Abdo Exam Mistry

8/3/2019 Abdo Exam Mistry

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59/180

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60/180

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70/180

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71/180

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72/180

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74/180

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75/180

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76/180

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77/180

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79/180

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80/180

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81/180

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82/180

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83/180

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84/180

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85/180

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86/180

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87/180

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88/180

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89/180

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Umbilical

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90/180

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Suprapubic

Umbilical

!"#$%&'() &'3H04-$'


91/180

!"#$%&'()*&'3H04-$'*

K b'00)*U:$29*0:03*a*)0E0)*@&8/*("#$V*K [&E*("#$*&'8$*o*p2(#9('83*

EpigastricLeft

hypochondrium

Suprapubic

Umbilical

Right

hypochondrium

!"#$%&'() &'3H04-$'


92/180

!"#$%&'()*&'3H04-$'*

K b'00)*U:$29*0:03*a*)0E0)*@&8/*("#$V*K [&E*("#$*&'8$*o*p2(#9('83*

EpigastricLeft

hypochondrium

Left lumbar

Suprapubic

Umbilical

Right

hypochondrium

Right lumbar

!"#$%&'() &'3H04-$'


93/180

!"#$%&'()*&'3H04-$'*

K b'00)*U:$29*0:03*a*)0E0)*@&8/*("#$V*K [&E*("#$*&'8$*o*p2(#9('83*

EpigastricLeft

hypochondrium

Left lumbar

Left iliac fossaSuprapubic

Umbilical

Right

hypochondrium

Right lumbar

Right iliac fossa

!"#$%&'() &'3H04-$'


94/180

!"#$%&'()*&'3H04-$'*

K T0'09()*L 7:%%089:*

K1)4.*'8.;;'

!"#$%&'() &'3H04-$'


95/180

!"#$%&'()*&'3H04-$'*

K T0'09()*L 7:%%089:*

K1)4.*'8.;;'L [&380'-$'*

K@.,'K@*$%:'K@*.,$;'K@."4";'K@)",$;'K@%=&)%:;'

!"#$%&'() &'3H04-$'


96/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*L P92&3&'J*

K!",&)-"&%,)+".*'=*"":'";-M'>.+4&".//;'

!"#$%&'() &'3H04-$'


97/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*L P92&3&'J*

K!",&)-"&%,)+".*'=*"":'";-M'>.+4&".//;'K52))0'`3*3&J'*

!"#$%&'() &'3H04-$'


98/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*L P92&3&'J*

K!",&)-"&%,)+".*'=*"":'";-M'>.+4&".//;'KT90:h.29'09`3*3&J'*

!"#$%&'() &'3H04-$'


99/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*L P92&3&'J*

K!",&)-"&%,)+".*'=*"":'";-M'>.+4&".//;'L D&3&")0*E0&'3*

K[W0')&'5W0')=;,&$4/)+'

!"#$%&'() &'3H04-$'


100/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*L P92&3&'J*

K!",&)-"&%,)+".*'=*"":'";-M'>.+4&".//;'L D&3&")0*E0&'3*

K[W0')&'5W0')=;,&$4/)+'L 5(H28*%0#23(*

K>)&,.*'("+)$;'?9-"&,"+;%)+'

!"#$%&'() &'3H04-$'


101/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*

!"#$%&'() &'3H04-$'


102/180

!"#$%&'()*&'3H04-$'*

K D(342)(9*L P92&3&'J*

K!",&)-"&%,)+".*'=*"":'";-M'>.+4&".//;'L D&3&")0*E0&'3*

K[W0')&'5W0')=;,&$4/)+'L 5(H28*%0#23(*

K>)&,.*'("+)$;'?9-"&,"+;%)+'L W2)3(-$'3*

K777'L"-%H.;,&%4N'

!"#$%&'() &'3H04-$'


103/180

!"#$%&'()*&'3H04-$'*

K 5$)$29*L 789&(0*

KS)&8.*3'7+9'4.$;"')J':%;,"+;%)+3'0$;?%+H;'

!"#$%&'() &'3H04-$'


104/180

!"#$%&'()*&'3H04-$'*

K 5$)$29*L 789&(0*

KS)&8.*3'7+9'4.$;"')J':%;,"+;%)+3'0$;?%+H;'L 74(93*

KN0(9'*4$%%$'*8:H03*

!"#$%&'() &'3H04-$'


105/180

!"#$%&'()*&'3H04-$'*

K 74(93*

!"#$%&'() &'3H04-$'


