common surgical problems lau cheong chi. common surgical problems abdominal pain foreign bodies...
TRANSCRIPT
![Page 1: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/1.jpg)
Common Surgical Problems
Lau Cheong Chi
![Page 2: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/2.jpg)
Common Surgical Problems
Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits Haematemesis, Haematuria, Haematochezia,
Haemoptysis VV, PVD, Buerger’s disease Tumors
![Page 3: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/3.jpg)
Abdominal pain
HBP – cholecystitis, cholangitis, Upper GI – PPU, gastritis, duodenitis Lower GI – I/O, appendicitis Genital – epididymitis +/- orchitis
![Page 4: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/4.jpg)
Perineal concerns Haemorrhoids Fresh PR bleeding / mass / pain Active inflammation? Degree of prolapse Manual reduction Drugs: annusol, faktu; cream vs supp. Banding vs surgery Colonoscopy?
![Page 5: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/5.jpg)
Foreign bodies ingestion
Most commonly caused by fish bones, followed by chicken bone
Odynophagia Direct largynoscope OGD CXR / XR neck: surgical emphysema
or retrophargneal abscess
![Page 6: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/6.jpg)
Lumps & Bumps
Site, pain, texture, duration, size changes, Lipoma, sebaceous cyst, neuroma Lymphadenopathy (1ry vs 2ry) Benign vs malignant Referral to surgical – malignant potential:
fixation, painless, induration, rapid growing, ulceration, texture changes; cosmetic reasons
![Page 7: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/7.jpg)
AROU
Painful retention, palpable bladder Risk of vasovagal syncope BPH, drug (cough, TCA, antipsychotics, etc),
UTI, stone, urethral trauma Catheterization, chart RU, save urine x C/ST,
AFB, cytology ? Clamp & declamping of Foley’s Uses of minipress/hytrin/cardura; ditropan,
pyridium, antibiotic (quinolones)
![Page 8: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/8.jpg)
Changed bowel habit
Definition of constipation what is change in bowel habit Blood / mucus / anaemia / evidence of
malignancy colonoscopy
![Page 9: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/9.jpg)
Haematemesis, haematuria, haematochezia, haemoptysis
Haematemesis vs haemoptysis – amount, taste, cough/vomit, CHF/APO;
UGIB – varices, PU, Mallory-Weiss Lungs – tumor, bronchiectasis, TB, etc. Pharynx – tumor Haematuria – early signs, medical vs surgical,
macroscopic vs microscopic: TB, UTI, tumor, stone; IgA nephropathy, glomerulonephritis
Haematochezia – piles, tumor, infection
![Page 10: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/10.jpg)
Tumors
Alert Lumps & bumps; moles; skin (BCC vs
SCC) H&N(NPC, Ca pharygolarynx) , GI
(stomach, esophageus, colon, sigmoid & rectum), HBP (HCC, CC, Ca GB),
Lymphoma, haematological malignancy
![Page 11: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/11.jpg)
VV, PVD, Buerger’s Disease VV – when to refer, need surgery?
Complications, avoid topical medications
PVD – risk factors, limit daily activities? Asso. coronary & cerebral vessels, indications for surgery
Buerger’s disease – sympathetic blockage, autoamputation; education
![Page 12: Common Surgical Problems Lau Cheong Chi. Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits](https://reader036.vdocument.in/reader036/viewer/2022081821/5513ed825503466f748b5a69/html5/thumbnails/12.jpg)
Thank you