🔺 نوع من انواع خياطة الجرح ماترس
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🔺 Note

Sometimes a varicose vein ruptures leading to a spectacular bleeding, first aid measures include unlike in the video above, lying down, lifting the leg and add compression on the bleeding site.

#Vascular_Surgery
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🔺Tourniquet test

◼️Also called Brodie Trendelenburg test.

◼️This test is designed to detect the source of varicose veins.

◼️Have the patient supine and elevate the leg to empty all the varicose veins.

◼️Apply the tourniquet on the thigh to compress the long saphenous vein, after which the patient is asked to stand up, if the veins fills rapidly, then the source of reflux must be below the tourniquet, if however it do not fill rapidly, then the source of reflux is above the tourniquet.

◼️If there is rapid filling, take your tourniquet just below the knee to compress the short saphenous vein, again ask the patient to stand, if the varices no longer fill, then reflux is coming from the saphenopopliteal junction, if it still fills rapidly, then the source may be a reflux through a calf perforator.

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🔺Trousseau's sign of latent tetany

◼️This is a sign of latent tetany and generally believed to be more sensitive than Chvostek sign (tapping the facial nerve infront of the ear produce hemifacial spasm).

◼️To elicit the sign the blood pressure cuff should be inflated 15 mmHg above the systolic blood pressure to occlude blood flow to distal tissues which will exacerbate the state of hypocalcemia, this should be maintained for up to 5 minutes before concluding that the sign is negative.

◼️The above video demonstrate the technique with the positive findings.

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🔺Movements of intestine
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🔺A glossectomy is the surgical removal of all or part of the tongue. This is done to limit malignant growth such as oral cancer..‌‌
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