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Surgery

Bpt general surgery notes

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Tamana Sharma
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0% found this document useful (0 votes)
38 views35 pages

Surgery

Bpt general surgery notes

Uploaded by

Tamana Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Roath porch Mors Fru | ET SNe oF - | A idlica tans penobictig — Aut | Enrol TDhrostomy. i ° "Wlawest - , Ph emalirere, Dr elicatar> Mecosa/ - —— Total toleetomn-- : Neer 5a — zed Gromgranan = Mubtiple dnréose in Lange bowser. Caetrorol tumor ‘ » beep ~ Appenoheuilan Ustonh , abaice — Bowel obstuctird iP ie Bowelpeprakiom Lo mp beation — Pelrctad chatan Potui obsesse oR Heraloma > !ceolang (imp tcclgw Stump necuedes —— Pastor) hnanas Foun — petuesee! Sheff a pchi . Darbra Say wy fe Sem [Liam A Tn totrol perfarelusr — & Wg Fighlo. ~~ Polopor' * Vebination * Indication + Ineition + Complica Hons . Priysiotogtcal chang en, —— Removal of- Grau Bladdue Fae te INDICATION Gall sto, G L do # en Ol Vi Trflamnatians lice all y — Colecystits Aaage Iolo rss Yolon ol. CneriteHs duedogallstone Paral ar rompleteenrmoveds — Non orchoning Goll bladdep INbICATION ~ Galt bladder Greer, — 7Bp Gall bladdey Fistula, SD Ulerotive cols es, > CrohnIsdiseare 5 8! —=Gnpiication — SS hbntore, i RR Re AA MAARAARAAKRKAKRE C > Clon Rrfor + Bie beakoge Severe Constpeten. Be dl jong COMPLICATION rfdion > Trffehon Bleed Byrecling- o- Alo $torahe Jeokage . Pos choke yom Spdvome Fevegt he Wonley G+ VIHA CL dicts, “Beet OT oon tase or oo het HANES | Difer agdion. .¢rniae Bille has conga, Cronge in bowse! Hebi + Crtines bile los mm: Chora ——— “eit. the digestronof- for — — Alito Bowel Fanchon. MMi ht causes chong Iabed _ fdapistamay: Rerraoning (lon — Chongts un light poly — Rtertit Lsorbton lose. ~ Foviretion, ge od oy be chong’ ~ Eeptive Cos. © AEH Beil Rea tation — Ahpee {ot abo, pe, OEM ID 5 cory Crvgh aa te fot elgalio albiler (ae , Blood transfusion "Thad god Blood tempore ge wee Plakeld “Plasma “For Blood Traenahaiow “Bio vo schounbd Uris a Comes os ae — Packed xed bbe «ells. — Fresh bporen plasm. — Plerteleth- = Cryopreciprba: Drdicatons for Blood transfusion Shock — Chen t Heads Crosheeclomg = + Haemerrhagi . Mayen egou — * Extensive Burns. * Grronie Seve Anemia pe ‘pleedin Brood vss. COE “Tron apr Anemia. oH Blood! 105. ~ Troe aig birth = Downy G om onere 1 Packed RBC Daring. this. — when whole bood IS ~ eee ween Pratettt_tich plasma | Avons\eed Anan Peter, Beeep> “yj REC ey RBC requirel Re Pater with Hb less thon Fg' tn habiorde > Surging Delivery teaunds SiCRD J) Onemi Befphylactically. Tronspucich Feolisin. sy Paw in loin (Bit) Fever with Chills - Ate renal tabula rmcxosia Highesloured urine. 2 BB ° . ;_ Featells biske. Beg 5 con Pratik: riche ee ie od Complications i eye. ; 8 LN ~toremove att sang, Pome O Frornune lorepiation. 