جزاك الله خيرًا دكتور أيمن🥺♥♥ بخصوصة ال interactive questions أقترح لو تكتب الإجابات في صندوق الوصف علشان نطلع عليها بعد المحاضرة علطول، ومشكور جدا على أي حال:)) ♥
Q1...The ideal incision of the kidney is a cut made in the subcostal space ,chevron incision. Q2... The direction of pus propagation from the perinephric abscess is towards the loose areolar connective tissue which is attached inferiorly to the renal fascia . Q3...If a patient has a renal stone , he will feel pain on each side of the abdomen, flank region. Q4...Sudden loss of weight will lead to renal ptosis. Its symptoms are haematouria, proteinuria, pain in the flank region.
@@Dr.Ayman_khanfour Thanks. For the first question , I think we can make the incision longitudinally and on the lateral side to avoid injury of the vessels supplying the kidney. Is that right ?
the first question depends on the type of procedure - Percutaneous Nephrolithotomy (PCNL) differs from Partial Nephrectomy and laparoscopic nephrectomy
1- I think it would be radial incision because of the orientation of the renal pyramids in the medulla, so as to cause least damage to them. (Like what we studied in breast incision) 2- A periphrenic abscess would propagate downwards because of the structurally weak renal fascia at this site (loose areolar CT). 3- Pain would be on both sides of his back between the spinous processes of L11 and T3. 1:3.5 Inches lateral to the median plane. 4- Ptosis of kidneys may occur, I honestly don’t know the manifestations but I thought that in case of a kidney lower than normal the blood would find it harder to go up to the veins against gravity, so a substance would persist in urine making its color different. (Feel free to skip my last answer, doctor.)
Q1 A transverse incision provides better access to the lateral and superior portion of the kidney, and a unilateral subcostal incision can be extended across the midline as a chevron incision to provide excellent exposure of both kidneys, the aorta, and the inferior vena cava Q2 A perinephric abscess typically originates from an infection in the kidney or the surrounding structures. The pus from a perinephric abscess can spread in various directions depending on the anatomical planes and tissue spaces: Medially: The pus can spread towards the renal hilum and perirenal space, potentially leading to involvement of the renal pelvis and ureter. Laterally: It may extend into the adjacent pararenal space, which can then progress into the lateral abdominal wall or flanks. Posteriorly: The pus can move posteriorly and potentially into the paravertebral region, causing lumbar pain or affecting spinal structures. Inferiorly: In some cases, it may spread inferiorly to the iliac fossa or even into the pelvis, potentially involving the bladder or reproductive organs. The direction of spread is influenced by the anatomical boundaries, fasciae, and tissue planes that either confine or facilitate the movement of pus. Q3 A patient with a kidney stone can experience pain in several areas, depending on the location of the stone. Common locations include: Flank pain: Pain on the side of the abdomen, near the back, where the kidneys are located. Lower abdominal pain: Pain that might radiate to the lower abdomen. Groin pain: Pain that can move towards the groin area as the stone moves down the urinary tract. Back pain: Especially in the lower back area. The pain can vary from sharp and severe to dull and aching. It might also be intermittent, coming and going as the stone moves. Q4 Sudden weight loss can affect the kidneys in several ways, particularly if it is accompanied by dehydration or an underlying health condition. The manifestations may include: Dehydration: Rapid weight loss can lead to dehydration, which may impair kidney function. Symptoms of dehydration include dry mouth, dark urine, and decreased urine output. Electrolyte Imbalance: Loss of weight often involves loss of fluids and electrolytes, which can disrupt kidney function and lead to imbalances in sodium, potassium, and other electrolytes. Acute Kidney Injury (AKI): Severe dehydration or rapid weight loss can cause a reduction in blood flow to the kidneys, potentially leading to acute kidney injury. Symptoms may include reduced urine output, swelling in the legs or ankles, and confusion. Muscle Breakdown: Rapid weight loss can lead to muscle breakdown, which can release substances like myoglobin into the bloodstream. This can potentially damage the kidneys and lead to a condition called rhabdomyolysis, which may cause symptoms such as dark, tea-colored urine, muscle pain, and weakness. If you or someone else is experiencing these symptoms or has concerns about kidney health in the context of sudden weight loss, it's important to consult a healthcare professional for proper evaluation and management.
