Basmah 59 Mnemonics "Sem 6"🦋✨

يا ولاد دكاترة التروبيكال بيحبوا يسألوا فى ال complications أقرأوا عالسريع بتاع ال typhoid عشان احتمال كبير تجيلكم النهاردة موفقين مسددين يارب❤️

اتعود في زنقه الإمتحانات وضغط المذاكره إنك تقرأ دعاء الرسول بعد خروجه من الطائف والله مريح للقلب بشكل غريب مش هياخد منك نص دقيقه❤️ اللّهُمّ إلَيْك أَشْكُو ضَعْفَ قُوّتِي ، وَقِلّةَ حِيلَتِي ، وَهَوَانِي عَلَى النّاسِ، يَا أَرْحَمَ الرّاحِمِينَ ! أَنْتَ رَبّ الْمُسْتَضْعَفِينَ وَأَنْتَ رَبّي ، إلَى مَنْ تَكِلُنِي ؟ إلَى بَعِيدٍ يَتَجَهّمُنِي ؟ أَمْ إلَى عَدُوّ مَلّكْتَهُ أَمْرِي ؟ إنْ لَمْ يَكُنْ بِك عَلَيّ غَضَبٌ فَلَا أُبَالِي ، وَلَكِنّ عَافِيَتَك هِيَ أَوْسَعُ لِي ، أَعُوذُ بِنُورِ وَجْهِك الّذِي أَشْرَقَتْ لَهُ الظّلُمَاتُ وَصَلُحَ عَلَيْهِ أَمْرُ الدّنْيَا وَالْآخِرَةِ مِنْ أَنْ تُنْزِلَ بِي غَضَبَك ، أَوْ يَحِلّ عَلَيّ سُخْطُكَ، لَك الْعُتْبَى حَتّى تَرْضَى ، وَلَا حَوْلَ وَلَا قُوّةَ إلّا بِك

تذكير لكم ثم لنفسي متنسااااااااااااااااااااااااااااااااااااااااااااااااااااااااااش ال back

ستيشن ال inspection لو حد مجتاجها

ف زميلتنا اتسألت كيف تفرق بين acites ,ovarian cyst بدون اي investigations ممكن بال umblicus Ovarian cyst... Shifted upward + slit like Acites .... Shifted downward+ everted or normal علي حسب ال degree بتاعته

لو مفيش وقت تراجعو علي التروبيكال حاولوا تقرأوا ال FMF + malaria + brucellosis دول الأشهر و ان شاء الله يجي منها

كانوا قابلوني على قناة من بتوع ٥٨ ممكن يفيدونا لو لا قدر الله قابلنا حالة من الحالات دى .. استعن بالله ولا تعجز..🤍 هانت يا بطل بصوت د.عبد المتعال❤️

السلام عليكم ورحمة الله وبركاته   "مَا الْعَمَلُ فِي أَيَّامٍ أَفْضَلَ مِنْهَا فِي هَذِهِ. قَالُوا: وََلا الْجِهَادُ، قَالَ: وََلا الْجِهَادُ، إَِلا رَجُلٌ خَرَجَ يُخَاطِرُ بِنَفْسِهِ وَمَالِهِ فَلَمْ يَرْجِعْ بِشَيْءٍ" 🗣أذكركم بصدقة شهر ٦ صندوق #دفعة_٥٩ في مكتبة تريب مكتبة هارفارد فودافون كاش +201026061270

هما ٤ معاهم واحدة كمان 🌷Prophylactic cholecystectomy : As in 1) Diabetic patients 2) Congenital haemolytic anemia 3) Patient undergoing bariatric surgery

🌻The most common tumour in salivary glands is : Pleomorphic adenoma 🌻The most common malignant tumour in parotid gland is : Mucoepidermoid 🌻The second most common malignant tumour in parotid gland is Adenoid cystic 🌻The most common malignant tumour in submandibular gland is Adenoid cystic 🌻The second most common malignant tumour in submandibular gland is Mucoepidermoid =========================== 🌻Submandibular salivary gland is divided into superficial and deep part according to Mylohyoid muscle 🌻Submandibular duct opens into floor of the mouth at the side of frenulum of the tongue 🌻Sialadenitis pain refers to tip of the tongue or teeth due to irritation of lingual nerve that hoock around submandibular duct 🌻During salivary glands operations : 1) Mandibular branch injury : Drooling of the corner of the mouth 2)Anterior cervical branch injury: minimal drooling 🌻lower lip is supplied by 🌹Anterior branch of cervical of facial (ramus colli mandibularus ) 🌹 Mandibular branch of facial =========================== 🌻Two neck swelling may extend to cranial cavity :- 1) Carotid body tumor along with internal carotid artery as dumbbell tumor 2)Sequestration dermoid cyst : may has intracranial connection so excision is postponed till fusion of defect as in children 🌹Key word in the case 1. Move up and down with devolution and protrusion of the tongue :: Thyroglossal cyst 2. Large swelling in the neck , obstruct labour and cause respiratory obstruction:: Cystic hygroma 4. Contain lymphoid tissue in wall and cholesterol crystals :: Branchial cyst 5. Aspiration - Gurgling sound :: Pharyngeal diverticulum ➡️ Endoscope isn’t used in pharyngeal diverticulum as it cause perforation 6. Fainting -Horner syndrome- Unilateral vocal cord palsy :: Carotid body tumor 7. More prominent while blowing,coughing and Valsalva manoeuvre :: laryngeocele 8. Torticollis and scoliosis capitis and squint :: Sternomastoid tumor 9. Herniation of apex of lung :: Pneumatocele دعواتكم 🥺 #surgery

