Clinical Surgery 37

من الأشياء اللي بيركز عليها د. محمد علي صالح
الأهداف العالمية لسلامة المريض

three effective

- Identify patients correctly.
-Improve effective communication.
- Improve the safety of high

three preventive:
-alert medications.
Ensure safe surgery.
Reduce the risk of health care-associated infections.
Reduce the risk of patient harm resulting from falls.

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Clinical Surgery 37

من أسئلة د. محمد علي صالح
DVT score

1.49K viewsعبدالواحد الملصي, edited 00:01

Clinical Surgery 37

Forwarded from جراحة عمليClinical surgery

علي محمد صالح

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Clinical Surgery 37

Forwarded from جراحة عمليClinical surgery

علي محمد صالح

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Clinical Surgery 37

Forwarded from جراحة عمليClinical surgery

علي محمد صالح

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Clinical Surgery 37

Forwarded from جراحة عمليClinical surgery (الصـYasserـيفي)

جميع_ملخصات_د_علي_محمد_صالح_جراحة_عملي.pdf

12.9 MB

🗂محتويات الملف 👇🏻
1✨Morse fall Scale.
2✨How to assess the state of consciousness. (هام‼️)
3✨DVT risk score interpretation. (هام‼️)
4✨Pain scale.
5✨Glasgow coma scale.
6✨Notes in Hx taking & clinical Ex (‼️مهم جدااااااً‼️).
7✨a (ملخصات إضافيه).

د.#علي_محمد_صالح

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Clinical Surgery 37

Forwarded from جراحة عمليClinical surgery (الصـYasserـيفي)

محاضرات_عملي_جراحه_د_علي_محمد_صالح.pdf

4.1 MB

@surgery565
#علي_محمد_صالح

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Clinical Surgery 37

Forwarded from جراحة عمليClinical surgery (الصـYasserـيفي)

جراحة_241020011425.pdf

1.8 MB

اسئله الدكاتره من سنه رابعه حتى سادسه🤘

@surgery565

912 viewsعبدالواحد الملصي, 00:13

Clinical Surgery 37

د/ خالد الكحلاني

🐥Renal case "
Investigations:
°Urine analysis
°urine culture
°CBC
°RFT
°US
about urine culture not routinely for every pt just for once who complain of dysuria ,, hesitancy and so on or for pt that you suggest he has UTI

✨shape of stone either stag horne...

✨How to read an X-ray of pelvis ?!
firstly you should hold it in a correct way and know the right and left sides by mirror image according to yourself
لازم تعتمد هذه الطريقة لأنو احيانا ما يحددش الي عمل الأشعة هل يمين او يسار واحيانا يعكس..
وفي بعضهم يعتمدوا على ال organs shadow مثلا يقلك الكبد باليمين اذا" هذا يمين مش طريقة مضبوطة لأنو ممكن يكون خِلف خلافه يعني sidus inversus

2°Determine the name of film either chest ,, UTP ...
3° the name of pt and date that was written on X ray
4°look for anatomical extend of film ex urinary system the anatomical landmarks should include last two ribs in upper border till lower end of symphysis pubis
5°prepration of the pt was it good or not ? لما تشوف الأشعة واضحة ومافيش غازات وكل شيء تمام التمام معناه كان التحضير كويس 🙂
Preparation of the patient before contrast x-ray :
1. Renal function test.
to check creatinine level which allow or prevent dyes injection because of its nephrotoxic
effect
some people show abnormal response even if creatinin level was within normal (<1.2) .
2. Laxatives (castor oil).
to clean GIT because urinary system is retroperitoneal so anything inside GIT may prevent clear

6°Quality of the film detected by:
1. Differentiation between bony structures and soft tissues
2. Appearance of soft tissue shadows
" can you see the bones and shadow of organs clearly or not if yes means good film

✨In contrast study we evaluate secretory function of the kidney "perfusion" immediate lightening
of the kidney "good perfusion" .
And an excretory function by notice passage of the dye through the ureter into the bladder to
detect any obstruction .

