🔅 Surgical signs 🔅
#مهم
1- Troisier's sign : palpable supraclavicular lymph node in patient with carcinoma of stomach ( virchow's gland ) { cancer of stomach )

2- murphy's sign : Palpate the abdomen just below the tip of the ninth costal cartilage and ask the patient to take a deep breath.When the liver and the attached gallbladder descend and strike the palpating hand, the patient will experience a sharp pain { Acute cholecystitis }

3- boas's sign : Because gallbladder pain often radiates through to the tip of the scapula, the affected dermatome may be hyperaesthetic, a change detected by lightly drawing a pin down the back of the patient’s chest. { Acute cholecystitis }

4- Bruising and discoloration in the left flank (Grey Turner’s sign) and around the umbilicus (Cullen’s sign) only develop in patients with very { severe haemorrhagic pancreatitis }.

5- Courvoisier's law : patient has jaundice and a gallbladder that is enlarged but is not painful { cancer of head of pancrease }

6- Kehr's sign : is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated

7- Chvostek sign : This clinical sign refers to a twitch of the facial muscles that occurs when gently tapping an individual's cheek, in front of the ear. { hypocalcemia }

8- Trousseau's sign : refers to the involuntary contraction of the muscles in the hand and wrist (i.e., carpopedal spasm) { hypocalcemia }

9- rigidity : involuntary contraction of abdominal muscles due to marked parietal  peritoneum irritiation { peritonitis }

10- guarding : voluntary contraction of abdominal muscles due to mild parietal  peritoneum irritiation { peritonitis }

11-  tenderness : pain when palpable site pf inflammed area ( e.g appendisits )

12-  rebound tenderness or blumberg's sign :  there is pain upon removal of pressure rather than application of pressure to the abdomen.

13- Psoas sign : pain on extension of right thigh due to inflammed appendixe

14- Obturator sign : pain on internal rotation of right thigh due to inflammed appendixe

15- Rovsing's sign : pain in right lower quadrant with palpation of left lower quadrant due to inflammed appendixe

16- Dunphy's sign : increased pain with coughing

17-Claybrook sign :
Accentuation of breath and cardiac sounds through abdominal wall in ((Ruptured abdominal viscus))

18-Cruveilhier sign :
Varicose veins at umbilicus (caput medusae) in Portal hypertension

19- Danforth sign:
Shoulder pain on inspiration in Hemoperitoneum

20-Mannkopf’s sign:
Increased pulse when painful abdomen palpated Absent if malingering

21- Ransohoff sign :
Yellow discoloration of umbilical region in Ruptured CBD

22- Ten Horn sign:
Pain caused by gentle traction of right testicle in Acute appendicitis

23- Berry's sign: absent carotid pulsation, due to infiltration of carotid sheath by malignancy of thyroid.

24- Cardinal signs of acute mesenteric ischemia:👇🏻
•History: Anorexia, nausea, vomiting, bloody diarrhea, constant, abdominal pain, previous history of vascular disease and/or high blood pressure.

•Examination: Atrial fibrillation, heart failure, asymmetrical peripheral pulses, absent bowel sounds, variable tenderness and guarding

25- Cardinal signs of Ruptured aortic aneurysm:👇🏻
•History: history of vascular disease and/or high blood pressure. Sudden onset of
severe, tearing back/loin/abdominal pain.

•Examination: Shock and hypotension, pulsatile, tender, abdominal mass, asymmetrical femoral pulses, Grey–Turner’s and Cullen’s sign

26- Cardinal signs of IO:
pain , vomiting , abdominal distension, constipation

#Surgical_Signs

#تجميع
#قسم_الجراحة
#اللجنة_العلمية_للدفعة_الخامسة

منى عمليchest_1.pdf

للي يشتي يطلع على DDx

Incision of abdomenal surgery

What are the pressure symptoms of goiter?
1. Pressure on trachea : dyspnea .
2. Pressure on the esophagus : dysphagia
3. Pressure on recurrent laryngeal N : hoarseness of voice
4. Pressure on carotids : fainting attacks
5. Pressure on internal jugular : black outs which increase on
leaning forward
6. Pressure on sympathetic chain : Horner syndrome

#Sutures الخيوط الجراحية

*Types :
▪️According to absorbance :
I- Absorbable sutures:
A. Natural (e. g Catgut ) .
B. Synthetic( e. g Polyglycolic acid, PDS, Polyglactin, monocryl polyglecapron 25).
II- Non-absorbable sutures:
A. Natural (e. g silk )
B. Synthetic( e. g Nylon, Prolene, PTFE, stabler, adhesive tapes ,stainless-steel)

▪️According to filaments :
A- monofilament sutures
B- multifilament sutures

What are the content of spermatic cord?
Rule of 3
1. 3 covering:
External spermatic fascia
nternal spermatic fascia
Cremastric fascia
2. 3 vessels
Vas deference
Testicular artery
Testicular vein
3. 3 structures
a/Lymph vessels
b/Autonomic nerves
c/Processes vaginalis

ملخصات دائرة الجراحة في اللجنة العلمية للعملي 37b
Ischemia
https://t.me/Surgery_Lab_37B/220
دمحمد عيسى د. عبداللطيف ابوطالب د. فهيم العبسي
https://t.me/Surgery_Lab_37B/232?single
د. محمد الدوبلي د. عبدالعزيز الجعدي
https://t.me/Surgery_Lab_37B/236?single
د. نصر القدسي
https://t.me/Surgery_Lab_37B/238
د.محمد الشهاري
https://t.me/Surgery_Lab_37B/213
د. ياسر عبدالمغني د. ابراهيم النونو د. مأرب المحويتي
https://t.me/Surgery_Lab_37B/203?single
محاضرات لم يسعنا الوقت لكتابتها كمبيوتر
د. عثمان الخزان
https://t.me/Surgery_Lab_37B/206
د.علي المؤيد
https://t.me/Surgery_Lab_37B/404
د.الامين النور
https://t.me/Surgery_Lab_37B/406