بجد يا دكتور حصرتك اكتر دكتور بيشرح بنظام والشرح كدة 😊🙏 علي شكل نقاط واسئله يعني نخلص المحاضره 🎉حرفياً ببقي عارفه انا ايه النقاط الي المفروض اعرفها وبكتب ورا حضرتك كل كلمه وبجد بدج شكرااا من كل قلبي علي تسهيل الاناتومي كدةة بجد ندمانه علي السنين الي فاتت اني مكنتش متابعه مع حضرتك 😩😭😭😭💔 وصحيح يا دكتور هو في cns حضرتك مش شارح brain stem ¿
1.from bake at posterior sigment to reach to pelives of the kidny. 2.inferor pole of the kidnev as it cover by loos areolar ct 3 .at the level L1 4.haematuria الله يعطيك العافية دكتور وفي ميزان حسناتك ان شاءالله
1, horizontal on lateral border 2- inferior as it is covered by loose aroalar ct 3- pain in ureter radiating from lion to grion 4- manifestation: hematuria and change in urine colour to be red due to kink in renal blood vessel
شكرا يادكتور احمد معك تلميذك عبد المجيد من اليمن طبعا كلمت اصحابي عنك وعن فيديوهاتك حبوها وطلبو مني اسئلك عن git متى يتم شرحه والله يادكتور أصبحنا نحب الماده بعد ما تعرفنا عليك وعلى فيديوهاتك الأكثر من رائعه
1) esmo flank incision in the 11th intercostal space cz cutting beneath may harm the subcostal nerves and vessels w direction i think downward and medially 2) move inferiorly as it is the weakest part in the renal fasia 3) at sides and back below ribs and in lower abdomen and groin 4)nephroptosis causes blood in urine and high amount of protien in urine so it will be red and dense
1)The direction of kidney incision is from lateral to medial in the capsule , because this direction allows for minimal damage of kidney tissue and assure reaching kidney parenchyma 2) the pus( formed because of renal absess) accomulate infero medially if the patient is standing upright 3) if a patient has kidney stones they may experiance sharp pain in flank area ( located from lower ribs to upper pelvic bone ) The pain may radiate to lower abdomen ,groin and genitalia 4)kidney optosis _ concetrated urine
اول سؤال.. lateral border of kidney لان مافي اوعية دموية .. السؤال الثاني.. downward بسبب وجود منطقة ضعيفة ناتجة عن عدم التحام anterior and posterior layers of renal fascia بالتالي ال pus ممكن يطلع لمنطقة retroperitoneum . السؤال الثالث .. وجود حصى في الكلية يسبب احتباس للبول وانتفاخ الكلية وبالتالي تضغط على الاعضاء حولها ويمكن على الاعصاب iliohypogastric and ilioinguinal بالتالي الم في الظهر واسفل البطن و groin . السؤال الرابع.. في حالة فقدان وزن مفاجئ يتم حرق دهون perirenal fat التي تعتبر مخزن للدهون ويحدث nephroptosis وبسبب انخفاض الكلية ممكن يصير انسداد للاوعية الدموية و ischemia وبالتالي موت الخلايا ونزول دم وبروتين في البول الاجابات صحيحة يا دكتور ؟
دكتور مكتوب ف الكتاب ان Pus spread doesn't occur downward as the anterior and posterior layers of the fascia join together to close the space inferiorly
];جزاك الله كل خير على تعب حضرتك لقيت مكتوب في الكتاب ان ال pus does not spread downward as the anterior and posterior layers of the fascia are closed inferiorly اي الفرق مش فاهمة هيا كده مكتوبة غلط ؟
Question one: Sagittal Question 2: In the direction of loose connective tissue as it is the weakest part in the kidney Question 4: The kidney drops a little
1- t.12- 3L horizontal 2- the pus will be move to renal fascia open inferiorly. 3- pain in the lower abdomen and back 4- the colour of urine change to red. thank you doctor
@@Dr.Ayman_khanfour مشكور دكتور.. يا ليت تعمل فيديوهات تحفيزية لطلاب الطب لأني بهالفترة اشعر بانطفاء شغف وامتحاني يوريناري يوم الاحد ولم انهي حتى نصف السستم 🥲 هل في امل يا دكتور
لو سمحت يادكتور، دلوقتي كتاب الكلية كاتب ان مبيحصلش spread لل pus downward لان ال anterior and posterior layers of fascia join together to close the space inferiorly
