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‏قال الأصمعي: سمعتُ أعرابيًا يتضرَّعُ إلى اللّٰه، بكلماتٍ فقأت عيون البلاغة، وأيتمت جَواهر الحِكمة.. سمعته يقول:
"إلهي كفى بي عِزًا أنْ أكون لكَ عبدًا، وكفى بي فخرًا أنْ تكون لي ربًّا، أنتَ كما أُحبُّ فاجعلني كما تُحِب".

prophylactic cholecystectomy may be performed for asymp- tomatic cholelithiasis in the following situations:
● large (>3 cm) gallstones;
● choledocholithiasis;
● chronic haemolytic conditions (sickle cell disease, heredi-
tary spherocytosis);
● gallbladder polyps >1 cm in diameter;
● suspicion/risk of malignancy (anomalous pancreatic duc-
tal drainage);
● calcifcation of the wall (porcelain gallbladder);
● some ethnic groups or subjects living in areas with a high
prevalence of gallbladder cancer associated with gallstones (some parts of northern India, Native Americans, Mexican Americans, Colombia, Chile, Bolivia);
● transplant patients (during transplantation);
● bariatric surgery.

resource : Bailey & Love's Short Practice of Surgery 28E

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وكل عام وأنتم بخير ?

@easy_surgery

Female with proximal muscle weakness:
1) polmyalgia rheumatica " high ESR normal CK "
2) fibromyalgia normal ESR and normal CK
3) Polymyositis "high CK "