Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Final Year) Surgery OSCE Handwritten Notes
Elephantiasis chirugens - Post operative lymphedema of the upper limb
Elastic bandage, antibiotics, exercise and massage
Radiation should not be given after you do block dissection
Lynphangiosarcoma- Stewart-Trevis syndrome
Cholangiocarcinoma
MRCP, CT scan
Jaundice that can be corrected by surgery
In obstr jaundice if gall bladder is palpable, then it is not due to gall stones
Post acoustic shadow, gall bladder wall edema
Mirizzi syndrome, cholelithiasis, mucocoele
Lap. Cholecystectomy
Cystic artery damage
Perforation of stomach
X-Ray
Urgent Laparotomy, suture of perforation using omentum
Thyroid gland
Iodine deficiency, multinodular goitre
TSH, T3, T4
Recurrent laryngeal nerve
Cholecystitis
In sitting position, catching breath with wincing pain occurs when deep breath is
taken with deep palpating at the sub-costal border
Cholesterol stones, pigment stones
Hepatitis, cholangitis
Lymphoma (LDH increases in non-hodgkin's type)
Excision biopsy of the lymph node
PET-CT and immunohistochemistry
Sialadenitis/ sialolithiasis
Warthon's duct drains against gravity
Papillotomy and sub-mandibular excision
Injury to lingual, marginal mandibular and hypoglossal nerve. Seroma and infections
Inguinal hernia
Inguinal ligament, lateral border of rectus, inferior epigastric artery
Modified Bassini's, Laparascopic - TEP, TAPP
Pantaloon's hernia, Richter's hernia
Ryle's tube
Different sizes up to 65 cm
Gastric aspiration, nasogastric feeding
25 cms
Ureteric stones
Ultrasound, Intravenous pyelogram
Extracorporeal shockwave lithotripsy with Double loop J-stent (ESWL with DJ stent)
Acute pancreatitis
Serum lipase, abdominal USG
Hypocalcemia, hypovolemic shock, ARDS
Cervical rib
X-Ray chest
Extra-periosteal excision of the cervical rib with cervical symphatectomy
Cervical spondylosis, cervical disc protrusion, Carpal tunnel syndrome, Raynaud's
phenomenon
Carcinoma in pleomorphic adenoma of parotid gland
Rapidly growing, fixity to mandible, hard swellings in the neck
Frey's syndrome, facial nerve injury
Gastric outlet obstruction
Ca stomach
Upper GI scopy from which biopsy is taken, CT scan
Billroth 1 and 2
Obstructive jaundice
CBD stones, Ca head of pancreas
CA - 19-9
ALP and GGT are elevated
Leukoplakia
Malignancy leading to trismus
Wide local excision
Tension pneumothorax
Needle thoracocentesis in 2nd intercostal space in midclavicular line
X-Ray chest
Intercostal drainage tube
BRCA 1, BRCA 2
3A and 3B
Lumpectomy, MRM with chemo+radio, QUART(quadrantectomy with ancillary node
dissection and radiotherapy)
Axillary vessels, Long thoracic nerve, Ceohalic vein, pectoralis major, nerve to
lattismus dorsi
Flap necrosis and lymphedema
Cold abscess
Sinus, fistula, dissemination
Lymph node biopsy or aspiration and AFB staining
Att
Appendicitis
Junction of medial 2/3 and lateral 1/3 on the right spinoumbilical line
Rebound tenderness and rovsing sing
Alvarado (mantels)
Cholelithiasis
Laparoscopic cholecystectomy
Kochers incision
Mucocoele, carcinoma, mirizzi syndrome
Urinary catheter
Unit - Fr
Male - 20cm. Female - 3.7cm
Ranula
Marsupialization, Complete excision
Obstruction of the ducts secreting mucus - retention cysts
Lingual thyroid
Thyroid scan, Technetium scan
Give thyroxine. If size of swelling doesn't decrease then excision, radio iodine
Hypothyroidism
Obstructive jaundice
Elevated ALP, GGT
Ultrasound
Cholangitis
This post was last modified on 11 August 2021