106/180

!"#$%&'()*&'3H04-$'*

K 74(93*Mercedes-

Benz

Liver Tx

!"#$%&'() &'3H04-$'


107/180

!"#$%&'()*&'3H04-$'*

K 74(93*Right

hypochondrial

Lap. chole

!"#$%&'() &'3H04-$'


108/180

!"#$%&'()*&'3H04-$'*

K 74(93*

Renal

!"#$%&'()*&'3H04-$'*


109/180

H

K 74(93*

InfraumbilicalLaparoscopy

!"#$%&'()*&'3H04-$'*


110/180

H

K 74(93*

Right iliac fossa

Appendicectomy

!"#$%&'()*&'3H04-$'*


111/180

H

K 74(93*

Pfannensteil

Hysterectomy

!"#$%&'()*&'3H04-$'*


112/180

H

K !##&-$'()*

!"#$%&'()*&'3H04-$'*


113/180

H

K !##&-$'()*L W09&38()-4*@(E03*

K5+,";/+.*')=;,&$4/)+'

!"#$%&'()*&'3H04-$'*


114/180

H

K !##&-$'()*L W09&38()-4*@(E03*

K5+,";/+.*')=;,&$4/)+'L 78$%(*

K.:H0*KW$3&-$'*K5$'80'83*

!"#$%&'()*&'3H04-$'*


115/180

H

K 78$%(3*Type Position Appearance of

exposedmucosa

Normal

contents

Ileostomy

Transverse

colostomy

Sigmoid

colostomy

Urostomy

Nephrostomy

!"#$%&'()*&'3H04-$'*


116/180

H


exposedmucosa

Normal

contents

Ileostomy RIF Spout of bowel Liquid/ semi-solid

stool

Transverse

colostomy

Sigmoid

colostomy

Urostomy

Nephrostomy

!"#$%&'()*&'3H04-$'*


117/180

H


exposedmucosa

Normal

contents


stool

Transverse

colostomy

L.

Hypochondrium

Flush Semi-solid stool

(+ little solid)

Sigmoid

colostomy

Urostomy

Nephrostomy

!"#$%&'()*&'3H04-$'*


118/180


exposedmucosa

Normal

contents


stool

Transverse

colostomy

L.

Hypochondrium


(+ little solid)

Sigmoid

colostomy

LIF Flush Solid stool (+ little

semi-solid)

Urostomy

Nephrostomy

!"#$%&'()*&'3H04-$'*


119/180


exposedmucosa

Normal

contents


stool

Transverse

colostomy

L.

Hypochondrium


(+ little solid)

Sigmoid

colostomy


semi-solid)

Urostomy RIF Urine

Nephrostomy

!"#$%&'()*&'3H04-$'*


120/180


exposedmucosa

Normal

contents


stool

Transverse

colostomy

L.

Hypochondrium


(+ little solid)

Sigmoid

colostomy


semi-solid)

Urostomy RIF Urine

Nephrostomy Lumbar Urine

!"#$%&'()*H()H(-$'*


121/180

K Q$9%()&-03*

!"#$%&'()*H()H(-$'*


122/180

K Q$9%()&-03*L _R`%*'$@*J$&'J*8$*I00)*:$29*82%%:l*&3*8/(8*$Bk`*

!"#$%&'()*H()H(-$'*


123/180

K Q$9%()&-03*L _R`%*'$@*J$&'J*8$*I00)*:$29*82%%:l*&3*8/(8*$Bk`*L _[$*:$2*/(E0*(':*82%%:*H(&'*(8*())k`*

K\>*".;"'4.+'9)$'-)%+,',)'%,R'

!"#$%&'()*H()H(-$'*


124/180

K Q$9%()&-03*L _R`%*'$@*J$&'J*8$*I00)*:$29*82%%:l*&3*8/(8*$Bk`*L _[$*:$2*/(E0*(':*82%%:*H(&'*(8*())k`*

