SurgeNote

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12. Best tetanus prophylaxis in contaminated wound with unknown history:

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“SHiN” 🦠 S – Streptococcus pneumoniae H – Haemophilus influenzae N – Neisseria meningitidis

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11. Most likely organism post-splenectomy:

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“Trauma = Body burns fuel” 🔥💪

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10. All occur in trauma EXCEPT:

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“Endo = Eyes + Fix” → المنظار يعطي رؤية + إمكانية العلاج.

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9. First-line diagnostic tool for upper GIT bleeding:

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“Silly Elephants Hop” → Stasis, Endothelial injury, Hypercoagulability 🐘

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8. Virchow triad includes:

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“B” for Birthday (Christmas) → Factor IX 🧬🎄

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سُمّيت Christmas disease بهذا الاسم نسبةً لأول مريض تم تشخيصه بها، وهو صبي يُدعى Stephen Christmas، الذي وُلد في إنجلترا عام 1952.

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7. Christmas disease is caused by deficiency of:

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“Spleen = Shock + Splint of LUQ pain” 💔🩸🖐️

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6. LUQ pain + hypotension + tachycardia post trauma =

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“FAST = Fast And Safe in Trauma” 🏃‍♂️💨🩸

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5. Best imaging for unstable blunt abdominal trauma:

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“Tension = Trachea shifted + Treat fast with Thoracostomy!” 🩺🫁💨

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4. The next best step for stab wound with dyspnea and tracheal deviation is:

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Cradiac tamponade Beck’s triad = B for Backed-up veins + E for mufflEd heart + C for low Circulation” 🫀💉📉

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3. A trauma patient with distended neck veins, muffled heart sounds, and hypotension likely has:

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