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Ulcerative Colitis vs Crohn’s Disease ( Comparative Study ) Feature Ulcerative Colitis Crohn’s Disease Area involved Colon only Anywhere mouth → anus Most common site Rectum always involved Terminal ileum common Pattern Continuous Skip lesions Depth Mucosa & submucosa Transmural Rectum Always involved Often spared Fistula Rare Common Stricture Rare Common Granuloma Absent Present (non-caseating)...

SCALP : ANATOMY (Mnemonic SCALP) 1. Skin – Thick and hair-bearing, Contains numerous sebaceous glands and sweat glands, Richly supplied with blood vessels and nerves 2. Connective Tissue (Dense)- Dense, fibrous layer, Contains blood vessels and nerves, Vessels are firmly anchored → profuse bleeding when cut (they cannot retract easily) 3. Aponeurosis (Galea Aponeurotica) –...

Basic skills to hold surgical instruments Basic skills to hold surgical instruments refer to the proper techniques used to handle instruments safely, accurately, and efficiently during surgical procedures. Proper Grip Hold instruments firmly but not too tight. Maintain control without causing hand fatigue. Use correct finger placement for each instrument. Scalpel Holding Technique Pen grip...

Anorectal Surgeries – Lecture 1 Anatomy of the Rectum The rectum differs from the colon in several important anatomical features: The outer longitudinal muscle layer is continuous (formed by the fusion of the three taeniae coli). Total length: approximately 12–15 cm. It lacks: Mesentery (in most of its length) Sacculations (haustra) Appendices epiploicae Curvatures of...

Trividha Karma/ PRE-OP, OP, POST-OP Formats Patient Name – case is posted for surgery of…………… on date……………in morning/evening at………… PRE-OPERATIVE NOTES Date – Time- Vitals- BP- PR- SPO2- Urine output- Consent has been taken on Date……….at time………… Pre Anaesthetic check-up (History taking along all investigations and cardio pulmonary assessment) has been done. Vitals should Be...

Fluid & Electrolytes (Clinical Points) 1. Body Fluids •Total body water ≈ 50–60% of body weight •Intracellular fluid (ICF): ~2/3 of body fluid (inside cells) •Extracellular fluid (ECF): ~1/3 (plasma, interstitial, transcellular) 2. Fluid Balance •Maintained by intake vs output •Regulated by: Kidneys Hormones: ADH, Aldosterone, ANP Thirst mechanism 3. Movement of Fluids •Diffusion: movement...

HERNIA Definition Hernia is the protrusion of a viscus or part of a viscus through an abnormal opening in the wall of the cavity that normally contains it, covered by peritoneum (except some types). Components of Hernia 1. Hernial Orifice – Defect/opening 2. Hernial Sac – Neck, Body, Fundus 3. Contents Omentum (most common) Small...

Local Anaesthesia Local Anaesthesia is part of anaesthesia that is used for localized reversible loss of sensation.  Type of local anaesthesia- There are 4 types    –      S I N F Surface Anaesthesia –                Example- Xylocaine jelly 2%                    Xylocaine viscous 4%                    Xylocaine spray 10% Infiltration Anaesthesia Nerve block Anaesthesia   Xylocaine injection...

What is Shalya Tantra? तत्र, शल्यं नाम विविधतृणकाष्ठपाषाणपांशुलोहलोष्टास्थिबालनखपूयास्रावदुष्टव्रणान्तर्गर्भशल्योद्धरणार्थं, यन्त्रशस्त्रक्षाराग्निप्रणिधानव्रणविनिश्चयार्थं च (१) |८| (सुश्रुत सूत्र 1/8) Shalya Tantra is a specific branch of Ashtanga Ayurveda that consider three main approach – Treatment of foreign bodies/particle eg. all types of Trina, Kaashtha, Pashan, Panshu, Loha, Loshta, Asthi, Baala, Nakaha, Pua Srav, Dushta Vrana, Amtrahgarbha Shalya (in relation with human body.) Therapeutic application of Yantra,...