بدون Root
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كيف تُذاكرون باطنة وجراحة بدون روت احبائي
في الله ، طريقة مجربة ومضمونة
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Burger disease = thrombophlebitis obliterans.
-Superficial miagratory thrombophlebitis
-Severe rest pain
-Sole claudication
-Smoker
-Distal artery occlusion
-Digital ischemia
TTT
•Stop smoking
•Sympathetictomy
1:- 40 y old female has sudden severe rt LL pain & inability to walk , she has history of mitral valve replacement. You suspect
Anonymous Quiz
98%
Acute LL ischemia
3%
LL Cellulitis
1:- the cause of her condition mostly
Anonymous Quiz
96%
Embolic
4%
Thrombotic
1:- if you want to get information about arterial tree , you will request
Anonymous Quiz
71%
Arteriography
29%
Duplex
Embolic ischemia common at
Anonymous Quiz
82%
Younger
18%
Elderly
DD of acute limb ischemia contain all the following except
Anonymous Quiz
27%
Aortic disscetion
18%
Low flow state
19%
Phalgmesia cerulea dolen
36%
Calf muscle strain
1:- case mentioned above was treated by embolectomy using fogarty catheter
Unfortunately. She sudden died
The most common cause
Anonymous Quiz
96%
Pulmonary embolism
4%
Heart failure
Continued ..
Sudden death after embolectomy can be prevented by
Anonymous Quiz
95%
IVC filter
5%
SVC filter
بدون Root pinned «1:- 40 y old female has sudden severe rt LL pain & inability to walk , she has history of mitral valve replacement. You suspect»
A hevy smoker 35 y old man has maigrating thrombophlebitis, sever rest pain , interdigital infection
You suspect
Anonymous Quiz
98%
Burger disease
2%
DVT
Continued
This case is predisposed by
Anonymous Quiz
98%
Excessive smoking
2%
Excessive burger eating
Treatment is
Anonymous Quiz
13%
Amputation
87%
Sympathectomy
Today we’re dealing with stomach
45 y old man came to ER with severe upper abdominal pain , he has history of smoking& recurrent attack of heart burn , on examination he had
Very rigid abdomen
Obliteration liver dullness You must suspect
Anonymous Quiz
99%
Perforated peptic ulcer
1%
Perforated colon
Continued
The patient had a slight improvement of the pain & he want to back to home
This stage is called
Anonymous Quiz
89%
Lucid interval
11%
Break interval
Continued
In this case which intervention is contraindicated
Anonymous Quiz
91%
Upper GI Endoscopy
9%
X ray
Obliterated liver dullness is because of
Anonymous Quiz
87%
Air under diaphragm
13%
Sub diaphragmatic abscess
Continued

If Investigation deont that perforation was in a stomach, you should exclude
Anonymous Quiz
81%
Malignancy
19%
GERD
The patient was prepared to an urgent operation
You expect surgeons to do
Anonymous Quiz
90%
Covering with omental patch
10%
Total eaophagogeastrectomy