Q1: Chronic cholecystitis requires the removal of the gallbladder surgically. Gallstones in the Common Bile Duct should be removed, to prevent blockage to the flow of bile, and possible cholangitis or pancreatitis. Q2: A small gallstone is more dangerous. A large-sized stone simply cannot pass through the small cystic duct and therefore not cause the complications of jaundice or pancreatitis associated with gallstones. Q3: Because it irritates the phrenic nerve. The phrenic nerve extends from the abdomen through the chest to the neck.
Q1: Cholecystectomy . Q2: small stone because it can descend and close the ampulla of vater and this leads to obstructive jaundice and pancreatitis which is more dangerous and complicated . Q3: because when gallbladder inflamed and swollen it irritates phrenic nerve and the phrenic nerve will stretch from the abdomen through the chest to the neck. Q4: 40 years Fatty Female, in her Fertility period ,and she is very Flesy. Q5: cystohepatic triangle ( triangle of calot). Q6 : Murphy's sign .
Q1 cholecystectomy Q2 small stones can migrate from the gall bladder through biliary passages causing irritation or complete obstruction which would be complicated with other hepatic diseases such as obstructive "extrahepatic" jaundice Q3 It affects the nerve carrying pain perception for the back of regional "right" shoulder Q5 Calot's triangle Q6 murphy sign ; the patient could not perform normal respiration feeling pain in the level of fundus of gall bladder while palpating "the tip of right 9th costal cartilage"
1-surgical ,cause the mucosa of gall bladder had been affected and the stone may go through somewhat of fistula to the small intestine causing intestinal obstruction,also avoiding cancer of gall bladder .and 2ray infection . 2-small stone is the most dangerous because it may go through biliary system affecting main pancreatic duct and activation of pancreatic juice via bile causing pancreatitis . 3-phrenic nerve signals . 4-female forty fatty fleecy fertile . 5- band ligation"clips" 6-murphy's pain As during palpation doctor asks patient to take a deep breath when touched the gall bladder patient feels high pain and stop of breathing happened .
ربي يديمك وينور طريقك دكتور Q1/ Cholecystectomy Q2/more dangerous is small stone because It can migrate from gallbladder to biliary passage and causing irritation or complete obstruction which can leading to jaundice or pancreatitis. Q3/ It irritates your phrenic nerve. Q4/may it related with eating a high fat diet. Q5/calot's triangle. Q6/ murphy's sign.
The answer of Interactive questions: Q1: -Cholecystectomy is ideal for patients who are willing for surgery. This procedure results in a permanent cure for gallstones with no chance of recurrence (in the gall bladder) and requires no long term follow up or medication. -Non surgical or medical therapy for cholelithiasis are mainly for patients on whom surgery is contraindicated or in those patients with asymptomatic gallstones who are reluctant to undergo surgery. Q2: The more dangerous as regard gall bladder stones is small stones because they can migrate to the junction between the common bile duct and pancreatic duct preventing the secretion of the pancreatic juice causing maldigestion. Q3: Gall bladder stones refer pain to right shoulder because the phrenic nerve stretches from the abdomen, through the chest, and into the neck. Q4: The predisposing factors for the formation of gall bladder stones are: 1- most common in females. 2- at the age of 40. 3- in her fertile life. 4- in fatty women. 5- in fleshy women. Q5: The surgeon identifies the cystic artery during laparoscopic cholecystectomy by Calot's triangle. Q6: The clinical sign used for the diagnosis of cholecystic pain is Murphy sign.
