5/16/13 b Flashcards
What is the tx of a visceral lymphoma (e.g. gastric) that has not invaded the full thickness of the organ?
chemo
What is the tx of a visceral lymphoma that has invaded the full thickness of the organ?
surgical resection and then chemo (to prevent perforation)
What is the appropriate tx of a stage 1 breast cancer that is estrogen receptor (+)?
lumpectomy + radiation + tamoxifen OR mastectomy
What is the best initial test for suspected mesenteric ischemia?
CT
Which is painful, avascular necrosis of the femoral head or slipped capital femoral epiphysis?
slipped capital femoral epiphysis (Imagine a crying fat boy - like he just got his cake stolen.)
Is a recent myocardial infarction a contraindication to elective surgery?
Yes.
What is a temporary solution to acalculous cholecystitis that allows you to do an interval cholecystectomy in 6-8 wks?
percutaneous cholecystostomy
What is the difference in levels of metabolites found in adrenal and extra-adrenl pheochromocytomas?
adrenal pheos increase both epi and norepi metabolites; extra-adrenal pheos elevate only NE metabolites
What should be done to confirm the presence of adrenal pheochromocytoma?
MRI
Pts w/ sclerosing cholangitis have an increased risk of what kind of cancer?
cholangiocarcinoma
What is the second0line tx for erectile dysfunction after phosphodiesterase inhibitors?
vacuum device
What is the meaning of “achalasia” in Greek? (from “α-“ “χάλασις”)
failrure to relax
What is the mechanical problem in achalasia?
failure of the LES to relax
What is the pathogenetic reason for achalasia?
loss of inhibitory neurons of the LES
What are the 2 treatment options for achalasia?
endoscopic pneumatic dilation or myotomy w/ fundoplication
