isurg

MRCS_Haematuria_OnePage.pdf

describe development of pancreas The pancreas develops from two endodermal buds of the foregut: Dorsal pancreatic bud → forms most of the pancreas: body, tail, and part of the head. Ventral pancreatic bud → forms the uncinate process and inferior/posterior part of the head. During development, the ventral bud rotates posteriorly with the bile duct around the duodenum and fuses with the dorsal bud. Duct formation: Main pancreatic duct (duct of Wirsung) = ventral duct + distal part of dorsal duct Accessory pancreatic duct (duct of Santorini) = proximal part of dorsal duct Opening into duodenum: Main duct joins the common bile duct → opens at the major duodenal papilla. Accessory duct may open at the minor duodenal papilla. [image: 1773989803488-d4d51eaf-1914-4bef-b547-4fce2a4566c9-image.jpeg]

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Parasagittal meningioma Tumour: Parasagittal meningioma Typical presentation Gradually progressive contralateral lower limb weakness Focal seizures in the leg UMN signs Why Compression of the Paracentral lobule (leg area of the Primary motor cortex). Exam clue Progressive leg weakness + seizures → parasagittal meningioma. Acoustic neuroma (vestibular schwannoma) Tumour: Vestibular schwannoma Typical presentation Unilateral hearing loss Tinnitus Balance problems Later: Facial numbness Facial weakness Why Compression of: Vestibulocochlear nerve (CN VIII) Facial nerve (CN VII) Exam clue Progressive unilateral deafness. Pituitary adenoma Tumour: Pituitary adenoma Typical presentation Bitemporal hemianopia Why Compression of the Optic chiasm. Other clues: Hormonal symptoms (galactorrhoea, acromegaly, Cushing's). Exam clue Loss of temporal visual fields. Cerebellopontine angle tumour Often a Vestibular schwannoma. Symptoms Hearing loss Facial numbness Ataxia Structures involved: Trigeminal nerve Facial nerve Vestibulocochlear nerve Exam clue Multiple cranial nerve deficits in the cerebellopontine angle. Frontal lobe tumour Commonly a Glioma. Typical presentation Personality change Disinhibition Poor judgement Sometimes urinary incontinence Structure affected: Frontal lobe Exam clue Behavioural change before neurological deficit. ✅ Very high-yield MRCS pattern Symptom Likely tumour Leg weakness Parasagittal meningioma Unilateral deafness Vestibular schwannoma Bitemporal hemianopia Pituitary adenoma Behaviour change Frontal lobe tumour Multiple cranial nerve palsies CPA tumour

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checklist3.html

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Stations Chest Drain Insertion Blood Culture Prepping + Draping Scrubbing Removal of a Skin Lesion (1) Removal of a Skin Lesion (2) Catheterisation Incision + Drainage Ordering a List (1) Ordering a List (2) Surgical Principles Pre-operative Management Wound Debridement Link: https://drive.google.com/file/d/16I0ieZxZrqM_qC-Ec_DWPYWrY_dbefYj/view?usp=sharing

1: "Anterior circumflex humeral artery and musculocutaneous nerve", 2: "Axillary lymph nodes (enlarged)", 3: "Axillary vein", 4: "Branches of medial pectoral nerve", 5: "Branches of lateral pectoral nerve", 6: "Cephalic vein", 7: "Clavicle", 8: "Coracobrachialis", 9: "Coracoid process and acromial branch of thoracoacromial artery", 10: "Deltoid", 11: "First rib", 12: "Inferior belly of omohyoid (displaced upwards)", 13: "Intercostobrachial nerve", 14: "Internal jugular vein", 15: "Lateral thoracic artery", 16: "Long thoracic nerve (to serratus anterior)", 17: "Median nerve", 18: "Nerve to sternothyroid", 19: "Pectoral branch of thoracoacromial artery", 20: "Pectoralis major", 21: "Pectoralis minor", 22: "Phrenic nerve overlying scalenus anterior", 23: "Scalenus medius", 24: "Short head of biceps", 25: "Sternohyoid", 26: "Sternothyroid", 27: "Subclavian vein", 28: "Subclavius", 29: "Subscapularis", 30: "Suprascapular nerve", 31: "Tendon of long head of biceps", 32: "Trapezius", 33: "Trunks of brachial plexus"

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