1 cholecystectomy 2 small stone, since it can migrate and close amuplla of vatar, causing bile to refluex to pancress activating pancretic enzymes (after activating trypsinogen to trypsin then it activates other enzymes) cauzing auto-digestion of pancress (also lysis of blood vessels walls casing hemorrage) 3 it causes irritation to diaphram which supplied by phrenic nerve (C 3, 4 ,5) the shoulder region is supplied by c3, c4 so it radiate the pain to it 4 4F female forty fatty fleecy fertile 5- Calot's triangle 6-murphy's pain (put fingers on 9th rib - fundus of gall bladder, ask the patient to take deep breath, his breath will be cut out and feel severe pain )
Q1/ The preferred treatment for chronic cholecystitis is elective laparoscopic cholecystectomy .. Q2/ Small stone is more dangerous because it can pass through the cystic duct and block the distal end of the common bile duct "which is the narrowest part of the biliary passages and is a common site for impaction of gallstones" when stones pass into the CBD thy could cause obstructive jaundice. Large stones can't pass through the cystic duct .. Q3/ When the gallbladder is inflamed it irritates the phrenic nerve, phrenic nerve stretches from the abdomen, through the chest, and into the neck .. Q4/ Eating a high-fat diet, eating a high-cholesterol diet, eating a low-fiber diet and having a family history of gallstones .. Q5/ Murphy's sign : The palm of the hand should be kept in the right hypochondriac region beneath the right costal margin, the patient is asked to breathe deeply during palpation. On palpation, the patient will feel pain and catch his breath in case of acute cholecystitis .. Thanks a lot doctor ..
Q1/stones in gall bladder must removal surgically . Q2/ small stone is more dangerous than large stone beacuse it can passage through cystic duct and therefore cause problems of jaundice and pancreasitis . Q3/ it irritates your phrenic nerve. Your phrenic nerve stretches from the abdomen, through the chest, and into your neck. Q4/ 5 “f” a list of factors for the development of gallstones , female , forty, fatty , fertile, fair Q5/Calot ‘s trinagle Q6/ murphy ‘s sign
small stone is most dangerous because it can passage from cystic duct and block the biliary passage and cause obstructive jaundice pain in right shoulder because irritation of phrenic nerve which supply diaphragm an pass through the neck
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Q1: Chronic cholecystitis requires the removal of the gallbladder surgically. Gallstones in the Common Bile Duct should be removed, to prevent blockage to the flow of bile, and possible cholangitis or pancreatitis.
Q2: A small gallstone is more dangerous. A large-sized stone simply cannot pass through the small cystic duct and therefore not cause the complications of jaundice or pancreatitis associated with gallstones.
Q3: Because it irritates the phrenic nerve. The phrenic nerve extends from the abdomen through the chest to the neck.
دكتور شكرا انك بتضحكني كل محاظره 😂❤️❤️
Q1: Cholecystectomy .
Q2: small stone because it can descend and close the ampulla of vater and this leads to obstructive jaundice and pancreatitis which is more dangerous and complicated .
Q3: because when gallbladder inflamed and swollen it irritates phrenic nerve and the phrenic nerve will stretch from the abdomen through the chest to the neck.
Q4: 40 years Fatty Female, in her Fertility period ,and she is very Flesy.
Q5: cystohepatic triangle ( triangle of calot).
Q6 : Murphy's sign .
من افضل دكاتره التشريح توب التوب الله يبارك في عمرك يادكتور
مش بدرس تشريح الطب البشري ابا منك🤍🤍
ربنا يبارك فيكم
بنحبك جدا دكتور ايمن ،الله يجعلها صدقة جارية ، علم ينتفع به
و يعلم الله اد ايه انا بحبكم كمان
Surface Anatomy: 4:40
Blood Supply : 8:30
Biliary passages : 10:20
Applied Anatomy: 17:25
Q1 cholecystectomy
Q2 small stones can migrate from the gall bladder through biliary passages causing irritation or complete obstruction which would be complicated with other hepatic diseases such as obstructive "extrahepatic" jaundice
Q3 It affects the nerve carrying pain perception for the back of regional "right" shoulder
Q5 Calot's triangle
Q6 murphy sign ; the patient could not perform normal respiration feeling pain in the level of fundus of gall bladder while palpating "the tip of right 9th costal cartilage"
@@Dr.Ayman_khanfour الله يكرمك يادكتور ويجبر بخاطرك دي شهادة عزيزة والله 😍❤❤❤❤❤
ما شاء الله الله يحفظك ويطيل عمرك ويجعل كل ايامك سعادة دكتور ايمن فعلياً افضل من شرح الاناتومي ♥️
شرح ممتع،،،، جزاك الله خير دكتور ايمن ❤❤❤❤
💚💛🧡❤
00:00 - Intro
01:05 - Gall Bladder
02:15 - Parts
04:30 - Surface Anatomy
08:22 - Blood Supply
09:45 - Venous Drainage
10:15 - Biliary Passages
17:14 - Applied Anatomy
24:06 - MCQ
25:35 - Practical Questions
26:38 - Interactive Questions
شكرا جزيلا يا دكتور .شكر ومجهود اكثر من رائع
تحياتى
تسلم دكتور شكرا من القلب على كل جهدك اول ٣ سنوات طبيه التشريح معتمده عليك 🌹✨
تمنياتى بالتوفيق و النجاح
1-surgical ,cause the mucosa of gall bladder had been affected and the stone may go through somewhat of fistula to the small intestine causing intestinal obstruction,also avoiding cancer of gall bladder .and 2ray infection .
