February 13, 2010

surgery osce quiz 2

A 70 years old Malay man complaint of progressive abdominal pain for two weeks duration. the pain is initially at the lower abdomen and then become generalized.

On examination, he was found to be dehydrated, febrile, ill-looking, generalized abdominal pain with guarding and rebound tenderness at umbilicus.

He had undergo appendectomy 10 years ago.

After he was rehydrated, a laparotomy was performed to identify the problem and proceed with necessary action. below is the segment taken out from his stomach.

1) Identify the specimen
2) Outline your findings
3) What is your next management for this patient

for answer, click [here]

No comments:

Post a Comment

Ya Allah! Permudahkanlah aku untuk menuntut ilmuMu, memahaminya, mengingati dan menyebarkannya. Berkatilah ilmu itu dan tambahkanlah ia. Amin.