أسئلة paper 1 فبراير 2024 ⬆️

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.💙

#Biliary system ⬇️ ♻️

Gall stone diseases✨

🔹 Biliary System :
      CHD : 4mm approximately
      CBD : 6-8 mm  approximately
      Cystic duct : 4 mm approximately
      GB   : 7-10 mm approximately

Key points ⬆️
#Biliary

عرفتوا Dx ؟ 🫡🔥

❤ Yes
💔 No

#Dx is Ascending cholangitis 🥳🎊
(Charcot's triad).

📚Biliary tract Lesions:🚨

🎴Pain = Cholelithiasis
🎴Pain + Pyrexia = Acute Cholecystitis
🎴Pain + Jaundice = Choledocholithiasis
🎴Pain + Pyrexia + Jaundice (Charcot's triad) = Ascending Cholangitis.🍁

⭕️The 4 features of obstructive jaundice :😉
1. Dark urine.
2. Pale stool.
3. Jaundice.
4. Itching.