Mohabbat ki tabbiyat mei....yeh kaisa bachpana qudrat nai rakha hai

MOHABBAT KI TABIYAT ..

Mohabbat ki tabiyat main ye kaisa bachpana qudrat nai rakha hai?.
Keh ye jitni purani jitni bhi mazboot ho jay,,,,,

Isay tayed e taza ki zaroorat phir bhi rehti hay,,,,
Yaqeen ki aakhri hadon tak dilon main lehlahati ho!

Nigahoon say tapakti ho,,lahoo main jagmagati ho!
Hazaroon terah kay dilkash ,,haseen halay banati ho!

Isay izhaar kay lafzoon ki hajat phir bhi rehti hai,,

Mohabbat mangti hai yoon gawahi apnay honay ki
Keh jaisay tifl e saada sham ko aik beej boay

Aur shabb main baarha utthay ,,
Zameen ko khod kar dekhay ,keh poda ab kahan tak hai,,

Mohabbat ki tabiyat main ajab takrar ki khoo hai?

Keh ye iqrar kay lafzoon ko sunnay say nahi thakti,,
Bichadrnay ki ghadri ho ,ya koi milnay ki saat ho

Isay bas aik hi dhun hai
Kaho mujh say mohabbat hai
Kaho mujh say mohabbat hai
Tumhayn mujh say mohabbat hai,

Samandar say kahin gehri,sitaron say siwa roshan
Piyaron ki terah qaym ,,hawaon ki terah daym,

Zameen say aasmaan tak jis qadar achhay manazir hain
Mohabbat kay kanary hain wafa kay isteaaray hain,,hamaray hain,

Hamaray wastay ye chandni ratayn sanwerti hain,sunehra din nikalta hai,
Mohabbat jis taraf jay zamana sath chalta hai,

Kuch aisi besakooni hai wafa ki sar zameenon main
Jo ehl e mohabbat ko sada bechain rakhti hai,

Keh jaisay phool main khushboo,,
Keh jaisay haath main para
Keh jaisay shaam ka tara

Mohabbat karnay walon ki sehar raton main rehti hai
Gumaan kay shakhchon main aashiyan banta hai ulfat ka

Ye ain wisal main bhi hijar kay khadshoon main rehti hai
Mohabbat kay musafir zindagi jab kaat chuktay hain

Thakan ki kirchiyan chunnay wafa ki ajrakayn pehnay
Samay ki rahguzar ki aakhri sarhad pe ruktay hain

To koi tootti sansoon ki dosri thaam kar
Dheeray say kehta hai,,

Yeh sach hai na ,,,,,,,!!!!
Hamari zindagi aik dosray kay naam likhi thi!!!!

Dhundalka sa jo aankhon kay qareeb o door phela hai
Isi ka naam chahat hai

Tumhayn mujh say mohabbat thi
Tumhayn mujh say mohabbat hai,

Scars and their examination

Development : Developmental assessment of older than 1 year

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Development explaining

Development : Developmental assessment of neonate and infant

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Respiratory system tables

This summer is so fun

It was dark, silent night
Just wind blew around
and hustle we heard
My plant had its leaves
green but dusty
I had watered it in the morning
but the leaves needed washing
In the hot summer day
they needed refreshment
So as it blew strong
and stronger,
It brought with it more darkness
The dark clouds,and
the bright lightening!
It was a thunderstorm!
And then it rained for
a few moments!
It poured on everything
but happiest amongst all
was my golden fistula
It showered and the greenery restored!
It showered and the happiness restored!
The days are warm
but the nights are cold,
This summer is so fun !
Long days!
Long nights!
Strong brightness &
deep darkness !
This summer is so fun!

Scheme for assessing pedigree inheritance autosomal

General eeg sketch

Rainy Lahore !

Amidst harsh summers, here are rains again !
With windy lahore, heres no need to even turn on fans !
Gentle sunshine, cloudy days , and rainy nights !
Lahore is love !

Aplastic anemia protocol kemu

CVS examination Pearls

VSD Large vs VSD Small

pericardial bulge    | no bulge
blowing character  |   harsh character
no thrill                  | thrill may be there
Lt ParaSternalHeave| no heave
Loud P2                 | S2 normal
2/6 intensity           |  Grade IV murmur(with thrill)
FTT                        | 


With all murmurs the associated heart sound is of soft or absent,
except that with MS it is LOUD S1
And so,
with MR it is soft S1,
AR soft S2
AS soft S2
PS soft S2
PR soft P2

but since PR may be associated with pulmonary hypertension, so there may be Loud P2.

And Oh, all murmurs have HIGH pitch except MS murmur which has low pitch .


ASD fixed splitting of S2
AS reverSe splitting


Pink TOF behaves like VSD., (same pneumonias?, and examiantion findings)

AR when to operate:
symptoms of Angina
symptoms of Exertional dyspnea
Falling EF

When to Operate in MR:
EF < 60%
FTT
Pul HTN
CCF refractory to medical treatment

Respiratory exam / pleural effusion

Pleural fluid d/d
Collapse with onstructed bronchus
Empyema
Parapneumonic effusions

Consolidation d/d
Collapse with patent bronshus
Fibrosis is d/d of consolidation
Fibrosis will habe chr lung disease sihlgns such clubbing, ftt, pul htn,rv hypertrophy,

My findings are localized