Discover and read the best of Twitter Threads about #SoMe4IQLatAm

Most recents (4)

#Lymphatics of the Abdomen!!!βž‘οΈπŸ€”/?πŸ‘¨πŸ»β€βš•οΈπŸ‘©πŸ»β€βš•οΈ
The lymphatic vessels and nodes of the abdomen drain the abdominal and pelvic organs as well as the pelvic walls and the lower part of the abdominal wall....β€΅οΈπŸ‘‡πŸ»πŸ‘¨πŸ»β€βš•οΈ
#SoMe4IQLatAm #SoMe4Surgery
(The upper part of the abdominal wall is drained by the internal thoracic and axillary nodes In addition, the abdominal lymphatics receive lymph from the lower limb, the gonads and the perineum...β€΅οΈπŸ‘‡πŸ»
Some lymph nodes are situated adjacent to the organs they drain and include those of the #liver and #spleen and in the hila of the #kidneys. The lymphatic vessels draining most of the abdominal organs accompany blood vessels and pass to nodes grouped around the aorta....β€΅οΈπŸ‘‡πŸ»
Read 15 tweets
Polycystic liver disease (PLD)....β€΅οΈπŸ“š
⚜️A heriditary autosomal dominant (AD) disease.
⚜️Arises from biliary epithelium, but does not communicate with biliary system....‡️
#SoMe4IQLatAm #SoMe4Surgery
⚜️Types:) 1ry PLD or an extrarenal manifestation of AD polycystic kidney disease (ADPKD).
⚜️Presentation: usually asymptomatic, hepatomegally, abd pain, jaundice, portal HTN.‡️
⚜️Complications:) hemorrhage, biliary obstruction, Budd-Chiari syndrome, rarely malignant transformation.
LFTs are well preserved and so liver failure will not occur.‡️
Read 6 tweets
10⁦ ➑️⁩ rules:) for TAPP for inguinal hernia.πŸ“šβ¦πŸ‘¨πŸ»β€βš•οΈβ©β¦πŸ‘©πŸ»β€βš•οΈβ©β¦πŸ‘‡πŸ»β©β¦β†˜οΈβ©β¦β€΅οΈβ©β¦
#SoMe4IQLatAm #SoMe4Surgery
Rule 1:) Beginning of Surgeryβ¦β¦β†˜οΈβ©β¦β€΅οΈβ©
πŸ’ TAPP: Start Flap 4 cm above Deep Ring, Continue from ASIS to Medial Umbilical Ligament
πŸ’ TEP: Blunt Telescopic Dissection or Balloon Dissection
Rule 2:) Dissection Should Follow the Peritoneal Plane
πŸ’ Keep Fatty Tissue with the Muscle of the Inguinal Floor
πŸ’ Avoid Exposing Muscle to Preserve Nerves in Zone 1 and Inferior Epigastric Vessels in Zone 3
πŸ’ Don't Overdissect Nerves
πŸ’ Zone 3 Dissection is Left for Last‴️‴️
Read 14 tweets
Cystic neoplasm of pancreas/?πŸ€”πŸ™‹πŸ»β€β™‚οΈπŸ‘¨πŸ»β€βš•οΈπŸ‘©πŸ»β€βš•οΈπŸ‘‡πŸ»πŸ“šβ€΅οΈ
#SoMe4IQLatAm #SoMe4Surgery
A:)➑️ Mucinous cystadenomaβž‘οΈβ†™οΈπŸ“šπŸ‘‡πŸ»
πŸ’ F>M {50 -_- 60 yrs}
πŸ’ M/c site ↔️ body & tail
πŸ’ Septate microcyst βž• solid component
πŸ’ CECT ↔️ egg shell calcification
πŸ’ No communication with duct
πŸ’ Low s.amylase, high CEA level
πŸ’ Positive mucin stain‡️‡️
B:)➑️ IPMN(Intraductal Papillary Mucinous Neoplasm)βž‘οΈβ†™οΈπŸ“š
πŸ’ F=M {60 -_- 70 yrs}
πŸ’ M/c site ↔️ Head
πŸ’ Lobulated polycystic mass βž• dilated main pancreatic duct
πŸ’ Endoscopy ↔️ mucin protruding from fish mouth.....πŸ‘‡πŸ»πŸ‘‡πŸ»
Read 5 tweets

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