Surgery videos & books

2022-03-14 07:20:01 During total thyroidectomy, parathyroid glands may inadvertently be removed or their vascular supply interrupted. Hypoparathyroidism may then develop, the manifestations of which include tingling, muscle cramps, convulsions, and a positive Chvostek’s sign (contraction of facial muscles after tapping the facial nerve). These symptoms are dramatically relieved by intravenous administration of calcium. Oral calcium and vitamin D are administered for long-term correction of hypocalcemia. Open / Comment

2022-03-13 07:19:08 Open / Comment

2022-03-06 13:10:01 Symptoms of zinc deficiency include diarrhea, mental status changes, alopecia, and periorbital, perinasal, and perioral dermatitis. Persons who have cirrhosis, who are receiving steroids, who have excessive loss of GI secretions, or who are severely traumatized are at risk for zinc deficiency. Deficiency states resulting from inadequate ingestion of selenium, silicon, and tin have not been described. Deficiency of iodine produces hypothyroidism. Open / Comment

2022-03-05 13:09:56 45) Aseverely traumatized patient who has been receiving prolonged parenteral alimentation develops diarrhea, mental status changes, alopecia, and perioral and periorbital dermatitis. Administration of which of the following trace elements is most likely… Open / Comment

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2022-02-27 13:23:01 Carcinoids are the most common neoplasm of the appendix and arise from Kulchitsky cells, a type of enterochromafin cell. Aside from the appendix, the next most frequent site of involvement is the small bowel followed by the rectum. Appendiceal and rectal carcinoids are almost never associated with carcinoid syndrome unless metastatic disease is present. Small bowel carcinoids are more commonly multifocal, metastatic, and associated with carcinoid syndrome. The majority of appendiceal carcinoids are located at the tip and the extent of surgical resection depends on the size and resulting malignant potential. Lesions less than 1 cm rarely metastasize and therefore require only simple appendectomy as in this question. Lesions greater than 2 cm require a right hemicolectomy due to the high potential for metastasis. Partial small bowel resection is indicated for a carcinoid of the small intestine. Partial cecectomy and total abdominal colectomy are not appropriate options. Open / Comment

2022-02-26 13:21:41 44) Following an uneventful appendectomy for acute appendicitis, the pathology report reveals the presence of a 1 cm carcinoid at the tip of the appendix. The patient has been otherwise asymptomatic. What is the most appropriate intervention? Open / Comment

2022-02-26 13:20:04 44) Following an uneventful appendectomy for acute appendicitis, the pathology report reveals the presence of a 1 cm carcinoid at the tip of the appendix. The patient has been otherwise asymptomatic. What is the most appropriate intervention? Open / Comment

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2022-02-20 21:57:47 eGurukul 3.0 Prelaunch offer
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15 months MRP Rs. 35,499/-
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