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UW Notes
Renal transplant rejection in the early post-operative stage can be expained by, ureteral obstruction, Acute rejection, Cyclosporine tox, vascular obstruction and ATN. To determine the cause we do US, MRI and Biopsy. ...
Recall: AIPGMEE-2010 Questions - MeDiCaLGeeK
Used in Transplant rejection c. It is prodrug & coverted to Mycophenolic acid d. Cannot be used with Azithioprine e. 81. female with Pimples, treatment resulting in pigementation which drug given- H 327 a. tetracycline b. Erythromycin c. Minocycline d. Doxycycline ..... 32.jssy stands for janani swasthya suraksha yojana 33.pancreatitis occurs with didanosine 34.egg on side appearance is seen in tga 35.acoustic neuroma most commonly arises from superior vestibular nerve ...
general pathology notes
telling the story of their formation, the lines of zahn (fudge -ripple ice cream). post-mortem thrombi feature a layer of red -cell-poor clot ("chicken fat") and a layer of red -cell-rich clot ("current jelly"), ...
Inguinal Hernia. Controversies
CONTROVERSIES
36. What are some of the anatomic issues related to inguinal hernias?
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At issue is the iliopubic tract, which is central to the Anson/McVay anatomic description of the inguinal area and featured in the McVay Cooper’s ligament repair. Although the McVay repair is used in England, the iliopubic tract is not referred to or described in English anatomic texts.
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Inguinal Hernia
56 INGUINAL HERNIA
Gregory P. Victorino M.D., Jyoti Arya M.D., James Bascom M.D.
1. “Groin” hernia refers to which three hernias?
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Direct and indirect inguinal hernias and femoral hernias.
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poupart 1616-1708,Congenital Diaphragmatic Hernia
86 CONGENITAL DIAPHRAGMATIC HERNIA
Denis D. Bensard M.D., Richard J. Hendrickson M.D.
1. What is the most common type of congenital diaphragmatic hernia (CDH)?
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Congenital abnormalities of the diaphragm include a posterolateral defect (Bochdalek hernia), an anteromedial defect (Morgagni hernia), or the eventration (central weakening) of the diaphragm. The Bochdalek hernia is the most common variant and generally occurs on the left (80%). Approximately 20% occur on the right, and < 1% are bilateral.
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congenital diaphragmatic hernia honeymoon period,Properties In Evaluation Of The Acute Abdomen
14 PRIORITIES IN EVALUATION OF THE ACUTE ABDOMEN
Alden H. Harken M.D.
1. What is the surgeon’s responsibility when confronted by a patient with an acute abdomen?
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1. To identify how sick the patient is
2. To determine whether the patient (a) needs to go directly to the operating room, (b) should be admitted for resuscitation or observation, or (c) can be sent safely home
Tracheoesophageal Malformations
85 TRACHEOESOPHAGEAL MALFORMATIONS
Denis D. Bensard M.D., David A. Partrick M.D.
1. What are tracheoesophageal fistula (TEF) and esophageal atresia (EA)?
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The trachea and esophagus appear as a ventral diverticulum arising from the primitive foregut during the third week of gestation. The trachea and esophagus undergo separation by the ingrowth of ectodermal ridges during the fourth week of gestation. Failure of separation results in anomalous connection of the trachea to the esophagus (i.e., TEF) with or without incomplete formation of the esophagus (i.e., EA).
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Congenital Cysts & Sinuses Of The Neck
88 CONGENITAL CYSTS AND SINUSES OF THE NECK
Frederick M. Karrer M.D., Denis D. Bensard M.D.
1. What are branchial cleft anomalies?
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Cysts, sinuses, and fistulas that result from incomplete obliteration of the first, second, or third branchial clefts, and are present in early fetal development.
Diverticular Disease Of The Colon
48 DIVERTICULAR DISEASE OF THE COLON
Gregory P. Victorino M.D., Jyoti Arya M.D., Lawrence W. Norton M.D.
1. What is a colonic diverticulum?
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A protrusion of mucosa and submucosa through the muscular layers of the bowel wall. It has no muscular covering. Because diverticula do not involve all layers of the bowel wall, they are really “false” diverticula. Diverticulum formation may be related either to weakness of the bowel wall at the sites of vessel perforation or to increased intraluminal pressure caused by low dietary fiber and constipation.
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Risks Of Bloodborne Disease
101 RISKS OF BLOODBORNE DISEASE
Caesar M. Ursic M.D., Doru I. E. Georgescu M.D.
