Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Final Year) Surgery OSCE Handwritten Notes
![](dc8682c5-8271-47d0-87c1-b4ea12375663-1_1.jpg)
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
![](dc8682c5-8271-47d0-87c1-b4ea12375663-2_1.jpg)
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
![](dc8682c5-8271-47d0-87c1-b4ea12375663-3_1.jpg)
Post acoustic shadow, gall bladder wall edema
Mirizzi syndrome, cholelithiasis, mucocoele
Lap. Cholecystectomy
Cystic artery damage
![](dc8682c5-8271-47d0-87c1-b4ea12375663-4_1.jpg)
Perforation of stomach
X-Ray
Urgent Laparotomy, suture of perforation using omentum
![](dc8682c5-8271-47d0-87c1-b4ea12375663-5_1.jpg)
Thyroid gland
Iodine deficiency, multinodular goitre
TSH, T3, T4
Recurrent laryngeal nerve
![](dc8682c5-8271-47d0-87c1-b4ea12375663-6_1.jpg)
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
![](dc8682c5-8271-47d0-87c1-b4ea12375663-7_1.jpg)
Lymphoma (LDH increases in non-hodgkin's type)
Excision biopsy of the lymph node
PET-CT and immunohistochemistry
![](dc8682c5-8271-47d0-87c1-b4ea12375663-8_1.jpg)
Sialadenitis/ sialolithiasis
Warthon's duct drains against gravity
Papillotomy and sub-mandibular excision
Injury to lingual, marginal mandibular and hypoglossal nerve. Seroma and infections
![](dc8682c5-8271-47d0-87c1-b4ea12375663-9_1.jpg)
![](dc8682c5-8271-47d0-87c1-b4ea12375663-10_1.jpg)
Inguinal hernia
Inguinal ligament, lateral border of rectus, inferior epigastric artery
Modified Bassini's, Laparascopic - TEP, TAPP
Pantaloon's hernia, Richter's hernia
![](dc8682c5-8271-47d0-87c1-b4ea12375663-11_1.jpg)
Ryle's tube
Different sizes up to 65 cm
Gastric aspiration, nasogastric feeding
25 cms
![](dc8682c5-8271-47d0-87c1-b4ea12375663-12_1.jpg)
Ureteric stones
Ultrasound, Intravenous pyelogram
Extracorporeal shockwave lithotripsy with Double loop J-stent (ESWL with DJ stent)
![](dc8682c5-8271-47d0-87c1-b4ea12375663-13_1.jpg)
Acute pancreatitis
Serum lipase, abdominal USG
Hypocalcemia, hypovolemic shock, ARDS
![](dc8682c5-8271-47d0-87c1-b4ea12375663-14_1.jpg)
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
![](dc8682c5-8271-47d0-87c1-b4ea12375663-15_1.jpg)
Carcinoma in pleomorphic adenoma of parotid gland
Rapidly growing, fixity to mandible, hard swellings in the neck
Frey's syndrome, facial nerve injury
![](dc8682c5-8271-47d0-87c1-b4ea12375663-16_1.jpg)
Gastric outlet obstruction
Ca stomach
Upper GI scopy from which biopsy is taken, CT scan
Billroth 1 and 2
![](dc8682c5-8271-47d0-87c1-b4ea12375663-17_1.jpg)
Obstructive jaundice
CBD stones, Ca head of pancreas
CA - 19-9
ALP and GGT are elevated
![](dc8682c5-8271-47d0-87c1-b4ea12375663-18_1.jpg)
Leukoplakia
Malignancy leading to trismus
Wide local excision
![](dc8682c5-8271-47d0-87c1-b4ea12375663-19_1.jpg)
![](dc8682c5-8271-47d0-87c1-b4ea12375663-20_1.jpg)
Tension pneumothorax
Needle thoracocentesis in 2nd intercostal space in midclavicular line
X-Ray chest
Intercostal drainage tube
![](dc8682c5-8271-47d0-87c1-b4ea12375663-21_1.jpg)
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
![](dc8682c5-8271-47d0-87c1-b4ea12375663-22_1.jpg)
lattismus dorsi
Flap necrosis and lymphedema
Cold abscess
Sinus, fistula, dissemination
Lymph node biopsy or aspiration and AFB staining
Att
![](dc8682c5-8271-47d0-87c1-b4ea12375663-23_1.jpg)
![](dc8682c5-8271-47d0-87c1-b4ea12375663-24_1.jpg)
Appendicitis
Junction of medial 2/3 and lateral 1/3 on the right spinoumbilical line
Rebound tenderness and rovsing sing
Alvarado (mantels)
![](dc8682c5-8271-47d0-87c1-b4ea12375663-25_1.jpg)
Cholelithiasis
Laparoscopic cholecystectomy
Kochers incision
Mucocoele, carcinoma, mirizzi syndrome
![](dc8682c5-8271-47d0-87c1-b4ea12375663-26_1.jpg)
Urinary catheter
Unit - Fr
![](dc8682c5-8271-47d0-87c1-b4ea12375663-27_1.jpg)
Male - 20cm. Female - 3.7cm
Ranula
Marsupialization, Complete excision
Obstruction of the ducts secreting mucus - retention cysts
![](dc8682c5-8271-47d0-87c1-b4ea12375663-28_1.jpg)
Lingual thyroid
Thyroid scan, Technetium scan
Give thyroxine. If size of swelling doesn't decrease then excision, radio iodine
Hypothyroidism
![](dc8682c5-8271-47d0-87c1-b4ea12375663-29_1.jpg)
Obstructive jaundice
Elevated ALP, GGT
Ultrasound
Cholangitis
![](dc8682c5-8271-47d0-87c1-b4ea12375663-30_1.jpg)
This post was last modified on 11 August 2021