1-the incision direction in transverse direction to prevent arterial injury 2-the pus will go down through loose areolar CT 3-cramping pain in the back and side and the pain often moves to lower abdomen or thigh (iliohypogastric nerve) & fell of pain in the tip of penis in men 4-nephroptosis,colicky pain,nausea,hypertension&hematuria
لو سمحت يا دكتور فالكتاب مكتوب pus spread doesn't occur downward وايضا مكتوب فكتاب الكليه أن sudden loss of weight cause loss of perinephric fat not paranephric هل دول غلطات فالكتاب؟؟
The answers of the interactive questions: Q1: The direction of the ideal incision in the kidney is : - a transverse incision as it provides better access to the lateral and superior portions of the kidney. -a unilateral subcostal incision can be extended across the midline as a chevron incision to provide excellent exposure of both kidneys, the aorta, and the inferior vena ca Q2: The direction of propagation of pus is inferior to the kidney because it is a loose areolar connective tissue. Q3: The patient who has kidney stones feels pain in the back, flank and groin regions depending on the location of the calculi. Most patients describe the pain as a downward-radiating flank pain that progresses anteriorly into the abdomen, pelvis and genitals as the calculus travels from the kidneys down the ureter and into the bladder. Q4: Sudden loss of weight can create energy deficiency and kidneys will not be able to bear the pressure of the other activities which may lead to chronic kidney disease.
1-i think the direction is downward and medially , to avoid destruction of many lobules of medulla . 2- the pus will propagate downward to the loose areolar CT because its weakest area of facial capsule . 3- i think in the back below 12th rib 2 inches from mid line ? 4- the kidney will be descended downward. i made a search in google, the urine will be reddish in color due to hematouria but honestly i dont know why 😅😅
يا دكتور بعد اذن حضرتك هي جزئية ال identify the following structures المفروض يكون ال right kidney مستواها اقل ب 0.5 inch من ال left kidney انا فكرت ف انه ممكن يكون الصورة دي لل posterior surface بس لا عشان ال renal vessels are anterior to the ureter
دكتور، كتاب الكلية اسكندرية كاتب Pus doesn't spread downward because renal fascia fuse inferiorly مع ان كل الكتب كاتبة العكس 🥲 نمشي ورا أنه كلام ف الامتحان 🥲🥲
@@Dr.Ayman_khanfour كان يا دكتور قصدي انو kidney بما أنو حواليها كل الاعضاء ده فما بنقدر نصلها ب سهولة بس بعد ما استفسرت عنها وبحتث وجدت أنهم يقومون بزراعتها مع iliac vessels
hyge thanks Dr . الكلية كاتبة في الكتاب : spread of the pus does not occur inferiorly as the ant and post layers of the fascia join to close the space inf. ايه رأيك بالكلام؟
جزاك الله خيرًا دكتور أيمن🥺♥♥
بخصوصة ال interactive questions أقترح لو تكتب الإجابات في صندوق الوصف علشان نطلع عليها بعد المحاضرة علطول، ومشكور جدا على أي حال:)) ♥
Surface Anatomy: 10:00
Relations: anterior 17:50
posterior 31:20
Renal Fascia: 35:00
Arterial Supply: 42:00
Q1...The ideal incision of the kidney is a cut made in the subcostal space ,chevron incision. Q2... The direction of pus propagation from the perinephric abscess is towards the loose areolar connective tissue which is attached inferiorly to the renal fascia . Q3...If a patient has a renal stone , he will feel pain on each side of the abdomen, flank region. Q4...Sudden loss of weight will lead to renal ptosis. Its symptoms are haematouria, proteinuria, pain in the flank region.
