Bile leak after lap Cholecystectomy

by

Q) 60 year old female undergoes lap cholecystectomy and is discharged She comes back 8 days later with pain abdomen, distension, fever and tachycardia. USG shows a 500 ml collection in Morrisons Pouch. Next step?

a) Conservative, I V antibiotics

b) USG guided drainage

c) LAP exploration and ligation of cystic duct stump

d) CECT followed by open exploration

#NEET SS 22

# Questions on BIliary system

# Free Questions on Bile ducts

Ulcerative colitis Surgery in Young female

by
Ulcerative Colitis Surgery Choice
#AIIMS 2022 April
Q) Which surgery would be preferred to be done in young unmarried female with steroid refractory Ulcerative colitis and 15 bloody bowel movements per day?
a) TPC with IPAA
b) TPC with EI (end ileostomy)
c) TAC with EI (end ileostomy)
d) TAC with IRA (Ileo rectal anastomosis)
Ans b

The risk of infertility following IPAA was estimated to be approximately 50% compared with 15% among medically treated patients.

Given these data, many surgeons advocate for a three-stage procedure in which subtotal colectomy with end ileostomy is performed and IPAA is deferred until childbearing is completed.
Join Premium Surgery Course

Pyoderma Gangrenosum

by

Q) Which of the following systemic disease is not associated with Pyoderma Gangrenosum ?

a) Rheumatoid arthritis

b) Inflammatory bowel disease

c) Non Hodgkin disease

d) Sjogern syndrome

Pancreas transplant

by

Q) Most common indication for pancreas transplant

a) Type II DM 

b) Type II DM with nephropathy

c) Type I DM

d) Type I DM with nephropathy

d) Type I DM with nephropathy

Pancreas transplantation is typically performed for individuals with Type 1 diabetes who also have end-stage renal disease, often requiring kidney dialysis. This combination of kidney failure and Type 1 diabetes makes pancreas transplantation a viable treatment option.

SPK is the most frequently performed procedure for patients with type 1 diabetes and renal failure due to diabetic nephropathy.

There is a small population of patients with type 1 diabetes with renal failure due to primary renal disease or non-diabetic causes and they are also included in this group.