⭕️ ulcerative colitis :

¹ Non-Specific ulceration.

² Practo colitis (⏏️ Rectum).

³ unknown (immunoglogic, genitic)

⁴ mucosa & submucosa

⁵ No Skip/ No stone

⁶ 20 - 35 yrs  + Extra-intestina manfestion+ Bloody diarrhea + mucous.

⁷ DX+CT/us / endoscopy Barium(enema) pipe stem and minute ulceration.

⁸ ttt Medical = same

Panprocto colestomy + ileostomy.

● Diverticular disease of colon is the most commonest cause of massive lower git bleeding.
Most important d/d is Angiodysplasia b/c Perfuse painless old Age.

🛑 Endoscopy & barium are C/I in
Acute Diverteculitis
Use ct scan with contrast.

Indication of surgery in Divertecular disease :
1.complicated diverticulitis
2. Recurrent  non-complicated diverticulitis
3 bleeding that dosn't stop by colonscopy
4. Perforation
5. IO

🛑 Perforated duodenal ulcer :MOST common in duodenal ulcer
Sing & symptoms :
Sudden sever Abdominal pain ass with nausea & vomiting
Abdominal rigidity shock
DX:by xray chest show air under diaphragm.

🚑 Intussception:
Common in ilieocecal valve
Children in Age 6  months to 18 months.
Symptoms :
Pain vomiting constipation Abdominal Distension.
Late Per rectum bleeding (Currant jelly stool).

Muconium illious:
ass ' cystic fibrosis & microcolon
X ray no air fluid level
Ground glass appearance.

⛔️Double bubble sign causes:

Deudenal atrasia
Anular pancrease
Midgut malrotation

Omphalocele and gasrochisis.

Hirschsprung disease.

Hypertrophic pyloric stenosis
Mx : ramstedt operation

Imperforated anus.

Blumer shelf ass with gastric CA.