•Atelectasis is the most common source of fever on the first post-operative day.

-Assess the risk for the other causes listed above, listen to the lungs, do a chest x- ray, improve ventilation (deep breathing and coughing, postural drainage, incentive spirometry), and perform a bronchoscopy if necessary.

-Pneumonia will happen in about 3 days if atelectasis is not resolved.
-Fever will persist, leukocytosis will be present, there may be purulent sputum, and chest x- ray will demonstrate an infiltrates.
-Obtain sputum cultures and treat with appropriate antibiotics.

#Surgery

•Anterior spinal Syndrome is characterized by :
▪️Paraplegia
▪️Incontinence (bowel/bladder)
▪️Pain and temperature sensation loss.

•What is the cause of Anterior spinal Syndrome ?
-Occlusion of the great radicular artery of Adamkiewicz.

#Medicine

-TSH is the most sensitive test for thyroid disease.
-If TSH is normal , the patient is Euthyroid .

#Surgery

-Tamoxifen prevents cancer by 50% in those with more than 1 family member with breast cancer.


#Surgery

-Most common mediastinal tumor at all Neurofibroma.

#Surgery

MEN I is also known as Wermer syndrome .

MEN I is composed of : 3-Ps

-Pituitary adenoma .
-Parathyroid adenoma or hyperplasia .
-Pancreatic tumour .

#Surgery

•Typical symptoms of Hypercalcaemia :

-Painful bones , abdominal groans , renal sones , and psychic moans .

#Medicine

APGAR score :

-Done at 1st minute after birth and then at 5 minutes intervals .

Consist of Newborn's ;

•Heart rate ( None , less than a 100 or a 100 or more )

•Respiratory EFFORT ( Absent , irregular or Gasping , regular and strong cry )

•Muscle Tone / Activity ( flacid baby , some flexion of the limbs , Active and well flexed )

•Reflex irritablity / Grimace ( response to nasal catheter ) : ( No response , Grimace, Cough or cry )

•Baby's Color : ( blue or pale , pink body with acrocyanosis , pink allover )


8-10👉🏼 All good
7 or less 👉🏼 RESUSCITATE .

#Pediatrics

Cigarette Smoking is not always bad..!!

Smoking is protective or decrease incidence or severity of the following diseases ..

▪️Endometrial cancer.
▪️Endometrial hyperplasia.
▪️Endometriosis.
▪️Ovarian cancer.
▪️Ulcerative colitis.
▪️Pre-eclampsia and Eclampsia.
▪️Parkinson's disease.
▪️Sarcoidosis .
▪️Breast Cancer ( there's debate ).
▪️Uterine fibroids.
▪️Hashimoto's thyroiditis.

•However , the High risk of smoking outweighs the little benefit found only on statistical studies .

#Medicine

- Acute appendicitis in pregnancy is least common in the THIRD trimester .

#Surgery

-Nightstick fracture ( isolated ulnar shaft fracture ).

#Surgery

•Montagia fracture dislocation:

-Fracture of the ulnar shaft with concomitant dislocation of the radial head .

#Surgery

•Remember that Philadelphia chromosome is 9:22 translocation .

•The presence of this chromosome indicate a good prognosis is CML ( chronic myeloid leukemia )

•However , if present in ALL .. it's a marker of poor prognosis ..


•Remember it as ( a CaMeL 🐪 is happy in Philadelphia's nice weather ).

#Medicine

-Huntington's disease is Movement , memory , and mood disease .

#Medicine

•Pituitary adenomas are the most common cause of panhypopituitarism; the mass compresses the gland, causing pressure, trauma, and necrosis.

#Medicine

-‘Klatskin tumour’

- It is cholangiocarcinoma at the confluence of the hepatic ducts and common hepatic duct above the level of the cystic duct (20% of cholangiocarcinomas).

-Klatskin tumour is classified as 4 types:

Type I 👉🏼Just at or below the confluence.

TypeII 👉🏼At the confluence.

TypeIII👉🏼 at the confluence extending along the RHD.

TypeIV👉🏼 at the confluence extending along the LHD.

-It causes obstructive jaundice with hydrohepatosis without enlargement of gallbladder.
-Management is like cholangiocarcinoma.


#Biliary

•Post renal failure ( uraemia ) is the most common cause of death in cervical cancer.

#Obs_Gyne

•Keep in mind that trivial mitral valve regurgitation is a normal finding in 70% of the population .

#Medicine

Apple core sign aka ( Eaten apple sign ) : cancer colon .

#Surgery
#Xray

Bird peak sign : Achalasia cardia .

#Surgery
#Xray

Triple bubble sign : Jejunal atresia.

#Surgery
#Xray