DoctorScope

The Time of suture Removal احفظوها بهل طريقه حتة ترتيب الارقام يكون اسهل Every Head Brings Limbs يعني: E = Eyelids → 3–5 days H = Head & Neck → 5–7 days B = Breast & Trunk → 7–10 days L = Limbs → 10–14 days والترتيب بالأرقام يصير اسهل: 3-5 / 5-7 / 7-10 / 10-14 #plastic

Hesselbach Triangle boundaries Mnemonic : LIM L = Lateral border of rectus abdominis → Medial boundary I = Inferior epigastric vessels → Lateral boundary M = Medial part of inguinal ligament → Inferior boundary Remember : Direct hernia goes through the LIM triangle.

Appendectomy is contraindicated in: 📌immunosuppression 📌aortoiliac graft 📌crohns disease (risk of formation of fecal fistula) 📌post radiation

Notes about gastrinoma: 🔹The majority (60%) of gastrinomas are malignant at the time of presentation. 🔹Diagnostic criteria → Fasting Serum Gastrin > 10x normal and a gastric pH < 2.0. 🔹If gastrin is elevated but < 10x normal → Perform a secretin provocation test (confirms ZES if gastrin rises by > 120 pg/mL). 🔹PPIs must be stopped prior to gastrin testing to avoid false-positive hypergastrinemia. 🔹Preoperative imaging study of choice: Somatostatin Receptor Scintigraphy (Octreotide scan). 🔹In MEN1 gastrinoma, perform parathyroidectomy first before gastrinoma excision. #GeneralSurgery_L14

Special Management of gastrinoma in MEN1 Patients: ‼️If a gastrinoma patient has MEN1 and concurrent hyperparathyroidism, parathyroidectomy must be performed BEFORE attempting gastrinoma resection. #GeneralSurgery_L14

🔺In infants, duodenal atresia/stenosis and annular pancreas have same clinical presentation : - bilious vomiting - double-bubble sign on x-ray #surgery_ped

📌ladd’s procedure ==> malrotation 📌Ramstedt procedure ==> pyloromyotomy for HPS 📌kasai portoenterostomy ==> biliary atresia #surgery_ped

⭕️The "Triangular Cord Sign" is a finding on US representing fibrotic remnants at the porta hepatis. Seen in biliary atresia. #surgery_ped

In newborns: 📌Physiological jaundice is Indirect (Unconjugated) and usually disappears by 2 weeks. 📌BA is Direct (Conjugated) and starts/persists after 2 weeks. #surgery_ped

Mnemonic For Alvarado Scale : MANTRELS MAN →(Migratory pain, Anorexia, Nausea) TRE →(Tenderness, Rebound, Elevated temperature) LS →Leukocytosis, Shift to left) اللي درجتهم 2 فقط هما: Tenderness in RLQ + Leukocytosis وكل الباقي 1. TL = Two points → Tenderness + Leukocytosis

A 25-year-old man involved in an RTA has a Grade IV liver injury on CT. BP 120/80, pulse 88/min, warm peripheries, no peritonitis. What is the most appropriate management? A. Immediate laparotomy B. Conservative management C. Liver resection D. Packing E. Pringle maneuver

📌ملخص مبسط للـBreast disease #GeneralSurgery_L1

📌ملخص مبسط لل Breast Diseases #GeneralSurgery_L1

📌ملخص مبسط لمحاضرة الـAmbigous Genitalia مفيد جداً #Urology_L26

📌٬ الMcqs الي كانت موجوده بمحاضرة ال Ambiguous Genitalia للسنوات السابقه (مهمه ممكن يجي منها) #urology_L26

Why is ureteric injury more common during gynecological surgery? 1. During ligation of ovarian (gonadal) vessels At the pelvic brim. Why? The ureter lies close to the ovarian vessels. ⸻ 2. During ligation of uterine vessels (Most Important) During hysterectomy. Why? The ureter passes beneath the uterine artery. ملاحظة: هذا اكثر سبب شائع لل ureteral injury a بال gynaecological surgeries ف اذا جان ال سوال يريد Most common cause if ureteral. Injury in gynaecological surgery ف نختاره ⸻ 3. During bladder/vaginal dissection Near the vaginal fornix and trigone. Why? The distal ureter enters the bladder very close to the anterior vaginal wall. ⸻ 4. During pelvic lymph node dissection Especially near the iliac vessels and obturator fossa. Why? The ureter crosses over the iliac vessels and lies near pelvic lymphatic tissue.