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Surgery shelf > Next best step > Flashcards

Next best step Flashcards

1
Q

Suspected aortic dissection

A

CT and aortic angiography

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2
Q

Acute pancreatitis

A

Fluid resuscitation

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3
Q

Hypocalcemia after parathyroid removal

A

administration of calcium gluconate

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4
Q

s/p MVC, stable, gross blood on urinalysis, spine intact

A

CT w contrast to look for kidney injury

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5
Q

FAP

A

prophylactic total proctocolectomy

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6
Q

Fever after endoscopy

A

water soluble (gastrograffin) contrast upper GI study

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7
Q

microcalcifications on breast biopsy

A

percutaneous palpation-guided or image-guided biopsy

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8
Q

breast mass in woman under 30

A

ultrasound; if suspicious, then core needle biopsy

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9
Q

breast mass in woman over 30

A

diagnostic mammogram and core needle biopsy

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10
Q

choledochal cyst

A

excise

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11
Q

blood at urethral meatus

A

retrograde urethrography

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12
Q

ovarian torsion

A

surgery

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13
Q

BRBPR

A

colonoscopy, nuclear tagged RBC scan, arteriography

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14
Q

suspected meniscal tear dx

A

MRI

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15
Q

dx of diverticulitis

A

CT

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16
Q

tx diverticulitis

A

IV fluids, NPO, antibiotics

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17
Q

dx carpal tunnel syndrome

A

nerve conduction studies

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18
Q

tx carpal tunnel

A

splinting
glucocorticoids
surgery for severe or refractory pain

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19
Q

insulinoma

A

CT w/contrast to localize; excise

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20
Q

mesenteric ischemia tx

A

exlap w/ embolectomy

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21
Q

suspected hemolytic transfusion rxn

A

immediately stopping the transfusion, providing hemodynamic support, and repeat crossing and typing

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22
Q

tx small, spontaneous pneumothorax

A

obs

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23
Q

dx mastoiditis

A

CT

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24
Q

tx for acute surgical mastoidtitis

A

mastoidectomy w/ insertion of tympanostomy tube

25
Q

torus platinus tx

A

obs

26
Q

laryngeal papillomas

A

laser fulguration

27
Q

young patient with newly discovered, enlarged lymph node

A

come back in 3 weeks

28
Q

dx plummer vinson syn

A

barium esophagram (swallow)

29
Q

suspected ischemic colitis

A

flexible sigmoidoscopy

30
Q

tx ischemic colitis

A

NPO, IV fluids, antibiotics

31
Q

Tx sigmoid volvulus

A

endoscopic decompression followed by elective sigmoid colectomy

32
Q

tx cecal volvulus

A

urgent colectomy

33
Q

tx sigmoid volvulus

A

if peritoneal: exlap

if stable: decompress with colonoscopy

34
Q

dx epidural abscess

A

MRI

35
Q

tx slipped capital femoral epiphysis

A

pinning of hip joint

36
Q

dx slipped capital femoral epiphysis

A

xray

37
Q

clavicle fx

A

neurovascular exam to r/o brachial plexus and axillary/subclavian injury

38
Q

clavicle fx w/ bruit

A

CT angiogram

39
Q

tx ITP

A

steroids then IVIG, then splenectomy

40
Q

intussusception

A

barium enema to dx and tx

41
Q

tx mild peripheral artery disease

A

smoking cessation, exercise program, cilostazol

42
Q

suspected cervical trauma

A

CT

43
Q

hard signs of vascular injury

A

OR

44
Q

no hard signs of vascular injury, but it is suspected

A

ABI

45
Q

suspicion of developmental dysplasia of hip but equivocal exam

A

sonography

46
Q

tx developmental dysplasia of hip

A

abduction w/ Pavlik harness for 6 mo

47
Q

colles fx treatment

A

close reduction and cast

48
Q

scaphoid fx treatment

A

open reduction and internal fixation

49
Q

tx femoral neck fx

A

intramedullary rod

emergency when open (must be cleaned out within 6 hrs)

50
Q

hip dislocation

A

emergency reduction to prevent necrosis

51
Q

post-op thrombophlebbitis dx

A

doppler of deep leg and pelvic veins

52
Q

tx post op thrombophlebitis

A

anticoag with heparin and then warfarin

53
Q

dx PE

A

spiral CT aka CT angio

54
Q

tx PE

A

anticoag or IVC filter in someone with contraindication

55
Q

tx sigmoid volvus

A

rectal tube and sigmoidoscopy

56
Q

tx adrenal hyperplasia

A

medical

spironolactone

57
Q

tx adrenal adeoma

A

CT and surgical removal

58
Q

tx R sided colon cancer

A

R hemicolectomy after dx colonoscopy and biopsy

59
Q

dx L sided colon cancer

A

flexible proctosigmoidoscopic exam w biopsy

Surgery shelf (2 decks)

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