KEY OF 6 C :
1-
Peau d’orange appearance
B-pathogensis : inflammation and / or edema that accentuate the depression
at bases of hair follicle
In breast cancer : there is lymphatic destruction leads to edema and tethering
of the thickened skin the underlying coopers ligament result in that orange
peel appearance >
Causes :
1-Breast cancer
2-breast abscess
3-less commomly myxedema
2-
Gastric outlet obstruction
A-recurrent peptic ulcer
B- Gastric CA
3-
A- Von Recklinghausen’s disorder ( Neurofibromatosis )
B-Café au lait patch on the forearm
4-
A-complication of colostomy
B-Debridement and antibiotic
5-
A-Hypertrichosis
Florid acniform rash
Dx : cushening syndrome
6-
A-The neurologic examination reveals an inability to abduct the right eye
with horizontal gaze to the right, a finding that is consistent with an isolated
right abducens nerve palsy.
B- Right sixth cranial nerve palsy
7-
A-Left Ischiorectal abscess, which is now spontaneously draining on the
operating table
8- surgical driange under GA + IV antibiotics
A-THIRD DEGREE PILE
B-BLEEDING. THROMBOSIS, STRANGULATION
9-
A-anterior dislocation of shoulder
B- Axillary nerve injury
10-
A-Dx: aneurysemal bone cyst
Complication : pathological fracture
Description: large cyst lucent lesion ( ballooning ) involving the metaphsis
and epiphysis of the left humours reaching below articular surface with
multiple cavities andcortical thinning without destruction
DDx :Giant cell carcinoma
11-
Diagnosis: Esophageal atresia + TEF
:1-x-ray of the chest &abdomen :
a-coiling of NGT and level of obstruction.
b-presence of air in the stomach which indicates fistula.
c- states of the lungs.
d-vertebral &ribs anomalies.
e- evidence of right aortic arche
Description: radiolucent abdomen (no gases) + failure of nasogastric tube
passage
3-abnormal esophageal contractions.
.
Early post delivery dx :
1-coiling of NG tube
2-INABILITY TO FEED AND chocking at feeding.
3-frothy white bubbles from nose and mouth.
4 –respiratory distress
12-
A- Double bubble signs
B- 1-Doudenal obstruction 2-Malrotation of bowel e.g. the cecum stop at
the right hypochondrium and there is a band to posterior abdominal
wall compressing the duodenum 3-Annular pancreas 4-Doudenal
stenosis
Bowel Obstruction
Cardinal s & S of I.O
1-bilous vomiting
2-Abd. distension
3-Failure to pass meconium.
13-
A-Thyroglossal cyst
B- infection , fistula
14-
A-Chronic venous stasis ulcer in the medial side of le
g. B-ischemia, gangrene , thrombophilibitis ,lipodermatosclerosis
15-
A-Scar of posterolateral thoracotomy ( incision for lung surgery )
B-indication :
Hydatid cyst removal
Lobectomy for any reason ( tumor , lobar emphysema )
Removal of FB ( Shell , bullet )
16-
This toe is gangrenous. The black coloration, shrunken prune-like skin
appearance and nail bed pallor confirm this.
This is most likely over the dorsalis paedis artery.
This is a permanent ink mark outlining the extent of cellulitis.
Diabetes mellitus. Demonstrating a predominant microvasculopathy.
17-
A-CT SCAN OR US
B- Local repair may involve reanastomosis of the
bypass in the groin under suitable antibiotic cover For false aneurysms
caused by femoral artery puncture, thrombin injection under ultrasound
guidance may be successful and avoids surgery; the alternative is arterial
repair and suturing the puncture site in the artery
18-
A- paraphemosis
B-Icebags, gentle manual compression
and injection of a solution of hyaluronidase in normal
saline may help to reduce the swelling. Suchpatients can be
treated by circumcision if careful manipulation fails. A dorsalslit of the
prepuce under local anaesthetic may be enough in an
emergency.
19-
A-
1-urine retention
2-Mass
B- Folys catheter
20 –
A-Testicular torsion
b-orchiopexy