🔵NF :
-Pain disproportionate to physical finding
-Rapidly spread " serious disease"
- Cardinal features during examination:- signs of Inflammation + crepitus " gass forming bacteria " , Echymosia or necrosis , bullae " hemorrhagic ".
- Do the finger test .
- Dishwater fluid ( discharge) is when the fluid inside the tissues turns a grey, murky colour , offensive odour
- Patient may present in Shock state.
- Ludwig's angina and NF are extensive manifestations of soft tissue infection to occur in the cervico-facial region.
-Fournier gangrene is a type of necrotizing fasciitis or gangrene affecting the external genitalia or perineum.
🔹Investigations :-
CBC :
⬆️ WBCs
Electrolytes :
⬇️ Na
RFT , KFT :
⬆️Urea
⬆️ Creatinine
🔷 May be appear in x-ray:
Early findings are non-specific, similar to those of cellulitis, such as increased soft-tissue thickness and opacity. Soft tissue gas is seen in only a minority of cases.
🔷Treatment:
- Resuscitation
- Wide Aggressive surgical debridement
- Wide spectrum antibiotics
Should cover Gram +ve and -ve , aerobic and anaerobic bacteria
Such as :
- Vancomycin for MERSA
- Metronidazole ir clindamycin for anaerobic bacteria
- Amikacin ( * normal creatinine) or levofloxacin for gram -ve
- may be Carbapenems : such as imipenem-cilastatin, meropenem
#جراحة
-Pain disproportionate to physical finding
-Rapidly spread " serious disease"
- Cardinal features during examination:- signs of Inflammation + crepitus " gass forming bacteria " , Echymosia or necrosis , bullae " hemorrhagic ".
- Do the finger test .
- Dishwater fluid ( discharge) is when the fluid inside the tissues turns a grey, murky colour , offensive odour
- Patient may present in Shock state.
- Ludwig's angina and NF are extensive manifestations of soft tissue infection to occur in the cervico-facial region.
-Fournier gangrene is a type of necrotizing fasciitis or gangrene affecting the external genitalia or perineum.
🔹Investigations :-
CBC :
⬆️ WBCs
Electrolytes :
⬇️ Na
RFT , KFT :
⬆️Urea
⬆️ Creatinine
🔷 May be appear in x-ray:
Early findings are non-specific, similar to those of cellulitis, such as increased soft-tissue thickness and opacity. Soft tissue gas is seen in only a minority of cases.
🔷Treatment:
- Resuscitation
- Wide Aggressive surgical debridement
- Wide spectrum antibiotics
Should cover Gram +ve and -ve , aerobic and anaerobic bacteria
Such as :
- Vancomycin for MERSA
- Metronidazole ir clindamycin for anaerobic bacteria
- Amikacin ( * normal creatinine) or levofloxacin for gram -ve
- may be Carbapenems : such as imipenem-cilastatin, meropenem
#جراحة
Forwarded from Surgical notes
Forwarded from Surgical notes
Forwarded from Surgical notes
Surgical notes
Management depends on stage ( Classification) #جراحة
The puncture, aspiration, injection, and reaspiration (PAIR) technique, which involves puncture of the cyst wall, aspiration of cyst contents, instillation, and reaspiration of the scolicidal agent, has gained international recognition
#جراحة
#جراحة
A Klatskin tumor is a ( perihailar ) cholangiocarcinoma occurring at the confluence of the right and left hepatic bile ducts. The disease was named after Gerald Klatskin, who in 1965 described 15 cases and found some characteristics for this type of cholangiocarcinoma
And was classified by bismuth classifications.
#جراحة
And was classified by bismuth classifications.
#جراحة
Strasburg classifications of biliary injury.
applies to biliary injuries encountered during laparoscopic cholecystectomy
وبعدين يرجع من E حسب ال Bismuth السابقة👆🏻👆🏻
#جراحة
applies to biliary injuries encountered during laparoscopic cholecystectomy
وبعدين يرجع من E حسب ال Bismuth السابقة👆🏻👆🏻
#جراحة
The most frequently found pathogens isolated in acute cholangitis are coliform organisms
● These include:
Escherechia coli (25%-50%),
Klebsiella species (15%-20%),
Enterococcus species (10%-20%)
Enterobacter species (5%-10%).
#جراحة
● These include:
Escherechia coli (25%-50%),
Klebsiella species (15%-20%),
Enterococcus species (10%-20%)
Enterobacter species (5%-10%).
#جراحة
What is it a bronchogenic cyst?
A bronchogenic cyst is a thin-walled cyst or out-pouching (sometimes called a “bud”) of tissue.
These cysts are usually fluid or mucus-filled, and typically form in the middle of the airway tree.
They are typically central in location, small in size and benign (non-cancerous).
The causes of bronchogenic cyst are largely unknown, but thought to be an abnormal growth of the upper gastrointestinal and respiratory tract during fetal development.
#جراحة
A bronchogenic cyst is a thin-walled cyst or out-pouching (sometimes called a “bud”) of tissue.
These cysts are usually fluid or mucus-filled, and typically form in the middle of the airway tree.
They are typically central in location, small in size and benign (non-cancerous).
The causes of bronchogenic cyst are largely unknown, but thought to be an abnormal growth of the upper gastrointestinal and respiratory tract during fetal development.
#جراحة