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Forwarded from Teach Me Surgery د.فَاطـِـمہ الـــشَريف (فَاطـِـمہ الـــشَريف)
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osce/diagnostic
Plastic extra lecture [ Role of nines / Lund and browder ]
ملخص بلاستيك يغطي أهم النقاط.⬆️
The small carcinoma is located on a vocal cord. The movement is not reduced , no lymphatic nodes or metastases are detectable what stage is it
Anonymous Quiz
12%
T2N0M0
74%
T1N0M0
4%
T3N1M1
4%
T3N0M0
6%
T1N0M1
Neurogenic shock➡️ sympathetic off  ➡️ v.D
Bradycardia /tachypnea /red skin
causes are
Trauma in ( spinal or cranial rare)
Spinal anaesthesia (m. c)
Vaso vagal attack
Management :
Iv fluid
Vasopressor
🛑Tension pneumothorax:
Cp /cyanotic pt
Engorged neck veins
Decrease chest movement
Absenct breath sound
Hyper resonant percussion
Trachea shift
Hypotension
🚫Management :immediate needle decompresiom at 2nd ICS mild calvicular line
Chest tube under water seal at 5th ICS mid axillary.
♨️ cases of irreversible shock :

1_ inadequate fluid resuscitation
2_ inadequate airway and respiratory
3_ other undetected cause of shock
4_ persistent acidosis
شَرحَ اللَّهُ صَدر كُلِّ مِنْ صَلَّى عَلَى النَّبِيِّ مُحَمَّدٍ.
2024/06/16 17:25:01
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