Testicular Torsion Testicular torsion is the sudden twisting of the spermatic cord due to a poorly secured testis. Commonly occurs in neonates and adolescent men (10-25 yo). It is a true surgical EMERGENCY. There is a strangulation of the blood…
Overview Primary brain tumors are the most common solid tumor in children and the second-leading overall cause of cancer death (after leukemia). Primary brain tumors are relatively less common in adults but are still the seventh-leading cause of cancer death…
Gastrointestinal polyps are mucosal projections within the gastrointestinal tract. Grossly, they may be described as either sessile or pedunculated. They commonly occur in the colon and rectum but may also occur in the oesophagus, stomach and intestines. Non-neoplastic polyps Non-neoplastic…
Colorectal cancer Colorectal cancer is the third most common cancer and the second most common cause of death from cancer. The incidence is increasing in Sub-Saharan Africa and in younger patients. Rectal cancer is as common as colon cancer. Screening…
Fournier’s Gangrene Fournier’s Gangrene is necrotising fasciitis of the perineum and external genitalia that can spread rapidly to the anterior abdominal wall (Meleney gangrene) and gluteal muscles. Urogenital causes of Fournier’s gangrene begin with necrosis of the anterior triangle, while…
Overview Bacterial infections of the skin and soft tissue can be classified as complicated and uncomplicated. Classification Description Examples Uncomplicated skin infections Involve superficial regions of the skin and appendages Impetigo, erysipelas, cellulitis, folliculitis, and simple abscesses Complicated skin infections…
Squamous Cell Carcinoma of the Anus Cancer of the squamous cell of the anus. THIS IS NOT SYNONYMOUS WITH RECTAL CANCER. Linked with HPV and anal intercourse. More favourable prognosis than colorectal cancer
Overview Above the dentate line Below the dentate line Origin Hindgut (Endoderm) Cloaca (Ectoderm) Epithelium Simple columnar Non-keratinizing stratified squamous Arterial supply Superior rectal artery br. IMA Inferior rectal artery br. of internal pudendal Venous drainage Internal hemorrhoidal plexus →…
Stoma A stoma is an opening from a hollow viscus connecting it to the skin surface. “Stoma” = opening. “Ostomy” = surgical creation of an artificial opening. Ostomy is performed when it is unwise to restore/maintain the continuity of intestines.…
Causes of gastrointestinal bleeding Type Primary Symptoms Differentials Upper gastrointestinal bleeding Hematemesis or Melena Ruptured Oesophageal varices, Dieulafoys’s lesion, peptic ulcer disease, Meckel’s diverticulum, gastric or esophageal cancer, Mallory-Weiss tear, coeliac disease, esophagitis, gastritis, and aortoenteric fistula Lower gastrointestinal bleeding…