2-small stone is the most dangerous because it may go through biliary system affecting main pancreatic duct and activation of pancreatic juice via bile causing pancreatitis .
3-phrenic nerve signals .
4-female forty fatty fleecy fertile .
5- band ligation"clips"
6-murphy's pain
As during palpation doctor asks patient to take a deep breath when touched the gall bladder patient feels high pain and stop of breathing happened .
ربي يديمك وينور طريقك دكتور
Q1/ Cholecystectomy
Q2/more dangerous is small stone because It can migrate from gallbladder to biliary passage and causing irritation or complete obstruction which can leading to jaundice or pancreatitis.
Q3/ It irritates your phrenic nerve.
Q4/may it related with eating a high fat diet.
Q5/calot's triangle.
Q6/ murphy's sign.
@@Dr.Ayman_khanfour Thank you doctor 🌹🌹
جزاك الله خيرآ علي هذا المجهود الكبير
زادك الله علمآ وتوفيقآ
ربنا يبارك لحضرتك ي دكتور
ربنا يسعدك يادكتور ويسهل وينور طريقك💗💗💗💞💕💗💗
بارك الله فيك دكتور ايمن دائما بتبدع بشرح وطريقة توصيل الافكار .... وهي انا بعت رسمتي لصفحتك على الفيسبوك ههههههه
عاشت ايدك يادكتر ❤️
متميز ومتألق
ماشاء الله اللهم بارك ❤😊😊😊
21:30
أضحك الله عمرك ي دكتور😂❤
جزاك الله خير الجزاء ونفع بك الأمة
طبعا انحنا في السودان برضو عندنا مصطلح ( الرمرامة ) ما اتوقعت يكون عندكم برضو 😂😂😂😂
The answer of Interactive questions:
Q1:
-Cholecystectomy is ideal for patients who are willing for surgery. This procedure results in a permanent cure for gallstones with no chance of recurrence (in the gall bladder) and requires no long term follow up or medication.
-Non surgical or medical therapy for cholelithiasis are mainly for patients on whom surgery is contraindicated or in those patients with asymptomatic gallstones who are reluctant to undergo surgery.
Q2: The more dangerous as regard gall bladder stones is small stones because they can migrate to the junction between the common bile duct and pancreatic duct preventing the secretion of the pancreatic juice causing maldigestion.
Q3: Gall bladder stones refer pain to right shoulder because the phrenic nerve stretches from the abdomen, through the chest, and into the neck.
Q4: The predisposing factors for the formation of gall bladder stones are:
1- most common in females.
2- at the age of 40.
3- in her fertile life.
4- in fatty women.
5- in fleshy women.
Q5: The surgeon identifies the cystic artery during laparoscopic cholecystectomy by Calot's triangle.
Q6: The clinical sign used for the diagnosis of cholecystic pain is Murphy sign.
