Scribd Logo
Upload

Welcome to Scribd!

  • 597 views

    Emrcs Revision Notes 2020 Paper 1

    Uploaded by

    danish baloch
    Twisting sporting injuries followed by delayed onset of knee swelling and locking strongly suggest a meniscal tear. Arthroscopic meniscectomy is the usual treatment. Pulmonary embolism is suggested by a combination of hypoxia and respiratory alkalosis due to hyperventilation from the embolism. Construction of a stoma may be complicated by necrosis from technical errors, excessive tension, or an inadequate fascial defect. Early stoma complications are usually vascular from inadvertent mesenteric division or a stoma that is too tight; dermatitis is more common but later. Output of 5-10ml/kg/24 hours is normal for an ileostomy; over 20ml/kg requires IV fluids and l

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Emrcs Revision Notes 2020 Paper 1

    Uploaded by

    danish baloch
    597 views71 pages
    Twisting sporting injuries followed by delayed onset of knee swelling and locking strongly suggest a meniscal tear. Arthroscopic meniscectomy is the usual treatment. Pulmonary embolism is suggested by a combination of hypoxia and respiratory alkalosis due to hyperventilation from the embolism. Construction of a stoma may be complicated by necrosis from technical errors, excessive tension, or an inadequate fascial defect. Early stoma complications are usually vascular from inadvertent mesenteric division or a stoma that is too tight; dermatitis is more common but later. Output of 5-10ml/kg/24 hours is normal for an ileostomy; over 20ml/kg requires IV fluids and l

    Original Title

    emrcs revision notes 2020 paper 1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Twisting sporting injuries followed by delayed onset of knee swelling and locking strongly suggest a meniscal tear. Arthroscopic meniscectomy is the usual treatment. Pulmonary embolism is suggested by a combination of hypoxia and respiratory alkalosis due to hyperventilation from the embolism. Construction of a stoma may be complicated by necrosis from technical errors, excessive tension, or an inadequate fascial defect. Early stoma complications are usually vascular from inadvertent mesenteric division or a stoma that is too tight; dermatitis is more common but later. Output of 5-10ml/kg/24 hours is normal for an ileostomy; over 20ml/kg requires IV fluids and l

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    597 views71 pages

    Emrcs Revision Notes 2020 Paper 1

    Uploaded by

    danish baloch
    Twisting sporting injuries followed by delayed onset of knee swelling and locking strongly suggest a meniscal tear. Arthroscopic meniscectomy is the usual treatment. Pulmonary embolism is suggested by a combination of hypoxia and respiratory alkalosis due to hyperventilation from the embolism. Construction of a stoma may be complicated by necrosis from technical errors, excessive tension, or an inadequate fascial defect. Early stoma complications are usually vascular from inadvertent mesenteric division or a stoma that is too tight; dermatitis is more common but later. Output of 5-10ml/kg/24 hours is normal for an ileostomy; over 20ml/kg requires IV fluids and l

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 71

    Twisting sporting injuries followed by delayed onset of knee swelling and locking are strongly

    suggestive of a menisceal tear. Arthroscopic menisectomy is the usual treatment.


    A combination of hypoxia and respiratory alkalosis should suggest a pulmonary embolus. The
    respiratory alkalosis is due to hyperventilation associated with the pulmonary embolism.
    Construction of a stoma may be complicated by several factors. Necrosis may occur because of
    technical errors in mesenteric division, excessive tension or failure to construct a fascial defect of
    adequate size to permit safe passage of the mesentery and the bowel.
    Dermatitis is the most common, but its not the earliest. The earliest complications are vascular
    ones and these usually occurs as a result of either inadvertent mesenteric division or as a result
    of a stoma thats too tight.
    Ileostomy output is roughly in the range of 5-10ml/Kg/ 24 hours. Output in excess of 20ml/Kg/24
    hours usually requires supplementary intravenous fluids. Excessive fluid losses are generally
    managed by administration of oral loperamide (up to 4mg QDS) to try and slow the output. Foods
    containing gelatine may also thicken output. Early high output is not uncommon and most
    patients (50%) will respond to conservative management.
    Chief of Pepsi cola = Chief cells secrete PEPSInogen

    Parietal cells: secrete HCl, Ca, Na, Mg and intrinsic factor


    Chief cells: secrete pepsinogen
    Surface mucosal cells: secrete mucus and bicarbonate
    The combination of long history, offensive discharge and hearing loss is strongly suggestive of
    cholesteatoma.

    Chronic May occur with Those without Simple pars tensa


    suppurative or without cholesteatoma perforations may
    otitis media cholesteatoma may complain of be managed non
    Those without intermittent operatively or a
    cholesteatoma discharge (non myringoplasty
    have a offensive) considered if
    perforation of Those with symptoms
    the pars tensa cholesteatoma troublesome.
    Those with have impaired Pars flaccida
    cholesteatoma hearing and foul perforations will
    have a smelling usually require a
    perforation of discharge modified radical
    the pars mastoidectomy
    flaccida

    An incision at this level lies below the arcuate line and the posterior wall of the rectus sheath is
    deficient at this level.
    What is the risk of wound infection occurring in a 43 year old woman who is undergoing a
    laparoscopic cholecystectomy for uncomplicated biliary colic? 5%
    Bilious vomiting in neonates is a surgical emergency and is intestinal malrotation and volvulus
    until otherwise proven. It is investigated with an upper GI contrast study. Contrast should be seen
    to exit the stomach and the location of the DJ flexure is noted (it lies to the left of the midline). If
    this is not the case, or the study is inconclusive, a laparotomy is performed.
    Penetrating thoracic trauma that is then followed by cardiac arrest in the department is an
    indication for ER thoracotomy.

    Liver cell adenomas are linked to OCP use and 90% of patients with liver cell adenomas have
    used the OCP. Liver function tests are often normal. The lesions will typically have a mixed
    echoity and heterogeneous texture.
    To revise
    To revise
    Around the body of
    scapula: It takes place between the:
    • Suprascapular artery, a branch of the thyrocervical trunk from the first part of the
    subclavian artery,
    • Circumflex scapular artery, a branch of the subscapular artery from the third part of
    the axillary artery
    • Deep branch of the transverse cervical artery; a branch of the thyrocervical trunk.
    to revise
    It is important to distinguish between blood and urine tests for
    carcinoid syndrome. Blood tests usually measure chromogranin
    A,neuron-specific enolase (NSE), substance P, and gastrin. Urine tests
    usually measure 5 HIAA, which is a metabolite of serotonin.
    Sometimes blood tests for 5 hydroxytryptamine (serotonin) are also
    performed.
    Paget
    Bulbar urethra
    Pruritus
    In Marfan
    Actinomycosis are gram positive bacilli
    CD and EN

    You might also like