5/18/13 b Flashcards
What is the most common cause of early (w/in first couple of weeks) deterioration of a liver transplant?
technical problems of biliary and vascular anastamoses
How do you figure out the volume of the fluid deficit in a dehydrated, hypernatremic pt?
every 3 mEq/L of Na+ above 140 = 1 L of water deficit
What cancer will present with bowel obstruction w/ jaundice and wt loss?
cholangiocarcinoma
What is the Dx if a very sick person has air in the gallbladder wall?
emphysematous cholecystitis
An elderly pt w/ atherosclerotic disease undergoes an episode of hypoperfusion or vasoconstriction. Then, abd pain begins. CT shows small bowel thickening and intramural gas. Dx?
non-occlusive mesenteric ischemia (NOMI)
What is the characteristic angiographic finding in NOMI?
“string of sausages” sign in branches of SMA
What would account GI bleeding and biliary obstruction?
cancer of the Ampulla of Vater
How should a clinical suspicion of Ampulla of Vater cancer be confirmed?
duodenal endoscopy and biopsy
What is the maximum size for a breast tumor to allow lumpectomy in a large breast?
4 cm
Loud popping sound while playing a sport. Ankle pain and swelling.
Achilles’ tendon rupture
How do you determinte the percentage of a pt’s body that is burned?
rule of nines (Each of these is 9%: head, each arm, each leg2, trunk2*2)
What is the formula for determining liters of Ringer’s lactate needed in the first 24 hrs after a burn based on body wt and percentage of body area burned?
wt(kg) * %(up to 50) * 4
After a burn injury, how should the first day’s Ringer’s lactate be given (time course)?
first half in first 8 hrs
When does third-spaced fluid return to the circulation?
after 48 hours
What is the minimum amt of urine output a pt should give?
1 mL/kg of bodyweight