Excellent answer
1 cholecystectomy
2 small stone, since it can migrate and close amuplla of vatar, causing bile to refluex to pancress activating pancretic enzymes (after activating trypsinogen to trypsin then it activates other enzymes) cauzing auto-digestion of pancress (also lysis of blood vessels walls casing hemorrage)
3 it causes irritation to diaphram which supplied by phrenic nerve (C 3, 4 ,5) the shoulder region is supplied by c3, c4 so it radiate the pain to it
4 4F female forty fatty fleecy fertile
5- Calot's triangle
6-murphy's pain (put fingers on 9th rib - fundus of gall bladder, ask the patient to take deep breath, his breath will be cut out and feel severe pain )
شكرا جزيلا
شرح رائع جداً والله، ربنا يجعله فى ميزان حسناتك يارب يا دكتور،، بالنسبة لاجابات الاسألة interactive. ممكن اجاباتها يا دكتور
@@Dr.Ayman_khanfour تسلم يا دكتور
دكتور حضرتك تنحط تاج على الراس 🙏🏻🙏🏻
يا باشا العفو انا مش عاوز غير دعوه حلوه
Q1/ The preferred treatment for chronic cholecystitis is elective laparoscopic cholecystectomy ..
Q2/ Small stone is more dangerous because it can pass through the cystic duct and block the distal end of the common bile duct "which is the narrowest part of the biliary passages and is a common site for impaction of gallstones" when stones pass into the CBD thy could cause obstructive jaundice.
Large stones can't pass through the cystic duct ..
Q3/ When the gallbladder is inflamed it irritates the phrenic nerve, phrenic nerve stretches from the abdomen, through the chest, and into the neck ..
Q4/ Eating a high-fat diet, eating a high-cholesterol diet, eating a low-fiber diet and having a family history of gallstones ..
Q5/ Murphy's sign : The palm of the hand should be kept in the right hypochondriac region beneath the right costal margin, the patient is asked to breathe deeply during palpation. On palpation, the patient will feel pain and catch his breath in case of acute cholecystitis ..
Thanks a lot doctor ..
Amazing 🌞
2023/6/6
Done✔️
Q1/stones in gall bladder must removal surgically .
Q2/ small stone is more dangerous than large stone beacuse it can passage through cystic duct and therefore cause problems of jaundice and pancreasitis .
Q3/ it irritates your phrenic nerve. Your phrenic nerve stretches from the abdomen, through the chest, and into your neck.
Q4/ 5 “f” a list of factors for the development of gallstones , female , forty, fatty , fertile, fair
Q5/Calot ‘s trinagle
Q6/ murphy ‘s sign
دكتور معانا بالكتاب انه common hepatic duct قدام portal vein
السلام عليكم
في شرح للspleen بالقناة?
دكتور معلش في الدقيقه 24:55 هو كان الاختيار B&D الاتنين صحيحات لان في الكتاب بتاعنا اسكندريه صفحه 118 كاتبين نفس النقطتين بالشرح!
small stone is most dangerous because it can passage from cystic duct and block the biliary passage and cause obstructive jaundice
pain in right shoulder because irritation of phrenic nerve which supply diaphragm an pass through the neck
Q 5 : Calot's Triangle
يادكتور بعد اذن حضرتك شوف الماسنجر🥺+بعت الرسمه بتاعت ال biliary system 👀
@@Dr.Ayman_khanfour
بعت لحضرتك يا دكتور على البيدج بتاعت الفيس
الاكونت بتاعي اسمه You Mna
انا مش صديقه عند حضرتك ف هتلاقيني ف طلبات المراسله
6 ) marfen’s sign
بالمناسبة صح كدة يتبقي لنا الامبريولوجي بس ان شاء الله مش كدة ؟
@@Dr.Ayman_khanfour ع خير ان شاء الله ربنا يقويك ويجازيك خير يا دكتور والله ع اللي بتعمله معانا ♥️♥️
Not Marfan sign. it's Murphy's sign
so so perfect
@@Dr.Ayman_khanfour thanks Dr Ayman 🙏🏻
First question c is correct, right?
ممكن يحصل لها obesity >GERD😂😂
اول واحد
@@Dr.Ayman_khanfour ♥️♥️♥️♥️
جزاك الله خير الجزاء ونفع بك الأمة
طبعا انحنا في السودان برضو عندنا مصطلح ( الرمرامة ) ما اتوقعت يكون عندكم برضو 😂😂😂😂