Quick Notes
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Forwarded from Quick Notes
The right supraclavicular node is called Scalene node.

#Surgery
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What is the bone that has not articulation with any bone?

-The hyoid bone is a mobile single bone found in the midline of the neck below the mandible and abides the larynx.
-It does not articulate with any other bones.


#Surgery
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INDICATIONS OF CBD EXPLORATION:

1. History of charcot’s triad
2. USG proven stones in CBD
3. Dilated CBD (>1cm)
4. OTCshows filling deffect
5. Palpable stones in CB.

#Surgery
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Amount of secretions of gut.

#Medicine
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Stomas.

#Surgery
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Stoma examination.

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Why is indirect inguinal hernia more common in right side ?

Due to delayed descend of right testis , slower closure of a patent processus vaginalis on the right side compared to the left.

It's almost about one month difference.

#Surgery
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Coverings of Testis:

1. Skin
2. Dartos muscle
3. Colle's fascia
4. External spermatic fascia
5. Cremasteric muscle & fascia
6. lnternal spermatic fascia
7. Tunica vaginalis (parietal & visceral layers).
8. Tunica albuginea (fibrous capsule).

#Surgery
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Remember:

-Hasselbach's triangle is also called triangle of Halshted, inguinal triangle.

#Surgery
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Nerve Suoply of GB:

1)Autonomic:-
Parasympathetic: hepatic branch of anterior vagus.
Sympathetic: from T7-9 (pain is reffered to inferior angle of right scapula).

2)Sensory:
-By the Right phrenic C3,4,5 (the same segments as the supra-clavicular nerves ) so pain in gall bladder is referred to right shoulder).

#Surgery
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What are the types of Direct inguinal hernia?

1-Medial
2-Lateral

#Surgery
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Remember:

-The ilioinguinal nerve is a branch of the first lumbar nerve (L1)

-Innervates Skin over the root of the penis and upper part of the scrotum (male), skin covering the mons pubis and labium majus (female).

-Motor innervation of the transverse abdominus and obliques.

#Surgery
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Remember:

-The Adductor canal is also called Hunter's canal or Sub-sartorial canal.

#Surgery
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Sciatic nerve.

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Femoral triangle.

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Femoral sheath.

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Femoral canal.
F. ring and S. opening.

#Surgery
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Adductor canal, popliteal fossa.

#Surgery
أهم علامة تدل أن الـ Foly's catheter بمكانها الصحيح؟

-Gush of urine.
Forwarded from Quick Notes
Difference between submandibular lymph node and submandibular gland swelling:

1. Nodes usually are multiple while gland single swelling
2. Node could be over rided the body of mandible while the gland is not
3. Gland could be palpated bimanually
(From the skin and from the floor of tongue )
4.gland swelling and pain may increase during induce sour food while node show no changes
5. As the most common cause of submandibular gland swelling is duct stone we may feel it by palpation.

#Surgery
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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