Surgical notes
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๐ŸŒšCausative agent of Bacillary dysentery:-

Shigella spp., consisting of four serogroups, Shigella sonnei, Shigella boydii, Shigella flexneri, and Shigella dysenteriae.

๐Ÿ’Š treatment :-
Antibiotics are rarely necessary for sonnie .
The more sever forms should be treated depending on Antibiotic sensitivity test.

Trimethoprim is a useful first line treatmen

( ูƒู…ุง ู‡ูˆ ููŠ ูƒุชุงุจ ุงู„ุฏูƒุชูˆุฑ )
#ุจูƒุชูŠุฑูŠุง
#ู†ู…ูˆุฐุฌ
๐Ÿค•Most common causes of Bacterial Diarrhoeal Diseases:-

1- campylobacter
Causing Diarrhea with blood and mucus ( c.jejuni ) >> enterocolitis
From animal gut by milk or meat

2- Salmonella
Asymptomatic infection are common
Many species produce enterotoxins like E.coli, other strain invade mucosa like Shegella
From animal gut by milk, egg ,meat

3- Shigella :-
Causes Bacillary dysentery ( sh : dysenteriae, flexeni ,Sonnei , bodyii)
From human gut by Feco-oral route ,fomite

4- Esch. Coli :-
Is part of normal flora of Gut , certain strains may cause Diarrhea mainly seen in 3 types of Diarrhea
( infantile Gastroenteritis, Traveller's Diarrhea, Heamorrhagic collitis or Heamorrhagic uremic Syndrome )

5- Staph .aureus
The classic Example of Toxic food poisoning due to ingestion of food contaminated with Enterotoxins of staph. Aureus
Source : septic lesion on food -handlers

6- Clostridium perfringens
Food poisoning by spore- bearing food ater8- 24 hours after ingestion of food

7- Clostridium difficle:-
As a side effect of Antibiotic therapy

8- Vibreo Cholera :-
Watery Diarrhea , ( Rice water Diarrhea may be associated with Dehydration


โ—๏ธโ—๏ธEffective means in preventing Feco-oral spread :-
1- sanitation:- adequate disposal of sewage
2- clean food and Safe water supply
3- personal hygiene ( Washing hands )

#ุจูƒุชูŠุฑูŠุง
#ู†ู…ูˆุฐุฌ
โ—๏ธDefine the following Types of mutation in few wards:

1. Substitution:
Change of a single one base to one of the three other bases and result ofv alteration of the codon ! Either transition or Transversion

2. Deletion:
Lose of a base , effect the reading of subsequent triplets ( Frame shift mutation)

3. Insertion:
Insertion of Additional base or transposons ( Mobile DNA) also alter the frame reading

#ุจูƒุชูŠุฑูŠุง
#ู†ู…ูˆุฐุฌ
๐Ÿƒ๐ŸƒName the toxins produced by Staph.aureus and their activities?

1- Enterotoxins :- cause vomiting and Diarrhea

2- Protein A :- Anti- Phagocytic

3- Toxic Shock syndrome toxin-1 :- Toxic Sock syndrome

4- Epidermolytic toxin A, B :- Epidermal splitting and exfoliation ( Skin Exfoliation) > Ritter- Lyell's disease

5- Heamolysin ุงู„ูุง ุจูŠุชุง ุฌุงู…ุง ุฏู„ุชุง : Lysis of Erythrocytes

6- Coagulase :- clot plasma ( Localize the infection)

7- Fibrinolytase :- Lyses of Fibrin

8- catalase:- degredes H2o2 to h2O +o2

9- DNAase : Damage DNA
10- lipase :- lipolytic > Cell mambrane
11- hyaluronidase : Breakes Hyaluronic acid
12- Leucosidies :- Kill Leukocytes

#ุจูƒุชูŠุฑูŠุง
#ู†ู…ูˆุฐุฌ
๐Ÿ„ What are the functions of Hospital sterilization and disinfection unit (HSDU):- .

1)Prepare packs of Sterilized dressings , equipment, etc
Then transported to various wards ,clinc and theatres .

2) disinfection of heat labile equipment

3) most of sterilization needs of the hospital are undertaken in the HSDU by specially trained and supervised staff .

#ู†ู…ูˆุฐุฌ
#ุจูƒุชูŠุฑูŠุง
๐Ÿ’๐Ÿ’Mention the reservoir or source and the main route of infection for the following diseases:-

โ€ข Plaque :-

Reservoir:- ๐Ÿ€ rural or Sylvatic rats

Via vector which is the infected Flea ( Xenopsylla cheopis )

โ€ข Dysentery :-

Human beings are the main reservoir of Shigella

Source :- person to person through Feco-oral route


โ€ข haemophilus influenzae:-

Reservoir:- the normal flora ( endogenous)

Source of infection:- During expecturation the number of Hemophilus influenza increased

#ู†ู…ูˆุฐุฌ
#ุจูƒุชูŠุฑูŠุง
Surgical notes
Photo
ู…ู† ู‡ู†ุง ุจุฏุงูŠุฉ ุญู„ ุงุณุฆู„ุฉ ุงู„ Short notes ุงู„ู…ุฐูƒูˆุฑุฉ ููŠ ุงู„ู†ู…ุงุฐุฌ
Forwarded from Deleted Account
ุงู„ู…ูˆุงุถูŠุน ุงู„ู…ู‡ู…ุฉ ููŠ ุงู„ GIT :

Q)Differentiate between ulcer and erosion?

ุตูุญู‡ 9
Tumer of salivary gland

ุตูุญู‡ 23
Defense mechanism

ุตูุญู‡ 25
ุงู„ุงุซู†ูŠู† ุงู„ุฌุฏุงูˆู„ ู…ู‡ู…ู‡ ุฌุฏุง

ุตูุญู‡ 28
ุงู„ุฌุฏูˆู„ ู…ู‡ู… ุฌุฏุง ุฌุฏุง
Q)write short account on gastric carcinoma?

