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Channel Posts
| 2 | #جراحة_OSCE | 500 |
| 3 | للحمدلله على سلامة مجموعة رقم 1 الي قدمت امتحانين OSCE في نفس الأسبوع ♥️♥️
وبالتوفيق للجميع | 371 |
| 4 | The most common neoplasm of salivary glands is > pleomorphic adenoma
The commonest malignant salivary tumor > mucoepidermoid
The commonest malignant affect minor salivary gland > adenoid cystic carcinoma | 445 |
| 5 | Chronic sialadenitis
Complications
if calcular
1- Obstruction and infection
2- migration
3- malignancy
If non calcular
1- recurrent acute attacks
2- Stone formation
3- sialactasis
Investigation
X-ray
Us
Sialography ( lipidol , hypaque ) | 420 |
| 6 | نراجع salivary
اول شي benign disease
همي نوعين acute and chronic
Aucte suppurative sialadenitis
Etiology
Obstruction of salivary duct
Oral hygiene is poor
Organism > Staph aureus
C/P
General > FAHM
Local >
Pain early dull aching later sever throbbing
Swelling ( elevating lobule of ear )
Opening of duct > red , raised , edematous
Trismus
Complications
1- abscess
2-chronicity and stone formation
3-spread >
general ( toxemia )
Local ( Ludwig's angina )
TTT
General ( rest , antibiotic ' clindamycin ' , analgesics
Local > Hot fomentation , Kl as sialagogue
Observations > pulse , temperature, swelling
اذ تحسن بعد مرور ٣ ايام تمام نكمل عليهم اذ لا بنروح للجراحة و الي هي
Hilton's method
Investigation
CBC
X-ray
UC | 401 |
| 7 | دا تسجيل لميتنج لدكتور في قسم الجراحه حد من زمايلنا دخل معاه ميتنج و لخصله عملي الجراحة وممكن يلم الدنيا بعد المذاكرة | 116 |
| 8 | مقطع حلو كثير عشان تلم الدنيا مراجعة شاملة للجراحة ♥️ | 325 |
| 9 | هاد بخصوص لجنة الهيستوري♥️ | 335 |
| 10 | بدي احكي انه لو شكيت انها OJ
Present history هيك بيكون
Onset
Coarse
Duration
Urine > dark
Stool > pale
Fever
Pain
Bleeding tendency
Pruritis
Wt loss
LN | 345 |
| 11 | Obstructive jaundice
Etiology
1- Causes in the wall > preiampullary carcinoma
2- Causes from outside > carcinoma head of pancreas
3- Causes in the lumen > gall stone
Investigation
LFTs > serum of total bilirubin, ALT ,AST , alkaline phosphatease , PT
US , MRI , ERCP | 335 |
| 12 | Acute/ chronic calcular cholecystits
Investigation
1- Total WBC count
2- Blood and urine sugar estimation
3- Plain X - ray
DD
1- perforated peptic ulcer
2- acute pancreatitis
3- high retrocaecal appendicits
4- amoebic liver abscess
TTT
Conservative ttt
Admission to hospital
Aspiration with ryle tube
Antispasmodics > morphine , atropine
Antibiotics > cefazolin
Early cholecystectomy
Emergency cholecystectomy | 339 |
| 13 | Pancreatitis
Etiology
1- biliary tract disease ( gallstone )
2- alcohol
3- idiopathic
4- drug
5- infection
Investigation
Serum of amylase , Lipase
X ray
U/s
CT
TTT
على حسب كان Mild ولا sever
Mild >
Monitoring, metabolic support, fluid
NPO
برجع يوكل من ثمه بعد ما الوجع يختفي ومايكون في TENDERNESS والمريض جعان بده ٣ ل ٧ ايام
Low protein fat diet
حالة sever ( approach to case of sterile necrosis )
1- no systematic Complications no infection > supportive
2- Sys Complications + infection ( mild complications) > CT guided aspirations > gram stain
3- Sys Complications + toxicity, shcok > surgical debridment
Antibiotics > 3rd generation cephalosporins | 426 |
| 14 | لو اجتك حالة هيستوري peptic ulcer و cholecystits و pancreatitis
بتوخذ ٥ items تبعون الهستوري عادي
بس المميز رح يكون في present history
والي هو بتسأل كالتالي
Site >
Peptic ulcer , pancreatitis > pain in epigastric
Cholecystits > pain in right hypochondrium
Onset
Courses
Duration
Radiation
Relations to meals
Association
Timing
Exacerbation
Peptic ulcer
Etiology
1- H.pylori
2- NSAIDs
3- Gastrnoma , viral infection , stress
Complications
1- bleeding
2- perforation
3- penetration
4- gastric outlet obstruction
Investigation
Upper git endoscopy
Investigation for the cause > h.pylori ( h pylori antigen in stool )
Investigation for the Complications > CXR , Angiograph
DD
1-GERD
2-Chronic pancreatitis
3-Chronic cholecystits
4- biliary obstruction
5- cancer of the stomach
6- cancer of the pancreas
TTT
PPI > Omprazole , Lansoprazole
H2RAs > Famotidine | 743 |
| 15 | مهم *
لجنة الهيستوري
الحالات الي بتيجي في لجنة الهيستوري هي كالتالي
1- Peptic ulcer
2- Acute / chronic calcular cholecystits
3- Obstructive jaundice
4- Pancertits
5- GERD
6- Goiter
والاغلب اول ٤
وعشان هيك بدنا نفهم كيف نعمل presents analysis لكل حالة ونحكي
ttt , investigation, DD
عشان لما يسأل عنهم الدكتور
نبدأ وحدة وحدة | 924 |
| 16 | Murphy's sign | 373 |
| 17 | Identify
Cellulitits
Cause and predisposing factor
Streptococci
Alcoholism , renal failure, diabetes
C/P
General > Toxemia symptoms ( FAHM )
Local > hotness , Redness, pain , Tenderness, swelling , restrict movement acc to site , ill define margin with LN enlargement
TTT
General > rest , antibiotics, analgesics
Local > Hot fomentation
Observations >
1- General ( pulse, temperature)
2- local ( pain , swelling ) | 378 |
| 18 | General شابتر | 360 |
| 19 | انزل الستيشن المهمة ؟ لكل شابتر ؟؟ | 370 |
| 20 | Small bowel obstruction
في نقطة انه هون بالصورة gas عبى jejunal loop لو سالك كيف عرفت ف الجواب ٣ نقاط
1- Gas filled loop are centrally located in the abdomen
2- they arranged in stepladder pattern
3- Valvulae connivantes ** واهم وحدة | 390 |
