CEAP Classification for Venous disease
Clinical Notes
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Clinical Notes (English)
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Clinical Notes
27 Oct, 20:37
MEN Syndromes Mnemonic
๐จMEN1 syndrome : 3Ps
Parathyroid , Pituitary, Pancreatic cancer
๐ฉMEN2a : 2Ps 1m
Parathyoid, Pheocromocytoma , Medullary thyroid cancers
๐ฅMEN2b: 1P 2Ms
Pheochtomocytoma, Medullary thyroid, Marfanoid habitus/Mucosal neuroma
๐จMEN1 syndrome : 3Ps
Parathyroid , Pituitary, Pancreatic cancer
๐ฉMEN2a : 2Ps 1m
Parathyoid, Pheocromocytoma , Medullary thyroid cancers
๐ฅMEN2b: 1P 2Ms
Pheochtomocytoma, Medullary thyroid, Marfanoid habitus/Mucosal neuroma
Clinical Notes
27 Oct, 20:28
REMEMBER that calcitonin levels are elevated in Medullary Thyroid Cancer as it originates from C Cells (parafollicular)
Clinical Notes
27 Oct, 19:53
safe triangle borders:
- Lateral border of the pectoralis major anteriorly.
- Lateral border of the latissimus dorsi posteriorly.
- Inferiorly, by a horizontal line from the nipple
- Lateral border of the pectoralis major anteriorly.
- Lateral border of the latissimus dorsi posteriorly.
- Inferiorly, by a horizontal line from the nipple
Clinical Notes
27 Oct, 18:10
RCC
-most common type of Renal Cancer: Clear Cell RCC (cc rcc๐)
-most associated with sickle cell: medullary carcinoma
Bilateral in pediatrics: wilms tumor, bilateral in adults: VHL syndrome
-presentation: painless hematuria
-tt: Radical nephrectomy / nephron sparing srugery
-most common type of Renal Cancer: Clear Cell RCC (cc rcc๐)
-most associated with sickle cell: medullary carcinoma
Bilateral in pediatrics: wilms tumor, bilateral in adults: VHL syndrome
-presentation: painless hematuria
-tt: Radical nephrectomy / nephron sparing srugery
Clinical Notes
27 Oct, 16:49
6Ps: paralysis (WORST) , paresthesia, pallor, pulselessness, perishing cold, pain
Clinical Notes
27 Oct, 15:12
Cullen & Grey Turner Sign: indicate bleeding in the retroperitoneal compartment
As in hemorrhagic pancreatitis/ Ruptured ectopic pregnancy/ liver trauma / leaking AAA/ portal hypertension
As in hemorrhagic pancreatitis/ Ruptured ectopic pregnancy/ liver trauma / leaking AAA/ portal hypertension
Clinical Notes
27 Oct, 13:09
Achalasia
-diagnostic modalities:
1.Barium Swallow shows Bird beak sign & dilated esophagus
2.manometry
-Symptoms: dysphagia, bad breath, regurgitation
-treatment:
Nonsurgical: CCBs, botulinum toxin injection, Small thick meals
Surgical treatment:
Heller Myotomy
Balloon dilatation
-diagnostic modalities:
1.Barium Swallow shows Bird beak sign & dilated esophagus
2.manometry
-Symptoms: dysphagia, bad breath, regurgitation
-treatment:
Nonsurgical: CCBs, botulinum toxin injection, Small thick meals
Surgical treatment:
Heller Myotomy
Balloon dilatation
Clinical Notes
27 Oct, 12:05
ู
ุชู ูุนุงูุฌ umbilical herniaุ
Size> 1.5 cm
Age > 3 or 4 years old
By Herniotomy
Size> 1.5 cm
Age > 3 or 4 years old
By Herniotomy
Clinical Notes
27 Oct, 11:44
Amyand's hernia is a rare form of an inguinal hernia which occurs when the appendix is included in the hernial sac and becomes incarcerated.
Clinical Notes
27 Oct, 10:42
Intusussception :
โ Target Sign / Pseudokidney on US
โ On PE: mass in the RUQ
โ most common Age: 8 -12 months
โ most common site : ileocolic
โ Symptoms: paroxysms of abdominal pain/ vomiting/ CURRANT JELLY stool
โ Treatment: Air-fluid enema (hydrostatic reduction) / Air contrast Enema/ surgical resection
โ Target Sign / Pseudokidney on US
โ On PE: mass in the RUQ
โ most common Age: 8 -12 months
โ most common site : ileocolic
โ Symptoms: paroxysms of abdominal pain/ vomiting/ CURRANT JELLY stool
โ Treatment: Air-fluid enema (hydrostatic reduction) / Air contrast Enema/ surgical resection
Clinical Notes
27 Oct, 10:09
Paralytic Ileus may be caused by:
DM (DKA)/ hyponatremia / hypokalemia/ drugs/ uremia/ infections/ bowel ischemia
DM (DKA)/ hyponatremia / hypokalemia/ drugs/ uremia/ infections/ bowel ischemia
Clinical Notes
27 Oct, 09:42
Small bowel obstruction on Xray:
Dilated bowel loops
air fluid level
step ladder sign
plica circulares
Dilated bowel loops
air fluid level
step ladder sign
plica circulares
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