Surgery videos & books

2021-07-27 04:42:54 5) A patient of post-cholecystectomy biliary stricture has undergone an ERCP three days ago. Following this, she has developed acute cholangitis. The most likely organism is: Open / Comment

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2021-07-18 00:32:01 Calories are calculated by catabolism of glucose (not proteins).
Glucose:
• Amount of glucose in 20% glucose in 3000 ml of solution: 3000 x 20/100 = 600 gms
• 1 gm glucose on catabolism produces: 4.2 kcal
• 600 gms of glucose would produce: 600 x 4.2 = 2520 kcal
Protein:
• Percentage of protein in fluid: 4.25%
• Percentage of protein in 3000 ml of fluid: 3000 x 4.25/100 = 127.5 gms
• Calories required for the patient: 40x65 = 2600 kcal
• Proteins required for the patient: 2 x65 = 130 gms Open / Comment

2021-07-17 11:31:01 4) A young man weighing 65 kg was admitted to the hospital with severe burns in a severe catabolic state. An individual in this state requires 40 kcal per kg body weight per day 1 gm of protein/kg body weight/day. This young man was given a solution… Open / Comment

2021-07-17 11:29:55 4) A young man weighing 65 kg was admitted to the hospital
with severe burns in a severe catabolic state. An individual
in this state requires 40 kcal per kg body weight per day 1 gm
of protein/kg body weight/day. This young man was given a
solution containing 20% glucose and 4.25% protein. If 3000
ml of solution in infused per day: Open / Comment

2021-06-19 10:35:46 Stomas

● May be colostomy or ileostomy
● May be temporary or permanent
● Temporary or defunctioning stomas are usually fashioned as loop stomas
● An ileostomy is spouted; a colostomy is flush
● Ileostomy effluent is usually liquid, whereas colostomy effluent is usually solid
● Ileostomy patients are more likely to develop fluid and electrolyte problems
● An ileostomy is usually sited in the right iliac fossa
● End-colostomy is usually sited in the left iliac fossa
● Whenever possible, patients should be counselled and sited by a stoma care nurse before operation

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@surgeryvideos Open / Comment

2021-05-26 06:34:01 Typically seen in staphylococcal infections
• Present with point tenderness, erythema, and hyperthermia
• Related to lactation and occur within the first few weeks of breastfeeding.
• S. aureus are transmitted via suckling neonate
Staphylococcal infections (MC) Localized and situated deep in the breast tissues
Streptococcal infections Diffuse superficial involvement
Diagnosis
• Preoperative ultrasonography is effective in delineating the required extent of the drainage procedure
Treatment
• Local wound care, including application of warm compresses, and the administration of IV antibiotics (penicillins or
cephalosporins).
• Drainage procedure is best accomplished via circumareolar incisions or incisions paralleling Langer’s lines.
• Biopsy of abscess cavity wall at the time of incision and drainage to rule out underlying or coexisting breast cancer with necrotic Open / Comment