Spleen indications of splenectomy complications OPSI

Transcription

1 Intestinal obstruction Differences between adynamic ileus and mechanical obstruction Aetiology Pathophysiology (Cluster contractions- bowel proximal to the obstruction dilate- wall of obstructed gut is edematous- fluid and electrolyte deficitbacterial overgrowth- ischemia) symptoms signs (dehydration-pyrexia-fluid and electrolyte loss-distended abdomenborborygmi-tenderness and rebound tenderness-deterioration- change in the character of pain- rectal examination) principles of treatment Intestinal obstruction in neonate Etiology in page 1 and 2 (only enumerate) Clinical features and treatment of pyloric and duodenal obstruction Few points about symptoms and treatment of meconium ileus Spleen indications of splenectomy complications OPSI Pancreas etiology (table) prognostic assessment (Ranson-imrie-APACHE2-CRP) complications of acute pancreatitis laboratory data (LFT-CA 19-9 CA 494) Treatment (last page)

2 Appendicitis obturator sign contraindications of laparoscopic clinical features psoas sign Surgery of stomach and duodenum types of gastritis clinical features of gastric and duodenal ulcers complications of peptic ulcer surgery clinical features of pyloric stenosis etiology of gastric cancer Intussusception Clinical presentation (very important) Treatment (IV fluid, nasogastric tube, IV antibiotics, Hydrostatic barium enema or pneumatic enema) Surgery is indicated in children with: ((page 4)) Hypertrophic pyloric stenosis Clinical presentation Differential diagnosis (important) Treatment (surgical pyloromyotomy, fluid resuscitation) Portal hypertension Etiology (important) Enumerate the investigations Management (very important) Complications (enumerate)

3 Cholelithiasis sequel of gallstones causes (page 5) management indications for emergency surgical intervention complications Gallbladder and biliary tree etiology of choledocholithiasis causes of jaundice Courvoisier's law clinical findings (page 11) Small and large intestines diverticular disease ( complications )(تعداد) (هام) ulcerative colitis + crohn's Anal disease (indications for surgery) clinical features of rectal disease clinical features of carcinoma The peritoneum Route of infection (page 2) Management (page6) Clinical features (page8) Abdominal wall defects Few points about clinical features Few points about treatment

4 Hernia Types indirect versus direct inguinal hernias (tables) femoral versus inguinal hernia differential diagnosis of femoral hernia (تعداد) Management Liver surgical disease (تعداد+شرح بسيط) investigations clinical features of hepatic abscess symptoms (page7) further clinical features are the result of cyst complications physical findings of primary malignant tumors of the liver indication (page 12) Anal canal Treatment of pilonidal sinus Anal fissure Hemorrhoids (very important) Chest trauma Enumerate the causes of early death in chest trauma or what are the conditions that require urgent intervention in chest trauma? Mention the general principles in treatment of chest trauma. Talk about flail chest and its management. Why hemothorax is more dangerous than pneumothorax? (من العملي) general. Mention the management of Chest Trauma in (من العملي) Thoracotomy? What are the Indications of Define tension pneumothorax and write notes in its treatment.

5 Peripheral vascular trauma What are the hard signs of vascular trauma? Mention the outlines of vascular trauma management. Thoracic empyema Pathogenesis Mention the stages of thoracic empyema and the management of each stage. What are the indication of intervention in lung abscess? Pulmonary neoplasm Talk about bronchial adenomas. Talk about the assessment of pulmonary resection. Mention the headlines in diagnosis and management of bronchogenic carcinoma. Cardiopulmonary bypass What are the risks of cardiopulmonary bypass? Mention the indications of surgery in coronary artery disease. Talk about post-operative care of cardiac surgery patient. Congenital cardiac disease What is eisenmenger's syndrome? Mention the diagnosis of coarctation of aorta. Talk about TOF. The esophagus Achalasia, GERD, Hiatus hernia.

6 Breast Lymphatics (page1) Enumeration of all benign and inflammatory breast diseases Nipple discharge (important) Classification of malignancy (page 5) Staging page 9 (very important) Few points about treatment Thyroid (lec-2) Classification of hypothyroidism Classification of thyroid swelling Investigations page 4 Thyroid (lec-3) Clinical types of hyperthyroidism (very important) Treatment page 2 and 3 ((advantages and disadvantages of each type)) Preoperative & postoperative (page4&5) Clinical features (page6) Clinical & biochemical features (page10) Differential diagnosis (page10&11) Salivary gland surgery Causes of obstruction to major gland duct (Page3) Salivary calculi Pleomorphic adenoma (very important) Page7: changes suggest development of carcinoma. Head and neck surgery Branchial cyst Page3: four main varieties

7 Tuberculous lymphadenitis Differential diagnosis of neck swellings (mcq) Spinal injury Clinical features of spinal shock Management of spinal injury (very important) Head injury Page2 (very important) (تعداد فقط) Enumeration of all types of injury Management of head injury #Questions Complication of liver injury Post splenectomy complication Pre-operative preparation in jaundice Diagnosis and treatment of acute pancreatitis Differential diagnosis of RIF mass Management of appendicular mass Indication of emergency cholysistictomy Causes of intestinal obstruction Investigations for cholilethiasis Complications of acute pancreatitis Duke's staging for colorectal tumors Management of peptic ulcer Pseudo-intestinal obstruction OPSI (short note) Management of chest trauma DDx of thyroid swelling Indication of surgery in thyroid swelling TNM staging in ca of breast DDx of nipple discharge

8 Classification of surgical wound infection management of uretric stone scale of head injury difference between omphalocele and gastroschiasis preoperative preparation in thyrotoxicosis complications of thyroid surgery management of haeorrhoid condition of chest trauma that need urgent intervention condition of chest trauma that need thoracotomy classification of small bowel atresia classification of duodenal atresia clinical features of space occupying lesion in cranium management of head injury management of spinal injury management of acute and chronic empyema classification of anorectal malformations pseudointestinal obstruction management of chest trauma factors suggest malignant transformation in pleomorphic adenoma classification of duodenal atresia causes of hypercalcaemia #Cases Acute cholecystitis case case appendicular mass case acute pancreatitis Case. Dx streptococcal infection post splenectomy case strangulated inguinal hernia case of femoral hernia case of intestinal obstruction Case epidural and subdural hematoma Case thyroid crisis Case colles fracture case of thyroglossal cyst case breast cancer