Nasogastric feeding

~Lister's sinus forceps.

-
This is a long slender instrument with a pair of small

blades with transverse servations in the terminal

part ofthe blade.
·
There is no racket.

~ venflon (IV cannula)

Mnemonic:- Raju of Love

story.
14G-Oh.

16G-God, (EK baar dila de.)

18G-Green signal andl

20G- Pinky as propose angl

22 G-ecer gale Mom
24G-yellow yellow, Dirty fellow.

Please don’t take it personally

Surgery p
Monday, 5 December 2022 4:56 PM

-> volvulus

domeofdangere
dome of
diaphragm

-
i

Bladderstone

Ivp, t tube cholangiogram

 store
Bar

Garne
Air Fluid level
Multiple
--
-
Multiple air fluid level
without gas under diaphragm
 obstruction.
·

clarification of

INSTONE -
· stone inhibiting facture-citrate
L Tamm Horsfall protein

Six
⑭a il gborn:Radio-opaque
urine
~ seen in
alkaline
iii) uvic acid stone
-

radiolusen I
·

Rectangular/coffin lid appearance

alw urea-splitting organism

-

acidic avine
-

-
seen in

varying shape iii) ie:Rapioropaque

Gate in acidic avire
(iv) -
seen

· Radio paququ
acidic avine
-

hexagonal shaped
hard stone
-

· dumbell shaped/envelope -very

in
a wate
- Radiolucent
-
alw laxative absue.
↑NEUMOTHOR AX
-
-

Pneumothorae t

ention
othowak
Specimen
Carcinoma of colon with metastat
Lymph node

congestive
Spleenomegaly

splenic artery
branch en
is

a an
Gall stone

Carcinoma of stomach

Q
Carcinoma breast
1. Vascular supply of
thyroid.

2. Vascular supply of stomach.

3. Lymphatic Drainage ofstomach.
4. Vascular supply ofAppendix.

5. Positions ofAppendix.
6. sites ofPortacanal anastomosis.
7. Anatomy ofinguinal canal.

Deep inguinal ring

openings me
superficial inguinal ring.
·
Deep Inguinal ring.

Bary
8. Contents ofInguinal Canal.

~Spermatic cord -
in male.

Round ligament-in female.

~Ilio-inguinal nerve.

↳ Doesn't come through deep ring.

↳ enters the
inguinal canal by piercing
internal oblique muscle.
↳ Emerges out through superficial ring.

9. Contents of
spermatic cord.
 ing seematic
·external spermatic fascia -
from external oblique Aponeurosis
·cremasteric muscles - from internal oblique Aponeurosis.
fascia

Internal spermatic fascia -

from Fascia transversalis.

10. Lymphatic Drainage of

breast.
 of
11. Triangles Neck.

up
12. Levels of
Neck lymph node.

Sit lat margin of

on

setyoide
->
->

I
- >

omony old
-
spinal
Bare

post, margin of

the
ofs kull.

acc.

-
N.

SCM

Ant. border oftrapezius.

->

Suprasternal-
notch.

-
Innominate
artery.
Venesection.
1.
2. Excision of sebaceous cyst.

3. Excision ofsubcutaneous lipoma.

4. Drainage ofsubcutaneous abscess.

5. Hilton's method ofdrainage ofabscess.

6. Circumcision.
7. Incisions for Appendecectomy.
a. Grid iron

b. Lanz
or Bikini incision.

C. Rutherford Morrison incision.

d. Lower midline abdominal incision.

↳ Usually for perforated appendix.

8. Grid iron incision.
9. Upper midline incision.

10. Rightsubcostal incision.

Also known as Kocher's incision.

11. operation of hernia.
12. Operation for hydrocole.
 Femoral Nails

Steel Titanium
-

Heavy Ortho -

Light weight
MRI friendly
Silvery white
-

practical’s
-

may not remove

-

hindrance in
from body
-

magnetic field
-
corrosive
'
henieeeemooed
Holes in nails -

*
Oval hole
dynamic
-

- dyntamization
(facilitates micro
to
motion )

facilitates healing
 Femoral Nails

Steel Titanium
Heavy Light weight
-

MRI friendly
Silvery white
-

may not remove

-

hindrance in
from body
-

magnetic field
-
corrosive
'
henieeeemooed
Holes in nails -

*
Oval hole
dynamic
-

- dyntamization
(facilitates micro
to
motion )

facilitates healing
Round Hole → Static
Femoral Nail -

Convex Anteriorly
and concave posterity
with condyle
-

head is
placed medially
-

holes to use screen and

poeeoene rotation

*
Distal Femur Interlocking
Nail →

Use in Fracture of shaft of femur

* Proximal Femoral Interlocking Nail

→ Used in sub trochanter c

region
and in neck fracture ,
it

has oblique hole

Tibial nail
Concave anteriorly convex posteriorly
;
↳

( tibial interlocking
or ✓ nail
nail
Prosthesis =
←→
Bipolar Unipolar

→ Use in elderly fracture neck of femur

which cannot be reconstructed .

→ Austin Moone Thompson

* 2 fenestration * no fenestration
* used without * use with
cement cement .

* fixed by vasculature
and bony Houten

which pals through

fenestration
*
Young patient * Osteoporotic
patient
 %cF-IF-ync.mn Compression Plate =

Used in cortex

I:p Broad Dcp Narrow DCP

""

* Femur
,
tibia humans
,
* Radio , Ulna
fibula
* Zig Zag pattern * holes in single
oriisr line

* Combi hole .
-

Locking screw, dynamic

screw

blood supply
-

intact

of periosteum .
% at"bpYa%
, z Used in ulnar and tibia .
7- plate =
proximal tibia ;
preserve vascularity

Recon plate →

Anatomical
plate clavicle
.
 Specimen
Osteosarcoma

Giant cell tumour

 X-Ray
Genu valgum

knee prosthesis
 Galeazzi tracture

Percthes's disease

Saggiere
*