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GENERAL SURGERY
1) A 25 years old young man presented to the accident and
Emergency unit with a one week history of abdominal pain which started from the umbilicus and later migrated to the right iliac fossa. He has been severely nauseated and has been vomiting. On examination, the surgical registrar noted that he was febrile and has a mass in the right iliac fossa which was very tender.
Outline the differential diagnosis
How will you investigate this man?
Describe how you will manage the patient.
2) A 20 year old medical student was brought to the AEU
following a sudden onset of severe right testicular pain while he was preparing to go for his lectures. He was otherwise healthy. What are the likely causes? Describe how he should evaluated and managed
3) A 45 year old lady was seen in the Surgical Outpatient
Department with a 6 month history of recurrent pain in the right breast. Discuss the possible causes and management of this problem.
4) Describe the pathogenesis of fistula in ano
Classify fistula in-ano based on anatomical types List 4 illnesses associated with fistula in-ano 5) Discuss the management of a 30 year old man with typhoid ileal perforatio0n 6) A 30year old man presented to the surgical outpatient department with a 2 year history of recurrent perianal discharge and soiling. This started after he opened a boil around his anus. What is the diagnosis? Discuss the etiology, classification and treatment of the disease
7) What is Grave’s disease? Discuss the treatment of a 25 year
old woman with Grave’s disease
8) A 40 year old lady presented to the surgical outpatient with 3
months history of progressively increasing yellowness of the eyes and abdominal pain. a. List the surgical causes of the above condition. b. How would you investigate this patient? c. List the surgical problems associated with operations in this patients. What measures will you take to prevent the problems you listed above?
A 45 year old lady was seen in the surgical outpatient department
with a 6 months history of recurrent pain in the right breast. Discuss the possible causes and management of this problem.
Name Maymouna Zgolli Bloc Surgery Internship Location General Surgery Unit in Farhat Hachad Hospital Narrative Patient Bouzidi Mbarki From Sousse, Aged 49, Admitted To Farhat Hached University H