The most common type of intussuception ?
Anonymous Quiz
1%
ileo-ileal
78%
ileo-caecal
20%
ileo-colic
1%
ileo-ileal colic
0%
Colo-colic
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■ توضيح سؤال femoral neck fracture :
♧ لما يحصل كسر ف femoral neck بيحصل muscle spasm حوالين الكسر ف Adductor muscles of thigh بيحصل ليها spasm و لأنها الأقوى يبقى تشد ال affected limb ف اتجاهها
● حصل external rotation بسبب irritation of iliopsoas ms اللي من ضمن ال action بتاعها بتعمل flexion & external rotation of the limb و سبب تاني بسبب weight of the limb
● حصل Shortented : نتيجة أول ما يحصل كسر ف feomral neck بيطلع greater trochanteric لفوق الكسر فبيحصل real shortened
♧ لما يحصل كسر ف femoral neck بيحصل muscle spasm حوالين الكسر ف Adductor muscles of thigh بيحصل ليها spasm و لأنها الأقوى يبقى تشد ال affected limb ف اتجاهها
● حصل external rotation بسبب irritation of iliopsoas ms اللي من ضمن ال action بتاعها بتعمل flexion & external rotation of the limb و سبب تاني بسبب weight of the limb
● حصل Shortented : نتيجة أول ما يحصل كسر ف feomral neck بيطلع greater trochanteric لفوق الكسر فبيحصل real shortened
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🗯🗯 توقعات امتحان surgical emergency :-
■ الجراحة العامة :
1- Describe C/P & ttt of rupture spleen
2- etiology & C/P & ttt of paralytic ileus or C/P & complicaton & investigation of vulvolus of sigmoid colon
3- pathology & C/P & investigation of generalized peritonitis
4- pathology & C/P & ttt of mekel's diverticulum or pathology & C/P & investigation of acute pancreatitis
● جراحة العظام :
1- complication of femoral fractures
2- C/P & ttt of shoulder dislocation or hip dislocation
● الرمد :
1- def of chalcosis bulbi , commito retinae
2- list complication of cornea or retina or iris due to blunt trauma
3 - C/P & ttt of sympathetic ophthalmia
4- outline1st aid of lime eye injury
● الشرعي :
1-Compare between inlet & exit of firearm injury
2- mechanism of compression or mechanism of polar fracture
3- factors affecting on prognosis of burn
4- types of medical errors or harm scale
■ ENt :
1- describe cavernous sinus thrombosis
2- pathology & C/P & ttt of lateral sinus thrombosis
■ الجراحة العامة :
1- Describe C/P & ttt of rupture spleen
2- etiology & C/P & ttt of paralytic ileus or C/P & complicaton & investigation of vulvolus of sigmoid colon
3- pathology & C/P & investigation of generalized peritonitis
4- pathology & C/P & ttt of mekel's diverticulum or pathology & C/P & investigation of acute pancreatitis
● جراحة العظام :
1- complication of femoral fractures
2- C/P & ttt of shoulder dislocation or hip dislocation
● الرمد :
1- def of chalcosis bulbi , commito retinae
2- list complication of cornea or retina or iris due to blunt trauma
3 - C/P & ttt of sympathetic ophthalmia
4- outline1st aid of lime eye injury
● الشرعي :
1-Compare between inlet & exit of firearm injury
2- mechanism of compression or mechanism of polar fracture
3- factors affecting on prognosis of burn
4- types of medical errors or harm scale
■ ENt :
1- describe cavernous sinus thrombosis
2- pathology & C/P & ttt of lateral sinus thrombosis
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All the follwing are true about femoral neck fractures except one ?
Anonymous Quiz
1%
Common in old age
39%
The affected limb is shortened & externally rotated& abducted
2%
It leads to avascular necrosis of femoral head
55%
The affected limb is shortened & externally rotated & adducted
3%
In old age : it treaded by hemiarthroplasty
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■ صباح الخير يا شباب بالنسبة للجراحة العامة قبل كداا السؤالين دول جه قبل كدااا ذاكرهم احتياط تجنباً لعدم المفاجاة من القسم
1- enumerate causes of Acute abdomen
2- D.D of mass in right iliac fossa
1- enumerate causes of Acute abdomen
2- D.D of mass in right iliac fossa
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A patient receive a tennis ball hit to his eye which used to have 6/6 vision . External eye examination showed no abnormalities , vision is HM & normal red reflex . Possible diagnosis is ?
Anonymous Quiz
72%
Berlin's edema
11%
Vitreous hemorrahge
3%
2ry glucoma
6%
Traumatic catract
9%
Subconjuctival hemorrhage
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Few hours after trauma , a child present in his village with rupture corneal with iris prolapse , what is the proper management by the GP ?
