BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي
Q_ differentiated between cardiac temponac and tention pneumothorax (definition ,causes ,clinical presentation , treatment )
إجابة مختصرة بالذكاء الإصطناعي:
Cardiac tamponade and tension pneumothorax are two distinct medical conditions that can have serious implications if not promptly recognized and treated. Here's a breakdown of each condition:
Cardiac Tamponade:
- Definition: Cardiac tamponade refers to the accumulation of fluid or blood in the pericardial sac, which surrounds the heart. This buildup of fluid puts pressure on the heart, impairing its ability to pump effectively.
- Causes: The most common cause of cardiac tamponade is trauma, such as a motor vehicle accident or penetrating injury. Other causes include infections (such as pericarditis), cancer, kidney failure, and certain medical procedures.
- Clinical Presentation: Patients with cardiac tamponade may present with symptoms such as shortness of breath, chest pain, rapid heartbeat, low blood pressure, fainting, and anxiety. They may also exhibit signs of jugular venous distention (JVD), muffled heart sounds, and pulsus paradoxus (a decrease in blood pressure during inspiration).
- Treatment: The primary treatment for cardiac tamponade is an emergency procedure called pericardiocentesis. This involves inserting a needle or catheter into the pericardial sac to drain the accumulated fluid or blood. In some cases, surgery may be required to repair any underlying causes.
Tension Pneumothorax:
- Definition: Tension pneumothorax occurs when air accumulates in the pleural space surrounding the lungs and cannot escape. This leads to increased pressure on the affected lung(s) and can cause them to collapse.
- Causes: Tension pneumothorax is commonly caused by trauma or injury to the chest wall that results in a punctured lung. It can also occur spontaneously in individuals with underlying lung diseases like chronic obstructive pulmonary disease (COPD).
- Clinical Presentation: Patients with tension pneumothorax typically experience sudden onset severe chest pain, shortness of breath, rapid breathing, decreased breath sounds on one side of the chest, cyanosis (bluish discoloration), tracheal deviation away from the affected side (in severe cases), and distended neck veins.
- Treatment: Immediate treatment for tension pneumothorax involves decompression using a procedure called needle thoracostomy. A large-bore needle is inserted into the affected side of the chest to release trapped air. Definitive treatment usually involves placing a chest tube to drain any remaining air or fluid.
It's important to note that both cardiac tamponade and tension pneumothorax are medical emergencies that require prompt recognition and intervention by healthcare professionals.
Cardiac tamponade and tension pneumothorax are two distinct medical conditions that can have serious implications if not promptly recognized and treated. Here's a breakdown of each condition:
Cardiac Tamponade:
- Definition: Cardiac tamponade refers to the accumulation of fluid or blood in the pericardial sac, which surrounds the heart. This buildup of fluid puts pressure on the heart, impairing its ability to pump effectively.
- Causes: The most common cause of cardiac tamponade is trauma, such as a motor vehicle accident or penetrating injury. Other causes include infections (such as pericarditis), cancer, kidney failure, and certain medical procedures.
- Clinical Presentation: Patients with cardiac tamponade may present with symptoms such as shortness of breath, chest pain, rapid heartbeat, low blood pressure, fainting, and anxiety. They may also exhibit signs of jugular venous distention (JVD), muffled heart sounds, and pulsus paradoxus (a decrease in blood pressure during inspiration).
- Treatment: The primary treatment for cardiac tamponade is an emergency procedure called pericardiocentesis. This involves inserting a needle or catheter into the pericardial sac to drain the accumulated fluid or blood. In some cases, surgery may be required to repair any underlying causes.
Tension Pneumothorax:
- Definition: Tension pneumothorax occurs when air accumulates in the pleural space surrounding the lungs and cannot escape. This leads to increased pressure on the affected lung(s) and can cause them to collapse.
