🔺الدكتور عبدالعزيز الجعدي "Vascular"
💢 D.V.T 💢
💢 طريقة أخذ الـ Examination
1- Wash your hand .
2- precede your self .
3- 30 to 45 deggre .
تكون مرتفع عن المريض
4- Exposure the area
🔺First ...
Inspection we see 3 things :-
1- Risk factor of embolism :
A. Obesity
B. Old age
C. Pregnant
2- Clinical sings:-
A. Homan's sign dorsal flexion of the leg lead to the pain in the calf muscle
B. Mosts sing squizeing!!!
3 اشوف ماذا يوجد بجانب المريض كالعكاز مثلاً أو أي شيء أخر ...
🔺2nd ...
Palpation :-
1- Temperature بتكون مرتفع
2- Pulse and blood pressure
اشوفه لأنه قد يكون مافي pulse مثلاً في
Atherosclerosis and renal disease
, Thoracic outlet syndrome and tumor mass
اشوف الضغط لأنه قد يكون المريض عنده Hypertension وهذا يسبب
Endothelial injury.
3- Tenderness
4- Swelling and redness and oedema
5- Pain
🔺 3rd:-
Auscultation "ليست مهمه"
🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺
🔴 Signs of D.V.T patients:-
1- Pain
2- Swelling
3- Redness
🔵 Causes of thromboembolism:-
1- Endothelial injury :
A- Hypertension and Smoking.
B- Trauma and Endotoxin.
2- Circulatory stasis :
A. Varicose veins and anyorysm
B. Arythematis and immobility
3 Hypercoagulation :
A. Decrease antithrombin "III" and proteins C@S.
B. Atrial fibralation and Contraceptive.
🔵 Predisposing factors of Thrombosis:-
T➡️ Trauma.
H ➡️ Hormonal. e.g
contraceptives.
R ➡️ Road Traffic accident.
O ➡️ Obesity and Old age.
M ➡️ Malignancy.
B ➡️ Blood disorder and Polycythemia.
O ➡️ Orthopedic surgery and Operations.
S ➡️Stroke.
I➡️ Mobilization.
S➡️ Spleenectomy.
🔻Phlegmasia alba dolens:
تكون
Pain and oedema and Pale skin rash.
🔻Phlegmasia cerulea dolens:
تكون
Pain and oedema and cyanosis
هؤلاء ذكرهن الدكتور في ال Clinical sing
🔵 ttt :-
1- Elevate the leg to relate symptoms .
2- Elastic compression of the leg 🦵
3- Analgesic .
4 -Heparin or warfarin .
5- Thrombolysis .
6- Venous thrombectomy .
7- Prevention of ather embolism by filter .
🔵 Investigations:-
by Doppler or Duplex ultrasound scan.
#Vascular..DVT
#surgery
#د_عبدالعزيز الجعدي.
✨#Group C-5 كل الشكر لزملائنا 🌹
💢 D.V.T 💢
💢 طريقة أخذ الـ Examination
1- Wash your hand .
2- precede your self .
3- 30 to 45 deggre .
تكون مرتفع عن المريض
4- Exposure the area
🔺First ...
Inspection we see 3 things :-
1- Risk factor of embolism :
A. Obesity
B. Old age
C. Pregnant
2- Clinical sings:-
A. Homan's sign dorsal flexion of the leg lead to the pain in the calf muscle
B. Mosts sing squizeing!!!
3 اشوف ماذا يوجد بجانب المريض كالعكاز مثلاً أو أي شيء أخر ...
🔺2nd ...
Palpation :-
1- Temperature بتكون مرتفع
2- Pulse and blood pressure
اشوفه لأنه قد يكون مافي pulse مثلاً في
Atherosclerosis and renal disease
, Thoracic outlet syndrome and tumor mass
اشوف الضغط لأنه قد يكون المريض عنده Hypertension وهذا يسبب
Endothelial injury.
3- Tenderness
4- Swelling and redness and oedema
5- Pain
🔺 3rd:-
Auscultation "ليست مهمه"
🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺
🔴 Signs of D.V.T patients:-
1- Pain
2- Swelling
3- Redness
🔵 Causes of thromboembolism:-
1- Endothelial injury :
A- Hypertension and Smoking.
B- Trauma and Endotoxin.
2- Circulatory stasis :
A. Varicose veins and anyorysm
B. Arythematis and immobility
3 Hypercoagulation :
A. Decrease antithrombin "III" and proteins C@S.
B. Atrial fibralation and Contraceptive.
🔵 Predisposing factors of Thrombosis:-
T➡️ Trauma.
H ➡️ Hormonal. e.g
contraceptives.
R ➡️ Road Traffic accident.
O ➡️ Obesity and Old age.
M ➡️ Malignancy.
B ➡️ Blood disorder and Polycythemia.
O ➡️ Orthopedic surgery and Operations.
S ➡️Stroke.
I➡️ Mobilization.
S➡️ Spleenectomy.
🔻Phlegmasia alba dolens:
تكون
Pain and oedema and Pale skin rash.
🔻Phlegmasia cerulea dolens:
تكون
Pain and oedema and cyanosis
هؤلاء ذكرهن الدكتور في ال Clinical sing
🔵 ttt :-
1- Elevate the leg to relate symptoms .
