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as doctor will be busy.. whenever free will post mcq with explanation , important notes clinical cases so stay tuned

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SURGERY-AIM4PG

Personal collection.

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https://youtu.be/vvBo-kqHulE?si=sxDlD6Hz2fM-JhrW

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Images and exact scenarios from my personal collection

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Wanted to add on to this...in a pregnant patient who has sustained trauma, they are always transported in the L lateral decubitus ,and not supine on the spinal board

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All images and scenarios , imaging and biochemistry from my personal collection.No imagination.🙏

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👆this video will clear doubts why paradoxical aciduria happens....A person losing H ions through upper GI should conserve H ions by the kidney.Logical! But he starts losing H ions from the kidney too.physiological hierarchy to preserve volume triggers this.Details in video.

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All images and scenarios , imaging and biochemistry from my personal collection.No imagination.🙏

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How to answer??
Eliminate alkalosis first as patient will be in shock ( C and D). remember the predominate ion in the intracellular space K, will invariably enter the extracellular space ( the vascular component). More insights check out the below video .

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The following is true of the Short saphenous vein that is seen here (Arrow)
a)It is accompanied by the peroneal nerve
b)It is seen the proximal calf, between heads of gastrocnemius
c)Cranial extension in the posterior thigh called Giacomini vein
d)The Giacomini vein is the communication between the short saphenous vein and long saphenous vein at mid thigh

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https://youtu.be/YzLeBrCMJMY?si=0zikedTqc1xxhWh5

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https://youtu.be/f09Inyy2xXU?si=QvkR-PV85jISWwUL

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One last question👇 on this same image...the poor patient is being harassed😀 atleast his image is!

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the image from my personal collection

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https://youtu.be/YzLeBrCMJMY?si=55LeMo_irA_-Opbw

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👆compare jejunal loops.regular concertina or stack of coins

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all details in the youtube lecture and much more

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https://youtu.be/vvBo-kqHulE?si=Ao1NHDmRa5_udf0X

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Fetal distress in a trauma pregnant patient is a surrogate for maternal shock in trauma.Treat mother appropriately ,baby is also treated by default👍

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Correct Answer is IVC compression

Explanation: IVC compression Ref: Read the text below Sol: When a pregnant woman lies on her back, i.e. in the supine position there is the compression of the abdominal aorta and inferior vena cava by the gravid uterus. It is a frequent cause of maternal hypotension which can result in loss of conscious- ness and in extreme circumstances fetal demise. This aortocaval compression is thought to be the cause of supine hypotensive syndrome characterized by pallor, brady- cardia, sweating, nausea, hypotension and dizziness and occurs when a pregnant woman lies on her back and resolves when she is turned on her side.

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https://youtu.be/g59H34URJYE?si=1TSeEe9tgLbU98Kw

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https://youtu.be/jlmDKSfFsIs?si=wSG7vQAt_CzcBlB4

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https://youtu.be/zm5mXcodj_c?si=yeb16dXnTzWUP52L

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Read option as "peroneal" nerve

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https://youtu.be/w0XxvoEgpvQ?si=W745BBfOWdURc1iE

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https://youtu.be/eHXZBtsRHds?si=hCxfdnUXWlRIvURm

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https://youtu.be/f7xqdKFtg_o?si=-5dde9SDC0fPr7eG

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Students please take your time to see each image carefully,read stem carefully ,look at options carefully and answer with an informed decision....there is no time limit,to rush you to mark.....analyse well, because each time you mark a wrong answer that also gets imprinted somewhere in the memory cortex and can surface at inappropriate times( your real exams)

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Series of MCQs will be posted on these topics daily.Pl check out this 3 part presentation.

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👆alli's forceps see row of teeth at the end

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all details in the youtube lecture and much more

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