7 Junit — Som! Should tontunt a Haemolye Reaction 7 5.5 x10 pylets + Due to MiSmatcheo! ; Phackelat it Thevg petal l 7 When Hy bo io Pratt courds Reg’ tomer fatrnse | Uipbobnson- "is lena Pome an bhecling | ~ Waehy canola, ]p000 Bx ae 7 arom bi topenio Tr ic © Br ae 9 Tp ee Feeley Ble ae ths wap ely Or ne ae Hram 50,000 ow ans se as 1 ees Stop blood transliotor, Vu . Sene blood big by tovech Fi ji Send Sombleol res am mo. Pattee —; Blood hama —-200-230m| Pemasning + Hat = luagt ‘Stored in, * Monitor Urine out ae “Fro en forte at *CheeR for wore Hb =18% “Lp renal bprluuoceum jas —Hamoolysis 1 5 Non Hoemoly he Ren, a SensitiTion, to WBC or plate Alteso 2 runttion Congestive Griine “Faalve ~ Teaptin Sedalia wade Wong TRiege Wat “nlechous Complications, ~ Serum Hebatoes Bie |_ transmitted Malaowa, brom one patient” ty Philis to onothen... Through arte. Poloed ranshusion- > _ Other Comp licakiory Massive Rood 4x Com Comer = Hypeceleemia - . “Thrombocy toponeion = ng. beer Seber \ cura Ontnlnoch eng Saag = Hylperdugnamic Crrewehor| Bounding pulse. a “Fine vie a in Wwcg sprue [Spironolactone — Jreodmurt— _ ae codequnn gurenraie” Farronaapye Weernen: “or Vol: overload. «2a Yeumone form Sur real veemoval of- toy — Arobealors > 3B — Brorchiectasin — Leng @rimoma ~ Trou rsa wesceltin Troi seneuelteg in exleranas gritos 7 243 iological chongen = + TR porumenectomg. — Hyperhepng Risiolac lergiment Boos sithiy edo “ys ornbheaheny a Repratey fae. — Prev metrorex 2 Heme thorax 5 Nov _ Mets (Mito —— Vasespute roncldia2 (Bb: yy bemrmtteat © Vasorons tue pon) 2 Y foral © DISEASE Couws — Clow ond Temp faery Snvesponse #8 Change in tence soremonly Otposuute Cold. Eilttinal Shress * Most common in —— [¥made Pho Ib-Yoy rs, Fraverd im utd wooly obi 9 oe Disease ot J Vasoconse Hon » Varecons bichioa Asset ust th Othe alse 5 ple 2 Aitrinrmune des ~ RA — Canple ture) Kick “T-ar tors — Exposure fp colol ~ Working with eer cling mochyngg, Evnshond! dis hus — Smoking. — Permit ak expower = Pre, Siiheg ~~ Aa boira madi vg. discaat ~ Komen 1 jp cid mare bth Poyoloy 7 Exposure 40 (ole! J 2B Blocker L our ~ > Sabetalo! iis — (Oliwen Chainn bloke - Coates = Tiptok nile glylerin an. YBa ose Ontay Peoria io Baty sditg = Amie hand. move me} ‘ ‘ Pha cord hon c Lele Chango fem : as % hat Ae i eyo gieod [ ‘ omteste Piru “BE ; 1 Uxe Rep. Bicod) eymeaped White Gracy ~ombetnal ey, ' > Arputste ; Yietcay —» Blue ~ themnal Ty, nj lio ‘ -_ ‘ * Blood Sl rain —— thy (om Pleats — ‘ aa Necrosis ; ae Nondng. aes Reurs (012 Feraptniatian> "Trea ae Odin The) } =} nosis. ~ Sey mentaf pre wk Occuareg alata Rosthine Doves gation Trflom ale ee rae a, rll oss bl ta | = Pye rel (ith gy lafjeiad thrombost hs | ~ olor Chom, | 2 . — TP Antitegly Micvoabscte Loree — FSR — Old sHenlatentor —] { Wail] collage, = ae pa i oe ane [i Cotten Bight Gres. : Fito ny Porastrecee fewer tomb, 5 Whang Hate tess, ries, |Saromaige ] i a Meer... ° Ske Foto. ————— Pert fospsnos o Gyr —— er ae ~5 MokiNG- ” oe Meng — (Skee fe] M"y persons hv —— Mares teed — Sens, , ' ‘ ' a ~ = Distad te Side of -rteried —Adtinrm < Diseare. ellen, arnt Histee - FTPs ase TY] Ne oid x Smokin 2 a Tiler 3 “Foote coop htar_ Motion Reid — ee — hy ebrmattis on Moonie. V med 1" Hs Medion ise bed Vasospasm Ban ow! Meg ie Corclicrotey. Agora es Hoan etom ° Bled fohsoue_ oe hh ipeolie a Trina PE Reet bain J if Sv — Mrupaiy Ibtenppiing Occ hasion ef Verrch Tathemig, yet 7 ’ Celldeate. —d Fagnoss — = Bn a rhs —H SG reas eon Gat as Pile jbdeoven AFohient Complain of pary wahyts wth ages | 7 qT, Rogie graphy. Gadi akrary — a > 13 tance ~ Yes peneeees © Burger Dasrow a Chaos jfrrah 2TAD —fre Nowe Tivaly cnt irl — Laffer Lim Berraing Jensetignn benfliRe = + Fawr jn_Colf> Block ¢ IL avolror Mex Fe \ \ diate — Absene of Sensatoro ie ——_— — General vamothene, a Regional vamentheata, J yn Brood Bidar — Greneral anesthero — No consiouness — Pier is fot lnconaiond « — Muscle rexanb. ane quan Meanse all Sensahon loss 1@ touch Poin Posture emp ‘oft Shelfy reversible 100s of. Conglossnes. Como vib of Ars tbia Taplin O Anateesia AYPNosis, MUSCLE RE IAXANT. ‘e Ohnoesthete nt: ~ Groseouo anastnates, ~ ZV araotretes + Notedile— Vaperise inroomaxs recthane Paton tacel\ Sof turane a SS — Nitous oxide Cy ctopropanc. -Iv == Ketamine. -2mylke- Propebel “Magen (Wen, — 0; 2 in High wonernfaliond ts Book fH o df Z ¢ ¢ ¢é ¢ ¢ ¢ ¢ ¢ ¢ ¢ ¢ ¢ € é € é e e e e € € t € € t ' \ t ‘ ‘ ' Menin gism ore ntra indication lonchde patents Aliorgy aie. Uhewrnnaiss Psis SPrattumen Bock bur - Iq bhasis Scatrosrs, PIDURAL ANAgSTESIA Space blus dra, amtuionty & Ugomuntimr> q bosterior ty Aelvanatoae aah a Febt por Seveeot dei Comb Use ay fost Op evitimomalerae =? Trelieshom — Haemorrherdat Surgery Cortamayon Smal proceluno colonels Gypsy Compticoton Aral cana! Troumae i Ty Tyyection Favihave Of Coudal block, i A Ar-therinsclerosis Celie yx \ Si 4 Depimation . | 75"* Sy mph L Bail up of Choleatol Chest pow ° An. Sj Fat & otter Substome, Sok “Bi Sat cf on Artery. walk Mumbai 0° Ueah= Pre — tea € + Biitolup called pla [ree — Ae, Nek SS Marrow avieey, eertroetew: cae ~ Fae ‘elec i * Sog ¢ + Numba ¢ eel bento Ernlo 7 Zymphm lr ad ¢ Ot: ai Vern tie ¢ — use — exact cause ~The ope tn, ee ‘anv, ¢ Arter, Art e —De xz 6 cougeg —Pomege #9 Dime onl =p ag hE z gh Chotes trot Corohd Pe iba : Fat in blood Artes —— os 2 Hecloche — Basuten Respstne | ee 2 Fag tol teee __ Hig iedpeae Obert Compieolion Pacatyas © ee —Shat « c on Prfere — Chron Ridmayebse e a Ln Doherstne— — Pertbrrvot eee ‘ —» x te — Mesh dk —orgre. H £ t ‘ Weed) teh So cnernear Piagnosis — | “Prysrcal Gar, | TB tsa test EKO | CH Seon She tet | \ Angiogram Cheap | | ante aa Manogement ttrrdtment. Ang ropa Dry be hagh che cho teatro | Stent prac meoh— ay ote Bp ~ Goren nabs — Blood Ahmers — ACE Danie, BG ortg bobo PET | — opis ce rongn ~ Baa dockan —Fripheral oa, bykos arate Anti coagulant \ j Comse Unknown Most Importect Ris k froctor => long term te bs c@.ues- o Snahfag (eantoin J Witehinw ong tous 4 _Neasosipasen B nypebionia. “Trrorrboongis_Opiver ~- “Aefamnmatoray. fondition, Corben rmonenicle Pome, “Thrombus fa eee distal ashrets0} bo Aye tnd re “8 “Thromesis & oblitiaken ok Veosclocuas — Alice man 25-35 v ea aah nes Pana seins: v Obliterakion - tender wee ween Cord Ire Nein. — > Ciontca g a Fain — Bie diwoloratron of Destel pow 7 _ Mog Produce Bier 2 Ganorene . Reputation oF Digits. + Complete Seshtra Stop — eating —Nicotrg_ — Tea —— Pentextpryi tre - — Put hrombin —— Anatgric me presoal? reg rae ee ———he9) e necded Frvestegetiong — GuRGERY, “Rmipateion / Omenteploaty-— revascutanias Hoe abfycbeal Hind, —Hb 1 bleed S4gor+ Doppler