This class was created by Brainscape user Mohamed Sallam. Visit their profile to learn more about the creator.

Decks in this class (41)

GB stones
Stem: young patient with RUQ pain and epigastric pain aggravated by fatty meals. His news score is 0
15  cards
Sigmoid Volvulus
85-year-old lady living in care home. She uses a wheelchair and had a long-standing constipation. She presented in the A&E with abdominal pain, constipation, marked abdominal distention, vomting and dehydration. Labs: Na 120, ABG: PH 7.5, PCO2 4.2
11  cards
Local Anasthesia
COPD patient , on Apixaban , has severe Abdominal pain . Going for emergency Laparotomy because of sepsis, he is Febrile , hypotensive and tachycardic .
9  cards
Tonsillar bleeding
6 year old jehova's witness with 2ry HGE ( POD6) after tonsillectomy HR is 120 , but is stable now .
10  cards
DM
A 65-year-old man with DM2 on oral medication, presented with perianal abscess & went for I & D.
7  cards
Epidural
Patient had lobectomy, epidural at level of t3\t4, post op hypotension , Bradycardia & oxygen sat 92%.
12  cards
Traumatic Lumbar Fracture
RTA with suspected fracture spine. Low BP, paraplegia, and sensory loss both LL “ you’ll be shown a news chart”
18  cards
Hyperthroidism Pre-Op
A 38-year-old lady going for surgery. Pre-op bloods showed. High T3, high T4, low TSH
10  cards
Bloody Diarrhea
A 55-year-old male patient with abdominal pain and bloody diarrhea. His vital signs are: BP 90/60, pulse 130Bpm, temp 38. After admission had additional episodes of bloody diarrhea which stopped 6 hours later. Intial resuscitation done with IV fluids. Lab results:Hb 8.8, plt 666000, WBC 12000, Na 120. K 2.8, CRP 100, high creat and urea.
12  cards
Hypothyroidism
A 65-year-old lady , presented with long standing goitre, malaise & chronic fatigue. FBC & full biochemical profile reviewed as part of her assessment & showed low T3 & T4, high TSH along with macrocytic anaemia.
12  cards
Small Bowel Obstruction
A 60-year-old male patient with history of old laparotomy, presented with central abdominal pain , vomiting & abdominal distension. You have been called by nursing staff because he became confused.
13  cards
CVP
After insertion of CVP for a patient in ICU His oxygen saturation dropped and started To be tachycardic .
16  cards
Perforated PU
A 50-year-old- male, smoker with a long history of NSAIDs use for osteoarthritis, presented at A&E with acute onset abdominal pain in the epigastrium. On examination there was abdominal tenderness, rigidity and infrequent bowel sounds.
11  cards
Hematemsis
45 year old male patient alcoholic, presented with 3 times of hematemesis, Low BP, tachycardia& altered mental status .
17  cards
AKI
Patient after major surgery ( Right hemicolectomy ) , the nurses noticed decrease in The UOP .
12  cards
PAin management
You was called at 22:30 for A 45-year-old ,whose weight is 90kg, post-laparotomy 9 hours ago for perforated diverticulitis. Complaining of abdominal pain. O/E he was conscious , alert & afebrile with BP 148/95 , HR 120/min. the surgical site was normal. Upon reviewing his medication charts , he didn't receive his paracetamol dose at 18:00.
13  cards
Acute Pancreatitis
A 45-year-old, diagnosed & managed for acute pancreatitis 2 weeks ago. Now presents with vomiting, SOB & epigastric pain which is not improved with PPIs. Examination revealed tachycardia & tachypnoea.
22  cards
GOO
58 yrs. Female patient presented with persistent nonbilious vomiting Now is drowsy, hypokalemic, Hypochloremia and metabolic alkalosis .
20  cards
ECF
A 50- year- old female presents persistent discharge just above the umbilicus following an exploratory laparotomy with adhesiolysis and resection anastomosis of small bowel done for acute intestinal obstruction.
13  cards
Nutrition
Stem1: A critically burnt ill patient is in ITU and requires nutrition. In this station you will be asked the physiology of nutrition and its clinical application.
21  cards
Hyperthyroidism
A 38-year-old lady going for surgery. Pre-op bloods showed. High T3, high T4, low TSH
12  cards
Obstructive Jaundice
A 43-year-old female presented with epigastric pain , nausea, vomiting & diarrhea. Labs showed increase bilirubin, ALT ,ALP,GGT & Urobilinogen is undetected in urine .
