emergency challenges, medical cases
TRANSCRIPT
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THE PROBLEMS ...!!??
DR. TARIK 18 SAFER1439
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DR. TARIK 18 SAFER1439
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ABDOMEN
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RENAL IMPAIRMENT
NERVOUS SYSTEM CONFUSION
RESPIRATORY ATELECTASIS , PNEUMONIA &
HYPOVENTILATION.
RENAL IMPAIRMENT
COMMON ESPECIALLY WITH COPD. IHD AGE > 65YO…..UP TO
30% CARDIAC RESERVE, DYSRHYTHMIAS AND
CONDUCTION ABNORMALITIES
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https://image.slidesharecdn.com/colon-cancerppt-powerpoint-presentation4604/95/colon-cancerppt-powerpoint-presentation-2-728.jpg?cb=1327394635
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Fecal immunochemical test (FIT)
every year90% of cases occurs after
Guaiac-based fecal occult blood test
(gFOBT) every year
Stool DNA test every 3 years
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Double-Contrast Barium Enema Every 5 Years. 90% of cases occurs after age 50Colonoscopy Every 10 years
CT Colonography (Virtual Colonoscopy) Every 5
Years.
MRI Colonography
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Small Incision :
1 Tissue Trauma is less
2 Post op. pain is less
3 Less blood loss
4 Chances of incisional hernia are less
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Mini- cholecystectomy is a minimally invasive operation, which is well tolerated, and is associated with minimal complications and conversions. When it is carried out with the surgical tool kit “Mini-assistant”, it is an alternative to laparoscopic
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SITUS INVERSUS TOTALIS
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SIT IS A CHALLETNGE TO ANY LAPAROSCOPIC SURGEON
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MIRIZZI SYNDROM
PROFESSOR PAPLO LUIS MIRIZZI
(1893-1964)
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CONCLUSIONS: high association of gallbladder cancer in Mirizzi syndrome. Elevated CA 19-9 levels in this syndrome are indicative of a coincidental gallbladder malignancy.
intraoperative frozen section of the gallbladder in all patients presenting with Mirizzi syndrome
MIRIZZI SYNDROM & GB CANCER
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ىفالطبيب جعله هللا سببا لحياة إنسان إن وفقه
ويجعله سببا لفقدان الحياة لو جهل .. القرار
.السبيل النتشال الروح إلى طريق الفرار
وموت يكتب .. الموتحياة تكتب من
من الحياة
النجومىطارق
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ن ومن يتق هللا يجعل له مخرجا ويرزقه م)صدق هللا العظيم( حيث اليحتسب
AND WHOSOEVER FEARS ALLAH AND KEEPS
HIS DUTY TO HIM , GOD WILL MAKE A WAY
FOR HIM TO GET OUT (from ever difficulty).
AND WILL PROVIDE ( HIM l HER ) FROM
(SOURCES ) HE l SHE NEVER COULD
IMAGINE.( THE NOBLE QURAN )
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