SCFB 21-Surgery💉🩺

محاضرات الدكتور عبدالكافي

⚠️Warning signs of breast cancer

A 70-year-old man has a bleeding gastric ulcer. Endoscopy demonstrates active bleeding, which is successfully controlled using clips. What is the most appropriate pharmacological treatment after endoscopic haemostasis?

A 63-year-old woman presents with melaena. She has been taking ibuprofen 600 mg three times daily for several months because of osteoarthritis. Endoscopy demonstrates a duodenal ulcer with a non-bleeding visible vessel. What is the most appropriate endoscopic treatment?

A 72-year-old woman presents with haematemesis. After initial fluid resuscitation, her Hb is 68 g/L. She has no history of ischaemic heart disease. She remains haemodynamically stable. What is the most appropriate management regarding red-cell transfusion?

A 68-year-old man presents to the emergency department with haematemesis and melaena. He is pale and confused. BP is 82/50 mmHg, pulse 125/min. His abdomen is soft and non-tender. Blood tests: Hb 82 g/L Urea 18 mmol/L Creatinine 105 µmol/L Platelets 210 × 10⁹/L INR 1.2 Two large-bore IV cannulas are inserted. What is the most appropriate immediate management?

61-year-old woman presents with severe epigastric pain that started 6 days ago. Lipase and amylase are now normal. CT shows pancreatic inflammation and peripancreatic fat stranding. Which statement is most accurate?

A patient with necrotizing pancreatitis has a CECT performed 10 days after admission showing focal areas of non-enhancing parenchyma. The patient is currently afebrile with stable vital signs. What is the recommended management of these necrotic areas?

A patient in the early phase of severe acute pancreatitis develops hypotension and a PaO 2 <8 kPa (<60 mmHg) that persists for 72 hours. How should this be classified under the Revised Atlanta Classification?