انشروا الهاشتاج على صفحاتكم #محاسبة_أبانوب_عماد #إلا_رسول_الله #جامعة_الزقازيق #وزارةالعدل { إِلَّا تَنصُرُوهُ فَقَدْ نَصَرَهُ اللَّهُ } " إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا "

Important Notes In Colon Cancer 🦜Most common site is Rctum and Sigmoid 🦜FAP is a risk factor by a percentage of 100% 🦜Prophylactic total procto-colectomy is indicated in FAP 🦜Signet ring adenoma is the worst prognosis 🦜Colon and upper rectal cancer lymphatic spread to liver through portal circulation(To Inferior Mesentric) 🦜Lower Rectal cancer lymphatic spread to lung through systemic circulation (To Internal illiac) 🦜The gold standard test to diagnose colorectal cancer is Colonoscopy and biopsy 🦜Apple core appearance in barium enema is pathognomonic feature of annular lesion of colon cancer. 🦜Endoluminal US (EUS) is the gold standard test for staging and determine LN invasion 🦜All types of operations and each is indicated in which type of colorectal cancer ===================================== 🦜Right Colon Cancer >> Cauliflower or Fungating mass >> Affect absorption >> Anemia, Athenia and Anorexia. 🦜Left Colon Cancer >> Infiltrative mass >> the lumen is narrower and the stool is harder >> So obstructive symptoms mainly >> Associated with abdominal pain and bleeding per rectum >> Constipation then diarrhoea >> Called Spurius Diarrhoea. ====================================== 🦜Mass in right colon cancer is due to cancer itself 🦜Mass in left colon cancer is due to impacted stool above the level of obstruction اقرأوا متزهقوش 😔😂 #surgery

Important Notes in lower GI bleeding 🦋 Source of bleeding distal to ligament of tretiz 🦋Causes (تحفظ جزء منها عشان بتيجي نظري) 🦋The most common cause of lower GI bleeding is Diverticulosis 🦋Bleeding diverticulosis more common from right colon 🦋Bleeding per rectum is painless except in Ischemic colitis or anal conditions as anal fissure 🦋 Bleeding with Diarrhoea is in Infectious colitis associated with salmonella, campylobacter, shigella.... 🦋Causes of lower GI bleeding in children(احفظها سؤال نظري) 🦋Most common cause in children is Meckl's Diverticulum ocuur in small intestine 2 feets from ileocecal valve 🦋Most common cause of bowel obstruction in young children is Intussusception (abdominal pain and jelly stool) associated with Claw sign in barium enema (مش مكتوبة بس الدكتور قالها شبه وش مفتاح الأنبوبة 🔧 وكمان قال بتتعالج ف الأول بحاجة Air Reduction اسمها ) 🦋Massive bleeding can lead to hemodynamic instability and shock and this indicates emergent need of admission 🦋Selective visceral angiography and Tagged RBC scan need active bleeding at time of examination 🦋Colonoscopy is the investigation of choice when bleeding has stopped. 🦋Localization of bleeding can be done by : Colonoscopy, Angiography and Tagged RBC scan ==================================== 🦋Massive bleeding during defecation >>> Diverticular disease - Angiodysplasia 🦋Bleeding on toilet paper >>> Heamorrhoies or Fissure 🦋Bleeding per rectum plus mucous >>> IBD- Neoplastic or Inflammatory causes 🦋Unexplained Iron deficiency anemia >>>Congenital, Inflammatory or Neoplastic causes دعواتكم 🥺 #surgery

Important note الاورام الخبيثه بتاعت الsalivary مشهوره في males ماعدا Acinic cell carcinomaمشهوره في ال👩‍🦰 الاورام الخبيثه rapidly growing ماعدا Acinic cell carcino slowly growing نتكلم شويه عن adenoid cystic carcinoma ▪️Paniful ▪️invade facial nerve ▪️أشهر حاجه في submandibular وminor salivary glands نتكلم شويه عن الانتشار بتاع salivary gland tumors لو عن طريق الدم بيروحوا رئه وعضم نحفظها كدا لو lymphatic يبقي deep cervical L.N ممكن يحصل nerve palsy كمضاعفات facial palsy ➡️ parotid gland tumors hypoglossal and lingual injury ➡️ submandibular tumors #surgery

1: Aphonia ➡️ Recurrent laryngeal nerve paralysis ➡️ Vocal cord paralysis . 2: Voice fatigue ➡️ Inability to raise voice or increase pitch of voice ➡️ External laryngeal nerve paralysis ➡️ Cricothyriod muscle paralysis ( the only muscle of larynx innervated by external laryngeal nerve). #surgery

بنذكركم بدي تاني ونضيف حاجة مهمة أوي :- ➡️ Adenocarcinoma >>> Chemosensitive only ➡️ Squamous cell carcinoma >>> Chemosensitive and Radiosensitive الفكرة دي بيقصدها في الأسئلة #surgery