K\>*".;"'4.+'9)$'-)%+,',)'%,R'L _R8*%(:*I00)*(*"&8*2'4$%I$98(")0^*"28*&8*

3/$2)#'`8*/298A*RI*&8*#$03*H)0(30*)08*%0*B'$@A`*

!"#$%&'()*H()H(-$'*


125/180

K b0:*H$&'83*L O(9%*:$29*/('#3*

!"#$%&'()*H()H(-$'*


126/180

K b0:*H$&'83*L O(9%*:$29*/('#3*L !)@(:3*)$$B*(8*H(-0'8`3*I(40**

!"#$%&'()*H()H(-$'*


127/180

K b0:*H$&'83*L O(9%*:$29*/('#3*L !)@(:3*)$$B*(8*H(-0'8`3*I(40**L 78$HC*(E$*(90(*&I*4(23&'J*H(&'*

!"#$%&'()*H()H(-$'*


128/180

K N&J/8*L o*p2(#9('83*L 78(98*.D.9'I9$%*H(&'*L cA*/('#*

!"#$%&'()*H()H(-$'*


129/180

K N&J/8*L o*p2(#9('83*L 78(98*.D.9'I9$%*H(&'*L cA*/('#*L !33033*

KW(&'*Kc0"$2'#*80'#09'033*

L >"&%,)+%/;'KT2(9#&'J*

L >.%+3'-"&%,)+%/;'

!"#$%&'()*H()H(-$'*


130/180

K [00H*L o*p2(#9('83*U3(%0*$9#09V*L P&%('2()*

!"#$%&'()*H()H(-$'*


131/180

K [00H*L o*p2(#9('83*U3(%0*$9#09V*L P&%('2()*L !33033*)2%H3C*%(3303*

K**K**K**K**K**

K**K**K**K**

!"#$%&'()*H()H(-$'*


132/180

K [00H*L o*p2(#9('83*U3(%0*$9#09V*L P&%('2()*L !33033*)2%H3C*%(3303*

KN$4(-$'*K7&q0*K7/(H0*K729I(40*K5$'3&380'4:*

KN0E0)C*(6(4/%0'8*K1$"&)&8:*K.0'#09'033*KW2)3(-)&8:*

!"#$%&'()*H()H(-$'*


133/180

K N&E09*L cA*/('#*L cRQ*!*cA*/:H$4/$'#9&2%*L _P90(8/0*&'*#00H):^*8/0'*$28*('#*90H0(8A`*

!"#$%&'()*H()H(-$'*


134/180

K N&E09*L cA*/('#*L cRQ*!*cA*/:H$4/$'#9&2%*L _P90(8/0*&'*#00H):^*8/0'*$28*('#*90H0(8A`*L RI*H()H(")0*!*.=+)&8.**

K\$@*I(9*0,80'#3*"0)$@*4$38()*%(9J&'*K.0'#09*KW2)3(-)0*KN&E09*0#J0**

L 7%$$8/*E3*&990J2)(9*

!"#$%&'()*H()H(-$'*


135/180

K N&E09*L 5(2303*$I*H()H(")0*)&E09*K\0H(8$%0J():*

L7*4M'J.]9'*%("&3'0123'0.+4"&3'5+J"4/)+3'6%*%.&9')=;,&$4/)+'K

c&0#0)`3*)$"0*

K+,89(h/0H(-4*L 0K>23'7;,?8.'

!"#$%&'()*H()H(-$'*


136/180

K T())")(##09*L .&H*o8/*9&"*KN(809()*"$9#09*$I*904823*&'80930483*9&J/8*4$38()*%(9J&'*

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137/180

KT())")(##09*L .&H*o8/*9&"*

KN(809()*"$9#09*$I*904823*&'80930483*9&J/8*4$38()*%(9J&'*

L RI*H()H(")0*!*"+*.&H":*K0?)*"49;//;3'=%*%.&9')=;,&$4/)+'

!"#$%&'()*H()H(-$'*


138/180

KT())")(##09*L .&H*o8/*9&"*

KN(809()*"$9#09*$I*904823*&'80930483*9&J/8*4$38()*%(9J&'*

L RI*H()H(")0*!*"+*.&H":*K0?)*"49;//;3'=%*%.&9')=;,&$4/)+'

L 129H/:`3*3&J'*KW()H(80*$E09*TP*$'*#00H*&'3H&9(-$'*!*H(&'*K!Y[*'$*H(&'*@/0'*H()H(80*$'*)0m*$'*#00H*&'3H&9(-$'*

L 0?)*"49;//;'

!"#$%&'()*H()H(-$'*


139/180

K7H)00'*L cA*/('#*

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K72HH$98*NA*9&"4(J0*L _P90(8/0*&'*#00H):^*8/0'*$28*('#*90H0(8A`*

!"#$%&'()*H()H(-$'*


140/180

K7H)00'*L RI*H()H(")0*!*[-*"+)8"H.*9'

