High Yield Surgery Flashcards

1
Q

Guarding and rebound case what is the next best step management

A

Exploratory laparotomy

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2
Q

Widened mediastinum

A

CT angiography

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3
Q

Inability to abduct the arm
Injury site and nerves affected?

A

Injury site: Surgical neck of Humerus
Nerves: aaxilla4y Nerve + Posterior circumflex humerus artery

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4
Q

Inability to extend the elbow
Injury site and the nerves affected?

A

Injury: midshaft of humerus
Nerves: Radial Nerve + deep brachual artery

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5
Q

Motor and sensory damage of first three digits
Injury site and nerves affected?

A

Injury to the supracondylar fracture of humerus
Median nerve and brachial artery

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6
Q

Weak grip and sensory damage of last 2 digits

A

Injury to the medial epicondylar fracture of humerus
ULNAR nerve

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7
Q

RuQ pain after fatty meals and resolves within a few hours
Can have elective sholecystectomy

A

BILIARY colic

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8
Q

Constant RUQ pain + fever + inflammation of gallbladder
Usually requires cholecystectomy within 72 hrs

A

ACUTE CALCULOUS CHOLECYSTITIS

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9
Q

ICU patients + cholecystitits symptoms + no stones visualised
Tx: antibiotics + percutaneous cholecystectostomy (cholecystectomy later when stabilised)

A

Acalculous cholecystitits

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10
Q

Cholecystitis symptoms + creates in RUQ + air fluid levels
Tx: cholecystectomy

A

Emphysematous cholecystitis

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11
Q

Fever + jaundice + RUQ pain (chariots triad) .
Tx: antibiotics + ERCP drainage

A

Acute Cholangitis

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12
Q

Claudication, pain while sleeping (rest pain hx of ACS
Tips of toes

A

Eripheral Artery Disease

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13
Q

Hyperpigmentatjoj of ankles
History of chronic LE edema
Medial malleolus

A

Chronic Venous Insufficiency

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14
Q

Painless ulcer usually at the sole of the 1st metatarsal

A

Diabetic foot ulcer

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15
Q

Painful, palpable, cord like swelling of veins
Asso qith GI malignancy and Buerger Syndrome (thromboangitis obliterans

A

Superficial thrombophlebitis

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16
Q

Flat, painful streaks usually extending proximal from skin infection (cellulite, erysipelas

A

Lymphangitis

17
Q

Ipsilateral paralysis and normal sensation and contralateral pain. Or temp loss
Half transection

A

Brown square syndrome

18
Q

Bilater sensory loss of upper extremities
Loc: central cord , elderly person with neck whiplash injury

A

Central Cord Syndrome

19
Q

Anterior 2/3 of cord
Burst vertebral fracture or surgical damage to aorta branches
Bilateral weakness + pain = temp loss, normal sensation spared

A

Anterior cord syndrome

20
Q

Recent chest trauma with paradoxic movement of chest with breathing

A

Flail chest

21
Q

Fall on outstretched hand with pain in anatomical snuffbox with normal xray

A

Scaphoid fracture

22
Q

Elderly patient with history of alcoholism with recent head trauma and altered mental status

A

Subdural haematoma

23
Q

High speed MBC + upper extremity hypertension + hoarse voice

A

Traumatic aortic rupture

24
Q

Blunt rauma + left sided chest pain + NG tube in the pulmonary cavity

A

Traumatic diaphragmatic hernia

25
Q

Paediatric patient with trauma 24 hrs ago with new onset epigastric pain and Vomiting

A

Duodenal hematoma

26
Q

Head trauma with brief LOc, now has headache and nausea and Vomiting

A

Epidural haematoma or rupture of the middle meningeal artery

27
Q

Patient with pancreatic surgery with new onset non-anion gap metabolic acidosis

A

Pancreatic fistula

28
Q

Child with extremity pain, fever, leukocytosis with periosteal elevation and osteopathic lesions on MRI

A

Osteomyelitis

29
Q

Full thickness extremity burn with pain on passive stretch and rapidly increased swelling

A

Compartment syndrome from eschatology formation or escharotomy

30
Q

Sudden onset respiratory distress after remov of central.line, hypoxaemia, obstructive shock but normal breath sounds

A

Venous air embolism.

31
Q

Tall, young patient who experiences sudden onset respiratory distress, jvd and hyperresonance on percussion

A

Rimary spontaneous pneumothorax

32
Q

Rebound, guarding with free air under the diaphragm on Xray

A

Erforated peptic ulcer

33
Q

Diffuse rash with a net like appearance

A

Acute mesenteric ischaemia + lived reticularis

34
Q

RUQ pain that radiates to the back

A

Acute pancreatitis