18 Questions 46 Answers 0 Followers
Questions related from Sameh Ibrahim Sersar
What is the best timing for thymectomy in an ICU myasthenic patient with thymic mass?
05 June 2017 631 2 View
We have a 50 years old female with a 17 years old history of chronic myeloid leukaemia. She has significant stridor. Fibre optic bronchoscopy showed an easily bleeding mid tracheal tumor...
04 January 2017 8,762 2 View
A 22 years old male patient had achalasia diagnosed 3 years ago by CT chest with oral and iv contrast, barium swallow and manometry He had endoscopic dilatation 4 times with temporary relief...
16 December 2016 6,467 6 View
A 58 years old male presented with history of right sided chest pain and cough 2 years ago with CT Attached(1). CT guided taken outside our hospital with pathology suggestive of adenocarcinoma...
08 November 2016 4,697 9 View
A 21 years old male patient presented with left sided massive pleural effusion which was aspirated 1 month ago. He had repeated abdominal pain diagnosed as chronic pancreatitis. Aspiration of a...
12 October 2016 9,825 13 View
Regarding my previous question; Gunshot injury in the right 3rd interspace; I found the following guidelines; PRACTICE GUIDELINE Effective Date: 6-18-04Manual Reference: Deaconess Trauma...
14 September 2016 7,042 3 View
We had a 23 years old who had a gunshot injury in the right 3rd space 2 hours ago. A right chest tube was inserted and it drained 250 cc blood with complete lung expansion. ECG and cardiac enzymes...
29 August 2016 9,635 10 View
In the on call duty, a patient presented to the ER. Retrospectively there was suspected major medical negligence and near miss, who is legally responsible; the attendant physician was a junior...
13 May 2016 306 5 View
A case of 58 years old male PINK Puffer with very limited performance status. Pulmonary function Tests can not be done. They are going to do CABG 3 Vessels for him. They are wondering if he can...
11 May 2016 9,103 6 View
HOW TO CONTROL PAIN IN A FEMALE PATIENT 27 years old with multiple fracture ribs, small free fluid in the abdomen, fracture tibia, femur and pelvis? She has also brain cotusion with GCS 13
06 May 2016 2,506 7 View
I have a case with suspected esophageal tear. his renal functions are border line. Can we get oral gastrograffin or barium swallow for him safely?
01 April 2016 7,125 3 View
If i encounter a case of gunshot with a foreign body in the chest and the patient is stale after chest tube drainage shall i remove the bullet?
17 March 2016 8,911 12 View
A CASE OF recurrent sqamous cell carcinoma lower third esophagus. She received radiochemo. in the 1st presentation 3 years ago. Does she need a 2nd neoadjuvant therapy prior to surgery? What is...
11 December 2015 9,691 6 View
IF AF WAS CONVERTED TO SINUS, when to stop warfarin and when to stop amiodarone?
26 November 2015 9,221 4 View
When do u insert chest tube in surgical emphysema with no pneumothoraces?
16 October 2015 6,043 4 View
When do u insert chest tubes in pneumomediastinum on ventilator with and without pnemothoraces?
16 October 2015 7,847 7 View
There is some debate about clamping the chest tube before removal. I personally vonsider it a waste of time.
30 September 2015 4,550 12 View
One week after right lower lobectomy, we have mild airleake and 20% lung collapse. Hemodynamics are stable. we are in bed crises. Can we send the patient home on a hemlich valve instead of...
10 September 2015 6,310 4 View