- Causes: Tension pneumothorax is commonly caused by trauma or injury to the chest wall that results in a punctured lung. It can also occur spontaneously in individuals with underlying lung diseases like chronic obstructive pulmonary disease (COPD).
- Clinical Presentation: Patients with tension pneumothorax typically experience sudden onset severe chest pain, shortness of breath, rapid breathing, decreased breath sounds on one side of the chest, cyanosis (bluish discoloration), tracheal deviation away from the affected side (in severe cases), and distended neck veins.
- Treatment: Immediate treatment for tension pneumothorax involves decompression using a procedure called needle thoracostomy. A large-bore needle is inserted into the affected side of the chest to release trapped air. Definitive treatment usually involves placing a chest tube to drain any remaining air or fluid.
It's important to note that both cardiac tamponade and tension pneumothorax are medical emergencies that require prompt recognition and intervention by healthcare professionals.
🛑 Important note 🛑
عشان تعملوا management صح بالحالات حسب المعطيات
Managment of obstructive jauindce due to common bile duct stone :
Definitive ttt is ( remove of stone & sources of stone *mostly* cholecystectomy.
🟣 A_ if patien has cholangitis :🟣
Charcot triad ( RUQ pain , jauindce , fever fever fever 🤒 )
1_ admission to hospital
NPO
IV fluid
Broad spectrum antibiotics
Analgesic
Vasopressin( if pt is shocked)
IF NOT improve within 24 hrs :
Biliary decompression by:
Insertion of Stent by ERCP & Sphenectrectomy and removal of stone or by PTC until patient fit to surgery do cholecystectomy.
IF we can't do ERCP or PTC ( exploration of CBD&Removal of stone &cholecystectomy at same time )
🟣B_IF patient has no Cholangitis :🟣
Pre_operative managment :.
NOP
IV FLUID
Broad A.b
Injection of Vitamine K
والفحوصات تبع الكبد والفصيلة وووو.
THEN do ( ERCP &Extraction of stone &cholecystectomy)
If ERCP NOT avaliable :
Exploration of CBD & removal of stone and Do cholecystectomy..
عشان تعملوا management صح بالحالات حسب المعطيات
Managment of obstructive jauindce due to common bile duct stone :
Definitive ttt is ( remove of stone & sources of stone *mostly* cholecystectomy.
🟣 A_ if patien has cholangitis :🟣
Charcot triad ( RUQ pain , jauindce , fever fever fever 🤒 )
1_ admission to hospital
NPO
IV fluid
Broad spectrum antibiotics
Analgesic
Vasopressin( if pt is shocked)
IF NOT improve within 24 hrs :
Biliary decompression by:
Insertion of Stent by ERCP & Sphenectrectomy and removal of stone or by PTC until patient fit to surgery do cholecystectomy.
IF we can't do ERCP or PTC ( exploration of CBD&Removal of stone &cholecystectomy at same time )
🟣B_IF patient has no Cholangitis :🟣
Pre_operative managment :.
NOP
IV FLUID
Broad A.b
Injection of Vitamine K
والفحوصات تبع الكبد والفصيلة وووو.
THEN do ( ERCP &Extraction of stone &cholecystectomy)
If ERCP NOT avaliable :
Exploration of CBD & removal of stone and Do cholecystectomy..
❤2👏1
BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي
هل وصلكم آخر إختبار جراحة بكالوريوس جامعة صنعاء ؟
اللي صوتوا إن الإختبار وصل لهم وهم من دفعتنا شكراً لكم لتعاونكم وحرصكم على نشر الفائدة لزملائكم ولم تقوموا بإرسال الإختبار 🐸 🐍
واللي ماوصلهم الإختبار الآن بيوصل للجميع إن شاء الله بمنشور تحت هذا😊 😐
واللي ماوصلهم الإختبار الآن بيوصل للجميع إن شاء الله بمنشور تحت هذا
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🛑إمتحان دفعة 34 بكالوريوس جراحة جامعة صنعاء لهذا العام 🛑👇👇👇👇👇👇
🟣MCQs🟣
2-Premeditation include antihistamine .....
