MedicoSurgical Notes

Usually saphena varix feels softer than a femoral hernia.

“Life is like riding a bicycle. To keep your balance, you must keep moving.” Albert Einstein's life advice in a letter to his son Eduard on 5 February 1930. In the picture, Einstein is riding a bicycle in Santa Barbara, USA in 1933.

🔴 If the tips of (the patient's) fingers are falling off and are black, he will die !!

There is no disease more conducive to clinical humility than aneurysm of the aorta.

🔵 In the case of retrosternal goitre, hemoptysis unmixed with sputum is due to rupture of an engorged tracheal vein.

The patient dyspnoeic due to pulmonary embolism prefers to lie flat.

The art of seeing invisible things is called as 'clinical vision'.

Learn to see, learn to hear, learn to feel, learn to smell- that is clinical method

🛑Severely diseased distal aorta in atherosclerosis on arteriography is called as "shaggy aorta"

🛑when stethoscope is applied aneurysm is either silent or a systolic bruit can be heard, but an arteriovenous fistula emits a continuous murmur throughout the systole and diastole.

🛑معلومة مهمة Low calcium and phosphate + high alkaline phosphatase (#Osteomalacia) normal calcium and phosphate + high alkaline phosphatase (#Paget's_disease)

🛑علاج الطوارئ لحالة ال sever Hypocalcemia - عن طريق الحقن الوريدي البطيئ لمدة 10 دقائق intravenous calcium gluconate, 10ml of 10% solution تذكر إعطاء ال intravenous calcium chloride مصحوب باحتمال حدوث local irritation تذكر ECG monitoring is recommended العلاج بعد كذا يعتمد علي السبب الأساسي لل Hypocalcemia

🛑اعادة اختبار وجود جرثومة المعدة Helicopter pylori يطلب في حالة كانت الجرثومة متسببة في قرحة المعدة Peptic ulcer الاختبار المطلوب هو Carbon-13 urea breath testing

Surgery is teamwork which divides the task and doubles the sucess🤍

🛑تقليل نوبات ال Hiccups 1- الخط الاول - chlorpromazine 2- يمكن استخدام ال haloperidol وال gabapentin 3- يمكن استخدام ال dexamethasone خصوصا في حالات مرضى الكبد

جرعة 40mg من ال #furosemide تساوي جرعة 20mg من ال #torsemide تساوي جرعة 1mg من ال #bumetanide في التأثير

🛑🛑🛑MRCS OSCE Hands' On Course 28th & 29th January 14th Release For UK Exams Be Ready Big Halls Fit Big Future Surgeons To Register For India Course https://forms.office.com/r/ixDsXnCsKx

🛑علاج ال Diabetic Diarrhea بعد استثناء اي سبب اخر لل Diarrhea غير ال Diabetes يتم العلاج باستخدام جرعتين او ثلاث من ال tetracycline 250mg لكنه (unlicensed) او عن طريق codeine phosphate 30mg

🛑 The First sign in acoustic neuroma is loss of corneal reflex.

Great minds must be ready not only to take opportunities, but also to make them !!