emergency challenges, medical cases

Report

Post on 21-Jan-2018

140 Views

Category:

Education

5 Downloads

Preview:

Click to see full reader

TRANSCRIPT

THE PROBLEMS ...!!??

DR. TARIK 18 SAFER1439

DR. TARIK 18 SAFER1439

http://pec.cochrane.org/
http://pec.cochrane.org/
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiznZrr1ojXAhWEd5oKHTp-AyoQjRwIBw&url=https://www.xifaxan.com/about-ibs-d&psig=AOvVaw0NJvxSVZZ3cIS7odTxB7yW&ust=1508914530915355
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiznZrr1ojXAhWEd5oKHTp-AyoQjRwIBw&url=https://www.xifaxan.com/about-ibs-d&psig=AOvVaw0NJvxSVZZ3cIS7odTxB7yW&ust=1508914530915355

ABDOMEN

http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwimwr68-pXXAhXHY1AKHVCwDgAQjRwIBw&url=http://www.101qs.com/885-eye-of-horus&psig=AOvVaw0qgDdHJN5_D2VvvsP5YQCA&ust=1509370783052170
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwimwr68-pXXAhXHY1AKHVCwDgAQjRwIBw&url=http://www.101qs.com/885-eye-of-horus&psig=AOvVaw0qgDdHJN5_D2VvvsP5YQCA&ust=1509370783052170
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjMjtqKy4jXAhXqNJoKHR4fAyYQjRwIBw&url=https://www.slideshare.net/NaikInayat/plain-radiography-in-acute-abdomen&psig=AOvVaw3RJXZTzsCDuCVo8GOidg5j&ust=1508911356434397
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjMjtqKy4jXAhXqNJoKHR4fAyYQjRwIBw&url=https://www.slideshare.net/NaikInayat/plain-radiography-in-acute-abdomen&psig=AOvVaw3RJXZTzsCDuCVo8GOidg5j&ust=1508911356434397
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjMjtqKy4jXAhXqNJoKHR4fAyYQjRwIBw&url=http://www.kavishi.com/torsionbloat.htm&psig=AOvVaw3RJXZTzsCDuCVo8GOidg5j&ust=1508911356434397
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjMjtqKy4jXAhXqNJoKHR4fAyYQjRwIBw&url=http://www.kavishi.com/torsionbloat.htm&psig=AOvVaw3RJXZTzsCDuCVo8GOidg5j&ust=1508911356434397
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjMjtqKy4jXAhXqNJoKHR4fAyYQjRwIBw&url=https://www.slideshare.net/sonnareach168/17-gi&psig=AOvVaw3RJXZTzsCDuCVo8GOidg5j&ust=1508911356434397
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjMjtqKy4jXAhXqNJoKHR4fAyYQjRwIBw&url=https://www.slideshare.net/sonnareach168/17-gi&psig=AOvVaw3RJXZTzsCDuCVo8GOidg5j&ust=1508911356434397
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjZ_sC5qo7XAhUJJ8AKHbriBZgQjRwIBw&url=http://www.123rf.com/photo_26990397_closeup-portrait-of-senior-executive,-old-man,-elderly-corporate-employee,-grandfather-looking-mise.html&psig=AOvVaw1pUhyZSM1QBE-WVdEFJY3f&ust=1509108752757274
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjZ_sC5qo7XAhUJJ8AKHbriBZgQjRwIBw&url=http://www.123rf.com/photo_26990397_closeup-portrait-of-senior-executive,-old-man,-elderly-corporate-employee,-grandfather-looking-mise.html&psig=AOvVaw1pUhyZSM1QBE-WVdEFJY3f&ust=1509108752757274
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&ved=0ahUKEwjQjcm-r6nXAhWP26QKHRfODy4QjRwIBw&url=https://www.webmd.com/cancer/ss/slideshow-carcinoid-symptoms&psig=AOvVaw0DIjtKBV1HQrXB0UKQ7EG9&ust=1510037845116427
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&ved=0ahUKEwjQjcm-r6nXAhWP26QKHRfODy4QjRwIBw&url=https://www.webmd.com/cancer/ss/slideshow-carcinoid-symptoms&psig=AOvVaw0DIjtKBV1HQrXB0UKQ7EG9&ust=1510037845116427

