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I dont remember exactly the history of driver, but I do remember that I marked pilonidal sinus and the image totally jinxed me because it didnt look like a pilonidal sinus yet I went with the hairy natal cleft clue and the history.
bro agreed there was retraction of nipple and peau d'orange in the image but they had asked the reason behind skin change and not nipple change in question so the answer would be subdermal lymphatic blockage😅
What they asked was ‘definitive management of this hemodynamically stable patient ‘ . The option should have been ex lap but they said emergency lap. don’t know if they wanted to trick us or what
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Doppler to option nhn th sirf USG neck tha, aur ye infected aneurysm hain pulsatile swelling local erythema tender, and fever for 4 days , it's given online read about infected aneurysm it's the same here which was asked ct angio is the answer
Sir in 1st question image showed both peau d orange and nipple retraction. Question asked what's the reason for the sign seen near nipple and surrounding region. Could it be infiltration of ducts since they have specifically mentioned nipple region.
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@@purbahnabiswas1054 there is something called as pilonidal cyst. It presents with swelling in and around anal opening. It later becomes discharging sinus
The indications for surgical intervention include (1) patient with hemodynamic instability, (2) development of peritoneal findings such as involuntary guarding, point tenderness or rebound tenderness, and (3) diffuse abdominal pain that does not resolve
@@Ac-fx2iz nope you’re wrong 55:55 check that flow chart…anterior stab wound with bowel evisceration means you’ve to do laparotomy and the image in the exam had stab wound on rt. anterior abd. of pt with bowel loops outside..so answer is explorative laparotomy
@@HareeshSoundar had u read the history?? Yes obviously we have to laparotomy but the vitals given in the question clearly lead to the point that patient was stable... For stable patient cect is the ioc fb laparotomy... But option was immediate laparotomy.... There were so many questions like this in this paper ..... History is utmost important... PPL are only going by images or the catchy word.... But history nd the language of the question wl b one of the deciding factor... Nd nbe doesn't publish answer key.... So very very tough to predict 😥
@@ABCXYZ-kk2gm dude....even if the pt. was stable...you have to get in there and fix the abd wall coz there's breach of peritoneum and the bowel loops are eviscerating 🤷🏻♂️ you didn't have to write a long paragraph asking me to read history properly coz i did read it properly and that's why i mentioned that flow chart too with timestamp Hope you understand!✌🏻
