🍃 بسم الله رب البدايات 🍃

«من أحب أن ﻻ ينقطع عمله بعد موته
فلينشر العلم»

سيتم نشر كل ما يرتبط #بكورس_الجراحة من كتب وملخصات وتفريغات مفيدة للعديد من الدكاترة من مختلف الدول والجامعات.

بالإضافة إلى أنه سيتم تغطية أغلبية مواضيع الكورس بمنشورات مكتوبة وصور وفيديوهات توضيحية ✅

كل ما يحتاجه طلبة الطب في المرحلة السريرية
تحت سقف واحد 🤞
🔥 Sources oF channel :
• Bailey's and Love
• Principles Of Surgery
• Browse’s
• SRB For Clinical Method

#معلومات مهمة وبشكل أبسط
ومن #مصادر_موثوقة 😍

Tele: https://t.me/Surgery_Practice

23 / 8 / 2024
#Surgery_rotation

📚BROWSE’S INTRODUCTION TO THE SYMPTOMS & SIGNS OF SURGICAL DISEASE

#Surgery_rotation

Clinical_Surgery#

👆🏻هذه بعض المواضيع من كتاب Browse’s
مُقسّمة لسهولة الوصول

■ Surgical Drains || *Important Topic
#Surgery_rotation

💢Under water sealed

▪︎Is a Chest drain inserted to allow draining of the pleural spaces of air, blood or fluid, allowing expansion of the lungs and restoration of negative pressure in the thoracic cavity.

▪︎Active Close System

▪︎The water in the water seal chamber will rise and fall (swing) with respirations. This will diminish as the pneumothorax resolves.

▪︎Watch for unexpected cessation of swing as this may indicate the tube is blocked or kinked


🔹Indications for Insertion of a Chest Drains:
▪︎Post operatively e.g. cardiac surgery, thoracotomy

▪︎Pneumothorax

▪︎Haemothorax

▪︎Chylothorax

▪︎Pleural effusions


🔹Indications for Removal of Chest Drains:
▪︎Absence of an air leak (pneumothorax)

▪︎Drainage diminishes to little or nothing

▪︎No evidence of respiratory compromise

▪︎Chest x-ray showing lung re-expansion

#Drains
#Surgery_rotation
https://t.me/Surgery_Practice

❇️The 'safe triangle' for chest drain insertion

🔹bounded anteromedially by the lateral border of pectoralis major

🔹inferiorly by a horizontal line at the level of the nipples

🔹posteriorly by the anterior border of latissimus dorsi.

This area is 'safe' because it avoids damage to the chest wall muscles and breast.

#Drains
#Surgery_rotation
https://t.me/Surgery_Practice

■Detailed History of Lump/Ulcer

بالإضافة لـ تحديد ⬇️ :
✅ Site
✅ Laterality ( Unilateral/ bilateral) If it is in Extremities
✅ Size e.g ( bean like ,lemon like)
✅ Number ( single or Multiple)
✅ Depth ( Is it reach to Muscle/bone)

#Ulcer
#Surgery_rotation
https://t.me/Surgery_Practice

✅ Types of ulcer edges

▪︎Sloping edge : healing, traumatic and ischaemic venous ulcers.

▪︎Undermined edge : TB

▪︎Punched-out edge : ischaemic and syphilitic ulcers

▪︎Rolled edge : basal cell carcinoma

▪︎Everted edge : squamous cell carcinoma and the ulcerated adenocarcinoma.

#Ulcer
#Surgery_rotation
https://t.me/Surgery_Practice

✅ Pressure sores ( bed Ulcers)

Definition : pressure sores or bedsores are injuries to the skin and underlying tissue, primarily caused by prolonged pressure on the skin.

•affect people confined to bed or sit in a chair for long periods of time.

#Site
#Grade
#Prevention

#bed sore #ulcer
#Surgery_rotation
https://t.me/Surgery_Practice

Diabetic Foot (Clinical Practice)

✅ Definition: Diabetic foot is defined simply as any foot pathology that results from the long term complications of diabetes mellitus mainly neuropathy and angiopathy. The foot pathology may include foot infection, ulceration, and osteoarthropathy.

✅ Main risk factors of diabetic foot are:
➢ Poor glycemic control.
➢ Duration of D.M more than 10 yrs.
➢ Age, Smoking and Male gender.
➢ Obesity.
➢ Peripheral vascular disease.
➢ Peripheral neuropathy.
➢ Diabetic nephropathy and retinopathy.
➢ Foot deformity (abnormal foot structure).
➢ Previous history of foot ulceration/ gangrene.

#Diabetic_Foot_ulcer
#Surgery_rotation
https://t.me/Surgery_Practice