A seventy year old male is diagnosed to have bilateral direct inguinal hernia
and third degree haemorrhoids. He has no significant medical illnesses. Which of
the following will be your initial management? #surgery
and third degree haemorrhoids. He has no significant medical illnesses. Which of
the following will be your initial management? #surgery
Anonymous Quiz
17%
Get an anaesthetic assessment regarding fitness for surgery
18%
Exclude bladder out flow obstruction
19%
Perform haemorrhoid banding
21%
Perform bilateral mesh repair of hernia
24%
Dietary advice to avoid constipation and review
Medical Stuff
A seventy year old male is diagnosed to have bilateral direct inguinal hernia
and third degree haemorrhoids. He has no significant medical illnesses. Which of
the following will be your initial management? #surgery
and third degree haemorrhoids. He has no significant medical illnesses. Which of
the following will be your initial management? #surgery
Explanation #surgery #quizz
Contributing factors to hernia need to be corrected before contemplating on
surgery. These include cough, constipation and bladder out flow tract
obstruction. Banding is not suitable for third degree hemorrhoids. Dietary advice
to avoid constipation is a general recommendation.
Contributing factors to hernia need to be corrected before contemplating on
surgery. These include cough, constipation and bladder out flow tract
obstruction. Banding is not suitable for third degree hemorrhoids. Dietary advice
to avoid constipation is a general recommendation.
Which of the following investigation is most reliable in support of a clinical
diagnosis of ischaemic bowel?
(💠Join the Channel for Explanation)
diagnosis of ischaemic bowel?
(💠Join the Channel for Explanation)
Anonymous Quiz
11%
An elevated total white cell count
27%
The presence of free intra-peritoneal fluid on ultrasound scan
17%
Arterial oxygen saturation less than 90%
30%
Elevated blood lactate levels
15%
Detection of Escherichia coli in blood culture
Medical Stuff
Which of the following investigation is most reliable in support of a clinical
diagnosis of ischaemic bowel?
(💠Join the Channel for Explanation)
diagnosis of ischaemic bowel?
(💠Join the Channel for Explanation)
#surgery #quizz
Elevation of lactate level is the clearest indication to confirm the given diagnosis.
Detection of Escherichia coli in blood culture will take longer time beyond
usefulness. Elevation of white blood cell count, free intra-peritoneal fluid and
low Oxygen saturation are expected features but are less specific
Elevation of lactate level is the clearest indication to confirm the given diagnosis.
Detection of Escherichia coli in blood culture will take longer time beyond
usefulness. Elevation of white blood cell count, free intra-peritoneal fluid and
low Oxygen saturation are expected features but are less specific
What is the longest part of the duodenum?
Anonymous Quiz
11%
First Part
53%
Second Part
30%
Third Part
6%
Fourth Part
Stab injury to the chest will cause pneumothorax if the parietal pleura is
damaged. Which of the following direct penetrating wound would pierce the
parietal pleura? #anatomy #quizz (Explanation - in 5 mins - Medical Stuff Channel)
damaged. Which of the following direct penetrating wound would pierce the
parietal pleura? #anatomy #quizz (Explanation - in 5 mins - Medical Stuff Channel)
Anonymous Quiz
19%
Below the 11th rib at mid axillary line
17%
Below the 12th rib on either side of the 12th thoracic vertebra
34%
Below the 9th rib at mid clavicular line
11%
Four centimeters above the medial half of the clavicle.
18%
Left half of the sternum at the level of the junction with fifth costal cartilage