Ston- AFansbrachiah angingram, ATHEROSLERAGIC 2 CPrence - Thlensttory Gonditron of + Aye —elderty | — toner inne F~Rak — Sberity & Family, His for : — Clagtete Smoki — Hyper traion — Brean. erhica, Fal e201, Attrerosclertic Consist Plague formation (Smecthmnade sey aero bo “rds Utcerotion & Gk if stior oceans in Fagus. Cousses Hhrombasig Vessel bloc —> LTschemre., = heveton , i Feahures | Elder — Soyr- Family History coro —— Smoking Hin, PM rosiead Choleshol ———" Commnan carat — Feelole pulee DE chemi tack Chest pain — eye problem — Altered sumal (umet? — Complication — Arteries Morita —~ Lehemra —tamanene. _ Anenuryson or ah ! D> T cw MAA AAAAAARVVVAVIAAANNOOOAR —— Avord Smokir — Hts contol rabeter Hypercholesterel eenia, Peags Aetpatet tenth Atorvastatin — Angioplasty... SURGRIES _ Throbectom Reverse vein gral By Pas qroph— ive ernoraf Ror-tofemaraf — Amputection Soe I limb vy Fang henots, / heumo thorex aia Coceeeanel Ain Denese =m Z bho pleural Shace, j fom Baltes Forms ——» Explo, Leis, — te presse Chel se epee bie ths igen gE Fw Prevalshlce me ae aie cewbp Muscle femafin maf Dphrand ting teas — & boot reoit of large yy &, Bix ‘Shuoly-Seeponto “Pull PS — arg tse Sinand. , Ataroli heal up bot Aue Bulloe Bolance —Pleurol a * —— _ SEAL of Pleural Spaq — Fendueol u TRaumaTic__ Air Move Tn ———* L Fressuna in pleural spore. Gregative Pleural Guan Shot TT Treigh a > Alfow air from outside # lively Cn to pleuron. sspace . procine — bos Leg, pala mvoend. & lervrion — Glo} — " Cheotwolt Spring ubword _— One wary Ve ° me a aie but cam not lous . Collated tung — L = uit ans Si os Freon neanby orm D (0 in body, J vO — 8B —— Conse Cheat por Preowrs i w Theat tube ISuscol to rela asi tube SYMPTOM Camo Sar cae aim S/@NS. —Aardert Relics Bread Sounch — Gunshot Hyperresonerce 7 Tehogeni J ag Jung biops ml pirslepy uo a sg Ba LO ge eT Dfjlar... TREATMENT — No S0B Wo ~trelmant> — lension Freumothora. _— Ait neeoly tovemoveo! Dre wits Cheottube, | Lg a a AAA AAAARARAAAAANNNNAS . ec oo + Vig * Fe , . “Flidooy Cleo Be lisire | age pe : ee Sp potter chur, Je of | Sadie fom mn Sun a H2o i is iS more than fone, i3 hss |~ ; s then ite HibeNolume PNa+ & ho trel ——“Tetol willie in Serum: Tne’, fee Hy poratremia. —— ond Nast Cone, normal honor gl Twain (SB y 7 - D bai fw 1 Hgforatien —_ Tow fal co Pon \ ) —_ “tenses Iypotm hypo ; pa Sodium. Bertin: Section’ Luveleomie , y , Natolec - by R pi E Gy choleg ical Ziy gene effet * ce Loa Uh fanaa or ’ ‘ ) toe coneole Not Fay ree By rr cones of wala a\ls Sy bain Ines an re a x “Fimeffert rtercromal ide 1s The Tlereramas pres | iohuch thus Kaune brovm Shem ) herndalon - 7 TH pt - Dorr hoe 4 eet this Ait Mp rone. Nat | Pesiol 1s plete the bool J Ayo ele, >" Excsaive ai bn. 4 Nat is gue thar! The Stuur) | Nat lon. is Aigh in Tatra vasulan lomfaitmerd? re 1 the Reapsirement? — Bho Cell u'll loose wrod cell shrinkage will occugy 7" at drink water pahichs Fluid enter in Tntravonush, dhe este v+egyuiremerd lompart moots , ie abeet is not Gus fee piled. Pekhistor @ , x, —_ Tne eI TREATMENT. I raw? —="_ 4 Hiffovolernic a 2 a Noa leg Rompe 3 — lossof Nat is more than 130 —/35 H20 in Severe diarrhea 1 = Vornrtting oF