K\$@*I(9*0,80'#3*"0)$@*4$38()*%(9J&'*

L 5(2303*$I*3H)0'$%0J():*K>)&,.*'?9-"&,"+;%)+3'G"-.//;3'198-?)-&)*%J"&./("':%;)&:"&;3'789*)%:);%;'

!"#$%&'()*H()H(-$'*


141/180

K7H)00'*L RI*H()H(")0*!*[-*"+)8"H.*9'

K\$@*I(9*0,80'#3*"0)$@*4$38()*%(9J&'*

L 5(2303*$I*3H)0'$%0J():*K>)&,.*'?9-"&,"+;%)+3'G"-.//;3'198-?)-&)*%J"&./("':%;)&:"&;3'789*)%:);%;'

L 5(2303*$I*/0H(8$3H)0'$%0J():*K>)&,.*'?9-"&,"+;%)+'L:$"',)'012N3'G"-.//;3'198-?)-&)*%J"&./("':%;)&:"&;3'789*)%:);%;'

!"#$%&'()*H()H(-$'*


142/180

Kb'0:*L NA*/('#**

KP0/&'#*H(-0'8`3*B'0:*L cA*/('#*

KQ&'J093*8$J08/09*KW23/*#$@'*(8*)(809()*"$9#09*$I*904823*$'*0,H&9(-$'*K_P90(8/0*&'*#00H):`*

L c0H0(8*I$9*$8/09*B'0:*

!"#$%&'()*H()H(-$'*


143/180

Kb'0:*L RI*H()H(")0*!*("'$9%()*L i'&)(809()*H()H(")0*B'0:*

K''

!"#$%&'()*H()H(-$'*


144/180

Kb'0:*L RI*H()H(")0*!*("'$9%()*L i'&)(809()*H()H(")0*B'0:*

K>9"*)+"-?&%/;3'G9:&)+"-?&);%;3'74$,"'&"+.*'("%+',?&)8=);%;3'!003'>)*949;/4'

L P&)(809()*H()H(")0*B'0:3*K''

!"#$%&'()*H()H(-$'*


145/180

Kb'0:*L RI*H()H(")0*!*("'$9%()*L i'&)(809()*H()H(")0*B'0:*

K>9"*)+"-?&%/;3'G9:&)+"-?&);%;3'74$,"'&"+.*'("%+',?&)8=);%;3'!003'>)*949;/4'

L P&)(809()*H()H(")0*B'0:3*K>)*949;/43'74&)8"H.*93'198-?)8.3'S"-?&%/4';9+:&)8"3'789*)%:);%;''

!"#$%&'()*H()H(-$'*


146/180

K!"#$%&'()*($98(*L 1)&'0*("$E0*2%"&)&423*L N&J/8*H9033290*@&8/*;*Z'J093*0&8/09*3*$I*

($98(*

!"#$%&'()*H()H(-$'*


147/180

K!"#$%&'()*($98(*L 1)&'0*("$E0*2%"&)&423*L N&J/8*H9033290*@&8/*;*Z'J093*0&8/09*3*$I*

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L W2)3(-)0*KS)&8.*'

L +,H('3&)0*K777'

!"#$%&'()*H094233&$'*


148/180

KT0'09()*L [2))*

KK&H.+3'


149/180

K7/&m&'J*#2))'033*L !33033*I$9*(34&803*L W094233*2%"&)&4()*!*)0m*)2%"(9*

!"#$%&'()*H094233&$'*


150/180

K7/&m&'J*#2))'033*L !33033*I$9*(34&803*L W094233*2%"&)&4()*!*)0m*)2%"(9*L Y$9%()):*a*903$'('8*

K+,40H8*&'*r('B3*

!"#$%&'()*H094233&$'*


151/180

K7/&m&'J*#2))'033*L !33033*I$9*(34&803*L W094233*2%"&)&4()*!*)0m*)2%"(9*L Y$9%()):*a*903$'('8*

K+,40H8*&'*r('B3*L RI*4/('J03*I9$%*903$'('8*!*#2))*

KW)(40*Z'J09*$'*H$&'8*K_c$))*$'8$*9&J/8`*KO(&8*?


152/180

K7/&m&'J*#2))'033*L !33033*I$9*(34&803*L W094233*2%"&)&4()*!*)0m*)2%"(9*L Y$9%()):*a*903$'('8*

K+,40H8*&'*r('B3*L RI*4/('J03*I9$%*903$'('8*!*#2))*

KW)(40*Z'J09*$'*H$&'8*K_c$))*$'8$*9&J/8`*KO(&8*?