ุตูุญู‡ 30
Acute abdomen(Main causes)

ุตูุญู‡ 31
Acute appendicitis
(pathogenesis and morphology)


ุตูุญู‡ 32
Differential diagnosis of acute appendicitis

ุตูุญู‡ 47
IBD ู…ูˆุถูˆุน ู…ู‡ู…
Crohn's disease ู…ูˆุถูˆุน ู…ู‡ู…
Q) Extra Intestinal manifestation of Crohn's disease?


ุตูุญู‡ 51
ุงู„ุฌุฏูˆู„ ู…ู‡ู…ู‡ ุฌุฏุง ุฌุฏุง

ุตูุญู‡ 53
Q) Compare between the neoplastic polyps or write short account?

ุตูุญู‡ 55
Colorectal carcinoma ู…ู‡ู…

54
familial polyposis syndrome

56
adenoma carcinoma sequence ู…ู‡ู…

58
Staging system of cancer colon ู…ู‡ู…(Mcq)

#ุจุงุซูˆ
Forwarded from Ryan aleryani
Cvs
1)what are the main complication of Vasculitis ?

2)write short account about stage of atherosclerosis?

3)write short acount about the complicated stage of atherosclerosis?

4)what are the pathological lesion of syphilitic aneurysm ?

5)what are the complication of aneurysm?

6)mention the cardiac manifestation of rheumatic fever ?

7)what are the main characteristic features of acute Vasculitis?

8)write short account on characteristic features of arteriosclerosis?

9)Characteristic features of benign hypertention?


ุฃุณุฆู„ู‡ ุงู„ู…ุญุงุถุฑุงุช :
1)write feature of kawasaki disease?
2)pathological change of syphilis anyresm?
3)write major features of RHF?
4) Pathway of infective vegetation?
Forwarded from Ryan aleryani
Respiratory:

1)what's the clinical picture of chronic bronchitis ?
 
2)what are the characteristic features of lobar pneumonia ?

3)mention the main phase of lobar pneumonia  and it's characteristic features ?

4)mention the characteristic feature of adenocarcinoma of lung ?

ุฃุณุฆู„ู‡ ุงู„ู…ุญุงุถุฑู‡ :
1)what are type of the COPD?
2)what is the clinical definition of chronic bronchitis ?
3)what's the clinical picture of chronic bronchitis?
Forwarded from Surgical notes
ู†ู‚ู„ุง ุนู† ุงู„ุฏูƒุชูˆุฑุฉ ุงู„ูุงุถู„ุฉ ู…ู†ูŠุฉ
ุงู„ู…ูˆุงุถูŠุน ุงู„ู„ูŠ ุงุฎุฐู†ุงู‡ุง ู…ุนุงู‡ุง ูˆู…ู‚ุฑุฑุฉ ุนู„ูŠู†ุง

Female genital tract:

๐ŸŒบOvary
- Ovary cysts
- Ovary tumor

๐ŸŒบPlacenta & Fallopian tube
- Vesicular mole
- Choriocarcinoma
- Ectopic pregnancy
-Salpingitis

๐ŸŒบUterus
- Endometriosis
- Adenomyosis
- Endometrium Hyperplasia
- Endometrium polyp
- Leiomyoma
- Uterine tumors

๐ŸŒบCervix
- Cervisitis , Vaginatis , Valvulitis
- CIN
- Tumor
( squamous cell carcinoma)

Male genital tract:

๐ŸŒบTestis :
- Cryptorchidism
- Orchitits + Epididymitis
- Torsion
- Tumors >>

๐ŸŒบ Prostate
- prostatitis
- Benign prostatic Hyperplasia ( BPH)
- Prostatic cancers
- Gleason classification system
(pattern and scores )


#ุจุงุซูˆ
#ุงู„ู„ุฌู†ุฉ_ุงู„ุนู„ู…ูŠุฉ
Forwarded from Zee exam (Dr)
ู…ุน ุงู„ุฅุฌุงุจุฉ
Forwarded from Zee exam (Dr)
ุชุฃูƒุฏูˆุง ู…ู† ุฑู‚ู… 10.ุดูƒู„ู‡ุง C
Forwarded from ุงู„ู…ุฌู…ูˆุนุฉ ุงู„ุซุงู†ูŠุฉ (Abdullah Ahmed)
Risk factors of breast cancer
APSIL 3FROG
ุงู„ุถูุฏุน ุงู„ู„ูŠ ุงุณู…ู‡ ุฃุจุณู„
A age and gender
P prolonged exposure to estrogen

S smoking
I ionazatio and radiation
L late pregnancy
F functional tumors
F fibrocystic changes
F food rich in calories
R relative with breast cancer
O obesity
G genetics
Forwarded from Khawla Ali
Forwarded from Khawla Ali
ู‡ุฐุง ุงู„cardiomyopathy
ุงู„ุฏูƒุชูˆุฑ ุดุฑุญู‡ ุจุณ ู…ุด ู…ูƒุชูˆุจ ููŠ ุงู„ู…ู„ุฎุต
Forwarded from Khawla Ali
Forwarded from Khawla Ali
ู‡ุฐู‡ mechanism of Copd
ุจุดูƒู„ ุนุงู… ุงู„ุฏูƒุชูˆุฑ ุดุฑุญู‡ุง
Forwarded from Khawla Ali
ุจุณ ู…ุด ู…ูƒุชูˆุจู‡ ููŠ ุงู„ู…ู„ุฎุต
Forwarded from Khawla Ali