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37 Cards in this Set
- Front
- Back
- 3rd side (hint)
Provisional diagnosis |
Plain chest X-ray PA view. Pneumoperitoneum. Perforated viscus. |
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Clinical picture |
4 stages + hurt burn |
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provisional diagnosis |
Acute breast abscess |
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Clinical picture |
- Severe breast pain - foul discharge - retracted nipple - redness, swelling, fever, malaise |
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Treatment |
- Incision and drainage - IV broad spectrum antibiotics - Analgesics - Cold fomentations - IV fluid if there is septicemia. |
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provisional diagnosis |
- Peptic Ulcer on Barium meal study. - Soup dish sign due to pyloric stenosis. - Partial obstruction as minimal contrast pass through pylorus
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Investigations |
Upper GI: Barium meal Endoscopy |
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Management n treatment |
Control of predisposing factors: diet, sedatives, smoke Mild & Moderate: Antacid H2 blockers PPI Severe: Surgery, gastric emptying by NGT >> Resuscitation Vagotomy >>TV, SV, HSV |
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Diagnosis |
Exo-ophthalmos goiter; Proptosis Thyrotoxicosis. |
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Treatment |
- anti-thyroid drugs - radioactive iodine - thyroid ectomy |
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name n types of operation |
Vagotomy: - tuncal - selective - highly selective |
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SB tube sengstaken-blackmore |
Control GI bleeding (esophageal varices in portal hypotension) |
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Indications of incision |
- Acute appendicitis - Appendectomy - Hernia repair - Bowel resection |
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Ring forceps |
Holding tubular structures; (appendix n bowel) |
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name of incision |
Cosmetic Lanz |
1ary heal intention; sutured healed wound + linear incision + no gaps / swelling |
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Eye signs |
Mobius Jell ink Rosen bach Von grafe / Stell wag Topolan sky / Dal rymple |
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expansile cough impulse after 3 months |
Postoperative Incisional Hernia (due to bad closure technique especially of external oblique muscle and its aponeurosis) |
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Treatment of each |
A- Umbilical Hernia: reassurance & follow up conservative ttt within 1-2 yrs. surgery after 4-6 yrs. B- Scrotal Hydrocele: - surgery after 2yrs; excision of hydrocele, herinotomy. |
spontaneous healing in 1-2 yrs |
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pathology of hydrocele? |
Patent narrow neck of processus vaginalis after birth. Accumulation of fluid in tunica vaginalis. |
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Name of structures n marked item |
- Appendix - Fecalith |
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complications |
- Perforated appendix - Appendicular mass formation (phlegmon, abscess) |
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S. Anatomy of POINT of max. pain n tenderness |
McBurney's point; 2/3 distance between Umbilicus & ASIS |
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sign in X-ray |
- Distended bowel + MAFL (intestinal obstruction) - Erect plain X-ray PA view over abdomen and pelvis. |
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diagnosis |
A- Umbilical Hernia (cong.) B- Scrotal Hydrocele (bi cong.) |
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Expect pathology in distal ileum or duodenum? |
Distal ileum (MAFL) ××duodenal (double bubble)×× |
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Stages of wound healing |
1- Blood clot = hemostasis 2- Acute Infl. = inflammatory 3- Infl. response = prolif. phase 3 - 21ds 4- Maturation, Remodeling, Scar 3w - 1yr |
3rd degree burn |
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Types of Wound acc to depth |
- Superficial (epidermis) - Partial thickness (+ dermis) - Full thickness (+ subcutaneous) - Deep (+ muscle, bone, organs) |
3rd degree burn |
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systemic factors affect wound |
- age, gender, sex hormones - stress, smoke, alcohol, obesity - nutrition - diseases, ischemia, immune |
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Babcock forceps |
holding tubular structures |
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types of wound healing here |
1ry intention (mouth; ryt angle) 2ry intention (cheek; under eye) |
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Foley's catheter |
urine drainage in urine retention. |
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causes |
Tumor Adhesions Strangulated hernia Foreign body Intussusception |
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Clinical picture |
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