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قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤ » Telegram Web
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
✨ملخص perineal condition
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
🔴 بإختصار
🔺اي حاجه في foregut بدير
Epigastric pain
🔺اي حاجه في الـ midgut بدير periumbilical pain
ما عدا الـ appendix في الاول ادير في وجع حولين الـ umbilical زيها زي midgut structure وبعدين دير
Shift to the Rt iliac fossa
🔺اي حاجه hind-gut رح تسمع في suprapubic
🔺اي حاجه في foregut بدير
Epigastric pain
🔺اي حاجه في الـ midgut بدير periumbilical pain
ما عدا الـ appendix في الاول ادير في وجع حولين الـ umbilical زيها زي midgut structure وبعدين دير
Shift to the Rt iliac fossa
🔺اي حاجه hind-gut رح تسمع في suprapubic
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
#GIT💡 :
✨
All GIT cancer common in ♂️ except : Gall bladder cancer common in ♀️
✨
Zinker , meckles , imporforated anus , pinoidal common in ♂️
✨
Acalasia , plummer , crons common in ♀️
✨
Ulcerative colitis ♀️ = ♂️
✨
All GIT cancer common in ♂️ except : Gall bladder cancer common in ♀️
✨
Zinker , meckles , imporforated anus , pinoidal common in ♂️
✨
Acalasia , plummer , crons common in ♀️
✨
Ulcerative colitis ♀️ = ♂️
Forwarded from قناة السيمستر الثاني عشر دفعة (43) طب بشري جامعة طرابلس ❤
#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
✨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
⭕️ Key points of epigastric pain :
EPIGASTRIC PAIN + pain worse with food = gastric ulcer
epigastric pain + pain better with food = duodenal ulcer.
epigastric pain + weight loss = gastric ulcer or cancer
epigastric pain +tenderness = pancretitis
epigastric pain + bad taste ,cough ,hoarse= GERD
epigastric pain + nothing = non ulcer dyspepsia [ 90% of cases]
epigastric pain + diabetic and bloating = diabetic gastroparesis
Epigastric pain+diabetic = think about MI until proven otherwise
EPIGASTRIC PAIN + pain worse with food = gastric ulcer
epigastric pain + pain better with food = duodenal ulcer.
epigastric pain + weight loss = gastric ulcer or cancer
epigastric pain +tenderness = pancretitis
epigastric pain + bad taste ,cough ,hoarse= GERD
epigastric pain + nothing = non ulcer dyspepsia [ 90% of cases]
epigastric pain + diabetic and bloating = diabetic gastroparesis
Epigastric pain+diabetic = think about MI until proven otherwise
نم مطمئنًا بأن مُدبّر الأمور رحيمٌ لطيف، حاشاه أن يرى عبده في بقعة مظلمة دون لطف يُجريه، يأتيك بالنور ويعطيك خيرًا مما فقدت، ويجبرك جبرًا يُنسيك مُرّ حزنك ويرزقك من حيث لا تحتسب❤
كُل الملاجئ دون اللهِ كاذبةٌ
بالله لا بالناسِ تُقضى الحوائجُ ❤
كُل الملاجئ دون اللهِ كاذبةٌ
بالله لا بالناسِ تُقضى الحوائجُ ❤
⭕️ Crohn's :
¹ Non-Specific Granuloma
² Regional ilietis (ileum) From mouth To anus
³ Unknown (heriditary- focal) Familial ischemia
⁴ Transmural (all Layers)
⁵ Skip Lesion/ Cabble stone.
⁶ 15-30 yrs, female +Extra-intestinal manifestation + Bloody diarrhoea + mucous
⁷ Dx CT/u/s/endoscopy Barium meals Follow string sign of Kantor
⁸ Fissuring ,sticture, Cobble stone.
⁹ ttt medical (steroid, Pentosa) Surgery: resection/stricturoplasty
¹ Non-Specific Granuloma
² Regional ilietis (ileum) From mouth To anus
³ Unknown (heriditary- focal) Familial ischemia
⁴ Transmural (all Layers)
⁵ Skip Lesion/ Cabble stone.
⁶ 15-30 yrs, female +Extra-intestinal manifestation + Bloody diarrhoea + mucous
⁷ Dx CT/u/s/endoscopy Barium meals Follow string sign of Kantor
⁸ Fissuring ,sticture, Cobble stone.
⁹ ttt medical (steroid, Pentosa) Surgery: resection/stricturoplasty
⭕️ 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.
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
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.
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).
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).
Deudenal atrasia:
Double bubble sign.
Double bubble sign.