Questions Flashcards
Earliest clinical sign of hypermagnesia?
Loss of deep tendon reflexes
What is done for post op management of hyponatremia?
Fluid/water restriction
Complication of loss of ileum by-pass?
Any patient that has loss of ileum either due to disease or due to surgery is at risk for developing hyperoxaluria and consequently nephrolithiasis
What are the guidelines for antibiotic dosing for surgery?
A single pre operative parenteral dose of antibiotic before surgery is practiced by most, there is no evidence that continuing antibiotics 12 hours after surgery is beneficial
What is refeeding syndrome and what is a complication of it?
Refeeding syndrome is when patients with severe nutritional deficiency are started to parenteral nutrition, the complication of this is
(1) hypokalemia
(2) hypomagesemia
(3) hypophosphatemia
How does bowel sounds differ in PPI and MBO?
PPI (Prolonged Post Op Ileus) has hypoactive bowel sounds where MBO (mechanical bowel obstructures) has hyperactive bowel sounds
What is the required intervention for DVT?
Embolectomy by Fogarty catheter
What imaging modalities are used for RUQ, RLQ, LUQ and LLQ?
US for RUQ and CT for the rest
What complication is associated with epidural hematoma and explain its details.
Uncal herniation, leading to CN III palsy
Symptoms of uncal herniation
Dilation of pupils on the ipsilateral side and ipsilateral hemiparesis
What is the most common cause of edema of the legs
Venous valves incompetence (usually it is unilateral)
What is xerosis
Dry skin
What kind of injury causes syringomyelia?
Whiplash injury
What is a major complication of repair of thoracic aortic aneurysm?
Anterior spinal cord syndrome due to spinal infarction, there is decreased blood flow to the anterior spinal artery
What do we do in burn patients that have developed compartment syndrome?
Escharotomy
