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قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤ » Telegram Web
🐍❌ GIT Precancerous conditions:
▫️Plummer vinson
▫️Corrosive ingetion
▫️Achalasia
▫️Diverticula
▫️Barret esophegues
▫️Gastric ulcer
▫️Partial gastrectomy
▫️Post trunkal vagotomy
▫️Pernicious anemia
▫️Achlorohydra
▫️US } cron's
▫️FAP / gardner
▫️Adenomatous polpys
▫️HNPCC
▫️acromegaly
▫️Chronic pancreatitis
▫️Liver cirrhosis
▫️GBS
▫️Porccelin GB
▫️Helicobacter
▫️Plummer vinson
▫️Corrosive ingetion
▫️Achalasia
▫️Diverticula
▫️Barret esophegues
▫️Gastric ulcer
▫️Partial gastrectomy
▫️Post trunkal vagotomy
▫️Pernicious anemia
▫️Achlorohydra
▫️US } cron's
▫️FAP / gardner
▫️Adenomatous polpys
▫️HNPCC
▫️acromegaly
▫️Chronic pancreatitis
▫️Liver cirrhosis
▫️GBS
▫️Porccelin GB
▫️Helicobacter
⭕️ D.d of upper git bleeding :
¹ peptic ulcer
² esophageal varices
³ acute gastritis
⁴ Mallory Weiss syndrome
⁵ esophagus or stomach cancer
⁶ FB or esophageal rupture
⁷ bleeding tendency
⁸ NSAID , Warfarin
¹ peptic ulcer
² esophageal varices
³ acute gastritis
⁴ Mallory Weiss syndrome
⁵ esophagus or stomach cancer
⁶ FB or esophageal rupture
⁷ bleeding tendency
⁸ NSAID , Warfarin
⭕️ D.d of lower git bleeding :
¹ anal hemorrhoid & fissures
² IBD
³ CRC
⁴ diverticular disease
⁵ ischemic colitis
⁶ meckles diverticulum
⁷ massive upper git bleeding
⁸ angiodysplasia
⁹ bleeding disorder
¹ anal hemorrhoid & fissures
² IBD
³ CRC
⁴ diverticular disease
⁵ ischemic colitis
⁶ meckles diverticulum
⁷ massive upper git bleeding
⁸ angiodysplasia
⁹ bleeding disorder
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
🛑Key symptoms of urology:
1.Obstructive +irratation symptoms➡️ bladder outFlow obstruction as prostate (mc) in male & urethral stricture
2. Pain +hematuria ➡️stone
3. Painless +hematuria ➡️cancer
4. Dysurea +offensive +Dark urine +(FUN) ➡️ UTI
5. H/o trauma +pain +hematuria ➡️ trauma
1.Obstructive +irratation symptoms➡️ bladder outFlow obstruction as prostate (mc) in male & urethral stricture
2. Pain +hematuria ➡️stone
3. Painless +hematuria ➡️cancer
4. Dysurea +offensive +Dark urine +(FUN) ➡️ UTI
5. H/o trauma +pain +hematuria ➡️ trauma
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⛔ Normal urine out put for adult/ day:
20-30 ml/hr or 0.5ml/kg/hr
20-30 ml/hr or 0.5ml/kg/hr
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ Undescended testis :
Def = arrest in normal pathway of descent , more in Rt side
Etiology = H3S = ¹ ⏬ HCG
² short gabernaculm
³ short spermatic cord
⁴ strictures of inguinal canal
Cp = empty scrotum
Inx = Hormonal assay , US , Ct , laparoscopy
Ttt = orchedopexy & according to the age, or hormonal ttt.
Comp = 3T 2S 2I = ¹ torsion testis
² tumer
³ truma
⁴ sterility
⁵ psychiatry
⁶ infection
⁷ indiret inguinal hernia
Def = arrest in normal pathway of descent , more in Rt side
Etiology = H3S = ¹ ⏬ HCG
² short gabernaculm
³ short spermatic cord
⁴ strictures of inguinal canal
Cp = empty scrotum
Inx = Hormonal assay , US , Ct , laparoscopy
Ttt = orchedopexy & according to the age, or hormonal ttt.
