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
Mild hypovolemic shock is characterized by:
Anonymous Quiz
30%
Blood loss < 30%
9%
Bradycardia
52%
Postural hypotension
9%
Low specific gravity of urine
Which is FALSE about CVP?
Anonymous Quiz
16%
Normal = 3 - 9 cmH2O
50%
Low in all types of shock
19%
Measured by central venous catheter or Swan Ganz catheter
16%
None of the above
The following investigation results may be seen in hypovolemic shock EXCEPT
Anonymous Quiz
0%
Low blood pH
58%
Low serum lactate
23%
High serum K
19%
Low PCO2 (with hyperventilation)
The best fluid replacement therapy for hypovolemic shock resulting from intestinal fluid loss e.g. diarrhea:
Anonymous Quiz
6%
Dextrose
3%
Dextran
9%
Isotonic saline
81%
Ringer lactate
Clinical picture of cardiogenic shock may include the following EXCEPT:
Anonymous Quiz
6%
Dyspnea
13%
Tachycardia
3%
Hypotension
69%
Low CVP
9%
Severe chest pain in cases of massive MI
The following may be used in ttt of cardiogenic shock EXCEPT
Anonymous Quiz
6%
Dobutamine
72%
Verapamil
13%
Intra-aortic pulsating balloon
9%
Pericardiocentesis
Clinical picture of neurogenic shock may show the following EXCEPT
Anonymous Quiz
8%
Hypotension
61%
Tachycardia
29%
Bradycardia
2%
Sudden collapse
The main line of ttt in cases of vasogenic shock is:
Anonymous Quiz
53%
Vasoconstrictors e.g. ephedrine
13%
Dobutamine
28%
IV fluid
6%
Antibiotics
Treatment of anaphylactic shock includes the following EXCEPT
Anonymous Quiz
0%
Corticosteroids
6%
Anti-histaminics
27%
Adrenaline (VC)
67%
Hydralazine (VD)