CC Unit Three Flashcards

1
Q

Cremasteric reflex

A

In: ilioinguinal
Out: genital of genitofemoral

None when testis twisted

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2
Q

Varicocele

A

Pampaniform plexus becomes dilated and tortuous. Usually on left

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3
Q

Hydrocele of spermatic cord

A

Too much fluid in scrotum/ cord, injury to epididymus

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4
Q

Cancer in testis

A

Testis to lumbar lymph nodes and para aortic, scrotum to superficial inguinal

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5
Q

Indirect hernia

A

Through the deep and superficial inguinal rings, into scrotum/labia. Patent process vaginalis

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6
Q

Direct hernia

A

Through only superficial ring, rarely enters scrotum

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7
Q

Cystic artery severance

A

Compress common hepatic artery

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8
Q

Abdominal paracentisis

A

Inserted superior to bladder

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9
Q

Ascites

A

Excess fluid in peritoneal cavity

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10
Q

Esophageal varices

A

Caused by portal hypertension or cirrhosis.

Blood backs up

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11
Q

Sliding hernia

A

Esophagus, cardia, fundus. Slide up to thorax, regurgitation of food

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12
Q

Paraesophageal hernia

A

Pouch into thorax, no regurgitation

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13
Q

Stomach cancer

A

Usually in pyloric region

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14
Q

Gastric ulcers

A

Lesions of stomach mucosa, usually caused by h pylori infection.

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15
Q

Vagotomy

A

Vagus controls acid in stomach, resected to control that

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16
Q

Congenital hypertrophic pyloric stenosis

A

Hard pylorus, forceful vomiting

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17
Q

Meckels diverticulum

A

Remnant of embryonic yolk stalk. Can mimic appendicitis

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18
Q

Appendectomy

A

Incision at McBurney point. Sometimes appendix on left due to malrotation or cecum fails to descend

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19
Q

Portal hypertension

A

Obstruction of venous system. Bleeding, varicose veins. Treated with shunts

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20
Q

Cirrhosis

A

Hepatomegaly, firms up liver. Caused by alcohol or industrial solvents

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21
Q

Spleen rupture

A

Rib fracture, blunt trauma. Bleeding and shock. Treated by splenectomy

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22
Q

Splenomegaly

A

Leukemia, hypertension, anemias

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23
Q

Gallstones

A

Made of cholesterol, pain in epigastric region.

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24
Q

Cholecystitis

A

Inflammation of gallbladder. Pain in right shoulder/posterior thorax, jaundice

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25
Q

Pancreatitis

A

Bile enters because of block at hepatopancreatic ampulla

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26
Q

Pancreatic cancer

A

Retention of bile and jaundice, severe pain

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27
Q

Gallstones in duodenum

A

Gallbladder forms fistula to GI tract. Bowel obstruction

28
Q

Diaphragmatic rupture

A

Most on left. When congenital, mortality rate high due to lung not developing

29
Q

Psoas access

A

Caused by TB. Ends up over brim and under ligament to leg

30
Q

Nutcracker syndrome

A

Compression of renal vein via superior mesenteric artery

31
Q

Kidney stones

A

Pain due to hyperperistalsis, migratory pain

32
Q

Injury to superior gluteal nerve

A

Lose gluteus medius, and minimus. Positive trendelenburg test. Opposite leg drop, or gait modification.

33
Q

Piriformis syndrome.

A

Compression of sciatic nerve by piriform muscle. Butt pain

34
Q

Safe injection site on butt

A

Upper outer quadrant

35
Q

Spondylolysis

A

Vertebral arch separated from body. Prominent L5

36
Q

Hip type variations

A

Android- m and white w
Gynecoid-w and black w
Anthropoid- m and black w

Platypelloid- uncommon

37
Q

Pelvic floor injuries

A

Levator ani muscles damaged most commonly

38
Q

Bladder rupture

A

Superior form intraperitoneal

Inferior is extraperitoneal

39
Q

Hysterectomy

A

Damage to ureter is possible, near uterine artery

40
Q

Prolapsed uterus

A

Can descend into vagina when uterus is retroverted

41
Q

Ectopic pregnancy

A

Usually in ampulla

42
Q

Hemorrhoids

A

Internal rectal venous plexus for internal, external for external. External are painful

43
Q

Ischial bursitis

A

Hamstrings and ischial tuberosity

44
Q

Trochanteric bursitis

A

Gluteus Maximus and greater trochanter

45
Q

Hip pointer

A

Confusion of iliac crest

46
Q

Cox vara

A

Less angle between femur and hip

47
Q

Cox valga

A

More angle between femur and hip

48
Q

Genu varum

A

Bow legged

49
Q

Genu valgum

A

Knock knee

50
Q

Dislocated epiphysis of femoral head

A

Slow dislocation, referred pain to knee

51
Q

Runners knee

A

Inflamed chondral cartilage, pain deep to patella

52
Q

Tibial fracture

A

Middle and inferior thirds junction

53
Q

Potts fracture

A

Foot eversion, torn medial malleolus and broken fibula

54
Q

Femoral hernia

A

Through femoral ring, abdominal viscera

55
Q

Knee jerk

A

L2-4

56
Q

Hallux valgus

A

Large deviation of big toe

57
Q

Tennis leg

A

Partial tearing of medial gastrocnemius

58
Q

Drop foot

A

Loss of peroneal nerve

59
Q

Tibial nerve entrapment

A

Heel pain, entrapped by flexor retinaculum

60
Q

Popliteal abcess

A

Spreads superiorly and inferiorly

61
Q

Ankle jerk

A

S1,2

62
Q

Club foot

A

Inverted and plantarflexed

63
Q

Deep vein thrombosis

A

Femoral vein

64
Q

Unhappy triad

A

ACL, MCL, medial meniscus

65
Q

Plantar reflex

A

L4-S2