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The consistence of a lump depends not only upon its structure but also on the tension within it.
Some fluid-filled lumps are hard, some solid lumps
are soft; therefore, the final decision about composition
of a lump (i.e.whether it is fluid or solid) rarely
depends solely upon an assessment of the consistence.
❤ 2
ATLS guidelines 8th edition
In a hemodynamically stable patient with abdominal trauma, the
investigation of choice is CECT (contrast enhanced CT scan)
In a hemodynamically UNSTABLE patient with suspected abdominal
trauma, the investigation of choice is FAST (focussed abdominal
sonogram in trauma).
❤ 3
During open hernia repair, the ilio-inguinal nerve is the most commonly injured .
while the lateral femoro-cutaneous nerve is more commonly injured during laparoscopic herniorraphy .
وهالشي يسبب
Post Herniorrhaphy Groin Pain
❤ 1
Primary amenorrhea : absence of mens at age 14 without 2ry sexual development or 16 with 2ry sexual development
Clinical approach رح نعتمد على شيئين
-anatomic يعني اكو uterus لو لا
-hormonal : يعني اكو breast لو لا
(باعتبار اذا اكو بريست يعني اكو استروجين)
……..
If breast ✅…. Uterus ✅
Ddx➡️ imperforated hymen,
vaginal septum,
pregnancy
If breast ✅ uterus ❌
Ddx: mullarian agenesis
testicular femminisation
If breast❌….uterus ✅
Ddx: turner’s syndrome
Kallman syndrome
👍 2❤ 1👌 1
Infection cause miscarrigae in ;
First Trimester is Varicella and rubella
Second Trimester is bacterial vaginosis
❤ 1
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