15  cards
Post-Op Fluids
You are the SHO on-call & have been called to surgical HDU to review a 60-year-old male who underwent anterior abdominoperineal resection under GA 12 hours ago. You didn't attend operation & didn't see him before. The nursing staff are concerned about his low UOP . Physical examination was unremarkable & the catheter was patent. Upon reviewing his fluids & observation charts , he is NPO & he received only 1L of fluid over the last 12 hours.
16  cards
TURP
A 74-year-old man underwent TURP under SA. His pre-op assessment was unremarkable & bloods were normal. During surgery , prostate was huge & surgeon took about 75 minutes to resect 35 gm of it, there was significant bloodloss even they have reasonable haemostasis. You have been asked to review him in recovery room because of hypotension, restlessness & agitation. You confirmed that then noted that BP was 80/50, HR 125/min & SpO2 87%. No new drugs or IVF given since surgery. The recovery staff ar
18  cards
Steroids
A 45-ycar-old female patient KCO RhA on steroids . now is going for surgery
15  cards
Pulmonary Edema
A 70-year-old post-abdominal surgery male patient. Fluid chart + vitals chart inside the station. Patient has taken about 7 liters of fluids (4L of normal saline & 3Ls of Hartman's), now he is tachycardiac, hypertensive, desaturated, oliguric.
13  cards
P.E
A 60-year-old male patient POD3 post sigmoid colectomy for cancer. He has tachycardia, tachypnea and fever. O/E pulse is 110, Po2 90% on room air, RR. 24 & BP: 110/70.
11  cards
RTA + Liver tear
Young male patient came in motor cycle RTA .. Hypotensive and tachycardic.
10  cards
EDH
Patient came in an RTA with GSC15 Vomiting twice& with amnesia then after admission to the ortho ward GCS started dropping now it’s 8
16  cards
Septic shock
Patient after anterior resection POD4 .. RR is 28 per min BP : 80\50, PULSE 110 temp 38.5 and UOP -450 ml in 24 hours .
10  cards
Ca Homeostasis
A 40-year- old lady post-total thyroidectomy for follicular carcinoma. POD4 her serum Calcium came 0.7 mmol/L.
12  cards
Hypothermia
Patient had abdominoperineal resection Under epidural anesthesia then develop Tachycardia and hypotension He was ASA 3
15  cards
Cervical spine fracture
Young girl underwent polytrauma By her bicycle with possible Neck injury and fracture.
14  cards
Burn
A 60-year-old chef involved in a fire. He was trapped in the kitchen For 30 min. When he was brought to the ER, his pulse was 120\min And BP:90\50 mmhg. He sustained burns covering his chest and abdomen, Right and left lower limb and Right upper limb. He was in severe pain & the burns looked erythematous with blisters. There was some soot around His mouth and nose (63%) .Upon asking his friends, they said that he was able to jump From the window of the 1st floor.
17  cards
Perforated Viscus + AF
An elderly man who has long histo...,
3 how to read x ray,
Q2 how to read ecg
15  cards
Compartment Syndrome
A 28-year-old-male patient, his leg was crushed for a few hours. The patient was left unobserved in the orthepedic ward. Bloods: increased creatnin, increased urea. Urine dipstick: blood+++
15  cards
Respiratory Depression (Acidosis)
Patient post op received morphine 4 times Now presenting with RR 5\min .
14  cards
Pregnanat going on Chole
 Stem: 34 weeks undergoing open chole for necrotising cholecystitis, BP is decreasing, HR is decreasing, reversed telendenberg position, Combined GA, Epidural, the operation is taking longer duration than expected).
8  cards
Pre-Op AS
Male patient with history of Aortic stenosis, going for TURP is found to have ejection systolic murmur in Preoperative assessment.
19  cards
RTA Pelvic Fracture
A 29-year- old motorcyclist has fractured his femur and tibia along with ecchymosis in the flanks, tenderness and pain in the lower abdomen with blood at the urethral meatus. The patient is pale ,hypotensive and tachycardic
16  cards
Pregnant and Hypotensive
A Pregnant lady 34 weeks undergoing open cholecystectomy for a gangrenous gall bladder under epidural anesthesia. Intra-op she developed tachycardia and BP drop.
14  cards

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ASSCC

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