Theoretically.. yes because the media in the abscess is acidic, buffering the alkalinity effect for the local anesthetic agents Practically, Local anathesia is useful for abscess drainage It is recommended to use HCO3 mixed with Local anathestic agents, in order to buffer the acidic septic media in the abscess, along with increasing the duration of action of LA

According to the operability (general condition of the pt and the degree of Mets) If not operable: palliative treatment If it’s opreable: Surgery (Ivor-Lewis or Mcwin’s operations)

What are the modalities of palliative management for a pt with a non-operable CA esophagus?

hello, You can do a full refund before receiving the exam confirmation email, which usually sent 6-8 weeks prior to exam. Refund request after such email will be deducted (about 20%) and some colleges would ask for a formal justification evidences before the refund approval

I think subject wise is a better approach for Part b exam sittings. Nowadays, it’s obvious that they’re approaching connecting the topics together in various stations

Keep it up😊