From Pearls Flashcards
Adjunct tx for DIC and Primary fibrinolysis
FFP/cryoprecipitate; EACA
Test for DIC
Protamine test
Antidote for chemical burns caused by hydrofluoric acid
Calcium
1st cells to enter the wound
Neutrophils
Non absorbable sutures
Nylon, prolene, stainless steel, silk
Average time frame for suture removal
7-10 days
Microsatellite instability is the hallmark of?
Lynch syndrome
Early onset colon CA with excess synchronous and metachronous lesions
Lynch syndrome type I
Criteria for lynch syndrome
Amsterdam criteria (3-2-1-0)
Most commonly implicated human bite wound
Eikenella corrodens
Most commonly impicated animal bite wound
Pasturella multicoda
CEA (+)
Pagets disease
S 100
Melanoma
Intracytoplasmic mucin
Lobular CA
Hypertrophied papilla, ulcer, sentinel pile: managment
Laternal intestinal sphincteretomy (Golligher’s triad)
Arrow head sign
AP
Most common site of GI carcinoid
Appendix
Most common adenocarcinoma of the appendix
Mucous
A rare d/o caused by post sinusoidal cirrhosis due to vein thrombosis is diagnosed by?
Budd chiari; trascutaenous doppler US
Halo sign
Acutr calculous cholecystitis
Fotherhill sign - most defintive dx
Rectus sheath hematoma (CT scan)
Abdiminal mass lesion that is mobile from the patient’s right to left or left to right, Tillaux sign
Mesenteric cyst
Idiopathic retroperitoneal fibrosis is diagnostic
Ormond’s disease- CT scan with contrast
(+) hurthle/ askanazy cells ; management?
Hashimoto- thyroid hormone replacement
Hardy wood thyroid glands; what is the management?
Riedel’s thryoiditis- isthmusectomy
In a child with recurrent acute thyroiditis, what is the Dx of choice?
Persistent pyiform sinus fistula- ba swalow
Localization study for the most common cause of primary hyperparathyroidism
Tc labeled sestamibi(for solitary parathyroid adenoma)
Prominent S1, fixed S2, right ventricular heave
Ostium secundun
Rib notching on CXR, decreased femoral pulses: tx?
Coarctation of the aorta- bicuspid aortic valve: resection and EEA
Equalization of O2 sat in all chambers: mgmt?
TAPVC- connect PV to LA(emergency)
Hypoplastic RV, dependent pulmonary flow on PDA: mgmt
Blalock Taussig shunt(blalock para sa block)- tricuspid atresia
Horner syndrome+wasting of intrinsic muscles+ arm shoulder pain
Pancoast tumor: adenoCA of lungs
Microcolon, eggshell pattern
Meconium ileus
When performing a procedure to prevent midgut malrotation ; what other procedure should also be inculded
Appendectomy(Ladd’s procedure- annular pancreas)
Pt with a triad of abdominal pain, jaundice and mass, what is the disgnostic of choice
MRCP(choledochal cyst)
Major inducer of catabolism and cahexia during stress
TNF a
Induces fever
IL 1
Responsible for Ig production
IL 2