General Surgery Flashcards
Post operative patient - what would you look at in the notes?
Investigations you would consider for a post operative patient with suspected abdominal sepsis
Definition of sepsis
Life threatening organ dysfunction caused by a dysregulated host immune response
Surviving Sepsis Guidelines 2021
McBurney’s Point
1/3 the distance from ASIS to the umbilicus
Eponymous signs of appendicitis
Obturator Sign: defined as discomfort felt by the subject/patient on the slow internal movement of the hip joint, while the right knee is flexed. It indicates an inflamed pelvic appendix that is in contact with the obturator internus muscle
Rosving’s Sign
Psoas Sign
Scoring system for Appendicitis
Risk factors for anastomotic leak
Factors that affect wound healing
Pre op: anaemia, jaundice, malignancy, vitamin C deficiency, diabetes or protein deficiency + smoking
Operative: poor surgical technique/ error, Increased bowel handling (leads to oedema)
Post operative: chronic cough, intra-abdominal pressure, high body mass index
NELA
National Emergency Laparotomy Audit
Provides an estimate of the risk of death within 30 days of emergency abdominal surgery
