2-1.pdf
6.4 MB
مجوبات كل ملف 10stations
مرفق.pdf
1 MB
اتاكدوا لانه سريع
مرفق.pdf
3.7 MB
تجميع3 اختباراتosceلمجاميع نبض32بملف واحد
Forwarded from Surgery ♾️ د.فَاطـِـمہ الـــشَريف (فَاطـِـمہ الـــشَريف)
Common OSCE cases & important discussion notes.pdf
26 MB
Common OSCE cases & important discussion notes 13 pages.
Forwarded from خامسة
Urgent cholecystectomy.
• if unfit for surgery →(percutaneous cholecystostomy)
As temporary decompression until pt become fit
• if unfit for surgery →(percutaneous cholecystostomy)
As temporary decompression until pt become fit
Forwarded from خامسة
pt become [jaundice + pale stool +dark urine] = CBD stone.
Do →LFT U/S + ERCP or MRCP.
ERCP to remove! Stone → later do cholecystectomy.
If ERCP is not possible →do open surgery:
(CBD exploration + T-tube cholecystectomy
Do →LFT U/S + ERCP or MRCP.
ERCP to remove! Stone → later do cholecystectomy.
If ERCP is not possible →do open surgery:
(CBD exploration + T-tube cholecystectomy
Forwarded from خامسة
Alkaline phosphate ⇒
(bone /WBC/intestine/placenta/kidneys
(bone /WBC/intestine/placenta/kidneys
Forwarded from خامسة
ALT ⇒ Specific for liver only.
AST⇒ Also for skeletal and cardic muscle .
AST⇒ Also for skeletal and cardic muscle .
Forwarded from خامسة
Liver injury ⇒ ALT & AST
Billiry injury ⇒ ALP &GGT
Billiry injury ⇒ ALP &GGT
Forwarded from خامسة
MRCP is investigation of choice in pt with dilated duct on U/S.
Forwarded from خامسة
ERCP is diagnostic & therapeutic but more invasive.
Forwarded from خامسة
Acute cholangitis
Classically Charcot’s triad:
RHC pain +fever + obstructive jaundice
Classically Charcot’s triad:
RHC pain +fever + obstructive jaundice