Abdominal Trauma Abdominal trauma can be broadly classified into: Both of these have different approach of management. In case of any trauma, you need to go serially as per ATLS guidelines, i.e., the primary survey followed by the secondary survey. For quick recap, primary survey includes: Note: according to ATLS,…
Tag: General Surgery
Case Reports 
A Complication following vasectomy and its management
Case Summary A 45-year male presented to emergency with complaints of pain and swelling over scrotum for 10 hours (at around 11:00 pm). Upon further inquiry he had undergone vasectomy (no scalpel) at a local health post camp at around 1 pm on the same day. He had no known…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Basics of voiding cystourethrogram (VCUG)
The above picture shows a VCUG scan which is a commonly performed test in urology for diagnosing various conditions related to urethra, bladder as well as assessing upper tracts. Diseases that can be diagnosed using VCUG includes: So, it is always better to have an idea about interpreting the scan as…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Approach and management of pediatric hydronephrosis
Pediatric hydronephrosis is a broad term and encompasses various spectrum of disease. It can be broadly classified into: Antenatal hydronephrosis (ANH) It accounts for 1-3% of all pregnancies (Shamshirsaz et.al;2012) and the incidence will continue to rise due to increase use of prenatal ultrasound scan. USG is the mainstay of…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Peptic Ulcer (Johnson) Classification
Mnemonic: 1. 1 is Less 2. 2 is Two 3. 3 is Pre- 4. 4 is Door 5. 5 is 5 letter (NSAID) Type Mnemonic Location Acid hypersecretion Complications Surgery I (55%) Less Lesser curvature No Bleeding uncommon Distal gastrectomy with BI, BII or RY GJ anastomosis II (20%) Two…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Meckel’s Diverticulum : Rule of 2
General description Rule of 2s 1. Occurs in 2% population 2. Symptomatic cases are 2 times more common in males 3. Located within 2 feet proximal to ileocecal valve 4. 2 inches long and 2 cm diameter 5. 2 types of ectopic mucosa: gastric and pancreatic 6. Symptomatic only in…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Electrosurgery Notes
Terminologies Electrosurgery modalities Modality Electrode configuration Waveform Indications Remarks DC Electrocautery Patients with ICDs and pacemakers No current passes through patient (direct heat transference to tissue) AC Unaltered sine wave a. High voltage, Low ampere Can be tolerated in patients with pacemakers at low dosage Electrodessication Monoterminal Markedly damped Superficial…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Bile duct injuries – Mnemonic
Strasberg and Bismuth classification A – bile leak from part ATTACHED to biliary tree (cystic duct or duct of Luschka) B – BLOCK in part of biliary tree C – bile leak from CUT-OFF duct (not in communication) with the biliary tree D – DEFECT (<50%) in common hepatic duct…