The 1st ttt option in management of acute rebleed is:
Anonymous Quiz
48%
Endoscopy
21%
TIPS
7%
Balloon temponade
24%
Surgery (Esophageal transection & ligation of the feeding vessels to the bleeding varices)
Which of the following drugs is the best in 2ry prevention of variceal hge?
Anonymous Quiz
13%
Propranolol
19%
Carvedilol
59%
Terlipressin
9%
Somatostatin
The most significant complication of portosystemic shunts is:
Anonymous Quiz
3%
Barret's esophagus
68%
Hepatic encephalopathy
10%
Peptic ulcer
19%
Splanchnic venous thrombosis
Warren operation
Anonymous Quiz
21%
Portocaval anastmosis
55%
Splenorenal shunt
7%
TIPS
17%
Devascularization
📌 Case:
A 43-year-old cirrhotic patient came to the ER with acute attack of variceal hge.
Pulse = 130 bpm.
Blood pressure = 92/63.
Hb = 6 g/L.
The patient has a history of MI. He was alcoholic for 12 years & has joined a withdrawal program 3 weeks ago.
A 43-year-old cirrhotic patient came to the ER with acute attack of variceal hge.
Pulse = 130 bpm.
Blood pressure = 92/63.
Hb = 6 g/L.
The patient has a history of MI. He was alcoholic for 12 years & has joined a withdrawal program 3 weeks ago.
The 1st step in management of this case is:
Anonymous Quiz
15%
Upper GI Endoscopy
4%
Balloon temponade
8%
TIPS
73%
Resuscitation (ABCD)
The following are done for the patient during resuscitation EXCEPT
Anonymous Quiz
34%
IV vitamin B1 (thiamine)
14%
Prophylactic antibiotics
17%
Blood transfusion with target Hb of 7 g/L
34%
Ascitic tap
The 1st ttt option for the bleeding varices:
Anonymous Quiz
77%
Urgent endoscopy + Adjuvant vasoconstrictor e.g. somatostatin
6%
Teripressin
6%
TIPS
10%
Balloon temponade
If this ttt option failed to stop bleeding, the next step will be:
Anonymous Quiz
34%
TIPS
11%
Warren shunt
46%
Balloon temponade
9%
Devascularization surgery
The 1st ttt option for acute rebleeding will be:
Anonymous Quiz
14%
TIPS
51%
Endoscopy
19%
Acute portosystemic shunt surgery
16%
Balloon temponade
Clinical Pearl | Cholecystectomy Safety
📍 أخطر خطأ ممكن يقع فيه الجراح أثناء عملية استئصال المرارة: إصابة القناة الصفراوية بسبب سوء التعرف على Calot’s Triangle
📌 الحدود:
1⃣ Medial → Common hepatic duct
2⃣ Inferior → Cystic duct
3⃣ Superior → Inferior surface of liver
⚠️ المحتوى: Cystic artery
✅ القاعدة الذهبية :
Don’t clip or cut Until you achieve the Critical View of Safety (CVS)
#Surgery
https://t.me/Surgery_Practice
📍 أخطر خطأ ممكن يقع فيه الجراح أثناء عملية استئصال المرارة: إصابة القناة الصفراوية بسبب سوء التعرف على Calot’s Triangle
📌 الحدود:
1⃣ Medial → Common hepatic duct
2⃣ Inferior → Cystic duct
3⃣ Superior → Inferior surface of liver
⚠️ المحتوى: Cystic artery
✅ القاعدة الذهبية :
Don’t clip or cut Until you achieve the Critical View of Safety (CVS)
#Surgery
https://t.me/Surgery_Practice
The commones histological type of breast cancer is:
Anonymous Quiz
41%
A. Ductal carcinoma 1n situ
25%
B. Lobular carcinoma in situ
29%
C. Invasive ductal carcinoma
4%
D. Invasive lobular carcinoma
The most important cause of the death in septic shock is:
Anonymous Quiz
42%
a. DIC
30%
b. Respiratory failure
11%
c. Renal
18%
d. Cardiac
إن شاء الله بننزل لكم بعد قليل اسئلة مهمة في هذه المواضيع ⬇️
- Fluid and Electorate balance
- Hemorrhage and Blood Transfusion
- Shock
واللي معاه سؤال في هذه المواضيع يحب يشاركه يرسله للبوت
@Alqhatani_bot
- Fluid and Electorate balance
- Hemorrhage and Blood Transfusion
- Shock
واللي معاه سؤال في هذه المواضيع يحب يشاركه يرسله للبوت
@Alqhatani_bot
All the following are compensatory mechanisms of the body in the reversible stage of shock EXCEPT
Anonymous Quiz
8%
Activation of RAAS
31%
Release of adrenaline & noradrenaline from adrenal medulla --> ⚡Sympathetic
44%
Contraction of postcapillary sphincters
18%
Pituitary release of ADH
At the level of microcirculation, ...... cause contraction of ..... sphincter --> ⬇️ Capillary pressure --> Shift of blood from interstitium into circulation.
Anonymous Quiz
52%
Catecholamines - Precapillary
19%
Catecholamines - Postcapillary
23%
Aldosterone - Precapillary
6%
Aldosterone - Postcapillary
In decompendated stage of shock:
Anonymous Quiz
3%
Histamine & other mediators cause contraction of postcapillary sphincters
19%
There's marked acidosis & tissue anoxia
0%
Microthrombi are formed at the capillaries
77%
All of the above
The fatal triad of hypovolemic shock includes the following EXCEPT
Anonymous Quiz
10%
Acidosis
12%
Hypothermia
50%
Hypokalemia
29%
DIC