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🩺 𝐒𝐔𝐑𝐆𝐄𝐑𝐘 — 𝟏𝟎 𝐌𝐔𝐒𝐓-𝐃𝐎 𝐏𝐘𝐓 𝐏𝐎𝐈𝐍𝐓𝐒 NEET PG 2026 • High-Yield Revision 01 │ 𝐓𝐑𝐀𝐔𝐌𝐀 — 𝐏𝐫𝐢𝐦𝐚𝐫𝐲 𝐒𝐮𝐫𝐯𝐞𝐲 → ABCDE approach → Airway + C-spine protection → Trauma + shock = ⭐ Very High Yield 02 │ 𝐂𝐎𝐌𝐏𝐀𝐑𝐓𝐌𝐄𝐍𝐓 𝐒𝐘𝐍𝐃𝐑𝐎𝐌𝐄 → Earliest key feature: Pain out of proportion → Pain on passive stretch = important early sign → Absent pulse = ❗ Late finding 03 │ 𝐁𝐔𝐑𝐍𝐒 — 𝐏𝐀𝐑𝐊𝐋𝐀𝐍𝐃 𝐅𝐎𝐑𝐌𝐔𝐋𝐀 → 4 mL × Weight (kg) × %TBSA → ½ fluid → first 8 hours → ½ fluid → next 16 hours → TBSA → Rule of 9s 04 │ 𝐀𝐂𝐔𝐓𝐄 𝐀𝐏𝐏𝐄𝐍𝐃𝐈𝐂𝐈𝐓𝐈𝐒 → Pain: Periumbilical → RIF → McBurney tenderness + fever → Revise Alvarado Score + management 05 │ 𝐓𝐇𝐘𝐑𝐎𝐈𝐃 𝐍𝐎𝐃𝐔𝐋𝐄 → Initial work-up: TSH + USG → FNA depends on USG risk + size criteria → Most common thyroid malignancy: Papillary carcinoma → RLN injury → Vocal cord palsy 06 │ 𝐁𝐑𝐄𝐀𝐒𝐓 𝐂𝐀𝐑𝐂𝐈𝐍𝐎𝐌𝐀 → Must know: TNM + ER/PR/HER2 → Sentinel lymph-node biopsy → ER/PR/HER2 → Immunohistochemistry 07 │ 𝐇𝐄𝐑𝐍𝐈𝐀 — 𝐑𝐈𝐂𝐇𝐓𝐄𝐑 → Only part of bowel wall is trapped → Strangulation can occur without complete obstruction → Strangulated hernia = 🚨 Surgical Emergency 08 │ 𝐙𝐄𝐍𝐊𝐄𝐑 𝐃𝐈𝐕𝐄𝐑𝐓𝐈𝐂𝐔𝐋𝐔𝐌 → Killian’s dehiscence → Classic treatment: Endoscopic diverticulotomy / stapling → Remember: Zenker = Pharyngoesophageal 09 │ 𝐓𝐄𝐒𝐓𝐈𝐂𝐔𝐋𝐀𝐑 𝐓𝐎𝐑𝐒𝐈𝐎𝐍 → Sudden severe testicular pain → High-riding testis → High clinical suspicion → DO NOT DELAY SURGERY → Doppler USG only when diagnosis remains uncertain 10 │ 𝐏𝐎𝐒𝐓-𝐎𝐏 𝐂𝐎𝐌𝐏𝐋𝐈𝐂𝐀𝐓𝐈𝐎𝐍𝐒 → Post-op fever timeline → Wound infection • DVT/PE • Urinary complications → Burst abdomen → Learn complications according to post-op day 𝐑𝐄𝐕𝐈𝐒𝐈𝐎𝐍 𝐏𝐑𝐈𝐎𝐑𝐈𝐓𝐘: Trauma → Burns → Acute Abdomen → Breast → Thyroid → Hernia → Urology → GI → Post-op Complications
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MEGA_BTR_3.pdf
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PSM UPDATES 2026+2
PSM UPDATES 2026
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