جراحة عامة (أ.م.دكتور مقداد)

A 27-year-old man presents to the emergency department after being stabbed in the back. He is now unable to move his right leg. On examination, you note that he cannot feel pain on the left leg, although motor function in this limb is preserved.👇👇👇👇

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Cholangiocarcinoma This patient has jaundice with a right upper quadrant mass. Courvoisier’s law suggests that in the presence of jaundice an enlarged gall bladder is not due to gallstones, as a gallbladder with stones is chronically fibrosed and therefore incapable of enlargement. The finding of this mass is more suggestive of malignancy either in the pancreas or the biliary tree. Cholangiocarcinoma is an adenocarcinoma of the biliary tree and is associated with ulcerative colitis, primary sclerosing cholangitis and to a lesser extent Crohn’s disease. It usually presents between the ages of 50 and 70 with an equal incidence in men and women. Cholangiocarcinoma has a poor prognosis with an average survival of 6 months, as most are not amenable to curative resection at the time of presentation.

الحل 👇👇👇👇👇👇👇👇👇👇👇👇👇👇

👆👆👆👆👆👆👆👆👆👆👆👆👆👆👆👆👆👆👆A 55-year-old man presents to the emergency department with increasing itching and upper abdominal discomfort. His wife has noticed that he is looking ‘yellow’. On examination, there is a non-tender mass in the right upper quadrant. The patient has a history of ulcerative colitis, which is currently in remission. What is the most likely diagnosis?

A 55-year-old man presents to the emergency department with increasing itching and upper abdominal discomfort. His wife has noticed that he is looking ‘yellow’. On examination, there is a non-tender mass in the right upper quadrant. The patient has a history of ulcerative colitis, which is currently in remission. What is the most likely diagnosis?

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طلاب سادس مواضيع جراحة بشكل MCQ👆👆👆👆👆👆👆👆👆👆👆