Anonymous Quiz
13%
Examine the eye properly to detect other lesions
20%
Reposit the prolapsed iris & suture corneal wound
7%
Excise the prolapsed iris with apply a pad & bandage
59%
Apply sterile pad , bandage & transfer to the opthalmic hospital
1%
Prescribe antibotics & local steroids & local atropine
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■ مساء الخير يا شباب الناس اللي بتبعت ليا عشان ent غالبا هيكرر من أسئلة امتحانات سابقة
بس ضيفوا عليهم لو حب يعمل مفاجأة ال labyrinthitis & otogenic brain abscess
بس ضيفوا عليهم لو حب يعمل مفاجأة ال labyrinthitis & otogenic brain abscess
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■ كان في case on GE :
● بس خلي بالك any women with reproductive age with abdominal pain should have urinary pregnancy test دي أول حاجة تعملها في case كان ve-
● Keywords : altered bowel habits + abd pain +nausea + increase CRP ( inflammatory condition )
● ttt : bed rest + IV fluids + analgesic
● خلي بالك if these symptoms not resolved لازم تعمل stool culture
● طيب if symptoms is persistent or recurrent لازم تفكر ف CD or UC
● بس خلي بالك any women with reproductive age with abdominal pain should have urinary pregnancy test دي أول حاجة تعملها في case كان ve-
● Keywords : altered bowel habits + abd pain +nausea + increase CRP ( inflammatory condition )
● ttt : bed rest + IV fluids + analgesic
● خلي بالك if these symptoms not resolved لازم تعمل stool culture
● طيب if symptoms is persistent or recurrent لازم تفكر ف CD or UC
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■ أهم notes ف كيسات النسااا :- ( part 1 )
● torsion of ovary :
♤ keywords : unilateral lower abdominal pain associated with N & V + hx of ovarian cyst
♤ ttt : laparotomy
● placental abruption :
♤ keywords : more common in 2nd & 3rd trimester & hypertensive
vaginal bleeding & associated with tender uterus & abdominal pain ( midline persistent uterine) & abnormal fetal heart tracings
♤ TTT : Delivery
● Ectopic pregnancy :
unilateral abd pain + vaginal bleeding +
( +ve pregnancy test )
● طبعا بنشخصه عن طريق combined US + B-HCG
● خلي بالك بنعمل salpingectomy if the tube is diseased
طيب لو contralateral tube is healthy هنشيلها salpingectomy طيب لو كانت damaged هنعمل salpingotomy
● تاني حاجة بنستخدم MTX لو كان فيه no fetal heart activity & hemodynamic stable &
B-HCG < 3000 & adnexal mass < 3.5 cm
● torsion of ovary :
♤ keywords : unilateral lower abdominal pain associated with N & V + hx of ovarian cyst
♤ ttt : laparotomy
● placental abruption :
♤ keywords : more common in 2nd & 3rd trimester & hypertensive
vaginal bleeding & associated with tender uterus & abdominal pain ( midline persistent uterine) & abnormal fetal heart tracings
♤ TTT : Delivery
● Ectopic pregnancy :
unilateral abd pain + vaginal bleeding +
( +ve pregnancy test )
● طبعا بنشخصه عن طريق combined US + B-HCG
● خلي بالك بنعمل salpingectomy if the tube is diseased
طيب لو contralateral tube is healthy هنشيلها salpingectomy طيب لو كانت damaged هنعمل salpingotomy
● تاني حاجة بنستخدم MTX لو كان فيه no fetal heart activity & hemodynamic stable &
B-HCG < 3000 & adnexal mass < 3.5 cm
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■ part 2 :
■ complicated corpus luteal cyst into hge :
● keywords : ♡ common at time of ovulation
♡ sudden abdominal pain then radiate to right iliac fossa & right thigh
♤ tenderness & slight rebound tenderness in right iliac fossa
( no signs of peritonism )
♤ no systemic symptoms ( no fever ) + urine analysis is negative
يبقى كداا تم استبعاد appendicitis or ureteral stone
♤ urinary pregnancy test is +ve
♤ بنشخصها ب color doppler US هنلاقي فيه (ring of fire apperance ) hemorraghe
♤ spider web or reticular pattern of echoes
within cyst
♤ ttt : supportive with analgesia
خلي بالك بنعطي أول حاجة paracetamol followed by codeine derivative s if necessary
اعطناها كدااا عشان ال pateint is hemodynamic stable
طيب افرض كانت hemodynamic unstable & pain not controlled & with signs of peritonsim لازم تعمل laparoscopic lavage by cystectomy or hemostatic manuever
■ complicated corpus luteal cyst into hge :
● keywords : ♡ common at time of ovulation
♡ sudden abdominal pain then radiate to right iliac fossa & right thigh
♤ tenderness & slight rebound tenderness in right iliac fossa
( no signs of peritonism )
♤ no systemic symptoms ( no fever ) + urine analysis is negative
يبقى كداا تم استبعاد appendicitis or ureteral stone
♤ urinary pregnancy test is +ve
♤ بنشخصها ب color doppler US هنلاقي فيه (ring of fire apperance ) hemorraghe
♤ spider web or reticular pattern of echoes
within cyst
♤ ttt : supportive with analgesia
خلي بالك بنعطي أول حاجة paracetamol followed by codeine derivative s if necessary
اعطناها كدااا عشان ال pateint is hemodynamic stable
طيب افرض كانت hemodynamic unstable & pain not controlled & with signs of peritonsim لازم تعمل laparoscopic lavage by cystectomy or hemostatic manuever
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