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Follow up after mastectomy by: 1:mammography
2:MRI ( to high risk group)
3:Tumor marker ( CA 15-3 CEA )
#GIT 💡
Key words of lower git bleeding:

Ischemic colitis ➡️sever acute pain & sever bleeding
Colon cancer ➡️ old /weight loss /loss of appetite /Alternative bowel  habits/usually mild bleeding
Divertecular ➡️ Alternative bowel  habits
IBD ➡️diarrhea
Angiodysplasia ➡️ old Age
Upnormal BV /bleeding painless Perfuse/ asymptomic/ difficulty Dx
Anal fissure ➡️ painful during defecation
Homorrhoids ➡️ painless
فيديو د. عبد المطلب رحمه الله، لي Anasthesia..⬆️
هذا كافي حسب كلام زملائنا من دفعات سابقة.
بالتوفيق يارب.❤️
Thoracic surgery (Lung cancer)
Thoracic surgery (Lung cancer) د.خالد ميلاد
حَسْبِيَ اللَّهُ لَا إِلَهَ إِلَّا هُوَ، عَلَيْهِ تَوَكَّلْتُ
وَهُوَ رَبُّ الْعَرْشِ الْعَظِيمِ.

من قالها حين يصبح وحين يمسي ٧مرات
كفاه الله ما أهمه من أمر الدنيا والآخرة.💙
تجميعة اسئلة الدكتور خالد ميلاد في #الجراحة ⬇️
#Ortho
Principles of Fructures

- Impacted fracture: also called a torus or buckle fracture, is a piece of the bone may impact another bone, happen as in Corticocalcaneus junction.
Cortico bone have medullary canal.
Calcaneus bone haven't medullary canal.
Its common in # neck of femor, lower end of radius B/w diaphysia (cortical) & metaphysis (calcaneus) called Colles #.

- Referred pain: its pain feel away from its origin.

- Open reduction: means reduce the # under direct vision.
- closed reduction: means reduce the # without exposure the # size.
- pelvis يمشي معاه CT scan أكثر من ال Xray

- Different b/w lig & tendon????

- Dont say open # by X-ray this is wrong but by clinical examination to Pt.

- in examination say Normal range of motion.
Or restricted range of motion.

- Commonuted #: its # of more than 2 paices of bone of fragments.

- Compound #: its Open#. 😉

- Types of dislocation:
Congenital dislocation
Aquired dislocation :
1A) trumatic //
B) pos , Ant, dislocation
C) Central // (femor تخش داخل ال Pelvis )
2A) paralytic //
B) dislocation as in poliomylitis
3) Pathological dislocation.

- Note/ number bone of hand is 27
& All upper limb 30 bone
Both U.L is 60 bone.
- Number bone of foot 26 & 4 in L.L
So All L.L is 60
Both U.L & L.L is 120 bones.
2025/07/05 16:52:33
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