General Surgery Flashcards
Cholelithiasis: risk factors
Fat, forty, fertile, female, faie
Cholelithiasis: dx
Ultrasound
Choledocholithiasis: initial test
Transabdominal ultrasound
Choledocholithiasis: diagnostic test of choice
ERCP
Cholelithiasis: tx
Observe vs. elective cholecystectomy
Choledocholithiasis: tx
ERCP stone extraction
MC organism in acute cholangitis
E.coli
Acute cholangitis: tx
Abx; common bile duct decompression/stone extraction via ERCP
Acute cholecystitis: MC organism
E.coli
Boas sign is associated with?
Acute cholecystitis
Boas sign
Referred pain to right shoulder/subscapular area
Acute cholecystitis: test of choice
Ultrasound
Acute cholecystitis: gold standard
HIDA scan
Acute cholecystitis: tx
NPO, IV fluids, cholecystectomy
Acute pancreatitis: two most common causes
Gallstones, etoh abuse
Acute pancreatitis: diagnostic test of choice
Abdominal CT
Acute pancreatitis: tx
NPO, IV fluid, analgeisa (not morphine)
Acute pancreatitis: name of criteria for prognosis
Ransons
Chronic pancreatitis: MCC in children
CF
Chronic pancreatitis: triad
Calcifications, steatorrhea, and diabetes
Chronic pancreatitis: dx
Abdominal x-ray shows calcified pancreas
Chronic pancreatitis: tx
Oral pancreatic enzyme replacement, alcohol abstinence, and pain control
Pancreatic carcinoma: risk factor
Smoking
Pancreatic carcinoma classic clinical manifestation
Painless jaundice
Courvoisuer’s sign associated with
Pancreatic carcinoma
Courvoisuer’s sign
Palpable, non-tender, distended gallbladder associated with jaundice
Pancreatic carcinoma: initial test of choice
CT scan
Pancreatic carcinoma treatment
Whipple procedure
