Quick Notes
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Types of IV fluid.

#Surgery
History taking in anorectal diseases.

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History taking of anorectal disease.
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Indications of PR examination.
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Length, diameters and transit time of different parts of GIT.

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-Double-contrast barium enema is a form of contrast radiography in which x-rays of the colon and rectum are taken using two forms of contrast to make the structures easier to see.

-Barium is a silver-white metallic compound that outlines the colon and rectum on an x-ray and helps show abnormalities.

-Air is also put into the rectum and colon to further enhance the x-ray.


-Double contrast  barium meal is done by giving effervescent tablets  along with barium.

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-In barium swallow a thick solution of barium sulphate is given to the patient for swallowing.
-This is mainly done for the study of esophagus and pharynx


-In barium meal a dilute solution of barium sulphate is used (about 500 ml is given orally).

-Barium meal examinations are used to study the lower esophagus, stomach and duodenum.

-Barium follow through examinations are used to study the small intestine.

#Surgery
Why there is anorexia in patients with acute abdomen?

-The exact cause isn't known.
-May be due to pain and information.
-Release of inflammatory mediators such as cytokines. These mediators can affect the appetite-regulating centers in the brain, leading to a decreased desire to eat.


#Surgery
Why there is vomiting in patients with acute abdomen?

-It's a protective mechanism.
-It's due to reflex spasm of the pylorus.

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Forwarded from Quick Notes
🔻Radiation of pain:
-It is the extension of the pain to another site while the initial pain persists.
-Radiating pain is of same character of original site.
-For example, penetration of duodenal ulcer posteriorly causes pain both in epigastrium and back.
-Pain of pancreatitis radiates to back.

#Surgery
Forwarded from Quick Notes
🔻Referred pain:
-It is pain that is felt at a distance from its source. It's not felt at the site of the disease.
-For example, inflammation of the diaphragm causes a pain experienced only at the tip of the shoulder.
-Hip joint pathology may cause referred pain in knee joint.
-Referred pain in the epigastrium from the heart; referred pain in the abdomen from pleura; referred pain over the testis from the ureter..etc
-Referred pain is caused by the inability of the central nervous system to distinguish between visceral and somatic sensory impulses.

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Forwarded from Quick Notes
🔻Shifting/migration of pain:

-Origin of pain is in one site; later pain shifts to another site and pain at original site disappears.
-Pain when begins in viscera, is felt at the same somatic segmental area in the body; but once parietal layer is involved by inflammation/ pathology pain is felt at the anatomical site.
-Common example is that of acute appendicitis.

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Quick Notes
Most Common Type of Stones. #Surgery
Most common GB stone in 3rd world is mixed.
-In general, the normal diameter of the common bile duct as determined by ultrasound is <6 mm, by ERCP <10 mm, and by intraoperative extraluminal measurements <12mm.

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In Hydatid cyst:

Most common presenting symptoms: Abdominal pain, dyspepsia and vomiting.

MC sign: Hepatomegaly.

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Comparison between amebic and pyogenic liver abscess.

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Built of patient in a thyroid case:

•Thyrotoxicosis—thin and underweight
•Hypothyroidism—obese and overweight
•Carcinoma—anemia and cachexia
•Mask like facies—hypothyroidism.

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