F - Boards In A Flash - Surgery Flashcards
BP approximation
Carotid pulse - at least 60mmHg
Femoral pulse.- atleast 70mmHg
Radial pulse - at least 80mmHg
Blood loss in fracutres
Each rib: 100-200 mL
Tibia: 300-500 mL
Femur: 800-1000 mL
Pelvis: >1000mL
Radical neck dissection
Cervical ln (I-V) \+ SCM + IJV + CN XI
CUTANEOUS hyperesthesia over right t10, T11, T12
Sherren’s triangle
Refeeding syndrome
Decreased:
PO4, Mg, K, Ca
Inhibitors of GP IIbIIIa
Eptifibatide
Abciximab
Tirofiban
5 W’s of post-op fever
Wind (pneumonia) Water (UTI) Wound (SSI) Walking (PE) Wounder drugs (meds)
Most common injured nerve in parotid surgery
Greater auricular nerve
Nerves at risk furing submandibular gland removal
Lingual nerve and hypoglossal nerve
Lid lag
Von graefe’s sign
Visible sclera above corneoscelral limbus
Dalrymple’s sign
Weakened esophageal area at level of cricopharyngeus
Killian’s area
Blood type assoc’d with duodenal ulcers
Type O
duOdenal ulcers
Blood type assoc’d with gastric ulcers
Type A
gAstric ulcers
Residual small bowel length in short bowel syndrome
< 200cm
M/c complicatiotn of hemorrhoidectomy
Urinary retention
Milan criteria
For liver transplant
One nodule <5cm, or
2-3 nodules all < 3cm
No gross vascula invasion / extrahepatic spread
Pectoralis minor removed
Patey MRM
Pectoralis minor preserved
Madden & auchincloss
Pectoralis minor transected and repaired
Scanlon MRM
Bloody viscious cycle
Coagulopathy
Acidosis (metabolic)
Temperature, decreased (hypothermia)
Time for heart and lungs transplant
6-8 hours
Time for liver transplant
16 hours
Time for pancreas transplant
24 hours
Time for kidneys transplant
36-40 hours
Summarize time for transplant
6-8 hours - H,L
16 hours - Li
24 hours - P
36-40 hours - K
Modified Johnson’s classificatiotn for Gastric ulcers
I - antral II - antral + duodenal III - prepyloric IV - GE junction V - NSAID-induced (anywhere)
Superior mesenteric artery syndrome
Compression of 3rd part of duodenum by SMA
Return of GI MOTILITY
Small intestines - 1st 24 hours
Stomach - 48 hours
Large intestine - 3-5 days
Intestinal fistulas
Low-output: < 200mL fluid/day
High-output: >500mL fluid/day
Diagnostic peritoneal lavage
RBC: >100,000 (OR 10K for thoracoabdmonial) WBC: >500/mL Amylase; >19 IU/L ALP: >2 IU/L Bilirubin: > 0.01 mg/dL
Pantaloon hernia
Direct + indirect hernia
Amyand hernia
Appendix
Petit hernia
Inferior lumbar triangle
Morgagni hernia
Anterior diaphragm
Bochdaleck hernia
Posterior diaphragm
Usually on left
Colles fx
Distal radius fx with fragment displaced dorsally
Smith’s fx
Distal radius fx with fragment displaced volarly
Hutchinon’s fx
“Chauffeur’s fx”
Radial styloid fx
Monteggia’s fx
Fx of ulna + radial head dislocation
Galeazzi’s fx
Fx of distal radius + dislocation of DRUJ
Choledochal cyst type I
Fusiform, extrahepatic bile duct dilatation
Tx: excision (cholecystecomy +cbd excision) + roux-en-y hepaticojejunostomy
“First for Fusiform”
Choledochal cyst type II
Saccular diverticulum in CBD
Tx: excision + roux-en-y hepticojejunostomy
(Same as type I treatment)
“Second for Saccular”
Choledochal type III
Choledochocoele
Tx: sphincterotomy
(If large: transduodenal excision)
“Three for Through the duodenum”
Type IVa
Intra + extrahepatic duct cysts
Tx: segmental liver resection + type I tx
“4a for For All”
Choledochal cyst type IVb
Extrahepatic duct cysts only
Tx: same as type 1
“Be Out”
Type V
“Caroli’s disease” Intrahepatic duct cysts only Tx: liver transplant [if bilobar / complex / portal HTN] *if confined: hepatic resection “Carol-i for i-ntrahepatic ducts”
Hernia involving the appendix
Amyand hernia
Describe Killian’s area
Weakened esophageal area at level of cricopharyngeus
Differentiate monteggia’s fx vs galeazzi fx
Galeazzi’s fx:
Fx of distal radius + dislocatiotn of DRUJ
Monteggia’s fx:
Fx of ulna + radial head dislocation
