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 deficit-
bacterial overgrowth- ischemia)
symptoms
signs (dehydration-pyrexia-fluid and electrolyte loss-distended abdomen-
borborygmi-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)
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)
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 (()تعدادcomplications)
ulcerative colitis + crohn's ( )هام
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
Hernia
Types
indirect versus direct inguinal hernias (tables)
femoral versus inguinal hernia
differential diagnosis of femoral hernia
Management ( )تعداد
Liver surgical disease
investigations (شرح بسيط+دادعت)
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?
Mention the management of Chest Trauma in general. ( )من العملي
What are the Indications of Thoracotomy? ( )من العملي
Define tension pneumothorax and write notes in its treatment.
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.
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
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)
Enumeration of all types of injury ( )تعداد فقط
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
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