Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

ISCE Crash Course: Surgery Omar ElalfyFeedback for slidesContents • Surgical Scars Recap • Acute Abdomen • Stoma • Hernia • Vascular • Station PracticeSurgical Scars • Midline Laparotomy exploratory, AAA repair) • Kochers gallbladder, spleen • Lanz appendicectomy • Nephrectomy*Acute AbdomenStomas an artificial opening made into a hollow organ, typically on the surface of the body leading to the gut but can also be trachea.StomasHernias • A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.HerniasVascular • Peripheral arterial vascular exam - know the different pulses you’re feeling for • Arterial disease: smoker, overweight, male, Beurger’s test, doppler flow • ABPI: 0.9-1.2 = normal. 0.5- 0.9 = moderate arterial disease <0.5 severe disease (urgent referral). >1.2 calcification• What is critical limb ischaemia chronic condition characterised by rest-pain, ulcers and gangrene in the presence of known severe arterial disease. conservative/ medical/ surgical • Severe PAD or critical limb ischaemia may be treated by: angioplasty, stenting or bypass surgery. Either way refer to vascular surgeon for opinion. Also amputation if nothing else is suitable.StationStation OneHow would you manage?Dx. Acute CholecystitisFeedbackThanks & Questions