1. What infectious diseases are transmissible via blood transfusion?
Intestinal Obstruction Of Neonates & Infants
83 INTESTINAL OBSTRUCTION OF NEONATES AND INFANTS
Richard J. Hendrickson M.D., Denis D. Bensard M.D.
1. What signs or symptoms suggest intestinal obstruction in the neonate?
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Signs and symptoms vary according to the level of obstruction. Proximal intestinal obstruction leads to the early onset of bilious emesis, generally with minimal abdominal distention. In contrast, neonates with distal intestinal obstruction present after the first day of life with bilious vomiting and pronounced abdominal distention. Bilious emesis should always be interrogated further in infants and children.
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j pediatr surg 37:909-911,Diagnosis & Therapy of Chronic Pancreatitis
41 DIAGNOSIS AND THERAPY OF CHRONIC PANCREATITIS
Clay Cothren M.D., Jon M. Burch M.D.
1. What is chronic pancreatitis?
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The classic syndrome consists of smoldering abdominal pain and evidence of pancreatic insufficiency. Histologically, chronic inflammation results in destruction of the functioning endocrine and exocrine pancreatic cells.
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answers to chronic pancreatitis secondary to alcoholism, http://www ascsurgery com/abstracts/acs/acs0304/htm,Basic Care Of Hand Injuries
34 BASIC CARE OF HAND INJURIES
Michael J.V. Gordon M.D., Lawrence L. Ketch M.D.
1. What are the goals of hand repair?
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Functional considerations override cosmesis in the treatment of hand trauma. There are no minor hand injuries. Initial diagnosis and management determine the final result; expert secondary repair cannot overcome primary errors in diagnosis or decision making.
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Hepatic & Biliary Trauma. Operative Management Of Liver Injury
OPERATIVE MANAGEMENT OF LIVER INJURY
11. How are acute liver injuries classified?
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Liver wounds are generally graded on a scale of I to VI according the depth of parenchymal laceration and involvement of the hepatic veins or retrohepatic portion of the inferior vena cava. Optimal methods of obtaining hemostasis vary with the severity of the injury.
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pringle maneuver technique liver injury, biliary trauma, finger fracture hepatotomy, liver laceration surgical management, liver laceration/pringle maneuver, liver packing, billiary trauma and its management, finger fracture in liver injuries, grading liver lacerations surgical management, hepatic arterial bleeding management, hepatic fracture, hepatic fracture treatment, hepatic trauma and its management, indication hepatic artery ligation, is penrose drain required to provide pringle maneuver, laceration inferior vena cava, liver fracture surgical management, liver hemorrhage maneuver, liver injury-operative steps, liver laceration management, liver packing for trauma, liver packing in trauma, liver trauma-operative steps, management of hepatic trauma, management of liver injuries, management of liver trauma, operative indications liver laceration, operative management of liver injury, operative management of liver trauma bile, option to control liver hemorrhage,Hepatic & Biliary Trauma. Surgical Anatomy Of The Liver
SURGICAL ANATOMY OF THE LIVER
7. How many anatomic lobes are present in the liver? What is their topographic boundary?
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The liver is divided into two anatomic lobes, the right and the left. Their boundary lies in an oblique plane extending from the gallbladder fossa anteriorly to the inferior vena cava posteriorly. The three hepatic veins define the division between the lobar segments and the planes of surgical resection. Lobar segments are numbered I-VIII, according to Couinaud’s nomenclature. (See Figure 25-1.)
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Surgical Infectious Disease. Management Of Surgical Infections
MANAGEMENT OF SURGICAL INFECTIONS
21. What is the drug of choice for the treatment of an abscess?
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A knife. Surgically drain the abscess. Abscesses have no circulation of blood within them to deliver an antibiotic. The antibiotic, even if injected directly into the abscess, would be worthless because the abscess contains a soup of dead microorganisms and white blood cells (WBCs). Even if the organisms were barely alive, they would not be reproducing and incorporating the antibiotic. The drug most likely would not work at all at the pH and pKa conditions of the abscess environment.
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where there is pus let there be steel, where there is pus let there be steel?, is pus infectious, surgical infectious disease, what does where there is puss let there be steel mean, when there is pus let there be steel, where there is pus there must be steel, where there is puss let there be steel,Properties In Evaluation Of The Acute Abdomen. Surgical Treatment
SURGICAL TREATMENT
22. If the patient is sick (and not getting better), what should be done?
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After fluid resuscitation, the patient’s abdomen should be explored. An exploratory laparotomy has been touted as the logical conclusion of a complete physical examination.


