اهم امسكيوهات وبنوك الجراحة
#د_علي_برط

والموقع هذا لا تنسوه اعملوا له لفه قبل الإمتحان ⬇️
Chapter 29 Chest Injuries | Quizlet
https://quizlet.com/547976088/chapter-29-chest-injuries-flash-cards/


#Surgery
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Murphy’s Triad – Acute Appendicitis

Murphy’s triad is a classic clinical combination seen in acute appendicitis:

• Abdominal pain
• Vomiting
• Fever

Typical sequence:
Pain starts first → followed by vomiting → then fever.

High-yield point:
Pain preceding vomiting is a key feature that favors appendicitis over other causes.

Clinical tip:
If vomiting occurs before pain, consider other diagnoses.


Diagnosis is mainly clinical and supported by imaging if needed.

⚠️ Important note:
Do not confuse Murphy’s triad with Murphy’s sign of acute cholecystitis.

Murphy’s sign:
Inspiratory arrest during deep palpation of the right upper quadrant.

#مهم
#Surgery
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🚨 Urethral Trauma

Trauma to the urethra is serious and most commonly occurs with pelvic fractures, especially in males.

🔺 Key Red Flags
• Blood at the urethral meatus
• Inability to pass urine
• Distended bladder

⚠️ Clinical Pearls
• Classic Triad: blood at meatus + Perineal hematoma + distended bladder

• Do NOT insert a catheter until urethral injury is ruled out

• Often occurs with pelvic fractures or straddle injuries

• Early recognition = prevents long-term complications: stricture, incontinence


❇️ Diagnosis
• Retrograde urethrogram (RUG) → gold standard
• Avoid blind catheterization

High-Yield Tip
• Think urethral injury every time there is pelvic trauma + blood at meatus

#Surgery #Urology
https://t.me/Surgery_Practice