😍At last your comment"
ex . after proper holding of an X ray ! start to tell the examiner your comment ,,, it is an UTP X ray , for Ali salah , that was taken at 1/11 , well taken involving the anatomical area of urinary tract system"UTS" , with good quality and good preparations as well comment about organs shadow may be there is hepatomegally
and comment of bones if there are any fractures ,, nails,, artificial joints علق على كل حاجة بتشوفها كسور,, مسامير,, عضو متضخم إلخ
Comment if there is any abnormal opacity never ever say there is stone "language of radiology" 🙂 but say there is radio opaque shadow of irregular shap or regular scatterrd or not and size
At last you can say the most probably diagnosis is renal stone 🙂

°conventional X rays either plain or contrast يعني اما صااافي او بصبغة
✨Plain x-rays "without admission of dyes"
KUB (Kidney ureter bladder) old name of urinary x-ray
UTP (urinary tract plain) new name
Aim of plain x-ray is to detect any abnormal opacity
✨Contrast x-rays "with dyes admission"

° when you want to do contrast X ray must do before it non contrast or plain one
°If pt has high level of creatinine the contrast X ray is contra indicated

✨CT give us more anatomical details

✨ before intervention should your pt be free of infection by given him medication before surgery as infection is a risk factor but in some conditions and with some pts could be done even if the infection still persist
" either pt refused waiting for long time or the bacteria in the stone itself

✨ Double J "دعامة"
either diagnostic or therapeutic

✨ وآخر حاجة شرحها الدكتور " فكرة وآلية عمل جهاز التفتيت بالموجات التصادمية"

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1.32K viewsعبدالواحد الملصي, 17:41

Clinical Surgery 37

كيف اقرا X-ray

اول شي بتقول له
1👉Plain x-ray والا digital x-ray
وتذكر ال veiw
اللي ممكن يكون AP أو lateral

مثال
Plain x -ray AP view

2👉personal data
اسم المريض وتاريخ عمل الأشعة
اذا مش موجود قول
No personal data

مثال

Plain x -ray AP view for pt called حمود الخلقي Done at 26/10/2022

3👉side &site

Side
يعني Rt والا left وإذا مش عارف أو مش موضح قول unknown side

Site
قول
For pelvis أو thigh أو arm أو

مثال
Plain x -ray AP view for pt called حمود الخلقي Done at 26/10/2022 for Rt forearm

4👉 bone
( غالبا بيكون fracture أو ممكن يكون swelling لو كان في tumor أو ممكن cyst أو pus لو كان osteomyelitis )

المهم لو fracture اوصف الآتي
A-site of fracture
مثلا Rt shaft of femur
B-shape
مثلا transverse, oblique أو أي نوع
C- extent
اي ي complete أو incomplete
D-displacement
مثلا lateral أو impacted أو أو

مثال
Plain x -ray AP view for pt called حمود الخلقي Done at 26/10/2022 for Rt forearm which shows Rt ulnar oblique incomplete angulated fracture

5👉 Cartilage (joint)
وتعلق ب واحدة من الثلاث الكلمات فقط
ي
Normal space
Narrow space
Wide space

مثال

Plain x -ray AP view for pt called حمود الخلقي Done at 26/10/2022 for Rt forearm which shows Rt ulnar oblique incomplete angulated fracture with normal cartilages space

6👉Soft tissue
وتقول ي
normal
Swelling
Effusion

مثال
Plain x -ray AP view for pt called حمود الخلقي Done at 26/10/2022 for Rt forearm which shows Rt ulnar oblique incomplete angulated fracture with normal cartilages space and normal soft tissue

وبالتوفيق ي رب 🔥

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1.28K viewsعبدالواحد الملصي, 17:41

Clinical Surgery 37

x_ray_interpretation_skills.pptx

3.1 MB

X. Ray interpretation
د. أنور المغلس

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Clinical Surgery 37

Radiology for Surgeons.pdf

6.9 MB

852 viewsعبدالواحد الملصي, 17:41

Clinical Surgery 37