2- Elastic compression of the leg 🦵
3- Analgesic .
4 -Heparin or warfarin .
5- Thrombolysis .
6- Venous thrombectomy .
7- Prevention of ather embolism by filter .
🔵 Investigations:-
by Doppler or Duplex ultrasound scan.
#Vascular..DVT
#surgery
#د_عبدالعزيز الجعدي.
✨#Group C-5 كل الشكر لزملائنا 🌹
Clinical Surgery 37
🔺الدكتور عبدالعزيز الجعدي "Vascular" 💢 D.V.T 💢 💢 طريقة أخذ الـ Examination 1- Wash your hand . 2- precede your self . 3- 30 to 45 deggre . تكون مرتفع عن المريض 4- Exposure the area 🔺First ... Inspection we see 3 things :- 1-…
كلام الدكتور كامل موجود في هذا المنشور ... وأي حالة في الأختبار العملي لـ مريض الـ D.V.T مطلوب مننا هذا الكلام بـ الترتيب 👆🏻
ملاحظات الدكتور حمدي أبو شرقية "أخصائي التخدير"
💢 Anaesthesia 💢
🔺 Propofol ... It's the better one used as anaesthesia fro all the healthy patients.
⏰ The duration of 15 - 20 minutes.
🚫 It's C.I at ... Shocks and Hypotension and Dehydrations patients.
🔺The better one anaesthesia for the patients with hypotensions ... Is
ketamine
🔺 Amitriptyline is the better drug for treatment of Backache after spinal anaesthesia.
🔺 Fentanyl ... It's the better and safer as analgesia for patients after anaesthesia.
- Dose 2 ug/ka to maximum dose 150 ug.
- It is more strong of morphine by 100 time.
🔺 Halothane ... should be the duration between the first use and second uses 26 days as minimal interval
🔺 Isoflurane ... it is the most effective and safer anaesthesia for all patients
🔺 The site of anaesthesia for gallbladder operations ... is between
L7 - L8
- Dose = 2 cc of marcine
🔺Pethidine ... it is not used the now due to has high Addiction.
#Anaesthesia.
#surgery
#د_حمدي_ابوشرقية
✨ # C-5 جزيل الشكر للزملائنا في مجموعة🌹
💢 Anaesthesia 💢
🔺 Propofol ... It's the better one used as anaesthesia fro all the healthy patients.
⏰ The duration of 15 - 20 minutes.
🚫 It's C.I at ... Shocks and Hypotension and Dehydrations patients.
🔺The better one anaesthesia for the patients with hypotensions ... Is
ketamine
🔺 Amitriptyline is the better drug for treatment of Backache after spinal anaesthesia.
🔺 Fentanyl ... It's the better and safer as analgesia for patients after anaesthesia.
- Dose 2 ug/ka to maximum dose 150 ug.
- It is more strong of morphine by 100 time.
🔺 Halothane ... should be the duration between the first use and second uses 26 days as minimal interval
🔺 Isoflurane ... it is the most effective and safer anaesthesia for all patients
🔺 The site of anaesthesia for gallbladder operations ... is between
L7 - L8
- Dose = 2 cc of marcine
🔺Pethidine ... it is not used the now due to has high Addiction.
#Anaesthesia.
#surgery
#د_حمدي_ابوشرقية
✨ # C-5 جزيل الشكر للزملائنا في مجموعة🌹
Forwarded from جراحة عمليClinical surgery (الصـYasserـيفي)
جميع_ملخصات_د_محمد_الدوبلي_جراحة_عملي.pdf
27.5 MB
🗂محتويات الملف👇🏻
1✨Hernia, GBS, Swelling.
2✨swelling Examination.×2
3✨Throid.
4✨Breast.
5✨Hernia.
6✨Ulcer.
7✨Abdominal Trauma.
8✨Trauma.×2
9✨Chest Tube.
10✨Neck swelling, Scrotal swelling, Jaundice.
13✨Notes.
14✨Biliary system.(جديد🔥)
د. #محمد_الدوبلي
1✨Hernia, GBS, Swelling.
2✨swelling Examination.×2
3✨Throid.
4✨Breast.
5✨Hernia.
6✨Ulcer.
7✨Abdominal Trauma.
8✨Trauma.×2
9✨Chest Tube.
10✨Neck swelling, Scrotal swelling, Jaundice.
13✨Notes.
14✨Biliary system.(جديد🔥)
د. #محمد_الدوبلي
Forwarded from جراحة عمليClinical surgery (الصـYasserـيفي)
الدفتر ٢.pdf
18.3 MB
نبض32ملخص لدكاتره سنة خامسه
#ملخصات_سابقه_مجمعه
يحتوي ملخصات للدكاترة 👇👇
#دعبدالكريم_العامري
#د_محمد_عيسى
#ناجي_حومش
#محمد_الدوبلي
@surgery565
#ملخصات_سابقه_مجمعه
يحتوي ملخصات للدكاترة 👇👇
#دعبدالكريم_العامري
#د_محمد_عيسى
#ناجي_حومش
#محمد_الدوبلي
@surgery565
Forwarded from جراحة عمليClinical surgery (الصـYasserـيفي)
الدكتور محمد الدوبلي breast.pdf
3.2 MB
الدكتور محمد الدوبلي breast.pdf
Forwarded from جراحة عمليClinical surgery