Intro to Surgery Flashcards
What is surgery?
Healing by manual operation
Types of surgery?
Elective Emergency (immediate, urgent) Expedited Laparoscopic Day surgery
What does a surgeon do?
Diagnosis: - Evaluate pt problem - Investigations Treatment options - Surgical/non-surgical Operative Post op care: - Immediate post op care - Rehab - Follow up care
What does pre-op care consist of?
Safe surgery:
- Informed consent
- Anticipate complications (blood loss prevention/replacement, infec issues)
- Safe anaesthetic - airway, assess co-morbidities, specific heart/lung investigation
Physiological clossification?
ASA I healthy pt
ASA II mild systemic disease with no functional limitation - controlled hypertension
ASA III severe systemic disease with definite functional limitation - COPD
ASA IV severe systemic disease that is a constant threat to life - unstable angina
ASA V moribund pt who is not expected to survive for 24hrs with or w/o surgery - ruptured aortic aneurysm
Suffix E emergency procedure
WHO performance status - estimate complication risk, guide choice of treatment
Examples of cardiac surgery?
Valve replacement/repair
Anticoagulants
General surgery examples?
Liver, gall bladder - bleeding, drug metabolism, jaundice
Colitis, crohns, ulcerative colitis - oral signs of bowel disease
What does ENT consist of?
Thyroid, larynx, neck lumps
Sinusitis, earache, headache
What does plastics consist of?
Wound healing, skin malignancy, cosmetic surgery
Examples of neurosurgery?
Head injury
Cranial nerve lesions
Orthopaedics?
Principles of hard tissue surgery, rheumatoid disease
Transplanation?
Immune suppression
Gingivitis
Graft vs host disease
What is perioperative care?
Dealing with emergencies Airway Bleeding Vital signs Sedation
