Surgery

Assays سنتنا -Complication of laparoscopy -Mx of acute pancreatitis -obstructive jaundice -wound classification -open fracture management ( يمكن جان tibia ) - DDH (rules of splintage in ddh) مكتوبه بالملزمة three gulden rules من تريد تخلي splintage -painless testicular mass management (answer :- testicular cancer) اجباري -prostate cancer metastasis management اجباري

اجوبة الmcq جراحة سنتنا

Atls > surgical emergency

كتابات د مهند الفلوجي اذا اجاكم بالامتحان يجيبهم نفسهم ان شاء الله

Imperforate Hx Antenatal Meconium abd distension Vomiting Urine retention Congenital anomaly Materal drug hx Ex General > cynosis,jaundice,premature,low birth weight , IuGR, any skeletal anomaly Abdominal> Sign of perforation (reddness...) Meconium staining ,discharge Natal Cleft / anal dimple Associated anomaly Anal orifice Cough impulse +ve Meconium in subcut. Fistula = in tip of penis Ix Lab > cbc / lft /blood group Urine evaluation for meconium Imaging > xray invertogram / lateral decubitus / erect Echo Us/vcug for renal S.t mri and ct Rx resusitate Depend on level Low > immediate anoplasty High > colostomy , search for fistula then anoplasty

Pyloris stenosis Projectile vomiting post meal Hungry after that Less with breast milk or dextrose with water Late Wt loss Ftt:- Anemia Wt loss Dehydration Indirect hyperbili Irritable Dx Physical abd & skin turger Us (3,5,15) Upper git series Rx Rx Electrolyte disturbance By iv fluid (Ix cbc/ k /na /urea/ gue) Surgery Pylorotomy

Inguinal hernia history ‏Onset ‏Duration دائما موجودة لو تروح وتجي؟ الصبح من يكعد موجود الانتفاخ لو بعده؟ جهة اللخ بيها شي؟ من يبجي او يكح تكبر؟ ‏Redness ‏Pain ‏Vomitting ‏Constipation ‏Abdomenal distension