Important knowledge

⚡️Hernia that can occour post appendicictomy ▪︎incitional Hernia ▪︎ingianal Hernia due to nerve injury (illio-ingianal nerve) (يروح وياه ال sensation بال testes وال medial thigh)

⚡️Positions of appendix that cause diarrhea in appendicitis: ▪︎pelvic ▪︎pre-illial ▪︎post-illial

⚡️3ed space fliud (تعريف مهم) It is fliud in area's that not share in fliud exchange in the body

Deoxycholic acid ----------- Used to prevent gallstone especially calcium type (pigmented or mixed ) د.لؤي

⚡️PRURITUS ANI ------------------------- ▪︎common condition (ويسبب احراج) ▪︎skin is reddened and hyperkeratotic ▪︎skin may become cracked and moist

⚡️ingianal hernia before 1 y.o age have posative transillumination test (due to thin bowel wall)

Erythema Nodosum هاي تصير بالقدم Resp. : 1 TB 2 Pneumococcal Pneumonia 3 Lung Malignancy 4 Sarcoidosis ( ILDs) 5 Histoplasmosis 6 Psittacosis GIT : 1 Liver cirrhosis 2 IBDs : CD & UC 3 Malignancy 4 Brucellosis Pregnancy Cardio : IE يوجد اسباب اخرى —————————————————- Erythema Marginatum هاي تصير ب ال trunk و غالباً اكو انفكشن بالموضوع 1- Rheumatic Fever ( most common cause) 2- psittacosis 3- C1-esterase inhibitor deficiency (hereditary angioedema) —————————————————- Erythema Multiforme 1 herpes simplex virus. 2 mycoplasma pneumoniae 3 Drug eruption mostly sulfa —————————————————- Erythema ab igne (EAI) تصير بسبب التعرض للحرارة

⚡️we can measure the intra abdominal pressure by 2 methods ▪︎by use Folley catheter ▪︎ by use NG tube

▪︎pretibial myxedema = hyperthyroidism ▪︎myxedema = late stage hypothyriodism

Pedal odema = odema in the dorsum of foot

⚡️Adynamic colonic obstruction = Ogilvie syndrome د.موسى

Felty syndrome ------------------------ triad of 1)rheumatoid arthritis 2)leukopenia 3)splenomegally

Doliprane براسيتول فرنسي Highly effective د.ذو الفقار (اكو ابو ال 500mg واكو ابو ال 1000)

⚡️criteria of microcalcification in mammogram ---------------------- ▪︎<0.5mm in size ▪︎5 or more in number ▪︎in area smaller than 1 cm

⚡️ال peristalsis اول شي تبدي بال bowel بعدها بال colon بعدها بال stomach( د احمد اسامة )

⚡️Non palpable dorsalis pedis --------------- ▪︎ normal varient (10% احمد اسامة) ▪︎odema ▪︎trauma ▪︎atherosclerosis ▪︎obese ▪︎ischemia

⚡️Paralytic illius post op. ------------------------------------- ▪︎first 3 days post op. = normal ▪︎day 4 post op. = hypokalemia ▪︎day 5 post op. = peritonitis

⚡️Loss of skin turgor is very late sign in dehydration in adalt & it accur in chronic dehydration due to depletion of interstitial fluid

⚡️مريض عندة blunt abdominal trauma ونريد نعرف صاير عندة bleeding لو لا عن طريق ال paracentecis ونفرشه على سلايد ▪︎blood become clotting = blood from procedure (recent hemorrhage) ▪︎blood without clots = hematoma inside abdomin

⚡️ال kidney متتحمل اكثر من 6 ساعات وال systolic BP اقل من 70 mmHg المريض يصير عندة unuria