3- sliding hernia ....sigmoid colon
4- pancreatic cancer ...most commonly in pancreatic neck
5- septic arthritis ....ankle
6- pri ampulla cancer ..... First part of doudenum
7-ewings carcinoma differential diagnosis is osteomyelitis
8-pregnancy increase the risk of ureteric stone
9-pseudocyst ..except pancreatic necrosis
10- mucocele of the appendix is retention cyst
11-gusillio calcification..IIIB
12-multinodular goitre is follicular carcinoma
13- breast cancer stage 3
14 - metastasis to liver is except increase Alph feto protein
15-gastrointestial stromal tumor except most common in large intestine
16- most common anomaly of hepatic artery ... Hepatic artery from superior mesenteric artery
17anasthetic position - Trendelenburg
18-most post operative complication atelectasis
19- malignancy except doudenum the most commonly site.
20- intessusption ... Receive
21- halitosis ...Zenker diverticulum
22-Acidification of urine ...struvite stone
23-pure uric stone ...manage medically
24-brain abscess capsular stage 1 to 3 days
25- mrcp except diagnostic and therapeutic
26- most common benign tumor of salivary gland ...pleomorphic
27- trouser sign ....left supraventricular node
28 - most common cause of colovesical fistula diverticulitis
29-entercutaneous fistula predisposed
30- aculculas cholecystitis
31- causes of midline mass except branchial cyst
32- Fogarty catheter embolectomy
33- mammography of breast malignancy except well defined
34- most malignancy inflammatory breast cancer
35- pathological discharge except induced
36- later complication of gastrectomy.
37- stones more than 2 cm gall stone
38- abberation of normal development of breast ... Except cyclic mastlagia
39- pyloric stenosis .... Metabolic alkalosis hypo kalmia
40- alkalosis hypo kalmia....pyloric stenosis
41- most common type of choledochal cyst type 1
42-pulse with swelling... aneurysm
43- echo sign of gallbladder except contracted gallbladder
43- intracranial hemorrhage except subgalael hematoma
45-indication of surgery's in brain injury except
46cleft lip ....3 months
47- ABCDE of melanoma except thinking ....
2-Premeditation include antihistamine .....
3- sliding hernia ....sigmoid colon
4- pancreatic cancer ...most commonly in pancreatic neck
5- septic arthritis ....ankle
6- pri ampulla cancer ..... First part of doudenum
7-ewings carcinoma differential diagnosis is osteomyelitis
8-pregnancy increase the risk of ureteric stone
9-pseudocyst ..except pancreatic necrosis
10- mucocele of the appendix is retention cyst
11-gusillio calcification..IIIB
12-multinodular goitre is follicular carcinoma
13- breast cancer stage 3
14 - metastasis to liver is except increase Alph feto protein
15-gastrointestial stromal tumor except most common in large intestine
16- most common anomaly of hepatic artery ... Hepatic artery from superior mesenteric artery
17anasthetic position - Trendelenburg
18-most post operative complication atelectasis
19- malignancy except doudenum the most commonly site.
20- intessusption ... Receive
21- halitosis ...Zenker diverticulum
22-Acidification of urine ...struvite stone
23-pure uric stone ...manage medically
24-brain abscess capsular stage 1 to 3 days
25- mrcp except diagnostic and therapeutic
26- most common benign tumor of salivary gland ...pleomorphic
27- trouser sign ....left supraventricular node
28 - most common cause of colovesical fistula diverticulitis
29-entercutaneous fistula predisposed
30- aculculas cholecystitis
31- causes of midline mass except branchial cyst
32- Fogarty catheter embolectomy
33- mammography of breast malignancy except well defined
34- most malignancy inflammatory breast cancer
35- pathological discharge except induced
36- later complication of gastrectomy.
