Procedures Flashcards
A. Right Upper Paramedian
B. Left Lower Paramedian
C. Right Subcostal
D. Right Midline Transverse
E. Pfannenstiel (Suprapubic)
G. Lower Longitudinal midline
H. McBurney’s
I. Right Inguinal Oblique
Nissen Fundoplication
Correct a hiatal hernia
The fundus of the stomach is wrapped around the esophagus. A maloney dilator are used to hold it in place. The dilator is removed and replaced by nasogastric tube, and 2-0 silk is used.
Subtotal gastrectomy
Billroth I and Billroth II
Billroth I
Removal of the distal portion of the stomach and pylorus and reanastomosis to the duodenum (Gastroduodenostomy)
Billroth II
Removal of the distal portion of the stomach and pylorus, reanastomosis to the jejunum (Gastrojejunostomy)
Whipple (Pancreaticoduodenectomy)
Removal of the head of the pancreas and duodenum (They share the same blood supply) and distal 1/3 of the stomach.It’s done because of cancer in the head of the pancreas
What stage is a 2cm or less breast tumor
Stage I
What stage is a greater than 2cm but less than 5cm breast tumor (No distal spread)
Stage II
What stage is a breast tumor up to 5cm with homolateral spread
Stage III
What stage of breast cancer is a tumor of any dimesion with distant metastases
Stage IV
Episiotomy
Intentional surgical incision in the vulva to prevent unintentional perineal lacerations
Cervical Cerclage
Placing large diameter Darcon or Mersilene tape around the uterus to prevent spontaneous abortion
Colporrhaphy
Cystocele, rectoceles (prolapse of the bladder, rectum into the vagina)
Salpingo
Fallopian Tubes
oophorectomy
Removal of the ovaries
Gastrostomy
Surgical creation of an opening from the gastric mucosa to the skin (Fistula)
Done for Gastric ulcers, and neoplasms
Truncal Vagotomy
To reduce gastric output. Truncal, Selective, Proximal (Parietal)
Meckel’s Diverticulum
Diverticulum of the small bowel
Splenectomy
Suspensory Splenic Ligaments are divided, Short Gastric Veins are divided, Splenic artery followed by vein are ligated.
Sclerotheropy
Injection into small varicose veins
Extrinsic Muscles
6 Muscles That move the eye
Glaucoma
Leading cause of blindness, Increased pressure because aqueous fluid isn’t able to exit the anterior chamber
Cataract
A crystalline lens that has become opaque do to trauma or age
Retina Detachment
Partial to complete vision loss. Rentia becomes detached from the choroid
Proliferative Vitreoretinopathy (PVR)
Excessive scar tissue causing scleral buckles and detaches the retina
Chalazion
lump on the inner or outer surface of the eyelid
Pterygium
Wedge-shaped fibrovascular growth of the conjuctiva that extends onto the cornea.
Dacryocystitis
Inflammation of the lacrimal sac
Strabismus
Misalignment of the eyes, cross eyed (esotropia), Wall eyed (exotropia)
Mydrasis
Pupil dilation
Miotics
Pupil Contractions
Entropion
Inversion of the lower lid
Ptosis
Drooping of the upper eyelid
Trabeculoplasty
Open-angled glaucoma (OAG), Used to lower the pressure in the eye (Nd:YAG, or Argon laser)
Dacryocystorhinostomy
Assist in drainage of tears by diverting tears to the middle meatus of the nose
Enucleation
Excision of the eye
Keratoplasty
Corneal Transplant
Phacoemulsification
Ultrasonic energy to emulsifiy the lens while irrigating and aspirating simultaneously
Vitrectomy
Microsurgery to repair a retinal detachment (removal of vitreous gel)
Myringotomy (Tympanotomy)
An incision into the tympanic membrane to remove fluid
Myringoplasty/Tympanoplasty
Repair of the tympanic membrane
Mastoidectomy
Removal of the boney partitions that form the mastoid air cells
Stapedectomy
The surgical intervention of choice for PT with otosclerosis. It’s the removal of the stapes through a transaural or retroauricular incision.
