AIPGMEE Coaching Mock Grand Test 17 - Discussion (Part - 11) Video Lecture - NEET

so let us continue our discussion dr.
good so another advantage of these video
library or in the online mbbs dot-com me
is suddenly midnight one o'clock you are
not getting sleep you are watching a
lecture video it is available 24 us you
have another nocturnal preparing
aspirins available you can always
counter chat on the chat engine at the
same time prepared so it provides one
common point for the merging of the
people who wanted to study a good number
of times but whatever you chat with your
other friends who is visible to everyone
on the chat engine it's not a private
chat it's a public child so that's a
another thing so the whole idea is next
eight weeks keep up yourself in high
spirit doctor suddenly one of the days
you may discovered myself also available
in the chat at midnight two o'clock
because they are also working like
insomnia acts because of the short
duration of eight weeks and unless i
keep you all in a high spirit of
academics i will be failing in my job as
a teacher so the whole purpose is that
any time give it all if you have got any
shortcoming or a distress will what
count the things and then see that how
best we use the short time to make it
happen in win showed up with normal
anatomical variants pearly papules for
this response tysons glands nothing need
to be done they're all the part of the
life now coming to the bladder cancer if
you look at the locally advanced to the
bladder tumors usually we treat them
with a radical suspect aviv and urinary
diversion they tried to give radiation
therapy but it is associated with a high
rate of local recurrence so that
difference in the treatment and
management protocol now in the renal
cell carcinoma I think this time surgery
questions are little tricky they need
not be this stuff next Sunday we will
take care that they give more easier
questions right so you're only control
of the renal pedicle is very important
in the management of renal cell
carcinoma to prevent the dissemination
in metastasis intraoperatively now
coming to the hybrid is see it is the
most predominant organism leading to the
development of a blood transfusion
associated hepatitis because hepatitis B
is very well screened before the
transfusion so that is a main reason now
coming to the Colleen ductility asus see
you have three kinds of jaundice
hemolytic hepatocellular and obstructive
in hepatocellular and similarly how will
be the rise of bilirubin you discovered
a cellular bill Rubin can go to any
level but in hemolytic jaundice never
belittle bean never the believable will
go more than three if the bilirubin goes
more than three inability Cara Mia
always check there Lefty to see whether
there is an Associated liver dysfunction
there is the rule then third thing
similarly in case of obstructive
jaundice never the vanilla bean will go
more than three what is the reason
because in obstructive jaundice both
bilirubin conjugated bilirubin will rise
biol solids also willing increase what
this boils ones will do is there will
increase the diana is ability of the
conjugated bilirubin into the urine what
my point B little bin conjugated
bilirubin can be launched into urine
will have inner ear conductor like
unconjugated
in obstructive jaundice not only will it
have been raises bioscience also will
increase and this increase by else
warrants will make that excess will it
have been to be lost in to you read the
increase the dialyze ability of the
Bolivian to the urine hence Bolivian
will raise but it will catch you it
won't raise further in case of
obstructive jaundice got the point never
in hemolytic anemia bill given Rises
more than three and in obstructive
jaundice also it won't rise because of
the concomitant rise of the bile salts
only in hepatocellular jaundice it can
rise that is what you have to ultimately
remember doctor now coming to the extra
hepatic bile duct cancer cholangiography
is very important basically to evaluate
the patients to know whether it is in a
resectable stage or not is what need to
be remembered now whenever you have a
extra hepatic billary cancer pilot
cancel what are the main operating
challenge resectability is the challenge
because that will invade the portal vein
hepatic artery etc etcetera whenever
there is a acute cholecystitis we use
the pp de rapida and he de radionuclides
scintigraphy in order to make a very
early diagnosis of polly cystitis is
what need to be understood now the
parody is a risk for the development of
the breast cancer now if you look at the
invasive lobular carcinoma it is the one
which is often associated very often
with bilateral ality of the breast
cancer is what need to be remembered
since the sarcoma philotes do you want
to do a axillary lymph node dissection
it is not required if I leave to you the
literature as to what is the management
protocol
of tissue sarcoma Philips now which
toxin of which organism is known to have
phospholipase activity this you will
answer definitely will give me the
correct answer phospholipase activity is
there for wichitaks in ok that's right
Clostridium perfringens and alpha toxin
is the answer of dr. Warren which is
hundred percent correct so dr.
Clostridium perfringens forcefully pace
alpha toxin stipulation most typical spy
Jane saying it will degrade the cell
membrane now coming to the breast cancer
a ductal carcinoma in situ has got a
significant risk of development of an
invasive ductal possibly the same
quadrant of the same wrist as that of
the initial nation is the true statement
and you can treat conservatively in
ductal carcinoma in situ is what need to
be understood now come to the dumping
syndrome diarrhea is not always a part
of the dumping syndrome it is only found
in the early part of the dumping
syndrome only in the early days of the
dumping syndrome alone is what need to
be remembered now coming to the gastric
lymphomas do you want to wait for the
histology report to come and say that it
is lymphoma then only do you want to
resect without any preoperative
diagnosis also you can be able to do an
exploratory laparotomy identify gastric
lymphoma and could be able to resect it
now coming to the transplantation of the
liver if you look at the liber
transplantation of the Challenger says
it is a promises of the hepatic artery
which lead to the transplant failure and
it is more common in the case of the
pediatric
Appalachian than in the adults and the
promises of the habit I can't lead to a
very rapid liver failure which can be
fatal generally within 56 to 72 hours is
the time where this complication need to
be anticipated whenever there is a
transplant reject middle colic country
is a branch of which vessel very very
basic question elio colic right colic
middle colic they're all superb
eccentric country and the left cologne
is supplied mainly by the information
recovery is what you are going to
ultimately remember