Nerdy Surgery

13/11/2024

Quelles sont les étiologies d'occlusion intestinale aigüe?

l'intessusception en fait partie, très fréquente étiologie en pédiatrie +++

02/11/2024

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12/07/2024

24/02/2024

MECKEL'S DIVERTICULUM
Caused by incomplete obliteration of omphalomesenteric duct in developing embryo.Most common congenital anomaly of GIT. Incomplete obliteration of duct results in a diverticulum in small intestine. Often, these are completely asymptomatic.Acid secretion from the ectopic gastric mucosa within diverticulum can result in GI bleeding & abdominal pain. It is useful to remember the rule of 2s.
Meckel diverticulum occurs in 2% of population, 2% -symptomatic, children are usually less than 2 years, affects males twice as often as females, is located 2 feet proximal to the ileocecal valve, is 2 inches long or less, and can have 2 types of mucosal lining

22/02/2024

🩸 Leriche Syndrome:
🩸 Leriche syndrome, also known as aortoiliac occlusive disease, is a type of peripheral arterial disease characterized by the obstruction or narrowing of the abdominal aorta, particularly at its bifurcation into the common iliac arteries.
🩸 This condition typically results from atherosclerosis, a buildup of plaque within the arteries, leading to reduced blood flow to the lower extremities.
🩸 Common symptoms of Leriche syndrome include intermittent claudication (pain or cramping in the legs during physical activity), impotence (erectile dysfunction) in men due to reduced blood flow to the pelvic organs, and diminished or absent femoral pulses.
🩸 As the disease progresses, patients may experience chronic pain at rest, ulceration or gangrene of the lower limbs, and eventually, limb ischemia or critical limb ischemia, which poses a risk of limb loss if left untreated.
🩸 Diagnosis of Leriche syndrome involves clinical evaluation, including a thorough medical history and physical examination, as well as imaging studies such as Doppler ultrasound, computed tomography angiography (CTA), or magnetic resonance angiography (MRA) to assess the extent and severity of arterial blockages.
🩸 Management of Leriche syndrome aims to relieve symptoms, improve blood flow, and prevent complications. Treatment options may include lifestyle modifications (such as smoking cessation and exercise), medications to control cardiovascular risk factors, endovascular interventions (such as angioplasty and stenting), or surgical revascularization procedures.
🩸 In advanced cases or when conservative measures are ineffective, surgical bypass grafting may be necessary to restore blood flow to the affected arteries and alleviate symptoms.
🩸 Prognosis and outcomes in Leriche syndrome depend on various factors, including the extent of arterial disease, the presence of comorbidities, and the timeliness of intervention. Early diagnosis and appropriate management are crucial +

03/02/2024

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01/02/2024

22/01/2024

السعادة على شكر ارقام 😍🖤✨

22/01/2024

Good morning ❤️