قرات اكثر من ٢٠٠ تجربه لطلاب دفعه ٣٥ لمن كانوا رابعه وخامسه ، و اغلب الحالات من الاعلى الى الاقل :
- hepatobiliary ( mostly GBS, cholycystitis )
- Appendicitis
- Ischemia & diabetic foot
- hernia
- I.O
- colostomy
- chest ( effusion , hydated cyst)
- congenital anomalies ( imperforated anus ) sometimes thyroid, rarely breast

هؤلاء تقريبا ٩٧ % .... احفظوهن نظري وعملي زي اساميكم


ماشفت معهم حالات يورو ولا نيرو ولا تروما اطلاقا لافي سنه رابعه ولا عندما صاروا خامسه بس احنا مدري كيف ...

اهم شيء ذاكروا ملخصات علي محمد صالح دائما مايسال من اسالته الخاصه حتى لو الحاله مالهاش علاقه باسألته ، ذاكروا الاستوما وال chest tube و تجارب دفع سابقه

و ذاكروا Intestinal Obstruction و ischemia من تفريغ د محمد الشهاري تعرفوا تعملوا هستوري كامل لان الدكاتره - من خلال قرأتي لتجارب الطلاب - يركزوا ع الهستوري ويناقشوا من نفس الحاله وقليلا مايسالوا عن اكزامينايشن

و من خلال ما شفت تجارب ٣٥ الامور طيبه ولاشي تجارب غريبه يمكن هذه من دكاتره ثانيين يدرسوا ٢١ مايدرسوا جامعتنا ...وان شاء الله امورنا باتزين ، والله ماهو بحق القلق ... بالتوفيق للجميع🌹

إضافات د.محمد الشهاري ،،دفعة 37.pdf

حتويات الملف 👇🏻
1✨General history taking.×2
2✨Examination.
3✨Notes.×3
4✨Jaundice.×2
5✨Necrotising Fascilitis Case.
6✨Ulcer.
7✨Ulcer & PCS.
8✨Trauma.×2
9✨Gallbladder.
10✨lung hydatid cyst & Chest examination.

11✨️... إضافات د.محمد الشهاري لدفعة37 37.https://t.me/Surgery_Lab_37B/382

د.#محمد_الشهاري
#ملخصات_جراحة
#جراحة_عملي

تلخيص إبراهيم شداد.
د.محمد الشهاري
Trauma

🔅 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

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