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قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤ » Telegram Web
Q12/ All are true regarding carcinoma pancreas, EXCEPT?
Anonymous Quiz
91%
A. Most common site is the tail of gland
3%
B. Is an adenocarcinoma
2%
C. May present with obstructive jaundice
2%
D. May present with dyspepsia and loss of weight
2%
E. Smoking and alcohol are risk factors
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Q13/ All are true regarding carcinoma of the pancreas, Except:
Anonymous Quiz
90%
A. Most of the cases are operable at presentation
4%
B. Alcoholic intake is linked to its etiology
1%
C. Chronic pancreatitis might increase the incidence of carcinoma
2%
D. Nausea, dyspepsia and weight loss maybe presenting symptoms
4%
E. May present with painless jaundice
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Forwarded from S W E E R A 🧡
السلام عليكم..
هذا شيت Ortho summary لدكتور السنوسي 30 ورقة، في حالة حد محتاجه ويبي يقرا منه..👇🏻
وموفقين يارب.
هذا شيت Ortho summary لدكتور السنوسي 30 ورقة، في حالة حد محتاجه ويبي يقرا منه..👇🏻
وموفقين يارب.
😢10😁1
⭐️💡 Morphy Sign in __ acute cholecystitis
⭐️_ Cullens sign " Bruising around umbilicus "
_ Gray Turner sign " bruising in flanks "
💡 It's see in Hemorrhagic Pancreatitis
⭐️_ Psoas Stretch Sign __ Hyper extension in hip
_ Rovsing Sign __ Palpation in LIF Produce pain in RIF
💡 It's see in Acute appendicitis
⭐️_ Cullens sign " Bruising around umbilicus "
_ Gray Turner sign " bruising in flanks "
💡 It's see in Hemorrhagic Pancreatitis
⭐️_ Psoas Stretch Sign __ Hyper extension in hip
_ Rovsing Sign __ Palpation in LIF Produce pain in RIF
💡 It's see in Acute appendicitis
❤9🔥7
كل ما أشعُر ببوادِر شيل الهم تجاه أيّ أمر ، بقيت أستودعه عند ربِ
ومفيش شئ لحد الآن استودعته عند ربِ ، وضرِّني فيه أبدًا
وسبحان الله الإنسان ممكِن يقضي عُمرُه كلُّه يختار يشيل لوحده ، وعنده ربّ كريم يقوله
وَتَوَكَّلْ عَلَى الْعَزِيزِ الرَّحِيمِ * الَّذِي يَرَاكَ حِينَ تَقُومُ * وَتَقَلُّبَكَ فِي السَّاجِدِينَ * إِنَّهُ هُوَ السَّمِيعُ الْعَلِيمُ "
اللهم اني وكلتك أمري فكُن لي خيرَ مُعين ، ودبِّر لي أمري فإني لا أحسِنُ التدبير" ❤
ومفيش شئ لحد الآن استودعته عند ربِ ، وضرِّني فيه أبدًا
وسبحان الله الإنسان ممكِن يقضي عُمرُه كلُّه يختار يشيل لوحده ، وعنده ربّ كريم يقوله
وَتَوَكَّلْ عَلَى الْعَزِيزِ الرَّحِيمِ * الَّذِي يَرَاكَ حِينَ تَقُومُ * وَتَقَلُّبَكَ فِي السَّاجِدِينَ * إِنَّهُ هُوَ السَّمِيعُ الْعَلِيمُ "
اللهم اني وكلتك أمري فكُن لي خيرَ مُعين ، ودبِّر لي أمري فإني لا أحسِنُ التدبير" ❤
❤33
صباح الخير جميعاً.. أسئلة اليوم حتكون على I.O إن شاء الله.🙋♀
🔻 Triad of small bowel obstruction in plain X-ray :
1. Dilated small bowel loops > 3 cm
2. Multiple air fluid levels in erect X-ray
3. Paucity of air in the colon
🔻 Complications of intestinal obstruction:
•Peritonitis
• Hypovolaemic and septic shock .
