She feels worried about her condition
Tell her the truth
Tell her the truth
Anonymous Quiz
85%
She has a good prognosis
15%
She has a bad prognosis
📝📝📝
Golden rules for case answer
• diagnosis
Don’t forget Rt ot Lt
Complicated or not
Acute or chronic
Justify your diagnosis (positive data)
Mention DD if possible
If cancer mention the stage
Example
Right LL acute embolic ischemia complicated by gangrene
Positive data
History of cardiac disease , young patient, sudden severe ll pain , absent pulsation
DD
Thrombotic ischemia but occurs in old atherosclerotic
•investigations
If emergency avoid time consuming investigation (arteriography in acute is ischemia started 6 h ago)
If shocked resuscitate first then investigate
If arterial bleeding no investigation needed, exploratory surgery
-What is the diagnostic investigation & sign
-What is the contraindicated investigation ( endoscopy in case of perforated peptic ulcer , thyroid scan with radioactive iodine in pregnancy )
Investigate cause & predisposing factor (DM , Lipid profile ..)
Investigate general condition (CBC , electrolyte)
If patient need operation request pre operative routine investigation (ECG , lipid profile, BP , glucose level ...)
If cancer search for secondaries
• TTT
It’s emergency or not
If bleeding resuscitate
-pre operative preparation
(Aspiration of fluid in case of perforated peptic ulcer, propanol before thyroidectomy ...$
Type of anathesia
Need Drain ??
Mention structure you need to protect during surgery ( recurrent laryngeal in case of throidectomy)
- post operative care
Follow up for complication & effectiveness of treatment
Golden rules for case answer
• diagnosis
Don’t forget Rt ot Lt
Complicated or not
Acute or chronic
Justify your diagnosis (positive data)
Mention DD if possible
If cancer mention the stage
Example
Right LL acute embolic ischemia complicated by gangrene
Positive data
History of cardiac disease , young patient, sudden severe ll pain , absent pulsation
DD
Thrombotic ischemia but occurs in old atherosclerotic
•investigations
If emergency avoid time consuming investigation (arteriography in acute is ischemia started 6 h ago)
If shocked resuscitate first then investigate
If arterial bleeding no investigation needed, exploratory surgery
-What is the diagnostic investigation & sign
-What is the contraindicated investigation ( endoscopy in case of perforated peptic ulcer , thyroid scan with radioactive iodine in pregnancy )
Investigate cause & predisposing factor (DM , Lipid profile ..)
Investigate general condition (CBC , electrolyte)
If patient need operation request pre operative routine investigation (ECG , lipid profile, BP , glucose level ...)
If cancer search for secondaries
• TTT
It’s emergency or not
If bleeding resuscitate
-pre operative preparation
(Aspiration of fluid in case of perforated peptic ulcer, propanol before thyroidectomy ...$
Type of anathesia
Need Drain ??
Mention structure you need to protect during surgery ( recurrent laryngeal in case of throidectomy)
- post operative care
Follow up for complication & effectiveness of treatment
60 y old farmer had an ulcer easily bleed on touch in lower lip , enlarged sub mandiblar LN , most probable diagnosis
Anonymous Quiz
96%
Carcimoma lip
4%
Herps