US Criteria of Acute cholecystitis:
-GB stone
-Biliary sludge "turbid bile"
-Thickened wall
-Strip of fluid" pericholecystitis"
#Surgery
-GB stone
-Biliary sludge "turbid bile"
-Thickened wall
-Strip of fluid" pericholecystitis"
#Surgery
Recognizing acute cholecystitis on US:
-The presence of gallstones, possibly impacted in the neck of the gallbladder or cystic duct) (Fig. 21-5)
-Thickening of the gallbladder wall (>3 mm) (see Fig. 21-5, A)
-Pericholecystic fluid (fluid around the gallbladder) (see Fig. 21-5, B)
- A positive sonographic Murphy sign (A positive Murphy sign in this case is pain that is elicited by compression of the gallbladder with the US probe).
•In the presence of gallstones and gallbladder wall thickening, US has a positive predictive value for acute cholecystitis as high as 94%.
#Surgery
-The presence of gallstones, possibly impacted in the neck of the gallbladder or cystic duct) (Fig. 21-5)
-Thickening of the gallbladder wall (>3 mm) (see Fig. 21-5, A)
-Pericholecystic fluid (fluid around the gallbladder) (see Fig. 21-5, B)
- A positive sonographic Murphy sign (A positive Murphy sign in this case is pain that is elicited by compression of the gallbladder with the US probe).
•In the presence of gallstones and gallbladder wall thickening, US has a positive predictive value for acute cholecystitis as high as 94%.
#Surgery
PDS (Polydioxanone synthetic smooth suture):
-Synthetic, absorbable.
-It is monofilamentous,so it is useful in suturing infected or contaminated wounds.
-Time of absorption: 6 months.
-intended for use ingeneral soft tissue approximation, including paediatric CV tissue, microsurgery and ophthalmic surgery.
-Synthetic, absorbable.
-It is monofilamentous,so it is useful in suturing infected or contaminated wounds.
-Time of absorption: 6 months.
-intended for use ingeneral soft tissue approximation, including paediatric CV tissue, microsurgery and ophthalmic surgery.
Remember:
-Aaron's "هارون" sign: is a referred pain felt in the epigastriumupon continuous firm pressure over McBurney's point. It is indicative of appendicitis.
-Aaron's sign is named for Charles Dettie Aaron, an American gastroenterologist.
#Surgery
-Aaron's "هارون" sign: is a referred pain felt in the epigastriumupon continuous firm pressure over McBurney's point. It is indicative of appendicitis.
-Aaron's sign is named for Charles Dettie Aaron, an American gastroenterologist.
#Surgery
Remember:
In abdominal examination in a surgical case, Never forget to examine:
-Supraclavicular lymph glands
-Hernia orifices
-Femoral pulses
-Genitalia
-Bowel sounds
-Anal canal and rectum.
#Surgery
In abdominal examination in a surgical case, Never forget to examine:
-Supraclavicular lymph glands
-Hernia orifices
-Femoral pulses
-Genitalia
-Bowel sounds
-Anal canal and rectum.
#Surgery
Quick Notes
This figure shows the opening of submandibular duct (Wharton's duct) on each side of the lingual frenulum, the openings are abnormally large on each side, this is considered to be a normal physiological variant. #Salivary #Surgery
The submandibular duct (Wharton's duct) emerge from the medial aspect of the deep part, and passes forwards in the floor to open beside the base of the lingual frenulum.
#Surgery
#Surgery