@@Dr.Ayman_khanfour Thanks. For the first question , I think we can make the incision longitudinally and on the lateral side to avoid injury of the vessels supplying the kidney. Is that right ?
the first question depends on the type of procedure - Percutaneous Nephrolithotomy (PCNL) differs from Partial Nephrectomy and laparoscopic nephrectomy
1- I think it would be radial incision because of the orientation of the renal pyramids in the medulla, so as to cause least damage to them. (Like what we studied in breast incision)
2- A periphrenic abscess would propagate downwards because of the structurally weak renal fascia at this site (loose areolar CT).
3- Pain would be on both sides of his back between the spinous processes of L11 and T3. 1:3.5 Inches lateral to the median plane.
4- Ptosis of kidneys may occur, I honestly don’t know the manifestations but I thought that in case of a kidney lower than normal the blood would find it harder to go up to the veins against gravity, so a substance would persist in urine making its color different.
(Feel free to skip my last answer, doctor.)
بتخلي الحالب ينطعج .. klinks of ureter
دكتور أيمن جزاك الله كل خير على شرحك الأكثر من رائع و المنظم والذي يساعدنا جدا جدا جدا في الفهم و الحفظ شكرا جزيلا يا دكتور..
المتميز اللي بيجيب كل حاجة تخص الموضوع من كل اتجاه ماشاء الله ربنا يبارك ويجازي حضرتك كل الخير يااااارب 😊😊😊😊
Q1 A transverse incision provides better access to the lateral and superior portion of the kidney, and a unilateral subcostal incision can be extended across the midline as a chevron incision to provide excellent exposure of both kidneys, the aorta, and the inferior vena cava
Q2 A perinephric abscess typically originates from an infection in the kidney or the surrounding structures. The pus from a perinephric abscess can spread in various directions depending on the anatomical planes and tissue spaces:
Medially: The pus can spread towards the renal hilum and perirenal space, potentially leading to involvement of the renal pelvis and ureter.
Laterally: It may extend into the adjacent pararenal space, which can then progress into the lateral abdominal wall or flanks.
Posteriorly: The pus can move posteriorly and potentially into the paravertebral region, causing lumbar pain or affecting spinal structures.
Inferiorly: In some cases, it may spread inferiorly to the iliac fossa or even into the pelvis, potentially involving the bladder or reproductive organs.
The direction of spread is influenced by the anatomical boundaries, fasciae, and tissue planes that either confine or facilitate the movement of pus.
Q3 A patient with a kidney stone can experience pain in several areas, depending on the location of the stone. Common locations include:
Flank pain: Pain on the side of the abdomen, near the back, where the kidneys are located.
Lower abdominal pain: Pain that might radiate to the lower abdomen.
Groin pain: Pain that can move towards the groin area as the stone moves down the urinary tract.
Back pain: Especially in the lower back area.
The pain can vary from sharp and severe to dull and aching. It might also be intermittent, coming and going as the stone moves.
Q4 Sudden weight loss can affect the kidneys in several ways, particularly if it is accompanied by dehydration or an underlying health condition. The manifestations may include:
Dehydration: Rapid weight loss can lead to dehydration, which may impair kidney function. Symptoms of dehydration include dry mouth, dark urine, and decreased urine output.
Electrolyte Imbalance: Loss of weight often involves loss of fluids and electrolytes, which can disrupt kidney function and lead to imbalances in sodium, potassium, and other electrolytes.
Acute Kidney Injury (AKI): Severe dehydration or rapid weight loss can cause a reduction in blood flow to the kidneys, potentially leading to acute kidney injury. Symptoms may include reduced urine output, swelling in the legs or ankles, and confusion.
Muscle Breakdown: Rapid weight loss can lead to muscle breakdown, which can release substances like myoglobin into the bloodstream. This can potentially damage the kidneys and lead to a condition called rhabdomyolysis, which may cause symptoms such as dark, tea-colored urine, muscle pain, and weakness.
