SurgeNote

Ulcerative colitis → increased colon cancer risk Mnemonic: Ulcerative = Upgrade risk (cancer alert!).

Most common cause of large bowel obstruction = colorectal cancer Mnemonic: Colon cancer blocks the big pipes.

Crohn's disease (skip lesions, transmural, mouth to anus, does not increase colon cancer) Mnemonic: CROHNed from mouth to bum, skips spots, thick wall, but still not cancer-prone.

Long + Loaded + Loose = TWIST 🌪️

Mnemonic 🤓 Low K = Lazy bowel 😴

Mnemonic 😂 Old surgery = Sticky gut 🧷➡️🚧

If you SEE the vessel → it BLEEDS again 👀🩸

Ulcer = NSAID + Bug + Acid 🐞🔥

بعد 48 ساعة احفظها بجملة وحدة: “CHOBE D-CAL” 😆 C= Calcium ↓ (< 8 mg/dL) H= Hematocrit ↓ (>10%) O= O₂ ↓ (PaO₂ < 60 mmHg) B= Base deficit > 4 E= Extra fluid sequestration > 6 L D= BUN ↑ (>5 mg/dL) 🧠 Mnemonic Pancreas CHOKED after 48 hours 😵

عند الدخول (At admission) احفظها بكلمة وحدة: A-G-L-A-W 😄 “A GLAD PANCREAS” A= Age > 55 سنة G= Glucose > 200 mg/dL L= LDH > 350 IU A= AST (SGOT) > 250 IU W= WBC > 16,000 🧠 Mnemonic Old man eats sugar → pancreas gets GLAD 😁

Admission = AGLAW 48 hrs = CHOBED No lipase / amylase

Ranson judges DAMAGE, not enzymes ⚖️🔥