Gen Surg Flashcards
what is the lymphatic drainage of the rectal canal above the pectinate line ?
Internal iliac lymph nodes
what is the generic name for Herceptin ?
Trastuzumab
what is the lymphatic drainage from the posterior surface of the liver ?
phrenic and posterior mediastinal nodes, which join the right lymphatic and thoracic ducts.
Fat wrapping of the terminal ileum is seen in what condition ?
Chrohns
how is the surgical management of inguinal hernia’s in kids different to adults ?
Adults tend to have open repair with a mesh
Kids tend to have open herniotomty because their hernias are almost always indirect
what are the two tributaries of the azygous vein ?
Hemiazygos vein, accessory hemiazygos vein
Hirschprungs is initially managed with washouts . At what age do kids have definiive management and what is the treatment ?
between 9 and 12 months of age, definitive surgery (usually resection and primary anastomosis) is performed.
where are AAAs most likley to bleed into ?
80% rupture posteriorly into the retroperitoneal space
What arterial structure in the mediastinum aids venous flow of the azygous vein ?
Thoracic aorta
what levels do the hemi-azygous and accessary hemi azgous join the azygous veins ?
hemiazygos vein - T8
accessory hemiazygos vein - T7
What is the lymphatic drainge of the ovaries ?
Para aortic lymph nodes
What is the fascia that separates the rectum from the sacrum ?
Waldeyers fascia
which IBD condition presents with Granuloma’s (non caseating epithelioid cell aggregates with Langhans’ giant cells)
Chrohns
what types of epithelium is found above and below the pectinate line ?
Above - columnar epithelium
Below - non keratinised stratified squamous
what is the risk of you pull the RIGHT adrenal gland suddenly in theatre ?
it may be avulsed off the IVC.
what vessels make up the hepatic portal vein
- superior mesenteric vein
- Inferior mesenteric vein
- splenic vein
what is the function of the azygous vein ?
Drains viscera within the mediastinum
what is the NHS colorectal screening process ?
FIT testing every 2 years in people aged 56 to 74.
Positive results are referred to colonoscopy
what is the lymphatic drainage of the rectal canal below the pectinate line ?
Superficial inguinal lymph nodes
The portal triad is enclosed in what structure ?
Hepatoduodenal ligament
When is a herniotomy indicated ?
Inguinal hernias in children are almost always of an indirect type and therefore are usually dealt with by herniotomy,
Where does the superior mesenteric vein drain into ?
Hepatic portal vein
Ileo-ileal intussusception are far less common than the ileo-colic variant. How does the management differ ?
- Ileo-colic is managed with air insufflation
- ileo-ileo is managed with laprotomy
What is the largest lymphatic vessel in the body ?
Thoracic duct