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Complete rectal prolapse
Altimers procedure
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Pain score
- Rating - Pain Level
- 0 - No Pain
- 1 – 3 - Mild Pain (nagging, annoying, interfering little with Activity of Daily Livings)
- 4 – 6 - Moderate Pain (interferes significantly with ADLs)
- 7 – 10 - Severe Pain (disabling; unable to perform ADLs)
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Alvarado score
- Migration to the right iliac fossa,
- Anorexia,
- Nausea/Vomiting,
- Tenderness in the right iliac fossa,
- Rebound pain,
- Elevated temperature (fever),
- Leukocytosis, and
- Shift of neutrophils to the left
2 points for A and T, one for all the others
- 5 or 6 is compatible with the diagnosis of acute appendicitis.
- 7 or 8 indicates a probable appendicitis, and 9 or 10 indicates a very probable acute appendicitis.
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Dose of drugs
- Pethidine + Phenargan - 50mg+25mg IM sos
- Ketorolac 30mg IV tds
- Calcium dobesilate for varicose vein
- Tab cefadroxil 500mg BD
- Inj Phenytoin 100mg TDS
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Sliding scale of insulin
????
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Preoperative investigations
- CBC, Blood grouping
- Platelets, PT/INR
- RFT - Urea/Cr, Na/K,
- LFT - Bilirubin (T,D), SGOT, SGPT,
- Serology
- Chest X-ray, ECG if above 30 years of age
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Blood arrangement
- Appendectomy - No arrangement
- Laparatomy - 2 units
- Craniotomy - 4 units
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Postoperative management
????
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Pilonidal sinus
- Limburg flap
- Another operation name ????
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Succession splash???
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Grades of liver injury ??
Types of stoma ??
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LIFT procedure for fistula
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What are the characteristics of healthy granulation tissue??? Sure question for Shilpakar sir??
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What is CPAP?
Continuous Positive airway Pressure - to prevent microatelectasis of airways, contraindicated in COPD like conditions
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Beds in Surgery
- MSW - 13-29, 201-208
- FSW - 30-56, 209-217
- ANX - 510-520
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Types of necrotizing fascitis ??
fdf
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Complications of mesh repair
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What is double barrel resection ??
>???
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Surgical site infection
Infection within 1 month of surgery or 3 month of implant
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Wound healing
Delayed wound healing if it takes >1month in general
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History taking
Do not say name in history taking
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What are the features of Cirrhosis on USG
???
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Hydatid cyst layers
What is PTBD procedure??
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CNS
Criteria for discharge of EDH
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What is freys procedure???
???
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