37- stones more than 2 cm gall stone
🟣MCQs🟣
2-Premeditation include antihistamine .....
3- sliding hernia ....sigmoid colon
4- pancreatic cancer ...most commonly in pancreatic neck
5- septic arthritis ....ankle
6- pri ampulla cancer ..... First part of doudenum
7-ewings carcinoma differential diagnosis is osteomyelitis
8-pregnancy increase the risk of ureteric stone
9-pseudocyst ..except pancreatic necrosis
10- mucocele of the appendix is retention cyst
11-gusillio calcification..IIIB
12-multinodular goitre is follicular carcinoma
13- breast cancer stage 3
14 - metastasis to liver is except increase Alph feto protein
15-gastrointestial stromal tumor except most common in large intestine
16- most common anomaly of hepatic artery ... Hepatic artery from superior mesenteric artery
17anasthetic position - Trendelenburg
18-most post operative complication atelectasis
19- malignancy except doudenum the most commonly site.
20- intessusption ... Receive
21- halitosis ...Zenker diverticulum
22-Acidification of urine ...struvite stone
23-pure uric stone ...manage medically
24-brain abscess capsular stage 1 to 3 days
25- mrcp except diagnostic and therapeutic
26- most common benign tumor of salivary gland ...pleomorphic
27- trouser sign ....left supraventricular node
28 - most common cause of colovesical fistula diverticulitis
29-entercutaneous fistula predisposed
30- aculculas cholecystitis
31- causes of midline mass except branchial cyst
32- Fogarty catheter embolectomy
33- mammography of breast malignancy except well defined
34- most malignancy inflammatory breast cancer
35- pathological discharge except induced
36- later complication of gastrectomy.
37- stones more than 2 cm gall stone
38- abberation of normal development of breast ... Except cyclic mastlagia
39- pyloric stenosis .... Metabolic alkalosis hypo kalmia
40- alkalosis hypo kalmia....pyloric stenosis
41- most common type of choledochal cyst type 1
42-pulse with swelling... aneurysm
43- echo sign of gallbladder except contracted gallbladder
43- intracranial hemorrhage except subgalael hematoma
45-indication of surgery's in brain injury except
46cleft lip ....3 months
47- ABCDE of melanoma except thinking ....
2-Premeditation include antihistamine .....
3- sliding hernia ....sigmoid colon
4- pancreatic cancer ...most commonly in pancreatic neck
5- septic arthritis ....ankle
6- pri ampulla cancer ..... First part of doudenum
7-ewings carcinoma differential diagnosis is osteomyelitis
8-pregnancy increase the risk of ureteric stone
9-pseudocyst ..except pancreatic necrosis
10- mucocele of the appendix is retention cyst
11-gusillio calcification..IIIB
12-multinodular goitre is follicular carcinoma
13- breast cancer stage 3
14 - metastasis to liver is except increase Alph feto protein
15-gastrointestial stromal tumor except most common in large intestine
16- most common anomaly of hepatic artery ... Hepatic artery from superior mesenteric artery
17anasthetic position - Trendelenburg
18-most post operative complication atelectasis
19- malignancy except doudenum the most commonly site.
20- intessusption ... Receive
21- halitosis ...Zenker diverticulum
22-Acidification of urine ...struvite stone
23-pure uric stone ...manage medically
24-brain abscess capsular stage 1 to 3 days
25- mrcp except diagnostic and therapeutic
26- most common benign tumor of salivary gland ...pleomorphic
27- trouser sign ....left supraventricular node
28 - most common cause of colovesical fistula diverticulitis
29-entercutaneous fistula predisposed
30- aculculas cholecystitis
31- causes of midline mass except branchial cyst
32- Fogarty catheter embolectomy
33- mammography of breast malignancy except well defined
34- most malignancy inflammatory breast cancer
35- pathological discharge except induced
36- later complication of gastrectomy.