If you or someone else is experiencing these symptoms or has concerns about kidney health in the context of sudden weight loss, it's important to consult a healthcare professional for proper evaluation and management.
i mean the kidney incision
بجد يا دكتور حصرتك اكتر دكتور بيشرح بنظام والشرح كدة 😊🙏 علي شكل نقاط واسئله يعني نخلص المحاضره 🎉حرفياً ببقي عارفه انا ايه النقاط الي المفروض اعرفها وبكتب ورا حضرتك كل كلمه وبجد بدج شكرااا من كل قلبي علي تسهيل الاناتومي كدةة بجد ندمانه علي السنين الي فاتت اني مكنتش متابعه مع حضرتك 😩😭😭😭💔 وصحيح يا دكتور هو في cns حضرتك مش شارح brain stem ¿
اللهم بارك طريقه وأسلوب في الشرح ولا اروووع❤جزاك الله كل خير.. من زمان مواصله مع شرحك في كل السستمات ..بالجد ما شاء الله لاحول ولاقوه الا بالله 💛
حقيقي حضرتك بتسهل الفهم والحفظ علينا جدا جزاك الله عنّا كل خير يادكتور 💜💜💜💜
أنا طالب في خامسة وبشوف فيديوهات حضرتك أثناء دراسة جراحة المسالك وحضرتك مبسط الدنيا جدا ربنا يبارك في حضرتك وفي علمك
ربنا يوفقك تشرفنا
من كثر ما محاضرتك مرتبه ومحاضره دكتوري تجيب المرض ما ودي اذاكر من شابترين وودي اكتفي بشركك وبس❤❤❤❤
شابتره*ن
ربنا يوفقك و يكتبلك الخير
اللهم صل على محمد وال محمد
جزاك الله خير جزاء المحسنين ❤️
اللهم آمين الف الف شكر
great lecture as always .. simplified & interesting thank you dr !!
جزاك الله خيرا شرح اكثر من جميل 😔♥️♥️♥️♥️♥️♥️
الف شكر على مجهودك العظيم دا ي دكتور أيمن وربنا يجعله في ميزان حسناتك ❤️
انا حبيت الأناتومي خلاااااص ،الله يسعدك يا دكتور ويحفظك يارب🙇♀️💜💜💜💜💜💜💜
1.from bake at posterior sigment to reach to pelives of the kidny.
2.inferor pole of the kidnev as it cover by loos areolar ct
3 .at the level L1
4.haematuria
الله يعطيك العافية دكتور وفي ميزان حسناتك ان شاءالله
الله يبارك في عمرك وصحتك ي دكتور ويجازيك كل خير ي رب علي شرح حضرتك المتميز 🌺🌺
اه بدرسه حاليا
ربنا يسعدك دنيا وآخرة ❤
ربنا يجازي حضرتك كل خير على المجهود العظيم
سبحان الله وبحمده سبحان الله العظيم
صلي الله علي محمد صلي الله عليه وسلم
جزاك الله خيرًا يا دكتور
ربنا يجازيك خير على المجهود العظيم والشرح المتميز ده يا دكتور❤
الله يسعدك يادكتور دنيا وآخره ♥️♥️
بارك الله فيك ي دكتر👏💫💫💫
الله يوفقك ويكتب أجرك يااارب
عمل رااائع
اللهم امين و لكم مثله ان شاء الله
1, horizontal on lateral border
2- inferior as it is covered by loose aroalar ct
3- pain in ureter radiating from lion to grion
4- manifestation: hematuria and change in urine colour to be red due to kink in renal blood vessel
الله يوفقك حبيب الگلب دكتور ❤
دكتور ايمن خنفور العظيم بارك الله فيك
جميل ومنظم ومجهود واضح، شكرًا جدًا يا دكتور 💙
Good explination dr ayman thank u so much
شكرا يادكتور احمد معك تلميذك عبد المجيد من اليمن طبعا كلمت اصحابي عنك وعن فيديوهاتك حبوها وطلبو مني اسئلك عن git متى يتم شرحه والله يادكتور أصبحنا نحب الماده بعد ما تعرفنا عليك وعلى فيديوهاتك الأكثر من رائعه
ي دكتور يا ريت تشرحه فعلا 😭😭😭😭
شكرا على الشرح الجميل يا دكتور ويا ريت لو حضرتك تعملنا فيديو لل development of gonads
جزاك الله خيرا يا دكتور
اللهم امين الف شكر
جزاك الله عنا الف خير يا دكتور ماشاء الله شرح اكثر من رائع✨🌹
شكراً جزيلاً على مجهودك يا دكتور ❤️❤️
جزاك الله خيرا شرح يفتح النفس🥺❤️❤️❤️❤️❤️❤️❤️❤️❤️
❤❤❤❤❤❤❤❤❤
شكرا من القلب دكتور
شكرا يا فطوم
رائع رائع دكتور ربي يوفقك دنيا واخره
طالبتك من كوردستان العراق ❤️💛💚
@@Dr.Ayman_khanfour بتنور العراق يادكتور ❤❤
النا الشرف بزيارة دكتور راقي مثلك💜💜
جزاك الله عنا كل خير يا دكتور والله❤️❤️❤️❤️💚💚💚💚💚
شكرا جدا لحضرتك ربنا يبارك فيك ويجزيك خيرا♥️♥️♥️♥️♥️
أظن أن كلمة شكراً لا تستطيع أن تفي بالغرض .. لك الكثير من الدعاء 💜💜
مادة التشريح لا تكون ممتعة إلا بوجودك ✨
