الحمد الله حتي يبلغ الحمد منتهاه الحمد الله حتي ترضي وبعد الرضا الحمد الله حمدا كثيرا مباركا فيه🙏🙏🙏🙏🙏 الحمد الله نجحت من سنة رابعة بشري 🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉

Surgical removal of a herniated disc.💥

To win you have to be control your emotion.

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Dear God, I trust you.

Mom is home.

Found on diagnostic laparoscopy in a patient with abdominal discomfort. What’s the diagnosis?

x.com/i/status/2040144733885… That is a classic "spot diagnosis" from a laparoscopic view. This smooth, white, egg-like structure found free-floating in the peritoneal cavity is a Peritoneal Loose Body, also commonly known as a "Peritoneal Mouse." Here is a high-yield summary of the pathology for your records: Pathophysiology These are generally thought to result from torsion and infarction of an appendix epiploica (the small, fat-filled sacs along the colon). The pedicle of the appendix epiploica twists, cutting off its blood supply. It undergoes aseptic necrosis and eventually detaches. Over time, the detached tissue becomes saponified and calcified. As it rolls around the peritoneal cavity, it acquires layers of albuminous serum, giving it that smooth, "boiled egg" appearance. Clinical Presentation Asymptomatic: Most are incidental findings during laparoscopy or imaging (CT/MRI). Size: They typically range from 1 to 5 cm, though "giant" peritoneal loose bodies (over 5 cm) are occasionally reported. Mobility: On sequential imaging, they may change position, which is a hallmark diagnostic feature. Differential Diagnosis While the appearance is quite distinct, in a clinical or exam setting, one might consider: Leiomyoma: A subserosal fibroid that has become parasitic. Gallstone: A dropped gallstone post-cholecystectomy (though these are usually darker and more irregular). Teratoma: Though usually attached and more complex in structure. Calcified Mesenteric Lymph Node. Management No treatment is necessary if found incidentally, as they are benign. If they are large enough to cause extrinsic compression (e.g., on the bladder or bowel), surgical removal via laparoscopy is indicated.

B. Propylthiouracil Thyroid Troubles: Hyperthyroidism and Thyrotoxicosis manualofmedicine.com/topics/…

Biliary tract cancers are best understood through anatomy. Intrahepatic, perihilar, and distal tumors behave differently — and so does their management. Clear explanation in this video: youtu.be/S-zLnK5to1U

عارفين من وجهة نظرى عشان تبقى جراح قوى لازم يكون عندك ١- بيزكس محترمة ٢- معلومات محترمة ٣- شفت كتير ٤- شجاعة الجراح ٥ - تكون شغال based on حاجات صح

This painful fistula needed surgery

This is how a urinary catheter is placed through the penis