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Surgery JB > Emma Holiday > Flashcards

Emma Holiday Flashcards

1
Q

pH <7.4
HCO3 High
pCO2 High

A

Respiratory Acid

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2
Q

pH <7.4
HCO3 Low
pCO2 Low

A

Metabolic Acidosis

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3
Q

pH >7.4
HCO3 Low
pCO2 Low

A

Respiratory Alkalosis

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4
Q

pH >7.4
HCO3 High
pCO2 High

A

Metabolic Alkalosis

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5
Q

Hypercalcemia

A

Bones, stones, groans, short QT

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6
Q

Hypocalcemia

A

Chvostek
Troussaeu
prolonged QT

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7
Q

AntiThrombin III

A

Heparin won’t work

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8
Q

HIT

A

Low Platelets Plus Clotting

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9
Q

Silver Salazine

A

Doesn’t penetrate eschar, Cause leukopenida

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10
Q

Mafenide

A

Penetrates Eschar but hurts

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11
Q

Silver Nitrate

A

Doesn’t penetrate eschar and causes HypoK and HypoNa

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12
Q

Crackly Sounds with palpating anterior neck

A

fibroscopic intubate broncoscope

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13
Q

Chest tube to OR

A

High output (1L+)

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14
Q

Confusion, petechial rash on axilla and neck and acute SOB

A

Fat Embolism

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15
Q

Lower rib fracture plus bleeding into abdomen

A

Spleen or liver lac

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16
Q

Lower rib fracture plus hematuria

A

Kidney lac

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17
Q

Keher sign (pain on shoulder) and viscera in thorax on CXR

A

Diaphragm rupture

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18
Q

Handlebar sign (pain and bruising in mid epigastric)

A

Pancreatic rupture

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19
Q

Retroperitoneal Fluid

A

Duodenal Rupture

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20
Q

Bladder Rupture

A

Retrograde Cystogram

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21
Q

Urethral Injury

A

Retrograde urethrogram

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22
Q

Old Lady Fall

A

Distal radius displaced (colle’s fracture)

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23
Q

Nec Fasch

A

Strep or Clostridium Perfringens

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24
Q

Salmon colored fluid

A

Dehiscence

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25
Q

Light’s Criteria

A

Transudative
LDH <200
LDH eff/serum <0.6
Protein eff/serum <0.5

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26
Q

Popcorn Calcifications on Lung Nodule

A

Benign Hamartoma

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27
Q

Central Lung Ca

A

Squamous & Small Cell

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28
Q

Peripheral Lung Ca

A

Adenocarcinoma & Large Cell

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29
Q

ARDS

A

PaO2/FiO2 <200
Bilateral Alveolar Infiltrates
PCWP <18 (Not Heart)

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30
Q

Systolic Ejection
Louder with Squatting
Softer with valsalva

A

Aortic Stenosis

31
Q

Systolic Ejection
Louder with valsalva
Softer with Squatting

A

HOCM

32
Q

Late Systolic Murmur with click

Louder with Valsalva

A

Mitral Valve Prolapse

33
Q

Holosystolic Murmur radiate to axilla

A

Mitral Regurg

34
Q

Holosystolic with late diastolic rumble

A

VSD

35
Q

Continuous Machine Like

A

PDA

36
Q

Wide Fixed Split S2

A

ASD

37
Q

Rumbling Diastolic murmur with opening snap

A

Mitral stenosis

38
Q

Blowing diastolic murmur with widened pulse pressure

A

Aortic Regurg

39
Q

Zenker

A

Bad Breath

False Diverticulum

40
Q

GERD

A

Epigastric Pain worse after eating or when laying down, cough, wheeze hoarse

41
Q

Dysphagia worse with hot and cold liquids

A

Diffuse Esophageal spasm

Tx: CCB

42
Q

Trousseau

A

Migratory Thrombophlebitis

43
Q

Courvoisier

A

Large Nontender GB, itching and jaundice (Adenocarcinoma of Pancreas)

44
Q

Choledochal Cyst Type 1

A

Fusiform dilation of CBD

Tx: Excision

45
Q

Choledochal Cyst Type 5

A

Caroli’s Disease

Cyst in intrahepatric duct

46
Q

Cholangiocarcinoma

A

Risk Primary Schlerosing cholnagitis (UC), Liver flukes and thorothrast exposure

47
Q

TIPS

A

worsens hepatic encephalopathy

48
Q

Woman OCP

A

Hepatic Adenoma

49
Q

Benign Liver tumor (less likely to rupture)

A

Focal Nodular Hyperplasia

50
Q

RUP Pain, profuse sweating, rigors, palpable liver

A

Entamoeba histolitica
Tx: Metronidazole
Don’t Drain

51
Q

Mexico Liver Cysts

A

Enchinococcus

52
Q

ITP

A

Tx Sterioids

if Relapse Splenecotmy

53
Q

Carcinoid Tumor

A

In Appendix
Serotonin Excess
Niacin Deficiency (tryptophan used up) Diarrhea, Dermatitis, Dementia

54
Q

PostOp Ileus

A

Dilated loops of small bowel air fluid level

55
Q

Ogilvie’s

A

Massive colonic distention >10cm

Tx: Neostigmine

56
Q

Diverticulosis

A

False Diverticulae

57
Q

Primary Aldosteronism

A

High blood pressure, low K+ low Plasma Aldosterone to Renin Ratio

58
Q

Men 1

A

Pituitary
Parathyroid
Pancreas

59
Q

Men 2a

A

Medullary
Pheo
Parathyroid

60
Q

Men 2b

A

Medullary
Pheo
Neruoma

Marfinoid

61
Q

LCIS

A

Both Breasts

62
Q

DCIS

A

One Breast

63
Q

Warthlin’s Tumor

A

Papillary Cystadenoma lymphomatosum benign on parotid gland

64
Q

Mucoepidermal carcinoma

A

MC Malignant tumor arises from duct causes CN VII palsy

65
Q

VACTERL

A 
Verterbral
Anorectal Malformation
Cardiovascular Anomalies
Tracheoesophageal Fistula
Esophageal Atresia
Renal Anomalies
Limb Defects
66
Q

Omphalocele

A

Covered by sac

67
Q

Gastroschisis

A

Not covered by sac

68
Q

2 week old bilious vomiting

A

Intestinal Atresia or Annular Pancreas

69
Q

Lytic bone lesions, Onion Skinning

A

Ewing Sarcoma

70
Q

Metaphysis, Codman’s Triangle, Sunray Appearance

A

Osteosarcoma

71
Q

Merperidine

A

Lowers Seizure threshold

72
Q

Succinylcholine

A

Malignant Hyperthermia

HyperK

73
Q

Rocuronium

A

Allergic reaction in Asthmatics

74
Q

Halothane

A

Malignant Hyperthermia & liver Tox

Surgery JB (6 decks)

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