1) esmo flank incision in the 11th intercostal space cz cutting beneath may harm the subcostal nerves and vessels w direction i think downward and medially
2) move inferiorly as it is the weakest part in the renal fasia
3) at sides and back below ribs and in lower abdomen and groin
4)nephroptosis causes blood in urine and high amount of protien in urine
so it will be red and dense
مش عارفة بس let me guess🤔
زي الmammary gland مثلا نفس الفكرة اقصد كده بس تبقا parallel to the urinefrous tubules يعني غالبا transverse
Ohhh thank u ya dr😊
@@Dr.Ayman_khanfour ممكن لينك الجروب!
ربنا يجازيك خير يا دكتور انا حقيقى بحب حضرتك جدا ❤️
ربنا يكرمك ويجازيك كل خير عن مجهودك يا دكتور❤❤
شكرا يدكتور ع الشرح الجميل اللهم. بارك ❤❤✨✨
1)The direction of kidney incision is from lateral to medial in the capsule , because this direction allows for minimal damage of kidney tissue and assure reaching kidney parenchyma
2) the pus( formed because of renal absess) accomulate infero medially if the patient is standing upright
3) if a patient has kidney stones they may experiance sharp pain in flank area ( located from lower ribs to upper pelvic bone )
The pain may radiate to lower abdomen ,groin and genitalia
4)kidney optosis _ concetrated urine
Excellent but 1 and 4 wrong
@@Dr.Ayman_khanfour I've searched ....could you teach me the right answer ?
thank you for all your efforts
هُنا تَلمع الفكرة،
حَيثُ لكُل أَمرئ مِن أسمهِ نَصيب
بالتوفيق ان شاء الله
اول سؤال.. lateral border of kidney لان مافي اوعية دموية ..
السؤال الثاني.. downward بسبب وجود منطقة ضعيفة ناتجة عن عدم التحام anterior and posterior layers of renal fascia بالتالي ال pus ممكن يطلع لمنطقة retroperitoneum .
السؤال الثالث .. وجود حصى في الكلية يسبب احتباس للبول وانتفاخ الكلية وبالتالي تضغط على الاعضاء حولها ويمكن على الاعصاب iliohypogastric and ilioinguinal بالتالي الم في الظهر واسفل البطن و groin .
السؤال الرابع.. في حالة فقدان وزن مفاجئ يتم حرق دهون perirenal fat التي تعتبر مخزن للدهون ويحدث nephroptosis وبسبب انخفاض الكلية ممكن يصير انسداد للاوعية الدموية و ischemia وبالتالي موت الخلايا ونزول دم وبروتين في البول
الاجابات صحيحة يا دكتور ؟
ربنا يباركلك يا دكتور ❤
Extremely Informative and well explained lecture as usual
Keep the great work doctor
Thank you ✨
جزاك الله خيرا
ربنا يبارك فيك دكتور والله الابدومن قريته كله معاك بس اللقطة الي ماتطلع من راسي الريليشن تبع Quadrate lobe لما قلت افتح الشباك وارمي نفسك منو 😂😂😂
حذاري لو نسيتها حشدك من ودانك
@@Dr.Ayman_khanfour 😂❤️
دكتور مكتوب ف الكتاب ان
Pus spread doesn't occur downward as the anterior and posterior layers of the fascia join together to close the space inferiorly
جزاك الله خيراً
The best ❤❤
Thanks 😊 🙏
شكرا يا دكتور بجد ربنا يبارك لحضرتك ويزيدك من فضله🤍
دكتور بس محتاجين عقلك على قد يوم الامتحان ونرجعه إلك
اتفضلى و الله ما يغلى عليكى 🤣🤣🤣🤣
فدوه الك دكتور مشكور احنه من العراق ودنقره عليك والله بطل 😘😍♥️❤️❤️❤️🥀
];جزاك الله كل خير على تعب حضرتك
لقيت مكتوب في الكتاب ان ال pus does not spread downward as the anterior and posterior layers of the fascia are closed inferiorly
اي الفرق مش فاهمة هيا كده مكتوبة غلط ؟
تحفففة يا دكتور
ربنا يباركلك يا دكتور
1) incision in the abdomen or in the side of the abdomen
Question one: Sagittal
Question 2: In the direction of loose connective tissue as it is the weakest part in the kidney
Question 4: The kidney drops a little
Incision is not correct
1- t.12- 3L horizontal
2- the pus will be move to renal fascia open inferiorly.
