General Surgery Flashcards
What is Rovsing’s sign?
When pt has appendicitis and you palpate somewhere in the abdomen, the pt feels the pain at McBurney’s point
Which abx combo do you give for diverticulitis?
Cipro and Flagyl
What is Charcot’s triad?
- RUQ pain
- Fever/Shaking chills
- Jaundice
What two lab values can be elevated in bowel perforation that may incorrectly make you think of a different organ?
Amylase and lipase
What is the initial Tx for sigmoid volvulus after supportive care has been started?
Decompression with endoscope
Which type of hernia is the most susceptible to incarceration and who typically gets it?
Femoral
Women
What is the most common cause of fever in the first 24 hrs after surgery?
Atelectasis
In pts s/p abdominal surgery who have daily fever spikes that are not responding to abx, what should you check for?
Intraabdominal abscess
In what time frame do wounds usually dehisce?
5-10 days
In tension pneumothorax, which way dose the mediastinum shift?
Away from the collapsed lung
Why might you see distended neck veins in a patient with tension pneumothorax?
Imparied cardiac filling
What is pulsus paradoxus?
Occurs with cardiac tamponade. Causes exaggerated fall in BP on inspiration.
What is Kehr’s sign?
Pain referred to the left shoulder from splenic injury
What is the most common cause of immediate death after a MVA or fall from great height?
Aortic rupture
What are the 3 zones of the neck and for which 2 should you get an arteriogram before going to the OR?
1) base of neck from clavicles to 2cm above the clavicles
2) midcervical region from 2cm above the clavicles to angle of the mandible
3) top of neck from angle of mandible to base of skull
Get arteriogram with zone 1&3
