" Clinical Notes "
■ توقعات امتحان GIT :- ● الباطنة : 1- Types & common causes of gastritis 2- symptoms ( grades) of HE ● الأطفال : 1_ C/P & investigation of wilson disease or C/P & investigation of AIH 2_ complications of gastroenteritis ( Acute diarrhea ) or enumerate…
يا شباب سؤال symptoms of HE هتكتب من grade 0 لحد grade 4
ممكن يقول السؤال بطريقة تانية يكون عاوز west haven criteria of HE هتكتب من covert HE لحد grade 4
ممكن يقول السؤال بطريقة تانية يكون عاوز west haven criteria of HE هتكتب من covert HE لحد grade 4
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● الصورة الأولى : دي بتمثل normal CT on the UB
● الصورة الثانية : بتوضح في Air in UB
( colo- vesical fistula)
● الصورة الثانية : بتوضح في Air in UB
( colo- vesical fistula)
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What you see in this picture ?
Anonymous Quiz
98%
Palmar erythema
0%
Spider naevi
2%
Normal palm
0%
Cyanosis
All the followings are causes of palmar erythema except ?
Anonymous Quiz
1%
SLE
3%
Liver cirrhosis
4%
Polycythemia
5%
Corticosteroids
86%
Hypothyroidism
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What you see in this picture ?
Anonymous Quiz
79%
Spider angioma
18%
Spider erythema
2%
Spider nodule
0%
Spider ulcer
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All these mechanisms of spider angioma except ?
Anonymous Quiz
12%
Due to estrogen excess
18%
Due to increase NO
70%
Due to increase VC materials
■ causes of spider naevi :
● familial
● liver disease as Alcohol , liver cirrhosis , viral hepatitis
● pregnancy
● estrogen containing oral contraceptive pills
● thyrotoxicosis , RA
● familial
● liver disease as Alcohol , liver cirrhosis , viral hepatitis
● pregnancy
● estrogen containing oral contraceptive pills
● thyrotoxicosis , RA
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■ Notes on Hernia :-
● the 1st most common hernia is ingunial hernia
● 2nd most common hernia is incisional hernia
● the 3rd most common hernia is femoral hernia
● the most common hernia to strangulate is femoral hernia
● the most common content of hernia en glissade is sigmoid colon
● umbilical hernia is more common in multiparous women
● UB is most common organ to silde
● femoral hernia is more common in yound adult women
● irreducibilty is common in umbilical hernia
● the most common complicated hernia is femoral hernia
● incisional hernia is most likely to recure after 1ry repair
● inferior epigastric is medial to DIH
● hernioplasty is ttt of choice in case of inguinal hernia
● the most common hernia in female is inguinal hernia
● the ttt of choice in strangulated hernia is urgent expolration
● the most common site for Richter's hernia is femoral canal
● laparoscopic repair is the preferred method in case of recurrent ingunial hernia
● Richter's hernia is incarceration of part of the circumference of bowel
● injury in ilioingunial nr lead to DIH
● 1ry ttt modality of choice for desmoid tumor is surgery
● the 1st most common hernia is ingunial hernia
● 2nd most common hernia is incisional hernia
● the 3rd most common hernia is femoral hernia
● the most common hernia to strangulate is femoral hernia
● the most common content of hernia en glissade is sigmoid colon
● umbilical hernia is more common in multiparous women
● UB is most common organ to silde
● femoral hernia is more common in yound adult women
● irreducibilty is common in umbilical hernia
● the most common complicated hernia is femoral hernia
● incisional hernia is most likely to recure after 1ry repair
● inferior epigastric is medial to DIH
● hernioplasty is ttt of choice in case of inguinal hernia
● the most common hernia in female is inguinal hernia
● the ttt of choice in strangulated hernia is urgent expolration
● the most common site for Richter's hernia is femoral canal
● laparoscopic repair is the preferred method in case of recurrent ingunial hernia
● Richter's hernia is incarceration of part of the circumference of bowel
● injury in ilioingunial nr lead to DIH
● 1ry ttt modality of choice for desmoid tumor is surgery
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■Notes on ttt of hernia :
● Shouldice repair is low recurrence in case of OIH
● correct the predisposing factors 1st before surgery in case of OIH
● bassini repair is the most popular techinque in OIH
● hernioplasty is the operation of choice in DIH
● bloodgood repair is preferred than bassini repair in DIH
● Mayo's repair has high recurrence in adult umbilical hernia
● herniorrhaphy is ttt of choice in spigelain hernia
● hernioplasty is the only accepted method in case of incisional hernia
● surgery is ttt of choice in case of recurrent hernia ( hernioplasty )
● Shouldice repair is low recurrence in case of OIH
● correct the predisposing factors 1st before surgery in case of OIH
● bassini repair is the most popular techinque in OIH
● hernioplasty is the operation of choice in DIH
● bloodgood repair is preferred than bassini repair in DIH
● Mayo's repair has high recurrence in adult umbilical hernia
● herniorrhaphy is ttt of choice in spigelain hernia
● hernioplasty is the only accepted method in case of incisional hernia
● surgery is ttt of choice in case of recurrent hernia ( hernioplasty )
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