Wesalosis " medical "

2022-06-12 13:00:27 Open / Comment

2022-06-12 13:00:27 Open / Comment

2022-06-11 12:18:05 In all breast disease, cancer must be ruled out even if the presentation initially suggests benign disease. The only reliable way to rule out cancer is to get tissue sample sent for histopathology.
Age correlates best with the odds for cancer:

Virtually unknown in the teens
Rare in young women
Quite possible by middle age
Very likely in the elderly Open / Comment

2022-06-09 01:32:39 ( this is the spleen of a 6 year old girl in RTA with history of splenomegaly and chronic liver disease who underwent laparatomy after the FAST ultrasonography showed fluid collections in multiple abdominal sites )

A ruptured spleen is the most common source of significant intra-abdominal bleeding in blunt abdominal trauma. Often there are diagnostic hints, such as fractures of lower ribs on the left side.
Given the limited function of the spleen in the adult, a splenic injury resulting in hemodynamic instability or requiring significant blood product transfusion is an indication for splenectomy but in pediatric patients the situation is a bit different as if possible ; splenic conservation should be attempted. Post-operative immunization against encapsulated bacteria is mandatory (Pneumococcus, Haemophilus influenza B, and Meningococcus).
Lesser injuries to the spleen which can be repaired easily are attempted. Open / Comment

2022-06-06 18:36:54 Question .



What's the difference between:

Gridiron incision
Rutherford Morrison incision
And Lanz incision

??? Open / Comment

2022-06-06 18:21:27 Acute appendicitis :
Acute appendicitis is one of the most common gastrointestinal conditions that requires emergency operations.
Clinical presentation provides important diagnostic clues.
The classic clinical picture of acute appendicitis begins with anorexia, followed by:
Vague periumbilical "crampy" pain that hours later becomes sharp, severe, constant, and localized to the right lower abdominal quadrant.
Localized tenderness, guarding, and rebound found in the right lower quadrant.
Modest fever and leukocytosis in the 10,000–15,000 range, with neutrophilia and immature forms.

Emergency appendectomy is the indicated treatment.

Doubtful presentations that could be acute appendicitis include those that do not have all the classic findings described above. CT scan has become the standard diagnostic modality for those cases. Open / Comment

2022-06-06 18:21:26 Diabetic ulcer is typically indolent and located at pressure points (heel and metatarsal head).
It starts because of the neuropathy and does not heal because of
the microvascular disease.
It can sometimes heal with good glycemic control and appropriate wound care, but often become chronic and sometimes leads to
amputation due to osteomyelitis. Open / Comment

2022-06-03 01:06:14 Atelectasis is the most common source of fever on the first post-operative day.
Assess the risk for the other causes listed above, listen to the lungs, do a chest x- ray, improve ventilation (deep breathing and coughing, postural drainage, incentive spirometry), and perform a bronchoscopy if necessary.
Pneumonia will happen in about 3 days if atelectasis is not resolved. Fever will persist, leukocytosis will be present, there may be purulent sputum, and chest x- ray will demonstrate an infiltrate(s). Obtain sputum cultures and treat with
appropriate antibiotics. Open / Comment

2022-06-03 01:06:14 Postoperative fever 38.3–39.4 C is caused (sequentially in time) by atelectasis, pneumonia, urinary tract infection (UTI), deep venous thrombophlebitis, wound infection, or deep abscesses. (“wind, water, walking, wound”) Open / Comment

2022-06-01 22:41:00 My first duty as intern doctor just ended
June 1st 2022 Open / Comment