3- pain in the lower abdomen and back
4- the colour of urine change to red.
thank you doctor
جزاك الله خير الجزاء ورزقك الفردوس الأعلى ❤❤
ربنا يبارك فيك يا دكتورنا ❤️ ❤️
The renal hilum is normally directed anteromedially 46:26
الإجابة المفروض a
renal fascia surrounds the suprarenl gland ✅
دكتور بعد ازنك الkidneys في الدقيقة 31 اي وحدة شمال واي وحدة يمين
صح اليمين lower than the left one
هوا باصص من ورا علي ضهر شخص
فهتبقي الكلية اليمين علي ايدك اليمين عادي والكلية الشمال علي ايدك الشمال
@@Mohamed-gp8nz ايوا تمام متشكر
دكتور لو سمحت ايش تنصحنا نشوف اولا المحاظره ولا نشوف اولاً الdevelopment
المحاضره اولا
جزيت الجنه 🤍🤍
شُكرًا كُلش هوايّه♥️🫶♥️..
شكرا جدا يا دكتور
حبييى يا زعلوك ❤️
دكتور هو احنا المفروض نبحث عن اجابات الاسىله دى فين؟؟
يعطيك العافية دكتور
لكن دكتور عندي ملاحظه انه في الدقيقه30:50 انت جاعل الكليه اليمنى ارفع من اليسرى
الصوره من على النت مش انا اللى مغير فيها اى حاجه
مشكور دكتور ايمن.. بس اي طبقة من fascia بتعمل enclose of kidney and suprarenal.. قرأت انها renal fascia لان بتغطي adrenal gland.. ما الصح؟
@@Dr.Ayman_khanfour مشكور دكتور.. يا ليت تعمل فيديوهات تحفيزية لطلاب الطب لأني بهالفترة اشعر بانطفاء شغف وامتحاني يوريناري يوم الاحد ولم انهي حتى نصف السستم 🥲 هل في امل يا دكتور
@@Dr.Ayman_khanfour بس ب دقيقة 46:43 كلنه خطأ؟ شلون تغطيه
لو سمحت يادكتور، دلوقتي كتاب الكلية كاتب ان مبيحصلش spread لل pus downward لان ال
anterior and posterior layers of fascia join together to close the space inferiorly
I know you are right and they don't fuse inferiorly, but I ask what should we do in those situation when there are wrong information in the book?
Grazie tante ! 💕💕
hilum is medial but why posterior ?
Thank You💞💞
1-the incision direction in transverse direction to prevent arterial injury
2-the pus will go down through loose areolar CT
3-cramping pain in the back and side and the pain often moves to lower abdomen or thigh (iliohypogastric nerve) & fell of pain in the tip of penis in men
4-nephroptosis,colicky pain,nausea,hypertension&hematuria
لو سمحت يا دكتور فالكتاب مكتوب pus spread doesn't occur downward
وايضا مكتوب فكتاب الكليه أن sudden loss of weight cause loss of perinephric fat not paranephric
هل دول غلطات فالكتاب؟؟
تمام متشكر يا دكتور
The answers of the interactive questions:
Q1: The direction of the ideal incision in the kidney is :
- a transverse incision as it provides better access to the lateral and superior portions of the kidney. -a unilateral subcostal incision can be extended across the midline as a chevron incision to provide excellent exposure of both kidneys, the aorta, and the inferior vena ca
Q2: The direction of propagation of pus is inferior to the kidney because it is a loose areolar connective tissue.
