★Stage of chronic limb ischaemia:
-Stage 1👉symptomless
-Stage 2👉intermittent claudication
-stage3👉Rest pain
-Stage4👉Ulceration or gangrene



★((Magner's classification))[0-5] of diabetic ulcer based on ulcer depth :

-Grade 0👉Intact skin
-Grade1👉superficial ulcer
-Grade2👉deep ulcer to tendon bone joint((without infection))
-Grade3👉Deep ulcer with abscess or osteomyelitis((with Infection))
-Grade4👉forefoot gangrene
-Grade5👉Whole foot gangrene

★Bed ulcer stage :
-Stage1 👉skin inflamed but not broken
-Stage2👉partial thickness skin loss(superficial painful ulcer)
-Stage3👉Full thickness skin loss affection subcutaneous tissues ((deep painful ulcer
-Stage4👉massive tissue destruction
Structure deep to deep fascia ((tendon+bones +ligament))


★portal hypertension stage:
-stage 1👉hepatomegaly
-stage2👉hepatosplenomegaly
-stage 3👉Shrink liver and huge spleen
-Stage4👉Aciates+splenomegaly+shrink liver
-Stage5👉Cells liver failure

★grading of reflux esophagitis:
Grade l👉hyperaemic mucosa
Grade ll👉superficial ulceration of mucosa
Grade lll👉deep ulceration
Grade lV👉stricture or barrett's esophagus


★Stage of thrombosis:
-Stage1👉pale thrombus
-Stage2👉mixed thrombus(fibrin+RBC)
-stage3👉propagating thrombus(jelly-like)

Leriche syndrome:
Buttock IC + absent femoral pulse + impotence in male = aorto ileac stenosis.

Burger's disease:
Migrating superficial thrombophlebitis.
 Inter digital infection.
 Raynaud’s phenomenon = in early disease.

(Schwartz test) V.V
Percussion proximally → feel wave distally, confirm reflux.

The left and right lobes which are divided by the falciform ligament, and it’s
surrounded by a layer of loose connective tissue called Glisson’s capsule.

Wilke's triad :
Chronic peptic ulcer, chronic appendicitis, chronuc cholecystitis

Saint's triad :
G.B stones, hiatus hernia, diverticulosis coli

olive green; Obstructive Jaundice 
Peu d orange skin;  Breast cancer
Lemon yellow; Jaundice.
Strawberry  tongue; Scarlet Fever
Moon face; with cortisone therapy.
Buffalo humb; cushing syndrome .
Spider nevi; liver cell failure
Monkey facies ; in marasmus child
Butter fly rash; SLE
Watermelon sign;  in hydrocephalus

Obstructive Jaundice :
Sudden
Intermittent
painful

Jaundice duo to tumor
Gradual
Progrosive
Painless
loss of wight
loss of appitite

الشكر للزميل/ طلال أبو مسلي❤️❤️

الشكر والعرفان للزميل /محمد هشام 🌹🌹🌹

ملفات مفيده جداً

🔴🔴🔴🔴🔴🔴
ملف العملي جراحة كامل لأغلب الدكاترة ....الملف الاساسي مع الاضافات لبعض الاسئلة والمعلومات تم تجميع الاضافات من قبل طلاب وطالبات جروبنا كتب الله أجرهم وسهل الله لهم .....
🛑تم اضافة ملف المعلومات الجديدة المجمعة في نهاية الملف الاساسي شوفوهن
🛑الملف كامل مهم جداً لاختبار العملي خصوصاً الدكاترة اللي بيختبرونا

#جامعة_صنعاء

⭕ ملف ضخم ل Drains