37- stones more than 2 cm gall stone
👍7❤4👏1
38- abberation of normal development of breast ... Except cyclic mastlagia
39- pyloric stenosis .... Metabolic alkalosis hypo kalmia
40- alkalosis hypo kalmia....pyloric stenosis
41- most common type of choledochal cyst type 1
42-pulse with swelling... aneurysm
43- echo sign of gallbladder except contracted gallbladder
43- intracranial hemorrhage except subgalael hematoma
45-indication of surgery's in brain injury except
46cleft lip ....3 months
47- ABCDE of melanoma except thinking ....
48 Radiological sign Morphy's sign
49 Most common bleeding from gastroduodenal artery
50 After hip dislocation surgery most common is .
🟣 essay 🟣
Strangulated hernia
Esophageal cancer
Breast lesion
Ureteric stone
Uretheral injuries
Carotid body tumour
Osteomalcia and osteoporosis
Shuolder joint dislocation
Side effect of general
anesthesia.
ملاحظة لايوجد في إختبارهم حالات .
أسئلة ال mcq ليست مذكورة بالنص ، لذلك اذا لقيتوا نفس السؤال عند قراءتكم للنماذج تقدروا تشاركوها عشان الكل يستفيد😁🌹
كل الشكر للزملاء اللي شاركونا الإمتحان :
د.أسامه الذارعي
د.عاصم العفيف
د.فؤاد الحبابي
د.علي حسين
39- pyloric stenosis .... Metabolic alkalosis hypo kalmia
40- alkalosis hypo kalmia....pyloric stenosis
41- most common type of choledochal cyst type 1
42-pulse with swelling... aneurysm
43- echo sign of gallbladder except contracted gallbladder
43- intracranial hemorrhage except subgalael hematoma
45-indication of surgery's in brain injury except
46cleft lip ....3 months
47- ABCDE of melanoma except thinking ....
48 Radiological sign Morphy's sign
49 Most common bleeding from gastroduodenal artery
50 After hip dislocation surgery most common is .
🟣 essay 🟣
Strangulated hernia
Esophageal cancer
Breast lesion
Ureteric stone
Uretheral injuries
Carotid body tumour
Osteomalcia and osteoporosis
Shuolder joint dislocation
Side effect of general
anesthesia.
ملاحظة لايوجد في إختبارهم حالات .
أسئلة ال mcq ليست مذكورة بالنص ، لذلك اذا لقيتوا نفس السؤال عند قراءتكم للنماذج تقدروا تشاركوها عشان الكل يستفيد😁🌹
كل الشكر للزملاء اللي شاركونا الإمتحان :
د.أسامه الذارعي
د.عاصم العفيف
د.فؤاد الحبابي
د.علي حسين
👍3👏3❤2
BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي pinned «🛑إمتحان دفعة 34 بكالوريوس جراحة جامعة صنعاء لهذا العام 🛑👇👇👇👇👇👇 🟣MCQs🟣 2-Premeditation include antihistamine ..... 3- sliding hernia ....sigmoid colon 4- pancreatic cancer ...most commonly in pancreatic neck 5- septic arthritis ....ankle 6- pri ampulla…»
BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي
38- abberation of normal development of breast ... Except cyclic mastlagia 39- pyloric stenosis .... Metabolic alkalosis hypo kalmia 40- alkalosis hypo kalmia....pyloric stenosis 41- most common type of choledochal cyst type 1 42-pulse with swelling... aneurysm…
دكاترة / دكتورات
أسئلة ال mcq ليست مذكورة بالنص ، لذلك اذا لقيتوا نفس السؤال عند قراءتكم للنماذج تقدروا تشاركوها عشان الكل يستفيد😁🌹
أسئلة ال mcq ليست مذكورة بالنص ، لذلك اذا لقيتوا نفس السؤال عند قراءتكم للنماذج تقدروا تشاركوها عشان الكل يستفيد😁🌹