Rosh Review Flashcards
MOA of acetazolamide, what does it treat
Carbonic anhydrase inhibitor, treats idopathic intracranial hypertension by reducing rate of CSF production
Length of latent to active phase of labor
14 hours for multiparous and 20 hours for nulliparous
Lanx incision
Horizontal incision at McBurney point
Gridiron incision
Oblique incision performed for appy, located at McBurney point
McEvedy incision
Vertical incision from femoral canal to above the inguinal ligamwnt
Paramedian incision
3cm lateral to midline through the skin and subcutaneous tissue; anterior rectus sheath and rectus muscles are deflected laterally to expose the posterior rectus sheath above the arcuate line; incision involves ligation of peripheral branches of inferior epigastric vessels
Why metformin bad peri and post op?
Increase risk of renal hypoperfusion, lactate acculation and tissue hypoxia
Ilioinguinal nerve injury
Pain in the suprapubic area and labia, L1-L2 nerve routes, during wide transverse c-section or trochar placement; improve with hip flexion
Pudendal nerve injury
Sensory deficit in perineum; presents as perineal, gluteal, vulvar pain
Ilioinguinal/iliohypogastric injury
Nerves arise from T12-L1; present with burning pain to groin and pubic symphysis; sensory def to groin, symphysis, mons, lateral labia, and upper thigh
Sciatic nerve injury
Peroneal: foot drop, sensory def below knee but not medial foot; motor deficit dorisiflexion of foot; nerve L4-S3
Obturator injury
“Cannot ride horse”, upper medial thigh sensory deficit; thigh adduction motor deficit, L2-L4
Femoral nerve injury
“Cannot climb stairs”, sensory def in anterior/medial thigh, medial calf; motor deficit hip flexion/addiction and knee extension
Radial nerve injury
Presents as wrist drop; wrist and finger extension motor deficit; lateral 3.5 finger plus thumb sensory deficit; C5-T1
Ulnar nerve injury
“Claw hand”; sensory deficit in medial 1.5 fingers, motor deficit in muscles of hand, C8-T1
