17:00,000 +voice sounds that are louder and clearer than + +240 +00:17:00,000 --> 00:17:03,900 +normal as in this example are called bronchophony + +241 +00:17:03,900 --> 00:17:07,520 +next have the patient say E + +242 +00:17:19,530 --> 00:17:24,490 +عندما تصوير E مثلًا ايه ويكون لديه قوة نسالية مثل + +243 +00:17:24,490 --> 00:17:29,550 +هذه المثالة إيقافالي موجودة ترغب في تحسين مصادر + +244 +00:17:29,550 --> 00:17:35,350 +الجلد أخيرًا أطلب من المريض أن يحرر 123 + +245 +00:17:44,740 --> 00:17:47,000 +عندما تصوير هذه الصوتات أكثر صوتًا واضحًا من + +246 +00:17:47,000 --> 00:17:50,380 +الطبيعي، مثل هذه المثالة، تصوير الـ Pectoriloquy + +247 +00:17:50,380 --> 00:17:55,260 +موجودًا كل هذه التغييرات في صوت الصوت يشير إلى أن + +248 +00:17:55,260 --> 00:17:57,760 +الجلد اللي مليء من الهواء لم يبقى طابقًا طابقًا + +249 +00:17:57,760 --> 00:17:59,020 +طابقًا طابقًا طابقًا طابقًا طابقًا طابقًا طابقًا + +250 +00:17:59,020 --> 00:17:59,800 +طابقًا + +251 +00:17:59,800 --> 00:18:08,860 +طابقًاطابقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقنطبقن + +252 +00:18:09,350 --> 00:18:13,950 +لتحقق التوراق الأمامي، دع المشخص يقلق سوپاين ويعيش + +253 +00:18:13,950 --> 00:18:18,290 +بشكل طبيعي، وانتظر حالة الجلد، وانتظر الجلد + +254 +00:18:18,290 --> 00:18:23,700 +لتحالفات، أسيمترا، وتحرك الهواتفبالتالي، قم بتحرير + +255 +00:18:23,700 --> 00:18:28,940 +الجلد لتجد أي مكان من التنقل أو لتحقيق أي مصادر أو + +256 +00:18:28,940 --> 00:18:33,680 +غير عادية بعد ذلك، تحقيق تجولة الهواظران، واضع + +257 +00:18:33,680 --> 00:18:36,740 +يديك على جانب كل جزء من الجلد مع يديك على جزء من + +258 +00:18:36,740 --> 00:18:41,880 +مصادر الجلد، ارتكب عيون مفرومة بين يديك واسأل + +259 +00:18:41,880 --> 00:18:46,220 +المريض أن يتخلص من نفسه تخلص من نفسك و اتخلص من + +260 +00:18:46,220 --> 00:18:49,980 +نفسك تمامًا مرة + +261 +00:18:49,980 --> 00:18:54,930 +أخرىobserve the displacement of your thumbs and + +262 +00:18:54,930 --> 00:18:57,870 +feel for the range and symmetry of movement as the + +263 +00:18:57,870 --> 00:19:02,050 +patient exhales fully next palpate for tactile + +264 +00:19:02,050 --> 00:19:07,010 +femoris as the patient repeats 99 compare + +265 +00:19:07,010 --> 00:19:10,730 +symmetrical areas using the edge of the hand to + +266 +00:19:10,730 --> 00:19:14,440 +detect vibrations is also commonبسبب أن الـ + +267 +00:19:14,440 --> 00:19:19,180 +fremitus صعب تشعر من خلال دم الناس في تلك الحالات، + +268 +00:19:19,180 --> 00:19:24,860 +قد تحتاج أن تدفع دمها بطيئة أخرى، تدفع دم الناس في + +269 +00:19:24,860 --> 00:19:29,680 +مناطق متساومة في الانترال، من المنطق المتساومي إلى + +270 +00:19:29,680 --> 00:19:34,180 +الجزء السادس أو أعلى مرة مرة مرة مرة مرة مرة مرة + +271 +00:19:34,180 --> 00:19:34,200 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +272 +00:19:34,200 --> 00:19:35,180 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +273 +00:19:35,180 --> 00:19:35,240 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +274 +00:19:35,240 --> 00:19:35,240 +مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة مرة + +275 +00:19:35,240 --> 00:19:42,320 +مرة مرة مرة مرة مرة مرة + +276 +00:19:42,320 --> 00:19:47,850 +مإذا كنت ترغب في تحقق مستوى ديافرام اليسار من + +277 +00:19:47,850 --> 00:19:52,410 +الأمام، فتحقق من الجلد المتواصل إلى الجلد المدخل + +278 +00:19:52,410 --> 00:19:56,750 +لتحقق + +279 +00:19:56,750 --> 00:20:02,930 +من الجلد المتواصل إلى الجلد المدخل لتحقق + +280 +00:20:02,930 --> 00:20:06,750 +من الجلد المتواصل من الجلد المدخل لتحقق + +281 +00:20:06,750 --> 00:20:08,290 +من الجلد المدخل من الجلد المدخل لتحقق من الجلد + +282 +00:20:08,290 --> 00:20:09,550 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +283 +00:20:09,550 --> 00:20:09,570 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +284 +00:20:09,570 --> 00:20:09,570 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +285 +00:20:09,570 --> 00:20:09,590 +المدخل من الجلد المدخل من الجلد المدخل من الجلد + +286 +00:20:09,590 --> 00:20:15,630 +المداستمع إلى مدينة وقيمة وقيمة صوت الانبعاطي + +287 +00:20:15,630 --> 00:20:20,230 +والانبعاطي اختيار اي نوع من الصوت الذهبي الذي + +288 +00:20:20,230 --> 00:20:26,370 +تسمعه واختيار اي صوت اضافي إذا سمعت صوت قلب قريب + +289 +00:20:26,370 --> 00:20:29,630 +من قلب تحاول تغييرهم بينما تركز على الصوت الذهبي + +290 +00:20:29,630 --> 00:20:39,040 +99 مرة مرة 99 99 99 99إذا أسمعت برانكا أو برانكا + +291 +00:20:39,040 --> 00:20:40,100 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +292 +00:20:40,100 --> 00:20:40,100 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +293 +00:20:40,100 --> 00:20:41,280 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +294 +00:20:41,280 --> 00:20:44,120 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +295 +00:20:44,120 --> 00:20:45,660 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +296 +00:20:45,660 --> 00:20:45,720 +الهواتف الهواتف الهواتف الهواتف الهواتف الهواتف + +297 +00:20:45,720 --> 00:20:49,280 +الهواتف + +298 +00:20:49,280 --> 00:21:02,920 +الهواتف الهواتف الهواتف الهواتف اله + +299 +00:21:03,580 --> 00:21:09,300 +للطيب الصحيح، قرارك قد يتضمن مجموعة لغة ومقارنة، + +300 +00:21:09,300 --> 00:21:13,620 +على سبيل المثال، الـThorax هو مرتبط بشكل جيد، + +301 +00:21:13,620 --> 00:21:15,600 +الجسد مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +302 +00:21:15,600 --> 00:21:17,220 +مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط + +303 +00:21:17,220 --> 00:21:18,820 +بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +304 +00:21:18,820 --> 00:21:18,980 +مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط + +305 +00:21:18,980 --> 00:21:23,260 +بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل مرتبط بشكل + +306 +00:21:23,260 --> 00:21:32,580 +مرتبط بشكل + +307 +00:21:32,580 --> 00:21:36,840 +مPercussion and auscultation of the posterior and + +308 +00:21:36,840 --> 00:21:38,100 +anterior thorax + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec.srt new file mode 100644 index 0000000000000000000000000000000000000000..bfc391ac59fc4636072cc539b069aa1d84c05524 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec.srt @@ -0,0 +1,3707 @@ +1 +00:00:05,080 --> 00:00:09,620 +السلام عليكم ورحمة الله وبركاته الجزئية + +2 +00:00:09,620 --> 00:00:13,930 +الثانية راح نتكلم على the neurological examination احنا + +3 +00:00:13,930 --> 00:00:17,030 +خلصنا من موضوع history taking بنتجه ل + +4 +00:00:17,030 --> 00:00:19,530 +the neurological examination ان شاء الله في + +5 +00:00:19,530 --> 00:00:22,410 +the neurological examination خلال المحاضرة راح نعمل + +6 +00:00:22,410 --> 00:00:27,330 +فحص نسهل عليكم نعمل فحص كمان مع مريض و تشوفوا + +7 +00:00:27,330 --> 00:00:31,090 +بعينكم و لما نشوفكم في المستشفى راح نفحصه كمان + +8 +00:00:31,090 --> 00:00:34,870 +على مرضى في المستشفى the examination بنبدأ ب + +9 +00:00:34,870 --> 00:00:40,420 +general examination consciousness level, pulse, + +10 +00:00:41,120 --> 00:00:45,720 +blood pressure, temperature, respiratory rate and + +11 +00:00:45,720 --> 00:00:50,200 +general looks ضروري أي مريض نفحصه مهما كان مرضه + +12 +00:00:50,200 --> 00:00:53,240 +لازم نتكلم على the consciousness level, the pulse, + +13 +00:00:53,660 --> 00:00:57,300 +blood pressure, temperature, respiratory rate, + +14 +00:00:57,440 --> 00:01:00,640 +general looks بتاعة المريض بيناعمل examination ل + +15 +00:01:00,640 --> 00:01:05,540 +other systems ل the A and T, neck, respiratory, + +16 +00:01:05,820 --> 00:01:10,440 +cardiovascular, GIT, skin, musculoskeletal, + +17 +00:01:10,820 --> 00:01:16,220 +genital organs وبعدها بنتقل ل the neurological + +18 +00:01:16,220 --> 00:01:20,840 +examination أنا موضوع محاضرتي اليوم راح يكون اللي + +19 +00:01:20,840 --> 00:01:23,440 +هو the neurological examination راح أقسم ال + +20 +00:01:23,440 --> 00:01:26,480 +neurological examination في جزئين الجزء الأول راح + +21 +00:01:26,480 --> 00:01:32,580 +نتكلم عن الـ Meningial Signs, Speech راح نتكلم + +22 +00:01:32,580 --> 00:01:35,900 +عن the cranial nerves وجزء الثاني راح اتكلم فيه عن + +23 +00:01:35,900 --> 00:01:40,380 +الموتور و the coordination and sensory examination + +24 +00:01:40,380 --> 00:01:46,060 +نبدأ ب the neurological examination في ال + +25 +00:01:46,060 --> 00:01:49,080 +neurological examination أول شي راح اتكلم على + +26 +00:01:49,080 --> 00:01:54,480 +mental status the mental status أول شي state of + +27 +00:01:54,480 --> 00:01:58,970 +consciousness يبقى ندرجة عن طريق the Glasgow Coma + +28 +00:01:58,970 --> 00:02:04,830 +Scale بعتمد على eye opening, verbal response, motor + +29 +00:02:04,830 --> 00:02:09,530 +response وفي grading of coma ان شاء الله في محاضرة + +30 +00:02:09,530 --> 00:02:12,230 +إنها راح تكون على approach to the patients with + +31 +00:02:12,230 --> 00:02:15,830 +coma راح نتطرق للمواضيع هذه بالتفصيل اليوم راح + +32 +00:02:15,830 --> 00:02:20,110 +أشرح فقط لكوا the Glasgow Coma Scale تقييم درجة الوعي + +33 +00:02:20,110 --> 00:02:22,690 +عن طريق the Glasgow Coma Scale عن طريق the Glasgow Coma + +34 +00:02:22,690 --> 00:02:31,460 +Scale بنعتمد على eye opening, verbal response و + +35 +00:02:31,460 --> 00:02:37,040 +motor response the Glasgow scale هذه minimum + +36 +00:02:37,040 --> 00:02:43,580 +المريض بياخد واحد واحد واحد يعني اللي بتوفى و + +37 +00:02:43,580 --> 00:02:50,200 +بندفنه بيكون عنده the Glasgow scale ثلاثة ما حد يقولي + +38 +00:02:50,200 --> 00:02:52,500 +أسأله جدش the Glasgow scale عند المريض يقولي والله + +39 +00:02:52,500 --> 00:02:54,760 +مافيه تلاتة كيف والله مافيه تلاتة ده اللي بتوفى + +40 +00:02:54,760 --> 00:03:00,580 +بيكون عنده تلاتة the minimum راح يكون one one one + +41 +00:03:00,580 --> 00:03:05,260 +تلاتة maximum اللي احنا الآن موجودين في القاعة + +42 +00:03:05,260 --> 00:03:11,330 +وعنا إيش خمس تاش خمس تاش كيف أجيت خمس تاش؟ أربعة ع + +43 +00:03:11,330 --> 00:03:15,330 +the eye opening و أخدنا ع the verbal response خمسة + +44 +00:03:15,330 --> 00:03:18,850 +هي تسعة و أخدنا ع the motor response ستة صاروا + +45 +00:03:18,850 --> 00:03:23,670 +خمستاشر نشرحها eye opening إذا المريض فات عينيه + +46 +00:03:23,670 --> 00:03:29,210 +spontaneously بياخد أربعة إذا المريض فات عينيه على + +47 +00:03:29,210 --> 00:03:32,910 +the speech اتكلمنا معاه و فات عينيه باخد ثلاثة إذا + +48 +00:03:32,910 --> 00:03:37,570 +ما فات عينيه لما اتكلمنا معاه جرسناه اتقلم باخد + +49 +00:03:37,570 --> 00:03:41,950 +اتنين و فات عينيه إذا مافي opening يعني المريض + +50 +00:03:41,950 --> 00:03:45,750 +جرسناه ومافتحش عينيه وضاله مغمض عينيه باخد واحد + +51 +00:03:45,750 --> 00:03:50,110 +بسجل eye opening one ع سبيل المثال verbal response + +52 +00:03:50,110 --> 00:03:57,010 +المريض oriented بتكلم معاه oriented باخد خمسة + +53 +00:03:57,010 --> 00:04:03,410 +disoriented, confused conversation but able to + +54 +00:04:03,410 --> 00:04:07,280 +answer questions باخد أربعة يعني المريض disoriented + +55 +00:04:07,280 --> 00:04:11,440 +confused لكن able to answer questions باخد كام؟ + +56 +00:04:11,440 --> 00:04:16,860 +باخد أربعة المريض ما بيقدر يتكلم معاك ما بيقدر + +57 +00:04:16,860 --> 00:04:21,420 +يجاوبك على الأسئلة بس بيسمع منه كلمات هم غيب + +58 +00:04:21,420 --> 00:04:24,860 +تقريبا لكن بتطلع منه كلمة عسابية مثلا بيردد ابنه + +59 +00:04:24,860 --> 00:04:33,510 +أحمد أحمد محمد سلام يا ربباخد كام؟ ثلاثة إذا بيطلع + +60 +00:04:33,510 --> 00:04:38,350 +منه speech sound مابقدرش يطلب كلمات بيطلع منه فقط + +61 +00:04:38,350 --> 00:04:43,650 +صوت عادي بدون كلمات باخد اتنين إذا مافي أي صوت + +62 +00:04:43,650 --> 00:04:49,190 +باخد واحد يبقى maximum خمسة و minimum واحد the eye + +63 +00:04:49,190 --> 00:04:53,250 +opening maximum أربع و minimum واحد نجي ل the motor + +64 +00:04:53,250 --> 00:04:58,690 +response opening commands ارفع إيدك رفحها نزلها + +65 +00:04:58,690 --> 00:05:05,420 +نزلها تمام؟ يمكن باخد إيش؟ ستة المريض بيقدرش أعطي + +66 +00:05:05,420 --> 00:05:10,020 +command يعملها باجرسه إذا جرسته و أجى حدد مكان ما + +67 +00:05:10,020 --> 00:05:14,480 +جرسته أعمل localized to pain و ممكن يرفع إيدي في + +68 +00:05:14,480 --> 00:05:19,720 +الحالة هذه باخد خمسة إذا المريض أنا جرسته و أعمل + +69 +00:05:19,720 --> 00:05:24,440 +withdrawal, withdrawal سحب from pain باخد كام؟ + +70 +00:05:24,440 --> 00:05:29,700 +أربعة إذا لما أنا جرسته اتقلم وعملنا spastic + +71 +00:05:29,700 --> 00:05:35,900 +flexion في the upper limbs باخد ايه؟ تلاتة بنسميها + +72 +00:05:35,900 --> 00:05:39,780 +the decorticate position إذا لما أنا جرسناه عمل hyper + +73 +00:05:39,780 --> 00:05:44,570 +extension بنسميها the Decerebrate position باخد اتنين + +74 +00:05:44,570 --> 00:05:48,350 +إذا عمل flexion و احنا بنقرص و عمل flexion هذا + +75 +00:05:48,350 --> 00:05:51,770 +بنسميها the Decorticate position باخد كام؟ تلاثة إذا + +76 +00:05:51,770 --> 00:05:55,530 +جرسنا و عملنا hyper extension the Decerebrate position + +77 +00:05:55,530 --> 00:06:00,130 +بياخد كام؟ اتنين و إذا no any response باخد واحد + +78 +00:06:00,130 --> 00:06:04,750 +نجيب مثل المريض أجانب على the emergency department + +79 +00:06:04,750 --> 00:06:08,370 +و كان عنده decreased level of consciousness بدنا + +80 +00:06:08,370 --> 00:06:13,690 +نقيم عنده the Glasgow Coma Scale أجينا المريض فتعنيه على + +81 +00:06:13,690 --> 00:06:17,130 +the pen لما نجرسنا فتعنيه بس لما نتكلمنا معاه ما + +82 +00:06:17,130 --> 00:06:25,730 +فتعنيه باخد كام نحسبهم if can eye opening باخد + +83 +00:06:25,730 --> 00:06:33,390 +كام؟ باخد ايه؟ اتنين تمام the verbal response ع the + +84 +00:06:33,390 --> 00:06:34,350 +verbal response + +85 +00:06:39,530 --> 00:06:45,330 +جينا اتكلمنا معاه مريض disoriented، confused و but + +86 +00:06:45,330 --> 00:06:49,930 +able to answer questions كام أخد؟ عندي أخد أربعة + +87 +00:06:49,930 --> 00:06:55,450 +على the motor response، مريضنا كان عنده localized + +88 +00:06:55,450 --> 00:07:01,030 +to pain، بيحدد مكان الألم يبقى the motor، أخد كام + +89 +00:07:01,030 --> 00:07:06,990 +عندي؟ localized to pain، حددنا خمسة بنجمحهم مع بعض + +90 +00:07:06,990 --> 00:07:12,470 +خمسة و أربعة تسعة و اتنين احداش بنقول the Glasgow + +91 +00:07:12,470 --> 00:07:17,990 +the Glasgow scale عند المريض هذا احداش على خمستاشر + +92 +00:07:17,990 --> 00:07:22,330 +احداش على خمستاشر بطريقة هذه انا بحسب the Glasgow + +93 +00:07:22,330 --> 00:07:23,790 +scale لأي مريض + +94 +00:07:35,390 --> 00:07:39,470 +classification of coma ممكن يكون في حاجة اسمها + +95 +00:07:39,470 --> 00:07:46,870 +lethargy or drowsiness, stupor, semi-coma, coma لو + +96 +00:07:46,870 --> 00:07:50,490 +جينا لل lethargy او drowsiness بيكون disturbed + +97 +00:07:50,490 --> 00:07:55,750 +consciousness المريض response to verbal and + +98 +00:07:55,750 --> 00:07:59,770 +painful stimulus بيستجيب لل verbal للكلام ولل + +99 +00:07:59,770 --> 00:08:03,620 +painful stimulus but not vigorous ما بيكونوش إيش + +100 +00:08:03,620 --> 00:08:08,640 +جوي the stimulation نجي لل stubborn هنا بيكون + +101 +00:08:08,640 --> 00:08:13,480 +disturbed consciousness level response to verbal + +102 +00:08:13,480 --> 00:08:19,180 +and painful stimulus لكن vigorous يبقى stubborn + +103 +00:08:19,180 --> 00:08:23,560 +لازم يكون vigorous stimulus جوي عنيف لكن في ال + +104 +00:08:23,560 --> 00:08:26,500 +lethargy بيكون بسيط the stimulus + +105 +00:08:29,720 --> 00:08:35,860 +stupor اللي هي the consciousness no response to verbal + +106 +00:08:35,860 --> 00:08:39,640 +stimuli with preserved response to painful + +107 +00:08:39,640 --> 00:08:43,560 +stimulus coma unresponsive state no response to + +108 +00:08:43,560 --> 00:08:47,900 +both stimuli to painful and verbal يعني لو اتكلمنا + +109 +00:08:47,900 --> 00:08:52,000 +عن اختلاف ما بين lethargy او stubborn بنلاقي الـ + +110 +00:08:52,000 --> 00:08:54,700 +stubborn و the lethargy بيستجيبوا لل painful و لل + +111 +00:08:54,700 --> 00:09:00,880 +verbal stimuli but the lethargy respond to not + +112 +00:09:00,880 --> 00:09:06,080 +vigorous stimulus لكن Stubor respond to vigorous + +113 +00:09:06,080 --> 00:09:11,360 +stimulus و الفرق بين semi-coma و Stubor، the Stubor + +114 +00:09:11,360 --> 00:09:15,600 +بتكون فيه استجابة لل verbal and painful stimulus و + +115 +00:09:15,600 --> 00:09:20,160 +the semi-coma no response to verbal stimulus but + +116 +00:09:20,160 --> 00:09:23,540 +presented response to a painful stimulus + +117 +00:09:25,480 --> 00:09:30,440 +orientation نسأل oriented to time, place and person + +118 +00:09:30,440 --> 00:09:35,280 +memory إذا في مشاكل في the ذاكرة إذا كان مشكلة في + +119 +00:09:35,280 --> 00:09:40,520 +recent event تكون عندهم anterograde amnesia for a + +120 +00:09:40,520 --> 00:09:44,650 +remote event retrograde amnesia و for certain + +121 +00:09:44,650 --> 00:09:48,070 +period of time ممكن يكون عندهم circumscribed + +122 +00:09:48,070 --> 00:09:51,590 +amnesia يعني إذا كان فقد الذاكرة للأحداث .. + +123 +00:09:51,590 --> 00:09:55,570 +للأشياء الحديثة بيكون عندهم anterograde amnesia + +124 +00:09:55,570 --> 00:09:59,650 +للأشياء السابقة القديمة يكون retrograde amnesia + +125 +00:09:59,650 --> 00:10:04,350 +لجزء يعني إيش circumscribed amnesia المريض رايع + +126 +00:10:04,350 --> 00:10:10,230 +دوام الساعة تمانية سبعة في طريق حادث طرق صار معاه + +127 +00:10:10,230 --> 00:10:15,430 +ارتجاج في الدماء فقد الذاكرة لنصف ساعة لكن هو مذكر + +128 +00:10:15,430 --> 00:10:19,430 +ما قبل الحادث ومذكر ما بعد الحادث نصف ساعة هذه + +129 +00:10:19,430 --> 00:10:22,350 +اللي كانت أثناء الحادث فقد فيها إيش الذاكرة هذه + +130 +00:10:22,350 --> 00:10:27,470 +بنسميها circumscribed amnesia اللي هو فقدان + +131 +00:10:27,470 --> 00:10:31,170 +الذاكرة for a certain period of time وال intelligence + +132 +00:10:31,170 --> 00:10:37,210 +بتنفحص عن طريق IQ و ال mood بتنفحص مع السيكياتري + +133 +00:10:37,210 --> 00:10:40,170 +إذا فيه depression, euphoria, emotional liability + +134 +00:10:40,170 --> 00:10:43,970 +و ال behavior و ال perception كل هذا راح تخضوين مع + +135 +00:10:43,970 --> 00:10:50,350 +السيكياتري في course of psychiatric illness طب + +136 +00:10:50,350 --> 00:10:55,650 +النفسي the mental state of a normal patient the patient + +137 +00:10:55,650 --> 00:11:00,870 +is fully conscious, well-oriented for time, place and + +138 +00:11:00,870 --> 00:11:05,370 +person with normal behavior, mood and memory, + +139 +00:11:06,030 --> 00:11:11,490 +cooperative and of average intelligence بعد هيك + +140 +00:11:11,490 --> 00:11:15,810 +بنتقل لموضوع speech examination في ال speech + +141 +00:11:15,810 --> 00:11:24,710 +examination أنا بدي أحدد هل المريض عنده normal + +142 +00:11:24,710 --> 00:11:28,030 +speech أو فيه speech abnormality إذا normal خلاص + +143 +00:11:28,030 --> 00:11:32,410 +normal إذا abnormality بدنا نحدد هل المشكلة في + +144 +00:11:32,410 --> 00:11:37,350 +speech formulation عنده aphasia وده aphasia بدنا + +145 +00:11:37,350 --> 00:11:42,510 +نسأل أو نفحص المريض نعمل differential هل اللي لديه + +146 +00:11:42,510 --> 00:11:45,590 +aphasia عنده sensory aphasia أو motor aphasia يعني + +147 +00:11:45,590 --> 00:11:52,430 +المثال مريض بتتكلم معاه بيقدرش + +148 +00:11:54,300 --> 00:11:58,580 +يتكلم فاهمك 100% لكن ما بيقدر يتكلم هذا بيسميها + +149 +00:11:58,580 --> 00:12:02,160 +motor aphasia أو expressive aphasia أو verbal + +150 +00:12:02,160 --> 00:12:06,680 +aphasia طب مريض آخر بتكلم لكن أنت بتسأل سؤال و هو + +151 +00:12:06,680 --> 00:12:10,260 +بيجاوبك سؤال ثاني، شيء ثاني يعني أنا بقوله وين + +152 +00:12:10,260 --> 00:12:13,280 +ساكن، لازم أحط إيدا ع الطمع عشان مايشوفش أيش حركة + +153 +00:12:13,280 --> 00:12:16,620 +الشفاف بال vision بقول وين ساكن، بقول الحمد لله + +154 +00:12:16,620 --> 00:12:20,240 +يقول هذا المريض عنده sensory aphasia عنده sensory + +155 +00:12:20,240 --> 00:12:24,980 +aphasia يبقى ماشي الأفاذية؟ هي عبارة عن inability + +156 +00:12:24,980 --> 00:12:28,740 +to speech formulation in the absence of sense + +157 +00:12:28,740 --> 00:12:32,140 +organ lesion قد تكون motor أفاذية أو verbal + +158 +00:12:32,140 --> 00:12:37,840 +أفاذية، قد تكون sensory أفاذية أو .. أو verbal + +159 +00:12:37,840 --> 00:12:42,600 +أفاذية وممكن يكون mix أفاذية sensory and motor، + +160 +00:12:42,600 --> 00:12:47,310 +نسميها global أفاذية، اتنين ممكن تكون مشكلة في ال + +161 +00:12:47,310 --> 00:12:51,870 +articulation dysarthria وفي نوع من ال dysarthria + +162 +00:12:51,870 --> 00:12:55,250 +اسمها slurred speech بنشوفها عند المرضى اللي عندهم + +163 +00:12:55,250 --> 00:12:58,590 +مشاكل في ال cerebellum وممكن يكون مشكلة في ال + +164 +00:12:58,590 --> 00:13:03,210 +phonation مشكلة horses of voice او dysphonia في + +165 +00:13:03,210 --> 00:13:07,130 +other type of speech difficulty راح نتكلم عنهم ان + +166 +00:13:07,130 --> 00:13:12,490 +شاء الله في محاضرة منفصلة هي عندي sensory aphasia + +167 +00:13:13,290 --> 00:13:17,510 +اللي هي lesion في Wernicke's center area 22 المريض + +168 +00:13:17,510 --> 00:13:23,190 +بسمع لكن doesn't understand sound بسمع كويس و + +169 +00:13:23,190 --> 00:13:27,050 +بتكلم لكن هو مافهم إيش أنت سألته إجابته راح تكون + +170 +00:13:27,050 --> 00:13:31,710 +خاطئة النوع الثاني verbal aphasia أو Broca's + +171 +00:13:31,710 --> 00:13:34,990 +aphasia المشكلة هنا راح تكون في Broca's area area + +172 +00:13:34,990 --> 00:13:41,470 +44 المريض بسمع بيفهم صح لكن عنده مشكلة في ال + +173 +00:13:41,470 --> 00:13:45,150 +expression وما بيقدر يتكلم في الحالة هذه بيكون + +174 +00:13:45,150 --> 00:13:48,770 +عنده حابسة كلامية حركية قد يكون عند المريض global + +175 +00:13:48,770 --> 00:13:53,790 +aphasia mixed لا بيفهم ولا بيتكلم في الحالة هذه + +176 +00:13:53,790 --> 00:13:57,910 +عنده نسميها total aphasia أو global aphasia وفي + +177 +00:13:57,910 --> 00:14:02,050 +نوع اسمها jargon aphasia لما يكون عندنا مشكلة في + +178 +00:14:02,050 --> 00:14:06,150 +ال super marginal area area 14 في ال parietal lobe + +179 +00:14:06,150 --> 00:14:10,450 +في ال upper end of superior temporal sulcus في ال + +180 +00:14:10,450 --> 00:14:12,690 +upper end of lateral fissure أسف في ال upper end + +181 +00:14:12,690 --> 00:14:17,310 +of lateral fissure هان المريض بيكون عنده word + +182 +00:14:17,310 --> 00:14:23,130 +salad مافي عنده ربط للكلام بتكلم بلغة مش مفهومة و + +183 +00:14:23,130 --> 00:14:29,170 +بنسميها word salad أو jargon aphasia dysarthria + +184 +00:14:30,770 --> 00:14:33,730 +Difficulty in articulation with normal formulation + +185 +00:14:35,120 --> 00:14:37,260 +ممكن تكون في الـ Pyramidal Lesion في الـ Pseudobulbar + +186 +00:14:37,260 --> 00:14:39,940 +Syndrome ممكن تكون في الـ Lower Motoneuron + +187 +00:14:39,940 --> 00:14:43,420 +Lesion زي Bulbar Syndrome تكون عندنا مشاكل عصب + +188 +00:14:43,420 --> 00:14:47,120 +الخامس، سابع، تاسع، عاشر، أحد عشر، إثنا عشر في الـ + +189 +00:14:47,120 --> 00:14:50,440 +Neuromuscular Junction زي مرض Myasthenia Gravis في + +190 +00:14:50,440 --> 00:14:53,920 +الـ Muscle Disease Muscular Dystrophy في مرض الـ + +191 +00:14:53,920 --> 00:14:56,960 +Multiple Sclerosis Cerebellar Lesion Cerebellar + +192 +00:14:56,960 --> 00:14:59,800 +Infarction Tumor Hemorrhage في المرض اللي عندهم + +193 +00:14:59,800 --> 00:15:04,950 +Parkinson Disease أو Akinetic Rigid Syndrome في + +194 +00:15:04,950 --> 00:15:10,110 +other type of speech disorders يكون عندهم aphonia + +195 +00:15:10,110 --> 00:15:14,810 +أو dysphonia هذا مشكلة في ال phonation ممكن يكون + +196 +00:15:14,810 --> 00:15:20,030 +السبب organic زي recurrent laryngeal nerve injury + +197 +00:15:20,030 --> 00:15:24,510 +بيشتغل الجرحين على ال neck أثناء ال thyroid + +198 +00:15:24,510 --> 00:15:30,020 +surgery عملوا إصابة أو injury لـ recurrent laryngeal + +199 +00:15:30,020 --> 00:15:33,520 +nerve أو بنعمل dyscectomy anterior approach وهم + +200 +00:15:33,520 --> 00:15:36,280 +دخلين للـ anterior approach of dyscectomy عملوا + +201 +00:15:36,280 --> 00:15:38,660 +injury لموضوع الـ recurrent laryngeal nerve هذا + +202 +00:15:38,660 --> 00:15:45,060 +بسببنا dysphonia وممكن يكون السبب ثيرويد cancer + +203 +00:15:45,060 --> 00:15:48,560 +وقد يكون السبب أخر functional cause يعني + +204 +00:15:48,560 --> 00:15:52,320 +psychogenic conversion disorder وفي الحالة هذه + +205 +00:15:52,320 --> 00:15:57,940 +بتكون reversible Palilalia, repetition of the last + +206 +00:15:57,940 --> 00:16:02,660 +sentence or words of a patient's own speech بيظل + +207 +00:16:02,660 --> 00:16:05,860 +معلق المريض على كلمة محددة، في مريض يظل يقول الحمد + +208 +00:16:05,860 --> 00:16:08,680 +لله، كل ما تسأل سؤال يقول الحمد لله، الحمد لله، + +209 +00:16:08,680 --> 00:16:12,170 +بعدين خاتمة جميلة، كويسة وممتازة وفي مرضى بيتكلموا + +210 +00:16:12,170 --> 00:16:17,270 +كلام ثاني وحش الـ Echolalia المريض بيضلوا يردد آخر + +211 +00:16:17,270 --> 00:16:19,710 +كلمة سمعها يعني أنا بسأله إيش إسمك؟ بيضلوا يقولي + +212 +00:16:19,710 --> 00:16:23,410 +إسمك إسمك وين ساكن؟ بيقولي ساكن ساكن هو زي صدر + +213 +00:16:23,410 --> 00:16:26,570 +الصوت بيردد آخر كلمة سمعها هذا بيسمونه Echolalia + +214 +00:16:26,570 --> 00:16:31,990 +فيه mutism اللي هي absence of any attempt at oral + +215 +00:16:31,990 --> 00:16:37,080 +communication في حاجة شىء بنسميها anomic أو nominal + +216 +00:16:37,080 --> 00:16:40,800 +aphasia أو amnestic aphasia المريض بيكون عنده + +217 +00:16:40,800 --> 00:16:46,040 +difficulty naming a familiar object or person يعني + +218 +00:16:46,040 --> 00:16:50,580 +أنا عارف هذا ابني محمد بقول ابني بس اسم محمد نسيته + +219 +00:16:50,580 --> 00:16:55,140 +أنا عارف هذا .. بقول هذا إيش هو بيسألوني؟ بقول هذا + +220 +00:16:55,140 --> 00:17:01,030 +عشان أفتد فيه كلمة جلم نسيتها الهاتف المحمول بقوله + +221 +00:17:01,030 --> 00:17:03,550 +أنا عشان اتكلم فيه بس كلمة هاتف محمول بنساها يبقى + +222 +00:17:03,550 --> 00:17:07,510 +إن أنا أسماء الأشخاص أو الأشياء بنساها الإنسان هذا + +223 +00:17:07,510 --> 00:17:11,170 +بنسميها amnestic aphasia أو nominal aphasia في ال + +224 +00:17:11,170 --> 00:17:14,670 +examination of ننتقل لجزئية examination of + +225 +00:17:14,670 --> 00:17:18,770 +meningial irritation signs هنا تفضل يا معين نعم + +226 +00:17:18,770 --> 00:17:24,870 +نعم رديا هاروح وغادر مش مشكلة من + +227 +00:17:24,870 --> 00:17:32,970 +رجلك تمام ما بدي أعمل ال approach + +228 +00:17:32,970 --> 00:17:35,630 +to the patients عشان ما نضيعش الوقت احنا شرحنا + +229 +00:17:35,630 --> 00:17:39,110 +لكم كيف نعمل ال approach to the patients و بنعرف + +230 +00:17:39,110 --> 00:17:42,270 +المريض كويس و إيش المرض اللي عنده بس أنا جاي بهنا + +231 +00:17:42,270 --> 00:17:46,150 +نعمل بعض ال examination عشان أنتم تشوفوها الآن + +232 +00:17:46,150 --> 00:17:49,270 +راح أفحص أنا دائماً بجف على ال right side بكون على + +233 +00:17:49,270 --> 00:17:54,530 +نفس ال level بتاع المريض و راح أفحص ال meningeal + +234 +00:17:54,530 --> 00:17:56,990 +irritation signs هذه الـ Meningal Irritation + +235 +00:17:56,990 --> 00:18:00,130 +Signs مهمة في حالات الـ Meningitis، في حالات الـ + +236 +00:18:00,130 --> 00:18:03,230 +Subarachnoid Hemorrhage نبدأ بالـ Neck Rigidity، + +237 +00:18:03,230 --> 00:18:07,530 +Neck Stiffness الـ Passive Flexion of Neck leads + +238 +00:18:07,530 --> 00:18:11,330 +to Neck Rigidity، هلأ أنا بحط إيدي ورا اللي + +239 +00:18:11,330 --> 00:18:14,930 +أكسبه، رخّ حالته، وإيدي التانية أمام السيرنة، و + +240 +00:18:14,930 --> 00:18:19,550 +بعمله إيش؟ Flexion، تمام؟ بعمله Flexion + +241 +00:18:19,550 --> 00:18:27,050 +لمين؟ لإنك طبيعي هنا ال neck lacks لكن في حال إن + +242 +00:18:27,050 --> 00:18:31,030 +المريض عنده neck rigidity طلعولي هنا عملت neck + +243 +00:18:31,030 --> 00:18:34,070 +stiffness ومش قادر أياش اكمل إذا عملت neck + +244 +00:18:34,070 --> 00:18:37,890 +flexion ومش قادر اكمل للمريض و أنا بعمله neck + +245 +00:18:37,890 --> 00:18:42,310 +flexion صعب أعمله complete flexion المريض بتقلم و + +246 +00:18:42,310 --> 00:18:45,810 +بيعمله resistant هذا بنسمي إيه neck stiffness + +247 +00:18:45,810 --> 00:18:50,830 +positive و أنا بعمل neck flexion بتطلع ال both + +248 +00:18:50,830 --> 00:18:54,530 +lower limbs فبعض الأحيان المريض ده عنده neck stiff + +249 +00:18:55,260 --> 00:19:01,900 +positive ممكن يروح يعملنا إيش؟ Flexion لمن؟ + +250 +00:19:01,900 --> 00:19:04,920 +للـ both legs إذا عملت neck stiffness وصار مع + +251 +00:19:04,920 --> 00:19:08,840 +المريض Affliction لـ ال both me and both him في + +252 +00:19:08,840 --> 00:19:14,970 +الحالة هذه بسميها هذه Brudzinski signs أو Upper + +253 +00:19:14,970 --> 00:19:19,750 +Brudzinski signs إيش هو passive flexion of neck + +254 +00:19:19,750 --> 00:19:25,010 +leads to flexion of both knees and hips واضح؟ لإن + +255 +00:19:25,010 --> 00:19:28,870 +هنا فحصنا إحنا neck rigidity وفحصنا معها مين اللي + +256 +00:19:28,870 --> 00:19:32,490 +هو الـ neck Brodzinski أو Upper Brodzinski signs + +257 +00:19:32,490 --> 00:19:38,220 +بنتقل بعدها للفحص الـ .. لزيك .. لزيك science نعمل + +258 +00:19:38,220 --> 00:19:41,600 +affliction أو الشيء المريض بيكون نايم supine و + +259 +00:19:41,600 --> 00:19:46,840 +بروح أعمله affliction للـ hip بحافظ على وضعية + +260 +00:19:46,840 --> 00:19:49,900 +extension للـ knee و بروح أعمله إيش complete + +261 +00:19:49,900 --> 00:19:54,770 +flexion complete affliction لمن؟ لإيش؟ للـ hip + +262 +00:19:54,770 --> 00:19:58,430 +طبيعي يعمله flexion تسعين درجة طبيعي يعمله flexion + +263 +00:19:58,430 --> 00:20:02,110 +تسعين درجة لكن لو مريض عنده سياتيكا مجرد ما أعمله + +264 +00:20:02,110 --> 00:20:05,510 +flexion للـ hip راح يتألم و أقول عنده لزيك ساينز + +265 +00:20:05,510 --> 00:20:09,430 +عشرين درجة أو ثلاثين أو أربعين أو خمسين كل ما قلت + +266 +00:20:09,430 --> 00:20:12,650 +الدرجة كل ما كان more severe سياتيكا أو more severe + +267 +00:20:12,650 --> 00:20:16,310 +irritation كل ما زادت الدرجة كل ما كان more painful + +268 +00:20:16,310 --> 00:20:22,700 +أو good out بعدها بنتقل لـ Kernig sign care + +269 +00:20:22,700 --> 00:20:28,320 +Kernig sign بأحفظه في وضعية المريض أعمله flexion + +270 +00:20:28,320 --> 00:20:32,220 +تسعين درجة في الـ hip و flexion تسعين درجة في الـ + +271 +00:20:32,220 --> 00:20:36,500 +knee و بروح أعمله complete هلجيت اتني رجلك تاني؟ + +272 +00:20:36,500 --> 00:20:42,860 +لحالك؟ لأ لأ لأ اتنيها شوية هلجيت + +273 +00:20:42,860 --> 00:20:46,420 +حاولت أعمله إيش؟ complete إيش؟ extension لأنه مش + +274 +00:20:46,420 --> 00:20:49,440 +قادر أعمله extension اثنى شوية بسيطة تمام و بتطلع + +275 +00:20:49,440 --> 00:20:52,640 +وين على الـ other lower limb ليش هو عمل flexion + +276 +00:20:52,640 --> 00:20:55,580 +عشان يخفف الألم يبقى في الحالة هذه مش قادر أعمله + +277 +00:20:55,580 --> 00:20:58,040 +إيش complete extension هنا بقول المريض عنده + +278 +00:20:58,040 --> 00:21:01,220 +positive Kernig signs و بتطلع على الـ other lower + +279 +00:21:01,220 --> 00:21:03,940 +limb إذا صار فيها flexion في الـ hip و في الـ knee + +280 +00:21:03,940 --> 00:21:08,280 +بقول المريض عنده شيء ثاني اسمه Leg Brudzinski + +281 +00:21:08,280 --> 00:21:12,150 +signs positive أو Lower Brudzinski sign positive + +282 +00:21:12,150 --> 00:21:16,450 +اللي هي passive flexion of one hip and extension + +283 +00:21:16,450 --> 00:21:20,270 +of the knee lead to flexion of the other hip + +284 +00:21:20,270 --> 00:21:25,150 +بالطريقة هذه إحنا فحصنا .. فضلا استريح + +285 +00:21:28,220 --> 00:21:33,320 +شوية عندنا فحصنا مين اللي هم الـ meningeal + +286 +00:21:33,320 --> 00:21:36,820 +irritation signs زي ما إحنا شايفين هنا بفحص اللي + +287 +00:21:36,820 --> 00:21:41,020 +هو neck stiffness مع الـ Upper Brzezinski أو neck + +288 +00:21:41,020 --> 00:21:44,420 +Brzezinski هنا بفحص Kernig signs بتطلع الـ other + +289 +00:21:44,420 --> 00:21:48,660 +lower limb لو صار عندي flexion في الـ knee و في الـ hip + +290 +00:21:48,660 --> 00:21:51,960 +بقول المريض عنده كمان غير Kernig signs عنده Lower + +291 +00:21:51,960 --> 00:21:57,960 +Brudzinski أو Leg Brudzinski cranial nerve + +292 +00:21:57,960 --> 00:22:02,500 +examination بنتقل بعدها لموضوع cranial nerve + +293 +00:22:02,500 --> 00:22:07,560 +examination Cranial nerve examination ببدأها + +294 +00:22:07,560 --> 00:22:11,720 +بالـ olfactory examination الـ olfactory examination تفضل يا + +295 +00:22:11,720 --> 00:22:15,440 +معين هنا ببدأ + +296 +00:22:15,440 --> 00:22:20,300 +الـ olfactory examination بالـ olfactory nerve الـ olfactory nerve + +297 +00:22:20,300 --> 00:22:24,100 +بتفحص smell الـ main function بتبع smell يبقى الأول + +298 +00:22:24,100 --> 00:22:29,390 +شيء في عندي شروط للـ examination أول شرط familiar + +299 +00:22:29,390 --> 00:22:32,950 +odorant أجيب رائحة مألوفة أو متعارف عليها أو + +300 +00:22:32,950 --> 00:22:36,850 +معروفة عند المريض ثاني non irritant مايكونش + +301 +00:22:36,850 --> 00:22:39,870 +irritant قوية عشان مايعملش irritation للأنف هيجيب + +302 +00:22:39,870 --> 00:22:44,720 +من الـ nerveثلاثة أفحص each nostril alone يعني أعمله + +303 +00:22:44,720 --> 00:22:48,300 +فحص لكل nostril alone عشان نحدد إذا في عندنا + +304 +00:22:48,300 --> 00:22:52,780 +hyposmia unilateral right أو left ونعمل .. هنفي + +305 +00:22:52,780 --> 00:22:56,700 +خطأ في الصورة من الكتاب إن الـ eyes open الـ eyes + +306 +00:22:56,700 --> 00:23:01,540 +should be closed يبقى أول شيء سكّر هناك تمام؟ + +307 +00:23:01,540 --> 00:23:03,980 +هلجيت؟ + +308 +00:23:04,980 --> 00:23:09,680 +بدأ أشم منك حاجة و تقول إيش هي، شم إيش شامم؟ روح + +309 +00:23:09,680 --> 00:23:17,300 +أريح، تمام، غمض عينك، شم، نفس الشيء، إيش؟ إيش في؟ + +310 +00:23:17,300 --> 00:23:20,300 +غمض عينك، شم هنا + +311 +00:23:26,180 --> 00:23:32,280 +شام؟ شام قد نفسه شاميت؟ إيش فيه؟ نفس الشيء و هان + +312 +00:23:32,280 --> 00:23:38,980 +نفس الشيء شامم؟ في الحالة هذه أنا ممكن أغير + +313 +00:23:38,980 --> 00:23:43,540 +الرائحة أجيب رائحة ثانية و عشان أميز و أحدد إذا في + +314 +00:23:43,540 --> 00:23:51,620 +عنده loss of smell sensation lesion + +315 +00:23:51,620 --> 00:23:56,790 +of the smell pathway unilateral hyposmia or + +316 +00:23:56,790 --> 00:23:59,950 +anosmia يمكن أن يكون unilateral Bilateral + +317 +00:23:59,950 --> 00:24:03,690 +hyposmia or anosmia Parosmia أو اسم ال + +318 +00:24:03,690 --> 00:24:08,270 +hallucination كاكوسمية أو bad smell يعني chronic + +319 +00:24:08,270 --> 00:24:12,230 +sinusitis و الـ olfactory agnosia اللي هي عدم تمييز + +320 +00:24:12,230 --> 00:24:16,170 +الروائح كاكوسمية هي bad smell اللي بنشوفها أو + +321 +00:24:16,170 --> 00:24:18,290 +المرضى اللي بتصير معهم في حالات الـ chronic + +322 +00:24:18,290 --> 00:24:21,910 +sinusitis لما يكون عندهم nasal discharge باروسمية + +323 +00:24:21,910 --> 00:24:25,370 +اللي هي الـ hallucination في حالة تكون tumor في ال + +324 +00:24:25,370 --> 00:24:29,750 +temporal lobe ممكن تعمل لنا الهلوسة في حاسّة الشم + +325 +00:24:29,750 --> 00:24:34,590 +يشم أشياء مش موجودة و Bilateral hyposmia أو أنوزميا + +326 +00:24:34,590 --> 00:24:38,150 +كلنا صار معنا Bilateral في حالة الـ common cold لما + +327 +00:24:38,150 --> 00:24:41,850 +نكون عندنا فلوانزا راشح كنا بنبطل نشم روائح و + +328 +00:24:41,850 --> 00:24:44,150 +unilateral hyposmia أو أنوزميا هذه أخطر الـ + +329 +00:24:44,150 --> 00:24:47,070 +unilateral قد تكون ناتجة عن الـ olfactory groove من + +330 +00:24:47,070 --> 00:24:52,350 +ورم، tumor أو إصابة، trauma أو hematoma بعد ذلك بنتقل + +331 +00:24:52,350 --> 00:24:56,450 +لفحص الـ optic nerve في الـ Optic nerve نفحص عن طريق + +332 +00:24:56,450 --> 00:25:00,710 +الـ Acuity of vision عن طريق Snellen Chart من 6 + +333 +00:25:00,710 --> 00:25:05,130 +لـ 6 الـ Normal لـ 6 لـ 9 وفي Computerized System + +334 +00:25:05,130 --> 00:25:09,810 +اليوم بعد ذلك نفحص الـ Visual Field Examination + +335 +00:25:09,810 --> 00:25:16,710 +بنعمل Confrontation test و بعدها ممكن نعمل فحص عن + +336 +00:25:16,710 --> 00:25:20,870 +طريق الـ Perimeter في الـ Perimeter هذا الجهاز عشان + +337 +00:25:20,870 --> 00:25:25,470 +نحدد إذا في عندنا visual field defect لكن أول شيء + +338 +00:25:25,470 --> 00:25:30,170 +بنفحص عن طريق الـ Confrontation test في الـ + +339 +00:25:30,170 --> 00:25:34,650 +Confrontation test غمض + +340 +00:25:34,650 --> 00:25:40,250 +عينك، حط يدك على اليمين طلع + +341 +00:25:40,250 --> 00:25:45,670 +هنا، طلع، لما تشوف إصبعي، قول شفته، طلع هنا، + +342 +00:25:45,670 --> 00:25:47,850 +ماشي، ماتحركش، ماتحركش عينك + +343 +00:25:52,580 --> 00:25:55,880 +أنا ما شايفش ما شايفش تمام تمام بجيبه من الجهة الثانية + +344 +00:25:55,880 --> 00:25:59,500 +أنا + +345 +00:25:59,500 --> 00:26:05,140 +ما شايفش ما شايفش و بجيب من أسفل و من فوق طلع هنا ما شايفش + +346 +00:26:05,140 --> 00:26:11,140 +تمام و نفس الطريقة بفحص على الـ other eyes في + +347 +00:26:11,140 --> 00:26:16,720 +الحالة هذه إذا المريض .. رخص .. حطي دقيقة طلع هنا + +348 +00:26:16,720 --> 00:26:19,640 +المريض ما شايفه كويس ما شايفه كويس ما شايفه كويس + +349 +00:26:19,640 --> 00:26:24,390 +هنا شاف شاف بالـ nasal هنا شاف مباشرة في الحالة + +350 +00:26:24,390 --> 00:26:27,970 +هذه بقول عنده loss of temporal visual field على ال + +351 +00:26:27,970 --> 00:26:30,610 +right ساكر عينك اليمين .. الشمال .. ساكر عينك + +352 +00:26:30,610 --> 00:26:34,970 +الشمال .. لأ حطي يدك هيك رخي عينك .. تمام رخي يدك .. + +353 +00:26:34,970 --> 00:26:41,010 +طلع هنا شايف؟ أه شايف كويس هنا لأ مش شايف مش شايف + +354 +00:26:41,010 --> 00:26:43,670 +مش شايف يعني المريض هنا عنده على عين اليمين + +355 +00:26:43,670 --> 00:26:47,370 +عصبين مثال هذا مثال جبته أنا .. + +356 +00:26:50,130 --> 00:26:55,070 +هنا on the left part of the right eye loss of + +357 +00:26:55,070 --> 00:27:02,510 +vision يبقى هنا أنور سمعين كنتين هي + +358 +00:27:02,510 --> 00:27:08,590 +المريض هي يعني إيه هذا right وهذا left مريضنا هذا + +359 +00:27:08,590 --> 00:27:16,360 +مجسمنا عينه من النص هذه عنده temporal وهذه nasal + +360 +00:27:16,360 --> 00:27:21,280 +هذه nasal وهذه temporal مريضنا فحصنا left eye + +361 +00:27:21,280 --> 00:27:24,240 +لجينا الـ temporal ما بيشوفش فيها كويس مثال أنا جبته + +362 +00:27:24,240 --> 00:27:32,630 +مثلت وعن الـ nasal ما بيشوفش لو جينا للعين نفسها هذه + +363 +00:27:32,630 --> 00:27:38,010 +الجزئية هي right part وهذه left part وهنا نفس + +364 +00:27:38,010 --> 00:27:42,690 +الشيء right part وهذه left part الحالة هذه بقول + +365 +00:27:42,690 --> 00:27:47,710 +المريض عنده left side hemianopia left side + +366 +00:27:47,710 --> 00:27:50,950 +homonymous + +367 +00:27:56,850 --> 00:28:01,470 +Hemianopia يعني المريض فقد المجال البصري ال + +368 +00:28:01,470 --> 00:28:05,990 +visual field على الـ left side of both eyes قد يكون + +369 +00:28:05,990 --> 00:28:11,090 +هذا right optic tract lesion قد يكون right lateral + +370 +00:28:11,090 --> 00:28:14,150 +geniculate lesion قد يكون right internal capsule + +371 +00:28:14,150 --> 00:28:14,570 +lesion + +372 +00:28:17,400 --> 00:28:21,760 +بعدها بنتقل لفحص fundus examination fundus + +373 +00:28:21,760 --> 00:28:25,680 +examination نشوف إذا normal fundus أو المريض عنده + +374 +00:28:25,680 --> 00:28:29,440 +papilledema أو المريض عنده optic pallor optic + +375 +00:28:29,440 --> 00:28:36,760 +atrophy color examination إيش مكتوب هنا عجيب إيش + +376 +00:28:36,760 --> 00:28:42,700 +مكتوب هيك؟ السبعة والثالثة اتفضلي استريحي يبقى احنا + +377 +00:28:42,700 --> 00:28:48,360 +فحصنا ال visual color هنا في عندي ثلاثة وهنا سبعة + +378 +00:28:48,360 --> 00:28:51,220 +يبقى عشان أشوف إن ده في color blindness أو عمى + +379 +00:28:51,220 --> 00:28:57,180 +الألوان بنتاجل بعضها لفحص الأعصاب الثلاثة و الأربعة + +380 +00:28:57,180 --> 00:29:00,580 +و الستة اللي هم ocular nerves العصب الثالث والرابع + +381 +00:29:00,580 --> 00:29:05,480 +والسادس مهم جدا إذا بفحص أي شيء motor لازم أبدأ + +382 +00:29:05,480 --> 00:29:08,740 +بال inspection لازم أبدأ بال inspection طلع عقلك + +383 +00:29:08,740 --> 00:29:14,170 +يا عدلبـ inspection أنا بتطلع عليه أول شيء في drop + +384 +00:29:14,170 --> 00:29:18,250 +of eyelid فيه tosses ولا مافيه؟ إذا فيه tosses + +385 +00:29:18,250 --> 00:29:23,930 +بنحدده هل هو complete tosses كامل أو partial؟ يعني + +386 +00:29:23,930 --> 00:29:28,350 +فيه سقوط في الجفن complete أو partial اثنين بنحدده + +387 +00:29:28,350 --> 00:29:32,290 +bilateral ولا unilateral وإذا unilateral right أو + +388 +00:29:32,290 --> 00:29:35,690 +left هذه أول شيء يبقى بال inspection أنا بحدد حين + +389 +00:29:35,690 --> 00:29:38,090 +أنا بشخص مريض بال inspection من حد ما يفوت عندي + +390 +00:29:38,090 --> 00:29:41,830 +ايه ده ممكن أشخص آخد ايه حط أشخص و أكمل الفحص و + +391 +00:29:41,830 --> 00:29:45,210 +أشوف إن أنا اللي فكرت فيه صح ولا لأ يبقى أول شيء + +392 +00:29:45,210 --> 00:29:50,510 +بتكلم على inspection على التواصل اثنين بتطلع على + +393 +00:29:50,510 --> 00:29:57,030 +ال pupils تعينوا، حدقتين، هل هي round مدورين أو + +394 +00:29:57,030 --> 00:30:02,730 +كان ماخدة روما و irregular؟ اثنين، regular، + +395 +00:30:02,730 --> 00:30:06,590 +symmetrical ال right و ال left و لا symmetrical في + +396 +00:30:06,590 --> 00:30:11,750 +anisocoria، anisocoria يعني السيمتريا of pupil + +397 +00:30:11,750 --> 00:30:12,250 +size + +398 +00:30:25,860 --> 00:30:30,420 +طبعاً بتطلع على ال pupils respond to light ولا لأ + +399 +00:30:30,420 --> 00:30:32,860 +بس هاد ال respond مش بالنسبالكش إن أنا لازم أفحصها + +400 +00:30:32,860 --> 00:30:37,780 +بال torch يبقى إن أنا بقول ال pupils are are are + +401 +00:30:37,780 --> 00:30:43,860 +regular round reactive بعدك بشوف إذا في squint + +402 +00:30:43,860 --> 00:30:51,270 +بتطلع على ال eyes هل في حول squint ودا اللي جينا + +403 +00:30:51,270 --> 00:30:54,690 +داخل الجو هذا بيكون convergence squint وده اللي + +404 +00:30:54,690 --> 00:30:58,310 +قاعد طالع على برا هذا بيكون divergence squint يجب + +405 +00:30:58,310 --> 00:31:03,470 +أننا نحدد بال inspection ال pupils, tosses فيه أو + +406 +00:31:03,470 --> 00:31:06,750 +لا و squint وده فيه squint convergence أو + +407 +00:31:06,750 --> 00:31:12,340 +divergence بعد هيك بنعمل examination للـ + +408 +00:31:12,340 --> 00:31:15,900 +extraocular movement زي ما أنتو عارفين الـ + +409 +00:31:15,900 --> 00:31:18,760 +abducent nerve بيغذي ال lateral rectus muscle و ال + +410 +00:31:18,760 --> 00:31:21,760 +trochlear nerve بيغذي superior oblique muscle اللي + +411 +00:31:21,760 --> 00:31:25,980 +بتعملنا ايه؟ down and out direction movement اللي + +412 +00:31:25,980 --> 00:31:28,840 +ال lateral rectus بتعمل external rotation أو + +413 +00:31:28,840 --> 00:31:34,110 +abduction للأعلى و الـ oculomotor بنفحص other + +414 +00:31:34,110 --> 00:31:38,070 +movement زي ال .. نفحص ال media rectus muscle + +415 +00:31:38,070 --> 00:31:40,670 +superior rectus muscle inferior rectus muscle + +416 +00:31:40,670 --> 00:31:43,170 +inferior oblique muscle levator palpebra + +417 +00:31:43,170 --> 00:31:46,150 +superioris كله هدا بآخده من وين؟ من ال oculomotor + +418 +00:31:46,150 --> 00:31:52,370 +nerve كيف نفحص ال eye movement؟ هي عندي حمار بتاعي + +419 +00:31:52,370 --> 00:31:55,390 +طلع + +420 +00:31:55,390 --> 00:31:58,470 +هان بحدد طلع + +421 +00:32:01,610 --> 00:32:06,530 +طلع هنا اشاكوش و بحاول ايش اعمل fixation لل vision + +422 +00:32:06,530 --> 00:32:09,850 +طلع المريض عنده هان مش واضح يالكوا كويس عنده + +423 +00:32:09,850 --> 00:32:20,750 +nystagmus لفلي هنا لفلي حقك اجهز شوية ساكتر + +424 +00:32:20,750 --> 00:32:29,390 +ساكتر اجهزي شوية اجهزي شوية طلع هنا طلع هيك هنا + +425 +00:32:29,390 --> 00:32:33,180 +طلع هنالأ بنوقف ليش بنوقف؟ نشوف ده فيه stigma + +426 +00:32:33,180 --> 00:32:38,620 +المريض عنده horizontal stigma أنا في الحركة هذه أو + +427 +00:32:38,620 --> 00:32:42,040 +ال direction أنا حركت ال left lateral rectus + +428 +00:32:42,040 --> 00:32:47,280 +muscle مع ال media ال right بنعمل H shape نزل لتحت + +429 +00:32:47,280 --> 00:32:54,060 +أنا حركت هنا اللي هي superior oblique left مع + +430 +00:32:54,060 --> 00:33:01,460 +inferior rectus right لفوق حركنا inferior oblique + +431 +00:33:01,460 --> 00:33:07,760 +lift مع superior rectus right و برجع طلع هان نفس + +432 +00:33:07,760 --> 00:33:10,380 +الشيء بثبت ليش ثبتت؟ عشان ده فيه horizontal + +433 +00:33:10,380 --> 00:33:18,030 +stigmas أشوفه طلع تحت لفوق بعدين هانطلع فوق، بثبت + +434 +00:33:18,030 --> 00:33:21,830 +فوق، ليه؟ إذا في عيننا vertical نستجمس، نشوفه، و + +435 +00:33:21,830 --> 00:33:26,690 +بنفحص، عيننا فحصنا نستجمس مع الـ ocular movement، + +436 +00:33:26,690 --> 00:33:29,470 +نفحص ال conversion and accommodation، نطلب من + +437 +00:33:29,470 --> 00:33:32,830 +المريض اطلع نقطة بعيدة اطلع نطبي إيده هناك على السقف + +438 +00:33:32,830 --> 00:33:34,970 +و بعدين طلع اللي على الشاكوش طلع بسرعة على الشاكوش + +439 +00:33:34,970 --> 00:33:38,190 +على الشاكوش طلع ايه صار مع المريض؟ صار مع ال + +440 +00:33:38,190 --> 00:33:41,150 +conversion لل both eyes مع accommodation مع + +441 +00:33:41,150 --> 00:33:45,210 +construction لل pupils و بفحص ال light reflex في + +442 +00:33:45,210 --> 00:33:48,630 +عندي direct light reflex و في indirect light + +443 +00:33:48,630 --> 00:33:52,710 +reflex لو ضوينا الضوء أو ال torch طلع على العين + +444 +00:33:52,710 --> 00:33:57,660 +اليمين فجأة بسرعة بصير construction of the same + +445 +00:33:57,660 --> 00:34:01,400 +pupils هذا بنسميه direct light reflex و لو ضوينا + +446 +00:34:01,400 --> 00:34:04,300 +في العين الأمين بسرعة و نطلعنا على الشمال بصير + +447 +00:34:04,300 --> 00:34:07,820 +كمان construction في ال other eyes هذا بنسميه + +448 +00:34:07,820 --> 00:34:13,140 +indirect light reflex يبقى light on one eye lead + +449 +00:34:13,140 --> 00:34:16,260 +to construction of the same eye هذا بنسميها direct + +450 +00:34:16,260 --> 00:34:19,520 +light reflex و light on one eye lead to + +451 +00:34:19,520 --> 00:34:22,460 +construction of the other eyes هذا بنسميها + +452 +00:34:22,460 --> 00:34:24,000 +indirect light reflex + +453 +00:34:28,900 --> 00:34:33,100 +الـ Light Reflex شرحناها الـ accommodation and + +454 +00:34:33,100 --> 00:34:39,680 +conversion أنا شرحته ال patients asked to follow + +455 +00:34:39,680 --> 00:34:44,740 +your finger from a far point to a near point، ايش + +456 +00:34:44,740 --> 00:34:47,160 +بيصير مع المريض؟ بيصير معه conversion، بيصير + +457 +00:34:47,160 --> 00:34:50,740 +contraction لل both medial recti muscle عن طريق + +458 +00:34:50,740 --> 00:34:53,720 +نوكلياس أو بيرليا و بيصير عنه myosis أو + +459 +00:34:53,720 --> 00:34:57,500 +constriction of a constrictor pupillary muscle + +460 +00:34:58,710 --> 00:35:03,790 +legion of oculomotor nerve توسيز ممكن يسموهم توسيز + +461 +00:35:03,790 --> 00:35:08,590 +due to braces of the levator palpebra superioris + +462 +00:35:08,590 --> 00:35:14,210 +مصر ممكن يسموهم ضيبلوبيا أو double vision only on + +463 +00:35:14,210 --> 00:35:17,630 +elevation of eyelid لأنه لو مسكر عينه راح يشوف + +464 +00:35:17,630 --> 00:35:21,270 +واحد بس لو رفعنا ال eyelid راح يشوف بدل ما يشوف + +465 +00:35:21,270 --> 00:35:25,690 +واحد راح يشوف اتنين double vision squint بيصير + +466 +00:35:25,690 --> 00:35:29,250 +معاك Diversion Squint تكون عينه طالع على برا ليش + +467 +00:35:29,250 --> 00:35:32,490 +طالع على برا؟ لأن ال lateral rectus muscle سليمة و + +468 +00:35:32,490 --> 00:35:36,470 +راح تشد العين للخارج Medriasis لأنه بيغذي + +469 +00:35:36,470 --> 00:35:38,990 +constructor pupil muscle و ال sympathetic nervous + +470 +00:35:38,990 --> 00:35:42,670 +system بتغضينا ال dilator pupil muscle في الحالة + +471 +00:35:42,670 --> 00:35:45,790 +هذه راح يكون عند المرضى Medriasis اللي هو توسيع + +472 +00:35:45,790 --> 00:35:49,730 +حدقة العين Loss of light and accommodation reflex + +473 +00:35:50,510 --> 00:35:54,510 +بس because of oculomotor nerve lesion ممكن يكون + +474 +00:35:54,510 --> 00:35:59,010 +aneurysm of the posterior communicating artery ممكن + +475 +00:35:59,010 --> 00:36:02,710 +يكون infarction of third cranial nerves ناتجة عن + +476 +00:36:02,710 --> 00:36:07,250 +hypertension عن DM Medbrain tumor Infarction + +477 +00:36:07,250 --> 00:36:10,530 +Hemorrhage وزي ويبر سندروم ممكن يكون ناتجة عن + +478 +00:36:10,530 --> 00:36:17,610 +cavernous sinus thrombosis ماهي الفرق بين أقلوموتر + +479 +00:36:17,610 --> 00:36:23,910 +ونيروباتي كديابتك وأنوريزم بستيريو كوميونيكاتينج + +480 +00:36:23,910 --> 00:36:27,250 +أرتريكيف نفرج إن هذا نيروباثي حقيقي و لا + +481 +00:36:27,250 --> 00:36:30,490 +compression جاي من وين، من الخارج، جاي tumor، ضغط + +482 +00:36:30,490 --> 00:36:33,810 +عن الـ nerve أو جاي عنده aneurysm؟ هلأ الـ + +483 +00:36:33,810 --> 00:36:37,930 +autonomic fibers في الـ nerve بتكون more external، + +484 +00:36:37,930 --> 00:36:41,860 +في حال كان aneurysm compression راح يكون الـ first + +485 +00:36:41,860 --> 00:36:46,220 +symptoms عندنا مدرياسيز الـ first symptom اللي هو + +486 +00:36:46,220 --> 00:36:49,360 +المدرياسيز لكن لو كان الـ neuropathy بيصيب الـ + +487 +00:36:49,360 --> 00:36:52,720 +axon أكتر في الديابتك النيروباتي ممكن يكون عندنا + +488 +00:36:52,720 --> 00:36:56,900 +squint, ptosis لكن ال pupils يكونوا intact ال + +489 +00:36:56,900 --> 00:36:59,480 +pupils يكونوا intact يعني في ال compression بيكون + +490 +00:36:59,480 --> 00:37:02,100 +ال first signs اللي هو المدرياسيز لكن في + +491 +00:37:02,100 --> 00:37:07,440 +النيروباتي الديابتك maybe spared pupils lesion of + +492 +00:37:07,440 --> 00:37:11,940 +trochlear nerve Diplobia on looking down and out + +493 +00:37:11,940 --> 00:37:15,040 +direction Limitation of movement during + +494 +00:37:15,040 --> 00:37:19,660 +examination for eye movement down and out لو صار + +495 +00:37:19,660 --> 00:37:23,810 +معنا lesion في الـ abdominal Diplobia on looking out + +496 +00:37:23,810 --> 00:37:26,650 +direction لأنه بيغذي ال lateral rectus muscle و + +497 +00:37:26,650 --> 00:37:30,050 +limitation in your examination of eye movement in + +498 +00:37:30,050 --> 00:37:34,410 +outward direction ومن هنا اسمه abdocent nerve لأنه + +499 +00:37:34,410 --> 00:37:38,270 +بيغذي ال lateral rectus muscle which abduct the + +500 +00:37:38,270 --> 00:37:43,010 +eye laterally و بيكون معهم conversion paralytic + +501 +00:37:43,010 --> 00:37:46,290 +squint إيش يعني conversion paralytic squint؟ هي + +502 +00:37:46,290 --> 00:37:47,610 +عينتين، هي عندي + +503 +00:37:50,390 --> 00:37:54,910 +المريض عنده هذه right هذه left المريض عنده the right + +504 +00:37:54,910 --> 00:38:03,590 +six snare pulse يلاقي + +505 +00:38:03,590 --> 00:38:07,950 +هذا ال pupils ال eyeball في النص six و ال right + +506 +00:38:07,950 --> 00:38:12,910 +داخلة لجوه داخلة conversion ليش conversion لأن في + +507 +00:38:12,910 --> 00:38:14,790 +مشكلة في + +508 +00:38:16,970 --> 00:38:19,670 +الـ lateral rectus muscle الـ lateral rectus + +509 +00:38:19,670 --> 00:38:24,090 +muscle هنا paralyzed مش قادر تعمل upduction لل eye + +510 +00:38:24,090 --> 00:38:27,030 +laterally في الحالة هذه راح نجد عند المريض + +511 +00:38:27,030 --> 00:38:30,670 +conversion paralytic squint الـ trigeminal nerve + +512 +00:38:30,670 --> 00:38:33,730 +examination الـ trigeminal nerve it is mainly + +513 +00:38:33,730 --> 00:38:38,600 +sensory nerve mainly sensory nerveبقى أول شي بنفحص + +514 +00:38:38,600 --> 00:38:43,880 +ايه ال sensation بنفحص ال sensation عن طريق أو + +515 +00:38:43,880 --> 00:38:47,120 +بفحص أول شي pain sensation و touch sensation + +516 +00:38:47,120 --> 00:38:56,220 +المريض بنغمض عينيا the eyes should be closedاللأ حاسس هان + +517 +00:38:56,220 --> 00:39:03,500 +قلم و هنا نفس الشيء هنا و هنا بعمل symmetrical + +518 +00:39:03,500 --> 00:39:06,900 +examination لل pain sensation بقارن ophthalmic مع + +519 +00:39:06,900 --> 00:39:09,320 +ophthalmic maxillary مع maxillary mandibular مع + +520 +00:39:09,320 --> 00:39:13,520 +mandibular هاي واحد، اتنين، ع نفس ال side بقارن ع + +521 +00:39:13,520 --> 00:39:18,880 +نفس ال side ع left side ophthalmicمع maxillary مع + +522 +00:39:18,880 --> 00:39:22,920 +mandibular انا فحصت ايش pain sensation و نفس الشيء + +523 +00:39:22,920 --> 00:39:30,680 +على اليمين بعدين بجيب جطعة قطن او fine + +524 +00:39:30,680 --> 00:39:36,860 +غمض من هناك في شيء لمسك هنحس اللمس نفس الشيء هذا + +525 +00:39:36,860 --> 00:39:42,630 +اسمها crow touch crow touch بجيبأفحص الـ fine + +526 +00:39:42,630 --> 00:39:45,550 +touch الـ fine touch good localized touch + +527 +00:39:45,550 --> 00:39:49,450 +sensation أنا مابدوش أعمله ألم بس لمز، هل في شيء + +528 +00:39:49,450 --> 00:39:55,570 +لمسك؟ ها، هل في شيء لمسك؟ لأن هذي good localized، + +529 +00:39:55,570 --> 00:39:59,130 +هذي fine touch لكن لما أنا لمسته بقطعة قطن أو + +530 +00:39:59,130 --> 00:40:06,070 +بحارم، هذي تعتبر إيش؟ Crowed touch نفحص الـ deep + +531 +00:40:06,070 --> 00:40:13,080 +sensation الـ deep sensationغمض أني أك؟ افتحه قبل + +532 +00:40:13,080 --> 00:40:15,720 +ال deep sensation بفحص temperature sensation بجيب + +533 +00:40:15,720 --> 00:40:19,260 +two tube واحدة فيها شيء بارد واحدة سخنه و بقارن + +534 +00:40:19,260 --> 00:40:22,100 +نفسي ما فحصت ال pain sensation أنا ممكن ماجيبش + +535 +00:40:22,100 --> 00:40:26,000 +إيه؟ tube معايا .. ميا في جيبتي عن طريق الهمع + +536 +00:40:26,000 --> 00:40:31,600 +بتاعي؟ غمض أني أك؟ هاي شيء لمسك و هاي شيء لمسك مين + +537 +00:40:31,600 --> 00:40:35,540 +فيهم بارد؟ الأول ولا الثاني؟ الثاني و بالطريقة هذه + +538 +00:40:35,540 --> 00:40:45,290 +بقارن على الجهة هذهالثاني طب هلجت مين أبرد لأول + +539 +00:40:45,290 --> 00:40:48,230 +يبقى أنا ال metallic مع ال plastic هذا ال plastic + +540 +00:40:48,230 --> 00:40:50,950 +راح يكون أدفع شوية مني مع ال metallic و بقدر اميز + +541 +00:40:50,950 --> 00:40:54,310 +ال temperature sensation فنتاج البعد هلا فحص ال + +542 +00:40:54,310 --> 00:40:58,230 +deep sensation deep sensation joint sensationفتحت + +543 +00:40:58,230 --> 00:41:01,210 +المقرخة؟ هل جيت انا بدي حرك ايه ايه افكه لفوق و + +544 +00:41:01,210 --> 00:41:04,030 +لتحت و هو بدي يجاوبني وين انا حركت، غمض عنيك، + +545 +00:41:04,030 --> 00:41:06,690 +ماتمشيش يعنى، هل جيت ايش وين حركت، فوق و لتحت؟ + +546 +00:41:06,690 --> 00:41:12,490 +لفوق، تمام، فهل جيت؟ لتحت، هل جيت؟ ليمين، هكذا، + +547 +00:41:12,490 --> 00:41:15,910 +اشمال، يبقى ان انا في الحركة هذه بحرك شمال، يمين، + +548 +00:41:15,910 --> 00:41:21,010 +فوق، تحت و بيكون المريض عارف الحركات هذهبنتاج لفحص + +549 +00:41:21,010 --> 00:41:25,130 +ال vibration ال vibration بستخدم turning fork ال + +550 +00:41:25,130 --> 00:41:27,570 +turning fork بمسيكه بالطريقة هذه من تحت مش من فوق + +551 +00:41:27,570 --> 00:41:32,030 +خطأ و لما هضرب عيدي هضرب عشان أحصل ع ال vibration + +552 +00:41:32,030 --> 00:41:36,750 +غامض أناك بدور ع وين فيه bone prominance حاسس إشي + +553 +00:41:36,750 --> 00:41:42,050 +زي رجعة و هان نفس الشيء و هان زي gammatic bone + +554 +00:41:42,050 --> 00:41:45,170 +تمام و هان و بقارن ع الجهتين شمال يمين هذه + +555 +00:41:45,170 --> 00:41:47,610 +vibration sense هذه vibration sense + +556 +00:41:51,770 --> 00:41:56,410 +بنفحص ال motor part لل mastication muscles أول شي + +557 +00:41:56,410 --> 00:41:59,470 +بفحص by inspection بتطلع إذا في deviation of the + +558 +00:41:59,470 --> 00:42:02,490 +jaw، laterally، على ال left، على ال right، تمام، + +559 +00:42:02,490 --> 00:42:06,930 +إذا في inability to open mouth، بعدين، افتح دماغك، + +560 +00:42:06,930 --> 00:42:11,190 +تحت، افتح، تمام، على آخر، على آخر، تمام، second، + +561 +00:42:11,190 --> 00:42:14,310 +زيح على الشمال، على اليمين، even، على الشمال، على + +562 +00:42:14,310 --> 00:42:16,800 +اليمين، على اليمين، عليا، هانا، هانايقول في حالة + +563 +00:42:16,800 --> 00:42:23,040 +هذه أنا فحصت حركة إيش ال .. ال .. ال .. ال .. ال + +564 +00:42:23,040 --> 00:42:26,700 +muscle movement اللي عنده افتحت أمك قم .. قمضوا + +565 +00:42:26,700 --> 00:42:31,680 +هيك على الأخر افتح .. قمضوا حاطيت إيدي في الحركة + +566 +00:42:31,680 --> 00:42:36,100 +هذه و هو بيعمل عملية swallow .. mastications تمام؟ + +567 +00:42:36,100 --> 00:42:39,680 +أنا بفحص اللي هم ال mastication muscles إذا في + +568 +00:42:39,680 --> 00:42:45,660 +أسيمتريا فيهم و نفحص reflexes بلات ال reflexال + +569 +00:42:45,660 --> 00:42:49,540 +palatal reflex و في conjunctivial reflex كل ما راح + +570 +00:42:49,540 --> 00:42:53,660 +أبحثهم معاكوا في العمل في المستشفى ال + +571 +00:42:53,660 --> 00:42:58,700 +conjunctivial reflex لو جيبنا جطعة جوتونستيرا أنا + +572 +00:42:58,700 --> 00:43:01,800 +مش راح أبحثها هنا لإن مافيش جوتونهانجيبنا جطعة قطن + +573 +00:43:01,800 --> 00:43:05,380 +استرال ودخلتها على عينه، راح مباشرة إيه؟ يعمل + +574 +00:43:05,380 --> 00:43:09,440 +closure للـ eye مين شعر؟ مين اللي حاسس؟ الحاسس هو + +575 +00:43:09,440 --> 00:43:11,760 +الـ trigeminal nerve، الـ ophthalmic branch مين + +576 +00:43:11,760 --> 00:43:14,100 +اللي عمل closure للـ eye؟ ال facial nerve، يعني + +577 +00:43:14,100 --> 00:43:16,640 +كان الـ afferent pathway راح يكون trigeminal، + +578 +00:43:16,640 --> 00:43:20,370 +ophthalmicالـ Efferent راح يكون إيش؟ اللي هو + +579 +00:43:20,370 --> 00:43:23,910 +facial nerve عن طريق temporal nerve and upper + +580 +00:43:23,910 --> 00:43:27,150 +zygomatic بنتجل بعدها للبلاتر reflex راح كمان + +581 +00:43:27,150 --> 00:43:29,970 +نفحصه في المستشفى بجيب tongue depressor مابدأ أغلب + +582 +00:43:29,970 --> 00:43:33,270 +مريضنا و .. إفتحت أمك؟ و بال tongue depressor بقى + +583 +00:43:33,270 --> 00:43:41,630 +أنزل لسانه و بجيب ورقة طويلة هيك بثميها و + +584 +00:43:41,630 --> 00:43:46,490 +الورقة هذه بحاول ألمس فيها + +585 +00:43:49,300 --> 00:43:53,140 +بس هيك بحاول ألمس فيها ال soft palate فالطريقة هذه + +586 +00:43:53,140 --> 00:43:56,600 +انا لو لمس ال soft palate راح يشعر يحس بالإحساس ال + +587 +00:43:56,600 --> 00:43:59,780 +maxillary nerve و اللي راح يعمل elevation لل soft + +588 +00:43:59,780 --> 00:44:03,280 +palate هو Vegas nerve مع cranial accessory يبقى ان + +589 +00:44:03,280 --> 00:44:05,980 +ال palate ال reflex راح يكون afferent له a + +590 +00:44:05,980 --> 00:44:09,280 +trigeminal maxillary و afferent راح يكون ال Vegas + +591 +00:44:09,280 --> 00:44:15,770 +مع main مع cranial accessory nervedeep jaw reflex + +592 +00:44:15,770 --> 00:44:20,230 +في عندي اللي هو jaw jerk افتح دماغ شوية شوية شوية + +593 +00:44:20,230 --> 00:44:27,450 +رخيا و بحط أصبعي أقوين الـmental طبيعي يصير mild + +594 +00:44:27,450 --> 00:44:32,810 +closure أو ممكن مايصيرش أي حركة هذا بنسمي jaw jerk + +595 +00:44:32,810 --> 00:44:35,970 +الأفيرانت والإفيرانت لإله mandibular nerve + +596 +00:44:35,970 --> 00:44:40,270 +mandibular nerve أفيرانت and إفيرانت طريقة هذه أنا + +597 +00:44:40,270 --> 00:44:44,020 +بكون فحص الـtrigeminal nerveلو صار lesion في + +598 +00:44:44,020 --> 00:44:47,360 +تراجبنا الـ nerve ممكن نعمل تراجبنا الـ neuralgia + +599 +00:44:47,360 --> 00:44:49,420 +راح ناخد فيها محاضرة ان شاء الله في الـ cranial + +600 +00:44:49,420 --> 00:44:53,340 +nerves هو الـ facial nerve ممكن يصير معنا loss of + +601 +00:44:53,340 --> 00:44:56,480 +sensation over the face إذا كان هذه secondary + +602 +00:44:56,480 --> 00:44:59,040 +تراجبنا الـ neuralgia بيكون loss of sensation في + +603 +00:44:59,040 --> 00:45:03,320 +ال primary تراجبنا الـ neuralgia without sensory + +604 +00:45:03,320 --> 00:45:09,050 +deficit motor affectionبنكون عندنا weakness of the + +605 +00:45:09,050 --> 00:45:13,290 +mastication muscles and the jaw is deviated to the + +606 +00:45:13,290 --> 00:45:17,890 +side of lesion in bilateral lesion inability to + +607 +00:45:17,890 --> 00:45:24,130 +open mouth ننتقل الآن للعصب السابع facial nerve + +608 +00:45:24,130 --> 00:45:26,970 +examination في ال facial nerve examination ده شوية + +609 +00:45:26,970 --> 00:45:30,450 +ده شوية كفش استريحة + +610 +00:45:33,240 --> 00:45:36,380 +في ال facial nerve examination نفس الشيء هذا + +611 +00:45:36,380 --> 00:45:42,000 +mainly motor nerve راح أبدأ بال inspection بال + +612 +00:45:42,000 --> 00:45:46,570 +inspection أنا بتطلع على المريضبتطلع إذا في ال + +613 +00:45:46,570 --> 00:45:50,370 +blinking symmetrical أو لا بتطلع على ال blinking + +614 +00:45:50,370 --> 00:45:53,090 +يعني أنا ممكن أشخص حالة بالزبالص بس بال inspection + +615 +00:45:53,090 --> 00:45:56,570 +مجرد ما أطلع على رمشة العين عيني بترمش عيني لأ + +616 +00:45:56,570 --> 00:45:58,690 +يبقى في مشكلة هنا يبقى أنا بتطلع على ال blinking + +617 +00:45:58,690 --> 00:46:06,530 +of the eyes بتطلع على wrinkles تجعيد الجبين من فوق + +618 +00:46:06,530 --> 00:46:15,330 +تمام و بتطلع على ايه على nasolabial foldو بتطلع ده + +619 +00:46:15,330 --> 00:46:18,650 +فيه drop mouth angle كل هذا بال inspection بال + +620 +00:46:18,650 --> 00:46:22,450 +inspection يقول هذا بال inspection بعد هيك باعطي + +621 +00:46:22,450 --> 00:46:27,470 +المريض a order ارفع حواجبك لفوق بشوف ال + +622 +00:46:27,470 --> 00:46:31,930 +symmetrical of forehead wrinkles غمض عينيك جوي + +623 +00:46:31,930 --> 00:46:35,790 +بحاول ايه افتحهم هو يعملي resistant بتطلع في ال + +624 +00:46:35,790 --> 00:46:39,890 +eye closure وارجيني أسنانك بتطلع على ال mouth + +625 +00:46:39,890 --> 00:46:43,620 +deviation symmetrical ولا لأ انفخوبعمل ال pressure + +626 +00:46:43,620 --> 00:46:47,680 +عليه يبقى في الطريقة هذه أنا بفحص الـ facial + +627 +00:46:47,680 --> 00:46:52,360 +muscles وبنفحص الـ sensory part عن طريق اللي هو الـ + +628 +00:46:52,360 --> 00:46:55,860 +chorda tympani بنفحص الـ taste sensation على الـ + +629 +00:46:55,860 --> 00:46:58,720 +anterior two thirds of the tongue right أو left + +630 +00:46:58,720 --> 00:47:02,400 +ممكن نفحص شيء مالح شيء مر شيء حلو للـ anterior two + +631 +00:47:02,400 --> 00:47:06,780 +thirds of the tongue اللي اللي هو chorda tympani + +632 +00:47:06,780 --> 00:47:10,820 +nerve reflexes مع الـ facial nerve بنفحص الـ corneal + +633 +00:47:10,820 --> 00:47:14,320 +أو conjunctiva الـ reflex زي ما اتفقنا الآن في + +634 +00:47:14,320 --> 00:47:18,060 +تراجيم الـ nerve بنجيب قطعة قطن تمام معقمة بتكون + +635 +00:47:18,060 --> 00:47:22,200 +وبفحص الـ eye بحاول أُلمس الـ conjunctiva على الـ + +636 +00:47:22,200 --> 00:47:25,060 +right وعلى الـ left مجرد ما أُلمسها إيش راح يصير مع + +637 +00:47:25,060 --> 00:47:28,550 +المريض؟ راح يصير معاه closure للـ eye مين الحس شعار + +638 +00:47:28,550 --> 00:47:32,790 +هو الـ ophthalmic of trigeminal ومين عملنا closure + +639 +00:47:32,790 --> 00:47:37,170 +اللي هو الـ facial nerve عن طريق الـ temporal nerve and + +640 +00:47:37,170 --> 00:47:38,490 +zygomatic nerve + +641 +00:47:41,610 --> 00:47:45,870 +هي إن مرضى هذا المريض عنده left-side Bell's palsy + +642 +00:47:45,870 --> 00:47:48,950 +عنده loss of wrinkles على الـ left inability to + +643 +00:47:48,950 --> 00:47:52,110 +complete closure of the eye هاي شايفين Bell's + +644 +00:47:52,110 --> 00:47:56,830 +phenomena الـ sclera واضحة البياض تعالين في أن هنا + +645 +00:47:56,830 --> 00:48:00,910 +واضح drop mouth angle على الـ left-side وبنلاحظ + +646 +00:48:00,910 --> 00:48:04,630 +دايما في الـ Bell's palsy بيصير deviation للمouth + +647 +00:48:04,630 --> 00:48:08,010 +على الـ intact side يعني هذا المريض كمان عنده left + +648 +00:48:08,010 --> 00:48:11,370 +-side Bell's palsy بنتقل بعدها لـ + +649 +00:48:11,370 --> 00:48:15,210 +vestibulocochlear nerve examination examination of + +650 +00:48:15,210 --> 00:48:19,250 +the cochlear components of the vestibulocochlear + +651 +00:48:19,250 --> 00:48:25,510 +nerve test by whispering numbers into one ear + +652 +00:48:25,510 --> 00:48:32,810 +بحاول أسكر أذنه اليسار أسكرها أذنه أذنه بحاول + +653 +00:48:32,810 --> 00:48:37,390 +أتكلم معاه whispering همس بدون ما يشوف الكلام ممكن + +654 +00:48:37,390 --> 00:48:46,730 +أسكر على طميح إيش اسمك؟ كيف حالك؟ وين ساكن؟ وين + +655 +00:48:46,730 --> 00:48:55,210 +ساكن؟ تمام، أسكر عينه اليمين قد إيش + +656 +00:48:55,210 --> 00:48:59,970 +عمرك؟ سبعة و ثلاثة Okay، يبقى إن أنا عملت + +657 +00:48:59,970 --> 00:49:03,730 +whispering test اتأكدت إنه بيسمع في الجهتين سليم، + +658 +00:49:03,730 --> 00:49:07,710 +بعدها بنتقل لشيء اسمه Weber test الـ Weber test + +659 +00:49:07,710 --> 00:49:14,240 +بجيب tuning fork وبحطها طبيعي وين؟ في الـ head في + +660 +00:49:14,240 --> 00:49:19,340 +النص طبيعي راح يسمع يقول لي سامع في النص سامع رجة أو + +661 +00:49:19,340 --> 00:49:22,560 +رنين أو طنين في النص يبقى هذا بتدل إن الـ ears + +662 +00:49:22,560 --> 00:49:28,460 +سليمة لكن تصور إن الـ ears فيها مشكلة المريض بيسمعش + +663 +00:49:28,460 --> 00:49:32,320 +على اليمين بيسمعش على اليمين وهنا حاطينها في + +664 +00:49:32,320 --> 00:49:36,060 +اليمين وقال لي دكتور صرت أسمع على اليمين أكثر من + +665 +00:49:36,060 --> 00:49:39,060 +الشمال يبقى هنا مشكلة في الأذن نفسها هذه بنسميها + +666 +00:49:39,060 --> 00:49:42,480 +conductive deafness هذا بنسميها conductive + +667 +00:49:42,480 --> 00:49:45,000 +deafness ليه صار بيسمع على اليمين أكثر من الشمال + +668 +00:49:45,000 --> 00:49:50,320 +لأن الأذن ما بتدخل الضجة الخارجية والأصوات + +669 +00:49:50,320 --> 00:49:53,500 +الخارجية الصوت بيكون بالنسبة لها مركز راح يسمع في + +670 +00:49:53,500 --> 00:49:56,660 +اليمين أكثر لكن تصوروا مريض بيسمعش على اليمين وحطينا + +671 +00:49:56,660 --> 00:49:59,580 +الـ tuning fork في النص جالي يا دكتور بيسمعش على + +672 +00:49:59,580 --> 00:50:01,880 +اليمين بيسمعش اللي على الشمال يبقى هذا المشكلة مش + +673 +00:50:01,880 --> 00:50:04,620 +في الأذن نفسها المشكلة في الـ nerve هذا الـ sensor + +674 +00:50:04,620 --> 00:50:08,120 +neural deafness يبقى الـ Weber test placed turning + +675 +00:50:08,120 --> 00:50:12,380 +fork in the middle of head في الطبيعي normally + +676 +00:50:12,380 --> 00:50:17,680 +vibration are heard in the middle of head طيب يبقى + +677 +00:50:17,680 --> 00:50:20,180 +في الطبيعي بتكون مسموعة وين الـ vibration وين بتكون + +678 +00:50:20,180 --> 00:50:25,350 +مسموعة في نص الرأس لكن لو كان المشكلة في الأذن وهذا + +679 +00:50:25,350 --> 00:50:27,870 +مشكلة أنا في أذن حنجرة مش تخصصنا conductive + +680 +00:50:27,870 --> 00:50:30,970 +deafness الـ vibration راح تكون مسموعة وين أكثر؟ + +681 +00:50:30,970 --> 00:50:34,670 +على الـ affected side على الجزء اللي مصاب أو اللي + +682 +00:50:34,670 --> 00:50:38,910 +بيشكي منه المريض بيسمعش لو المشكلة في الـ nerve الـ + +683 +00:50:38,910 --> 00:50:42,790 +vibration راح تكون مسموعة أحسن عن الـ normal side نجي + +684 +00:50:42,790 --> 00:50:50,090 +لـRinne test Rinne test بنستخدم tuning fork مين أفضل؟ + +685 +00:50:50,090 --> 00:50:54,580 +الـ bone conduction ولا الـ air conduction الأفضل + +686 +00:50:54,580 --> 00:51:01,580 +اللي هو الـ air conduction طلع هنا حاسس تانين؟ + +687 +00:51:01,580 --> 00:51:14,580 +لما نخلص قول لي خلص تانين ضايل؟ + +688 +00:51:14,580 --> 00:51:21,460 +خلص؟ هلجيت؟ سمع اه يبقى أنت شايفين Air conduction + +689 +00:51:21,460 --> 00:51:26,400 +is better than bone conduction مريض عنده في الـ + +690 +00:51:26,400 --> 00:51:31,180 +normal في الـ Rinne test في الـ normal هيو Rinne test Air + +691 +00:51:31,180 --> 00:51:35,380 +conduction is better than bone conduction مافي + +692 +00:51:35,380 --> 00:51:39,880 +خلاف على الكلمة ده نصور المريض عنده مشكلة في + +693 +00:51:39,880 --> 00:51:42,980 +الأذن اليسرى أنا لما أبحث Rinne و Weber لازم + +694 +00:51:42,980 --> 00:51:46,300 +أبحث يمين و شمال عنده مشكلة في الأذن اليسرى بيسمعش + +695 +00:51:46,300 --> 00:51:51,730 +اليسرى كويس حطينا على الـ Mastoid قال لي دكتور + +696 +00:51:51,730 --> 00:51:56,650 +سامعي كويس بيسمع هنا هيك مش سامعي المريض هذا صار + +697 +00:51:56,650 --> 00:52:00,350 +عنده الـ bone conduction أو بيسمع في الـ bone أكثر + +698 +00:52:00,350 --> 00:52:02,910 +من مين من الـ ear يبقى الـ bone conduction is + +699 +00:52:02,910 --> 00:52:06,530 +better than air conduction يبقى هنا المشكلة وين في + +700 +00:52:06,530 --> 00:52:09,090 +الأذن هذه مشكلة أنف أذن حنجرة بنرجع دكتور + +701 +00:52:09,090 --> 00:52:11,650 +أنف أذن حنجرة ممكن يكون عنده otitis media or + +702 +00:52:11,650 --> 00:52:14,370 +rupture of tympanic membrane مشكلة داخلية في الأذن + +703 +00:52:14,370 --> 00:52:18,720 +ما لنا علاقة فيها لكن في حال المريض بيسمعش على + +704 +00:52:18,720 --> 00:52:23,580 +الشمال سامع؟ قال لي لأ مش سامع وأنا مش سامع مش + +705 +00:52:23,580 --> 00:52:26,800 +حاسس بالـ vibration لا في الـ bone ولا في الـ ear + +706 +00:52:26,800 --> 00:52:30,580 +يبقى إن بتكلم على sensorineural deafness بتكلم على + +707 +00:52:30,580 --> 00:52:33,460 +إيه؟ sensorineural deafness يبقى إن في حالتي هذه + +708 +00:52:33,460 --> 00:52:37,360 +في الـ Rinne test الـ normal air conduction is better + +709 +00:52:37,360 --> 00:52:41,100 +than bone conduction في الـ conductive deafness الـ + +710 +00:52:41,100 --> 00:52:44,960 +bone is better than air conduction و in air + +711 +00:52:44,960 --> 00:52:50,630 +deafness both air and bone are diminished في + +712 +00:52:50,630 --> 00:52:54,190 +examination of vestibular components بنفحص الـ + +713 +00:52:54,190 --> 00:52:57,950 +oculovestibular reflex هذا كثير بنفحصه في موضوع + +714 +00:52:57,950 --> 00:53:02,510 +العناية المركزة بنسميه caloric test في حال إننا + +715 +00:53:02,510 --> 00:53:04,770 +بنميز المريض عنده brain death ولا ما فيش عنده + +716 +00:53:04,770 --> 00:53:08,310 +brain death إيش بنسويه للمريض هدول؟ المريض + +717 +00:53:08,310 --> 00:53:10,150 +conscious ما راح أجيب ice water وأحط له في + +718 +00:53:10,150 --> 00:53:13,250 +أذنه، بنفحص للمريض في غيبوبة، وبنميز عنده mode + +719 +00:53:13,250 --> 00:53:15,630 +دماغي ولا ما فيه mode دماغي، المريض بيكون نايم + +720 +00:53:15,630 --> 00:53:18,610 +سوباين أكيد، المريض على mechanical ventilation راح + +721 +00:53:18,610 --> 00:53:22,110 +يكون، جهاز تنفس صناعي، بروح بعمله irrigation of + +722 +00:53:22,110 --> 00:53:25,790 +ice water في الـexternal auditory meatus، إذا كان + +723 +00:53:26,860 --> 00:53:29,800 +صار عنده deviation للعين على الـ site of + +724 +00:53:29,800 --> 00:53:33,260 +irrigation with any stigmas اتحركت لإيه؟ يبقى أنا + +725 +00:53:33,260 --> 00:53:36,600 +باطمئن بكون الحمد لله الـ brain stem intact يبقى إن + +726 +00:53:36,600 --> 00:53:39,660 +أنا بكون intact الـ brain stem لكن لو كان هذا الـ + +727 +00:53:39,660 --> 00:53:43,720 +symptom lost أو الـ signs هذا lost مين بيكون عنده + +728 +00:53:43,720 --> 00:53:46,920 +brain death لازم أكمل فحصي وأشوف كل الـ symptoms + +729 +00:53:46,920 --> 00:53:50,180 +lost ولا لأ الـ Electronystagmography هذا مش + +730 +00:53:50,180 --> 00:53:52,920 +examination الـ Electronystagmography أو النيستاجموجرافي + +731 +00:53:52,920 --> 00:53:56,500 +هذا بيروح لموضوع الـ investigations أكثر + +732 +00:53:56,500 --> 00:53:59,960 +investigations وبنفحص نستاجموس إذا في horizontal + +733 +00:53:59,960 --> 00:54:03,260 +نستاجموس أو vertical نستاجموس وأنا فحصتهم مع مين + +734 +00:54:04,110 --> 00:54:06,990 +لما بحثت الـ Ocular Movement، بنحدد ده فيه نوع + +735 +00:54:06,990 --> 00:54:10,170 +نستاجموس، وإيش نوع النستاجموس، هل هو horizontal، هل + +736 +00:54:10,170 --> 00:54:13,670 +هو vertical نستاجموس، unilateral، bilateral؟ + +737 +00:54:13,670 --> 00:54:17,510 +lesion of vestibulocochlear nerve lesion of the + +738 +00:54:17,510 --> 00:54:21,210 +cochlear division، ممكن يكون tinnitus في + +739 +00:54:21,210 --> 00:54:25,790 +الـ irritation أو deafness في الـ destruction، lesion + +740 +00:54:25,790 --> 00:54:28,830 +في الـ vestibular division، ممكن يكون vertigo، + +741 +00:54:28,830 --> 00:54:32,250 +spontaneous nystagmus، ipsilateral incoordination + +742 +00:54:33,960 --> 00:54:37,320 +Examination of a Glossopharyngeal and Vagus nerve + +743 +00:54:37,320 --> 00:54:40,360 +Glossopharyngeal و Vagus nerve هدول mixed nerve + +744 +00:54:40,360 --> 00:54:45,040 +لإن بنفحص الـ uvula الـ uvula بنفحصه by inspection أول شيء + +745 +00:54:45,040 --> 00:54:48,810 +بفتح فم المريض افتح فمك by inspection بتطلع + +746 +00:54:48,810 --> 00:54:53,010 +الـ uvula هل هي centralized ولا deviated على right + +747 +00:54:53,010 --> 00:54:56,530 +أو left ثانيا بننظر على إيه الـ soft palate يكون + +748 +00:54:56,530 --> 00:55:00,910 +معايا الـ torch بتاعي أو تمام بتطلع على الـ soft + +749 +00:55:00,910 --> 00:55:03,750 +palate هل هم symmetrical ولا لأ بعدين بطلب من + +750 +00:55:03,750 --> 00:55:08,330 +المريض يقول آه في الحالة هذه كمان بشوف بتطلع إذا في + +751 +00:55:08,330 --> 00:55:11,810 +عندنا deviation لليوفلة في عندنا drop في ال soft + +752 +00:55:11,810 --> 00:55:15,670 +palate أو لا بفحصلهم ال palatal reflex وال + +753 +00:55:15,670 --> 00:55:18,610 +pharyngeal reflex وال palatal reflex وال + +754 +00:55:18,610 --> 00:55:21,210 +pharyngeal reflex وراح أفحصهم إن شاء الله في + +755 +00:55:21,210 --> 00:55:24,830 +المستشفى نفس الشيء بنجيب tongue depressor وبضغط + +756 +00:55:24,830 --> 00:55:27,930 +على اللسان وبلمس ال palate بشوف بيصير elevation على + +757 +00:55:27,930 --> 00:55:29,630 +ال right وعلى ال left symmetrical ولا لا هذا + +758 +00:55:29,630 --> 00:55:32,730 +بيكون اسمه palatal reflex ال palatal reflex مشترك + +759 +00:55:32,730 --> 00:55:37,890 +ما بين maxillary nerve of trigeminal مع الـ Vegas + +760 +00:55:37,890 --> 00:55:42,270 +و cranial accessory بنفحص ال pharyngeal reflex أو + +761 +00:55:42,270 --> 00:55:45,590 +بنسميه gag reflex نفس الشيء طريقة بعمل tongue + +762 +00:55:45,590 --> 00:55:48,830 +depressor بضغط على لسان المريض وبديب ورقة بس + +763 +00:55:48,830 --> 00:55:52,490 +بلمسش ال soft palate بروح deep أَلمس من ال + +764 +00:55:52,490 --> 00:55:55,050 +posterior wall of the pharynx على ال right وعلى + +765 +00:55:55,050 --> 00:55:57,750 +ال left في الحالة دي مش هقعد أحط الورقة وأقعد + +766 +00:55:57,750 --> 00:56:00,690 +أنتظر وأعيد مرة مرتين اللي هو المريض عمل vomiting + +767 +00:56:00,690 --> 00:56:04,280 +عليا بسرعة بلمس الـ posterior wall of the pharynx + +768 +00:56:04,280 --> 00:56:07,000 +وبطلع بسرعة لأن ممكن المريض يعمل لها vomiting من + +769 +00:56:07,000 --> 00:56:11,780 +الـ irritation of vomiting receptors ممكن يصير لنا + +770 +00:56:11,780 --> 00:56:15,300 +isolated vagus nerve lesion في حالات الـ thyroid + +771 +00:56:15,300 --> 00:56:19,300 +cancer أو thyroid surgery أو neck surgery لما يصير + +772 +00:56:19,300 --> 00:56:23,220 +دمج للـ vagus nerve alone أو لبرانش من الـ vagus + +773 +00:56:23,220 --> 00:56:26,040 +nerve زي الـ recurrent laryngeal nerve بنفحص الـ + +774 +00:56:26,040 --> 00:56:29,160 +speech واحنا اتكلمنا في البداية عن ال speech إذا في + +775 +00:56:29,160 --> 00:56:32,680 +عنده dysphonia، dysarthria، بنفحص ال swallowing، + +776 +00:56:32,680 --> 00:56:36,140 +بنجيب شيء وبنشرب المريض، بنفحص ال swallowing إذا + +777 +00:56:36,140 --> 00:56:40,300 +في عنده dysphagia، بدنا نحدد ال dysphagia هل هي ل + +778 +00:56:40,300 --> 00:56:43,880 +liquids، أكثر شيء تكون هذه neurogenic dysphagia أو + +779 +00:56:43,880 --> 00:56:49,800 +ل solids، هذه بتكون abstractive dysphagia Legion of + +780 +00:56:49,800 --> 00:56:53,550 +Glossopharyngeal nerve Loss of taste and general + +781 +00:56:53,550 --> 00:56:56,750 +sensation from the posterior one-third of the + +782 +00:56:56,750 --> 00:56:59,010 +tongue، أنتم عارفين؟ Lingual nerve of + +783 +00:56:59,010 --> 00:57:01,770 +glossopharyngeal supply the posterior one-third of + +784 +00:57:01,770 --> 00:57:04,510 +the tongue Loss of sensation in the pharynx + +785 +00:57:04,510 --> 00:57:08,260 +Ipsilateral loss of pharyngeal reflex some + +786 +00:57:08,260 --> 00:57:10,920 +pharyngeal weakness يعني ما بيكونش في ال .. إذا + +787 +00:57:10,920 --> 00:57:13,960 +كان isolated الـ Glossopharyngeal nerve lesion ما + +788 +00:57:13,960 --> 00:57:17,440 +بيكون واضحة كثير ال dysphagia لأن هو ال + +789 +00:57:17,440 --> 00:57:20,960 +Glossopharyngeal nerve supply only one muscle اللي + +790 +00:57:20,960 --> 00:57:25,920 +هي main اللي هي stylopharyngeus muscle lesion of + +791 +00:57:25,920 --> 00:57:30,200 +vagus nerve palatal paralysis بيلاقي nasal tone of + +792 +00:57:30,200 --> 00:57:33,990 +speech المريض بيحكي زي ايه أخناف اتنين drop of + +793 +00:57:33,990 --> 00:57:38,750 +palatal arch on paralyzed side and shift uvula to + +794 +00:57:38,750 --> 00:57:41,150 +opposite side يبقى لو طلعنا على المريض بيقولنا لو + +795 +00:57:41,150 --> 00:57:44,970 +افتحتوا معاك بيقول اه بيلاقي drop على نفس ال side + +796 +00:57:44,970 --> 00:57:48,190 +اللي فيه lesion drop ال soft palate و elevation + +797 +00:57:48,190 --> 00:57:52,450 +على ال intact وال uvula راح تروح وين تتجه مع + +798 +00:57:52,450 --> 00:57:55,510 +الجهة اللي فيها elevation راح يصير shift لل uvula + +799 +00:57:55,510 --> 00:57:58,790 +على ال intact side راح نلاقي عند المرضى هدول fluid + +800 +00:57:58,790 --> 00:58:04,400 +regurgitation loss of palatal reflex فرنجيال برالسس، + +801 +00:58:04,400 --> 00:58:08,780 +نيروجينك ديسبانيا، loss of pharyngeal reflex، + +802 +00:58:08,780 --> 00:58:13,220 +لارنجيال برالسس، hoarseness of voice أو ديسبانيا و + +803 +00:58:13,220 --> 00:58:16,480 +other symptoms ممكن يكون معهم تاكيكارديا and + +804 +00:58:16,480 --> 00:58:20,570 +constipation Legion and examination of accessory + +805 +00:58:20,570 --> 00:58:23,130 +nerve على الكراين الـ accessory أنا شرحته مع الـ + +806 +00:58:23,130 --> 00:58:26,590 +Vegas nerve بقى عندي spinal accessory في الـ + +807 +00:58:26,590 --> 00:58:28,970 +spinal accessory هو الـ spinal accessory supply + +808 +00:58:28,970 --> 00:58:32,130 +two muscles sternocleidomastoid muscle and + +809 +00:58:32,130 --> 00:58:38,090 +trapezius muscle sternocleidomastoid muscle ايش + +810 +00:58:38,090 --> 00:58:40,970 +وظيفتها تعمل لنا external head and neck على ال opposite + +811 +00:58:40,970 --> 00:58:44,610 +side ال right بتحرك على ال left وال left بتحرك على + +812 +00:58:44,610 --> 00:58:47,690 +ال right وال trapezius muscle تعمل shoulder + +813 +00:58:47,690 --> 00:58:50,830 +shrugging زي هيك حركة هذه shoulder shrugging لو + +814 +00:58:50,830 --> 00:58:54,350 +عندي مشكلة راح أكون drop وين في one shoulder drop + +815 +00:58:54,350 --> 00:58:57,610 +one shoulder كيف أفحصهم أعمل examination لل + +816 +00:58:57,610 --> 00:59:00,470 +sternocleidomastoid muscle بطلب من المريض أنا ببدأ + +817 +00:59:00,470 --> 00:59:02,910 +أفحص ال right sternocleidomastoid muscle بحط إيدي + +818 +00:59:02,910 --> 00:59:06,050 +مش بس مش أخلع رجبة المريض بحط إيدي على خده على + +819 +00:59:06,050 --> 00:59:09,490 +الجهة الشمال حرك رقبتك وراسك على الشمال حرك على + +820 +00:59:09,490 --> 00:59:12,070 +الشمال لف راسك على الشمال وأنا ايه بعمله + +821 +00:59:12,070 --> 00:59:14,890 +resistant؟ على اليمين في الحالة هذه أنا فحصت ايه؟ + +822 +00:59:14,890 --> 00:59:18,990 +right sternocleidomastoid muscle حرك على اليمين وأنا + +823 +00:59:18,990 --> 00:59:23,450 +بعمله ايه؟ resistant على الشمال أنا بفحص جاعد مين؟ + +824 +00:59:23,450 --> 00:59:27,690 +اللي هو left sternocleidomastoid muscle نيجي نبدأ + +825 +00:59:27,690 --> 00:59:31,070 +examination بتطلع inspection كمان inspection بتطلع + +826 +00:59:31,070 --> 00:59:33,310 +ب inspection في deviation لل head وال neck على + +827 +00:59:33,310 --> 00:59:36,050 +one side ولا لأ؟ في drop في ال shoulder ولا لأ؟ + +828 +00:59:36,520 --> 00:59:40,500 +تمام؟ هذا by inspection بعدين بعمل ايه؟ ال .. بقيم + +829 +00:59:40,500 --> 00:59:43,700 +حركة ال sternocleidomastoid muscle وبقيم حركة ال + +830 +00:59:43,700 --> 00:59:47,400 +trapezius muscle ارفع يدك لفوق كتفك لفوق كتف لفوق + +831 +00:59:47,400 --> 00:59:51,360 +ارفع وأنا بضغط يبقى إن أنا ببحث مين جاعد ببحث في + +832 +00:59:51,360 --> 00:59:57,460 +sternum .. اه في أسف في trapezius muscle آخر + +833 +00:59:57,460 --> 01:00:00,200 +nerve من ال cranial nerves اللي هو hypoglossal + +834 +01:00:00,200 --> 01:00:05,090 +nerve، hypoglossal nerve ببدأ بال inspection افتحت + +835 +01:00:05,090 --> 01:00:07,450 +أمك أول شيء بتطلع قبل ما يحرك لسانه وما يطلع لسانه + +836 +01:00:07,450 --> 01:00:11,430 +بتطلع بـ inspection إذا فيه deviation بتطلع إذا فيه + +837 +01:00:11,430 --> 01:00:14,870 +wasting atrophy، إذا فيه involuntary movement، إذا + +838 +01:00:14,870 --> 01:00:19,570 +في عنده change في ال color، إذا في عنده .. بعد هيك + +839 +01:00:19,570 --> 01:00:22,530 +بفحص اللي إذا فيه dimpling، بطلع لسانه، بحط tongue + +840 +01:00:22,530 --> 01:00:25,610 +depressor تحت لسان، وبعدين بعمل ايه؟ percussion + +841 +01:00:25,610 --> 01:00:29,150 +على لسان، ممكن يصير معه dimpling، تجوير، ويصير + +842 +01:00:29,150 --> 01:00:32,970 +contraction في ال muscle with delay of relaxation + +843 +01:00:32,970 --> 01:00:36,430 +في حالات ال myotonia، myotonia ممكن نشوف ال symptom + +844 +01:00:36,430 --> 01:00:39,390 +هذا اللي هو dimpling of the tongue، in myotonia + +845 +01:00:39,390 --> 01:00:43,020 +بشكل ممكن تطلع إذا فيه ulcers في ال mouth أو في ال + +846 +01:00:43,020 --> 01:00:46,220 +tongue زي حالات بيهجة ال disease إذا فيه عندنا a + +847 +01:00:46,220 --> 01:00:50,520 +red gloss زي حالات ال vitamin B12 دي في شانسي بفحص + +848 +01:00:50,520 --> 01:00:52,800 +ال muscle power ايش ال muscle power؟ طلع لسانك + +849 +01:00:52,800 --> 01:00:56,900 +برا، بهنا كمان بفحصه لما نخرج لسانه ولا خارج تطلع + +850 +01:00:56,900 --> 01:00:59,700 +إذا فيه deviation، تطلع ال color، على ايه الأترو + +851 +01:00:59,700 --> 01:01:01,760 +فيه ولا لأ ايش في ال muscle power؟ إن شاء الله + +852 +01:01:01,760 --> 01:01:04,980 +أمسك لسانه وأحرقه بيدي، ممنوع يقولون كيف أفحص ال + +853 +01:01:04,980 --> 01:01:11,110 +muscle power؟ أدخل لسانك جوا، أعمل بهناهو بيعمل .. + +854 +01:01:11,110 --> 01:01:13,810 +أنا بعمله pressure هو بيحرك على الشمال وأنا بعمله + +855 +01:01:13,810 --> 01:01:17,070 +pressure أنا ببحث نص لسانه اليمين وببحث ال right + +856 +01:01:17,070 --> 01:01:20,090 +hypoglossal nerve وببحث ال right hypoglossal + +857 +01:01:20,090 --> 01:01:24,890 +nucleus وببحث ال left corticonuclear tract بيحرك + +858 +01:01:24,890 --> 01:01:28,810 +على اليمين بيحرك على اليمين أنا ببحث نص لسانه + +859 +01:01:28,810 --> 01:01:32,630 +الشمال left half of the tongue بفحص left + +860 +01:01:32,630 --> 01:01:36,170 +hypoglossal nerve بفحص left hypoglossal nucleus و + +861 +01:01:36,170 --> 01:01:38,750 +بفحص right corticonuclear tract right + +862 +01:01:38,750 --> 01:01:43,650 +corticonuclear tract lesion + +863 +01:01:43,650 --> 01:01:46,870 +of the hypoglossal nerve upper motoneuron + +864 +01:01:46,870 --> 01:01:49,850 +unilateral lesion في ال upper motoneuron يعني + +865 +01:01:49,850 --> 01:01:53,630 +بتكلم على corticonuclear tract lesion deviation of + +866 +01:01:53,630 --> 01:01:56,630 +the tongue رجاءً حارًا ترجع للنيرو أنتمي في سنة ثانية + +867 +01:01:56,630 --> 01:02:02,500 +كله شرحناه التنقل الوطني للجذب إلى الجانب العلوي + +868 +01:02:02,500 --> 01:02:06,380 +للتنقل damage of corticonuclear tract زي ما بنشوف + +869 +01:02:06,380 --> 01:02:09,820 +في حالات الـ stroke أو الـ tumors in bilateral + +870 +01:02:09,820 --> 01:02:13,520 +lesion in ability to protrude tongue زي ما بنشوف + +871 +01:02:13,520 --> 01:02:17,440 +في حالات pseudo bulbar syndrome وفي lower motor + +872 +01:02:17,440 --> 01:02:21,040 +neuron lesion مشكلة هذه bulbar ممكن يكون bulbar + +873 +01:02:21,040 --> 01:02:24,220 +syndrome مشكلة في الـ nuclei in the brainstem ممكن + +874 +01:02:24,220 --> 01:02:26,760 +تكون مشكلة في الـ nerves زي الـ GBS ممكن تكون + +875 +01:02:26,760 --> 01:02:30,000 +مشكلة في neuromuscular junction زي myasthenia + +876 +01:02:30,000 --> 01:02:32,900 +gravis ممكن تكون مشكلة في الـ muscle نفسه زي ايش + +877 +01:02:32,900 --> 01:02:37,390 +اللي هو muscular dystrophy هنا بيكون unilateral + +878 +01:02:37,390 --> 01:02:41,470 +lesion deviation of the tongue to the same side طب + +879 +01:02:41,470 --> 01:02:44,150 +ليش في الـ upper motor neuron على الـ opposite side + +880 +01:02:44,150 --> 01:02:47,630 +ليه؟ لأنه الـ corticonuclear tract الـ left بيعطي للـ + +881 +01:02:47,630 --> 01:02:51,010 +right و corticonuclear tract right بيعطي left و + +882 +01:02:51,010 --> 01:02:56,110 +احنا عارفين هي عندي نص لسان يمين و نص لسان شمال نص + +883 +01:02:56,110 --> 01:03:00,870 +لسان اليمين الـ normal الـ movement بدفع على الشمال، + +884 +01:03:00,870 --> 01:03:03,910 +اليمين بدفع على الشمال، والشمال بدفع على اليمين، + +885 +01:03:03,910 --> 01:03:07,410 +هذا طبيعي، يقول هي عندي نص لسان يمين، أخد من أي + +886 +01:03:07,410 --> 01:03:12,570 +نيرف، right hypoglossal nerve أخد من الـ right + +887 +01:03:12,570 --> 01:03:14,650 +hypoglossal nucleus، أخذ من الـ left + +888 +01:03:14,650 --> 01:03:17,450 +corticonuclear tract، وظيفته راح يعمل deviation + +889 +01:03:17,450 --> 01:03:21,490 +للـ tongue to the left، العكس صحيح، الـ left half + +890 +01:03:21,490 --> 01:03:24,850 +of the tongue، باخد من الـ left hypoglossal nerve، + +891 +01:03:24,850 --> 01:03:27,570 +left hypoglossal nucleus، right corticonuclear + +892 +01:03:27,570 --> 01:03:30,290 +tract، بيعمل deviation للـ tongue to the right، + +893 +01:03:30,290 --> 01:03:32,510 +للـ tongue بيعمله deviation إيه؟ to the right، + +894 +01:03:32,510 --> 01:03:37,290 +يبقى في الـ unilateral lesion بيصير عندنا deviation + +895 +01:03:37,290 --> 01:03:40,410 +of the tongue to the same side of lesion زي ما + +896 +01:03:40,410 --> 01:03:43,450 +بيشوف hypoglossal nucleus lesion أو nerve lesion + +897 +01:03:43,450 --> 01:03:48,550 +في الـ bilateral inability to protrude tongue و in + +898 +01:03:48,550 --> 01:03:52,270 +both lower motor neuron lesion بيكون معهم في + +899 +01:03:52,270 --> 01:03:55,450 +الـ lower motor neuron early muscle wasting muscle + +900 +01:03:55,450 --> 01:03:58,230 +hypotrophy و بيكون معهم muscle fasciculation + +901 +01:03:58,230 --> 01:04:01,190 +muscle fasciculation هي المريض عنده tongue + +902 +01:04:01,190 --> 01:04:04,890 +deviation على الـ left قد تكون الـ lower + +903 +01:04:04,890 --> 01:04:08,210 +motoneuron إذا كانت lower motoneuron راح يكون وين؟ + +904 +01:04:08,210 --> 01:04:11,830 +في الـ left nerve أو left nucleus طب إذا كان upper + +905 +01:04:11,830 --> 01:04:15,530 +motoneuron راح يكون وين؟ في الـ right cerebral + +906 +01:04:15,530 --> 01:04:18,530 +hemisphere كيف أحدد هذا upper motoneuron على lower + +907 +01:04:18,530 --> 01:04:22,050 +motoneuron؟ بروح أطلع على الـ hemiplegia على إيه؟ + +908 +01:04:22,050 --> 01:04:23,870 +على الـ hemiplegia إذا لجينا المريض عنده tongue + +909 +01:04:23,870 --> 01:04:28,580 +deviation على الـ left وهم بييجي ع الـ left بحط ايدا + +910 +01:04:28,580 --> 01:04:31,120 +على المصحف بحلف يمين ان المشكلة في الـ right + +911 +01:04:31,120 --> 01:04:33,960 +cerebral hemisphere صار damaged لقى الـ right + +912 +01:04:33,960 --> 01:04:37,140 +corticospinal tract and corticonuclear tract above + +913 +01:04:37,140 --> 01:04:41,340 +decassation لكن إذا وجدنا زي medial medullary + +914 +01:04:41,340 --> 01:04:45,000 +syndrome وجدنا tongue deviation to the left و right + +915 +01:04:45,000 --> 01:04:48,680 +side hemibaglia يبقى ان هذا بتكون عندنا left + +916 +01:04:48,680 --> 01:04:52,440 +medial medullary syndrome صار damage للـ left + +917 +01:04:52,440 --> 01:04:55,800 +medial medulla في الحالة هذه damage of hypoglossal + +918 +01:04:55,800 --> 01:04:58,800 +nucleus عال left عملت tongue deviation عال left و + +919 +01:04:58,800 --> 01:05:04,350 +damage of corticospinal tract above Decassation + +920 +01:05:04,350 --> 01:05:09,070 +before decassation أو above decassation صح above + +921 +01:05:09,070 --> 01:05:11,570 +أو before decassation من الـ Contralateral + +922 +01:05:11,570 --> 01:05:14,770 +Hemiplegia أو بنسميها alternating hypoglossal + +923 +01:05:14,770 --> 01:05:18,570 +syndrome الآن بكون أنا خلصت الجزئية الأولى من الـ + +924 +01:05:18,570 --> 01:05:22,050 +neurological examination يعطيكوا العافية راح يكون + +925 +01:05:22,050 --> 01:05:25,530 +فينا لقاء ثاني في موضوع الـ neurological + +926 +01:05:25,530 --> 01:05:29,690 +examination رقم اتنين راح نفحصه الـ motor system و + +927 +01:05:29,690 --> 01:05:31,510 +الـ sensory and cerebellar diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..9859ca40ba5b9d04d4916ed4ebcb909c65bfdc3e --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec_postprocess.srt @@ -0,0 +1,3708 @@ +1 +00:00:05,080 --> 00:00:09,620 +السلام عليكم بسم الله الرحمن الرحيم الجزئية + +2 +00:00:09,620 --> 00:00:13,930 +الثانية راح نتكلم على neurological examinationاحنا + +3 +00:00:13,930 --> 00:00:17,030 +خلصنا من موضوع history taking بنتاجى ل + +4 +00:00:17,030 --> 00:00:19,530 +neurological examination ان شاء الله في + +5 +00:00:19,530 --> 00:00:22,410 +neurological examination خلال المحاضرة راح نعمل + +6 +00:00:22,410 --> 00:00:27,330 +فحص نسهل عليكم نعمل فحص كمان مع مريض و تشوفوا + +7 +00:00:27,330 --> 00:00:31,090 +بعينكم و لما نشوفكم في المستشفى راح نفحصوا كمان + +8 +00:00:31,090 --> 00:00:34,870 +على مرضى في المستشفى ال examination بنبدأ ب + +9 +00:00:34,870 --> 00:00:40,420 +general examination consciousness levelpulse, + +10 +00:00:41,120 --> 00:00:45,720 +blood pressure, temperature, respiratory rate and + +11 +00:00:45,720 --> 00:00:50,200 +general looks ضروري أي مريض نفحصه مهما كان مرضه + +12 +00:00:50,200 --> 00:00:53,240 +لازم نتكلم على ال consciousness level ال pulse, + +13 +00:00:53,660 --> 00:00:57,300 +blood pressure, temperature, respiratory rate, + +14 +00:00:57,440 --> 00:01:00,640 +general looks بتاعة المريض بيناعمل examination ل + +15 +00:01:00,640 --> 00:01:05,540 +other system ل ال A and T, Ineck, respiratory, + +16 +00:01:05,820 --> 00:01:10,440 +cardiovascular, GIT, skin, musculoskeletal, + +17 +00:01:10,820 --> 00:01:16,220 +genital organs وبعدها بنتقل ال neurological + +18 +00:01:16,220 --> 00:01:20,840 +examination أنا موضوع محاضرتي اليوم راح يكون اللي + +19 +00:01:20,840 --> 00:01:23,440 +هو neurological examination راح أقسم ال + +20 +00:01:23,440 --> 00:01:26,480 +neurological examination في جزئين الجزء الأول راح + +21 +00:01:26,480 --> 00:01:32,580 +نتكلم عن ال ..الـ Meningial Signs Speech راح نتكلم + +22 +00:01:32,580 --> 00:01:35,900 +عن الـ cranial nerves وجزء الثاني راح اتكلم فيه عن + +23 +00:01:35,900 --> 00:01:40,380 +الموتر و ال coordination and sensory examination + +24 +00:01:40,380 --> 00:01:46,060 +نبدأ بال neurological examination في ال + +25 +00:01:46,060 --> 00:01:49,080 +neurological examination أول شي راح اتكلم على + +26 +00:01:49,080 --> 00:01:54,480 +mental status ال mental status أول شي state of + +27 +00:01:54,480 --> 00:01:58,970 +consciousness يبقى ندرجة البعيعن طريق Glasgow Coma + +28 +00:01:58,970 --> 00:02:04,830 +Scale بعتمد على eye opening verbal response motor + +29 +00:02:04,830 --> 00:02:09,530 +response وفي grading of coma ان شاء الله في محاضرة + +30 +00:02:09,530 --> 00:02:12,230 +انها راح تكون على approach to the patients with + +31 +00:02:12,230 --> 00:02:15,830 +coma راح نتطرق المواضيع هذه بالتفصيل اليوم راح + +32 +00:02:15,830 --> 00:02:20,110 +أشرح فقط لكوا Glasgow Coma Scale تقييم درجة الوعي + +33 +00:02:20,110 --> 00:02:22,690 +عن طريق Glasgow Coma Scale عن طريق Glasgow Coma + +34 +00:02:22,690 --> 00:02:31,460 +Scale بنعتمد على eye openingverbal response و + +35 +00:02:31,460 --> 00:02:37,040 +motor response ال glaucoma scale هذه minimum + +36 +00:02:37,040 --> 00:02:43,580 +المريض بياخد واحد واحد واحد يعني اللي بتوفى و + +37 +00:02:43,580 --> 00:02:50,200 +بندفنه بيكون عنده glaucoma scale ثلاثةما حد يقولي + +38 +00:02:50,200 --> 00:02:52,500 +أسأله جدش ال glaucoma skin عند المريض يقولي والله + +39 +00:02:52,500 --> 00:02:54,760 +مافيه تلاتة كيف والله مافيه تلاتة ده اللي بتوفى + +40 +00:02:54,760 --> 00:03:00,580 +بيكون عنده تلاتة ال minimum راح يكون one one one + +41 +00:03:00,580 --> 00:03:05,260 +تلاتة maximum اللي احنا الآن موجودين في القاعة + +42 +00:03:05,260 --> 00:03:11,330 +وعنا إيش خمس تاش خمس تاش كيف أجيت خمس تاش؟أربعة ع + +43 +00:03:11,330 --> 00:03:15,330 +ال eye opening و أخدنا ع ال verbal response خمسة + +44 +00:03:15,330 --> 00:03:18,850 +هي تسعة و أخدنا ع ال motor response ستة صاروا + +45 +00:03:18,850 --> 00:03:23,670 +خمستاشر نشرحها eye opening إذا المريض فات عينيه + +46 +00:03:23,670 --> 00:03:29,210 +spontaneously بياخد أربعة إذا المريض فات عينيه على + +47 +00:03:29,210 --> 00:03:32,910 +ال speech اتكلمنا معاه و فات عينيه باخد ثلاثة إذا + +48 +00:03:32,910 --> 00:03:37,570 +ما فات عينيه لما اتكلمنا معاه جرسناه اتقلم باخد + +49 +00:03:37,570 --> 00:03:41,950 +اتنين و فات عينيهإذا مافي opening يعني المريض + +50 +00:03:41,950 --> 00:03:45,750 +جرسناه ومافتحش عينيه وضاله مغمض عينيه باخد واحد + +51 +00:03:45,750 --> 00:03:50,110 +بسجل I opening one ع سبيل المثال verbal response + +52 +00:03:50,110 --> 00:03:57,010 +المريض oriented بتكلم معاه oriented باخد خمسة + +53 +00:03:57,010 --> 00:04:03,410 +disoriented confused conversation but able to + +54 +00:04:03,410 --> 00:04:07,280 +answer questionsباخد أربعة يعني المريض disoriented + +55 +00:04:07,280 --> 00:04:11,440 +confused لكن able to answer questions باخد كام؟ + +56 +00:04:11,440 --> 00:04:16,860 +باخد أربعة المريض ما بيقدر يتكلم معاك ما بيقدر + +57 +00:04:16,860 --> 00:04:21,420 +يجاوبك على الأسئلة بس بيسمع منه كلمات هم غيب + +58 +00:04:21,420 --> 00:04:24,860 +تقريبا لكن بتطلع منه كلمة عسابية مثلا بيردد ابنه + +59 +00:04:24,860 --> 00:04:33,510 +أحمد أحمد محمد سلام يا ربباخد كام؟ ثلاثة إذا بيطلع + +60 +00:04:33,510 --> 00:04:38,350 +منه speech sound مابقدرش يطلب كلمات بيطلع منه فقط + +61 +00:04:38,350 --> 00:04:43,650 +صوت عادي بدون كلمات باخد اتنين إذا مافي أي صوت + +62 +00:04:43,650 --> 00:04:49,190 +باخد واحد يبقى maximum خمسة و minimum واحد ال eye + +63 +00:04:49,190 --> 00:04:53,250 +opening maximum أربع و minimum واحد نجي ل ال motor + +64 +00:04:53,250 --> 00:04:58,690 +response opening commands ارفع إيدك رفحها نزلها + +65 +00:04:58,690 --> 00:05:05,420 +نزلهاتمام؟ يمكن باخد إيش؟ ستة المريض بيقدرش أعطي + +66 +00:05:05,420 --> 00:05:10,020 +command يعملها باجرسه إذا جرسته و أجى حدد مكان ما + +67 +00:05:10,020 --> 00:05:14,480 +جرسته أعمل localized to pain و ممكن يرفع إيدي في + +68 +00:05:14,480 --> 00:05:19,720 +الحالة هذه باخد خمسة إذا المريض أنا جرسته و أعمل + +69 +00:05:19,720 --> 00:05:24,440 +withdrawal withdrawal سحب from pain باخد كام؟ + +70 +00:05:24,440 --> 00:05:29,700 +أربعةإذا لما أنا جرسته اتقلم وعملنا spastic + +71 +00:05:29,700 --> 00:05:35,900 +flexion في ال upper limbs باخد ايه؟ تلاتة بنسميها + +72 +00:05:35,900 --> 00:05:39,780 +decorticate position إذا لما أنا جرسناه عمل hyper + +73 +00:05:39,780 --> 00:05:44,570 +extensionبنسميها Decerebrate position باخد اتنين + +74 +00:05:44,570 --> 00:05:48,350 +إذا عمل flexion و احنا بنقرص و عمل flexion هذا + +75 +00:05:48,350 --> 00:05:51,770 +بنسميها Decorticate position باخد كام؟ تلاثة إذا + +76 +00:05:51,770 --> 00:05:55,530 +جرسنا و عملنا hyper extension Decerebrate position + +77 +00:05:55,530 --> 00:06:00,130 +بياخد كام؟ اتنين و إذا no any response باخد واحد + +78 +00:06:00,130 --> 00:06:04,750 +نجيب مثل المريض أجانب على ال emergency department + +79 +00:06:04,750 --> 00:06:08,370 +و كان عنده decreased level of consciousness بدنا + +80 +00:06:08,370 --> 00:06:13,690 +نقيم عنده glass coma scaleأجينا المريض فتعنيه على + +81 +00:06:13,690 --> 00:06:17,130 +ال pen لما نجرسنا فتعنيه بس لما نتكلمنا معاه ما + +82 +00:06:17,130 --> 00:06:25,730 +فتعنيه باخد كام نحسبهم if can eye opening باخد + +83 +00:06:25,730 --> 00:06:33,390 +كام؟ باخد ايه؟ اتنين تمام ال verbal response ع ال + +84 +00:06:33,390 --> 00:06:34,350 +verbal response + +85 +00:06:39,530 --> 00:06:45,330 +جينا اتكلمنا معاه مريض disoriented، confused و but + +86 +00:06:45,330 --> 00:06:49,930 +able to answer questions كام أخد؟ عندي أخد أربعة + +87 +00:06:49,930 --> 00:06:55,450 +على ال motor response، مريضنا كان عنده localized + +88 +00:06:55,450 --> 00:07:01,030 +to pain، بيحدد مكان الألم يبقى ال motor، أخد كام + +89 +00:07:01,030 --> 00:07:06,990 +عندي؟ localized to pain، حددنا خمسةبنجمحهم مع بعض + +90 +00:07:06,990 --> 00:07:12,470 +خمسة و أربعة تسعة و اتنين احداش بنقول glaucoma + +91 +00:07:12,470 --> 00:07:17,990 +glaucoma scale عند المريض هذا احداش على خمستاشر + +92 +00:07:17,990 --> 00:07:22,330 +احداش على خمستاشر بطريقة هذه انا بحسب glaucoma + +93 +00:07:22,330 --> 00:07:23,790 +scale لأي مريض + +94 +00:07:35,390 --> 00:07:39,470 +classification of coma ممكن يكون في حاجة اسمها + +95 +00:07:39,470 --> 00:07:46,870 +lethargy or drowsiness, stupor, semi coma, coma لو + +96 +00:07:46,870 --> 00:07:50,490 +جينا لل lethargy او drowsiness بيكون disturbed + +97 +00:07:50,490 --> 00:07:55,750 +consciousness المريض response to verbal and + +98 +00:07:55,750 --> 00:07:59,770 +painful stimulus بيستجيب لل verbal للكلام ولل + +99 +00:07:59,770 --> 00:08:03,620 +painful stimulusbut not vigorous ما بيكونوش إيش + +100 +00:08:03,620 --> 00:08:08,640 +جوي ال stimulation نجله ال stubborn هنا بيكون + +101 +00:08:08,640 --> 00:08:13,480 +disturbed consciousness level response to verbal + +102 +00:08:13,480 --> 00:08:19,180 +and painful stimulus لكن vigorous يبقى stubborn + +103 +00:08:19,180 --> 00:08:23,560 +لازم يكون vigorous stimulus جوي عنيف لكن في ال + +104 +00:08:23,560 --> 00:08:26,500 +lethargy بيكون بسيط ال stimulus + +105 +00:08:29,720 --> 00:08:35,860 +lost اللي هي ال consciousness no responseto verbal + +106 +00:08:35,860 --> 00:08:39,640 +stimuli with preserved response to painful + +107 +00:08:39,640 --> 00:08:43,560 +stimulus كومة unresponsive state no response to + +108 +00:08:43,560 --> 00:08:47,900 +both stimuli to painful and verbal يعني لو اتكلمنا + +109 +00:08:47,900 --> 00:08:52,000 +عن اختلاف ما بين lethargy او stubborn بنلاقي الـ + +110 +00:08:52,000 --> 00:08:54,700 +stubborn و ال lethargy بيستجيبوا لل painful و لل + +111 +00:08:54,700 --> 00:09:00,880 +verbal stimuli but ال lethargy respond to not + +112 +00:09:00,880 --> 00:09:06,080 +vigorous stimulusلكن Stubor respond to vigorous + +113 +00:09:06,080 --> 00:09:11,360 +stimulus و الفرق بين semi-coma و Stubor، ال Stubor + +114 +00:09:11,360 --> 00:09:15,600 +بتكون فيه استجابة لل verbal and painful stimulus و + +115 +00:09:15,600 --> 00:09:20,160 +ال semi-coma no response to verbal stimulus but + +116 +00:09:20,160 --> 00:09:23,540 +presented response to a painful stimulus + +117 +00:09:25,480 --> 00:09:30,440 +orientation نسأل oriented to time place and person + +118 +00:09:30,440 --> 00:09:35,280 +memory إذا في مشاكل في الذاكرة إذا كان مشكلة في + +119 +00:09:35,280 --> 00:09:40,520 +recent event تكون عندهم anterograde amnesia for a + +120 +00:09:40,520 --> 00:09:44,650 +remote eventretrograde amnesia و for certain + +121 +00:09:44,650 --> 00:09:48,070 +period of time ممكن يكون عندهم circumscribed + +122 +00:09:48,070 --> 00:09:51,590 +amnesia يعني إذا كان فقد الذاكرة للأحداث .. + +123 +00:09:51,590 --> 00:09:55,570 +للأشياء الحديثة بيكون عندهم anterior grade amnesia + +124 +00:09:55,570 --> 00:09:59,650 +للأشياء السابقة القديمة يكون retrograde amnesia + +125 +00:09:59,650 --> 00:10:04,350 +لجزء يعني إيش circumscribed amnesia المريض رايع + +126 +00:10:04,350 --> 00:10:10,230 +دوام الساعة تمانية سبعة في طريق حادث طرقصار معاه + +127 +00:10:10,230 --> 00:10:15,430 +ارتجاج في الدماء فقد الذاكرة لنصف ساعة لكن هو مذكر + +128 +00:10:15,430 --> 00:10:19,430 +ما قبل الحادث ومذكر ما بعد الحادث نصف ساعة هذه + +129 +00:10:19,430 --> 00:10:22,350 +اللي كانت أثناء الحادث فقد فيها إيش الذاكرة هذه + +130 +00:10:22,350 --> 00:10:27,470 +بنسميها circumscribed amnesia اللي هو فقدان + +131 +00:10:27,470 --> 00:10:31,170 +الذاكرة for certain period of timeال intelligence + +132 +00:10:31,170 --> 00:10:37,210 +بتنفحص عن طريق IQ و ال mood بتنفحص مع السيكياتري + +133 +00:10:37,210 --> 00:10:40,170 +إذا فيه depression, euphoria, emotional liability + +134 +00:10:40,170 --> 00:10:43,970 +و ال behavior و ال perception كل هذا راح تخضوين مع + +135 +00:10:43,970 --> 00:10:50,350 +السيكياتري في course ال psychiatric illness طب + +136 +00:10:50,350 --> 00:10:55,650 +النفسي ال mental of normal patient the patient + +137 +00:10:55,650 --> 00:11:00,870 +fully consciousWell-oriented for time, place and + +138 +00:11:00,870 --> 00:11:05,370 +person with normal behavior, mode and memory, + +139 +00:11:06,030 --> 00:11:11,490 +cooperative and of average intelligence بعد هيك + +140 +00:11:11,490 --> 00:11:15,810 +بنتقل لموضوع speech examination في ال speech + +141 +00:11:15,810 --> 00:11:24,710 +examination أنا بدي أحدد هل المريض عندهnormal + +142 +00:11:24,710 --> 00:11:28,030 +speech أو فيه speech abnormality إذا normal خلاص + +143 +00:11:28,030 --> 00:11:32,410 +normal إذا abnormality بدنا نحدد هل المشكلة في + +144 +00:11:32,410 --> 00:11:37,350 +speech formulation عنده aphasia وده aphasia بدنا + +145 +00:11:37,350 --> 00:11:42,510 +نسأل أو نفحص المريض نعمل differential هل اللي لديه + +146 +00:11:42,510 --> 00:11:45,590 +aphasia عنده sensory aphasia أو motor aphasia يعني + +147 +00:11:45,590 --> 00:11:52,430 +المثال مريض بتتكلم معاه بيقدرش + +148 +00:11:54,300 --> 00:11:58,580 +يتكلم فاهمك 100% لكن ما بيقدر يتكلم هذا بيسميها + +149 +00:11:58,580 --> 00:12:02,160 +motor aphasia أو expressive aphasia أو verbal + +150 +00:12:02,160 --> 00:12:06,680 +aphasia طب مريض آخر بتكلم لكن أنت بتسأل سؤال و هو + +151 +00:12:06,680 --> 00:12:10,260 +بيجاوبك سؤال ثاني، شيء ثاني يعني أنا بقوله وين + +152 +00:12:10,260 --> 00:12:13,280 +ساكن، لازم أحط إيدا ع الطمع عشان مايشوفش أيش حركة + +153 +00:12:13,280 --> 00:12:16,620 +الشفاف بال vision بقول وين ساكن، بقول الحمد لله + +154 +00:12:16,620 --> 00:12:20,240 +يقول هذا المريض عنده sensory aphasia عنده sensory + +155 +00:12:20,240 --> 00:12:24,980 +aphasiaيبقى ماشي الأفاذية؟ هي عبارة عن inability + +156 +00:12:24,980 --> 00:12:28,740 +to speech formulation in the absence of sense + +157 +00:12:28,740 --> 00:12:32,140 +organ lesion قد تكون motor أفاذية أو verbal + +158 +00:12:32,140 --> 00:12:37,840 +أفاذية، قد تكون sensory أفاذية أو .. أو vernix + +159 +00:12:37,840 --> 00:12:42,600 +أفاذية وممكن يكون mix أفاذية sensory and motor، + +160 +00:12:42,600 --> 00:12:47,310 +نسميها global أفاذية، اتنينممكن تكون مشكلة في ال + +161 +00:12:47,310 --> 00:12:51,870 +articulation dysarthria وفي نوع من ال dysarthria + +162 +00:12:51,870 --> 00:12:55,250 +اسمها slurred speech بنشوفها عند المرضى اللي عندهم + +163 +00:12:55,250 --> 00:12:58,590 +مشاكل في ال cerebellum وممكن يكون مشكلة في ال + +164 +00:12:58,590 --> 00:13:03,210 +phonation مشكلة horses of voice او dysphonia في + +165 +00:13:03,210 --> 00:13:07,130 +other type of speech difficulty راح نتكلم عنهم ان + +166 +00:13:07,130 --> 00:13:12,490 +شاء الله في محاضرة منفصلة هي عندي sensory aphasia + +167 +00:13:13,290 --> 00:13:17,510 +اللي هي lesion في vernix center area 22 المريض + +168 +00:13:17,510 --> 00:13:23,190 +بسمع لكن doesn't understand sound بسمع كويس و + +169 +00:13:23,190 --> 00:13:27,050 +بتكلم لكن هو مافهم إيش أنت سألته إجابته راح تكون + +170 +00:13:27,050 --> 00:13:31,710 +خاطئة النوع الثاني verbal aphasia أو Broca's + +171 +00:13:31,710 --> 00:13:34,990 +aphasia المشكلة هنا راح تكون في Broca's area area + +172 +00:13:34,990 --> 00:13:41,470 +44 المريض بسمعبيفهم صح لكن عنده مشكلة في ال + +173 +00:13:41,470 --> 00:13:45,150 +expression وما بيقدر يتكلم في الحالة هذه بيكون + +174 +00:13:45,150 --> 00:13:48,770 +عنده حابسة كلامية حركية قد يكون عند المريض global + +175 +00:13:48,770 --> 00:13:53,790 +aphasia mixed لا بيفهم ولا بيتكلم في الحالة هذه + +176 +00:13:53,790 --> 00:13:57,910 +عنده نسميها total aphasia أو global aphasia وفي + +177 +00:13:57,910 --> 00:14:02,050 +نوع اسمها jargons aphasiaلما يكون عندنا مشكلة في + +178 +00:14:02,050 --> 00:14:06,150 +ال super marginal area area 14 في ال parietal loop + +179 +00:14:06,150 --> 00:14:10,450 +في ال upper end of superior temporal sulcus في ال + +180 +00:14:10,450 --> 00:14:12,690 +upper end of lateral fissure أسف في ال upper end + +181 +00:14:12,690 --> 00:14:17,310 +of lateral fissure هان المريض بيكون عنده word + +182 +00:14:17,310 --> 00:14:23,130 +salat مافي عنده ربط للكلام بتكلم بلغة مش مفهومة و + +183 +00:14:23,130 --> 00:14:29,170 +بنسميها word salat أو jargons aphasia dysarthria + +184 +00:14:30,770 --> 00:14:33,730 +Difficulty in articulation with normal formulation + +185 +00:14:35,120 --> 00:14:37,260 +ممكن تكون في الـ Pyramidal Lesion في الـ Pseudo + +186 +00:14:37,260 --> 00:14:39,940 +Bulbar Syndrome ممكن تكون في الـ Lower Motoneuron + +187 +00:14:39,940 --> 00:14:43,420 +Lesion زي Bulbar Syndrome تكون عندنا مشاكل عصب + +188 +00:14:43,420 --> 00:14:47,120 +الخامس، سابع، تاسع، عشر، احداشر، اتناشر في الـ + +189 +00:14:47,120 --> 00:14:50,440 +Neuromuscular Junction زي مرض Myasthenia Gravis في + +190 +00:14:50,440 --> 00:14:53,920 +الـ Muscle Disease Muscular Dystrophy في مرض الـ + +191 +00:14:53,920 --> 00:14:56,960 +Multiple Sclerosis Cerebellar Lesion Cerebellar + +192 +00:14:56,960 --> 00:14:59,800 +Infarction Tumor Hemorrhage في المرض اللي عندهم + +193 +00:14:59,800 --> 00:15:04,950 +Parkinson Disease أو Akainetic Rigid Syndromeفي + +194 +00:15:04,950 --> 00:15:10,110 +other type of speech disorders يكون عندهم phonia + +195 +00:15:10,110 --> 00:15:14,810 +أو dysphonia هذا مشكلة في ال phonation ممكن يكون + +196 +00:15:14,810 --> 00:15:20,030 +السبب organic زي recurrent laryngeal nerve injury + +197 +00:15:20,030 --> 00:15:24,510 +بيشتغل الجرحين على ال neck أثناء ال thyroid + +198 +00:15:24,510 --> 00:15:30,020 +surgeryعملوا إصابة أو injury لـrecurrent laryngeal + +199 +00:15:30,020 --> 00:15:33,520 +nerve أو بنعمل dyscoctomy anterior approach وهم + +200 +00:15:33,520 --> 00:15:36,280 +دخلين للـanterior approach of dyscoctomy عملوا + +201 +00:15:36,280 --> 00:15:38,660 +injury لموضوع الـrecurrent laryngeal nerve هذا + +202 +00:15:38,660 --> 00:15:45,060 +بسببنا dysphonia وممكن يكون السبب ثيرويد cancer + +203 +00:15:45,060 --> 00:15:48,560 +وقد يكون السبب أخر functional cause يعني + +204 +00:15:48,560 --> 00:15:52,320 +psychogenic conversion disorder وفي الحالة هذه + +205 +00:15:52,320 --> 00:15:57,940 +بتكون reversiblePrelalia, reputation of the last + +206 +00:15:57,940 --> 00:16:02,660 +sentence or words of a patient's own speech بيظل + +207 +00:16:02,660 --> 00:16:05,860 +معلق المريض على كلمة محددة، في مريض يظل يقول الحمد + +208 +00:16:05,860 --> 00:16:08,680 +لله، كل ما تسأل سؤال يقول الحمد لله، الحمد لله، + +209 +00:16:08,680 --> 00:16:12,170 +بعدين خاتمة جميلة، كويسة وممتازةو في مرضى بيتكلموا + +210 +00:16:12,170 --> 00:16:17,270 +كلام ثاني وحش الـ Echolalia المريض بيضلوا يردد آخر + +211 +00:16:17,270 --> 00:16:19,710 +كلمة سمعها يعني أنا بسأله إيش إسمك؟ بيضلوا يقولي + +212 +00:16:19,710 --> 00:16:23,410 +إسمك إسمك وين ساكن؟ بيقولي ساكن ساكن هو زي صدر + +213 +00:16:23,410 --> 00:16:26,570 +الصوت بيردد آخر كلمة سمعها هذا بيسمونه Echolalia + +214 +00:16:26,570 --> 00:16:31,990 +فيه mutism اللي هي absence of any attempt at oral + +215 +00:16:31,990 --> 00:16:37,080 +communicationفي حاجة شىء بنسميها anomic أو nominal + +216 +00:16:37,080 --> 00:16:40,800 +aphasia أو amnestic aphasia المريض بيكون عنده + +217 +00:16:40,800 --> 00:16:46,040 +difficulty naming a familial object or person يعني + +218 +00:16:46,040 --> 00:16:50,580 +أنا عارف هذا ابني محمد بقول ابني بس اسم محمد نسيته + +219 +00:16:50,580 --> 00:16:55,140 +أنا عارف هذا .. بقول هذا إيش هو بيسألوني؟ بقول هذا + +220 +00:16:55,140 --> 00:17:01,030 +عشان أفتد فيه كلمة جلم نسيتهاالهاتف المحمول بقوله + +221 +00:17:01,030 --> 00:17:03,550 +انا عشان اتكلم فيه بس كلمة هاتف محمول بنساها يبقى + +222 +00:17:03,550 --> 00:17:07,510 +ان انا أسماء الأشخاص أو الأشياء بنساها الإنسان هذا + +223 +00:17:07,510 --> 00:17:11,170 +بنسميها amnestic aphasia أو nominal aphasia في ال + +224 +00:17:11,170 --> 00:17:14,670 +examination of ننتقل لجزئية examination of + +225 +00:17:14,670 --> 00:17:18,770 +meningial irritation signs هنا تفضل يا معين نعم + +226 +00:17:18,770 --> 00:17:24,870 +نعم رديا هاروح وغادر مش مشكلة من + +227 +00:17:24,870 --> 00:17:32,970 +رجلك تماممابدى أعمل ال approach + +228 +00:17:32,970 --> 00:17:35,630 +to the patients عشان ما نضيعش الوقت احنا شرحنا + +229 +00:17:35,630 --> 00:17:39,110 +لكوا كيف نعمل ال approach to the patients و بنعرف + +230 +00:17:39,110 --> 00:17:42,270 +المريض كويس و إيش المرض اللي عنده بس أنا جاي بهنا + +231 +00:17:42,270 --> 00:17:46,150 +نعمل بعض ال examination عشان أنتوا تشوفوها الآن + +232 +00:17:46,150 --> 00:17:49,270 +راح أفحص أنا دايما بجف على ال right side بكون على + +233 +00:17:49,270 --> 00:17:54,530 +نفس ال level بتاع المريض و راح أفحص ال meningeal + +234 +00:17:54,530 --> 00:17:56,990 +irritation scienceهذه الـ Meningal Irritation + +235 +00:17:56,990 --> 00:18:00,130 +Science مهمة في حالات الـ Meningitis، في حالات الـ + +236 +00:18:00,130 --> 00:18:03,230 +Subarachnoid Hemorrhage نبدأ بالـ Neck Rigidity، + +237 +00:18:03,230 --> 00:18:07,530 +Neck Stiffness الـ Passive Affliction of Neck lead + +238 +00:18:07,530 --> 00:18:11,330 +to Neck Rigidity، هلأ أنا بحط إيدي ورا اللي + +239 +00:18:11,330 --> 00:18:14,930 +أكسبتله، رخّ حالة، و إيدي التانية أمام السيرنة، و + +240 +00:18:14,930 --> 00:18:19,550 +بعمله إيش؟ Affliction، تمام؟ بعمله Affliction + +241 +00:18:19,550 --> 00:18:27,050 +لمين؟ لإنكطبيعي هنا ال neck lacks لكن في حال ان + +242 +00:18:27,050 --> 00:18:31,030 +المريض عنده neck rigidity طلعولي هنا عملت neck + +243 +00:18:31,030 --> 00:18:34,070 +stiffness و مش قادر أياش اكمل اذا عملت neck + +244 +00:18:34,070 --> 00:18:37,890 +flexion و مش قادر اكمل للمريض و انا بعمله neck + +245 +00:18:37,890 --> 00:18:42,310 +flexionصيب أعمله complete flexion المريض بتقلم و + +246 +00:18:42,310 --> 00:18:45,810 +بيعمله resistant هذا بنسمي إيه neck stiffness + +247 +00:18:45,810 --> 00:18:50,830 +positive و أنا بعمل neck flexion بتطلع ال both + +248 +00:18:50,830 --> 00:18:54,530 +lower limbs فبعض الأحيان المريض ده عنده neck stiff + +249 +00:18:55,260 --> 00:19:01,900 +Positive ممكن يروح يعملنا إيش؟ Affliction لمن؟ + +250 +00:19:01,900 --> 00:19:04,920 +ل ال both me إذا عملت نك ال stiffness و صار مع + +251 +00:19:04,920 --> 00:19:08,840 +المريض Affliction ل ال both me and both him في + +252 +00:19:08,840 --> 00:19:14,970 +الحالة هذه بسميها هذه نكBrodzinski signs أو Upper + +253 +00:19:14,970 --> 00:19:19,750 +Brodzinski signs إيش هو passive flexion of neck + +254 +00:19:19,750 --> 00:19:25,010 +leads to flexion of both knees and hips واضح؟ لإن + +255 +00:19:25,010 --> 00:19:28,870 +هنا فحصنا إحنا neck rigidity وفحصنا معها مين اللي + +256 +00:19:28,870 --> 00:19:32,490 +هو ال neck Brodzinski أو Upper Brodzinski signs + +257 +00:19:32,490 --> 00:19:38,220 +بنتاج لبعدهالفحص ال .. لزيك .. لزيك science نعمل + +258 +00:19:38,220 --> 00:19:41,600 +affliction او الشيء المريض بيكون نايم subpine و + +259 +00:19:41,600 --> 00:19:46,840 +بروح عمله affliction لل hip بحافظ على وضعية + +260 +00:19:46,840 --> 00:19:49,900 +extension لل knee و بروح عمله ايش complete + +261 +00:19:49,900 --> 00:19:54,770 +afflictioncomplete flexion لمن؟ لإيش؟ للـ hip + +262 +00:19:54,770 --> 00:19:58,430 +طبيعي يعمله flexion تسعين درجة طبيعي يعمله flexion + +263 +00:19:58,430 --> 00:20:02,110 +تسعين درجة لكن لو مريض عنده سياتكا مجرد ما عمله + +264 +00:20:02,110 --> 00:20:05,510 +flexion للـ hip راح يتألم و أقول عنده لزيك ساينز + +265 +00:20:05,510 --> 00:20:09,430 +أشرين درجة أو تلاتين أو أربعين أو خمسين كل ما قلت + +266 +00:20:09,430 --> 00:20:12,650 +الدرجة كل ما كان more severe سياتكا أو more severe + +267 +00:20:12,650 --> 00:20:16,310 +irritation كل ما زادت الدرجة كل ما كان more penile + +268 +00:20:16,310 --> 00:20:22,700 +أو good outبعدها بنتقل ل care neck science care + +269 +00:20:22,700 --> 00:20:28,320 +neck science بأحفظه في وضعية المريض نعمله flexion + +270 +00:20:28,320 --> 00:20:32,220 +تسعين درجة في ال hip و flexion تسعين درجة في ال + +271 +00:20:32,220 --> 00:20:36,500 +knee و بروح أعمله complete هلجيت اتني لرجلك تاني؟ + +272 +00:20:36,500 --> 00:20:42,860 +لحالك؟ لأ لأ لأ اتنيها شوية هلجيت + +273 +00:20:42,860 --> 00:20:46,420 +حاولت أعمله إيش؟ complete إيش؟extension لأنه مش + +274 +00:20:46,420 --> 00:20:49,440 +قادر أعمله extension اثنى شوية بسيطة تمام و بتطلع + +275 +00:20:49,440 --> 00:20:52,640 +وين على ال other lower limb ليش هو عمل flexion + +276 +00:20:52,640 --> 00:20:55,580 +عشان يخفف القلم يبقى في الحالة هذه مش قادر أعمله + +277 +00:20:55,580 --> 00:20:58,040 +إيش complete extension هنا بقول المريض عنده + +278 +00:20:58,040 --> 00:21:01,220 +positive kerning signs و بتطلع على ال other lower + +279 +00:21:01,220 --> 00:21:03,940 +limb إذا صار فيها flexion في ال hip و في ال knee + +280 +00:21:03,940 --> 00:21:08,280 +بقول المريض عنده شيء ثاني اسمه leg Brodzinski + +281 +00:21:08,280 --> 00:21:12,150 +signs positiveأو lower brodzinski science positive + +282 +00:21:12,150 --> 00:21:16,450 +اللي هي passive flexion of one hip and extension + +283 +00:21:16,450 --> 00:21:20,270 +of the knee lead to flexion of the other hip + +284 +00:21:20,270 --> 00:21:25,150 +بالطريقة هذه احنا فحصنا .. فضلا استريح + +285 +00:21:28,220 --> 00:21:33,320 +سريحة شوية عندنا فحصنا مين اللي هم الـ meningeal + +286 +00:21:33,320 --> 00:21:36,820 +irritation signs زي ما احنا شايفين هنا بفحص اللي + +287 +00:21:36,820 --> 00:21:41,020 +هو neck stiffness مع ال upper Brzezinski او neck + +288 +00:21:41,020 --> 00:21:44,420 +Brzezinski هنا بفحص kerning signs بتطلع ال other + +289 +00:21:44,420 --> 00:21:48,660 +lower limb لو صار عندى flexion في النيل و في الhip + +290 +00:21:48,660 --> 00:21:51,960 +بقول المريض عنده كمان غير kerning signs عنده lower + +291 +00:21:51,960 --> 00:21:57,960 +Brzezinski او leg Brzezinskicranial nerve + +292 +00:21:57,960 --> 00:22:02,500 +examination بنتجل بعدها لموضوع cranial nerve + +293 +00:22:02,500 --> 00:22:07,560 +examination cranial nerve examination ببدأها + +294 +00:22:07,560 --> 00:22:11,720 +بالفكتوري examination الفكتوري examination تفضل يا + +295 +00:22:11,720 --> 00:22:15,440 +معين هنا ببدأ + +296 +00:22:15,440 --> 00:22:20,300 +الفكتوري examination بالفكتوري نيرف الفكتوري نيرف + +297 +00:22:20,300 --> 00:22:24,100 +بتفحص SMIL ال main function بتبعت SMIL يبقى الأول + +298 +00:22:24,100 --> 00:22:29,390 +شيء في عندي شروط لل examination أول شرطfamiliar + +299 +00:22:29,390 --> 00:22:32,950 +odorant أجيب رائحة مقلوفة أو متقالفة عليها أو + +300 +00:22:32,950 --> 00:22:36,850 +معروفة عند المريض ثاني non irritant مايكونش + +301 +00:22:36,850 --> 00:22:39,870 +irritant جوية عشان مايعملش irritation للطيور هيجيب + +302 +00:22:39,870 --> 00:22:44,720 +من ال nerveثلاثة أفحص each nostril alone يعني أعمل + +303 +00:22:44,720 --> 00:22:48,300 +فحص لكل nostril alone عشان نحدد إذا في عندنا + +304 +00:22:48,300 --> 00:22:52,780 +hyposmia unilateral right أو left ونعمل .. هنفي + +305 +00:22:52,780 --> 00:22:56,700 +خطأ في الصورة من الكتاب إن ال eyes open ال eyes + +306 +00:22:56,700 --> 00:23:01,540 +should be closed يبقى أول شيء سكرا هناك تمام؟ + +307 +00:23:01,540 --> 00:23:03,980 +هلجيت؟ + +308 +00:23:04,980 --> 00:23:09,680 +بدأ أشم منك حاجة و تقول إيش هي، شم إيش شامم؟ روح + +309 +00:23:09,680 --> 00:23:17,300 +أريح، تمام، غمض عينك، شم، نفس الشيء، إيش؟ إيش في؟ + +310 +00:23:17,300 --> 00:23:20,300 +غمض عينك، شم هنا + +311 +00:23:26,180 --> 00:23:32,280 +شام؟ شام قد نفسه شاميت؟ إيش فيه؟ نفس الشيء و هان + +312 +00:23:32,280 --> 00:23:38,980 +نفس الشيء شامم؟ في الحالة هذه أنا ممكن أغير + +313 +00:23:38,980 --> 00:23:43,540 +الرائحة أجيب رائحة ثانية و عشان أميز و أحدد إذا في + +314 +00:23:43,540 --> 00:23:51,620 +عنده loss of smell sensation lesion + +315 +00:23:51,620 --> 00:23:56,790 +of the smell pathwayUnilateral hyposemia or + +316 +00:23:56,790 --> 00:23:59,950 +anosemia يمكن أن يكون unilateral Bilateral + +317 +00:23:59,950 --> 00:24:03,690 +hyposemia or anosemia Parosemia او اسم ال + +318 +00:24:03,690 --> 00:24:08,270 +hallucinationكاكوسمية أو bad smell يعني chronic + +319 +00:24:08,270 --> 00:24:12,230 +sinusitis والفاكتوري أجنوزية اللي هي عدم تمييز + +320 +00:24:12,230 --> 00:24:16,170 +الرواقع كاكوسمية هي bad smell اللي بنشوفها أو + +321 +00:24:16,170 --> 00:24:18,290 +المرضى اللي بتصير معهم في حالات ال chronic + +322 +00:24:18,290 --> 00:24:21,910 +sinusitis لما يكون عندهم nasal discharge باروسمية + +323 +00:24:21,910 --> 00:24:25,370 +اللي هي ال hallucination في حالة تكون tumor في ال + +324 +00:24:25,370 --> 00:24:29,750 +temporal loop ممكن يعمللنا الهلوسة في حاسس الشم + +325 +00:24:29,750 --> 00:24:34,590 +يشم أشياء مش موجودةو bilateral hyposmia أو أنوزميا + +326 +00:24:34,590 --> 00:24:38,150 +كلنا صار معنا bilateral في حالة ال common cold لما + +327 +00:24:38,150 --> 00:24:41,850 +نكون عندنا فلوانزا راشح كنا ببطل نشم روائح و + +328 +00:24:41,850 --> 00:24:44,150 +unilateral hyposmia أو أنوزميا هذه أخطر ال + +329 +00:24:44,150 --> 00:24:47,070 +unilateral قد تكون نادية عن الفكتوري groove من + +330 +00:24:47,070 --> 00:24:52,350 +انجيومة، tumor أو إترومة أو هماتومة بعد ذلك بنتجل + +331 +00:24:52,350 --> 00:24:56,450 +لفحص ال optic nerveفي الـ Optic nerve نفحص عن طريق + +332 +00:24:56,450 --> 00:25:00,710 +الـ Accuracy of vision عن طريق Snelling Chart من 6 + +333 +00:25:00,710 --> 00:25:05,130 +ل 6 الـ Normal ل 6 ل 9 وفي Computerized System + +334 +00:25:05,130 --> 00:25:09,810 +اليوم بعد ذلك نفحص الـ Visual Field Examination + +335 +00:25:09,810 --> 00:25:16,710 +بنعمل confrontation test و بعدها ممكن نعمل فحص عن + +336 +00:25:16,710 --> 00:25:20,870 +طريق الـ Perimeterفي الـ Perimeter هذا الجهاز عشان + +337 +00:25:20,870 --> 00:25:25,470 +نحدد إذا في عندنا visual field defect لكن أول شيء + +338 +00:25:25,470 --> 00:25:30,170 +بنفحص عن طريق ال confrontation test في ال + +339 +00:25:30,170 --> 00:25:34,650 +confrontation test غمض + +340 +00:25:34,650 --> 00:25:40,250 +عينك، حط يدك على اليمين طلع + +341 +00:25:40,250 --> 00:25:45,670 +هنا، طلع، لما تشوف إصبعي، قول شفتهم، طلع هنا، + +342 +00:25:45,670 --> 00:25:47,850 +ماشي، ماتحركش، ماتحركش عينك + +343 +00:25:52,580 --> 00:25:55,880 +أنا شايفش شايفش تمام تمام بجيبه من الجهة الثانية + +344 +00:25:55,880 --> 00:25:59,500 +انا + +345 +00:25:59,500 --> 00:26:05,140 +شايفش شايفش و بجيب من أسفل و من فوق طلع هنا شايفش + +346 +00:26:05,140 --> 00:26:11,140 +تمام و نفس الطريقة بفحص على ال other eyes في + +347 +00:26:11,140 --> 00:26:16,720 +الحالة هذه إذا المريض .. رخص .. حطي دقيقة طلع هنا + +348 +00:26:16,720 --> 00:26:19,640 +المريض مش شايفه كويس مش شايفه كويس مش شايفه كويس + +349 +00:26:19,640 --> 00:26:24,390 +هان شاف شاف بال nasalهالهنا شاف مباشرة في الحالة + +350 +00:26:24,390 --> 00:26:27,970 +هذه بقول عنده loss of temporal visual field على ال + +351 +00:26:27,970 --> 00:26:30,610 +lift ساكر عينك اليامين .. الشمال .. ساكر عينك + +352 +00:26:30,610 --> 00:26:34,970 +الشمال .. لأ حطي دك هيك رخي عينك .. تمام رخي دك .. + +353 +00:26:34,970 --> 00:26:41,010 +طلع هنا شايف؟ أه شايف كويس هنا لأ مش شايف مش شايف + +354 +00:26:41,010 --> 00:26:43,670 +مش شايف يعني المريض هنا عنده على عين اليامين + +355 +00:26:43,670 --> 00:26:47,370 +عصابين مثال هذا مثال جبته أنا .. + +356 +00:26:50,130 --> 00:26:55,070 +هندو هنا on the left part of the right eye loss of + +357 +00:26:55,070 --> 00:27:02,510 +vision يبقى هنا أنور سمعين كنتين هى + +358 +00:27:02,510 --> 00:27:08,590 +المريض هى يعني ايه هذا right وهذا left مريضنا هذا + +359 +00:27:08,590 --> 00:27:16,360 +مجسمنا عينه من النصهذه عنده temporal وهذه nasal + +360 +00:27:16,360 --> 00:27:21,280 +هذه nasal وهذه temporal مريضنا فحصنا left eye + +361 +00:27:21,280 --> 00:27:24,240 +لجينا ال temporal بيشوفش فيها كويس مثال انا جبته + +362 +00:27:24,240 --> 00:27:32,630 +مثلت وعن ال nasal مابيشوفشلو جينا للعين نفسها هذه + +363 +00:27:32,630 --> 00:27:38,010 +الجزئية هي right part وهذه left part وهنا نفس + +364 +00:27:38,010 --> 00:27:42,690 +الشيء right part وهذه left part الحالة هذه بقول + +365 +00:27:42,690 --> 00:27:47,710 +المريض عنده left side hemianopia left side + +366 +00:27:47,710 --> 00:27:50,950 +homonymous + +367 +00:27:56,850 --> 00:28:01,470 +Hemianopia يعني المريض فقد المجال الإبصار ال + +368 +00:28:01,470 --> 00:28:05,990 +visual field على ال left side of both eyes قد يكون + +369 +00:28:05,990 --> 00:28:11,090 +هذا right optic tract lesion قد يكون right lateral + +370 +00:28:11,090 --> 00:28:14,150 +geniculate lesion قد يكون right internal capsule + +371 +00:28:14,150 --> 00:28:14,570 +lesion + +372 +00:28:17,400 --> 00:28:21,760 +بعدها بنتاجل افحصاش fundus examination fundus + +373 +00:28:21,760 --> 00:28:25,680 +examination نشوف اذا normal fundus او المريض عنده + +374 +00:28:25,680 --> 00:28:29,440 +papilloedema او المريض عنده optic palor optic + +375 +00:28:29,440 --> 00:28:36,760 +atrophy color examination اش مكتوب هنا عجيب اش + +376 +00:28:36,760 --> 00:28:42,700 +مكتوب هيك؟السبعة والثالثة اتفضل استريحى يبقى احنا + +377 +00:28:42,700 --> 00:28:48,360 +فحصنا ال visual color هنا في عندي تلاثة وهنا سبعة + +378 +00:28:48,360 --> 00:28:51,220 +يبقى عشان اشوف ان ده في color blindness او عما + +379 +00:28:51,220 --> 00:28:57,180 +الألوان بنتاجل بعضها لفحص الأعصاب التلاثة واربعة + +380 +00:28:57,180 --> 00:29:00,580 +وستة اللي هم ocular nerves العصب الثالث والرابع + +381 +00:29:00,580 --> 00:29:05,480 +والسادس مهم جدا إذا بفحص أي شيء motor لازم أبدأ + +382 +00:29:05,480 --> 00:29:08,740 +بال inspection لازم أبدأ بال inspection طلع عقلك + +383 +00:29:08,740 --> 00:29:14,170 +يا عدلبـ inspection أنا بتطلع عليه أول شيء في drop + +384 +00:29:14,170 --> 00:29:18,250 +of eyelid فيه tosses ولا مافيه؟ إذا فيه tosses + +385 +00:29:18,250 --> 00:29:23,930 +بنحدده هل هو complete tosses كامل أو partial؟يعني + +386 +00:29:23,930 --> 00:29:28,350 +فيه سقوط في الجفن complete أو partial اثنين بنحدده + +387 +00:29:28,350 --> 00:29:32,290 +bilateral ولا unilateral و اذا unilateral right او + +388 +00:29:32,290 --> 00:29:35,690 +left هذه اول شيء يبقى بال inspection انا بحدد حين + +389 +00:29:35,690 --> 00:29:38,090 +انا بشخص مريضي بال inspection من حد مايفوت عندي + +390 +00:29:38,090 --> 00:29:41,830 +ايه ده ممكن اشخص اخد ايه حط اشخص و اكمل الفحص و + +391 +00:29:41,830 --> 00:29:45,210 +اشوف ان انا اللي فكرت فيه صح ولا لأ يبقى اول شيء + +392 +00:29:45,210 --> 00:29:50,510 +بتكلم على inspection على التواصل اثنين بتطلع على + +393 +00:29:50,510 --> 00:29:57,030 +ال pupilsتعينوا، حدقتلين، هل هي round مدورين أو + +394 +00:29:57,030 --> 00:30:02,730 +كان ماخدة روما و irregular؟ اثنين، regular، + +395 +00:30:02,730 --> 00:30:06,590 +symmetrical ال right و ال left و لأ symmetrical في + +396 +00:30:06,590 --> 00:30:11,750 +anisocoria، anisocoria يعني السيمتريا of pupil + +397 +00:30:11,750 --> 00:30:12,250 +size + +398 +00:30:25,860 --> 00:30:30,420 +طبعاً بتطلع على ال pupils respond to light ولا لأ + +399 +00:30:30,420 --> 00:30:32,860 +بس هاد ال respond مش بالنسبالكش ان انا لازم افحصها + +400 +00:30:32,860 --> 00:30:37,780 +بال torch يبقى ان انا بقول ال pupils are are are + +401 +00:30:37,780 --> 00:30:43,860 +regular round reactive بعدك بشوف اذا في squint + +402 +00:30:43,860 --> 00:30:51,270 +بتطلع على ال eyes هل في حول squintودا اللى جينا + +403 +00:30:51,270 --> 00:30:54,690 +داخل الجو هذا بيكون convergence squint وده اللى + +404 +00:30:54,690 --> 00:30:58,310 +قاعد طالع على برا هذا بيكون divergence squint يجب + +405 +00:30:58,310 --> 00:31:03,470 +أننا نحدد بال inspection ال pupils, toses فيه او + +406 +00:31:03,470 --> 00:31:06,750 +لا وsquint وده فيه squint convergence او + +407 +00:31:06,750 --> 00:31:12,340 +divergenceبعد هيك بنعمل examination للـ + +408 +00:31:12,340 --> 00:31:15,900 +extraocular movement زي ما انتوا عارفين الـ + +409 +00:31:15,900 --> 00:31:18,760 +abducent nerve بغضي ال lateral rectus muscle و ال + +410 +00:31:18,760 --> 00:31:21,760 +trochlear nerve بغضي superior oblique muscle اللي + +411 +00:31:21,760 --> 00:31:25,980 +بتعملنا ايه؟ down and out direction movement اللي + +412 +00:31:25,980 --> 00:31:28,840 +ال lateral rectus بتعمل external rotation او + +413 +00:31:28,840 --> 00:31:34,110 +abduction للأعلىو الـ oculomotor بنفحص other + +414 +00:31:34,110 --> 00:31:38,070 +movement زي ال .. نفحص ال media rectus muscle + +415 +00:31:38,070 --> 00:31:40,670 +superior rectus muscle inferior rectus muscle + +416 +00:31:40,670 --> 00:31:43,170 +inferior oblique muscle levator palvebra + +417 +00:31:43,170 --> 00:31:46,150 +superiorisكله هدو باخده من وين من ال oculomotor + +418 +00:31:46,150 --> 00:31:52,370 +nerve كيف نفحص ال eye movement؟ هي عندي حمار بتاعي + +419 +00:31:52,370 --> 00:31:55,390 +طلع + +420 +00:31:55,390 --> 00:31:58,470 +هان بحدد طلع + +421 +00:32:01,610 --> 00:32:06,530 +طلع هنا اشاكوش و بحاول ايش اعمل fixation لل vision + +422 +00:32:06,530 --> 00:32:09,850 +طلع المريض عنده هان مش واضح يالكوا كويس عنده + +423 +00:32:09,850 --> 00:32:20,750 +nystagmus لفلي هنا لفلي حقك اجهز شوية ساكتر + +424 +00:32:20,750 --> 00:32:29,390 +ساكتر اجهزي شوية اجهزي شوية طلع هنا طلع هيك هنا + +425 +00:32:29,390 --> 00:32:33,180 +طلع هنالأ بنوقف ليش بنوقف نشوف ده فيه stigma + +426 +00:32:33,180 --> 00:32:38,620 +المريض عنده horizontal stigma انا في الحركة هذه او + +427 +00:32:38,620 --> 00:32:42,040 +ال direction انا حركت ال left lateral rectus + +428 +00:32:42,040 --> 00:32:47,280 +muscle مع ال media ال right بنعمل H shape نزل لتحت + +429 +00:32:47,280 --> 00:32:54,060 +انا حركت هنا اللي هي superior oblique left مع + +430 +00:32:54,060 --> 00:33:01,460 +inferior rectus right لفوقحركنا inferior oblique + +431 +00:33:01,460 --> 00:33:07,760 +lift مع superior rectus right وبرجع طلع هان نفس + +432 +00:33:07,760 --> 00:33:10,380 +الشيء بثبت ليش ثبتت؟ عشان ده فيه horizontal + +433 +00:33:10,380 --> 00:33:18,030 +stigmas أشوفه طلع تحت لفوق بعدين هانطلع فوق، بثبت + +434 +00:33:18,030 --> 00:33:21,830 +فوق، ليه؟ إذا في عيننا vertical نستجمس، نشوفه، و + +435 +00:33:21,830 --> 00:33:26,690 +بنفحص، عيننا فحصنا نستجمس مع الـocular movement، + +436 +00:33:26,690 --> 00:33:29,470 +نفحص ال conversion and accommodation، نطلب من + +437 +00:33:29,470 --> 00:33:32,830 +المريض اطلع نقطة بعيدةطلع نطبي إيده هناك على السجف + +438 +00:33:32,830 --> 00:33:34,970 +و بعدين طلع اللي على الشاكوش طلع بسرعة على الشاكوش + +439 +00:33:34,970 --> 00:33:38,190 +على الشاكوش طلع إيه صار مع المريض؟ صار مع ال + +440 +00:33:38,190 --> 00:33:41,150 +conversion لل both eyes مع accommodation مع + +441 +00:33:41,150 --> 00:33:45,210 +construction لل pupils و بفحص ال light reflex في + +442 +00:33:45,210 --> 00:33:48,630 +عندى direct light reflex و في indirect light + +443 +00:33:48,630 --> 00:33:52,710 +reflex لو ضوينا الضوء أو ال torch طلع على العين + +444 +00:33:52,710 --> 00:33:57,660 +اليمين فجأة بسرعةبصير construction of the same + +445 +00:33:57,660 --> 00:34:01,400 +pupils هذا بنسميه direct light reflex و لو ضوينا + +446 +00:34:01,400 --> 00:34:04,300 +في العين الأمين بسرعة و نطلعنا على الشمال بصير + +447 +00:34:04,300 --> 00:34:07,820 +كمان construction في ال other eyes هذا بنسميه + +448 +00:34:07,820 --> 00:34:13,140 +indirect light reflex يبقى light on one eye lead + +449 +00:34:13,140 --> 00:34:16,260 +to construction of the same eye هذا بنسميها direct + +450 +00:34:16,260 --> 00:34:19,520 +light reflex و light on one eye lead to + +451 +00:34:19,520 --> 00:34:22,460 +construction of the other eyes هذا بنسميها + +452 +00:34:22,460 --> 00:34:24,000 +indirect light reflex + +453 +00:34:28,900 --> 00:34:33,100 +الـ Light Reflex شرحناها الـ accommodation and + +454 +00:34:33,100 --> 00:34:39,680 +conversion أنا شرحته ال patients asked to follow + +455 +00:34:39,680 --> 00:34:44,740 +your finger from a far point to a near point، أيش + +456 +00:34:44,740 --> 00:34:47,160 +بيصير مع المريض؟ بيصير معه conversion، بيصير + +457 +00:34:47,160 --> 00:34:50,740 +contraction لل both medial recti muscle عن طريق + +458 +00:34:50,740 --> 00:34:53,720 +نوكلياس أو بيرليا و بيصير عنه myosis أو + +459 +00:34:53,720 --> 00:34:57,500 +constriction of a constrictor pupillary muscle + +460 +00:34:58,710 --> 00:35:03,790 +legion of oculomotor nerve توسيز ممكن يسموهم توسيز + +461 +00:35:03,790 --> 00:35:08,590 +due to braces of the levator palpebra superioris + +462 +00:35:08,590 --> 00:35:14,210 +مصر ممكن يسموهم ضيبلوبيا أو double ovision only on + +463 +00:35:14,210 --> 00:35:17,630 +elevation of eyelid لأنه لو مسكر عينه راح يشوف + +464 +00:35:17,630 --> 00:35:21,270 +واحد بس لو رفعنا ال eyelid راح يشوف بدل ما يشوف + +465 +00:35:21,270 --> 00:35:25,690 +واحد راح يشوف اتنين double ovision squintبيصير + +466 +00:35:25,690 --> 00:35:29,250 +معاك Diversion Squint تكون عينه طالع على برا ليش + +467 +00:35:29,250 --> 00:35:32,490 +طالع على برا؟ لأن ال lateral rectus muscle سليمة و + +468 +00:35:32,490 --> 00:35:36,470 +راح تشد العين للخارج Medriasis لأنه بيغضي + +469 +00:35:36,470 --> 00:35:38,990 +constructor pupil muscle و ال sympathetic nervous + +470 +00:35:38,990 --> 00:35:42,670 +system بتغضينا ال dilator pupil muscle في الحالة + +471 +00:35:42,670 --> 00:35:45,790 +هذه راح يكون عند المرضى Medriasis اللي هو توسيع + +472 +00:35:45,790 --> 00:35:49,730 +حدقة العين Loss of light and accommodation reflex + +473 +00:35:50,510 --> 00:35:54,510 +بس because of oculomotor nerve lesion ممكن يكون + +474 +00:35:54,510 --> 00:35:59,010 +aneurysm of the posterior communicating arteryممكن + +475 +00:35:59,010 --> 00:36:02,710 +يكون infarction of third cranial nerves ناتجة عن + +476 +00:36:02,710 --> 00:36:07,250 +hypertension عن DM Medbrain tumor Infarction + +477 +00:36:07,250 --> 00:36:10,530 +Hemorrhage وزي ويبر سندروم ممكن يكون ناتجة عن + +478 +00:36:10,530 --> 00:36:17,610 +cavernous sinus thrombosis ماهي الفرق بين أقلوموتر + +479 +00:36:17,610 --> 00:36:23,910 +ونيروباتي كديابتك وأنوريزم بستيريو كوميونيكاتينج + +480 +00:36:23,910 --> 00:36:27,250 +أرتريكيف نفرج إن هذا نيروباثي حقيقي و لا + +481 +00:36:27,250 --> 00:36:30,490 +compression جاي من وين، من الخارج، جاي tumor، ضغط + +482 +00:36:30,490 --> 00:36:33,810 +عن الـ nerve أو جاي عنده aneurysm؟ هلأ الـ + +483 +00:36:33,810 --> 00:36:37,930 +autonomic fibers في الـ nerve بتكون more external، + +484 +00:36:37,930 --> 00:36:41,860 +في حال كان aneurysm compressionراح يكون الـ first + +485 +00:36:41,860 --> 00:36:46,220 +symptoms عندنا مدرياسيز الـ first symptom اللي هو + +486 +00:36:46,220 --> 00:36:49,360 +المدرياسيز لكن لو كان الـ neuropathy بيصيب الـ + +487 +00:36:49,360 --> 00:36:52,720 +axon أكتر في الديابتك النيروباتي ممكن يكون عندنا + +488 +00:36:52,720 --> 00:36:56,900 +squint, ptosis لكن ال pupils يكونوا intact ال + +489 +00:36:56,900 --> 00:36:59,480 +pupils يكونوا intact يعني في ال compression بيكون + +490 +00:36:59,480 --> 00:37:02,100 +ال first signs اللي هو المدرياسيز لكن في + +491 +00:37:02,100 --> 00:37:07,440 +النيروباتي الديابتك maybe spared pupils lesion of + +492 +00:37:07,440 --> 00:37:11,940 +trochlear nerveDiablobia on looking down and out + +493 +00:37:11,940 --> 00:37:15,040 +direction Limitation of movement during + +494 +00:37:15,040 --> 00:37:19,660 +examination for eye movement down and out لو صار + +495 +00:37:19,660 --> 00:37:23,810 +معنا lesion في الـabdominaldiblobia on looking out + +496 +00:37:23,810 --> 00:37:26,650 +direction لأنه بيغضي ال lateral rectus muscle و + +497 +00:37:26,650 --> 00:37:30,050 +limitation in your examination of eye movement in + +498 +00:37:30,050 --> 00:37:34,410 +outward direction ومن هنا اسمه abdocent nerve لأنه + +499 +00:37:34,410 --> 00:37:38,270 +بيغضي ال lateral rectus muscle which abduct the + +500 +00:37:38,270 --> 00:37:43,010 +eye laterally وبيكون معهم conversion paralytic + +501 +00:37:43,010 --> 00:37:46,290 +squint إيش يعني conversion paralytic squint؟ هي + +502 +00:37:46,290 --> 00:37:47,610 +عينتين، هي عندي + +503 +00:37:50,390 --> 00:37:54,910 +المريض عنده هذه right هذه left المريض عنده right + +504 +00:37:54,910 --> 00:38:03,590 +six snare pulse يلاقي + +505 +00:38:03,590 --> 00:38:07,950 +هذا ال pupils ال eyeball في النص six و ال right + +506 +00:38:07,950 --> 00:38:12,910 +داخلة لجوه داخلة conversion ليش conversion لأن في + +507 +00:38:12,910 --> 00:38:14,790 +مشكلة في + +508 +00:38:16,970 --> 00:38:19,670 +الـ lateral rectus muscle الـ lateral rectus + +509 +00:38:19,670 --> 00:38:24,090 +muscle هنا paralyzed مش قادر تعمل upduction لل eye + +510 +00:38:24,090 --> 00:38:27,030 +laterally في الحالة هذه راح نجد عند المريض + +511 +00:38:27,030 --> 00:38:30,670 +conversion paralytic squint الـ trigeminal nerve + +512 +00:38:30,670 --> 00:38:33,730 +examination الـ trigeminal nerve it is mainly + +513 +00:38:33,730 --> 00:38:38,600 +sensory nerve mainly sensory nerveبقى أول شي بنفحص + +514 +00:38:38,600 --> 00:38:43,880 +ايه ال sensation بنفحص ال sensation عن طريق أو + +515 +00:38:43,880 --> 00:38:47,120 +بفحص أول شي pain sensation و touch sensation + +516 +00:38:47,120 --> 00:38:56,220 +المريض بنغمض عينيا I should be closedاللأ حاسس هان + +517 +00:38:56,220 --> 00:39:03,500 +قلم و هنا نفس الشيء هنا و هنا بعمل symmetrical + +518 +00:39:03,500 --> 00:39:06,900 +examination لل pain sensation بقارن ophthalmic مع + +519 +00:39:06,900 --> 00:39:09,320 +ophthalmic maxillary مع maxillary mandibular مع + +520 +00:39:09,320 --> 00:39:13,520 +mandibular هاي واحد، اتنين، ع نفس ال side بقارن ع + +521 +00:39:13,520 --> 00:39:18,880 +نفس ال side ع left side ophthalmicمع maxillary مع + +522 +00:39:18,880 --> 00:39:22,920 +mandibular انا فحصت ايش pain sensation و نفس الشيء + +523 +00:39:22,920 --> 00:39:30,680 +على اليمين بعدين بجيب جطعة قطن او fine + +524 +00:39:30,680 --> 00:39:36,860 +غمض من هناك في شيء لمسك هنحس اللمس نفس الشيء هذا + +525 +00:39:36,860 --> 00:39:42,630 +اسمها crow touch crow touch بجيبأفحص الـ fine + +526 +00:39:42,630 --> 00:39:45,550 +touch الـ fine touch good localized touch + +527 +00:39:45,550 --> 00:39:49,450 +sensation أنا مابدوش أعمله ألم بس لمز، هل في شيء + +528 +00:39:49,450 --> 00:39:55,570 +لمسك؟ ها، هل في شيء لمسك؟ لأن هذي good localized، + +529 +00:39:55,570 --> 00:39:59,130 +هذي fine touch لكن لما أنا لمسته بقطعة قطن أو + +530 +00:39:59,130 --> 00:40:06,070 +بحارم، هذي تعتبر إيش؟ Crowed touch نفحص الـ deep + +531 +00:40:06,070 --> 00:40:13,080 +sensation الـ deep sensationغمض أني أك؟ افتحه قبل + +532 +00:40:13,080 --> 00:40:15,720 +ال deep sensation بفحص temperature sensation بجيب + +533 +00:40:15,720 --> 00:40:19,260 +two tube واحدة فيها شيء بارد واحدة سخنه و بقارن + +534 +00:40:19,260 --> 00:40:22,100 +نفسي ما فحصت ال pain sensation أنا ممكن ماجيبش + +535 +00:40:22,100 --> 00:40:26,000 +إيه؟ tube معايا .. ميا في جيبتي عن طريق الهمع + +536 +00:40:26,000 --> 00:40:31,600 +بتاعي؟ غمض أني أك؟ هاي شيء لمسك و هاي شيء لمسك مين + +537 +00:40:31,600 --> 00:40:35,540 +فيهم بارد؟ الأول ولا الثاني؟ الثاني و بالطريقة هذه + +538 +00:40:35,540 --> 00:40:45,290 +بقارن على الجهة هذهالثاني طب هلجت مين أبرد لأول + +539 +00:40:45,290 --> 00:40:48,230 +يبقى أنا ال metallic مع ال plastic هذا ال plastic + +540 +00:40:48,230 --> 00:40:50,950 +راح يكون أدفع شوية مني مع ال metallic و بقدر اميز + +541 +00:40:50,950 --> 00:40:54,310 +ال temperature sensation فنتاج البعد هلا فحص ال + +542 +00:40:54,310 --> 00:40:58,230 +deep sensation deep sensation joint sensationفتحت + +543 +00:40:58,230 --> 00:41:01,210 +المقرخة؟ هل جيت انا بدي حرك ايه ايه افكه لفوق و + +544 +00:41:01,210 --> 00:41:04,030 +لتحت و هو بدي يجاوبني وين انا حركت، غمض عنيك، + +545 +00:41:04,030 --> 00:41:06,690 +ماتمشيش يعنى، هل جيت ايش وين حركت، فوق و لتحت؟ + +546 +00:41:06,690 --> 00:41:12,490 +لفوق، تمام، فهل جيت؟ لتحت، هل جيت؟ ليمين، هكذا، + +547 +00:41:12,490 --> 00:41:15,910 +اشمال، يبقى ان انا في الحركة هذه بحرك شمال، يمين، + +548 +00:41:15,910 --> 00:41:21,010 +فوق، تحت و بيكون المريض عارف الحركات هذهبنتاج لفحص + +549 +00:41:21,010 --> 00:41:25,130 +ال vibration ال vibration بستخدم turning fork ال + +550 +00:41:25,130 --> 00:41:27,570 +turning fork بمسيكه بالطريقة هذه من تحت مش من فوق + +551 +00:41:27,570 --> 00:41:32,030 +خطأ و لما هضرب عيدي هضرب عشان أحصل ع ال vibration + +552 +00:41:32,030 --> 00:41:36,750 +غامض أناك بدور ع وين فيه bone prominance حاسس إشي + +553 +00:41:36,750 --> 00:41:42,050 +زي رجعة و هان نفس الشيء و هان زي gammatic bone + +554 +00:41:42,050 --> 00:41:45,170 +تمام و هان و بقارن ع الجهتين شمال يمين هذه + +555 +00:41:45,170 --> 00:41:47,610 +vibration sense هذه vibration sense + +556 +00:41:51,770 --> 00:41:56,410 +بنفحص ال motor part لل mastication muscles أول شي + +557 +00:41:56,410 --> 00:41:59,470 +بفحص by inspection بتطلع إذا في deviation of the + +558 +00:41:59,470 --> 00:42:02,490 +jaw، laterally، على ال left، على ال right، تمام، + +559 +00:42:02,490 --> 00:42:06,930 +إذا في inability to open mouth، بعدين، افتح دماغك، + +560 +00:42:06,930 --> 00:42:11,190 +تحت، افتح، تمام، على آخر، على آخر، تمام، second، + +561 +00:42:11,190 --> 00:42:14,310 +زيح على الشمال، على اليمين، even، على الشمال، على + +562 +00:42:14,310 --> 00:42:16,800 +اليمين، على اليمين، عليا، هانا، هانايقول في حالة + +563 +00:42:16,800 --> 00:42:23,040 +هذه أنا فحصت حركة إيش ال .. ال .. ال .. ال .. ال + +564 +00:42:23,040 --> 00:42:26,700 +muscle movement اللي عنده افتحت أمك قم .. قمضوا + +565 +00:42:26,700 --> 00:42:31,680 +هيك على الأخر افتح .. قمضوا حاطيت إيدي في الحركة + +566 +00:42:31,680 --> 00:42:36,100 +هذه و هو بيعمل عملية swallow .. mastications تمام؟ + +567 +00:42:36,100 --> 00:42:39,680 +أنا بفحص اللي هم ال mastication muscles إذا في + +568 +00:42:39,680 --> 00:42:45,660 +أسيمتريا فيهم و نفحص reflexes بلات ال reflexال + +569 +00:42:45,660 --> 00:42:49,540 +palatal reflex و في conjunctivial reflex كل ما راح + +570 +00:42:49,540 --> 00:42:53,660 +أبحثهم معاكوا في العمل في المستشفى ال + +571 +00:42:53,660 --> 00:42:58,700 +conjunctivial reflex لو جيبنا جطعة جوتونستيرا أنا + +572 +00:42:58,700 --> 00:43:01,800 +مش راح أبحثها هنا لإن مافيش جوتونهانجيبنا جطعة قطن + +573 +00:43:01,800 --> 00:43:05,380 +استرال ودخلتها على عينه، راح مباشرة إيه؟ يعمل + +574 +00:43:05,380 --> 00:43:09,440 +closure للـ eye مين شعر؟ مين اللي حاسس؟ الحاسس هو + +575 +00:43:09,440 --> 00:43:11,760 +الـ trigeminal nerve، الـ ophthalmic branch مين + +576 +00:43:11,760 --> 00:43:14,100 +اللي عمل closure للـ eye؟ ال facial nerve، يعني + +577 +00:43:14,100 --> 00:43:16,640 +كان الـ afferent pathway راح يكون trigeminal، + +578 +00:43:16,640 --> 00:43:20,370 +ophthalmicالـ Efferent راح يكون إيش؟ اللي هو + +579 +00:43:20,370 --> 00:43:23,910 +facial nerve عن طريق temporal nerve and upper + +580 +00:43:23,910 --> 00:43:27,150 +zygomatic بنتجل بعدها للبلاتر reflex راح كمان + +581 +00:43:27,150 --> 00:43:29,970 +نفحصه في المستشفى بجيب tongue depressor مابدأ أغلب + +582 +00:43:29,970 --> 00:43:33,270 +مريضنا و .. إفتحت أمك؟ و بال tongue depressor بقى + +583 +00:43:33,270 --> 00:43:41,630 +أنزل لسانه و بجيب ورقة طويلة هيك بثميها و + +584 +00:43:41,630 --> 00:43:46,490 +الورقة هذه بحاول ألمس فيها + +585 +00:43:49,300 --> 00:43:53,140 +بس هيك بحاول ألمس فيها ال soft palate فالطريقة هذه + +586 +00:43:53,140 --> 00:43:56,600 +انا لو لمس ال soft palate راح يشعر يحس بالإحساس ال + +587 +00:43:56,600 --> 00:43:59,780 +maxillary nerve و اللي راح يعمل elevation لل soft + +588 +00:43:59,780 --> 00:44:03,280 +palate هو Vegas nerve مع cranial accessory يبقى ان + +589 +00:44:03,280 --> 00:44:05,980 +ال palate ال reflex راح يكون afferent له a + +590 +00:44:05,980 --> 00:44:09,280 +trigeminal maxillary و afferent راح يكون ال Vegas + +591 +00:44:09,280 --> 00:44:15,770 +مع main مع cranial accessory nervedeep jaw reflex + +592 +00:44:15,770 --> 00:44:20,230 +في عندي اللي هو jaw jerk افتح دماغ شوية شوية شوية + +593 +00:44:20,230 --> 00:44:27,450 +رخيا و بحط أصبعي أقوين الـmental طبيعي يصير mild + +594 +00:44:27,450 --> 00:44:32,810 +closure أو ممكن مايصيرش أي حركة هذا بنسمي jaw jerk + +595 +00:44:32,810 --> 00:44:35,970 +الأفيرانت والإفيرانت لإله mandibular nerve + +596 +00:44:35,970 --> 00:44:40,270 +mandibular nerve أفيرانت and إفيرانت طريقة هذه أنا + +597 +00:44:40,270 --> 00:44:44,020 +بكون فحص الـtrigeminal nerveلو صار lesion في + +598 +00:44:44,020 --> 00:44:47,360 +تراجبنا الـ nerve ممكن نعمل تراجبنا الـ neuralgia + +599 +00:44:47,360 --> 00:44:49,420 +راح ناخد فيها محاضرة ان شاء الله في الـ cranial + +600 +00:44:49,420 --> 00:44:53,340 +nerves هو الـ facial nerve ممكن يصير معنا loss of + +601 +00:44:53,340 --> 00:44:56,480 +sensation over the face إذا كان هذه secondary + +602 +00:44:56,480 --> 00:44:59,040 +تراجبنا الـ neuralgia بيكون loss of sensation في + +603 +00:44:59,040 --> 00:45:03,320 +ال primary تراجبنا الـ neuralgia without sensory + +604 +00:45:03,320 --> 00:45:09,050 +deficit motor affectionبنكون عندنا weakness of the + +605 +00:45:09,050 --> 00:45:13,290 +mastication muscles and the jaw is deviated to the + +606 +00:45:13,290 --> 00:45:17,890 +side of lesion in bilateral lesion inability to + +607 +00:45:17,890 --> 00:45:24,130 +open mouth ننتقل الآن للعصب السابع facial nerve + +608 +00:45:24,130 --> 00:45:26,970 +examination في ال facial nerve examination ده شوية + +609 +00:45:26,970 --> 00:45:30,450 +ده شوية كفش استريحة + +610 +00:45:33,240 --> 00:45:36,380 +في ال facial nerve examination نفس الشيء هذا + +611 +00:45:36,380 --> 00:45:42,000 +mainly motor nerve راح أبدأ بال inspection بال + +612 +00:45:42,000 --> 00:45:46,570 +inspection أنا بتطلع على المريضبتطلع إذا في ال + +613 +00:45:46,570 --> 00:45:50,370 +blinking symmetrical أو لا بتطلع على ال blinking + +614 +00:45:50,370 --> 00:45:53,090 +يعني أنا ممكن أشخص حالة بالزبالص بس بال inspection + +615 +00:45:53,090 --> 00:45:56,570 +مجرد ما أطلع على رمشة العين عيني بترمش عيني لأ + +616 +00:45:56,570 --> 00:45:58,690 +يبقى في مشكلة هنا يبقى أنا بتطلع على ال blinking + +617 +00:45:58,690 --> 00:46:06,530 +of the eyes بتطلع على wrinkles تجعيد الجبين من فوق + +618 +00:46:06,530 --> 00:46:15,330 +تمام و بتطلع على ايه على nasolabial foldو بتطلع ده + +619 +00:46:15,330 --> 00:46:18,650 +فيه drop mouth angle كل هذا بال inspection بال + +620 +00:46:18,650 --> 00:46:22,450 +inspection يقول هذا بال inspection بعد هيك باعطي + +621 +00:46:22,450 --> 00:46:27,470 +المريض a order ارفع حواجبك لفوق بشوف ال + +622 +00:46:27,470 --> 00:46:31,930 +symmetrical of forehead wrinkles غمض عينيك جوي + +623 +00:46:31,930 --> 00:46:35,790 +بحاول ايه افتحهم هو يعملي resistant بتطلع في ال + +624 +00:46:35,790 --> 00:46:39,890 +eye closure وارجيني أسنانك بتطلع على ال mouth + +625 +00:46:39,890 --> 00:46:43,620 +deviation symmetrical ولا لأ انفخوبعمل ال pressure + +626 +00:46:43,620 --> 00:46:47,680 +عليه يبقى فى الطريقة هذه انا فحصله ال facial + +627 +00:46:47,680 --> 00:46:52,360 +muscles وبنفحص ال sensory part عن طريق اللى هو ال + +628 +00:46:52,360 --> 00:46:55,860 +corda timbana بنفحص ال taste sensation على ال + +629 +00:46:55,860 --> 00:46:58,720 +anterior two thirds of the tongue right او left + +630 +00:46:58,720 --> 00:47:02,400 +ممكن نفحص شيء مالح شيء مره شيء حلو لل anterior two + +631 +00:47:02,400 --> 00:47:06,780 +thirds of the tongue اللى اللى هوchordة تم بناء + +632 +00:47:06,780 --> 00:47:10,820 +nerve reflexes مع ال facial nerve بنفحص ال corneal + +633 +00:47:10,820 --> 00:47:14,320 +أو conjunctiva يا ال reflex زي ما اتفقنا الآن في + +634 +00:47:14,320 --> 00:47:18,060 +تراجيم ال nerve بنجيب جطعة جطون تمام معاقبة بتكون + +635 +00:47:18,060 --> 00:47:22,200 +و بفحص ال eye بحاول تلمس ال conjunctiva على ال + +636 +00:47:22,200 --> 00:47:25,060 +right و على ال left مجرد ما ألمسها إيش راح يصير مع + +637 +00:47:25,060 --> 00:47:28,550 +المريض؟ راح يصير معاه closure لل eyeمين الحس شعار + +638 +00:47:28,550 --> 00:47:32,790 +هو الـ ophthalmic of trigeminal ومين عملنا closure + +639 +00:47:32,790 --> 00:47:37,170 +اللي هو facial nerve عن طريق ال temporal nerve and + +640 +00:47:37,170 --> 00:47:38,490 +aparthigomatic nerve + +641 +00:47:41,610 --> 00:47:45,870 +هي إن مرضى هذا المريض عنده left-side Bell's pulse + +642 +00:47:45,870 --> 00:47:48,950 +عنده loss of wrinkles على الـ left inability to + +643 +00:47:48,950 --> 00:47:52,110 +complete closure of the eye هاي شايفين Bell's + +644 +00:47:52,110 --> 00:47:56,830 +phenomena الـ sclera واضحة البياض تعالين في أن هنا + +645 +00:47:56,830 --> 00:48:00,910 +واضح drop mouth angle على الـ left-side وبنلاحظ + +646 +00:48:00,910 --> 00:48:04,630 +دايما في الـ Bell's pulse بيصير deviation للمouth + +647 +00:48:04,630 --> 00:48:08,010 +على ال intact side يعني هذا المريض كمان عنده left + +648 +00:48:08,010 --> 00:48:11,370 +-side Bell's pulseبنتاج البعدها ل + +649 +00:48:11,370 --> 00:48:15,210 +vestibulocochlear nerve examination examination of + +650 +00:48:15,210 --> 00:48:19,250 +the cochlear components of the vestibulocochlear + +651 +00:48:19,250 --> 00:48:25,510 +nerve test by whispering numbers into one ears + +652 +00:48:25,510 --> 00:48:32,810 +بحاول أسكر أدانكها دلشمال أسكرها دانك دانك بحاول + +653 +00:48:32,810 --> 00:48:37,390 +أتكلم معاه whispering همس بدون ما يشوف كلام ممكن + +654 +00:48:37,390 --> 00:48:46,730 +أسكر على طميح إيش اسمك؟كيف حالك؟ وين ساكن؟ وين + +655 +00:48:46,730 --> 00:48:55,210 +ساكن؟ تمام، ساكر عيني .. دهن اليامين قدش + +656 +00:48:55,210 --> 00:48:59,970 +عمرك؟ سبعة و تلاتة Okay، يبقى أن أنا عملت + +657 +00:48:59,970 --> 00:49:03,730 +whispering test اتأكدت أنه بسمع في الجهتين سليم، + +658 +00:49:03,730 --> 00:49:07,710 +بعدها بنتقل لشيء اسمه web artist ال web artist + +659 +00:49:07,710 --> 00:49:14,240 +بجيب turning forkو بحطها طبيعي وين؟ في ال head في + +660 +00:49:14,240 --> 00:49:19,340 +النص طبيعي راح يسمع يقولي سامع في النص سامع رجة أو + +661 +00:49:19,340 --> 00:49:22,560 +رانين أو طانين في النص يبقى هذا بتدل إن ال ears + +662 +00:49:22,560 --> 00:49:28,460 +سليمة لكن تصور إنه ال ears فيها مشكلة المريض بسمعش + +663 +00:49:28,460 --> 00:49:32,320 +على اليمين بسمعش على اليمين و هنا حاطناها في + +664 +00:49:32,320 --> 00:49:36,060 +اليمينوقال لي دكتور صرت أسمع على اليمين أكتر من + +665 +00:49:36,060 --> 00:49:39,060 +الشمال يبقى هنا مشكلة في الأذن نفسها هذه بنسميها + +666 +00:49:39,060 --> 00:49:42,480 +conductive deafness هذا بنسميها conductive + +667 +00:49:42,480 --> 00:49:45,000 +deafness ليه صار يسمع على اليمين أكتر من الشمال + +668 +00:49:45,000 --> 00:49:50,320 +لأن الأذن ما بتدخل الضجة الخارجية والأصوات + +669 +00:49:50,320 --> 00:49:53,500 +الخارجية الصوت بيكون بالنسبة لها مركز راح تسمع في + +670 +00:49:53,500 --> 00:49:56,660 +اليمين أكتر لكن تصوروا مريض بسمعش على اليمينوحطينا + +671 +00:49:56,660 --> 00:49:59,580 +ال turning fork في النص جالي يا دكتور بسمعش على + +672 +00:49:59,580 --> 00:50:01,880 +اليمين بسمعش اللي على الشمال يبقى هاد المشكلة مش + +673 +00:50:01,880 --> 00:50:04,620 +في الأذن نفسها المشكلة في ال nerve هاد ال sensor + +674 +00:50:04,620 --> 00:50:08,120 +neural deafness يبقى ال web artist placed turning + +675 +00:50:08,120 --> 00:50:12,380 +fork in the middle of head في الطبيعي normally + +676 +00:50:12,380 --> 00:50:17,680 +vibration are heard in the middle of head طيب يبقى + +677 +00:50:17,680 --> 00:50:20,180 +في الطبيعي بتكون مسموعة وين ال vibration وين بتكون + +678 +00:50:20,180 --> 00:50:25,350 +مسموعة في نص الرأسلكن لو كان المشكلة في الأذن وهذا + +679 +00:50:25,350 --> 00:50:27,870 +مشكلة أنا في أذن الحنجرة مش تخصصنا conductive + +680 +00:50:27,870 --> 00:50:30,970 +deafness ال vibration راح تكون مسموعة وين أكتر؟ + +681 +00:50:30,970 --> 00:50:34,670 +على ال affected side على الجزء اللي مصاب أو اللي + +682 +00:50:34,670 --> 00:50:38,910 +بيشكي منه المريض بيسمعش لو المشكلة في ال nerve ال + +683 +00:50:38,910 --> 00:50:42,790 +vibration راح تكون مسموعة أحسن عن normal side نجي + +684 +00:50:42,790 --> 00:50:50,090 +لـRenetest Renetest بنستخدم turning fork مين أفضل؟ + +685 +00:50:50,090 --> 00:50:54,580 +ال bone conductionولا ال air conduction الأفضل + +686 +00:50:54,580 --> 00:51:01,580 +اللي هو ال ايه؟ air conduction طلع هنا حاسس تانين؟ + +687 +00:51:01,580 --> 00:51:14,580 +لما نخلص قول لي خلص تانين ضايل؟ + +688 +00:51:14,580 --> 00:51:21,460 +خلص؟ هلجيت؟سمع اه يبقى انت شايفين Air conduction + +689 +00:51:21,460 --> 00:51:26,400 +is better than bone conduction مريض عنده في ال + +690 +00:51:26,400 --> 00:51:31,180 +normal في ال رينيتست في ال normal هيو رينيتست Air + +691 +00:51:31,180 --> 00:51:35,380 +conduction is better than bone conduction مافي + +692 +00:51:35,380 --> 00:51:39,880 +خلاف على الكلمة ده نصور المريض عنده مشكلة في + +693 +00:51:39,880 --> 00:51:42,980 +الأدنى اليسرى انا لما لا ابحث رينيه و ويبر لازم + +694 +00:51:42,980 --> 00:51:46,300 +ابحث يمين و شمال عنده مشكلة في الأدنى اليسرى بسمعش + +695 +00:51:46,300 --> 00:51:51,730 +اليسرى كويسحطينا على الـ Mastoid قال لي دكتور + +696 +00:51:51,730 --> 00:51:56,650 +سامعي كويس بسمع هنا هيك مش سامعي المريض هذا صار + +697 +00:51:56,650 --> 00:52:00,350 +عنده الـ bone conduction أو بسمع في الـ bone أكثر + +698 +00:52:00,350 --> 00:52:02,910 +من مين من الـ ear يبقى الـ bone conduction is + +699 +00:52:02,910 --> 00:52:06,530 +better than ear conduction يبقى هنا المشكلة وين في + +700 +00:52:06,530 --> 00:52:09,090 +الأذن هذه مشكلة أنف أذن حنجرة بإننا نتراجع دكتور + +701 +00:52:09,090 --> 00:52:11,650 +أنف أذن حنجرة ممكن يكون عنده otitis media or + +702 +00:52:11,650 --> 00:52:14,370 +rupture of tympanic membrane مشكلة داخلية في الأذن + +703 +00:52:14,370 --> 00:52:18,720 +ما لنا علاقة فيها لكنفي حال المريض يسمعاش على + +704 +00:52:18,720 --> 00:52:23,580 +الشمالسامع؟ قال لي لأ مش سامع و أنا مش سامع مش + +705 +00:52:23,580 --> 00:52:26,800 +حاسس بال vibration لا في ال bone ولا في ال ear + +706 +00:52:26,800 --> 00:52:30,580 +يبقى ان بتكلم على sensorineural deafness بتكلم على + +707 +00:52:30,580 --> 00:52:33,460 +ايه؟ sensorineural deafness يبقى ان في حالتي هذه + +708 +00:52:33,460 --> 00:52:37,360 +في ال rhinitis ال normal air conduction is better + +709 +00:52:37,360 --> 00:52:41,100 +than bone conduction في ال conductive deafness ال + +710 +00:52:41,100 --> 00:52:44,960 +bone is better than ear conduction و in ear + +711 +00:52:44,960 --> 00:52:50,630 +deafness both ear and bone are diminishedفي + +712 +00:52:50,630 --> 00:52:54,190 +examination of vestibular components بنفحص الـ + +713 +00:52:54,190 --> 00:52:57,950 +oculovestibular reflex هذا كتير بنفحصه في موضوع + +714 +00:52:57,950 --> 00:53:02,510 +العناية المركزة بنسميه caloric test في حال أننا + +715 +00:53:02,510 --> 00:53:04,770 +بننميز المريض عنده brain death و لا مافيش عنده + +716 +00:53:04,770 --> 00:53:08,310 +brain death إيش بنسويه للمرض هدول؟المريض + +717 +00:53:08,310 --> 00:53:10,150 +conscientious ما راح أجيب ice water و أحطله في + +718 +00:53:10,150 --> 00:53:13,250 +دانو، بنفحص للمريض في غيبوبة، و بنالميز عنده mode + +719 +00:53:13,250 --> 00:53:15,630 +دماغي ولا مافيه mode دماغي، المريض بيكون نايم + +720 +00:53:15,630 --> 00:53:18,610 +سوباين أكيد، المريض على mechanical ventilation راح + +721 +00:53:18,610 --> 00:53:22,110 +يكون، جهاز تنافذ صناعي، بروح بعمله irrigation of + +722 +00:53:22,110 --> 00:53:25,790 +ice water في الـexternal auditory meatus، إذا كان + +723 +00:53:26,860 --> 00:53:29,800 +صار عنده deviation للـ eyes على ال site of + +724 +00:53:29,800 --> 00:53:33,260 +irrigation with any stigmas اتحركت لإيه؟ يبقى أنا + +725 +00:53:33,260 --> 00:53:36,600 +باطمئن بكون الحمد لله ال brain stem intact يبقى ان + +726 +00:53:36,600 --> 00:53:39,660 +انا بكون intact ال brain stem لكن لو كان هذا ال + +727 +00:53:39,660 --> 00:53:43,720 +symptom lostأو الـ signs هذا lost مين بيكون عنده + +728 +00:53:43,720 --> 00:53:46,920 +brain death لازم أكمل فحصي و أشوف كل ال symptoms + +729 +00:53:46,920 --> 00:53:50,180 +lost ولا لأ الـ Electrostigmography هذا مش + +730 +00:53:50,180 --> 00:53:52,920 +examination الـ Electrostigmography أو ديومتريه + +731 +00:53:52,920 --> 00:53:56,500 +هذا بيروح لموضوع ال investigations أكتر + +732 +00:53:56,500 --> 00:53:59,960 +investigations و بنفحص نستاجماس إذا في horizontal + +733 +00:53:59,960 --> 00:54:03,260 +نستاجماس أو vertical نستاجماس و أنا فحصتهم مع مين + +734 +00:54:04,110 --> 00:54:06,990 +لما بحث الـ Ocular Movement، بنحدد ده فيه نوع + +735 +00:54:06,990 --> 00:54:10,170 +نستيقماس، واش نوع النستيقماس، هل هو horizontal، هل + +736 +00:54:10,170 --> 00:54:13,670 +هو vertical نستيقماس، unilateral، bilateral؟ + +737 +00:54:13,670 --> 00:54:17,510 +lesion of vestibulocochlear nerve lesion of the + +738 +00:54:17,510 --> 00:54:21,210 +cochlear division، ممكن يكون تنتاستانين في ال + +739 +00:54:21,210 --> 00:54:25,790 +irritation أو deafness في ال destruction، lesion + +740 +00:54:25,790 --> 00:54:28,830 +في ال vestibular division، ممكن يكون vertigo، + +741 +00:54:28,830 --> 00:54:32,250 +spontaneous nestigmas، epsilateral in coordination + +742 +00:54:33,960 --> 00:54:37,320 +Examination of a Glossopharyngeal and Vagas nerve + +743 +00:54:37,320 --> 00:54:40,360 +Glossopharyngeal و Vagas nerve هدول mixed nerve + +744 +00:54:40,360 --> 00:54:45,040 +لإن نفحص الموتر الموتر بفحصه by inspection أول شيء + +745 +00:54:45,040 --> 00:54:48,810 +بفتحت أم المريض افتحت أمكby inspection بتطلع + +746 +00:54:48,810 --> 00:54:53,010 +اليوفلة هل هي centralized ولا deviated على right + +747 +00:54:53,010 --> 00:54:56,530 +او left ثانيا بانظر على ايه ال soft palate يكون + +748 +00:54:56,530 --> 00:55:00,910 +معايا ال torch بتاعي او تمام بتطلع على ال soft + +749 +00:55:00,910 --> 00:55:03,750 +palate هل هم symmetrical ولا لأ بعدين بطلب من + +750 +00:55:03,750 --> 00:55:08,330 +المريض قول اهفي الحالة هذه كمان اشوف بتطلع اذا في + +751 +00:55:08,330 --> 00:55:11,810 +عندنا deviation لليوفلة في عندنا drop في ال soft + +752 +00:55:11,810 --> 00:55:15,670 +palate او لا بفحصلهم ال palatal reflex و ال + +753 +00:55:15,670 --> 00:55:18,610 +pharyngeal reflex و ال palatal reflex و ال + +754 +00:55:18,610 --> 00:55:21,210 +pharyngeal reflex و راح افحصهم ان شاء الله في + +755 +00:55:21,210 --> 00:55:24,830 +المستشفى نفس الشيء بنجيب tongue depressor و بضغط + +756 +00:55:24,830 --> 00:55:27,930 +على لسان و بلمس ال palate بشوف بيصير elevation على + +757 +00:55:27,930 --> 00:55:29,630 +ال right و على ال left symmetrical ولا لا هذا + +758 +00:55:29,630 --> 00:55:32,730 +بيكون اسمه palatal reflex ال palatal reflex مشترك + +759 +00:55:32,730 --> 00:55:37,890 +ما بين maxillary nerveof trigeminal مع الهو Vegas + +760 +00:55:37,890 --> 00:55:42,270 +و cranial accessory بنفحص ال pharyngeal reflex أو + +761 +00:55:42,270 --> 00:55:45,590 +بنسميه gag reflex نفس الشي طريقة بعمل tongue + +762 +00:55:45,590 --> 00:55:48,830 +depressor بضغط على لسان المريض و بديب ورقة بس + +763 +00:55:48,830 --> 00:55:52,490 +بلمسش ال soft palate بروح deep ألمس من ال + +764 +00:55:52,490 --> 00:55:55,050 +posterior wall of the pharynx على ال right و على + +765 +00:55:55,050 --> 00:55:57,750 +ال left في الحالة ده مش هقعد أحط الورقة و أقعد + +766 +00:55:57,750 --> 00:56:00,690 +أنتظر و أعيد مرة مرتين اللي هو المريض عمل vomiting + +767 +00:56:00,690 --> 00:56:04,280 +عليا بسرعةبلمس الـ posterior wall of the pharynx + +768 +00:56:04,280 --> 00:56:07,000 +وبطلع بسرعة لأن ممكن المريض يعمل لها vomiting من + +769 +00:56:07,000 --> 00:56:11,780 +الـ irritation of vomiting receptors ممكن يصير لنا + +770 +00:56:11,780 --> 00:56:15,300 +isolated vagus nerve lesion في حالات الـ thyroid + +771 +00:56:15,300 --> 00:56:19,300 +cancer أو thyroid surgery أو neck surgery لما يصير + +772 +00:56:19,300 --> 00:56:23,220 +دمج للـ vagus nerve alone أو لبرانش من الـ vagus + +773 +00:56:23,220 --> 00:56:26,040 +nerve زي الـ recurrent laryngeal nerve بنفحص الـ + +774 +00:56:26,040 --> 00:56:29,160 +speechواحنا اتكلمنا في البداية عن ال speech إذا في + +775 +00:56:29,160 --> 00:56:32,680 +عنده dysphonia، dysarthria، بنفحص ال swallowing، + +776 +00:56:32,680 --> 00:56:36,140 +بنجيب إشي و بنشرب المريض، بنفحص ال swallowing إذا + +777 +00:56:36,140 --> 00:56:40,300 +في عنده dysphagia، بدنا نحدد ال dysphagia هل هي ل + +778 +00:56:40,300 --> 00:56:43,880 +liquids، أكتر شيء تكون هذه neurogenic dysphagia أو + +779 +00:56:43,880 --> 00:56:49,800 +ل solid، هذه بتكون abstractive dysphagia Legion of + +780 +00:56:49,800 --> 00:56:53,550 +Glossopharyngeal nerveLoss of taste and general + +781 +00:56:53,550 --> 00:56:56,750 +sensation from the posterior one-third of the + +782 +00:56:56,750 --> 00:56:59,010 +tongue، أنتوا عارفين؟ Lingual nerve of + +783 +00:56:59,010 --> 00:57:01,770 +glossopharyngeal supply the posterior one-third of + +784 +00:57:01,770 --> 00:57:04,510 +the tongue Loss of sensation in the pharynx + +785 +00:57:04,510 --> 00:57:08,260 +Ipsilateral loss of pharyngeal reflexsome + +786 +00:57:08,260 --> 00:57:10,920 +pharyngeal weakness يعني ما بيكونش في ال .. إذا + +787 +00:57:10,920 --> 00:57:13,960 +كان isolated الـ Glossopharyngeal nerve lesion ما + +788 +00:57:13,960 --> 00:57:17,440 +بيكون واضحة كتير ال dysphagia لأن هو ال + +789 +00:57:17,440 --> 00:57:20,960 +Glossopharyngeal nerve supply only one muscle اللي + +790 +00:57:20,960 --> 00:57:25,920 +هي main اللي هي silopharyngeus muscle lesion of + +791 +00:57:25,920 --> 00:57:30,200 +vagus nerve palatal paralysis بيلاقي nasal tone of + +792 +00:57:30,200 --> 00:57:33,990 +speech المريض بيحكي زي ايه أخناف اتنينdrop of + +793 +00:57:33,990 --> 00:57:38,750 +palatal arch on paralyzed side and shift uvula to + +794 +00:57:38,750 --> 00:57:41,150 +opposite side يبقى لو طلعنا على المريض بيقولنا لو + +795 +00:57:41,150 --> 00:57:44,970 +افتحتوا معاك بيقول اه بيلاقي drop على نفس ال side + +796 +00:57:44,970 --> 00:57:48,190 +اللي فيه lesion drop ال soft palate و elevation + +797 +00:57:48,190 --> 00:57:52,450 +على ال intact و ال uvula راح تروح وين تتجه مع + +798 +00:57:52,450 --> 00:57:55,510 +الجهة اللي فيها elevation راح يصير shift لل uvula + +799 +00:57:55,510 --> 00:57:58,790 +على ال intact side راح نلاقي عند المرضى هدول fluid + +800 +00:57:58,790 --> 00:58:04,400 +regerge loss of palatal reflexفرنجيال برالسس، + +801 +00:58:04,400 --> 00:58:08,780 +نيروجينك ديسبانيا، loss of pharyngeal reflex، + +802 +00:58:08,780 --> 00:58:13,220 +لارنجيال برالسس، hoarseness of voice أو ديسبانيا و + +803 +00:58:13,220 --> 00:58:16,480 +other symptoms ممكن يكون معهم تاكيكارديا and + +804 +00:58:16,480 --> 00:58:20,570 +constipationLegion and examination of accessory + +805 +00:58:20,570 --> 00:58:23,130 +nerve على الكراين الـ accessory أنا شرحته مع الـ + +806 +00:58:23,130 --> 00:58:26,590 +Vegas nerve بقى عندي spinal accessory في الـ + +807 +00:58:26,590 --> 00:58:28,970 +spinal accessory هو الـ spinal accessory supply + +808 +00:58:28,970 --> 00:58:32,130 +two muscles sternocleidomastoid muscle and + +809 +00:58:32,130 --> 00:58:38,090 +trapezius muscle sternocleidomastoid muscle ايش + +810 +00:58:38,090 --> 00:58:40,970 +وضفتها تعملناternal head and neck على ال opposite + +811 +00:58:40,970 --> 00:58:44,610 +side ال right بتحرك على ال left و ال leftتحرك على + +812 +00:58:44,610 --> 00:58:47,690 +ال right و ال trapezius muscle تعمل shoulder + +813 +00:58:47,690 --> 00:58:50,830 +shrugging زي هيك حركة هذه shoulder shrugging لو + +814 +00:58:50,830 --> 00:58:54,350 +عندي مشكلة راح أكون drop وين في one shoulder drop + +815 +00:58:54,350 --> 00:58:57,610 +one shoulder كيف أفحصهم أعمل examination لل + +816 +00:58:57,610 --> 00:59:00,470 +sternocleidomastoid muscle بطلب من المريض أنا بدأ + +817 +00:59:00,470 --> 00:59:02,910 +أفحص ال right sternocleidomastoid muscle بحط إيدي + +818 +00:59:02,910 --> 00:59:06,050 +مش بس مش أخلع رجبة المريض بحط إيدي على خده على + +819 +00:59:06,050 --> 00:59:09,490 +الجهة الشمال حرك رجبتك و راسك على الشمال حرك على + +820 +00:59:09,490 --> 00:59:12,070 +الشمال لف راسك على الشمالو انا و ايه بعمله + +821 +00:59:12,070 --> 00:59:14,890 +resistant؟ عاليمين في الحالة هذه انا فحص ايه؟ + +822 +00:59:14,890 --> 00:59:18,990 +right sternocleidomastoid muscle حرك عاليمين و انا + +823 +00:59:18,990 --> 00:59:23,450 +بعمله ايه؟ resistant عالشمال انا بفحص جاعد مين؟ + +824 +00:59:23,450 --> 00:59:27,690 +اللي هو left sternocleidomastoid muscle نجب نبدأ + +825 +00:59:27,690 --> 00:59:31,070 +examination بتطلع inspection كمان inspection بتطلع + +826 +00:59:31,070 --> 00:59:33,310 +ب inspection في deviation لل head و ال neck على + +827 +00:59:33,310 --> 00:59:36,050 +one side ولا لأ؟ في drop في ال shoulder ولا لأ؟ + +828 +00:59:36,520 --> 00:59:40,500 +تمام؟ هذا by inspection بعدين بعمل ايه؟ ال .. بقيم + +829 +00:59:40,500 --> 00:59:43,700 +حركة ال sternocleidomastoid muscle و بقيم حركة ال + +830 +00:59:43,700 --> 00:59:47,400 +trapezius muscle ارفع إيدك لفوق كتفك لفوق كتف لفوق + +831 +00:59:47,400 --> 00:59:51,360 +ارفع و أنا بضغط يبقى ان انا ببحث مين جاعد ببحث في + +832 +00:59:51,360 --> 00:59:57,460 +sternum .. اه في أسف في trapezius muscle أخر + +833 +00:59:57,460 --> 01:00:00,200 +nerve من ال cranial nerves اللي هو hypoglossal + +834 +01:00:00,200 --> 01:00:05,090 +nerve، hypoglossal nerve ببدأ بال inspectionافتحت + +835 +01:00:05,090 --> 01:00:07,450 +أمك أول شي بتطلع قبل ما يحرك لسانه و ما يطلع لسانه + +836 +01:00:07,450 --> 01:00:11,430 +بتطلع بـinspection إذا فيه deviationبطلع إذا فيه + +837 +01:00:11,430 --> 01:00:14,870 +wasting atrophy، إذا فيه involuntary movement، إذا + +838 +01:00:14,870 --> 01:00:19,570 +في عنده change في ال color، إذا في عنده .. بعد هيك + +839 +01:00:19,570 --> 01:00:22,530 +بفحص اللي إذا فيه dimpling، بطلع لسانه، بحط tongue + +840 +01:00:22,530 --> 01:00:25,610 +depressor تحت لسان، و بعدين بعمل إيه؟ percussion + +841 +01:00:25,610 --> 01:00:29,150 +على لسان، ممكن يصير معه dimpling، تجوير، و يصير + +842 +01:00:29,150 --> 01:00:32,970 +contraction في ال muscle with delay of relaxation + +843 +01:00:32,970 --> 01:00:36,430 +في حالات الmyotonia، myotonia ممكن نشوف ال symptom + +844 +01:00:36,430 --> 01:00:39,390 +هذا اللي هو dimpling of the tongue، in myotonia + +845 +01:00:39,390 --> 01:00:43,020 +بشكلممكن تطلع إذا فيه ulcers في ال mouth أو في ال + +846 +01:00:43,020 --> 01:00:46,220 +tongue زي حالات بيهجة ال disease إذا فيه عندنا a + +847 +01:00:46,220 --> 01:00:50,520 +red gloss زي حالات ال vitamin B12 دي في شانسي بفحص + +848 +01:00:50,520 --> 01:00:52,800 +ال muscle power إيش ال muscle power؟ طلع لسانك + +849 +01:00:52,800 --> 01:00:56,900 +برا، بهنا كمان بفحصه لما نخرج لسانه ولا خارج تطلع + +850 +01:00:56,900 --> 01:00:59,700 +إذا فيه deviation، تطلع ال color، على إيه الأترو + +851 +01:00:59,700 --> 01:01:01,760 +فيه ولا لأ إيش في ال muscle power؟ ان شاء الله + +852 +01:01:01,760 --> 01:01:04,980 +أمسك لسانه و أحرقه بيدي، ممنوع يقولون كيف أفحص ال + +853 +01:01:04,980 --> 01:01:11,110 +muscle power؟ أدخل لسانك جوا، أعمل بهناهو بيعمل .. + +854 +01:01:11,110 --> 01:01:13,810 +أنا بعمله pressure هو بيحرك على الشمال و أنا بعمله + +855 +01:01:13,810 --> 01:01:17,070 +pressure أنا ببحث نص لسانه اليمين و ببحث ال right + +856 +01:01:17,070 --> 01:01:20,090 +hypoglossal nerve و ببحث ال right hypoglossal + +857 +01:01:20,090 --> 01:01:24,890 +nucleus و ببحث ال left corticonuclear tract بيحرك + +858 +01:01:24,890 --> 01:01:28,810 +على اليمين بيحرك على اليمين أنا ببحث نص لسانه + +859 +01:01:28,810 --> 01:01:32,630 +الشمالleft half of the tongue بفحص left + +860 +01:01:32,630 --> 01:01:36,170 +hypoglossal nerve بفحص left hypoglossal nucleus و + +861 +01:01:36,170 --> 01:01:38,750 +بفحص right corticonuclear tract right + +862 +01:01:38,750 --> 01:01:43,650 +corticonuclear tract lesion + +863 +01:01:43,650 --> 01:01:46,870 +of the hypoglossal nerve upper motoneuron + +864 +01:01:46,870 --> 01:01:49,850 +unilateral lesion في ال upper motoneuron يعني + +865 +01:01:49,850 --> 01:01:53,630 +بتكلم على corticonuclear tract lesion deviation of + +866 +01:01:53,630 --> 01:01:56,630 +the tongue رجاء حار ترجع للنيرو أنتمي في سنة ثانية + +867 +01:01:56,630 --> 01:02:02,500 +كله شرحناهالتنقل الوطني للجذب إلى الجانب العلوي + +868 +01:02:02,500 --> 01:02:06,380 +للتنقلdamage of corticonuclear tract زي ما بنشوف + +869 +01:02:06,380 --> 01:02:09,820 +في حالات الـ stroke أو الـ tumors in bilateral + +870 +01:02:09,820 --> 01:02:13,520 +lesion in ability to protrude tongue زي ما بنشوف + +871 +01:02:13,520 --> 01:02:17,440 +في حالات pseudo bulbar syndrome وفي lower motor + +872 +01:02:17,440 --> 01:02:21,040 +neuron lesion مشكلة هذه bulbar ممكن يكون bulbar + +873 +01:02:21,040 --> 01:02:24,220 +syndrome مشكلة في الـ nuclei in the brainstem ممكن + +874 +01:02:24,220 --> 01:02:26,760 +تكون مشكلة في الـ nerves زي الـ GBS ممكن تكون + +875 +01:02:26,760 --> 01:02:30,000 +مشكلة في neuromuscular junction زي myasthenia + +876 +01:02:30,000 --> 01:02:32,900 +gravis ممكن تكون مشكلة في الـ muscle نفسه زي ايش + +877 +01:02:32,900 --> 01:02:37,390 +اللي هو muscular dystrophyهنا بيكون unilateral + +878 +01:02:37,390 --> 01:02:41,470 +lesion deviation of the tongue to the same side طب + +879 +01:02:41,470 --> 01:02:44,150 +ليش في ال upper motor neuron على ال opposite side + +880 +01:02:44,150 --> 01:02:47,630 +ليه؟ لأنه ال corticonuclear tract ال left بيعطي لل + +881 +01:02:47,630 --> 01:02:51,010 +right و corticonuclear tract right بيعطي left و + +882 +01:02:51,010 --> 01:02:56,110 +احنا عارفين هي عندي نص لسان يمين و نص لسان شمال نص + +883 +01:02:56,110 --> 01:03:00,870 +لسان اليمين ال normalالـ movement بدفع على الشمال، + +884 +01:03:00,870 --> 01:03:03,910 +اليمين بدفع على الشمال، والشمال بدفع على اليمين، + +885 +01:03:03,910 --> 01:03:07,410 +هذا طبيعي، يقول هي عندي نص لسان يمين، أخد من أي + +886 +01:03:07,410 --> 01:03:12,570 +نيرف، right hypoglossal nerveأخذ من الـ right + +887 +01:03:12,570 --> 01:03:14,650 +hypoglossal nucleus، أخذ من الـ left + +888 +01:03:14,650 --> 01:03:17,450 +corticonuclear tract، وظيفته راح يعمل deviation + +889 +01:03:17,450 --> 01:03:21,490 +للـ tongue to the left، العكس صحيح، الـ left half + +890 +01:03:21,490 --> 01:03:24,850 +of the tongue، باخد من الـ left hypoglossal nerve، + +891 +01:03:24,850 --> 01:03:27,570 +left hypoglossal nucleus، right corticonuclear + +892 +01:03:27,570 --> 01:03:30,290 +tract، بيعمل deviation للـ tongue to the right، + +893 +01:03:30,290 --> 01:03:32,510 +للـ tongue بيعمله deviation إيه؟ to the right، + +894 +01:03:32,510 --> 01:03:37,290 +يبقىفي الـ unilateral lesion بيصير عندنا deviation + +895 +01:03:37,290 --> 01:03:40,410 +of the tongue to the same side of lesion زي ما + +896 +01:03:40,410 --> 01:03:43,450 +بيشوف hypoglossal nucleus lesion أو nerve lesion + +897 +01:03:43,450 --> 01:03:48,550 +في الـ bilateral inability to protrude tongue و in + +898 +01:03:48,550 --> 01:03:52,270 +both lower motor neuron lesion بيكون معهم في + +899 +01:03:52,270 --> 01:03:55,450 +الlower motor neuron early muscle wasting muscle + +900 +01:03:55,450 --> 01:03:58,230 +hypotrophy و بيكون معهم muscle fasciculation + +901 +01:03:58,230 --> 01:04:01,190 +muscle fasciculationهي المريض عنده tongue + +902 +01:04:01,190 --> 01:04:04,890 +deviation على الـ left قد تكون الدمج lower + +903 +01:04:04,890 --> 01:04:08,210 +motoneuron إذا كانت lower motoneuron راح يكون وين؟ + +904 +01:04:08,210 --> 01:04:11,830 +في الـ left nerve أو left nucleus طب إذا كان upper + +905 +01:04:11,830 --> 01:04:15,530 +motoneuron راح يكون وين؟ في الـ right cerebral + +906 +01:04:15,530 --> 01:04:18,530 +hemisphere كيف أحدد هذا upper motoneuron على lower + +907 +01:04:18,530 --> 01:04:22,050 +motoneuron؟ بروح أطلع على الـ hemiplegia على إيه؟ + +908 +01:04:22,050 --> 01:04:23,870 +على الـ hemiplegia إذا لجينا المريض عنده tongue + +909 +01:04:23,870 --> 01:04:28,580 +deviation على الـ leftوهم بييجي ع ال left بحط ايدا + +910 +01:04:28,580 --> 01:04:31,120 +على المصحف بحلف يمين ان المشكلة في ال right + +911 +01:04:31,120 --> 01:04:33,960 +cerebral hemisphere صار damaged لقى ال right + +912 +01:04:33,960 --> 01:04:37,140 +corticospinal tract and corticonuclear tract above + +913 +01:04:37,140 --> 01:04:41,340 +decassation لكن إذا وجدنا زي medial medullary + +914 +01:04:41,340 --> 01:04:45,000 +syndrome وجدنا tongue deviation to the leftو right + +915 +01:04:45,000 --> 01:04:48,680 +side hemibaglia يبقى ان هذا بتكون عندنا left + +916 +01:04:48,680 --> 01:04:52,440 +medial medullary syndrome صار damage للـ left + +917 +01:04:52,440 --> 01:04:55,800 +medial medulla في الحالة هذه damage of hypoglossal + +918 +01:04:55,800 --> 01:04:58,800 +nucleus عال left عملت tongue deviation عال left و + +919 +01:04:58,800 --> 01:05:04,350 +damage of corticospinal tract aboveDecassation + +920 +01:05:04,350 --> 01:05:09,070 +before decassation أو above decassation صح above + +921 +01:05:09,070 --> 01:05:11,570 +أو before decassation من الـ Contralateral + +922 +01:05:11,570 --> 01:05:14,770 +Hemiplegia أو بنسميها alternating hypoglossal + +923 +01:05:14,770 --> 01:05:18,570 +syndrome الآن بكون أنا خلصت الجزئية الأولى من ال + +924 +01:05:18,570 --> 01:05:22,050 +neurological examination يعطيكوا العافية راح يكون + +925 +01:05:22,050 --> 01:05:25,530 +فينا لقاء ثاني في موضوع ال neurological + +926 +01:05:25,530 --> 01:05:29,690 +examination رقم اتنين راح نفحصه ال motor system و + +927 +01:05:29,690 --> 01:05:31,510 +ال sensory and cerebellar + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec_raw.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..9859ca40ba5b9d04d4916ed4ebcb909c65bfdc3e --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/cvgPVmuBJec_raw.srt @@ -0,0 +1,3708 @@ +1 +00:00:05,080 --> 00:00:09,620 +السلام عليكم بسم الله الرحمن الرحيم الجزئية + +2 +00:00:09,620 --> 00:00:13,930 +الثانية راح نتكلم على neurological examinationاحنا + +3 +00:00:13,930 --> 00:00:17,030 +خلصنا من موضوع history taking بنتاجى ل + +4 +00:00:17,030 --> 00:00:19,530 +neurological examination ان شاء الله في + +5 +00:00:19,530 --> 00:00:22,410 +neurological examination خلال المحاضرة راح نعمل + +6 +00:00:22,410 --> 00:00:27,330 +فحص نسهل عليكم نعمل فحص كمان مع مريض و تشوفوا + +7 +00:00:27,330 --> 00:00:31,090 +بعينكم و لما نشوفكم في المستشفى راح نفحصوا كمان + +8 +00:00:31,090 --> 00:00:34,870 +على مرضى في المستشفى ال examination بنبدأ ب + +9 +00:00:34,870 --> 00:00:40,420 +general examination consciousness levelpulse, + +10 +00:00:41,120 --> 00:00:45,720 +blood pressure, temperature, respiratory rate and + +11 +00:00:45,720 --> 00:00:50,200 +general looks ضروري أي مريض نفحصه مهما كان مرضه + +12 +00:00:50,200 --> 00:00:53,240 +لازم نتكلم على ال consciousness level ال pulse, + +13 +00:00:53,660 --> 00:00:57,300 +blood pressure, temperature, respiratory rate, + +14 +00:00:57,440 --> 00:01:00,640 +general looks بتاعة المريض بيناعمل examination ل + +15 +00:01:00,640 --> 00:01:05,540 +other system ل ال A and T, Ineck, respiratory, + +16 +00:01:05,820 --> 00:01:10,440 +cardiovascular, GIT, skin, musculoskeletal, + +17 +00:01:10,820 --> 00:01:16,220 +genital organs وبعدها بنتقل ال neurological + +18 +00:01:16,220 --> 00:01:20,840 +examination أنا موضوع محاضرتي اليوم راح يكون اللي + +19 +00:01:20,840 --> 00:01:23,440 +هو neurological examination راح أقسم ال + +20 +00:01:23,440 --> 00:01:26,480 +neurological examination في جزئين الجزء الأول راح + +21 +00:01:26,480 --> 00:01:32,580 +نتكلم عن ال ..الـ Meningial Signs Speech راح نتكلم + +22 +00:01:32,580 --> 00:01:35,900 +عن الـ cranial nerves وجزء الثاني راح اتكلم فيه عن + +23 +00:01:35,900 --> 00:01:40,380 +الموتر و ال coordination and sensory examination + +24 +00:01:40,380 --> 00:01:46,060 +نبدأ بال neurological examination في ال + +25 +00:01:46,060 --> 00:01:49,080 +neurological examination أول شي راح اتكلم على + +26 +00:01:49,080 --> 00:01:54,480 +mental status ال mental status أول شي state of + +27 +00:01:54,480 --> 00:01:58,970 +consciousness يبقى ندرجة البعيعن طريق Glasgow Coma + +28 +00:01:58,970 --> 00:02:04,830 +Scale بعتمد على eye opening verbal response motor + +29 +00:02:04,830 --> 00:02:09,530 +response وفي grading of coma ان شاء الله في محاضرة + +30 +00:02:09,530 --> 00:02:12,230 +انها راح تكون على approach to the patients with + +31 +00:02:12,230 --> 00:02:15,830 +coma راح نتطرق المواضيع هذه بالتفصيل اليوم راح + +32 +00:02:15,830 --> 00:02:20,110 +أشرح فقط لكوا Glasgow Coma Scale تقييم درجة الوعي + +33 +00:02:20,110 --> 00:02:22,690 +عن طريق Glasgow Coma Scale عن طريق Glasgow Coma + +34 +00:02:22,690 --> 00:02:31,460 +Scale بنعتمد على eye openingverbal response و + +35 +00:02:31,460 --> 00:02:37,040 +motor response ال glaucoma scale هذه minimum + +36 +00:02:37,040 --> 00:02:43,580 +المريض بياخد واحد واحد واحد يعني اللي بتوفى و + +37 +00:02:43,580 --> 00:02:50,200 +بندفنه بيكون عنده glaucoma scale ثلاثةما حد يقولي + +38 +00:02:50,200 --> 00:02:52,500 +أسأله جدش ال glaucoma skin عند المريض يقولي والله + +39 +00:02:52,500 --> 00:02:54,760 +مافيه تلاتة كيف والله مافيه تلاتة ده اللي بتوفى + +40 +00:02:54,760 --> 00:03:00,580 +بيكون عنده تلاتة ال minimum راح يكون one one one + +41 +00:03:00,580 --> 00:03:05,260 +تلاتة maximum اللي احنا الآن موجودين في القاعة + +42 +00:03:05,260 --> 00:03:11,330 +وعنا إيش خمس تاش خمس تاش كيف أجيت خمس تاش؟أربعة ع + +43 +00:03:11,330 --> 00:03:15,330 +ال eye opening و أخدنا ع ال verbal response خمسة + +44 +00:03:15,330 --> 00:03:18,850 +هي تسعة و أخدنا ع ال motor response ستة صاروا + +45 +00:03:18,850 --> 00:03:23,670 +خمستاشر نشرحها eye opening إذا المريض فات عينيه + +46 +00:03:23,670 --> 00:03:29,210 +spontaneously بياخد أربعة إذا المريض فات عينيه على + +47 +00:03:29,210 --> 00:03:32,910 +ال speech اتكلمنا معاه و فات عينيه باخد ثلاثة إذا + +48 +00:03:32,910 --> 00:03:37,570 +ما فات عينيه لما اتكلمنا معاه جرسناه اتقلم باخد + +49 +00:03:37,570 --> 00:03:41,950 +اتنين و فات عينيهإذا مافي opening يعني المريض + +50 +00:03:41,950 --> 00:03:45,750 +جرسناه ومافتحش عينيه وضاله مغمض عينيه باخد واحد + +51 +00:03:45,750 --> 00:03:50,110 +بسجل I opening one ع سبيل المثال verbal response + +52 +00:03:50,110 --> 00:03:57,010 +المريض oriented بتكلم معاه oriented باخد خمسة + +53 +00:03:57,010 --> 00:04:03,410 +disoriented confused conversation but able to + +54 +00:04:03,410 --> 00:04:07,280 +answer questionsباخد أربعة يعني المريض disoriented + +55 +00:04:07,280 --> 00:04:11,440 +confused لكن able to answer questions باخد كام؟ + +56 +00:04:11,440 --> 00:04:16,860 +باخد أربعة المريض ما بيقدر يتكلم معاك ما بيقدر + +57 +00:04:16,860 --> 00:04:21,420 +يجاوبك على الأسئلة بس بيسمع منه كلمات هم غيب + +58 +00:04:21,420 --> 00:04:24,860 +تقريبا لكن بتطلع منه كلمة عسابية مثلا بيردد ابنه + +59 +00:04:24,860 --> 00:04:33,510 +أحمد أحمد محمد سلام يا ربباخد كام؟ ثلاثة إذا بيطلع + +60 +00:04:33,510 --> 00:04:38,350 +منه speech sound مابقدرش يطلب كلمات بيطلع منه فقط + +61 +00:04:38,350 --> 00:04:43,650 +صوت عادي بدون كلمات باخد اتنين إذا مافي أي صوت + +62 +00:04:43,650 --> 00:04:49,190 +باخد واحد يبقى maximum خمسة و minimum واحد ال eye + +63 +00:04:49,190 --> 00:04:53,250 +opening maximum أربع و minimum واحد نجي ل ال motor + +64 +00:04:53,250 --> 00:04:58,690 +response opening commands ارفع إيدك رفحها نزلها + +65 +00:04:58,690 --> 00:05:05,420 +نزلهاتمام؟ يمكن باخد إيش؟ ستة المريض بيقدرش أعطي + +66 +00:05:05,420 --> 00:05:10,020 +command يعملها باجرسه إذا جرسته و أجى حدد مكان ما + +67 +00:05:10,020 --> 00:05:14,480 +جرسته أعمل localized to pain و ممكن يرفع إيدي في + +68 +00:05:14,480 --> 00:05:19,720 +الحالة هذه باخد خمسة إذا المريض أنا جرسته و أعمل + +69 +00:05:19,720 --> 00:05:24,440 +withdrawal withdrawal سحب from pain باخد كام؟ + +70 +00:05:24,440 --> 00:05:29,700 +أربعةإذا لما أنا جرسته اتقلم وعملنا spastic + +71 +00:05:29,700 --> 00:05:35,900 +flexion في ال upper limbs باخد ايه؟ تلاتة بنسميها + +72 +00:05:35,900 --> 00:05:39,780 +decorticate position إذا لما أنا جرسناه عمل hyper + +73 +00:05:39,780 --> 00:05:44,570 +extensionبنسميها Decerebrate position باخد اتنين + +74 +00:05:44,570 --> 00:05:48,350 +إذا عمل flexion و احنا بنقرص و عمل flexion هذا + +75 +00:05:48,350 --> 00:05:51,770 +بنسميها Decorticate position باخد كام؟ تلاثة إذا + +76 +00:05:51,770 --> 00:05:55,530 +جرسنا و عملنا hyper extension Decerebrate position + +77 +00:05:55,530 --> 00:06:00,130 +بياخد كام؟ اتنين و إذا no any response باخد واحد + +78 +00:06:00,130 --> 00:06:04,750 +نجيب مثل المريض أجانب على ال emergency department + +79 +00:06:04,750 --> 00:06:08,370 +و كان عنده decreased level of consciousness بدنا + +80 +00:06:08,370 --> 00:06:13,690 +نقيم عنده glass coma scaleأجينا المريض فتعنيه على + +81 +00:06:13,690 --> 00:06:17,130 +ال pen لما نجرسنا فتعنيه بس لما نتكلمنا معاه ما + +82 +00:06:17,130 --> 00:06:25,730 +فتعنيه باخد كام نحسبهم if can eye opening باخد + +83 +00:06:25,730 --> 00:06:33,390 +كام؟ باخد ايه؟ اتنين تمام ال verbal response ع ال + +84 +00:06:33,390 --> 00:06:34,350 +verbal response + +85 +00:06:39,530 --> 00:06:45,330 +جينا اتكلمنا معاه مريض disoriented، confused و but + +86 +00:06:45,330 --> 00:06:49,930 +able to answer questions كام أخد؟ عندي أخد أربعة + +87 +00:06:49,930 --> 00:06:55,450 +على ال motor response، مريضنا كان عنده localized + +88 +00:06:55,450 --> 00:07:01,030 +to pain، بيحدد مكان الألم يبقى ال motor، أخد كام + +89 +00:07:01,030 --> 00:07:06,990 +عندي؟ localized to pain، حددنا خمسةبنجمحهم مع بعض + +90 +00:07:06,990 --> 00:07:12,470 +خمسة و أربعة تسعة و اتنين احداش بنقول glaucoma + +91 +00:07:12,470 --> 00:07:17,990 +glaucoma scale عند المريض هذا احداش على خمستاشر + +92 +00:07:17,990 --> 00:07:22,330 +احداش على خمستاشر بطريقة هذه انا بحسب glaucoma + +93 +00:07:22,330 --> 00:07:23,790 +scale لأي مريض + +94 +00:07:35,390 --> 00:07:39,470 +classification of coma ممكن يكون في حاجة اسمها + +95 +00:07:39,470 --> 00:07:46,870 +lethargy or drowsiness, stupor, semi coma, coma لو + +96 +00:07:46,870 --> 00:07:50,490 +جينا لل lethargy او drowsiness بيكون disturbed + +97 +00:07:50,490 --> 00:07:55,750 +consciousness المريض response to verbal and + +98 +00:07:55,750 --> 00:07:59,770 +painful stimulus بيستجيب لل verbal للكلام ولل + +99 +00:07:59,770 --> 00:08:03,620 +painful stimulusbut not vigorous ما بيكونوش إيش + +100 +00:08:03,620 --> 00:08:08,640 +جوي ال stimulation نجله ال stubborn هنا بيكون + +101 +00:08:08,640 --> 00:08:13,480 +disturbed consciousness level response to verbal + +102 +00:08:13,480 --> 00:08:19,180 +and painful stimulus لكن vigorous يبقى stubborn + +103 +00:08:19,180 --> 00:08:23,560 +لازم يكون vigorous stimulus جوي عنيف لكن في ال + +104 +00:08:23,560 --> 00:08:26,500 +lethargy بيكون بسيط ال stimulus + +105 +00:08:29,720 --> 00:08:35,860 +lost اللي هي ال consciousness no responseto verbal + +106 +00:08:35,860 --> 00:08:39,640 +stimuli with preserved response to painful + +107 +00:08:39,640 --> 00:08:43,560 +stimulus كومة unresponsive state no response to + +108 +00:08:43,560 --> 00:08:47,900 +both stimuli to painful and verbal يعني لو اتكلمنا + +109 +00:08:47,900 --> 00:08:52,000 +عن اختلاف ما بين lethargy او stubborn بنلاقي الـ + +110 +00:08:52,000 --> 00:08:54,700 +stubborn و ال lethargy بيستجيبوا لل painful و لل + +111 +00:08:54,700 --> 00:09:00,880 +verbal stimuli but ال lethargy respond to not + +112 +00:09:00,880 --> 00:09:06,080 +vigorous stimulusلكن Stubor respond to vigorous + +113 +00:09:06,080 --> 00:09:11,360 +stimulus و الفرق بين semi-coma و Stubor، ال Stubor + +114 +00:09:11,360 --> 00:09:15,600 +بتكون فيه استجابة لل verbal and painful stimulus و + +115 +00:09:15,600 --> 00:09:20,160 +ال semi-coma no response to verbal stimulus but + +116 +00:09:20,160 --> 00:09:23,540 +presented response to a painful stimulus + +117 +00:09:25,480 --> 00:09:30,440 +orientation نسأل oriented to time place and person + +118 +00:09:30,440 --> 00:09:35,280 +memory إذا في مشاكل في الذاكرة إذا كان مشكلة في + +119 +00:09:35,280 --> 00:09:40,520 +recent event تكون عندهم anterograde amnesia for a + +120 +00:09:40,520 --> 00:09:44,650 +remote eventretrograde amnesia و for certain + +121 +00:09:44,650 --> 00:09:48,070 +period of time ممكن يكون عندهم circumscribed + +122 +00:09:48,070 --> 00:09:51,590 +amnesia يعني إذا كان فقد الذاكرة للأحداث .. + +123 +00:09:51,590 --> 00:09:55,570 +للأشياء الحديثة بيكون عندهم anterior grade amnesia + +124 +00:09:55,570 --> 00:09:59,650 +للأشياء السابقة القديمة يكون retrograde amnesia + +125 +00:09:59,650 --> 00:10:04,350 +لجزء يعني إيش circumscribed amnesia المريض رايع + +126 +00:10:04,350 --> 00:10:10,230 +دوام الساعة تمانية سبعة في طريق حادث طرقصار معاه + +127 +00:10:10,230 --> 00:10:15,430 +ارتجاج في الدماء فقد الذاكرة لنصف ساعة لكن هو مذكر + +128 +00:10:15,430 --> 00:10:19,430 +ما قبل الحادث ومذكر ما بعد الحادث نصف ساعة هذه + +129 +00:10:19,430 --> 00:10:22,350 +اللي كانت أثناء الحادث فقد فيها إيش الذاكرة هذه + +130 +00:10:22,350 --> 00:10:27,470 +بنسميها circumscribed amnesia اللي هو فقدان + +131 +00:10:27,470 --> 00:10:31,170 +الذاكرة for certain period of timeال intelligence + +132 +00:10:31,170 --> 00:10:37,210 +بتنفحص عن طريق IQ و ال mood بتنفحص مع السيكياتري + +133 +00:10:37,210 --> 00:10:40,170 +إذا فيه depression, euphoria, emotional liability + +134 +00:10:40,170 --> 00:10:43,970 +و ال behavior و ال perception كل هذا راح تخضوين مع + +135 +00:10:43,970 --> 00:10:50,350 +السيكياتري في course ال psychiatric illness طب + +136 +00:10:50,350 --> 00:10:55,650 +النفسي ال mental of normal patient the patient + +137 +00:10:55,650 --> 00:11:00,870 +fully consciousWell-oriented for time, place and + +138 +00:11:00,870 --> 00:11:05,370 +person with normal behavior, mode and memory, + +139 +00:11:06,030 --> 00:11:11,490 +cooperative and of average intelligence بعد هيك + +140 +00:11:11,490 --> 00:11:15,810 +بنتقل لموضوع speech examination في ال speech + +141 +00:11:15,810 --> 00:11:24,710 +examination أنا بدي أحدد هل المريض عندهnormal + +142 +00:11:24,710 --> 00:11:28,030 +speech أو فيه speech abnormality إذا normal خلاص + +143 +00:11:28,030 --> 00:11:32,410 +normal إذا abnormality بدنا نحدد هل المشكلة في + +144 +00:11:32,410 --> 00:11:37,350 +speech formulation عنده aphasia وده aphasia بدنا + +145 +00:11:37,350 --> 00:11:42,510 +نسأل أو نفحص المريض نعمل differential هل اللي لديه + +146 +00:11:42,510 --> 00:11:45,590 +aphasia عنده sensory aphasia أو motor aphasia يعني + +147 +00:11:45,590 --> 00:11:52,430 +المثال مريض بتتكلم معاه بيقدرش + +148 +00:11:54,300 --> 00:11:58,580 +يتكلم فاهمك 100% لكن ما بيقدر يتكلم هذا بيسميها + +149 +00:11:58,580 --> 00:12:02,160 +motor aphasia أو expressive aphasia أو verbal + +150 +00:12:02,160 --> 00:12:06,680 +aphasia طب مريض آخر بتكلم لكن أنت بتسأل سؤال و هو + +151 +00:12:06,680 --> 00:12:10,260 +بيجاوبك سؤال ثاني، شيء ثاني يعني أنا بقوله وين + +152 +00:12:10,260 --> 00:12:13,280 +ساكن، لازم أحط إيدا ع الطمع عشان مايشوفش أيش حركة + +153 +00:12:13,280 --> 00:12:16,620 +الشفاف بال vision بقول وين ساكن، بقول الحمد لله + +154 +00:12:16,620 --> 00:12:20,240 +يقول هذا المريض عنده sensory aphasia عنده sensory + +155 +00:12:20,240 --> 00:12:24,980 +aphasiaيبقى ماشي الأفاذية؟ هي عبارة عن inability + +156 +00:12:24,980 --> 00:12:28,740 +to speech formulation in the absence of sense + +157 +00:12:28,740 --> 00:12:32,140 +organ lesion قد تكون motor أفاذية أو verbal + +158 +00:12:32,140 --> 00:12:37,840 +أفاذية، قد تكون sensory أفاذية أو .. أو vernix + +159 +00:12:37,840 --> 00:12:42,600 +أفاذية وممكن يكون mix أفاذية sensory and motor، + +160 +00:12:42,600 --> 00:12:47,310 +نسميها global أفاذية، اتنينممكن تكون مشكلة في ال + +161 +00:12:47,310 --> 00:12:51,870 +articulation dysarthria وفي نوع من ال dysarthria + +162 +00:12:51,870 --> 00:12:55,250 +اسمها slurred speech بنشوفها عند المرضى اللي عندهم + +163 +00:12:55,250 --> 00:12:58,590 +مشاكل في ال cerebellum وممكن يكون مشكلة في ال + +164 +00:12:58,590 --> 00:13:03,210 +phonation مشكلة horses of voice او dysphonia في + +165 +00:13:03,210 --> 00:13:07,130 +other type of speech difficulty راح نتكلم عنهم ان + +166 +00:13:07,130 --> 00:13:12,490 +شاء الله في محاضرة منفصلة هي عندي sensory aphasia + +167 +00:13:13,290 --> 00:13:17,510 +اللي هي lesion في vernix center area 22 المريض + +168 +00:13:17,510 --> 00:13:23,190 +بسمع لكن doesn't understand sound بسمع كويس و + +169 +00:13:23,190 --> 00:13:27,050 +بتكلم لكن هو مافهم إيش أنت سألته إجابته راح تكون + +170 +00:13:27,050 --> 00:13:31,710 +خاطئة النوع الثاني verbal aphasia أو Broca's + +171 +00:13:31,710 --> 00:13:34,990 +aphasia المشكلة هنا راح تكون في Broca's area area + +172 +00:13:34,990 --> 00:13:41,470 +44 المريض بسمعبيفهم صح لكن عنده مشكلة في ال + +173 +00:13:41,470 --> 00:13:45,150 +expression وما بيقدر يتكلم في الحالة هذه بيكون + +174 +00:13:45,150 --> 00:13:48,770 +عنده حابسة كلامية حركية قد يكون عند المريض global + +175 +00:13:48,770 --> 00:13:53,790 +aphasia mixed لا بيفهم ولا بيتكلم في الحالة هذه + +176 +00:13:53,790 --> 00:13:57,910 +عنده نسميها total aphasia أو global aphasia وفي + +177 +00:13:57,910 --> 00:14:02,050 +نوع اسمها jargons aphasiaلما يكون عندنا مشكلة في + +178 +00:14:02,050 --> 00:14:06,150 +ال super marginal area area 14 في ال parietal loop + +179 +00:14:06,150 --> 00:14:10,450 +في ال upper end of superior temporal sulcus في ال + +180 +00:14:10,450 --> 00:14:12,690 +upper end of lateral fissure أسف في ال upper end + +181 +00:14:12,690 --> 00:14:17,310 +of lateral fissure هان المريض بيكون عنده word + +182 +00:14:17,310 --> 00:14:23,130 +salat مافي عنده ربط للكلام بتكلم بلغة مش مفهومة و + +183 +00:14:23,130 --> 00:14:29,170 +بنسميها word salat أو jargons aphasia dysarthria + +184 +00:14:30,770 --> 00:14:33,730 +Difficulty in articulation with normal formulation + +185 +00:14:35,120 --> 00:14:37,260 +ممكن تكون في الـ Pyramidal Lesion في الـ Pseudo + +186 +00:14:37,260 --> 00:14:39,940 +Bulbar Syndrome ممكن تكون في الـ Lower Motoneuron + +187 +00:14:39,940 --> 00:14:43,420 +Lesion زي Bulbar Syndrome تكون عندنا مشاكل عصب + +188 +00:14:43,420 --> 00:14:47,120 +الخامس، سابع، تاسع، عشر، احداشر، اتناشر في الـ + +189 +00:14:47,120 --> 00:14:50,440 +Neuromuscular Junction زي مرض Myasthenia Gravis في + +190 +00:14:50,440 --> 00:14:53,920 +الـ Muscle Disease Muscular Dystrophy في مرض الـ + +191 +00:14:53,920 --> 00:14:56,960 +Multiple Sclerosis Cerebellar Lesion Cerebellar + +192 +00:14:56,960 --> 00:14:59,800 +Infarction Tumor Hemorrhage في المرض اللي عندهم + +193 +00:14:59,800 --> 00:15:04,950 +Parkinson Disease أو Akainetic Rigid Syndromeفي + +194 +00:15:04,950 --> 00:15:10,110 +other type of speech disorders يكون عندهم phonia + +195 +00:15:10,110 --> 00:15:14,810 +أو dysphonia هذا مشكلة في ال phonation ممكن يكون + +196 +00:15:14,810 --> 00:15:20,030 +السبب organic زي recurrent laryngeal nerve injury + +197 +00:15:20,030 --> 00:15:24,510 +بيشتغل الجرحين على ال neck أثناء ال thyroid + +198 +00:15:24,510 --> 00:15:30,020 +surgeryعملوا إصابة أو injury لـrecurrent laryngeal + +199 +00:15:30,020 --> 00:15:33,520 +nerve أو بنعمل dyscoctomy anterior approach وهم + +200 +00:15:33,520 --> 00:15:36,280 +دخلين للـanterior approach of dyscoctomy عملوا + +201 +00:15:36,280 --> 00:15:38,660 +injury لموضوع الـrecurrent laryngeal nerve هذا + +202 +00:15:38,660 --> 00:15:45,060 +بسببنا dysphonia وممكن يكون السبب ثيرويد cancer + +203 +00:15:45,060 --> 00:15:48,560 +وقد يكون السبب أخر functional cause يعني + +204 +00:15:48,560 --> 00:15:52,320 +psychogenic conversion disorder وفي الحالة هذه + +205 +00:15:52,320 --> 00:15:57,940 +بتكون reversiblePrelalia, reputation of the last + +206 +00:15:57,940 --> 00:16:02,660 +sentence or words of a patient's own speech بيظل + +207 +00:16:02,660 --> 00:16:05,860 +معلق المريض على كلمة محددة، في مريض يظل يقول الحمد + +208 +00:16:05,860 --> 00:16:08,680 +لله، كل ما تسأل سؤال يقول الحمد لله، الحمد لله، + +209 +00:16:08,680 --> 00:16:12,170 +بعدين خاتمة جميلة، كويسة وممتازةو في مرضى بيتكلموا + +210 +00:16:12,170 --> 00:16:17,270 +كلام ثاني وحش الـ Echolalia المريض بيضلوا يردد آخر + +211 +00:16:17,270 --> 00:16:19,710 +كلمة سمعها يعني أنا بسأله إيش إسمك؟ بيضلوا يقولي + +212 +00:16:19,710 --> 00:16:23,410 +إسمك إسمك وين ساكن؟ بيقولي ساكن ساكن هو زي صدر + +213 +00:16:23,410 --> 00:16:26,570 +الصوت بيردد آخر كلمة سمعها هذا بيسمونه Echolalia + +214 +00:16:26,570 --> 00:16:31,990 +فيه mutism اللي هي absence of any attempt at oral + +215 +00:16:31,990 --> 00:16:37,080 +communicationفي حاجة شىء بنسميها anomic أو nominal + +216 +00:16:37,080 --> 00:16:40,800 +aphasia أو amnestic aphasia المريض بيكون عنده + +217 +00:16:40,800 --> 00:16:46,040 +difficulty naming a familial object or person يعني + +218 +00:16:46,040 --> 00:16:50,580 +أنا عارف هذا ابني محمد بقول ابني بس اسم محمد نسيته + +219 +00:16:50,580 --> 00:16:55,140 +أنا عارف هذا .. بقول هذا إيش هو بيسألوني؟ بقول هذا + +220 +00:16:55,140 --> 00:17:01,030 +عشان أفتد فيه كلمة جلم نسيتهاالهاتف المحمول بقوله + +221 +00:17:01,030 --> 00:17:03,550 +انا عشان اتكلم فيه بس كلمة هاتف محمول بنساها يبقى + +222 +00:17:03,550 --> 00:17:07,510 +ان انا أسماء الأشخاص أو الأشياء بنساها الإنسان هذا + +223 +00:17:07,510 --> 00:17:11,170 +بنسميها amnestic aphasia أو nominal aphasia في ال + +224 +00:17:11,170 --> 00:17:14,670 +examination of ننتقل لجزئية examination of + +225 +00:17:14,670 --> 00:17:18,770 +meningial irritation signs هنا تفضل يا معين نعم + +226 +00:17:18,770 --> 00:17:24,870 +نعم رديا هاروح وغادر مش مشكلة من + +227 +00:17:24,870 --> 00:17:32,970 +رجلك تماممابدى أعمل ال approach + +228 +00:17:32,970 --> 00:17:35,630 +to the patients عشان ما نضيعش الوقت احنا شرحنا + +229 +00:17:35,630 --> 00:17:39,110 +لكوا كيف نعمل ال approach to the patients و بنعرف + +230 +00:17:39,110 --> 00:17:42,270 +المريض كويس و إيش المرض اللي عنده بس أنا جاي بهنا + +231 +00:17:42,270 --> 00:17:46,150 +نعمل بعض ال examination عشان أنتوا تشوفوها الآن + +232 +00:17:46,150 --> 00:17:49,270 +راح أفحص أنا دايما بجف على ال right side بكون على + +233 +00:17:49,270 --> 00:17:54,530 +نفس ال level بتاع المريض و راح أفحص ال meningeal + +234 +00:17:54,530 --> 00:17:56,990 +irritation scienceهذه الـ Meningal Irritation + +235 +00:17:56,990 --> 00:18:00,130 +Science مهمة في حالات الـ Meningitis، في حالات الـ + +236 +00:18:00,130 --> 00:18:03,230 +Subarachnoid Hemorrhage نبدأ بالـ Neck Rigidity، + +237 +00:18:03,230 --> 00:18:07,530 +Neck Stiffness الـ Passive Affliction of Neck lead + +238 +00:18:07,530 --> 00:18:11,330 +to Neck Rigidity، هلأ أنا بحط إيدي ورا اللي + +239 +00:18:11,330 --> 00:18:14,930 +أكسبتله، رخّ حالة، و إيدي التانية أمام السيرنة، و + +240 +00:18:14,930 --> 00:18:19,550 +بعمله إيش؟ Affliction، تمام؟ بعمله Affliction + +241 +00:18:19,550 --> 00:18:27,050 +لمين؟ لإنكطبيعي هنا ال neck lacks لكن في حال ان + +242 +00:18:27,050 --> 00:18:31,030 +المريض عنده neck rigidity طلعولي هنا عملت neck + +243 +00:18:31,030 --> 00:18:34,070 +stiffness و مش قادر أياش اكمل اذا عملت neck + +244 +00:18:34,070 --> 00:18:37,890 +flexion و مش قادر اكمل للمريض و انا بعمله neck + +245 +00:18:37,890 --> 00:18:42,310 +flexionصيب أعمله complete flexion المريض بتقلم و + +246 +00:18:42,310 --> 00:18:45,810 +بيعمله resistant هذا بنسمي إيه neck stiffness + +247 +00:18:45,810 --> 00:18:50,830 +positive و أنا بعمل neck flexion بتطلع ال both + +248 +00:18:50,830 --> 00:18:54,530 +lower limbs فبعض الأحيان المريض ده عنده neck stiff + +249 +00:18:55,260 --> 00:19:01,900 +Positive ممكن يروح يعملنا إيش؟ Affliction لمن؟ + +250 +00:19:01,900 --> 00:19:04,920 +ل ال both me إذا عملت نك ال stiffness و صار مع + +251 +00:19:04,920 --> 00:19:08,840 +المريض Affliction ل ال both me and both him في + +252 +00:19:08,840 --> 00:19:14,970 +الحالة هذه بسميها هذه نكBrodzinski signs أو Upper + +253 +00:19:14,970 --> 00:19:19,750 +Brodzinski signs إيش هو passive flexion of neck + +254 +00:19:19,750 --> 00:19:25,010 +leads to flexion of both knees and hips واضح؟ لإن + +255 +00:19:25,010 --> 00:19:28,870 +هنا فحصنا إحنا neck rigidity وفحصنا معها مين اللي + +256 +00:19:28,870 --> 00:19:32,490 +هو ال neck Brodzinski أو Upper Brodzinski signs + +257 +00:19:32,490 --> 00:19:38,220 +بنتاج لبعدهالفحص ال .. لزيك .. لزيك science نعمل + +258 +00:19:38,220 --> 00:19:41,600 +affliction او الشيء المريض بيكون نايم subpine و + +259 +00:19:41,600 --> 00:19:46,840 +بروح عمله affliction لل hip بحافظ على وضعية + +260 +00:19:46,840 --> 00:19:49,900 +extension لل knee و بروح عمله ايش complete + +261 +00:19:49,900 --> 00:19:54,770 +afflictioncomplete flexion لمن؟ لإيش؟ للـ hip + +262 +00:19:54,770 --> 00:19:58,430 +طبيعي يعمله flexion تسعين درجة طبيعي يعمله flexion + +263 +00:19:58,430 --> 00:20:02,110 +تسعين درجة لكن لو مريض عنده سياتكا مجرد ما عمله + +264 +00:20:02,110 --> 00:20:05,510 +flexion للـ hip راح يتألم و أقول عنده لزيك ساينز + +265 +00:20:05,510 --> 00:20:09,430 +أشرين درجة أو تلاتين أو أربعين أو خمسين كل ما قلت + +266 +00:20:09,430 --> 00:20:12,650 +الدرجة كل ما كان more severe سياتكا أو more severe + +267 +00:20:12,650 --> 00:20:16,310 +irritation كل ما زادت الدرجة كل ما كان more penile + +268 +00:20:16,310 --> 00:20:22,700 +أو good outبعدها بنتقل ل care neck science care + +269 +00:20:22,700 --> 00:20:28,320 +neck science بأحفظه في وضعية المريض نعمله flexion + +270 +00:20:28,320 --> 00:20:32,220 +تسعين درجة في ال hip و flexion تسعين درجة في ال + +271 +00:20:32,220 --> 00:20:36,500 +knee و بروح أعمله complete هلجيت اتني لرجلك تاني؟ + +272 +00:20:36,500 --> 00:20:42,860 +لحالك؟ لأ لأ لأ اتنيها شوية هلجيت + +273 +00:20:42,860 --> 00:20:46,420 +حاولت أعمله إيش؟ complete إيش؟extension لأنه مش + +274 +00:20:46,420 --> 00:20:49,440 +قادر أعمله extension اثنى شوية بسيطة تمام و بتطلع + +275 +00:20:49,440 --> 00:20:52,640 +وين على ال other lower limb ليش هو عمل flexion + +276 +00:20:52,640 --> 00:20:55,580 +عشان يخفف القلم يبقى في الحالة هذه مش قادر أعمله + +277 +00:20:55,580 --> 00:20:58,040 +إيش complete extension هنا بقول المريض عنده + +278 +00:20:58,040 --> 00:21:01,220 +positive kerning signs و بتطلع على ال other lower + +279 +00:21:01,220 --> 00:21:03,940 +limb إذا صار فيها flexion في ال hip و في ال knee + +280 +00:21:03,940 --> 00:21:08,280 +بقول المريض عنده شيء ثاني اسمه leg Brodzinski + +281 +00:21:08,280 --> 00:21:12,150 +signs positiveأو lower brodzinski science positive + +282 +00:21:12,150 --> 00:21:16,450 +اللي هي passive flexion of one hip and extension + +283 +00:21:16,450 --> 00:21:20,270 +of the knee lead to flexion of the other hip + +284 +00:21:20,270 --> 00:21:25,150 +بالطريقة هذه احنا فحصنا .. فضلا استريح + +285 +00:21:28,220 --> 00:21:33,320 +سريحة شوية عندنا فحصنا مين اللي هم الـ meningeal + +286 +00:21:33,320 --> 00:21:36,820 +irritation signs زي ما احنا شايفين هنا بفحص اللي + +287 +00:21:36,820 --> 00:21:41,020 +هو neck stiffness مع ال upper Brzezinski او neck + +288 +00:21:41,020 --> 00:21:44,420 +Brzezinski هنا بفحص kerning signs بتطلع ال other + +289 +00:21:44,420 --> 00:21:48,660 +lower limb لو صار عندى flexion في النيل و في الhip + +290 +00:21:48,660 --> 00:21:51,960 +بقول المريض عنده كمان غير kerning signs عنده lower + +291 +00:21:51,960 --> 00:21:57,960 +Brzezinski او leg Brzezinskicranial nerve + +292 +00:21:57,960 --> 00:22:02,500 +examination بنتجل بعدها لموضوع cranial nerve + +293 +00:22:02,500 --> 00:22:07,560 +examination cranial nerve examination ببدأها + +294 +00:22:07,560 --> 00:22:11,720 +بالفكتوري examination الفكتوري examination تفضل يا + +295 +00:22:11,720 --> 00:22:15,440 +معين هنا ببدأ + +296 +00:22:15,440 --> 00:22:20,300 +الفكتوري examination بالفكتوري نيرف الفكتوري نيرف + +297 +00:22:20,300 --> 00:22:24,100 +بتفحص SMIL ال main function بتبعت SMIL يبقى الأول + +298 +00:22:24,100 --> 00:22:29,390 +شيء في عندي شروط لل examination أول شرطfamiliar + +299 +00:22:29,390 --> 00:22:32,950 +odorant أجيب رائحة مقلوفة أو متقالفة عليها أو + +300 +00:22:32,950 --> 00:22:36,850 +معروفة عند المريض ثاني non irritant مايكونش + +301 +00:22:36,850 --> 00:22:39,870 +irritant جوية عشان مايعملش irritation للطيور هيجيب + +302 +00:22:39,870 --> 00:22:44,720 +من ال nerveثلاثة أفحص each nostril alone يعني أعمل + +303 +00:22:44,720 --> 00:22:48,300 +فحص لكل nostril alone عشان نحدد إذا في عندنا + +304 +00:22:48,300 --> 00:22:52,780 +hyposmia unilateral right أو left ونعمل .. هنفي + +305 +00:22:52,780 --> 00:22:56,700 +خطأ في الصورة من الكتاب إن ال eyes open ال eyes + +306 +00:22:56,700 --> 00:23:01,540 +should be closed يبقى أول شيء سكرا هناك تمام؟ + +307 +00:23:01,540 --> 00:23:03,980 +هلجيت؟ + +308 +00:23:04,980 --> 00:23:09,680 +بدأ أشم منك حاجة و تقول إيش هي، شم إيش شامم؟ روح + +309 +00:23:09,680 --> 00:23:17,300 +أريح، تمام، غمض عينك، شم، نفس الشيء، إيش؟ إيش في؟ + +310 +00:23:17,300 --> 00:23:20,300 +غمض عينك، شم هنا + +311 +00:23:26,180 --> 00:23:32,280 +شام؟ شام قد نفسه شاميت؟ إيش فيه؟ نفس الشيء و هان + +312 +00:23:32,280 --> 00:23:38,980 +نفس الشيء شامم؟ في الحالة هذه أنا ممكن أغير + +313 +00:23:38,980 --> 00:23:43,540 +الرائحة أجيب رائحة ثانية و عشان أميز و أحدد إذا في + +314 +00:23:43,540 --> 00:23:51,620 +عنده loss of smell sensation lesion + +315 +00:23:51,620 --> 00:23:56,790 +of the smell pathwayUnilateral hyposemia or + +316 +00:23:56,790 --> 00:23:59,950 +anosemia يمكن أن يكون unilateral Bilateral + +317 +00:23:59,950 --> 00:24:03,690 +hyposemia or anosemia Parosemia او اسم ال + +318 +00:24:03,690 --> 00:24:08,270 +hallucinationكاكوسمية أو bad smell يعني chronic + +319 +00:24:08,270 --> 00:24:12,230 +sinusitis والفاكتوري أجنوزية اللي هي عدم تمييز + +320 +00:24:12,230 --> 00:24:16,170 +الرواقع كاكوسمية هي bad smell اللي بنشوفها أو + +321 +00:24:16,170 --> 00:24:18,290 +المرضى اللي بتصير معهم في حالات ال chronic + +322 +00:24:18,290 --> 00:24:21,910 +sinusitis لما يكون عندهم nasal discharge باروسمية + +323 +00:24:21,910 --> 00:24:25,370 +اللي هي ال hallucination في حالة تكون tumor في ال + +324 +00:24:25,370 --> 00:24:29,750 +temporal loop ممكن يعمللنا الهلوسة في حاسس الشم + +325 +00:24:29,750 --> 00:24:34,590 +يشم أشياء مش موجودةو bilateral hyposmia أو أنوزميا + +326 +00:24:34,590 --> 00:24:38,150 +كلنا صار معنا bilateral في حالة ال common cold لما + +327 +00:24:38,150 --> 00:24:41,850 +نكون عندنا فلوانزا راشح كنا ببطل نشم روائح و + +328 +00:24:41,850 --> 00:24:44,150 +unilateral hyposmia أو أنوزميا هذه أخطر ال + +329 +00:24:44,150 --> 00:24:47,070 +unilateral قد تكون نادية عن الفكتوري groove من + +330 +00:24:47,070 --> 00:24:52,350 +انجيومة، tumor أو إترومة أو هماتومة بعد ذلك بنتجل + +331 +00:24:52,350 --> 00:24:56,450 +لفحص ال optic nerveفي الـ Optic nerve نفحص عن طريق + +332 +00:24:56,450 --> 00:25:00,710 +الـ Accuracy of vision عن طريق Snelling Chart من 6 + +333 +00:25:00,710 --> 00:25:05,130 +ل 6 الـ Normal ل 6 ل 9 وفي Computerized System + +334 +00:25:05,130 --> 00:25:09,810 +اليوم بعد ذلك نفحص الـ Visual Field Examination + +335 +00:25:09,810 --> 00:25:16,710 +بنعمل confrontation test و بعدها ممكن نعمل فحص عن + +336 +00:25:16,710 --> 00:25:20,870 +طريق الـ Perimeterفي الـ Perimeter هذا الجهاز عشان + +337 +00:25:20,870 --> 00:25:25,470 +نحدد إذا في عندنا visual field defect لكن أول شيء + +338 +00:25:25,470 --> 00:25:30,170 +بنفحص عن طريق ال confrontation test في ال + +339 +00:25:30,170 --> 00:25:34,650 +confrontation test غمض + +340 +00:25:34,650 --> 00:25:40,250 +عينك، حط يدك على اليمين طلع + +341 +00:25:40,250 --> 00:25:45,670 +هنا، طلع، لما تشوف إصبعي، قول شفتهم، طلع هنا، + +342 +00:25:45,670 --> 00:25:47,850 +ماشي، ماتحركش، ماتحركش عينك + +343 +00:25:52,580 --> 00:25:55,880 +أنا شايفش شايفش تمام تمام بجيبه من الجهة الثانية + +344 +00:25:55,880 --> 00:25:59,500 +انا + +345 +00:25:59,500 --> 00:26:05,140 +شايفش شايفش و بجيب من أسفل و من فوق طلع هنا شايفش + +346 +00:26:05,140 --> 00:26:11,140 +تمام و نفس الطريقة بفحص على ال other eyes في + +347 +00:26:11,140 --> 00:26:16,720 +الحالة هذه إذا المريض .. رخص .. حطي دقيقة طلع هنا + +348 +00:26:16,720 --> 00:26:19,640 +المريض مش شايفه كويس مش شايفه كويس مش شايفه كويس + +349 +00:26:19,640 --> 00:26:24,390 +هان شاف شاف بال nasalهالهنا شاف مباشرة في الحالة + +350 +00:26:24,390 --> 00:26:27,970 +هذه بقول عنده loss of temporal visual field على ال + +351 +00:26:27,970 --> 00:26:30,610 +lift ساكر عينك اليامين .. الشمال .. ساكر عينك + +352 +00:26:30,610 --> 00:26:34,970 +الشمال .. لأ حطي دك هيك رخي عينك .. تمام رخي دك .. + +353 +00:26:34,970 --> 00:26:41,010 +طلع هنا شايف؟ أه شايف كويس هنا لأ مش شايف مش شايف + +354 +00:26:41,010 --> 00:26:43,670 +مش شايف يعني المريض هنا عنده على عين اليامين + +355 +00:26:43,670 --> 00:26:47,370 +عصابين مثال هذا مثال جبته أنا .. + +356 +00:26:50,130 --> 00:26:55,070 +هندو هنا on the left part of the right eye loss of + +357 +00:26:55,070 --> 00:27:02,510 +vision يبقى هنا أنور سمعين كنتين هى + +358 +00:27:02,510 --> 00:27:08,590 +المريض هى يعني ايه هذا right وهذا left مريضنا هذا + +359 +00:27:08,590 --> 00:27:16,360 +مجسمنا عينه من النصهذه عنده temporal وهذه nasal + +360 +00:27:16,360 --> 00:27:21,280 +هذه nasal وهذه temporal مريضنا فحصنا left eye + +361 +00:27:21,280 --> 00:27:24,240 +لجينا ال temporal بيشوفش فيها كويس مثال انا جبته + +362 +00:27:24,240 --> 00:27:32,630 +مثلت وعن ال nasal مابيشوفشلو جينا للعين نفسها هذه + +363 +00:27:32,630 --> 00:27:38,010 +الجزئية هي right part وهذه left part وهنا نفس + +364 +00:27:38,010 --> 00:27:42,690 +الشيء right part وهذه left part الحالة هذه بقول + +365 +00:27:42,690 --> 00:27:47,710 +المريض عنده left side hemianopia left side + +366 +00:27:47,710 --> 00:27:50,950 +homonymous + +367 +00:27:56,850 --> 00:28:01,470 +Hemianopia يعني المريض فقد المجال الإبصار ال + +368 +00:28:01,470 --> 00:28:05,990 +visual field على ال left side of both eyes قد يكون + +369 +00:28:05,990 --> 00:28:11,090 +هذا right optic tract lesion قد يكون right lateral + +370 +00:28:11,090 --> 00:28:14,150 +geniculate lesion قد يكون right internal capsule + +371 +00:28:14,150 --> 00:28:14,570 +lesion + +372 +00:28:17,400 --> 00:28:21,760 +بعدها بنتاجل افحصاش fundus examination fundus + +373 +00:28:21,760 --> 00:28:25,680 +examination نشوف اذا normal fundus او المريض عنده + +374 +00:28:25,680 --> 00:28:29,440 +papilloedema او المريض عنده optic palor optic + +375 +00:28:29,440 --> 00:28:36,760 +atrophy color examination اش مكتوب هنا عجيب اش + +376 +00:28:36,760 --> 00:28:42,700 +مكتوب هيك؟السبعة والثالثة اتفضل استريحى يبقى احنا + +377 +00:28:42,700 --> 00:28:48,360 +فحصنا ال visual color هنا في عندي تلاثة وهنا سبعة + +378 +00:28:48,360 --> 00:28:51,220 +يبقى عشان اشوف ان ده في color blindness او عما + +379 +00:28:51,220 --> 00:28:57,180 +الألوان بنتاجل بعضها لفحص الأعصاب التلاثة واربعة + +380 +00:28:57,180 --> 00:29:00,580 +وستة اللي هم ocular nerves العصب الثالث والرابع + +381 +00:29:00,580 --> 00:29:05,480 +والسادس مهم جدا إذا بفحص أي شيء motor لازم أبدأ + +382 +00:29:05,480 --> 00:29:08,740 +بال inspection لازم أبدأ بال inspection طلع عقلك + +383 +00:29:08,740 --> 00:29:14,170 +يا عدلبـ inspection أنا بتطلع عليه أول شيء في drop + +384 +00:29:14,170 --> 00:29:18,250 +of eyelid فيه tosses ولا مافيه؟ إذا فيه tosses + +385 +00:29:18,250 --> 00:29:23,930 +بنحدده هل هو complete tosses كامل أو partial؟يعني + +386 +00:29:23,930 --> 00:29:28,350 +فيه سقوط في الجفن complete أو partial اثنين بنحدده + +387 +00:29:28,350 --> 00:29:32,290 +bilateral ولا unilateral و اذا unilateral right او + +388 +00:29:32,290 --> 00:29:35,690 +left هذه اول شيء يبقى بال inspection انا بحدد حين + +389 +00:29:35,690 --> 00:29:38,090 +انا بشخص مريضي بال inspection من حد مايفوت عندي + +390 +00:29:38,090 --> 00:29:41,830 +ايه ده ممكن اشخص اخد ايه حط اشخص و اكمل الفحص و + +391 +00:29:41,830 --> 00:29:45,210 +اشوف ان انا اللي فكرت فيه صح ولا لأ يبقى اول شيء + +392 +00:29:45,210 --> 00:29:50,510 +بتكلم على inspection على التواصل اثنين بتطلع على + +393 +00:29:50,510 --> 00:29:57,030 +ال pupilsتعينوا، حدقتلين، هل هي round مدورين أو + +394 +00:29:57,030 --> 00:30:02,730 +كان ماخدة روما و irregular؟ اثنين، regular، + +395 +00:30:02,730 --> 00:30:06,590 +symmetrical ال right و ال left و لأ symmetrical في + +396 +00:30:06,590 --> 00:30:11,750 +anisocoria، anisocoria يعني السيمتريا of pupil + +397 +00:30:11,750 --> 00:30:12,250 +size + +398 +00:30:25,860 --> 00:30:30,420 +طبعاً بتطلع على ال pupils respond to light ولا لأ + +399 +00:30:30,420 --> 00:30:32,860 +بس هاد ال respond مش بالنسبالكش ان انا لازم افحصها + +400 +00:30:32,860 --> 00:30:37,780 +بال torch يبقى ان انا بقول ال pupils are are are + +401 +00:30:37,780 --> 00:30:43,860 +regular round reactive بعدك بشوف اذا في squint + +402 +00:30:43,860 --> 00:30:51,270 +بتطلع على ال eyes هل في حول squintودا اللى جينا + +403 +00:30:51,270 --> 00:30:54,690 +داخل الجو هذا بيكون convergence squint وده اللى + +404 +00:30:54,690 --> 00:30:58,310 +قاعد طالع على برا هذا بيكون divergence squint يجب + +405 +00:30:58,310 --> 00:31:03,470 +أننا نحدد بال inspection ال pupils, toses فيه او + +406 +00:31:03,470 --> 00:31:06,750 +لا وsquint وده فيه squint convergence او + +407 +00:31:06,750 --> 00:31:12,340 +divergenceبعد هيك بنعمل examination للـ + +408 +00:31:12,340 --> 00:31:15,900 +extraocular movement زي ما انتوا عارفين الـ + +409 +00:31:15,900 --> 00:31:18,760 +abducent nerve بغضي ال lateral rectus muscle و ال + +410 +00:31:18,760 --> 00:31:21,760 +trochlear nerve بغضي superior oblique muscle اللي + +411 +00:31:21,760 --> 00:31:25,980 +بتعملنا ايه؟ down and out direction movement اللي + +412 +00:31:25,980 --> 00:31:28,840 +ال lateral rectus بتعمل external rotation او + +413 +00:31:28,840 --> 00:31:34,110 +abduction للأعلىو الـ oculomotor بنفحص other + +414 +00:31:34,110 --> 00:31:38,070 +movement زي ال .. نفحص ال media rectus muscle + +415 +00:31:38,070 --> 00:31:40,670 +superior rectus muscle inferior rectus muscle + +416 +00:31:40,670 --> 00:31:43,170 +inferior oblique muscle levator palvebra + +417 +00:31:43,170 --> 00:31:46,150 +superiorisكله هدو باخده من وين من ال oculomotor + +418 +00:31:46,150 --> 00:31:52,370 +nerve كيف نفحص ال eye movement؟ هي عندي حمار بتاعي + +419 +00:31:52,370 --> 00:31:55,390 +طلع + +420 +00:31:55,390 --> 00:31:58,470 +هان بحدد طلع + +421 +00:32:01,610 --> 00:32:06,530 +طلع هنا اشاكوش و بحاول ايش اعمل fixation لل vision + +422 +00:32:06,530 --> 00:32:09,850 +طلع المريض عنده هان مش واضح يالكوا كويس عنده + +423 +00:32:09,850 --> 00:32:20,750 +nystagmus لفلي هنا لفلي حقك اجهز شوية ساكتر + +424 +00:32:20,750 --> 00:32:29,390 +ساكتر اجهزي شوية اجهزي شوية طلع هنا طلع هيك هنا + +425 +00:32:29,390 --> 00:32:33,180 +طلع هنالأ بنوقف ليش بنوقف نشوف ده فيه stigma + +426 +00:32:33,180 --> 00:32:38,620 +المريض عنده horizontal stigma انا في الحركة هذه او + +427 +00:32:38,620 --> 00:32:42,040 +ال direction انا حركت ال left lateral rectus + +428 +00:32:42,040 --> 00:32:47,280 +muscle مع ال media ال right بنعمل H shape نزل لتحت + +429 +00:32:47,280 --> 00:32:54,060 +انا حركت هنا اللي هي superior oblique left مع + +430 +00:32:54,060 --> 00:33:01,460 +inferior rectus right لفوقحركنا inferior oblique + +431 +00:33:01,460 --> 00:33:07,760 +lift مع superior rectus right وبرجع طلع هان نفس + +432 +00:33:07,760 --> 00:33:10,380 +الشيء بثبت ليش ثبتت؟ عشان ده فيه horizontal + +433 +00:33:10,380 --> 00:33:18,030 +stigmas أشوفه طلع تحت لفوق بعدين هانطلع فوق، بثبت + +434 +00:33:18,030 --> 00:33:21,830 +فوق، ليه؟ إذا في عيننا vertical نستجمس، نشوفه، و + +435 +00:33:21,830 --> 00:33:26,690 +بنفحص، عيننا فحصنا نستجمس مع الـocular movement، + +436 +00:33:26,690 --> 00:33:29,470 +نفحص ال conversion and accommodation، نطلب من + +437 +00:33:29,470 --> 00:33:32,830 +المريض اطلع نقطة بعيدةطلع نطبي إيده هناك على السجف + +438 +00:33:32,830 --> 00:33:34,970 +و بعدين طلع اللي على الشاكوش طلع بسرعة على الشاكوش + +439 +00:33:34,970 --> 00:33:38,190 +على الشاكوش طلع إيه صار مع المريض؟ صار مع ال + +440 +00:33:38,190 --> 00:33:41,150 +conversion لل both eyes مع accommodation مع + +441 +00:33:41,150 --> 00:33:45,210 +construction لل pupils و بفحص ال light reflex في + +442 +00:33:45,210 --> 00:33:48,630 +عندى direct light reflex و في indirect light + +443 +00:33:48,630 --> 00:33:52,710 +reflex لو ضوينا الضوء أو ال torch طلع على العين + +444 +00:33:52,710 --> 00:33:57,660 +اليمين فجأة بسرعةبصير construction of the same + +445 +00:33:57,660 --> 00:34:01,400 +pupils هذا بنسميه direct light reflex و لو ضوينا + +446 +00:34:01,400 --> 00:34:04,300 +في العين الأمين بسرعة و نطلعنا على الشمال بصير + +447 +00:34:04,300 --> 00:34:07,820 +كمان construction في ال other eyes هذا بنسميه + +448 +00:34:07,820 --> 00:34:13,140 +indirect light reflex يبقى light on one eye lead + +449 +00:34:13,140 --> 00:34:16,260 +to construction of the same eye هذا بنسميها direct + +450 +00:34:16,260 --> 00:34:19,520 +light reflex و light on one eye lead to + +451 +00:34:19,520 --> 00:34:22,460 +construction of the other eyes هذا بنسميها + +452 +00:34:22,460 --> 00:34:24,000 +indirect light reflex + +453 +00:34:28,900 --> 00:34:33,100 +الـ Light Reflex شرحناها الـ accommodation and + +454 +00:34:33,100 --> 00:34:39,680 +conversion أنا شرحته ال patients asked to follow + +455 +00:34:39,680 --> 00:34:44,740 +your finger from a far point to a near point، أيش + +456 +00:34:44,740 --> 00:34:47,160 +بيصير مع المريض؟ بيصير معه conversion، بيصير + +457 +00:34:47,160 --> 00:34:50,740 +contraction لل both medial recti muscle عن طريق + +458 +00:34:50,740 --> 00:34:53,720 +نوكلياس أو بيرليا و بيصير عنه myosis أو + +459 +00:34:53,720 --> 00:34:57,500 +constriction of a constrictor pupillary muscle + +460 +00:34:58,710 --> 00:35:03,790 +legion of oculomotor nerve توسيز ممكن يسموهم توسيز + +461 +00:35:03,790 --> 00:35:08,590 +due to braces of the levator palpebra superioris + +462 +00:35:08,590 --> 00:35:14,210 +مصر ممكن يسموهم ضيبلوبيا أو double ovision only on + +463 +00:35:14,210 --> 00:35:17,630 +elevation of eyelid لأنه لو مسكر عينه راح يشوف + +464 +00:35:17,630 --> 00:35:21,270 +واحد بس لو رفعنا ال eyelid راح يشوف بدل ما يشوف + +465 +00:35:21,270 --> 00:35:25,690 +واحد راح يشوف اتنين double ovision squintبيصير + +466 +00:35:25,690 --> 00:35:29,250 +معاك Diversion Squint تكون عينه طالع على برا ليش + +467 +00:35:29,250 --> 00:35:32,490 +طالع على برا؟ لأن ال lateral rectus muscle سليمة و + +468 +00:35:32,490 --> 00:35:36,470 +راح تشد العين للخارج Medriasis لأنه بيغضي + +469 +00:35:36,470 --> 00:35:38,990 +constructor pupil muscle و ال sympathetic nervous + +470 +00:35:38,990 --> 00:35:42,670 +system بتغضينا ال dilator pupil muscle في الحالة + +471 +00:35:42,670 --> 00:35:45,790 +هذه راح يكون عند المرضى Medriasis اللي هو توسيع + +472 +00:35:45,790 --> 00:35:49,730 +حدقة العين Loss of light and accommodation reflex + +473 +00:35:50,510 --> 00:35:54,510 +بس because of oculomotor nerve lesion ممكن يكون + +474 +00:35:54,510 --> 00:35:59,010 +aneurysm of the posterior communicating arteryممكن + +475 +00:35:59,010 --> 00:36:02,710 +يكون infarction of third cranial nerves ناتجة عن + +476 +00:36:02,710 --> 00:36:07,250 +hypertension عن DM Medbrain tumor Infarction + +477 +00:36:07,250 --> 00:36:10,530 +Hemorrhage وزي ويبر سندروم ممكن يكون ناتجة عن + +478 +00:36:10,530 --> 00:36:17,610 +cavernous sinus thrombosis ماهي الفرق بين أقلوموتر + +479 +00:36:17,610 --> 00:36:23,910 +ونيروباتي كديابتك وأنوريزم بستيريو كوميونيكاتينج + +480 +00:36:23,910 --> 00:36:27,250 +أرتريكيف نفرج إن هذا نيروباثي حقيقي و لا + +481 +00:36:27,250 --> 00:36:30,490 +compression جاي من وين، من الخارج، جاي tumor، ضغط + +482 +00:36:30,490 --> 00:36:33,810 +عن الـ nerve أو جاي عنده aneurysm؟ هلأ الـ + +483 +00:36:33,810 --> 00:36:37,930 +autonomic fibers في الـ nerve بتكون more external، + +484 +00:36:37,930 --> 00:36:41,860 +في حال كان aneurysm compressionراح يكون الـ first + +485 +00:36:41,860 --> 00:36:46,220 +symptoms عندنا مدرياسيز الـ first symptom اللي هو + +486 +00:36:46,220 --> 00:36:49,360 +المدرياسيز لكن لو كان الـ neuropathy بيصيب الـ + +487 +00:36:49,360 --> 00:36:52,720 +axon أكتر في الديابتك النيروباتي ممكن يكون عندنا + +488 +00:36:52,720 --> 00:36:56,900 +squint, ptosis لكن ال pupils يكونوا intact ال + +489 +00:36:56,900 --> 00:36:59,480 +pupils يكونوا intact يعني في ال compression بيكون + +490 +00:36:59,480 --> 00:37:02,100 +ال first signs اللي هو المدرياسيز لكن في + +491 +00:37:02,100 --> 00:37:07,440 +النيروباتي الديابتك maybe spared pupils lesion of + +492 +00:37:07,440 --> 00:37:11,940 +trochlear nerveDiablobia on looking down and out + +493 +00:37:11,940 --> 00:37:15,040 +direction Limitation of movement during + +494 +00:37:15,040 --> 00:37:19,660 +examination for eye movement down and out لو صار + +495 +00:37:19,660 --> 00:37:23,810 +معنا lesion في الـabdominaldiblobia on looking out + +496 +00:37:23,810 --> 00:37:26,650 +direction لأنه بيغضي ال lateral rectus muscle و + +497 +00:37:26,650 --> 00:37:30,050 +limitation in your examination of eye movement in + +498 +00:37:30,050 --> 00:37:34,410 +outward direction ومن هنا اسمه abdocent nerve لأنه + +499 +00:37:34,410 --> 00:37:38,270 +بيغضي ال lateral rectus muscle which abduct the + +500 +00:37:38,270 --> 00:37:43,010 +eye laterally وبيكون معهم conversion paralytic + +501 +00:37:43,010 --> 00:37:46,290 +squint إيش يعني conversion paralytic squint؟ هي + +502 +00:37:46,290 --> 00:37:47,610 +عينتين، هي عندي + +503 +00:37:50,390 --> 00:37:54,910 +المريض عنده هذه right هذه left المريض عنده right + +504 +00:37:54,910 --> 00:38:03,590 +six snare pulse يلاقي + +505 +00:38:03,590 --> 00:38:07,950 +هذا ال pupils ال eyeball في النص six و ال right + +506 +00:38:07,950 --> 00:38:12,910 +داخلة لجوه داخلة conversion ليش conversion لأن في + +507 +00:38:12,910 --> 00:38:14,790 +مشكلة في + +508 +00:38:16,970 --> 00:38:19,670 +الـ lateral rectus muscle الـ lateral rectus + +509 +00:38:19,670 --> 00:38:24,090 +muscle هنا paralyzed مش قادر تعمل upduction لل eye + +510 +00:38:24,090 --> 00:38:27,030 +laterally في الحالة هذه راح نجد عند المريض + +511 +00:38:27,030 --> 00:38:30,670 +conversion paralytic squint الـ trigeminal nerve + +512 +00:38:30,670 --> 00:38:33,730 +examination الـ trigeminal nerve it is mainly + +513 +00:38:33,730 --> 00:38:38,600 +sensory nerve mainly sensory nerveبقى أول شي بنفحص + +514 +00:38:38,600 --> 00:38:43,880 +ايه ال sensation بنفحص ال sensation عن طريق أو + +515 +00:38:43,880 --> 00:38:47,120 +بفحص أول شي pain sensation و touch sensation + +516 +00:38:47,120 --> 00:38:56,220 +المريض بنغمض عينيا I should be closedاللأ حاسس هان + +517 +00:38:56,220 --> 00:39:03,500 +قلم و هنا نفس الشيء هنا و هنا بعمل symmetrical + +518 +00:39:03,500 --> 00:39:06,900 +examination لل pain sensation بقارن ophthalmic مع + +519 +00:39:06,900 --> 00:39:09,320 +ophthalmic maxillary مع maxillary mandibular مع + +520 +00:39:09,320 --> 00:39:13,520 +mandibular هاي واحد، اتنين، ع نفس ال side بقارن ع + +521 +00:39:13,520 --> 00:39:18,880 +نفس ال side ع left side ophthalmicمع maxillary مع + +522 +00:39:18,880 --> 00:39:22,920 +mandibular انا فحصت ايش pain sensation و نفس الشيء + +523 +00:39:22,920 --> 00:39:30,680 +على اليمين بعدين بجيب جطعة قطن او fine + +524 +00:39:30,680 --> 00:39:36,860 +غمض من هناك في شيء لمسك هنحس اللمس نفس الشيء هذا + +525 +00:39:36,860 --> 00:39:42,630 +اسمها crow touch crow touch بجيبأفحص الـ fine + +526 +00:39:42,630 --> 00:39:45,550 +touch الـ fine touch good localized touch + +527 +00:39:45,550 --> 00:39:49,450 +sensation أنا مابدوش أعمله ألم بس لمز، هل في شيء + +528 +00:39:49,450 --> 00:39:55,570 +لمسك؟ ها، هل في شيء لمسك؟ لأن هذي good localized، + +529 +00:39:55,570 --> 00:39:59,130 +هذي fine touch لكن لما أنا لمسته بقطعة قطن أو + +530 +00:39:59,130 --> 00:40:06,070 +بحارم، هذي تعتبر إيش؟ Crowed touch نفحص الـ deep + +531 +00:40:06,070 --> 00:40:13,080 +sensation الـ deep sensationغمض أني أك؟ افتحه قبل + +532 +00:40:13,080 --> 00:40:15,720 +ال deep sensation بفحص temperature sensation بجيب + +533 +00:40:15,720 --> 00:40:19,260 +two tube واحدة فيها شيء بارد واحدة سخنه و بقارن + +534 +00:40:19,260 --> 00:40:22,100 +نفسي ما فحصت ال pain sensation أنا ممكن ماجيبش + +535 +00:40:22,100 --> 00:40:26,000 +إيه؟ tube معايا .. ميا في جيبتي عن طريق الهمع + +536 +00:40:26,000 --> 00:40:31,600 +بتاعي؟ غمض أني أك؟ هاي شيء لمسك و هاي شيء لمسك مين + +537 +00:40:31,600 --> 00:40:35,540 +فيهم بارد؟ الأول ولا الثاني؟ الثاني و بالطريقة هذه + +538 +00:40:35,540 --> 00:40:45,290 +بقارن على الجهة هذهالثاني طب هلجت مين أبرد لأول + +539 +00:40:45,290 --> 00:40:48,230 +يبقى أنا ال metallic مع ال plastic هذا ال plastic + +540 +00:40:48,230 --> 00:40:50,950 +راح يكون أدفع شوية مني مع ال metallic و بقدر اميز + +541 +00:40:50,950 --> 00:40:54,310 +ال temperature sensation فنتاج البعد هلا فحص ال + +542 +00:40:54,310 --> 00:40:58,230 +deep sensation deep sensation joint sensationفتحت + +543 +00:40:58,230 --> 00:41:01,210 +المقرخة؟ هل جيت انا بدي حرك ايه ايه افكه لفوق و + +544 +00:41:01,210 --> 00:41:04,030 +لتحت و هو بدي يجاوبني وين انا حركت، غمض عنيك، + +545 +00:41:04,030 --> 00:41:06,690 +ماتمشيش يعنى، هل جيت ايش وين حركت، فوق و لتحت؟ + +546 +00:41:06,690 --> 00:41:12,490 +لفوق، تمام، فهل جيت؟ لتحت، هل جيت؟ ليمين، هكذا، + +547 +00:41:12,490 --> 00:41:15,910 +اشمال، يبقى ان انا في الحركة هذه بحرك شمال، يمين، + +548 +00:41:15,910 --> 00:41:21,010 +فوق، تحت و بيكون المريض عارف الحركات هذهبنتاج لفحص + +549 +00:41:21,010 --> 00:41:25,130 +ال vibration ال vibration بستخدم turning fork ال + +550 +00:41:25,130 --> 00:41:27,570 +turning fork بمسيكه بالطريقة هذه من تحت مش من فوق + +551 +00:41:27,570 --> 00:41:32,030 +خطأ و لما هضرب عيدي هضرب عشان أحصل ع ال vibration + +552 +00:41:32,030 --> 00:41:36,750 +غامض أناك بدور ع وين فيه bone prominance حاسس إشي + +553 +00:41:36,750 --> 00:41:42,050 +زي رجعة و هان نفس الشيء و هان زي gammatic bone + +554 +00:41:42,050 --> 00:41:45,170 +تمام و هان و بقارن ع الجهتين شمال يمين هذه + +555 +00:41:45,170 --> 00:41:47,610 +vibration sense هذه vibration sense + +556 +00:41:51,770 --> 00:41:56,410 +بنفحص ال motor part لل mastication muscles أول شي + +557 +00:41:56,410 --> 00:41:59,470 +بفحص by inspection بتطلع إذا في deviation of the + +558 +00:41:59,470 --> 00:42:02,490 +jaw، laterally، على ال left، على ال right، تمام، + +559 +00:42:02,490 --> 00:42:06,930 +إذا في inability to open mouth، بعدين، افتح دماغك، + +560 +00:42:06,930 --> 00:42:11,190 +تحت، افتح، تمام، على آخر، على آخر، تمام، second، + +561 +00:42:11,190 --> 00:42:14,310 +زيح على الشمال، على اليمين، even، على الشمال، على + +562 +00:42:14,310 --> 00:42:16,800 +اليمين، على اليمين، عليا، هانا، هانايقول في حالة + +563 +00:42:16,800 --> 00:42:23,040 +هذه أنا فحصت حركة إيش ال .. ال .. ال .. ال .. ال + +564 +00:42:23,040 --> 00:42:26,700 +muscle movement اللي عنده افتحت أمك قم .. قمضوا + +565 +00:42:26,700 --> 00:42:31,680 +هيك على الأخر افتح .. قمضوا حاطيت إيدي في الحركة + +566 +00:42:31,680 --> 00:42:36,100 +هذه و هو بيعمل عملية swallow .. mastications تمام؟ + +567 +00:42:36,100 --> 00:42:39,680 +أنا بفحص اللي هم ال mastication muscles إذا في + +568 +00:42:39,680 --> 00:42:45,660 +أسيمتريا فيهم و نفحص reflexes بلات ال reflexال + +569 +00:42:45,660 --> 00:42:49,540 +palatal reflex و في conjunctivial reflex كل ما راح + +570 +00:42:49,540 --> 00:42:53,660 +أبحثهم معاكوا في العمل في المستشفى ال + +571 +00:42:53,660 --> 00:42:58,700 +conjunctivial reflex لو جيبنا جطعة جوتونستيرا أنا + +572 +00:42:58,700 --> 00:43:01,800 +مش راح أبحثها هنا لإن مافيش جوتونهانجيبنا جطعة قطن + +573 +00:43:01,800 --> 00:43:05,380 +استرال ودخلتها على عينه، راح مباشرة إيه؟ يعمل + +574 +00:43:05,380 --> 00:43:09,440 +closure للـ eye مين شعر؟ مين اللي حاسس؟ الحاسس هو + +575 +00:43:09,440 --> 00:43:11,760 +الـ trigeminal nerve، الـ ophthalmic branch مين + +576 +00:43:11,760 --> 00:43:14,100 +اللي عمل closure للـ eye؟ ال facial nerve، يعني + +577 +00:43:14,100 --> 00:43:16,640 +كان الـ afferent pathway راح يكون trigeminal، + +578 +00:43:16,640 --> 00:43:20,370 +ophthalmicالـ Efferent راح يكون إيش؟ اللي هو + +579 +00:43:20,370 --> 00:43:23,910 +facial nerve عن طريق temporal nerve and upper + +580 +00:43:23,910 --> 00:43:27,150 +zygomatic بنتجل بعدها للبلاتر reflex راح كمان + +581 +00:43:27,150 --> 00:43:29,970 +نفحصه في المستشفى بجيب tongue depressor مابدأ أغلب + +582 +00:43:29,970 --> 00:43:33,270 +مريضنا و .. إفتحت أمك؟ و بال tongue depressor بقى + +583 +00:43:33,270 --> 00:43:41,630 +أنزل لسانه و بجيب ورقة طويلة هيك بثميها و + +584 +00:43:41,630 --> 00:43:46,490 +الورقة هذه بحاول ألمس فيها + +585 +00:43:49,300 --> 00:43:53,140 +بس هيك بحاول ألمس فيها ال soft palate فالطريقة هذه + +586 +00:43:53,140 --> 00:43:56,600 +انا لو لمس ال soft palate راح يشعر يحس بالإحساس ال + +587 +00:43:56,600 --> 00:43:59,780 +maxillary nerve و اللي راح يعمل elevation لل soft + +588 +00:43:59,780 --> 00:44:03,280 +palate هو Vegas nerve مع cranial accessory يبقى ان + +589 +00:44:03,280 --> 00:44:05,980 +ال palate ال reflex راح يكون afferent له a + +590 +00:44:05,980 --> 00:44:09,280 +trigeminal maxillary و afferent راح يكون ال Vegas + +591 +00:44:09,280 --> 00:44:15,770 +مع main مع cranial accessory nervedeep jaw reflex + +592 +00:44:15,770 --> 00:44:20,230 +في عندي اللي هو jaw jerk افتح دماغ شوية شوية شوية + +593 +00:44:20,230 --> 00:44:27,450 +رخيا و بحط أصبعي أقوين الـmental طبيعي يصير mild + +594 +00:44:27,450 --> 00:44:32,810 +closure أو ممكن مايصيرش أي حركة هذا بنسمي jaw jerk + +595 +00:44:32,810 --> 00:44:35,970 +الأفيرانت والإفيرانت لإله mandibular nerve + +596 +00:44:35,970 --> 00:44:40,270 +mandibular nerve أفيرانت and إفيرانت طريقة هذه أنا + +597 +00:44:40,270 --> 00:44:44,020 +بكون فحص الـtrigeminal nerveلو صار lesion في + +598 +00:44:44,020 --> 00:44:47,360 +تراجبنا الـ nerve ممكن نعمل تراجبنا الـ neuralgia + +599 +00:44:47,360 --> 00:44:49,420 +راح ناخد فيها محاضرة ان شاء الله في الـ cranial + +600 +00:44:49,420 --> 00:44:53,340 +nerves هو الـ facial nerve ممكن يصير معنا loss of + +601 +00:44:53,340 --> 00:44:56,480 +sensation over the face إذا كان هذه secondary + +602 +00:44:56,480 --> 00:44:59,040 +تراجبنا الـ neuralgia بيكون loss of sensation في + +603 +00:44:59,040 --> 00:45:03,320 +ال primary تراجبنا الـ neuralgia without sensory + +604 +00:45:03,320 --> 00:45:09,050 +deficit motor affectionبنكون عندنا weakness of the + +605 +00:45:09,050 --> 00:45:13,290 +mastication muscles and the jaw is deviated to the + +606 +00:45:13,290 --> 00:45:17,890 +side of lesion in bilateral lesion inability to + +607 +00:45:17,890 --> 00:45:24,130 +open mouth ننتقل الآن للعصب السابع facial nerve + +608 +00:45:24,130 --> 00:45:26,970 +examination في ال facial nerve examination ده شوية + +609 +00:45:26,970 --> 00:45:30,450 +ده شوية كفش استريحة + +610 +00:45:33,240 --> 00:45:36,380 +في ال facial nerve examination نفس الشيء هذا + +611 +00:45:36,380 --> 00:45:42,000 +mainly motor nerve راح أبدأ بال inspection بال + +612 +00:45:42,000 --> 00:45:46,570 +inspection أنا بتطلع على المريضبتطلع إذا في ال + +613 +00:45:46,570 --> 00:45:50,370 +blinking symmetrical أو لا بتطلع على ال blinking + +614 +00:45:50,370 --> 00:45:53,090 +يعني أنا ممكن أشخص حالة بالزبالص بس بال inspection + +615 +00:45:53,090 --> 00:45:56,570 +مجرد ما أطلع على رمشة العين عيني بترمش عيني لأ + +616 +00:45:56,570 --> 00:45:58,690 +يبقى في مشكلة هنا يبقى أنا بتطلع على ال blinking + +617 +00:45:58,690 --> 00:46:06,530 +of the eyes بتطلع على wrinkles تجعيد الجبين من فوق + +618 +00:46:06,530 --> 00:46:15,330 +تمام و بتطلع على ايه على nasolabial foldو بتطلع ده + +619 +00:46:15,330 --> 00:46:18,650 +فيه drop mouth angle كل هذا بال inspection بال + +620 +00:46:18,650 --> 00:46:22,450 +inspection يقول هذا بال inspection بعد هيك باعطي + +621 +00:46:22,450 --> 00:46:27,470 +المريض a order ارفع حواجبك لفوق بشوف ال + +622 +00:46:27,470 --> 00:46:31,930 +symmetrical of forehead wrinkles غمض عينيك جوي + +623 +00:46:31,930 --> 00:46:35,790 +بحاول ايه افتحهم هو يعملي resistant بتطلع في ال + +624 +00:46:35,790 --> 00:46:39,890 +eye closure وارجيني أسنانك بتطلع على ال mouth + +625 +00:46:39,890 --> 00:46:43,620 +deviation symmetrical ولا لأ انفخوبعمل ال pressure + +626 +00:46:43,620 --> 00:46:47,680 +عليه يبقى فى الطريقة هذه انا فحصله ال facial + +627 +00:46:47,680 --> 00:46:52,360 +muscles وبنفحص ال sensory part عن طريق اللى هو ال + +628 +00:46:52,360 --> 00:46:55,860 +corda timbana بنفحص ال taste sensation على ال + +629 +00:46:55,860 --> 00:46:58,720 +anterior two thirds of the tongue right او left + +630 +00:46:58,720 --> 00:47:02,400 +ممكن نفحص شيء مالح شيء مره شيء حلو لل anterior two + +631 +00:47:02,400 --> 00:47:06,780 +thirds of the tongue اللى اللى هوchordة تم بناء + +632 +00:47:06,780 --> 00:47:10,820 +nerve reflexes مع ال facial nerve بنفحص ال corneal + +633 +00:47:10,820 --> 00:47:14,320 +أو conjunctiva يا ال reflex زي ما اتفقنا الآن في + +634 +00:47:14,320 --> 00:47:18,060 +تراجيم ال nerve بنجيب جطعة جطون تمام معاقبة بتكون + +635 +00:47:18,060 --> 00:47:22,200 +و بفحص ال eye بحاول تلمس ال conjunctiva على ال + +636 +00:47:22,200 --> 00:47:25,060 +right و على ال left مجرد ما ألمسها إيش راح يصير مع + +637 +00:47:25,060 --> 00:47:28,550 +المريض؟ راح يصير معاه closure لل eyeمين الحس شعار + +638 +00:47:28,550 --> 00:47:32,790 +هو الـ ophthalmic of trigeminal ومين عملنا closure + +639 +00:47:32,790 --> 00:47:37,170 +اللي هو facial nerve عن طريق ال temporal nerve and + +640 +00:47:37,170 --> 00:47:38,490 +aparthigomatic nerve + +641 +00:47:41,610 --> 00:47:45,870 +هي إن مرضى هذا المريض عنده left-side Bell's pulse + +642 +00:47:45,870 --> 00:47:48,950 +عنده loss of wrinkles على الـ left inability to + +643 +00:47:48,950 --> 00:47:52,110 +complete closure of the eye هاي شايفين Bell's + +644 +00:47:52,110 --> 00:47:56,830 +phenomena الـ sclera واضحة البياض تعالين في أن هنا + +645 +00:47:56,830 --> 00:48:00,910 +واضح drop mouth angle على الـ left-side وبنلاحظ + +646 +00:48:00,910 --> 00:48:04,630 +دايما في الـ Bell's pulse بيصير deviation للمouth + +647 +00:48:04,630 --> 00:48:08,010 +على ال intact side يعني هذا المريض كمان عنده left + +648 +00:48:08,010 --> 00:48:11,370 +-side Bell's pulseبنتاج البعدها ل + +649 +00:48:11,370 --> 00:48:15,210 +vestibulocochlear nerve examination examination of + +650 +00:48:15,210 --> 00:48:19,250 +the cochlear components of the vestibulocochlear + +651 +00:48:19,250 --> 00:48:25,510 +nerve test by whispering numbers into one ears + +652 +00:48:25,510 --> 00:48:32,810 +بحاول أسكر أدانكها دلشمال أسكرها دانك دانك بحاول + +653 +00:48:32,810 --> 00:48:37,390 +أتكلم معاه whispering همس بدون ما يشوف كلام ممكن + +654 +00:48:37,390 --> 00:48:46,730 +أسكر على طميح إيش اسمك؟كيف حالك؟ وين ساكن؟ وين + +655 +00:48:46,730 --> 00:48:55,210 +ساكن؟ تمام، ساكر عيني .. دهن اليامين قدش + +656 +00:48:55,210 --> 00:48:59,970 +عمرك؟ سبعة و تلاتة Okay، يبقى أن أنا عملت + +657 +00:48:59,970 --> 00:49:03,730 +whispering test اتأكدت أنه بسمع في الجهتين سليم، + +658 +00:49:03,730 --> 00:49:07,710 +بعدها بنتقل لشيء اسمه web artist ال web artist + +659 +00:49:07,710 --> 00:49:14,240 +بجيب turning forkو بحطها طبيعي وين؟ في ال head في + +660 +00:49:14,240 --> 00:49:19,340 +النص طبيعي راح يسمع يقولي سامع في النص سامع رجة أو + +661 +00:49:19,340 --> 00:49:22,560 +رانين أو طانين في النص يبقى هذا بتدل إن ال ears + +662 +00:49:22,560 --> 00:49:28,460 +سليمة لكن تصور إنه ال ears فيها مشكلة المريض بسمعش + +663 +00:49:28,460 --> 00:49:32,320 +على اليمين بسمعش على اليمين و هنا حاطناها في + +664 +00:49:32,320 --> 00:49:36,060 +اليمينوقال لي دكتور صرت أسمع على اليمين أكتر من + +665 +00:49:36,060 --> 00:49:39,060 +الشمال يبقى هنا مشكلة في الأذن نفسها هذه بنسميها + +666 +00:49:39,060 --> 00:49:42,480 +conductive deafness هذا بنسميها conductive + +667 +00:49:42,480 --> 00:49:45,000 +deafness ليه صار يسمع على اليمين أكتر من الشمال + +668 +00:49:45,000 --> 00:49:50,320 +لأن الأذن ما بتدخل الضجة الخارجية والأصوات + +669 +00:49:50,320 --> 00:49:53,500 +الخارجية الصوت بيكون بالنسبة لها مركز راح تسمع في + +670 +00:49:53,500 --> 00:49:56,660 +اليمين أكتر لكن تصوروا مريض بسمعش على اليمينوحطينا + +671 +00:49:56,660 --> 00:49:59,580 +ال turning fork في النص جالي يا دكتور بسمعش على + +672 +00:49:59,580 --> 00:50:01,880 +اليمين بسمعش اللي على الشمال يبقى هاد المشكلة مش + +673 +00:50:01,880 --> 00:50:04,620 +في الأذن نفسها المشكلة في ال nerve هاد ال sensor + +674 +00:50:04,620 --> 00:50:08,120 +neural deafness يبقى ال web artist placed turning + +675 +00:50:08,120 --> 00:50:12,380 +fork in the middle of head في الطبيعي normally + +676 +00:50:12,380 --> 00:50:17,680 +vibration are heard in the middle of head طيب يبقى + +677 +00:50:17,680 --> 00:50:20,180 +في الطبيعي بتكون مسموعة وين ال vibration وين بتكون + +678 +00:50:20,180 --> 00:50:25,350 +مسموعة في نص الرأسلكن لو كان المشكلة في الأذن وهذا + +679 +00:50:25,350 --> 00:50:27,870 +مشكلة أنا في أذن الحنجرة مش تخصصنا conductive + +680 +00:50:27,870 --> 00:50:30,970 +deafness ال vibration راح تكون مسموعة وين أكتر؟ + +681 +00:50:30,970 --> 00:50:34,670 +على ال affected side على الجزء اللي مصاب أو اللي + +682 +00:50:34,670 --> 00:50:38,910 +بيشكي منه المريض بيسمعش لو المشكلة في ال nerve ال + +683 +00:50:38,910 --> 00:50:42,790 +vibration راح تكون مسموعة أحسن عن normal side نجي + +684 +00:50:42,790 --> 00:50:50,090 +لـRenetest Renetest بنستخدم turning fork مين أفضل؟ + +685 +00:50:50,090 --> 00:50:54,580 +ال bone conductionولا ال air conduction الأفضل + +686 +00:50:54,580 --> 00:51:01,580 +اللي هو ال ايه؟ air conduction طلع هنا حاسس تانين؟ + +687 +00:51:01,580 --> 00:51:14,580 +لما نخلص قول لي خلص تانين ضايل؟ + +688 +00:51:14,580 --> 00:51:21,460 +خلص؟ هلجيت؟سمع اه يبقى انت شايفين Air conduction + +689 +00:51:21,460 --> 00:51:26,400 +is better than bone conduction مريض عنده في ال + +690 +00:51:26,400 --> 00:51:31,180 +normal في ال رينيتست في ال normal هيو رينيتست Air + +691 +00:51:31,180 --> 00:51:35,380 +conduction is better than bone conduction مافي + +692 +00:51:35,380 --> 00:51:39,880 +خلاف على الكلمة ده نصور المريض عنده مشكلة في + +693 +00:51:39,880 --> 00:51:42,980 +الأدنى اليسرى انا لما لا ابحث رينيه و ويبر لازم + +694 +00:51:42,980 --> 00:51:46,300 +ابحث يمين و شمال عنده مشكلة في الأدنى اليسرى بسمعش + +695 +00:51:46,300 --> 00:51:51,730 +اليسرى كويسحطينا على الـ Mastoid قال لي دكتور + +696 +00:51:51,730 --> 00:51:56,650 +سامعي كويس بسمع هنا هيك مش سامعي المريض هذا صار + +697 +00:51:56,650 --> 00:52:00,350 +عنده الـ bone conduction أو بسمع في الـ bone أكثر + +698 +00:52:00,350 --> 00:52:02,910 +من مين من الـ ear يبقى الـ bone conduction is + +699 +00:52:02,910 --> 00:52:06,530 +better than ear conduction يبقى هنا المشكلة وين في + +700 +00:52:06,530 --> 00:52:09,090 +الأذن هذه مشكلة أنف أذن حنجرة بإننا نتراجع دكتور + +701 +00:52:09,090 --> 00:52:11,650 +أنف أذن حنجرة ممكن يكون عنده otitis media or + +702 +00:52:11,650 --> 00:52:14,370 +rupture of tympanic membrane مشكلة داخلية في الأذن + +703 +00:52:14,370 --> 00:52:18,720 +ما لنا علاقة فيها لكنفي حال المريض يسمعاش على + +704 +00:52:18,720 --> 00:52:23,580 +الشمالسامع؟ قال لي لأ مش سامع و أنا مش سامع مش + +705 +00:52:23,580 --> 00:52:26,800 +حاسس بال vibration لا في ال bone ولا في ال ear + +706 +00:52:26,800 --> 00:52:30,580 +يبقى ان بتكلم على sensorineural deafness بتكلم على + +707 +00:52:30,580 --> 00:52:33,460 +ايه؟ sensorineural deafness يبقى ان في حالتي هذه + +708 +00:52:33,460 --> 00:52:37,360 +في ال rhinitis ال normal air conduction is better + +709 +00:52:37,360 --> 00:52:41,100 +than bone conduction في ال conductive deafness ال + +710 +00:52:41,100 --> 00:52:44,960 +bone is better than ear conduction و in ear + +711 +00:52:44,960 --> 00:52:50,630 +deafness both ear and bone are diminishedفي + +712 +00:52:50,630 --> 00:52:54,190 +examination of vestibular components بنفحص الـ + +713 +00:52:54,190 --> 00:52:57,950 +oculovestibular reflex هذا كتير بنفحصه في موضوع + +714 +00:52:57,950 --> 00:53:02,510 +العناية المركزة بنسميه caloric test في حال أننا + +715 +00:53:02,510 --> 00:53:04,770 +بننميز المريض عنده brain death و لا مافيش عنده + +716 +00:53:04,770 --> 00:53:08,310 +brain death إيش بنسويه للمرض هدول؟المريض + +717 +00:53:08,310 --> 00:53:10,150 +conscientious ما راح أجيب ice water و أحطله في + +718 +00:53:10,150 --> 00:53:13,250 +دانو، بنفحص للمريض في غيبوبة، و بنالميز عنده mode + +719 +00:53:13,250 --> 00:53:15,630 +دماغي ولا مافيه mode دماغي، المريض بيكون نايم + +720 +00:53:15,630 --> 00:53:18,610 +سوباين أكيد، المريض على mechanical ventilation راح + +721 +00:53:18,610 --> 00:53:22,110 +يكون، جهاز تنافذ صناعي، بروح بعمله irrigation of + +722 +00:53:22,110 --> 00:53:25,790 +ice water في الـexternal auditory meatus، إذا كان + +723 +00:53:26,860 --> 00:53:29,800 +صار عنده deviation للـ eyes على ال site of + +724 +00:53:29,800 --> 00:53:33,260 +irrigation with any stigmas اتحركت لإيه؟ يبقى أنا + +725 +00:53:33,260 --> 00:53:36,600 +باطمئن بكون الحمد لله ال brain stem intact يبقى ان + +726 +00:53:36,600 --> 00:53:39,660 +انا بكون intact ال brain stem لكن لو كان هذا ال + +727 +00:53:39,660 --> 00:53:43,720 +symptom lostأو الـ signs هذا lost مين بيكون عنده + +728 +00:53:43,720 --> 00:53:46,920 +brain death لازم أكمل فحصي و أشوف كل ال symptoms + +729 +00:53:46,920 --> 00:53:50,180 +lost ولا لأ الـ Electrostigmography هذا مش + +730 +00:53:50,180 --> 00:53:52,920 +examination الـ Electrostigmography أو ديومتريه + +731 +00:53:52,920 --> 00:53:56,500 +هذا بيروح لموضوع ال investigations أكتر + +732 +00:53:56,500 --> 00:53:59,960 +investigations و بنفحص نستاجماس إذا في horizontal + +733 +00:53:59,960 --> 00:54:03,260 +نستاجماس أو vertical نستاجماس و أنا فحصتهم مع مين + +734 +00:54:04,110 --> 00:54:06,990 +لما بحث الـ Ocular Movement، بنحدد ده فيه نوع + +735 +00:54:06,990 --> 00:54:10,170 +نستيقماس، واش نوع النستيقماس، هل هو horizontal، هل + +736 +00:54:10,170 --> 00:54:13,670 +هو vertical نستيقماس، unilateral، bilateral؟ + +737 +00:54:13,670 --> 00:54:17,510 +lesion of vestibulocochlear nerve lesion of the + +738 +00:54:17,510 --> 00:54:21,210 +cochlear division، ممكن يكون تنتاستانين في ال + +739 +00:54:21,210 --> 00:54:25,790 +irritation أو deafness في ال destruction، lesion + +740 +00:54:25,790 --> 00:54:28,830 +في ال vestibular division، ممكن يكون vertigo، + +741 +00:54:28,830 --> 00:54:32,250 +spontaneous nestigmas، epsilateral in coordination + +742 +00:54:33,960 --> 00:54:37,320 +Examination of a Glossopharyngeal and Vagas nerve + +743 +00:54:37,320 --> 00:54:40,360 +Glossopharyngeal و Vagas nerve هدول mixed nerve + +744 +00:54:40,360 --> 00:54:45,040 +لإن نفحص الموتر الموتر بفحصه by inspection أول شيء + +745 +00:54:45,040 --> 00:54:48,810 +بفتحت أم المريض افتحت أمكby inspection بتطلع + +746 +00:54:48,810 --> 00:54:53,010 +اليوفلة هل هي centralized ولا deviated على right + +747 +00:54:53,010 --> 00:54:56,530 +او left ثانيا بانظر على ايه ال soft palate يكون + +748 +00:54:56,530 --> 00:55:00,910 +معايا ال torch بتاعي او تمام بتطلع على ال soft + +749 +00:55:00,910 --> 00:55:03,750 +palate هل هم symmetrical ولا لأ بعدين بطلب من + +750 +00:55:03,750 --> 00:55:08,330 +المريض قول اهفي الحالة هذه كمان اشوف بتطلع اذا في + +751 +00:55:08,330 --> 00:55:11,810 +عندنا deviation لليوفلة في عندنا drop في ال soft + +752 +00:55:11,810 --> 00:55:15,670 +palate او لا بفحصلهم ال palatal reflex و ال + +753 +00:55:15,670 --> 00:55:18,610 +pharyngeal reflex و ال palatal reflex و ال + +754 +00:55:18,610 --> 00:55:21,210 +pharyngeal reflex و راح افحصهم ان شاء الله في + +755 +00:55:21,210 --> 00:55:24,830 +المستشفى نفس الشيء بنجيب tongue depressor و بضغط + +756 +00:55:24,830 --> 00:55:27,930 +على لسان و بلمس ال palate بشوف بيصير elevation على + +757 +00:55:27,930 --> 00:55:29,630 +ال right و على ال left symmetrical ولا لا هذا + +758 +00:55:29,630 --> 00:55:32,730 +بيكون اسمه palatal reflex ال palatal reflex مشترك + +759 +00:55:32,730 --> 00:55:37,890 +ما بين maxillary nerveof trigeminal مع الهو Vegas + +760 +00:55:37,890 --> 00:55:42,270 +و cranial accessory بنفحص ال pharyngeal reflex أو + +761 +00:55:42,270 --> 00:55:45,590 +بنسميه gag reflex نفس الشي طريقة بعمل tongue + +762 +00:55:45,590 --> 00:55:48,830 +depressor بضغط على لسان المريض و بديب ورقة بس + +763 +00:55:48,830 --> 00:55:52,490 +بلمسش ال soft palate بروح deep ألمس من ال + +764 +00:55:52,490 --> 00:55:55,050 +posterior wall of the pharynx على ال right و على + +765 +00:55:55,050 --> 00:55:57,750 +ال left في الحالة ده مش هقعد أحط الورقة و أقعد + +766 +00:55:57,750 --> 00:56:00,690 +أنتظر و أعيد مرة مرتين اللي هو المريض عمل vomiting + +767 +00:56:00,690 --> 00:56:04,280 +عليا بسرعةبلمس الـ posterior wall of the pharynx + +768 +00:56:04,280 --> 00:56:07,000 +وبطلع بسرعة لأن ممكن المريض يعمل لها vomiting من + +769 +00:56:07,000 --> 00:56:11,780 +الـ irritation of vomiting receptors ممكن يصير لنا + +770 +00:56:11,780 --> 00:56:15,300 +isolated vagus nerve lesion في حالات الـ thyroid + +771 +00:56:15,300 --> 00:56:19,300 +cancer أو thyroid surgery أو neck surgery لما يصير + +772 +00:56:19,300 --> 00:56:23,220 +دمج للـ vagus nerve alone أو لبرانش من الـ vagus + +773 +00:56:23,220 --> 00:56:26,040 +nerve زي الـ recurrent laryngeal nerve بنفحص الـ + +774 +00:56:26,040 --> 00:56:29,160 +speechواحنا اتكلمنا في البداية عن ال speech إذا في + +775 +00:56:29,160 --> 00:56:32,680 +عنده dysphonia، dysarthria، بنفحص ال swallowing، + +776 +00:56:32,680 --> 00:56:36,140 +بنجيب إشي و بنشرب المريض، بنفحص ال swallowing إذا + +777 +00:56:36,140 --> 00:56:40,300 +في عنده dysphagia، بدنا نحدد ال dysphagia هل هي ل + +778 +00:56:40,300 --> 00:56:43,880 +liquids، أكتر شيء تكون هذه neurogenic dysphagia أو + +779 +00:56:43,880 --> 00:56:49,800 +ل solid، هذه بتكون abstractive dysphagia Legion of + +780 +00:56:49,800 --> 00:56:53,550 +Glossopharyngeal nerveLoss of taste and general + +781 +00:56:53,550 --> 00:56:56,750 +sensation from the posterior one-third of the + +782 +00:56:56,750 --> 00:56:59,010 +tongue، أنتوا عارفين؟ Lingual nerve of + +783 +00:56:59,010 --> 00:57:01,770 +glossopharyngeal supply the posterior one-third of + +784 +00:57:01,770 --> 00:57:04,510 +the tongue Loss of sensation in the pharynx + +785 +00:57:04,510 --> 00:57:08,260 +Ipsilateral loss of pharyngeal reflexsome + +786 +00:57:08,260 --> 00:57:10,920 +pharyngeal weakness يعني ما بيكونش في ال .. إذا + +787 +00:57:10,920 --> 00:57:13,960 +كان isolated الـ Glossopharyngeal nerve lesion ما + +788 +00:57:13,960 --> 00:57:17,440 +بيكون واضحة كتير ال dysphagia لأن هو ال + +789 +00:57:17,440 --> 00:57:20,960 +Glossopharyngeal nerve supply only one muscle اللي + +790 +00:57:20,960 --> 00:57:25,920 +هي main اللي هي silopharyngeus muscle lesion of + +791 +00:57:25,920 --> 00:57:30,200 +vagus nerve palatal paralysis بيلاقي nasal tone of + +792 +00:57:30,200 --> 00:57:33,990 +speech المريض بيحكي زي ايه أخناف اتنينdrop of + +793 +00:57:33,990 --> 00:57:38,750 +palatal arch on paralyzed side and shift uvula to + +794 +00:57:38,750 --> 00:57:41,150 +opposite side يبقى لو طلعنا على المريض بيقولنا لو + +795 +00:57:41,150 --> 00:57:44,970 +افتحتوا معاك بيقول اه بيلاقي drop على نفس ال side + +796 +00:57:44,970 --> 00:57:48,190 +اللي فيه lesion drop ال soft palate و elevation + +797 +00:57:48,190 --> 00:57:52,450 +على ال intact و ال uvula راح تروح وين تتجه مع + +798 +00:57:52,450 --> 00:57:55,510 +الجهة اللي فيها elevation راح يصير shift لل uvula + +799 +00:57:55,510 --> 00:57:58,790 +على ال intact side راح نلاقي عند المرضى هدول fluid + +800 +00:57:58,790 --> 00:58:04,400 +regerge loss of palatal reflexفرنجيال برالسس، + +801 +00:58:04,400 --> 00:58:08,780 +نيروجينك ديسبانيا، loss of pharyngeal reflex، + +802 +00:58:08,780 --> 00:58:13,220 +لارنجيال برالسس، hoarseness of voice أو ديسبانيا و + +803 +00:58:13,220 --> 00:58:16,480 +other symptoms ممكن يكون معهم تاكيكارديا and + +804 +00:58:16,480 --> 00:58:20,570 +constipationLegion and examination of accessory + +805 +00:58:20,570 --> 00:58:23,130 +nerve على الكراين الـ accessory أنا شرحته مع الـ + +806 +00:58:23,130 --> 00:58:26,590 +Vegas nerve بقى عندي spinal accessory في الـ + +807 +00:58:26,590 --> 00:58:28,970 +spinal accessory هو الـ spinal accessory supply + +808 +00:58:28,970 --> 00:58:32,130 +two muscles sternocleidomastoid muscle and + +809 +00:58:32,130 --> 00:58:38,090 +trapezius muscle sternocleidomastoid muscle ايش + +810 +00:58:38,090 --> 00:58:40,970 +وضفتها تعملناternal head and neck على ال opposite + +811 +00:58:40,970 --> 00:58:44,610 +side ال right بتحرك على ال left و ال leftتحرك على + +812 +00:58:44,610 --> 00:58:47,690 +ال right و ال trapezius muscle تعمل shoulder + +813 +00:58:47,690 --> 00:58:50,830 +shrugging زي هيك حركة هذه shoulder shrugging لو + +814 +00:58:50,830 --> 00:58:54,350 +عندي مشكلة راح أكون drop وين في one shoulder drop + +815 +00:58:54,350 --> 00:58:57,610 +one shoulder كيف أفحصهم أعمل examination لل + +816 +00:58:57,610 --> 00:59:00,470 +sternocleidomastoid muscle بطلب من المريض أنا بدأ + +817 +00:59:00,470 --> 00:59:02,910 +أفحص ال right sternocleidomastoid muscle بحط إيدي + +818 +00:59:02,910 --> 00:59:06,050 +مش بس مش أخلع رجبة المريض بحط إيدي على خده على + +819 +00:59:06,050 --> 00:59:09,490 +الجهة الشمال حرك رجبتك و راسك على الشمال حرك على + +820 +00:59:09,490 --> 00:59:12,070 +الشمال لف راسك على الشمالو انا و ايه بعمله + +821 +00:59:12,070 --> 00:59:14,890 +resistant؟ عاليمين في الحالة هذه انا فحص ايه؟ + +822 +00:59:14,890 --> 00:59:18,990 +right sternocleidomastoid muscle حرك عاليمين و انا + +823 +00:59:18,990 --> 00:59:23,450 +بعمله ايه؟ resistant عالشمال انا بفحص جاعد مين؟ + +824 +00:59:23,450 --> 00:59:27,690 +اللي هو left sternocleidomastoid muscle نجب نبدأ + +825 +00:59:27,690 --> 00:59:31,070 +examination بتطلع inspection كمان inspection بتطلع + +826 +00:59:31,070 --> 00:59:33,310 +ب inspection في deviation لل head و ال neck على + +827 +00:59:33,310 --> 00:59:36,050 +one side ولا لأ؟ في drop في ال shoulder ولا لأ؟ + +828 +00:59:36,520 --> 00:59:40,500 +تمام؟ هذا by inspection بعدين بعمل ايه؟ ال .. بقيم + +829 +00:59:40,500 --> 00:59:43,700 +حركة ال sternocleidomastoid muscle و بقيم حركة ال + +830 +00:59:43,700 --> 00:59:47,400 +trapezius muscle ارفع إيدك لفوق كتفك لفوق كتف لفوق + +831 +00:59:47,400 --> 00:59:51,360 +ارفع و أنا بضغط يبقى ان انا ببحث مين جاعد ببحث في + +832 +00:59:51,360 --> 00:59:57,460 +sternum .. اه في أسف في trapezius muscle أخر + +833 +00:59:57,460 --> 01:00:00,200 +nerve من ال cranial nerves اللي هو hypoglossal + +834 +01:00:00,200 --> 01:00:05,090 +nerve، hypoglossal nerve ببدأ بال inspectionافتحت + +835 +01:00:05,090 --> 01:00:07,450 +أمك أول شي بتطلع قبل ما يحرك لسانه و ما يطلع لسانه + +836 +01:00:07,450 --> 01:00:11,430 +بتطلع بـinspection إذا فيه deviationبطلع إذا فيه + +837 +01:00:11,430 --> 01:00:14,870 +wasting atrophy، إذا فيه involuntary movement، إذا + +838 +01:00:14,870 --> 01:00:19,570 +في عنده change في ال color، إذا في عنده .. بعد هيك + +839 +01:00:19,570 --> 01:00:22,530 +بفحص اللي إذا فيه dimpling، بطلع لسانه، بحط tongue + +840 +01:00:22,530 --> 01:00:25,610 +depressor تحت لسان، و بعدين بعمل إيه؟ percussion + +841 +01:00:25,610 --> 01:00:29,150 +على لسان، ممكن يصير معه dimpling، تجوير، و يصير + +842 +01:00:29,150 --> 01:00:32,970 +contraction في ال muscle with delay of relaxation + +843 +01:00:32,970 --> 01:00:36,430 +في حالات الmyotonia، myotonia ممكن نشوف ال symptom + +844 +01:00:36,430 --> 01:00:39,390 +هذا اللي هو dimpling of the tongue، in myotonia + +845 +01:00:39,390 --> 01:00:43,020 +بشكلممكن تطلع إذا فيه ulcers في ال mouth أو في ال + +846 +01:00:43,020 --> 01:00:46,220 +tongue زي حالات بيهجة ال disease إذا فيه عندنا a + +847 +01:00:46,220 --> 01:00:50,520 +red gloss زي حالات ال vitamin B12 دي في شانسي بفحص + +848 +01:00:50,520 --> 01:00:52,800 +ال muscle power إيش ال muscle power؟ طلع لسانك + +849 +01:00:52,800 --> 01:00:56,900 +برا، بهنا كمان بفحصه لما نخرج لسانه ولا خارج تطلع + +850 +01:00:56,900 --> 01:00:59,700 +إذا فيه deviation، تطلع ال color، على إيه الأترو + +851 +01:00:59,700 --> 01:01:01,760 +فيه ولا لأ إيش في ال muscle power؟ ان شاء الله + +852 +01:01:01,760 --> 01:01:04,980 +أمسك لسانه و أحرقه بيدي، ممنوع يقولون كيف أفحص ال + +853 +01:01:04,980 --> 01:01:11,110 +muscle power؟ أدخل لسانك جوا، أعمل بهناهو بيعمل .. + +854 +01:01:11,110 --> 01:01:13,810 +أنا بعمله pressure هو بيحرك على الشمال و أنا بعمله + +855 +01:01:13,810 --> 01:01:17,070 +pressure أنا ببحث نص لسانه اليمين و ببحث ال right + +856 +01:01:17,070 --> 01:01:20,090 +hypoglossal nerve و ببحث ال right hypoglossal + +857 +01:01:20,090 --> 01:01:24,890 +nucleus و ببحث ال left corticonuclear tract بيحرك + +858 +01:01:24,890 --> 01:01:28,810 +على اليمين بيحرك على اليمين أنا ببحث نص لسانه + +859 +01:01:28,810 --> 01:01:32,630 +الشمالleft half of the tongue بفحص left + +860 +01:01:32,630 --> 01:01:36,170 +hypoglossal nerve بفحص left hypoglossal nucleus و + +861 +01:01:36,170 --> 01:01:38,750 +بفحص right corticonuclear tract right + +862 +01:01:38,750 --> 01:01:43,650 +corticonuclear tract lesion + +863 +01:01:43,650 --> 01:01:46,870 +of the hypoglossal nerve upper motoneuron + +864 +01:01:46,870 --> 01:01:49,850 +unilateral lesion في ال upper motoneuron يعني + +865 +01:01:49,850 --> 01:01:53,630 +بتكلم على corticonuclear tract lesion deviation of + +866 +01:01:53,630 --> 01:01:56,630 +the tongue رجاء حار ترجع للنيرو أنتمي في سنة ثانية + +867 +01:01:56,630 --> 01:02:02,500 +كله شرحناهالتنقل الوطني للجذب إلى الجانب العلوي + +868 +01:02:02,500 --> 01:02:06,380 +للتنقلdamage of corticonuclear tract زي ما بنشوف + +869 +01:02:06,380 --> 01:02:09,820 +في حالات الـ stroke أو الـ tumors in bilateral + +870 +01:02:09,820 --> 01:02:13,520 +lesion in ability to protrude tongue زي ما بنشوف + +871 +01:02:13,520 --> 01:02:17,440 +في حالات pseudo bulbar syndrome وفي lower motor + +872 +01:02:17,440 --> 01:02:21,040 +neuron lesion مشكلة هذه bulbar ممكن يكون bulbar + +873 +01:02:21,040 --> 01:02:24,220 +syndrome مشكلة في الـ nuclei in the brainstem ممكن + +874 +01:02:24,220 --> 01:02:26,760 +تكون مشكلة في الـ nerves زي الـ GBS ممكن تكون + +875 +01:02:26,760 --> 01:02:30,000 +مشكلة في neuromuscular junction زي myasthenia + +876 +01:02:30,000 --> 01:02:32,900 +gravis ممكن تكون مشكلة في الـ muscle نفسه زي ايش + +877 +01:02:32,900 --> 01:02:37,390 +اللي هو muscular dystrophyهنا بيكون unilateral + +878 +01:02:37,390 --> 01:02:41,470 +lesion deviation of the tongue to the same side طب + +879 +01:02:41,470 --> 01:02:44,150 +ليش في ال upper motor neuron على ال opposite side + +880 +01:02:44,150 --> 01:02:47,630 +ليه؟ لأنه ال corticonuclear tract ال left بيعطي لل + +881 +01:02:47,630 --> 01:02:51,010 +right و corticonuclear tract right بيعطي left و + +882 +01:02:51,010 --> 01:02:56,110 +احنا عارفين هي عندي نص لسان يمين و نص لسان شمال نص + +883 +01:02:56,110 --> 01:03:00,870 +لسان اليمين ال normalالـ movement بدفع على الشمال، + +884 +01:03:00,870 --> 01:03:03,910 +اليمين بدفع على الشمال، والشمال بدفع على اليمين، + +885 +01:03:03,910 --> 01:03:07,410 +هذا طبيعي، يقول هي عندي نص لسان يمين، أخد من أي + +886 +01:03:07,410 --> 01:03:12,570 +نيرف، right hypoglossal nerveأخذ من الـ right + +887 +01:03:12,570 --> 01:03:14,650 +hypoglossal nucleus، أخذ من الـ left + +888 +01:03:14,650 --> 01:03:17,450 +corticonuclear tract، وظيفته راح يعمل deviation + +889 +01:03:17,450 --> 01:03:21,490 +للـ tongue to the left، العكس صحيح، الـ left half + +890 +01:03:21,490 --> 01:03:24,850 +of the tongue، باخد من الـ left hypoglossal nerve، + +891 +01:03:24,850 --> 01:03:27,570 +left hypoglossal nucleus، right corticonuclear + +892 +01:03:27,570 --> 01:03:30,290 +tract، بيعمل deviation للـ tongue to the right، + +893 +01:03:30,290 --> 01:03:32,510 +للـ tongue بيعمله deviation إيه؟ to the right، + +894 +01:03:32,510 --> 01:03:37,290 +يبقىفي الـ unilateral lesion بيصير عندنا deviation + +895 +01:03:37,290 --> 01:03:40,410 +of the tongue to the same side of lesion زي ما + +896 +01:03:40,410 --> 01:03:43,450 +بيشوف hypoglossal nucleus lesion أو nerve lesion + +897 +01:03:43,450 --> 01:03:48,550 +في الـ bilateral inability to protrude tongue و in + +898 +01:03:48,550 --> 01:03:52,270 +both lower motor neuron lesion بيكون معهم في + +899 +01:03:52,270 --> 01:03:55,450 +الlower motor neuron early muscle wasting muscle + +900 +01:03:55,450 --> 01:03:58,230 +hypotrophy و بيكون معهم muscle fasciculation + +901 +01:03:58,230 --> 01:04:01,190 +muscle fasciculationهي المريض عنده tongue + +902 +01:04:01,190 --> 01:04:04,890 +deviation على الـ left قد تكون الدمج lower + +903 +01:04:04,890 --> 01:04:08,210 +motoneuron إذا كانت lower motoneuron راح يكون وين؟ + +904 +01:04:08,210 --> 01:04:11,830 +في الـ left nerve أو left nucleus طب إذا كان upper + +905 +01:04:11,830 --> 01:04:15,530 +motoneuron راح يكون وين؟ في الـ right cerebral + +906 +01:04:15,530 --> 01:04:18,530 +hemisphere كيف أحدد هذا upper motoneuron على lower + +907 +01:04:18,530 --> 01:04:22,050 +motoneuron؟ بروح أطلع على الـ hemiplegia على إيه؟ + +908 +01:04:22,050 --> 01:04:23,870 +على الـ hemiplegia إذا لجينا المريض عنده tongue + +909 +01:04:23,870 --> 01:04:28,580 +deviation على الـ leftوهم بييجي ع ال left بحط ايدا + +910 +01:04:28,580 --> 01:04:31,120 +على المصحف بحلف يمين ان المشكلة في ال right + +911 +01:04:31,120 --> 01:04:33,960 +cerebral hemisphere صار damaged لقى ال right + +912 +01:04:33,960 --> 01:04:37,140 +corticospinal tract and corticonuclear tract above + +913 +01:04:37,140 --> 01:04:41,340 +decassation لكن إذا وجدنا زي medial medullary + +914 +01:04:41,340 --> 01:04:45,000 +syndrome وجدنا tongue deviation to the leftو right + +915 +01:04:45,000 --> 01:04:48,680 +side hemibaglia يبقى ان هذا بتكون عندنا left + +916 +01:04:48,680 --> 01:04:52,440 +medial medullary syndrome صار damage للـ left + +917 +01:04:52,440 --> 01:04:55,800 +medial medulla في الحالة هذه damage of hypoglossal + +918 +01:04:55,800 --> 01:04:58,800 +nucleus عال left عملت tongue deviation عال left و + +919 +01:04:58,800 --> 01:05:04,350 +damage of corticospinal tract aboveDecassation + +920 +01:05:04,350 --> 01:05:09,070 +before decassation أو above decassation صح above + +921 +01:05:09,070 --> 01:05:11,570 +أو before decassation من الـ Contralateral + +922 +01:05:11,570 --> 01:05:14,770 +Hemiplegia أو بنسميها alternating hypoglossal + +923 +01:05:14,770 --> 01:05:18,570 +syndrome الآن بكون أنا خلصت الجزئية الأولى من ال + +924 +01:05:18,570 --> 01:05:22,050 +neurological examination يعطيكوا العافية راح يكون + +925 +01:05:22,050 --> 01:05:25,530 +فينا لقاء ثاني في موضوع ال neurological + +926 +01:05:25,530 --> 01:05:29,690 +examination رقم اتنين راح نفحصه ال motor system و + +927 +01:05:29,690 --> 01:05:31,510 +ال sensory and cerebellar + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8.srt new file mode 100644 index 0000000000000000000000000000000000000000..e4951fc1bd88e36f5d78eeeea73b4c01c2f75454 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8.srt @@ -0,0 +1,1343 @@ +1 +00:00:01,180 --> 00:00:04,180 +السلام عليكم ورحمة الله وبركاته اليوم إن شاء الله + +2 +00:00:04,180 --> 00:00:08,800 +سأتحدث عن كيف أخذ تاريخ من مرضى + +3 +00:00:08,800 --> 00:00:09,840 + +4 +00:00:09,840 --> 00:00:10,360 + +5 +00:00:10,360 --> 00:00:13,220 + +6 +00:00:13,220 --> 00:00:14,060 + +7 +00:00:14,060 --> 00:00:20,980 + +8 +00:00:20,980 --> 00:00:26,440 +مشاركة + +9 +00:00:26,440 --> 00:00:30,260 +رئيسية، تاريخ مدينة إنسان، تاريخ مدينة السياسة، + +10 +00:00:30,260 --> 00:00:35,420 +تاريخ عائلية، + +11 +00:00:35,420 --> 00:00:36,360 + + +12 +00:00:36,360 --> 00:00:36,420 + + +13 +00:00:36,420 --> 00:00:37,560 + + +14 +00:00:37,560 --> 00:00:40,780 + + +15 +00:00:40,780 --> 00:00:52,260 + + +16 +00:00:53,580 --> 00:00:57,700 +Explain the need to take the history and gain a + +17 +00:00:57,700 --> 00:01:01,360 +consent. Ensure that the patient is comfortable. + +18 +00:01:01,360 --> 00:01:07,280 +Presenting complaint. It's important to use an open + +19 +00:01:07,280 --> 00:01:09,840 +questioning to elicit the patient to present + +20 +00:01:09,840 --> 00:01:16,460 +complaint. شكوى المريضة وهذه يعني لازم أن تأخذ + +21 +00:01:16,460 --> 00:01:18,080 +وتكتب + +22 +00:01:19,660 --> 00:01:24,680 +بنفس الـ terminology أو الـ .. الـ .. الـ .. يعني the + +23 +00:01:24,680 --> 00:01:30,260 +patient what he mentioned exactly. No medical + +24 +00:01:30,260 --> 00:01:39,300 +terminology. ممكن patient complaint of dyspnea. We + +25 +00:01:39,300 --> 00:01:41,300 +should not write that chief complaint is dyspnea + +26 +00:01:41,300 --> 00:01:45,120 +because dyspnea is a medical terminology. So we + +27 +00:01:45,120 --> 00:01:50,400 +have to ask a patient and تحقق إذا كانت المريضة + +28 +00:01:50,400 --> 00:01:57,440 +تشكو عن أقصى نفسها. فماذا جلبتك اليوم؟ أخبرني أكثر + +29 +00:01:57,440 --> 00:02:03,300 +عن إشعاراتك. أعطي المريض وقت لإجابة ما. يحاول أن لا + +30 +00:02:03,300 --> 00:02:11,320 +يتوقف أو يقوم بتحديث الاتصال والمشكلة + +31 +00:02:11,320 --> 00:02:16,400 +الرئيسية كما ذكرنا في كلمة المريض يجب أن نذكرها + +32 +00:02:18,950 --> 00:02:24,050 +History of a present illness or + +33 +00:02:24,050 --> 00:02:27,790 +history of a presenting complaint should be + +34 +00:02:27,790 --> 00:02:31,430 +multiple. + +35 +00:02:31,430 --> 00:02:35,190 +Risk factors, onset, duration, severity, course, + +36 +00:02:36,610 --> 00:02:40,150 +Is it intermittent or continuous, precipitating + +37 +00:02:40,150 --> 00:02:44,010 +factor, relieving factor, associated feature and + +38 +00:02:44,010 --> 00:02:44,990 +previous episode. + +39 +00:02:48,850 --> 00:02:55,710 +طبعا الـ Cough رسميات ديسنيا، كف، ويز، همبتسس، عضلة + +40 +00:02:55,710 --> 00:02:59,610 +الحرارة، أشخاص أخرى بشكل عام أو + +41 +00:02:59,610 --> 00:02:59,830 + + +42 +00:02:59,830 --> 00:03:01,430 + + +43 +00:03:01,430 --> 00:03:02,670 + + +44 +00:03:02,670 --> 00:03:03,430 + + +45 +00:03:03,430 --> 00:03:06,390 + + +46 +00:03:06,390 --> 00:03:12,230 + + +47 +00:03:12,230 --> 00:03:17,090 + + +48 +00:03:21,660 --> 00:03:26,940 +الشيء الأول هو الـ Cough. الـ Reflex تعمل كإجابة + +49 +00:03:26,940 --> 00:03:31,040 +لإطلاق محطة مفتوحة ضد + +50 +00:03:31,040 --> 00:03:32,400 + + +51 +00:03:32,400 --> 00:03:32,640 + + +52 +00:03:32,640 --> 00:03:33,680 + + +53 +00:03:33,680 --> 00:03:38,420 + + +54 +00:03:38,420 --> 00:03:42,860 + + +55 +00:03:42,860 --> 00:03:48,940 + + +56 +00:03:50,210 --> 00:03:52,890 +نستطيع أن نقوم بتنصيف الـ Cuff إلى ثلاثة مقالات + +57 +00:03:52,890 --> 00:03:56,010 +الـ Acute Cuff أقل من ثلاثة أسابيع. أعلى رسفيرية + +58 +00:03:56,010 --> 00:03:59,410 +التراكيينفكسيا مثل نمونيا، بلمونيا، امبوليزم، مخطط + +59 +00:03:59,410 --> 00:04:05,930 +كونجستيفيكارديا. دائما مواجهة بـ Acute Cuff Sub + +60 +00:04:05,930 --> 00:04:11,470 +-acute Cuff من 3 إلى 8 أسابيع. Viral Infection Post + +61 +00:04:11,470 --> 00:04:17,920 +-nasal drip. Gastroesophageal reflux. الكفة الكرونية + +62 +00:04:17,920 --> 00:04:22,960 +NE تستمر في أكتر من 8 أسابيع مثل بلمونيو + +63 +00:04:22,960 --> 00:04:28,280 +تيبركولوزس، برونكال أزمة، COPD، برونكوجين الكارسينومة + +64 +00:04:28,280 --> 00:04:31,760 +ايجينوفليكي، برونكايتس، post nasal drip + +65 +00:04:31,760 --> 00:04:36,440 +gastroesophageal reflux disease. دراجات مثل الاس + +66 +00:04:36,440 --> 00:04:43,400 +انهيبتر أو محطة قلوب. + +67 +00:04:43,400 --> 00:04:46,020 + + +68 +00:04:46,020 --> 00:04:49,540 +مالـ Nocturnal Cough عادةً تسبب في الـ + +69 +00:04:49,540 --> 00:04:53,240 +Postnasal Drip, Gas Oesophageal Reflux Disease, + +70 +00:04:53,240 --> 00:04:56,960 +Chronic Bronchitis, Bronchial Asthma, Obstructive + +71 +00:04:56,960 --> 00:05:00,640 +Sleep Apnea, Left Ventricular Failure أو Heart + +72 +00:05:00,640 --> 00:05:06,240 +Failure And Aspiration Sputum، في الـ Sputum يجب + +73 +00:05:06,240 --> 00:05:10,840 +أن نسأل عن المقاومة، واللون، والرائحة، ومختلفة + +74 +00:05:10,840 --> 00:05:13,600 +البرتقال والرائحة. + +75 +00:05:16,650 --> 00:05:20,050 +Consistency, cirrhosis, upper respiratory tract + +76 +00:05:20,050 --> 00:05:24,050 +infection, a mucoid like in a chronic bronchitis + +77 +00:05:24,050 --> 00:05:28,410 +or bronchial asthma, a mucopurulent and bacterial + +78 +00:05:28,410 --> 00:05:33,550 +infection. Bronchectasis can cause copious amount + +79 +00:05:33,550 --> 00:05:38,210 +of the sputum production, lung abscess and + +80 +00:05:38,210 --> 00:05:43,690 +necrotizing pneumonia. The color Usually yellow, + +81 +00:05:43,970 --> 00:05:48,510 +green in bacterial infection, rusty sputum أو it + +82 +00:05:48,510 --> 00:05:51,570 +is caused by pneumococcal pneumonia or + +83 +00:05:51,570 --> 00:05:56,190 +streptococcal pneumonia. Blood tinged sputum in + +84 +00:05:56,190 --> 00:06:00,510 +case of TB. Prostate sputum with blood tinged in + +85 +00:06:00,510 --> 00:06:06,890 +acute pulmonary edema. Second case symptoms in + +86 +00:06:06,890 --> 00:06:12,450 +respiratory symptoms is dyspnea التي هي شعور غريب + +87 +00:06:12,450 --> 00:06:18,670 +للاحرارة. يجب أن نسأل مرة أخرى عن الانتقال، الدورة، + +88 +00:06:18,670 --> 00:06:24,430 +الضروري، + +89 +00:06:24,430 --> 00:06:24,710 + + +90 +00:06:24,710 --> 00:06:24,950 + + +91 +00:06:24,950 --> 00:06:26,470 + + +92 +00:06:26,470 --> 00:06:31,230 + + +93 +00:06:31,230 --> 00:06:32,470 + + +94 +00:06:38,280 --> 00:06:43,200 +مثل اكيوت ديسنيا اكيوت خلال دقيقة مثل نيمو ثوراكس + +95 +00:06:43,200 --> 00:06:48,280 +أزمة بلمونر، اديمة امبوليزم، لارنجال اديمة، foreign + +96 +00:06:48,280 --> 00:06:53,760 +body inhalation. كل هذا يمكن يسبب في اكيوت اولاد + +97 +00:06:53,760 --> 00:07:00,180 +ديسنيا رابط خلال ساعات أو أيام مثل هيمو ثوراكس + +98 +00:07:00,180 --> 00:07:07,670 +نيمونيا، اكيوت برونكايتس أو خلال شهر أو عام مثل + +99 +00:07:07,670 --> 00:07:12,850 +انفسيمة، COPD، نيموكنيوسيا أو فيبروسيا للدم + +100 +00:07:12,850 --> 00:07:17,590 +و انترستيشيا للدم لذلك + +101 +00:07:17,590 --> 00:07:23,510 +يجب أن نقوم بتجارب ديسنيا كم شرط الهواتف؟ + +102 +00:07:23,510 --> 00:07:26,310 + + +103 +00:07:26,310 --> 00:07:29,190 + + +104 +00:07:29,190 --> 00:07:29,350 + + +105 +00:07:29,350 --> 00:07:31,090 + + +106 +00:07:31,090 --> 00:07:36,380 +هل الشخص لديه تجارب + +107 +00:07:36,380 --> 00:07:42,340 +مستيقظية الليلة أو الليلة؟ أو هل يجب على الشخص أن + +108 +00:07:42,340 --> 00:07:50,620 +يجلس أو يستطيع أن ينام مجنون؟ + +109 +00:07:50,620 --> 00:07:52,020 + + +110 +00:07:52,020 --> 00:07:57,160 + + +111 +00:07:57,160 --> 00:08:02,120 + + +112 +00:08:02,120 --> 00:08:09,650 +تعطينا فكرة عن صعوبة الـ Dyspnea مثلًا، إذا كان + +113 +00:08:09,650 --> 00:08:15,050 +المريض يشعر بالدسنك في راحته أو إنه كثير غازي + +114 +00:08:15,050 --> 00:08:20,230 +لتخرج من المنزل، فالدسنك في راحته أو المريض يشعر + +115 +00:08:20,230 --> 00:08:24,390 +بالدسنك في راحته، هذا هو الجامعه الرابعه في مجلس + +116 +00:08:24,390 --> 00:08:30,810 +التحقيق اللاجئ. إذا كان المريض يتوقف عن الهواء بعد + +117 +00:08:30,810 --> 00:08:35,490 +المشي حوال 100 يارات هذا هو الجامعه 3. إذا كان + +118 +00:08:35,490 --> 00:08:40,730 +المريض يمشي بسرعه من الناس في نفس السنة، هذا جامعه + +119 +00:08:40,730 --> 00:08:45,450 +2. وإذا كان المريض يحصل على دسنياك فقط بمجرم + +120 +00:08:45,450 --> 00:08:51,770 +التجارب، هذا جامعه 0. + +121 +00:08:51,770 --> 00:08:51,890 + + +122 +00:08:51,890 --> 00:08:52,450 + + +123 +00:08:52,450 --> 00:09:00,520 + + +124 +00:09:00,520 --> 00:09:05,980 +اكتساب لألرجين اكتساب لألرجين لدراسات تسمى + +125 +00:09:05,980 --> 00:09:09,760 +كودويدر. + + +126 +00:09:09,760 --> 00:09:10,360 +تسمى دراسات تسمى دراسات تسمى دراسات تسمى + +127 +00:09:10,360 --> 00:09:11,260 +دراسات تسمى دراسات تسمى دراسات تسمى دراسات + +128 +00:09:11,260 --> 00:09:11,320 +تسمى دراسات تسمى دراسات تسمى دراسات تسمى + +129 +00:09:11,320 --> 00:09:13,420 +دراسات تسمى دراسات تسمى دراسات تسمى دراسات + +130 +00:09:13,420 --> 00:09:14,760 +تسمى دراسات تسمى دراسات تسمى دراسات تسمى + +131 +00:09:14,760 --> 00:09:18,480 +دراسات تسمى دراسات تسمى + +132 +00:09:24,480 --> 00:09:27,360 +الديسنيا موجودة في مجال التجارب أو في مجال التجارب + +133 +00:09:27,360 --> 00:09:29,580 +أو في مجال التجارب أو في مجال التجارب أو في مجال + +134 +00:09:29,580 --> 00:09:31,480 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +135 +00:09:31,480 --> 00:09:33,600 +في مجال التجارب أو في مجال التجارب أو في مجال + +136 +00:09:33,600 --> 00:09:34,380 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +137 +00:09:34,380 --> 00:09:35,160 +في مجال التجارب أو في مجال التجارب أو في مجال + +138 +00:09:35,160 --> 00:09:35,480 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +139 +00:09:35,480 --> 00:09:35,960 +في مجال التجارب أو في مجال التجارب أو في مجال + +140 +00:09:35,960 --> 00:09:37,900 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +141 +00:09:37,900 --> 00:09:42,100 +في مجال التجارب أو في مجال التجارب + +142 +00:09:54,220 --> 00:09:58,900 +العشاء يترنح عندما يجلس على أعلى، وهو إشعار عام + +143 +00:09:58,900 --> 00:10:06,600 +لفتة جانبية قلبي غير مفتاح، وأيضًا مصادر أرثوبينيا، + +144 +00:10:06,600 --> 00:10:11,680 +في بعض الأحيان مصادر أخرى تسبب في أرثوبينيا، مثل + +145 +00:10:11,680 --> 00:10:12,140 +... + +146 +00:10:12,140 --> 00:10:13,240 +... + +147 +00:10:13,240 --> 00:10:15,740 +... + +148 +00:10:15,740 --> 00:10:21,020 +... + +149 +00:10:21,020 --> 00:10:28,570 +إذا كانت المرأة محطمة في سنة أو عشرة أشهر، + +150 +00:10:28,570 --> 00:10:34,670 +يمكنها أيضًا الحصول على أرثوبينيا، إذا كانت المرأة + +151 +00:10:34,670 --> 00:10:34,930 +محطمة في سنة أو عشرة أشهر، يمكنها أيضًا الحصول على + +152 +00:10:34,930 --> 00:10:35,490 +أرثوبينيا، إذا كانت المرأة محطمة في سنة أو عشرة + +153 +00:10:35,490 --> 00:10:36,330 +أشهر، يمكنها أيضًا الحصول على أرثوبينيا، إذا كانت + +154 +00:10:36,330 --> 00:10:37,010 +المرأة محطمة في سنة أو عشرة أشهر، يمكنها أيضًا + +155 +00:10:37,010 --> 00:10:37,570 +الحصول على أرثوبينيا، إذا كانت المرأة محطمة في سنة + +156 +00:10:37,570 --> 00:10:40,710 +أو عشرة أشهر، يمكنها أيضًا الحصول على أرثوبينيا، + +157 +00:10:40,710 --> 00:10:43,490 +إذا كانت المرأة + +158 +00:10:47,410 --> 00:10:51,810 +لاتيبنيا عكس الأرثوبينيا dyspnea on standing or + +159 +00:10:51,810 --> 00:10:56,850 +sitting relieved by lying down like this patient + +160 +00:10:56,850 --> 00:11:00,970 +اللي هما عندهم right to left cardiac shunt AV + +161 +00:11:00,970 --> 00:11:04,650 +malformation في الناس اللي عندهم hepato pulmonary + +162 +00:11:04,650 --> 00:11:10,670 +syndrome recurrent PE post pneumonectomy Trypopnea + +163 +00:11:10,670 --> 00:11:14,850 +dyspnea on lying on the affected side relieved by + +164 +00:11:14,850 --> 00:11:20,680 +lying on the healthy side والسبب العام للتريبوبنية هو + +165 +00:11:20,680 --> 00:11:23,660 +الانصباب البلوري والمعاناة باللغة الروماتيزمية + +166 +00:11:23,660 --> 00:11:29,100 +ومعاناة الجسد والتندب وأحيانا في مريض مع + +167 +00:11:29,100 --> 00:11:34,840 +مخاطر قلب اليسار مخاطر قلب اليسار مخاطر مخاطر + +168 +00:11:34,840 --> 00:11:39,380 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +169 +00:11:39,380 --> 00:11:45,420 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +170 +00:11:45,420 --> 00:11:46,360 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +171 +00:11:46,360 --> 00:11:46,520 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +172 +00:11:46,940 --> 00:11:50,560 +علينا أن نعتبر أن هناك برونكوسبازم وعندما يبدأ + +173 +00:11:50,560 --> 00:11:56,460 +يبدأ الشخص بالكحة يجب أن نفكر في الاحتياطات + +174 +00:11:56,460 --> 00:11:59,360 +الاختلافات الاختلافات الاختلافات الاختلافات + +175 +00:11:59,360 --> 00:12:00,380 +الاختلافات الاختلافات الاختلافات الاختلافات + +176 +00:12:00,380 --> 00:12:01,560 +الاختلافات الاختلافات الاختلافات الاختلافات + +177 +00:12:01,560 --> 00:12:03,440 +الاختلافات الاختلافات الاختلافات الاختلافات + +178 +00:12:03,440 --> 00:12:04,500 +الاختلافات الاختلافات الاختلافات الاختلافات + +179 +00:12:04,500 --> 00:12:04,680 +الاختلافات الاختلافات الاختلافات الاختلافات + +180 +00:12:04,680 --> 00:12:08,120 +الاختلافات الاختلافات الاختلافات الاختلافات + +181 +00:12:08,120 --> 00:12:09,280 +الاختلافات + +182 +00:12:12,960 --> 00:12:15,760 +مثل الـ Upper Airway Obstruction الـ foreign body + +183 +00:12:15,760 --> 00:12:19,060 +أنجيوديما التوتر نيمو ثوراكس البلمونري أمبوليزم + +184 +00:12:19,060 --> 00:12:22,420 +ثالثًا + +185 +00:12:22,420 --> 00:12:27,040 +إشعار الـ chest pain if + +186 +00:12:27,040 --> 00:12:29,860 +any pain in a case with history of a present + +187 +00:12:29,860 --> 00:12:34,500 +illness the pain we have to clarify the details of + +188 +00:12:34,500 --> 00:12:40,680 +the pain ولازم using the secrets site الـ S site + +189 +00:12:40,680 --> 00:12:44,580 +where is the pain الـ onset When did it start? + +190 +00:12:45,160 --> 00:12:49,560 +sudden vs gradual الـ character charred, dull + +191 +00:12:49,560 --> 00:12:55,200 +aching, burning, stabbing, heavy, tightness, + +192 +00:12:55,600 --> 00:12:58,660 +radiation of the pain, does the pain move anywhere + +193 +00:12:58,660 --> 00:13:01,720 +else, radiated to the left arm, radiated to the + +194 +00:13:01,720 --> 00:13:06,360 +lower jaw, to the back, associated symptoms + +195 +00:13:10,160 --> 00:13:17,120 +الثانية هي الغثيان والقيء والصداع والصداع والصداع + +196 +00:13:17,120 --> 00:13:19,900 +والصداع والصداع والصداع والصداع والصداع والصداع + +197 +00:13:19,900 --> 00:13:24,860 +والصداع والصداع والصداع والصداع والصداع والصداع + +198 +00:13:24,860 --> 00:13:27,040 +والصداع والصداع والصداع والصداع والصداع والصداع + +199 +00:13:27,040 --> 00:13:27,440 +والصداع والصداع والصداع والصداع والصداع والصداع + +200 +00:13:27,440 --> 00:13:28,680 +والصداع والصداع والصداع والصداع والصداع والصداع + +201 +00:13:28,680 --> 00:13:34,440 +والصداع والصداع + +202 +00:13:34,440 --> 00:13:35,920 +والصداع + +203 +00:13:58,260 --> 00:14:02,200 +طبعًا الـ severity of the pain on a scale طبعًا from + +204 +00:14:02,200 --> 00:14:09,880 +0 to 10 how severe the pain is history + +205 +00:14:09,880 --> 00:14:15,200 +of a presenting complaint radiation + +206 +00:14:15,200 --> 00:14:19,660 +dyspnea it is exertional, orthopnea, paroxysmal, + +207 +00:14:19,760 --> 00:14:24,720 +nocturnal dyspnea الـ dyspnea it is exertional + +208 +00:14:26,830 --> 00:14:31,030 +أورثوبنيا BND بيرزوزمال نكتورنالديسنيا بيرزوزمال + +209 +00:14:31,030 --> 00:14:33,170 +نكتورنالديسنيا بيرزوزمال نكتورنالديسنيا بيرزوزمال + +210 +00:14:33,170 --> 00:14:34,690 +نكتورنالديسنيا بيرزوزمال نكتورنالديسنيا بيرزوزمال + +211 +00:14:34,690 --> 00:14:37,490 +نكتورنالديسنيا بيرزوزمال نكتورنالديسنيا بيرزوزمال + +212 +00:14:37,490 --> 00:14:42,330 +نكتورنالديسنيا بيرزوزمال + +213 +00:14:42,330 --> 00:14:45,730 +نكتورنالديسنيا بيرزوزمال نكتورنالديسنيا بيرزوزمال + +214 +00:14:45,730 --> 00:14:52,710 +نكتورنالديسنيا بيرزوزمال نكتورنالديسنيا بيرزوزمال + +215 +00:14:52,710 --> 00:14:55,790 +نكتور + +216 +00:14:55,980 --> 00:15:01,560 +هو يستيقظ بعد 30 دقيقة إلى 1 ساعة يوميًا، لذلك + +217 +00:15:01,560 --> 00:15:06,900 +هذا أكثر ممكن أن يكون ثانويًا لفشل قلبي إذا ذهب + +218 +00:15:06,900 --> 00:15:09,760 +المريض إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +219 +00:15:09,760 --> 00:15:09,780 +إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +220 +00:15:09,780 --> 00:15:10,140 +إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +221 +00:15:10,140 --> 00:15:10,180 +إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +222 +00:15:10,180 --> 00:15:13,100 +إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +223 +00:15:13,100 --> 00:15:13,320 +إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +224 +00:15:13,320 --> 00:15:13,660 +إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس إلى الناس + +225 +00:15:13,660 --> 00:15:17,480 +إلى الناس + +226 +00:15:17,480 --> 00:15:24,700 +إلى + +227 +00:15:28,630 --> 00:15:33,290 +الأزمة إذا كانت الـ BND ثانوية للأزمة تعالجها + +228 +00:15:33,290 --> 00:15:42,410 +باستنشاق سالبوتامول باستنشاق وإذا + +229 +00:15:42,410 --> 00:15:48,010 +كان الشخص مرتبط بشكل آخر بأرثوميا أو إشعار أسلحة + +230 +00:15:48,010 --> 00:15:51,870 +اللمب الأسفل ارتبط بحرارة الفيروس الجاغولاري أكثر + +231 +00:15:51,870 --> 00:15:57,330 +استحالة برزيزمال نكتورنالي ديسنيا ثانوية للجانب + +232 +00:15:57,330 --> 00:16:03,530 +الأسفل برفرال أديمة مهمة أيضًا في حالة + +233 +00:16:03,530 --> 00:16:10,210 +البريكارديتس أوستركندريتس والتهاب رئة الوقت، الوقت + +234 +00:16:10,210 --> 00:16:15,350 +دقيقة، دقيقة، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، + +235 +00:16:15,350 --> 00:16:17,210 +أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، + +236 +00:16:17,210 --> 00:16:19,270 +أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، + +237 +00:16:19,270 --> 00:16:23,990 +أشهر، أشهر، أشهر، أشهر Retrosternal pain, most + +238 +00:16:23,990 --> 00:16:28,350 +likely cardiac, angina, myocardial infarction, + +239 +00:16:28,430 --> 00:16:32,450 +myocarditis, pericarditis, + +240 +00:16:34,230 --> 00:16:39,550 +mediastinal like esophagitis or malignancy, aortic + +241 +00:16:39,550 --> 00:16:43,230 +dissection and aneurysm, esophagitis, esophageal + +242 +00:16:43,230 --> 00:16:49,510 +spasm Peripheral chest pain secondary to the نيمو + +243 +00:16:49,510 --> 00:16:52,990 +ثوراكس، انفاقشن، بالمنوري انبوليزم، ماسكولار + +244 +00:16:52,990 --> 00:16:57,790 +كوريتال، chest pain، sometimes breast disorder، + +245 +00:16:57,790 --> 00:17:00,830 +and sometimes a neurologic like intervertebral + +246 +00:17:00,830 --> 00:17:04,610 +disc prolapse or herpes. Anxiety can cause also + +247 +00:17:04,610 --> 00:17:07,690 +peripheral chest pain. The onset is very + +248 +00:17:07,690 --> 00:17:12,750 +important. مفاجئ، Retrostenal chest pain in + +249 +00:17:12,750 --> 00:17:15,010 +myocardial infarction، نيمو ثوراكس، بالمنوري + +250 +00:17:15,010 --> 00:17:16,430 +انبوليزم، + +251 +00:17:19,400 --> 00:17:26,660 +النمو ثوراكس بطولة في التعبير مثل انجينيا بعد + +252 +00:17:26,660 --> 00:17:32,280 +الانفجار وانفجار أوسفيجيا وانفجار مستمر بريكارديتس + +253 +00:17:32,280 --> 00:17:40,640 +ماسكروسكريتال و G.I. دورة الانجينيا عادية أقل من + +254 +00:17:40,640 --> 00:17:44,040 +20 دقيقة إذا كانت حرارة الحرارة الترستيرناية + +255 +00:17:44,040 --> 00:17:47,620 +تستغرق أكثر من 30 دقيقة فهي أكثر من حرارة + +256 +00:17:47,620 --> 00:17:49,240 +الانفاركسيا + +257 +00:17:51,040 --> 00:17:54,220 +characteristic and severity + +258 +00:17:54,220 --> 00:18:00,360 +stabbing chest pain pleural and sometimes pleuritic + +259 +00:18:00,360 --> 00:18:03,460 +chest pain that aggravated by taking deep + +260 +00:18:03,460 --> 00:18:09,500 +inspiration hemoptysis + +261 +00:18:09,500 --> 00:18:13,140 +hemoptysis is another also symptom we have to ask + +262 +00:18:13,140 --> 00:18:16,760 +about the volume of the hemoptysis + +263 +00:18:16,760 --> 00:18:24,030 +coughing up blood والسرعة إذا كانت 100 ml أو أقل + +264 +00:18:24,030 --> 00:18:28,650 +خلال 24 ساعة فهي أكثر ممكن تكون ثانوية بالنسبة لي + +265 +00:18:28,650 --> 00:18:35,830 +أنها همبتسسات صغيرة مدرعة من أكثر من 100 مل إلى 400 + +266 +00:18:35,830 --> 00:18:41,970 +مل خلال 24 ساعة فهي مدرعة ومدرعة ومدرعة ومدرعة + +267 +00:18:41,970 --> 00:18:43,610 +ومدرعة ومدرعة ومدرعة + +268 +00:18:46,930 --> 00:18:54,670 +أحيانًا 100 مل في ساعة محفظة بلد تعتبر مصارف + +269 +00:18:54,670 --> 00:19:02,430 +الهيموبتاسيس ويحتاج إعادة التعامل ومعالجة أيضًا + +270 +00:19:02,430 --> 00:19:10,670 +الـ Wheeze ما يعتبر شعارات و شعار الـ Wheeze يعتبر شعارات + +271 +00:19:10,670 --> 00:19:15,830 +وشعار الـ Wheeze يجب أن نسأل عن تغيير ديرونال 9 مرات + +272 +00:19:15,830 --> 00:19:21,700 +و Wheezing، أرثوبانيا، B and D's، بلور ليمبى + +273 +00:19:21,700 --> 00:19:25,240 +swelling، chest pain، and wheeze، ثم يجب أن نسأل + +274 +00:19:25,240 --> 00:19:31,080 +عن إشعارات مجلسية مثل الحرارة، الناتسويتز، + +275 +00:19:31,080 --> 00:19:39,400 +الواتلوس، الانوركسيا، وقصة المسافر أو الانتقال مع + +276 +00:19:39,400 --> 00:19:40,800 +مريض + +277 +00:19:47,380 --> 00:19:53,720 +عشان نتحدث عن قصة + +278 +00:19:53,720 --> 00:20:04,720 +قصة + +279 +00:20:04,720 --> 00:20:08,800 +قصة + +280 +00:20:08,800 --> 00:20:19,440 +قصة دراج هستوري هو المستخدم في مدعوم عادية يأخذ + +281 +00:20:19,440 --> 00:20:25,640 +انهيار مثل بريفينتر أو رليفر مثل ريسكو انهيار + +282 +00:20:25,640 --> 00:20:30,300 +سالبيتامول انهيار أو استيرويد انهيار أو أولار + +283 +00:20:30,300 --> 00:20:37,560 +استيرويد دياروتكس انتيبيوتكس أحيانًا أكسجين أو + +284 +00:20:37,560 --> 00:20:41,380 +أكسجين في المنزل Medication that can cause + +285 +00:20:41,380 --> 00:20:43,400 +respiratory side effects, we have to ask about + +286 +00:20:43,400 --> 00:20:45,860 +beta-glucan, non-steroidal anti-inflammatory drugs + +287 +00:20:45,860 --> 00:20:48,420 +which can cause a proper constriction ال ACE + +288 +00:20:48,420 --> 00:20:53,280 +-inhibitor ممكن تعمل dry cough ال cytotoxic agent + +289 +00:20:53,280 --> 00:20:56,020 +اللي can cause interstitial lung disease like + +290 +00:20:56,020 --> 00:21:01,140 +الميثوتركسيت والاميودرون if the patient in oral + +291 +00:21:01,140 --> 00:21:03,580 +contraceptive pills with increased risk of + +292 +00:21:03,580 --> 00:21:08,620 +pulmonary embolism والعنف أيضًا لدينا + +293 +00:21:08,620 --> 00:21:14,800 +تقريبًا family history + +294 +00:21:14,800 --> 00:21:18,700 +of asthma, lung cancer, cystic fibrosis, recent + +295 +00:21:18,700 --> 00:21:23,360 +contact with others who were unwell, viral + +296 +00:21:23,360 --> 00:21:29,630 +infection, pneumonia, TB social history smoking how + +297 +00:21:29,630 --> 00:21:33,370 +many cigarette a day يعني we have to mention also + +298 +00:21:33,370 --> 00:21:36,630 +how many pack year + +299 +00:21:36,630 --> 00:21:39,810 +calculate it by multiplying the number of + +300 +00:21:39,810 --> 00:21:45,610 +cigarette if it is twenty by the number of + +301 +00:21:45,610 --> 00:21:50,120 +years يعني if the patient is smoking one pack of + +302 +00:21:50,120 --> 00:21:54,640 +cigarette per day for the last five years we can + +303 +00:21:54,640 --> 00:21:59,080 +mention the patient's smoking history five pack + +304 +00:21:59,080 --> 00:22:05,640 +year alcohol how many units a week recreational + +305 +00:22:05,640 --> 00:22:11,040 +drug use cannabis living situation in house flat + +306 +00:22:11,040 --> 00:22:14,790 +ventilated there is a stair home oxygen or not + +307 +00:22:14,790 --> 00:22:20,690 +who's live with the patient any care input daily + +308 +00:22:20,690 --> 00:22:26,110 +activity also we have to mention ال occupation of + +309 +00:22:26,110 --> 00:22:28,670 +the patient regarding respiratory history taking + +310 +00:22:28,670 --> 00:22:31,970 +is very important ال patient اللي شغال في ال chip + +311 +00:22:31,970 --> 00:22:36,610 +yard construction ال plumber ممكن risk of + +312 +00:22:36,610 --> 00:22:39,680 +asbestosis الناس اللي بيشتغلوا في المناجم والـ + +313 +00:22:39,680 --> 00:22:43,040 +Miners الـ Pneumoconiosis والـ Farmer بيكون عندهم + +314 +00:22:43,040 --> 00:22:46,940 +risk of having extrinsic allergic alveolitis يعني + +315 +00:22:46,940 --> 00:22:50,400 +ال patient with hobbies، also paired fancier، + +316 +00:22:50,400 --> 00:22:53,460 +allergic extrinsic alveolitis، الاسم القديم اللي + +317 +00:22:53,460 --> 00:22:57,460 +هو اسمها الجديد اللي هو hypersensitivity pneumonia + +318 +00:22:57,460 --> 00:23:01,680 +travel history high risk area for tuberculosis or + +319 +00:23:01,680 --> 00:23:08,020 +recent long flight pulmonary embolism الـ Systemic + +320 +00:23:08,020 --> 00:23:13,120 +Inquiry تشغّل تفعيل شرح قطع أخرى للمشاكل لشركات + +321 +00:23:13,120 --> 00:23:18,400 +أخرى من الجسم ممكن تكون الأشياء ما ذكرها الـ + +322 +00:23:18,400 --> 00:23:22,560 +patient وبالتالي مهم جدًا أن تسأل عن Systemic + +323 +00:23:22,560 --> 00:23:27,120 +Inquiry طبعًا في الـ History Taking بتاعة الـ الـ + +324 +00:23:27,120 --> 00:23:29,540 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +325 +00:23:29,540 --> 00:23:29,580 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +326 +00:23:29,580 --> 00:23:30,520 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +327 +00:23:30,520 --> 00:23:31,280 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +328 +00:23:31,280 --> 00:23:31,540 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +329 +00:23:31,540 --> 00:23:33,810 +الـ الـ الـ الـ الـ ask the patient about these + +330 +00:23:33,810 --> 00:23:38,710 +symptoms so we have to ask from GI, appetite, + +331 +00:23:39,050 --> 00:23:43,710 +nausea, vomiting, dysphagia, weight loss, urinary, + +332 +00:23:44,070 --> 00:23:48,170 +volume of urine, frequency, dysuria, urgency و + +333 +00:23:48,170 --> 00:23:51,370 +الـ CNS في الـ vision headache, motor or sensory + +334 +00:23:51,370 --> 00:23:54,630 +disturbance و الـ musculoskeletal wound and joint + +335 +00:23:54,630 --> 00:24:00,090 +pain و muscle pain و أي skin rash or skin breaks + +336 +00:24:00,090 --> 00:24:05,460 +or ulcer or lesion بهذه الطريقة نتمكن من إغلاق + +337 +00:24:05,460 --> 00:24:15,120 +المشاركة نشكر المريض ثم نجرح تاريخ المريض شكرا diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..512ec64a9c34ecd6fb1715b2f01d3b664310a1ad --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8_postprocess.srt @@ -0,0 +1,1348 @@ +1 +00:00:01,180 --> 00:00:04,180 +السلام عليكم ورحمة الله وبركاته اليوم إن شاء الله + +2 +00:00:04,180 --> 00:00:08,800 +سأتحدث عن كيف أخذ تاريخ من مرضى مرضى مرضى مرضى + +3 +00:00:08,800 --> 00:00:09,840 +مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى + +4 +00:00:09,840 --> 00:00:10,360 +مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى + +5 +00:00:10,360 --> 00:00:13,220 +مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى + +6 +00:00:13,220 --> 00:00:14,060 +مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى + +7 +00:00:14,060 --> 00:00:20,980 +مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى + +8 +00:00:20,980 --> 00:00:26,440 +مرضى مرضى مرضى مرضى مرضى مرضى مرضى مرضى ممشاركة + +9 +00:00:26,440 --> 00:00:30,260 +رئيسية، تاريخ مدينة إنس، تاريخ مدينة السياسة، + +10 +00:00:30,260 --> 00:00:35,420 +تاريخ عائلية، تاريخ عائلية، تاريخ عائلية، تاريخ + +11 +00:00:35,420 --> 00:00:36,360 +عائلية، تاريخ عائلية، تاريخ عائلية، تاريخ عائلية، + +12 +00:00:36,360 --> 00:00:36,420 +تاريخ عائلية، تاريخ عائلية، تاريخ عائلية، تاريخ + +13 +00:00:36,420 --> 00:00:37,560 +عائلية، تاريخ عائلية، تاريخ عائلية، تاريخ عائلية، + +14 +00:00:37,560 --> 00:00:40,780 +تاريخ عائلية، تاريخ عائلية، تاريخ عائلية، تاريخ + +15 +00:00:40,780 --> 00:00:52,260 +عائلية، تاريخ عائلية، تاريخ عائلية، تاريخ عائلية، + +16 +00:00:53,580 --> 00:00:57,700 +Explain the need to take the history and gain a + +17 +00:00:57,700 --> 00:01:01,360 +consent Ensure that the patient is comfort + +18 +00:01:01,360 --> 00:01:07,280 +Presenting complaint It's important to use an open + +19 +00:01:07,280 --> 00:01:09,840 +questioning to elicit the patient to present + +20 +00:01:09,840 --> 00:01:16,460 +complaint شكوة المريضة وهذه يعني لازم أن تأخذ + +21 +00:01:16,460 --> 00:01:18,080 +وتكتب + +22 +00:01:19,660 --> 00:01:24,680 +بنفس ال terminology أو ال .. ال .. ال .. يعني the + +23 +00:01:24,680 --> 00:01:30,260 +patient what he mentioned exactly no medical + +24 +00:01:30,260 --> 00:01:39,300 +terminology ممكن patient complaint of dyspnea we + +25 +00:01:39,300 --> 00:01:41,300 +should not write that chief complaint is dyspnea + +26 +00:01:41,300 --> 00:01:45,120 +because dyspnea is a medical terminology so we + +27 +00:01:45,120 --> 00:01:50,400 +have to ask a patient andتحقق إذا كانت المريضة + +28 +00:01:50,400 --> 00:01:57,440 +تشجع عن أقصى نفسها فماذا جلبتك اليوم أخبرني أكتر + +29 +00:01:57,440 --> 00:02:03,300 +عن إشعاراتك أعطي المريض وقت لإجابة ما يحاول ان لا + +30 +00:02:03,300 --> 00:02:11,320 +يتوقف أو يقوم بتحديث الاتصال والمشكلة + +31 +00:02:11,320 --> 00:02:16,400 +الرئيسية كما ذكرنا في كلمة المريض يجب أن نذكرها + +32 +00:02:18,950 --> 00:02:24,050 +History of a present illness or + +33 +00:02:24,050 --> 00:02:27,790 +history of a presenting complaint should be + +34 +00:02:27,790 --> 00:02:31,430 +multiple + +35 +00:02:31,430 --> 00:02:35,190 +risk factors, onset, duration, severity, course, + +36 +00:02:36,610 --> 00:02:40,150 +is it intermittent or continuous, precipitating + +37 +00:02:40,150 --> 00:02:44,010 +factor, relieving factor, associated feature and + +38 +00:02:44,010 --> 00:02:44,990 +previous episode + +39 +00:02:48,850 --> 00:02:55,710 +طبعا الـ K رسميات ديسنيا، كف، ويز، همبتسس، عضلة + +40 +00:02:55,710 --> 00:02:59,610 +الحرارة، اشخاص اخرى بشكل عام او اشخاص اخرى بشكل + +41 +00:02:59,610 --> 00:02:59,830 +عام او اشخاص اخرى بشكل عام او اشخاص اخرى بشكل عام + +42 +00:02:59,830 --> 00:03:01,430 +او اشخاص اخرى بشكل عام او اشخاص اخرى بشكل عام او + +43 +00:03:01,430 --> 00:03:02,670 +اشخاص اخرى بشكل عام او اشخاص اخرى بشكل عام او + +44 +00:03:02,670 --> 00:03:03,430 +اشخاص اخرى بشكل عام او اشخاص اخرى بشكل عام او + +45 +00:03:03,430 --> 00:03:06,390 +اشخاص اخرى بشكل عام او اشخاص اخرى بشكل عام او + +46 +00:03:06,390 --> 00:03:12,230 +اشخاص اخرى بشكل عام او + +47 +00:03:12,230 --> 00:03:17,090 +اش + +48 +00:03:21,660 --> 00:03:26,940 +الشيء الأول هو الـ Cough الـ Reflex تعمل كإجابة + +49 +00:03:26,940 --> 00:03:31,040 +لإطلاق محطة مفتوحة ضد محطة مفتوحة مفتوحة مفتوحة + +50 +00:03:31,040 --> 00:03:32,400 +مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة + +51 +00:03:32,400 --> 00:03:32,640 +مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة + +52 +00:03:32,640 --> 00:03:33,680 +مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة مفتوحة + +53 +00:03:33,680 --> 00:03:38,420 +مفتوحة مفتوحة مفتوحة مفتوحة + +54 +00:03:38,420 --> 00:03:42,860 +مفتوحة + +55 +00:03:42,860 --> 00:03:48,940 +مفتوحة + +56 +00:03:50,210 --> 00:03:52,890 +نستطيع أن نقوم بتنصيح الـ Cuff إلى ثلاثة مقالات + +57 +00:03:52,890 --> 00:03:56,010 +الـ Acute Cuff أقل من ثلاثة أسابيع أعلى رسفيرية + +58 +00:03:56,010 --> 00:03:59,410 +التراكيينفكسيا مثل نمونيا، بلمونيا، امبوليزم، مخطط + +59 +00:03:59,410 --> 00:04:05,930 +كونجستيفيكارديا دائما مواجهة بـ Acute Cuff Sub + +60 +00:04:05,930 --> 00:04:11,470 +-acute Cuff من 3 إلى 8 أسابيع Viral Infection Post + +61 +00:04:11,470 --> 00:04:17,920 +-nasal drip Gastroesophageal refluxالكفة الكرونية + +62 +00:04:17,920 --> 00:04:22,960 +NE تستمر في أكتر من 8 أسابيع مثل بلمونيو + +63 +00:04:22,960 --> 00:04:28,280 +تيبركولوزس برونكال أزمة COPD برونكوجين الكارسينومة + +64 +00:04:28,280 --> 00:04:31,760 +ايجينوفليكي برونكايتس post nasal drip + +65 +00:04:31,760 --> 00:04:36,440 +gastroesophageal reflux disease دراجات مثل الاس + +66 +00:04:36,440 --> 00:04:43,400 +انهيبتر أو محطة قلوب محطة محطة محطة محطة محطة محطة + +67 +00:04:43,400 --> 00:04:46,020 +محطة محطة محطة محطة محطة محطة محطة محطة محطة محطة + +68 +00:04:46,020 --> 00:04:49,540 +محطة محطة مالـ Nocturnal Cough عادةً تسبب في الـ + +69 +00:04:49,540 --> 00:04:53,240 +Postnasal Drip Gas Oesophageal Reflux Disease + +70 +00:04:53,240 --> 00:04:56,960 +Chronic Bronchitis Bronchial Asthma Obstructive + +71 +00:04:56,960 --> 00:05:00,640 +Sleep Apnea Left Ventricular Failure أو Heart + +72 +00:05:00,640 --> 00:05:06,240 +Failure And Aspiration Sputum، في الـ Sputum يجب + +73 +00:05:06,240 --> 00:05:10,840 +أن نسأل عن المقاومة، المقاومة والرقم، ومختلفة + +74 +00:05:10,840 --> 00:05:13,600 +البرتقال والرائحة + +75 +00:05:16,650 --> 00:05:20,050 +Consistency, cirrhosis, upper respiratory tract + +76 +00:05:20,050 --> 00:05:24,050 +infection, a mucoid like in a chronic bronchitis + +77 +00:05:24,050 --> 00:05:28,410 +or bronchial asthma, a mucopurulent and bacterial + +78 +00:05:28,410 --> 00:05:33,550 +infection. Bronchectasis can cause copious amount + +79 +00:05:33,550 --> 00:05:38,210 +of the sputum production, lung abscess and + +80 +00:05:38,210 --> 00:05:43,690 +necrotizing pneumonia. The colorUsually yellow, + +81 +00:05:43,970 --> 00:05:48,510 +green in bacterial infection, rusty sputum او it + +82 +00:05:48,510 --> 00:05:51,570 +is caused by pneumococcal pneumonia or + +83 +00:05:51,570 --> 00:05:56,190 +streptococcal pneumonia Blood tinged sputum in + +84 +00:05:56,190 --> 00:06:00,510 +case of TB Prostate sputum with blood tinged in + +85 +00:06:00,510 --> 00:06:06,890 +acute pulmonary edema Second case symptoms in + +86 +00:06:06,890 --> 00:06:12,450 +respiratory symptoms is dyspneaالتي هي شعور غريب + +87 +00:06:12,450 --> 00:06:18,670 +للاحرارة يجب أن نسأل مرة أخرى عن الانتقال، الدورة، + +88 +00:06:18,670 --> 00:06:24,430 +الضروري، الانتقال، الانتقال، الانتقال، الانتقال، + +89 +00:06:24,430 --> 00:06:24,710 +الانتقال، الانتقال، الانتقال، الانتقال، الانتقال، + +90 +00:06:24,710 --> 00:06:24,950 +الانتقال، الانتقال، الانتقال، الانتقال، الانتقال، + +91 +00:06:24,950 --> 00:06:26,470 +الانتقال، الانتقال، الانتقال، الانتقال، الانتقال، + +92 +00:06:26,470 --> 00:06:31,230 +الانتقال، الانتقال، الانتقال، الانتقال، الانتقال، + +93 +00:06:31,230 --> 00:06:32,470 +الانتقال + +94 +00:06:38,280 --> 00:06:43,200 +مثل اكيوت ديسنيا اكيوت خلال دقيقة مثل نيمو ثوراكس + +95 +00:06:43,200 --> 00:06:48,280 +ازمة بلمونر اديمة امبوليزم لارنجال اديمة foreign + +96 +00:06:48,280 --> 00:06:53,760 +body inhalation كل هذا يمكن يسبب في اكيوت اولاد + +97 +00:06:53,760 --> 00:07:00,180 +ديسنيا رابط خلال ساعات او أيام مثل هيمو ثوراكس + +98 +00:07:00,180 --> 00:07:07,670 +نيمونيا اكيوت برونكايتس او خلال شهر او عاممثل + +99 +00:07:07,670 --> 00:07:12,850 +انفسيمة، COPD، نيموكنيوسيا أو فيبروسيا للدم + +100 +00:07:12,850 --> 00:07:17,590 +وانترستيشيا للدم لذلك + +101 +00:07:17,590 --> 00:07:23,510 +يجب أن نقوم بتجارب ديسنيا كم شرط الهواتف؟ كم شرط + +102 +00:07:23,510 --> 00:07:26,310 +الهواتف؟ كم شرط الهواتف؟ كم شرط الهواتف؟ كم شرط + +103 +00:07:26,310 --> 00:07:29,190 +الهواتف؟ كم شرط الهواتف؟ كم شرط الهواتف؟ كم شرط + +104 +00:07:29,190 --> 00:07:29,350 +الهواتف؟ كم شرط الهواتف؟ كم شرط الهواتف؟ كم شرط + +105 +00:07:29,350 --> 00:07:31,090 +الهواتف؟ كم شرط الهواتف؟ كم شرط الهواتف؟ كم شرط + +106 +00:07:31,090 --> 00:07:36,380 +الهواتف؟ كم شرط الهواتف؟ كهل الشخص لديه تجارب + +107 +00:07:36,380 --> 00:07:42,340 +مستيقظية الليلة أو الليلة؟ او هل يجب على الشخص أن + +108 +00:07:42,340 --> 00:07:50,620 +يجلس او يستطيع أن ينام مجنون؟ او + +109 +00:07:50,620 --> 00:07:52,020 +او او او او او او او او او او او او او او او او او + +110 +00:07:52,020 --> 00:07:57,160 +او او او او او او او او او او او او او + +111 +00:07:57,160 --> 00:08:02,120 +او + +112 +00:08:02,120 --> 00:08:09,650 +اتعطينا فكرة عن صعوبة الـ Dyspnea مثلًا، إذا كان + +113 +00:08:09,650 --> 00:08:15,050 +المريض يشعر بالدسنك في راحته أو إنه كثير غازي + +114 +00:08:15,050 --> 00:08:20,230 +لتخرج من المنزل، فالدسنك في راحته أو المريض يشعر + +115 +00:08:20,230 --> 00:08:24,390 +بالدسنك في راحته، هذا هو الجامعه الرابعه في مجلس + +116 +00:08:24,390 --> 00:08:30,810 +التحقيق اللاجئإذا كان المريض يتوقف عن الهواء بعد + +117 +00:08:30,810 --> 00:08:35,490 +المشي حوال 100 يارات هذا هو الجامعه 3 إذا كان + +118 +00:08:35,490 --> 00:08:40,730 +المريض يمشي بسرعه من الناس في نفس السنة، هذا جامعه + +119 +00:08:40,730 --> 00:08:45,450 +2 وإذا كان المريض يحصل على دسنياك فقط بمجرم + +120 +00:08:45,450 --> 00:08:51,770 +التجارب، هذا جامعه 0 أفضل أفضل أفضل أفضل أفضل أفضل + +121 +00:08:51,770 --> 00:08:51,890 +أفضل أفضل أفضل أفضل أفضل أفضل أفضل أفضل أفضل أفضل + +122 +00:08:51,890 --> 00:08:52,450 +أفضل أفضل أفضل أفضل أفضل أفضل أفضل أفضل أفضل أفضل + +123 +00:08:52,450 --> 00:09:00,520 +أفضل أفضل أفضل أفضل أفضل أفي بعض الأحيان بعد + +124 +00:09:00,520 --> 00:09:05,980 +اكتساب لأليرجين باكتساب لأليرجين لدراسات تسمى + +125 +00:09:05,980 --> 00:09:09,760 +كودويدر تسمى كدراسات تسمى كدراسات تسمى كدراسات + +126 +00:09:09,760 --> 00:09:10,360 +تسمى كدراسات تسمى كدراسات تسمى كدراسات تسمى + +127 +00:09:10,360 --> 00:09:11,260 +كدراسات تسمى كدراسات تسمى كدراسات تسمى كدراسات + +128 +00:09:11,260 --> 00:09:11,320 +تسمى كدراسات تسمى كدراسات تسمى كدراسات تسمى + +129 +00:09:11,320 --> 00:09:13,420 +كدراسات تسمى كدراسات تسمى كدراسات تسمى كدراسات + +130 +00:09:13,420 --> 00:09:14,760 +تسمى كدراسات تسمى كدراسات تسمى كدراسات تسمى + +131 +00:09:14,760 --> 00:09:18,480 +كدراسات تسمى كدراسات تسمى ك + +132 +00:09:24,480 --> 00:09:27,360 +الدسنيا موجودة في مجال التجارب أو في مجال التجارب + +133 +00:09:27,360 --> 00:09:29,580 +أو في مجال التجارب أو في مجال التجارب أو في مجال + +134 +00:09:29,580 --> 00:09:31,480 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +135 +00:09:31,480 --> 00:09:33,600 +في مجال التجارب أو في مجال التجارب أو في مجال + +136 +00:09:33,600 --> 00:09:34,380 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +137 +00:09:34,380 --> 00:09:35,160 +في مجال التجارب أو في مجال التجارب أو في مجال + +138 +00:09:35,160 --> 00:09:35,480 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +139 +00:09:35,480 --> 00:09:35,960 +في مجال التجارب أو في مجال التجارب أو في مجال + +140 +00:09:35,960 --> 00:09:37,900 +التجارب أو في مجال التجارب أو في مجال التجارب أو + +141 +00:09:37,900 --> 00:09:42,100 +في مجال التجارب أو في مجال التجارب + +142 +00:09:54,220 --> 00:09:58,900 +العشاء يترحى عندما يجلس على أعلى، وهو إشعار عام + +143 +00:09:58,900 --> 00:10:06,600 +لفتة جانح قلبي غير مفتاح، وأيضًا مصادر أرثوبينيا، + +144 +00:10:06,600 --> 00:10:11,680 +في بعض الأحيان مصادر أخرى تسبب في أرثوبينيا، زي زي + +145 +00:10:11,680 --> 00:10:12,140 +زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي + +146 +00:10:12,140 --> 00:10:13,240 +زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي + +147 +00:10:13,240 --> 00:10:15,740 +زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي + +148 +00:10:15,740 --> 00:10:21,020 +زي زي زي زي زي زي زي زي زي زي زي زي زي زي زي + +149 +00:10:21,020 --> 00:10:28,570 +زيوإذا كانت المرأة محطمة في سنة أو عشرة أشهر، + +150 +00:10:28,570 --> 00:10:34,670 +يمكنها أيضًا الحصول على أرثوبينيا، اذا كانت المرأة + +151 +00:10:34,670 --> 00:10:34,930 +محطمة في سنة أو عشرة أشهر، يمكنها أيضًا الحصول على + +152 +00:10:34,930 --> 00:10:35,490 +أرثوبينيا، اذا كانت المرأة محطمة في سنة أو عشرة + +153 +00:10:35,490 --> 00:10:36,330 +أشهر، يمكنها أيضًا الحصول على أرثوبينيا، اذا كانت + +154 +00:10:36,330 --> 00:10:37,010 +المرأة محطمة في سنة أو عشرة أشهر، يمكنها أيضًا + +155 +00:10:37,010 --> 00:10:37,570 +الحصول على أرثوبينيا، اذا كانت المرأة محطمة في سنة + +156 +00:10:37,570 --> 00:10:40,710 +أو عشرة أشهر، يمكنها أيضًا الحصول على أرثوبينيا، + +157 +00:10:40,710 --> 00:10:43,490 +اذا كانت المرأة + +158 +00:10:47,410 --> 00:10:51,810 +Latibnia عكس الأرثوبينيا dyspnea on standing or + +159 +00:10:51,810 --> 00:10:56,850 +sitting relieved by lying down like this patient + +160 +00:10:56,850 --> 00:11:00,970 +اللي هما عندهم right to lift cardiac shunt AV + +161 +00:11:00,970 --> 00:11:04,650 +malformation في الناس اللي عندهم hepato pulmonary + +162 +00:11:04,650 --> 00:11:10,670 +syndrome recurrent PE post pneumonectomy Trypopnea + +163 +00:11:10,670 --> 00:11:14,850 +dyspnea on lying on the affected side relieved by + +164 +00:11:14,850 --> 00:11:20,680 +lying on the healthy sideوالسبب عام للتريبوبنية هو + +165 +00:11:20,680 --> 00:11:23,660 +الانفجار البلورالي والمعاناة باللغة الروحانية + +166 +00:11:23,660 --> 00:11:29,100 +ومعاناة الجسد والتندرس وانا أحيانا في مريض مع + +167 +00:11:29,100 --> 00:11:34,840 +مخاطر قلب اليسار مخاطر قلب اليسار مخاطر مخاطر + +168 +00:11:34,840 --> 00:11:39,380 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +169 +00:11:39,380 --> 00:11:45,420 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +170 +00:11:45,420 --> 00:11:46,360 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر + +171 +00:11:46,360 --> 00:11:46,520 +مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخاطر مخ + +172 +00:11:46,940 --> 00:11:50,560 +علينا أن نعتبر أن هناك برونكوزباسب وعندما يبوم + +173 +00:11:50,560 --> 00:11:56,460 +يبدأ الشخص بالكافة يجب أن نفكر في الاحتياطات + +174 +00:11:56,460 --> 00:11:59,360 +الاختلافات الاختلافات الاختلافات الاختلافات + +175 +00:11:59,360 --> 00:12:00,380 +الاختلافات الاختلافات الاختلافات الاختلافات + +176 +00:12:00,380 --> 00:12:01,560 +الاختلافات الاختلافات الاختلافات الاختلافات + +177 +00:12:01,560 --> 00:12:03,440 +الاختلافات الاختلافات الاختلافات الاختلافات + +178 +00:12:03,440 --> 00:12:04,500 +الاختلافات الاختلافات الاختلافات الاختلافات + +179 +00:12:04,500 --> 00:12:04,680 +الاختلافات الاختلافات الاختلافات الاختلافات + +180 +00:12:04,680 --> 00:12:08,120 +الاختلافات الاختلافات الاختلافات الاختلافات + +181 +00:12:08,120 --> 00:12:09,280 +الاختلافات ال + +182 +00:12:12,960 --> 00:12:15,760 +مثل الـ Upper Airway Obstruction الـ foreign body + +183 +00:12:15,760 --> 00:12:19,060 +أنجيوديما التنشن نيمو ثوراكس البلمونريا أمبوليزم + +184 +00:12:19,060 --> 00:12:22,420 +ثالث + +185 +00:12:22,420 --> 00:12:27,040 +إشعار الـ chest pain if + +186 +00:12:27,040 --> 00:12:29,860 +any pain in a case with history of a present + +187 +00:12:29,860 --> 00:12:34,500 +illness the pain we have to clarify the details of + +188 +00:12:34,500 --> 00:12:40,680 +the pain و لازم using the secrets site ال S site + +189 +00:12:40,680 --> 00:12:44,580 +where is the pain ال onsetWhen did it start? + +190 +00:12:45,160 --> 00:12:49,560 +sudden vs gradual ال character charred, dull + +191 +00:12:49,560 --> 00:12:55,200 +aching, burning, stabbing, heavy, tightness, + +192 +00:12:55,600 --> 00:12:58,660 +radiation of the pain, does the pain move anywhere + +193 +00:12:58,660 --> 00:13:01,720 +else, radiated to the left arm, radiated to the + +194 +00:13:01,720 --> 00:13:06,360 +lower jaw, to the back, associated symptoms + +195 +00:13:10,160 --> 00:13:17,120 +الثانية هي نوزيا و فمتانية و محطمة و محطمة و محطمة + +196 +00:13:17,120 --> 00:13:19,900 +و محطمة و محطمة و محطمة و محطمة و محطمة و محطمة و + +197 +00:13:19,900 --> 00:13:24,860 +محطمة و محطمة و محطمة و محطمة و محطمة و محطمة و + +198 +00:13:24,860 --> 00:13:27,040 +محطمة و محطمة و محطمة و محطمة و محطمة و محطمة و + +199 +00:13:27,040 --> 00:13:27,440 +محطمة و محطمة و محطمة و محطمة و محطمة و محطمة و + +200 +00:13:27,440 --> 00:13:28,680 +محطمة و محطمة و محطمة و محطمة و محطمة و محطمة و + +201 +00:13:28,680 --> 00:13:34,440 +محطمة و محطمة و + +202 +00:13:34,440 --> 00:13:35,920 +محط + +203 +00:13:58,260 --> 00:14:02,200 +طبعا الـ severity of the pain on a scale طبعا from + +204 +00:14:02,200 --> 00:14:09,880 +0 to 10 how severe the pain is history + +205 +00:14:09,880 --> 00:14:15,200 +of a presenting complaint radiation + +206 +00:14:15,200 --> 00:14:19,660 +dyspnea it is exertional, orthopnea, paroxysmal, + +207 +00:14:19,760 --> 00:14:24,720 +nocturnal dyspnea ال dyspnea it is exertional + +208 +00:14:26,830 --> 00:14:31,030 +أورثوبنية BND بيرزوزمال نكتورنالدسنية بيرزوزمال + +209 +00:14:31,030 --> 00:14:33,170 +نكتورنالدسنية بيرزوزمال نكتورنالدسنية بيرزوزمال + +210 +00:14:33,170 --> 00:14:34,690 +نكتورنالدسنية بيرزوزمال نكتورنالدسنية بيرزوزمال + +211 +00:14:34,690 --> 00:14:37,490 +نكتورنالدسنية بيرزوزمال نكتورنالدسنية بيرزوزمال + +212 +00:14:37,490 --> 00:14:42,330 +نكتورنالدسنية بيرزوزمال + +213 +00:14:42,330 --> 00:14:45,730 +نكتورنالدسنية بيرزوزمال نكتورنالدسنية بيرزوزمال + +214 +00:14:45,730 --> 00:14:52,710 +نكتورنالدسنية بيرزوزمال نكتورنالدسنية بيرزوزمال + +215 +00:14:52,710 --> 00:14:55,790 +نكتور + +216 +00:14:55,980 --> 00:15:01,560 +هو يستيقظ بعد 30 دقيقة إلى 1 ساعة يومياً ، لذلك + +217 +00:15:01,560 --> 00:15:06,900 +هذا أكتر ممكن أن يكون ثانوياً لفشل قلبي إذا ذهب + +218 +00:15:06,900 --> 00:15:09,760 +المريض للناس للناس للناس للناس للناس للناس للناس + +219 +00:15:09,760 --> 00:15:09,780 +للناس للناس للناس للناس للناس للناس للناس للناس + +220 +00:15:09,780 --> 00:15:10,140 +للناس للناس للناس للناس للناس للناس للناس للناس + +221 +00:15:10,140 --> 00:15:10,180 +للناس للناس للناس للناس للناس للناس للناس للناس + +222 +00:15:10,180 --> 00:15:13,100 +للناس للناس للناس للناس للناس للناس للناس للناس + +223 +00:15:13,100 --> 00:15:13,320 +للناس للناس للناس للناس للناس للناس للناس للناس + +224 +00:15:13,320 --> 00:15:13,660 +للناس للناس للناس للناس للناس للناس للناس للناس + +225 +00:15:13,660 --> 00:15:17,480 +للناس + +226 +00:15:17,480 --> 00:15:24,700 +لل + +227 +00:15:28,630 --> 00:15:33,290 +الأزمة إذا كانت الـ BND ثانوية للأزمة تنهيئها + +228 +00:15:33,290 --> 00:15:42,410 +بانهيلة سالبيتامول انهيلة وإذا + +229 +00:15:42,410 --> 00:15:48,010 +كان الشخص مرتبط بشكل أخر أرثوميا أو أشعار أسلحة + +230 +00:15:48,010 --> 00:15:51,870 +اللمب الأسفل ارتبط حرارة الفيروس الجاغولاريأكثر + +231 +00:15:51,870 --> 00:15:57,330 +مستحيلًا برزيزمال نكتورنالي ديسنيا ثانوية للجانب + +232 +00:15:57,330 --> 00:16:03,530 +الأسفل برفرال أديمة مهمة أيضًا في حالة + +233 +00:16:03,530 --> 00:16:10,210 +البريكارديتس أوستركندريتس ولمونيا الوقت، الوقت + +234 +00:16:10,210 --> 00:16:15,350 +دقيقة، دقيقة، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، + +235 +00:16:15,350 --> 00:16:17,210 +أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، + +236 +00:16:17,210 --> 00:16:19,270 +أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، أشهر، + +237 +00:16:19,270 --> 00:16:23,990 +أشهر، أشهر، أشهر، أشهرRetrosternal pain, most + +238 +00:16:23,990 --> 00:16:28,350 +likely cardiac, angina, myocardial infarction, + +239 +00:16:28,430 --> 00:16:32,450 +myocarditis, pericarditis, + +240 +00:16:34,230 --> 00:16:39,550 +mediastinal like entericitis or malignancy, aortic + +241 +00:16:39,550 --> 00:16:43,230 +dissection and aneurysm, esophagitis, esophageal + +242 +00:16:43,230 --> 00:16:49,510 +spasm Peripheral chest pain secondary to theنيمو + +243 +00:16:49,510 --> 00:16:52,990 +ثوراكس، انفاقشن، بالمنوري انبوليزم، ماسكوس + +244 +00:16:52,990 --> 00:16:57,790 +كوريتال، chest pain، sometimes breast disorder، + +245 +00:16:57,790 --> 00:17:00,830 +and sometimes a neurologic like intervertebral + +246 +00:17:00,830 --> 00:17:04,610 +disc prolapse or herpes. Anxiety can cause also + +247 +00:17:04,610 --> 00:17:07,690 +peripheral chest pain. The onset is very + +248 +00:17:07,690 --> 00:17:12,750 +important. صدن، Retrostenal chest pain in + +249 +00:17:12,750 --> 00:17:15,010 +myocardial infarction، نيمو ثوراكس، بالمنوري + +250 +00:17:15,010 --> 00:17:16,430 +انبوليزم، + +251 +00:17:19,400 --> 00:17:26,660 +النمو ثوراكس بطولة في التعبير مثل انجينيا بعد + +252 +00:17:26,660 --> 00:17:32,280 +الانفجار وانفجار اوسفيجيا وانفجار مستمر بريكارديتس + +253 +00:17:32,280 --> 00:17:40,640 +ماسكروسكريتال و G.I. دورة الانجينيا عادية أقل من + +254 +00:17:40,640 --> 00:17:44,040 +20 دقيقة إذا كانت حرارة الحرارة الترستيرناية + +255 +00:17:44,040 --> 00:17:47,620 +تستغرق أكتر من 30 دقيقة فهي أكتر من حرارة + +256 +00:17:47,620 --> 00:17:49,240 +الانفاركسيا + +257 +00:17:51,040 --> 00:17:54,220 +characteristic and severity character and severity + +258 +00:17:54,220 --> 00:18:00,360 +stabbing chest pain plural and sometimes pleuritic + +259 +00:18:00,360 --> 00:18:03,460 +chest pain that aggravated by taking deep + +260 +00:18:03,460 --> 00:18:09,500 +inspiration hemoptysis + +261 +00:18:09,500 --> 00:18:13,140 +hemoptysis is another also symptoms we have to ask + +262 +00:18:13,140 --> 00:18:16,760 +about the volume of the hemoptysis hemoptysis + +263 +00:18:16,760 --> 00:18:24,030 +coughing up bloodوالسرعة اذا كانت 100 ml او اقل + +264 +00:18:24,030 --> 00:18:28,650 +خلال 24 ساعة فهي أكثر ممكن تكون ثانوية بالنسبالي + +265 +00:18:28,650 --> 00:18:35,830 +انها همبتسسات صغيرة مدرعة من أكثر من 100 مل ل 400 + +266 +00:18:35,830 --> 00:18:41,970 +مل خلال 24 ساعة فهي مدرعة ومدرعة ومدرعة ومدرعة + +267 +00:18:41,970 --> 00:18:43,610 +ومدرعة ومدرعة ومدرعة + +268 +00:18:46,930 --> 00:18:54,670 +أحيانًا 100 مل في ساعة محفظة بلد تعتبر مصارف + +269 +00:18:54,670 --> 00:19:02,430 +الهيموبتاسيس ويحتاج إعادة التعامل ومعالجة أيضًا + +270 +00:19:02,430 --> 00:19:10,670 +الويز ما يعتبر شعارات وشعار الويز يعتبر شعارات + +271 +00:19:10,670 --> 00:19:15,830 +وشعار الويز يجب أن نسأل عن تغيير ديرونال 9 مرات + +272 +00:19:15,830 --> 00:19:21,700 +وويزدسنيا، أرثوبانيا، B and D's، بلور ليمبى + +273 +00:19:21,700 --> 00:19:25,240 +swelling، chest pain، and wheeze، ثم يجب أن نسأل + +274 +00:19:25,240 --> 00:19:31,080 +عن إشعارات مجلسية مثل الحرارة، الناتسويتز، + +275 +00:19:31,080 --> 00:19:39,400 +الواتلوس، الانوركسيا، وقصة المسافر أو الانتقال مع + +276 +00:19:39,400 --> 00:19:40,800 +مريض مريض مريض + +277 +00:19:47,380 --> 00:19:53,720 +عشان نتحدث عن قصة قصة قصة قصة قصة قصة قصة قصة قصة + +278 +00:19:53,720 --> 00:20:04,720 +قصة قصة قصة قصة قصة قصة قصة + +279 +00:20:04,720 --> 00:20:08,800 +قصة + +280 +00:20:08,800 --> 00:20:19,440 +قصة قصةدراج هستوري هو المستخدم في مدعوم عادية يأخذ + +281 +00:20:19,440 --> 00:20:25,640 +انهيار مثل بريفينتر او رليفر مثل ريسكو انهيار + +282 +00:20:25,640 --> 00:20:30,300 +سالبيتامول انهيار او استيرويد انهيار او أولار + +283 +00:20:30,300 --> 00:20:37,560 +استيرويد دياروتكس انتيبيوتكس أحيانًا أكسجين أو + +284 +00:20:37,560 --> 00:20:41,380 +أكسجين في المنزلMedication that can cause + +285 +00:20:41,380 --> 00:20:43,400 +respiratory side effects, we have to ask about + +286 +00:20:43,400 --> 00:20:45,860 +beta-glucan, non-steroidal anti-inflammatory drugs + +287 +00:20:45,860 --> 00:20:48,420 +which can cause a proper constriction ال ACE + +288 +00:20:48,420 --> 00:20:53,280 +-inhibitor ممكن تعمل dry cough ال cytotoxic agent + +289 +00:20:53,280 --> 00:20:56,020 +اللي can cause interstitial lung disease like + +290 +00:20:56,020 --> 00:21:01,140 +الميثوتركسيت والاميودرون if the patient in oral + +291 +00:21:01,140 --> 00:21:03,580 +contraceptive pills with increased risk of + +292 +00:21:03,580 --> 00:21:08,620 +pulmonary embolismوالعنف والعنف أيضًا لدينا + +293 +00:21:08,620 --> 00:21:14,800 +تقريبًا تقريبًا family history family history of + +294 +00:21:14,800 --> 00:21:18,700 +asthma, lung cancer, cystic fibrosis, recent + +295 +00:21:18,700 --> 00:21:23,360 +contact with others who were unwell, viral + +296 +00:21:23,360 --> 00:21:29,630 +infection, pneumonia, TBsocial history smoking how + +297 +00:21:29,630 --> 00:21:33,370 +many cigarette a day يعني we have to mention also + +298 +00:21:33,370 --> 00:21:36,630 +how many pack year how many pack year we can + +299 +00:21:36,630 --> 00:21:39,810 +calculate it by multiplying the number of + +300 +00:21:39,810 --> 00:21:45,610 +cigarette if it is twenty twenty by the number of + +301 +00:21:45,610 --> 00:21:50,120 +years يعني if the patient is smoking one packof + +302 +00:21:50,120 --> 00:21:54,640 +cigarette per day for the last five years we can + +303 +00:21:54,640 --> 00:21:59,080 +mention the patient's smoking history five pack + +304 +00:21:59,080 --> 00:22:05,640 +year alcohol how many units a week recreational + +305 +00:22:05,640 --> 00:22:11,040 +drug use canapis living situation in house flat + +306 +00:22:11,040 --> 00:22:14,790 +ventilated there is a stairhome oxygen or not + +307 +00:22:14,790 --> 00:22:20,690 +who's live with the patient any care input daily + +308 +00:22:20,690 --> 00:22:26,110 +activity also we have to mention ال occupation of + +309 +00:22:26,110 --> 00:22:28,670 +the patient regarding respiratory history taking + +310 +00:22:28,670 --> 00:22:31,970 +is very important ال patient اللي شغال في ال chip + +311 +00:22:31,970 --> 00:22:36,610 +yard construction ال plumber ممكن risk of + +312 +00:22:36,610 --> 00:22:39,680 +asbestosisالناس اللي بيشتغلوا في المناجم والـ + +313 +00:22:39,680 --> 00:22:43,040 +Minors الـ Pneumoconiosis والـ Farmer بيكون عندهم + +314 +00:22:43,040 --> 00:22:46,940 +risk of having extrinsic allergic alveolitis يعني + +315 +00:22:46,940 --> 00:22:50,400 +ال patient with hobbies، also paired fancier، + +316 +00:22:50,400 --> 00:22:53,460 +allergic extrinsic alveolitis، الاسم القديم اللي + +317 +00:22:53,460 --> 00:22:57,460 +هو اسمها الجديد اللي هو hypersensitivity pneumonia + +318 +00:22:57,460 --> 00:23:01,680 +travel history high risk area for tuberculosis or + +319 +00:23:01,680 --> 00:23:08,020 +recent long flight pulmonary embolismالـ Systemic + +320 +00:23:08,020 --> 00:23:13,120 +Inquiry تشغّل تفعيل شرح قطع أخرى للمشاكل لشركات + +321 +00:23:13,120 --> 00:23:18,400 +أخرى من الجسم ممكن تكون الأشياء ما ذكرها الـ + +322 +00:23:18,400 --> 00:23:22,560 +patient وبالتالي مهم جدًا أن تسأل عن Systemic + +323 +00:23:22,560 --> 00:23:27,120 +Inquiry طبعًا في الـ History Taking بتاعة الـ الـ + +324 +00:23:27,120 --> 00:23:29,540 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +325 +00:23:29,540 --> 00:23:29,580 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +326 +00:23:29,580 --> 00:23:30,520 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +327 +00:23:30,520 --> 00:23:31,280 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +328 +00:23:31,280 --> 00:23:31,540 +الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ + +329 +00:23:31,540 --> 00:23:33,810 +الـ الـ الـ الـ الـask the patient about these + +330 +00:23:33,810 --> 00:23:38,710 +symptoms so we have to ask from GI, appetite, + +331 +00:23:39,050 --> 00:23:43,710 +nausea, vomiting, dysphagia, weight loss, urinary, + +332 +00:23:44,070 --> 00:23:48,170 +volume of urine, frequency, dysuria, urgency و + +333 +00:23:48,170 --> 00:23:51,370 +الـCNS في الـvision headache, motor or sensory + +334 +00:23:51,370 --> 00:23:54,630 +disturbance و الـmusculoskeletal wound and joint + +335 +00:23:54,630 --> 00:24:00,090 +pain و muscle pain و أي skin rash or skin breaks + +336 +00:24:00,090 --> 00:24:05,460 +or ulcer or lesionبهذه الطريقة نتمكن من إغلاق + +337 +00:24:05,460 --> 00:24:15,120 +المشاركة نشكر المريض ثم نجرح تاريخ المريض شكرا + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8_raw.json b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..992d9800da375ddf4045a953b06013025edb1d32 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/mcz8Ozo16q8_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2296, "start": 1.18, "end": 22.96, 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"probability": 0.3056640625}, {"start": 1253.76, "end": 1254.24, "word": " cause", "probability": 0.8837890625}, {"start": 1254.24, "end": 1255.08, "word": " interstitial", "probability": 0.858154296875}, {"start": 1255.08, "end": 1255.34, "word": " lung", "probability": 0.8212890625}, {"start": 1255.34, "end": 1255.76, "word": " disease", "probability": 0.8896484375}, {"start": 1255.76, "end": 1256.02, "word": " like", "probability": 0.292236328125}, {"start": 1256.02, "end": 1256.88, "word": " الميثوتركسيت", "probability": 0.6022796630859375}, {"start": 1256.88, "end": 1257.74, "word": " والاميودرون", "probability": 0.7432338169642857}, {"start": 1257.74, "end": 1259.46, "word": " if", "probability": 0.369873046875}, {"start": 1259.46, "end": 1259.62, "word": " the", "probability": 0.8369140625}, {"start": 1259.62, "end": 1259.96, "word": " patient", "probability": 0.83935546875}, {"start": 1259.96, "end": 1260.88, "word": " in", "probability": 0.4990234375}, {"start": 1260.88, "end": 1261.14, "word": " oral", "probability": 0.95703125}, {"start": 1261.14, "end": 1261.96, "word": " contraceptive", "probability": 0.9270833333333334}, {"start": 1261.96, "end": 1262.32, "word": " pills", "probability": 0.7529296875}, {"start": 1262.32, "end": 1262.78, "word": " with", "probability": 0.6396484375}, {"start": 1262.78, "end": 1263.14, "word": " increased", "probability": 0.822265625}, {"start": 1263.14, "end": 1263.46, "word": " risk", "probability": 0.93408203125}, {"start": 1263.46, "end": 1263.58, "word": " of", "probability": 0.958984375}, {"start": 1263.58, "end": 1264.0, "word": " pulmonary", "probability": 0.9443359375}, {"start": 1264.0, "end": 1264.64, "word": " embolism", "probability": 0.9404296875}], "temperature": 1.0}, {"id": 45, "seek": 128542, "start": 1265.22, "end": 1285.42, "text": "والعنف والعنف أيضًا لدينا تقريبًا تقريبًا family history family history of asthma, lung cancer, cystic fibrosis, recent contact with others who were unwell, viral infection, pneumonia, TB", "tokens": [2407, 6027, 3615, 1863, 5172, 16070, 3615, 1863, 5172, 36632, 11242, 14111, 995, 5296, 16254, 8315, 6055, 4587, 16572, 3555, 14111, 995, 6055, 4587, 16572, 3555, 14111, 995, 1605, 2503, 1605, 2503, 295, 33409, 11, 16730, 5592, 11, 48915, 299, 13116, 2635, 271, 11, 5162, 3385, 365, 2357, 567, 645, 14853, 898, 11, 16132, 11764, 11, 43097, 11, 29711], "avg_logprob": -0.630729145805041, "compression_ratio": 1.319526627218935, "no_speech_prob": 0.0, "words": [{"start": 1265.22, "end": 1266.24, "word": "والعنف", "probability": 0.300390625}, {"start": 1266.24, "end": 1267.62, "word": " والعنف", "probability": 0.7269439697265625}, {"start": 1267.62, "end": 1268.18, "word": " أيضًا", "probability": 0.636199951171875}, {"start": 1268.18, "end": 1268.62, "word": " لدينا", "probability": 0.6103922526041666}, {"start": 1268.62, "end": 1269.96, "word": " تقريبًا", "probability": 0.5324503580729166}, {"start": 1269.96, "end": 1270.8, "word": " تقريبًا", 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we can calculate it by multiplying the number of cigarette if it is twenty twenty by the number of years يعني if the patient is smoking one pack", "tokens": [48600, 2503, 14055, 577, 867, 26184, 257, 786, 37495, 22653, 321, 362, 281, 2152, 611, 577, 867, 2844, 1064, 577, 867, 2844, 1064, 321, 393, 8873, 309, 538, 30955, 264, 1230, 295, 26184, 498, 309, 307, 7699, 7699, 538, 264, 1230, 295, 924, 37495, 22653, 498, 264, 4537, 307, 14055, 472, 2844], "avg_logprob": -0.2578125112461594, "compression_ratio": 1.679245283018868, "no_speech_prob": 0.0, "words": [{"start": 1287.65, "end": 1288.09, "word": "social", "probability": 0.12054443359375}, {"start": 1288.09, "end": 1288.61, "word": " history", "probability": 0.8740234375}, {"start": 1288.61, "end": 1289.25, "word": " smoking", "probability": 0.388916015625}, {"start": 1289.25, "end": 1289.63, "word": " how", "probability": 0.67626953125}, {"start": 1289.63, "end": 1289.91, "word": " many", "probability": 0.90673828125}, {"start": 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1384.7674999999988} \ No newline at end of file diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/qTfx7_F0xh4_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/qTfx7_F0xh4_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..b7d63f43341327e77e06f570db62148017257fb3 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/qTfx7_F0xh4_postprocess.srt @@ -0,0 +1,3256 @@ +1 +00:00:01,640 --> 00:00:05,240 +بسم الله الرحمن الرحيم السلام عليكم اليوم هنأكي + +2 +00:00:05,240 --> 00:00:07,340 +physical examination of the gastrointestinal + +3 +00:00:07,340 --> 00:00:15,580 +system examination + +4 +00:00:15,580 --> 00:00:18,920 +of the gastrointestinal system includes complete + +5 +00:00:18,920 --> 00:00:24,160 +examination of the abdomen it is also important to + +6 +00:00:24,160 --> 00:00:27,460 +search for different signs of gastrointestinal and + +7 +00:00:27,460 --> 00:00:28,100 +liver disease + +8 +00:00:33,600 --> 00:00:36,980 +أول خطوة في الـ Gastrointestinal examination هي + +9 +00:00:36,980 --> 00:00:40,820 +positioning of the patient for the proper + +10 +00:00:40,820 --> 00:00:43,940 +examination of the abdomen it's important that the + +11 +00:00:43,940 --> 00:00:48,880 +patient be lying flat with the head resting on no + +12 +00:00:48,880 --> 00:00:53,960 +pillows or just a single pillow this helps + +13 +00:00:53,960 --> 00:00:56,860 +relaxing the abdominal muscles and facilitate + +14 +00:00:56,860 --> 00:01:00,690 +abdominal palpationHelping the patient enter the + +15 +00:01:00,690 --> 00:01:03,090 +position of court opportunity to make general + +16 +00:01:03,090 --> 00:01:06,490 +inspection يعني و أنا بساعد المريض ينام يكون في + +17 +00:01:06,490 --> 00:01:11,770 +position صحيح أنا ممكن أخد الفرصة أني أطلع على + +18 +00:01:11,770 --> 00:01:14,210 +السرارة ان هي تبعت المريض على other peripheral + +19 +00:01:14,210 --> 00:01:20,690 +symptoms و ممكن نوضعهم مثلا ابن في التشريف أول + +20 +00:01:20,690 --> 00:01:25,350 +شيء أطلع عليه في المريض هو general appearance هل + +21 +00:01:25,350 --> 00:01:30,960 +المريضlying down in an uncomfortable way هل هو + +22 +00:01:30,960 --> 00:01:38,740 +distressed؟ هل هو ill looking؟ هل هو cachectic؟ هل + +23 +00:01:38,740 --> 00:01:43,220 +هو underweight؟ هل هو overweight؟ هذه الأشياء كتير + +24 +00:01:43,220 --> 00:01:50,280 +مهمة هل هو المريض jaundiced؟ ال jaundiced هو عبارة + +25 +00:01:50,280 --> 00:01:52,940 +عن ياله ال discoloration of the sclera and skin + +26 +00:01:52,940 --> 00:01:57,420 +that results from hyperglycemiaالذي يكون أفضل + +27 +00:01:57,420 --> 00:02:04,080 +تلاعبه في الضوء الطبيعي مهما كانت السبب الأسفة في + +28 +00:02:04,080 --> 00:02:08,480 +الـ jaundice يمكن أن تكون مختلفة بشكل كبير يعني مش + +29 +00:02:08,480 --> 00:02:11,120 +شرط المريض في أي كوزينة يكون مختلف يكون deep + +30 +00:02:11,120 --> 00:02:15,540 +jaundice يكون just gingiv jaundice او يكون belly + +31 +00:02:15,540 --> 00:02:21,220 +jaundice الحاجة التانية الحكينا عنها مهمة جدا نطلع + +32 +00:02:21,220 --> 00:02:22,740 +عليها weight and wasting + +33 +00:02:25,280 --> 00:02:29,760 +body weight must be recorded يعني انا ممكن احكي ان + +34 +00:02:29,760 --> 00:02:33,620 +المريض is under weight بس دايما لازم ادعى ان كلامي + +35 +00:02:33,620 --> 00:02:37,660 +اشي معين اشي objective اللي هي ال body mass index + +36 +00:02:37,660 --> 00:02:40,700 +يعني + +37 +00:02:40,700 --> 00:02:43,740 +مانفع انا اعمل general observation لازم احكي دايما + +38 +00:02:43,740 --> 00:02:46,760 +however I would like to check his body mass index + +39 +00:02:46,760 --> 00:02:50,280 +loss of weight and cachexia may be a result of + +40 +00:02:50,280 --> 00:02:55,800 +many recent diseases like malignancyأو حتى الـ + +41 +00:02:55,800 --> 00:03:01,920 +Advanced Bartholosis بشكل كبير أيضًا، يمكن أن يكون + +42 +00:03:01,920 --> 00:03:05,320 +الجسد مظهرًا مرتبطًا من الأردوين والجلد هذه + +43 +00:03:05,320 --> 00:03:10,160 +التفكيرات الأخيرة يمكن أن يتسبب في عضو مغضب عضو + +44 +00:03:10,160 --> 00:03:15,740 +مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب + +45 +00:03:15,740 --> 00:03:16,520 +عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو + +46 +00:03:16,520 --> 00:03:21,880 +مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب + +47 +00:03:21,880 --> 00:03:23,520 +عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب + +48 +00:03:24,710 --> 00:03:27,150 +Generalized skin pigmentation can result from + +49 +00:03:27,150 --> 00:03:30,170 +chronic liver disease, especially hemochromatosis. + +50 +00:03:30,750 --> 00:03:33,650 +Hemochromatosis due to hemostatic melanocyte + +51 +00:03:33,650 --> 00:03:38,470 +produced melanin Malabsorption may result in + +52 +00:03:38,470 --> 00:03:42,430 +Addisonian-type pigmentation Sun-cast pigmentation + +53 +00:03:42,430 --> 00:03:46,370 +in nipples, palmar cases, facial areas, and mouth + +54 +00:03:55,670 --> 00:03:59,470 +بعض الأمراض اللي ممكن تؤثر على الجهات الأضمية زي + +55 +00:03:59,470 --> 00:04:03,030 +blood sugar syndrome هاي بشوف فيها brown black + +56 +00:04:03,030 --> 00:04:06,590 +regions around the mouth and the bacal mucosa and + +57 +00:04:06,590 --> 00:04:10,830 +on the fingers and toes blood sugar syndrome is + +58 +00:04:10,830 --> 00:04:13,930 +associated with hematomas of the small bowel and + +59 +00:04:13,930 --> 00:04:17,210 +colon which can present with bleeding يعني ممكن + +60 +00:04:17,210 --> 00:04:20,050 +المريض يجينا عنده bleeding بالrectum for example + +61 +00:04:20,050 --> 00:04:24,690 +هاي الصورة بنشوف يعني ال hypertension في ال lips + +62 +00:04:25,240 --> 00:04:31,660 +واللي لو طلعنا أكتر هنشوفه في الفكرة المتهوزة A + +63 +00:04:31,660 --> 00:04:36,320 +Cantor's Negligence هاي عبارة عن Brown to black + +64 +00:04:36,320 --> 00:04:39,500 +fill the elevation of the epidermis due to + +65 +00:04:39,500 --> 00:04:42,100 +confluent papillomas and are usually found in + +66 +00:04:42,100 --> 00:04:46,100 +axilla and nape of the neck A Cantor's Negligence + +67 +00:04:46,100 --> 00:04:50,100 +is associated fairly with GI carcinoma, officially + +68 +00:04:50,100 --> 00:04:55,710 +stoma, lymphoma as well as withacromegaly, + +69 +00:04:55,810 --> 00:04:58,570 +diabetes mellitus and many other endocrinal + +70 +00:04:58,570 --> 00:05:03,690 +pathopathies هنشوف احنا كيف اللي هي برنامج + +71 +00:05:03,690 --> 00:05:07,690 +بالأجزلة و الناس في الدنيا هذه بالكثير مع + +72 +00:05:07,690 --> 00:05:11,290 +السمكانسر، مع النفامة، مع الacromegaly، مع ال + +73 +00:05:11,290 --> 00:05:16,010 +resistance، مع الdiabetes، مع ال opposite فهي بأخد + +74 +00:05:16,010 --> 00:05:20,870 +بلاحظها .. أنا بلاحظها في ال general examination + +75 +00:05:24,770 --> 00:05:26,670 +بعض الأمراض المهمة جدّي ممكن أحذر بالجنرال + +76 +00:05:26,670 --> 00:05:28,330 +Examination هي Degenerative Hemorrhagic + +77 +00:05:28,330 --> 00:05:30,670 +Telangiectasia, also known as Esler-Weber Syndrome + +78 +00:05:30,670 --> 00:05:33,830 +هي عبارة عن مرتب صغير من التلانجيكتازيا تتحرك في + +79 +00:05:33,830 --> 00:05:37,490 +هذه المرضية إنهم بشكل عام موجودين على اللبس والدم، + +80 +00:05:37,490 --> 00:05:39,670 +ولكن يمكن أن يكونوا موجودين في أي مكان على الجلد + +81 +00:05:39,670 --> 00:05:42,970 +عندما يكونوا موجودين في الـGI-Tract، يمكن أن + +82 +00:05:42,970 --> 00:05:47,350 +يسببوا خطر بلد كرمية أو حتى ترانشال ترانشال + +83 +00:05:47,350 --> 00:05:52,570 +ترانشال ترانشال ترانشال + +84 +00:05:54,950 --> 00:06:00,870 +اللبس وعلى الكأس بالنسبة + +85 +00:06:00,870 --> 00:06:03,070 +لل G.I. Examination ممكن هيكون عندي two + +86 +00:06:03,070 --> 00:06:06,930 +instructions واحدة منهم examine the G.I. system of + +87 +00:06:06,930 --> 00:06:10,570 +this patient والتاني examine the abdomen لو كان + +88 +00:06:10,570 --> 00:06:15,730 +السؤال إيه؟ examine the G.I. system طبعاً بالحالة + +89 +00:06:15,730 --> 00:06:19,210 +سأعمل position للمريض on no pillows عيكون مريض on + +90 +00:06:19,210 --> 00:06:22,340 +no pillows or just one pillowهيكون الـ mind + +91 +00:06:22,340 --> 00:06:25,660 +centralized و well embedded أخد general look بعدين + +92 +00:06:25,660 --> 00:06:31,440 +أبدأ من ال periphery مش هدخل على ال abdomen أبدأ + +93 +00:06:31,440 --> 00:06:37,600 +في ال hands ال hands كانت مهم جدا لنبحث عنها في ال + +94 +00:06:37,600 --> 00:06:41,860 +GR examination even + +95 +00:06:41,860 --> 00:06:45,080 +the experienced gastroenterologist must explain + +96 +00:06:45,080 --> 00:06:48,160 +his or her excitement and begin the examination of + +97 +00:06:48,160 --> 00:06:50,980 +the gastrointestinal tract with the handsأنا بروحش + +98 +00:06:50,980 --> 00:06:53,340 +نفعش أكون واجه على الأبناء، لأ ده برحص الـhand، + +99 +00:06:53,340 --> 00:06:55,580 +الـperipheral، I'm looking for a stigma of a + +100 +00:06:55,580 --> 00:06:59,640 +chronic liver disease for example الـsigns that + +101 +00:06:59,640 --> 00:07:02,740 +may be elicited here give a clue to the presence + +102 +00:07:02,740 --> 00:07:05,460 +of a chronic liver disease مثل ما حكينا ذا، stigma + +103 +00:07:05,460 --> 00:07:08,320 +of a chronic liver disease whatever is the + +104 +00:07:08,320 --> 00:07:12,560 +etiology, permanent different views, liver damage + +105 +00:07:12,560 --> 00:07:15,760 +or similar peripheral signs however none of these + +106 +00:07:15,760 --> 00:07:18,540 +signs alone is specificfor chronic liver disease + +107 +00:07:18,540 --> 00:07:21,200 +مافيش فكرة ماحنشوف تقريبا عديد من ال peripheral + +108 +00:07:21,200 --> 00:07:23,360 +signs of chronic liver disease او اتجاه كورونا + +109 +00:07:23,360 --> 00:07:25,960 +الديزيسيش شوف في ال hands في القرآن وفي القرآن + +110 +00:07:25,960 --> 00:07:29,580 +مستهدف ولعبينه specifically ممكن تشوفها مع اي نوع + +111 +00:07:29,580 --> 00:07:34,600 +من ال liver disease انا اول ما بد ابدأ افحص في ال + +112 +00:07:34,600 --> 00:07:38,860 +hands بشوف ال nails فحص ال nails مهم جدا عزيزي + +113 +00:07:38,860 --> 00:07:42,800 +انطباع عن وضع الدراسة في ال system في حاجة مهمة + +114 +00:07:42,800 --> 00:07:46,740 +جدا اول مابدأ فيه ال locunica شو قصد ال locunica + +115 +00:07:48,850 --> 00:07:50,030 +أدلوكونيكا أو + +116 +00:07:50,030 --> 00:08:16,730 +كارثمونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكروني + +117 +00:08:20,400 --> 00:08:24,220 +هذه ممكن تشوفها in patients with Wilson disease + +118 +00:08:24,220 --> 00:08:28,600 +موريكي line هي transverse white line يمكن تفكير + +119 +00:08:28,600 --> 00:08:29,860 +انها بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +120 +00:08:29,860 --> 00:08:31,380 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +121 +00:08:31,380 --> 00:08:31,860 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +122 +00:08:31,860 --> 00:08:32,020 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +123 +00:08:32,020 --> 00:08:47,000 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بي + +124 +00:08:49,530 --> 00:08:54,690 +هذا اللونورا اللونورا هذا اللونورا هذي بتصير + +125 +00:08:54,690 --> 00:08:56,210 +المرضى المعروف من المرضى المعروف من المرضى المعروف + +126 +00:08:56,210 --> 00:08:56,370 +من المرضى المعروف من المرضى المعروف من المرضى + +127 +00:08:56,370 --> 00:08:58,010 +المعروف من المرضى المعروف من المرضى المعروف من + +128 +00:08:58,010 --> 00:08:58,710 +المرضى المعروف من المرضى المعروف من المرضى المعروف + +129 +00:08:58,710 --> 00:09:00,890 +من المرضى المعروف من المرضى المعروف من المرضى + +130 +00:09:00,890 --> 00:09:02,370 +المرضى المعروف من المرضى المعروف من المرضى المعروف + +131 +00:09:02,370 --> 00:09:03,230 +من المرضى المعروف من المرضى المعروف من المرضى + +132 +00:09:03,230 --> 00:09:04,810 +المعروف من المرضى المعروف من المرضى المعروف من + +133 +00:09:04,810 --> 00:09:09,090 +المرضى المعروف + +134 +00:09:09,090 --> 00:09:15,590 +من + +135 +00:09:15,590 --> 00:09:20,620 +المرضىاللي في ال gastrointestinal system ممكن تعمل + +136 +00:09:20,620 --> 00:09:23,180 +عندى clubbing ممكن تكون federal disease, celiac + +137 +00:09:23,180 --> 00:09:26,780 +disease, cirrhosis, long standing, lateral + +138 +00:09:26,780 --> 00:09:31,900 +depletion هدرا كلها ممكن يعمل عندى clubbing شايفين + +139 +00:09:31,900 --> 00:09:34,560 +ال clubbing كانت في ال finger؟ في عندى four grades + +140 +00:09:34,560 --> 00:09:40,840 +لل clubbing ال palms ممكن تصير عندى reddening of + +141 +00:09:40,840 --> 00:09:43,520 +the palms of the hands affecting the hypotenal + +142 +00:09:43,520 --> 00:09:46,360 +imminances often the soles of the feet are also + +143 +00:09:46,360 --> 00:09:57,540 +affectedالشيء اللي بيسميها Parmal Edema بيسميها + +144 +00:09:57,540 --> 00:09:59,640 +Parmal Edema بيسميها Parmal Edema بيسميها Parmal + +145 +00:09:59,640 --> 00:10:04,680 +Edema بيسميها Parmal Edema بيسميها Parmal Edema + +146 +00:10:04,680 --> 00:10:09,960 +بيسميها Parmal Edema بيسميها Parmal Edema بيسميها + +147 +00:10:09,960 --> 00:10:13,280 +Parmal Edema بيسميها Parmal Edema بيسميها Parmal + +148 +00:10:13,280 --> 00:10:14,960 +Edema بيسميها Parmal Edema بيسميها Parmal Edema + +149 +00:10:14,960 --> 00:10:15,060 +Parmal Edema بيسميها Parmal Edema بي + +150 +00:10:18,810 --> 00:10:22,530 +عنيميا عنيميا ممكن تكون أحد الـ manifesting + +151 +00:10:22,530 --> 00:10:25,130 +symptoms للـ liver disease أو الـ G.I. stomach, + +152 +00:10:25,410 --> 00:10:28,050 +colon, small bowel, whatever، you have to inspect + +153 +00:10:28,050 --> 00:10:30,530 +the palmar glasses for colors suggesting anemia, + +154 +00:10:30,650 --> 00:10:34,650 +which may result from blood loss, malabsorption, + +155 +00:10:35,190 --> 00:10:39,710 +hemolysis، مثل ما ممكن يصير مع hypersensitivity أو + +156 +00:10:39,710 --> 00:10:41,130 +chronic disease. + +157 +00:10:46,410 --> 00:10:49,470 +visible and palpable thickening and contraction of + +158 +00:10:49,470 --> 00:10:52,490 +the palmar fascia causing permanent friction most + +159 +00:10:52,490 --> 00:10:55,970 +often of the ring finger it is often bilateral + +160 +00:10:55,970 --> 00:10:58,330 +occasionally after the pee it's associated with + +161 +00:10:58,330 --> 00:11:01,870 +alcoholism not liver disease but also maybe found + +162 +00:11:01,870 --> 00:11:05,390 +in some manual workers it may sometimes be + +163 +00:11:05,390 --> 00:11:09,310 +familial شاهدين؟ عندنا thickening of friction + +164 +00:11:09,310 --> 00:11:13,870 +permanent friction of the ring finger we have to + +165 +00:11:13,870 --> 00:11:17,070 +feel it يعني من زمان اشتغلنا بحصهاأنا يجب أن أشعر + +166 +00:11:17,070 --> 00:11:21,110 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +167 +00:11:21,110 --> 00:11:23,750 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +168 +00:11:23,750 --> 00:11:23,770 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +169 +00:11:23,770 --> 00:11:26,450 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +170 +00:11:26,450 --> 00:11:27,350 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +171 +00:11:27,350 --> 00:11:29,390 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +172 +00:11:29,390 --> 00:11:38,650 +بالطموح و أشعر بالطموح و أشعر + +173 +00:11:38,650 --> 00:11:46,840 +بالطموح و أشعر بالطموJerk irregular flexion + +174 +00:11:46,840 --> 00:11:49,240 +extension movements at the wrist and + +175 +00:11:49,240 --> 00:11:52,260 +metacarpophalangeal joints, often accompanied by + +176 +00:11:52,260 --> 00:11:55,260 +lateral movement of the fingers, constitute the + +177 +00:11:55,260 --> 00:11:59,960 +flapping of hepatic-hepalopathy بس + +178 +00:11:59,960 --> 00:12:02,880 +الهباتيك الذاب أو السريكسيز ممكن تصير معايا organ + +179 +00:12:02,880 --> 00:12:06,400 +failure، cardiac، renal، whatever، the flap is + +180 +00:12:06,400 --> 00:12:08,940 +usually bilateral، tends to be absent at the + +181 +00:12:08,940 --> 00:12:12,000 +wrist، and is brought on by certain pressures يعني + +182 +00:12:12,000 --> 00:12:14,820 +بيخلي المريض to extend ال fingers + +183 +00:12:21,930 --> 00:12:25,390 +الريتميك موفمينت هم ليسوا متسابقين على كل جانب و + +184 +00:12:25,390 --> 00:12:29,110 +فلاب مفقود عندما يكون هناك كومة بشكل كامل لأن + +185 +00:12:29,110 --> 00:12:31,070 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +186 +00:12:31,070 --> 00:12:31,810 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +187 +00:12:31,810 --> 00:12:32,930 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +188 +00:12:32,930 --> 00:12:35,390 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +189 +00:12:35,390 --> 00:12:37,430 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +190 +00:12:37,430 --> 00:12:39,190 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +191 +00:12:39,190 --> 00:12:40,310 +الريتميك مفقود عند + +192 +00:12:43,860 --> 00:12:46,700 +although this flap is characteristic and every + +193 +00:12:46,700 --> 00:12:49,520 +sign of liver failure is not diagnostic it cannot + +194 +00:12:49,520 --> 00:12:52,160 +occur in cardiac respiratory adrenal failure as + +195 +00:12:52,160 --> 00:12:55,400 +well as in hypoglycemia, hypokalemia, myopoiesmia + +196 +00:12:55,400 --> 00:13:00,120 +and barbiturate infestation عيب عن مخلصنا ال + +197 +00:13:00,120 --> 00:13:03,900 +examination of the hand علينا نبحث عن ال forearm + +198 +00:13:03,900 --> 00:13:07,640 +جواب respect the upper limbs for bruising هل فيه + +199 +00:13:07,640 --> 00:13:10,580 +bruising نتيجة thrombocytopenia أو ثلوجلوبتين + +200 +00:13:10,580 --> 00:13:14,370 +نتيجة مثلا thrombocytopeniaنتيجة الهيبرتينيزم، لأن + +201 +00:13:14,370 --> 00:13:17,130 +في الـ Crohn's disease سنة أنهيبرتينيزم بسنة + +202 +00:13:17,130 --> 00:13:18,710 +أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم + +203 +00:13:18,710 --> 00:13:19,730 +بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة + +204 +00:13:19,730 --> 00:13:21,350 +أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم + +205 +00:13:21,350 --> 00:13:22,730 +بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة + +206 +00:13:22,730 --> 00:13:28,010 +أنهيبرتينيزم بسنة أنهيبرتينيزم + +207 +00:13:28,010 --> 00:13:38,190 +بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة + +208 +00:13:38,190 --> 00:13:38,490 +أنهي + +209 +00:13:42,450 --> 00:13:45,550 +الـScratches أويجي مارس to severe itch are often + +210 +00:13:45,550 --> 00:13:48,030 +prominent in patients with obstructive orgasmic + +211 +00:13:48,030 --> 00:13:51,850 +jaundice الـSpider + +212 +00:13:51,850 --> 00:13:54,350 +Levi شو هو الـSpider Levi؟ الـSpider Levi consists + +213 +00:13:54,350 --> 00:13:58,710 +of central arteriole from which radiates numerous + +214 +00:13:58,710 --> 00:14:04,230 +small vessels which look like spider's legs تعرفي + +215 +00:14:04,230 --> 00:14:08,330 +عن كبوت؟ They range in size from just visible to + +216 +00:14:08,330 --> 00:14:13,660 +halfأسنتمتر في الديامتر ومشاركتهم عادية في المنطقة + +217 +00:14:13,660 --> 00:14:18,140 +المحطمة من أعلى بين الكيبا، كيبا، لذلك هم موجودين + +218 +00:14:18,140 --> 00:14:22,600 +على عصرهم، رأسهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +219 +00:14:22,600 --> 00:14:26,800 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +220 +00:14:26,800 --> 00:14:27,220 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +221 +00:14:27,220 --> 00:14:32,960 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وThe finding of + +222 +00:14:32,960 --> 00:14:35,760 +more than two or three spinal nevi anywhere in the + +223 +00:14:35,760 --> 00:14:37,860 +body is likely to be abnormal يعني المعنى اللي + +224 +00:14:37,860 --> 00:14:39,820 +عرفناه من ثلاثة أكتر من ثلاثة عبارة عبارة عبارة + +225 +00:14:39,820 --> 00:14:40,000 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +226 +00:14:40,000 --> 00:14:42,060 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +227 +00:14:42,060 --> 00:14:43,280 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +228 +00:14:43,280 --> 00:14:43,640 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +229 +00:14:43,640 --> 00:14:51,200 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +230 +00:14:51,200 --> 00:15:01,560 +عبارة + +231 +00:15:02,490 --> 00:15:06,550 +الـ News بقى جيب اضغط على السطر الارتجالي الاسمه + +232 +00:15:06,550 --> 00:15:07,010 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +233 +00:15:07,010 --> 00:15:07,570 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +234 +00:15:07,570 --> 00:15:10,410 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +235 +00:15:10,410 --> 00:15:11,130 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +236 +00:15:11,130 --> 00:15:13,530 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +237 +00:15:13,530 --> 00:15:13,850 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +238 +00:15:13,850 --> 00:15:22,170 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +239 +00:15:22,170 --> 00:15:30,310 +الاسمه ال + +240 +00:15:41,670 --> 00:15:46,470 +بعد ما فعصت ال four arms فعصناها ال four ال tattoo + +241 +00:15:46,470 --> 00:15:51,390 +for example ال tattoo ممكن تكون نقل بعض ال viruses + +242 +00:15:51,390 --> 00:15:55,950 +زي ال virus hepatitis زي ال B أو ال C أثناء مكان + +243 +00:15:55,950 --> 00:15:59,550 +العمل ممكن أدل reverse solos في أي موقف ميديالي + +244 +00:15:59,550 --> 00:16:02,030 +براكس تطلع في ال four arms ميديالي براكس كتير مهمة + +245 +00:16:02,030 --> 00:16:04,510 +لما يبقوا يكونوا IV Drug Abuser يكونوا فيه + +246 +00:16:04,510 --> 00:16:08,790 +أندوبرالإنفكشن معين زي Tabax B أو C scratch marks + +247 +00:16:16,400 --> 00:16:25,460 +بعد ذلك بكون انا + +248 +00:16:25,460 --> 00:16:31,540 +خلعت + +249 +00:16:31,540 --> 00:16:34,540 +من ال hand for arms, arms, and axilla بطلع على ال + +250 +00:16:34,540 --> 00:16:38,070 +facelook at the eyes look first at sclera for + +251 +00:16:38,070 --> 00:16:40,830 +signs of jaundice او anemia اذا كنت بتاعي بالفلوس + +252 +00:16:40,830 --> 00:16:45,990 +ولا في jaundice مهم جدا ان نطلع ال example اذا + +253 +00:16:45,990 --> 00:16:51,450 +كانت كلها علاقة بالكوليسترال بعدين بنزل انا لازم + +254 +00:16:51,450 --> 00:16:55,710 +ابحث ال jaundice ابحث الفلوس نشوف في example ازمه + +255 +00:16:55,710 --> 00:16:58,210 +ولا لأ then I have to palpate for prostate + +256 +00:16:58,210 --> 00:17:01,050 +enlargement prostate enlargement prostate + +257 +00:17:01,050 --> 00:17:06,960 +enlargement باجي بال my thumbsأنا باكستر بحاول أحس + +258 +00:17:06,960 --> 00:17:11,740 +فوق .. just على ال .. على ال mandible of the + +259 +00:17:11,740 --> 00:17:17,140 +patient بحاول أحس فوق + +260 +00:17:17,140 --> 00:17:18,780 +.. just on the mandible of the patient بحاول أحس + +261 +00:17:18,780 --> 00:17:21,860 +فوق .. just on the mandible of the patient بحاول + +262 +00:17:21,860 --> 00:17:24,000 +أحس فوق .. just on the mandible of the patient + +263 +00:17:24,000 --> 00:17:24,480 +بحاول أحس فوق .. just on the mandible of the + +264 +00:17:24,480 --> 00:17:24,540 +patient بحاول أحس فوق .. just on the mandible of + +265 +00:17:24,540 --> 00:17:25,340 +the patient بحاول أحس فوق .. just on the mandible + +266 +00:17:25,340 --> 00:17:25,360 +mandible of the patient بحاول أحس فوق .. just on + +267 +00:17:25,360 --> 00:17:28,800 +the mandible of the patient بحاول أحس فوق .. just + +268 +00:17:28,800 --> 00:17:30,720 +on the mandible of the patient بحاول أحس فوق .. + +269 +00:17:30,720 --> 00:17:31,380 +just on the mandible of the patient بحاول أحس فوق + +270 +00:17:31,380 --> 00:17:32,650 +.. just on the mandible ofالـ mouth I have to + +271 +00:17:32,650 --> 00:17:36,310 +examine for فيه ترهيباتيكا فيه ترهيباتيكا is the + +272 +00:17:36,310 --> 00:17:38,810 +odor اللي بيشوف ان انا في المرض لما بيشوف اني مرضي + +273 +00:17:38,810 --> 00:17:42,610 +it's a rather sweet smell of the breath بعدين انا + +274 +00:17:42,610 --> 00:17:45,090 +لازم أتحسن تانية أشوف هل في عندي مثلا evidence of + +275 +00:17:45,090 --> 00:17:47,390 +inflammation فيه glucicosis هل في بعض البيضا + +276 +00:17:47,390 --> 00:17:51,290 +مدفشنسي هل فيه mouth ulcers هل فيه pigmentation و + +277 +00:17:51,290 --> 00:17:54,110 +في بعض مقضة الأدوات اللي فيها pigmentation هل فيه + +278 +00:17:54,110 --> 00:17:57,070 +gum hypertrophy لديش بعض الأمراض أو بعض ال drugs + +279 +00:17:57,070 --> 00:17:57,990 +باستخدامها البريط + +280 +00:18:01,960 --> 00:18:05,020 +بعدين مثل ما حكيت قبل شوية بيش respect and palpate + +281 +00:18:05,020 --> 00:18:07,240 +the cheeks over the protruded area for parts of + +282 +00:18:07,240 --> 00:18:12,380 +the larynx بعدين بزل عن ال neck and chest I have + +283 +00:18:12,380 --> 00:18:16,800 +to palpate the cervical for cervical nodes أنت + +284 +00:18:16,800 --> 00:18:20,640 +نبحث ال cervical nodes، ال groups، ال anterior و + +285 +00:18:20,640 --> 00:18:23,120 +ال posterior groups أنا مانعش أبحث ال anterior + +286 +00:18:23,120 --> 00:18:24,940 +groups اللي يكون أنا خلف المريض، اللي يكون المريض + +287 +00:18:24,940 --> 00:18:27,760 +قاعد، أنا مانعش أبحث عن ال posterior مريض اللي + +288 +00:18:27,760 --> 00:18:31,420 +يكون أنا مواجهه المريض و المريض برضه قاعدIt's + +289 +00:18:31,420 --> 00:18:33,800 +particularly important to feel for supraclavicular + +290 +00:18:33,800 --> 00:18:38,060 +lymph nodes, especially on the left side. ليه؟ + +291 +00:18:38,060 --> 00:18:43,340 +Virtual node. This may be involved with advanced + +292 +00:18:43,340 --> 00:18:46,740 +gastric or other gastrointestinal malignancy. With + +293 +00:18:46,740 --> 00:18:49,660 +lung or with lung cancer.The presence of large + +294 +00:18:49,660 --> 00:18:51,800 +lymph supraclavicular nodes in combination with + +295 +00:18:51,800 --> 00:18:54,820 +carcinoma of the stomach is called troisiacin.Look + +296 +00:18:54,820 --> 00:18:55,760 +for spina bifida. + +297 +00:18:59,450 --> 00:19:02,830 +الـ upper chest على ال .. او ال back of the .. + +298 +00:19:02,830 --> 00:19:05,690 +upper back of the chest و لو كنت شوفتها على ال + +299 +00:19:05,690 --> 00:19:10,970 +arms و ال forearms جانيكوماصية شو هي جانيكوماصية؟ + +300 +00:19:10,970 --> 00:19:14,290 +عبارة عن ماذا؟ it's a sign of singularity + +301 +00:19:14,290 --> 00:19:16,930 +جانيكوماصية بيبقى unilateral أو bilateral عند ال + +302 +00:19:16,930 --> 00:19:20,210 +breast ميبتندف اللي هي بالظبط تعريفها painful + +303 +00:19:20,210 --> 00:19:23,670 +enlarged belly breast this may be a sign of + +304 +00:19:23,670 --> 00:19:26,930 +cirrhosis particularly alcoholic cirrhosisأو + +305 +00:19:26,930 --> 00:19:30,370 +كرونيكا اكتفية بزايدة انصار تيك بياتين الدراجات + +306 +00:19:30,370 --> 00:19:32,330 +اللي هي سبانيا الولايات المتحدة بتاعتها بتاعتها + +307 +00:19:32,330 --> 00:19:35,450 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +308 +00:19:35,450 --> 00:19:39,670 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +309 +00:19:39,670 --> 00:19:39,910 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +310 +00:19:39,910 --> 00:19:44,230 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +311 +00:19:44,230 --> 00:19:50,930 +ت + +312 +00:19:59,150 --> 00:20:02,950 +هل بدأت أعمل exposure في الـ abdominal examination + +313 +00:20:02,950 --> 00:20:07,610 +من الـ inframammary area لحد ال mid-thighs كيبقى + +314 +00:20:07,610 --> 00:20:10,550 +الpatient modesty؟ ماهو قصد كيبقى ال patient + +315 +00:20:10,550 --> 00:20:13,490 +modesty؟ عفض احترام من منطقة الجينيتي اللي يجب أن + +316 +00:20:13,490 --> 00:20:18,630 +يكون مغطيها و مغطيها بعد ما هيك بدأت أعمل + +317 +00:20:18,630 --> 00:20:21,910 +inspection ال patient should fly flat with one or + +318 +00:20:21,910 --> 00:20:26,020 +zero or no pillowsوالـ exposure من الـ nipples لل + +319 +00:20:26,020 --> 00:20:27,860 +.. لل .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +320 +00:20:27,860 --> 00:20:28,480 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +321 +00:20:28,480 --> 00:20:30,320 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +322 +00:20:30,320 --> 00:20:30,560 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +323 +00:20:30,560 --> 00:20:35,780 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +324 +00:20:35,780 --> 00:20:35,820 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +325 +00:20:35,820 --> 00:20:39,440 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +326 +00:20:39,440 --> 00:20:45,460 +.. ال .. ال .. ال .. + +327 +00:20:45,460 --> 00:20:48,800 +ال + +328 +00:20:48,800 --> 00:20:53,770 +.. الوانا باقعد في أخر الشريط و باطلع على المريض ك + +329 +00:20:53,770 --> 00:20:59,110 +calling هالمريض عنده scars مثلا بسبب نتيجة surgery + +330 +00:20:59,110 --> 00:21:03,030 +قديمة أو trauma we have to look in the area around + +331 +00:21:03,030 --> 00:21:05,610 +the umbilicus for laparoscopic surgerect scars + +332 +00:21:05,610 --> 00:21:07,050 +المريض يمكنه عامل laparoscopic surgerect scars + +333 +00:21:07,050 --> 00:21:09,730 +بسبب ال one centimeter scar عيون مميزته all the + +334 +00:21:09,730 --> 00:21:12,850 +scars are white and recent scars are pink because + +335 +00:21:12,850 --> 00:21:17,370 +the tissue remains vascular نطلع على المريض هل فيه + +336 +00:21:17,370 --> 00:21:19,550 +انده في الabdominal wall هل فيه انده ثومت او + +337 +00:21:22,990 --> 00:21:26,070 +بتطلعها برضه انا و انا في اخر وقف على الـ hit end + +338 +00:21:26,070 --> 00:21:28,930 +of the bed بتشوف هل في abnormal distinction؟ this + +339 +00:21:28,930 --> 00:21:32,290 +distinction is generalized or localized or the + +340 +00:21:32,290 --> 00:21:36,270 +cause of sound of .. or the .. all the causes of + +341 +00:21:36,270 --> 00:21:39,810 +this sound if they have the letter F يعني خمس + +342 +00:21:39,810 --> 00:21:41,570 +أشياء هي في ده اللي بتلعبناه abnormal distinction + +343 +00:21:41,570 --> 00:21:45,310 +ال fat, fluid, fetus, atleta, atletas and feces + +344 +00:21:45,310 --> 00:21:50,820 +تمام؟ يعني خمس أخرLook at the shape of the + +345 +00:21:50,820 --> 00:21:53,980 +umbilicus ممكن يكون ال .. ال umbilicus inverted, + +346 +00:21:54,460 --> 00:21:57,820 +flat or inverted لما يكون في أسايت في الأبي و يكون + +347 +00:21:57,820 --> 00:22:01,180 +inverted على برة او flat ال .. ال umbilicus + +348 +00:22:01,180 --> 00:22:03,500 +however when there is a site that appear on the + +349 +00:22:03,500 --> 00:22:06,540 +flank and wall appear tense and umbilicus is + +350 +00:22:06,540 --> 00:22:10,500 +shallow or inverted I'm shifted downward فالمهم مش + +351 +00:22:10,500 --> 00:22:13,920 +ده في ال umbilicus مانساش نطلع على bulging ال + +352 +00:22:13,920 --> 00:22:17,000 +flanks في حياة الأسايت بلاقي ال .. ال flanks من + +353 +00:22:17,000 --> 00:22:18,460 +البطل المجهود ال flank tense + +354 +00:22:23,100 --> 00:22:26,160 +لو كان عندى في ال abdomen .. في ال abdomen مثلا ما + +355 +00:22:26,160 --> 00:22:29,160 +تشوفى اندروكلاجيسكولينكالي ممكن تكون مثلا في intra + +356 +00:22:29,160 --> 00:22:31,500 +-abdominal mass انت enlargement من intra-abdominal + +357 +00:22:31,500 --> 00:22:37,260 +organs مهم جدا نشوف ال hernias الفيبو مثلا + +358 +00:22:37,260 --> 00:22:43,080 +بلايكالفين وين الهاي مهم جدا نتطلع عليه الحاجات + +359 +00:22:43,080 --> 00:22:48,220 +المهم جدا نتطلع عليه prominent veinsالـVans may be + +360 +00:22:48,220 --> 00:22:50,400 +obvious on the abdominal wall if they are present + +361 +00:22:50,400 --> 00:22:52,420 +in the direction of penis flow should be illicit + +362 +00:22:52,420 --> 00:22:58,260 +at this stage لو تتأذلت انا اعمل milking test و + +363 +00:22:58,260 --> 00:23:02,660 +احدد ال direction تبحر باستخدام ان ال finger is + +364 +00:23:02,660 --> 00:23:05,100 +used to recruit the vein and the blood is then + +365 +00:23:05,100 --> 00:23:08,340 +emptied from the vein يعني بعمل أصبعين فوق ال vein + +366 +00:23:08,340 --> 00:23:11,680 +و بعديهم اتحرك لتحت و برفعلي فوق مثلا او العكس + +367 +00:23:11,680 --> 00:23:14,780 +واحد اتحرك لفوق و برفعلي تحت او بعديهم اتحرك لتحت + +368 +00:23:14,780 --> 00:23:17,230 +و برفعلي فوق حتى يشوف ال directionof the finger + +369 +00:23:17,230 --> 00:23:21,270 +flow should be tested separately in veins above + +370 +00:23:21,270 --> 00:23:25,190 +and below the umbilicus in severe border + +371 +00:23:25,190 --> 00:23:27,510 +hypertension, the direction of flow is away from + +372 +00:23:27,510 --> 00:23:30,250 +the umbilicus دعوني أشرح لكم بساطة embolism can + +373 +00:23:30,250 --> 00:23:31,910 +occur because of a theory of inner curve + +374 +00:23:31,910 --> 00:23:35,030 +obstruction usually due to tumor or thrombosis لو + +375 +00:23:35,030 --> 00:23:37,430 +كان أنا في border hypertension ال flow بيكون away + +376 +00:23:37,430 --> 00:23:39,070 +from the umbilicus لو كانت ال theory of inner + +377 +00:23:39,070 --> 00:23:41,550 +curve obstruction ال direction بيكون upwards + +378 +00:23:41,550 --> 00:23:44,610 +towards the heart يعني بيكون كأنه رايح نحيط ال + +379 +00:23:44,610 --> 00:23:49,100 +umbilicusطب انا هل كان دي visible pulsation او + +380 +00:23:49,100 --> 00:23:55,880 +visible results؟ pulsation ممكن تشوفها في very + +381 +00:23:55,880 --> 00:23:58,360 +lean persons او المريض لو عنده aortic abdomen او + +382 +00:23:58,360 --> 00:24:01,420 +aortic aneurysm مثلا ماضحة visible results ممكن + +383 +00:24:01,420 --> 00:24:05,300 +تشوفها in very thin normal people however it's + +384 +00:24:05,300 --> 00:24:08,300 +usually just a sign of obstruction تشوفها في الناس + +385 +00:24:08,300 --> 00:24:11,540 +العاديين بس هي في الأغلب تشوفها في الناس اللي + +386 +00:24:11,540 --> 00:24:12,820 +عندهم sign of obstruction + +387 +00:24:16,210 --> 00:24:20,050 +الـ stria موجودة ما ننساش بـ stria stretching of + +388 +00:24:20,050 --> 00:24:25,030 +the abdominal wall can sometimes be severe enough + +389 +00:24:25,030 --> 00:24:27,510 +to cause rupture of the elastic fibers in the skin + +390 +00:24:27,510 --> 00:24:31,810 +to produce pink pink linear marks with wrinkled + +391 +00:24:31,810 --> 00:24:35,850 +appearance which are called stria when these are + +392 +00:24:35,850 --> 00:24:38,670 +white and purple color coaching syndrome لو كانت + +393 +00:24:38,670 --> 00:24:41,470 +purple color فتفكر في coaching syndrome لو كانت + +394 +00:24:41,470 --> 00:24:43,810 +silver color فتفكر في ال obesity أو ال pregnancy + +395 +00:24:44,510 --> 00:24:46,850 +قصائد الـ pregnancy أو الـ recent weight gain هم + +396 +00:24:46,850 --> 00:24:49,470 +أكتر من الـ boys of this era بس بيكون سيلفر مش + +397 +00:24:49,470 --> 00:24:56,830 +بيربل كالعود بيتحلت + +398 +00:24:56,830 --> 00:24:59,230 +بتطلع على أي skin lesions أنا موجود وعلّق عليه هل + +399 +00:24:59,230 --> 00:25:03,330 +في مثلا أي skin eruption ال skin eruption هي ممكن + +400 +00:25:03,330 --> 00:25:07,290 +تكون مثلا تم ال Demergue lesion مثلا which are non + +401 +00:25:07,290 --> 00:25:10,900 +blanching بعد وطنها ما بتروحممكن يكون ماكيلو + +402 +00:25:10,900 --> 00:25:14,520 +بابيولر ممكن يكون فيه بتيكيا او whatever اي skin + +403 +00:25:14,520 --> 00:25:16,720 +lesion بتشوفه لأ I have to stress over it اشوفه + +404 +00:25:16,720 --> 00:25:20,580 +بلان شبه بلان شبه هل هو ماكيلو بابيولر هل هو + +405 +00:25:20,580 --> 00:25:24,200 +bleeding هل هو pits lesion whatever it is هل هو + +406 +00:25:24,200 --> 00:25:30,240 +نيباين مثلا بقدر ما كنت مضيق انا من end of the bed + +407 +00:25:30,240 --> 00:25:34,080 +شوفت المريض كيف نايم comfortably مافيش عنده اي + +408 +00:25:34,080 --> 00:25:37,580 +stress حكيته على ال weight و على ال posture الخاص + +409 +00:25:37,580 --> 00:25:40,000 +بالمريض و على الأمورةعملت exposure من الـ + +410 +00:25:40,000 --> 00:25:42,780 +inframemory للمتواعب كيف انبشرت نفسي حافظ على + +411 +00:25:42,780 --> 00:25:46,900 +احتمال ما يتغطيه في نفسي في كلمة تالية تول بعد هيك + +412 +00:25:46,900 --> 00:25:49,960 +أنا بكون أخد مزرعة كيف ال shape of the abdomen كيف + +413 +00:25:49,960 --> 00:25:53,060 +ال head distribution كيف الأمباليكاس هل يبيرتد + +414 +00:25:53,060 --> 00:25:56,380 +فلاك ابيرتد؟ هل يشهد ال gun war؟ هل فيه bunging in + +415 +00:25:56,380 --> 00:25:59,100 +flanks؟ هل فيه invisible pulsation؟ هل فيه visible + +416 +00:25:59,100 --> 00:26:02,520 +distortions؟ هل فيه stria؟ هل فيه dilated veins؟ + +417 +00:26:02,520 --> 00:26:05,100 +هل فيه visible pulsation؟ whatever هذه كلها تنفسي + +418 +00:26:05,100 --> 00:26:07,300 +أعلق عليها هل فيه generalized or localized + +419 +00:26:07,300 --> 00:26:11,030 +schooling؟ هذه مهمة جدابعدين انا جاب لجنب المريض + +420 +00:26:11,030 --> 00:26:14,690 +بقول انا طيب في الحال ايه لازم تكون مضحوطة قدامي I + +421 +00:26:14,690 --> 00:26:17,670 +have to squat down بانزل kneeling ع مدعوى الشهرات + +422 +00:26:17,670 --> 00:26:22,590 +ان ايدي تكون على مستوى بطن المريض و تكون عيني في + +423 +00:26:22,590 --> 00:26:26,390 +عين المريض بس المريض انت في عندك اي قلم في اي مكان + +424 +00:26:26,390 --> 00:26:29,770 +لو في مكان اشر على المجلة القلم هذا بسيبه للاخر + +425 +00:26:29,770 --> 00:26:32,290 +لازم اتبلش اعمل superficial palpation كل هذا + +426 +00:26:32,290 --> 00:26:35,580 +superficial palpation تلات شغلات اول شغلةGain + +427 +00:26:35,580 --> 00:26:40,080 +confidence of patient هطمئن المريض ان انا لن احذر + +428 +00:26:40,080 --> 00:26:45,920 +او أهم Superficial palpation .. تكشف اي + +429 +00:26:45,920 --> 00:26:48,600 +superficial palpal masses و Superficial tenderness + +430 +00:26:48,600 --> 00:26:52,260 +تلت مهمات ل Superficial palpation Gain confidence + +431 +00:26:52,260 --> 00:26:54,240 +.. Superficial tenderness .. Superficial palpation + +432 +00:26:54,240 --> 00:26:57,160 +.. Superficial palpation .. Superficial palpation + +433 +00:26:57,160 --> 00:26:57,280 +.. Superficial palpation .. Superficial palpation + +434 +00:26:57,280 --> 00:26:57,300 +.. Superficial palpation .. Superficial palpation + +435 +00:26:57,300 --> 00:26:57,660 +.. Superficial palpation .. Superficial palpation + +436 +00:26:57,660 --> 00:26:57,740 +.. Superficial palpation .. Superficial palpation + +437 +00:26:57,740 --> 00:26:59,860 +.. Superficial palpation .. Superficial palpation + +438 +00:26:59,860 --> 00:27:02,280 +.. Superficial palpation .. Superficial palpation + +439 +00:27:02,280 --> 00:27:04,180 +.. Superficial palpation .. Superficial palpation + +440 +00:27:04,180 --> 00:27:19,470 +.. Superficialبسيبها للآخر الـ + +441 +00:27:19,470 --> 00:27:22,050 +Pulpation ده عبارة عن الـ organ specific pulpation + +442 +00:27:22,050 --> 00:27:23,550 +و ال superficial superficial اللي بنحكي عليها + +443 +00:27:23,550 --> 00:27:26,530 +حاليا أنه له ثلاث أهداف يعني ال confidence of + +444 +00:27:26,530 --> 00:27:29,110 +patient detection of superficial tenderness و + +445 +00:27:29,110 --> 00:27:31,730 +detection of superficial pulpal pulp superficial + +446 +00:27:31,730 --> 00:27:32,370 +pulpal max + +447 +00:27:36,860 --> 00:27:42,100 +هو مجرد اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف + +448 +00:27:42,100 --> 00:27:45,180 +اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف + +449 +00:27:45,180 --> 00:27:47,920 +اكتشاف اكتشاف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف + +450 +00:27:47,920 --> 00:27:47,980 +اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف + +451 +00:27:47,980 --> 00:27:48,300 +اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف + +452 +00:27:48,300 --> 00:27:53,860 +اكتشف اكتشف اكتشف اكتشف اكتشف + +453 +00:27:53,860 --> 00:28:03,160 +اكتشف + +454 +00:28:03,160 --> 00:28:09,340 +اكتبكون proper exposure وعيني بتبطلع في عين المريض + +455 +00:28:09,340 --> 00:28:11,660 +اعمل الـ eye contact لو مريض صار عنده اي علامة مش + +456 +00:28:11,660 --> 00:28:15,840 +هيكون انا ماخد باله + +457 +00:28:15,840 --> 00:28:22,000 +مثل + +458 +00:28:22,000 --> 00:28:24,540 +ما حكيت for descriptive purposes the abdomen has + +459 +00:28:24,540 --> 00:28:27,220 +been divided into nine areas or regions فالpatient + +460 +00:28:27,220 --> 00:28:29,320 +in each region is performed with the palmar + +461 +00:28:29,320 --> 00:28:32,350 +surface of the fingers acting togetherfor the + +462 +00:28:32,350 --> 00:28:34,450 +palpation of the edges of the organs, the lateral + +463 +00:28:34,450 --> 00:28:36,370 +surface of the forefingers is the most sensitive + +464 +00:28:36,370 --> 00:28:44,190 +part of the hand طبعا + +465 +00:28:44,190 --> 00:28:47,870 +احنا لو هنا عملنا palpation يجب ان يكون هنا + +466 +00:28:47,870 --> 00:28:50,730 +descriptive feature of intra-abdominal mass ده يجب + +467 +00:28:50,730 --> 00:28:53,350 +ان احدد انا where is the size of the mass whether + +468 +00:28:53,350 --> 00:28:56,790 +it's tender ولا منتندر it's the size من جثة بالمتر + +469 +00:28:56,790 --> 00:28:59,090 +وغير الحال انا بعدين اقول مثلا four finger او + +470 +00:28:59,090 --> 00:29:02,270 +three finger او whatever بالcentimeter بالمترأي + +471 +00:29:02,270 --> 00:29:05,750 +سبب؟ لازم أحس الـ service بحق؟ هو regular و لا + +472 +00:29:05,750 --> 00:29:11,690 +regular؟ ال edge هو sharp و لا ضال edge أو rounded + +473 +00:29:11,690 --> 00:29:15,450 +edge؟ consistency fair و لا hard؟ هل هو mobile + +474 +00:29:15,450 --> 00:29:19,090 +with inspiration و لا لأ؟ هل هو versatile و لا لأ؟ + +475 +00:29:19,090 --> 00:29:21,870 +هل أنا ممكن أقول we can get above it و لا لأ؟ هذا + +476 +00:29:21,870 --> 00:29:24,470 +أي انا ما أحس بحسب الأدوة و انا زعلق على حتة و + +477 +00:29:24,470 --> 00:29:25,850 +تسعة و تسعة characters + +478 +00:29:30,450 --> 00:29:33,370 +Light palpation اللي كنا نحكي عنه، should begin + +479 +00:29:33,370 --> 00:29:35,670 +with light pressure on each region. All the + +480 +00:29:35,670 --> 00:29:37,810 +movements of the hand should occur at the + +481 +00:29:37,810 --> 00:29:42,070 +metacarbopharyngeal joint. And the hand should be + +482 +00:29:42,070 --> 00:29:44,650 +molded to the shape of the abdominal wall. The + +483 +00:29:44,650 --> 00:29:47,290 +presence of any tenderness or lumps in each region + +484 +00:29:47,290 --> 00:29:51,130 +should be noted. As the hand moves over each + +485 +00:29:51,130 --> 00:29:52,970 +region, the mind should be considering the + +486 +00:29:52,970 --> 00:29:54,950 +anatomical structure that underlies it. + +487 +00:29:59,890 --> 00:30:02,770 +مش عال deep palpation of abdomen is performed next + +488 +00:30:02,770 --> 00:30:05,930 +بعد ما اكون خلص superficial palpation ليش بعمل + +489 +00:30:05,930 --> 00:30:07,830 +deep palpation؟ حتى لو انا حاسست superficial + +490 +00:30:07,830 --> 00:30:12,030 +palpation اي mass اقدر اعمل dimination اقدر اصيب + +491 +00:30:12,030 --> 00:30:15,190 +التسعة كارات رسمية اللي حكيناها جبالي نقدر نحكي + +492 +00:30:15,190 --> 00:30:19,150 +عنها في + +493 +00:30:19,150 --> 00:30:21,650 +تحت deep palpation ال care should be taken to + +494 +00:30:21,650 --> 00:30:24,090 +avoid tender areas until the end of the dimination + +495 +00:30:24,090 --> 00:30:28,410 +deep palpation is used to detect deeper massesand + +496 +00:30:28,410 --> 00:30:31,490 +to define those already discovered any mass must + +497 +00:30:31,490 --> 00:30:34,010 +be carefully characterized and described حتى بيصيح + +498 +00:30:34,010 --> 00:30:36,470 +صحيح صحيح، consistency، movement، surface، edges، + +499 +00:30:36,470 --> 00:30:41,910 +regulators وعلّق عليها، وحكيها نبدأ هنا، is the + +500 +00:30:41,910 --> 00:30:46,770 +organ specific؟ ال organ specific، أنا عندي، I + +501 +00:30:46,770 --> 00:30:48,730 +have to start feeling that it's for hepatomegaly، + +502 +00:30:48,730 --> 00:30:51,290 +هل ده للأعشبرة أو لأ؟ with the examining hand + +503 +00:30:51,290 --> 00:30:54,170 +aligned parallel to the right costal margin، the + +504 +00:30:54,170 --> 00:30:56,850 +beginning is in the right iliacusa، name of the + +505 +00:30:56,850 --> 00:31:00,020 +blood iliacusaأسأل المريض أن يخلص منه و يخرج منه + +506 +00:31:00,020 --> 00:31:03,040 +من حياته، من الحمام، من الحمام، من حياته، من + +507 +00:31:03,040 --> 00:31:04,300 +حياته، من حياته، من حياته، من حياته، من حياته، من + +508 +00:31:04,300 --> 00:31:06,160 +حياته، من حياته، من حياته، من حياته، من حياته، من + +509 +00:31:06,160 --> 00:31:08,380 +حياته، من حياته، من حياته، من حياته، من حياته، من + +510 +00:31:08,380 --> 00:31:10,860 +حياته، من حياته، من حياته، من حياته، من حياته، من + +511 +00:31:10,860 --> 00:31:13,420 +حياته، من حياته، من حياته، من حياته، من حياته، من + +512 +00:31:13,420 --> 00:31:21,460 +حياته، من حياته، من حياته، من حياته، من حياته، + +513 +00:31:21,460 --> 00:31:25,000 +من + +514 +00:31:25,000 --> 00:31:30,240 +حإذا كانت الوصفة موجودة فإن تجربة كانت تكون مجهودة + +515 +00:31:30,240 --> 00:31:33,180 +لإيقاف الـ Service of the liver عاليه وعاليه + +516 +00:31:33,180 --> 00:31:34,780 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +517 +00:31:34,780 --> 00:31:35,700 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +518 +00:31:35,700 --> 00:31:35,960 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +519 +00:31:35,960 --> 00:31:38,240 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +520 +00:31:38,240 --> 00:31:39,380 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +521 +00:31:56,020 --> 00:32:00,300 +وكل ال edge تبع smooth rounded و ال surface smooth + +522 +00:32:00,300 --> 00:32:03,320 +او + +523 +00:32:03,320 --> 00:32:05,640 +ايش حاجة تستعمل اندي باتوميجالي؟ في اندي انا أسباب + +524 +00:32:05,640 --> 00:32:09,760 +للي باتوميجالي اولش بقسم ال مثل باتوميجالي مثلا + +525 +00:32:09,760 --> 00:32:13,100 +يكون عندك liver mets مالي ناس موجودة في ورا باتش + +526 +00:32:13,100 --> 00:32:16,700 +هي عاملة متس متس متس على ال liver myeloprophic + +527 +00:32:16,700 --> 00:32:19,080 +disorders right heart failure ابتسولة كانسر + +528 +00:32:19,080 --> 00:32:21,580 +alcoholic liver disease ودفعة infiltration تعمل + +529 +00:32:21,580 --> 00:32:27,620 +مثل باتوميجالي مدرس باتوميجاليالأسباب اللي حكيناها + +530 +00:32:27,620 --> 00:32:31,100 +فوق مثلا infiltration يعني ميكوماتوزس + +531 +00:32:31,100 --> 00:32:35,160 +hematological diseases مثلا chronic leukemia او + +532 +00:32:35,160 --> 00:32:37,860 +lymphoma، fat liver، secondary diabetes، melitus + +533 +00:32:37,860 --> 00:32:44,160 +أو بيض التكسين، infiltration زي عمينودوزس ال + +534 +00:32:44,160 --> 00:32:47,800 +mild بالتوميجالين؟ نفس الأسباب اللي حكيناها فوق + +535 +00:32:47,800 --> 00:32:51,200 +تعمل مثلا moderate و تعمل mild زي ال Hepatitis B + +536 +00:32:51,200 --> 00:32:57,650 +وHIV infectionطب انا لو كان عندي firm .. عندي + +537 +00:32:57,650 --> 00:33:01,330 +regular firm .. ال concern ان انا عندي firm مش صعب + +538 +00:33:01,330 --> 00:33:06,290 +.. firm .. liver .. بفكر انا الحاجات اللي بتعمل + +539 +00:33:06,290 --> 00:33:08,270 +عندي firm عالي و كده .. زي pancreatinoma .. + +540 +00:33:08,270 --> 00:33:10,930 +metastatic diseases .. psoriasis .. عيضات ال test + +541 +00:33:10,930 --> 00:33:12,790 +.. and even اللي هو مثلا ال sarcoidosis .. and + +542 +00:33:12,790 --> 00:33:14,490 +filtering the liver .. and amyloidosis .. and + +543 +00:33:14,490 --> 00:33:17,610 +filtering the liver .. هيكون في منطق ال liver test + +544 +00:33:17,610 --> 00:33:21,590 +tender liver .. مات بشوف tender liver .. في حالات + +545 +00:33:21,590 --> 00:33:24,570 +اللي بتاعي testفي حالات Rapid Liver Alarm زي Right + +546 +00:33:24,570 --> 00:33:26,950 +Side Heart Failure أو Hepatic Heart Syndrome اللي + +547 +00:33:26,950 --> 00:33:30,350 +هو Hepatic Venous Thrombosis Hepaticular Cancer, + +548 +00:33:30,470 --> 00:33:33,570 +Hepatic Abscess, Pilear Obstruction وPonogartis + +549 +00:33:33,570 --> 00:33:37,990 +تقول ساعتها اللي برمت بحسها بحسها تتركز بترجمش + +550 +00:33:37,990 --> 00:33:40,730 +تاجر Hepaticular Cancer and Vascular Abnormalities + +551 +00:33:40,730 --> 00:33:43,970 +طبيعي + +552 +00:33:43,970 --> 00:33:47,650 +تحالة انا اكبر بالبشر انا بكون حددت مثلا وين ال + +553 +00:33:47,650 --> 00:33:51,610 +lower border of liver حسيته انا ال edge حددت ال + +554 +00:33:51,610 --> 00:33:55,530 +edge اللي هوrounded edge هلو و sharp بحدد ال + +555 +00:33:55,530 --> 00:33:58,250 +surface regular او irregular اتجارب ال consistency + +556 +00:33:58,250 --> 00:34:03,190 +of the liver هلهي smooth هلهي firm هلهي hard هذه + +557 +00:34:03,190 --> 00:34:06,310 +مهمة جدا بعد هيك تبتدى اكون انا اشوف ال liver + +558 +00:34:06,310 --> 00:34:08,610 +pulsatile و non pulsatile بعد هيك تتعرف على ال + +559 +00:34:08,610 --> 00:34:11,770 +spleen ال spleen enlarges intermediary immediately + +560 +00:34:11,770 --> 00:34:15,730 +its edge او tip يعني بالاخر نحكي على ال spleen tip + +561 +00:34:15,730 --> 00:34:19,050 +تبتدى صوت below the umbilicus and the midline + +562 +00:34:19,050 --> 00:34:21,210 +initial يعني ممكن تكون عندى massively enlarged + +563 +00:34:21,630 --> 00:34:24,570 +التقنية الانتقالية الانتقالية الانتقالية + +564 +00:34:24,570 --> 00:34:26,170 +الانتقالية الانتقالية الانتقالية الانتقالية + +565 +00:34:26,170 --> 00:34:27,950 +الانتقالية الانتقالية الانتقالية الانتقالية + +566 +00:34:27,950 --> 00:34:31,110 +الانتقالية الانتقالية الانتقالية الانتقالية + +567 +00:34:31,110 --> 00:34:35,010 +الانتقالية الانتقالية الانتقالية الانتقالية + +568 +00:34:35,010 --> 00:34:36,570 +الانتقالية الانتقالية الانتقالية الانتقالية + +569 +00:34:36,570 --> 00:34:37,310 +الانتقالية الانتقالية الانتقالية الانتقالية + +570 +00:34:37,310 --> 00:34:38,810 +الانتقالية الانتقالية الانتقالية الانتقالية + +571 +00:34:38,810 --> 00:34:50,170 +الانتقالية الانت + +572 +00:34:50,290 --> 00:34:54,370 +عشان اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +573 +00:34:54,370 --> 00:34:54,450 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +574 +00:34:54,450 --> 00:34:55,450 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +575 +00:34:55,450 --> 00:34:57,590 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +576 +00:34:57,590 --> 00:35:01,110 +اشتغل اشتغل اشتغل اشتغل اشتغل + +577 +00:35:01,110 --> 00:35:06,170 +ا + +578 +00:35:14,870 --> 00:35:17,550 +إذا لم يكن الـSpleen بالبلبة، فالشخص يجب أن يكون + +579 +00:35:17,550 --> 00:35:19,790 +مقعدًا على الجانب الصحيح أنا ماقدرش أقول إن + +580 +00:35:19,790 --> 00:35:22,230 +الـSpleen ممكنة بدون أني أبحث أخل المريض يلف على + +581 +00:35:22,230 --> 00:35:25,230 +الـRight Lateral Side و أحاول أبلش من جنب الملف + +582 +00:35:25,230 --> 00:35:29,490 +الكوستالمارد و أحس الـTip of Spleen، طبعا؟ + +583 +00:35:29,490 --> 00:35:31,950 +الـSpleen ممكنة تصبح ممكنة تكتبل إذا كانت + +584 +00:35:31,950 --> 00:35:35,430 +الـSpleen One and a Half to Two Times Large، أبلش + +585 +00:35:35,430 --> 00:35:39,810 +يكون Two Times Large الـSpleen، بعدين بيجي أنا + +586 +00:35:39,810 --> 00:35:44,270 +للكدن، الكدنأنا أحاول أن أسحب الكدن يجب أن يكون + +587 +00:35:44,270 --> 00:35:45,910 +مجموعة عملية عملية عملية عملية عملية عملية عملية + +588 +00:35:45,910 --> 00:35:46,410 +عملية عملية عملية عملية عملية عملية عملية عملية + +589 +00:35:46,410 --> 00:35:47,850 +عملية عملية عملية عملية عملية عملية عملية عملية + +590 +00:35:47,850 --> 00:35:50,110 +عملية عملية عملية عملية عملية عملية عملية عملية + +591 +00:35:50,110 --> 00:35:50,590 +عملية عملية عملية عملية عملية عملية عملية عملية + +592 +00:35:50,590 --> 00:35:53,050 +عملية عملية عملية عملية عملية عملية عملية عملية + +593 +00:35:53,050 --> 00:35:53,130 +عملية عملية عملية عملية عملية عملية عملية عملية + +594 +00:35:53,130 --> 00:36:09,210 +عملية عملية عملية + +595 +00:36:09,210 --> 00:36:13,960 +عإيدي اللي فوق ضغطة و إيدي اللي تحت بترفع و لو + +596 +00:36:13,960 --> 00:36:16,380 +كانت بربي أحس أنا كأنه إيشي بيشي من تحت و بتروح + +597 +00:36:16,380 --> 00:36:20,180 +إيدي اللي فوق إيدي اللي فوق فقط ضغطة لتحت اللي + +598 +00:36:20,180 --> 00:36:26,160 +بترفع طيب + +599 +00:36:26,160 --> 00:36:29,320 +أنا يعني ال kidney هال normal بتكون بالبابل لأ ال + +600 +00:36:29,320 --> 00:36:31,840 +kidney بتكون بالبابل في very thin persons أو + +601 +00:36:31,840 --> 00:36:35,000 +people يكون المريض عنده large kidney زي مثلا + +602 +00:36:35,000 --> 00:36:41,020 +polycystic kidneyأو الـ Kid is affected by other + +603 +00:36:41,020 --> 00:36:46,040 +inflammatory disorders كيف بتتفرج أنا this is + +604 +00:36:46,040 --> 00:36:50,440 +clean و لا this is .. this is clean و لا this is + +605 +00:36:50,440 --> 00:36:53,720 +left kidney؟ + +606 +00:36:53,720 --> 00:36:56,820 +الـ spleen has no bulb up ال upper border مقدرش .. + +607 +00:36:56,820 --> 00:37:00,020 +انا cannot insinuate my hand between the spleen + +608 +00:37:00,020 --> 00:37:03,220 +and the costal margin مقدرش أحس ال upper border بس + +609 +00:37:03,220 --> 00:37:04,580 +في ال final ممكن أحسها + +610 +00:37:08,880 --> 00:37:11,660 +الـSpleen has a notch which can be bulb of it + +611 +00:37:11,660 --> 00:37:15,120 +الـSpleen متحرك مباشرة مباشرة الـSpleen متحرك + +612 +00:37:15,120 --> 00:37:19,900 +مباشرة مباشرة الـSpleen + +613 +00:37:19,900 --> 00:37:23,340 +متحرك + +614 +00:37:23,340 --> 00:37:27,540 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +615 +00:37:27,540 --> 00:37:30,140 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +616 +00:37:30,140 --> 00:37:33,660 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +617 +00:37:33,660 --> 00:37:35,620 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +618 +00:37:35,620 --> 00:37:36,840 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +619 +00:37:36,840 --> 00:37:36,900 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +620 +00:37:36,900 --> 00:37:38,570 +مباشرة الـSpleen متpercussion notes over the + +621 +00:37:38,570 --> 00:37:41,990 +spleen is dull but it's over the kidney it's + +622 +00:37:41,990 --> 00:37:45,990 +resonant لأنه بيكون over the kidney فيه gas في + +623 +00:37:45,990 --> 00:37:49,550 +الفول friction rock maybe able to be heard over + +624 +00:37:49,550 --> 00:37:55,570 +over the spleen but never over the kidneyلأن حركة + +625 +00:37:55,570 --> 00:37:59,890 +الشعر بتتحرك لو كانت ماشية على ورق ناشط .. او لو + +626 +00:37:59,890 --> 00:38:03,090 +كان شعرك تفرق زيك و كان لدي ادم يسميها الـ + +627 +00:38:03,090 --> 00:38:05,290 +pressure up هاي و كنت اسمعها في SP في حالات + +628 +00:38:05,290 --> 00:38:07,990 +انتصافية الفرشن .. بس استحال اسمعها في الـ kidney + +629 +00:38:07,990 --> 00:38:11,570 +خلاصنا + +630 +00:38:11,570 --> 00:38:15,350 +نبرمج على الـ percussion ال percussion .. هنبدأ .. + +631 +00:38:15,350 --> 00:38:17,030 +percussion .. مافيش حد اسمه الـ generalized + +632 +00:38:17,030 --> 00:38:20,350 +percussion في ده قبله .. هنقولش انا specific او + +633 +00:38:20,350 --> 00:38:22,070 +انا specific .. هبدأ ال liver .. percussion لل + +634 +00:38:22,070 --> 00:38:26,240 +liver هيبدأ من فوقمن تحت تنظيف من عند الرادر + +635 +00:38:26,240 --> 00:38:29,420 +الكورسي اقدع حتى حتى تظهر انا اين ال lower او ال + +636 +00:38:29,420 --> 00:38:32,620 +edge of the liver ال fabrication is used to define + +637 +00:38:32,620 --> 00:38:35,920 +the size and nature of organs and masses to detect + +638 +00:38:35,920 --> 00:38:40,680 +fluids in the peritoneal cavity the liver border + +639 +00:38:40,680 --> 00:38:42,960 +should be percussed routinely to determine the + +640 +00:38:42,960 --> 00:38:46,080 +liver span حجمه مجددا ال liver span كم ديش liver + +641 +00:38:46,080 --> 00:38:48,720 +span تبع المريض if the liver edge is not palpable + +642 +00:38:48,720 --> 00:38:51,200 +and there is no aside straight side of the abdomen + +643 +00:38:51,200 --> 00:38:54,470 +should be percussed in the pericarpal lineup to + +644 +00:38:54,470 --> 00:38:56,910 +the A coastal margin until darkness is encountered + +645 +00:38:56,910 --> 00:39:00,150 +يعني + +646 +00:39:00,150 --> 00:39:02,970 +أنا ببدأ بعمل percussion من ال right أكوستر ماشي + +647 +00:39:02,970 --> 00:39:05,030 +وعال ميزي كريبكور online لحد ما أصلا ماتت ال + +648 +00:39:05,030 --> 00:39:07,670 +darkness بعلّم عليها و بخل المرجمة تسوء عن ميزيكها + +649 +00:39:07,670 --> 00:39:11,970 +علم زمين الهوارد برضه نزل الهوارد بتحديد ال span + +650 +00:39:11,970 --> 00:39:15,730 +فور ببدأ من ال seconder coastal space أنجل بلوي + +651 +00:39:15,730 --> 00:39:20,420 +عالميزي كريبكور online ببدأ أعمل percussionو نازل + +652 +00:39:20,420 --> 00:39:24,020 +لحد ما أصل لعندي وين صار تطنس و أخل المريض طبعا + +653 +00:39:24,020 --> 00:39:26,860 +تايت ال percussion و كل مرة تاخد نفسك تتنوع عشان + +654 +00:39:26,860 --> 00:39:29,820 +ال liver بنزل مع ال .. بنزل مع ال diaphragm لو كان + +655 +00:39:29,820 --> 00:39:32,840 +في fluid أو في إيش تاني لأ أنا نقطة كهال مش هيتحرك + +656 +00:39:32,840 --> 00:39:35,840 +و أنا دوسة fluid rather than الا liver بعدين أنا + +657 +00:39:35,840 --> 00:39:38,060 +بكون حددت ال other border of the liver و lower + +658 +00:39:38,060 --> 00:39:40,900 +edge أو lower border of the liver و بجيسه normal + +659 +00:39:40,900 --> 00:39:45,360 +span اللي هو 10 plus minus 2 يعني 112 نفس عامة + +660 +00:39:55,460 --> 00:39:58,220 +النسبة للموضوع النارية النارية النارية النارية + +661 +00:39:58,220 --> 00:40:03,540 +موجودة في مدينة مدينة كليوكولا 9 مدينة كليوكولا 9 + +662 +00:40:03,540 --> 00:40:04,060 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +663 +00:40:04,060 --> 00:40:07,640 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +664 +00:40:07,640 --> 00:40:08,860 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +665 +00:40:08,860 --> 00:40:10,680 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +666 +00:40:10,680 --> 00:40:13,960 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +667 +00:40:13,960 --> 00:40:23,520 +مدين + +668 +00:40:43,920 --> 00:40:47,120 +أنا باستخدام الهاتف باستخدام الهاتف باستخدام + +669 +00:40:47,120 --> 00:40:51,680 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +670 +00:40:51,680 --> 00:40:51,700 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +671 +00:40:51,700 --> 00:40:51,780 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +672 +00:40:51,780 --> 00:40:55,370 +الهاتف باستخدام الهاتف باتحولت من تنبانك تنبانك + +673 +00:40:55,370 --> 00:41:00,150 +تنبانك + +674 +00:41:00,150 --> 00:41:05,310 +تنبانك تنبانك + +675 +00:41:05,310 --> 00:41:07,390 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +676 +00:41:07,390 --> 00:41:10,810 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +677 +00:41:10,810 --> 00:41:15,090 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +678 +00:41:15,090 --> 00:41:15,290 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +679 +00:41:15,290 --> 00:41:17,170 +تنبانك تنبانك تنبانك تنبانبالنسبة للميجالي بيكون + +680 +00:41:17,170 --> 00:41:20,170 +ال large فانت نازل أقل من أربعة صنطة فانت تحصل + +681 +00:41:20,170 --> 00:41:24,350 +مارجن المدرس من أربعة على تمانية صنطة المسر بيكون + +682 +00:41:24,350 --> 00:41:27,390 +أكتر من تمانية صنطة أو ببعض من ال midline يعني + +683 +00:41:27,390 --> 00:41:31,970 +بعدي ال midline بعدين ميشي انت عرفت حاجة من ال + +684 +00:41:31,970 --> 00:41:35,210 +profession على الاخر انت ترسل ال space على ال left + +685 +00:41:35,210 --> 00:41:39,290 +side over the screen الأخر انت ترسل ال space تجيب + +686 +00:41:39,290 --> 00:41:42,530 +على ال profession أد من سمية Castelli sign في ال + +687 +00:41:42,530 --> 00:41:46,520 +normalأو الناس اللي بيكون هذه المنطقة عبارة عن + +688 +00:41:46,520 --> 00:41:50,640 +resident مفيش هاش فيه هاش يعني عبارة عن .. فتبقى + +689 +00:41:50,640 --> 00:41:54,840 +ضلم لو كان أنا عندي سبيل ميجاني بتكون تحول لضلم + +690 +00:41:54,840 --> 00:41:58,460 +بعد كده بيبقى المنطقة التالت انا اللي بتاعي اعملها + +691 +00:41:58,460 --> 00:42:03,720 +ربطي ليه drops area drops area و ان هي حدودها + +692 +00:42:03,720 --> 00:42:08,540 +بالضبط هيبتيجي ناخدة يعني و medial و lateral line + +693 +00:42:08,920 --> 00:42:12,880 +النقطة الأولى تبقى just at the apex تبقى الفترة + +694 +00:42:12,880 --> 00:42:17,300 +الاسباقية عن مدى الاتصال الانترنتي الانترنتي + +695 +00:42:17,300 --> 00:42:18,500 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +696 +00:42:18,500 --> 00:42:18,580 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +697 +00:42:18,580 --> 00:42:18,760 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +698 +00:42:18,760 --> 00:42:21,860 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +699 +00:42:21,860 --> 00:42:22,280 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +700 +00:42:22,280 --> 00:42:36,420 +الانترنتي الانترنتي الانترنتي الانترنتي الان + +701 +00:42:36,490 --> 00:42:41,690 +وانت في الـ space الساعة و 11 فانا برسم زي معيناك + +702 +00:42:41,690 --> 00:42:44,910 +و بقيت في ال center تحت ال apex بالظبط في ال + +703 +00:42:44,910 --> 00:42:47,770 +center تبع المعينة بعمل percussion فأي إنسان عادي + +704 +00:42:47,770 --> 00:42:52,550 +هتكون المنطقة تتم resonance بس لو كان ال screen + +705 +00:42:52,550 --> 00:42:57,310 +enlarged twice من ال normal size فهذه المنطقة صارت + +706 +00:42:57,310 --> 00:43:00,510 +ضالة فعند ال break او دياجون ال percussion اللي + +707 +00:43:00,510 --> 00:43:04,790 +هتفصل تستلق ساين و تالي tropes area + +708 +00:43:08,320 --> 00:43:10,880 +ال kidneys percussion over the right or left + +709 +00:43:10,880 --> 00:43:13,420 +subcostal mass can help the single hepatic source + +710 +00:43:13,420 --> 00:43:16,360 +clinic from renal mass في الرينا دايما ال + +711 +00:43:16,360 --> 00:43:20,000 +percussion ان هو تستم Panic because انا فيه + +712 +00:43:20,000 --> 00:43:24,460 +overlapping ball على ال kidneys كيف تعمل انا + +713 +00:43:24,460 --> 00:43:28,860 +percussion للأسائطس؟ ال percussion للأسائطس طويل + +714 +00:43:28,860 --> 00:43:32,840 +في الحالة الأسائطس لما يجي تجمع في الفسق تجمع بشكل + +715 +00:43:32,840 --> 00:43:36,600 +يعني ك frequency زي هلال الشكلومنطقة الميديا بتكون + +716 +00:43:36,600 --> 00:43:41,300 +أقل أوتها منطقة في الأسائق أكتر مكان يجمعه يكون في + +717 +00:43:41,300 --> 00:43:45,600 +الـ Planks الـ Percussion nodes over the muscles + +718 +00:43:45,600 --> 00:43:48,540 +of the abdominals resonance due to air in the + +719 +00:43:48,540 --> 00:43:52,240 +system، الـ Resonance تكتبت أوت الـ Planks، بإن + +720 +00:43:52,240 --> 00:43:55,280 +الأسائق يجمعوا الـ Influence of the gravity causes + +721 +00:43:55,280 --> 00:43:58,580 +بس تتمكنوا إكبر في الـ Planks من أصبعين بيشهن، + +722 +00:43:58,580 --> 00:44:00,780 +تضال الـ Percussion nodes في الـ Planks + +723 +00:44:06,030 --> 00:44:09,310 +فأنا كده بدي أبتدى .. بحيث أنا قندي للأسائق + +724 +00:44:09,310 --> 00:44:12,190 +الصحيحة اللي هي shifting balance ان ال fluid + +725 +00:44:12,190 --> 00:44:15,130 +الموجود في ال flanks بدي يجي يجي على ال media فانا + +726 +00:44:15,130 --> 00:44:18,330 +ببدأ من تحت ال three stair now بشوف اقلش اعمل + +727 +00:44:18,330 --> 00:44:20,210 +percussion او بنزل شوية شوية و أعمل percussion و + +728 +00:44:20,210 --> 00:44:23,850 +نقول تبانك تبانك تبانك تبانك تبانك تبانك تبانك + +729 +00:44:23,850 --> 00:44:24,610 +تبانك تبانك تبانك تبانك تبانك تبانك تبانك تبانك + +730 +00:44:24,610 --> 00:44:25,270 +تبانك تبانك تبانك تبانك تبانك تبانك تبانك تبانك + +731 +00:44:25,270 --> 00:44:33,340 +تبانك تبانك تبانك تبانك تبانك تبانك تبانك تبانفلو + +732 +00:44:33,340 --> 00:44:36,500 +انا الثمبنك over the umbilicus كانت هذا مُخل + +733 +00:44:36,500 --> 00:44:39,220 +أسايتس لأن في الأغلب أسايتس هيكون over the + +734 +00:44:39,220 --> 00:44:42,600 +umbilicus في الثمبنك لو كان الضلم هذي could be + +735 +00:44:42,600 --> 00:44:46,440 +large bladder or it's running regions في الثمين + +736 +00:44:46,440 --> 00:44:51,600 +بعد هيك أنا بطلع تاني برجع على ال umbilicus و بقدر + +737 +00:44:51,600 --> 00:44:54,860 +أروح ال lateral سافر على ال left lateral فبتعمل .. + +738 +00:44:54,860 --> 00:44:57,320 +مافيش لحد ما أحس الضلم انا أحس الضلم بقول المريض + +739 +00:44:57,320 --> 00:45:01,780 +تلف على اليمين بس انت تتسكن بقصد ما يتحركش مكانه + +740 +00:45:01,780 --> 00:45:05,750 +موجودبقى بتعمل percussion بشوف أنه المنطق اللي لو + +741 +00:45:05,750 --> 00:45:08,090 +فيه ascites أنه ال percussion اللي كان دلت تحول + +742 +00:45:08,090 --> 00:45:11,330 +لتمبانك برضه بروف بيرب تحول أكتر أن تمبانك برجع + +743 +00:45:11,330 --> 00:45:13,610 +لمنطقة الامبالاكس لإنه أول ما بدأت من المنطقة + +744 +00:45:13,610 --> 00:45:17,690 +الامبالاكس كانت المنطقة اللي هدمت تمبانك تحول لظلم + +745 +00:45:17,690 --> 00:45:28,210 +فهذه هي فكرة ال shifting numbness بعدين + +746 +00:45:28,210 --> 00:45:30,830 +كانت ال fluid trail ال fluid trail يكون المسيب + +747 +00:45:30,830 --> 00:45:34,260 +ascitesto detect through a trip or wave the + +748 +00:45:34,260 --> 00:45:36,340 +clinician asks the assistant or the patient to + +749 +00:45:36,340 --> 00:45:39,760 +place a medial edges of both palms firmly in the + +750 +00:45:39,760 --> 00:45:42,900 +center of the abdomen انا بقول للمريض او لأزميلي + +751 +00:45:42,900 --> 00:45:47,980 +بحث ايدك في النص بالظبط اطيرك بشكل فولي اطيرك بشكل + +752 +00:45:47,980 --> 00:45:52,560 +فولي the examiner the examiner flicks the side of + +753 +00:45:52,560 --> 00:45:55,520 +the abdomen وبعدين بعمل flicking يحس ان ال + +754 +00:45:55,520 --> 00:45:58,360 +frustration or thrill is filled by the hand يعني + +755 +00:45:58,360 --> 00:46:01,540 +أيدي على اليمينتعمل flickering تضرب على الدنيا + +756 +00:46:01,540 --> 00:46:03,760 +الولمود يدي تانية محطوطة على الطعام كله بعض أعلى + +757 +00:46:03,760 --> 00:46:07,600 +عن ال left side بحيث أنه في زي waves أجت وانتقلت + +758 +00:46:07,600 --> 00:46:17,280 +أنزلت بوجود ال massive fluid escalation + +759 +00:46:17,280 --> 00:46:20,520 +أول + +760 +00:46:20,520 --> 00:46:23,140 +escalation أني أنا بدأ أسمع ال + +761 +00:46:23,140 --> 00:46:27,920 +بوانتزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانز + +762 +00:46:28,050 --> 00:46:30,570 +فى up to five minutes ان اسمع power sound انا + +763 +00:46:30,570 --> 00:46:33,210 +بالنسبة ايه اللى في الهجوم اذا انا مهم جدا اعرف بس + +764 +00:46:33,210 --> 00:46:37,230 +فانا في power sound present ولا absent طبعا لو + +765 +00:46:37,230 --> 00:46:40,390 +ماسمعتش انا هتبقى اشكالتتن فى up to five minutes + +766 +00:46:40,390 --> 00:46:44,250 +عشان عارف كده اللي هو مافيش عندي power sound او في + +767 +00:46:44,250 --> 00:46:49,790 +مثلا برارة الكليوس بعدين انا اي enlarged organ او + +768 +00:46:49,790 --> 00:46:55,160 +mass انت عارف انه هتبقى اشكالتتن اشكالتتنمثلا over + +769 +00:46:55,160 --> 00:46:57,620 +the liver بسم اللي بيسمونه عشان التام اللي هو عارف + +770 +00:46:57,620 --> 00:47:02,600 +أنك بروي يبتك بروي او رب يبتك بروي و اما تسمحها + +771 +00:47:02,600 --> 00:47:04,520 +مثلا في حالات الalcoholic liver disease او في + +772 +00:47:04,520 --> 00:47:09,280 +حالات بالسيوناترسينوما او بوصلي بربيرسي ال .. رب + +773 +00:47:09,280 --> 00:47:12,180 +.. يبتك رب بسمحها في حالات لو كان فيها انت سندروم + +774 +00:47:12,180 --> 00:47:14,920 +مثلا في البيت بجانب الرضالالزيز اللي كانت ميديا أو + +775 +00:47:14,920 --> 00:47:18,000 +جنرية انتشرت لكفشول ال deliver بيسمونه fit + +776 +00:47:18,000 --> 00:47:21,070 +carter's heart syndromeهذه inflammation of the + +777 +00:47:21,070 --> 00:47:24,370 +capillary valve بسمع كأنه مثل ما بحق شعره زيك أنه + +778 +00:47:24,370 --> 00:47:27,890 +أنا بسمع فيه فوق فهذا ال friction ربط في ال .. ال + +779 +00:47:27,890 --> 00:47:30,550 +spleen لو كان .. ال spleen لو كان عندي .. ال + +780 +00:47:30,550 --> 00:47:33,610 +spleen لو كان عندي أنا ربط أنا حاولت أن تكون هذه + +781 +00:47:33,610 --> 00:47:37,150 +spleen compression في الأغلب أي organ أي و أي ما + +782 +00:47:37,150 --> 00:47:40,610 +حسيت أنا و حسيت بلبable أخدت كل ال current في + +783 +00:47:40,610 --> 00:47:43,830 +الوقت لازم أبقى سماعة فوق و أسمع بعدين أنا باجي + +784 +00:47:43,830 --> 00:47:48,130 +بدأ أسمع renal arterioid بطلع 2 cm فوق الأمبالاكا + +785 +00:47:48,130 --> 00:47:53,660 +up2 سنة لبرا و بيسمحها بالـ Bell لو كان فيه برويه + +786 +00:47:53,660 --> 00:47:58,820 +حيبين ان لو كان بيزالينا ارتيوستنوزيز او فيبروز أو + +787 +00:47:58,820 --> 00:48:03,200 +دستليزيا affecting الرينا ارتيوز حيكون عندى برويه + +788 +00:48:03,200 --> 00:48:05,900 +بعدين بدأ أسمع الأبناء و الأوارطة الأبناء و + +789 +00:48:05,900 --> 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"text": "lying down in an uncomfortable way هل هو distressed؟ هل هو ill looking؟ هل هو cachectic؟ هل هو underweight؟ هل هو overweight؟ هذه الأشياء كتير مهمة هل هو المريض jaundiced؟ ال jaundiced هو عبارة عن ياله ال discoloration of the sclera and skin that results from hyperglycemia", "tokens": [7310, 760, 294, 364, 10532, 636, 8032, 1211, 31439, 1483, 3805, 22807, 8032, 1211, 31439, 3171, 1237, 22807, 8032, 1211, 31439, 32773, 557, 299, 22807, 8032, 1211, 31439, 833, 12329, 22807, 8032, 1211, 31439, 40523, 22807, 29538, 16247, 8592, 1829, 16606, 9122, 2655, 13546, 3714, 16095, 3660, 8032, 1211, 31439, 9673, 16572, 11242, 2784, 997, 4233, 22807, 2423, 2784, 997, 4233, 31439, 6225, 3555, 9640, 3660, 18871, 7251, 6027, 3224, 2423, 2983, 401, 9357, 295, 264, 795, 75, 1663, 293, 3178, 300, 3542, 490, 9848, 70, 356, 26422, 654], "avg_logprob": -0.2878472199042638, "compression_ratio": 1.5852534562211982, "no_speech_prob": 0.0, "words": [{"start": 86.92, "end": 87.34, "word": "lying", 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يكون مختلف يكون deep jaundice يكون just gingiv jaundice او يكون belly jaundice الحاجة التانية الحكينا عنها مهمة جدا نطلع عليها weight and wasting", "tokens": [6027, 8848, 1829, 7251, 30544, 5551, 5172, 11242, 1211, 6055, 15040, 3615, 3555, 3224, 8978, 2423, 11242, 2407, 38207, 41950, 21292, 3615, 1829, 3714, 3224, 15042, 25961, 2655, 21136, 3555, 3555, 16247, 3794, 5172, 3660, 8978, 2423, 39184, 2784, 997, 573, 7251, 43020, 14739, 6055, 30544, 3714, 46456, 46538, 3660, 4724, 8592, 28820, 9122, 3555, 13546, 37495, 22653, 37893, 13412, 2288, 9566, 9673, 16572, 11242, 8978, 36632, 9122, 2407, 11622, 9957, 3660, 7251, 30544, 3714, 46456, 46538, 7251, 30544, 2452, 2784, 997, 573, 7251, 30544, 445, 21924, 592, 2784, 997, 573, 1975, 2407, 7251, 30544, 11696, 2784, 997, 573, 21542, 26108, 3660, 16712, 7649, 10632, 21542, 4117, 1829, 8315, 18871, 11296, 3714, 16095, 3660, 10874, 28259, 8717, 9566, 1211, 3615, 25894, 11296, 3364, 293, 20457], "avg_logprob": -0.5267857322617183, 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"seek": 35257, "start": 324.77, "end": 352.57, "text": "بعض الأمراض المهمة جدّي ممكن أحذر بالجنرال Examination هي Degenerative Hemorrhagic Telangiectasia, also known as Esler-Weber Syndrome هي عبارة عن مرتب صغير من التلانجيكتازيا تتحرك في هذه المرضية إنهم بشكل عام موجودين على اللبس والدم، ولكن يمكن أن يكونوا موجودين في أي مكان على الجلد عندما يكونوا موجودين في الـGI-Tract، يمكن أن يسببوا خطر بلد كرمية أو حتى ترانشال ترانشال ترانشال ترانشال ترانشال", "tokens": [3555, 3615, 11242, 16247, 29973, 46958, 9673, 16095, 3660, 10874, 3215, 11703, 1829, 3714, 43020, 5551, 5016, 8848, 2288, 20666, 7435, 1863, 2288, 6027, 24755, 2486, 39896, 413, 1146, 7971, 1166, 18568, 24362, 71, 559, 299, 27729, 656, 414, 349, 25251, 11, 611, 2570, 382, 2313, 1918, 12, 4360, 607, 44545, 39896, 6225, 3555, 9640, 3660, 18871, 3714, 2288, 2655, 3555, 20328, 17082, 13546, 9154, 16712, 1211, 7649, 7435, 1829, 4117, 2655, 31377, 25528, 6055, 2655, 5016, 31747, 8978, 29538, 9673, 43042, 10632, 36145, 16095, 4724, 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1483.81, "text": "الـ stria موجودة ما ننساش بـ stria stretching of the abdominal wall can sometimes be severe enough to cause rupture of the elastic fibers in the skin to produce pink pink linear marks with wrinkled appearance which are called stria when these are white and purple color coaching syndrome لو كانت purple color فتفكر في coaching syndrome لو كانت silver color فتفكر في ال obesity أو ال pregnancy", "tokens": [6027, 39184, 3575, 64, 3714, 29245, 23328, 3660, 19446, 8717, 1863, 3794, 33599, 4724, 39184, 3575, 64, 19632, 295, 264, 38701, 2929, 393, 2171, 312, 8922, 1547, 281, 3082, 5420, 35603, 295, 264, 17115, 25252, 294, 264, 3178, 281, 5258, 7022, 7022, 8213, 10640, 365, 928, 475, 1493, 8967, 597, 366, 1219, 3575, 64, 562, 613, 366, 2418, 293, 9656, 2017, 15818, 19371, 45164, 25961, 2655, 9656, 2017, 6156, 2655, 5172, 37983, 8978, 15818, 19371, 45164, 25961, 2655, 8753, 2017, 6156, 2655, 5172, 37983, 8978, 2423, 29744, 34051, 2423, 16120], "avg_logprob": 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lesions أنا موجود وعلّق عليه هل في مثلا أي skin eruption ال skin eruption هي ممكن تكون مثلا تم ال Demergue lesion مثلا which are non blanching بعد وطنها ما بتروح", "tokens": [4587, 9381, 16373, 3215, 2423, 39184, 16120, 34051, 2423, 39184, 5162, 3364, 6052, 8032, 2304, 5551, 4117, 2655, 2288, 9154, 2423, 39184, 6347, 295, 341, 4249, 4724, 3794, 4724, 1829, 30544, 8608, 26895, 5172, 2288, 37893, 4724, 13546, 3555, 1211, 9122, 6027, 3615, 23328, 4724, 36081, 5016, 1211, 2655, 39894, 9566, 1211, 3615, 15844, 36632, 3178, 1512, 626, 41850, 3714, 29245, 23328, 4032, 30241, 11703, 4587, 47356, 8032, 1211, 8978, 50113, 15040, 36632, 3178, 42584, 2423, 3178, 42584, 39896, 3714, 43020, 6055, 30544, 50113, 15040, 46811, 2423, 4686, 260, 11929, 1512, 313, 50113, 15040, 597, 366, 2107, 888, 4778, 278, 39182, 4032, 9566, 1863, 11296, 19446, 39894, 32887, 5016], "avg_logprob": -0.5857954447919672, "compression_ratio": 1.6075471698113208, "no_speech_prob": 0.0, "words": [{"start": 1484.51, "end": 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بتشوفه لأ I have to stress over it اشوفه بلان شبه بلان شبه هل هو ماكيلو بابيولر هل هو bleeding هل هو pits lesion whatever it is هل هو نيباين مثلا بقدر ما كنت مضيق انا من end of the bed شوفت المريض كيف نايم comfortably مافيش عنده اي stress حكيته على ال weight و على ال posture الخاص بالمريض و على الأمورة", "tokens": [2304, 43020, 7251, 30544, 3714, 995, 4117, 26895, 2407, 4724, 16758, 1829, 12610, 2288, 3714, 43020, 7251, 30544, 8978, 3224, 39894, 1829, 4117, 25528, 1975, 2407, 2035, 1975, 1829, 3178, 1512, 313, 39894, 8592, 38688, 3224, 5296, 10721, 286, 362, 281, 4244, 670, 309, 1975, 8592, 38688, 3224, 4724, 1211, 7649, 13412, 3555, 3224, 4724, 1211, 7649, 13412, 3555, 3224, 8032, 1211, 31439, 19446, 4117, 26895, 2407, 4724, 16758, 1829, 12610, 2288, 8032, 1211, 31439, 19312, 8032, 1211, 31439, 40312, 1512, 313, 2035, 309, 307, 8032, 1211, 31439, 8717, 1829, 3555, 995, 9957, 50113, 15040, 4724, 28543, 2288, 19446, 9122, 29399, 3714, 11242, 1829, 4587, 1975, 8315, 9154, 917, 295, 264, 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Superficial tenderness .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. Superficial palpation .. 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been", "probability": 0.91845703125}, {"start": 1704.8, "end": 1705.18, "word": " divided", "probability": 0.86328125}, {"start": 1705.18, "end": 1705.44, "word": " into", "probability": 0.830078125}, {"start": 1705.44, "end": 1705.68, "word": " nine", "probability": 0.5830078125}, {"start": 1705.68, "end": 1706.14, "word": " areas", "probability": 0.9404296875}, {"start": 1706.14, "end": 1706.34, "word": " or", "probability": 0.8232421875}, {"start": 1706.34, "end": 1706.68, "word": " regions", "probability": 0.95654296875}, {"start": 1706.68, "end": 1707.22, "word": " فالpatient", "probability": 0.5996907552083334}, {"start": 1707.22, "end": 1707.42, "word": " in", "probability": 0.701171875}, {"start": 1707.42, "end": 1707.68, "word": " each", "probability": 0.94970703125}, {"start": 1707.68, "end": 1708.02, "word": " region", "probability": 0.93798828125}, {"start": 1708.02, "end": 1708.22, "word": " is", "probability": 0.9072265625}, {"start": 1708.22, "end": 1708.66, "word": " 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of gastrointestinal and + +7 +00:00:27,460 --> 00:00:28,100 +liver disease + +8 +00:00:33,600 --> 00:00:36,980 +أول خطوة في الـ Gastrointestinal examination هي + +9 +00:00:36,980 --> 00:00:40,820 +positioning of the patient for the proper + +10 +00:00:40,820 --> 00:00:43,940 +examination of the abdomen it's important that the + +11 +00:00:43,940 --> 00:00:48,880 +patient be lying flat with the head resting on no + +12 +00:00:48,880 --> 00:00:53,960 +pillows or just a single pillow this helps + +13 +00:00:53,960 --> 00:00:56,860 +relaxing the abdominal muscles and facilitate + +14 +00:00:56,860 --> 00:01:00,690 +abdominal palpationHelping the patient enter the + +15 +00:01:00,690 --> 00:01:03,090 +position of court opportunity to make general + +16 +00:01:03,090 --> 00:01:06,490 +inspection يعني و أنا بساعد المريض ينام يكون في + +17 +00:01:06,490 --> 00:01:11,770 +position صحيح أنا ممكن أخد الفرصة أني أطلع على + +18 +00:01:11,770 --> 00:01:14,210 +السرارة ان هي تبعت المريض على other peripheral + +19 +00:01:14,210 --> 00:01:20,690 +symptoms و ممكن نوضعهم مثلا ابن في التشريف أول + +20 +00:01:20,690 --> 00:01:25,350 +شيء أطلع عليه في المريض هو general appearance هل + +21 +00:01:25,350 --> 00:01:30,960 +المريضlying down in an uncomfortable way هل هو + +22 +00:01:30,960 --> 00:01:38,740 +distressed؟ هل هو ill looking؟ هل هو cachectic؟ هل + +23 +00:01:38,740 --> 00:01:43,220 +هو underweight؟ هل هو overweight؟ هذه الأشياء كتير + +24 +00:01:43,220 --> 00:01:50,280 +مهمة هل هو المريض jaundiced؟ ال jaundiced هو عبارة + +25 +00:01:50,280 --> 00:01:52,940 +عن ياله ال discoloration of the sclera and skin + +26 +00:01:52,940 --> 00:01:57,420 +that results from hyperglycemiaالذي يكون أفضل + +27 +00:01:57,420 --> 00:02:04,080 +تلاعبه في الضوء الطبيعي مهما كانت السبب الأسفة في + +28 +00:02:04,080 --> 00:02:08,480 +الـ jaundice يمكن أن تكون مختلفة بشكل كبير يعني مش + +29 +00:02:08,480 --> 00:02:11,120 +شرط المريض في أي كوزينة يكون مختلف يكون deep + +30 +00:02:11,120 --> 00:02:15,540 +jaundice يكون just gingiv jaundice او يكون belly + +31 +00:02:15,540 --> 00:02:21,220 +jaundice الحاجة التانية الحكينا عنها مهمة جدا نطلع + +32 +00:02:21,220 --> 00:02:22,740 +عليها weight and wasting + +33 +00:02:25,280 --> 00:02:29,760 +body weight must be recorded يعني انا ممكن احكي ان + +34 +00:02:29,760 --> 00:02:33,620 +المريض is under weight بس دايما لازم ادعى ان كلامي + +35 +00:02:33,620 --> 00:02:37,660 +اشي معين اشي objective اللي هي ال body mass index + +36 +00:02:37,660 --> 00:02:40,700 +يعني + +37 +00:02:40,700 --> 00:02:43,740 +مانفع انا اعمل general observation لازم احكي دايما + +38 +00:02:43,740 --> 00:02:46,760 +however I would like to check his body mass index + +39 +00:02:46,760 --> 00:02:50,280 +loss of weight and cachexia may be a result of + +40 +00:02:50,280 --> 00:02:55,800 +many recent diseases like malignancyأو حتى الـ + +41 +00:02:55,800 --> 00:03:01,920 +Advanced Bartholosis بشكل كبير أيضًا، يمكن أن يكون + +42 +00:03:01,920 --> 00:03:05,320 +الجسد مظهرًا مرتبطًا من الأردوين والجلد هذه + +43 +00:03:05,320 --> 00:03:10,160 +التفكيرات الأخيرة يمكن أن يتسبب في عضو مغضب عضو + +44 +00:03:10,160 --> 00:03:15,740 +مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب + +45 +00:03:15,740 --> 00:03:16,520 +عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو + +46 +00:03:16,520 --> 00:03:21,880 +مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب + +47 +00:03:21,880 --> 00:03:23,520 +عضو مغضب عضو مغضب عضو مغضب عضو مغضب عضو مغضب + +48 +00:03:24,710 --> 00:03:27,150 +Generalized skin pigmentation can result from + +49 +00:03:27,150 --> 00:03:30,170 +chronic liver disease, especially hemochromatosis. + +50 +00:03:30,750 --> 00:03:33,650 +Hemochromatosis due to hemostatic melanocyte + +51 +00:03:33,650 --> 00:03:38,470 +produced melanin Malabsorption may result in + +52 +00:03:38,470 --> 00:03:42,430 +Addisonian-type pigmentation Sun-cast pigmentation + +53 +00:03:42,430 --> 00:03:46,370 +in nipples, palmar cases, facial areas, and mouth + +54 +00:03:55,670 --> 00:03:59,470 +بعض الأمراض اللي ممكن تؤثر على الجهات الأضمية زي + +55 +00:03:59,470 --> 00:04:03,030 +blood sugar syndrome هاي بشوف فيها brown black + +56 +00:04:03,030 --> 00:04:06,590 +regions around the mouth and the bacal mucosa and + +57 +00:04:06,590 --> 00:04:10,830 +on the fingers and toes blood sugar syndrome is + +58 +00:04:10,830 --> 00:04:13,930 +associated with hematomas of the small bowel and + +59 +00:04:13,930 --> 00:04:17,210 +colon which can present with bleeding يعني ممكن + +60 +00:04:17,210 --> 00:04:20,050 +المريض يجينا عنده bleeding بالrectum for example + +61 +00:04:20,050 --> 00:04:24,690 +هاي الصورة بنشوف يعني ال hypertension في ال lips + +62 +00:04:25,240 --> 00:04:31,660 +واللي لو طلعنا أكتر هنشوفه في الفكرة المتهوزة A + +63 +00:04:31,660 --> 00:04:36,320 +Cantor's Negligence هاي عبارة عن Brown to black + +64 +00:04:36,320 --> 00:04:39,500 +fill the elevation of the epidermis due to + +65 +00:04:39,500 --> 00:04:42,100 +confluent papillomas and are usually found in + +66 +00:04:42,100 --> 00:04:46,100 +axilla and nape of the neck A Cantor's Negligence + +67 +00:04:46,100 --> 00:04:50,100 +is associated fairly with GI carcinoma, officially + +68 +00:04:50,100 --> 00:04:55,710 +stoma, lymphoma as well as withacromegaly, + +69 +00:04:55,810 --> 00:04:58,570 +diabetes mellitus and many other endocrinal + +70 +00:04:58,570 --> 00:05:03,690 +pathopathies هنشوف احنا كيف اللي هي برنامج + +71 +00:05:03,690 --> 00:05:07,690 +بالأجزلة و الناس في الدنيا هذه بالكثير مع + +72 +00:05:07,690 --> 00:05:11,290 +السمكانسر، مع النفامة، مع الacromegaly، مع ال + +73 +00:05:11,290 --> 00:05:16,010 +resistance، مع الdiabetes، مع ال opposite فهي بأخد + +74 +00:05:16,010 --> 00:05:20,870 +بلاحظها .. أنا بلاحظها في ال general examination + +75 +00:05:24,770 --> 00:05:26,670 +بعض الأمراض المهمة جدّي ممكن أحذر بالجنرال + +76 +00:05:26,670 --> 00:05:28,330 +Examination هي Degenerative Hemorrhagic + +77 +00:05:28,330 --> 00:05:30,670 +Telangiectasia, also known as Esler-Weber Syndrome + +78 +00:05:30,670 --> 00:05:33,830 +هي عبارة عن مرتب صغير من التلانجيكتازيا تتحرك في + +79 +00:05:33,830 --> 00:05:37,490 +هذه المرضية إنهم بشكل عام موجودين على اللبس والدم، + +80 +00:05:37,490 --> 00:05:39,670 +ولكن يمكن أن يكونوا موجودين في أي مكان على الجلد + +81 +00:05:39,670 --> 00:05:42,970 +عندما يكونوا موجودين في الـGI-Tract، يمكن أن + +82 +00:05:42,970 --> 00:05:47,350 +يسببوا خطر بلد كرمية أو حتى ترانشال ترانشال + +83 +00:05:47,350 --> 00:05:52,570 +ترانشال ترانشال ترانشال + +84 +00:05:54,950 --> 00:06:00,870 +اللبس وعلى الكأس بالنسبة + +85 +00:06:00,870 --> 00:06:03,070 +لل G.I. Examination ممكن هيكون عندي two + +86 +00:06:03,070 --> 00:06:06,930 +instructions واحدة منهم examine the G.I. system of + +87 +00:06:06,930 --> 00:06:10,570 +this patient والتاني examine the abdomen لو كان + +88 +00:06:10,570 --> 00:06:15,730 +السؤال إيه؟ examine the G.I. system طبعاً بالحالة + +89 +00:06:15,730 --> 00:06:19,210 +سأعمل position للمريض on no pillows عيكون مريض on + +90 +00:06:19,210 --> 00:06:22,340 +no pillows or just one pillowهيكون الـ mind + +91 +00:06:22,340 --> 00:06:25,660 +centralized و well embedded أخد general look بعدين + +92 +00:06:25,660 --> 00:06:31,440 +أبدأ من ال periphery مش هدخل على ال abdomen أبدأ + +93 +00:06:31,440 --> 00:06:37,600 +في ال hands ال hands كانت مهم جدا لنبحث عنها في ال + +94 +00:06:37,600 --> 00:06:41,860 +GR examination even + +95 +00:06:41,860 --> 00:06:45,080 +the experienced gastroenterologist must explain + +96 +00:06:45,080 --> 00:06:48,160 +his or her excitement and begin the examination of + +97 +00:06:48,160 --> 00:06:50,980 +the gastrointestinal tract with the handsأنا بروحش + +98 +00:06:50,980 --> 00:06:53,340 +نفعش أكون واجه على الأبناء، لأ ده برحص الـhand، + +99 +00:06:53,340 --> 00:06:55,580 +الـperipheral، I'm looking for a stigma of a + +100 +00:06:55,580 --> 00:06:59,640 +chronic liver disease for example الـsigns that + +101 +00:06:59,640 --> 00:07:02,740 +may be elicited here give a clue to the presence + +102 +00:07:02,740 --> 00:07:05,460 +of a chronic liver disease مثل ما حكينا ذا، stigma + +103 +00:07:05,460 --> 00:07:08,320 +of a chronic liver disease whatever is the + +104 +00:07:08,320 --> 00:07:12,560 +etiology, permanent different views, liver damage + +105 +00:07:12,560 --> 00:07:15,760 +or similar peripheral signs however none of these + +106 +00:07:15,760 --> 00:07:18,540 +signs alone is specificfor chronic liver disease + +107 +00:07:18,540 --> 00:07:21,200 +مافيش فكرة ماحنشوف تقريبا عديد من ال peripheral + +108 +00:07:21,200 --> 00:07:23,360 +signs of chronic liver disease او اتجاه كورونا + +109 +00:07:23,360 --> 00:07:25,960 +الديزيسيش شوف في ال hands في القرآن وفي القرآن + +110 +00:07:25,960 --> 00:07:29,580 +مستهدف ولعبينه specifically ممكن تشوفها مع اي نوع + +111 +00:07:29,580 --> 00:07:34,600 +من ال liver disease انا اول ما بد ابدأ افحص في ال + +112 +00:07:34,600 --> 00:07:38,860 +hands بشوف ال nails فحص ال nails مهم جدا عزيزي + +113 +00:07:38,860 --> 00:07:42,800 +انطباع عن وضع الدراسة في ال system في حاجة مهمة + +114 +00:07:42,800 --> 00:07:46,740 +جدا اول مابدأ فيه ال locunica شو قصد ال locunica + +115 +00:07:48,850 --> 00:07:50,030 +أدلوكونيكا أو + +116 +00:07:50,030 --> 00:08:16,730 +كارثمونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكرونيكروني + +117 +00:08:20,400 --> 00:08:24,220 +هذه ممكن تشوفها in patients with Wilson disease + +118 +00:08:24,220 --> 00:08:28,600 +موريكي line هي transverse white line يمكن تفكير + +119 +00:08:28,600 --> 00:08:29,860 +انها بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +120 +00:08:29,860 --> 00:08:31,380 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +121 +00:08:31,380 --> 00:08:31,860 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +122 +00:08:31,860 --> 00:08:32,020 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى + +123 +00:08:32,020 --> 00:08:47,000 +بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بي + +124 +00:08:49,530 --> 00:08:54,690 +هذا اللونورا اللونورا هذا اللونورا هذي بتصير + +125 +00:08:54,690 --> 00:08:56,210 +المرضى المعروف من المرضى المعروف من المرضى المعروف + +126 +00:08:56,210 --> 00:08:56,370 +من المرضى المعروف من المرضى المعروف من المرضى + +127 +00:08:56,370 --> 00:08:58,010 +المعروف من المرضى المعروف من المرضى المعروف من + +128 +00:08:58,010 --> 00:08:58,710 +المرضى المعروف من المرضى المعروف من المرضى المعروف + +129 +00:08:58,710 --> 00:09:00,890 +من المرضى المعروف من المرضى المعروف من المرضى + +130 +00:09:00,890 --> 00:09:00,890 +المعروف من المرضى المعروف من المرضى المعروف من + +131 +00:09:00,890 --> 00:09:02,370 +المرضى المعروف من المرضى المعروف من المرضى المعروف + +132 +00:09:02,370 --> 00:09:03,230 +من المرضى المعروف من المرضى المعروف من المرضى + +133 +00:09:03,230 --> 00:09:04,810 +المعروف من المرضى المعروف من المرضى المعروف من + +134 +00:09:04,810 --> 00:09:09,090 +المرضى المعروف + +135 +00:09:09,090 --> 00:09:15,590 +من + +136 +00:09:15,590 --> 00:09:20,620 +المرضىاللي في ال gastrointestinal system ممكن تعمل + +137 +00:09:20,620 --> 00:09:23,180 +عندى clubbing ممكن تكون federal disease, celiac + +138 +00:09:23,180 --> 00:09:26,780 +disease, cirrhosis, long standing, lateral + +139 +00:09:26,780 --> 00:09:31,900 +depletion هدرا كلها ممكن يعمل عندى clubbing شايفين + +140 +00:09:31,900 --> 00:09:34,560 +ال clubbing كانت في ال finger؟ في عندى four grades + +141 +00:09:34,560 --> 00:09:40,840 +لل clubbing ال palms ممكن تصير عندى reddening of + +142 +00:09:40,840 --> 00:09:43,520 +the palms of the hands affecting the hypotenal + +143 +00:09:43,520 --> 00:09:46,360 +imminances often the soles of the feet are also + +144 +00:09:46,360 --> 00:09:57,540 +affectedالشيء اللي بيسميها Parmal Edema بيسميها + +145 +00:09:57,540 --> 00:09:59,640 +Parmal Edema بيسميها Parmal Edema بيسميها Parmal + +146 +00:09:59,640 --> 00:10:04,680 +Edema بيسميها Parmal Edema بيسميها Parmal Edema + +147 +00:10:04,680 --> 00:10:09,960 +بيسميها Parmal Edema بيسميها Parmal Edema بيسميها + +148 +00:10:09,960 --> 00:10:13,280 +Parmal Edema بيسميها Parmal Edema بيسميها Parmal + +149 +00:10:13,280 --> 00:10:14,960 +Edema بيسميها Parmal Edema بيسميها Parmal Edema + +150 +00:10:14,960 --> 00:10:14,960 +بيسميها Parmal Edema بيسميها Parmal Edema بيسميها + +151 +00:10:14,960 --> 00:10:14,960 +Parmal Edema بيسميها Parmal Edema بيسميها Parmal + +152 +00:10:14,960 --> 00:10:14,960 +Edema بيسميها Parmal Edema بيسميها Parmal Edema + +153 +00:10:14,960 --> 00:10:14,960 +بيسميها Parmal Edema بيسميها Parmal Edema بيسميها + +154 +00:10:14,960 --> 00:10:15,060 +Parmal Edema بيسميها Parmal Edema بي + +155 +00:10:18,810 --> 00:10:22,530 +عنيميا عنيميا ممكن تكون أحد الـ manifesting + +156 +00:10:22,530 --> 00:10:25,130 +symptoms للـ liver disease أو الـ G.I. stomach, + +157 +00:10:25,410 --> 00:10:28,050 +colon, small bowel, whatever، you have to inspect + +158 +00:10:28,050 --> 00:10:30,530 +the palmar glasses for colors suggesting anemia, + +159 +00:10:30,650 --> 00:10:34,650 +which may result from blood loss, malabsorption, + +160 +00:10:35,190 --> 00:10:39,710 +hemolysis، مثل ما ممكن يصير مع hypersensitivity أو + +161 +00:10:39,710 --> 00:10:41,130 +chronic disease. + +162 +00:10:46,410 --> 00:10:49,470 +visible and palpable thickening and contraction of + +163 +00:10:49,470 --> 00:10:52,490 +the palmar fascia causing permanent friction most + +164 +00:10:52,490 --> 00:10:55,970 +often of the ring finger it is often bilateral + +165 +00:10:55,970 --> 00:10:58,330 +occasionally after the pee it's associated with + +166 +00:10:58,330 --> 00:11:01,870 +alcoholism not liver disease but also maybe found + +167 +00:11:01,870 --> 00:11:05,390 +in some manual workers it may sometimes be + +168 +00:11:05,390 --> 00:11:09,310 +familial شاهدين؟ عندنا thickening of friction + +169 +00:11:09,310 --> 00:11:13,870 +permanent friction of the ring finger we have to + +170 +00:11:13,870 --> 00:11:17,070 +feel it يعني من زمان اشتغلنا بحصهاأنا يجب أن أشعر + +171 +00:11:17,070 --> 00:11:21,110 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +172 +00:11:21,110 --> 00:11:23,750 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +173 +00:11:23,750 --> 00:11:23,770 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +174 +00:11:23,770 --> 00:11:26,450 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +175 +00:11:26,450 --> 00:11:27,350 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +176 +00:11:27,350 --> 00:11:29,390 +بالطموح و أشعر بالطموح و أشعر بالطموح و أشعر + +177 +00:11:29,390 --> 00:11:38,650 +بالطموح و أشعر بالطموح و أشعر + +178 +00:11:38,650 --> 00:11:46,840 +بالطموح و أشعر بالطموJerk irregular flexion + +179 +00:11:46,840 --> 00:11:49,240 +extension movements at the wrist and + +180 +00:11:49,240 --> 00:11:52,260 +metacarpophalangeal joints, often accompanied by + +181 +00:11:52,260 --> 00:11:55,260 +lateral movement of the fingers, constitute the + +182 +00:11:55,260 --> 00:11:59,960 +flapping of hepatic-hepalopathy بس + +183 +00:11:59,960 --> 00:12:02,880 +الهباتيك الذاب أو السريكسيز ممكن تصير معايا organ + +184 +00:12:02,880 --> 00:12:06,400 +failure، cardiac، renal، whatever، the flap is + +185 +00:12:06,400 --> 00:12:08,940 +usually bilateral، tends to be absent at the + +186 +00:12:08,940 --> 00:12:12,000 +wrist، and is brought on by certain pressures يعني + +187 +00:12:12,000 --> 00:12:14,820 +بيخلي المريض to extend ال fingers + +188 +00:12:21,930 --> 00:12:25,390 +الريتميك موفمينت هم ليسوا متسابقين على كل جانب و + +189 +00:12:25,390 --> 00:12:29,110 +فلاب مفقود عندما يكون هناك كومة بشكل كامل لأن + +190 +00:12:29,110 --> 00:12:31,070 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +191 +00:12:31,070 --> 00:12:31,810 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +192 +00:12:31,810 --> 00:12:32,930 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +193 +00:12:32,930 --> 00:12:35,390 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +194 +00:12:35,390 --> 00:12:37,430 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +195 +00:12:37,430 --> 00:12:39,190 +الريتميك مفقود عندما يكون هناك كومة بشكل كامل لأن + +196 +00:12:39,190 --> 00:12:40,310 +الريتميك مفقود عند + +197 +00:12:43,860 --> 00:12:46,700 +although this flap is characteristic and every + +198 +00:12:46,700 --> 00:12:49,520 +sign of liver failure is not diagnostic it cannot + +199 +00:12:49,520 --> 00:12:52,160 +occur in cardiac respiratory adrenal failure as + +200 +00:12:52,160 --> 00:12:55,400 +well as in hypoglycemia, hypokalemia, myopoiesmia + +201 +00:12:55,400 --> 00:13:00,120 +and barbiturate infestation عيب عن مخلصنا ال + +202 +00:13:00,120 --> 00:13:03,900 +examination of the hand علينا نبحث عن ال forearm + +203 +00:13:03,900 --> 00:13:07,640 +جواب respect the upper limbs for bruising هل فيه + +204 +00:13:07,640 --> 00:13:10,580 +bruising نتيجة thrombocytopenia أو ثلوجلوبتين + +205 +00:13:10,580 --> 00:13:14,370 +نتيجة مثلا thrombocytopeniaنتيجة الهيبرتينيزم، لأن + +206 +00:13:14,370 --> 00:13:17,130 +في الـ Crohn's disease سنة أنهيبرتينيزم بسنة + +207 +00:13:17,130 --> 00:13:18,710 +أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم + +208 +00:13:18,710 --> 00:13:19,730 +بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة + +209 +00:13:19,730 --> 00:13:21,350 +أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم + +210 +00:13:21,350 --> 00:13:22,730 +بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة + +211 +00:13:22,730 --> 00:13:28,010 +أنهيبرتينيزم بسنة أنهيبرتينيزم + +212 +00:13:28,010 --> 00:13:38,190 +بسنة أنهيبرتينيزم بسنة أنهيبرتينيزم بسنة + +213 +00:13:38,190 --> 00:13:38,490 +أنهي + +214 +00:13:42,450 --> 00:13:45,550 +الـScratches أويجي مارس to severe itch are often + +215 +00:13:45,550 --> 00:13:48,030 +prominent in patients with obstructive orgasmic + +216 +00:13:48,030 --> 00:13:51,850 +jaundice الـSpider + +217 +00:13:51,850 --> 00:13:54,350 +Levi شو هو الـSpider Levi؟ الـSpider Levi consists + +218 +00:13:54,350 --> 00:13:58,710 +of central arteriole from which radiates numerous + +219 +00:13:58,710 --> 00:14:04,230 +small vessels which look like spider's legs تعرفي + +220 +00:14:04,230 --> 00:14:08,330 +عن كبوت؟ They range in size from just visible to + +221 +00:14:08,330 --> 00:14:13,660 +halfأسنتمتر في الديامتر ومشاركتهم عادية في المنطقة + +222 +00:14:13,660 --> 00:14:18,140 +المحطمة من أعلى بين الكيبا، كيبا، لذلك هم موجودين + +223 +00:14:18,140 --> 00:14:22,600 +على عصرهم، رأسهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +224 +00:14:22,600 --> 00:14:26,800 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +225 +00:14:26,800 --> 00:14:27,220 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +226 +00:14:27,220 --> 00:14:27,220 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، وقبعهم، + +227 +00:14:27,220 --> 00:14:32,960 +وقبعهم، وقبعهم، وقبعهم، وقبعهم، وThe finding of + +228 +00:14:32,960 --> 00:14:35,760 +more than two or three spinal nevi anywhere in the + +229 +00:14:35,760 --> 00:14:37,860 +body is likely to be abnormal يعني المعنى اللي + +230 +00:14:37,860 --> 00:14:39,820 +عرفناه من ثلاثة أكتر من ثلاثة عبارة عبارة عبارة + +231 +00:14:39,820 --> 00:14:40,000 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +232 +00:14:40,000 --> 00:14:42,060 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +233 +00:14:42,060 --> 00:14:43,280 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +234 +00:14:43,280 --> 00:14:43,640 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +235 +00:14:43,640 --> 00:14:51,200 +عبارة عبارة عبارة عبارة عبارة عبارة عبارة عبارة + +236 +00:14:51,200 --> 00:15:01,560 +عبارة + +237 +00:15:02,490 --> 00:15:06,550 +الـ News بقى جيب اضغط على السطر الارتجالي الاسمه + +238 +00:15:06,550 --> 00:15:07,010 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +239 +00:15:07,010 --> 00:15:07,570 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +240 +00:15:07,570 --> 00:15:10,410 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +241 +00:15:10,410 --> 00:15:11,130 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +242 +00:15:11,130 --> 00:15:13,530 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +243 +00:15:13,530 --> 00:15:13,850 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +244 +00:15:13,850 --> 00:15:22,170 +الاسمه الاسمه الاسمه الاسمه الاسمه الاسمه + +245 +00:15:22,170 --> 00:15:30,310 +الاسمه ال + +246 +00:15:41,670 --> 00:15:46,470 +بعد ما فعصت ال four arms فعصناها ال four ال tattoo + +247 +00:15:46,470 --> 00:15:51,390 +for example ال tattoo ممكن تكون نقل بعض ال viruses + +248 +00:15:51,390 --> 00:15:55,950 +زي ال virus hepatitis زي ال B أو ال C أثناء مكان + +249 +00:15:55,950 --> 00:15:59,550 +العمل ممكن أدل reverse solos في أي موقف ميديالي + +250 +00:15:59,550 --> 00:16:02,030 +براكس تطلع في ال four arms ميديالي براكس كتير مهمة + +251 +00:16:02,030 --> 00:16:04,510 +لما يبقوا يكونوا IV Drug Abuser يكونوا فيه + +252 +00:16:04,510 --> 00:16:08,790 +أندوبرالإنفكشن معين زي Tabax B أو C scratch marks + +253 +00:16:16,400 --> 00:16:25,460 +بعد ذلك بكون انا + +254 +00:16:25,460 --> 00:16:31,540 +خلعت + +255 +00:16:31,540 --> 00:16:34,540 +من ال hand for arms, arms, and axilla بطلع على ال + +256 +00:16:34,540 --> 00:16:38,070 +facelook at the eyes look first at sclera for + +257 +00:16:38,070 --> 00:16:40,830 +signs of jaundice او anemia اذا كنت بتاعي بالفلوس + +258 +00:16:40,830 --> 00:16:45,990 +ولا في jaundice مهم جدا ان نطلع ال example اذا + +259 +00:16:45,990 --> 00:16:51,450 +كانت كلها علاقة بالكوليسترال بعدين بنزل انا لازم + +260 +00:16:51,450 --> 00:16:55,710 +ابحث ال jaundice ابحث الفلوس نشوف في example ازمه + +261 +00:16:55,710 --> 00:16:58,210 +ولا لأ then I have to palpate for prostate + +262 +00:16:58,210 --> 00:17:01,050 +enlargement prostate enlargement prostate + +263 +00:17:01,050 --> 00:17:06,960 +enlargement باجي بال my thumbsأنا باكستر بحاول أحس + +264 +00:17:06,960 --> 00:17:11,740 +فوق .. just على ال .. على ال mandible of the + +265 +00:17:11,740 --> 00:17:17,140 +patient بحاول أحس فوق + +266 +00:17:17,140 --> 00:17:18,780 +.. just on the mandible of the patient بحاول أحس + +267 +00:17:18,780 --> 00:17:21,860 +فوق .. just on the mandible of the patient بحاول + +268 +00:17:21,860 --> 00:17:24,000 +أحس فوق .. just on the mandible of the patient + +269 +00:17:24,000 --> 00:17:24,480 +بحاول أحس فوق .. just on the mandible of the + +270 +00:17:24,480 --> 00:17:24,540 +patient بحاول أحس فوق .. just on the mandible of + +271 +00:17:24,540 --> 00:17:25,340 +the patient بحاول أحس فوق .. just on the mandible + +272 +00:17:25,340 --> 00:17:25,340 +of the patient بحاول أحس فوق .. just on the + +273 +00:17:25,340 --> 00:17:25,360 +mandible of the patient بحاول أحس فوق .. just on + +274 +00:17:25,360 --> 00:17:28,800 +the mandible of the patient بحاول أحس فوق .. just + +275 +00:17:28,800 --> 00:17:30,720 +on the mandible of the patient بحاول أحس فوق .. + +276 +00:17:30,720 --> 00:17:31,380 +just on the mandible of the patient بحاول أحس فوق + +277 +00:17:31,380 --> 00:17:32,650 +.. just on the mandible ofالـ mouth I have to + +278 +00:17:32,650 --> 00:17:36,310 +examine for فيه ترهيباتيكا فيه ترهيباتيكا is the + +279 +00:17:36,310 --> 00:17:38,810 +odor اللي بيشوف ان انا في المرض لما بيشوف اني مرضي + +280 +00:17:38,810 --> 00:17:42,610 +it's a rather sweet smell of the breath بعدين انا + +281 +00:17:42,610 --> 00:17:45,090 +لازم أتحسن تانية أشوف هل في عندي مثلا evidence of + +282 +00:17:45,090 --> 00:17:47,390 +inflammation فيه glucicosis هل في بعض البيضا + +283 +00:17:47,390 --> 00:17:51,290 +مدفشنسي هل فيه mouth ulcers هل فيه pigmentation و + +284 +00:17:51,290 --> 00:17:54,110 +في بعض مقضة الأدوات اللي فيها pigmentation هل فيه + +285 +00:17:54,110 --> 00:17:57,070 +gum hypertrophy لديش بعض الأمراض أو بعض ال drugs + +286 +00:17:57,070 --> 00:17:57,990 +باستخدامها البريط + +287 +00:18:01,960 --> 00:18:05,020 +بعدين مثل ما حكيت قبل شوية بيش respect and palpate + +288 +00:18:05,020 --> 00:18:07,240 +the cheeks over the protruded area for parts of + +289 +00:18:07,240 --> 00:18:12,380 +the larynx بعدين بزل عن ال neck and chest I have + +290 +00:18:12,380 --> 00:18:16,800 +to palpate the cervical for cervical nodes أنت + +291 +00:18:16,800 --> 00:18:20,640 +نبحث ال cervical nodes، ال groups، ال anterior و + +292 +00:18:20,640 --> 00:18:23,120 +ال posterior groups أنا مانعش أبحث ال anterior + +293 +00:18:23,120 --> 00:18:24,940 +groups اللي يكون أنا خلف المريض، اللي يكون المريض + +294 +00:18:24,940 --> 00:18:27,760 +قاعد، أنا مانعش أبحث عن ال posterior مريض اللي + +295 +00:18:27,760 --> 00:18:31,420 +يكون أنا مواجهه المريض و المريض برضه قاعدIt's + +296 +00:18:31,420 --> 00:18:33,800 +particularly important to feel for supraclavicular + +297 +00:18:33,800 --> 00:18:38,060 +lymph nodes, especially on the left side. ليه؟ + +298 +00:18:38,060 --> 00:18:43,340 +Virtual node. This may be involved with advanced + +299 +00:18:43,340 --> 00:18:46,740 +gastric or other gastrointestinal malignancy. With + +300 +00:18:46,740 --> 00:18:49,660 +lung or with lung cancer.The presence of large + +301 +00:18:49,660 --> 00:18:51,800 +lymph supraclavicular nodes in combination with + +302 +00:18:51,800 --> 00:18:54,820 +carcinoma of the stomach is called troisiacin.Look + +303 +00:18:54,820 --> 00:18:55,760 +for spina bifida. + +304 +00:18:59,450 --> 00:19:02,830 +الـ upper chest على ال .. او ال back of the .. + +305 +00:19:02,830 --> 00:19:05,690 +upper back of the chest و لو كنت شوفتها على ال + +306 +00:19:05,690 --> 00:19:10,970 +arms و ال forearms جانيكوماصية شو هي جانيكوماصية؟ + +307 +00:19:10,970 --> 00:19:14,290 +عبارة عن ماذا؟ it's a sign of singularity + +308 +00:19:14,290 --> 00:19:16,930 +جانيكوماصية بيبقى unilateral أو bilateral عند ال + +309 +00:19:16,930 --> 00:19:20,210 +breast ميبتندف اللي هي بالظبط تعريفها painful + +310 +00:19:20,210 --> 00:19:23,670 +enlarged belly breast this may be a sign of + +311 +00:19:23,670 --> 00:19:26,930 +cirrhosis particularly alcoholic cirrhosisأو + +312 +00:19:26,930 --> 00:19:30,370 +كرونيكا اكتفية بزايدة انصار تيك بياتين الدراجات + +313 +00:19:30,370 --> 00:19:32,330 +اللي هي سبانيا الولايات المتحدة بتاعتها بتاعتها + +314 +00:19:32,330 --> 00:19:35,450 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +315 +00:19:35,450 --> 00:19:39,670 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +316 +00:19:39,670 --> 00:19:39,910 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +317 +00:19:39,910 --> 00:19:39,910 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +318 +00:19:39,910 --> 00:19:39,910 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +319 +00:19:39,910 --> 00:19:44,230 +تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها تاعتها + +320 +00:19:44,230 --> 00:19:50,930 +ت + +321 +00:19:59,150 --> 00:20:02,950 +هل بدأت أعمل exposure في الـ abdominal examination + +322 +00:20:02,950 --> 00:20:07,610 +من الـ inframammary area لحد ال mid-thighs كيبقى + +323 +00:20:07,610 --> 00:20:10,550 +الpatient modesty؟ ماهو قصد كيبقى ال patient + +324 +00:20:10,550 --> 00:20:13,490 +modesty؟ عفض احترام من منطقة الجينيتي اللي يجب أن + +325 +00:20:13,490 --> 00:20:18,630 +يكون مغطيها و مغطيها بعد ما هيك بدأت أعمل + +326 +00:20:18,630 --> 00:20:21,910 +inspection ال patient should fly flat with one or + +327 +00:20:21,910 --> 00:20:26,020 +zero or no pillowsوالـ exposure من الـ nipples لل + +328 +00:20:26,020 --> 00:20:27,860 +.. لل .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +329 +00:20:27,860 --> 00:20:28,480 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +330 +00:20:28,480 --> 00:20:30,320 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +331 +00:20:30,320 --> 00:20:30,560 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +332 +00:20:30,560 --> 00:20:35,780 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +333 +00:20:35,780 --> 00:20:35,780 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +334 +00:20:35,780 --> 00:20:35,820 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +335 +00:20:35,820 --> 00:20:39,440 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +336 +00:20:39,440 --> 00:20:39,440 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +337 +00:20:39,440 --> 00:20:39,440 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +338 +00:20:39,440 --> 00:20:39,440 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +339 +00:20:39,440 --> 00:20:39,440 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +340 +00:20:39,440 --> 00:20:45,460 +.. ال .. ال .. ال .. + +341 +00:20:45,460 --> 00:20:48,800 +ال + +342 +00:20:48,800 --> 00:20:53,770 +.. الوانا باقعد في أخر الشريط و باطلع على المريض ك + +343 +00:20:53,770 --> 00:20:59,110 +calling هالمريض عنده scars مثلا بسبب نتيجة surgery + +344 +00:20:59,110 --> 00:21:03,030 +قديمة أو trauma we have to look in the area around + +345 +00:21:03,030 --> 00:21:05,610 +the umbilicus for laparoscopic surgerect scars + +346 +00:21:05,610 --> 00:21:07,050 +المريض يمكنه عامل laparoscopic surgerect scars + +347 +00:21:07,050 --> 00:21:09,730 +بسبب ال one centimeter scar عيون مميزته all the + +348 +00:21:09,730 --> 00:21:12,850 +scars are white and recent scars are pink because + +349 +00:21:12,850 --> 00:21:17,370 +the tissue remains vascular نطلع على المريض هل فيه + +350 +00:21:17,370 --> 00:21:19,550 +انده في الabdominal wall هل فيه انده ثومت او + +351 +00:21:22,990 --> 00:21:26,070 +بتطلعها برضه انا و انا في اخر وقف على الـ hit end + +352 +00:21:26,070 --> 00:21:28,930 +of the bed بتشوف هل في abnormal distinction؟ this + +353 +00:21:28,930 --> 00:21:32,290 +distinction is generalized or localized or the + +354 +00:21:32,290 --> 00:21:36,270 +cause of sound of .. or the .. all the causes of + +355 +00:21:36,270 --> 00:21:39,810 +this sound if they have the letter F يعني خمس + +356 +00:21:39,810 --> 00:21:41,570 +أشياء هي في ده اللي بتلعبناه abnormal distinction + +357 +00:21:41,570 --> 00:21:45,310 +ال fat, fluid, fetus, atleta, atletas and feces + +358 +00:21:45,310 --> 00:21:50,820 +تمام؟ يعني خمس أخرLook at the shape of the + +359 +00:21:50,820 --> 00:21:53,980 +umbilicus ممكن يكون ال .. ال umbilicus inverted, + +360 +00:21:54,460 --> 00:21:57,820 +flat or inverted لما يكون في أسايت في الأبي و يكون + +361 +00:21:57,820 --> 00:22:01,180 +inverted على برة او flat ال .. ال umbilicus + +362 +00:22:01,180 --> 00:22:03,500 +however when there is a site that appear on the + +363 +00:22:03,500 --> 00:22:06,540 +flank and wall appear tense and umbilicus is + +364 +00:22:06,540 --> 00:22:10,500 +shallow or inverted I'm shifted downward فالمهم مش + +365 +00:22:10,500 --> 00:22:13,920 +ده في ال umbilicus مانساش نطلع على bulging ال + +366 +00:22:13,920 --> 00:22:17,000 +flanks في حياة الأسايت بلاقي ال .. ال flanks من + +367 +00:22:17,000 --> 00:22:18,460 +البطل المجهود ال flank tense + +368 +00:22:23,100 --> 00:22:26,160 +لو كان عندى في ال abdomen .. في ال abdomen مثلا ما + +369 +00:22:26,160 --> 00:22:29,160 +تشوفى اندروكلاجيسكولينكالي ممكن تكون مثلا في intra + +370 +00:22:29,160 --> 00:22:31,500 +-abdominal mass انت enlargement من intra-abdominal + +371 +00:22:31,500 --> 00:22:37,260 +organs مهم جدا نشوف ال hernias الفيبو مثلا + +372 +00:22:37,260 --> 00:22:43,080 +بلايكالفين وين الهاي مهم جدا نتطلع عليه الحاجات + +373 +00:22:43,080 --> 00:22:48,220 +المهم جدا نتطلع عليه prominent veinsالـVans may be + +374 +00:22:48,220 --> 00:22:50,400 +obvious on the abdominal wall if they are present + +375 +00:22:50,400 --> 00:22:52,420 +in the direction of penis flow should be illicit + +376 +00:22:52,420 --> 00:22:58,260 +at this stage لو تتأذلت انا اعمل milking test و + +377 +00:22:58,260 --> 00:23:02,660 +احدد ال direction تبحر باستخدام ان ال finger is + +378 +00:23:02,660 --> 00:23:05,100 +used to recruit the vein and the blood is then + +379 +00:23:05,100 --> 00:23:08,340 +emptied from the vein يعني بعمل أصبعين فوق ال vein + +380 +00:23:08,340 --> 00:23:11,680 +و بعديهم اتحرك لتحت و برفعلي فوق مثلا او العكس + +381 +00:23:11,680 --> 00:23:14,780 +واحد اتحرك لفوق و برفعلي تحت او بعديهم اتحرك لتحت + +382 +00:23:14,780 --> 00:23:17,230 +و برفعلي فوق حتى يشوف ال directionof the finger + +383 +00:23:17,230 --> 00:23:21,270 +flow should be tested separately in veins above + +384 +00:23:21,270 --> 00:23:25,190 +and below the umbilicus in severe border + +385 +00:23:25,190 --> 00:23:27,510 +hypertension, the direction of flow is away from + +386 +00:23:27,510 --> 00:23:30,250 +the umbilicus دعوني أشرح لكم بساطة embolism can + +387 +00:23:30,250 --> 00:23:31,910 +occur because of a theory of inner curve + +388 +00:23:31,910 --> 00:23:35,030 +obstruction usually due to tumor or thrombosis لو + +389 +00:23:35,030 --> 00:23:37,430 +كان أنا في border hypertension ال flow بيكون away + +390 +00:23:37,430 --> 00:23:39,070 +from the umbilicus لو كانت ال theory of inner + +391 +00:23:39,070 --> 00:23:41,550 +curve obstruction ال direction بيكون upwards + +392 +00:23:41,550 --> 00:23:44,610 +towards the heart يعني بيكون كأنه رايح نحيط ال + +393 +00:23:44,610 --> 00:23:49,100 +umbilicusطب انا هل كان دي visible pulsation او + +394 +00:23:49,100 --> 00:23:55,880 +visible results؟ pulsation ممكن تشوفها في very + +395 +00:23:55,880 --> 00:23:58,360 +lean persons او المريض لو عنده aortic abdomen او + +396 +00:23:58,360 --> 00:24:01,420 +aortic aneurysm مثلا ماضحة visible results ممكن + +397 +00:24:01,420 --> 00:24:05,300 +تشوفها in very thin normal people however it's + +398 +00:24:05,300 --> 00:24:08,300 +usually just a sign of obstruction تشوفها في الناس + +399 +00:24:08,300 --> 00:24:11,540 +العاديين بس هي في الأغلب تشوفها في الناس اللي + +400 +00:24:11,540 --> 00:24:12,820 +عندهم sign of obstruction + +401 +00:24:16,210 --> 00:24:20,050 +الـ stria موجودة ما ننساش بـ stria stretching of + +402 +00:24:20,050 --> 00:24:25,030 +the abdominal wall can sometimes be severe enough + +403 +00:24:25,030 --> 00:24:27,510 +to cause rupture of the elastic fibers in the skin + +404 +00:24:27,510 --> 00:24:31,810 +to produce pink pink linear marks with wrinkled + +405 +00:24:31,810 --> 00:24:35,850 +appearance which are called stria when these are + +406 +00:24:35,850 --> 00:24:38,670 +white and purple color coaching syndrome لو كانت + +407 +00:24:38,670 --> 00:24:41,470 +purple color فتفكر في coaching syndrome لو كانت + +408 +00:24:41,470 --> 00:24:43,810 +silver color فتفكر في ال obesity أو ال pregnancy + +409 +00:24:44,510 --> 00:24:46,850 +قصائد الـ pregnancy أو الـ recent weight gain هم + +410 +00:24:46,850 --> 00:24:49,470 +أكتر من الـ boys of this era بس بيكون سيلفر مش + +411 +00:24:49,470 --> 00:24:56,830 +بيربل كالعود بيتحلت + +412 +00:24:56,830 --> 00:24:59,230 +بتطلع على أي skin lesions أنا موجود وعلّق عليه هل + +413 +00:24:59,230 --> 00:25:03,330 +في مثلا أي skin eruption ال skin eruption هي ممكن + +414 +00:25:03,330 --> 00:25:07,290 +تكون مثلا تم ال Demergue lesion مثلا which are non + +415 +00:25:07,290 --> 00:25:10,900 +blanching بعد وطنها ما بتروحممكن يكون ماكيلو + +416 +00:25:10,900 --> 00:25:14,520 +بابيولر ممكن يكون فيه بتيكيا او whatever اي skin + +417 +00:25:14,520 --> 00:25:16,720 +lesion بتشوفه لأ I have to stress over it اشوفه + +418 +00:25:16,720 --> 00:25:20,580 +بلان شبه بلان شبه هل هو ماكيلو بابيولر هل هو + +419 +00:25:20,580 --> 00:25:24,200 +bleeding هل هو pits lesion whatever it is هل هو + +420 +00:25:24,200 --> 00:25:30,240 +نيباين مثلا بقدر ما كنت مضيق انا من end of the bed + +421 +00:25:30,240 --> 00:25:34,080 +شوفت المريض كيف نايم comfortably مافيش عنده اي + +422 +00:25:34,080 --> 00:25:37,580 +stress حكيته على ال weight و على ال posture الخاص + +423 +00:25:37,580 --> 00:25:40,000 +بالمريض و على الأمورةعملت exposure من الـ + +424 +00:25:40,000 --> 00:25:42,780 +inframemory للمتواعب كيف انبشرت نفسي حافظ على + +425 +00:25:42,780 --> 00:25:46,900 +احتمال ما يتغطيه في نفسي في كلمة تالية تول بعد هيك + +426 +00:25:46,900 --> 00:25:49,960 +أنا بكون أخد مزرعة كيف ال shape of the abdomen كيف + +427 +00:25:49,960 --> 00:25:53,060 +ال head distribution كيف الأمباليكاس هل يبيرتد + +428 +00:25:53,060 --> 00:25:56,380 +فلاك ابيرتد؟ هل يشهد ال gun war؟ هل فيه bunging in + +429 +00:25:56,380 --> 00:25:59,100 +flanks؟ هل فيه invisible pulsation؟ هل فيه visible + +430 +00:25:59,100 --> 00:26:02,520 +distortions؟ هل فيه stria؟ هل فيه dilated veins؟ + +431 +00:26:02,520 --> 00:26:05,100 +هل فيه visible pulsation؟ whatever هذه كلها تنفسي + +432 +00:26:05,100 --> 00:26:07,300 +أعلق عليها هل فيه generalized or localized + +433 +00:26:07,300 --> 00:26:11,030 +schooling؟ هذه مهمة جدابعدين انا جاب لجنب المريض + +434 +00:26:11,030 --> 00:26:14,690 +بقول انا طيب في الحال ايه لازم تكون مضحوطة قدامي I + +435 +00:26:14,690 --> 00:26:17,670 +have to squat down بانزل kneeling ع مدعوى الشهرات + +436 +00:26:17,670 --> 00:26:22,590 +ان ايدي تكون على مستوى بطن المريض و تكون عيني في + +437 +00:26:22,590 --> 00:26:26,390 +عين المريض بس المريض انت في عندك اي قلم في اي مكان + +438 +00:26:26,390 --> 00:26:29,770 +لو في مكان اشر على المجلة القلم هذا بسيبه للاخر + +439 +00:26:29,770 --> 00:26:32,290 +لازم اتبلش اعمل superficial palpation كل هذا + +440 +00:26:32,290 --> 00:26:35,580 +superficial palpation تلات شغلات اول شغلةGain + +441 +00:26:35,580 --> 00:26:40,080 +confidence of patient هطمئن المريض ان انا لن احذر + +442 +00:26:40,080 --> 00:26:45,920 +او أهم Superficial palpation .. تكشف اي + +443 +00:26:45,920 --> 00:26:48,600 +superficial palpal masses و Superficial tenderness + +444 +00:26:48,600 --> 00:26:52,260 +تلت مهمات ل Superficial palpation Gain confidence + +445 +00:26:52,260 --> 00:26:54,240 +.. Superficial tenderness .. Superficial palpation + +446 +00:26:54,240 --> 00:26:57,160 +.. Superficial palpation .. Superficial palpation + +447 +00:26:57,160 --> 00:26:57,280 +.. Superficial palpation .. Superficial palpation + +448 +00:26:57,280 --> 00:26:57,300 +.. Superficial palpation .. Superficial palpation + +449 +00:26:57,300 --> 00:26:57,660 +.. Superficial palpation .. Superficial palpation + +450 +00:26:57,660 --> 00:26:57,660 +.. Superficial palpation .. Superficial palpation + +451 +00:26:57,660 --> 00:26:57,660 +.. Superficial palpation .. Superficial palpation + +452 +00:26:57,660 --> 00:26:57,740 +.. Superficial palpation .. Superficial palpation + +453 +00:26:57,740 --> 00:26:59,860 +.. Superficial palpation .. Superficial palpation + +454 +00:26:59,860 --> 00:27:02,280 +.. Superficial palpation .. Superficial palpation + +455 +00:27:02,280 --> 00:27:04,180 +.. Superficial palpation .. Superficial palpation + +456 +00:27:04,180 --> 00:27:19,470 +.. Superficialبسيبها للآخر الـ + +457 +00:27:19,470 --> 00:27:22,050 +Pulpation ده عبارة عن الـ organ specific pulpation + +458 +00:27:22,050 --> 00:27:23,550 +و ال superficial superficial اللي بنحكي عليها + +459 +00:27:23,550 --> 00:27:26,530 +حاليا أنه له ثلاث أهداف يعني ال confidence of + +460 +00:27:26,530 --> 00:27:29,110 +patient detection of superficial tenderness و + +461 +00:27:29,110 --> 00:27:31,730 +detection of superficial pulpal pulp superficial + +462 +00:27:31,730 --> 00:27:32,370 +pulpal max + +463 +00:27:36,860 --> 00:27:42,100 +هو مجرد اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف + +464 +00:27:42,100 --> 00:27:45,180 +اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف + +465 +00:27:45,180 --> 00:27:47,920 +اكتشاف اكتشاف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف + +466 +00:27:47,920 --> 00:27:47,980 +اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف + +467 +00:27:47,980 --> 00:27:48,300 +اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف + +468 +00:27:48,300 --> 00:27:53,860 +اكتشف اكتشف اكتشف اكتشف اكتشف + +469 +00:27:53,860 --> 00:28:03,160 +اكتشف + +470 +00:28:03,160 --> 00:28:09,340 +اكتبكون proper exposure وعيني بتبطلع في عين المريض + +471 +00:28:09,340 --> 00:28:11,660 +اعمل الـ eye contact لو مريض صار عنده اي علامة مش + +472 +00:28:11,660 --> 00:28:15,840 +هيكون انا ماخد باله + +473 +00:28:15,840 --> 00:28:22,000 +مثل + +474 +00:28:22,000 --> 00:28:24,540 +ما حكيت for descriptive purposes the abdomen has + +475 +00:28:24,540 --> 00:28:27,220 +been divided into nine areas or regions فالpatient + +476 +00:28:27,220 --> 00:28:29,320 +in each region is performed with the palmar + +477 +00:28:29,320 --> 00:28:32,350 +surface of the fingers acting togetherfor the + +478 +00:28:32,350 --> 00:28:34,450 +palpation of the edges of the organs, the lateral + +479 +00:28:34,450 --> 00:28:36,370 +surface of the forefingers is the most sensitive + +480 +00:28:36,370 --> 00:28:44,190 +part of the hand طبعا + +481 +00:28:44,190 --> 00:28:47,870 +احنا لو هنا عملنا palpation يجب ان يكون هنا + +482 +00:28:47,870 --> 00:28:50,730 +descriptive feature of intra-abdominal mass ده يجب + +483 +00:28:50,730 --> 00:28:53,350 +ان احدد انا where is the size of the mass whether + +484 +00:28:53,350 --> 00:28:56,790 +it's tender ولا منتندر it's the size من جثة بالمتر + +485 +00:28:56,790 --> 00:28:59,090 +وغير الحال انا بعدين اقول مثلا four finger او + +486 +00:28:59,090 --> 00:29:02,270 +three finger او whatever بالcentimeter بالمترأي + +487 +00:29:02,270 --> 00:29:05,750 +سبب؟ لازم أحس الـ service بحق؟ هو regular و لا + +488 +00:29:05,750 --> 00:29:11,690 +regular؟ ال edge هو sharp و لا ضال edge أو rounded + +489 +00:29:11,690 --> 00:29:15,450 +edge؟ consistency fair و لا hard؟ هل هو mobile + +490 +00:29:15,450 --> 00:29:19,090 +with inspiration و لا لأ؟ هل هو versatile و لا لأ؟ + +491 +00:29:19,090 --> 00:29:21,870 +هل أنا ممكن أقول we can get above it و لا لأ؟ هذا + +492 +00:29:21,870 --> 00:29:24,470 +أي انا ما أحس بحسب الأدوة و انا زعلق على حتة و + +493 +00:29:24,470 --> 00:29:25,850 +تسعة و تسعة characters + +494 +00:29:30,450 --> 00:29:33,370 +Light palpation اللي كنا نحكي عنه، should begin + +495 +00:29:33,370 --> 00:29:35,670 +with light pressure on each region. All the + +496 +00:29:35,670 --> 00:29:37,810 +movements of the hand should occur at the + +497 +00:29:37,810 --> 00:29:42,070 +metacarbopharyngeal joint. And the hand should be + +498 +00:29:42,070 --> 00:29:44,650 +molded to the shape of the abdominal wall. The + +499 +00:29:44,650 --> 00:29:47,290 +presence of any tenderness or lumps in each region + +500 +00:29:47,290 --> 00:29:51,130 +should be noted. As the hand moves over each + +501 +00:29:51,130 --> 00:29:52,970 +region, the mind should be considering the + +502 +00:29:52,970 --> 00:29:54,950 +anatomical structure that underlies it. + +503 +00:29:59,890 --> 00:30:02,770 +مش عال deep palpation of abdomen is performed next + +504 +00:30:02,770 --> 00:30:05,930 +بعد ما اكون خلص superficial palpation ليش بعمل + +505 +00:30:05,930 --> 00:30:07,830 +deep palpation؟ حتى لو انا حاسست superficial + +506 +00:30:07,830 --> 00:30:12,030 +palpation اي mass اقدر اعمل dimination اقدر اصيب + +507 +00:30:12,030 --> 00:30:15,190 +التسعة كارات رسمية اللي حكيناها جبالي نقدر نحكي + +508 +00:30:15,190 --> 00:30:19,150 +عنها في + +509 +00:30:19,150 --> 00:30:21,650 +تحت deep palpation ال care should be taken to + +510 +00:30:21,650 --> 00:30:24,090 +avoid tender areas until the end of the dimination + +511 +00:30:24,090 --> 00:30:28,410 +deep palpation is used to detect deeper massesand + +512 +00:30:28,410 --> 00:30:31,490 +to define those already discovered any mass must + +513 +00:30:31,490 --> 00:30:34,010 +be carefully characterized and described حتى بيصيح + +514 +00:30:34,010 --> 00:30:36,470 +صحيح صحيح، consistency، movement، surface، edges، + +515 +00:30:36,470 --> 00:30:41,910 +regulators وعلّق عليها، وحكيها نبدأ هنا، is the + +516 +00:30:41,910 --> 00:30:46,770 +organ specific؟ ال organ specific، أنا عندي، I + +517 +00:30:46,770 --> 00:30:48,730 +have to start feeling that it's for hepatomegaly، + +518 +00:30:48,730 --> 00:30:51,290 +هل ده للأعشبرة أو لأ؟ with the examining hand + +519 +00:30:51,290 --> 00:30:54,170 +aligned parallel to the right costal margin، the + +520 +00:30:54,170 --> 00:30:56,850 +beginning is in the right iliacusa، name of the + +521 +00:30:56,850 --> 00:31:00,020 +blood iliacusaأسأل المريض أن يخلص منه و يخرج منه + +522 +00:31:00,020 --> 00:31:03,040 +من حياته، من الحمام، من الحمام، من حياته، من + +523 +00:31:03,040 --> 00:31:04,300 +حياته، من حياته، من حياته، من حياته، من حياته، من + +524 +00:31:04,300 --> 00:31:06,160 +حياته، من حياته، من حياته، من حياته، من حياته، من + +525 +00:31:06,160 --> 00:31:08,380 +حياته، من حياته، من حياته، من حياته، من حياته، من + +526 +00:31:08,380 --> 00:31:10,860 +حياته، من حياته، من حياته، من حياته، من حياته، من + +527 +00:31:10,860 --> 00:31:13,420 +حياته، من حياته، من حياته، من حياته، من حياته، من + +528 +00:31:13,420 --> 00:31:21,460 +حياته، من حياته، من حياته، من حياته، من حياته، + +529 +00:31:21,460 --> 00:31:25,000 +من + +530 +00:31:25,000 --> 00:31:30,240 +حإذا كانت الوصفة موجودة فإن تجربة كانت تكون مجهودة + +531 +00:31:30,240 --> 00:31:33,180 +لإيقاف الـ Service of the liver عاليه وعاليه + +532 +00:31:33,180 --> 00:31:34,780 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +533 +00:31:34,780 --> 00:31:35,700 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +534 +00:31:35,700 --> 00:31:35,960 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +535 +00:31:35,960 --> 00:31:38,240 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +536 +00:31:38,240 --> 00:31:39,380 +وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه وعاليه + +537 +00:31:56,020 --> 00:32:00,300 +وكل ال edge تبع smooth rounded و ال surface smooth + +538 +00:32:00,300 --> 00:32:03,320 +او + +539 +00:32:03,320 --> 00:32:05,640 +ايش حاجة تستعمل اندي باتوميجالي؟ في اندي انا أسباب + +540 +00:32:05,640 --> 00:32:09,760 +للي باتوميجالي اولش بقسم ال مثل باتوميجالي مثلا + +541 +00:32:09,760 --> 00:32:13,100 +يكون عندك liver mets مالي ناس موجودة في ورا باتش + +542 +00:32:13,100 --> 00:32:16,700 +هي عاملة متس متس متس على ال liver myeloprophic + +543 +00:32:16,700 --> 00:32:19,080 +disorders right heart failure ابتسولة كانسر + +544 +00:32:19,080 --> 00:32:21,580 +alcoholic liver disease ودفعة infiltration تعمل + +545 +00:32:21,580 --> 00:32:27,620 +مثل باتوميجالي مدرس باتوميجاليالأسباب اللي حكيناها + +546 +00:32:27,620 --> 00:32:31,100 +فوق مثلا infiltration يعني ميكوماتوزس + +547 +00:32:31,100 --> 00:32:35,160 +hematological diseases مثلا chronic leukemia او + +548 +00:32:35,160 --> 00:32:37,860 +lymphoma، fat liver، secondary diabetes، melitus + +549 +00:32:37,860 --> 00:32:44,160 +أو بيض التكسين، infiltration زي عمينودوزس ال + +550 +00:32:44,160 --> 00:32:47,800 +mild بالتوميجالين؟ نفس الأسباب اللي حكيناها فوق + +551 +00:32:47,800 --> 00:32:51,200 +تعمل مثلا moderate و تعمل mild زي ال Hepatitis B + +552 +00:32:51,200 --> 00:32:57,650 +وHIV infectionطب انا لو كان عندي firm .. عندي + +553 +00:32:57,650 --> 00:33:01,330 +regular firm .. ال concern ان انا عندي firm مش صعب + +554 +00:33:01,330 --> 00:33:06,290 +.. firm .. liver .. بفكر انا الحاجات اللي بتعمل + +555 +00:33:06,290 --> 00:33:08,270 +عندي firm عالي و كده .. زي pancreatinoma .. + +556 +00:33:08,270 --> 00:33:10,930 +metastatic diseases .. psoriasis .. عيضات ال test + +557 +00:33:10,930 --> 00:33:12,790 +.. and even اللي هو مثلا ال sarcoidosis .. and + +558 +00:33:12,790 --> 00:33:14,490 +filtering the liver .. and amyloidosis .. and + +559 +00:33:14,490 --> 00:33:17,610 +filtering the liver .. هيكون في منطق ال liver test + +560 +00:33:17,610 --> 00:33:21,590 +tender liver .. مات بشوف tender liver .. في حالات + +561 +00:33:21,590 --> 00:33:24,570 +اللي بتاعي testفي حالات Rapid Liver Alarm زي Right + +562 +00:33:24,570 --> 00:33:26,950 +Side Heart Failure أو Hepatic Heart Syndrome اللي + +563 +00:33:26,950 --> 00:33:30,350 +هو Hepatic Venous Thrombosis Hepaticular Cancer, + +564 +00:33:30,470 --> 00:33:33,570 +Hepatic Abscess, Pilear Obstruction وPonogartis + +565 +00:33:33,570 --> 00:33:37,990 +تقول ساعتها اللي برمت بحسها بحسها تتركز بترجمش + +566 +00:33:37,990 --> 00:33:40,730 +تاجر Hepaticular Cancer and Vascular Abnormalities + +567 +00:33:40,730 --> 00:33:43,970 +طبيعي + +568 +00:33:43,970 --> 00:33:47,650 +تحالة انا اكبر بالبشر انا بكون حددت مثلا وين ال + +569 +00:33:47,650 --> 00:33:51,610 +lower border of liver حسيته انا ال edge حددت ال + +570 +00:33:51,610 --> 00:33:55,530 +edge اللي هوrounded edge هلو و sharp بحدد ال + +571 +00:33:55,530 --> 00:33:58,250 +surface regular او irregular اتجارب ال consistency + +572 +00:33:58,250 --> 00:34:03,190 +of the liver هلهي smooth هلهي firm هلهي hard هذه + +573 +00:34:03,190 --> 00:34:06,310 +مهمة جدا بعد هيك تبتدى اكون انا اشوف ال liver + +574 +00:34:06,310 --> 00:34:08,610 +pulsatile و non pulsatile بعد هيك تتعرف على ال + +575 +00:34:08,610 --> 00:34:11,770 +spleen ال spleen enlarges intermediary immediately + +576 +00:34:11,770 --> 00:34:15,730 +its edge او tip يعني بالاخر نحكي على ال spleen tip + +577 +00:34:15,730 --> 00:34:19,050 +تبتدى صوت below the umbilicus and the midline + +578 +00:34:19,050 --> 00:34:21,210 +initial يعني ممكن تكون عندى massively enlarged + +579 +00:34:21,630 --> 00:34:24,570 +التقنية الانتقالية الانتقالية الانتقالية + +580 +00:34:24,570 --> 00:34:26,170 +الانتقالية الانتقالية الانتقالية الانتقالية + +581 +00:34:26,170 --> 00:34:27,950 +الانتقالية الانتقالية الانتقالية الانتقالية + +582 +00:34:27,950 --> 00:34:31,110 +الانتقالية الانتقالية الانتقالية الانتقالية + +583 +00:34:31,110 --> 00:34:35,010 +الانتقالية الانتقالية الانتقالية الانتقالية + +584 +00:34:35,010 --> 00:34:36,570 +الانتقالية الانتقالية الانتقالية الانتقالية + +585 +00:34:36,570 --> 00:34:37,310 +الانتقالية الانتقالية الانتقالية الانتقالية + +586 +00:34:37,310 --> 00:34:37,310 +الانتقالية الانتقالية الانتقالية الانتقالية + +587 +00:34:37,310 --> 00:34:38,810 +الانتقالية الانتقالية الانتقالية الانتقالية + +588 +00:34:38,810 --> 00:34:50,170 +الانتقالية الانت + +589 +00:34:50,290 --> 00:34:54,370 +عشان اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +590 +00:34:54,370 --> 00:34:54,450 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +591 +00:34:54,450 --> 00:34:55,450 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +592 +00:34:55,450 --> 00:34:57,590 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +593 +00:34:57,590 --> 00:34:57,590 +اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل اشتغل + +594 +00:34:57,590 --> 00:35:01,110 +اشتغل اشتغل اشتغل اشتغل اشتغل + +595 +00:35:01,110 --> 00:35:06,170 +ا + +596 +00:35:14,870 --> 00:35:17,550 +إذا لم يكن الـSpleen بالبلبة، فالشخص يجب أن يكون + +597 +00:35:17,550 --> 00:35:19,790 +مقعدًا على الجانب الصحيح أنا ماقدرش أقول إن + +598 +00:35:19,790 --> 00:35:22,230 +الـSpleen ممكنة بدون أني أبحث أخل المريض يلف على + +599 +00:35:22,230 --> 00:35:25,230 +الـRight Lateral Side و أحاول أبلش من جنب الملف + +600 +00:35:25,230 --> 00:35:29,490 +الكوستالمارد و أحس الـTip of Spleen، طبعا؟ + +601 +00:35:29,490 --> 00:35:31,950 +الـSpleen ممكنة تصبح ممكنة تكتبل إذا كانت + +602 +00:35:31,950 --> 00:35:35,430 +الـSpleen One and a Half to Two Times Large، أبلش + +603 +00:35:35,430 --> 00:35:39,810 +يكون Two Times Large الـSpleen، بعدين بيجي أنا + +604 +00:35:39,810 --> 00:35:44,270 +للكدن، الكدنأنا أحاول أن أسحب الكدن يجب أن يكون + +605 +00:35:44,270 --> 00:35:45,910 +مجموعة عملية عملية عملية عملية عملية عملية عملية + +606 +00:35:45,910 --> 00:35:46,410 +عملية عملية عملية عملية عملية عملية عملية عملية + +607 +00:35:46,410 --> 00:35:47,850 +عملية عملية عملية عملية عملية عملية عملية عملية + +608 +00:35:47,850 --> 00:35:50,110 +عملية عملية عملية عملية عملية عملية عملية عملية + +609 +00:35:50,110 --> 00:35:50,590 +عملية عملية عملية عملية عملية عملية عملية عملية + +610 +00:35:50,590 --> 00:35:53,050 +عملية عملية عملية عملية عملية عملية عملية عملية + +611 +00:35:53,050 --> 00:35:53,130 +عملية عملية عملية عملية عملية عملية عملية عملية + +612 +00:35:53,130 --> 00:35:53,130 +عملية عملية عملية عملية عملية عملية عملية عملية + +613 +00:35:53,130 --> 00:36:09,210 +عملية عملية عملية + +614 +00:36:09,210 --> 00:36:13,960 +عإيدي اللي فوق ضغطة و إيدي اللي تحت بترفع و لو + +615 +00:36:13,960 --> 00:36:16,380 +كانت بربي أحس أنا كأنه إيشي بيشي من تحت و بتروح + +616 +00:36:16,380 --> 00:36:20,180 +إيدي اللي فوق إيدي اللي فوق فقط ضغطة لتحت اللي + +617 +00:36:20,180 --> 00:36:26,160 +بترفع طيب + +618 +00:36:26,160 --> 00:36:29,320 +أنا يعني ال kidney هال normal بتكون بالبابل لأ ال + +619 +00:36:29,320 --> 00:36:31,840 +kidney بتكون بالبابل في very thin persons أو + +620 +00:36:31,840 --> 00:36:35,000 +people يكون المريض عنده large kidney زي مثلا + +621 +00:36:35,000 --> 00:36:41,020 +polycystic kidneyأو الـ Kid is affected by other + +622 +00:36:41,020 --> 00:36:46,040 +inflammatory disorders كيف بتتفرج أنا this is + +623 +00:36:46,040 --> 00:36:50,440 +clean و لا this is .. this is clean و لا this is + +624 +00:36:50,440 --> 00:36:53,720 +left kidney؟ + +625 +00:36:53,720 --> 00:36:56,820 +الـ spleen has no bulb up ال upper border مقدرش .. + +626 +00:36:56,820 --> 00:37:00,020 +انا cannot insinuate my hand between the spleen + +627 +00:37:00,020 --> 00:37:03,220 +and the costal margin مقدرش أحس ال upper border بس + +628 +00:37:03,220 --> 00:37:04,580 +في ال final ممكن أحسها + +629 +00:37:08,880 --> 00:37:11,660 +الـSpleen has a notch which can be bulb of it + +630 +00:37:11,660 --> 00:37:15,120 +الـSpleen متحرك مباشرة مباشرة الـSpleen متحرك + +631 +00:37:15,120 --> 00:37:19,900 +مباشرة مباشرة الـSpleen + +632 +00:37:19,900 --> 00:37:23,340 +متحرك + +633 +00:37:23,340 --> 00:37:27,540 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +634 +00:37:27,540 --> 00:37:30,140 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +635 +00:37:30,140 --> 00:37:33,660 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +636 +00:37:33,660 --> 00:37:35,620 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +637 +00:37:35,620 --> 00:37:36,840 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +638 +00:37:36,840 --> 00:37:36,900 +مباشرة الـSpleen متحرك مباشرة الـSpleen متحرك + +639 +00:37:36,900 --> 00:37:38,570 +مباشرة الـSpleen متpercussion notes over the + +640 +00:37:38,570 --> 00:37:41,990 +spleen is dull but it's over the kidney it's + +641 +00:37:41,990 --> 00:37:45,990 +resonant لأنه بيكون over the kidney فيه gas في + +642 +00:37:45,990 --> 00:37:49,550 +الفول friction rock maybe able to be heard over + +643 +00:37:49,550 --> 00:37:55,570 +over the spleen but never over the kidneyلأن حركة + +644 +00:37:55,570 --> 00:37:59,890 +الشعر بتتحرك لو كانت ماشية على ورق ناشط .. او لو + +645 +00:37:59,890 --> 00:38:03,090 +كان شعرك تفرق زيك و كان لدي ادم يسميها الـ + +646 +00:38:03,090 --> 00:38:05,290 +pressure up هاي و كنت اسمعها في SP في حالات + +647 +00:38:05,290 --> 00:38:07,990 +انتصافية الفرشن .. بس استحال اسمعها في الـ kidney + +648 +00:38:07,990 --> 00:38:11,570 +خلاصنا + +649 +00:38:11,570 --> 00:38:15,350 +نبرمج على الـ percussion ال percussion .. هنبدأ .. + +650 +00:38:15,350 --> 00:38:17,030 +percussion .. مافيش حد اسمه الـ generalized + +651 +00:38:17,030 --> 00:38:20,350 +percussion في ده قبله .. هنقولش انا specific او + +652 +00:38:20,350 --> 00:38:22,070 +انا specific .. هبدأ ال liver .. percussion لل + +653 +00:38:22,070 --> 00:38:26,240 +liver هيبدأ من فوقمن تحت تنظيف من عند الرادر + +654 +00:38:26,240 --> 00:38:29,420 +الكورسي اقدع حتى حتى تظهر انا اين ال lower او ال + +655 +00:38:29,420 --> 00:38:32,620 +edge of the liver ال fabrication is used to define + +656 +00:38:32,620 --> 00:38:35,920 +the size and nature of organs and masses to detect + +657 +00:38:35,920 --> 00:38:40,680 +fluids in the peritoneal cavity the liver border + +658 +00:38:40,680 --> 00:38:42,960 +should be percussed routinely to determine the + +659 +00:38:42,960 --> 00:38:46,080 +liver span حجمه مجددا ال liver span كم ديش liver + +660 +00:38:46,080 --> 00:38:48,720 +span تبع المريض if the liver edge is not palpable + +661 +00:38:48,720 --> 00:38:51,200 +and there is no aside straight side of the abdomen + +662 +00:38:51,200 --> 00:38:54,470 +should be percussed in the pericarpal lineup to + +663 +00:38:54,470 --> 00:38:56,910 +the A coastal margin until darkness is encountered + +664 +00:38:56,910 --> 00:39:00,150 +يعني + +665 +00:39:00,150 --> 00:39:02,970 +أنا ببدأ بعمل percussion من ال right أكوستر ماشي + +666 +00:39:02,970 --> 00:39:05,030 +وعال ميزي كريبكور online لحد ما أصلا ماتت ال + +667 +00:39:05,030 --> 00:39:07,670 +darkness بعلّم عليها و بخل المرجمة تسوء عن ميزيكها + +668 +00:39:07,670 --> 00:39:11,970 +علم زمين الهوارد برضه نزل الهوارد بتحديد ال span + +669 +00:39:11,970 --> 00:39:15,730 +فور ببدأ من ال seconder coastal space أنجل بلوي + +670 +00:39:15,730 --> 00:39:20,420 +عالميزي كريبكور online ببدأ أعمل percussionو نازل + +671 +00:39:20,420 --> 00:39:24,020 +لحد ما أصل لعندي وين صار تطنس و أخل المريض طبعا + +672 +00:39:24,020 --> 00:39:26,860 +تايت ال percussion و كل مرة تاخد نفسك تتنوع عشان + +673 +00:39:26,860 --> 00:39:29,820 +ال liver بنزل مع ال .. بنزل مع ال diaphragm لو كان + +674 +00:39:29,820 --> 00:39:32,840 +في fluid أو في إيش تاني لأ أنا نقطة كهال مش هيتحرك + +675 +00:39:32,840 --> 00:39:35,840 +و أنا دوسة fluid rather than الا liver بعدين أنا + +676 +00:39:35,840 --> 00:39:38,060 +بكون حددت ال other border of the liver و lower + +677 +00:39:38,060 --> 00:39:40,900 +edge أو lower border of the liver و بجيسه normal + +678 +00:39:40,900 --> 00:39:45,360 +span اللي هو 10 plus minus 2 يعني 112 نفس عامة + +679 +00:39:55,460 --> 00:39:58,220 +النسبة للموضوع النارية النارية النارية النارية + +680 +00:39:58,220 --> 00:40:03,540 +موجودة في مدينة مدينة كليوكولا 9 مدينة كليوكولا 9 + +681 +00:40:03,540 --> 00:40:04,060 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +682 +00:40:04,060 --> 00:40:07,640 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +683 +00:40:07,640 --> 00:40:08,860 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +684 +00:40:08,860 --> 00:40:10,680 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +685 +00:40:10,680 --> 00:40:13,960 +مدينة كليوكولا 9 مدينة كليوكولا 9 مدينة كليوكولا 9 + +686 +00:40:13,960 --> 00:40:23,520 +مدين + +687 +00:40:43,920 --> 00:40:47,120 +أنا باستخدام الهاتف باستخدام الهاتف باستخدام + +688 +00:40:47,120 --> 00:40:51,680 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +689 +00:40:51,680 --> 00:40:51,680 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +690 +00:40:51,680 --> 00:40:51,700 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +691 +00:40:51,700 --> 00:40:51,780 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +692 +00:40:51,780 --> 00:40:51,780 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +693 +00:40:51,780 --> 00:40:51,780 +الهاتف باستخدام الهاتف باستخدام الهاتف باستخدام + +694 +00:40:51,780 --> 00:40:55,370 +الهاتف باستخدام الهاتف باتحولت من تنبانك تنبانك + +695 +00:40:55,370 --> 00:41:00,150 +تنبانك + +696 +00:41:00,150 --> 00:41:05,310 +تنبانك تنبانك + +697 +00:41:05,310 --> 00:41:07,390 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +698 +00:41:07,390 --> 00:41:10,810 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +699 +00:41:10,810 --> 00:41:15,090 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +700 +00:41:15,090 --> 00:41:15,290 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +701 +00:41:15,290 --> 00:41:15,290 +تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك تنبانك + +702 +00:41:15,290 --> 00:41:17,170 +تنبانك تنبانك تنبانك تنبانبالنسبة للميجالي بيكون + +703 +00:41:17,170 --> 00:41:20,170 +ال large فانت نازل أقل من أربعة صنطة فانت تحصل + +704 +00:41:20,170 --> 00:41:24,350 +مارجن المدرس من أربعة على تمانية صنطة المسر بيكون + +705 +00:41:24,350 --> 00:41:27,390 +أكتر من تمانية صنطة أو ببعض من ال midline يعني + +706 +00:41:27,390 --> 00:41:31,970 +بعدي ال midline بعدين ميشي انت عرفت حاجة من ال + +707 +00:41:31,970 --> 00:41:35,210 +profession على الاخر انت ترسل ال space على ال left + +708 +00:41:35,210 --> 00:41:39,290 +side over the screen الأخر انت ترسل ال space تجيب + +709 +00:41:39,290 --> 00:41:42,530 +على ال profession أد من سمية Castelli sign في ال + +710 +00:41:42,530 --> 00:41:46,520 +normalأو الناس اللي بيكون هذه المنطقة عبارة عن + +711 +00:41:46,520 --> 00:41:50,640 +resident مفيش هاش فيه هاش يعني عبارة عن .. فتبقى + +712 +00:41:50,640 --> 00:41:54,840 +ضلم لو كان أنا عندي سبيل ميجاني بتكون تحول لضلم + +713 +00:41:54,840 --> 00:41:58,460 +بعد كده بيبقى المنطقة التالت انا اللي بتاعي اعملها + +714 +00:41:58,460 --> 00:42:03,720 +ربطي ليه drops area drops area و ان هي حدودها + +715 +00:42:03,720 --> 00:42:08,540 +بالضبط هيبتيجي ناخدة يعني و medial و lateral line + +716 +00:42:08,920 --> 00:42:12,880 +النقطة الأولى تبقى just at the apex تبقى الفترة + +717 +00:42:12,880 --> 00:42:17,300 +الاسباقية عن مدى الاتصال الانترنتي الانترنتي + +718 +00:42:17,300 --> 00:42:18,500 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +719 +00:42:18,500 --> 00:42:18,580 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +720 +00:42:18,580 --> 00:42:18,760 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +721 +00:42:18,760 --> 00:42:21,860 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +722 +00:42:21,860 --> 00:42:22,280 +الانترنتي الانترنتي الانترنتي الانترنتي الانترنتي + +723 +00:42:22,280 --> 00:42:36,420 +الانترنتي الانترنتي الانترنتي الانترنتي الان + +724 +00:42:36,490 --> 00:42:41,690 +وانت في الـ space الساعة و 11 فانا برسم زي معيناك + +725 +00:42:41,690 --> 00:42:44,910 +و بقيت في ال center تحت ال apex بالظبط في ال + +726 +00:42:44,910 --> 00:42:47,770 +center تبع المعينة بعمل percussion فأي إنسان عادي + +727 +00:42:47,770 --> 00:42:52,550 +هتكون المنطقة تتم resonance بس لو كان ال screen + +728 +00:42:52,550 --> 00:42:57,310 +enlarged twice من ال normal size فهذه المنطقة صارت + +729 +00:42:57,310 --> 00:43:00,510 +ضالة فعند ال break او دياجون ال percussion اللي + +730 +00:43:00,510 --> 00:43:04,790 +هتفصل تستلق ساين و تالي tropes area + +731 +00:43:08,320 --> 00:43:10,880 +ال kidneys percussion over the right or left + +732 +00:43:10,880 --> 00:43:13,420 +subcostal mass can help the single hepatic source + +733 +00:43:13,420 --> 00:43:16,360 +clinic from renal mass في الرينا دايما ال + +734 +00:43:16,360 --> 00:43:20,000 +percussion ان هو تستم Panic because انا فيه + +735 +00:43:20,000 --> 00:43:24,460 +overlapping ball على ال kidneys كيف تعمل انا + +736 +00:43:24,460 --> 00:43:28,860 +percussion للأسائطس؟ ال percussion للأسائطس طويل + +737 +00:43:28,860 --> 00:43:32,840 +في الحالة الأسائطس لما يجي تجمع في الفسق تجمع بشكل + +738 +00:43:32,840 --> 00:43:36,600 +يعني ك frequency زي هلال الشكلومنطقة الميديا بتكون + +739 +00:43:36,600 --> 00:43:41,300 +أقل أوتها منطقة في الأسائق أكتر مكان يجمعه يكون في + +740 +00:43:41,300 --> 00:43:45,600 +الـ Planks الـ Percussion nodes over the muscles + +741 +00:43:45,600 --> 00:43:48,540 +of the abdominals resonance due to air in the + +742 +00:43:48,540 --> 00:43:52,240 +system، الـ Resonance تكتبت أوت الـ Planks، بإن + +743 +00:43:52,240 --> 00:43:55,280 +الأسائق يجمعوا الـ Influence of the gravity causes + +744 +00:43:55,280 --> 00:43:58,580 +بس تتمكنوا إكبر في الـ Planks من أصبعين بيشهن، + +745 +00:43:58,580 --> 00:44:00,780 +تضال الـ Percussion nodes في الـ Planks + +746 +00:44:06,030 --> 00:44:09,310 +فأنا كده بدي أبتدى .. بحيث أنا قندي للأسائق + +747 +00:44:09,310 --> 00:44:12,190 +الصحيحة اللي هي shifting balance ان ال fluid + +748 +00:44:12,190 --> 00:44:15,130 +الموجود في ال flanks بدي يجي يجي على ال media فانا + +749 +00:44:15,130 --> 00:44:18,330 +ببدأ من تحت ال three stair now بشوف اقلش اعمل + +750 +00:44:18,330 --> 00:44:20,210 +percussion او بنزل شوية شوية و أعمل percussion و + +751 +00:44:20,210 --> 00:44:23,850 +نقول تبانك تبانك تبانك تبانك تبانك تبانك تبانك + +752 +00:44:23,850 --> 00:44:24,610 +تبانك تبانك تبانك تبانك تبانك تبانك تبانك تبانك + +753 +00:44:24,610 --> 00:44:25,270 +تبانك تبانك تبانك تبانك تبانك تبانك تبانك تبانك + +754 +00:44:25,270 --> 00:44:33,340 +تبانك تبانك تبانك تبانك تبانك تبانك تبانك تبانفلو + +755 +00:44:33,340 --> 00:44:36,500 +انا الثمبنك over the umbilicus كانت هذا مُخل + +756 +00:44:36,500 --> 00:44:39,220 +أسايتس لأن في الأغلب أسايتس هيكون over the + +757 +00:44:39,220 --> 00:44:42,600 +umbilicus في الثمبنك لو كان الضلم هذي could be + +758 +00:44:42,600 --> 00:44:46,440 +large bladder or it's running regions في الثمين + +759 +00:44:46,440 --> 00:44:51,600 +بعد هيك أنا بطلع تاني برجع على ال umbilicus و بقدر + +760 +00:44:51,600 --> 00:44:54,860 +أروح ال lateral سافر على ال left lateral فبتعمل .. + +761 +00:44:54,860 --> 00:44:57,320 +مافيش لحد ما أحس الضلم انا أحس الضلم بقول المريض + +762 +00:44:57,320 --> 00:45:01,780 +تلف على اليمين بس انت تتسكن بقصد ما يتحركش مكانه + +763 +00:45:01,780 --> 00:45:05,750 +موجودبقى بتعمل percussion بشوف أنه المنطق اللي لو + +764 +00:45:05,750 --> 00:45:08,090 +فيه ascites أنه ال percussion اللي كان دلت تحول + +765 +00:45:08,090 --> 00:45:11,330 +لتمبانك برضه بروف بيرب تحول أكتر أن تمبانك برجع + +766 +00:45:11,330 --> 00:45:13,610 +لمنطقة الامبالاكس لإنه أول ما بدأت من المنطقة + +767 +00:45:13,610 --> 00:45:17,690 +الامبالاكس كانت المنطقة اللي هدمت تمبانك تحول لظلم + +768 +00:45:17,690 --> 00:45:28,210 +فهذه هي فكرة ال shifting numbness بعدين + +769 +00:45:28,210 --> 00:45:30,830 +كانت ال fluid trail ال fluid trail يكون المسيب + +770 +00:45:30,830 --> 00:45:34,260 +ascitesto detect through a trip or wave the + +771 +00:45:34,260 --> 00:45:36,340 +clinician asks the assistant or the patient to + +772 +00:45:36,340 --> 00:45:39,760 +place a medial edges of both palms firmly in the + +773 +00:45:39,760 --> 00:45:42,900 +center of the abdomen انا بقول للمريض او لأزميلي + +774 +00:45:42,900 --> 00:45:47,980 +بحث ايدك في النص بالظبط اطيرك بشكل فولي اطيرك بشكل + +775 +00:45:47,980 --> 00:45:52,560 +فولي the examiner the examiner flicks the side of + +776 +00:45:52,560 --> 00:45:55,520 +the abdomen وبعدين بعمل flicking يحس ان ال + +777 +00:45:55,520 --> 00:45:58,360 +frustration or thrill is filled by the hand يعني + +778 +00:45:58,360 --> 00:46:01,540 +أيدي على اليمينتعمل flickering تضرب على الدنيا + +779 +00:46:01,540 --> 00:46:03,760 +الولمود يدي تانية محطوطة على الطعام كله بعض أعلى + +780 +00:46:03,760 --> 00:46:07,600 +عن ال left side بحيث أنه في زي waves أجت وانتقلت + +781 +00:46:07,600 --> 00:46:17,280 +أنزلت بوجود ال massive fluid escalation + +782 +00:46:17,280 --> 00:46:20,520 +أول + +783 +00:46:20,520 --> 00:46:23,140 +escalation أني أنا بدأ أسمع ال + +784 +00:46:23,140 --> 00:46:27,920 +بوانتزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانزانز + +785 +00:46:28,050 --> 00:46:30,570 +فى up to five minutes ان اسمع power sound انا + +786 +00:46:30,570 --> 00:46:33,210 +بالنسبة ايه اللى في الهجوم اذا انا مهم جدا اعرف بس + +787 +00:46:33,210 --> 00:46:37,230 +فانا في power sound present ولا absent طبعا لو + +788 +00:46:37,230 --> 00:46:40,390 +ماسمعتش انا هتبقى اشكالتتن فى up to five minutes + +789 +00:46:40,390 --> 00:46:44,250 +عشان عارف كده اللي هو مافيش عندي power sound او في + +790 +00:46:44,250 --> 00:46:49,790 +مثلا برارة الكليوس بعدين انا اي enlarged organ او + +791 +00:46:49,790 --> 00:46:55,160 +mass انت عارف انه هتبقى اشكالتتن اشكالتتنمثلا over + +792 +00:46:55,160 --> 00:46:57,620 +the liver بسم اللي بيسمونه عشان التام اللي هو عارف + +793 +00:46:57,620 --> 00:47:02,600 +أنك بروي يبتك بروي او رب يبتك بروي و اما تسمحها + +794 +00:47:02,600 --> 00:47:04,520 +مثلا في حالات الalcoholic liver disease او في + +795 +00:47:04,520 --> 00:47:09,280 +حالات بالسيوناترسينوما او بوصلي بربيرسي ال .. رب + +796 +00:47:09,280 --> 00:47:12,180 +.. يبتك رب بسمحها في حالات لو كان فيها انت سندروم + +797 +00:47:12,180 --> 00:47:14,920 +مثلا في البيت بجانب الرضالالزيز اللي كانت ميديا أو + +798 +00:47:14,920 --> 00:47:18,000 +جنرية انتشرت لكفشول ال deliver بيسمونه fit + +799 +00:47:18,000 --> 00:47:21,070 +carter's heart syndromeهذه inflammation of the + +800 +00:47:21,070 --> 00:47:24,370 +capillary valve بسمع كأنه مثل ما بحق شعره زيك أنه + +801 +00:47:24,370 --> 00:47:27,890 +أنا بسمع فيه فوق فهذا ال friction ربط في ال .. ال + +802 +00:47:27,890 --> 00:47:30,550 +spleen لو كان .. ال spleen لو كان عندي .. ال + +803 +00:47:30,550 --> 00:47:33,610 +spleen لو كان عندي أنا ربط أنا حاولت أن تكون هذه + +804 +00:47:33,610 --> 00:47:37,150 +spleen compression في الأغلب أي organ أي و أي ما + +805 +00:47:37,150 --> 00:47:40,610 +حسيت أنا و حسيت بلبable أخدت كل ال current في + +806 +00:47:40,610 --> 00:47:43,830 +الوقت لازم أبقى سماعة فوق و أسمع بعدين أنا باجي + +807 +00:47:43,830 --> 00:47:48,130 +بدأ أسمع renal arterioid بطلع 2 cm فوق الأمبالاكا + +808 +00:47:48,130 --> 00:47:53,660 +up2 سنة لبرا و بيسمحها بالـ Bell لو كان فيه برويه + +809 +00:47:53,660 --> 00:47:58,820 +حيبين ان لو كان بيزالينا ارتيوستنوزيز او فيبروز أو + +810 +00:47:58,820 --> 00:48:03,200 +دستليزيا affecting الرينا ارتيوز حيكون عندى برويه + +811 +00:48:03,200 --> 00:48:05,900 +بعدين بدأ أسمع الأبناء و الأوارطة الأبناء و + +812 +00:48:05,900 --> 00:48:09,660 +الأوارطة باخد انا مجلس تاني من الامبالاكاس المسافة + +813 +00:48:09,660 --> 00:48:13,360 +يعني باخد المدت راحة و اروح ال left بالديافرام + +814 +00:48:13,360 --> 00:48:17,520 +يعني انا ببدأ بوضع ذكرة الرينا ارتيوز في ال bell + +815 +00:48:17,520 --> 00:48:22,370 +of theالبيل تبقى السماعة و ال diaphragm أسمع ال .. + +816 +00:48:22,370 --> 00:48:25,630 +أبنونا أو أرطان لو كان في أبنونا أو أرطان عني و + +817 +00:48:25,630 --> 00:48:37,130 +لازم طريقة الحال هسمع أنه في عندي برودين بعد + +818 +00:48:37,130 --> 00:48:40,550 +هيك أنا بقى جيب تفحص ال one area احنا طريقة الحال + +819 +00:48:40,550 --> 00:48:44,190 +لحد ما يسيبنا نبحث المريض فحثنا كان الفحث اللي + +820 +00:48:44,190 --> 00:48:46,510 +احنا اجبعناه يسموه GI examination او abdominal + +821 +00:48:46,510 --> 00:48:50,540 +examinationبسيب منطقة الجوانب الاجتماعي للآخر بقى + +822 +00:48:50,540 --> 00:48:52,500 +بنت عاجز أبحث عن الجوانب الاجتماعي لإيش نفسي لإيش + +823 +00:48:52,500 --> 00:48:54,640 +علاقة لإيش relationship لإيش رابور بينه و بين + +824 +00:48:54,640 --> 00:48:58,200 +المريض لإيش المريض يكون relaxed للمريض يتريح و + +825 +00:48:58,200 --> 00:49:01,700 +يخلني أبحث بعدين أنا بقص بقص بقص بقص بقص بقص بقص + +826 +00:49:01,700 --> 00:49:02,440 +بقص بقص بقص بقص بقص بقص بقص بقص بقص بقص بقص بقص + +827 +00:49:02,440 --> 00:49:04,320 +بقص بقص بقص بقص بقص بقص بقص بقص بقص بقص بقص بقص + +828 +00:49:04,320 --> 00:49:13,420 +بقص بقص بقص بقص بقص بقص بقص بقص + +829 +00:49:13,420 --> 00:49:14,060 +بق + +830 +00:49:26,320 --> 00:49:33,220 +بعد ما كنت تقريبا مخلصت انا لازم اغطي مريض cover + +831 +00:49:33,220 --> 00:49:36,020 +لازم اغطي مريض cover لازم اغطي مريض cover لازم + +832 +00:49:36,020 --> 00:49:36,120 +اغطي مريض cover لازم اغطي مريض cover لازم اغطي + +833 +00:49:36,120 --> 00:49:36,920 +مريض cover لازم اغطي مريض cover لازم اغطي مريض + +834 +00:49:36,920 --> 00:49:39,380 +cover لازم اغطي مريض cover لازم اغطي مريض cover + +835 +00:49:39,380 --> 00:49:39,380 +لازم اغطي مريض cover لازم اغطي مريض cover لازم + +836 +00:49:39,380 --> 00:49:39,380 +اغطي مريض cover لازم اغطي مريض cover لازم اغطي + +837 +00:49:39,380 --> 00:49:40,760 +مريض cover لازم اغطي مريض cover لازم اغطي مريض + +838 +00:49:40,760 --> 00:49:45,040 +cover لازم اغطي مريض cover لازم اغطي مريمحاضرة الـ + +839 +00:49:45,040 --> 00:49:49,020 +Exams تكون موافقة و مقودة في الكلتلة فشكرا جزيلا + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A.srt new file mode 100644 index 0000000000000000000000000000000000000000..61ed987f978b728c9b62b602b834b27db05af6ba --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A.srt @@ -0,0 +1,1755 @@ +1 +00:00:01,820 --> 00:00:06,340 +السلام عليكم ورحمة الله وبركاته أنا دكتور صابر + +2 +00:00:06,340 --> 00:00:11,140 +الصدر اليوم إن شاء الله سأتحدث + +3 +00:00:11,140 --> 00:00:17,860 +عن كيفية تجارب نظام التجارب كدراسة مجموعة للدراسة + +4 +00:00:17,860 --> 00:00:18,860 +الأربعة عامة + +5 +00:00:21,260 --> 00:00:26,440 +أولاً لنبدأ بالمحافظة الفيزيائية يجب أن نعرف + +6 +00:00:26,440 --> 00:00:32,580 +المواصفات التطبيقية للمحافظة الصدرية لدينا هنا + +7 +00:00:32,580 --> 00:00:38,700 +خطوط موسيقى السترنم والخطوط التي يمكنها المساعدة + +8 +00:00:38,700 --> 00:00:46,220 +في أسفل السترنم لدينا خطوط موسيقى القلبية والخطوط + +9 +00:00:46,220 --> 00:00:53,990 +المعينة الأمامية هذه الخطوط مهمة للفهم التشريحي + +10 +00:00:53,990 --> 00:01:05,190 +للمصدر والبلورا والترانسفيرس والفشل الوضعي يوجد + +11 +00:01:05,190 --> 00:01:11,810 +خط البرتبرا اللي يتقابل في مركز البرتبرا وخط + +12 +00:01:11,810 --> 00:01:17,150 +السكابلر في مقال السكابلر + +13 +00:01:19,180 --> 00:01:28,220 +ومن الجانب اليساري لدينا أسلحة أمامية وأسلحة + +14 +00:01:28,220 --> 00:01:33,620 +أمامية وأسلحة أمامية وأسلحة أمامية وأسلحة + +15 +00:01:33,620 --> 00:01:39,400 +أمامية أمامية أمامية أمامية أمامية أمامية أمامية + +16 +00:01:39,400 --> 00:01:45,420 +أمامية أمامية أمامية أمامية أمامية + +17 +00:01:45,420 --> 00:01:48,800 +أمامية أمامية أمامية أمامية أمامية أمامية أمامية + +18 +00:01:48,800 --> 00:01:48,980 +أمامية أمامية أمامية + +19 +00:01:51,870 --> 00:01:53,550 +لدينا فيشر عبارة عن عبارة عن عبارة عن عبارة عن + +20 +00:01:53,550 --> 00:01:53,610 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +21 +00:01:53,610 --> 00:01:56,350 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +22 +00:01:56,350 --> 00:01:56,990 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +23 +00:01:56,990 --> 00:01:57,070 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +24 +00:01:57,070 --> 00:02:00,030 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +25 +00:02:00,030 --> 00:02:01,230 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +26 +00:02:01,230 --> 00:02:11,250 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +27 +00:02:11,250 --> 00:02:14,390 +عن عبارة + +28 +00:02:15,420 --> 00:02:19,720 +لدينا أيضًا الـ Transverse Fissure اللي قمت بتقسيم + +29 +00:02:19,720 --> 00:02:23,820 +الـ Right Upper Loop من الـ Middle Loop في الجانب + +30 +00:02:23,820 --> 00:02:27,240 +اليسرى، لا يوجد Transverse Fissure لدينا فقط + +31 +00:02:27,240 --> 00:02:32,780 +Oblique Fissure اللي يعطينا Left Upper Loop وLeft + +32 +00:02:32,780 --> 00:02:41,040 +Lower Loop الـ Transverse Fissure يأتي من الخلف، + +33 +00:02:41,040 --> 00:02:47,850 +يبدأ من الخلف على مستوى T3 وهذا هو المساحة العلوية + +34 +00:02:47,850 --> 00:02:49,670 +العلوية العلوية العلوية العلوية العلوية العلوية + +35 +00:02:49,670 --> 00:02:51,870 +العلوية العلوية العلوية العلوية العلوية العلوية + +36 +00:02:51,870 --> 00:02:53,030 +العلوية العلوية العلوية العلوية العلوية العلوية + +37 +00:02:53,030 --> 00:02:53,870 +العلوية العلوية العلوية العلوية العلوية العلوية + +38 +00:02:53,870 --> 00:02:55,750 +العلوية العلوية العلوية العلوية العلوية العلوية + +39 +00:02:55,750 --> 00:02:58,590 +العلوية العلوية العلوية العلوية العلوية العلوية + +40 +00:02:58,590 --> 00:02:59,030 +العلوية العلوية العلوية العلوية العلوية العلوية + +41 +00:02:59,030 --> 00:03:01,510 +العلوية العلوية العلوية العلوية العلوية العلوية + +42 +00:03:01,510 --> 00:03:07,030 +العلوية العلوية العلوية + +43 +00:03:07,030 --> 00:03:12,460 +لذلك لدينا هنا قطع عليا وقطع سفلى لدينا هنا قطع + +44 +00:03:12,460 --> 00:03:17,940 +سفلى وقطع سفلى لدينا هنا قطع سفلى وقطع سفلى لدينا + +45 +00:03:17,940 --> 00:03:19,320 +قطع سفلى لدينا قطع سفلى لدينا قطع سفلى لدينا قطع + +46 +00:03:19,320 --> 00:03:19,820 +سفلى لدينا قطع سفلى لدينا قطع سفلى لدينا قطع سفلى + +47 +00:03:19,820 --> 00:03:24,320 +لدينا قطع سفلى لدينا قطع سفلى لدينا قطع سفلى لدينا + +48 +00:03:24,320 --> 00:03:32,660 +قطع سفلى لدينا قطع سفلى لدينا قطع سفلى لدينا + +49 +00:03:37,160 --> 00:03:41,460 +وبليك فيشير في مستوى الـ fifth rib في الاتصال + +50 +00:03:41,460 --> 00:03:46,240 +الأساسي المتوسط فهو قمت بتقسيم الحلقات العليا + +51 +00:03:46,240 --> 00:03:49,000 +والعليا وحلقات الوسطى والوسطى + +52 +00:03:54,320 --> 00:03:58,840 +هذه المرحلة التشريحية بينما في الجانب اليسار + +53 +00:03:58,840 --> 00:04:05,940 +لا يوجد فيشر فقط فيشر عضو فيشر عضو فيشر فيشر فيشر فيشر + +54 +00:04:05,940 --> 00:04:06,280 +فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر + +55 +00:04:06,280 --> 00:04:08,940 +فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر + +56 +00:04:08,940 --> 00:04:13,700 +فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر + +57 +00:04:13,700 --> 00:04:14,040 +فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر + +58 +00:04:14,040 --> 00:04:16,100 +فيشر فيشر فيشر فيشر فيشر فيشر فيشر فيشر + +59 +00:04:21,660 --> 00:04:31,320 +لذلك عندما وجدنا رأس بشكل مطلوب بشكل مطلوب بشكل + +60 +00:04:31,320 --> 00:04:31,340 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +61 +00:04:31,340 --> 00:04:33,620 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +62 +00:04:33,620 --> 00:04:34,300 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +63 +00:04:34,300 --> 00:04:34,340 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +64 +00:04:34,340 --> 00:04:36,700 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +65 +00:04:36,700 --> 00:04:42,020 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +66 +00:04:42,020 --> 00:04:44,380 +مطلوب بشكل + +67 +00:04:53,410 --> 00:04:59,970 +هناك أسئلة عامة، أين تقوم بتجارب الـ right middle + +68 +00:04:59,970 --> 00:05:06,270 +loop عقلية؟ يعني خلال تجارب، تجارب، تجارب، تجارب، + +69 +00:05:06,270 --> 00:05:07,490 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +70 +00:05:07,490 --> 00:05:07,990 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +71 +00:05:07,990 --> 00:05:09,190 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +72 +00:05:09,190 --> 00:05:10,250 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +73 +00:05:10,250 --> 00:05:19,010 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب،هو ليس من + +74 +00:05:19,010 --> 00:05:22,890 +الخارج يعني إذا قمت بوضع سيطسكوبك من الخارج فهذا + +75 +00:05:22,890 --> 00:05:26,550 +غير صحيح لا نقوم بالتحقق من الـ middle loop من + +76 +00:05:26,550 --> 00:05:31,150 +الخارج لأنها موجودة من الـ fourth rib أعلى إلى الـ + +77 +00:05:31,150 --> 00:05:36,630 +sixth rib أعلى والـ fifth rib على الجانب الثلاثي + +78 +00:05:36,630 --> 00:05:41,330 +نستخدم + +79 +00:05:41,330 --> 00:05:55,260 +الانترال انترالي انترالي انترالي انترالي انترالي + +80 +00:05:55,260 --> 00:05:59,840 +انترالي انترالي انترالي انترالي انترالي انترالي + +81 +00:05:59,840 --> 00:06:00,820 +انترالي انترالي انترالي انترالي انترالي انترالي + +82 +00:06:00,820 --> 00:06:02,540 +انترالي انترالي انترالي انترالي انترالي انترالي + +83 +00:06:02,540 --> 00:06:02,560 +انترالي انترالي انترالي انترالي انترالي انترالي + +84 +00:06:02,560 --> 00:06:08,120 +انترالي انترالي انترالي انترالي انترالي + +85 +00:06:11,670 --> 00:06:20,070 +بمجرد تجارب عامة للطب الذي يمتلئ بالحرارة يوجد + +86 +00:06:20,070 --> 00:06:23,850 +ملاحظة عامة لذلك نستطيع أن نطلب من الطبيب أن يتجارب + +87 +00:06:23,850 --> 00:06:30,910 +هذا الطبيعي رسبراتوري أو يتجارب جسد هذا الطبيعي أو + +88 +00:06:30,910 --> 00:06:37,410 +يستمع إلى جسده لذلك يجب أن نعرف أن هناك تجارب عامة + +89 +00:06:37,410 --> 00:06:45,680 +للطبيعي تبدأ بالتجربة العامة ثم التجربة التجارية ثم + +90 +00:06:45,680 --> 00:06:47,880 +التجربة التجارية ثم التجربة التجارية ثم التجربة + +91 +00:06:47,880 --> 00:06:48,940 +التجارية ثم التجربة التجارية ثم التجربة التجارية + +92 +00:06:48,940 --> 00:06:50,280 +ثم التجربة التجارية ثم التجربة التجارية ثم التجربة + +93 +00:06:50,280 --> 00:06:57,540 +التجارية قبل أن نبدأ، يجب أن نحصل على وانتظار + +94 +00:06:57,540 --> 00:07:02,980 +أساسي، وانتظار وانتظار وانتظار وانتظار وانتظار + +95 +00:07:02,980 --> 00:07:09,500 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +96 +00:07:09,500 --> 00:07:09,860 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +97 +00:07:09,860 --> 00:07:09,940 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +98 +00:07:09,940 --> 00:07:09,980 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +99 +00:07:09,980 --> 00:07:17,320 +وانتظار وانتظار وانتظار وانتظار وانتظار وهو يقوم + +100 +00:07:17,320 --> 00:07:23,800 +بإعطاء وإعادة الموضوع للطبيب للمقيمة لـ 45 درجة + +101 +00:07:23,800 --> 00:07:32,760 +يجب أن تخبر الموضوع بأنه في أي حالة تفاجأت أو + +102 +00:07:32,760 --> 00:07:34,780 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +103 +00:07:34,780 --> 00:07:36,600 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +104 +00:07:36,600 --> 00:07:37,360 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +105 +00:07:37,360 --> 00:07:39,640 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +106 +00:07:39,640 --> 00:07:41,500 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +107 +00:07:41,500 --> 00:07:48,530 +تفاجئ الانتقال من خلال التجربة التجارية كما قلنا + +108 +00:07:48,530 --> 00:07:55,590 +علينا أن نقدم أنفسنا ونشوف أيدينا ونبدأ + +109 +00:07:55,590 --> 00:07:57,730 +بالتجربة العامة + +110 +00:08:00,640 --> 00:08:03,080 +Privacy of the patient should be important + +111 +00:08:03,080 --> 00:08:06,040 +Position of the patient should be 45 degree + +112 +00:08:06,040 --> 00:08:11,300 +Explain the examination and get the consent And it + +113 +00:08:11,300 --> 00:08:13,800 +should be also to maintain the privacy of the + +114 +00:08:13,800 --> 00:08:19,940 +patient General inspection You will inspect the + +115 +00:08:19,940 --> 00:08:22,900 +environment Very important to inspect the + +116 +00:08:22,900 --> 00:08:29,600 +environment of the patient إذا كان + +117 +00:08:29,600 --> 00:08:34,820 +هناك بيباب أو سيباب أو مستشعر بيباب أو سيباب أو + +118 +00:08:34,820 --> 00:08:37,640 +مستشعر بيباب أو سيباب أو مستشعر بيباب أو مستشعر + +119 +00:08:37,640 --> 00:08:39,040 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +120 +00:08:39,040 --> 00:08:40,300 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +121 +00:08:40,300 --> 00:08:41,940 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +122 +00:08:41,940 --> 00:08:41,960 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +123 +00:08:41,960 --> 00:08:44,980 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +124 +00:08:44,980 --> 00:08:48,420 +بيباب + +125 +00:08:48,420 --> 00:08:53,720 +أو + +126 +00:08:53,720 --> 00:09:01,220 +مستشعر بـفي موضوع كاشنغ سندروم إذا كان الشخص + +127 +00:09:01,220 --> 00:09:04,880 +يتعامل بموضوع كاشنغ سندروم بسبب استخدام الكورتيكوستيرويد + +128 +00:09:04,880 --> 00:09:09,520 +الستيرويد في الشخص الذي يتعامل بالفيروس والشخص + +129 +00:09:09,520 --> 00:09:11,080 +الذي يتعامل بالشخص الذي يتعامل بالشخص الذي + +130 +00:09:11,080 --> 00:09:11,820 +يتعامل بالشخص الذي يتعامل بالشخص الذي يتعامل + +131 +00:09:11,820 --> 00:09:16,040 +بالشخص الذي يتعامل بالشخص الذي يتعامل بالشخص + +132 +00:09:16,040 --> 00:09:17,460 +الذي يتعامل بالشخص الذي يتعامل بالشخص الذي + +133 +00:09:17,460 --> 00:09:22,200 +يتعامل بالشخص الذي يتعامل بالشخص الذي يتعامل + +134 +00:09:22,200 --> 00:09:24,500 +بالشخص اللذين + +135 +00:09:33,760 --> 00:09:42,580 +وانتقل إلى مستوى عملية بناء جسم عادل، هذا أيضًا مهم + +136 +00:09:42,580 --> 00:09:42,620 +جداً + +137 +00:09:46,670 --> 00:09:49,410 +Using of accessory muscles if patient in + +138 +00:09:49,410 --> 00:09:52,330 +respiratory distress and he is having respiratory + +139 +00:09:52,330 --> 00:09:57,910 +rate is high so you have to notice that by using + +140 +00:09:57,910 --> 00:10:02,870 +of accessory muscles. Persleep breathing in patient + +141 +00:10:02,870 --> 00:10:08,890 +with severe emphysema or bronchitis COPD الطبيعي + +142 +00:10:08,890 --> 00:10:12,590 +سوف يمنع الحركة البرونكيلية من الانتقال باحتفاظ + +143 +00:10:12,590 --> 00:10:17,310 +بالدماء عالي في الهواء السليم بمحاولة محاولة + +144 +00:10:17,310 --> 00:10:20,370 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +145 +00:10:20,370 --> 00:10:21,370 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +146 +00:10:21,370 --> 00:10:27,510 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +147 +00:10:31,580 --> 00:10:33,160 +معرفة إشارة جسدية للموضوع بالموضوع بالموضوع + +148 +00:10:33,160 --> 00:10:36,660 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +149 +00:10:36,660 --> 00:10:41,200 +بالموضوع + +150 +00:10:41,200 --> 00:10:45,400 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +151 +00:10:45,400 --> 00:10:45,560 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +152 +00:10:45,560 --> 00:10:45,720 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +153 +00:10:45,720 --> 00:10:49,020 +بالموضوع + +154 +00:10:49,020 --> 00:10:58,520 +بالموضوع بالموضوع + +155 +00:10:58,520 --> 00:10:58,680 +بال + +156 +00:11:01,990 --> 00:11:05,530 +يجب أن تسأل عن إشارة مهمة للطبيعي، برد حرارة، + +157 +00:11:05,530 --> 00:11:12,610 +تنبرتشال، رسبيريتوري أوكسجين، طبعاً + +158 +00:11:12,610 --> 00:11:15,350 +الـ body build، الجسم العادل، يعتمد على عمره + +159 +00:11:15,350 --> 00:11:18,490 +ومعطلته، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +160 +00:11:18,490 --> 00:11:19,130 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +161 +00:11:19,130 --> 00:11:20,790 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +162 +00:11:20,790 --> 00:11:30,320 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، بلوتر، + +163 +00:11:30,320 --> 00:11:34,360 +pink puffer، هذا مُحدث مُحدث للطب مع COPD، إذا كان + +164 +00:11:34,360 --> 00:11:39,060 +الطبيب عميق ولم يجرم الوحوش، سينوسس، و بافي آيلت + +165 +00:11:39,060 --> 00:11:44,420 +مع مصطلح البحر أو مصطلح البحر بـرسليب، هذا هو تغيير + +166 +00:11:44,420 --> 00:11:48,820 +الهواتف للخرونية البرونكايتس، pink puffer، الطبيب + +167 +00:11:48,820 --> 00:11:53,020 +سيمسك وسينوست، تغيير الهواتف بسبب تغيير + +168 +00:11:53,020 --> 00:11:55,880 +الانفيزيمات، تغيير انفيزيمات عظيمة + +169 +00:11:59,210 --> 00:12:05,330 +هذا ما ذكرته عن بلو بلوتر الشخص مُغضب لديه نامة + +170 +00:12:05,330 --> 00:12:09,830 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +171 +00:12:09,830 --> 00:12:09,950 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +172 +00:12:09,950 --> 00:12:11,190 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +173 +00:12:11,190 --> 00:12:11,710 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +174 +00:12:11,710 --> 00:12:12,430 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +175 +00:12:12,430 --> 00:12:12,450 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +176 +00:12:12,450 --> 00:12:17,790 +نامة نامة نامة نامة + +177 +00:12:17,790 --> 00:12:23,550 +نامة + +178 +00:12:23,550 --> 00:12:32,100 +نام ثم يجب أن نقوم بالتجارب على الوجه كتابة + +179 +00:12:32,100 --> 00:12:39,000 +عامة في العين يجب أن نقوم بالتجارب على البلر يجب + +180 +00:12:39,000 --> 00:12:43,040 +أن نقوم بالتجارب على البلر + +181 +00:12:43,040 --> 00:12:49,320 +يجب أن نقوم بالتجارب على الجاندس يجب أن نقوم + +182 +00:12:49,320 --> 00:12:53,320 +بالتجارب على الجاندس يجب أن نقوم بالتجارب على + +183 +00:12:53,320 --> 00:12:57,910 +الجاندس أو الـ Unilateral ptosis, meiosis, + +184 +00:12:58,090 --> 00:13:03,210 +anhidrosis, inner thalamus. هذا مهم جداً في حالة + +185 +00:13:03,210 --> 00:13:13,670 +بانكوستومر أو مجموعة أعصاب الأعصاب الصحيحة هذا ما + +186 +00:13:13,670 --> 00:13:18,150 +ذكرناه أيضًا من الانيميا إذا كان هناك تغيير في + +187 +00:13:18,150 --> 00:13:26,400 +الكنجنكتالة أو الجندس تجارب الرأس الذي يتعلق + +188 +00:13:26,400 --> 00:13:31,340 +بالنظام الهوائي مردنس في الطب، الكوليزم، + +189 +00:13:31,340 --> 00:13:35,780 +ميترستينوسس ولكنه مهم جداً هو الـ Lupus Perneum + +190 +00:13:35,780 --> 00:13:39,560 +وهو تدمير + +191 +00:13:39,560 --> 00:13:47,040 +الهيبرتروفي من الطب النازلي في حالة سركيلوزا، + +192 +00:13:47,040 --> 00:13:53,400 +سادلنوز في مريض مع الـGPA أو جرانيومتوسوس مع + +193 +00:13:53,400 --> 00:14:00,100 +بوليانجايتس. مشغل الانزاع في المريض باستخدام عضلات + +194 +00:14:00,100 --> 00:14:02,500 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +195 +00:14:02,500 --> 00:14:02,900 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +196 +00:14:02,900 --> 00:14:03,180 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +197 +00:14:03,180 --> 00:14:06,360 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +198 +00:14:06,360 --> 00:14:08,580 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +199 +00:14:08,580 --> 00:14:16,880 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو + +200 +00:14:16,880 --> 00:14:21,550 +عضلات مضغوطة. عندما يكون هناك سيانوسس فعلاً يجب أن نحقق + +201 +00:14:21,550 --> 00:14:28,670 +قنجينية قلبية مرضى، قرب المنال، مخاطر قلبية مرضى، + +202 +00:14:28,670 --> 00:14:30,310 +مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية + +203 +00:14:30,310 --> 00:14:30,350 +مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر + +204 +00:14:30,350 --> 00:14:31,270 +قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، + +205 +00:14:31,270 --> 00:14:33,670 +مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية + +206 +00:14:33,670 --> 00:14:36,170 +مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر + +207 +00:14:36,170 --> 00:14:42,230 +قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلب + +208 +00:14:47,400 --> 00:14:50,820 +الدفينيشن لـ central cyanosis هو عموماً من الأسئلة + +209 +00:14:50,820 --> 00:14:55,940 +في مجال التجارب وهو بلوحية تسليرات لبس ميوكاس + +210 +00:14:55,940 --> 00:15:01,840 +ميبريهين بسبب تقليل الهيموجلوبين من 5 جرام بالمئة + +211 +00:15:01,840 --> 00:15:09,280 +أو 50 جرام بالمئة طبعاً بيكون 1-2 جرام بالمئة من + +212 +00:15:09,280 --> 00:15:14,260 +هذا التقليل الهيموجلوبين طبعاً في المريض يوجد + +213 +00:15:14,260 --> 00:15:19,250 +أسئلة أخرى لا يمكنك سيانوسيس في عمل عمل عمل عمل عمل + +214 +00:15:19,250 --> 00:15:20,290 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +215 +00:15:20,290 --> 00:15:25,510 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +216 +00:15:25,510 --> 00:15:26,790 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +217 +00:15:26,790 --> 00:15:26,850 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +218 +00:15:26,850 --> 00:15:27,390 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +219 +00:15:27,390 --> 00:15:27,950 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +220 +00:15:27,950 --> 00:15:29,970 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +221 +00:15:29,970 --> 00:15:36,310 +عمل عمل عمل عمل عمل عمل عمل عمل + +222 +00:15:43,240 --> 00:15:46,700 +وهي الـ central و الـ peripheral، الـ cyanosis الـ + +223 +00:15:46,700 --> 00:15:50,500 +blood leaving the heart already contain the + +224 +00:15:50,500 --> 00:15:57,640 +reduced hemoglobin. سكندريبوليسايثيميا، + +225 +00:15:57,640 --> 00:16:02,740 +congenital heart disease، carbal monal, cauching + +226 +00:16:02,740 --> 00:16:06,580 +syndrome, renal cell carcinoma، and pulmonary + +227 +00:16:06,580 --> 00:16:10,560 +edema, methamoglobin or methaemoglobinemia + +228 +00:16:12,500 --> 00:16:18,080 +بالنسبة للسيانوسيا، للمريض لا يوجد قيمة كافية + +229 +00:16:18,080 --> 00:16:20,420 +لتقليل الهيموجلوبين، الدم اللي يخرج من الدم يحتوي + +230 +00:16:20,420 --> 00:16:27,640 +على قيمة كافية لتقليل الهيموجلوبين، ولكن بسبب + +231 +00:16:28,620 --> 00:16:32,740 +الخطوط التركيزية للتركيزية فيما يصل إلى تجارب + +232 +00:16:32,740 --> 00:16:36,320 +البرفيرال تجارب التجارب تجارب التجارب تجارب + +233 +00:16:36,320 --> 00:16:36,960 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +234 +00:16:36,960 --> 00:16:37,540 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +235 +00:16:37,540 --> 00:16:40,340 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +236 +00:16:40,340 --> 00:16:40,440 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +237 +00:16:40,440 --> 00:16:40,680 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +238 +00:16:40,680 --> 00:16:48,420 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +239 +00:16:48,420 --> 00:16:54,460 +التجارب تج + +240 +00:16:54,680 --> 00:16:57,160 +الـ Preferral Vascular Disease، الرنو ديزيز، + +241 +00:16:57,160 --> 00:17:03,760 +بيرجار أو أكروسينوسس أو في الـ cold weather كيف + +242 +00:17:03,760 --> 00:17:07,460 +تختار بين الـ Central و الـ Preferral Cyanosis؟ + +243 +00:17:07,460 --> 00:17:11,300 +عادةً الجانب الـ Central Cyanosis تحت أعضاء اللغة + +244 +00:17:11,300 --> 00:17:14,480 +الـ Preferral Cyanosis دائماً في الـ extremity، في + +245 +00:17:14,480 --> 00:17:18,540 +الـ hand و الـ nose و الـ nail، البدء في الـ + +246 +00:17:18,540 --> 00:17:23,080 +Central Cyanosis، الـ temperature is normal or hot + +247 +00:17:24,680 --> 00:17:29,280 +بينما في بريفرال سيانوسيس مطلوب ومطلوب به + +248 +00:17:29,280 --> 00:17:32,320 +السيانوسيس المركزي عامة مرتبط بكلابة في مرض قلوب + +249 +00:17:32,320 --> 00:17:37,040 +عقلية بما أنه غير موجود في بريفرال سيانوسيس + +250 +00:17:37,040 --> 00:17:38,980 +المركزيس المركزيس المركزيس المركزيس مركزيس مركزيس + +251 +00:17:38,980 --> 00:17:39,300 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +252 +00:17:39,300 --> 00:17:39,340 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +253 +00:17:39,340 --> 00:17:41,740 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +254 +00:17:41,740 --> 00:17:51,300 +مركزيس مركز + +255 +00:17:51,490 --> 00:17:55,110 +إذا قمت بإعطاء الهواء للسيانوس البرفيرال، لن يكون + +256 +00:17:55,110 --> 00:18:03,570 +هناك احتياجات، ثم نحن نجمع الجلد كجزء + +257 +00:18:03,570 --> 00:18:08,470 +من تجارب عامة، يجب أن نركز على الـ GVB (جاغولر فينسا) + +258 +00:18:08,470 --> 00:18:15,030 +براشر اللي هو تحقيق الضغط الـ GVB في الجوانب + +259 +00:18:15,030 --> 00:18:20,810 +الداخلية، الجاغولر اللي هو مصدر للأسترنجليدوماستايد + +260 +00:18:23,090 --> 00:18:27,930 +وكانت تجعلنا نغيّر الوضع في الجسم اليساري خلال + +261 +00:18:27,930 --> 00:18:32,490 +عملية عملية الـ cardiac cycle، وهو مهم جدًا لتحقيق + +262 +00:18:32,490 --> 00:18:40,470 +أيضًا أن هناك تحقيقًا محدودًا لتحقيق الـ GVB، ومن خلال + +263 +00:18:40,470 --> 00:18:46,510 +الـ Rural، نستطيع أيضًا تحقيقه من الجانب الثانوي + +264 +00:18:46,510 --> 00:18:55,990 +ومن المقارنة بين الـ GVB ومقارنة التجارب، بإمكاننا + +265 +00:18:55,990 --> 00:19:05,330 +أيضًا إضافة 5 سنتيمتر لتخصيصها عادةً أعلى من 3 + +266 +00:19:05,330 --> 00:19:13,510 +سنتيمتر، يمكن أن يكون أيضًا اعتبار كإزالة + +267 +00:19:13,510 --> 00:19:19,830 +الاختبارات الأخرى أيضًا في الجلد، نحن نحفظ للنمط + +268 +00:19:20,290 --> 00:19:25,250 +Lymph node size, consistency, border if it is + +269 +00:19:25,250 --> 00:19:30,630 +tender or not, matted in case of TB, and if there + +270 +00:19:30,630 --> 00:19:35,550 +is also presence or absence of sinuses، هنا الـ GVB + +271 +00:19:35,550 --> 00:19:38,170 +زي ما احنا ملاحظين، medial to the + +272 +00:19:38,170 --> 00:19:43,630 +sternocleidomastoid, and we check the internal + +273 +00:19:43,630 --> 00:19:48,190 +jugular vein، not the external jugular vein، وبنشوف + +274 +00:19:48,620 --> 00:19:56,640 +الطبيعي، يجب أن يضع الطبيعي في 45 درجة، ونحن نتكلم + +275 +00:19:56,640 --> 00:20:07,340 +عن هذا وعن الفرصة بين الـ GVB والانجل + +276 +00:20:07,340 --> 00:20:16,720 +الخارجي، ثم نضع 5 سنتيمتر، In case of congested neck + +277 +00:20:16,720 --> 00:20:19,360 +vein and superior vena cava, thrombosis, aortic + +278 +00:20:19,360 --> 00:20:23,620 +aneurysm, mediastinal tumor، usually this is + +279 +00:20:23,620 --> 00:20:25,760 +associated with dilated superficial vein in the + +280 +00:20:25,760 --> 00:20:29,720 +chest wall، this is a case of dilated superficial + +281 +00:20:29,720 --> 00:20:32,120 +vein in the chest wall and superior vena cava + +282 +00:20:32,120 --> 00:20:35,900 +obstruction، this is congested vein bilaterally as + +283 +00:20:35,900 --> 00:20:40,540 +we noticed here، lymph + +284 +00:20:40,540 --> 00:20:46,640 +node، التجارة المهمة للتجارة هي تجارة سكاليني + +285 +00:20:46,640 --> 00:20:54,400 +لينفنود، ورسباراتوري، تجارة بانكوستيومر التي تدرس في + +286 +00:20:54,400 --> 00:20:58,000 +الجانب اليسرى، سكاليني سوبرا كلافيكولر لينفنود + +287 +00:20:58,000 --> 00:21:02,840 +سنجعل المستخدم يدفع رأسه قليلاً إلى الجانب اليسرى + +288 +00:21:02,840 --> 00:21:09,040 +لكي يقوم بالتحرير أو الترهيب على الفاشية لكي يتحرر + +289 +00:21:09,040 --> 00:21:15,220 +من أجل سوبرا كلافيكولر لينفنود، المهم أيضًا أن نلاحظ + +290 +00:21:15,220 --> 00:21:19,300 +أننا نستخدم الـ Lymph node من الموقع التلقائي، + +291 +00:21:19,300 --> 00:21:23,660 +الدكتور يجب أن يكون في مقع المريض، ثم يبدأ بالتحقق + +292 +00:21:23,660 --> 00:21:26,800 +من الموقع التلقائي، من الموقع التلقائي، من الموقع + +293 +00:21:26,800 --> 00:21:28,300 +التلقائي، من الموقع التلقائي، من الموقع التلقائي، من + +294 +00:21:28,300 --> 00:21:28,720 +الموقع التلقائي، من الموقع التلقائي، من الموقع + +295 +00:21:28,720 --> 00:21:31,360 +التلقائي، من الموقع التلقائي، من الموقع التلقائي، من + +296 +00:21:31,360 --> 00:21:31,900 +الموقع التلقائي، من الموقع التلقائي، من الموقع + +297 +00:21:31,900 --> 00:21:31,920 +التلقائي، من الموقع التلقائي، من الموقع التلقائي، من + +298 +00:21:31,920 --> 00:21:36,520 +الموقع التلقائي، من الموقع التلقائي، من + +299 +00:21:36,520 --> 00:21:40,990 +الموقع التلقائي، من الـ Preauricular, Occipital, + +300 +00:21:41,470 --> 00:21:50,790 +Anterior and Posterior Triangle lymph node، تجارب + +301 +00:21:50,790 --> 00:22:00,170 +اليد أيضًا مهمة، يعني نحن لدينا تجارب لـ nicotine + +302 +00:22:00,170 --> 00:22:06,520 +stain، طبعًا أطلب من المستخدم أن يقوم بتحريك يده من + +303 +00:22:06,520 --> 00:22:15,640 +خلال يده، من خلال يده، لتحمل يديه بمساعدته من الخطوط + +304 +00:22:15,640 --> 00:22:20,100 +الخارجية، ومساعدته من يده، وانتقل للـ Flapping + +305 +00:22:20,100 --> 00:22:25,180 +Tremor، Flapping Tremor، يعني أن هناك خطأ روحاني، + +306 +00:22:25,180 --> 00:22:30,200 +خطأ روحاني كبير، كابنيكي، أو أي خطأ عقلي كبير، خطأ + +307 +00:22:30,200 --> 00:22:35,340 +عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ + +308 +00:22:35,340 --> 00:22:39,240 +عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، إذا + +309 +00:22:39,240 --> 00:22:41,600 +كان الشخص مصابًا بالكوماتوز ولم يكن ممكنًا أن يقوم + +310 +00:22:41,600 --> 00:22:45,500 +بإدعاء الشخص، لإدعاءه كيف يسترخي يديه، يمكنك + +311 +00:22:45,500 --> 00:22:48,760 +الاستخلاص، بإطلاقًا أن تطلب من الشخص أن يقوم بتحريك + +312 +00:22:48,760 --> 00:22:54,940 +يديك، ويقوم بتحريك يديه، لتحافظ على حافظته لثلاثة + +313 +00:22:54,940 --> 00:22:58,580 +إلى ستة ثانية، ثانية، ثانية، الشخص الذي يشجعك كثيرًا + +314 +00:22:58,580 --> 00:23:03,300 +لا يستطيع الحفاظ على حافظته كما ذكرنا، يمكنك أيضًا + +315 +00:23:03,300 --> 00:23:10,030 +تحفظ نيكوتين أو تارستينال، الخطوط الساقية بالماريثما + +316 +00:23:10,030 --> 00:23:11,970 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +317 +00:23:11,970 --> 00:23:12,130 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +318 +00:23:12,130 --> 00:23:12,630 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +319 +00:23:12,630 --> 00:23:12,870 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +320 +00:23:12,870 --> 00:23:13,530 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +321 +00:23:13,530 --> 00:23:14,250 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +322 +00:23:14,250 --> 00:23:16,530 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +323 +00:23:16,530 --> 00:23:20,250 +بالماريثما، بالماريثما، بالماريثما، بالماريثما + +324 +00:23:20,250 --> 00:23:26,210 +بالماريثما، بالماريثما + +325 +00:23:26,210 --> 00:23:29,030 +بالماريث + +326 +00:23:30,780 --> 00:23:34,320 +أو الـ Asymmetrical muscle wasting في الصدر الصغير + +327 +00:23:34,320 --> 00:23:35,000 +الصدر الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +328 +00:23:35,000 --> 00:23:37,640 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +329 +00:23:37,640 --> 00:23:41,020 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +330 +00:23:41,020 --> 00:23:42,800 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +331 +00:23:42,800 --> 00:23:48,680 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +332 +00:23:48,680 --> 00:23:48,800 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +333 +00:23:48,800 --> 00:23:48,960 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +334 +00:23:48,960 --> 00:23:53,720 +الصغير، الصغير، الصغير + +335 +00:23:53,720 --> 00:23:53,740 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +336 +00:23:53,740 --> 00:23:54,060 +الصغير، الصغير، الصغير، الصغير، الصغير، الصغير، الصغير + +337 +00:23:54,060 --> 00:24:00,000 +الصغير، الصغير، الصغير، الصوفي حالة مصابة، مصابة، مصابة + +338 +00:24:00,000 --> 00:24:00,580 +مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة + +339 +00:24:00,580 --> 00:24:05,120 +مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة + +340 +00:24:05,120 --> 00:24:09,880 +مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة + +341 +00:24:09,880 --> 0:24:10,240 +مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة + +342 +00:24:10,240 --> 00:24:11,280 +مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة + +343 +00:24:11,280 --> 00:24:12,960 +مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة، مصابة + +344 +00:24:12,960 --> 00:24:20,420 +مصابة، مصابة، مصابة، مصاب + +345 +00:24:23,750 --> 00:24:26,110 +طبعًا الـ definition of clubbing of the finger، it + +346 +00:24:26,110 --> 00:24:30,110 +is a pelvis enlargement of the soft tissue of the + +347 +00:24:30,110 --> 00:24:34,230 +terminal phalange، which over the curving of the + +348 +00:24:34,230 --> 00:24:38,390 +nail bed، there is several degree، first degree, + +349 +00:24:38,530 --> 00:24:43,090 +second and third and fourth، أول مرحلة كانت تحرير + +350 +00:24:43,090 --> 00:24:49,990 +تحرير الـ nail bed فقط، كانوا يقومون بالتحرير من + +351 +00:24:49,990 --> 00:24:53,430 +خلال الـ index finger، لتحرير كلا الجزء من الجزء من + +352 +00:24:53,430 --> 00:24:55,210 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +353 +00:24:55,210 --> 00:24:57,230 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +354 +00:24:57,230 --> 00:24:57,530 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +355 +00:24:57,530 --> 00:25:02,330 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +356 +00:25:02,330 --> 00:25:04,770 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +357 +00:25:04,770 --> 00:25:04,930 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +358 +00:25:04,930 --> 00:25:04,990 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +359 +00:25:04,990 --> 00:25:11,360 +من الجزء من الجزء من الجزء من، الثالث درجة تزيد عقل + +360 +00:25:11,360 --> 00:25:15,600 +الانجل + +361 +00:25:15,600 --> 00:25:21,860 +أو مقار + +362 +00:25:21,860 --> 00:25:31,820 +الببغاء، والثالث درجة دراميستيك أببيرنز اللي احنا + +363 +00:25:31,820 --> 00:25:36,270 +شايفينها في الصورة، الـ Fifth degree، بعض الأحيان في + +364 +00:25:36,270 --> 00:25:38,470 +بعض اللي كنت بتلقى عليها كمان في Fifth degree، اللي + +365 +00:25:38,470 --> 00:25:41,470 +هو يكون بلمونري أوستيو أرثرو باثي، الناس اللي بيكون + +366 +00:25:41,470 --> 00:25:47,810 +عندهم في الـ long standing disease + +367 +00:25:47,810 --> 00:25:52,050 +أو sometimes in case of lung cancer، widening and + +368 +00:25:52,050 --> 00:25:54,810 +thickening of the end of the lung bone، بيسموها + +369 +00:25:54,810 --> 00:26:01,740 +بلمونري أوستيو أرثرو باثي، هنا موجودة اللي هي شام + +370 +00:26:01,740 --> 00:26:09,840 +روث ويندوز، absent common + +371 +00:26:09,840 --> 00:26:13,140 +questions، what is the cause of unilateral finger + +372 +00:26:13,140 --> 00:26:18,440 +clubbing، cervical rib، pancostume، and aortic + +373 +00:26:18,440 --> 00:26:23,360 +aneurysm، infantile cortication of aorta، if there + +374 +00:26:23,360 --> 00:26:26,730 +is only clubbing in the lower limb only، هو بيسموها + +375 +00:26:26,730 --> 00:26:29,430 +الـ differential clubbing، بيكون دائمًا في + +376 +00:26:29,430 --> 00:26:33,850 +الـEisenmenger بتاندكتاس أرتيوزيز أو Infantile + +377 +00:26:33,850 --> 00:26:37,370 +Coarctation of the aorta Reversible clubbing، + +378 +00:26:37,370 --> 00:26:40,470 +what is the causes of reversible clubbing؟ الـ + +379 +00:26:40,470 --> 00:26:45,430 +Mesothelioma, 5 plus 9، the patient will have a + +380 +00:26:45,430 --> 00:26:49,150 +subside of the clubbing after surgical removal of + +381 +00:26:49,150 --> 00:26:49,810 +the tumor + +382 +00:26:52,630 --> 00:26:58,410 +كما رأينا هنا أساسي الـ clubbing هو بلمونريكوز + +383 +00:26:58,410 --> 00:27:05,730 +ثوراسيكوز 70% of lung cancer سبيرتف لغوية + +384 +00:27:05,730 --> 00:27:14,210 +برانككتسيس لغوية أبسس انفايمة انفلاميشن او انفقت + +385 +00:27:14,210 --> 00:27:19,630 +برزنس انفقت بلورال فيجد بلورال كافيتى + +386 +00:27:22,040 --> 00:27:25,580 +كلها تحت الـ band اللي هو Chronic Separative Lung + +387 +00:27:25,580 --> 00:27:28,680 +Disease الـ Mesothelioma، الـ Lung Tumour، الـ + +388 +00:27:28,680 --> 00:27:33,200 +Fibroma، الـ Pulmonary Fibrosis أيضًا مسبب عام لـ + +389 +00:27:33,200 --> 00:27:37,000 +Finger Clubbing وفيه برضه الـ Cardiovascular + +390 +00:27:37,000 --> 00:27:40,280 +Causes اللي هي Cyanotic Congenital Heart Disease، + +391 +00:27:40,280 --> 00:27:43,680 +Infective Endocarditis، Arteriovenous + +392 +00:27:43,680 --> 00:27:47,260 +Chantereauaneurysm، والـ Gastrointestinal Causes + +393 +00:27:47,260 --> 00:27:49,920 +of Finger Clubbing، Cirrhosis، Inflammatory Bowel + +394 +00:27:49,920 --> 00:27:53,510 +Disease، Celiac Disease،والاخرى مثلًا + +395 +00:27:53,510 --> 00:28:20,730 +كثيروتوكسيكوسيس + +396 +00:28:21,470 --> 00:28:25,670 +يجب أن تقابل الشخص في نهاية الـ PIT إتصال عيني + +397 +00:28:25,670 --> 00:28:30,850 +عيني إذا كان الشخص يشعر بالصعوبة أو ليس كذلك فانت + +398 +00:28:30,850 --> 00:28:36,550 +تضغط لـ 10 ثانية أو 15 ثانية لـ Pitting Edema إذا + +399 +00:28:36,550 --> 00:28:40,970 +كانت مجموعة أو مجموعة Pitting أو لا Pitting أيضًا + +400 +00:28:40,970 --> 00:28:47,530 +مهم جدًا لتعامل مع ذلك هنا زي ما احنا ملاحظين يعني + +401 +00:28:47,530 --> 00:28:54,700 +في Pitting Edemaوهو الـ Unilateral Right Leg + +402 +00:28:54,700 --> 00:29:00,300 +Swollen من المفهوم انه قد يكون Deep Venous + +403 +00:29:00,300 --> 00:29:07,020 +Thrombosis أو التهاب أو رابشار بيكرسيستر اللاورليب + +404 +00:29:07,020 --> 00:29:14,180 +أيضًا مرتبط بالتحقق ممكن تحققه من الارثماندوزم في + +405 +00:29:14,180 --> 00:29:25,130 +خطوط الانترال من اللقاح أو مصابة صعبة مثل هذه + +406 +00:29:25,130 --> 00:29:31,610 +مرتبطة بـ Sarcoidosis اكتشاف + +407 +00:29:31,610 --> 00:29:33,070 +أكثر بلمونية لعرض مصابة + +408 +00:29:33,070 --> 00:29:34,650 + + +409 +00:29:34,650 --> 00:29:35,630 + + +410 +00:29:35,630 --> 00:29:35,710 + + +411 +00:29:35,710 --> 00:29:36,970 + + +412 +00:29:36,970 --> 00:29:40,310 + + +413 +00:29:40,310 --> 00:29:46,970 +هياليوتروب راش في الأيه او ميكانيكا هاند + +414 +00:29:46,970 --> 00:29:52,250 +كراكينج أو فشارينج هاند + +415 +00:29:52,250 --> 00:29:54,530 + + +416 +00:29:54,530 --> 00:29:54,930 + + +417 +00:29:54,930 --> 00:29:56,190 + + +418 +00:29:56,190 --> 00:30:10,530 + + +419 +00:30:10,530 --> 00:30:13,660 +العنوان التراثيسية + +420 +00:30:13,660 --> 00:30:14,220 + + +421 +00:30:14,220 --> 00:30:15,560 + + +422 +00:30:15,560 --> 00:30:16,080 + + +423 +00:30:16,080 --> 00:30:17,640 + + +424 +00:30:17,640 --> 00:30:20,520 + + +425 +00:30:20,520 --> 00:30:23,660 + + +426 +00:30:23,660 --> 00:30:33,200 + + +427 +00:30:33,200 --> 00:30:39,020 + + +428 +00:30:39,020 --> 00:30:43,780 +التراكيبتال ديفيشين أو أحيانًا يمكننا أن نجد + +429 +00:30:43,780 --> 00:30:48,520 +مصطلح CPAP اللي هو الـ non-invasive ventilator + +430 +00:30:48,520 --> 00:30:54,360 +بجانب مصطلح البيت الشخصي أيضًا، + +431 +00:30:54,360 --> 00:30:58,240 +هذا أيضًا دياغرام للتجارب التجاربية للشخص الشخصي + +432 +00:30:58,240 --> 00:31:01,360 +الشخصي + +433 +00:31:01,360 --> 00:31:04,220 +بحرمة، يمكننا أن نتفاقر بالإنفاق + +434 +00:31:08,970 --> 00:31:12,510 +راش في الـ sarcoidosis، ريتموندوزام في الـ + +435 +00:31:12,510 --> 00:31:17,070 +connective tissue disease، الـ peak nose في الـ + +436 +00:31:17,070 --> 00:31:22,850 +scleroderma، الـ keratoconjunctivitis، سيكا، + +437 +00:31:22,850 --> 00:31:28,030 +جوجراند، نيوفيهيتس، رينودفنومينة، لمفا دينوباتي. + +438 +00:31:28,550 --> 00:31:33,610 +This is also a systemic sign of diffuse + +439 +00:31:33,610 --> 00:31:36,350 +parenchymal lung disease. diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A_postprocess.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..77419f3aa7c8800db3fae06eb3101df2589bd242 --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A_postprocess.srt @@ -0,0 +1,1756 @@ +1 +00:00:01,820 --> 00:00:06,340 +السلام عليكم ورحمة الله وبركاته انا دكتور صابر + +2 +00:00:06,340 --> 00:00:11,140 +الصرفاندي اليوم ان شاء الله سأتحدث + +3 +00:00:11,140 --> 00:00:17,860 +عن كيفية تجارب نظام التجارب كدراسة مجموعة للدراسة + +4 +00:00:17,860 --> 00:00:18,860 +الأربعة عامة + +5 +00:00:21,260 --> 00:00:26,440 +أولاً لنبدأ بالمحافظة الفيزيائية يجب أن نعرف + +6 +00:00:26,440 --> 00:00:32,580 +المواصفات التطبيقية للمحافظة الشيستة لدينا هنا + +7 +00:00:32,580 --> 00:00:38,700 +خطوط موسيقى السترنم والخطوط التي يمكنها المساعدة + +8 +00:00:38,700 --> 00:00:46,220 +في أسفل السترنم لدينا خطوط موسيقى القلبي والخطوط + +9 +00:00:46,220 --> 00:00:53,990 +المعينة الأمامية هذه الخطوط مهمةللفهم الاناطميكالي + +10 +00:00:53,990 --> 00:01:05,190 +للمصدر والبلورا والترانسفيرس والفشال الوضعي يوجد + +11 +00:01:05,190 --> 00:01:11,810 +خط البرتبرا اللي يتقابل في مركز البرتبرا وخط + +12 +00:01:11,810 --> 00:01:17,150 +السكابلر في مقال السكابلر + +13 +00:01:19,180 --> 00:01:28,220 +ومن الجانب اليساري لدينا أسلحة أمامي و أسلحة + +14 +00:01:28,220 --> 00:01:33,620 +أمامي و أسلحة أسلحة أمامي و أسلحة أسلحة أسلحة + +15 +00:01:33,620 --> 00:01:39,400 +أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة + +16 +00:01:39,400 --> 00:01:45,420 +أسلحة أسلحة أسلحة أسلحة أسلحة + +17 +00:01:45,420 --> 00:01:48,800 +أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة + +18 +00:01:48,800 --> 00:01:48,980 +أسلحة أسلحة أسلحة أس + +19 +00:01:51,870 --> 00:01:53,550 +لدينا فشر عبارة عن عبارة عن عبارة عن عبارة عن + +20 +00:01:53,550 --> 00:01:53,610 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +21 +00:01:53,610 --> 00:01:56,350 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +22 +00:01:56,350 --> 00:01:56,990 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +23 +00:01:56,990 --> 00:01:57,070 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +24 +00:01:57,070 --> 00:02:00,030 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +25 +00:02:00,030 --> 00:02:01,230 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +26 +00:02:01,230 --> 00:02:11,250 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +27 +00:02:11,250 --> 00:02:14,390 +عن عبار + +28 +00:02:15,420 --> 00:02:19,720 +لدينا أيضًا الـ Transverse Fissure اللي قمت بتقسيم + +29 +00:02:19,720 --> 00:02:23,820 +الـ Right Upper Loop من الـ Middle Loop في الجانب + +30 +00:02:23,820 --> 00:02:27,240 +اليسرى، لا يوجد Transverse Fissure لدينا فقط + +31 +00:02:27,240 --> 00:02:32,780 +Oblique Fissure اللي يعطينا Left Upper Loop وLeft + +32 +00:02:32,780 --> 00:02:41,040 +Lower Loop ال Transverse Fissure يأتي من الخلف، + +33 +00:02:41,040 --> 00:02:47,850 +بدأ من الخلفعلى مستوى T3 وهذا هو المساحة العلوية + +34 +00:02:47,850 --> 00:02:49,670 +العلوية العلوية العلوية العلوية العلوية العلوية + +35 +00:02:49,670 --> 00:02:51,870 +العلوية العلوية العلوية العلوية العلوية العلوية + +36 +00:02:51,870 --> 00:02:53,030 +العلوية العلوية العلوية العلوية العلوية العلوية + +37 +00:02:53,030 --> 00:02:53,870 +العلوية العلوية العلوية العلوية العلوية العلوية + +38 +00:02:53,870 --> 00:02:55,750 +العلوية العلوية العلوية العلوية العلوية العلوية + +39 +00:02:55,750 --> 00:02:58,590 +العلوية العلوية العلوية العلوية العلوية العلوية + +40 +00:02:58,590 --> 00:02:59,030 +العلوية العلوية العلوية العلوية العلوية العلوية + +41 +00:02:59,030 --> 00:03:01,510 +العلوية العلوية العلوية العلوية العلوية العلوية + +42 +00:03:01,510 --> 00:03:07,030 +العلوية العلوية العلوية + +43 +00:03:07,030 --> 00:03:12,460 +العلذلك لدينا هنا قطع أعلى وقطع أسفل لدينا هنا قطع + +44 +00:03:12,460 --> 00:03:17,940 +أسفل وقطع أسفل لدينا هنا قطع أسفل وقطع أسفل لدينا + +45 +00:03:17,940 --> 00:03:19,320 +قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا قطع + +46 +00:03:19,320 --> 00:03:19,820 +أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا قطع أسفل + +47 +00:03:19,820 --> 00:03:24,320 +لدينا قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا + +48 +00:03:24,320 --> 00:03:32,660 +قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا ق + +49 +00:03:37,160 --> 00:03:41,460 +وبليك فيشير في مستوى الـ fifth rib في الاتصال + +50 +00:03:41,460 --> 00:03:46,240 +الأساسي المتوسط فهو قمت بتقسيم الحلقات الأعلى + +51 +00:03:46,240 --> 00:03:49,000 +والأعلى وحلقات الأوسط والأوسط + +52 +00:03:54,320 --> 00:03:58,840 +هذه المرحلة الاناطميكالية بينما في الجانب اليسار + +53 +00:03:58,840 --> 00:04:05,940 +لا يوجد فحر فقط فحر عضو فحر عضو فحر فحر فحر فحر + +54 +00:04:05,940 --> 00:04:06,280 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +55 +00:04:06,280 --> 00:04:08,940 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +56 +00:04:08,940 --> 00:04:13,700 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +57 +00:04:13,700 --> 00:04:14,040 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +58 +00:04:14,040 --> 00:04:16,100 +فحر فحر فحر فحر فحر فحر فحر فحر + +59 +00:04:21,660 --> 00:04:31,320 +لذلك عندما وجدنا رأس بشكل مطلوب بشكل مطلوب بشكل + +60 +00:04:31,320 --> 00:04:31,340 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +61 +00:04:31,340 --> 00:04:33,620 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +62 +00:04:33,620 --> 00:04:34,300 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +63 +00:04:34,300 --> 00:04:34,340 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +64 +00:04:34,340 --> 00:04:36,700 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +65 +00:04:36,700 --> 00:04:42,020 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +66 +00:04:42,020 --> 00:04:44,380 +مطلوب بشكل + +67 +00:04:53,410 --> 00:04:59,970 +هناك أسئلة عامة، أين تقوم بتجارب الـ right middle + +68 +00:04:59,970 --> 00:05:06,270 +loop عقلية؟ يعني خلال تجارب، تجارب، تجارب، تجارب، + +69 +00:05:06,270 --> 00:05:07,490 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +70 +00:05:07,490 --> 00:05:07,990 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +71 +00:05:07,990 --> 00:05:09,190 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +72 +00:05:09,190 --> 00:05:10,250 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +73 +00:05:10,250 --> 00:05:19,010 +تجارب، تجارب، تجارب، تجارب، تجارب، تجاربهو ليس من + +74 +00:05:19,010 --> 00:05:22,890 +الخارج يعني إذا قمت بوضع سيطسكوبك من الخارج فهذا + +75 +00:05:22,890 --> 00:05:26,550 +غير صحيح لا نقوم بالتحقق من الـ middle loop من + +76 +00:05:26,550 --> 00:05:31,150 +الخارج لأنها موجودة من الـ fourth rib أعلى إلى الـ + +77 +00:05:31,150 --> 00:05:36,630 +sixth rib أعلى والfifth rib على الجانب الثلاثي + +78 +00:05:36,630 --> 00:05:41,330 +استخدمنا + +79 +00:05:41,330 --> 00:05:55,260 +الانجلانترالي انترالي انجل لوي انترالي + +80 +00:05:55,260 --> 00:05:59,840 +انترالي انترالي انترالي انترالي انترالي انترالي + +81 +00:05:59,840 --> 00:06:00,820 +انترالي انترالي انترالي انترالي انترالي انترالي + +82 +00:06:00,820 --> 00:06:02,540 +انترالي انترالي انترالي انترالي انترالي انترالي + +83 +00:06:02,540 --> 00:06:02,560 +انترالي انترالي انترالي انترالي انترالي انترالي + +84 +00:06:02,560 --> 00:06:08,120 +انترالي انترالي انترالي انترالي انترال + +85 +00:06:11,670 --> 00:06:20,070 +بمجرد تجارب عامة للطب اللذي يمتلئ الحرارة يوجد + +86 +00:06:20,070 --> 00:06:23,850 +ملاحظة عامة لذلك نستطيع أن نطلب من الطب أن يتجارب + +87 +00:06:23,850 --> 00:06:30,910 +هذا الطبيعي رسبراتوري أو يتجارب جسد هذا الطبيعي أو + +88 +00:06:30,910 --> 00:06:37,410 +يستمع إلى جسده لذلك يجب أن نعرف أن هناك تجارب عامة + +89 +00:06:37,410 --> 00:06:45,680 +للطبيعيتبدأ بالتجارة العامة ثم التجارة التجارية ثم + +90 +00:06:45,680 --> 00:06:47,880 +التجارة التجارية ثم التجارة التجارية ثم التجارة + +91 +00:06:47,880 --> 00:06:48,940 +التجارية ثم التجارة التجارية ثم التجارة التجارية + +92 +00:06:48,940 --> 00:06:50,280 +ثم التجارة التجارية ثم التجارة التجارية ثم التجارة + +93 +00:06:50,280 --> 00:06:57,540 +التجاريةقبل أن نبدأ، يجب أن نحصل على وانتظار + +94 +00:06:57,540 --> 00:07:02,980 +أساسي، وانتظار وانتظار وانتظار وانتظار وانتظار + +95 +00:07:02,980 --> 00:07:09,500 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +96 +00:07:09,500 --> 00:07:09,860 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +97 +00:07:09,860 --> 00:07:09,940 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +98 +00:07:09,940 --> 00:07:09,980 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +99 +00:07:09,980 --> 00:07:17,320 +وانتظار وانتظار وانتظار وانتظار وانتظوهو يقوم + +100 +00:07:17,320 --> 00:07:23,800 +بإعطاء وإعادة الموضوع للطبيب للمقيمة لـ 45 درجة + +101 +00:07:23,800 --> 00:07:32,760 +يجب أن تخبر الموضوع بأنه في أي حالة تفاجأت أو + +102 +00:07:32,760 --> 00:07:34,780 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +103 +00:07:34,780 --> 00:07:36,600 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +104 +00:07:36,600 --> 00:07:37,360 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +105 +00:07:37,360 --> 00:07:39,640 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +106 +00:07:39,640 --> 00:07:41,500 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +107 +00:07:41,500 --> 00:07:48,530 +تفاجئالانتقال من خلال التجارة التجارية كما قلنا + +108 +00:07:48,530 --> 00:07:55,590 +علينا أن نقدم نفسنا ونشوف يدينا ونبدأ + +109 +00:07:55,590 --> 00:07:57,730 +بالتجارة العامة + +110 +00:08:00,640 --> 00:08:03,080 +Privacy of the patient should be important + +111 +00:08:03,080 --> 00:08:06,040 +Position of the patient should be 45 degree + +112 +00:08:06,040 --> 00:08:11,300 +Explain the examination and get the consent And it + +113 +00:08:11,300 --> 00:08:13,800 +should be also to maintain the privacy of the + +114 +00:08:13,800 --> 00:08:19,940 +patient General inspection You will inspect the + +115 +00:08:19,940 --> 00:08:22,900 +environment Very important to inspect the + +116 +00:08:22,900 --> 00:08:29,600 +environment of the patient If there is anyوإذا كان + +117 +00:08:29,600 --> 00:08:34,820 +هناك بيباب أو سيباب أو مستشعر بيباب أو سيباب أو + +118 +00:08:34,820 --> 00:08:37,640 +مستشعر بيباب أو سيباب أو مستشعر بيباب أو مستشعر + +119 +00:08:37,640 --> 00:08:39,040 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +120 +00:08:39,040 --> 00:08:40,300 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +121 +00:08:40,300 --> 00:08:41,940 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +122 +00:08:41,940 --> 00:08:41,960 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +123 +00:08:41,960 --> 00:08:44,980 +بيباب أو مستشعر بيbab أو مستشعر بيbab أو مستشعر + +124 +00:08:44,980 --> 00:08:48,420 +بيbab + +125 +00:08:48,420 --> 00:08:53,720 +أو + +126 +00:08:53,720 --> 00:09:01,220 +مستشعر بيbفي موضوع كاشنغ سندروم إذا كان الشخص + +127 +00:09:01,220 --> 00:09:04,880 +يتعامل بموضوع كاشنغ سندروم بسبب استخدام الكرونيكا + +128 +00:09:04,880 --> 00:09:09,520 +الستيرويد في الشخص اللذي يتعامل بالفيربروس والشخص + +129 +00:09:09,520 --> 00:09:11,080 +اللذي يتعامل بالشخص اللذي يتعامل بالشخص اللذي + +130 +00:09:11,080 --> 00:09:11,820 +يتعامل بالشخص اللذي يتعامل بالشخص اللذي يتعامل + +131 +00:09:11,820 --> 00:09:16,040 +بالشخص اللذي يتعامل بالشخص اللذي يتعامل بالشخص + +132 +00:09:16,040 --> 00:09:17,460 +اللذي يتعامل بالشخص اللذي يتعامل بالشخص اللذي + +133 +00:09:17,460 --> 00:09:22,200 +يتعامل بالشخص اللذي يتعامل بالشخص اللذي يتعامل + +134 +00:09:22,200 --> 00:09:24,500 +بالشخص اللذ + +135 +00:09:33,760 --> 00:09:42,580 +وانتقل إلى مستوى عملية بناء جسم عادل، هذا ايضا مهم + +136 +00:09:42,580 --> 00:09:42,620 +جدا + +137 +00:09:46,670 --> 00:09:49,410 +Using of accessory muscle if patient in + +138 +00:09:49,410 --> 00:09:52,330 +respiratory distress and his having respiratory + +139 +00:09:52,330 --> 00:09:57,910 +rate is high so you have to notice that by using + +140 +00:09:57,910 --> 00:10:02,870 +of accessory muscle Persleep breathing in patient + +141 +00:10:02,870 --> 00:10:08,890 +with severe emphysema or bronchitis COPDالطبيعي + +142 +00:10:08,890 --> 00:10:12,590 +سوف يمنع الحركة البرونكيلية من الانتقال باحتفاظ + +143 +00:10:12,590 --> 00:10:17,310 +بالدماء عالي في الهواء السليماني بمحاولة محاولة + +144 +00:10:17,310 --> 00:10:20,370 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +145 +00:10:20,370 --> 00:10:21,370 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +146 +00:10:21,370 --> 00:10:27,510 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +147 +00:10:31,580 --> 00:10:33,160 +معرفة إشارة جسدية للموضوع بالموضوع بالموضوع + +148 +00:10:33,160 --> 00:10:36,660 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +149 +00:10:36,660 --> 00:10:41,200 +بالموضوع + +150 +00:10:41,200 --> 00:10:45,400 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +151 +00:10:45,400 --> 00:10:45,560 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +152 +00:10:45,560 --> 00:10:45,720 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +153 +00:10:45,720 --> 00:10:49,020 +بالموضوع + +154 +00:10:49,020 --> 00:10:58,520 +بالموضوع بالموضوع + +155 +00:10:58,520 --> 00:10:58,680 +بال + +156 +00:11:01,990 --> 00:11:05,530 +يجب أن تسأل عن إشارة مهمة للطبيعي، برد حرارة، + +157 +00:11:05,530 --> 00:11:12,610 +تنبرتشال، رسبرتوريت أوكسيجين تباركة طبعا + +158 +00:11:12,610 --> 00:11:15,350 +الـ body build، الجسم العادل، يعتمد على عمره + +159 +00:11:15,350 --> 00:11:18,490 +ومعطلته، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +160 +00:11:18,490 --> 00:11:19,130 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +161 +00:11:19,130 --> 00:11:20,790 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +162 +00:11:20,790 --> 00:11:30,320 +وعادلة، وعادلة، وعادلة، وعادلة، وعادبلو بلوتر، + +163 +00:11:30,320 --> 00:11:34,360 +pink puffer، هذا محدث محدث للطب مع COPD، إذا كان + +164 +00:11:34,360 --> 00:11:39,060 +الطبيب عميق ولم يجرم الوحوش، سينوسس، و بافي آيلت + +165 +00:11:39,060 --> 00:11:44,420 +مع مصطلح البحر أو مصطلح البحر برسليب، هذا هو تغيير + +166 +00:11:44,420 --> 00:11:48,820 +الهواتف للخرونية البرونكايتس، pink puffer، الطبيب + +167 +00:11:48,820 --> 00:11:53,020 +سيمسك وسينوست، تغيير الهواتف بسبب تغيير + +168 +00:11:53,020 --> 00:11:55,880 +الانفيزيمات، تغيير انفيزيمات عظيمة + +169 +00:11:59,210 --> 00:12:05,330 +هذا ما ذكرته عن بلو بلوتر الشخص مغضب لديه نامة + +170 +00:12:05,330 --> 00:12:09,830 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +171 +00:12:09,830 --> 00:12:09,950 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +172 +00:12:09,950 --> 00:12:11,190 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +173 +00:12:11,190 --> 00:12:11,710 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +174 +00:12:11,710 --> 00:12:12,430 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +175 +00:12:12,430 --> 00:12:12,450 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +176 +00:12:12,450 --> 00:12:17,790 +نامة نامة نامة نامة + +177 +00:12:17,790 --> 00:12:23,550 +نامة + +178 +00:12:23,550 --> 00:12:32,100 +نامثم يجب أن نقوم بالتجارب على الوجه كتابة + +179 +00:12:32,100 --> 00:12:39,000 +عامة في العين يجب أن نقوم بالتجارب على البلر يجب + +180 +00:12:39,000 --> 00:12:43,040 +أن نقوم بالتجارب على البلر + +181 +00:12:43,040 --> 00:12:49,320 +يجب أن نقوم بالتجارب على الجاندس يجب أن نقوم + +182 +00:12:49,320 --> 00:12:53,320 +بالتجارب على الجاندس يجب أن نقوم بالتجارب على + +183 +00:12:53,320 --> 00:12:57,910 +الجاندسأو الـ Unilateral ptosis, meiosis, + +184 +00:12:58,090 --> 00:13:03,210 +anhidrosis, inner thalamus هذا مهم جدًا في حالة + +185 +00:13:03,210 --> 00:13:13,670 +بانكوستومر أو مجموعة أعصاب الأعصاب الصحيحة هذا ما + +186 +00:13:13,670 --> 00:13:18,150 +ذكرناه أيضًا من الانيميا إذا كان هناك تغيير في + +187 +00:13:18,150 --> 00:13:26,400 +الكنجنكتالة أو الجندس تجارب الرأسالذي يتعلق + +188 +00:13:26,400 --> 00:13:31,340 +بالنظام الهوائي مردنس في الطب، الكوليزم، + +189 +00:13:31,340 --> 00:13:35,780 +ميترستينوسس ولكنه مهم جدًا هو الـ Lupus Perneum + +190 +00:13:35,780 --> 00:13:39,560 +وهو تدمير + +191 +00:13:39,560 --> 00:13:47,040 +الهيبرتروفي من الطب النازلي في حالة سركيلوزا، + +192 +00:13:47,040 --> 00:13:53,400 +سادلنوز في مريض مع الـGPA أو جرانيومتوسوس مع + +193 +00:13:53,400 --> 00:14:00,100 +بوليانجايتسمشغّل الانزاع في المريض باستخدام عضلات + +194 +00:14:00,100 --> 00:14:02,500 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +195 +00:14:02,500 --> 00:14:02,900 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +196 +00:14:02,900 --> 00:14:03,180 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +197 +00:14:03,180 --> 00:14:06,360 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +198 +00:14:06,360 --> 00:14:08,580 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +199 +00:14:08,580 --> 00:14:16,880 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو + +200 +00:14:16,880 --> 00:14:21,550 +عضلات مضغعندما يكون هناك سيانوسس فعلا يجب أن نحقق + +201 +00:14:21,550 --> 00:14:28,670 +قنجينية قلبية مرضى، قرب المنال، مخاطر قلبية مرضى، + +202 +00:14:28,670 --> 00:14:30,310 +مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية + +203 +00:14:30,310 --> 00:14:30,350 +مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر + +204 +00:14:30,350 --> 00:14:31,270 +قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، + +205 +00:14:31,270 --> 00:14:33,670 +مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية + +206 +00:14:33,670 --> 00:14:36,170 +مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر + +207 +00:14:36,170 --> 00:14:42,230 +قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلب + +208 +00:14:47,400 --> 00:14:50,820 +الدفينيشن لـ central cyanosis هو عموماً من الأسئلة + +209 +00:14:50,820 --> 00:14:55,940 +في مجال التجارب وهو بلوحية تسليرات لبس ميوكاس + +210 +00:14:55,940 --> 00:15:01,840 +ميبريهين بسبب تقليل الهيموجلوبين من 5 جرام بالمئة + +211 +00:15:01,840 --> 00:15:09,280 +أو 50 جرام بالمئة طبعاً بيكون 1-2 جرام بالمئة من + +212 +00:15:09,280 --> 00:15:14,260 +هذا التقليل الهيموجلوبين طبعاً في المريض يوجد + +213 +00:15:14,260 --> 00:15:19,250 +أسئلة أخرى لا يمكنكسيانوسيس في عمل عمل عمل عمل عمل + +214 +00:15:19,250 --> 00:15:20,290 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +215 +00:15:20,290 --> 00:15:25,510 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +216 +00:15:25,510 --> 00:15:26,790 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +217 +00:15:26,790 --> 00:15:26,850 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +218 +00:15:26,850 --> 00:15:27,390 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +219 +00:15:27,390 --> 00:15:27,950 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +220 +00:15:27,950 --> 00:15:29,970 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +221 +00:15:29,970 --> 00:15:36,310 +عمل عمل عمل عمل عمل عمل عمل عمل + +222 +00:15:43,240 --> 00:15:46,700 +وهي الـ central و الـ peripheral، الـ cyanosis الـ + +223 +00:15:46,700 --> 00:15:50,500 +blood leaving the heart already contain the + +224 +00:15:50,500 --> 00:15:57,640 +reduced hemoglobin سكندريبوليسايثيميا، + +225 +00:15:57,640 --> 00:16:02,740 +congenital heart disease، carbal monal, cauching + +226 +00:16:02,740 --> 00:16:06,580 +syndrome, renal cell carcinoma، and balmonary + +227 +00:16:06,580 --> 00:16:10,560 +edema, methamoglobin or methamoglobinemia + +228 +00:16:12,500 --> 00:16:18,080 +بالنسبة للسيانوسيا، للمريض لا يوجد قيمة كافية + +229 +00:16:18,080 --> 00:16:20,420 +لتقليل الهيموجلوبين، الدم اللي يخرج من الدم يحتوي + +230 +00:16:20,420 --> 00:16:27,640 +على قيمة كافية لتقليل الهيموجلوبين، ولكن بسبب + +231 +00:16:28,620 --> 00:16:32,740 +الخطوط التركيزية للتركيزية فيما يصل إلى تجارب + +232 +00:16:32,740 --> 00:16:36,320 +البرفيرال تجارب التجارب تجارب التجارب تجارب + +233 +00:16:36,320 --> 00:16:36,960 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +234 +00:16:36,960 --> 00:16:37,540 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +235 +00:16:37,540 --> 00:16:40,340 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +236 +00:16:40,340 --> 00:16:40,440 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +237 +00:16:40,440 --> 00:16:40,680 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +238 +00:16:40,680 --> 00:16:48,420 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +239 +00:16:48,420 --> 00:16:54,460 +التجارب تج + +240 +00:16:54,680 --> 00:16:57,160 +الـ Preferral Vascular Disease، الرنو ديزيز، + +241 +00:16:57,160 --> 00:17:03,760 +بيرجار أو أكروسينوسس أو في الـ cold weather كيف + +242 +00:17:03,760 --> 00:17:07,460 +تختار بين الـ Central و الـ Preferral Sinosis؟ + +243 +00:17:07,460 --> 00:17:11,300 +عادةً الجانب الـ Central Sinosis تحت أعضاء اللغة + +244 +00:17:11,300 --> 00:17:14,480 +الـ Preferral Sinosis دائما في الـ extremity، في + +245 +00:17:14,480 --> 00:17:18,540 +الـ hand و الـ nose و الـ nail، البدء في الـ + +246 +00:17:18,540 --> 00:17:23,080 +Central Sinosis، الـ temperature is normal or hot + +247 +00:17:24,680 --> 00:17:29,280 +بينما في بريفرال سيانوسيس مطلوب ومطلوب بهم + +248 +00:17:29,280 --> 00:17:32,320 +السيانوسيس المركزي عامة مرتبط بكلابة في مرض قلوب + +249 +00:17:32,320 --> 00:17:37,040 +عقلية بما أنه غير موجود في بريفرال سيانوسيس + +250 +00:17:37,040 --> 00:17:38,980 +المركزيس المركزيس المركزيس المركزيس مركزيس مركزيس + +251 +00:17:38,980 --> 00:17:39,300 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +252 +00:17:39,300 --> 00:17:39,340 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +253 +00:17:39,340 --> 00:17:41,740 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +254 +00:17:41,740 --> 00:17:51,300 +مركزيس مركز + +255 +00:17:51,490 --> 00:17:55,110 +إذا قمت بإعطاء الهواء للسيانوس البرفيرال ، لن يكون + +256 +00:17:55,110 --> 00:18:03,570 +هناك إحتياجات ثم نحن نجمع الجلد كجزء + +257 +00:18:03,570 --> 00:18:08,470 +من تجارب عامة يجب أن نركز على الـ GVB جاغولر فينسا + +258 +00:18:08,470 --> 00:18:15,030 +البراشر اللي هو تحقيق الضغط الـ GVB في الجوانب + +259 +00:18:15,030 --> 00:18:20,810 +الداخلية الجاغولر اللي هو مصدر للأسترنجليدوماستايد + +260 +00:18:23,090 --> 00:18:27,930 +وكانت تجعلنا نغيّر الوضع في الجسم اليساري خلال + +261 +00:18:27,930 --> 00:18:32,490 +عملية عملية الـ cardiac cycleوهو مهم جدًا لتحقق + +262 +00:18:32,490 --> 00:18:40,470 +أيضًا أن هناك تحقيق محدود لتحقيق الـ GVB ومن خلال + +263 +00:18:40,470 --> 00:18:46,510 +الـ Rural نستطيع أيضًا تحقيقه من الجانب الثانوي + +264 +00:18:46,510 --> 00:18:55,990 +ومن المقارنة بين الـ GVB ومقارنة التجارببإمكاننا + +265 +00:18:55,990 --> 00:19:05,330 +أيضًا إضافة 5 سنتيمتر لتخصيصها عادةً أعلى من 3 + +266 +00:19:05,330 --> 00:19:13,510 +سنتيمتر يمكن أن يكون ايضًا اعتبار كإزالة + +267 +00:19:13,510 --> 00:19:19,830 +الاختبارات الأخرى أيضًا في الجلد نحن نحفظ للنمط + +268 +00:19:20,290 --> 00:19:25,250 +Lymph node size, consistency, border if it is + +269 +00:19:25,250 --> 00:19:30,630 +tender or not, matted in case of TB and if there + +270 +00:19:30,630 --> 00:19:35,550 +is also presence or absence of sinuses هنا الـ GVB + +271 +00:19:35,550 --> 00:19:38,170 +زي ما احنا ملاحظين medial to the + +272 +00:19:38,170 --> 00:19:43,630 +sternocleidomastoid and we check the internal + +273 +00:19:43,630 --> 00:19:48,190 +jugular vein not the external jugular vein وبنشوف + +274 +00:19:48,620 --> 00:19:56,640 +الطبيعي يجب ان يضع الطبيعي في 45 درجة و نحن نتكلم + +275 +00:19:56,640 --> 00:20:07,340 +عن هذا و عن الفرصة بين ال GVB و الانجل + +276 +00:20:07,340 --> 00:20:16,720 +الخارجي ثم نضع 5 سنتيمترIn case of congested neck + +277 +00:20:16,720 --> 00:20:19,360 +vein and superior vena cava, thrombosis, aortic + +278 +00:20:19,360 --> 00:20:23,620 +aneurysm, mediastinal tumor usually this is + +279 +00:20:23,620 --> 00:20:25,760 +associated with dilated superficial vein in the + +280 +00:20:25,760 --> 00:20:29,720 +chest wall this is a case of dilated superficial + +281 +00:20:29,720 --> 00:20:32,120 +vein in the chest wall and superior vena cava + +282 +00:20:32,120 --> 00:20:35,900 +obstruction this is congested vein bilaterally as + +283 +00:20:35,900 --> 00:20:40,540 +we noticed here lymph + +284 +00:20:40,540 --> 00:20:46,640 +nodeالتجارة المهمة للتجارة هي تجارة سكاليني + +285 +00:20:46,640 --> 00:20:54,400 +لينفنود ورسباراتوري تجارة بانكوستيومر التي تدرس في + +286 +00:20:54,400 --> 00:20:58,000 +الجانب اليسرى سكاليني سوبرا كلافيكولر لينفنود + +287 +00:20:58,000 --> 00:21:02,840 +سنجعل المستخدم يدفع رأسه قليلا إلى الجانب اليسرى + +288 +00:21:02,840 --> 00:21:09,040 +لكي يقوم بالتحرير أو الترهيب على الفاشية لكي يتحرر + +289 +00:21:09,040 --> 00:21:15,220 +من أجل سوبرا كلافيكولر لينفنودالمهم أيضًا أن نلاحظ + +290 +00:21:15,220 --> 00:21:19,300 +أننا نستخدم الـ Lymph node من الموقع التلقائي، + +291 +00:21:19,300 --> 00:21:23,660 +الدكتور يجب أن يكون في مقع المريض، ثم يبدأ بالتحقق + +292 +00:21:23,660 --> 00:21:26,800 +من الموقع التلقائي من الموقع التلقائي من الموقع + +293 +00:21:26,800 --> 00:21:28,300 +التلقائي من الموقع التلقائي من الموقع التلقائي من + +294 +00:21:28,300 --> 00:21:28,720 +الموقع التلقائي من الموقع التلقائي من الموقع + +295 +00:21:28,720 --> 00:21:31,360 +التلقائي من الموقع التلقائي من الموقع التلقائي من + +296 +00:21:31,360 --> 00:21:31,900 +الموقع التلقائي من الموقع التلقائي من الموقع + +297 +00:21:31,900 --> 00:21:31,920 +التلقائي من الموقع التلقائي من الموقع التلقائي من + +298 +00:21:31,920 --> 00:21:36,520 +الموقع التلقائي من الموقع التلقائي من + +299 +00:21:36,520 --> 00:21:40,990 +الموقع التلقائي من المالـ Preauricular, Occipital, + +300 +00:21:41,470 --> 00:21:50,790 +Anterior and Posterior Triangle lymph node تجارب + +301 +00:21:50,790 --> 00:22:00,170 +اليد أيضًا مهمة يعني نحن لدينا تجارب لـ nicotine + +302 +00:22:00,170 --> 00:22:06,520 +stainطبعا اطلب من المستخدم ان يقوم بتحريك يده من + +303 +00:22:06,520 --> 00:22:15,640 +خلال يده من خلال يدهلتحمل يديه بمساعدته من الخطوط + +304 +00:22:15,640 --> 00:22:20,100 +الخارجية ومساعدته من يده وانتقل للـ Flapping + +305 +00:22:20,100 --> 00:22:25,180 +Tremor Flapping Tremor يعني أن هناك خطأ روحاني، + +306 +00:22:25,180 --> 00:22:30,200 +خطأ روحاني كبير كابنيكي، او اي خطأ عقلي كبير، خطأ + +307 +00:22:30,200 --> 00:22:35,340 +عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ + +308 +00:22:35,340 --> 00:22:39,240 +عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي،إذا + +309 +00:22:39,240 --> 00:22:41,600 +كان الشخص مصاب بالكوماتوز ولم يكن ممكن أن يقوم + +310 +00:22:41,600 --> 00:22:45,500 +بإدعاء الشخص لإدعاءه كيف يسترخي يديه، يمكنك + +311 +00:22:45,500 --> 00:22:48,760 +الإستخلاص بإطلاقًا أن تطلب من الشخص أن يقوم بتحريك + +312 +00:22:48,760 --> 00:22:54,940 +يديك ويقوم بتحريك يديه لتحافظ على حافظته لثلاثة + +313 +00:22:54,940 --> 00:22:58,580 +إلى ستة ثانية ثانية ثانية، الشخص اللذي يشجعك بكثير + +314 +00:22:58,580 --> 00:23:03,300 +لا يستطيع تحافظ على حافظته كما ذكرنا، يمكنك أيضًا + +315 +00:23:03,300 --> 00:23:10,030 +تحفظ نيكوتين أو تارستينالخطوط الساقية بالماريثما + +316 +00:23:10,030 --> 00:23:11,970 +بالماريثما بالماريثما بالماريثما بالماريثما + +317 +00:23:11,970 --> 00:23:12,130 +بالماريثما بالماريثما بالماريثما بالماريثما + +318 +00:23:12,130 --> 00:23:12,630 +بالماريثما بالماريثما بالماريثما بالماريثما + +319 +00:23:12,630 --> 00:23:12,870 +بالماريثما بالماريثما بالماريثما بالماريثما + +320 +00:23:12,870 --> 00:23:13,530 +بالماريثما بالماريثما بالماريثما بالماريثما + +321 +00:23:13,530 --> 00:23:14,250 +بالماريثما بالماريثما بالماريثما بالماريثما + +322 +00:23:14,250 --> 00:23:16,530 +بالماريثما بالماريثما بالماريثما بالماريثما + +323 +00:23:16,530 --> 00:23:20,250 +بالماريثما بالماريثما بالماريثما بالماريثما + +324 +00:23:20,250 --> 00:23:26,210 +بالماريثما بالماريثما + +325 +00:23:26,210 --> 00:23:29,030 +بالماريث + +326 +00:23:30,780 --> 00:23:34,320 +أو الـ Asymmetrical muscle wasting في الصدر الصغير + +327 +00:23:34,320 --> 00:23:35,000 +الصدر الصغير الصغير الصغير الصغير الصغير الصغير + +328 +00:23:35,000 --> 00:23:37,640 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +329 +00:23:37,640 --> 00:23:41,020 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +330 +00:23:41,020 --> 00:23:42,800 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +331 +00:23:42,800 --> 00:23:48,680 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +332 +00:23:48,680 --> 00:23:48,800 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +333 +00:23:48,800 --> 00:23:48,960 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +334 +00:23:48,960 --> 00:23:53,720 +الصغير الصغير الصغير + +335 +00:23:53,720 --> 00:23:53,740 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +336 +00:23:53,740 --> 00:23:54,060 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +337 +00:23:54,060 --> 00:24:00,000 +الصغير الصغير الصغير الصوفي حالة مصابة مصابة مصابة + +338 +00:24:00,000 --> 00:24:00,580 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +339 +00:24:00,580 --> 00:24:05,120 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +340 +00:24:05,120 --> 00:24:09,880 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +341 +00:24:09,880 --> 00:24:10,240 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +342 +00:24:10,240 --> 00:24:11,280 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +343 +00:24:11,280 --> 00:24:12,960 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +344 +00:24:12,960 --> 00:24:20,420 +مصابة مصابة مصابة مصاب + +345 +00:24:23,750 --> 00:24:26,110 +طبعا الـ definition of clubbing of the finger it + +346 +00:24:26,110 --> 00:24:30,110 +is a pelvis enlargement of the soft tissue of the + +347 +00:24:30,110 --> 00:24:34,230 +terminal phalange which over the curving of the + +348 +00:24:34,230 --> 00:24:38,390 +nail bed there is several degree first degree, + +349 +00:24:38,530 --> 00:24:43,090 +second and third and fourthأول مرحلة كانت تحرر + +350 +00:24:43,090 --> 00:24:49,990 +تحرير الـ nail bed فقط كانوا يقومون بالتحرير من + +351 +00:24:49,990 --> 00:24:53,430 +خلال الـ index finger لتحرير كلا الجزء من الجزء من + +352 +00:24:53,430 --> 00:24:55,210 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +353 +00:24:55,210 --> 00:24:57,230 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +354 +00:24:57,230 --> 00:24:57,530 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +355 +00:24:57,530 --> 00:25:02,330 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +356 +00:25:02,330 --> 00:25:04,770 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +357 +00:25:04,770 --> 00:25:04,930 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +358 +00:25:04,930 --> 00:25:04,990 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +359 +00:25:04,990 --> 00:25:11,360 +من الجزء من الجزء من الجزء منالثالث درجة تزيد عقل + +360 +00:25:11,360 --> 00:25:15,600 +الانجل + +361 +00:25:15,600 --> 00:25:21,860 +أو مقار + +362 +00:25:21,860 --> 00:25:31,820 +الببغاء والثالث درجة دراميستيك أببيرنز اللي احنا + +363 +00:25:31,820 --> 00:25:36,270 +شايفينها في الصورةالـ Fifth degree بعض الأحيان في + +364 +00:25:36,270 --> 00:25:38,470 +بعض اللي كنت بتلقى عليها كمان في Fifth degree اللي + +365 +00:25:38,470 --> 00:25:41,470 +هو يكون بلمونري أوستيو أرثرو باثي الناس اللي بيكون + +366 +00:25:41,470 --> 00:25:47,810 +عندهم في الـ long standing disease + +367 +00:25:47,810 --> 00:25:52,050 +أو sometimes in case of lung cancer widening and + +368 +00:25:52,050 --> 00:25:54,810 +thickening of the end of the lung bone بيسموها + +369 +00:25:54,810 --> 00:26:01,740 +بلمونري أوستيو أرثرو باثيهنا موجودة اللي هي شام + +370 +00:26:01,740 --> 00:26:09,840 +روث ويندوز absent common + +371 +00:26:09,840 --> 00:26:13,140 +questions what is the cause of unilateral finger + +372 +00:26:13,140 --> 00:26:18,440 +clubbing cervical rib pancostume and aortic + +373 +00:26:18,440 --> 00:26:23,360 +aneurysm infantile cortication of aorta if there + +374 +00:26:23,360 --> 00:26:26,730 +is only clubbing in the lower limb onlyهو بيسموها + +375 +00:26:26,730 --> 00:26:29,430 +الـ differential clubbing، بيكون دايماً في + +376 +00:26:29,430 --> 00:26:33,850 +الـEisenmenger بيتاندكتاس أرتيوزيز أو Infantile + +377 +00:26:33,850 --> 00:26:37,370 +Coartication of the aorta Reversible clubbing، + +378 +00:26:37,370 --> 00:26:40,470 +what is the causes of reversible clubbing؟ الـ + +379 +00:26:40,470 --> 00:26:45,430 +mesothelioma, 5 plus 9، the patient will have a + +380 +00:26:45,430 --> 00:26:49,150 +subside of the clubbing after surgical removal of + +381 +00:26:49,150 --> 00:26:49,810 +the tumor + +382 +00:26:52,630 --> 00:26:58,410 +كما رأينا هنا أساسي الـ clubbing هو بلمونريكوز + +383 +00:26:58,410 --> 00:27:05,730 +ثوراسيكوز 70% of lung cancer سبيرتف لغوية + +384 +00:27:05,730 --> 00:27:14,210 +برانككتسيس لغوية أبسس انفايمة انفلاميشن او انفقت + +385 +00:27:14,210 --> 00:27:19,630 +برزنس انفقت بلورال فيجد بلورال كافيتى + +386 +00:27:22,040 --> 00:27:25,580 +كلها تحت الـ band اللي هو Chronic Separative Lung + +387 +00:27:25,580 --> 00:27:28,680 +Disease الـ Mesothelioma، الـ Lung Tumour، الـ + +388 +00:27:28,680 --> 00:27:33,200 +Fibroma، الـ Pulmonary Fibrosis أيضًا مسبب عام لـ + +389 +00:27:33,200 --> 00:27:37,000 +Finger Clubbing وفيه برضه الـ Cardiovascular + +390 +00:27:37,000 --> 00:27:40,280 +Causes اللي هي Cyanotic Congenital Heart Disease، + +391 +00:27:40,280 --> 00:27:43,680 +Infective Endogarditis، Arteryovenous + +392 +00:27:43,680 --> 00:27:47,260 +Chantereauaneurysm، والـ Gastrointestinal Causes + +393 +00:27:47,260 --> 00:27:49,920 +of Finger Clubbing، Serrosis، Inflammatory Bowel + +394 +00:27:49,920 --> 00:27:53,510 +Disease، Celiac Disease،والاخرى مثلًا + +395 +00:27:53,510 --> 00:28:20,730 +كثيروتوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكو + +396 +00:28:21,470 --> 00:28:25,670 +يجب أن تقابل الشخص في نهاية الـ PIT إتصال عيني + +397 +00:28:25,670 --> 00:28:30,850 +عيني إذا كان الشخص يشعر بالصعوبة أو ليس كذلك فانت + +398 +00:28:30,850 --> 00:28:36,550 +تضغط لـ 10 ثانية أو 15 ثانية لـ Pitting Edema إذا + +399 +00:28:36,550 --> 00:28:40,970 +كانت مجموعة أو مجموعة Pitting أو لا Pitting أيضًا + +400 +00:28:40,970 --> 00:28:47,530 +مهم جدًا لتعامل مع ذلك هنا زي ما احنا ملاحظين يعني + +401 +00:28:47,530 --> 00:28:54,700 +في Pitting Edemaوهو الـ Unilateral Right Leg + +402 +00:28:54,700 --> 00:29:00,300 +Swollen من المفهوم انه قد يكون Deep Venous + +403 +00:29:00,300 --> 00:29:07,020 +Thrombosis او انفلام او رابشار بيكرسيستر اللاورليب + +404 +00:29:07,020 --> 00:29:14,180 +ايضا مرتبط بالتحقق ممكن تحققه من الارثماندوزم في + +405 +00:29:14,180 --> 00:29:25,130 +خطوط الانترال من اللقاحأو مصابة صعبة مثل هذه + +406 +00:29:25,130 --> 00:29:31,610 +مرتبطة بـ Sarcoidosis إكتشاف + +407 +00:29:31,610 --> 00:29:33,070 +أكثر بلمونية لعنوان مصابة مصابة مصابة مصابة مصابة + +408 +00:29:33,070 --> 00:29:34,650 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +409 +00:29:34,650 --> 00:29:35,630 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +410 +00:29:35,630 --> 00:29:35,710 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +411 +00:29:35,710 --> 00:29:36,970 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +412 +00:29:36,970 --> 00:29:40,310 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +413 +00:29:40,310 --> 00:29:46,970 +مصابةهياليو تراب راش في الأيه او ميكانيكا هاند + +414 +00:29:46,970 --> 00:29:52,250 +كراكينج او فشارينج هاند + +415 +00:29:52,250 --> 00:29:54,530 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +416 +00:29:54,530 --> 00:29:54,930 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +417 +00:29:54,930 --> 00:29:56,190 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +418 +00:29:56,190 --> 00:30:10,530 +هاند + +419 +00:30:10,530 --> 00:30:13,660 +هالعنوان التراثيسية والعنوان التراثيسية والعنوان + +420 +00:30:13,660 --> 00:30:14,220 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +421 +00:30:14,220 --> 00:30:15,560 +والعنوان التراثيسية والعنوان التراثيسية والعنوان + +422 +00:30:15,560 --> 00:30:16,080 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +423 +00:30:16,080 --> 00:30:17,640 +والعنوان التراثيسية والعنوان التراثيسية والعنوان + +424 +00:30:17,640 --> 00:30:20,520 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +425 +00:30:20,520 --> 00:30:23,660 +والعنوان + +426 +00:30:23,660 --> 00:30:33,200 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +427 +00:30:33,200 --> 00:30:39,020 +والعنوان + +428 +00:30:39,020 --> 00:30:43,780 +الترا�سيبتال دي فييشين أو أحيانًا يمكننا أن نجد + +429 +00:30:43,780 --> 00:30:48,520 +مصطلح CPAP اللي هو الـ non-invasive ventilator + +430 +00:30:48,520 --> 00:30:54,360 +بجانب مصطلح البيت الشخصي أيضًا، + +431 +00:30:54,360 --> 00:30:58,240 +هذا أيضًا دياغرام للتجارب التجاربية للشخص الشخصي + +432 +00:30:58,240 --> 00:31:01,360 +الشخصي + +433 +00:31:01,360 --> 00:31:04,220 +بحرمة، يمكننا أن نتفاقر بالإنفاق + +434 +00:31:08,970 --> 00:31:12,510 +راش في الـ sarcoidosis، ريتموندوزام في الـ + +435 +00:31:12,510 --> 00:31:17,070 +connective tissue disease، الـ peak nose في الـ + +436 +00:31:17,070 --> 00:31:22,850 +scleroderma، الـ keratoconjunctivitis، سيكا، + +437 +00:31:22,850 --> 00:31:28,030 +جوجراند، نيوفيهيتس، رينودفنومينة، لمفا دينوباتي. + +438 +00:31:28,550 --> 00:31:33,610 +This is also a systemic sign of diffuse + +439 +00:31:33,610 --> 00:31:36,350 +parenchymal lung disease. + diff --git a/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A_raw.srt b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..a57ac689ee97da367cbf54d2563fab231197e70a --- /dev/null +++ b/PL9fwy3NUQKwbSTg4I9g2ku3_gU6LKBDj4/xNxRmjJhk7A_raw.srt @@ -0,0 +1,1808 @@ +1 +00:00:01,820 --> 00:00:06,340 +السلام عليكم ورحمة الله وبركاته انا دكتور صابر + +2 +00:00:06,340 --> 00:00:11,140 +الصرفاندي اليوم ان شاء الله سأتحدث + +3 +00:00:11,140 --> 00:00:17,860 +عن كيفية تجارب نظام التجارب كدراسة مجموعة للدراسة + +4 +00:00:17,860 --> 00:00:18,860 +الأربعة عامة + +5 +00:00:21,260 --> 00:00:26,440 +أولاً لنبدأ بالمحافظة الفيزيائية يجب أن نعرف + +6 +00:00:26,440 --> 00:00:32,580 +المواصفات التطبيقية للمحافظة الشيستة لدينا هنا + +7 +00:00:32,580 --> 00:00:38,700 +خطوط موسيقى السترنم والخطوط التي يمكنها المساعدة + +8 +00:00:38,700 --> 00:00:46,220 +في أسفل السترنم لدينا خطوط موسيقى القلبي والخطوط + +9 +00:00:46,220 --> 00:00:53,990 +المعينة الأمامية هذه الخطوط مهمةللفهم الاناطميكالي + +10 +00:00:53,990 --> 00:01:05,190 +للمصدر والبلورا والترانسفيرس والفشال الوضعي يوجد + +11 +00:01:05,190 --> 00:01:11,810 +خط البرتبرا اللي يتقابل في مركز البرتبرا وخط + +12 +00:01:11,810 --> 00:01:17,150 +السكابلر في مقال السكابلر + +13 +00:01:19,180 --> 00:01:28,220 +ومن الجانب اليساري لدينا أسلحة أمامي و أسلحة + +14 +00:01:28,220 --> 00:01:33,620 +أمامي و أسلحة أسلحة أمامي و أسلحة أسلحة أسلحة + +15 +00:01:33,620 --> 00:01:39,400 +أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة + +16 +00:01:39,400 --> 00:01:45,420 +أسلحة أسلحة أسلحة أسلحة أسلحة + +17 +00:01:45,420 --> 00:01:48,800 +أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة + +18 +00:01:48,800 --> 00:01:48,800 +أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة أسلحة + +19 +00:01:48,800 --> 00:01:48,980 +أسلحة أسلحة أسلحة أس + +20 +00:01:51,870 --> 00:01:53,550 +لدينا فشر عبارة عن عبارة عن عبارة عن عبارة عن + +21 +00:01:53,550 --> 00:01:53,610 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +22 +00:01:53,610 --> 00:01:56,350 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +23 +00:01:56,350 --> 00:01:56,990 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +24 +00:01:56,990 --> 00:01:57,070 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +25 +00:01:57,070 --> 00:02:00,030 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +26 +00:02:00,030 --> 00:02:01,230 +عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن + +27 +00:02:01,230 --> 00:02:11,250 +عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة + +28 +00:02:11,250 --> 00:02:14,390 +عن عبار + +29 +00:02:15,420 --> 00:02:19,720 +لدينا أيضًا الـ Transverse Fissure اللي قمت بتقسيم + +30 +00:02:19,720 --> 00:02:23,820 +الـ Right Upper Loop من الـ Middle Loop في الجانب + +31 +00:02:23,820 --> 00:02:27,240 +اليسرى، لا يوجد Transverse Fissure لدينا فقط + +32 +00:02:27,240 --> 00:02:32,780 +Oblique Fissure اللي يعطينا Left Upper Loop وLeft + +33 +00:02:32,780 --> 00:02:41,040 +Lower Loop ال Transverse Fissure يأتي من الخلف، + +34 +00:02:41,040 --> 00:02:47,850 +بدأ من الخلفعلى مستوى T3 وهذا هو المساحة العلوية + +35 +00:02:47,850 --> 00:02:49,670 +العلوية العلوية العلوية العلوية العلوية العلوية + +36 +00:02:49,670 --> 00:02:51,870 +العلوية العلوية العلوية العلوية العلوية العلوية + +37 +00:02:51,870 --> 00:02:53,030 +العلوية العلوية العلوية العلوية العلوية العلوية + +38 +00:02:53,030 --> 00:02:53,870 +العلوية العلوية العلوية العلوية العلوية العلوية + +39 +00:02:53,870 --> 00:02:55,750 +العلوية العلوية العلوية العلوية العلوية العلوية + +40 +00:02:55,750 --> 00:02:58,590 +العلوية العلوية العلوية العلوية العلوية العلوية + +41 +00:02:58,590 --> 00:02:59,030 +العلوية العلوية العلوية العلوية العلوية العلوية + +42 +00:02:59,030 --> 00:03:01,510 +العلوية العلوية العلوية العلوية العلوية العلوية + +43 +00:03:01,510 --> 00:03:07,030 +العلوية العلوية العلوية + +44 +00:03:07,030 --> 00:03:12,460 +العلذلك لدينا هنا قطع أعلى وقطع أسفل لدينا هنا قطع + +45 +00:03:12,460 --> 00:03:17,940 +أسفل وقطع أسفل لدينا هنا قطع أسفل وقطع أسفل لدينا + +46 +00:03:17,940 --> 00:03:17,940 +هنا قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا + +47 +00:03:17,940 --> 00:03:19,320 +قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا قطع + +48 +00:03:19,320 --> 00:03:19,820 +أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا قطع أسفل + +49 +00:03:19,820 --> 00:03:24,320 +لدينا قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا + +50 +00:03:24,320 --> 00:03:32,660 +قطع أسفل لدينا قطع أسفل لدينا قطع أسفل لدينا ق + +51 +00:03:37,160 --> 00:03:41,460 +وبليك فيشير في مستوى الـ fifth rib في الاتصال + +52 +00:03:41,460 --> 00:03:46,240 +الأساسي المتوسط فهو قمت بتقسيم الحلقات الأعلى + +53 +00:03:46,240 --> 00:03:49,000 +والأعلى وحلقات الأوسط والأوسط + +54 +00:03:54,320 --> 00:03:58,840 +هذه المرحلة الاناطميكالية بينما في الجانب اليسار + +55 +00:03:58,840 --> 00:04:05,940 +لا يوجد فحر فقط فحر عضو فحر عضو فحر فحر فحر فحر + +56 +00:04:05,940 --> 00:04:06,280 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +57 +00:04:06,280 --> 00:04:08,940 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +58 +00:04:08,940 --> 00:04:13,700 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +59 +00:04:13,700 --> 00:04:14,040 +فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر فحر + +60 +00:04:14,040 --> 00:04:16,100 +فحر فحر فحر فحر فحر فحر فحر فحر + +61 +00:04:21,660 --> 00:04:31,320 +لذلك عندما وجدنا رأس بشكل مطلوب بشكل مطلوب بشكل + +62 +00:04:31,320 --> 00:04:31,340 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +63 +00:04:31,340 --> 00:04:33,620 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +64 +00:04:33,620 --> 00:04:34,300 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +65 +00:04:34,300 --> 00:04:34,340 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +66 +00:04:34,340 --> 00:04:36,700 +مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب + +67 +00:04:36,700 --> 00:04:42,020 +بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل مطلوب بشكل + +68 +00:04:42,020 --> 00:04:44,380 +مطلوب بشكل + +69 +00:04:53,410 --> 00:04:59,970 +هناك أسئلة عامة، أين تقوم بتجارب الـ right middle + +70 +00:04:59,970 --> 00:05:06,270 +loop عقلية؟ يعني خلال تجارب، تجارب، تجارب، تجارب، + +71 +00:05:06,270 --> 00:05:07,490 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +72 +00:05:07,490 --> 00:05:07,990 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +73 +00:05:07,990 --> 00:05:09,190 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +74 +00:05:09,190 --> 00:05:10,250 +تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، تجارب، + +75 +00:05:10,250 --> 00:05:19,010 +تجارب، تجارب، تجارب، تجارب، تجارب، تجاربهو ليس من + +76 +00:05:19,010 --> 00:05:22,890 +الخارج يعني إذا قمت بوضع سيطسكوبك من الخارج فهذا + +77 +00:05:22,890 --> 00:05:26,550 +غير صحيح لا نقوم بالتحقق من الـ middle loop من + +78 +00:05:26,550 --> 00:05:31,150 +الخارج لأنها موجودة من الـ fourth rib أعلى إلى الـ + +79 +00:05:31,150 --> 00:05:36,630 +sixth rib أعلى والfifth rib على الجانب الثلاثي + +80 +00:05:36,630 --> 00:05:41,330 +استخدمنا + +81 +00:05:41,330 --> 00:05:55,260 +الانجلانترالي انترالي انجل لوي انترالي + +82 +00:05:55,260 --> 00:05:59,840 +انترالي انترالي انترالي انترالي انترالي انترالي + +83 +00:05:59,840 --> 00:06:00,820 +انترالي انترالي انترالي انترالي انترالي انترالي + +84 +00:06:00,820 --> 00:06:02,540 +انترالي انترالي انترالي انترالي انترالي انترالي + +85 +00:06:02,540 --> 00:06:02,560 +انترالي انترالي انترالي انترالي انترالي انترالي + +86 +00:06:02,560 --> 00:06:02,560 +انترالي انترالي انترالي انترالي انترالي انترالي + +87 +00:06:02,560 --> 00:06:02,560 +انترالي انترالي انترالي انترالي انترالي انترالي + +88 +00:06:02,560 --> 00:06:08,120 +انترالي انترالي انترالي انترالي انترال + +89 +00:06:11,670 --> 00:06:20,070 +بمجرد تجارب عامة للطب اللذي يمتلئ الحرارة يوجد + +90 +00:06:20,070 --> 00:06:23,850 +ملاحظة عامة لذلك نستطيع أن نطلب من الطب أن يتجارب + +91 +00:06:23,850 --> 00:06:30,910 +هذا الطبيعي رسبراتوري أو يتجارب جسد هذا الطبيعي أو + +92 +00:06:30,910 --> 00:06:37,410 +يستمع إلى جسده لذلك يجب أن نعرف أن هناك تجارب عامة + +93 +00:06:37,410 --> 00:06:45,680 +للطبيعيتبدأ بالتجارة العامة ثم التجارة التجارية ثم + +94 +00:06:45,680 --> 00:06:47,880 +التجارة التجارية ثم التجارة التجارية ثم التجارة + +95 +00:06:47,880 --> 00:06:48,940 +التجارية ثم التجارة التجارية ثم التجارة التجارية + +96 +00:06:48,940 --> 00:06:50,280 +ثم التجارة التجارية ثم التجارة التجارية ثم التجارة + +97 +00:06:50,280 --> 00:06:57,540 +التجاريةقبل أن نبدأ، يجب أن نحصل على وانتظار + +98 +00:06:57,540 --> 00:07:02,980 +أساسي، وانتظار وانتظار وانتظار وانتظار وانتظار + +99 +00:07:02,980 --> 00:07:09,500 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +100 +00:07:09,500 --> 00:07:09,860 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +101 +00:07:09,860 --> 00:07:09,940 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +102 +00:07:09,940 --> 00:07:09,980 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +103 +00:07:09,980 --> 00:07:09,980 +وانتظار وانتظار وانتظار وانتظار وانتظار وانتظار + +104 +00:07:09,980 --> 00:07:17,320 +وانتظار وانتظار وانتظار وانتظار وانتظوهو يقوم + +105 +00:07:17,320 --> 00:07:23,800 +بإعطاء وإعادة الموضوع للطبيب للمقيمة لـ 45 درجة + +106 +00:07:23,800 --> 00:07:32,760 +يجب أن تخبر الموضوع بأنه في أي حالة تفاجأت أو + +107 +00:07:32,760 --> 00:07:34,780 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +108 +00:07:34,780 --> 00:07:36,600 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +109 +00:07:36,600 --> 00:07:37,360 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +110 +00:07:37,360 --> 00:07:39,640 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +111 +00:07:39,640 --> 00:07:41,500 +تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو تفاجأت أو + +112 +00:07:41,500 --> 00:07:48,530 +تفاجئالانتقال من خلال التجارة التجارية كما قلنا + +113 +00:07:48,530 --> 00:07:55,590 +علينا أن نقدم نفسنا ونشوف يدينا ونبدأ + +114 +00:07:55,590 --> 00:07:57,730 +بالتجارة العامة + +115 +00:08:00,640 --> 00:08:03,080 +Privacy of the patient should be important + +116 +00:08:03,080 --> 00:08:06,040 +Position of the patient should be 45 degree + +117 +00:08:06,040 --> 00:08:11,300 +Explain the examination and get the consent And it + +118 +00:08:11,300 --> 00:08:13,800 +should be also to maintain the privacy of the + +119 +00:08:13,800 --> 00:08:19,940 +patient General inspection You will inspect the + +120 +00:08:19,940 --> 00:08:22,900 +environment Very important to inspect the + +121 +00:08:22,900 --> 00:08:29,600 +environment of the patient If there is anyوإذا كان + +122 +00:08:29,600 --> 00:08:34,820 +هناك بيباب أو سيباب أو مستشعر بيباب أو سيباب أو + +123 +00:08:34,820 --> 00:08:37,640 +مستشعر بيباب أو سيباب أو مستشعر بيباب أو مستشعر + +124 +00:08:37,640 --> 00:08:39,040 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +125 +00:08:39,040 --> 00:08:40,300 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +126 +00:08:40,300 --> 00:08:41,940 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +127 +00:08:41,940 --> 00:08:41,960 +بيباب أو مستشعر بيباب أو مستشعر بيباب أو مستشعر + +128 +00:08:41,960 --> 00:08:44,980 +بيباب أو مستشعر بيbab أو مستشعر بيbab أو مستشعر + +129 +00:08:44,980 --> 00:08:48,420 +بيbab + +130 +00:08:48,420 --> 00:08:53,720 +أو + +131 +00:08:53,720 --> 00:09:01,220 +مستشعر بيbفي موضوع كاشنغ سندروم إذا كان الشخص + +132 +00:09:01,220 --> 00:09:04,880 +يتعامل بموضوع كاشنغ سندروم بسبب استخدام الكرونيكا + +133 +00:09:04,880 --> 00:09:09,520 +الستيرويد في الشخص اللذي يتعامل بالفيربروس والشخص + +134 +00:09:09,520 --> 00:09:11,080 +اللذي يتعامل بالشخص اللذي يتعامل بالشخص اللذي + +135 +00:09:11,080 --> 00:09:11,820 +يتعامل بالشخص اللذي يتعامل بالشخص اللذي يتعامل + +136 +00:09:11,820 --> 00:09:16,040 +بالشخص اللذي يتعامل بالشخص اللذي يتعامل بالشخص + +137 +00:09:16,040 --> 00:09:17,460 +اللذي يتعامل بالشخص اللذي يتعامل بالشخص اللذي + +138 +00:09:17,460 --> 00:09:22,200 +يتعامل بالشخص اللذي يتعامل بالشخص اللذي يتعامل + +139 +00:09:22,200 --> 00:09:24,500 +بالشخص اللذ + +140 +00:09:33,760 --> 00:09:42,580 +وانتقل إلى مستوى عملية بناء جسم عادل، هذا ايضا مهم + +141 +00:09:42,580 --> 00:09:42,620 +جدا + +142 +00:09:46,670 --> 00:09:49,410 +Using of accessory muscle if patient in + +143 +00:09:49,410 --> 00:09:52,330 +respiratory distress and his having respiratory + +144 +00:09:52,330 --> 00:09:57,910 +rate is high so you have to notice that by using + +145 +00:09:57,910 --> 00:10:02,870 +of accessory muscle Persleep breathing in patient + +146 +00:10:02,870 --> 00:10:08,890 +with severe emphysema or bronchitis COPDالطبيعي + +147 +00:10:08,890 --> 00:10:12,590 +سوف يمنع الحركة البرونكيلية من الانتقال باحتفاظ + +148 +00:10:12,590 --> 00:10:17,310 +بالدماء عالي في الهواء السليماني بمحاولة محاولة + +149 +00:10:17,310 --> 00:10:20,370 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +150 +00:10:20,370 --> 00:10:21,370 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +151 +00:10:21,370 --> 00:10:27,510 +محاولة محاولة محاولة محاولة محاولة محاولة محاولة + +152 +00:10:31,580 --> 00:10:33,160 +معرفة إشارة جسدية للموضوع بالموضوع بالموضوع + +153 +00:10:33,160 --> 00:10:36,660 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +154 +00:10:36,660 --> 00:10:41,200 +بالموضوع + +155 +00:10:41,200 --> 00:10:45,400 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +156 +00:10:45,400 --> 00:10:45,560 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +157 +00:10:45,560 --> 00:10:45,560 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +158 +00:10:45,560 --> 00:10:45,720 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +159 +00:10:45,720 --> 00:10:45,720 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +160 +00:10:45,720 --> 00:10:45,720 +بالموضوع بالموضوع بالموضوع بالموضوع بالموضوع + +161 +00:10:45,720 --> 00:10:49,020 +بالموضوع + +162 +00:10:49,020 --> 00:10:58,520 +بالموضوع بالموضوع + +163 +00:10:58,520 --> 00:10:58,680 +بال + +164 +00:11:01,990 --> 00:11:05,530 +يجب أن تسأل عن إشارة مهمة للطبيعي، برد حرارة، + +165 +00:11:05,530 --> 00:11:12,610 +تنبرتشال، رسبرتوريت أوكسيجين تباركة طبعا + +166 +00:11:12,610 --> 00:11:15,350 +الـ body build، الجسم العادل، يعتمد على عمره + +167 +00:11:15,350 --> 00:11:18,490 +ومعطلته، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +168 +00:11:18,490 --> 00:11:18,490 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +169 +00:11:18,490 --> 00:11:19,130 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +170 +00:11:19,130 --> 00:11:20,790 +وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، وعادلة، + +171 +00:11:20,790 --> 00:11:30,320 +وعادلة، وعادلة، وعادلة، وعادلة، وعادبلو بلوتر، + +172 +00:11:30,320 --> 00:11:34,360 +pink puffer، هذا محدث محدث للطب مع COPD، إذا كان + +173 +00:11:34,360 --> 00:11:39,060 +الطبيب عميق ولم يجرم الوحوش، سينوسس، و بافي آيلت + +174 +00:11:39,060 --> 00:11:44,420 +مع مصطلح البحر أو مصطلح البحر برسليب، هذا هو تغيير + +175 +00:11:44,420 --> 00:11:48,820 +الهواتف للخرونية البرونكايتس، pink puffer، الطبيب + +176 +00:11:48,820 --> 00:11:53,020 +سيمسك وسينوست، تغيير الهواتف بسبب تغيير + +177 +00:11:53,020 --> 00:11:55,880 +الانفيزيمات، تغيير انفيزيمات عظيمة + +178 +00:11:59,210 --> 00:12:05,330 +هذا ما ذكرته عن بلو بلوتر الشخص مغضب لديه نامة + +179 +00:12:05,330 --> 00:12:09,830 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +180 +00:12:09,830 --> 00:12:09,950 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +181 +00:12:09,950 --> 00:12:11,190 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +182 +00:12:11,190 --> 00:12:11,710 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +183 +00:12:11,710 --> 00:12:12,430 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +184 +00:12:12,430 --> 00:12:12,450 +نامة نامة نامة نامة نامة نامة نامة نامة نامة نامة + +185 +00:12:12,450 --> 00:12:17,790 +نامة نامة نامة نامة + +186 +00:12:17,790 --> 00:12:23,550 +نامة + +187 +00:12:23,550 --> 00:12:32,100 +نامثم يجب أن نقوم بالتجارب على الوجه كتابة + +188 +00:12:32,100 --> 00:12:39,000 +عامة في العين يجب أن نقوم بالتجارب على البلر يجب + +189 +00:12:39,000 --> 00:12:43,040 +أن نقوم بالتجارب على البلر + +190 +00:12:43,040 --> 00:12:49,320 +يجب أن نقوم بالتجارب على الجاندس يجب أن نقوم + +191 +00:12:49,320 --> 00:12:53,320 +بالتجارب على الجاندس يجب أن نقوم بالتجارب على + +192 +00:12:53,320 --> 00:12:57,910 +الجاندسأو الـ Unilateral ptosis, meiosis, + +193 +00:12:58,090 --> 00:13:03,210 +anhidrosis, inner thalamus هذا مهم جدًا في حالة + +194 +00:13:03,210 --> 00:13:13,670 +بانكوستومر أو مجموعة أعصاب الأعصاب الصحيحة هذا ما + +195 +00:13:13,670 --> 00:13:18,150 +ذكرناه أيضًا من الانيميا إذا كان هناك تغيير في + +196 +00:13:18,150 --> 00:13:26,400 +الكنجنكتالة أو الجندس تجارب الرأسالذي يتعلق + +197 +00:13:26,400 --> 00:13:31,340 +بالنظام الهوائي مردنس في الطب، الكوليزم، + +198 +00:13:31,340 --> 00:13:35,780 +ميترستينوسس ولكنه مهم جدًا هو الـ Lupus Perneum + +199 +00:13:35,780 --> 00:13:39,560 +وهو تدمير + +200 +00:13:39,560 --> 00:13:47,040 +الهيبرتروفي من الطب النازلي في حالة سركيلوزا، + +201 +00:13:47,040 --> 00:13:53,400 +سادلنوز في مريض مع الـGPA أو جرانيومتوسوس مع + +202 +00:13:53,400 --> 00:14:00,100 +بوليانجايتسمشغّل الانزاع في المريض باستخدام عضلات + +203 +00:14:00,100 --> 00:14:02,500 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +204 +00:14:02,500 --> 00:14:02,900 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +205 +00:14:02,900 --> 00:14:03,180 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +206 +00:14:03,180 --> 00:14:06,360 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +207 +00:14:06,360 --> 00:14:08,580 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو عضلات + +208 +00:14:08,580 --> 00:14:16,880 +مضغوطة أو عضلات مضغوطة أو عضلات مضغوطة أو + +209 +00:14:16,880 --> 00:14:21,550 +عضلات مضغعندما يكون هناك سيانوسس فعلا يجب أن نحقق + +210 +00:14:21,550 --> 00:14:28,670 +قنجينية قلبية مرضى، قرب المنال، مخاطر قلبية مرضى، + +211 +00:14:28,670 --> 00:14:30,310 +مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية + +212 +00:14:30,310 --> 00:14:30,350 +مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر + +213 +00:14:30,350 --> 00:14:31,270 +قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، + +214 +00:14:31,270 --> 00:14:33,670 +مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلبية + +215 +00:14:33,670 --> 00:14:36,170 +مرضى، مخاطر قلبية مرضى، مخاطر قلبية مرضى، مخاطر + +216 +00:14:36,170 --> 00:14:42,230 +قلبية مرضى، مخاطر قلبية مرضى، مخاطر قلب + +217 +00:14:47,400 --> 00:14:50,820 +الدفينيشن لـ central cyanosis هو عموماً من الأسئلة + +218 +00:14:50,820 --> 00:14:55,940 +في مجال التجارب وهو بلوحية تسليرات لبس ميوكاس + +219 +00:14:55,940 --> 00:15:01,840 +ميبريهين بسبب تقليل الهيموجلوبين من 5 جرام بالمئة + +220 +00:15:01,840 --> 00:15:09,280 +أو 50 جرام بالمئة طبعاً بيكون 1-2 جرام بالمئة من + +221 +00:15:09,280 --> 00:15:14,260 +هذا التقليل الهيموجلوبين طبعاً في المريض يوجد + +222 +00:15:14,260 --> 00:15:19,250 +أسئلة أخرى لا يمكنكسيانوسيس في عمل عمل عمل عمل عمل + +223 +00:15:19,250 --> 00:15:20,290 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +224 +00:15:20,290 --> 00:15:25,510 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +225 +00:15:25,510 --> 00:15:26,790 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +226 +00:15:26,790 --> 00:15:26,850 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +227 +00:15:26,850 --> 00:15:26,850 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +228 +00:15:26,850 --> 00:15:27,390 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +229 +00:15:27,390 --> 00:15:27,950 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +230 +00:15:27,950 --> 00:15:29,970 +عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل عمل + +231 +00:15:29,970 --> 00:15:36,310 +عمل عمل عمل عمل عمل عمل عمل عمل + +232 +00:15:43,240 --> 00:15:46,700 +وهي الـ central و الـ peripheral، الـ cyanosis الـ + +233 +00:15:46,700 --> 00:15:50,500 +blood leaving the heart already contain the + +234 +00:15:50,500 --> 00:15:57,640 +reduced hemoglobin سكندريبوليسايثيميا، + +235 +00:15:57,640 --> 00:16:02,740 +congenital heart disease، carbal monal, cauching + +236 +00:16:02,740 --> 00:16:06,580 +syndrome, renal cell carcinoma، and balmonary + +237 +00:16:06,580 --> 00:16:10,560 +edema, methamoglobin or methamoglobinemia + +238 +00:16:12,500 --> 00:16:18,080 +بالنسبة للسيانوسيا، للمريض لا يوجد قيمة كافية + +239 +00:16:18,080 --> 00:16:20,420 +لتقليل الهيموجلوبين، الدم اللي يخرج من الدم يحتوي + +240 +00:16:20,420 --> 00:16:27,640 +على قيمة كافية لتقليل الهيموجلوبين، ولكن بسبب + +241 +00:16:28,620 --> 00:16:32,740 +الخطوط التركيزية للتركيزية فيما يصل إلى تجارب + +242 +00:16:32,740 --> 00:16:36,320 +البرفيرال تجارب التجارب تجارب التجارب تجارب + +243 +00:16:36,320 --> 00:16:36,960 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +244 +00:16:36,960 --> 00:16:37,540 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +245 +00:16:37,540 --> 00:16:40,340 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +246 +00:16:40,340 --> 00:16:40,440 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +247 +00:16:40,440 --> 00:16:40,680 +التجارب تجارب التجارب تجارب التجارب تجارب التجارب + +248 +00:16:40,680 --> 00:16:48,420 +تجارب التجارب تجارب التجارب تجارب التجارب تجارب + +249 +00:16:48,420 --> 00:16:54,460 +التجارب تج + +250 +00:16:54,680 --> 00:16:57,160 +الـ Preferral Vascular Disease، الرنو ديزيز، + +251 +00:16:57,160 --> 00:17:03,760 +بيرجار أو أكروسينوسس أو في الـ cold weather كيف + +252 +00:17:03,760 --> 00:17:07,460 +تختار بين الـ Central و الـ Preferral Sinosis؟ + +253 +00:17:07,460 --> 00:17:11,300 +عادةً الجانب الـ Central Sinosis تحت أعضاء اللغة + +254 +00:17:11,300 --> 00:17:14,480 +الـ Preferral Sinosis دائما في الـ extremity، في + +255 +00:17:14,480 --> 00:17:18,540 +الـ hand و الـ nose و الـ nail، البدء في الـ + +256 +00:17:18,540 --> 00:17:23,080 +Central Sinosis، الـ temperature is normal or hot + +257 +00:17:24,680 --> 00:17:29,280 +بينما في بريفرال سيانوسيس مطلوب ومطلوب بهم + +258 +00:17:29,280 --> 00:17:32,320 +السيانوسيس المركزي عامة مرتبط بكلابة في مرض قلوب + +259 +00:17:32,320 --> 00:17:37,040 +عقلية بما أنه غير موجود في بريفرال سيانوسيس + +260 +00:17:37,040 --> 00:17:38,980 +المركزيس المركزيس المركزيس المركزيس مركزيس مركزيس + +261 +00:17:38,980 --> 00:17:39,300 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +262 +00:17:39,300 --> 00:17:39,340 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +263 +00:17:39,340 --> 00:17:41,740 +مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس مركزيس + +264 +00:17:41,740 --> 00:17:51,300 +مركزيس مركز + +265 +00:17:51,490 --> 00:17:55,110 +إذا قمت بإعطاء الهواء للسيانوس البرفيرال ، لن يكون + +266 +00:17:55,110 --> 00:18:03,570 +هناك إحتياجات ثم نحن نجمع الجلد كجزء + +267 +00:18:03,570 --> 00:18:08,470 +من تجارب عامة يجب أن نركز على الـ GVB جاغولر فينسا + +268 +00:18:08,470 --> 00:18:15,030 +البراشر اللي هو تحقيق الضغط الـ GVB في الجوانب + +269 +00:18:15,030 --> 00:18:20,810 +الداخلية الجاغولر اللي هو مصدر للأسترنجليدوماستايد + +270 +00:18:23,090 --> 00:18:27,930 +وكانت تجعلنا نغيّر الوضع في الجسم اليساري خلال + +271 +00:18:27,930 --> 00:18:32,490 +عملية عملية الـ cardiac cycleوهو مهم جدًا لتحقق + +272 +00:18:32,490 --> 00:18:40,470 +أيضًا أن هناك تحقيق محدود لتحقيق الـ GVB ومن خلال + +273 +00:18:40,470 --> 00:18:46,510 +الـ Rural نستطيع أيضًا تحقيقه من الجانب الثانوي + +274 +00:18:46,510 --> 00:18:55,990 +ومن المقارنة بين الـ GVB ومقارنة التجارببإمكاننا + +275 +00:18:55,990 --> 00:19:05,330 +أيضًا إضافة 5 سنتيمتر لتخصيصها عادةً أعلى من 3 + +276 +00:19:05,330 --> 00:19:13,510 +سنتيمتر يمكن أن يكون ايضًا اعتبار كإزالة + +277 +00:19:13,510 --> 00:19:19,830 +الاختبارات الأخرى أيضًا في الجلد نحن نحفظ للنمط + +278 +00:19:20,290 --> 00:19:25,250 +Lymph node size, consistency, border if it is + +279 +00:19:25,250 --> 00:19:30,630 +tender or not, matted in case of TB and if there + +280 +00:19:30,630 --> 00:19:35,550 +is also presence or absence of sinuses هنا الـ GVB + +281 +00:19:35,550 --> 00:19:38,170 +زي ما احنا ملاحظين medial to the + +282 +00:19:38,170 --> 00:19:43,630 +sternocleidomastoid and we check the internal + +283 +00:19:43,630 --> 00:19:48,190 +jugular vein not the external jugular vein وبنشوف + +284 +00:19:48,620 --> 00:19:56,640 +الطبيعي يجب ان يضع الطبيعي في 45 درجة و نحن نتكلم + +285 +00:19:56,640 --> 00:20:07,340 +عن هذا و عن الفرصة بين ال GVB و الانجل + +286 +00:20:07,340 --> 00:20:16,720 +الخارجي ثم نضع 5 سنتيمترIn case of congested neck + +287 +00:20:16,720 --> 00:20:19,360 +vein and superior vena cava, thrombosis, aortic + +288 +00:20:19,360 --> 00:20:23,620 +aneurysm, mediastinal tumor usually this is + +289 +00:20:23,620 --> 00:20:25,760 +associated with dilated superficial vein in the + +290 +00:20:25,760 --> 00:20:29,720 +chest wall this is a case of dilated superficial + +291 +00:20:29,720 --> 00:20:32,120 +vein in the chest wall and superior vena cava + +292 +00:20:32,120 --> 00:20:35,900 +obstruction this is congested vein bilaterally as + +293 +00:20:35,900 --> 00:20:40,540 +we noticed here lymph + +294 +00:20:40,540 --> 00:20:46,640 +nodeالتجارة المهمة للتجارة هي تجارة سكاليني + +295 +00:20:46,640 --> 00:20:54,400 +لينفنود ورسباراتوري تجارة بانكوستيومر التي تدرس في + +296 +00:20:54,400 --> 00:20:58,000 +الجانب اليسرى سكاليني سوبرا كلافيكولر لينفنود + +297 +00:20:58,000 --> 00:21:02,840 +سنجعل المستخدم يدفع رأسه قليلا إلى الجانب اليسرى + +298 +00:21:02,840 --> 00:21:09,040 +لكي يقوم بالتحرير أو الترهيب على الفاشية لكي يتحرر + +299 +00:21:09,040 --> 00:21:15,220 +من أجل سوبرا كلافيكولر لينفنودالمهم أيضًا أن نلاحظ + +300 +00:21:15,220 --> 00:21:19,300 +أننا نستخدم الـ Lymph node من الموقع التلقائي، + +301 +00:21:19,300 --> 00:21:23,660 +الدكتور يجب أن يكون في مقع المريض، ثم يبدأ بالتحقق + +302 +00:21:23,660 --> 00:21:26,800 +من الموقع التلقائي من الموقع التلقائي من الموقع + +303 +00:21:26,800 --> 00:21:28,300 +التلقائي من الموقع التلقائي من الموقع التلقائي من + +304 +00:21:28,300 --> 00:21:28,720 +الموقع التلقائي من الموقع التلقائي من الموقع + +305 +00:21:28,720 --> 00:21:31,360 +التلقائي من الموقع التلقائي من الموقع التلقائي من + +306 +00:21:31,360 --> 00:21:31,900 +الموقع التلقائي من الموقع التلقائي من الموقع + +307 +00:21:31,900 --> 00:21:31,920 +التلقائي من الموقع التلقائي من الموقع التلقائي من + +308 +00:21:31,920 --> 00:21:36,520 +الموقع التلقائي من الموقع التلقائي من + +309 +00:21:36,520 --> 00:21:40,990 +الموقع التلقائي من المالـ Preauricular, Occipital, + +310 +00:21:41,470 --> 00:21:50,790 +Anterior and Posterior Triangle lymph node تجارب + +311 +00:21:50,790 --> 00:22:00,170 +اليد أيضًا مهمة يعني نحن لدينا تجارب لـ nicotine + +312 +00:22:00,170 --> 00:22:06,520 +stainطبعا اطلب من المستخدم ان يقوم بتحريك يده من + +313 +00:22:06,520 --> 00:22:15,640 +خلال يده من خلال يدهلتحمل يديه بمساعدته من الخطوط + +314 +00:22:15,640 --> 00:22:20,100 +الخارجية ومساعدته من يده وانتقل للـ Flapping + +315 +00:22:20,100 --> 00:22:25,180 +Tremor Flapping Tremor يعني أن هناك خطأ روحاني، + +316 +00:22:25,180 --> 00:22:30,200 +خطأ روحاني كبير كابنيكي، او اي خطأ عقلي كبير، خطأ + +317 +00:22:30,200 --> 00:22:35,340 +عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ + +318 +00:22:35,340 --> 00:22:39,240 +عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي، خطأ عقلي،إذا + +319 +00:22:39,240 --> 00:22:41,600 +كان الشخص مصاب بالكوماتوز ولم يكن ممكن أن يقوم + +320 +00:22:41,600 --> 00:22:45,500 +بإدعاء الشخص لإدعاءه كيف يسترخي يديه، يمكنك + +321 +00:22:45,500 --> 00:22:48,760 +الإستخلاص بإطلاقًا أن تطلب من الشخص أن يقوم بتحريك + +322 +00:22:48,760 --> 00:22:54,940 +يديك ويقوم بتحريك يديه لتحافظ على حافظته لثلاثة + +323 +00:22:54,940 --> 00:22:58,580 +إلى ستة ثانية ثانية ثانية، الشخص اللذي يشجعك بكثير + +324 +00:22:58,580 --> 00:23:03,300 +لا يستطيع تحافظ على حافظته كما ذكرنا، يمكنك أيضًا + +325 +00:23:03,300 --> 00:23:10,030 +تحفظ نيكوتين أو تارستينالخطوط الساقية بالماريثما + +326 +00:23:10,030 --> 00:23:11,970 +بالماريثما بالماريثما بالماريثما بالماريثما + +327 +00:23:11,970 --> 00:23:12,130 +بالماريثما بالماريثما بالماريثما بالماريثما + +328 +00:23:12,130 --> 00:23:12,630 +بالماريثما بالماريثما بالماريثما بالماريثما + +329 +00:23:12,630 --> 00:23:12,870 +بالماريثما بالماريثما بالماريثما بالماريثما + +330 +00:23:12,870 --> 00:23:13,530 +بالماريثما بالماريثما بالماريثما بالماريثما + +331 +00:23:13,530 --> 00:23:14,250 +بالماريثما بالماريثما بالماريثما بالماريثما + +332 +00:23:14,250 --> 00:23:16,530 +بالماريثما بالماريثما بالماريثما بالماريثما + +333 +00:23:16,530 --> 00:23:20,250 +بالماريثما بالماريثما بالماريثما بالماريثما + +334 +00:23:20,250 --> 00:23:26,210 +بالماريثما بالماريثما + +335 +00:23:26,210 --> 00:23:29,030 +بالماريث + +336 +00:23:30,780 --> 00:23:34,320 +أو الـ Asymmetrical muscle wasting في الصدر الصغير + +337 +00:23:34,320 --> 00:23:35,000 +الصدر الصغير الصغير الصغير الصغير الصغير الصغير + +338 +00:23:35,000 --> 00:23:37,640 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +339 +00:23:37,640 --> 00:23:41,020 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +340 +00:23:41,020 --> 00:23:42,800 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +341 +00:23:42,800 --> 00:23:48,680 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +342 +00:23:48,680 --> 00:23:48,800 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +343 +00:23:48,800 --> 00:23:48,960 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +344 +00:23:48,960 --> 00:23:53,720 +الصغير الصغير الصغير + +345 +00:23:53,720 --> 00:23:53,740 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +346 +00:23:53,740 --> 00:23:54,060 +الصغير الصغير الصغير الصغير الصغير الصغير الصغير + +347 +00:23:54,060 --> 00:24:00,000 +الصغير الصغير الصغير الصوفي حالة مصابة مصابة مصابة + +348 +00:24:00,000 --> 00:24:00,580 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +349 +00:24:00,580 --> 00:24:05,120 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +350 +00:24:05,120 --> 00:24:09,880 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +351 +00:24:09,880 --> 00:24:10,240 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +352 +00:24:10,240 --> 00:24:11,280 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +353 +00:24:11,280 --> 00:24:12,960 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +354 +00:24:12,960 --> 00:24:20,420 +مصابة مصابة مصابة مصاب + +355 +00:24:23,750 --> 00:24:26,110 +طبعا الـ definition of clubbing of the finger it + +356 +00:24:26,110 --> 00:24:30,110 +is a pelvis enlargement of the soft tissue of the + +357 +00:24:30,110 --> 00:24:34,230 +terminal phalange which over the curving of the + +358 +00:24:34,230 --> 00:24:38,390 +nail bed there is several degree first degree, + +359 +00:24:38,530 --> 00:24:43,090 +second and third and fourthأول مرحلة كانت تحرر + +360 +00:24:43,090 --> 00:24:49,990 +تحرير الـ nail bed فقط كانوا يقومون بالتحرير من + +361 +00:24:49,990 --> 00:24:53,430 +خلال الـ index finger لتحرير كلا الجزء من الجزء من + +362 +00:24:53,430 --> 00:24:55,210 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +363 +00:24:55,210 --> 00:24:57,230 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +364 +00:24:57,230 --> 00:24:57,530 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +365 +00:24:57,530 --> 00:25:02,330 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +366 +00:25:02,330 --> 00:25:04,770 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +367 +00:25:04,770 --> 00:25:04,930 +من الجزء من الجزء من الجزء من الجزء من الجزء من + +368 +00:25:04,930 --> 00:25:04,990 +الجزء من الجزء من الجزء من الجزء من الجزء من الجزء + +369 +00:25:04,990 --> 00:25:11,360 +من الجزء من الجزء من الجزء منالثالث درجة تزيد عقل + +370 +00:25:11,360 --> 00:25:15,600 +الانجل + +371 +00:25:15,600 --> 00:25:21,860 +أو مقار + +372 +00:25:21,860 --> 00:25:31,820 +الببغاء والثالث درجة دراميستيك أببيرنز اللي احنا + +373 +00:25:31,820 --> 00:25:36,270 +شايفينها في الصورةالـ Fifth degree بعض الأحيان في + +374 +00:25:36,270 --> 00:25:38,470 +بعض اللي كنت بتلقى عليها كمان في Fifth degree اللي + +375 +00:25:38,470 --> 00:25:41,470 +هو يكون بلمونري أوستيو أرثرو باثي الناس اللي بيكون + +376 +00:25:41,470 --> 00:25:47,810 +عندهم في الـ long standing disease + +377 +00:25:47,810 --> 00:25:52,050 +أو sometimes in case of lung cancer widening and + +378 +00:25:52,050 --> 00:25:54,810 +thickening of the end of the lung bone بيسموها + +379 +00:25:54,810 --> 00:26:01,740 +بلمونري أوستيو أرثرو باثيهنا موجودة اللي هي شام + +380 +00:26:01,740 --> 00:26:09,840 +روث ويندوز absent common + +381 +00:26:09,840 --> 00:26:13,140 +questions what is the cause of unilateral finger + +382 +00:26:13,140 --> 00:26:18,440 +clubbing cervical rib pancostume and aortic + +383 +00:26:18,440 --> 00:26:23,360 +aneurysm infantile cortication of aorta if there + +384 +00:26:23,360 --> 00:26:26,730 +is only clubbing in the lower limb onlyهو بيسموها + +385 +00:26:26,730 --> 00:26:29,430 +الـ differential clubbing، بيكون دايماً في + +386 +00:26:29,430 --> 00:26:33,850 +الـEisenmenger بيتاندكتاس أرتيوزيز أو Infantile + +387 +00:26:33,850 --> 00:26:37,370 +Coartication of the aorta Reversible clubbing، + +388 +00:26:37,370 --> 00:26:40,470 +what is the causes of reversible clubbing؟ الـ + +389 +00:26:40,470 --> 00:26:45,430 +mesothelioma, 5 plus 9، the patient will have a + +390 +00:26:45,430 --> 00:26:49,150 +subside of the clubbing after surgical removal of + +391 +00:26:49,150 --> 00:26:49,810 +the tumor + +392 +00:26:52,630 --> 00:26:58,410 +كما رأينا هنا أساسي الـ clubbing هو بلمونريكوز + +393 +00:26:58,410 --> 00:27:05,730 +ثوراسيكوز 70% of lung cancer سبيرتف لغوية + +394 +00:27:05,730 --> 00:27:14,210 +برانككتسيس لغوية أبسس انفايمة انفلاميشن او انفقت + +395 +00:27:14,210 --> 00:27:19,630 +برزنس انفقت بلورال فيجد بلورال كافيتى + +396 +00:27:22,040 --> 00:27:25,580 +كلها تحت الـ band اللي هو Chronic Separative Lung + +397 +00:27:25,580 --> 00:27:28,680 +Disease الـ Mesothelioma، الـ Lung Tumour، الـ + +398 +00:27:28,680 --> 00:27:33,200 +Fibroma، الـ Pulmonary Fibrosis أيضًا مسبب عام لـ + +399 +00:27:33,200 --> 00:27:37,000 +Finger Clubbing وفيه برضه الـ Cardiovascular + +400 +00:27:37,000 --> 00:27:40,280 +Causes اللي هي Cyanotic Congenital Heart Disease، + +401 +00:27:40,280 --> 00:27:43,680 +Infective Endogarditis، Arteryovenous + +402 +00:27:43,680 --> 00:27:47,260 +Chantereauaneurysm، والـ Gastrointestinal Causes + +403 +00:27:47,260 --> 00:27:49,920 +of Finger Clubbing، Serrosis، Inflammatory Bowel + +404 +00:27:49,920 --> 00:27:53,510 +Disease، Celiac Disease،والاخرى مثلًا + +405 +00:27:53,510 --> 00:28:20,730 +كثيروتوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكوكسيكو + +406 +00:28:21,470 --> 00:28:25,670 +يجب أن تقابل الشخص في نهاية الـ PIT إتصال عيني + +407 +00:28:25,670 --> 00:28:30,850 +عيني إذا كان الشخص يشعر بالصعوبة أو ليس كذلك فانت + +408 +00:28:30,850 --> 00:28:36,550 +تضغط لـ 10 ثانية أو 15 ثانية لـ Pitting Edema إذا + +409 +00:28:36,550 --> 00:28:40,970 +كانت مجموعة أو مجموعة Pitting أو لا Pitting أيضًا + +410 +00:28:40,970 --> 00:28:47,530 +مهم جدًا لتعامل مع ذلك هنا زي ما احنا ملاحظين يعني + +411 +00:28:47,530 --> 00:28:54,700 +في Pitting Edemaوهو الـ Unilateral Right Leg + +412 +00:28:54,700 --> 00:29:00,300 +Swollen من المفهوم انه قد يكون Deep Venous + +413 +00:29:00,300 --> 00:29:07,020 +Thrombosis او انفلام او رابشار بيكرسيستر اللاورليب + +414 +00:29:07,020 --> 00:29:14,180 +ايضا مرتبط بالتحقق ممكن تحققه من الارثماندوزم في + +415 +00:29:14,180 --> 00:29:25,130 +خطوط الانترال من اللقاحأو مصابة صعبة مثل هذه + +416 +00:29:25,130 --> 00:29:31,610 +مرتبطة بـ Sarcoidosis إكتشاف + +417 +00:29:31,610 --> 00:29:33,070 +أكثر بلمونية لعنوان مصابة مصابة مصابة مصابة مصابة + +418 +00:29:33,070 --> 00:29:34,650 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +419 +00:29:34,650 --> 00:29:35,630 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +420 +00:29:35,630 --> 00:29:35,710 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +421 +00:29:35,710 --> 00:29:36,970 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +422 +00:29:36,970 --> 00:29:40,310 +مصابة مصابة مصابة مصابة مصابة مصابة مصابة مصابة + +423 +00:29:40,310 --> 00:29:46,970 +مصابةهياليو تراب راش في الأيه او ميكانيكا هاند + +424 +00:29:46,970 --> 00:29:52,250 +كراكينج او فشارينج هاند + +425 +00:29:52,250 --> 00:29:54,530 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +426 +00:29:54,530 --> 00:29:54,930 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +427 +00:29:54,930 --> 00:29:56,190 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +428 +00:29:56,190 --> 00:29:56,190 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +429 +00:29:56,190 --> 00:29:56,190 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +430 +00:29:56,190 --> 00:29:56,190 +هاند هاند هاند هاند هاند هاند هاند هاند هاند هاند + +431 +00:29:56,190 --> 00:30:10,530 +هاند + +432 +00:30:10,530 --> 00:30:13,660 +هالعنوان التراثيسية والعنوان التراثيسية والعنوان + +433 +00:30:13,660 --> 00:30:14,220 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +434 +00:30:14,220 --> 00:30:15,560 +والعنوان التراثيسية والعنوان التراثيسية والعنوان + +435 +00:30:15,560 --> 00:30:16,080 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +436 +00:30:16,080 --> 00:30:17,640 +والعنوان التراثيسية والعنوان التراثيسية والعنوان + +437 +00:30:17,640 --> 00:30:20,520 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +438 +00:30:20,520 --> 00:30:23,660 +والعنوان + +439 +00:30:23,660 --> 00:30:33,200 +التراثيسية والعنوان التراثيسية والعنوان التراثيسية + +440 +00:30:33,200 --> 00:30:39,020 +والعنوان + +441 +00:30:39,020 --> 00:30:43,780 +الترا�سيبتال دي فييشين أو أحيانًا يمكننا أن نجد + +442 +00:30:43,780 --> 00:30:48,520 +مصطلح CPAP اللي هو الـ non-invasive ventilator + +443 +00:30:48,520 --> 00:30:54,360 +بجانب مصطلح البيت الشخصي أيضًا، + +444 +00:30:54,360 --> 00:30:58,240 +هذا أيضًا دياغرام للتجارب التجاربية للشخص الشخصي + +445 +00:30:58,240 --> 00:31:01,360 +الشخصي + +446 +00:31:01,360 --> 00:31:04,220 +بحرمة، يمكننا أن نتفاقر بالإنفاق + +447 +00:31:08,970 --> 00:31:12,510 +راش في الـ sarcoidosis، ريتموندوزام في الـ + +448 +00:31:12,510 --> 00:31:17,070 +connective tissue disease، الـ peak nose في الـ + +449 +00:31:17,070 --> 00:31:22,850 +scleroderma، الـ keratoconjunctivitis، سيكا، + +450 +00:31:22,850 --> 00:31:28,030 +جوجراند، نيوفيهيتس، رينودفنومينة، لمفا دينوباتي. + +451 +00:31:28,550 --> 00:31:33,610 +This is also a systemic sign of diffuse + +452 +00:31:33,610 --> 00:31:36,350 +parenchymal lung disease. +