Sir in incision one it was for appendix perforation they asked for best exploration of abdomen because pt with apendix and acute Hx of diffuse abdominal pain and guarding of abdomen wall
Sir in appendectomy incision there was.. Wrrithen ... Like we have to see difuse.. .. We have to evaluvate whole abdomen I think... And then they ask about incision...not direct question sir .
Ok if it was related to diffuse abdominal pain and peritonitis features were there, then best is Right Lower Paramedian incision. If Right lower paramedian incision is not ghiven them Midline incision can be considered
Sir in cholecystectomy ..question .. Patient is not hemodynamic stable... In question wrriitten like..patient is coming with tachycardianpalpitation that's why I choose exploratory laparotomy im sure
Doctor my point is there was option as DEBRIDEMENT FOLLOWED BY HYPERBARIC OXYGEN. Since there was no gangrene I chose that option. I’m not sure if it’s correct or not. I hope everyone will pass.
Awesome doctor. I also kept debridement with hyperbaric oxygen since there were no gangrene.
Sir in incision one it was for appendix perforation they asked for best exploration of abdomen because pt with apendix and acute Hx of diffuse abdominal pain and guarding of abdomen wall
30:25 14:00 50:25 52:53 mcburney mcarthur gridiron
lanz langer modi mcburney 58:17
Sir in appendectomy incision there was.. Wrrithen ... Like we have to see difuse.. .. We have to evaluvate whole abdomen I think... And then they ask about incision...not direct question sir .
Ok if it was related to diffuse abdominal pain and peritonitis features were there, then best is Right Lower Paramedian incision. If Right lower paramedian incision is not ghiven them Midline incision can be considered
Thank you so much sir 🙏🙏
Sir in cholecystectomy ..question .. Patient is not hemodynamic stable... In question wrriitten like..patient is coming with tachycardianpalpitation that's why I choose exploratory laparotomy im sure
Patient stable I read carefully on exam day
Patient is stable
If patient had features of peritonitis, then exploratory laparotomy should be preferred
Thankyou sir for quick recall 💗
Thank you so much Sir🙏🏻
Sir can you put live classes demo video on you tube 1 hour
At 48:50 option a was not pediatrician,it’s pathologist givn in d xm
Ok Thanks a ton
They were asking about the vessel that will provide long term patent not long lasting
Ok ji.. answer should still be IMA
It was inguinal canal
Sure if it was Inguinal canal, then it will be UDT
Thnk u sir..❤
37:11 22:04 41:08
It was inguinal canal not sup ing pouch so udt
Sure if it was Inguinal canal, then it will be UDT
Hyperbaric oxygen is not mentioned but secondary wound intention is mentioned
Hi doctor there was hyperbaric oxygen
Secondary wound intention was also mentioned which mean not to closed the wound .....as the Doc said that the wound should not be closed
Doctor my point is there was option as DEBRIDEMENT FOLLOWED BY HYPERBARIC OXYGEN. Since there was no gangrene I chose that option. I’m not sure if it’s correct or not. I hope
everyone will pass.
Please if possible, can you send me all 4 options
@@MISTFMG-NExT Doctor the two options I’m sure were (a)amputation (b) debridement followed by hyperbaric oxygen.
One option says debridement and secondary wound intention
Please if possible, can you send me all 4 options
Best investigation for GERD ?
Manometry also in option sir.
Doctor manometry is the choice of movement disorders(eg.achalasia). In GERD it’s merely due to gastric acid exposure due to gastroesophageal reflex.
True