•Renal failure .
• ARDS.
•Intra-abdominal. abscess formation.
•Moribund status.
🔻 Triad of small bowel obstruction in plain X-ray :
1. Dilated small bowel loops > 3 cm
2. Multiple air fluid levels in erect X-ray
3. Paucity of air in the colon
🔻 Complications of intestinal obstruction:
•Peritonitis
• Hypovolaemic and septic shock .
•Renal failure .
• ARDS.
•Intra-abdominal. abscess formation.
•Moribund status.
❤5🔥2
Forwarded from Internal Medicine By Doha Rawag (Doha Ali Rawaq)
⚀Description
◽Erect abdominal x ray
◽AP view
◽Showing multiple air fluid level
⚀Most likely DX
IO (Intestinal obstruction )
⚀Next step
➡️Medical TTT
NPO
IV fluids
Analgesics
Antibiotics
➡️Surgical TTT
Resection and Anastomosis
https://www.tg-me.com/internal_medicine_Dr_Doha💮
لا تنسونا من صالح الدُعاء.🤲🌟🌙🧡
◽Erect abdominal x ray
◽AP view
◽Showing multiple air fluid level
⚀Most likely DX
IO (Intestinal obstruction )
⚀Next step
➡️Medical TTT
NPO
IV fluids
Analgesics
Antibiotics
➡️Surgical TTT
Resection and Anastomosis
https://www.tg-me.com/internal_medicine_Dr_Doha💮
لا تنسونا من صالح الدُعاء.🤲🌟🌙🧡
❤9
I.O
Q1/ The commonest cause of small bowel intestinal obstruction is:
Q1/ The commonest cause of small bowel intestinal obstruction is:
Anonymous Quiz
11%
A. Herniation
73%
B. Adhesions
5%
C. Volvulus
6%
D. Intussusception
4%
E. Gall stone ileus
❤2🔥1
Q2/ Strangulated small bowel obstruction is suggested by all, EXCEPT:
Anonymous Quiz
3%
A. Change of pain pattern
1%
B. Pyrexia
2%
C. Presence of peritoneal signs
2%
D. Leukocytosis
92%
E. Normal bowel sounds
❤4
Q3/ In small bowel obstruction at all ages , all are true EXCEPT:
Anonymous Quiz
4%
A. Most often due to adhesions
2%
B. Causes central abdominal colicky pain and vomiting
79%
C. Abdominal distention is seen in all cases
11%
D. Simple obstruction is treated initially conservatively
5%
E. Surgery is indicated if signs of strangulation appears
❤2
Q4/ Intussusception , the FALSE statement is:
