emergency challenges, medical cases
TRANSCRIPT
THE PROBLEMS ...!!??
DR. TARIK 18 SAFER1439
DR. TARIK 18 SAFER1439
ABDOMEN
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
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
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
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
SITUS INVERSUS TOTALIS
SIT IS A CHALLETNGE TO ANY LAPAROSCOPIC SURGEON
MIRIZZI SYNDROM
PROFESSOR PAPLO LUIS MIRIZZI
(1893-1964)
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
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
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 )