Comp = 3T 2S 2I = ¹ torsion testis
² tumer
³ truma
⁴ sterility
⁵ psychiatry
⁶ infection
⁷ indiret inguinal hernia
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ Ectopic testis :
¹ Def = arrest testis outside normal pathway
² Ectopic site = superficial inguinal pouch commenst site
³ Ttt = orchedopexy or orchedoctomy no hormonal ttt
¹ Def = arrest testis outside normal pathway
² Ectopic site = superficial inguinal pouch commenst site
³ Ttt = orchedopexy or orchedoctomy no hormonal ttt
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ Retractile testis :
Def = occure in young children due to exaggerated creamastric reflex
Note : cremastric ms not well developed in first 3 months so no retractile testis under 3 months
Type : ¹ low retractile = by melking test stay there
² high retractile = milking test dosen't stay
Ttt = orchedopexy
Def = occure in young children due to exaggerated creamastric reflex
Note : cremastric ms not well developed in first 3 months so no retractile testis under 3 months
Type : ¹ low retractile = by melking test stay there
² high retractile = milking test dosen't stay
Ttt = orchedopexy
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ Hydrocele :
Def = collection of serous fluid inside tunics vaginalis
Type : ¹ congenital / due to persistent of tunica vaginalis , reducible, testis palpable
² aquired / idiopathic , irreducible, testis impalpaple
CP = scrotal swelling , +ve transllumination test , +ve fluctuation test
Inx = scrotal US
Ttt = Jaboly operation = نفتح ونربط للخلف
Or Lords operation = نفتح ونربط ع الجناب
Complications = ¹ pyocele
² hematocele
³ herniation through dartos
⁴ buried penis
Def = collection of serous fluid inside tunics vaginalis
Type : ¹ congenital / due to persistent of tunica vaginalis , reducible, testis palpable
² aquired / idiopathic , irreducible, testis impalpaple
CP = scrotal swelling , +ve transllumination test , +ve fluctuation test
Inx = scrotal US
Ttt = Jaboly operation = نفتح ونربط للخلف
Or Lords operation = نفتح ونربط ع الجناب
Complications = ¹ pyocele
² hematocele
³ herniation through dartos
⁴ buried penis
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ varicocele :
Def = elongation or dilatation of pumpiniform plexus of veins
Site = unilateral lt side 95%
Type = ¹ primary ( reflux )
² secondary ( obstructive )
CP = dragging sensation or aching pain
Inx = doppler or duplex us
Ttt = ¹ secondary treat underlying cause
² Primary __ do varicelectomy by ( open , laparoscopic )
or sclerotherapy
Open ___ do high ligation = ligation of testicular veins
or low ligation = ligation of pumpiniform plexus
Laparoscopic ___ do ligation of testicular veins
If reccurent do embolization
Complications = ¹ subfitility
² 2nd hydrocele & thromboplebitis
Def = elongation or dilatation of pumpiniform plexus of veins
Site = unilateral lt side 95%
Type = ¹ primary ( reflux )
² secondary ( obstructive )
CP = dragging sensation or aching pain
Inx = doppler or duplex us
Ttt = ¹ secondary treat underlying cause
² Primary __ do varicelectomy by ( open , laparoscopic )
or sclerotherapy
Open ___ do high ligation = ligation of testicular veins
or low ligation = ligation of pumpiniform plexus
Laparoscopic ___ do ligation of testicular veins
If reccurent do embolization
