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6.
a. Compare and contrast the clinical presentation, laboratory studies and
treatment of Biliary Colic and Acute cholecystitis
b. Discuss the development of peri-umbilical pain in acute appendicitis and
its progression to perforation and gangrene.
7. Explain
a. Pathogensis of Anal fistula.
b. Diverticular disease and management of one of it’s complication
11. A 22year old is brought into the emergency unit with a gunshot would to the
thigh. He is hemodynamically stable, distal pulses are palpable and he has no foot
drop. Outline the steps in your management of this patient.
12. A 44 year old man with DM and hypertensive presents with an above knee
amputation. He also has Chronic renal failure. The surgeon explains that he will
need a hindleg amputation with removal of the left pelvis.
a. What is his ASA physical status?
b. Which type of anesthetic technique would you use and why?
The patient refuses surgery despite the surgeon’s saying he would die without it
c. As the anesthesiologist, what would be your recommendations to the
patient, his relatives and surgeon.
Anal fissures vs Hemorroids
Anal Fistula & Abscess
Acute Scrotum