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

http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjM25SEtqnXAhUSyKQKHd6BBJgQjRwIBw&url=http://www.mekshat.com/vb/showthread.php?570739-%DA%E4%CF%ED-%DA%D5%DD%E6%D1-%E6%CE%C7%ED%DD%E5-%ED%E3%E6%CA-%C7%D1%CC%E6%DF%E3-%D3%C7%DA%CF%E6%E4%ED&psig=AOvVaw07wJR_gqtRxdnUU_Ho3gGx&ust=1510039593340354
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjM25SEtqnXAhUSyKQKHd6BBJgQjRwIBw&url=http://www.mekshat.com/vb/showthread.php?570739-%DA%E4%CF%ED-%DA%D5%DD%E6%D1-%E6%CE%C7%ED%DD%E5-%ED%E3%E6%CA-%C7%D1%CC%E6%DF%E3-%D3%C7%DA%CF%E6%E4%ED&psig=AOvVaw07wJR_gqtRxdnUU_Ho3gGx&ust=1510039593340354
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwifrdXmtanXAhUJEewKHXrTBpIQjRwIBw&url=https://kids.nationalgeographic.com/explore/wacky-weekend/strange-birds/&psig=AOvVaw1uiDxEDyNf28l7S3MHmTdn&ust=1510039500826424
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwifrdXmtanXAhUJEewKHXrTBpIQjRwIBw&url=https://kids.nationalgeographic.com/explore/wacky-weekend/strange-birds/&psig=AOvVaw1uiDxEDyNf28l7S3MHmTdn&ust=1510039500826424
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjFtIKkpY7XAhWMAMAKHS4nCZIQjRwIBw&url=https://sandiessnippets.wordpress.com/2013/05/21/health-check/&psig=AOvVaw1aV0PrCT1ID3VngHu2iwyj&ust=1509107387032503
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjFtIKkpY7XAhWMAMAKHS4nCZIQjRwIBw&url=https://sandiessnippets.wordpress.com/2013/05/21/health-check/&psig=AOvVaw1aV0PrCT1ID3VngHu2iwyj&ust=1509107387032503

https://image.slidesharecdn.com/colon-cancerppt-powerpoint-presentation4604/95/colon-cancerppt-powerpoint-presentation-2-728.jpg?cb=1327394635

https://image.slidesharecdn.com/colon-cancerppt-powerpoint-presentation4604/95/colon-cancerppt-powerpoint-presentation-2-728.jpg?cb=1327394635

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

http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjB4dW2lKfXAhWJKewKHcFTAdgQjRwIBw&url=http://slideplayer.com/slide/1427080/&psig=AOvVaw2beTln3EX7ZtfdsLLOaTxz&ust=1509961861422402
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjB4dW2lKfXAhWJKewKHcFTAdgQjRwIBw&url=http://slideplayer.com/slide/1427080/&psig=AOvVaw2beTln3EX7ZtfdsLLOaTxz&ust=1509961861422402

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

http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjIuLKKwanXAhVN26QKHRSkDZ0QjRwIBw&url=http://slideplayer.com/slide/8356708/&psig=AOvVaw0GaCS2cRzCEhwcmpEXeSY0&ust=1510042550249093
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjIuLKKwanXAhVN26QKHRSkDZ0QjRwIBw&url=http://slideplayer.com/slide/8356708/&psig=AOvVaw0GaCS2cRzCEhwcmpEXeSY0&ust=1510042550249093

Small Incision :

1 Tissue Trauma is less

2 Post op. pain is less

3 Less blood loss

4 Chances of incisional hernia are less

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

http://www.sciencedirect.com/science/article/pii/S1743919107001276
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjIuLKKwanXAhVN26QKHRSkDZ0QjRwIBw&url=http://slideplayer.com/slide/8356708/&psig=AOvVaw0GaCS2cRzCEhwcmpEXeSY0&ust=1510042550249093
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjIuLKKwanXAhVN26QKHRSkDZ0QjRwIBw&url=http://slideplayer.com/slide/8356708/&psig=AOvVaw0GaCS2cRzCEhwcmpEXeSY0&ust=1510042550249093
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwju7J30zanXAhVQzaQKHS9hA9oQjRwIBw&url=https://cerin.wordpress.com/2010/08/10/large-waist-size-linked-to-higher-risk-of-death/&psig=AOvVaw0DbA96djaCx0tXHjMAgGhY&ust=1510046005734868
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwju7J30zanXAhVQzaQKHS9hA9oQjRwIBw&url=https://cerin.wordpress.com/2010/08/10/large-waist-size-linked-to-higher-risk-of-death/&psig=AOvVaw0DbA96djaCx0tXHjMAgGhY&ust=1510046005734868
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjI1c2Z85rXAhXGIcAKHUnKDVIQjRwIBw&url=http://www.porcelainzone.com/en/factories/gebruder-benedikt&psig=AOvVaw0VZlgiwxWXvAGW4R_6-O4o&ust=1509540479604579
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjI1c2Z85rXAhXGIcAKHUnKDVIQjRwIBw&url=http://www.porcelainzone.com/en/factories/gebruder-benedikt&psig=AOvVaw0VZlgiwxWXvAGW4R_6-O4o&ust=1509540479604579
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwizoaaX8JrXAhVDLMAKHYqTCcwQjRwIBw&url=http://slideplayer.com/slide/10962658/&psig=AOvVaw3NJbv4Rz61Awj6Xe8K6ima&ust=1509539815355679
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwizoaaX8JrXAhVDLMAKHYqTCcwQjRwIBw&url=http://slideplayer.com/slide/10962658/&psig=AOvVaw3NJbv4Rz61Awj6Xe8K6ima&ust=1509539815355679
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwizoaaX8JrXAhVDLMAKHYqTCcwQjRwIBw&url=https://www.slideshare.net/shaffar75/ultrasound-of-the-gallbladder&psig=AOvVaw3NJbv4Rz61Awj6Xe8K6ima&ust=1509539815355679
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwizoaaX8JrXAhVDLMAKHYqTCcwQjRwIBw&url=https://www.slideshare.net/shaffar75/ultrasound-of-the-gallbladder&psig=AOvVaw3NJbv4Rz61Awj6Xe8K6ima&ust=1509539815355679

