ProfAngeline's Surgery
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Prof Angeline M.S(Jipmer),FRCS(Edinburgh) 38 years of teaching experience to UGs /PGs in India and abroad.clinical images are from my personal collection very practical issues/questions raised in any competitive/qualifying exam.Single image can integrate
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How to answer??
Eliminate alkalosis first as patient will be in shock ( C and D). remember the predominate ion in the intracellular space K, will invariably enter the extracellular space ( the vascular component). More insights check out the below video .
All images and scenarios , imaging and biochemistry from my personal collection.No imagination.🙏
Forwarded from Angeline Radjou
The same image figured figured in an earlier quiz.The gastric aspirate was about 2 litres yesterday....the amount of sodium you need to replace apart from maintenance today is
Anonymous Quiz
40%
120meq
39%
60 meq
17%
80 meq
4%
40 meq
👍1
All are true of the acid base balance that will occur due to upper GI losses except
Anonymous Quiz
33%
Metabolic acidosis
32%
Metabolic alkalosis
14%
Paradoxical aciduria
21%
Does not need a specific exogenous buffer to correct the imbalance
👍1
👆this video will clear doubts why paradoxical aciduria happens....A person losing H ions through upper GI should conserve H ions by the kidney.Logical! But he starts losing H ions from the kidney too.physiological hierarchy to preserve volume triggers this.Details in video.
This patient is confirmed to have Gastric outlet obstruction clinically ,your initial investigation of choice will be
Anonymous Quiz
33%
Abdominal Ultrasound
11%
CT
37%
Upper GI endoscopy
18%
Barium Meal
2
Forwarded from Angeline Radjou
Read stem carefully
The foot vein pressure in normal lower limb fall down within 20 seconds of walking to
Anonymous Quiz
39%
20 mmHg
19%
5 mmHg
33%
10 mmHg
8%
40 mmHg
the incidence of short saphenous system involment in venous disease is a
Anonymous Quiz
44%
20%
32%
10%
8%
5%
16%
30%
this patient with varicose veins prefers laser thermo ablation. The lase wavelength you would use will be
Anonymous Quiz
21%
405 nm
37%
1210 nm
28%
1470 nm
14%
1850-2200 nm