persistanb. + Nat inc in oral olor, + adhydict@> wit Totre| — (ovot Nat vtplacrmed>) ar 8) 2 wd ea i Fant Re Hil 7 » [= nie - Of Se ybernabronieh femedh (Tt wuorbo » Ayfervolume 2 Ry - THo clue yhoo Ayponebeema.») vs “Hue tons vhae J Trt Te hip etal J - SL Dor bohm [? Jo lDector Ay lrs cow op oasis =, ~TOONER CAate lmmane gpiom ac had, l ‘ita \ 8—> “Bone arn — metastoar ea Corte disease ch ag eo i, Abnormal RE) os & cell. Snead _ tee oss Grin tind » Demon Arcumnalaton S- a ae in Skin: darkening ved ' loll ; (lord) Sp Persistent (ough je —nibple dischong onton nines Saba in Breas imps. ’ ; Be, UG Melina pada ‘ole Bere nign. » ng loner \,,, Lous) ) : cian frajoral eae ar fad : fabs tore L ag telige leukemia . fo ) eal eee » broad see Ty . A Sherr Camcer. dont ot isapa| “Pldrenehs Gilind a porns Sfaoman ApOP ed “DBet Bai ae ¥ defyncel border ah b Teshe\ aineer wh C+ Stortatehony, )*Grrew slowl: by immu ne apolin Aitre hee! gdh uundurbined. ; Shin. , ' 9— NarolegicoA haa — headachy Serwus ! u 0 Digestive Tssuea ~ Tndigeatron anata, Diffprattiy = pase FE ragnasts erly \ : 017 An ae a leSsion | Sottd—Mof hurd. Gh hal fille i: oe ack, ~The Slag TA Sire, /lombh ee Monee node Erdecdye - MN = Metactoain Fr bens)” | y— Comcer ao. a. i Under ranrovbe Most Common Breast — Spread Is Pa 4 Ovary —- , tote Tadic [Ae ian. ‘yriph rrodke'4> Pesshrve sn ros The 3), Ne ar: e ; (Pscan. 71 eral 4: tele tasmaloien Ss, A ee l= Growth Comer localized! ; e | O. re Stiles wea iy. Grroutng +t ree Melertoge , Trvoleeo!, , VL estate — Labtets —Biod test Metastaara . | See — By 2 Remawa ST Of tine: Probe FO 14 Comer un Jncoktzed ts © Smolh arta, vem Una! depnp mods ovine: Uae ; Q—> Greer is Grown buck has!}Spreag ie aaa pread ur pacd of Pedy 3 Commo pos & hap posi bud wot to te Mebiateane ccaunse , ! if od Oe il Teese? ae R wn us Seconal ys dng te PUR : nab Se ea ce eve PP iSheeapie oa atu Hor organ, , . Ll gp Maig , lanen ferns oe » ool he mchol unothera| thomas tome Armewhvuda, | Zaonune » Sin TemeaSPcomen. | Ereession Brews ) ‘Brest cancer Uvtok Extesuor - y Peeps == oak? . . ; Seronolany ~ Lara Vor tbran Krevng sharnor ale * sm \Fancer Cheure atobrest Frew | with othe bouralanie +} ox } Metastasis move fouond Le ; sole . > Hormen jarban “egion «S| Larsen dreabed® or fotree! ! Sendai | ' ) 4 Serene lomten + aha’ reas 2 fe rstomce_lamtee might spread Pp System umor 4 hung ’ ’ , ' ’ 1 jo rough blood shia ob Lypeprete > Bisby ad f° row Scondaay 5 MHasectomag > rr? prast 074 a — 93 ny 1 Sle tll Pramaplot z ce Jo repre Tomaged PT Pst) 1 F _ Help deternnine if #He growin FE ramttrone, 9 gil Pe onthe aa ; z = na ie rl of dpe. Tehth of Bun = Rochation, ) Tebrnedl 06 © Laguna ae — Only th idernis Tr volved 1 Exogenous ager dtading> te y- ; ‘Sgelaliny, Pecross. \ 2c) pidermis & Dey * Su loge Ay (ity oS 7 ate be cleep — “tp . Teenie IN Bam ie “te Bure Eg , Exit O~ fa Ebidermmia +Derma es N Raline fe Bien st Ss bs, bam) (Bho oo | _ 5 SrotpHot va os b 1 Other — Sunligbot Bey Charnes of priv ) “Flame Burne ofan - 5 Gnlect Bam | yn shy ' Le. or Soup: pe ee | IN”, oo B +26 (testi) % es \ * Onthe basis ee Zz paps G | Amman VT = Pasta! 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