High Yield Surgery Flashcards
Guarding and rebound case what is the next best step management
Exploratory laparotomy
Widened mediastinum
CT angiography
Inability to abduct the arm
Injury site and nerves affected?
Injury site: Surgical neck of Humerus
Nerves: aaxilla4y Nerve + Posterior circumflex humerus artery
Inability to extend the elbow
Injury site and the nerves affected?
Injury: midshaft of humerus
Nerves: Radial Nerve + deep brachual artery
Motor and sensory damage of first three digits
Injury site and nerves affected?
Injury to the supracondylar fracture of humerus
Median nerve and brachial artery
Weak grip and sensory damage of last 2 digits
Injury to the medial epicondylar fracture of humerus
ULNAR nerve
RuQ pain after fatty meals and resolves within a few hours
Can have elective sholecystectomy
BILIARY colic
Constant RUQ pain + fever + inflammation of gallbladder
Usually requires cholecystectomy within 72 hrs
ACUTE CALCULOUS CHOLECYSTITIS
ICU patients + cholecystitits symptoms + no stones visualised
Tx: antibiotics + percutaneous cholecystectostomy (cholecystectomy later when stabilised)
Acalculous cholecystitits
Cholecystitis symptoms + creates in RUQ + air fluid levels
Tx: cholecystectomy
Emphysematous cholecystitis
Fever + jaundice + RUQ pain (chariots triad) .
Tx: antibiotics + ERCP drainage
Acute Cholangitis
Claudication, pain while sleeping (rest pain hx of ACS
Tips of toes
Eripheral Artery Disease
Hyperpigmentatjoj of ankles
History of chronic LE edema
Medial malleolus
Chronic Venous Insufficiency
Painless ulcer usually at the sole of the 1st metatarsal
Diabetic foot ulcer
Painful, palpable, cord like swelling of veins
Asso qith GI malignancy and Buerger Syndrome (thromboangitis obliterans
Superficial thrombophlebitis