Clinical Correlation - Francis

Question 1

central line placement in femoral

Answer 1

NAVEL

• nerve, artery, vein, empty space, lymphatics
• from outside in

Question 2

where do you want to give injections in the leg?

Answer 2

lateral side b/c n/a/v are on the medial side

Question 3

where are the two easiest bones to get injections into blood if you can’t get blood from an artery?

Answer 3

tibia or humeral head

-can inject fluid, blood, antibiotics, etc.

Question 4

L1 fracture cause

Answer 4

typically from compression or springing trauma

Question 5

rule of 2’s w/ Meckel’s diverticulum

Answer 5

2” long typically
about 2 feet from terminal ileum
2 types of tissue - gastric and pancreatic tissue (can cause ulcers and bleeding)
in about 2% of people (more male than female)

Question 6

where does typhoid tend to live?

Answer 6

peyer’s patches

Question 7

what three parts cause differing rates of colicky pain?

Answer 7

gastric, small intestine, large intestine

Question 8

in cholecystectomy, why can patients get shoulder pain?

Answer 8

irritation of diaphragm

Question 9

triangle of Calot

Answer 9

b/w gallbladder, cystic duct, hepatic vein ?

-contains cystic artery and node of Calot

Question 10

blood volume increase during pregnancy?

Answer 10

20-30%

Question 11

rate blood comes into uterus during pregnancy? so what kind of incision should be made?

Answer 11

1.5/2 L per minute - smiley incision

Question 12

how can you differentiate CSF from lymphatic fluid?

Answer 12

put it on blotter paper - CSF will spread out in lines of circle