Surgery( notes)

🌻Indications for amputation 🙂

Hydatid cyst of lung 🫁 ☝️

🌻 Some notes in stomas

Stoma examination مهم جدًا

مابش داعي تحتار منين تذاكر الdrains بعد الآن هذا الملف وخلااااص #دعواتكم 🥹🧡

مابش داعي تحتار منين تذاكر الdrains بعد الآن هذا الملف وخلااااص #دعواتكم 🥹🧡

Cleft palate  surgery usually performed between 6 and 12 months, but cleft lip surgery performed Within the first 2–3 months after birth or according to Rule of 10👇 Rule of 10) is a set of rules, which is to be fulfilled for undertaking elective surgery for children, and mostly used for reference in cleft lip surgery. 1/10 pounds (lb) or more of body weight (or easily converted to 5 kilograms). 2/ usually happens in sync with 10 weeks of age (or easily converted to 3 months of age). 3/10 grams or more of Hemoglobin level in every 100 millilitres of blood (Hb level > 10 grams/dL) 4/Not more than 10 thousand of leukocytes or white blood cells count in every microlitre of blood (WBC < 10,000/uL).

Cleft palate  surgery usually performed between 6 and 12 months, but cleft lip surgery performed Within the first 2–3 months after birth or according to Rule of 10👇 Rule of 10) is a set of rules, which is to be fulfilled for undertaking elective surgery for children, and mostly used for reference in cleft lip surgery. 1/10 pounds (lb) or more of body weight (or easily converted to 5 kilograms). 2/ usually happens in sync with 10 weeks of age (or easily converted to 3 months of age). 3/10 grams or more of Hemoglobin level in every 100 millilitres of blood (Hb level > 10 grams/dL) 4/Not more than 10 thousand of leukocytes or white blood cells count in every microlitre of blood (WBC < 10,000/uL).

ملاحظات لمعظم دكاترة الجراحة أثناء الاختبار. عندما تعمل examination وتبدأ بالgeneral excamination ضروري تبدأ بالgeneral lookوبعدين الVS ، الدكاترة يزعلوا عندما نسبق الvital signs . عندما تعملوا examination على الchestوال abdomen, لا تنسوا ما تفحصوا الback. عندما تفحصوا الabdomen لا تنسوا ما تقولوا أن genetaliaبشكل عام و الP/R, وفي ال female قولوا P/V انها يجب أن تفحص. كمان لاتنسوا الحاجات الاساسية مثل تأخذوا السماح من المريض وتسلموا عليه، ووضعية المريض والطبيب والexposure بعد الاستئذان ، ونادوا المريض باسمة ولا ياعم.....الخ

للطلاب الذي عيختبروا جراااحة. #الله_يوفقكم_🌹

اعتقد رسلت لكم أهم الاشياء التي عتحصلوها في الثورة والتي ليست موجودة في الكتب العملي بشكل واضح.

Examination of incision : by inspectoin Site, side, length, direction, the healing by primary or secondary intention, relation to deep structures any signs of complication of incision as hematoma, discharge swelling, redness..... واذا كانت مغطاه بdressing اوصفوا الdressing كالتالي Site, side, dry or wet, clear in colour or red yellow..... ولاتنسوا ما تقولوا I shoud to expose the dressing.

Diabetic foot examination شكرا للزميل/ شداد ابراهيم📝

ملاحظات الدكتور نشوان طشان ⚫️Examination of stoma: 1⃣inspection: ➖site:Rt or Lt iliac fossa ➖number of lumen (single or double) e.g-one in RIF that mean end ileostomy or urostomy -one in LIF that mean end colostomy -two joined in RIF that mean loop ileostomy -two joined in LIF ➡️loop colostomy After that we describe lumenal mucosa (ulcerated, gangerenous..) ➖Shape :spout or flush ➖Content: semiliquid or solid or urine ➖Surrounding skin :normal, excoriated,erythematous ➖Any evidence of complications: -hemorrhage -prolapse -retraction -para stomal hernia وهذه نحددها بأن نطلب من المريض يكح نفسها نفس أي hernia -stenosis ➖see if there is previous scar in abdomen ➖finally do P/R examination to see if there is rectal cancer 2⃣palpation: -palpate the surrounding area of stoma to determine tenderness, hottness -ask the pt to cough in para stomal hernia ⚫️different between Rt & Lt colon cancer: -Rt colon cancer➡️there is bleeding , huge size,sign of metastasis (joundice ,ascitis) -Lt colon cancer➡️there is constipation, distension Lt colon cancer is better prognosis than the Rt