Your Medical Surgical Rank-Booster Day
Hey, future AIIMS Nursing Officers! Day 184 at logyanlo.in is your complete Medical Surgical Nursing masterclass for AIIMS NORCET 2025, RRB Staff Nurse, JIPMER, SGPGI & DSSSB. We're covering the 6 most repeated topics: Liver Abscess & Liver Cancer, Cholelithiasis, Pancreatitis & Whipple Surgery, Torsion Disorders, Hernia, and Deep Vein Thrombosis (DVT). These appear in every shift – master them and lock 15–20 marks! Let’s dominate 2025!
Why These Topics Are Exam Gold
Medical Surgical = guaranteed high weightage:
- 20–25 % questions in AIIMS NORCET & RRB exams
- Liver abscess vs HCC, DVT & Hernia are favourite scenario questions
- Cholelithiasis & Pancreatitis appear in both theory + image-based sections
- Testicular torsion & Whipple surgery are repeated every year
logyanlo.in gives you only the high-yield, rank-making points!
Key Topics in Medical Surgical Nursing
Liver Abscess & Liver Cancer
Quick Fact
Pyogenic liver abscess is bacterial, amoebic is parasitic.
- Pyogenic: E. coli, Klebsiella, Streptococcus – multiple abscesses, spiking fever, RUQ pain
- Amoebic: Entamoeba histolytica – single large abscess, anchovy sauce pus
- USG Findings: Pyogenic – multiple hypoechoic; Amoebic – single hypoechoic with thick wall
- Treatment: Antibiotics (ceftriaxone + metronidazole) + drainage for pyogenic; metronidazole + drainage for amoebic
- HCC (Hepatocellular Carcinoma): Most common primary liver cancer, risk – Hep B/C, cirrhosis, aflatoxin
- Signs: Rapid weight loss, jaundice, RUQ pain, ascites
- Management: Resection, TACE, transplantation
- Exam Pearl: Anchovy sauce pus = amoebic liver abscess
Cholelithiasis (Gallbladder Stones)
Quick Fact
Cholesterol stones are the most common type in Western countries.
- Cholesterol stones: Supersaturated bile, female, obese, fertile
- Pigment stones: Haemolysis, cirrhosis, infection
- Clinical Signs: Biliary colic – RUQ pain radiating to back, triggered by fatty meals
- Complications: Acute cholecystitis, choledocholithiasis, ascending cholangitis (Charcot’s triad: fever, jaundice, RUQ pain)
- Management: Laparoscopic cholecystectomy (gold standard)
- Exam Tip: Charcot’s triad = ascending cholangitis
Pancreatitis & Whipple Surgery
Quick Fact
Acute pancreatitis is most commonly caused by gallstones and alcohol.
- Causes: Gallstones (40 %), alcohol (30 %), hypertriglyceridemia
- Labs: Amylase & lipase ↑ (lipase more specific)
- Management: NPO, IV fluids, pain control (avoid morphine), antibiotics if infected
- Chronic Pancreatitis: Diabetes, steatorrhea, calcifications
- Whipple Procedure: For pancreatic head cancer – pancreaticoduodenectomy
- Post-op Nursing: ICU, NGT, glucose monitoring, TPN, watch for pancreatic fistula
- Exam Pearl: Lipase >3x upper limit = acute pancreatitis
Torsion Disorders (Testicular & Ovarian)
Quick Fact
Testicular torsion is a surgical emergency – detorsion within 6 hours saves the testis.
- Testicular Torsion: Absent cremasteric reflex, sudden scrotal pain, swelling, nausea
- Management: Immediate surgical detorsion + orchiopexy
- Ovarian Torsion: Sudden unilateral pelvic pain, vomiting, adnexal mass
- Management: Laparoscopy – detorsion + oophorectomy if necrotic
- Exam Tip: Absent cremasteric reflex = testicular torsion
Hernia
Quick Fact
Inguinal hernia is the most common type.
- Types: Direct (through Hesselbach’s triangle), Indirect (through deep inguinal ring)
- Classification: Reducible, Irreducible, Strangulated (emergency)
- Signs: Groin swelling, cough impulse, pain on coughing
- Management: Surgical repair (herniorrhaphy/hernioplasty)
- Nursing Care: Monitor for strangulation (severe pain, vomiting, fever)
- Exam Pearl: Indirect hernia = most common in children
Deep Vein Thrombosis (DVT)
Quick Fact
Virchow’s triad = stasis, endothelial injury, hypercoagulability.
- Signs: Painful swelling, redness, warmth, Homan’s sign (dorsiflexion pain)
- Complication: Pulmonary embolism (sudden dyspnea, tachycardia)
- Anticoagulants: LMWH (enoxaparin), warfarin (INR 2–3), DOACs (apixaban, rivaroxaban)
- Prevention: Early mobilization, TED stockings, IPC devices
- Nursing Care: No leg massage, bleeding precautions, monitor INR
- Exam Tip: Homan’s sign is not reliable – use Wells score
Mini FAQ: Medical Surgical 2025 Hacks
Q: Anchovy sauce pus? → Amoebic liver abscess
Q: Charcot’s triad? → Fever, jaundice, RUQ pain – ascending cholangitis
Q: First management in acute pancreatitis? → NPO + IV fluids
Q: Absent cremasteric reflex? → Testicular torsion
Q: Virchow’s triad? → Stasis, injury, hypercoagulability
Why logyanlo.in?
Your 2025 medical surgical rank partner with free PYQs, diagram quizzes & Telegram community!
Conclusion: Your Medical Surgical Marks Are Locked!
Day 184 just gave you the complete medical surgical package. Keep practising daily on our Daily Question Bank and watch your name in the merit list!
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