Most Commons Flashcards
indication for surgery with chron’s?
SBO
type of melanoma?
superficial spreading
type of breast CA?
infiltrating ductal
site of breast CA?
upper outer quadrant
vessel invovled with bleeding duodenal ulcer?
gastroduodenal artery
cause of CMD obstruction?
choledocholithiasis
bacteria in stool?
b. frag (bacteroides fragilis)
cause of SBO in kids?
hernias
cuase of SBO in adults?
post op peritoneal adhesions
cuase of emergency abdominal surgery in the US?
acute appendicitis
site of GI carcinoids?
appendix
electrolyte deficiency causing ileus?
hypokalemia
site of distant mets of sarcoma?
lungs
cause of shock in surgical patient?
hypovolemia
position of anal fissure?
posterior
cause of large bowel obstruction?
colon CA
type of colonic volvulus?
sigmoid
cause of fever <48 hour post op?
actelectasis
bacterial cause of UTI
e. coli
abdominal organ injured in blunt abdominal trauma?
liver (apparently not spleen?)
abdominal organ injured in penetratin abdominal trauma?
small intestine
bengin tumor of the liver?
hemangioma
malignancy of the liver?
mets
pneumonia in ICU?
gram neg bacteria
cuaes of epidural hematoma?
mma injury
cause of lower gi bleed?
upper gi bleed
type of hernia?
inguinal (R more than L)
cuase of esophageral perf?
iatrogenic instrumentation (EGD)
cause of free peritoneal air?
perforated PUD
symtom with gastric CA?
weight loss
site of colon CA mets?
liver
cause of death ages 1-4?
trauma
what is the calculation for maintenance fluids? (for the first 24 hours)
100/50/20 - 100 ml/kg for up to the 1st 10 kg of body weight* === 50 ml/kg for up to the 2nd 10 kg of body weight === and 20 ml/kg of the remaining
what is the calculation for maintenance rate? (for determining an hourly rate)
4-2-1. 4 ml/kg for first 10; 2 for next 10 and 1 for the remaining.
what is the most posterior cavity of the peritoneal cavity?
morrison’s pouch
what are the components of the hasselbach’s triangle?
lateral border of rectus sheath (med) epigastric vessls (lat), inguinal ligament (inferior),
what are the sides of the triangle of calot?
cystic duct (lat), common hepatic duct (med), inferior border of the liver (or the cystic artery)
what is the gastrinoma triangle?
junction of the 2nd and 3rd portion of the duodenem; cystic duct; and pancreatic neck
what reverses the effects of heparin?
protamine iv (1:100)
how long before surgery should heparin be d/c?
4 to 6 hours
what is the classic therapeutic INR?
2-3
how long before surgery should warfarin be discontinued?
from 3 to 5 days pre op (IV hep should begin once you stop warfarin) - post op it can be started within a few days
This drug increases gastric emptying with increase in LES pressure; dopamine antagonist; used in diabetic gastroparesis and to help move feeding tubes past the pylorus
Metoclopramide (Reglan)
This drug is a common anti-emetic/serotonin blocker
Onddanestron (Zofran)
This is a common somatostatin analog
Octreotide
What medication is used to treat promethazine-induced dystonia?
benadryl
Which medication is classically associated with mesenteric ischemia?
digitalis
What is Toradol?
Ketorolac - IV NSAID
What is the antidote for Ethylene glycol OD?
fomepizole
What is the antidote for benzo OD?
flumazenil (romazicon)
Is DVT more common in the right or left iliac vein?
Left (bifurcation of the aorta crosses and possibly compresses the left iliac vein)
What is the order of recovery of bowel function after abdominal surgery?
small bowel, stomach and colon.
What syndrome is the bacterial overgrowth in the small intestine due to stasis?
blind loop syndrome
What is the most dangerous period for a postoperative MI following a previous MI?
six months after an MI
T or F: post operative MIs tend to present without CP
true - note: most post op MIs happen on POD2 to POD5
What is Zosyn?
Piperacillin/tazobactam is a combination antibiotic containing the extended-spectrum penicillin antibiotic piperacillin and the β-lactamase inhibitor tazobactam.
What is Unasyn?
Ampicillin/sulbactam is a combination of the common penicillin-derived antibiotic ampicillin and sulbactam, an inhibitor of bacterial beta-lactamase.
What is Augmentin?
amoxicillin and clavulanate
