Surgery

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👨‍⚕Where is Kocher’s in Surgery ? •  Incision- Cholecystectomy •  Test- Obstructed trachea •  Vein- 4th vein of thyroid •  Kocherization-Mobilization of 1st,2nd part of duodenum •  Theodor Kocher- Father of thyroid surgery

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LOCAL EXAMINATION Inspection • Swelling • Number • Site—front of neck • Size • Shape—butterfly shaped/Hemispherical (for Solitary nodules) • Surface • Skin over the swelling • Plane of the swelling • Pulsation • Movement with deglutition* • Movement with protrusion of tongue* • Look for the lower border of swelling*

🔎Dyspnea in thyroid • Tracheomalacia in long standing MNG • Retrosternal extension • Cardiac failure due to secondary thyrotoxicosis • Infiltration by anaplastic carcinoma.