Q3: The patient who has kidney stones feels pain in the back, flank and groin regions depending on the location of the calculi. Most patients describe the pain as a downward-radiating flank pain that progresses anteriorly into the abdomen, pelvis and genitals as the calculus travels from the kidneys down the ureter and into the bladder.
Q4: Sudden loss of weight can create energy deficiency and kidneys will not be able to bear the pressure of the other activities which may lead to chronic kidney disease.
Excellent
عاشت ايدك دكتور شرح ممتاز ربي يوفقك و يطول بعمرك❤❤
دكتور محتاجة المحاضرة pdf منين اكدر احصلها؟
يا دكتور اولا جزاك الله خير
ثانيا ممكن ال pdf بتاع الشرح؟؟
1-i think the direction is downward and medially , to avoid destruction of many lobules of medulla .
2- the pus will propagate downward to the loose areolar CT because its weakest area of facial capsule .
3- i think in the back below 12th rib 2 inches from mid line ?
4- the kidney will be descended downward. i made a search in google, the urine will be reddish in color due to hematouria but honestly i dont know why 😅😅
يا دكتور بعد اذن حضرتك
هي جزئية ال identify the following structures
المفروض يكون ال right kidney مستواها اقل ب 0.5 inch من ال left kidney
انا فكرت ف انه ممكن يكون الصورة دي لل posterior surface بس لا عشان ال renal vessels are anterior to the ureter
شكرا على مجهودك يا دكتور والله حقيقي...ربنا يباركلك
دكتور، كتاب الكلية اسكندرية كاتب
Pus doesn't spread downward because renal fascia fuse inferiorly
مع ان كل الكتب كاتبة العكس 🥲
نمشي ورا أنه كلام ف الامتحان 🥲🥲
بابا المجال والله❤
Right kidney lower والسبب الliver
Left testes lower والسبب زيادة الضغط في الvein?
يا دكتور هسا لما يتم زراعة الكلى للمرضى بنشيل كل الأعضاء دى ... يلي حولها ؟؟
@@Dr.Ayman_khanfour كان يا دكتور قصدي انو kidney بما أنو حواليها كل الاعضاء ده فما بنقدر نصلها ب سهولة
بس بعد ما استفسرت عنها وبحتث وجدت أنهم يقومون بزراعتها مع iliac vessels
doctor can you tell me what program were tou using to show us the kiidney in 8:00
@@Dr.Ayman_khanfour thank you doctor
hyge thanks Dr .
الكلية كاتبة في الكتاب :
spread of the pus does not occur inferiorly as the ant and post layers of the fascia join to close the space inf.
ايه رأيك بالكلام؟
@@Dr.Ayman_khanfour بصراحة مش عارف الاقيه عن النت ، ولكن الصورة واضحة جدا انه it spreads downwards
دكتور هو نازل كتب لحضرتك على ترتيب النظام الجديد
@@Dr.Ayman_khanfour بالقاهرة؟؟
دكتور هودا موديول renal؟
🤩🤩
Dr, on 26:55, aren't the left and right kidney in the wrong orientation and should be the other way around? Thanks
no if you man the cut section notice that the left one is to side of the aorta which is left
@@Dr.Ayman_khanfourOh yes I see it now. Thank you Dr!
Love you forever ❤
💙💚💛🧡🧡
دكتور مكتوب في الكتاب أن الكلية اليمين على مستوى أقل من الشمال بحوالي ١-٢ انش مش ٢/١ انش مين الصح؟؟؟
@@Dr.Ayman_khanfour تمام شكرا يا دكتور
شكرا جدا لحضرتك يا دكتور بجد 💖
بس هو ليه لما اخدنا ال posterior surface اخدنا ال right kidney بس ومأخدناش ال left kidney زى فى ال anterior surface
@@Dr.Ayman_khanfour شكرا جدا لحضرتك يا دكتور 💖