■Positions for rectal examination

▪︎Left Lateral
▪︎Knee-Elbow
▪︎lithotomy (During Surgery)

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مرجع ممتاز #للتشخيصات_التفريقية
لأعراض الباطنة والجراحة

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❇️Stigmata of Chronic Liver Disease

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❇️ Some signs with Pictures

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Glasgow Coma scale

❇️ Eyes opening:
Spontaneously (+4)
To verbal command (+3)
To pain (+2)
No eye opening (+1)

❇️ Verbal response :
Oriented (+5)
Confused (+4)
Inappropriate words (+3)
Incomprehensible sounds (+2)
No verbal response (+1)

❇️ Motor response :
Obeys commands (+6)
Localizes pain (+5)
Withdrawal from pain (+4)
Flexion to pain (+3)
Extension to pain (+2)
No motor response (+1)

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• Bedside Clinic #2nd edition
• #Surgery

• Tele: https://t.me/Surgery_Practice

❇️ The commonest cause of intestinal obstruction in infants is intussusception

❇️ The commonest cause of intestinal obstruction in young people is adhesions.

❇️ The commonest cause of intestinal obstruction in elderly people is malignancy, especially colon cancer.


❇️ أشيع سبب لانسداد الامعاء عند الرضع هو الانغلاف المعوي
❇️ أشيع سبب لانسداد الامعاء عند الشباب الالتصاقات
❇️ أشيع سبب لانسداد الأمعاء عند المسنين السرطانات وخاصة سرطان القولون .

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❇️ #Rovsing_sign
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❇️ #Psoas_sign
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❇️ #Mcburney's_sign
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❇️ #Murphy's_sign
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❇️ #Obturator_sign
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Prayer sign
I DM type 1
2 dupytren contracture
3 scleroderma
4 palmar fascitis
5 tenosynovitis of finger flexor
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