SHORT CASE 1

62 year old male was known case of diabetes mellitus for past 20
years presented with ulcer over the dorsum of the foot for the past 4
weeks. Inspect the ulcer and write a short case presentation with
history.

SHORT CASE 2
36 year old male came with complaints of swelling in the back of
shoulder for the past two years. Inspect the swelling and present a
short case based on your examination.
 couscyst
↳ punctur
↳ Skin notpinchable
-

↳
consistency s cystitis.
D

↳ indendation I

SHORT CASE 3
35 year old male came with complaints of right sided scrotal
swelling for the past two years, the swelling was progressively
increasing was not associated with pain. Examine the swelling and
write a short case presentation from your examination.

SHORT CASE 4
40 year old male came with complaints of swelling over the back of the neck
for the past one year. swelling is firm in consistency with well defined margins .
Inspect the swelling and write a short case presentation with history.
 SHORT CASE -5
A 30 yr old male came with the complaints of painless swelling over the
scalp for the past 1 yr swelling is firm in consistency well defined
margins,inspect the swelling

LONG CASE 1
A 52 year old female, came with c/o lump in left
breast, in upper outer quadrant, since 6 months.
 Patient no complains of pain over the lump
O/E The lump of size 5x5 cms in the upper outer
quadrant, skin over the lump- not pinchable,
tenderness present, hard in consistency, mobile
along the breast tissue, on pressing the hand against
hip lump is mobile, left axilla- lymphnode of size
1.5x1.5 cm palpable hard in con

sistency and mobile

LONG CASE 2
Mr.X, 45/M, daily wage labor by occupation, came with
complaints of swelling over bilateral groin for past 6
months
Swelling was initially confined to the groin now extending
into scrotum, swelling automatically disappeared on lying
down, h/o heavy weight lifting present, no bowel or
bladder disturbances, no h/o fever, no h/o vomiting,
L/E :
Swelling automatically reduced on lying down position
Pt on standing position
LEFT SIDE:
Swelling extends to bottom of the scrotum
Testis palpable separately
Get above of the swelling not possible
RIGHT SIDE:
Swelling extends from deep ring to root of the scrotum
Testis palpable separately
Get above of the swelling not possible.

LONG CASE 3
A 44 year man presented with complaints of swelling in the left
lower aspect of the front of the neck with no e/o
hypo/hyperthyroidism, pressure symptoms, malignancy or
metastasis. On examination a soft, 4 x 3cm single swelling occupying
the left muscular triangle which moves with deglutition and lower
border felt.
LONG CASE 4
A 32 year old male, security guard by occupation came with
complains of prominent veins in the right leg for the past 2 years,
intermittent swelling and pain over right leg which resolves on leg
elevation for the past one year.
L/E:- Dilated vein found on the medial side of the right leg
extending from ankle to the thigh region
pigmentation present over the ankle, no leg ulcerations.
 choblisbians
Identify the above specimen.

Gallstones - -

-icholestrol.
ed
Pig ment
-

MIX
m overall.
- ⑪ in asians.
 -> tipoma

Identify the above specimen.

Identify the above specimen.

Testis.
Identify the above specimen. Appendix.

Identify the above specimen.

 contrastray
gabdomen
do
Baringallow

string
Bavius
swallow.

de

It- tapering o
smooth

esophagus.
2 E↳
- -

i CW
C-25
Plain
xray
abdomen showing
an over small intestings(S.IS
3
by
CS.1.am·present over centred
Lit
is a
present
over peripheries
 Plain CAP view
& chest.
->
Dray
diaphragm
T

our under by
I
Showing -
↓
-

Hollow viscus perforation

sudicial
net
ding
-

Ari under Ideap ↳ stomach (mostprobably)

a
urgen ↳ small intestine.
↳ argentestine
 Baviu through
follow

①
2

③
⑭

Saving contrast pray CApvieus y abdomen mod

I
showing
&
transverse own, Desending
color, sig
Recture disease.
Dilated Dectum-s? Hirschpring's
Finding
-->
Toximegasdor
 Bariu
follow through

->

-> Batime contrast Xray.I abdomen,

showing
small intestines arow]
in Blue
-> strictures (indicated
could be Crohn'sdisease.
-> probable diagnosis
 Plainx aboomer
ray
Act -
Aprico

I
showing
Bent inner tube
sign/
coffee Beam signs
↓
Balt towards
Apen
IR Hypochondrims
I
Indicating sigmolt
volus.

was
hypochondrims
I

one e
 plain chest (PA view)
-> xray
-
lngsHintUrani
tophrenagehe
↳ Diagnosis:8 Plural effusion
- Co
⑧ Remothorny4-(if
train
ho
 Bariune
swallow

(parim shallow
-> contrast fray
-> Abdomen.

esophagus.
showing indicates IRREGULAR TNG
->

Arows DEFECTS
->
2
TAPERING

could be
paranome
-phagus.
ALLIS
FORCEPS &
 I
B ABLOCKS
forceps.
CURVED ARTER ~small-mosquitps
mediu
FORCEPS
Targe
 BRD PARKER
Handle

b
22 sirblade
(nonabsorbable) SICKSUTURE [3-0].

CHROMADGUT73 -
b
absorbable suture
 FORCEDS.
MOSQUITO
CURVED ARTERY
eins.
Comed
FREDS.
MAYO's towel dip.
 forceps.
straight
a rtery
1 Langenheene
 MORRIS retractor.

- (Remember as

M)
 foleys
catteste

umen to
Wit ->
fill distilled by
to inflate
I
lumer
where crine comes.

B
notice beads

-Nasogaszic
tube
over tip.
↓ ·

into
After positionly taken - Beedadisse
are
stomach-spray
cesuctiontip, suction
NUBE

↓
connected
to
pump.
 Rylestube/ tube
nasogastric

operative surgery
 o colossal aspects
Ganglion
wrist
-

y
-> Excision?Biopsy
structure causes re
nearby as
on nerve
presses numbness
pain, tingling,
-> a
 ->
Appendix &

to
->
open appendices my
->
Babrocks
forceps.

S -
Hemorrhage Appendicular artery
sound infection artery
-

I
·Branchy Ileo-cohe
-> Incisional Herma
 multiple sebaceous
cysts
in scrotun

classical puncture feature , sebaceous is absent in scroton

cyst
->
Infection, Rupture,sebaceous Horn.

Excision & Biopsy

Keratotic material present

calcified as a
-

manding
sebaceous at
the

result
 Dermoid congenital

no punctumn, skin is princhable, bony depression

sites yembryonicfusion.

xisieBropy
 -> Split graft (SSG)
skin

-numby's knife. 7

I Autoclaung.

I --

Hap
If Group A B-hemolytic streptococi. ⑪ necrosis
is present
infective 8 infection
then its contraindicated.
⑤ Graft Rejection.
 - Thyroglossal cyst nodute
-> solitarythyroid
a
② Thyroid cyst
⑤ delphian
pretraches

6
node

a sub-hysiusa
-midline selling, moves
degluitionprotusion of
tougte
-

y
↳STRUNK PROCEDUR

-Suprahyold(mesites
D

subhyod cartilag
->
thyroid
&
&

-
Infrahysed ↑
I& cricoidcauklage
Beneath foramen calcum in flow o
->
mouth.