كل يوم case 🫀🩻🩺

هذا تشخيص دمية ال breast examination من طلاب السادسه ممكن تجينه نفس الدُميه While we had 45 yrs old w rt breast mass And inspection showed asymmetry and lt nipple was abnormal ( i dont remember what was it ) And asked for nipple discharge to be assessed by asking the pt By superficial palpation a rt lump was found (medial upper quarter) And deep palpation was solid in consistency and size wnd attachment and etc to be assessed And ddx one was enough _ fibroadenoma / tumor

بعد ما تاكدت من الدكتور كال انو اكو محطة اطفال بالاوسكي .. حضرو نفسكم

1.1 A 38-year-old woman is noted on routine physical examination to have a pain- less 1-cm right breast mass. There is no skin dimpling or adenopathy. An FNA is performed revealing malignant cells. Which of the following is the best next step? A. Total mastectomy B. Partial mastectomy and radiation therapy C. PET scan and MRI of brain D. Core needle biopsy of mass E. Modified radical mastectomy 1.2 A 54-year-old woman is noted to have a 1.5-cm breast mass, which on ste- reotactic core needle biopsy is diagnosed as invasive carcinoma. The surgeon is planning on a local tumor resection and sentinel lymph node assessment. Which of the following most accurately describes a sentinel lymph node? A. A lymph node containing cancer metastases B. The lymph node that is most likely to become infected postoperatively C. The first lymph node in the lymph node basin draining a tumor D. The only lymph node that contains metastasis E. The surgical margins of an axillary dissection 1.3 A 60-year-old woman undergoes breast-conserving surgery (a lumpectomy) for a 0.3-cm tumor. The axillary lymph nodes are negative. Which of the following is the next step in therapy? A. No further therapy and observation B. Combined chemotherapy such as the AC regimen C. A radical mastectomy D. Axillary radiation E. Radiation therapy to the affected breast 1.4 A 62-year-old woman complains of painful enlargement of her right breast. She has no family history of breast cancer. The right breast reveals warmth, redness, and right axilla nontender adenopathy. Which of the following is the best next step? A. Oral antibiotic therapy B. IV antibiotic therapy C. Biopsy D. Observation E. PET scan

A 9-year-old girl presented to the emergency department with severe painful swelling in the left leg, x-ray revealed osteolytic alternating osteosclerosis of fibula diaphysis with periosteal reaction like onion peel: most probable diagnosis? 83. osteosarcoma chondroma sarcoma Ewing’s sarcoma osteochondroma

82. A 14 years old boy presented to the outpatient clinic with pain in his left leg, especially at night, an x-ray revealed hyper sclerosis of cortex of diaphysis tibia with small lytic lesion and patient get relief by taken acetyl salicylate; what is most probable diagnosis? 1/enchondroma 2/Osteoid osteoma non-ossifying fibroma 3/ 4/fibrous dysplasia

ماعتقد صحيح هنه خمس محاضرات شيمتحنونه

جواب دكتور سلطان بخصوص امتحان الاطفال على النظام الجديد داخل في الاوسكي السنه ..

A Plain X-rays B Fluoroscopy C Magnetic resonance imaging (MRI) D Ultrasound E Bone scan F Computed tomography (CT) sca Choose and match the optimal imaging modality with each of the scenarios given below: 1 A patient presents after a game of squash with pain in the back of the calf which was sudden in onset and accompanied by a sharp cracking noise. 2 A displaced intra-articular distal radial fracture is being reduced under general anaesthetic and held with K-wires introduced percutaneously. 3 A patient who had a breast cancer excised 5 years previously presents with weight loss and a pathological fracture of the femur. You want to know if there are any other secondaries. 4 A road traffic accident victim presents with a multi-fragment and displaced fracture of the pelvis, which now needs reconstruction. 5 A footballer has twisted his ankle in a tackle. The ankle is very tender over the medial and lateral malleolus. 6 A rugby player is tackled and feels a crack in his knee. Since then, every time he turns with his weight on that leg it is liable to give way under him, and also locks on occasions.

A Plain X-rays B Fluoroscopy C Magnetic resonance imaging (MRI) D Ultrasound E Bone scan F Computed tomography (CT) scan B Treating a fracture in traction leads to delayed healing. C Plates and screws allow absolute stability to be obtained. D Intramedullary nails should always be used in growing bones. E External fixators are especially useful where there is loss of soft tissue. F Arthroplasty should not be used to treat a fracture. Choose and match the optimal imaging modality with A Plain X-rays B Fluoroscopy C Magnetic resonance imaging (MRI) D Ultrasound E Bone scan F Computed tomography (CT) scan . Choose and match the optimal imaging modality with each of the scenarios given below: 1 A patient presents after a game of squash with pain in the back of the calf which was sudden in onset and accompanied by a sharp cracking noise. 2 A displaced intra-articular distal radial fracture is being reduced under general anaesthetic and held with K-wires introduced percutaneously. 3 A patient who had a breast cancer excised 5 years previously presents with weight loss and a pathological fracture of the femur. You want to know if there are any other secondaries. 4 A road traffic accident victim presents with a multi-fragment and displaced fracture of the pelvis, which now needs reconstruction. 5 A footballer has twisted his ankle in a tackle. The ankle is very tender over the medial and lateral malleolus. 6 A rugby player is tackled and feels a crack in his knee. Since then, every time he turns with his weight on that leg it is liable to give way under him, and also locks on occasions. below:

An elderly patient falls and breaks the lower end of their femur. It is fixed with a blade plate but at review 3 months after the accident, the fracture is still visible on X-ray. Some weeks after that the plate breaks and the fracture falls apart. A new plate is put in but this plate also breaks some months later. A Malunion B Non-union C Infected non-union D Delayed union

#surg2

علاج ال Supracondylar humerus Fracture بكوساين #surg2

Regarding the gall bladder : ❇️ Non palpable + jaundice = stone in the CBD ❇️ Palpable + tender + jaundice = empyema ❇️ Palpable + non tender + no jaundice = mucocele ❇️ Palpable + non tender + jaundice = tumor

Which of the following is not true in relation to strangulated hernias? A They present with local and then generalised abdominal pain and vomiting. B A normal hernia can strangulate at any time. C This is more common in femoral hernia. D They can be reliably excluded in irreducible hernias on clinical examination. E They require urgent surgery

Which of the following are more common in multiparous women? A Indirect inguinal hernia B Lumbar hernia C paraumblical D Direct inguinal hernia.

‏إن الصلاة على النبي تُهدى بعشر أمثالها ‏ " اللهم صلِ على محمد والي محمد

موجود بالورك بوك

حلوه ترا مهم ويجي نصا لان موجود بالورك بوك

A 16 years old boy feels tired much earlier than his friends during football playing and he gave history of two syncopal attacks. His older brother died suddenly at age of 21 years. On examination his pulse was 90 beats/min, regular, jerky, blood pressure was 100/70 mmHg. Early systolic murmur was heard over the aortic area and pansystolic murmur over the apex. A- What is the most likely diagnosis? B- What is the cause of his systolic murmur? C- Explain the hemodynamic effects of Valsalva maneuver on the heart? D- What is the best next diagnostic step? What are the expected findings? E- Give the cause (s) of his syncope?