wd

2. Tuesday 24 hours duty repot
• Duty seniors :- Dr sadik ,Yetsedaw, Dr Fikadu ,Dr
Abreham ,Dr Lisanu
• Resident :- Dr Mekuria ,.Dr tesfaye, Dr melkamew ,Dr
jemal
• Med. Interns :EOPD :Dr melese
• Ward:-Dr eyobe
• Total case 15
• Major 3
• Minor 1
• Newly kept 1
• Previously kept 1

3. MINOR
• 1.Mohammed Taye 33 male
– Dx –stage IV RVI PLUS PCP plus ?ptbcs plus rt
pneumothorax
– Done –chest tube insertion

4. • Samrawit Endale 9/F
– DX-scap plus lt empyma
– Chest tube insertion

5. Ward critical
• SUFA FUFA

6. NEWLY KEPT
• 1.

7. Newly kept
• 1.Abebo Demissie
• 2.Henock admasu

8. ICU
• 1. tolera G/Yesus
• 2.Mita Bacha
• 3.Sufa Tufa

9. • 1. Sufa Tufa 60 male
– CC –abdominal pain of 3 days duration
– Dx AA 2nd LBO 2nd Gangrenous SV
– Done lap plus Hartmans procedure
• 2. Leso Tunke 22 male
– Cc andominal pain of 15 hours duration
– Dx –AA 2nd SBO gangrenous SBV
– Done- lap plus ileal REEA
• 3.Berite Solomon 15yr female
– Cc stab injury of 3 days duration
– Dx –Jejunal perforation 2nd PAT 2nd stab injury
– Done –ex lap plus repair

10. • 1. Wase Gezehagn 28/M
– Dx –Penetrating abdominal trauma plus Colonic
Perforation 2nd bullet injury
– Done –Ex laparotomy plus REEA
2. Bedasso Nigussie 23/M
– Dx-AA 2nd PP 2nd perforated pelvic peritonitis
– Done –lap plus appendectomy
• 3.Melikon Tilahun 34/M
– Dx-acute appendicitis
– Done -appendectomy

11. • 4. Terefe Tegene 48 male
– Cc-perianal swelling and pain of 01 wk
– Dx –perianal abscess plus periurethral abscess
– Done –I and D

12. • 5.Biniyam Agegnew
– Dx-AA SBO 2nd internal hernia plus 5th pod
after hartmans procedure was done for gang.SV
Done relap plus reduction
6. Musab
Dx –Cpd DSF plus dural tear
Done –elevation plus duraplasty

14. ICU
• Amane

16. Newly kept
• 1.Fatuma kasim 40 female
• Dx –grade V Dysphagia eosophageal ca

17. Previously kept
• 1.Addisu bulti
• 2.yebo h/abesha
• 3.aman beriso
• 4.bedaso bedo

19. Death
• Desuu h.suga

20. ICu
• Jemila

21. 1.TeshomeTsegaye /M
• Dx –stick injury/ 18 hrs
• Ast- mod TBI + lt AEDH +cpd linear skull
fracture
• Done- craniotomy + hematoma evacution

27. 2.Ali Defi 22/M
• Dx AA 2nd perfor.appendicitis
• DONE –Appendectomy

28. 3.Danu Ketema 8/M
• Dx AA 2nd perforated Appendicitis
• DONE –Appendectomy + circumcision

30. Newly kept
• 1.Serkalem Mekonin 35/F
• 2.Alemitu Becam 35/F

31. Previously kept
• 1.Balcha
• Shallo

32. Consultation
• 1. Redint Melaku

33. 3.Muzemil 10.M
• DX :MOD TBI PLUS CPD DSF PLUS DURAL TEAR

40. Birhanu kebede 50.m
• Dx sc emphysema plus 6th rib fracture 2nd BCT
• Done –chest tube insertion

41. Newly kept
• 1.DESA BESHIR45/F

42. 2.Abishu Ebrahim 28.M

43. 3.Mohammed Beshir 35/M

44. Previously kept
• 1.kedir rabu
2.Gadissie gemechu
3.Zerihun Tsegaye
4.Dida Demissie

45. icu
• 1.kasaye wulat

46. Death
• 1.Tadesse Girma 25/M
• Causes of death –ARDS 2nd massive aspiration
pneumonitis

47. 1.AMANE AMAN 22/F
• CC Abdominal pain of 01 day duration
• Vs PR 88 RR 20 BP 110/70
• Abd
– Distended abdomen
– Moves with respiration
– Mild tenderness on deep palpation
• Cbc 11.1 neut 77.4
• Dx – SBV 2ND BAND
• DONE – Lap plus band release + Detorsion

54. 2.Fikadu bekele18/m
• CC Abdominal pain of 02 day duration
• Vs PR 120 RR 20 BP 110/70
• Abd
– Distended abdomen
– Moves with respiration
– Mild tenderness on deep palpation
• DRE- empty rectum
• Cbc neut
• Dx – SV 2ND? Ultrashort HSD
• DONE – Lap + Detorsion

55. 3.Demeke kuri 29/m
• Cc abd.pain of 6 hours duration
• Pr 96 T 36.7
• Cbc 11.7 neut 80.5%
• Asst –acute appendicitis
• Done appendectomy

56. 4.Lazama Hassen 22/M
• CC ABD Pain of 01 duration
• Vs PR -96 T-36.5
• WBC 7.1 neut 73.5
• Asst –acute appendicitis
• Done appendectomy

57. 5.Emedan Jemal 2Y/M
• Dx – LT Cmpd DSF
• Done –DSF ELEVATION

58. Newly kept
• 1. Asefa H/Mariyam
• 2.Jemaneh legesse
• 3.Amane jambo 18/F
• 4.Yohannis Andinet 17/m

59. Previously kept
• 1.Emish Wegehua
• 2.Wolde Dibaba
• 3.Zewudie Bahiru
• 4.Wosene Bekele