Anonymous Quiz
58%
A. Is most common in children from 6 to 12 years
4%
B. Presents with colicky abdominal pain, rectal bleeding and an abdominal mass
10%
C. If no shock or peritonitis hydrostatic reduction can be attempted
3%
D. A Meckel’s diverticulum can induce an intussusception
25%
E. Mostly caused by hyperplasia of Payre’s patches.
❤2
Q5/ Inverted "U" sign in an erect X-ray abdomen is seen in:
Anonymous Quiz
5%
A. Gastric out let obstruction
3%
B. Achalasia esophagus
5%
C. Jejunal obstruction
6%
D. Ileal obstruction
81%
E. Sigmoid Volvulus
❤3
DOC for malignant hyperthermia is :
Anonymous Quiz
15%
Parqcetamol
57%
Dantroline
14%
Ketamine
14%
Benzodiazepenze
🤔3😁1
Malignant hyperthermia
(life-threatening condition) مافيش بصارة
من أخطر الحالات أثناء التخدير فلازم لما بتجي تخدر حالة ولازم تسأل المريض كويس لو خضع لعملية من قبل هل صارتله مضاعفات أو حد من عائلته سبق صارله مضاعفات أو أرتفعتله الحرارة هلبا لأن تعتبر AD
C/P hyperthermia , Tachycardia , and acidosis
كيف تتصرف :
1: Stop drug immediately
2:Ice bag , cold fluid and anti-pyritic (تبرد مريضك )
3: DOC is Dantroline
(life-threatening condition) مافيش بصارة
من أخطر الحالات أثناء التخدير فلازم لما بتجي تخدر حالة ولازم تسأل المريض كويس لو خضع لعملية من قبل هل صارتله مضاعفات أو حد من عائلته سبق صارله مضاعفات أو أرتفعتله الحرارة هلبا لأن تعتبر AD
C/P hyperthermia , Tachycardia , and acidosis
كيف تتصرف :
1: Stop drug immediately
2:Ice bag , cold fluid and anti-pyritic (تبرد مريضك )
3: DOC is Dantroline
❤17🔥2👍1
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Colorectal cancer
Risk factors of CRC :
¹ Male_ old age _ smoker_ high fat diet
² Familial adenomatose polyposis
³ Non hereditary polyposis colon cancer
⁴ Adenoma carcinoma sequence
Most common type = adenocarcinoma
Most common site = Rectum then sigmoid , So 1st symptoms of CRC PR bleeding
Lt side = PR Bleeding + alterated bowel habit + Symptoms of IO
Rt side = Anaemia + anorexia + asthenia
+ bleeding
Inx :
¹ sigmoidoscopy
² total colonoscopy
³ barium enema = in lt see apple core appearance but in Rt see filling defect
⁴ CT for staging
Duke classification :
Stage A mucosa, submucosa
Stage B ms layer
Stage C LN
Stage D distant metastasis
Risk factors of CRC :
¹ Male_ old age _ smoker_ high fat diet
² Familial adenomatose polyposis
³ Non hereditary polyposis colon cancer
⁴ Adenoma carcinoma sequence
Most common type = adenocarcinoma
Most common site = Rectum then sigmoid , So 1st symptoms of CRC PR bleeding
Lt side = PR Bleeding + alterated bowel habit + Symptoms of IO
Rt side = Anaemia + anorexia + asthenia
+ bleeding
Inx :
¹ sigmoidoscopy
² total colonoscopy
³ barium enema = in lt see apple core appearance but in Rt see filling defect
⁴ CT for staging
Duke classification :
Stage A mucosa, submucosa
Stage B ms layer
Stage C LN
Stage D distant metastasis
💯4❤2
Forwarded from قناة الرسمية للدفعة 15_كلية الطب البشري " الخمس "
Principle of bowel surgery
steps :
1 Preparation
2 Resection
3 after resection
Preparation :
¹ mechanical by polyethylene glycol or mg citrate
² oral antibiotics = Neomycine
³ parenteral antibiotics
⁴ DVT prophylaxis
⁵ ureter stent
⁶ anasthesia
Resection :
¹ segmental resection = extensive colectomy = ( Rt hemicolectomy , Lt hemi , transverse colectomy, sigmoid colectomy )
² total colectomy
³ subtotal colectomy
⁴ protectomy = rectum only remove
⁵ procto_colectomy = rectum & colon remove
Step of resection :
¹ ligation of vessels & mesentry
² resection of mesentry and bowel
steps :
1 Preparation
2 Resection
3 after resection
Preparation :
¹ mechanical by polyethylene glycol or mg citrate
² oral antibiotics = Neomycine
³ parenteral antibiotics
⁴ DVT prophylaxis
⁵ ureter stent
⁶ anasthesia
Resection :
¹ segmental resection = extensive colectomy = ( Rt hemicolectomy , Lt hemi , transverse colectomy, sigmoid colectomy )
² total colectomy
³ subtotal colectomy
⁴ protectomy = rectum only remove
⁵ procto_colectomy = rectum & colon remove
Step of resection :
¹ ligation of vessels & mesentry
² resection of mesentry and bowel
❤4
🚨راجعوا المعلومات حنزل عليه أسئلة ال Colorecatal Cancer..! ⬆️🍃
بالتوفييق.
بالتوفييق.
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