Sphenoid Bone location
Behind Zygomatic Process
Ethmoid Bone Location
Between the nose bridge and eye orbitals
Hypertrophied Turbinates
Permanent enlargment of the turbinates
Epistaxis
Nosebleeding
Submucous Redection (SMR)
Structures under the mucous layer of the nasal cavity are excised to improve breathing
Septoplasty
Straightening of a deviated spetum or repair of a perforated septum
Intranasal Antrostomy
Treat sinusitis, or remove reoccuring polyps. An opening into the maxiallry sinus through the nasoantral wall of the maxilla just below the inferior turbinate.
Caldwell-Luc
A radical type of antrostomy with an incision in the canine fossa on the maxillary sinus. The purpose is to remove diseased portions of the antral wall. (contraindicated in children whose permanent teeth haven’t come in)
Ethmoidectomy
Ethmoid can be reached through the nose or through the inner canthus of the eye, on the effected side
Sphenoidectomy
The sphenoid bone is reached through the ethmoid bone (either intranasally or externally)
Palatine Tonsils
The tonsils that are most commonly removed (located at each edge of the fauces)
Lingual Tonsils
Located the the posterior base of the tongue
Pharyngeal tonsils
Commonly referred to as the adnoids
Sleep Apnea
Breif interruptions in respirations during sleep
Polypoid Corditis
Can result from chronic laryngitis (polyps on the vocal chords)
Vocal Chord Nodules
General results from vocal chord abuse
CROUP
Laryngotracheobronchitis (Evident in children under 3, symptom of a barking cough)
Zenker’s Diverticulum
Diverticulum of the esophagus
Two types of teeth
Permanent (16) and Denciduous (10)…26 total teeth
Le Fort I Fracture
Alveolar process of the maxilla is separated horizontally from the base of the skull (most common)
Bilateral fracture of the maxilla
Le Fort II Fracture (panfacial)
Lefort I fracture that vertically extends up upward ti the nasal and ethmoid bones
Le Fort III Fracture (Panfacial)
Fracture line extends transversely from the zygomatic arch to the orbits
Odontectomy
Tooth extraction
Osteotomies
Holes made in bone (bur holes in a crani)
Subaceous Glands
Oil Glands
Sudoriferous Glands
Sweat Glands
Apocine Glands
Sweat glands of the genitalia and axillae, ducts open through hair follicles
Merocrine Glands
Sweat glands that open directly to the skin (Most numerous)
Carpal Bones
Some Lovers Try Positions That They Can’t Handle
Scaphoid, Lunate, Triquetral, Pisiform, Trapezium, Trapezoid, Capitate, Hamate
Cheiloschisis
Cleft lip (Upper)
Palatoschisis
Cleft Palate
Radial Dysplasia (Hypoplasia)
Deformaties of thumb range
Syndactyly
Webbed fingers/toes
Polydactyly
A duplication of a digit
Trigger Finger
The locking of digits
Dupuytren’s Disease
Signified by nodules or dimpling in the palm of the hand (fingers permanently contract)
Ganglion cyst
A benign lesion that’s filled with synovial fluid. Found at almost any tendon sheath or joint in the hand or wrist.
Rheumatoid Arthritis
An autoimmune disease that attacks synovial joints and causes inflammation
Gynecomastia
The formation of “women like” breast in males
Oscillating
Back and forth motion (Larger blade)
Reciprocating Saw
Up and down motion (smaller saw)
Rhytidectomy
Face-lift
Mentoplasty
Chin, repair/implant
Dermabrasion
Smoothing a skin surface that has been scared, facial wrinkles and tattoo removal
Augmentation Mammoplasty
Breast implantation
Cushing’s Syndrome
Overproduction of cortisol by the cortex of the adrenal gland. Due to an over production of ACTH by the pituitary gland
Addison’s Disease
Hypoproduction of the adrenal gland
Most common Calci
Calcium Based