Pestana Flashcards
best dx test for ureteral stones
CT
metabolic complication that is an absolute contraindication to surgery
diabetic coma
tx for follicular thyroid cancer
total thyroidectomy
treatment for gas gangrene
penicillin + clinda, surgical debridement, hyperbaric O2
how to lower ICP
elevated head, hyperventilate, diuresis/mannitol
decision b/t LR + NS for hypovolemic hyponatremic pt
NS if there is alkalosis
LR if acidotic/nml
see elevated ___ w/ myocardial contusion
troponins
diarrhea, ulcers beyond first part of duodenum
zollinger-ellison (gastrinoma)
1st thing to suspect in post-op pt w/ confusion/disorientation
hypoxia
claudication of the arm + visual symptoms/equilibrium problems with exercise
subclavian steal syndrome
severe migratory necrolytic dermatitis in a pt w/ mild DM, anemia, glossitis + stomatitis
glucagonoma
firm, rubbery mass in breast that moves easily in young woman
fibroadenoma
standard dx test for PE
CT angio - treat w/ heparin
acute abdomen in pt w/ a-fib or recent MI
mesenteric ischemia
onion skinning pattern in diaphysis of long bones
ewing sarcoma
treatment of amebic liver abscess
metronidazole
treatment for SCC of the anus
nigro chemoradiation protocol
treatment for intact wound w/ large amounts of pink fluid soaking the dressing
wound dehiscence - surgical closure
surgical tx for GERD
nissen fundoplication
sunburst pattern around knee (upper tibia or lower femur)
osteosarcoma
hypokalemia in a pt not on diuretics, usually w/ modest hypernatremia + met alkalosis
primary hyperaldo - high aldo levels w/ low renin
pts who get renovascular HTN
- young women w/ fibromuscular dysplasia
- old men w/ atherosclerotic dz
antidote for black widow spider bite
IV calcium gluconate
sequence of testing for esophageal dysmotility
barium swallow then manometry
workup for melena
upper GI endoscopy
most common source of fever post-op day 1
atelectasis
MALT lymphoma is highly assoc w/ ___
H pylori infection
paralysis + burning in upper extremities w/ preservation of lower extremities
central cord syndrome (seen in elderly w/ neck hyperextension)
treatment for sigmoid volvulus
rigid rectosigmoidoscopy w/ rectal tube left in
fever PO day 5
DVT
workup for blood per rectum in a child
technetium scan to look for meckel
blood nipply discharge in young woman
intraductal papilloma
workup for thin-walled, dilated gallbladder on sonogram
CT scan, then MRCP if negative
minimal FEV1 needed for pneumonectomy
800ml
first step in workup of obstructive jaundice
US
fever PO day 3
UTI (or pneumonia from atelectasis)
workup for cushing
low dose then high does dex suppression test - if cortisol remains high, then cushing
most common cause of inc pulmonary risk for surgery
smoking - should stop at least 8 wks prior to procedure
PO day 3 - confusion, hallucinations, combative
alcohol withdrawal (delirium tremens)
