april 30 Flashcards
Why is resection of a colon tumour recommended regardless of stage?
to prevent obstruction
why is atelectasis a common post op lung complication ?
pain and changes in lung compliance lead to impaired cough and shallow breathing -> atelectasis at lower lungs
post op atelectasis is common after which surgeries?
abdominal
what is ludwig angina?
a rapidly progressing cellulitis of the submandibular and sublingual spaces
why is someone with ludwig angina at risk of airway obstruction?
continguous spread of infection results in bilateral edema of the submandibular/sublingual spaces - > the floor of the mouth elevates and pushes the tongue posteriorly -> airway obstruction
when does jervell and lange-neilson syndrome present?
childhood
presentation of congenital long QT syndrome (jervell and lange-neilson syndrome)?
-sensorineural hearing loss in childhood and episodes of arythmia induced syncope
bilateral, herediatary vestibular schwanomas in a young patient are likely caused by……
NF2
patients who undergo splenectomy require which vaccinations?
- pneumonococcus
- H influenza vaccine
- meningococcus
A patient has all childhood vaccinations. They have an upcoming splenectomy - do you give them the H influenza vaccine again?
Yes
how often should the meningococcus vaccine be repeated in a asplenic patient?
every 5 years
a patient with a single vertebral fracture from blunt trauma requires imaging of…
the entire spine
a patient who had kidney transplant and now has persistantly elevated BP may have…
renal artery stenosis
A patient with diabetes gets sepsis. Why may they not present with fever?
they may not be able to amount a significant immune response
which lymph nodes are often initially affected in testicular cancer?
retroperitoneal nodes