153/180

KN&E09*L !33033*I$9*/0H(8$%0J():*

!"#$%&'()*H094233&$'*


154/180

KN&E09*L !33033*I$9*/0H(8$%0J():*L N$@09*"$9#09*

KcRQ*;$-"&%)&*9*&'*15N*Kc03$'('8*!*#2))*

!"#$%&'()*H094233&$'*


155/180

KN&E09*L !33033*I$9*/0H(8$%0J():*L N$@09*"$9#09*

KcRQ*;$-"&%)&*9*&'*15N*Kc03$'('8*!*#2))*

L iHH09*"$9#09*Kc&J/8*)2'J*%+J"&%)&*9*&'*15N*Kc03$'('8*!*#2))*

!"#$%&'()*H094233&$'*


156/180

K7H)00'*L !33033*I$9*3H)0'$%0J():*L N$@09*"$9#09*

KcRQ*8$*NA*4$38()*%(9J&'*

!"#$%&'()*H094233&$'*


157/180

K7H)00'*L !33033*I$9*3H)0'$%0J():*L N$@09*"$9#09*

KcRQ*8$*NA*4$38()*%(9J&'*K 5('*H094233*)&E09*X*3H)00'*(m09*H()H(-'J*

0(4/*$9J('*

!"#$%&'()*(2342)8(-$'*


158/180

KP$@0)*3$2'#3*L [&(H/9(J%*L R'I09&$9*8$*2%"&)&423*UcRQC*NRQV*

!"#$%&'()*(2342)8(-$'*


159/180

KP$@0)*3$2'#3*L N$@hH&84/*&'809%&60'8*J29J)0*

K''

!"#$%&'()*(2342)8(-$'*


160/180

KP$@0)*3$2'#3*L N$@hH&84/*&'809%&60'8*J29J)0*

KS)&8.*'L \&J/hH&84/*-'B)&'J*

K''

!"#$%&'()*(2342)8(-$'*


161/180

KP$@0)*3$2'#3*L N$@hH&84/*&'809%&60'8*J29J)0*

KS)&8.*'L \&J/hH&84/*-'B)&'J*

KK=;,&$4/)+'L P$9"$9:J%23*

K''

!"#$%&'()*(2342)8(-$'*


162/180

KP$@0)*3$2'#3*L N$@hH&84/*&'809%&60'8*J29J)0*

KS)&8.*'L \&J/hH&84/*-'B)&'J*

KK=;,&$4/)+'L P$9"$9:J%23*

K2%.&&?)".3'7=+)&8.*'-"&%;,.*;%;'L !"30'8*d>%&'3*

K''

!"#$%&'()*(2342)8(-$'*


163/180

KP$@0)*3$2'#3*L N$@hH&84/*&'809%&60'8*J29J)0*

KS)&8.*'L \&J/hH&84/*-'B)&'J*

KK=;,&$4/)+'L P$9"$9:J%23*

K2%.&&?)".3'7=+)&8.*'-"&%;,.*;%;'L !"30'8*d>%&'3*

K>"&%,)+%/;3'>.&.*9/4'%*"$;'

!"#$%&'()*(2342)8(-$'*


164/180

KP92&83*L **L **L **

!"#$%&'()*(2342)8(-$'*


165/180

KP92&83*L!*.29"2)0'8*")$$#*r$@*L j*Y$9%()*&'*(#2)83*L W(8/$)$J&4()*&I*#29&'J*3:38$)0*s*#&(38$)0*

!"#$%&'()*(2342)8(-$'*


166/180

KP92&83*L!*.29"2)0'8*")$$#*r$@*L j*Y$9%()*&'*(#2)83*L W(8/$)$J&4()*&I*#29&'J*3:38$)0*s*#&(38$)0*L !$9-4*"92&83*

K!"$E0*2%"&)&423*K777'

!"#$%&'()*(2342)8(-$'*


167/180

KP92&83*L!*.29"2)0'8*")$$#*r$@*L j*Y$9%()*&'*(#2)83*L W(8/$)$J&4()*&I*#29&'J*3:38$)0*s*#&(38$)0*L !$9-4*"92&83*

K!"$E0*2%"&)&423*K777'

L c0'()*"92&83*K!"$E0*X*)(809()*8$*8/0*2%"&)&423*K!"+.*'.&,"&9';,"+);%;'

5)$3290*


168/180

K W()H(80*('B)0*$0#0%(*L1%("&'J.%*$&"'

5)$3290*


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