SITUS INVERSUS TOTALIS

SIT IS A CHALLETNGE TO ANY LAPAROSCOPIC SURGEON

https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiX95Xd6anXAhWNDuwKHcymDFgQjRwIBw&url=https://acikgunluk.net/sindrom-mirizzi-klassifikatsiya-diagnostika-lechenie/&psig=AOvVaw3U9ZNlJs-sedT5SIqjVZ5h&ust=1510053469308969
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiX95Xd6anXAhWNDuwKHcymDFgQjRwIBw&url=https://acikgunluk.net/sindrom-mirizzi-klassifikatsiya-diagnostika-lechenie/&psig=AOvVaw3U9ZNlJs-sedT5SIqjVZ5h&ust=1510053469308969

MIRIZZI SYNDROM

PROFESSOR PAPLO LUIS MIRIZZI

(1893-1964)

http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwicnNar6KnXAhULGuwKHYZRA44QjRwIBw&url=http://www.hpbonline.org/article/S1365-182X(17)30699-8/fulltext&psig=AOvVaw2nz_sAQvcUqvS0JuUuJM9D&ust=1510052280016207
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwicnNar6KnXAhULGuwKHYZRA44QjRwIBw&url=http://www.hpbonline.org/article/S1365-182X(17)30699-8/fulltext&psig=AOvVaw2nz_sAQvcUqvS0JuUuJM9D&ust=1510052280016207
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiv3Kel5anXAhUB2qQKHYpvBwEQjRwIBw&url=http://slideplayer.com/slide/5716102/&psig=AOvVaw2nz_sAQvcUqvS0JuUuJM9D&ust=1510052280016207
http://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiv3Kel5anXAhUB2qQKHYpvBwEQjRwIBw&url=http://slideplayer.com/slide/5716102/&psig=AOvVaw2nz_sAQvcUqvS0JuUuJM9D&ust=1510052280016207

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

https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwixkO7G9JzXAhXGvRoKHYfeDXsQjRwIBw&url=https://twitter.com/kareemalkassim/status/550686188227416064&psig=AOvVaw0PDBFOyWsnZAYL_BboATlP&ust=1509609657676702
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwixkO7G9JzXAhXGvRoKHYfeDXsQjRwIBw&url=https://twitter.com/kareemalkassim/status/550686188227416064&psig=AOvVaw0PDBFOyWsnZAYL_BboATlP&ust=1509609657676702

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

https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjWu83_9o3XAhXKaFAKHXg_CiMQjRwIBw&url=https://www.youtube.com/watch?v%3DVzsF_AeMoIs&psig=AOvVaw1Nf9s7Oa37V7s2ORcJB950&ust=1509094966522188
https://www.google.com.sa/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjWu83_9o3XAhXKaFAKHXg_CiMQjRwIBw&url=https://www.youtube.com/watch?v%3DVzsF_AeMoIs&psig=AOvVaw1Nf9s7Oa37V7s2ORcJB950&ust=1509094966522188

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 )

top related

endocrine emergency cases
Health & Medicine
pediatric emergency cases
Documents
evidentiary challenges in divorce cases: traditional and
Documents
opportunities, challenges and use cases of digitization
Documents
emergency medical services 2020 ;issues and challenges
Healthcare
toxic cases emergency
Health & Medicine
torts and damages, emergency rule - burden of proof cases
Documents
emergency management in higher education: challenges and
Documents
emergency cases
Health & Medicine
emergency medicine cases
Documents
dbe recent legal cases and challenges · » recent legal...
Documents
emergency cases 1
Health & Medicine
evidentiary challenges in divorce cases: traditional and
Documents
blockchain overview, use cases, implementations and...
Technology
emergency management information: challenges for the 21st...
Documents
dbe/mbe/wberecent legal cases and challenges
Documents
challenges in emergency and abnormal checklist design
Documents
emergency cases and backpacks - multimedi...
Documents
ai in iot: use cases and challenges
Data & Analytics
challenges of resilience in emergency management
Technology