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Surgicomania: December 2009

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Wednesday, December 30, 2009. The vertical extent of breast is from 2nd-6th ribs inclusive. The horizontal extent is from the lateral edge of sternum to the mid-axillary line. 2/3rds of the breast overlies the pectoralis major muscle, whereas 1/3 of it over the serratus anterior. The lower medial quadrant is lying on the external oblique aponeurosis, which separates it from the rectus abdominis. If there's a malignant breast lump, infiltrating the cooper's ligament, it'll lead to dimpling of the skin ove...

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Surgicomania: Time for a change

http://surgicomania.blogspot.com/2011/09/time-for-change.html

Friday, September 30, 2011. Time for a change. Decided to stop posting in Madicine@ and Surgicomania. Notice that there's not much of HO in East Malaysia who blogs. Many medical students or potential ones may be curious about life as a HO in Sabah and Sarawak. Starting another blog. Days of my life. Thanks for the comments in the clinical cases that I've posted. Didn't know that there's actually someone out there who knew the existence of this blog. September 30, 2011 at 8:54 PM. Aww this is sad.

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Surgicomania: August 2010

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Monday, August 23, 2010. Briefly about Pancreatic Pseudocyst. Pancreatic pseudocyst is defined as single/multiple fluid collection with high amylase content, surrounded by fibrous or granulation tissue within the lesser sac. It usually occurs around 4 weeks after an acute attack of pancreatitis, where patient complains of epigastric fullness, pain, nausea and vomiting. If it's infected, there may be fever, rigors and sweating. It moves slightly with respiration. Treatment consist of drainage of the pseud...

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Surgicomania: September 2011

http://surgicomania.blogspot.com/2011_09_01_archive.html

Friday, September 30, 2011. Time for a change. Decided to stop posting in Madicine@ and Surgicomania. Notice that there's not much of HO in East Malaysia who blogs. Many medical students or potential ones may be curious about life as a HO in Sabah and Sarawak. Starting another blog. Days of my life. Thanks for the comments in the clinical cases that I've posted. Didn't know that there's actually someone out there who knew the existence of this blog. Subscribe to: Posts (Atom). View my complete profile.

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Surgicomania: Intercostal drainage

http://surgicomania.blogspot.com/2010/01/intercostal-drainage.html

Tuesday, January 5, 2010. Indications for intercostal drain :. C) Malignant pleural effusion. D) Empyema thoracis / Complicated parapneumonic effusion. E) Post-operative drainage : esophagectomy, cardiac surgery, thoracotomy. Intercostal tube or Chest tube (Size for pneumothorax : 36-40 Fr, hemothorax : 22-24 Fr). Connecting tubes and compatible connectors. Underwater seal drainage bottle containing water upto mark. Instruments for blunt dissection. Blue and Green needle. 20ml of 1% lidocaine. Into the p...

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Surgicomania: Peptic ulcer disease and Gastric Carcinoma

http://surgicomania.blogspot.com/2010/05/peptic-ulcer-disease-and-gastric.html

Thursday, May 6, 2010. Peptic ulcer disease and Gastric Carcinoma. Both duodenal ulcers and benign gastric ulcers are believed to be related to mucosal infection by H.pylori. Peptic ulcer disease are mainly classified as complicated and uncomplicated. Benign gastric ulcer/duodenal ulcer. Age of presentation ranges from 20-60 years old, which is of course, more common among young adults. Incidence is higher in males. Most patients during acute presentation will present with epigastric discomfort or pain.

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Surgicomania: Acute Pancreatitis and CA pancreas

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Friday, May 7, 2010. Acute Pancreatitis and CA pancreas. Defined as activation of the pancreatic enzyme resulting in autolysis of the gland. It is important to investigate for the possible causes of Acute pancreatitis before labeling it as 'idiopathic'. Possible aetiology of Acute pancreatitis :. Complication of cardiothoracic, biliary and abdominal surgery. Drugs : Corticosteroids, Azathioprine, Thiazide diuretics. Mumps, Cocksakie viral infection. Both males and females are equally affected. Low grade ...

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Surgicomania: Colonic diverticular disease

http://surgicomania.blogspot.com/2010/07/colonic-diverticular-disease.html

Wednesday, July 21, 2010. Colonic diverticular disease is very common in developed nations, which is related to their diet containing low dietary fibers. It is estimated that in developed countries, there are about 60% of the population aged 70 years old are affected by diverticular disease. But this condition is rare before 35 years old. Incidence is more common among females. Hence, diverticular disease will never occur in the rectum. Colonic diverticular disease are mostly asymptommatic. Barium enema ...

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Surgicomania: Gall Stones

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Wednesday, May 5, 2010. Mostly cholesterol stones (80%), pigment stones or mixed stones. Whether cholesterol remains as solution within bile depends on it's concentration, and the levels of phospholipids and bile acids within. If the bile is supersaturated by cholesterol, and/or levels of phospholipids and bile acids is low, this promotes formation of cholesterol crystals. These cholesterol crystals are toxic towards the gall bladder musculature, and hence damages it. Eventually, gall stones are formed.