Complications = ¹ subfitility
² 2nd hydrocele & thromboplebitis
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ Torsion testis :
Def = twisting of testis and epididymis around axis of spinal cord, it's surgical emergency & more in Rt side
CP = sudden sever pain
D.d = ¹ torsion testis
² epidymo orchitis
نفرق عن طريق prehis signs
نرفع scrotum فوق ، لو الألم زاد يعني testis
ولو نقص يعني epidymo orchitis
Inx = urgent doppler & douplex
Ttt = urgent exploration of scrotum
Do detorsion & orchedopexy
Def = twisting of testis and epididymis around axis of spinal cord, it's surgical emergency & more in Rt side
CP = sudden sever pain
D.d = ¹ torsion testis
² epidymo orchitis
نفرق عن طريق prehis signs
نرفع scrotum فوق ، لو الألم زاد يعني testis
ولو نقص يعني epidymo orchitis
Inx = urgent doppler & douplex
Ttt = urgent exploration of scrotum
Do detorsion & orchedopexy
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ penis disorder :
¹ hypospadias = opening of external urethral meatus on ventral side of penis , ttt early surgical correction before 2yr , CI circumcision
² epispadias = on dorsum
³ phimosis = foreskin can't be retracted over glans penis
⁴ para phimosis = inability to reduce fore skin , ttt by circumcision
⁵ circumcision = remove foreskin
Indication : Religion , social , phimosis , para phimosis
CI in : hypospadias, bleeding disorder,
Unstable or sick infant
Complications : MC bleeding then infection
⁶ priapism = prolonged unwanted erection lasting > 4 hr
¹ hypospadias = opening of external urethral meatus on ventral side of penis , ttt early surgical correction before 2yr , CI circumcision
² epispadias = on dorsum
³ phimosis = foreskin can't be retracted over glans penis
⁴ para phimosis = inability to reduce fore skin , ttt by circumcision
⁵ circumcision = remove foreskin
Indication : Religion , social , phimosis , para phimosis
CI in : hypospadias, bleeding disorder,
Unstable or sick infant
Complications : MC bleeding then infection
⁶ priapism = prolonged unwanted erection lasting > 4 hr
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
⭕️ testicular tumers :
2 type :
¹ Teratoma = هذا يمثل طلبة الطب 😁
العمر ديمه في العشرينات من 20 _ 30 سنة
سريع في كل شي 🥲
و Radio resistance مقاوم لكل الظروف✔️🌚
دمهم حامي ابسط كلمة عراكات طول 🙂 = blood metastasis
Poor prognosis.
Tumer marker = B-HCG , LDH, alpha FP🚨 (MCQ).
ttt: excission + chemo only
² seminoma = هذا يمثل فترة مابعد التخرج
العمر بعد 30 سنة 🌚
بطيء هلبا يعني ماعندا شي امتي ماينوض ويدير حاجته عادي لاعنده شيت ماقراشي لاعنده هم يخمم فيه 🙅🏻♀
ويكون radiosensetive يعني ابسط كلمة يفتح منها نقاش ويكسد عليها 🫢🫣
Lymphatic spread
Good prognosis
Tumer marker B-HCG, LDH
ttt: Excision + Radio + chemo.
2 type :
¹ Teratoma = هذا يمثل طلبة الطب 😁
العمر ديمه في العشرينات من 20 _ 30 سنة
سريع في كل شي 🥲
و Radio resistance مقاوم لكل الظروف✔️🌚
دمهم حامي ابسط كلمة عراكات طول 🙂 = blood metastasis
Poor prognosis.
Tumer marker = B-HCG , LDH, alpha FP🚨 (MCQ).
ttt: excission + chemo only
² seminoma = هذا يمثل فترة مابعد التخرج
العمر بعد 30 سنة 🌚
بطيء هلبا يعني ماعندا شي امتي ماينوض ويدير حاجته عادي لاعنده شيت ماقراشي لاعنده هم يخمم فيه 🙅🏻♀
ويكون radiosensetive يعني ابسط كلمة يفتح منها نقاش ويكسد عليها 🫢🫣
Lymphatic spread
Good prognosis
Tumer marker B-HCG, LDH
ttt: Excision + Radio + chemo.