Surgery

Malignancy of the Breast: A Case-Based Approach

This section provides a comprehensive, case-based overview of breast cancer, organized into Introduction, Clinical Presentation, Examination, Investigations, Staging, Surgical Management, and Prognostic Factors. All information is derived strictly from the provided texts, ensuring accuracy and avoiding external additions. 1. Introduction Breast cancer is the most common noncutaneous cancer in women, accounting for 30% of all female cancers in the […]

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Benign Breast Conditions and Tumors

Introduction Benign breast conditions are among the most common reasons women seek medical care, affecting up to 30% of women at some point in their lives. These conditions, which include fibrocystic changes, breast cysts, fibroadenomas, and mastalgia, are non-cancerous but can cause significant discomfort and anxiety. Understanding the diagnosis, management, and treatment of these conditions is crucial for

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Clinical Assessment and Imaging of Breast Disease

Introduction Breast disease diagnosis relies on a comprehensive approach that combines clinical assessment and imaging techniques to ensure accurate detection and management. Patients often present with symptoms such as breast masses, pain, nipple discharge, or skin changes, prompting a detailed medical history, physical examination, and advanced imaging modalities like mammography, ultrasound, and MRI. Understanding risk factors, including

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Anatomy of the Breast and Axilla

1. Breast Anatomy 2. Neurovascular Anatomy 3. Lymphatic Anatomy Level of Nodes Anatomic Location Level I Lateral to the lateral border of the pectoralis minor muscle. Level II Posterior to the pectoralis minor muscle and anterior to the pectoralis major (Rotter or interpectoral nodes). Level III Medial to the pectoralis minor muscle, including the subclavicular

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acute appendicitis management

Acute Appendicitis Management: Conservative And Surgical

Introduction Acute appendicitis occurs when the appendix, a small pouch connected to the large intestine, becomes inflamed. This happens due to blockage, often by a fecalith (hardened stool), leading to infection and swelling. Read more General surgery topics: Symptoms Acute Appendicitis Examination Findings Acute Appendicitis Laboratory and Imaging Acute Appendicitis Treatment of Acute Appendicitis Pre-operative

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Intra-abdominal Hypertension and Abdominal Compartment Syndrome

Introduction The acute abdomen often involves alterations in intra-abdominal pressure (IAP), which can be both a cause and consequence of pathology. Elevated IAP can lead to Abdominal Compartment Syndrome (ACS), a critical condition requiring prompt surgical intervention. This post provides a comprehensive overview of IAP, ACS, and their surgical management, drawing on key insights from

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Atlanta Criteria for Acute Pancreatitis

In 1992, the International Symposium on Acute Pancreatitis established criteria for severe pancreatitis. It is characterized by the presence of local complications affecting the pancreas, such as necrosis, abscess, or pseudocyst, or any signs of organ failure. A diagnosis of severe pancreatitis is confirmed when either organ failure or local pancreatic complications are identified. Category

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SIRS criteriaTable outlining the four SIRS criteria: temperature, heart rate, respiratory rate, and white blood cell count with their respective thresholds.

SIRS criteria – A Complete Guide For Doctors in 2025

Criteria of SIRS Criteria Condition Temperature >38.3°C or <36.0°C Heart Rate >90 beats/minute Respiratory Rate >20 breaths/minute or PaCO₂ <32 mm Hg Cell count: White Blood Cell (WBC) Count >12,000 cells/mL, <4,000 cells/mL, or >10% immature (band) forms Note: Two or more of the above conditions must be met to fulfill the SIRS criteria (Systemic Inflammatory

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Anatomy and Physiology of Biliary System

The biliary system consists of the bile ducts, gallbladder, and associated vascular structures. Anatomic variations are common, occurring in up to 30% of patients, making a thorough understanding of both normal anatomy and its variations essential for managing biliary diseases. Anatomy Of Biliary System: 1. Bile Ducts 1.1 Intrahepatic and Extrahepatic Bile Ducts Left Hepatic

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PRESSURE ULCER (BED SORE) TREATMENT

Definition Tissue damage and ulceration caused by prolonged pressure. Also referred to as bed sores, decubitus ulcers, pressure sores, trophic ulcers, or penetrating ulcers. Preventable Pressure ulcers are preventable with proper care and management. Incidence Most Common Sites Ischium > Greater trochanter > Sacrum > Heel > Malleolus > Occiput. Mechanism External pressure exceeding capillary

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